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HomeMy WebLinkAbout020-1098-35-000 h CD 4 0 ~ I a 3~ I N O L C f0 O N W Y C d y N ~ L .Q E LL 5omap y QI A I N~Oa I rn y c°o° C - N O Fr my~0 I Ny M T!_ O f4 C Q N O C Z L L T x LL c 3a°L N y a) 7 L O U C y C Q OL o li 3 O O Z E ;j O Z r III ~ I M w a co H Z o I 0 2 a l C :3 ra m z d 2 o 9) 0 N Z E E N M I C M ~ N N N C d U O L ~0~pp I C C Y ~ U Z F- D O Z C C co E 'R a N I ' y C 0 d d N O d r - -3 c C, a IL ff 0 :3 Z N> 0 C. U) o 0 y o O O Z aaa IL = 7 1 CO N V1 J V i M 0) 0) } O M N N N O E co co L O O 'O m c d y ~ 'C m Q } (n m I O 7 w p p L CEO H C E LO N r"' O U '2 C :3 lt•0 u5 CD m ~°n tOi a 00 °O CL -0 W _ C a+ 'O n pp y N n _105 O M.1 O CO U N M O N O •~l °MS cn~o Z ~tA ~ d 16 I ~ d ~#t a ~a • e~ a m ;2 d r`N o cc 3 o va U) U r A 0 4 Parcel 020-1098-35-000 12/09/2004 07:52 AM PAGE 1OF1 Alt. Parcel 33.29.19.394C 020 - TOWN OF HUDSON Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * TOWER PROPERTIES LLC TOWER PROPERTIES LLC 1353 AWATUKEE TRL HUDSON WI 54016 Districts: SC = School SP = Special = Property Address(es): Primary Type Dist # Description * 648 OLD HWY 35 S SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.480 Plat: N/A-NOT AVAILABLE SEC 33 T29N R19W NE SW 3.48 ACRES THAT Block/Condo Bldg: PART OF LOT 1 CSM 6/1510 NOW KNOWN AS LOT 2 CSM 7/1964 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 33-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 02/06/2004 753668 2505/363 WD 07/23/1997 876/395 07/23/1997 814/384 2004 SUMMARY Bill M Fair Market Value: Assessed with: 1579 295,800 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.480 41,900 186,900 228,800 NO Totals for 2004: General Property 3.480 41,900 186,900 228,800 Woodland 0.000 0 0 Totals for 2003: General Property 3.480 41,900 186,900 228,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 54.00 Special Assessments Special Charges Delinquent Charges Total 54.00 0.00 0.00 • FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER qiL ,C,~ TOWNSHIP 1 -77U.5.1..E SECTION_ N-RW ADDRESS_ ST. CROIX COUNTI, WISCONS N 1 ~qF old i-fwIV~ 3~~5 SUBDIVISION__ LOT LOT SIZE_ •~✓"Z a,clre.S PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM IJ0, a 1~ na 3 (I ktol \ a~raA S~` ~ rr INDICATE NORTH ARROW BENCHMARK: Elevation and description: _Pq4p_,fr;!&b C,4 Alternate benchmark SEPTIC TANK:Manufacturer: Lc'S Liquid Cap."Z -/Ow q, ~2c~Dd~ Rings used: 2 Manhole cover elev• Final grade ~ev: Tank inlet elev. ~ Tank outlet elev.: No. of feet from nearest road:Front , Side, Rear Ft.JSY From nearest prop. line:Front__X_ , side , Rear Ft. /3J/ No. of feet from: Well ftag- Co" , Building: 1 , 71 (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE . i 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 SOIL ABSORPTION SYSTEM Bed: Trench: __Seepage Pit: Width: Length Number of Lines: *R Area Built 1060 Exist. Grade Elev. Proposed Final Grade Elev. 16b"9' Fill depth to top of pipe: No. feet from nearest prop. line:Front , Side , Rear-kFt./0 b'jL.C 64A No. feet from well: r=No. feet from building -'32" HOLDING TANK 014- 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 : 90 PLUMBER ON JOB: S-TALM R. LICENSE NUMBER: MPt1t S` 6/90:cj l-_ r D, Apr` a v s~ Y j N -6 ~ ~ •,F ~ sec,. `7-t91J, ~ ~qlt) `7~~ a k d sa. -St CP61 X Ca ` B /7-/ fldP~b ~~ziZ fis s `ex c, t~~ 1 O.X a,M c 6e A . C%01 T +5. a I t6f 6 13 g Hopef ly you are enjoying the Wisconsin Plumbing Codes Repo and have found answers to question.s you have had. If you would like us to address a topic which yo are unclear about, please drop us a line sugges ng subject matter for upco ng issues. Also, we re lize that some of you have recommendations for changes to the uniform plum ing code. If you would like to submit a code change proposal you may do so on "Code Change Proposal" form, which is available upon request from our offic Your proposal should indicate whi h code section you would like revised, t proposed rode language, and a j tification for.the change. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * WISCONSIN PLUMBING ODES REPORT ORDER F RM _ $15.00 1986 Plumbing odes Report Subscription - This is a calendar year subscription to the month y Wisconsin Plumbing Codes Report. The Report includes he text of each month's official Plumbing Code changes (8-1/2" x 11" s ze), official Code Interpretations, a summary of Petitio s f r Variances, a summary of product approvals, a listin f licenses issued, cancelled or revoked, as well as other infor tion of interest to deligners, installers and inspectors. If y u subscribe midyear, you will be sent any missed issues. _ $ 3.00 Single- onth P1 mbin Cod Re Dort - Same as above, but for only a specific month starting A gust 1985. Indicat/MONT YEAR $ Total en(Payable to DIL R - Bureau of Plumbing). Mail to: Name: Last or Business First S eet/Box ity: State: Zi : Current subscriber number, if any, from Plumbing Code Report mailing label: t • DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR e HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 Number a SW,NW,NE,SW,Sec.33,T29-R (it assigned) Town of Hudson, Lot 2 CONVENTIONAL ❑ ALTERATIVE H ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound AME Of' RMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Richard Stout 1353 Awatukee Trail, Hudson, WI - p BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. LEV.: - CST REF. PT. EL Name of Plumber: MP/MPRSW No.: County: ,t Sanitary Permit Number: John Sykora III 3212 St. Cr .ix-128751 SEPTIC TANK/ MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLE ~V: . WARNING LABEL LOCKING COVER 'I l^n~ f, Ip7-&7' /07,'36 PROVIDED: PROVIDED: Cl (-'--Ie GL~ o o YES O NO OYES NO BEDDING: VEFtF DIA.: 111@1F'PoIATL4 : HIGH WATER 'NUMBER OF ROAD: PROPERTY WEL T.LDING: VENT TO FRESH X G, 0~ ALARM: FEET FROM LINE: .t AIR IN ET' ❑ YES NO El YES NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: UMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN F M LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIA ATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: / X. 7-5' BED/TRENCH WIDTH: LENG DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: MATERIAL: DEPTH: DIMENSIONS J Ja` T GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE D ~T 7PE M T NO ISTR. NUMBER OF PROPERTY WE BUILDING: VENT T FRESH BELOW PIPS: ABOVE COVER: ELEV INLET: ELEV END:r Sa~~[ G~~C PIPES: LINE: AIR INLET: _ab y , /0/4 , FEET FROM J ? i Y fe't_cr(m, f57/sl-))- a~ INEAREST 10 MOUND SYSTEM: i`/ hzy Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPT OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPA GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES:. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MAT NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: ES: DA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION 4111VED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: ❑ YES FEET FROM LINE: NO ❑ YES ❑ NO NEAREST ~ CS, t- Sketch System on R in in county file for audit. Reverse Side. SIGN URE: TITLE: SBD-6710 (R. 06/88) 7~r_~00L a!i~ s, ` R SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUN DILH STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 7 8'/z x 11 inches in size. f vision previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMAT16-k- - / PROPERTY OWNER PROPERTY l_OCATION w'/a, S 33 T N, R / 9 E (o 6`W_) PROPERTY OWNER'S MAILING ADDRESS T # BLOCK # Is e- 3 1 Z CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER lb CA 6 1(© 71 S 9-6131 1161 `7 >P 19 4. "S/ . TYPE OF BUILDING: (Check one) CITY Ng AREST ROAD II VILLAGE ~ El State Owned IM ;OWN OF: ❑ Public 1 or 2 Fam. Dwelling- # of bedrooms _ PARCEL TAX N e ( ) 111. BUILDING USE: (If building type is public, check all that apply) S9 c- 1 ❑ Apt/Condo 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] 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 N 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 Q q ELEVATION REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 7bo C190 000 v 9 < 3 , f Feet 100.-7 Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks structed ti r Holding Tank W 11 0 Z600 Z Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY ! li EMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: o Stamps) M MP R-S W No.' Business Phone Number: Plumber's Address ( et, City, State, Zip Code IX. COUNTY/DEPARTMENT USE ONLY ' ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin gent Signature o S ps) Surcharge Fee) ^ l Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: L SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS A 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 & 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. 111. 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'/2 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) ■ 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 lot tesale by owner/contcactoc,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appcopciata deed recording. Owner of property eclaanJ Si-o Location of property -W a-1/4 s .iM, Section , T~ •R~_Y Township Sc) A Mall lnq address - / 3 a'c~,~-~U'a c Address of site subdivislon name S AA 118 ~ -7 ea 1964 Lot number w...~.~i.~~■-_~~~~~~■ previous owner of property FU^J1 •PCe C_ 1i 1A Total sire of Potosi 25 OLC'% Q_~ ~ Date Potosi was created maw ll Ace all corners and lot lines Identifiable? to is this property being developed for tesale (,spec house)?to Y 0 Volume nd Page Number :.1 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION TITS FOLLOWINCt A VARRANTY DIED which includes a DOCUMENT NUMBER, VOLUM>< AND PACt UVKaZR, and the StAL OF THE RBOI8TER OF DEEDS. In addition, a certified survey, It available, would be helpful so as to avoid delays of the reviewing process. it the deed description references to a Certlfled Survey Nap, the Cettifled Survey Map shall also be requited. PROPERTY OWNER CERTIFICATION I(Ve) certify that all statements on this fOrm are true to the best of my lout) knowledge; that t (we) am (are) the owner(s) of the property described in this intocmation form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. ~-,-2-_ZZ Q 2 s 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, tot the construction of said system, and the same her been u y ecorded in the office of the Count later of Deads, as Document No. •Igna ure of Owner Signature of Co-Owner (11 Applicable) e/ ego Data y01 sTnature -~--"Date of Signature Jew" , a y~e. •S w l .fly . 1T~t• kkr'' +~'is ..a~,y., r•i, tom. "Irk k 3t ht< `+.h~A" Wyk ' i zv. n w ` e INA, 40. - }}p_ ice`., Ri .wr ,~,'7g,,ki.- te' may', •,{t>"~ a>~- i; Aid. 1♦' `r {i.~. i • .'iif i 7F 41 `e ;Tor ir-w r ??,yd. ,'afr c f S T C - 105 N SEPTIC TANK MAINTENANCE AGREEMENT w St. Croix County BUYER w 0 ROUTE/BOX NUMBER ~'1.~•aT'u Fire Pdumber0 q sc°~ 'S w CITY/.STATE ZIP M SE N kS m PROPERTY LOCATION:. ALL-4, 5ie) Section T29 N, R /9 W, Town of 2VjJ N St. Croix County, Subdivision CSA Ail f 9, 964 , Lot number . Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 'septic tanumper. What you put into the system can aT'fect t e-.unction o the-7-septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, County 8. St. Croix Count ration r o Pi r to July 1, 197 s in operation -was pe accepted this in August of 1980, with the requirement that . program owners of all'new 'systems 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, restricted plumber or a licensed pumper veri- journeyman plumber, 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. H I/WE, the undersigned have read the above requirements and agree o to maintain the private sewage disposal system in accordance with the standards set forth, herein, as ..set by the Wisconsin Depart- r. meet 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 "X~ DATE P La d r 0 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. I . ' ~OFPA'RTMENT OF SAFETY & BUILDINGS INDUSTRY, REPORT ON SOIL BORINGS LAND DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7 N WI 370 HUMAN RELATIONS - (H63.090) & Chapter 145.045) , •5 , SECTION: TOWNSHIP/1% Y: LOT NO.:BLK. NO.: SyI~VISION N ME 33 /TZ~ N/RIq E (o sNt p~ COUNTY: OWN ER'SfiQ 'S NAME: MAILING ADDRESS: .0 ~~GE/i-✓ _06x C sa Nwy 3s Muvro,~ was USE DATES OBSERVATIONS MADE B DRMS : COMM R L DESCRIPTION: Residence /f/ ❑Replace I PROFI E DESCRIPTIONS: ERCOLATION TESTS: ANew 7,1z~ry 3 'd~ RATING: S- Site suitable for system U- Site unsuitable for system ONVE T AL: MOUND: IN-GROUND-PRESSURE. SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑U ®S ❑U S ❑U ❑ S QU ❑ S ®U 7ifrvGAeS =i_1 D vE If Percolation Tests are NOT required =DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: 4 /145 S --r- Floodplain, indicate Floodplain elevation: vor Sfc- No?E- QEIoLJ PROFILE DESCRIPTIONS Z. BORING TOTAL DEPTH T R UNOWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED ES HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) C r~ 5; 11 B. 5 /oo, y~ > ~P• s a (Mo 14tLEV) 5. o',T4h r O&R e S ~ 3 ~ /y K ~ 111 t,0 Dr. ,0. sj ►.s ' TA' SI, 67 ' I3a CS , ?S Cy. o3.ly ~~~D ~t~sc ~1 ho~ftED 4 2 Tr4o v,WA cs l /,v r 1.5 Q.~ . )S I-S S -2 .O ' ~N CS -es R- 3 102.361 o" ' n C to f ' c 44 L t- ~ g-~ D.~ Ay2~' t-15 .S ~.0 w,943.57) 1.2, s' r4V S ) io,o lot✓ cs PERCOLATION TESTS l,J CS' •S-fie S C -TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PE O02 P PER INCH o P- P_ L P- 4 P / P- S . as -f P. N ? PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitabl 1 areas.,*diga a scale or d an s. Describe what are the hori :ontal and vertical elevation reference points and show their location on the plot plan. Sho the surfapt,*%vation bo nd the direction and percent y of land slope, SYSTEM ELEVATION yD 107 o FT v IN6 /o« a M /Pu vs t N ~ b 40 E5 r i,, 494 W.$', S49115' Id a I'o-t~41 SySf tw• -T+ IS S'i 6/G L f t^~` 7tS 77 ECEIVEP e~ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pr '6dures and vrueshCC $(fecified i > isconsin h. Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge nSjbeli2bNtNGOFFI`CE NAME print : TESTS WERE CO ~D~O h0MESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 Al 3 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. Z y Z. 3 0 to W663 / CST SIGNATURE: I DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. bILHR-SBD-6395 (R. 02/82) - OVER - _ 1J awe, F. REy~1;N Ye tjo> • 2/O PO ST r n D ~Ot 110 5~•~/t : 30 ~ ,~G~ifoF BARES 'C = /JFpC SiT~'S C~ = Fou.-mg ~ SuRveWs for IRo~f 1 " P rpes Se r, I " p p .'+Krr o R s 5 pfrC 41 SO - U,R. P. It 1&vA-rjOA1 c i l 1 ~L HOMESITE SEPTIC PLUMBING CO. YJ Q 655 O'NEIL RD., HUDSON, WIS. 54010 Iy5 ROBERTULBRIGHT csr 2yp 2 WlS. MASTER PLUMBER LIC. N0. MINN. INSTALLER B DESIGNER L C.No 'P'R.S. ILS P~ . W 00663 v ~ r S ~ ~y to krj- 4 CERTIFIED SURVEY MAP Located in part of the SEA, of the NWT and in part of the NEh of the SA of Section 33, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; being Lot 1 of Certified Survey Clap in Volume 6, Page 1510. OWNER Ervin Regelin 3 V Co - Z 3 ~Q N} Corner of Box 650 T 'Section 33 Hwy. 35 South Hudson, WI 54016 ( I Lot 2 Certified Survey Map in Vol. 6, PQ. 1510 N1504211311W 43.461 N8703010011E 652.88' I S8905010011E 90, 30.00' 1 Joint driveway easement y'~✓r3 LOT 1 ouse 20~ - o o° L South line of the SE1 of the NWI o -I OGarage 201 1 -4 I 150,005 Sq. Ft. N2100215611E ° C jr y~po~3.44 Acres 79.171 s"~' r ~ E 402.121 1 1 ~1/~ N16o12 3011 2gg•211 S, w' LnI 4j1 1 = ao MI = a 11 162.81 ~ z % G yr' ✓ % ``%~1c ✓~••a✓~ S ~~'/7` ° ° to ~ ~o o .,rd E LOT 2 i~ co rn y v vi %0 VD 41 0 ~•151,385 Sq. Ft. d W ° `.`6` 3.48 Acres I 41 J®r v 4- C d O I C C1 N J Z w GX s r''f I 1 I CU -W 84.46' 90.081 C N v S870215211W , ....J ' i b L4J Z . U, I 90, d O N m x o ' r~ag3gC3`°.183.~~ ' SCALE IN FEET V sa X ~t.Ey C. 1 0 50 100 300 ~r14 c co g LEGEND HUD County Section Monument o ° lYD R Z j • 111. Iron Pipe Found S -~Duw 0 111 x 241' Iron Pipe Set, z~`OFFtCt weighing 1.68 Lbs. per linear foot ~ 6S} Corner of Section 33 This instrument drafted by Fran Bleskacek Job No. 88-08