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Parcel 030-1023-50-000 05/11/2006 04:02 PM
PAGE 1 OF 1
Alt. Parcel 06.29.19.97C 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
O - SENRICK, STEVEN W & JAN
STEVEN W & JAN SENRICK
326 RIVER RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 326 RIVER RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 6.730 Plat: N/A-NOT AVAILABLE
SEC 6 T W SE NW LOT 1 OF CSM 2/375 Block/Condo Bldg:
EXC T" 330'
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1073/391 LC
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 44,000 137,900 181,900 NO
PRODUCTIVE FORST LANDS G6 3.730 79,200 0 79,200 NO
Totals for 2006:
General Property 6.730 123,200 137,900 261,100
Woodland 0.000 0 0
Totals for 2005:
General Property 6.730 123,200 137,900 261,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
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 j % ef✓=i=/V TOWNSHIPS i ~T SEC. T N, R W
P.O. ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i'
1
~L fz
i
SEPTIC TANK (S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth 61 " DRY WELL
TRENCHES NO. of width length area
BED no. of lines j width ZL length area
depth to top of pipe
AGGREGATE
PERK RATE AREA REQUIRED AREA AS BUILT
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
DATED J - l 7,f l PLUMBER ON JOB
LICENSE NUMBER si
REPORT OF IITSPECTION--114DIJIDUAL MIAGE DISPOSAL SYSTEM
Sanitary Permit
State Septic
TOWNSHIP
t., oix C my
SEPTIC TA'TI
Size C gallons. "lumber of Compartments
Distance From: Tell ft. 12% or greater slope ft.
Building M~ ft. Wetlands f
Rigtiwater ft.
DISPOSAL SYS T:,:4 c_ \ Tile Field or Seepage Pit(s)
Distance From: Tlell { ft. 12% or greater slope ft
Building _ft. Wetlands f:.
FIELD r,ighwater ft.
Total len&A of lines tt. Number of lines. Length of
each line ' ft. Distance between lines _ -ft. Width of the
trench ft. Total absorption area sq. ft. Depth
of rock below tile in. niepth of rock over tile _ in. Cover
T
mover rock,L E Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock - ft. Depth to
,,round water ft.
"lumber of nits Outside diameter ft. Depth below inlet
ft. Gravel around nit: _yes no. :Total absorption area
sq.-ft.
Square feet of seepage trench bottom area required
`:quars feet of seepage nit area required
G~
Inspected by: Title
Approved Date 197 '
Rejected Date 197`.
NFL 1j
`1 1 1\i
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
LOCATle.71~ %,/`0'~, Section , 3~, R,L[6(or)aownship or Municipality y • ~1
Lot No. l Block No.
y~ Subdivisi Name
Owner's Name:,/ -ye, PS. C%
Mailing Address: oel~jq/ .s/: ~--T 6__S_ZV K2,
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS--3°71 /7 PERCOLATION TESTS 7 7
SOIL MAP SHEET _
- - SOIL TYPE l7 7 ' G" .Z- 19i'S CAe
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
JUM_ INCHES THICKNESS IN INCHES MIN/IN
3ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
`E1 ArQ , g l ?i ~O -3
Lo
iF
~P-
4 5-e e- r-e A4
SOIL BORING TESTS
i TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
C
~S 8Z5
63
A [tWC.•z- a. S ~ 6 0" 1(-2 e
~
/Ocl
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
-idicate on the plan the location and square feet f itable r as. Inyica nw be ,--c square fe t of absorption area
needed for building type and occupancy. ~y 60'd~ Indicate ccaal l
or distances. Give horizontal and vertical reference points. Ind! sl
i
13 ~
t
I N
01 +
0
e9
1471
A ~ lY SY9 -(.-_2,0 -;t- Bp s
I, the undersigned, hereby certify that the soil tests reported on this form were ade 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 beliY".,4 f~~^
Name (print) r Certification No. S's _Z_ 6 y
c
Address rv
Name of installer if known
CST Signa
6h"Y A -LOCAL AUTHORITY
a
State and County State Permit #
PLB67 Permit Application County Permit 3G_
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: SY/ - C301-
-~L gipoo /
-~-e
B. LOCATION: Section T4;q N, R V (or) ot# City
Subdivision Name, 2 road, lake or landmark Blk# Village
Township . C
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES XNO # of Bathrooms-?C
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY- f~ Total gallons/A~No. of tanks
'Holding tank capacity_____ Total gallons No. of tanks
New Installation K_ -Addition Replacement _ Prefab Concrete 1<
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) /_Total Absorb Area sq. f /
New Addition Replacement *Fill System~G' mu~`~ltY
Seepage Trenc No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bedngth Width Depth
7-0 Tile Depth " No. of Lines -3_ ~!lf -34 Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 7c, Distance from critical slope
oed SY
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 C ified Soil st
NAME Wf1 ` C.S.T. # - and other information
obtained from 4 owner ler).
Plumber's Signatur t?~- MP/MPRSW# Phone #71
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
y Old
00
L4, ea, .
Re J /
.2'XS'Y' ~Q~s~`ol~sr
Do Not Write in Space Below FOR DEPARTMENT USE ONLY ~j
Date of Application ~Fees State 00 .Co y '7 Date / t,-S,477,
Permit Issued/ (date _Issuing Agent Na
Inspection Yes,4'- 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 (canp-,/
f n !