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` 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
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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.
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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) 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
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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
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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, -