Loading...
HomeMy WebLinkAbout030-2006-80-000 0 v f c m o rD V -1 a a a CD m m -a (ID 3 - y 0 S co cn w o o o A c.w i co cL w o co r) v r.. Q t w o `y, a m o N co CD N ~ O O 125 iD w N N O O N N cri O O (D O 6 _ p ~(D N n Q fl. O T 0-1 N n ti W V= - O O C2 V O (9 c0 p ~ Cdl ce Q C sya C ~ ~mA Cn R f"r cn cnn tin a N D +r. T v o _v o (D (D !D N w O (D (D o "mi a nr N o O N O : CD V f v D (D z 0 0 N Ly: ~ O (D (D 4"~ss s '(D N v (o N' / O N Q Cl) A Z ~ C J C A z O Q ~ a _0 w co C CD A CD 3 z o 3 m ^ z O A 71 w C7 0- z (n j ED C O O N ED 0 ID c:) CL (Dw n < - O" O T O N 19 C o~ Z5 3 iz a cn !G C,) D O I F0 (D Ls O O CD cn N N ~ O K N (D C, wc N (D C O - n O (D D Q O N N N -pt (D Co (T a a Q NJ i 0 m. 0 o~0 3m o `+1 (D CD CD CD ° at m CD m ^ O W• ~U O O N n A O 3 r ro rn(D= C-- W° v~ 0 C) N) z C) CD (D 'D W -0 r:, a o D J Q C) -0 0 :3 w o .r O 7 N O = O O C v n C D m - o n ~ v, d 1 C O O O m lot 77 "%*A (D c0 w m (CD (D (D O m 000 W a N o c rr 0, "*A. z O O O Z O C/) I~ < N Z ry.~ I- C7 cn to v) o v 3 . s v a 0" o p' _ I(D M (D N A W p~ D O p N _ O (D D1 N CD -4 CL N z ZD 03 OZ O a Z o cA • CD Z U) v D N' C (D (D W C 7 z h CD A Z p Z O v ° L7 F W W O _0 C4 Z a 3 a 3 m C A i r. ~o ~cn p \.y~ , V C B O O T - ..`v.. t. 7 Z O. O C O O 't C N (D ai (D nc-n~ cl- CD 0 7 C q N A M1 ~ ' O y N - p "CD 0~.~ 4n ? n t{° C C N . ~ d W Jn-•"7l~ N C O) ~ O CD nl FF cy CD A ti Cl ~~1 O ft o CD o a v REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM d SanitaAy PeAmit 5;~ State Septic NAME - Township St. CAoi Caunty C\ I Locat,ion'l, age%, Sect,ion34T3CA,R2'~w SEPTIC TANK size gattonA. Numbers o6 Compartment' Distance EAom: Wetz_ _it. 12% oA gAeateA 6tope it j'cLl' -I Bu,it ding 3 it. Wettands - DISPOSAL SYSTEM HighwateA it. D.i,stance FAam: Gpe2.~ 12% aA gtceateA d.Lope Bu.itding L it. W ettands Et, H.ighwatvL FIELD DIMENSIONS: 1 Width o6 tAench it. Depth o6 Aock betow tiZe ' in. _f Length o4 each tine ? it. Depth ob Aock oveA t.iZe 1 in. NumbeA o6 tine/s Depth o6 t,ite below gAade 4161 .in. j, Totat .length o6 tines j` it. Stope ob trench in pen 100 it. C~ Pg.'s Lance between Une/s ~G fit. Depth to b ed&o ck r~ otat ab~s mbt,ion aAea'/ -6t2 Depth to gnoundwateA RequiAed aAea St2 PIT DIMENSIONS: NumbeA a6 p,itA GAavet aAound pits ye/s no Outside diamet it. Depth below inlet it. Totat ab/so&bt,i aA'ea 6t2, z AAea Aegyc'c`Aed it2 rn INSPECTED By APPROVED DATE `19 7 ~ REJECTED , DATE 197. C\ n I ~ . .YER~/Q'1~ 0. ADDRESS TOWNSHIP _j./ A_-,f S C. T 1 N, R W ST. CROIX COUNTY, WISCONSIN "3DI1ISION LOT LOT SIZE PLAN VIEW -Distances dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I ilk, sal ° IN . I -TIC TANK (S)-~-- C" MFGR. 1 CONCRETE a( STEEL NO. of rings on cover Depth- DRY WELL- :.NCHES NO. of width length area no. of l.nes_ `1 width length- area depth to top of pipe ~:.EGATE ` . :1 RATE ~t"--.~rf~- t~ _ AREA REQUIRED AREA AS BUILT -L LL_ ,claimer; The inspection of this system by St. Croix County does not imply complete ,5liance with State Administrative Codes. There are other areas that it is not possible j 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 PLUY 33ER' ON JOB~~ LICENSE NUMBER r r State and County State Permit # 7 2 9 Permit Application County Permit # for Private Domestic Sewage Systems County G► 7~--. *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailin Address: A x /1 .4 B. LOCATION: Ao(UlY4 ' 5~~ /4, Section T r N, R~ (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Est ve'y / 3 &L. G/_ Township $ C TYPE OF OCCUPANCY: "Commercial -Industrial "Other (specify) "Variance _ _ Single family X Duplex No. of Bedrooms 13 No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste Grinder YES _-.<NO # of Bathrooms_ Automatic Washer _,&-YES NO Other (specify) SEPTIC TANK CAPACITY /00 3 Total gallons No. of tanks--/ 'Holding tank capacity Total gallons No. of tanks New Installation X Addition_ Replacement_ Prefab Concrete *Poured in Place Steel Other (specify) EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) C 2)~3)v_Total Absorb Area /S sq. it. New Addition Replacement *Fill System p~~e Seepage Trench: No. Lin. Feet Width 4 ;2 S- 4k~~ Depth Tile Depth No. of Trenches ,eepage Bed: Length 0 Width 14p" Depth f'~ Tile Depth No. of Lines -3 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land `Jc pct f k~ /V Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, '.'Jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared `Dv the Ce2yfied Soil ster N~ AME ~ C.S.T. =/,c► and other information obtained from owne .'`lumber's Signature - MP/MPRSW# ) Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with - i H62.20, including well). 4- c~-~,~u. sra~~ d 133• sti M w fC`Si`fqez. S 3 ~ Do Not Write in Space elo FOR DEPARTMENT E ONLY Date of Application Fes Paid: StateCounty Date J~' 725 Permit Issued/Rejected (date) Issuing Agent Name Inspection YesNo Valid# Date Recd 1. county (w to copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2, state (pink copy) 4 plnmher (canary cnpv! Revised Date 6/1 /76 Parcel 030-2006-80-000 03/23/2005 08:34 AM PAGE 1 OF 1 Alt. Parcel 34.30.19.373D 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 MARCIA A AUGUSTINE *AUGUSTINE, MARCIA A 657 PERCH LAKE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 657 PERCH LAKE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.200 Plat: N/A-NOT AVAILABLE SEC 34 T30N R19W NW NE LOT 2 OF CSM Block/Condo Bldg: 3/617 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 08/15/2000 628184 1534/408 WD 07/23/1997 1064/242 TI 07/23/1997 612/593 LC 2004 SUMMARY Bill Fair Market Value: Assessed with: 5723 204,300 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.200 95,000 106,000 201,000 NO Totals for 2004: General Property 3.200 95,000 106,000 201,000 Woodland 0.000 0 0 Totals for 2003: General Property 3.200 45,800 89,800 135,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 EH 115 ' WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ' DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 / 7 REPORT ON SOIL BORINGS AND PERCOLATION TESTS_ / LOCATION: /j V4 Sectiorx2 T3INN, (or N) ownship or Municipality 5 Lot No. Block No. , ji dey d 3 / Sub vision Name County Owner's Name: e- .~I S C`- Mailing Address: 'k;r___l----5~- TYPE OF OCCUPANCY: Residence x No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 7 7- -PERCOLATION TESTS SOI L MAP SHEET SOIL 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 Ales 0. P- 3 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- 1-i tz t / r• 5-; 7 I rt S 41 S-3 5-4 B- .2 6 5- J9K / ~ PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of itable areas. Indicat nu be f square feet of absorption area needed for building type and occupancy. J.2 r , egil In, ate scale or distances. Give horizontal and vertical reference po In ate yam- '0. I 0 - - _ ~J c i Ak- i f 162,4. l 11 i I i f ♦ 1 LF + I I 3 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) Certification No. Address Name of installer if known COPY A - LOCAL AUTHORITY CST Signa ' ✓ Co 5 ~~/LG Lam, Z. 030- J, ~vd6- ~D- , REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM 3/3 SanitaAy Penmi .5;6 State Septic ? C14 NAME Townahip_ V( St. CAoix County LocationrV x Sectionj3 Tk)N, R W SEPTIC TANK S-J o~,T Z~ CSC Size gattonz. Number 96 CompaAtmentz / Y.3/(e 61 Diztanee FAOm: Wetz 6t. 12% oA gneateA ztope ~6t Building 6t. W et.Lands 6t. HighwateA - 6t. DISPOSAL SYSTEM Di4tanee FAOm: Wett- 6t• 12% oA gAeateA /s.Lope 6t. Building 6t. wettands Ft. Highw ate, - 6t. FIELD DIMENSIONS: J( Width o6 tAeneh~bt. Depth o6 Ao ck b etow tit e 1'2----in. Length o6 each tine 4-5o' {yt• Depth o6 Aock oveA tite L-- in. NumbeA. o6 tine.6 G Depth o6 tite below gAadel//O in. Totat .length o6 tines~6t• Stope o6 tAench ~ in pen 100 6t. qj0 i.6 zanee between Una ~v~~6t . Depth to b ed to ck t ti otat ab.eoAbtion aAea~6t2 Depth to gtcoundwateA 6t. Requited area 6t2 PIT DIMENSIONS: NumbeA o6 pits GAavet around pit.6 yes no Out-bide diamet Depth below inte-t 6t. Totat abdoAbt" aA a 2 z AAea Aeq c.Aed ~2 rn INSPECTED By TI LE APPROVED -r ,'?ATE 197 . REJECTED , DATE 197 q el w, • 2I~S3~llAI 3SH3OIT U010 < smi., ' • sIS sIHZ Hor108HZ aasoaSIG 3g lox (I Mons Suo cxv sHsl \ •aanZTe3 3o asneo auTmaz of 33 0 aXe4 TTTM Sjuno0 aqj paiou sT aznTTe3 3T 'aanaMOH •uoTIeaado ma, ao3 f2TTTgeTT au samnsse fjuno0 xToaO -IS •uoTlonzlsuoa 30 iuTOd sTqa iv iaadsu7 aTgTssod ;ou sT IT legl seaie aagio aae aaagZ •sapoo aATjeajsTuTwpy agvis gITM aaueTTC / alaTdmoo ATdmT iou saop A3unoo xToaO *IS Aq malsAs sTga 3o uotjaadsuT aqy :aatnTeTZ -Cyff . rling Sv vauv (laai lb?2i VM Hsvx Hsdoa-, MQ adTd 3o dol of gidap sale fhi g1Suaj-qqpiM _-_,jT"-saurT 30 •ou Eaze q-a2uaT g1pTM 30 'OH MON Imam Luca 4 :1 daQ -aanoa uo s2uTa 3o -OR nos _X-sza2iorl0o r . •uo.R v p (s)mi ou t . 1 I I . it KHZSXS 30 Z3S3 001 NiHZIM ONIHZ~ U H MOHS 0Z•Z9H 3o sjuamaaTnbaa laam o2 suoTsuamTp 4 s90us3sTQ- MHIA ma HZIS 10T _e, ZO'I NOISI,IQf • d/fin 'NISROOSIM `7UNn00 XIO20 *IS ` IAIP577"~7, .;r SSaaGGv M~ 2I `H p~ Z ` ~N~ N - n,~ ~ S dIHStW,Ol ` 7 ~ : x.15 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 TEST LOCATIO /4o4x%, SectioM2 , T3~N, ~(or unicipality Lot No Block No. , _CP4- . ;rll d~. ounty Subc~(v's' Name Owner's ame: otq l d f- Mailing Address: !fir-~. TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT v DATES OBSERVATIONS MADE: SOIL BORINGS 7-7- ?_X -PERCOLATION TESTS/ SOIL MAP SHEET V'F'-//% SOIL 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 PA44 A-1 /-Z 30 P +2- ' Q~ v2 ~d Q r oZ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST r~ p (DEPTH TO BEDROCK IF OBSERVED) B- I 6N ' `lLlp1 Y_ P. '911(te x4tw y ~~7~5 .2v 4 b 5- 4 -f- C/w S35" :mil B- V XA7ta-- S3 °t S14 B- S- X`? t1x«? 6 a rot •7-s~ !o , .2 0 K S/ SSG _Z0 L,20" PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of 'table areas. Indicat nu be f square feet of absorption area needed for building type and occupancy. Pr rzo r mate scale or distances. Give horizontal and vertical reference po . In at s e. r,-v S a, , N ~ V \11 L 3 3 ~ I, the undersigned, hereby certify that the soil tests reported on this f rm 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) , certification No. S r-~ Address S D Name of installer if known COPY A -LOCAL AUTHORITY CST Signa r 9L/l/9 alea Pas!naa (Adoo Aaeueo) aagwnld 'b (Adoo i;-urd) a eis WES IM 'NOSIGVVY X60£ X08 'O'd 'H11`d3H 30 NOISIAIQ (Adoo uoaj6) jaumo £ Ad 00 alp nn) Alunoo 't #P!len oNsa,k waSedsul P,oal~ aged aweN lua6y 6u!nssl- (ale) poloafe8/ponssl 1!waad ele AlunoO to / IS :P!ed sa 3 uo!leo!Iddy }o also GZ AINO 3Tn Tale 1N3IN18Vd34 803 ola aoedS u! 819M ION 00 FF..S r6 7~ s \ foe jpa 0/ 741 vo`> ply '(llann 6u!pnlou! 'OZ'Z9H gjim p.ioooe ui saouels!p Ile pue adols }o uo!loaj!p apnlou!) waisAs jo molaq q31aNs ap!AOad :M31A Mdld ssa.ippy s,.iagwnid - ~ #MS8diI a.inieu6!S s, aagwnld Jsr - # auogd F ( woaj aunno pau!eigo / uo!lewi0jui aaylo pue •S # '1'S'O 3WVN gals lloS pa!;, aO aqi Aq paaedaid gfl-H3 ag1 woa} walsAs lesods!p luanilla aq1 paz!s aney 1 legl pue 'apoO an!lelis!u!wpy u!suoosiM 'OZ'Z9H uo!1oaS q1!M ploooe ut si paliodaa aney i uo!lewjo}ul aql leyl Apliao Agaaay op 'pau6!siapun aq1 'I adols leomio wojj aouelsiQ ~5~,z puei ;o adols luaolad aziS al!1 yidad pin i1 aalawe!p ap!sul :1!d obedaaS A. 1S sau13 10 'ON aJ gida0 a!!1 „,j*/ gidad g1p!M y16ua3 :pa8 a6edaag sayouaal 10 'ON yldao a1!1 yida0 glp!M 19@.l ' u!~oN :youaal a6edaag °Y,w, -.el walsAS II!d luawaoeid@8 uo!1!PP`d ( MON 1} •bSeaay gaosgd Ie1ol (£rlZ(f aled uo!le!ooaad W31S,&S ldSOdSlo 1N3(13dd3 d (AI aag10 laa1S aoeld ui pa,inod. alamoO ge}aad - luawaoeld@H uoii!ppy X uo!ielieisul m9N sNuel 10 'oN suolle6 lelol Al!oedeo >Iuei 6u!ploH. -T- sNuel 10 '0N suolle6 lelo1-_0~0_0/-A_LI0 JdV3 >IN`dl :)Ild3S '3 (A}!oads) jagi0 ON S3),-'5C JayseM o!lewolny swooayie8 ;o # ON3e_S3A aapu!aO alseM poo3 ON _19- S3A Jaysennys!Q :S30NV13dd`d d0 3dAl O Xsuoslad 10 'ON El- swooap88 10 'ON xaldnp X AI!we} al6u!S aoue!aeA. (Apoads) ja4i0. - leuisnpul* lepawwoO :AOMddf1000 30 3dA1 .O s d!ysuMO1 ' a6ell!A #NI9 >Iaewpuel ao ailed 'peoi isaaeau aweN uo!s!AipgnS A110#10-1 (JO) 90 A7 8 'N 1 -4r uolloaS 'K :NOIiVQO3 '8 AJI x asaalPPd / u!l!~e©W A183dOHd d0 83NMO ''d # Q'l ueld MIS paa!nba8 aleiS woaJ paAiaoaa lenoiddy aleo 43l mU38 IVA08dd`d 31VIS S31ON30. A1unoO swaisAS a6eMaS o!isaWO(] MAIM COI - aad AlunoO uo!leo!lddy 1!wa9d # VwJad aleiS AlunoO pue ale1S L9871d