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Home My WebLink About030-2042-70-000 o cn0 3T n v `i1 2. 0' T m 2. 2. c (D m m co A p h..i o ~ CD Cn ~ ° c • N ~p p N d L Co 0 CD m m Z O N in N N IV O CD Q N O v N O "O N 7 O O 7 A 0 -U CO -4 O, CD 7 N -I U1 p O cn 3 _ Q o 0 0 7 N RO p o m m co Cf) D m O. CS N a CD c CD fl- o rn O ~ i ii z!! CD 4 (D U, r cn -4 S 0 O G co co cn O (D M -p -0 -0 5~ rT Z O O O x = ~v ° cnr-3 g < z N f/J D CD o O N C N CD - d < T O A I !V 41 Ul p A co d ~ .r N z D co o O a~ ° O 0 CD N • N N N C G CD N (D W ~ d a O c A Z fD A Z O y O_ 7 O ~ C < O p W A O. Z 3 O ' Z rv y m 0 z < CD A W o) D n a CD a - N T C R3) O Z C O O N T C7 I s C O? ~ SS CD c0 3 a V O N A zt "So S N O ti O O ~n A O b A O O . a °o a Parcel 030-2042-70-000 04/20/2005 03:45 PM PAGE 1 OF 1 Alt. Parcel 26.30.20.495B 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 ANDERSON, TED L & BERGETTA TED L & BERGETTA ANDERSON 1359 15TH ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1359 15TH ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 26 T30N R20W 3.001A IN SW NE LOT 1 Block/Condo Bldg: CSM VOL II/530 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill Fair Market Value: Assessed with: 6078 263,900 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 75,500 184,100 259,600 NO Totals for 2004: General Property 3.000 75,500 184,100 259,600 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 44,300 150,100 194,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 140 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 .DER T&-zi' AN~7:~~ TOdNSHIP `;'1~rj~ SEG. T N, R W 0. ADDR SS ST. CROIX COUNTY, WISCONSIN. • y . ' i /j''A'w 7Tz 3DIVISKN LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 'TIC TANK(S) MFGR. CONCRETE STEEL 0. of rings on cover DePth DRY WELL ,NCHES NO. of width length area no. of lines? width /,L length area f: ~j- depth to top of pipe ' .d< RATE AREA REQUIRED AREA AS BUILT 6 %,f .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 assum?s 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 PLUMBER ON JOB LICENSE NUMBER _ ;~y/' r I RFPOP.T OF ITISPECTION--INDIVIDUAL SE?,TAGE DISPOSAL SYSTE1.1 c • • r. ; S.znitary Porn, it _'yr r State Septic 3011E_ itr Lt ~r TOUNSHIP • t. Cr x County SEPTIC TA'?I; .Pxze gallons. %umber of Compartments ° Distance From: We 11 ft. 12% or greater slope fi. Building _ ft, Wetlands f: Iiighwater ft. DISPOSAL SYSTL:7 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building ft. Wetlands f r. FIELD Rifhwater ft. Total length of lines ft, !Number of lines Length of each line ft. Distance between lines ft. Width of the trench ~ft. Total absorption area sq. ft. Depth of rock below tile in. Dp-pth of rock over tile in. Cover nver.rock,, Depth of tile below grade in. Slope of trench in*ier 100 ft. Depth to Bedrock ft. Depth to around water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Squars feet of seepage nit area required ' Inspected by: Title: Approved Date 197 Rejected Date 197. PLB67 State and County State Permit # - Permit Application County Permit # for Private Domestic Sewage Systems County 5 T • CsIZ-U *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: AV C> etes-o Al A.I. C5-,S Z3 B. LOCATION: '/4, Section, TAN, RC'~E.-¢er~ W Lot# City_ Subdivision Name, nearest road, lake or landmark Blk# Village _CS7 R:nF-I~ V&Y MAP, Township Sr. JOS C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons L D. TYPE OF APPLIANCES: Dishwasher- YES NO Food Waste Grinder YES( NO # of Bathrooms L' Automatic Washer -YES NO Other (specify) E. SEPTIC TANK CAPACITY ASC C) 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) __~_.~►~_3) L_ Total Absorb Area _ _sq. ft. New A- Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width ~ Depth +2!' Tile Depth 30No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 4 10/0 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 JAMMS. V SC-44 C.S.T. # and other information obtained from (owner/builder). Plumber's Signatur MP/MPRSW#Phone #!/~-~f~ Plumber's Address PLAN VIEW: Provide sketch b ow of system (include direction of slope and all distances in accord with H62.20, including well). ~L ,o tA/ AveE-4- vF- e e Do Not Write in Space B to FOR DEPARTMENT USE _ONLY _ Date of Application 1,1217A / Fes Paid: State /C ` County C C ate Permit Issued/ Reje ed (at Issuing Agent Name 4 1171- / Inspection Yes No Valid# Date Recd 1. county (w ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 5370 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1 ti~ 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: 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 TESTTIME 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- 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;soi I 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 or distances. Give reference point. Indicate slope. t N 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 Copy C - Local Authority 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, Section T_N, 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 SOI L 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 BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN 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 or distances. Give reference point. Indicate slope. t N 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 Copy C - Local Authority