HomeMy WebLinkAbout020-1134-80-000
STC - 104
AS BUILT SANITARY SYSTEM REPORT
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OWNER ! N~ ~q0/V
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SUBDIVISION / CSM# W', 1 1 LOT #
SECTION DO T A N-R 11 W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
4g-a - TN 3 Bvr-oo►-ti
otj New
pomp,
OkT Of0 Vv Bu
0
41 s'
rnpa 1C S ter. y• ~ l S o a
ei c
N
T
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
1 ~uV• V
BENCHMARK : 0 14 SO-t ry.\ Top of V e P; 1~k 15b V.
ALTERNATE BM:
USINS OID SEPTIC TANK/ PUMP CHAMBER / HOLDING.TANK INFORMATION
~gF1 C Manufacturer: W6 S~P Liquid Capacity: Q
(ANk ~ ~
Setback from: Well' House Other
Pump: Manu a Model# Size
Float seperation a cycle:
Alarm ion
s ti ~fi ~ s e one ~c s.7 - , 79
Ioooc~
5eef+ c TANr III IS
cov ef- £Uv 10 5"~ 14 1Q.00 0 ':SOIL ABSORPTION SYSTEM N 18. 98.6 I
Width: g Length 3(o N e es
Distance & Direction to nearest prop. line: 3 a }
Setback from: well: House 5 Other
ELEVATIONS
Building Sewer ST Inlet; N 7 9• s f ST outlet . a5
p!, i nl of ` ¢}A} nttmn (lff
ea er ani o 0 o
Existing Grade Final grade . 1~
DATE OF INSTALLATION:
PLUMBER ON JOB: LICENSE NUMBER: 3 q
INSPECTOR:
3/93:jt
6 I
I1A Q ,;[Q*;rtr>~WAfQXst4P . 29.19 . P914At WW WOO County:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division .91- CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
193491
Permit Holder's Name: ❑ City ❑ Village [}Town of: State Plan ID No.:
e Insp. BM E ev.: BM Description: Parcel Tax No.:
020-1134-80-000
TANK INFORMATION ELEVATION DATA A9300149 )J,)/7 3 : ~ pIS
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
,,ff
Septic v r Benchmark
Dosing
Aeration Bldg. Sewer
Holding St/ Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet q..,:
Vent
TANKTO P/L WELL BLDG. Air Ito ntake ROAD Dt Inlet
Septic 7.~ T` NA Dt Bottom
i
Dosing NA Header /Man.
Aeration NA Dist. Pipe
y~
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade ~,'`f
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS C, / DIMENSIONS
SYSTEM TCIP / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O CHAMBER model Number:
System: ?T OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. h Length Dia. ~ Spacing to
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HUDSON 20.29.19.658 (NORTH VIEW PASS)
4'-7eb
I
I t ! ~
Plan revision required? ❑ Yes ❑ No
, r .e
i
Use other side for additional Information. 71771
c
SBD-6710 (R 05/91) 1Sate ' Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
i
~ILHR SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
~ vww~,v
5 t, CKU j
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than lg~~
8% x 11 inches in size. ❑ Check i3f revision to/evious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROP TY OWNER PROPERTY LOCATION
t~) N d- M-e -eis 01J W '/a '/a, S o T , N, R 19 E (or W
/
PROLP. RTY OW 1S MO lT D )ASS S LOT # L f g BLOCK # r W Ar/\`,,
CI , STATE ZIP CODE PHONE NUMBER SUBDIVI,sION~ NAME OR CSM M ER
v,D or is 0( t
1 b "A W i Now
II. TYPE OF BUILDING: Check one CITY NEA EST O D ,
( ) State Owned ❑ VILLAGE ~(AR~61Jl O r ~W 10 S
❑ Public NJ or 2 Fam. Dwelling-# of bedrooms..Z_ PARCEL T NUM ER( )
III. BUILDING USE: (If building type is public, check all that apply) ( - 0 - f 80
1 ❑ Apt/Condo
20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 80 Mobile Home Park 120 Service Station/Car Wash
50 Hotel/Motel 90 Office/Factory 130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2. NUieplacement 3. ❑ Replacement of 4.E] Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 El Mound 30 El Specify Type 41 El Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
130 Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
RE U RED (sq. ft.) PR CPOSE(sq. ft.) (Gals/day/sq. ft.) (Min./inch) C] '7 /ELEVATQN
_go I J~ 3 C -7 .7 1 7. ,S Feet I ~ V ~ Q" Feet
CAPACITY
VII. TANK Site
in allons Total # of Manufacturer's Name Prefab Con- Steel Fiber- Plastic Exper.
INFORMATION New Astin Gallons Tanks oncr a structed glass App.
Tanks Tanks
Septic Tank or Holdin Tank (QO U
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plug's Name (Print): Plu ber's Sign e: (No Stamps) MP/MPRSW No.: Bu ' as Phone Number:
SO u rnt-e U 1D
Plumber's Address (Stre City State, Zip Code
11048 MI zt; are Y~ , N 4 DD
~
IX. COUNTY/DEPARTMENT USE ONLY
M❑ Disapproved Sanitaryrmit Fee (includes Groundwater Date Issue Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved E] Owner Given Initial ` Q) 6
Adverse Determin lion Igo 4P TJ
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11188) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
i
INSTRUCTIONS .
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a.Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation..
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper;whenever necessary, usually every.2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safe~'ty &,Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
S T C - 100
This application form is to be completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
will only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor,(spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property
Location of property 1/4 AIT1/4, Section , T~N-R~W
Township v
Mailing address L U^~L~ mss,
U
Address of site
Subdivision name_ `,(e, LC._DeJ A
-Lot no.
Other homes on property? es
yes--_k/
--,k/ No
Previous owner of property ~1_ ci
S ~
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable?_
Yes No
Is this property being developed for (spec house)? Yes k"No
volume and Page Number as recorded. with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT
NUMBER, & THE SEAL OF THE REGISTER OF pDE S. I addition, a
certified survey, if available, ;would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a certified survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I(we) certify that all statements on this form are true to the
best of my (our) knowledge that I we am the owner()
the property described in this information form, by virtue sof oa
warranty deed recorded in the office of the county Register of
Deeds as Document No. ~7 :,lepo
own the and that I (we) presently
proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described
property, construction of said system, and the same has een duly
recorded in the ffice of County Register of deeds as Document
No.
signatu e of applicant
Co-applicant
Date f
Date of Signature
• . ' • DOCUMENT NO. STATE BAR OF WISCONSIN FORM I-1882 THIS SPACE RESEMVEO FOR RIECORWDdo DATA
WARRANTY DEED
452003 ;VW. S,52PAr 4 l -9 REGISTER'S OFFICE
This Deed, between .Douglas C,_..Sun.det.._and---- ST. CROIX CO., WI
Roxanne E. Sundet,...h.usband.and.wife : Reed for Record
OCT 001989
- - Grantor, at
ii:2s A..M
and Kevin G. Heaton and Margaret. S_.-Heaton,-
husband and wife as survivorship marital i
property . - - ReofDisdi"
. Grantee,
Witnesseth, That the said Grantor, for a valuable consideration
. RETURN TO
conveys to Grantee the fullowin[ escribed real estate in St • _CLQ1X-. ii
County, State of Wisconsin:
Lot Forty Nine (49), Willow Ridge Second
Addition to the Town of Hudson. Tax Parcel No:
IV
FEE
i
This is - homestead property.
(is) (is nut)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And Douglas .C.,.Sund.et..and Roxanne E.. Sundet__
imple and free and clear of encumbrances except
warrants that the title is good, indefeasible in fee simple,
easements and rights-of-way of record, if any,
and will warrant and defend the same.
Dated this 29th...... day of - September 19.$9
(SEAL) - (SEAL)
9 p l a C.
'
r u t
(SEAL) (SEAL)
• Roxanne-E. Sundet _
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
`
S.........CO-lX County.
authenticated this ........day of_ . 19 Personally came before me this 29th__day of
ep.tember...... 19.9.. the above named
- Doug.las..C--.Sundet -and
• . R.Q.xa,n
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by 706.06, Wis. Stals.)S to me know to be the person $ who executed the
forego ) ;trument an,l aVo, ed ge the me.
THIS IN.3TRUMENT WAS DRAFTED~As .
~ y
C. L. Ga.ylord.,__Atto-Xft -
l- i Tamara K. re-
River st
Falls WI 54G2.~.
Q. C,ta Public St. Croix Count}.
iSi,naturt-> may he authenticated or ft rulu'lyd ~S. CfLh; -NI" ('nnunis,ion is perman(nt..0f not, state expiration
are not r.eee.aary•) , ( C N date: 12-22- 19 91)
•Names of person; ;ixning in any capaci,.y sh-1A be t)'t^-1;•nnt•-1 hl- th,.r
~I frnar likit No 1 ` - 1 ~`)yi '1` Stock No. 13001
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER / p - -
ADDRESS: FIRE N0:
LOCATION: 1/4, !V~ 1/4, SEC. o_T--c2MN-R__,~LW,
TOWN OF:. S~/y ST. CROIX COUNTY
SUBDIVISION: 1/!~ / LL17v✓ //~6 I - LOT NO. /
Improper use and maintenance of your septic system could result
in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or
sooner, if needed, by a licensed septic tank pumper. What you
put into the system can affect the function of the septic tank as
a treatment stage in the waste disposal system:
ay residents may be eligible to receive a grant to
help with the cost of the 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 all new systems agree to keep their system properly
maintained.
The property owner agrees to submit to the St. Croix County
Zoning a certification form, signed by the owner and by a master
plumber, journeyman plumber, restricted plumber or a licensed
pumper verifying that (1) the on-site wastewater disposal system
is in pr+-,per operating condition and (2) after inspection and
pumping ;of necessary), the septic tank is less than 1/3 full of
sludge nc scum. Certification from will be _gent approximately
30 dav:~ pr or to three year expiration.
I. /WEtx=.:; ties s-.-signed have read the above requirements and agree
r,
~ j.r: the private sewage disposal system in accordance with
~r• ~
set fu,rth, herein, as set by the Wisconsin DNR.
° crm must be completed and returned to the St.
Cr_-cix County Z,:,ni ng officer within 30 days of the three: year
SIGNED: f' DATE :
St. Croix Cou):ty Zoning Office
911 4th. St.
Hudson, 14!" 5401.6
Wisconsin Department Industry,
,
Labor and Human n Relations SOIL AND SITE EVALUATION REPORT Page -/-of
oivision of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but -
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPE TY OWNER: jj~ PROPERTY LOCATION
, ~ N_e 00 GOVT. LOTS W 1/4Nh 1/4,S 2.0T Zq N,R /9 b(odi
PR RT
Y OW~~} I EEi~SR DING ADD e L~ PA J LOT # 8 K # S BO-, N F OR
14 _V1 0
CITY, A E ZIPrCODE PHO E UMBER []CITY []VILLAGE OWN ES ROAQ
S L N ~ti . _ J ( Soy-- C '-e , P IVA [ ] New Construction Use,[adj Residential / Number of bedrooms [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow S0 gpd Recommended design loading rate r 7 bed, gpd/ft2 trench, gpd1ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 7 bed, gpd/ft2 4 trench, gpdAt2
Recommended infiltration surface elevation(s) 92 75 It (as referred to site plan benchmark)
Additional design / site consi ations
Parent material S¢C.b S, pn elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FlLL HOLDING TANK
U = Unsuitable fors stem I us u El S 'G )ffs O U ❑ S ,@'U S IgU O S 'B'U
SOIL DESCRIPTION REPORT
Borin # Horizon Depth Dominant Color Mottles Structure GPD/ft
9 Texture Consistence Bou day Roots
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.
7, S Bed rer~
L /s k y r aw A/ S
7 V1 %_25r' 7. i5 Q Wt./ 2 BL` A'► M tr G w k
Ground 3 S S Y ®S ~c / - , 7
/ elev.
ft.
Depth to
limiting
factor ,
Remarks:
Boring #
/
7, AA- aL4j
13 2. 31z- 3sbl( i~ dt,4 'a(-)
Ground 3 9 3L.. 7 ~y~ y 2 f-r C w S.
IaA f 32-O" 7 5 s
elev. t
Depth to
limiting
lac r„
Remarks:
CST Name. Please Print Phone: 15 3 p'~ 6 Y 3
Address: 070 4-, y s A/ sor
Signature:
D e: CST Number:
W, /V/e
~ z~i3 oo~~y~
I IVII ncrvn I Page of
PARCEL I.D. If
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots
Bed n'~ch
a S~ z or-
3
bk j7 -All -"A~
7-
21, 1
Ground 7-L
-elev. T
ift;.
Depth to
limiting
factor
L
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
facto
+
T . .
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
.Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
70
37
Zo \
r7
8`'J~VJIv
5. ~ s
CL 00,
r _
P. Q.L. 7 PLOTA1~, ► c i_' 0 S' S 5 E C T-) P oi cc -F
E3
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t L 0 CA I O N V.... ov V)r akc DCEN S E-./- 3 U
1) AT 3
0 l MAP __-mow
PL
o
r ° 53
rA► lei S fi
ys Pte.,
1
_?0'
63
_ G8
V1 - S' = QeNa~ 14R 1. Top A
~N.?(o e~p E; A)?-j w o Pipet
Ibb. n
ya, o-apox gat P;s
~ ~ paJp u~' I~~'1 Wt l 1 r
S~Vfl C_
71
cottmx)o C, Y,
FRESH All'. INLETS AND OBSERVATION I'IVE
C110S.'.3 SECTION
Approved Vent Car)
Minimum 12" Above
Final
4" Cast Iran
Above Pipe
To Final Gradr
Marsh Hay Or Synthetic Covering
Min. 2" Aygre(j';i1 '
Over Pipe
Dis tribu lion Tee
Pipe I
Aggregate V Pea.Forated Pipe i'.c
beneath Pipe r,
g 7S -Cou ling Teams i n .
Qo~pr,ti~ .._.1.~. Bottom Al SY 4
F
'67 '0 Is-cl
R .6, L, PLOTA N I I
DLUM-
~r
'Fr
AR'
l ~ ~j~tCbD~
7,
(.O40
r, rwl lei Sys f Q,,~
WWI P)P,
Not
t ► ~dJ~ ; ~~~1 GJt I l r
7/1
fax 11
Su
rl '
R p
N~tU}t~ 1 1S
FRESfi ' 11I1: IfdLETS AND OBSERVATION PI.PE
C1205', SECTION
Approu.ed Vent Cap
Minimum 12" Above \ ba , 03
Final Gr
4" Cast Iron
Above Pipe : °~e'~in `?ape
To Final Grade`
Marsh [lay Or Synthetic Covering
Min. 2" Agcjr.acj't►lo
Over pipe
Dis.trlbu tiott Tee
Pipe
Aggregate Perforated Pipe r,
g 7Dcncath Pipe Go~,pl. i.ng Termi
Qo Oi^+ l2C f~ o f 5 y s t e ir,
5:
Parcel 020-1134-80-000 08i29/2007 08:36 AM
PAGE 1 OF 1
Alt. Parcel 20.29.19.658 020 -TOWN OF HUDSON
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 - HEATON, KEVIN G & MARGARET S
KEVIN G & MARGARET S HEATON
424 NORTHVIEW PASS
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 424 NORTHVIEW PASS
SC 2611 HUDSON A
SP 1700 WITC , Cr. /'V,V
Legal Description: Acres: 1.540 Plat: 2624-WILLOW RIDGE 2ND ADD
SEC 20 T29N R19W WILLOW RIDGE 2ND ADD Block/Condo Bldg: LOT 49
LOT 49
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-29N-19W
Notes: Parcel History: _
Date -13'05-6-f -Tot/Page Type
07/2 997 852/468 4
2007 SUMMARY Bill Fair Market alue: Assessed with:
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.540 66,000 159,300 225,300 NO
Totals for 2007:
General Property 1.540 66,000 159,300 225,300
Woodland 0.000 0 0
Totals for 2006:
General Property 1.540 66,000 159,300 225,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 214
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisc6nsin 54730
715 -90kg - 3121
800 - 962 - 8378 (WI)
f 800 - 962 - 5227
ST. CROIX ZONING REPORT NO.: 32125/01 PAGE 1
ST. CROIX COUNTY REPORT DATE: 6/03/89
COURTHOUSE DATE RECEIVED: 8/01/89
HUDSON, WI 54016
ATTN: THOMAS C. NELSON
L 1 :*~K-~ i!~
OWNER.
LOCATION: 424 Northview Pass, Hudson, WI
COLLECTOR: Nary Jenkins - St. Croix County Courthouse
SOURCE OF SAMPLE: Outside Faucet
COLIFORM: 0 /100 ml
INTERPRETATION: Bacteriologically SAFE
NITRATE-N: 3 ppm
Under 10 ppm is safe for human consumption.
COLIFORM + NITRATE
1
LAB TECHNICIAN: Pam bane
WI Approved Lab No. 19
~•.WpEV(NOEN o+. I
< Means "LESS THAN" Detectable Level Approved by:
® PROFESSIONAL LABORATORY SERVICES SINCE 1952
r
w
ST. CROIX COUNTY
WISCONSIN
r ' .v ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
- (715) 386-4680
August 1, 1989
Douglas Sunlet
424 Northview Pass
Hudson, WI 54016
Dear Mr. Sunlet,
An inspection of the septic system on the Douglas Sunlet property
located in the Town of Hudson was conducted.
At the time of the inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did 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 functioning or
operation of this system. It is recommended that the system,
should be pumped once every three gears. Therefore, the
prolonged life of this system is totally dependent upon proper
of the S'r_t4~ .
Should you have any question: regarding this subject, please feel
free to contact this office.
Sincerely,
~zzal~
Thomas C. Nelson
Zoning Administrator
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ST. CROIX COUNTY ZONING OFFICE
g R St. Croix County Courthouse
~w 911 4th Street
Hudson, WI 54016
Telephone - (715)386-4680
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form is essential so that the property can be
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning office, and mail,
along with form to the above address. Testing will be done as
soon as possible after fee and form are received.
WATER TESTING----------------------------FEE: $ 25.00
(For nitrates and coliform bacteria)FEE: $175.00
WATER TESTING
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at time of
inspection)
Property owner's names - °
Property owner's address 72
Legal Description 1/4 of the 1/4 of Section , T N-R
Town of Lot Number Subdivision Name
FIRE NUMBER ~.Z y LOCK BOX NUMBER WA-
Color of house Realty sign by house?,-;,,v if so, list firm:
0 mx_4~1
PLEAS INCLUDE, IF AT ALL PO ISLE, A MAP,i.e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING 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 uesting services: ~lJF2'
Telephone Number a - .1
REPORT TO BE SENT TO:
°
Closing date
Signature
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