HomeMy WebLinkAbout020-1134-80-000 (2)sTC 10 4
AS BUTLT SANITARY SYETEM REPORT
(oAJOWNER
ADDRE S
N+'Ya\J
Nlo*t V,t u-r Pn 55
N', l\ou Rrdqr T
suBDrvrsroN / csl,t#U,l c I,OT #q1
sECTroN f ,J9 u-n l? w , Town of l-luos, n,
sr. cRorx couNTY, r^rrscoo*3f*
Provide setback and elevation information on reverse of this form'
Provide 2 dimensions to center of septic tank manhole cover'
PI,AN VIEW
SHOW EVERYTHTNG WTTHTN 1OO FEET OF SYSTEM
?9-e F f,rrl
??- ,? - off Neul
?l.t? -ouf, oto -:i'
B,.l I
-R u, y'6 )v+
j B.pRob\
Horn(
a)
&*oh
frnnrz K v loi '
loo q gp)St/i c
t,
3a
l8x36 &p
fV
?
TNDTCATE NORTH ARROW
.l; _-:
./
Fqr
h
le
5
- . 'r -i_. -:'.i !
BENCHMARK:Otd S
Manufacturer:
Setback from:
,I.^ T,e ).)
Liquid Capacity:o
o
.79
ALTERNATE BM:
tJSrNg ol0
-)-)qf li <
-l anrK
sEprrc TANK ,/ PUMP CIIAr{BER ,/ EOLDMG .TANK INFORMATION
LJr'rsqR
House l'l' otherweI I
Pump: Manu
FIoat
AIarm
seper ation
J Ao
setback from: well:
53'
ModeI
cycle: _
1 qA i3
Ero 18.6? '98.b'li;f.".ft"h'',,I
l).o o ';6OIL ABSORPTION AYETETI
width: l8
Distance & Direction to nearest prop. line:3e'
("
House
EIJEIATIONS
Y other
Buirding sewer
-
"* ,rrr"t, 9 9,5 '/sT outlet ,
Existing c.ua. l0['11 Final g
DATE OF INSTALI,ATION:
."a" lO l. '19
(,1:l
..?PLU},IBER ON JOB:
LICENSE NUMBER:
TNSPECTOR:
3YOL/
3 /93:)t
\
rrocn{Ils:rtrlsnFrQN st49 . 2e . Le . 6FnlJiffiShXtrysf}ffil
faborand Human Relations
s"tety una e,itainsiDi;i'ion INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
ETEVATION DATA A9300149 ,tll/B.to'5TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic f*il,n- h/-pu,stn,/.t1,0
Dosing I
Aeration
Holding
TANK SETBACK TNFORMATTOU
PUMP / SIPHON INFORMATION
Manufacturer Demand
GPMModel Number
TDH Lift Friction
Lors
Svstem
FGad TDH Ft
Forcemain Length Dia Dist. To well
SOIT ABSORPTION SYSTEM
Permit Holder's Name:
rrE^rlr.irr rEItTliJ e I I'ADI:APR'T s!
qTown otE City B Village
}IITNslrlN.C5T8I$EI6{,:
1oo, o
-lniF. BM Etera
lao , ct
lt on:
()
County
qtl TTPrITY
Sanita.y Permit No :
1q1491
State Plan lD No-:
Parcel Tax No.:
o2()-1134-80-OOO
TANK TO PIL WELL BLDG.Ventto
Air lntake ROAD
5eptic 750',53')i-t'NA
Dosing NA
Aeration NA
Holding
II I
E LEVSTATIONB5HIF5
Benchmark 4*./,fl,//
Bldg. Sewer
st / Ht lnlet
St/ Ht Outlet ln,)I q7,)-
Dt lnlet
Dt Bottom
Header fMan.
9r,67Dist. Pipe
I ?xBot. System
t.7'/Final Grade
III
II
III
III
I
BED / TRENCH
DIMENSIONS
width/s Lenoth'ze No. Ol Trenches PIT
DtMEitstoNs
No. Of Pits lntide Dia Liquid Oepth
SETBACK
INFORMATION
SYSTEM TO P/ L BLDG WELL I.AKE / STREAM LEACHING
CHAMBER
OR UltllT
Manufacturer
Type Of
System:ZL 5a ?/Model Numbet
DISTRIBUTION SYSTEM
Header/Manifold
4"Lensth -.12J Dia
Distribution Pipe(s)
Length _ Dia ll " ,ru,nn L'x HoleSize x Hole Spa.ing Vent To Air lntake
SOILCOVER x Pressure Systems Only xx Mound OrAt-Grade Systems Only
Depth Over
Bed /Tren.h Center
DepthOver
Bed /Trench Edges
xx Depth O,
Toproil
xx Seeded/Sodded
EYes DNo
xx Mul.hed
EYer DNo
COMMENTS: (lnclude code discrepancies, persons present, etc.)
LOCATIOil: HUDSOT{ 20.29.19.658 (NORTH VIEYI PASS)
44,\r q Ug.,_!;'. I' ru l')
tl-7jl ,r,t I r,;.')t
rl, tl u
rl
r!
v t,,,- .') |, ..... .1 - ; ,.-,".,-
r \._ ' .t i. ! ) ' -
l)'
Plan revision required? E Yes E No
Use other side for additional information.
s8D-67r0 (R 05Br)
i:,.J
7 -7 7l
l):t)
,/6 -)L
fate lnspector'r Signature Cert No
SANITARY PERMIT APPLICATION
ln accord wit\ ILHR 8q.05, Wis. Adm. CodeILHFI
-Attach complete plans (to the county copy only) for the system, on paper not less than
8%x 11 inches in size.
-See reverse side for instructions for completing this application.
I. APPLICANT INFORIIATIOI{ - PLEASE PRINT ALL INFORMATION.
"o'*\t. Croi x
STATE SANITARY PERMIT #
"(1,,?*{r?1, "i o u s ap p r i cati o n
STATE PLAN I.D. NUMBER
*oK;lTo. h,r"a l_[.to,u fW%NL%,saO r)9,N,R l9 E(or) w
PROPERW LOCATION
t{u ?pts Lor# ffi Y9 BLOCK #&A
hfi.r.,
CITY
t-.1
STATE
\t..pJor.
ZlP CODEsYol b "'oF$'ff=*suBD'|v'|tll'|iiT;ff"ILG'Q
VILLAGE:tu
1
2
3
4
5
6
7
I
I
trtrtrtr
o o J
o
trtr
tr
trtr
otr
Outdoor Recreational Facil ity10
11 RestauranUBar/Dining
Service Station/Car Wash12
13 Other: Specity
-80lll. BUILDING USE: (lf building type is public, check allthat apply)
Public
ll. TYPE OF BUILDING: (Check one)State Owned
Medical Facility/Nursing Home
Merchandise: Sales/Repairs
Mobile Home Park
Otfice/Factory
K or 2 Fam. Dwelling.-ff of bedroorS
!V. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
2. Eh"placement 3. E n"ptacement olSystem Tank Only
B) E n Sanitary Permit was previously issued. Permit #
4 5.
Date lssued
Repair of an
Existing System
Reconnection of
Existing System
A) 1.E New
System
21 tr224
Other
V. TYPE OF SYSTEiI: (Check only one)
Bed
Experimental
30 E Specity Type Holding Tank
Pit Privy
Vault Privy
41 tr
422€E
Non-Pressurized Distribution Pressurized Distribution
Mound
ln-Ground
Pressure
11
12
13
14
Seepage Trench
Seepage Pit
System-ln-Fill
4. LOADING RATE
(Gals/daylsq. ft.).7
5. PERC. RATE
(Min./inch),,7 6. SYSTEM ELEV.
1'l 75r"",^'ffff?sq ft)"U?'A'sq ft)
7. FINAL GRADE
VI. ABSORPTION SYSTEM INFORMATION:
2. ABSORP. AREA 3. ABSORP. AREA
r6T.',6H:,
CAPACITY
in oallons PVII. TANK
!NFORMATION New
Tanks T
Total
Gallons
#ot
Tanks Manufacturer's Name
Site
Con-
structed
Steel Fiber-
glass Plastic Exper
App.
Seotic Tank or Holdino Tank I ttQoc'
Lift Pumo TanUSiohon Chamber
V!II. RESPONSIBILITY STATEIIENT
l, the undersigned, assume responsibility for installation ol the onsite sewage system shown on the attached plans.
P/MPRSW No.:
<v ov
M3ffi.ffi.*-T,,.'ryi''m Business Phone Number:(7)i)ig V?rED
/08 h1, t tr'e
Zip
o J,)
IX. COUNW/DEPARTMENT USE ONLY /
peppror"o Disapproved
Owner Given lnitial
Adverse Determination
Surcharge Fee)
(No
6?)
X. CONDITIONS OF APPROVAL/REASOI{S FOR DISAPPROVAL:0-{ a
SBD6398 (formerly Plb{7) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Salety & Buildings Division, Owner, Plumber
t--l
ApUCondo
Assembly Hall
Campground
Church/School
Hotel/Motel
g L]L]tt
'/f0
3
t.
2.
3.
4.
5.
6.
A sanitary p€rmit is valid lor two (2) years.
Your sanitary permil may be renewed belors the sxpiration date, and at the time ol renewal any new
criteria in the Wisconsin Adminislrative Code will be applicable.
All ievisions to this permil must be approved by the permit issuing authority.
Changes in ownership or plumber requires a Sanitary Permit Transfer/Ren€wal Form (SBD 6399) to be
submitted to the county prior to installation"
Onsite sewage systems must be properly maintaineir. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually ev€ty 2 to 3 y€ars.
l, you hav€ questions concerning your onsito sewage system, contact your local code administralor or the
Stat€ ot Wisconsin, Salfl &,Euildings Division, 60&26&3815.
To b€ complete and accurate this sanitary permit application must include:
l. Prop€rty owner's name and mailing addr€ss. Provide the legal description and parcel tax number(s) ol
where the system is to be installed.
ll. Type ol building being served. Check only one and complete # ot bedrooms il 1 or 2 Family Dwelling.
lll. Building use. It building type is Public, check all appropriate boxes lhat apply.
lV. Type of permit. Chock only one in line A. Complete line B iI permit is lor tank replacement, reconnection, or
repair.
V. Type of systgm. Check appropriate box depending on system type.
Vl. Absorption systom intormation. Provido all intormalion r€quested in #1-7.
Vll. Tank informalion. Fill in the capacity ol every new and/or existing tank, list the total gallons, number ol
tanks and manutacturer's name. lndicate prefab or site constructed and tank material. Cbmplete for a/
septic, pump/siphon and holding tanks lor this system. Check sxperimental approval only il tanks roceived
experimental product approval lrom DILHR.
Vlll. Besponsibility statement. lnstalling plumbor is to fill ln name, license number with appropriate prefix (e.9.
MP, etc.), address and phone number. Plumber must sign application form.
lX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specitications not smaller than 8% x ll inch€s must be submitled to the county. The
plans must include the lollowing: A) plot plan, drawn to scale or with complete dimensions, location ot
holding tank(s), septic tank(s) or other treatment tanks; building s€wers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; r€placement system
areas; and the location o, the building served; B) horizontal and vertical elsvation reference points;
C) complete sp€citications lor pumpa and conlrols; dose volume; elevation diflerences; lriction loss; pump
perlormance curye; pump model and pump manutacturer; O) crosa section ol the soil absorption system il
required by the county; E) soll test data on a 115 lorm; and F) all sizing intormation.
1983 Wisconsin Act 410 included tho creation of surcharges (lees) for a number ot
regulated practices which can effect groundr ater.
Ths moniss collected through thsse surcharges ar€ used lor monitoring groundwater, ground-
water contamination inv€sligations and eslablishm€nt ol standards.
0
sBo€:to8 (R.11/88)
STC ]"OO
This application form is to be.conpreted in furr and signed byt'he owner ( s ) of the property n:tnj -d.-r.ropeo.- - eny lnadequacieswill onry resurt in &9ruy" 'or the"p"irit i==uan;;. should thisdevelopment be intended for rg:ul. by gwner/contractorr(spechouse ) ' then a second form shourd be rdt"in"a- e;J compreted whenthe property is sold and submitted - io this office with theappropriate deecl recording. - -
Owner of property I
4 tu
Location of property_L/4 A/f ,rn,section AO, T_dZn-nfi_w
Township
Mail ing address €+y'
Address of site
Subdivision name 'a,)D Lot no.
cther homes on property?ES No
Previous owner of property
Tota I l-/.9size of parcel
Date parcel was created
Are all corners and Iot 1ines identi
Is this property being developed for
:;r;::-$d""a Pase Number ubt? a
fiable? k_ yes No
( spec house ) ?_yes ( No
s recorded with the Register
INCLUDE WITII THIS APPLICATION THE FOLLOWING:A ,ARRANTY DEED which inci"e;; a DoculrENT NUHBER, voLUHE AND
'AGE
NUHBER & TIIE =EAL oF THE nscrJr"*';; DEEDS. rn addition r €rcertified survey, if avairauil, .would be herpful so as to avoiddelays of the-re"i.e.*1n;-;;;cess. If th;-aeea description:;:il":i:: ff =in:i*i:t;a 5'1","v Map, rhe c""rieled survey Map
I(we) cebest ofthe prop
wa rra nty
Deeds asown the
obta i n edthe consrecorded
No.
S ignatu
PROPERTY OWNER CERTIFICATION
ap
the
of
fa
oftry
we)
for
ury
pr
C o-appI icant
Date f
eo
ature
cant
Date of S gna ture
ent
y that all statemen ts on this form ary(our ) knowle dge that I (we) an (are) t he ownerrty described in this i nformation form,by videed recorded in the office of the Coun tyDocurnent No ., and that fproposed sit e or the s ewage dis posal sysan easement to run the above describedtruction of said sys tem, and the Bame hin the It].c tar of deee of County Regis
t.DOCUMENT NO
4se003
irn(l
STATE BAR Otr' WISCONSIN FORM I - 136'
WARRANTY DEEO .
.1,t'. S52t^rt4S3
tlay,f September
(sE.{L)
(SEAL)
Roxanne E. SundeE
lxls ar^Ct efsEkYEO fol taCOiOrtO DArA
This Deed, nrade brtw.'"n . Douglas C, .Sundet' and
Roxanne E. Sundet, husband e.nd wif e
t<evin G. Heaton and tlargaret. S - i".to;:*"'1
husband and wife as survivorship marit,al
Prope r ty
'- '" " '' Grantee'
WitneSSeth, Th.rt the said Grantor. for a valuable consideration.. --
conve.\'s to (irrrntce thr: fullowin6 .escrrbed rerl estate in St t Cf qiX
Count5', Statc of N i:rconsin:
LoE Focty Nine (49), Willow Ridge Second
Add i t ion to the Town of Hudson .
REIURN iO
Ter Parcel No:
, tg89
C,
n
ACKNOIY(/LEDGMENT
STATE OF WISCOI{SI}'i
me knr,
REGISTER'S OFFICE
sr, cRotx co., wl
Rec'd for Rocotd
ocT 0 ? tggg
^Gt ll:25 A. fflww
ffiHflto
r LE,
This iS hornestcad property.
(is) (is n<,t)
Together wrth all and singular the heretlitanrcnts and appurtenances thereunto bclotrging;
Antr Douglas C, SundeL and Roxanne E. Sundet
\rarrants th:rt the title is good, indcfrasible in tee simple and lree and clear of encurnl,rances exctpt
easements and rights-of-way of record, if doy,
irnd will warrant and defend the same.
Dated this 29th
AUTHENTICATION
Signature ( s)
authenticated this. ---.. dav of.-
!Y6
(SEAL)
(StlALr
S3
,19
S..q., . C-qqix ... ..county.
Perst,n:rlly came before m€ this .. ?9!h- .-<iay of
SepLembg.r.... ., tg.89.-. the above nanre<t
..,...-.- DougLas C... SundeE and
Roxanne .8,.. Sundet
(lf not, - -" :
authorized by S ZO6.OO, fVis. I
rHrs r!.rirRUMrNr wAS or.orr.*, i' -
'
"i".^C. L. Gaylord--AttoL.rery. ;! : i '-::i
River Falls, WI. .. 54C: il;.'un.' "t, ,:J j
t Si(rt;rtrrr(';, rrt;rv he :rtrth.rrtic:rtctl or- $$w.-*lr,l*1,1..'Dl,ih.'-Irrc not n(,c(.ssilrv. , )'t ' "'-'< '.-
',r.r1s1....1t'
.litm.s ol n..rs.,n; .itnrnE tn in) cli)if rtir :h,' rl,l bc t;l'.'l ',' I rrr,:',1 l,'1, '*'
TITLE: ItE1IBER STAT-!': BAR OF I!'ISCONSlN
Excrru,t-
to
l"rego
tr''
to t,e the pe:rson S who exccrrterl the
strrr nrtnt an,l -L theolv
I 1),-t't
. Tamara K.
Nr,tlr.'.' Prrl'lic
lli' ('r)nrrrri.'irrn
datt':
th. rr r:(r.. .r. -
t St
St . Cro ix C,rrrrtr. \Vi:r.
pcrtrrlrn, rtl.. 1lf not. stirtr,. c\JrrriItr0ri
12-22- ,l3 9h
Stock No. | 3OOl
L (.-
ls
Sf .t f I ll tll ()]' 1Tl.:('l]\..i1.\
l'(rRv:io. l-t?t!
la C.
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SEPTIC TA}IK HAINTENA}ICE AGREEHENT
St. Croix CountY
FIRE NO:
owNER/BUYER
ADDRESS: 4a
LocATroN:-L/4, ilE L/4,
TOWN OF:,N-SDN
?
SEC.DT
ST.
' A? *-* /7:t
CROIX COUNTY
SUBDIVISION:I LlD n6€-LOT NO.
Improper use and maintenan(:e of your septic system could result
in' i* premature failure to handle wastes. Proper maintenance
consistJ of pumping out the septic tank every three years or
sooner , lf neeaea , -bY a licensed septic tank pumper'. . I'lhat you
put into the system c-an affect the fu-nction of the septic tank as
; treatment stage in the waste disposal system;
::. f r-,-:l;-; f,;ui.tj, =esidents may be eligible to receive a grant to
help with the cost of the t"pi""ement of a failing system, which
,.=' i. oper"iion prior to .fuly L, L978. St Croix County accepted
this p.og..* in August of 1980, with the req.uirement that owners
of aI I new syst6ms agree to keep their system properly
mainta ined .
The property owner agrrees to submit to the St ' Croix County
Zoni"g " ""ttif icatiorr f orm, signed -by the owner and by a master
p.lurtber ,, jour::rei'tTlan plumber, rLstricted plumber or a I icensed
puinper .r.ri f I'ind ttrat ( 1 ) the on-site wastewater disposal. syster't
i = in p.op.i oierating condition and (?) af ter. inspecti-on and
Sr,rrnpinci ( :f nr-rcessar)') ; the septic tank is less than L/3 f ull of
siiidge ;,ini scurn. c"jrjtiticatioln f rom will be ;ent apProximately
3 O clav,,, p,.'ior "i:c three year expiration .
i ,,W{ .. 'r.-., r..:,: ,:nclr}.'s ignecl have read the above requi.rements ancl agrree
{-,:. rri,i -: : r-a i r: the pf iva.te sewage disposal system in accordance with
::i: r: ri1:c.:rc.,:.:..rCs set f crrth , he?ein , as seC by the Wisconsin DHf?' "
Ce r.t l.f _i.i:i:.,:icrr. -:icrrm rnust be completed and returned t,o the SL '
(.;r:c,iy. 3ct:,:1:Y Z.:nii:g Of f ic;er wiLnin 3O days of the three ltear
expi.:'aIj.ui: date,
SIGNED:
DAIE:
St:. Croix l-'orri:ty Zoni.ng Of f ice
91r 4th sL.
liudson, [{] 5401e'
t 1 1
,Wisconsin Departrnent of lndusW.
Labor and Human Relations'Division ot'salety & Buildirgs
SOIL AND SITE EVALUATION REPORT
in accord with tLHR 83.q5, Wis. Adm. Code
Page I ot 3
Attach complete site plan on paper not less than 8 1t2 x 11 inches in size. Plan must include, butnot limited to vertical and horizontal reference point (BM), direction and loof slope, scale ordimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRTNT ALL INFORMATION
COUNTY5l C,t,;r
PARCEL I.D. #
P OWNER:
rr'R ONI
REVIEWEO BY DATE
PROPERTY LOCATION
cow. Lor 5 U v4lJ C r4,s ?i1 2Q ,N,R /? b(@
:S RESS
o (t
CITY ztP
L'\ h.r'(
OR
Recommended design loading nE , 7 b(}i,,grrJnz , L tench, gpd/tt2
bed, ft2
-Eendr,
ft2 llaximum design roading nre , 7 wd, gpdrftz_, 7 tench, gpd/ft2
evation(s) ? - ? 5 ft (as refened to site plan bendrr"tt
r Cr't ftelevation, if applicable
Absorption area required _
Recommended infil[ation surface e]
Additional design / site
Residential/ Number of bedrooms
Parent material
t I Addition to existing building
Replacement I I Public or commercial
I Ne^r Consfuction U*ffi
Code derived daity Aon f l0 gN
S forSuitable
UnsuitableU tru S
MOUNO tur IN.GROUNDErSD PRESSURE
U
AT.GRADEtrS EfU
SYSTEI' IN FILLtrS EIU
I{OLDING TAI'JKDS E?U
SOIL DESCRIPTTON REPORT
Boring #
iiii: , Nli!:i::: , !,:iti.ii: , L.il
tlt*::tl:*S:i*tll$
Ground
elev. ,.
/oj,Ltt
- factor>/0"
Depth to
limiting
Remarks:
Horizon Depth
in.
Dominant Color
Munsell
MoUes
Qu. Sz. Cont Color
Texture Structure
Gr. Sz. Sh.Consistence Bqndny Roots G P D/ftZ
Bed TrsrfiIo\/r'7,{yr {z /r*//s[ET h u(i Qat /u {'/f
2 u 2r"7< yt r/t I /Z4BT M NL C t*l /rIt^t 6
7 yl!1o"7. l4t /;J/9o,o sq n/,h4/7 g
I
:
Boring #
Ground
elev. i
/0l,9ln
Deph to
limiting)w
/&8"T ryr /L ,r/o,*/s 0t, Yl dl 6L^)tr(7
t':/f '/o/K 3/,I /J sblq iDl d "1.,
au)url(5 /
3 /?-to'Tryr ?/t I I zmzl il4,Cel nQp t c
4 3i-{t"zEyir7 v 5lo.
^ca
frlc ln/7 I ,
Remarks:
Dale: ,z/*:p2Sr'//7
Name:-Please Print /0" I /{ 3f/ (sEzPhone:/c
//s'/o/t4)/o
Signature:CST Number
\.
LOT #/\s
r-lclTY ffi_IVII IAGtr
u'
ffi,'mt4
L
e
vvrL rrLrrrrtlrr I lvll nErun I ease -&ot 3
PARCEL I.D. #
Boring #
Ground
dilz;
Deph to
limitingtw
Boring #
ffi,--T*
Ground
Remarks:
Remarks:
Remarks:
eler/.
ft.
Deph to
limiting
factor
Boring #
ffis
itii:ii:iil:u::;:iliH$ $ii
$iin+*,mt$
Ground
elev.
_fL
Deph to
limiting
factor
Boring #
Ground
elev.
ft.
Deph to
limiting
factor
Remarks:
sB0-8330(R.0sa2)
Horizon Depth
in.
Dominant Color
Munsell
MoUes
Qu. Sz. ConL Color Texture Structure
Gr. Sz. Sh.Consistence Budary Roots GPD/
Bedt-o!,/a"f-tYr rA r/;I _Erx hrr;.#-auJ /,lq I T I
L /o'- zt''2,;T I Ztt$E pt -{,Cut tff^;E3zi-D'JJWT Sl".ltq fu,ml -?{-7-/
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Parcel #: 020-1134-80-000 0812912007 08:36 AM
PAGE 1 OF 1
Alt. Parcel #:
Current X
Creation Date
20.29.19.658
Historical Date Sales Area Application #
0
O2O - TOWN OF HUDSON
ST. CROIX COUNTY, WISCONSIN
Permit # Permit TypeMap #
00
Tax Address:
KEVIN G & MARGARET S HEATON
424 NORTHVIEW PASS
HUDSON WI 54016
Owner(s): O=CurrentOwner, C=CurrentCo-Owner
O - HEATON, KEVIN G & MARGARET S
Property Address(es):
- 424 NORTHVIEW PASS
. = primaryDistricts:
Type Dist #
sc 2611sP 1700
SC = School SP = Special
Description
HUDSON
WITC wry floY /{-nfl
Legal Description: Acres:
SEC 20 T29N R19W WILLOW RIDGE 2ND ADD
LOT 49
Notes
2OO7 SUMMARY Biil #
Plat: 2624-WILLOW RIDGE 2ND ADD
Block/Condo Bldg: LOT 49
Tract(s): (Sec-Twn-Rng 40 114 160 1/4)
20-29N-19W
Parcel History:
Date Doc # --Tb'UPage
8521468
Assessed with:
*q -5tj 514-)qY
1.540
Fair Market
Last Changed:
Total State
225,300 NO
Type
10t2512005
Reason
Valuations:
Description
RESIDENTIAL
Class
G1
General Property
Woodland
General Property
Woodland
Totals for 2007:
Totals for 2006:
Acres
1.540
1.540
0.000
Land
66,000
66,000
0
66,000
0
lmprove
159,300
1
0
540
000
159,300
159,300
225,300
0
225,300
0
Lottery Credit:Claim Count: 1 Certification Date:Batch #: 214
Specials:
User Special Code Amount
Special Assessments
0.00
Category
Special Charg
0.Total
ES
00
Delinquent Charges
0.00
G
ue
L
0
)
COM MERCIAL TESTING LABORATORY,
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-gea-3121
800 - 962 - 8378 (Wt)
800-962-5227
sT. cR0Ix z${I}G
sT. cfi0lx cflflw
cflnflflsE
IT'IHN, }II
ATili IHI{AS C. }f,L$il
54016
CO.IFtn},l + NITRATE
nq\l,b
fi$ERI
LmATItlli 424 ilorthvisr Passr Hudsonr UI
C[IIECfini ]bry Je*ine - St. Croix County Courthouse
SIfiCE tr SAlfLE| 0utsidc Frucet
CtLIFmlt 0 /100 rt
IilIERPRETATI$I! Brcter i o log ica I ty SAFE
NITMTE{I 3 ppr
Uder 10 ppr is Eafe for humn comutption.
LAB IE$ilICIflI! Par Gane
tll Approved Lab No. 19
( iham "LESS Tl$il" Betectabte tevel Approved byl
PROFESSIONAL LABORATORY SERVICES SINCE 1952
Zo - /t 7 Y-fo {ut)
'Lo, 7n.11 , 05{
lNc.,$.
REFIIRT NO.I
REFffiT NATE3
DATE RECEI'EDI
32125/01
B/03/99
glaL/w
PAGE 1
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ST. CROIX COUNTY
WISCONS!N
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
9I I FOURTH STREET O HUDSON, WI 54016
(7 r s) 386-4680
August L, L9B9
Dear Mr. Sunlet,
An inspection of the septic system on the Douglas Sun1et property
located in the Town of Hudson was conducted.
At the time of the inspection, the sani-tary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
aia not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not- discoverable by this inspection. This does not in any
way warrant or guarantee the continued proper functicning c::
operation of this system. It is recomaended that the system
should he pumped, once every three years. Therefore, the
prcJ-cnged L if e of this system is total ly dependent upon proper
r+r='i n*ah?r,rrn.r n€ *lrcr c.ttd#rlrnrllUIIlVVllgllvs V! vllg 9f gVvlll .
Should you have any questions regarding this subject, please feel-
free to contact this office.
Sincerely,
Thomas C. Nelson
Zoning Administrator
TCN : sA
Douglas Sunlet
424 Northview Pass
Hudson, WI 54016
Q
r
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7
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ffi wST, CROIX COT'}ITY ZONING OFFICE
St. Croix County Courthouse
91L 4th Street
Hudson, WI 540L6
Telephone (7L5 ) 385-4680
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Comple ion of this f orm is essent ial so that t e nrooertv c nbe
located.
PIease provide
fee made payable
along with form
soon as possible
Property owner's address
Legal Description _L/
Town of
Telephone Number
REPORT TO BE SENT TO:
CIos ng date
foI lowing information , enclose appropriate
St. croix County Zoning Office, and mail,
he above address. Testing will be done as
r fee and form are received.
the
tototafte
WATER TESTING--- ----FEE: $ 25. OO
( For nitrates and coliform bacteria )
WATER TESTTNG FEE: $175 ' oo
(For VOC'S)
SEPTIC SYSTEM INSPECTION-- FEE: $ 25 .OO. 2 {,
-( Determines if system is properly functioning at time of
i nspection )Property owner's name
2;.
4*:?
4of e L/4 of Sect 10n
Lot Number _subdivision Name
k*
by hous f Sor list firm:
T N-R
Color of house ReaIt s r9n
t
PLEAS CLUDE, IF AT ALL BLE, A I.{AP,i,e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTTNG SHEET.
Testing of residential water requires a sample that is fresh. If
the home is vacant, and has been so for some time, the water line
must be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary. If
this is the case, please make proper arrangements with this
office to ensure time when entry may be gained.
Firm or individual re esting services:Ort,U
e? V IF
Signature
u
6
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