HomeMy WebLinkAbout030-2025-40-000 (2)
0 N 0 0 cn 0 3 T 0 0 ~ 1
O d O d C O CD
0 CD p N 'O
v < T v' C
v3 T `D, d
(ID 3
3 =r 3
O
Z C' W Z co N
-I Z N Z (n 0 c 1
~y*%A
D) (U. O -4 O N C) O p cn O ~p N W •
V O N 3 W V y c- w Q r
d N O p O Q= Z N p 0 O O N
N C O ~(D O N N O
N 0 N a = p Q A (n "S
p OO p p -..4 V O ~O1
a cn 3 a 0 0 o
cn O
0 r0 7 N C7 O
CD A A
Cr' Z D CD a m v v D CD
(9 D a (CD
a
a - - s
O rn m TD a0 o CD
N CD W W C~
m a m
CD ID
O r (n
N j w co 0° j N Q
O (D
0 T T 0 0 0 0 0 C
C
_ o o D `t o
c O =3 O N
N .fir, N (n fD N go
N 'CI 'C A N
T7 fD - p x fD - p Q
N O 0 O O
N 3 7 N N D) 3 61 N p
a CD (D a - cn N
. z
D W OZ y( cu z
o O
O C m O C
CD (D m cD N •
CD m CD m t~l
T
(D w
C (D C C CD N
C w m
a f E
7
Z C6 --I N
19
%n 0 c A Z n
a d A Z .
0
J
< O
W M W CD O W N
O. CL Z
00 3 0 3 °r
0 0 N
3 3 °
N Z N Z
CD CD
N ~ I w ~
-i T < o N. D
a
CD _
O h T N p N O
3 c (D U7 N ti C
10 n ° o?o z 0.
v O O
(n ~V, N N ~n [D
N
cn X IS p O
CCD O W=0 o-
C Z o
0- N N 7 CD
C x p 3 _N
7 cn p N O
p N 0 'o 7 ;p
7 (CD ~QN `
CC z
N p C) C
(D 00 n
C
C
O C p
O O CD CA
4 N (D A
z ~
n
C 0 o
I((D ((D
O * p a
o m
0 : O i ti
Parcel 030-2025-40-000 06/10/2005 10:35 AM
PAGE 1 OF 1
Alt. Parcel 22.30.20.437D 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): Current Owner
FAVILLA, MICHAEL C & SUE A
MICHAEL C & SUE A FAVILLA
1481 PINE TREE LA
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1481 PINE TREE LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE
SEC 22 T30N R20W PARCEL IN GL 1 COM 852 Block/Condo Bldg:
FT N OF SE COR TH W 182.9 FT, TH N 24DEG
W 261 FT TO RIVER, TH NELY ALG RIVER TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
E LN GL 1, TH S TO POB ASM'T INC 22-30N-20W
030-2025-40(437D)
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1204/373 WD
07/23/1997 1159/519 WD
07/23/1997 1133/152 WD
07/23/1997 1029/457 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 403,300 253,400 656,700 NO
Totals for 2005:
General Property 2.000 403,300 253,400 656,700
Woodland 0.000 0 0
Totals for 2004:
General Property 2.000 403,300 253,400 656,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 160
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 030-2025-60-000 06/10/2005 10:44 AM
PAGE 1 OF 1
Alt. Parcel 22.30.20.437F 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): Current Owner
FAVILLA, MICHAEL C & SUE A
MICHAEL C & SUE A FAVILLA
1481 PINE TREE LA
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.740 Plat: N/A-NOT AVAILABLE
SEC 22 T30N R20W PT GL 1 BEGIN 197 FT N Block/Condo Bldg:
OF SE COR GL 1, TH N ON E LN 655 FT; TH
S 89DEG W 182.9 FT; TH S ODEG E 654.79 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
FT; E 181.69 FT TO POB (ADDRESS 1481 22-30N-20W
PINETREE L ASSESSED W/030-2025-40(437D)
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1204/373 WD
07/23/1997 1133/152 WD
07/23/1997 1029/457 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/26/2000
Description Class Acres Land Improve Total State Reason
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
I
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
M
Cil
3 N
41
m
OD
Mrl' m `
3N/d
i
1
a
_ N
1 - Qo
M p Q
r
1 p~
V~
~ a H
OD 00
K
r( \
i
ul Ull.il 1\liL Vi\L
R S , TOWNSHI2-,! G> SEC.. z T SC) N R W
„0. ~,DDRESS v ST. CROIX COUNTY, WISCONSIN. 7.
I'3DIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
5~~'. ,
S6: _ ;1
:'TIC TANK(S) MFGR. CONCRETE z-- STEEL
NO. of rings on cover a Depth DRY WELL
,NCHES NO. of width length area
no. of lines -2- width IZ length, Z area
depth to top of ipe
uS h
' RATE AREA REQUIRED AREA AS BUILT ,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
inspect at this point of construction. St. Croix County assumes no liability for
.tem 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 PLUITBER ON JOB
LICENSE NUMBER _ ' ,
Plb #67 7/71 Wisconsin Department of Health and Social Services,
Division of Health +
SEPTIC TANK PERMIT APPLICATION
TYPE OR USE BLACK INK - PLEASE PRINT
A. OWNER OF PROPERTY Code)
Name Address (Street, City, Zip
✓ .
B. LOCATION OF PROPERTY WHERE SYST-34 WILL BE CONSTRUCTED ALTERED OR EXTENDED COUNTY
Check Ones
CITY_ VILLAGE LEGAL DESCRIPTION t',
TOWNSHIP d: (Block, Lot, Sao.)
C. IS LOCAL PERMIT' REQUIRED FOR THIS WORK? YES No PERMIT NUMBER
D. SEPTIC TANK CAPACITY j tom;~ALLONS NEW INSTALLATION,, REPLACEMENT ADDITION
MATERIALS, PREFAB CONCRETE POURED IN PLACE STEEL OTHER
NUMBER OF TANKS TO BE INSTALLED:
E.. TYPE OF OCCUPANCY
Cheek Ones One or Two Family Residence,, Commercial Industrial Other (Specify)
Number of persons to be Accommodated i~ Number of Bedrooms--"'
F. APPLICANCES, ETCs Food Waste Grinder YES 1t_ NO Automatic Clother Washer 4 _YES NO
Dishwasher YES NO Automatic Potato Peeler YES NO
OTHER (specify) YES __NO
G. MASTER PLUMBER MAKING INSTALLATION
Names Address:
SIGNATURE OF APPLICANTS a.'
License Numbers MP
ADDRESS: RSW
r
H. (TO BE COMPLETED BY ISSUING AGENT)
Date of Application ,f Fee: Paid
Permit Issued (date) Permit Number
Agent (name) For:
town, village, city, coLU►iup sta. (specify)
NOTES The Application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $1.00 for each septic tank and
the third copy of the permit (canary) to the Division of Health. Cheeks and money orders should
be made payable to the Division of Health.
COMPLETE OTHER SIDE
NAME: a _,.r
COUNTY:
r
SEPTIC TANK PERMIT NUMBERt
REPORT ON SOIL PERCOLATION TEST
AND SOIL BORINGS
TO
DIVISION OF HEALTH - PLUMBING SECTION
P.O.BOX 309, Madison, Wis. 53701
Pursuant to H 62.20, Wis. Administravive Code
P E R C O L A T I O N T E S T
TEST DEPTH CHARACTER OF SOIL HOURS WATER TEST TIME DROP IN WATER LEVEL INCHES MINUTES
NUMBER INCHES THICKNESS IN INCHES SINCE HOLE IN HOLE INTERVAL SECOND TO EXT TO LAST TO FALL
1st WETTED OVERNIGHT IN MINUTES LAST PERIOD LAST PERIOD PERIOD ONE INCH
EXAMPLE
P - 0 3611 TOP SOIL 1011, CLAY 2611 25 YES OR NO 30 60
2 47
RECORD D DATA FROM MINIMUM OF 3 TEST HOLES
COMPUTE SIZE OF ABSORPTION AREA IN ACCORD WITH H 62.20 WIS, ADMINISTRATION CODE.
S O I L B O R I N G S- MINIMUM 36" BELOW PROPOSED ABSORPTION SYSTEM
BORING TOTAL DEPTH DEPTH TO GROUND WATER DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED OBSERVED ESTIMATED CHARACTER OF SOIL WITH THICKNESS IN INCHES
EXAMPLE
B- 0 7211 7211 BLACK 0 I „ C 6" SAND-18", GRAM 2410
F
2
RECORD DATA FROM MINIMUM OF 3 BORE HOLES
TYPE OF OCCUPANCY:
RESIDENCE: NUMBER OF BEDROOMS ' OTHER: (SPECIFY)' t NUMBER OF PERSONS
FOOD WASTE GRINDER: YES N0` DISHWASHER: YES NO AUTOMATIC CLOTHES WASHER: YES r" NO
EFFLUENT DISPOSAL SYSTEM: NEW EXTENSION ADDITION, REPLACEMENT
TILE SIZE NO. LIN. FEET TRENCH WIDTH DEPTH NUMBER OF LINES
SEEPAGE BED: LENGTH WIDTH DEPTH TILE SIZE NO. LINES
SEEPAGE PITS INSIDE DIAMETER LIQUID DEPTH
I, the undersigned, hereby certify that the percolation tests reported on this form were made by me or under my super-
vision in accord with the procedures and method specified in Chapter H 62.20 (3 Wisconsin Administrative Code, and
that the data recorded and location of test holes are correct to the best of my 2nicwledge and belief.
i
NAME
TITLE
TYPE or PRINT):
REGISTRATION NO. OR MASTER PLUMBER LICENSE NO.
ADDRESS
DATE SIGNATURE -
DO NOT WRITE IN SPACE BELOW - FOR DEPARTMENT USE ONLY
DATE RECEIVED ACCEPTED BY RETURNED
FEE RECEIVED VALID NO. PERMIT NO.
REVIEWED BY APPROVED DATE
INITIALS YES OR NO
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitvty PeAm~ 1
State Septic' NAME) cL~_ .4 Township St. Cno.ix County
L o c a t i n~l-j % o(~ SectioYL-21Ts~'iN,R,~?-&W
SEPTIC TANK
Size 04 gatton6. Numbers of CompaAtmentz
D.ihtance FAOm: Wet 4t. 12% oA gAeateA 6tope1)" f
Build.ing~it. Wettands DD ~ 6t.
DISPOSAL SYSTEM Hig hwatvL mx ft.
D.iztance FAOm: WeZz it. 120 oA gneateA stope zm~(t-
Buitding ICU wet.iands 3-00+ Ft.
H.ighwateA I'A lit.
FIELD DIMENSIONS:
Width o6 tAeneh~it. Depth o4 Aock below tite /2- ,in.
Length ob each tine it. Depth o4 Aock oveA tite Z in.
NumbeA o6 tine.6~ Depth of Cite below gAade/_a_in.
-Totat .Length o6 t.inez it. S.Lo pe o j tteneh in peA 100 it.
D-is Lance between t inez~4t. Depth to b edto ck ~ .
Totat abzoAbtion aAear_'~/it2 Depth to gtoundwateA it.
1P~ 2
Requ-iAed aAea i
PIT DIMENSIONS:
NumbeA o6 pit/s GAave.L aAound p-it/s yes no
Out/side diameteA t. Depth below intet it.
4 2
Toxa.L abz o i o 3 a it z
I V 2 A
AAea n qu i Ite rn
I f =
INSPECTED By ;z. xTLE r all
APPROVED DATE- 197.
_ r~
REJECTED , DATE 197
y
to
i
i
r
9L/ l/9 area pas!naa (Adoa Aaeuea) aagwnld 't? (Adoa ju!d) alels 'Z
TOLES IM 'NOSIGVA '60E X08 '0'd 'H1_1V]1H 30 NOISIAI4 (Adoa uaaa6) aaumo 'E (Adoa m) Alunoa 'L
SaA uo!laadsul
p ~a ilea #P!IPA ON,
t
aweN lu96y 6u!nssl L, (a1eP) Pa17Panssl l!waad
0 _ uo!lea!lddy 1o aied
~A uno a1elS :p. d saa3 X1
ales } 1 0 w al!' M ION o4
/ - nno
• G ~ 18 S
C J.3N 0 3Sn f1 1N3Wl8`dd3G 4
00-1
off- v p
G C3 0
-(Ila^^ 6u!pnlau! 'OZ'Z9H
yl!nn paoaae ui saauels!p Ile pue adols 1o uo!laarnp apnlow) walsAs 1o molaq y3191s ap!AOad A31A NVId
c Pr 0, tL,,/ ssaappy s,.iagwnld
4 ~
74z~'# auoyd p #MSadIN/dW aanleu6!S s aagwnld
(japl!nq/jauAAO) woal pau!elgo
uo1lewjolu1 aaylo pue # 31AIVN
aalsal l!oS pa!1!1aa0 ayl Aq
paaeda.id Sl L-H3 a41 woal walsAs lesods!p luan111a ayl paz!s aney I 1ey1 pue 'apo0 aA!leals!u!wpy u!suoasiM
O7,'Z9H LM113aS LWAA paoaae ui si palioda.i aney I uo!lewjolui ayl 1ey1 A1!laaa Agaaay op 'pau61s.iapun ay1 'l
adols lea!1!aa woJ1 aauelsi(] puel jo adols luaaaad
az!S al!1 yldad p!nb!-I aalawe!p ap!sul :1!d a6edaaS
sau!-1 10 -ON -yldaa al!1-~ -yldad 4ip!M__'~3;_ yl6ua-l :pa8 a6edaaS
- sayauaal 10 'oN y1da4 al!1 y1da4 ylp!M 1aa3 ' u!-l 'ON :yauaal a6edaaS
walsAS II!3„ luawaaeldaa uo!l!ppy m 9 N
l1 bs-- 7-_-/e7- ewV gaosgy lelol- 7- (E j- (Z (l area uo11e1oaa3d :1N31S),S 3`dSOdSla 1N3(1-l333 3
(A1!aads) aay10 Iaa1S aaeld ui paanod*
alaaauo0 gelaad -luawaaeldaa u0111ppt/ i uoileIIelsuI nnaN
s>Iuel 10 'oN suolle6 lelol Al!aedea duel 6u1P1oH.
- sNue1 10 -ON suolle6 lelol - A-LIOVd`d0 >INyl 011d3S '3
(A1!aads) 1ay10 ON S3,a aayseM a!lewolny
--swooay1e8 1o # ONd : S3A Aapuu0 31seM poo3 ON S3k---7 aaysemgs!O :S30NVI-ldd`d 30 3dA1 0
suosaad 10 'ON 4 swooapa8 10 'oN xaldna ~ AI!we1 al6u!S
- --aaueiaen*- (A1!aads) aaylO* le!alsnpul* Ie!aaawwo0, :AONVdf1o00 30 3dA1 0
diysumo 1
abelPA #>Ile Naewpuel .lo @Nel 'peoJ lsaaeau aweN u01s!A!pgnS
A1i0- #1o-1 M (10) 3 ?r-a 'N 7,:;g-_l -ee u0!1aaS NOil/b0~03 8
:ssaappy 6u!l!en Al83dOHd 30 a3NMO 'y
# ueld ale1S pa.i!nbaa 1! a1e1S woJ1 peA!aaaa lenoaddy area
a3dinD38 1VAOaddy 31y1S S31ON3a„
T-- lun"o0 gswalsAS a6ennaS a!lsawop alen!ad ao1
-
!Yl% waad AlunoO uo!lea!Iddy 11waad'.
# 11waad ale1S A1uno0 pue alel$ L981d
(a