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HomeMy WebLinkAbout020-1019-20-100 a o 3 o M U y ~0 50 ~ c C O C~J N CL O J C C y N N LL O E N a ui t a c cU= - 0) -0 o cd yy_ ~ ~ mc~E I a c E o O J y T -oqo,~E ~o•-may F+ v c cr V L N-~ v z° ~oSU Ud c -0 0O Z y o o m 76 U. p N (/1 U 3 xg~ o a a N U Q N U 3 r) a ~ z y rn Z O z d a N w a co v z I oz7* ° c v o m Z d' c C y~ N CD O m co 4) 0 CL r- (D CD y O a) I E O O O •N a L N M N ON Q 1 O O Q 'M" _ N N O a) 0 z co z t o N zZ y t6 f0 d a i O n d all co D d E r CL 0 O O O • rv io a n. a d c o N J U U) En 0 0 a) 1 '0 rn rn y D ~O a) p } N AV C O M O O O C $ N C 9 m N CS) ~ r c N Q ~ C/J co 7 7i p y O O_ O O N C p E O C y C C O N In O CQ O 0 3 QUj N V1 t3 a 0 0 > 0 O N O f0 E E C -O N N_ a CL CL C-4 2 0 H c O O O 0 ~r 0 aj C 0 L L N • U) N 000 0 N I- 1- c N 'xV)I ~ N 7 (0 N C3 y E E U • O Z Z O z y5 ::5 (n V ~ d ~o ~ a a (L 0 CL (p `~1 A 0 a 2 ; O m 0 Parcel 020-1019-20-100 12/09/2004 08:07 AM PAGE 1 OF 1 Alt. Parcel M 14.29.19.91 D-10 020 - 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): * = Current Owner * HETCHLER, ROGER E ROGER E HETCHLER 851 LASSIE LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 997 TANNEY LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.210 Plat: 1231-CSM 15/4049 020/01 SEC 14 T29N R19W PT NE NE FKA PT LOT 2 Block/Condo Bldg: LOT 4 OF CSM 4/1079 NKA CSM 15/4049 LOT 4 3.210AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-29N-19W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 11/20/2000 634029 1561/121 WD 12/15/1997 569922 1282/558 WD 12/15/1997 569921 1282/557 WD 07/23/1997 930/465 more... 2004 SUMMARY Bill M Fair Market Value: Assessed with: 902 146,700 Valuations: Last Changed: 04/26/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.210 44,600 68,900 113,500 NO Totals for 2004: General Property 3.210 44,600 68,900 113,500 Woodland 0.000 0 0 Totals for 2003: General Property 3.210 44,600 68,900 113,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 001-WATER SPECIAL ASSESSMENT 0.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 • D&ARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: NE, NE , 14 , 29,19W CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Hudson Ta _ ❑ Holding Tank ❑ In-Ground Pressure F-1 Mound A OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE. Mavis Naseth 2643 Conway Ave,Maplewood..MN 551.19 Il30 L _ BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. EL V.: CST REF. PT. ELE Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Mark Statnke(Zappa Br 3395 St. 'X 128806 SEPTIC TANK/ SD " 8' MANUFACTURER: LIQUID CAPACITY: TANK INLE L TANK V.: WARNING LABEL LOCKING COVE Q7,& l+` 7~~ P OVIDED: PROVIDED: YES ❑ NO ❑ YES N BEDDING: VEyT DIA. EfF MATL.: HIGH WATER NUMBER OF ROAD: PR EPERT WELL: BUILDING: JVFRESH C.O • j( C. 6A, ALARM: FEET FROM LINE AIR INLET: D YES NO AI Ca~_Jz::j D YES NO tNEAREST----1111111`~ .f / .31 DGSIN Air MANUF G: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER _ PROVIDED: PROVIDED: ❑ YES ❑ NO t ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: MP AND CONTROLS OPERATIONAL: PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM AIR INLET: PUMP ON AND OFF PU ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL NG: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) 95 CONVENTIONAL SYSTEM y3' b~ 5 Grn ¢ BED/TRENCH WIDTH: LENG : NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID j TRENCHES: MATERIAL: DIMENSIONS 7V j2I GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PiIPE DISTR. RIPE MAgRi~f L: Nqr. D TR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABO ER: E EV. INLET: ELEV. END: girl e* T PIPES' FEET FROM LINE: j / AIR NNLLET: j t (Q(j, NEAREST---* o~ S MOUND SYSTEM: D 9,9 Mound site plowed perp dicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope a.-d furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW meets the criteria for medium sand. ELEVATIONS MEASURED. SO OVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO E] YES El NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH ~TOPSOIL SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YE ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO. OF LATERAL SPACING: A H BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: ISTR. DISTR. PIPE DISTRIBUTI E MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPE DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO INEAREST-► Sketch System on in in county file for audit.5 Reverse Side. SIGMA RE: TIT oning Administrator SBD-6710 (R. 06/88) ERMIT APPLICATION HR SANITARY P In accord with ILHR 83.05, Wis. Adm. Code COUN - RAL.-A STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / 49 ?JP v b 8% X 11 inches in size. Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY L ATION 15 g- /V~-_%aAIZ-%,S / TN,R /J E(orag,? PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # w CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER C oL /9 J029 II. PE OF UILDING: (Check one CITY NEAREST ROAD VILLAGE ❑ State Owned R NQ ❑ Public 01 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NUBE f I `0~QO III. BUILDING USE: (If building type Is public, check all that apply) J lJ V 10 Apt/Condo Yd 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1,,R,New 2. El Replacement 3. El Replacement of 4. El Reconnection of 5. El 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 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ 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 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION y~O ! s W Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank CUk /Uov Litt Pump Tank/Si hon Chamber El 1 11 El F] F1 F1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's ignatu e: (No Stam s) MP/MPRSW No.: Business Phone Number: A0,4 c . PIPS . 9 ~ 72/.~- . rl - 9~ 0 Plumber's Address (Street, City, State, Zip Code): sr>,c~ G✓c S ~l v/ S 4 S,- A j. IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (includes Groundwater a e Issued issuing gent Sig ture (No Sta Approved ❑ Owner Given initial f 0(j Surcharge Fee) Adverse Determination 1415. X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber 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, Safety 8 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. VIII. 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. SBD4M8 (R.11/88) } FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Aj()S AS~Tt/ TOWNSHIP 44, n<0.✓ SECTION /,L T~N-R/_W . `I I V ADDRES 2p? , ~o~wxv Lts~1 ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT_,? _LOT SIZE //A 0lo - 10 I•l - -2,o , OD-0 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM c// j1-:2;j',, A, ON .t/o fT/f ~t~fz(7 T.~ /wJC ev. /00 SDf 3c zow QVe ~rFci ,-r v[ /600 7-H r. VEnrf - - e.r 04,wA.)owT/?-s Ecn v yyo' _ T LJL ST PIf 0 Alf T Y / kRsf Q~RnN Gi.`~ . 6AeAl A F LIS J_ W Z fie,Vtw~y `Z i IND CATE NORTH ARROW BENCHMARK:Elevation and description: l";w~,~o~ovt/~Rr~ v Alternate benchmark r/A SEPTIC TANK: Manufacturer: 1~/z-Sft° Liquid cap. /coo 6,fA Rings used:_LManhole cover elev:~Final grade elev: /do•GGTank inlet elev.:_ y?7.33 Tank outlet elev.: 9"/. 0.2 No. of feet from nearest road:Front , Side , Rear /,~'Ft. VIVO- From nearest prop. line:Front , Side ✓ Rear Ft. No. of feet from: Well 79" , Building: /3' (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE J • f r PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front, Side_, Rear-Ft. Distance from: Well Building I SOIL ABSORPTION SYSTEM I Bed: E.~~.gso Trench: Seepage Pit: Width: Length a?~" Number of Lines: Area Built_e 5r,~,Fr Exist. Grade Elev. <r? Proposed Final Grade Elev. T1. 7S " Fill depth to top of pipe: 3-y" No. feet from nearest prop, line:Front , Side 1---, Rear Ft.0?T- No. feet from well://0' No. feet from building V'?' HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: DATE: A0 PLUMBER ON JOB: LICENSE NUMBER : 'd2P'S 33 5~ 6/90:cj APPLICATION FOR SANITARY PERMIT STC-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 0 (J L,57-4- 1/4 /.g IYC (YE 4. -.d „1/4/4, section _ , T OZ N-R-V Location of property Township J-) (A 0 Mailing address Address of site ~n-ry/'y r Aw ar~ , ` 1 t~Syr1', l,~ IS c►,aagS)/y Subdivision name Lot number Previous owner of property Q14 P-'n(i= Total size of parcel 7 7 fi C KS Date parcel was created Are all corners and lot lines identifiable? Y_Yes No Is this property being developed for resale (spec house)? Yes _No law Volume 73777 and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if I' available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Hap, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION (our) r) We) certify thaall statements on this form are true to the best of Inowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warrant deed recorded in the Office of the County Register of Deeds as Document No. and that I(We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County egister of Deeds, as Document No. C/ ' v Signature of Owner Signature of Co-Owner (If Applicable) 9-a '9 j d Date of Signature Date of Signature V WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA I DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 II 462101 ,Vol sso w-E 405 _ REGISTER'S OFFICE i' Duane F. Ramey and Elizabeth A. Ramey, ST CROIX CO WI husband and wife as joint tenants, R®C'd for Reeor I S L P 0 6 Wo of M .........................••n--..-le conveys and warrants to av i s L . N ..s.. t h , a i - - 11:25 A. c/ ----•-•--person-------------- _ + pa~tiISter of 1?eeds is RETURN TO t...._ C Y 1 X••-•--•-•-----•-••-•.•-•---•... ii the--;o owing described real estate in ................................................County, II State of Wisconsin: i Tax Parcel No---------------•-----._..._.._. II I Part of NE 1/4 of NE 1/4 of Section 14-29-19 described as follows: Lot 2 of Certified Survey Map filed June 23, 1981 in Volume "4", Page 1079. s FM I, I~ 1 s_•_r>:o-ir..--___.__._ homestead property. I,I { This Ii (is) (is not) II I I Exception to warranties: Subject to easements, reservations and restrictions of record. II I Dated this - - - 15- - - Augu-st.----•---------•--••-----• 19---- 99. h day of • (SEAL) (SEAL) _ * DUANE F. RAMEY TR (SEAL) (SEAL) ' ---------------------------------------4:N II I I I AUTHENTICATION ACKNOWLEDGMENT i Signature(s) STATE OF WXVgg$,8y' ILLINO I ss. K eN ► ~.•L-- County. authenticated this ---.----day of--------------------------- 19 Personally came before me this 15 day of 19.------- the above named August II - Elizabeth Duan-F.--RAmey...and- * A. Ramey { I TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person S who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY :I l STEPHEN J: DUNLAP . I { X. Hudson , Wisconsin Notary Publi.............. _ -•tCQ . County, )W. li My Commission is (Signatures may be authenticated or acknowledged. Both permanent. (If not, state expiration are not necessary.) date: - should be typed or printed below their signature M1 ~ ff A` ~ W: . I; L 1"4 *Names of persons signing in any capacity W M I{ STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. ' N SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County r n OWNER/ BUYER M A' U/ _ L 1 L4 t o Fire Number-___,-,_ ~ ROUTE/BOX NUMBER'' V CITY/ STATE tt. V1 S Cdd A/ S:/ aL ZIP - Section T, a.N. R_.L W, PROPERTY LOCATION: k Town of /4(," rj 5 1 ty _ St. Croix County, Subdivision Lot number improper use and maintenance of your eptic system could result in scon- its premature failure to handle wastes.--Prover sists of pumping out the septic tank every three years or sooner, if needed, by a l'icen's'ed' 's'ept'ic tank pumper. What you put into the system can affect t e unct on of the septic tank as a treat- ment•stage in the waste disposal system. • St. Croix Countyy residents-maybe eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, wh c 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 hew 's' ys t'ems agree to keep their system properly maintained. The property owner agrees to submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site 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. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with of the standards set forth, herein, as set by the Wisconsin Depart- W meat of Natural Resources. Certification form must be completed •d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. 8 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ' INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX ON WI 7969 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHI ' • "C'.!TX LOT NO.: BLK. NO.: SUBDIVISION NAME: WiL'/ NL'/ 14 /Tz9N/RME(o /IASoN Z M V10A R, l0?9 COUNTY: OWNER'S E: 11VIMILING ADDRESS: S-T CPo )x M441's SL.YN -2Vy_z S" USE DA S OBS RVATIONS ADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: : Residence LAIV\ New ❑Replace I ~ 942?x,96 STS SO, Ls. RATING: S= Site suitable for system U= Site unsuitable for system ONVEN IOE]NAL: JM ZIS MS U IYS U I Zu 0-40 PV Vr F~ IN-65 V ND-PRESS ❑ UR : S ST M-IN❑FILLHO~LDING T K: RECOMMENDE/D~ fS0T~ option q` If Percolation Tests are NOT required DESICx~1N RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: LAS'S I Floodplain, indicate Floodplain elevation: KA PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES HARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHt;. ELEVATION OBSERVED EST. I HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B 11.4z /d/.DS ND~J~ > 1/.9z IoYB:s~,~s z r ~L 6bJ8aNrh5 38"~~NC~ Z B- )Z,17 B IZ.4Z /U/.73 No qt > 2.42 9 „$Lsc eNr~r iG' 8e.,c,~o~ "$eN>tiiS 4o i?r ~ceoe Mop B-4 10•41 jUU.pl NON E > /U,qZ 3o'$tc~ z~"'. Q,. ` $Q,,S,~ iPo~~Cr$?,,►~15 B- /.STs 993dNi: > ll.S~s 4"6LSL-= 9c," ek rnS r, a,>~~weS~ B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INrO36S AFTERSWELLING INTERVAL-MIN. 7JERIOD 1 P I D PERIOD PER INCH P. VNt£, /OI,ID Z Z Z L P- Z U UZ. Z 2 f P- •ZO < t)1.70 2 < P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. BEw_14m4QK , I-APt NA_Ae Lo-, Link NC41! SYSTEM ELEVATION 45.0 VENCCPoz-l- EL4,4A-T+ei4 /oo UO. T N.: B d ~ , U l SysTe R , t. TH a + 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 the location of the tests are correct to the best of my knowledge and belief. NAM (print : TESTS WERE COMPLETED ON: l Q v~NSoN ~ rJNs SupvIlrvc ~f-~ 23 1996 vc i ~ o ADDRESS: CERTIFICATION NUMBER: PHONE NU BER(optional): C" 3Fs6- .407 AT4 CST SIGN URE: 1. DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IN DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W 7969 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNS HI LOT NO.:BLK. NO.: DIVISION NAME: wr,'/ NIE'/ 14 /Tz9 N/R ilE co /4 Asu SM VOL9 rti Io?9 COUNTY: OWNNER S E: MANIL-1WG ADDRESS: 'STCkoly 114,41S SE.T1.1 USE DATES OBS RVATIONS ADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: T STS: 4Residence uN~~ New ❑Replace I P-I- 2!' y1f 9 Z-2~ 96 r 4So1~S $L r` A 1' RATING: S- Site suitable for system U- Site unsuitable for system ONVENTINAL: MOI O ND: ❑~IN-GF~OyIN ❑ UR : S S M-IN ~-FILLHO ~LDING T K: RECOMMENDE~S~ T'EM~(`ptionA ~ ilt~ ~ ~~u'r_ 4L' If Percolation Tests are NOT required DESIC1N RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: l/.1LQS'S Floodplain, indicate Floodplain elevation: HA `~T PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH1 . ELEVATION ~OBSERVED EST. I HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / 11.42 /(~/.ps NO►J~ > /l.qZ /pxBcs~TS z► `~~,SL 6~'BeN~~-s 38~8,i?NC5 B- 12,17 / 2. S3 2 /7 ,p' gf_Sr>✓ a., G /S„~al~~}6 0~ L -L?~U MS9o"$~u B- 1-2.42 /U/.73 No ic >l2.47 9,.$LSCr, e.Ar1 iC"'BeN~s~~~ '$eN~IS ~o$a. C ~ceae Mo' B-4 10-47- IUU.O! No > /v,qz 3A4$ -T_ ZEN p~ 1,c ?o $Q,,S,c '61111. =18'Cr$eN0116 B- 99,7 olvE 4"&5c-r= / ""$>?NS~ geNS tNc B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IBS AFTERSWELLING INTERVAL-MIN. p p 1 PER INCH -I PE P_ Z tc nz Z 2 c 3 P- ZC~ t)?. 7o 2 P- P- P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ~ENLNMdeiC I "Apt N4A? Lorr LiNt N(411 SYSTEM ELEVATION ~T, FE.N~.LPosT Lc.EJ~~o>J /p0•UO.. a ~LTIZ-J 4T iL. g . ~Q 1 :.c.tr: C v ► SYsT6 m / ~ T N s i 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 the location of the tests are correct to the best of my knowledge and belief, NAM (print): ` ` TESTS WERE COMPLETED ON: QYL-:`/ JO~1N50N JpnINS SUP\1- /hjC JCA17 Z~ 19~C~ ADDRESS: CERTIFICATION NUMBER: PH NE NU BERloptional): 407 L4C0 A a L~6, 1 016 4 386- CST SIGN URE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR_SBD-6395 (R. 10/83) - OVER - , ©u Tl4 AR)/'e er v /,w PLO 87 PLOT & CROSS SECTION PLANS ZAPPA BROS. EXCAVATING INC PLUMBING UNIT PROJECT i E O.C/ E.<TC(~4/AL E . / i S N SE N ~ ~ .IJE Y NC p~'~E ~ r~s~.~ v~ sr►r!•~ nRoQe)56 D /~u r~ ~ YS TAM AIr q f~/I ~ ~ Cc+ r To /~'T ~t T /~~3/ ( VLE ~ " Ax • JLnr ~L~C~~[Jl/jL~ l~6NT ? r ~ -~o- Prope A-7 A& ~t loop G',~~ SEPrr c i n•v,r _ _ _ _ _ S.~ L✓e r Ll ~rl ST ~/jc 4r D~rtEr - 6; L✓i-rN /4rPTrTF nLuG Ba ~ ~ Sb/ 35 PV,' Sca ~~P ~ Ercz L en;r C, vts rN PRuOe f' L "v e NO SCALE FRESH AIR INLET AND OBSERVATION PIPE APPROVED VENT CAP MAXIMUM 12' ABOVE FINAL GRADE 4' CAST IRON VENT PIPE MAXIMUM OF 42' ABOVE PIPE TO FINAL GRADE SIGNED: 10 MARSH HAY OR SYNTHETIC COVERING LICENSE: ~S MINIMUM 2' AGGREGATE DATE: °,~T ?3 A..) OVER PIPE lo, DISTRIBUTION PIPS TEE SOIL TESTING BY: ELEVATION BED W AGGREGATE • BOTTOM PER SOIL BENEATH PIPE PERFORATED PIPE BELOW TEST IS • COUPLING TERMINATING FT. AT BOTTOM OFSYSTEM it • x X? nozirt. 1 I NORTH LINE OF S£C.14,T?9N R/9W 6 j THENEI/4, SEC. 14 COUNTYMONUMENT 589°4%OB"W 594.95• SB9°4%OB"W )?8.00 11 550.89' tie . B I 4.06. q~•°o LOT 3 WEST L/NE b b 5.005 ACRES TO FORTY LINES OFTMENE-NE I 4434 ACRES TO RO.w. % I I V 218018 SO. FT. I I Q• ' I I ln, N89041.08"C 593.37• q Z. LAW.1 wt.es' 550.52 O ~'I I ~ J• ~ 1 I j I.plb LOT Z 6.221 ACRES TO FORTYL/NE Y W. .r h 5.778 ACRES TO R.O.W • re 270987 SO. FT. N F-; I I I ° d. R I I -J. . a• I z i I 589041*08W 591.40• 550.05 N I >A 1 • Z:I i v~ b LOT SCALE 200• ql h 6.650. ACRES TO FORTY LINES 0 O 100' 200' 400• I v 5.761 ACRES 70 R.O.W. i 289674 SO. FT. NOTE.' LOT / DRIVEWAY lJ t11 ACCESS TO 8E FROM I ; TAWN£Y LANE. ~ v. O - 1i?4"IRONP/PEWEIGH1A , _ J X09 NB9°SBO/%E 549.55• ° Q. O- -1- - - - - - - - /./3 LBS./L /NEAL FOOTSET _ NB9°4939_£_ _ S_B9.27 _ _ _ _jo_ MCCU7CHEON ROAD SOUTHLINE OF THE NE-NE APPROVED JUN 19 1981 ST. C201X COUNTY COAPItMNSM ?A,= r-LwNwG ANO ZO►m+G Con_.U U V01umc It Pare 1079 WEAMA112/1 20./2007 13:54 ^159624030 CTL PAGE 0111"61 ACommercial Testing Laboratory, Inc. ,?won ■ ® 514 Main Street P.O. Box 526 Colfax, Wisconsin 54730 WWW.CTLCOLFAX.COM Phone: 715-962-3121 Phone: 800-962-5227 Fax: 715-962-4030 ANALYTICAL REPORT Ben Morgan Report Number: 07032632 Page: 1 Tri County Sanitation Sample Number: 07-C10309 1029 4th Street Report Date: 12/20/07 Hudson WI 54016 Date Received: 12/18/07 Owner: Roger Hetchler Address: 997 Tanney Lane Hudson WI Collectors Pen Date Sampled: 12/17/07 Time Sampled: 17:00 Sample Source: Kitchen Tap Date Analyzed: 12/18/07 Time Analyzed: 11:00 Coliform,MFCC: 0 /100ml Interpretation: Bacteriologically SAFE Nitrate-N: 2.1 ppm Above 10 ppm Nitrate-N exceeds the recommended Public Drinking Water Standard. Lab Technician: Pam bane WI Approved Lab No. 19 ( Means "LESS THAN" Detectable Level Approved by; RESULTS- FAX*D ON, PHONED ON: CALLER: r 1. Tr;-Cout,ty Sanitation Services Invoice 1029 Fourth Strect Date Invoice # IIudson, W1 5401.6 1220/2007 20,17 Bill To Roger I•Ietchler 997 Twinvy Uuw Hudson W1 54016 P.O. No. Terms Projcct Due at closing; Quantity Descrip• ,n Rate Amount pump septic, inspect septic, and water lest 365.00 365.(1(1 fax charge for %water test 5.00 5.00 R'1 sslov to 5.50'%, U_U() i It: appreciate your prompt payment. Please inciude invoice numh r on your check. '1'hunk You! Total S370.00