HomeMy WebLinkAbout030-1023-70-000
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03/21/2006 09:31 AM
Parcel 030_1023-70-000
PAGE 1 OF 1
Alt. Parcel 06.29.19.98A 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 - LUND, CARL A & THERESA
CARL A & THERESA LUND
1131 BROKEN ARROW RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 1135 BROKEN ARROW RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 4.250 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R19W E 1/2 NE SW W 4 RIDS OF N Block/Condo Bldg:
70 RDSOF E 1/2 NE SW &E8RIDS OF W 12
RDS OF N 50 RDS OF E 1/2 NE SW Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
83306 194,600
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.250 90,800 86,200 177,000 NO
Totals for 2005:
General Property 4.250 90,800 86,200 177,000
Woodland 0.000 0 0
Totals for 2004:
General Property 4.250 90,800 86,200 177,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
r
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitatLy Pe.nmit-,_) ~Cd
State Septic X'i),? _
NAME Township St. Ctoix County
% oSection 1~N,R! W
Lacaian
4lL
SEPTIC TANK
Size gatton6. Numbers o4 Compatctment6
Distance Ftcom: Wett it. 12% otc gtceatetc zZope it
Bu.itd.ing it. Wettand/s it.
Highwatetc it.
DISPOSAL SYSTEM
Di.6tanee Ftcom: Wett it. 12% an gtceatetc 6tope it.
BuiZd.ing it. Wettand~s Ft.
H.ighwatetc it.
FIELD DIMENSIONS:
Width ob trench it. Depth ab rock below tite in.
Length ob each tine it. Depth o4 tcock ovetc t.ite in.
Numbetc o6 tine/s Depth ob tite below gtcade in.
Totat tength of Una it. S.2ope ob ttceneh in pet 100 it.
Distance between Zines it. Depth to b edtco ck it.
S
Tatat abls otcbtion atcea 6t2 Depth to gtcoundwatete it.
Requited atcea bt2
PIT DIMENSIONS:
Numbetc of pith Gtcavet atcound pitz yeas no
Outside diametetc it. Depth b etow .inZet it.
5
s 2
Tatat ab~sotcbtion atcea it
A
2
Ateea %equ.itced it n'
INSPECTED BY TITLE
APPROVED ,DATE 197. ' REJECTED , DATE 197
_
34
3
3
Y
~i 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH w
P.O. BOX 309
MADISON, WISCONSIN 53701
46%,,5 REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: /Section R/-? f(or)&-ownship or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address: AL-
TYPE OF OCCUPANCY: Residence No. of Bedrooms --°3 Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 9 Z'7e PERCOLATION TESTS 9//'o?' 7P
SOIL MAP SHEET ~2 FI` tg SOIL TYPE l `
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS ICHARACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL
MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
See I;b -.e 4- -
P- Ala 3
P 13
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- 3 tr`I~L" 7
7.( 7Ls,, X4
4 AkaC- - >Z6
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square eet of~uitable areas. Indicate num qr of square feet of absorption area
needed for building type and occupancy. ~ , Coo -rte 4 ~ ~ e JZ2Jj~j- Indicates ale
or distances. Give horizontal and vertical reference p in s. I icat lope. ,S f Q d /~~~ljgr+Z~.cr.
5 ~ i s ; I i ~ i ®rn
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t f ~ t I i + f I ~ t f t' t I ._.._.I
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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) ~/s r A, Certification No.
Address
Name of installer if known
CST Signature • '
y 1!
State Permit
P L B67 State and County -
~ Permit Application County Perini
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 Add ess:
C j a G9
At-1 Ll 44,
B. LOC TION: `Lko? Y4, Section T.;Wy N, R,/Y b (or) Lot# -City
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 _X~_ YES NO Food Waste Grinder YES_,&NO # of Bathrooms-/-
Automatic Washer _X_YES _NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation x Addition Replacement _ Prefab Concrete 7C
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1), 2) D S' 3) `'Total Absorb Area Y,W-l-sq. ft.
New Addition Replacement *Fill System &P-1
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length' 4fL 0Width P' Depth y~„ Tile Depth ? 6f' No. of Lines
Seepage Pit: Inside diameter . Liquid Depth Tile Size
Distance from critical slope
Percent slope of land I-A "'e-
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 Ce ified Soil ste
NAME C.S.T. # and other information
obtained from owner
Plumber's Signature M / PRSW# Phone #-71f
Plumber's Address A~ ~f
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
A% SSc:,a-lam
- AAA
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a S'on
Do Not Write in Space Below FOR DEPARTMENT USE ONLY ~d
Date of Application - Fees Paid: State C 00 County= Date ~ -
Permit Issued/tee (date) -Issuing Agent Name
Inspection Yes No Valid# Date Recd _
1. county (wh' a copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4. plumber (canary copy)