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Parcel 030-2007-40-000 03/23/2006 03:00 PM
PAGE 1 OF 1
Alt. Parcel 34.30.19.375B 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): O = Current Owner, C = Current Co-Owner
O - MALZACHER, MARK S & VALERIE I
MARK S & VALERIE I MALZACHER
1247 CTY RD I
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1247 CTY RD I
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 8.730 Plat: N/A-NOT AVAILABLE
SEC 34 T30N R19W PT SE NE & NE SE BEING Block/Condo Bldg:
LOT 1 CSM 7/1968 (9.OOAC) EXC HWY PROJ
8939-03-00 (0.271AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
34-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1096/394 W ID
07/23/1997 851/199
07/23/1997 811/585
07/23/1997 804/23
2005 SUMMARY Bill Fair Market Value: Assessed with:
84130 248,900
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 8.730 116,300 110,100 226,400 NO
Totals for 2005:
General Property 8.730 116,300 110,100 226,400
Woodland 0.000 0 0
Totals for 2004:
General Property 8.730 116,300 110,100 226,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 150
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
"."ER ~ c _ •
3. ADDRESS w , TOWNSHIP T ,oL - SEC. T N, R W
ST. CROIX COUNTY, WISCONSIN.
'3DIVISION LOT LOT SIZE
PLAN VIEW
Distances 6 dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
_
I
i
K A
TIC TANK(S)_Q MFGR._ ~,~?[=Ll 5' CONCRETE STEEL
NO. of rings on cover ( Depth- DRY WELL
"NCHES NO. of width length .area
no. of lines _ width length_5%L_ area / a
depth to top of pipe
~REGATE
-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 i
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 ANT OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR _
DATED PLUrIBER' ON JOBB
LICENSE NUMBER- 3~/ -
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM '
San.itaAy PeAm.it-
State,Sept.ic
NAME Town~sh,ip St. CAO.ix County
Location. F%a o r._J% Section ;`t-T R /W
SEPTIC TANK
Size ate .Cons. Numb A o Com antment,5
t,
D.i,stance FAOm: We.22~~ 12% on gneateA zZope it
Building - i it. Wettands 6t.
H.ighwateA it.
DISPOSAL SYSTEM
D.i.6tance FAom: We2t 12% oA gAeateA stoper ~ .
Bu.i.Lding (i it. Wettand~s Ft.
H.ighwateA it.
FIELD DIMENSIONS:
Width o6 tAench it. Depth o6 Aock below t.ite ~ in.
Length o4 each tine it. Depth o4 Aock oven t.ite in.
NumbeA o6 tine/s Depth a6 iLe below gAade
Totat .Length o6 tines it. Sto pe o6 tAench in pen 100 it.
Distance between .L,ines Jt. Depth to bednoch ~ .
Totat absoAbt,ion aAea it2 Depth to gnoundwateA ~ .
Requited aAea it2
PIT DIMENSIONS:
NumbeA o6 p.itz GAavet atound pits yes no
Outside d.iameteA it. ' Depth below .inlet it.
2
Totat ablsoAbt-ion alga bt z
AAea Aequ.iAed it rn
Q•
INSPECTED By 7 7, - TTTL
197. mow`
APPROVED L DATE
REJECTED DATE f 197
l ~ V r1 ~ ~ fn. \ i
a~
e
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 TESTS
LOCATION: ✓C '/4, '/4, Sectio,3Y, T_3_-3_N, Ralb(or)(Drownship or Municipality :S ~JV=S h
Lot No. Block No. County Oro &X
Subdivision Name
Owner's Name: Do NAC` ,L,ttice•S -
Mailing Address: ~RR= 4e AOSL"'C-ZL
TYPE OF OCCUPANCY: Residence No. of Bedrooms -3 Other
Fy- S ri rArl-% " f r4 A10 l !uC Gt r` it vs .~.4 4.J
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS-3~ PERCOLATION TESTS 7' 3/-;7
SOIL 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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
Ir 4/k, WO 3o
I?Cl- 30 A-Y Y91
SOIL BORING TESTS
TEST J!TAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH +T~O BEDROCK IF OBSERVED) 54
B- J
54
B- "7 f
PLAN VIEW (Locate perco lat ion tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and squar feet of suitable areas. Indicate number f square feet of absorption area
needed for building type and occupancy. a. Indic e scale .
4 or distances. Give horizontal and vertical reference `pts. dic slope. i%V 'r
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord vvith 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.
S=/srYy
Name (print) i, S%C/ Certification No.
Address r 1 Sc' is , S~~'i
Name of installer if known-
CST Signatre • `
COPY AUTHORITY
State and County State Permit #
PLB67 ~ Permit Application County Per #
L ! .
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:
B. LOCATION: $ _'/4 6_7 '/4, Section T N, R k~ (or) Xir of City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 5A Ti; h
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms - No. of Persons'
D. TYPE OF APPLIANCES: Dishwasher A YES NO Food Waste Grinder YESXNO # of Bathrooms-2-
Automatic Washer X YES NO Other (specify)
SEPTIC TANK CAPACITY C C,0 Total gallons No. of tanks
Holding tank capacity Total gallons No. of tanks
w Installation X Addition Replacement Prefab Concrete _
Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1),;q 2)-!C3) 40 Total Absorb Area ft.
".ewX- Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. o~ Trenches
Lepage Bed: Length Width T~ Depth Tile Depth '__No. No. of Lines j
Seepage Pit: Inside diamet r Liquid Depth / Tile Size for
Percent slope of land ~~444 ~FhtS Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
tisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
!ay the C 'fied Soil T er ~ /
A M E Ac- '`4tz /V C.S.T. # C 9 -and other information
,lhtained from ,cr (se0ol" r). Phone # 7l~ 3~6 -3GZ3
"!umber's Signature MP/MPRSW# -
lumber's Address
j PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). C /
/CEO J G~~yl-~
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Do Not Write in S e elo - FOR DEPARTMENT USE ONLY - _ 7
Date of Application - Fees aid- States Q c) Count / Date d
Permit Issued/.Rajoote4-(date) - -Issuing Agent Name (,1A Yu
Inspection Yes_?( No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)