HomeMy WebLinkAbout030-1079-80-200
St. Croix
K DAVID HIRSHFY Municipality. TOWN OF SAINT JOSEPH
540 PFRCH LAKC RD Permit Number: 79133
HUDSON. WI 54016
Parcel Number: 030107980250
All Parcel Number 28.30.19.290A-25
Site Address 540 PERCI I LAKE RD
Components
Component Manufacturer Description Last Next Status Schedule
Service rvi
Conventional Bed - Seepage Bed - Seepage 0511612012 0511612015 Violation 36
Diamfield
Septic Tank Septic Tank 05/16Y2012 0511612015 Violation 36
Maintenance History ServDate Maintenance Name Gallons Pumped
0511612012 Not Available 0
0511 6/2011 Not Available. p
Notices
Date Sent Notice Tvoe
0511012019 Violation
0511012019 Violation
rQ Text
0'00 AM AIIDI HONAL NOTLS. former lot 3 of an CSM 1213391. systcnl mplaced in 1997 after
I sepli(:inspection found itfatlm9 before sale Filed in 1988 are9rve folder
MIGRAIED ON- 0910412015
7f41177(i 12.(M*00 AM ADDITIONAL NOTLS. 1997 seplic and water inspection completed and forced
replacement- see letter on file with sanitary permit in 1986 folder As-built for Sean
O'Connell #299165- pa ce.1 #030-1079 80 010.290A is carne location as Oman permit
barn 1986. Send notices to this owner for mound sysfenl maintenance tracking.
MIGRATED ON. 091(142015
i
'No data found for Violations
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Parcel 030-1079-80-200 '.7,0312006 1 top A'J
PAGE 1 OF 1
Alt. Parcel 28.30.19.290A-20 030 - TOVVN 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 - Cu-rent On-ner. C -Cunene Co Osvncr
DWIGHT L JR & LORINDA L AUSTIN O - AUS11N, DWIGHT L JR & LORINDA L
540 PERCH LAKE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primay
Type Dist # Description ' 540 PERCH LAKE RD )
SC 5432 SCH D OF SOMERSET L
,
SP 1700 WITC -
Legal Description: Acres: 4.752 Plat: 4051-CSM 15x4051
SEC 28 T30N R19W PART GL 3 BEING LOT 4 Block/Condo Bldg: LOT 4
CSPo1 15x4051 CONSERVATION EZ-1302 58
Tract(s): iSec-Twn-Rng 401:4 1601;4)
28-30N-19IN
Notes: Parcel History:
Date Doc # Vol/Page Type
05;07,`2001 644660 1633!41 WD
04x09,`1998 '.)76749 13131156 WD
08,`0119,`,`7 1255+266 WD
1071231997 976:531 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07:08+2004
Description Class Acres Land Improve Total State Reason
RESIDENIIAL 01 4.752 136,300 178,200 314.500 NO
Totals for 2006:
General Property 4.752 136,300 178,200 314.500
Woodland 0.000 0 0
Totals for 2005:
General Property 4.752 136,300 178,200 314,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: o Certification Date: Batch 128
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0-00 0.00
APPROVED _ ry 7
4(
ST. CROIX COUNTY I r
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VOL. 1.5 Page 405,
S'C. CROIX COUNTY ZONING DEPARTMENT'
AS RUIL:I' SANITARY REPORT
Owner _Cf}N ( ELL
Address
_~t PL=QLU L/Fic ~o
City/State ff(WV510.v 67e/0
Legal Description'-: ?-7-), cr
Lot ~ Block _ Subdivision/CSM #
% 5-42, Sec. LLB, T2-Q_N-R_d W, Town of % ~7oscfri PIN #
SEPTIC TANK - DOSE, CHAMBER - HOLDING TANK M FORMATION:
Tank manufacturer [l.:FE~f 's SiZe S1)-11-60 P Setback from: House _ Well _ P/L
Pump Manufacturer ?C Lc n. Model
Alarm location r i=
ONLY)
Setbacks: Service road i air intake .ne
Meter location
SOIL ABSORPTION SYSTEM:
Type of system: /'70 a iyU Width Length Y J _ o rcn cs 17,tz~ /
Setback from: House ~,5 . Well 16`0 ~ P/L S' Vent to fresh air intake
ELEVATIONS:
Description of benchmark jP L : rn i n i , Ai, Ao ;7 - ,p Elevation /J1,0
Description of alternate benchmark Elevation
Building Sewer ST/HT Inlet ST Outlet S 7J PC Inlet 22.35
PC Bottom He-ader/Manifold 9 j Top of ST/PC Manhole Cover 5
Distribution Lines ( 9y 9 S 9 - ( )
Bottom of System (r) ft J x (t) 9y Z 5--
Final Grade (I) ~ , V/ (2) 9 6, y j ( )
Date of installation / / Permit number State plan number
Plumber's signature License number .12/7y/ Date / /
Inspector
Cnmplew plot plan +
5'P. CROIX COUNTY
.-1 slcce.c~ ~C mod'
-7 q -7 J
Permit No: 299165 26, 6&y-o
I ~
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of (lie system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
N
~ 3 BEaRrt
/-/au rE
(rAR 1
I
cLK• TRANS /0~0 GL 5p'
C`J 0014 O C L. f , L
~C /fiR A
~cuN~ ~nsR~
W -3 ;K 7
I
I y
l
J I?J` %a,, GL K'i . Tq ANS EC /00 O
INDICATE NORTI4 ARROW
S7'. (AROIX COt1N'I'Y ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner AEA/Y' 13EL11yo q _ C C u",eLe
Address- v Llil-itF ci
City/State _ GJ10S10iv LL'
Legal Description ~f-m. `T
Lot Block _ Subdivision/CSM It jey'/. , See. ;~L, TAN-RJ-LW, Town of ST, r7v,)gI)I~ PIN #
SEPTIC TANK - DOSE, CHAMBER - HOLDING TANK INFORMATION:
Tank manufacturer U%~Fit `c Size S /PC /rfoC~ Setback from: House _ Well _ P/L _
Pump manufacturer 2y ~ LCC n Model Y3 IVA
Alarm location H04)'r
ONLY)
Setbacks: Service road air intakc e
Meter location
SOIL, ABSORPTION SYSTEM:
Type of system: M0,11ve) Width Length L N rmnbof'Treenn tres
Setback from: House y,S. Well or P/L S' Vent to fresh air intake _ YS'
ELF VATIONS:
Description of benchmark _ Zy-P L"e L'L Th 1e A L. % l A/r3 ryk l7~= 12 Elevation 0 0.0
Description of alternate benchmark Elevation
Building Sewer ST/HT Inlet ST Outlet . S 7l PC Inlet } 5
PC Bottom Header/Manifold I` Top of ST/PC Manhole Cover S
Distribution Lines ~191 F 5 9 y 9 5- ( )
Bottom of System (e) Y j i` (t) y7`J, 2 i ( )
Final Grade ( t)~ l~ ( 2) 6. '15
( )
Date of installation 2191 8 Permit number State plan number
Plumber's signature flm License number ~z 2/7y/ Date / /
Inspector
('otnplete plot plan a
GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01
REAL ESTATE TOWN OF SAINT JOSEPH
COMPUTER NUMBER 030 - 1079-80-100 Parcel Number 28.30.19.290A-10
Claimed Dale Re-certified / i Relate Number:
OWNER NAME: First SEAN M & BELINDA S Last O'CONNELL
CO-OWNER
Mailing Address 739 CROSBY DR
City HUDSON State W I Zip 54016 -
Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date
HISTORYWD 9761531 07l23/1997JAA 1633/ 38 64465905/0712001
PROPERTY ADDRESS:
Hse # 112 PD --Street Name- Type SD Apartment Post Office
540 PERCH LAKE RD
School District: 5432 - SCH D OF SOMERSET
Special District: (1) 1700 - (2) - (3) -
WITC
Plat Code: Last Changed on: 09:19:2003 Book Number: 1
SECTION 28 TOWN 30N RANGE 19W '/<160 '/,40 Map Number: 00 - Sales Arca: 1
Parcel Control 3 ASSESSED WITH OTHER
Number of Units:
ZONING: Permit Number: Type:
Bank Numbers
F4-Prev, F5-Next, F6-Legal, F7-Value, F8-History, F10-Exit, F12-More
' f.•- ST. CROIX COUNTY
WISCONSIN
6 F' II~IIM~~•
ZONING OFFICE
Aa ST. CROIX COUNTY GOVERNMENT CENT[-
' 1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
Please specify desired test(s) & remit appropriate fee with
application. Outside water lines are often turned off during
winter months, making access to the home necessary. Please make
arrangements with this office to insure that entry can be gained.
0 Water (VOC's)_ _ $185.00 U septic- _ $50.00
;{Water (Nitrate & Bacteria) _ _45.00 U Nitrate & Bacteria
rJ' Water (Lead Concentration) 21.00 retest $15.00
Owner: Requested by
Address y< i>_ , I -
I ~ Address:)[,'.'. II,,_~ „ 7,IP '_y i~, r ~ ZIP
Telephone N': ( ) - Telephone M
O _
t
Property address (Fire W & Street)
Location: sec.- f( T N R W, Towr' ~ / of F, I c
Realty firm:" Lock Box Combo Closing Date:-,,
f %
ego - 1079- 80 -/00 as. 30. 19. 529OA -i0
TO 1313 COMPLETED BY PROPERTY OWNER
iPROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEIM ON REVERSF. OF THIS FORMS
Water sample tap location:
Is the dwelling currently occupied? yes p Na
If vacant, date last occupied:
Age of septic systerij. I
Septic tank last Pumped by: Date:
Previous Owner's Namc(s) :
have any Of the following been observed? -
UY W Slow drainage from house.
UY (f1 Sewage Back-Up into dwellinu.
UY bN Sewage discharge to ground surface c,r 1-oad ditch.
Uy IRN F0111 odors.
OLher comments relative to system operation:
I certify that. the above information is complete and true to the
best of my knowledge.
I
DATE: SIGNATURE: ~ - I ~ t
I
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM IOCATTON
IN
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? DNo
Soil neries per SCS Soil Survey: sheet k _
Typo of soil absorption system: Bg'elgw grd nAt-Grd ❑Mound
Approx. size' XS-2' f~vity ❑Dose UPressurized
Pfled OTrench ODry Well
OHolding Tank noutfall pipe
OBSERVED DEFICIENCIES DOther OUnknown
Septic tank
Setbacks: nHouse~❑Well 611~1011rop. Iinez~<rUOther
Dose tan
Setyzir-2ks: mount - DWel I UProp. I inc_ UOther_
OLocking cover OWarninglabel_ OPump/Float_
nAlarm _ UElec. wiring
Soil Absorption System
Setbacks: Utiouse Owe ll ~OProp.Iine pother
nYonding: L5 - ODischarge: _
General corimen s:
INSPECTORS SKETCH OF SYSTEM LOCATION
h'
I nr:pect or
Tit14~ - -
i
i
i
L)LPART%'LNTOF INDUSTRY. INSPECTION REPORT FOR SAFCTY&BUILDINGS
1 LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O, BOX 796S BUREAU OF PLUMBING
M1'.AOISON, 4 53707
CONVENTIONAL jALTERNATIVE s•'•F• ~v,•^"^
III".u Y•,ai
Holding Tank L-1 In Ground Pressure I _I Mound
r,_r:F !r .r l:vrt o-nurno-r~l~r:l r.,la r-•~1.-.vii licutR ~.a~:.al
Iatncl s Onstitt R.K., Ellsworth, WI 54011 _ - - -
I n`LI/'.11♦lc~.^~ t„)I,l5w.BF FoFFF- fJ LI A', .a-
.+E SW, SI (ction 28, 7.30N-R19W, 'form of St. Joseph
1
Paulj , udd 2739 St. Croix I 79133
SEPTIC. TANK/HOLDING TANK'
` I I 1 11 F.E♦~ I n1. ".iill 1 1 • LA9lL I
NO I_1Y1_ fJ D
OOIAI1:1 VFNI OF -N C'.II I':pl II II - - - I
In. NUM1IBFHOF 1R oar, I .vu -nl: L.. vrnr o t •:r sa
I( Hlnl F
L VES L-- FELT FROM I / I /Uii / I G I
~ ENO LIVES , NL` NEAREST-~I r~ ~ / YYY°9°/ 111
DOSING CHAMBER:
I•nnm I,I I•, u,~n v c:. v,.-Arf ~u cw uvu
I,w u I
(I IvFS LINO vL, UNO F rv LS
ts NO
C, i+LL )Pl F 9 CVr E- r.:rnm un. ul,.rs r, In. ..n..l UI p, r . - ni r.r1•F S1
NUMBER
-IT P eu l
PU FLRENr E RE rJEEN - FEET FROM
PUMP if ,+fl) 1'r F'. I IVES NU NFAHFST-i 1
SOIL ABSOnI T ION SYSTEM. Check the 5oa Dom Hn,JI the U.I of n+o ving I ":n :•nl: Vn <I I • -
RCC
vca t n II -w be lollyd Ir't0 a vdre, cony' UCiv)n shall cease n !d FOMAIN
CONV r I n~.I jl I, rpHU+ccI _
VEN110NAi SVSi EM1L
B
DIMENSIONS RENCH
/ NUMBER OF -PIT
:I III. - - I u F ♦iu
- nw Sn c fc FR(s
i _II 1.~FP r~~1u 111~r1.1r`r~ ItrR
81R IV Ei
L - ` FEET tROM 14 1
MOUND SYSTEM:-
Mound s~ to pluwed perpendicular to slope Check the texture of the flit material `or PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: rnonric systems to make ceriam that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sand, TIONS MEASURED.
wE5 I NO .
SOILCOVEH n.'I„v! .I I,•,,: ~.,,..I~~, ,:nlr ur
YL _ NO ._YES 1N0
"I rl I. I I
v[S YFS I-INO _YES L NO
PRESSURIZED DISTRIBUTION SYSTLM1I-
BEU/TRENCH a if;il nl>•••reim rB-I '•II I I ITi:J I
PFI bF1
DIMENSIONS
ll rl' JS!R V( 4F`II•~li I ♦ :1~ 1:1111 ':I I I I Alnll •1 /.L 64:t I"
l IA
1 Ll II Ff5 I~•I.:
ELEVATION AND
DISTRIBUTION L
INFORMATION ' I.'-. rv. I.1'.. ,.I, y +r, rvl~l..l IRUU ;I•onos TO< .ve.
11 -YES -INO "'YLS QNO
•unn11.I V II 1:. n.I•, Vi NU( Bhlt OF ,le n.Il Pl.n urvt.
COMMLNI S:
G ILET FROM
.VI L NO I ~Y•S IM111.; NI ARI ST
i.
4 U I
V1 • ~ ~ ,~J V7
~'I11 o 1,
Sk.nc•, Y /vn cl' H(•'d".n In cOUnlq Irr Inl JU(h _
Rere•zr S (I'.
j .
011-Im !I G)10 In. 011821 i,
- Porn - S T C - 104
AS BUILT SANITARY SY.` !'Ekt 'tl(PUN'r
OWNEF JAPACI, CiwISTO,T-C 'rUWRJSHIP _S~, JAS p4} SF,C. 2- 9,_ 'f _ N-H IG W
ADDRESS R FD. C-I~sukNLTN ST. CROIX COUNTY, WISCONSIN
' S4C~7 ~
SUBDIVISION /J~p LOT 1Y~~ . !,0•f S UF:
PLAN VIEW
Distances and dimensions to meet rcqulremenLn of H 67
SHOW EVERYTHING WITHIN 100 FELT OF SYSTEM
WeLL
p,M g
ri.` ,~~Fr•.
a
a)
q 9~1 b
INDICATE NORTH ARROW
fbacu LAKE RC1r1~
BENCHMARK: Describe the vertical reference i,u:nr used '^ues-T rseae. Q . !r-z,
..t ^tiS+v 4~. «w+cM 1~^~=Ntk- 1"'~ I l~~l
Elevation of vertical reference Poinl: 100-0c ~ ~ B131' at S ~:iL le:
a"-100-0c Prop uscd s1l0ope
e:
SEPTIC TANK: Manufacturer:_ -Sr f3 a_ Liquid Capacity:
1Qo4R -
Number of rings used: Z Tank manhole cover elevation: _ 95_So
Tank Inlet Elevation: q2-3o l'ank Ouller Elevatlon:
- 41.go
. Number of feet from neares,C Rudd, Frnni ' - <<----
NtAV~T~cw~r ls~(lhv~ V~eu~ Osi1dc10Rc,r,O O~CILQ_O , 'I
~ o~rti roo- o'
:lagwnN a!:u;,.ir'1
9T- - •qnl uu 1agulnld / ' :pa3ep
: r.,an3.)r{nur.Tt wnaj V
- :peon isaaFnu wo.rj iaa 1 1o aactumN
:SUTPITnq woil tail to ingwnN
. 1 I aM moil l.ia { jo laguu,N
),lO )r:,llO`❑ptSO voa;{ :ault,Alindoad 3saaeeu u)oij Taal jo lagwnN
:3aTuT jo uoT3enaT3-*
jo urot3nrl l0 1101 3cn.,18 :pasn s&iTa jo aagwnN
:ti7j :,ude,) :aaanloejnuey{
NNVI ONIQ'IOH
(nuo iswalAs voTlgiosge
I fos inogu afll 7o /.uc I, , pa~;u uaaq Oxnq uojtngja3sjp an 0 xoq doip a aay3Ta sell
:3ITng eeay
:uoj )rnnlJ Ill[ aAodnas ja mo33og :t[3dap pTnbT'I
:slid to lagwnN :azTS
lid Hovd33S
•(nr.[d sold uo s:?,nialslp apnjoul)
I):Altpling moaj 3aaj jo aaqumN
- - --O-nOi 'r'3T or uioi I iaaj jo aagwnN
XJfu7r0 )rO'ar.aHO'apjSO `-luoij :nuTl -jandoid 3saaeau moaj 3naj go aagwnN
- 0 :adTd go dot of gidap 1[j3 -7 :saaj'l to aagwnN ..O-ZS :g79ua-I :g3PTM
W31SAS NOI,IdNOSgtl 'IIOS
•(urld )old uo saour.3sFp apnlouT)
- .-------..:;julpljnq woaj tai; jo lagwnN
ITan woa j 3aaj jo iaquinN
.1i 0T: as O'apjg(O `lun3,1 :.,1111 :Ct-.radoad 3saaeati woa; 3aej jo aagwnN
:.)(14.I, 11:171MS IUacly :aaan3~ejnueW waej~~
0I 3A.1 iad suol[c~) :uoTtrtnaja ){aljns 710 dwnd
:unj3enaja :lur;l to 111031oll - :3nluT jo uoTtenaT3 .
.~rrS d::u,d :aaan3;tejnut+W uogdjg/dwnd .j-rpoW dwnd
- - : iii V•de:) pTnbT-1 :aaan33sjnurN
ANWJH) d;and
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. 0x 526
Colfax, Wisconsin 547330
Col Cnw~,.
715-962-3121
800-962-5227
FAX - 715-962-4030
3T. -ROTX COUNTY LOP,1;l.`q Jrr[cc -;trGn tra.! -i4o35i-ji PAGE 1
ST.CROIX CTY OOV.CTR REFt7RT DATE: G/01/97
1101 CARMICHAEL. ROAD DATE RECEIVED: 7/29/97
HUDSON, WI !4016
ATTN: THOMAS C. NELSON
i
OWNER. James b Donna onsioti
LOCATION: :;40 Perth Lake Rd., Hudson
COLLECTOR: Jim Thompson
DATE CDLLEUED: 7-25-97
TIME COLLECTED: 1:OOPm
SOURCE OF SAMPLE: Hatl.room tap
DATE ANALYZED:7-29-97
TIME ANALYZED: 2:00pm
COLIFORM,MFCC: 0 /100 m:
INTERPRETATION: Dacieriologicatly SAFE
NITRATE-N: °.7 PPM
Above 10 Fpm exceeds the recommended Public
Drinking Water Siandard.
8 9
Ito ROW .lo
1997
sin ,v
ZptIoe 6
£ Z
- br:
PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
' " N ■ ST. CROIX COUNTY GOVERNMENT CENTER
nue-
Road
9[ ^j~ 1101 Carmictmol
Hudson, W1 WI 54016--771
7710
(715) 386-4680
August (i, 1997
SL. Croix County Planninq
At_.n: 711 en nenzer
1101 Carmichael Ave.
Hudson, Nil 54017
RE: James & Donna Onstott septic evaluation
-)ear H;i :c-n:
on July 28, 1997 I conducted an inspection of the septic system
serving the OnsLoLL property at 5540 Perch Lake Rd., located in the
town of SL. Joseph. This inspection was done in the presence of
Mr. OnsLOLt. A water sample was taken at that Lime and submitted
Lo Commercial Testing Laboratory for analysis of bacterial and
nitrate contamination. A copy of the results are enclosed.
E?arsed on my observations and the records on Lile in our oLtice, the
;system consists of a 1,000 gallon septic tank and a 12' X 52' soil
absorption drainfield. The system was installed by Paul Cudd on
July 24, 1986. At the Lime of my inspection, the system appeared
to be functioning, but only minimally. I noted that there were
105/" of sewage effluent ponded o:iLhin the drainfie_d, indicating
1.:naL the system has a severely limited ability to dispose of sewage
effJ-aent. A soil evaluation conducted by Cary Steel, CSTM#2298, on
J•_ily 29, 1997, revealed that the system was installed in soils
which are no.. suitable for sewage disposal and likely led to the
failure of this system.
Because the soils in which the system was installed do not conform
to the requirements of Wisconsin Administrative Code Chapter 83,
L}:e drainfield must. be abandoned and replaced with one which is
coce compliant. As you are aware, Mr. Steel's evaluat-ion and
si.hsequent i'eporL ;also aLt.ached) has identified an area which is
suitable for a convent.ional replacement drainLield.
Tf you have any questions or concerns that I can clar:iy, T can be
-cached at the Zoninq Off:ce at (715) 386-4680.
'~e_s~iC. 'Thompson
Ass stant Zoning Admini:,Lrator
cc: file
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• Parcel 030-1079-80-200 04x0712006 01 01 PM
PAGE 1 OF 1
Alt. Parcel 28.3019.290A-20 030 - TOWN OF SAINT JOSEPH
Current X S1. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = --w,unt O•.vscr, C = Current Co-Owrier
0 - AUSTIN. DWIGHT L JR & LORINDA L
DW GHT L JR & LORINDA L AUSTIN
540 PERCH LAKE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): ' - I'rlrnary
Type Dist # Description ' 540 Pf RCH LAKE RD
SC 5432 SCI I D OF SOI•.1FRSFT
SP '700 Ni11 C
r~
Legal Description: Acres: 757 Plat: 4051-CSM 15.4051
SEC 28 T30N R19Ve PART GL 3 BEING LOT Block/Condo Bldg: LOT 4
CSNI 1514051 CONSERVATION EZ-1302 58 -
Tract(s): (Sec-Twn-Rng 401.4 160114)
28-30N-191h'
Notes: Parcel History:
Date Doc # Vol/Page Type
05+07.2001 644660 1633!41 WD
04.0911998 576749 1311156 VD
08/611997 12551266 %VD
07123+1997 9761;531 ~VoD
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07.0812004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.752 136,300 178,200 314,500 NO
Totals for 2006:
General Property 4.752 136300 178,200 314,500
Woodland 0.000 0 0
Totals for 2005:
General Property 4.752 136,300 178,200 314,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 128
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
,F, y; Section 28
ONS7ATi, JAILS
jYO nikc~CC~'~"~ T3011-109W, Town Of
it. ~u~ S cq
St. Joseph
Ellsworth, ial 54011
San.Per70 9131 P. CUR
Conventional, Now
ASTALLED - 7-20-86
S T C - IOi.
AS HIJILT tiA.N-11 AN :<1'SI'hart It D. ~'t I'
OWNER TOWN S!III' SkC. i N -R W
ADDRESS FiF D LLl.`.uJGlLYN.1.V.; ST. CROIX COUNTY, l.'! 5CONSTN
t~---
SUBDIVISION Lur
I'I.AN VI L'n'
Distances and dimensions to meet rcyui-rcmceat:; ut #t hi
SHOW EVERYTHING Wl'I'!I'N 100 Ph:1•71 O' SYS•I'RN
:•.r u
I
nt.-rre
j - -
rat a g~L„ /
1-7
J
n
1
i
INDICATE k012•l•H ;1Kfd iW
~Cl. is 4
BENCHMARK: Describe the vertical rolcrn.nr._• I,,,i,r [',cry.. r.-A G;,~y~-1KAr•iSE~>?.roi.
~'ex[-~•--~n, t3Gnr-a yL1 q•«c_ ill. _--1 ~,`~.-l,Z '1 u-.C£ TC, i'~. ?<L„~~4'c,,. i♦,o- <_:.,-~Y:7.-ic,
Elevation of vertical reference poinr Proposc,l slope .jt site. ,St'PT1C TANK: Manufacturer: Li~u;c' Gaparity:
Number of rings used: Tank manbnlc ,..v,.r elevarion: 95_So
Tank Inlet Elevation: 012.30- Tank Outl.•r Iil,•v:;r ion: g1.40r -
Number of feet from nearest Ro:;d: !:r;•,ii
T.
ioo- c'
PUMP CHAMBER
Manufacturer: 1.11111 iri Capacity:
Pump Model: Pump/Sipiurn Manulacturer: Pump Size
Elevation of inlet: Rottom of tank elevation:
Pump oft switch devotion: CaI liars per cvcle:
Alarm Manulacturer: Alarm Switch lvI,:
Number of feat from nearest prooer ty line: front, ~~`;ide, 0Rea1 r Ft
Number of feeL from well: \~~JJJ
Number of feet from building:
(Include distances on blot plan).
SOIL ABSORPTION SYSTEM
Bed: french:'-----
Width:` 1=,C Length: _`:l C•'_ Number of Lines: Area Hui It 14
Fill depth to top of pipe.: ~ - - - -
~ t
Ill
Number of feet from. nearest property line: Front0 iJr , O R,-a1 7), .~JGrLICD
-
Number of fret from well: -own.
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottum of seepage pft elevation:
Area Built:
Has either a drop box() or distribution box O b,co used on any of the above soil
absorbtion sytems? (Check one).
HOLDING 'T'ANK
Manufac Lurer: _ Capac i l y:
Number of rings used: Elevation of bottom oI Link: _
%Elevation of inlet:
Number of feet from nearest property lino: Fxout, O Side, 0 R,ar, It.
Number of feet from well:
Number of IceL from building:
"lumber of feet from nearest road:
Alarm Manufacturer:
Inspector: -
Dated: Plumber on job?. ~
License Num bol// _/~r/~_%-✓
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR
'.ABOR & 'HUMAN RELATIONS SAFETY & Hl!I LONGS
o. BOX 788 PRIVATE SEWAGE SYSTEMS DIVISION
PAADISON• WI 53707 BUREAU OF PLUMBING
CONVENTIONAL ]ALTERNATIVE s11ePUripr„m,•~
Holding Tank In Ground Pressure L_ Mound
i6 Frr-, 1. rote [7~. R~ vf1 ~11ySW' "
_nmcS Onstntl_ I f
orth, H'1 54011
( G.r rr. r LLN. Hi I: 1:IVFf 1,I Flrl, r, v(O~_'1 , -7C/
SL Sin+, Saction✓28, r30N-1119W, Town of St. Joseph f
L
i Paul Cudd ~ 2739 S[. Croix 79133
SEPTIC TANKINOLDING TANK' - - -
rJ eC I-V I .rl Ar.e rl r ~11 Nn IL~~ f9rK
O ; - _ ftc r Ir,
v
tar,. trv, rani I_ - - r ~I~IVES _VO AYES _''No
l
TAT
(NUMBER Uf- I. ru dn1 1,p,:
n1r v -
_'VES tNOr.. FEET FROM ial-r
(YES 1SL PJ0 IN_EARf'ST--l~ C--
DOSING CHAMBER: T ~`=L
f1 1 VL$
1 1 I,.. -~S1 N1-f fl I: f[.rw COS fn
L, I I P t AO
11 1 IN5PER YES NO~JYIF 1 JCr
L F BL L Y _iES
1 1 JEFN NUMBER OF ^ r It
f ,
LE. FEET r
FROM d. In rv'
I !V )N NU OF 'YES (
I NO
NEAREST
SCIIL ABSURPT I O N SV ST EMC Bch thevml(.depth dplowlry
n 111 1_. I tllntn av re, cue+5h mafor mall vase vn Ll I FORCE
t r n+ t MAIN 11
CONVENTIONAL SYSTEM: --I -
HID TRENCH i r' - - - I - -
DIMENSIONS Pli
~~zT
NUMBER n .
_t sia rnf sr~rC r ~rv i
1 _rl\fl I ruFl
~,1 i Te rnvr, _a T
III OF *
FEET FROM
OM 'r I + +F r,ii
L_ I NEAREST-=-s^ = I___ 1,. J
a_o UND SYSTEM__ ~---F
'UL nlctf site. plowed perpenrllCUla- to slope _
.rnrl +t.no+t•s thrown upslope. Check the texture Of the till material for PROVIDE A DIAGRAM OFSYSTEM
rnnur~d sy5ranu to make rutaui thal ON I ON REVERSE SIDE. SHOW E LEVA
❑VFS meets the Criteria form drum sand. TIONS MEASURED.
L 1N0
SOIL COVER ~ - - '
I- YES 14C __I[ I-INES -'NO
1 YES _I fN0 DYES INO _ -YES ~_\U
I FESSl1RILED _DISTRIBUTION SYSTEM:
BEO TRENCH I-i r. iur s rfi N1. I_ 1 I \ L, r I Ail- 1, 7
DIMENSIONS
ill71 fJ I lv 1 ,M1 I IT I' .111 r Vl .r 111 1 (I I .I S, < r:r-111
1 \ fl f•! T.. ,gift \11ii rl'.L181, qr(r M1
j' ELEVATION AND, DISTRIBUTION
INFORMAATIOO _
NFN - 1_ a ..~ut n. i V
ilronef ,r.anns u. +n
iIII _VES UNO IJYLS LNO
cOMrdENI$; rr amt er. n. «t1s - -
- NUMBER OF rv
FEI T FROM L
y 1. YES _NO _I r,7;t INEARES I--
-
t~ J
r~ +n L' 1 0
1
L~~
Sketch S+'sterr, on
R.: o c Sir S-{ • Re FUr 11 county file For Otid t. 1 -
APPLICATION FOR SANITARY PERMIT
. Croix LH (PLB 67) UNIFORM cLNTv
SANITARY VI RP;11T 3i
/Attach eor-t_tlets plain ii, acc.nc with s. H 03-05, N(s. Adm. Co", for the system, On paper not ess than x 11 inches in size.
-Sec reverse ;,d.. fog first r..;:cam e. mnnplel n;l this application. PLEASE PRINT
PH OP Ei•.Ty (l~i:'JI Ii PAAI LI NO ADDRESS
James Onstatt _ RFD, Ellsworth, W1 54011
PROPFRTY LOCA T ION xw1mx
SE1/4S,J 1/4,S28 ,T30,N,R19 &*11 Zo.AN,IFX St. Joseph
LOT N AMBER It1 OCK NUA161 Ii $I.: I'V ISION N ANIE vEAREST ROAD, LAKE OR LWWWARK SLATE PLAN LD. N11li
_ PerchLake Road
TYPE OF BUILDING OR USE SERVED (.G!/r^~ /W • 0,1C) _1617Ct"
-
X 1 or 9 Fan?ilv Number r.f Redr u,nns- 3 Pu!+I c ISpecity},
THIS PERMIT IS FOR A: _
XI Nev,. Sys-.,, Iw-k Replacement _ Repair
Repl,wennent Sod A[F,.,plion `i ,ten-, Reels oil Privy
. Alte-now S'ysrem - Reconnection L_ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
_X Seepa_H• Red -_1 Seepage Trench I Stv.ie P I t L_. Holdiny Tank
Systeol 1~ vol in Ground Pressure J Vault Privy I _ Pit Privy
L i I.xistiny, Fof Which A Previous Permit Is On File, Permit -7 issued
An Existiny System Thar Has been Inspected And Is Compliant As Far As Soil Conditions.
-l"I'd ?Fos Pr efah. > t' Steel Fitr"nl ass PGsti;
(ia '.nos Tanks Gmerer Com.>sed
Sepnc Tank CJP3Lny 1000 1 x
I it Pwnp Tank;Swihoe Chamber
Hold nn Talk ca:rawty
DAa•tufaaturer: Wieser Concrete ProduCts
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: LJ Mound _ ImGround Pressure
Total lFo- Pr ef..h- Sits Steel Fionrgias:: Plant ~c
Gallons: -anks Concrct• Cons..r:'ed
3uPrrn lanl[(;aPJO:y _
1 lit Pump/Siphon Cbarrbe.- -
bFanufact wer.
VLRCOLATION RATE ABSORPI IUV A:il A ABSORPTION ARFA WATFR SUPPLY:
;Mmates dermchl: REOOIREfI ISyu.ue Feerj. PR OPOSED ISnu;ve Fer,ii
Class 1 6' _ 624 g Private - Joint PuW C.
II, the hereby assur•le responsibility for installation of tile. private sewage system shown on the alliched plans.
'vamc Ul V'on+b.• IPrm'.:' S'gnutli,e. PAP PAPRSw No.- 1 Phone Nomher:
Paul R. Cudd ~,=L PURS42739 715 ;425-zo49
PbmbeCs Add-o,- ame of Uea9lnar
Rt. 5, Box 364, River FalLs, fiT 54C,_,_ ;Art Wcgerer
COUNTY/ DEPARTMENT USE ONLY
, tie of Issu bry A,,,,-,. Fea L% DIAap Proved
- I+ 7 Gc LI (i Green Initial
ApVrovn,d Adverse Dninrmrnation
FRansun tot U s..pp m.•a G' 1 11
A1.11na1e coursefsl of Aulinn Available:
o in 53D 53ea Att. 5, 84, DISTRIFILTION. Oria nal io County, One Copy To Bureau of Plumb nq, Owner. Plur-vns
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
Tn be co^ioh,t,-,, ~d ccw -I:: rh, I:c nnit eonlication must include;
I. Property owntri narne and complete legal description, please circle the appropriate municipal government unit, (whether this is it
a city, village or lnw:nt,
7. Indicate specifically hat type of rise, is served, if public is checked indicate type of use (I.e.. 10 unit apartment, 30 seat restaurant,
etc.l;
3. Complete the block for cnnventinnal or alternate system depending on system lype, check all appropriate boxes or blanks.
A. Indicate the desiyn percolator rare listed on the 11u soil tea report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the narne of the master plumber or master plumber restricted who will intall the system, circle the appropriate license classi-
fication, place your I.Tense number i the space provided and sign the permit in the Signature block;
P1-se place the plumbers business phone number in the black provided, if there a a problem or question this will speed review of the
p.-•r *nit,
8. Change of ownership or plumber reclui res a Sanitary Permit Transfer Form (B7-T} to be subrnitted to the county prior to installs?tor.
Failure let comply will void the sanitary pennil,
g. This permit may be renewed. and at the time of renewal any new., criteria in the Adm. Code will be applicable.
M; A near permit will be neeilo.d it there is a change In, esbmahal wastewater f oev, (-)~.,rlber (Il :2eo roods, etc.), Ioc'.1 on o` the ,.}'stem
depth of the system, type of system.
1 1 All revisions to this permit must be approved by the permit issuing author*.".
19. A complete plan inclucing a plot plan, drawn to scale or with complete duper.-. pls.
13. Horizontal and vertical elevation reference points that are permanent and clearb; shuv; n.
1~1. P ping detail inc.Iuding pipe size, separating distances. d-stances be Poacen beds if apputpria L:, t;u d: local ons• r-ifluent I iv- tram tank(s)
Ire sr;aem, bulcing sewer and vent observatior pipe(sl.
15. The part,iit is uir'u went rna.; requ r i c'ros nr r t In, ara:: i I of lir-- of IluNn' di,n nyl : rsrcfit.
TO THIF OWNER: This is valid for I years. Changes m your building plans nr tor. at ions mey mqui re you to obtain a ii e••v permit. Pnvate sewage systene.
nu,.I he p.ope.ly m;nntrincd. Have a Imensed pumper clean your septic tank whenever necessary usually every 7 to 3 years. If year have questions concerning
your system, conrart your local code administrator or the Bureau of plumping. DIl.MR, State of Wisconsin.
A?Pt Il .°.TION tom aANi' Y~it:,f1T
STC - 100
This application torm is to be comfleted in full and signed by the owner(s) of the
property being developed. Any inadequauie will only result in delays of the permit
issuance. Should this develc.pment be intended for resale by owner/contractor,("spec
house"), then a second form stoulu ;tr'Ored and completed when the property is
sold and submitted to this: office witi, tli: nopropriate deed recorafnL.
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Owner of Property 4!
Location of Property 14 _ Sy, Section , T N - R W
Township
!tailing Address
Subdivision Name
,,or Number
Previous Owner of Property T
_ .IT':7 I-
Total Size of Parcel G-
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume and Page Number ? as recorded with the Register of Deeds
INCLUDE WTTH THIS APPLICATION ONE OF THE FOI.LOWING:
1. Warranty Deed
2. Land Contract
3. Other recordings filed with the Register of Deeds Office
In addition, a certified survey, if available, would be helpful so at+ to avoid delays
of the reviewing process. If the deed descri,3tion references to a Certified Survey
Map, the the Certified Survey Map shall also be required.
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PROPERTY OWNER CERTIFICATION
I (We) eexU6i that att statements on this boon aie .true to the beat o6 my (ouA)
knowledge; that I fwe) am (aneJ the owneA(s) o6 .the pnopeAty dezc4ibed in this
in6oamation 6oam, by viable o6 a waAAanty deed Aeeoaded in the 066iee o6 the
County RegisteA o6 Deeds as Document No. ; and that I (we)
paeeentCy own the paoposed site boa the sewage disposat system (oA I (we) have
obtained an easement, to aan with the above dmcxA bed paopeAty, boa the
eonstnaation 06 said system, and the same has been duty aecoaded in the 066ice
o6 the County RegisteA o6 Deeds, as Document No. J.
t ,
SIGNATURE 0? OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
i
DATR SIGNED DATE SIGNED
Y
S T C - 105 r
r
Y
SEPTIC 'TANK MAINTENANCE ACREEMENT r
St. Croix County 0
z
0
OWNER/BUYER IJ~.,~~~
r m
ROUTE/BOX NUMBER Fire Number
C 1'l'Y / SPATE Z i p
PROPERTY LOCATION:_);=z, j Sections T Y-) N, R L", W,
Town of_• St. Croix County,
Subdivision - Lot number j'
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed septic tank p_ILLier. What you put into
the s a'fect the t::[1C::^ili O ~:,c .idj:tiC tank as o treat-
ment stage fit the waste disposal system.
St. Croix County residents ma _y be eligible to receive a grant for
a maximum of 60% of the cost of replacement of a failing system,
which was in operation prior to July 1, 1978. St. Croix County
accepted this program In August of 1980, with the requirement that
owners of a:I new systems agree to keep their systems properly
maintained
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-;;ite wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. H
0
r_
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Uenar[- w
ment of %atural. Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the throe year expiration date.
SIGNED
DATE
St. Croix County Zoning Office
P.O. Box 98
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
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