HomeMy WebLinkAbout030-1025-50-000 (2)
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Parcel 030-1025-50-000 03/21/2006 10:32 AM
PAGE 1 OF 1
Alt. Parcel M 06.29.19.103B2 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 - TANGEN, DANIEL D
DANIEL D TANGEN C - BOLIN MELISSA A
BOLIN MELISSA A
1128 TROUT BROOK RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1128 TROUT BROOK RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 4.500 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R19W NE SE LOT 2 OF CSM 3/665 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1031/614 WD
07/23/1997 784/05
07/23/1997 779/639
07/23/1997 734/603
2005 SUMMARY Bill M Fair Market Value: Assessed with:
83322 244,400
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.500 93,800 128,500 222,300 NO
Totals for 2005:
General Property 4.500 93,800 128,500 222,300
Woodland 0.000 0 0
Totals for 2004:
General Property 4.500 93,800 128,500 222,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 304
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
':DER. f Ild 1 % , TOIAISHIP J p _SEC. T2~N, R/17
.0. ADDRESS `!c ST. CROIX COUNTY, WISCONSIN.
'3DIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTF11
_ ~ ass
'TIC TANK(S)MFGR. CONCRETE X STEEL
NO. of rings on cover Depth DRY WELL
,NCHES NO. of width length .,area
no-of line width 2 length area_ LL
dept to top of pi e_ _
RELATE /~'t~ S _
RATE ~
_ AREA REQUIRED j2 q j AREA AS BUILT Z~
-.claimer: The inspection of this system by St. Croix County does not imply complete
pliance with State Administrative Codes. There are other areas that it is not possible j
inspect at this point of construction. St. Croix County assumes no liability for
item operation. However, if failure is noted the County will make every effort to
.ermine cause of failure.
_:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
DATED
_ PLUtiBER'ON JOB
LICENSE NUMBER i
e
Z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM U
Sanitatcy Penm".t-~'Oc7
State Septic ' X11I
71
NAME Li Township , S Cnoix County
Locat.iO-K l a~c_ Section 01N,
~SEPTIC TANK
Size"%". gattonls. Numbers o6 Compan.tment6
Distance Ftc.om: Wett it. 12% on gtceateA ztope it
Bu.itd,i..ng it. wettands ~ .
Highwatetc b .
DISPOSAL SYSTEM
D.i/stance FAom: weU it. 12% otc gtceaten .6tope it.
Bu.itd.ing it. Wettand~s Ft.
Highwatetc it.
FIELD DIMENSIONS:
Width o6 ttLench l
it. Depth oi tcock be.2ow ti.2e in.
Length o6 each tine it. Depth o6 Aock oven tite .in.
Numbetc o6 Zines Depth o6 tite below gtcade in.
ata2 "length o j tinez it. S.Lo pe o6 ttcench in pen 100 it.
Distance between Zine~s it. Depth to b edtco ck it.
Totat absonbtion atcea 6 2 Depth to gtcoundwaten it.
RequitLed atc.ea i 2
PIT DIMENSIONS:
Numb en o6 pits Gtcav e.2 around pitz yeas no
Outside diameter it. Depth be.Low .in.Let it.
d
f Totat ab6otcbtion area it2. z
A
Atc.ea tcequiied it2 rn
k
j
1
INSPECTED BY TITLE
r .
APPROVED ,DATE 197
REJECTED DATE 197.
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 , TN, 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 SOIL TYPE
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 MI
P-
P-
P-
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-
B-
B-
PLAN VIEW (Locate percolation tests,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 1
or distances. Give reference point. Indicate slope.
N
41
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
Cory C - Local Authority
C
State and County State Permit #1)16
P-LB67 Permit Application County Pe it # - '
for Private Domestic Sewage Systems County r/~1
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
-u c,, AUP,1---0Aj )41S
B. LOCATION: Nc-:- % S ~ Y4, Section T Z N, R~ W Lot# City
Subdivision Name, ~nearest road, lake or landmark Blk# Village
e C g--rjFIED S (v P- Vey em u -I Township r- ej drro,
K- RV 4-0 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher -K _ YES NO Food Waste Grinder YES7X-NO # of Bathrooms-- '
Automatic Washer KYES NO Other (specify)
E. SEPTIC TANK CAPACITY 1000 Total gallons No, of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition _ Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 4A. 2►t5-33) Total Absorb Area jL4~1 sq. ft.
New X- Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length , z- Width Z-4- Depth +Z- Tile Depth 5v No. of Lines _
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land TV, 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 Soil Tester,
NAME j AJAES C F, Q S L~ C.S.T. # 5-5'-j1;-(o%!~) and other information
obtained from _ ) 14 r' (owner/builder).
Plumber's Signature ,v C Phone #336- 24 g o
MP/MPRSW#-
Plumber's Address c
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
No Z77+ /IV 73 `
To '$c0 nJ
°~j
/v s -c- 0
Of
t{oUSE
d
Do Not Write in Spac Below FOR DEPARTMENT USE ONLY O G
Date of Application Fees Paid: State r co Coun y DatR
Permit Issued/R jeeed (date) -Issuing Agent Name
Inspection Yes j-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)
Revised'Date 6/1 /76