HomeMy WebLinkAbout030-1023-40-000
o c o o
(D 0 ID 'a
v a # c
(D ID
v ^
3
~s
m o v vy o CD nri rn °w `C •
CD 3 0 io °i co ~ c- °
m n Z p` y rn D N o
N El 7 W O CCD O (O N O
N Q O N y _ (O r~
O
o ro = CD z
- - - co 0
(P Q M
7 y O O
C D o a
m co o (n d p
O y a)
c n c C, C) 7
O m co D t\r
N
C4 -4 CD _
cfl CO S a
c ~
n'
v v o h.
z O O O ?
o cnm <sZ
3 ai (n ti D
v v v -P, o
O f'D K y C)
0
CAD !r
(D lp
O O
C1
N ~ ~ d it N
:3 CD
- N
CL
z
z03z
o
CD 0
0 n
N D
CD N N •
fn
Cl)
0 y
N CD
w m
a 3
p c ?
z o a z m
n D A z O
w n O
O
Cn N Cn
m v m
A ~ z
o 3 4A
O Z
3 CD
I w F I
N
CD a
n -
v -
~ m c
a z 'o.
0
m
N y
4 a
CA)
n Cq
c
o
o
c
sa-o ~
0 j
A
4
C. p b
(D bq Op
O ~
0o i ~
'Parcel 030-1023-40-000 09/25/2006 04:48 PM
PAGE 1 OF 1
Alt. Parcel 06.29.19.97B 030 - TOWN OF SAINT JOSEPH
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
NEIL A LANGAGER O - LANGAGER, NEIL A
1174 MCKINLEY DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1174 MCKINLEY DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 6.000 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R19W SE NW LOT 1 OF CSM 1/72 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/09/2003 739205 2403/204 ROAD
09/09/2003 739204 2403/203 PR
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.000 136,100 74,500 210,600 NO
Totals for 2006:
General Property 6.000 136,100 74,500 210,600
Woodland 0.000 0 0
Totals for 2005:
General Property 6.000 136,100 74,500 210,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 213
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 030-1023-40-000 05/11/2006 04:11 PM
PAGE 1 OF 1
Alt. Parcel 06.29.19.97B 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
0 - LANGAGER, NEIL A
NEIL A LANGAGER
1174 MCKINLEY DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es):
Type Dist # Description ' 1174 MCKINLEY DR Gl /JOX
SC 2611 SCH D OF HUDSON
SP 1700 WITC
/ L7 7
Legal Description: Acres: 6.000 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R19W SE NW LOT 1 OF CSM 1/72 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/09/2003 739205 2403/204 ROAD
09/09/2003 739204 2403/203 PR
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.000 136,100 74,500 210,600 NO
Totals for 2006:
General Property 6.000 136,100 74,500 210,600
Woodland 0.000 0 0
Totals for 2005:
General Property 6.000 136,100 74,500 210,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 213
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
L
r r~ r
TOWNSHIP SEC. l/ T '2i R W
G. ADDRESS ST. CROIX CG
TY, WISCONSIN.
~DZVZSZUN , LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
_ i- ~ I • it I , ~ i
i ' f I ~ ~ ~ I I I ~ I I I ' ' ( ~ 1 I
I i RG
1 !
In'dic'ate Northf Arrota '
I ( i I I r 1 I i S P_ r i---
i CALF . f C'
If
TIC TAN (S) MFGR.
.5 CUPICRETESTEEL
NO. of rings on cover ( Depth DRY WELL
tLNCHES NO. of width length area
no. of lines = width ! length 2(' area l
depth to top of pipe
aREGA.TE
i~K RATE UREA REQUIRED i..- AREA AS BUILT
eiciaimer. The inspection of this system by St. Croix County does not imply complete
oepliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
•Stee, operation. However, if failure is noted the County will make every effort to
6
,ermine cause of failure.
(EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
DATED PLU; iBER ON JOB
LICENSE NU:•iBER 2 2^3
Z• •
"REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
y Sanitatcy Petcmi -
State Septic /J
NAME c ~`l Township S Ctcoix County
Lo4t'~Y- a6Section ~ T5/N,R W
SEPTIC TANK
Size gatton6. Number o4 Compantmentz
Di.6tance Ftcom: Wett 12% otL gneatetc ztope it
Buitding it. We-t.tandz it.
Highwatetc it.
DISPOSAL SYSTEM
Diztance Ftcom: Wet it. 12% an gtceaten stope it.
Building it. Wettandts Ft.
Highwatetc it.
FIELD DIMENSIONS:
tViRA o j thench it. Depth o6 no ch. b etow tite in.
Length ob each tine it. Depth o6 rock oven tite in.
Numbetc o6 tines Depth o4 tite below gtcade in.
Toxat .length aj tinez 4t. Stope o6 ttcench in pen 100 it.
1
Di.6 Lance between tines it. Depth to bedtcock it.
Tatat absatcbtion atcea 6t2 Depth to gtcoundwaten it.
Requited atcea it2
PIT DIMENSIONS:
Numbetc o6 pits Gtcavet atcound pitz yeas no
Out.6ide diametetc it. Depth below inlet it.
2
Tatat absmbtion atcea it z
A
Atcea tce.quitced it2 rn
INSPECTED BY TITLE l
APPROVED , DATE 197. REJECTED DATE 197
C
14
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
EPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Ste'/4, /Y /4, Section R/f eP(or)rVI&ownship or Municipality -$-A ~4
Lot No. , Block No. Subdivision Name County -S,^_& "l
_
Owner's Name: I.,
Lt CAJl
Mailing Address: kx
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS ' 2 PE COLATIO TESTS
SOIL MAP SHEET r9-rX 17 SOIL TYPE 6b
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- r 9( 10
P - kr e- Ak
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- r `7fi~'r V ✓1 / / r ~iy / ~~il~./~ it 5.
B-~/ rr I~L~/}r4~~~~ 7p ~ f~ fr 0",`t ~L~ iC~ J'~s r~~'• ~~r f~I`✓.
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and squar feet of suitable areas. I sate n er of square fee of absorption area
needed for building type and occupancy. "I sc e
or distances. Give horizontal and vertical referenctspe;X~J,-/,~nclicate i
f ^ t i I f i t 'I
t
i I
( 1
I I
L i I
fi - - I -
m 1 i J ~ I L41
li r t ~yl i✓ I I ^
f I ) C I F~ V I ~ V I ~ ~ I f I S R
I I s ~ ~
I ~0_.
i
f ^
{f f Vl
I I t ^ - ~ ~ i I t I ~ i
f j 4 i I I
f f
• f ~ I X i t
f -
7
I
i i t 1 ~ f
lei,
^
t e ~ -_J sy'' 1
f I
f f 1 f .i{.
r I ~ 4 ~ ~ i ~ i 1 { f
I, the undersigned, hereby certify that the soil tests rued on this form were m0a dew mein accord with the p~~ dure
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 arld belief.
Name (print) x /4 1 4 .1 d~ Certification No. S X!2
Address ,
Name of installer if known
CST Signatur
I -OPY
State and County State Permit # /
PLB67 Permit Application County Perm - , 10
' 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:
~le
- 41-Jt k, 4
B. LOCATION: Imo
'/4 Section T, N, R ~i (or) ~ot# City
jx~
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C TYPE OF OCCUPANCY: *Commercial "Industrial *Other (specify) "Variance
Single family x Duplex No. of Bedrooms No. of Persons 2--
D. TYPE OF APPLIANCES: Dishwasher _ YES NO Food Waste Grinder YES J NO # of Bathrooms
Automatic Washer _,K YES_ _ NO Other (specify)
t SEPTIC TANK CAPACITY/Lscl)Q Total gallons No. of tanks
Holding tank capacity Total gallons No. of tanks
''ew Installation Addition Replacement - Prefab Concrete
`Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) __?l 3) Total Absorb Area 'sqq. ft.
ew Addition Replacement *Fill System
'eepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
:seepage Bed: Length ~ '_Width Depth °r Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size Y~
Percent slope of land O 0 0&c t4 Distan e ,from critical slope L)
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 Cer ified Soil Test
!`DAME f1 c tr:~' _ C.S.T. # and other information
obtained from K: C (owner/
Plumber's Signature , oF~s MP/MPRSW# ~ Phone
;17 FZ-
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
jci
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application -/Y Fees Paid: State /0, Q l1 County Date
Permit Issued/Pleo ed (date) -Issuing Agent Name eJ
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)
L
TRANSFER FORM
SANITARY PERMIT ~.1`.
PLB 67- T State Permit # 12
Sanitary Per 't
County
Sanitary Permit Transfer Date Original Permit Issuance Date
A. Property Location: ),e~- d4i Section G T_k_Y_N,R (or
/ '/'E Lot # -City
Subdivision Name, Nearest Road, Lake or Landmark BLK # Village
Township
B. TYPE of Occupancy: Commercial Industrial Other (Specify)
Single Family X Duplex No. of Bedrooms Variance
C. SEPTIC TANK CAPACITY _ Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab Concrete X Poured-in-place Steel Fiberglass Other(Specify)
New Installation Replacement
LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify)
D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 6-- 7 - J Total Absorb Area iLl sq. ft.
New X Replacement Alternate (Specify)
Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No. Trenches
Seepage Bed:._ Length 1 Width ! Depth !~k Tile Depth(top) 1- , No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. Seepage Pits
Percent slope of land ' On- Distance from critical slope
E. WATER SUPPLY: JAI Private ❑Joint ❑Community ❑ Municipal
Present Sanitary Permit Holder Phone No. Sanitary Permit Transferred To: Phone No.
Name - .&Z>i f 44(Z-~44-4;F_12 Name
Address el'u' 1 1 Address /
Zip t Zip
I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with
section H 62.20, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared
by the Certified Soil TX,,,r and/or any additional soiill,,tests that may have been required.
Plumber's Signature ''t, a ~C MP/MPRSW # >.ic.C Phone
K-
Plumber's Address
Information obtained from - - ' ' wner r agent)
PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord
with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh-
bor' pro ert ,._If welf has- ot.been drille l,pl ase..in~_
I
'TW
i ✓
IL ' 1:7 i 4Ft
i
i
I
Signature of Issuing Agent'
1. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH
2. State (White copy) 4. Plumber (Green I,copy) P.O. BOX 309, MADISON WI 5370