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Parcel 030-2081-10-000 04/14/2005 07:57 AM
PAGE 1 OF 1
Alt. Parcel 25.30.20.688 030 - 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
AMUNDSON, LARRY D & DONNA
LARRY D & DONNA AMUNDSON
1355 PINE VIEW TR
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1355 PINE VIEW TR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.710 Plat: 2644-WOODLAND HILLS
SEC 25 T30N R20W WOODLAND HILLS LOT 11 Block/Condo Bldg: LOT 11
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2004 SUMMARY Bill Fair Market Value: Assessed with:
6398 226,700
Valuations: Last Changed: 07/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.710 72,000 151,000 223,000 NO
Totals for 2004:
General Property 2.710 72,000 151,000 223,000
Woodland 0.000 0 0
Totals for 2003:
General Property 2.710 42,200 130,500 172,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 215
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
--ti`ER TOWNSHIP SEC. T N, R W
,0. ADDRESS ST. CROIX COUNTY, WISCONSIN.
`BDIVISIbNie_! Y LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
I
I >
Alt
"TIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
`.`?NCHES NO. of width length area
no, of lines _ width length area
depth to top of pipe
JREGATE
.K RATE AREA REQUIRED AREA AS BUILT
_lciaimer: 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
item operation. However, if failure is noted the County will make every effort to
termine cause of failure.
EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
-IN CTOR
DATED PLUMBER ON JOB
III
LICENSE NUMBER
R MORT OF IJISPECTIO11--INDIVIDUAL SE?,)AGE DISPMV, SYSTEti
Sanitary Permit
State Septic
-
T&WNSHIP
• 87t. Croix County
SP..PTIC TA771:
Size / L.oc_ gallons. `lumber of Compartment: ,
.Distance Frorh: Well ~ S ft. 12% or greater slope-- ft.
r Building ` C_ft. Wetlands - ft
Highwater ft.
DISPOSAL •SYSTLE11 N, Tile Field or Seepage Pit(s)
a Distance From: Tjell ft. 12% or greater slope ft
$ Building Wetlands
f:
FIPLD 1 g ;:"ig'.hwater ft.
Total le 't f lines ft. Number or ~Z.. lines Length of
each line ft. Distance between lines ft. Width of the
trench _ft. Total absorption area 6 sq. ft. Depth
of rock below tile ~Z in, DP-pth of rock over the Z-- in. Cover
over.rock Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
"lumber of pits Ou V e 'ameter ft, Depth below inlet
ft. Gravel around pit: es no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
Uquare feet of se ge nit Area required .
Inspected by : 49x-"' ' Title':
M~-
.Approved ~ OP -,.Date 197 8
• /
Rejected Date .197-.
EH 115__.,
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
_ s MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section ?ON., R.;_700 (or aownshiipp, oo Municipality
Lot No. -4q-, Block No. -County
Subdivision N e
Owner's Name: ~/j U, S0 Al locm Mailing Address: `+rl i " S~ o
TYPE OF OCCUPANCY: Residence No. of Bedrooms y Other
EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 7 IF PERCOLATION TESTS 7' D ~SJ
SOIL MAP SHEET &2 ~a--3 SOIL TYPE 12P38-/ Q/IA~71,,(4
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- / F
P ~*e Are A", Wo 1 /0 S`z- .3 3/ --3
P2 Are 66 /Z- A16 /0 ;212-1
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- 0 es-
likue ;0
7p ed'orse -.:s
B- ,.3 73yd P, p::~, ICo to S~ C`v.ArS
l f~ j' ,e ,S4 f ~ QCs e
B-
j4 ! CC ~J « itPLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indi to n of square feet of absorption area
needed for building type and occupancy. P` In cate scale
or distances. Give horizontal and vertical reference oints. di a slope.
I I
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113 9163 17
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 nowledge a b
t4~
Certification No.
WA,"
Name (print)
Address ~e
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
7 State and County State Permit # -
PL8,6 Permit Application County Permi 5
• • ` v 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:
SA Oed x Tr*,111(10,
B. LOCATION: S"j '/4 '/4, Section ' T_0N, R ZO & (or) ot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
r Township
C. TYPE OF iAPAdY: *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 ANO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY /,,Zoo Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks
New Installation X Addition Replacement Prefab Concrete X
*Poured in Place Steel Other (specify)
EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1)2)3) Total Absorb Area sqft.
New Addition Replacement *Fill System ~rZ~1 C!4°~t•tr
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length 1_C2-Width IA?" Depth yV I Tile Depth -3 " No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size fl",,
Percent slope of land Distance from critical slope
S' Ar-e.s
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 tified Soil ter /
NAME At~i.' f~ C.S.T. # 1 and other information
obtained from
Plumber's Signature 3 / MP/MPRSW#Phone #7rf ~_51
Plumber's Address
PLAN VIEW: Provide sketch bellow of system (include direction of slope and all distances in accord with
H62.20, including well).
ee,4 r rre e-
a 4 Z /~o, '
S-
Ile" lle,~111^
Do Not Write in Space elow - OR DEPARTMENT USE ONLY
't
Date of Application / Fees Paid: State C~ 0 Coun Date 7 / h "P
Permit Issued/R9jee4sel (date) 117Y -Issuing Agent Name
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)
Revised Date 6/1 /76
State and County State Permit #
ALJ-3
PLB67 Permit Application County Per, 't #
,j 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:
y2 5
S5 _j
B. LOCATION: Section T,3~0 N, R Ac Fjp (or) (fv~ot# -14- City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township A L _
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance_ _
Single family X Duplex No. of Bedrooms Y No. of Persons
D. TYPE OF APPLIANCES: Dishwasher K_ YES NO Food Waste Grinder YES NO # of Bathroomv
Automatic Washer C YES NO Other (specify)
E `'EPTIC TANK CAPACITY : 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)
i FLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) /_Total Absorb Area sq. ft.
rJew A, Addition Replacement *Fill System ~,•Z
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage BehLengtlWidth e"Depth Tile Depth 3 No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size Y„
Percent slope of, land ear4 WeOL.ti *e.4 so. 14 r v Distance from critical slope/~2cts
Cyr.f SAG IF Zj?-~CPc~wa Sj'•S /7,4- *?,4
1, 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 s t e r
NAME Q.fe S r6> %o lr' C.S.T. # and other information
obtained from t -
Plumber's Signature M P/MPRSW# 3 Phone #?lr-~~
Plumber's Address
PLAN VIEW: Providf sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
s
Res• 4111ee
i
C y J
Do Not Write in Space Below F R DEPARTMENT USE ONLY
Date of Application - Fees Paid: State(,', Cunt Dat S
Permit Issued/R (dat c;suing Agent Name
T
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 cnr)v1