HomeMy WebLinkAbout008-1046-10-000
0 to O g v n C7 ~1
m °
j o
~ ~ I a Xt c
= ~ ~ l 1
3 3
- `G
3 C N 1 ~C11
CD O_ (D cD W O_ CO
o a O z a n CD
ry
WCD ID n
v w W N
Q O 0 --1 ('D W O
c 0 _ CD (D W
3 S
3 y O ° p
(A (n O
c <
d -
cn D P- °
(fl m (1) a
U) co
o_
0
CD
(D !.i
(n co OD fn O C N
O O O
•
o
z
v' n. J ti N N D
v v v
O < W .O. y
< C) O
m CA
N ` .
CL
z oo z Q
D (D O
o n-
"wd
•
o' m Cl) CD
y Z
D N y
i
D CD
C (D (D
Q 7 _
O = p A ` CD
N C s ~
n 7 A z O
CL c
a.
ou " M N 01
0 CD _ 00
a z
c 3
O (n
0 m rn
y z
(D A
N
y,
Q
o -
T
v c
z n
O
(D
A
a
t
A
v
V
N
O
O
a
A
~ A
O
(D A ti
O V
0 ti
o (D yb
°
° L
ti
Parcel 008-1046-10-000 02/17/2006 04:04 PM
PAGE 1 OF 1
Alt. Parcel 16.28.16.233 008 - TOWN OF EAU GALLE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
JAMES M & ROXANNE LUND O - LUND, JAMES M & ROXANNE
390 CTY RD BB
WOODVILLE WI 54028
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 501 WILLOW
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 16 T28N R1 6W 40A NE NE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
16-28N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/01/2002 670015 1828/163 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
138567 Use Value Assessment
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 36.000 3,100 0 3,100 NO
UNDEVELOPED G5 1.000 100 0 100 NO
OTHER G7 3.000 8,800 86,100 94,900 NO
Totals for 2005:
General Property 40.000 12,000 86,100 98,100
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 12,000 86,100 98,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM
II
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER r ` r.J 4- L 0 A)o( TOWNSHIP C-:AU a#"SEC. T -.7gN, R& W
P.O. ADDRESS I, ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE (o O 04c-e- e S
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
V
V),
fi
f. CV
8
f«
'~~w rl
~ Sao ~ or
/V,) + ~p Ste- q - e
SEPTIC TANK (S) MFGR. 6jo P ~S l .nxJGie~~~CONCRETE-_ STEEL
NO. of rings on cover p N e Depth 6 If DRY WELL cv-"L
TRENCHES NO. of width length area C) O-
BED no. of lines w c? width length i area 43'0
depth to kop of 'pe
AGGREGATE C- I
PERK RATE AREA REQUIRED 3Z? AREA AS BUILT Ira a
Disclaimer: The inspection of this system by St. Croix County does not imply complete
compliance with State Administrative Codes. There are other areas that it is not possible
to inspect at this point of construction. St. Croix County assumes no liability for
system operation. However, if failure is noted the County will make every effort to
determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPECTOR
i
I
DATED PLUMBER ON JOB
f LICENSE NUMBER 474
III ~ .
4 ,
i
4
HHS~RN HSNHOI'I '
90r No uau nqa QRIV(l
E
UOID dSNL
•Idd,ISIS SIHI HOR02I111 QHSOdSIQ Hfi ION Q MOHS S7IO (INV SHSVHUD
•aznTTQ3 go asneo auTmzalap
0-3 1101Ta 1,19Aa a-4em TTTm Kqunoo aqj pajou sT aznTTaT 3T `zanarloH •uoTlezado ma4sAs
zof AITTTgeTT ou samnssu Klunoo xToaD -IS •uoTjonzjsuoo go quiod sTgl je joadsuT of
aTgTssod jou sT IT jegj saazu zagjo azu azagj •sapoO aATjszIsTuTMPV @IVIS gITM aoueTTdmoa
agaTdmoo fTdmi jou saop Ajunoo xioaD IS Kq malsfs STqq 3o uoTioadsuT aqs :zamTeTosTQ
- ! G-z-IIng sVxv 4 t1 QInbHx vaxv HIVE xxHa
07
p--tlv 10
HZVOMOV
ad 3o do3 of gidap
v pg/. eaav q:03uaT Z~'-rq: I P T M (77-~?sauTT Jo •ou OHg
eaze q:12uaT g3PTM 30 *ON SHHONHH;L
-Z'IdM 71UG 7-q:idaia zanoo uo sHuTz 30 'ON
aaais ~aiaumob4001,3NO'j 3 '2iO3Li _0_U_07(S))INHZ DUM
I
t
4- v ;'M a t"?J C7
WaIS,&S 3o laad OOT NIHZIM ONIIXURAH MOHS
OZ•Z9H 3o squamazTnbaz laam of suoisuamTp 9 saouelsTQ
MHIA NV Ia
-5.17 V 69 HZIS 1011 ZO'I NOISIAI MIS
NISNOOSIM `AZNIlOD XIOUD *IS ` Cy!MPI-1v ssaxQae •0•a
-4- rd 4dp % ; xHNMo
M 971d `N r s II •0Hlps,j4fV clyJ dIHSNMOS Py 7
Zxodau Nais7,s :,uvi vs nifig sv
C 3 w O (vJ con
(D CD -0
z -4 CD w
(n -1 2 N CO N C Dmj O O `C h•
w 3 w C O O O 7 C N I~ }r/1
(D _ 0 (D (D W n Ou ~ O
ci, w m o m W w rn O
O O n ro Z n 1 N L w f O 1
w N w N 7 (D IV ^Y
n
O O 0 (D
W COO W C CD w O p
3 o O O
7 O
O
N
O
w (n < D m :i1
_ (D N N CJ. n
C
N N 3 C7 ~ ~
O
O 00 i # W O
O d) O
(D m n _ N
N 00~ cn O C
D Q
'D
a N N m w
cr U O 0 o
m m m F m
w O N
(D CD N
3 w
(D
M N
O z Q. O~
A o O Z W Z
N D O
CL
O n' ( O
N w w •
O O O
O O 7 O O N
x -1 N
V
m D'
((D N ~1
G (D N
(D _
A Z CD
N .r
7 ' .p Z O
co v m N M
(D (D co
a 1 , z
3 A
0
o rl, Z rn
M
N z
(D A
N
o D
w w O O O
3 Z ((D o n
N o'
o ~
w =3 m
N
(D 0 w C
-(D z a
N "0 O O
~D0m
n ~
CD
w 6 0 < N
w
C C/) n
N < (D
(D N
w =5 N J
D w
CD w N a
CL 6 o c
o (n
U) m
~ m 0
ti
(D cv
c
(0 A _
m' O 7 ~
a I
(D trp O
'C N
Efl Q ^~O ~
a
o
o n I
EH 115 (11-74)
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: '/4, '/4, Section , T_N, R E (or) W, Township or Municipality
Lot No. , Block No. County
- Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOI L TYPE
PERCOLATION TESTS
TAT DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
UM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
P-'
P--2 I d
s
SO G TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDW , INCHE CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HI HEST (DEPTH TO BEDROCK IF OBSERVED)
B-
B-
B-
PLAN VIEW (Locate percolationtests;soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable.areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give reference point. Indicate slope.
N
t
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Name (print) _ Signature
Certification No.
Name of installer if known
Copy C - Local Authority
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i,tatcy PeAmit-;
State Septic
Township
'c St. CAOix County
NAME
4
Location,+ % o Section,/1 TN, R W
SEPTIC TANK
Size gattoms. NumbeA o6 CompaAtments
D.i.6tance FAOm: Wett lii 2 ~ G 12% oA grcea,teA zZope - it
Bu.if.d.ing Wettand.5 ~ .
i
H.ighwatet it.
DISPOSAL SYSTEM
Distance FAOm: W e Z Z Ale 12% oA gtceateA zZope - it.
Bu.itd,ing it. Wettands Ft.
H.ighwateA it.
FIELD DIMENSIONS:
W,id-th o6 ttench it. Depth o4 Aock below Cite in.
Length ob each tine it. Depth o6 Aock oven tite in.
Numbers o4 ti.nez Depth of tite below gtcade in.
Totak .Length o4 Zinez it. S.Lo pe o j trench in pen 100 it.
Distance between Zines it. Depth to bedrock b~.
Totat abzmbtion atcea jt2 Depth to gtoundwateA ~ .
Requ.i..Aed area it2
PIT DIMENSIONS:
Numbers o6 pit/s GAavet around pits yes no
Outside d.iameteA it. Depth below .intet it.
2
Totat abzoAbtion atc.ea it z
A
2 3Z
AAea Aequ.iAed it
INSPECTED BY TITLE
APPROVED ,')ATE l 197
.
REJECTED DATE 197
I
p .
rt,~
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS_
LOCATION: IVr;A, SectionZ4_, JR, R/10_16'(or) W, Township or Municipality t_-A 0 tc,
Lot No. , Block No. County
Sub ivision Name
Owner's Name: N J N JA Mailing Address:
TYPE OF OCCUPANCY: Residence - No. of Bedrooms 0 Other L--t L_a / /L
EFFLUENT DISPOSAL SYSTEM: NEW I a~ADDITIIOrN REPLACEMENT
.~7► o
DATES OBSERVATIONS MADE: SOI22LBORINGS 1!' !e Y~PERCOLATION TESTS / - 4 - / d
SOIL MAP SHEET SOIL TYPEL`± G F, _r-- v 19 -ev,
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
i\JUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
SER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
r-
P U Vi OAS S Ad
P- /Vas 0 3/~ / / % 2
I--,
P-- 3
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
"dUMBER INCHES OBSERVED ESTIMATED HIGHEST . (DEPTH TO BEDROCK IF OBSERVED)
y
66
1~ ~ ~ tt
v
7~' 66
PLAN VIEW (Locate percolationtests,soiI bore holes and suitable soil areas.)
k1dicate on the plan the location and square fe uita!8 areas. Indicate number of square feet of absorption area
.eded for building type and occupancy. o to Indicate scale
distances. Give horizontal and vertical reference points. Indicate slope.
~r-
) -
y ak K ~ P<
r
E
C.) tr
- T-- -
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Name (print) Certification No.
'T
Na
Address L _ S
Name of installer if known ,t
CST Signature
COPY A -LOCAL
r
r s s
State and County State Permit # _ PLB67 6 -~F
Permit Application County Perr*~jt # IL'
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address: r
B. LOCATION: IV AtSection T N, R ,b (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# - Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X_ _ uplex No. of Bedrooms ~tv o No. of Persons s,
M0inEIeo- /~at-" C-
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder-YES X NO # of BathroomsjOWe.
Automatic Washer K YES NO Other (specify)
E. SEPTIC TANK CAPACITY /006 Total gallons No. of tanks _ O/V
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement- Prefab Concrete- X
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 0 2) 3) Total Absorb Area sq. ft.
New Addition _ Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Sj
Seepage Bed: Length .yVidth Depth Tile Depth' No. of Lines
Liquid Depth ~ Tile Size
Seepage Pit: Inside diameter ,2-"' - ~ 4
Percent slope of land d~ Distance from critical slope _
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified S ' Tester, `
NAME OLC;/T C.S.T. # W 7~ and other information
obtained from r,,a (owner/builder). /
Plumber's Signatur MP/MPRSW# A3 Phone # 6PY-S379
Plumber's Address - z / . I •c
r
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including ell). n IC
Y .,G h~~ ~v O C S
> 0 ~IG
to
1 ~ o
~ ,SOU
IJ~ WN'f
h
N 2
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application J - ; Fees Paid: State,/. County . Date
Permit Issued/R d (date) C Issuing Agent Name\~t,%
Inspection Yes No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)