HomeMy WebLinkAbout030-2057-80-000 (2)
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Parcel 030-2057-80-000 03/04/2005 12:52 PM
PAGE 1 OF 1
Alt. Parcel 27.30.20.557 030 - 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
JONK, DAVID W & JESSICA Y
DAVID W & JESSICA Y JONK
1394 HAGGERTY ST
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1394 HAGGERTY ST APT A
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.000 Plat: 2111-HOULTON
SEC 27 T30N R20W LOT 3 BLK 7 VIL HOULTON Block/Condo Bldg: 7 LOT 3
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
27-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/02/2003 738251 2395/485 WD
09/06/2002 689440 1969/348 WD
919/335
893/440
2004 SUMMARY Bill Fair Market Value: Assessed with:
6190 192,900
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 50,000 139,800 189,800 NO
Totals for 2004:
General Property 1.000 50,000 139,800 189,800
Woodland 0.000 0 0
Totals for 2003:
General Property 1.000 28,200 102,800 131,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 145
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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ip
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STATE -HWY.
/ F Ql O O
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i D W
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'BLOCK 0)9' I 567A
- - - - - w1y e _ - 566 ro 61
cn~, '0' cn 565 °D
- 0
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N 1 417.50
I o ' I ~ ~ Cn 4
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417.6
rr ' °D
rri
I ~
• AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP
SEC. T N, R W
DRESS A?_r f , ST. CROIXCOUNTY, WISCONSIN.
G
'BDIVISION LOT 3 LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
L A /
r
.FTIC TANK(S) L MFGR. CONCRETE x, STEEL
NO. of rings on cover Depth DRY WELL
'..ENCHES NO. of width length area
:.D no. of lines widths length area
depth to top of pipe
'GREGATE
-'RK RATE AREA REQUIRED AREA AS BUILT
.sciaimer: The inspection of this system by St. Croix County does not imply complete
_mpliance 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
stem 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.
-'INSPECTOR
DATED / PLUMBER ON JOB ~ (t i i r . ; `ifs •
vs
LICENSE NUMBER
{
• f
6
REPORT Or ITTSPECTION--INDIVIDUAL SETOTAGE DISPOSiV, SYSTEM
Sanitary PermitA J S
• • r St Le Semi 3
T01•111S H I P
t.' Cr x County
r
SIEPTIC TA'RT' , 73-7
Size gallons. `Dumber of Compartment,
Distance From: We 11 ft. 12% or greater slope ft
Building ft. Wetlands f:
Iiig iwater ft.
DISPOSAL SYSTLE11 Tile Field or Seepage Pit(s)
Distance From: i•lell ft. 12%.or greater slope ft
Building ft. Wetlands f:.
FIELD i'lighwater ft.
Total length of lines ft. Number of lines Length of
each line eft. Distance between lines ft. Width of the
trench .____ft. Total absorption area sq. ft. Dept::
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 ner 100 ft. Depth to Bedrock ft. Depth to
ground water £t.
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
Square feet of seepage nit area required '
Inspected by: Title:
Approved Date 197.
Rejected Date 197.
• AS BUILT SANITARY SYSTEM REPORT
WNER_
TOWNSHIP SEC. T -N, R W 1
.0. ADDRESS ST. CROIXOUNTY, WISCONSIN.
~ - , , ~ UU ((IIYY~~ .
;BDIVISION , LOT_~_LOT SIZE
S it
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
N~hrff tl~l%.%
1
:PTIC TANK(S) MFGR. r=fS CONCRETE STEEL
NO. of rings on cover_ DepthDRY WELL
TENCHES NO. of width length ---,area
'_D no. of lines::::= width /4 length 7E area Z.
depth to top of pipe
'GREGATE z'' ' P✓ psi tir r-' Z)
_K RATE AREA REQUIRED AREA AS BUILT ~js2
sciaimer: 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
'stem operation. However, if failure is noted the County will make every effort to
~termine cause of failure.
:LASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
"INSPECTOR
DATED PLUMBER ON JOB err _ ( i.
LICENSE NUMBER 3W
REPORT OI' IT1SPECT10:1--I,1DIVIDUAL SE JM3E DISPMV., SYSTE11 f
Sanitary Permit',~7(0
r State C, e p t i c tL~~ T61,111SHIP
t roi% ounty
SEPTIC TATK
:ize gallons. `umber of Compartments
Distance From: Well ft. 12% or greater slope €t.
Building' ft. Wetlands f.
Itighwater ft.
DISPOSAL SYS7E:1 Tile Field or Seepage Pit(s)
Distance From: i1ell ft. l2% or greater slope ft
Building ft. Wetlands " f
FIELD
jiighwater ft.
Total length of lines -ft. Number of lines Length of
each line eft. 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
..over. rock,, Depth of tile below grade in. Bloke of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground 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 1;y: Title: .
Approved .Date 197
Rejected Date 197.
PLB67 State and County State Permit # .
Permit Application County Per
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:
AP Id
_ c < 1 J~ S'i'c 2-
B. LOCATION: 4c) '/a x!40 Section ;17, T; O, N, R-2~ E (or) (f) Loti- City
Subdivision Name, nearest road, lake or landmark Blk#_ Village tc
Township
V dI11 /zl~ ey' . 417- In
C. TYPE OF OCCU NCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex X, No. of Bedrooms No. of Persons'
D. TYPE OF APPLIANCES: Dishwashers YES NO Food Waste Grinder YESXNO # of Bathrooms
automatic Washer X, YES NO Other (specify)
SEPTIC TANK CAPACITY LANG? Total gallons No. of tanks
Bolding tank capacity Total gallons No. of tanks
w Installation Addition- Replacement- Prefab Concrete
Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)__73) Total Absorb Area 3Z sq. ft.
i iew X, Addition Replacement *Fill System q10 r~ W)
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length -3(,r Width 17- Depth Tile Depth F~ " No. of Lines
Seepage Pit: Inside diameter Liqui De th Tile Size
Percent slope of land °Ifl L,--, f2 )C;-/," Distance from critical slope
1, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
v%fisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Cer 'fled Soil T ster
NAME c.11 C.S.T = S and other information
obtained from wner/build
Plumber's Signature s MP/MPRSW# ?P-37 Phone #71C-3,96-2,92-3
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
• ~rG~c.ir~ ~ ~6/
'PA y-
se,
a= t N,
Do Not Write in Sp~ B o DEPARTMENT USE ONLY /
Date of Application - Fees Pai : Stat un Date
Permit Issuedre' ate) ~ Issui g Agent Name
Inspection YeValid# Da e Recd
1. county (w 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
EH 115
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 TESTSS.
LOCATION: ~/4, fon%, Section, , T CN, R;ok&e or W,,.township o unicipality
Lot No. -3 , Block No.--?-, oey& ,4- County C'rvzk
S" Su ivision Name
Owner's Name: rr~~~~ y~!( Ec,.
Mailing Address: ;14 ,;Ulcf s-s
TYPE OF OCCUPANCY: Residence No. of Bedrooms - Other ® elf x
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT _
;DATES OBSERVATIONS MADE: SOIL BORINGS 2-2- PERCOLATION TESTS
COI L MAP SHEET 12 FF- 49 tK SOI L TYPE A-
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEN/_L, 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/INI
P 1
74 See
12- 7
1Z / (z
7
IP /
SOIL BORING TESTS
FTEST )T,,L DEPTH DEP1 17 TO GHOUiJDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
f C.; __`11t4116
13- -3 Ilk - 46,- N JLC - 7
X" eok
X14-At 114 ;r 4-6 A--
PL AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and squarelfget o suitable areas. Indicate !!}}~~mgr of square fee of absorption area
needed for building type and occupancy. ~f% : .2-,5,j ° se. -~"d61~
Ago~ed L'►r ndicate sca
sr distances. Give horizontal and vertical referen of I ~cate slope.
I
t
i
I
I ! 3'y I I~e 3 = /`ej 0 ti 3
: CIC
[tt
,
! lYl
1
I 71
1 I f ~ ~ E E t
_ Co _
, E
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
ti
Name (print) LA ~N Certification No.
Address
Name of installer if known
-
` CST Signature c
~OPY A -LOCAL AUTHOPITY
EH 1:15
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH '
P.O. BOX 309
MADISON, WISCONSIN 53701
f REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: AX/4, Sections, TAN, R~&(or 11 JI ~ownshiip o Municipality,Z/Z'~
Lot No. -3 Block No.--?-, /Al L~l.~ G+' ~ ~j cr-~2 County Sx
Sub 'vision Name
Owner's Name: ,
SJ~I/C.tf . ~•':tr r ~S~'d'•Z-
Mailing Address: &%K 1:21
TYPE OF OCCUPANCY: Residence No. of Bedrooms 2-- Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITIIO((N~~ REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGStr_'~-.~2 PERCOLATION TESTS 7--491-2P
SOIL MAP SHEET SOIL TYPE b4C- " I T-'"t 10091
PERCOLATION TESTS
I -EST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
BER
Ip_
i _
14- X(
P_ 0Z
SOIL BORING TESTS
TEST- TOT >L DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
etc
B_ 3
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. In~icate~um ier of square feet of absorption area
needed for building type and occupancy. ~~,Q ; ~ jO ~~LtyL/E Indicate scale
or distances. Give horizontal and vertical refer
,ddcate slope. S;
w
y/S
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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 elief.
Name (print) C Certification No.~"
Address S
Name of installer if known
CST Si ature `
`OPY A -LOCAL AUTHORITY
State and County State Permi
PLB67
#
- Permit Application County lit,
f
or Private Domestic Sewage Systems Count
I
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: '/4 '/4, Section r", T3_0~ N, R,,20 fi, (or)<FJLot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
y
Township C1
U~ 1,4,
C. TYPE OF O UPANCY: -Commercial *Industrial *Other (specify) *Variance
Single family Duplex }L No. of Bedrooms 7.--- No. of Persons C/_
D. TYPE OF APPLIANCES: Dishwasher x YES NO Food Waste Grinder YES tNO # of Bathrooms-
--e-Automatic Washer A YES NO Other (specify)
E SEPTIC TANK CAPACITY /C, OC Total gallons No. of tanks ~
'Holding tank capacity Total gallons No. of tanks
"Jew Installation X -Addition Replacement Prefab Concrete
`Poured in Place --Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 7 2) r % 3) ._4e,-Total Absorb Area ~f3Z. s(I
Jew_?&, Addition _ Replacement *Fill System 'f/b /e GG;'
i
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length
36 Width If 7- ' Depth rr Tile Depth No. of Lines
Seepage Pit: Inside diameter LigVid /;pth Tile Size
Percent slope of land -,2 4<..4 es /cr Distance from critical slope
-51~ C4, 4447&A,
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 tified Soi! est /
NAME C.S.T. # S 1= ~~'~Q~ and other information
obtained from owner/builder).
Plumber's Signature /z- MP/MPRSW# Phone #71r-36 - 36~
Plumber's Address ~T%r0
PLAN VIEW: Provide sketch be ow of system (include direction of slope and all distances in accord with
H62.20, including well). /Vo 5-04t kpve 'Po S; el
Liz
/
P c ) to oi
4,4 Co-tu ev
Do Not Write in S %(d gJ w DEPARTMENT USE
Date of Application/ Fees Paid: State 1 ate
Permit Issued/ e) Issuing Agent Nam J
Inspection Yes No Valid# Date Recd
1. county (whi copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
t= oy) 4. plumber (canary copy)
Revised Date 6/1 /76
L