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Home My WebLink About030-2078-90-000 ` 0 !A O 3 -u n ~ ~1 > > 3 ^r z 4t (ID 3 cn ors OZ oo~ TWO 3 cm J° m m jc, m° .77 Q m cn O 01, N) 0 00 c(D = 3 O~ W cr) O y O U7 N O .r Cf) 1 7 N N ~ O Q v 61 O.C m cC m _ (D N CO c O O c0 i5 0 0 --T~ N N (D Q- 0 r ~ N 00 0 m (n O c c a v z O O O M. o o co 0 (n CAD CCD cD N O N cD M O lV < 3 N N fD N z co z = D a CD 0 M (D ~ (D N N (D N C cD (D U Q. Z N N O ~ A z N °c s A n. = A z O CL G ~ o w 2 , z 3 A 0 z CD A W ~ O > O cc G w T Q 47 C ~ Z Q 0 N O fi ~ t n cD N ~ a ~ t o _ a N N A x +N cn O N p Q CD t. CL A m ti F ffl 0 N ° ` a C) CD CD Parcel 030-2078-90-000 03/24/2005 09:57 AM PAGE 1 OF 1 Alt. Parcel 33.30.19.666 030 - 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 JOHN F MARIANA ` MARIANA, JOHN F 577 BURR OAK LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 577 BURR OAK LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.290 Plat: 2234-OAK KNOLL ADD SEC 33 T30N R19W OAK KNOLL ADD LOT 9 Block/Condo Bldg: LOT 9 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 02/29/2000 618973 1492/578 QC 07/23/1997 1102/71 WD 07/23/1997 728/298 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6376 211,200 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.290 77,600 130,200 207,800 NO Totals for 2004: General Property 2.290 77,600 130,200 207,800 Woodland 0.000 0 0 Totals for 2003: General Property 2.290 45,600 101,700 147,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 114 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT e f ` J ~&/„r TOiwNSHIP SEC. T ADDRESS , ST. CROIX CO 1 WISCONSIN. N' R-i-`-W iDIVISIdN LOT_q LOT SIZE 0'~ Distances & dimensions to meet Lrequirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a%t 4„ TIC TANK(S) MFGR. CONCRETE STEEL N0. of rings on cover De th INCHES NO. of width p DRY WELL length area no. of lines width--~ len th ,S depth o top of~~ area- sREGATE -a RATE AREA REQUIRED AREA AS BUILT :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 inspect at this point of construction. St. Croix County assumes 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 ~,7 PLUMBER ON JOB_ S LICENSE NUMBER REPORT OF IIISPECTIO!I--I4DIJIDUAL SEWAGE DISPOSAL SYSTEti L, Sanitary Permit /J//,~//,/`„' • State Sep tic TOWNSHIP ~St. ' Crdlx- County S17.DTIC TA'?IC r~2e gallons.umber of Compartments Distance From: Well 12% or greater slope - I. Building` ft. Wetlands Highwater ft. DISPOSAL~SYSTKI Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building ft. Wetlands f. FIELD 'Lwater ft. r Total length of lines f" r,f 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 aver . rock, _f' Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft,~ Depth to around water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around p t: yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Lquare feet of seepage nit area required Inspected hy.'~. Title Approved Date 197 Rejected Date 197. s d, i - ri 2 L EFL 1.1.5 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: '/4-54;L%, Section, T~01\1, Rq &(or)6ownship or Municipality I_ot No. Block No. County/ X Sub ' islon Name Owner's Name: Mailing Address: U, n~ vt 7 c TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 78 PERCOLATION TESTS 1-12-2,? SOIL MAP SHEET SOIL TYPE CA felt PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER OF SOIL NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN ,_BER 1STWETTED SWELLING INMINUTES PERIOD 1 PERIOD 2 PERIOD 3 1 SY S-2 e- 24 2. 2- -3 ip- See 12 W SOIL BORING TESTS T DEPTH -i O „F'JUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) l - 76„ cuter a ~ . 14 'f-S, 32",C, 5'Z 2 ?16 A10A1e- alb'' G' ys I- - y Q'~'' ,c1o~c 7 r s Vic" 12 "'t PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) l-dicate on the plan the locationand square eet f suitable areas. Indicate u ber f squ re feet of absorption area -eded for building type and occupancy. I dicate scale o: distances. Give horizontal and vertical reference poin0I a eope. FO►- e~4.~ f i v 7 A i ~ I ate ~tr~_ N l e- wit f 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 an belief. Name (print) t+-~- Certification No. Address _e k! siv.-I Name of installer if known CST Signature OPY A -LOCAL AUTHORITY . . PLB67- State and County State Permit # # Permit Application County Per levy. for Private Domestic Sewage Systems County / .r *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Addres B. LOCATION /4, Section TAO N, R (or) (VLot# City _jo~p 93 Subdivision Name, nearest road, lake or landmark Blk# Village c,,~~ Township C. TYPE OF -O-CICUPANCY. *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms 2, No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES J~ NO # of Bathrooms -7----- Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY /Cafe Total gallons No. of tanks / *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete ~C *Poured in Place Steel Other (specify) l F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)__3) 2-Total Absorb Area sq. ft. New__?~, Addition Replacement *Fill System fy0 e4;t1-c/-oCt/ Seepage Trench: N in. Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Le Width /2` Depth _S'Y" Tile Depth .Z" No. of Lines 2 Seepage Pit: Inside diameter Liqu `'d Depth Tile Size Percent slope of land Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Aclministrative Code, a that I have sized the effluent disposal system from the EH-115 prepared by the C f ified Soil T er NAME t ' Pit C.S.T. # and other information obtained from owner Plumber's Signature - Phone # ~f) P/MPRSW# Plumber's Address e- jf -f PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ~i G UST C) e' N odd- mss, p~'~//, a u 464 Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application l Fees Paid: State le Ovv County Date l c~ 7 Permit Issue (date) If ~a Issuing Agent Name ell Inspection Yes No Valid# Date Recd 1. county ( ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADI ON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1 /76 0 / PLB67 State and County State Permit # Permit Application County Permit 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: c -5 B. LOCATION: 51(-, 1/4 4, Section T fit" N, R E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village _ Township C. TYPE OC&PANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms Z No. of Persons--2- D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES,~NO # of Bathrc,orns___ Automatic Washer -E--YES NO Other (specify) F. SEPTIC TANK CAPACITY C,00 Total gallons No. of tanks `Holding tank capacity_ Total gallons No. of tanks New Installation ~ __--Addition- Replacement- Prefab Concrete 14- 'Poured in Place -Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3 _ _ ) ~_TotaI Absorb Area sq. ft. Jew Addition _ Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Zi Width > Z' Depth 5-C/ Tile Depth L/ 2 /1 No. of Lines Z Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land S/G ~c Distance from critical slope 1, the undersigned, do hereby certify that the information I have reported is i accord with Section H62.20, Wisconsin Administrative Code and that I ha ized~fflue disposal ys from the EH 15 prepared by the Certified Soil Test NAME S.T. # J ■ +r'+'L_ and other information obtained from owner_ui lder). Plumber's Signatu5?A7 M M er ui ` c, Phone # - Y(- Plumber's Address - PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). / /U0' l r Do Not Write in Spac Below R DEPARTMENT USE ONLY Date of Application Fees Paid: State C0 Da 22? a Permit Issued/Re'ected (date) Issuing Agent Nam Inspection Yes No Valid# Date Recd 1. county (w it copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2, state (Pink conv) I n I ,un.brr car,-, ~-n.,1 Revised Date 6/1 /76