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HomeMy WebLinkAbout030-2081-60-000 O O c -0 G d r1 cD li ci m 'o .g -o .oat v 3 m ^ K ~ ~ N O N W 7 ~ 1.J1 W ~ • S 61 o A O c L W O MCI ~ 7 z n N O N O NO 22 Q 3 CA D SO (D y O K C) 0 7 ° w 0 0 o (D a c m o o r, 3 _ o 7 Ul 7 O p O W O 'r7 (CD v cn~D m 4 cD cQ O N 4 _D T = N W (D c 7 (D 3 o OD O < _ :1 CD (D.• O N F CD -4 -4 co CD OD 3 o 2 Z 0000 I 0 o cn C' to - o 3 Iv D O cn O 0 (D A O Q. N 3 d m :3 (D N 0 c =;4 y CWD o v o a o CC CD c CD N y (a N CD C w m o. O n O A Z :3 A CL 2 O Z 7 O _ m w cNn W M m o o. 3 „ z O + z N O m o y z < f w D 00 (a 0 T CD o 4 CD N N d ' O fi N ~ X N 'Oa Q ~ Ai fl. O V N O O Cn Q ti v 0 N N V b CD a, O L y ` Parcel 030-2081-60-000 04107/2005 12:07 PM PAGE 1 OF 1 Alt. Parcel M 25.30.20.693 030 - TOWN OF SAINT JOSEPH Current XST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner ALICE A TRUST FLITTER * FLITTER, ALICE A TRUST 1373 PINE VIEW TR HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1373 PINE VIEW TR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.750 Plat: 2644-WOODLAND HILLS SEC 25 T30N R20W WOODLAND HILLS LOT 16 Block/Condo Bldg: LOT 16 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 10/27/2000 632527 1554/100 WD 10/04/2000 631114 1548/189 TI 2004 SUMMARY Bill Fair Market Value: Assessed with: 6403 253,600 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.750 86,400 163,100 249,500 NO Totals for 2004: General Property 2.750 86,400 163,100 249,500 Woodland 0.000 0 0 Totals for 2003: General Property 2.750 50,700 131,600 182,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 120 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i ' • I AS BUILT SANITARY SYSTEM REPORT ,_R . ' L Ala T- -d ' TOWNSHIP 5T SEC. TN, R W . ADDRESS,S ;T j/J ,4LgC ST. CROIX CGUNTY, WISCONSIN. iDIVISIO,I s , LOT LOT SIZE • PLAN VI EW -Distances dimensions to meet requirements of H62.20 i _ SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM j i ' - - t ( j C ~ e ! ! I ' C CONCRETE Indicate No tth Ak tow >;TIC TANK(S) MFGR, STEEL S ca 2e ' NO. of rings on cover Depth f ~O _ • `DRY WELL 'NCHES NO. of - width length area no. of lines` width-_ length__~_ area-( depth to top of pipe _~..EGATE i RATE, b ; j-/ AREA REQUIRED yS AREA AS BUILT Z,, Y ;claimer: The inspection of this system by St. Croix County does not imply complete ejaliance 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 seem operation. However, if failure is noted the County will make every effort to t rmine cause of failure. _ASES AND OILS SHOULD NOT BE DISPOSED THROUGH :'HIS SYSTEM. '-INSPECTOR , DATED PLIDMER ON JOB - LICENSE NUMBER 3.1t~ ;r x REPORT Or ITTSPECTION--INDIVIDUAL SM4AGE DISPOSAL SYST Sanitary Permit /80 5-- State Septic 06 1 TOT•111SHIP t. Cr ix County SRPTIC TA'?K ' Size a I g, lions, umber of Compartments • Distance Front: We11 ft, 12% or greater slope Building` -~2 ft. Wetlands f 11ighwater ft, DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s) Distance From: We 11 ft, 12%.or greater slope* Building ~[1 ft, Wetlands f FIELD HiFhwater r--- . _ Total length of lines -Z ft, ;dumber of lines L- Length of each line ft. Distance between lines ft. Width of the trench eft. Total absorption area sq, ft. Dept:: of rock below file ~2 in, Appth of rock over the -Z-in., cover = r~ -nver.rock.,~ Depth of tide below grade i min. Slope of . trench in ner 110 ft. Depth to Bedrock ft. Depth to ground water ft. ?ITS Number of pits Outs' e a . er ft. Depth below inlet ft. Gravel around s no. .Total absorption area sq. ft. .Square feet of seepage trench bottom area required Square feet of seepa ; t a a equired Inspected by • - Title':. Approved Date ~ 1971 Rejected Date _197-. 0. EH 115 00 or 0, WISCONSIN DEPARTMENT OF H ALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TE TS LOCATION: '/4, ~/4, SectionaJr, TAM R2_0 E3(or) wnship or Municipality J B`i C, No. c3 Anflz)o County Subdi vision Name Lot No. B4~elfg!// Owner's Name: / w Sc3~/ Mailing Address: ,/Q 2,Y -7 .5/ C rot 1C T,,",6• -L 1,4- AO1 `lt.' S-$'oj~'L- TYPE OF OCCUPANCY: Residence - No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS '7-23-2? PERCOLATION ^TESTS /T 9--23-,>e SOIL MAP SHEET ;2Ff-- /02.3 SOIL TYPE ~~J C 01aAd..'tif 00~4xex 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- / P- P - N -Q 90r 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) "7j"' 114 e j-5- 9- rs B- ~bs A1.iXje- ~p6•• ~aclS~ 3..5.4 fO6"Me S PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of sble areas. Indicate u bf square feet of absorption area needed for building type and occupancy. SVc; Jot -rte w!*d Indicate pale or distances. Give horizontal and vertical referenc oint Indi a slope. r A ti n; r t N I ~ - v ` r \ 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) Certification No.s Address Name of installer if known 10, COPY A -LOCAL AUTHORITY CST Signatu l TRANSFER FORM SANITARY PERMIT State Permit # Sanitary Permit # County Sanitary Permit Transfer Date _ Original Permit Issuance Date A. Property Location:_S;F% '/4, Section . kT , T 30 N, R E (or)6V Lot # City Subdivision Name, &f',y'=.MA f LL -Nearest Road, Lake or Landmark BLK # Village Township B. TYPE of Occupancy: Commercial Industrial Other (Specify) Single Family X Duplex No. of Bedrooms Variance C. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab Concrete Poured-in-place Steel Fiberglass Other(Specify) New Installation Replacement i LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify) D. EFFLU NT DISPOSAL SYSTEM: Percolation Ratel-.-'r-, _ 'Total Absorb Area sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No.'Trenches Seepage Bed: _XLength UWidth 11 Depth Tile Depth(top) No. of Lines Seepage Pit: Inside d.ameter Liquid Depth No. Seepage Pits Percent slope of land Distance from critical slope E. WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal Present Sanitary Permit Holdeer-~ Phone No. Sanitary Permit Transferred To: Phone No. Name P~/~~//,~TS•~,+y Name Address Address ZipsSW2 Zip I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with section H 62.20,, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared by the Certified Soil Z and/or any additional soil sts that may have been required. 7,0, - - -050, Plumber's Signature MP/MPRSW # Phone S Plumber's Address Information obtained from % owner agent) PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh- bor's ro ert . If well has t been rill ~,p I 9 _17 I l Signature of Issuing Agent 1. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH 2. State (White copy) 4. Plumber (Green copy) P.O. BOX 309, MADISON WI 53701 i N TRANSFER FORM SANITARY PERMIT State Permit r Sanitary Permit k County .Sanitary Permit Transfer Date Original Permit Issuance Date s A. Property Location: : % &.~E SectionI ZT _N,R Zt9 E (ore Lot # City Subdivision Name,= h, Nearest Road, Lake or Landmark . BLK # Village a Township- r1 - i k S. TYPE of Occupancy:.Commercial Industrial Other (Specify) Single Family X Duplex No. of Bedrooms Variance i C. SEPTIC TANK CAPACITY 40-(20 Total gallons No. of tanks i HOLDING TANK CAPACITY Total gallons No. of tanks 'Prefab Concrete Poured-in-place Steel Fiberglass Other(Specify) New Installation _ -Replacement LIFT PUMP TANK/SIPHON CHAMBER Total gallons. Prefab. Concrete Poured-in-place Other(Specify) D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate, 1 4[ 'Total Absorb Area sq. ft. New- Replacement Alternate (Specify) G Seepage Trench: No.Lineal Ft. Width - Depth Tile Depth(top) No.' Trenches Seepage Bed: Length Width _ot: DepthTile Depth(top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. Seepage Pits € Percent slope of land Ai Distance from critical slope p E. WATER SUPPLY: )Q Private ❑ Joint ❑ Community ❑ Municipal 6 _ Present Sanitary Permit Holder Phone No. Sanitary Permit Transferred To: Phone No. Name Name Address Address F Zip r Zip { I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that a(t revisions are in accord with section H 62.20 Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared by the Certified Soil Tester and/or any additional soil tests that may have been required. p _ Plumber's Signature _MP/PRSW# Phone Plumber's Address Information obtained from : ` - owner r agent) PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include &f6el[ n of slope and all distances in accord with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh-. bor's ro ert . If well has of ril 1 ~ s F J ~ i 9 y r e , f _F t Y S II t, £ i I I y Signature of Issuing Agent 'I. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH 2. State (White copy) 4. Plumber (Green copy) P.O. BOX 309, MADISON -WI.53701, -