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HomeMy WebLinkAbout161-1062-70-000 � / \ CD ts / m � \ � . Q o � A � \ � � % 7 � 2 2 \ f E 7 d I « � L a 3 E k � z n § § ; CL m § B 2 « t . � _ i E / N o e \ 7 I � -*Ail § A } § , 7 Q z co z e o .. z ) _ c , § \ C ; 2 jG 2 E ~ A � § k \ I E g 8 2 0 2 / 2 � E 4 \ � \ 0 a a a ; z B ) m c � 2 ] v E _/ _k 0 cc : 22o ; u o B o §In 2 § ( % 7 \ } ƒ k ] ° I ■ � 0 , a / § w / . \ $ E LO N § \ U.) § § k { \ k : 0 . ems o c a 0 : w q Lo e e CD — { { / } a \/ ) m , e a o 2 / / 2 $ ■ 2 k (L a o ) ) � $ af o J a 2 : $ J ¥ Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �� �} BO K U > TOWNSHIP Nor�, � I 4 D fj jg SEC. T 4 N-R ab W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION _ LOT _ LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 3 B<DROO N Y4 0 IOU Ln I f I I DICAT NORTH ARROW I,t BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: ' Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: 1000 y p r Number of rings used: 1 _ Tank manhole cover elevation: 0. Tank Inlet Elevation: d Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side&Lo Rear, O f � .,�_ feet - From nearest- property line : Front 10 Side,O Rear,Q S�_ feet M Number of feet from: well � building: ' (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: " Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: _ Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,Q Ft. Number of feet from well: Number of feet from building: (include distance on 1lot plan) I�(' f ;; {'. 0 f SOIL ABSORPTION SYSTEM Bed: Trench: Width: Len$th: Number of Lines: oZ Area Built: . Fill depth to top of pipe: ti Number of feet from nearest property line: ,Frront, O Side, O Rear,0 It Number of feet from well: IV�JU I h+ Number of feet from building: 1� ' (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box Q been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: _ Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• i Dated: l� i � Plumber on job: License Number: O q 3/84:mj �DEPAR MENT OF INDUSTRY, INSPECTION REPORT" FOR SAFETY&BUILDINGS LABOht& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 NW',,NW,, Sec. 13 ,T29-R20W 1:1 CONVENTIONAL ❑ALTERNATIVE IState Plan l D.Number: Town Of North Hudson El Holding Tank ❑ In-Ground Pressure ❑Mound If asslgnedl Sommers Landing NAME OF PERMIT HOLDER: ADDRESS Of PERMIT HOLDER: INSPECTION GATE: John Boru 1305 4th St . Hudson WI 54016 % -/ ! 917 od EN CH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PL N REF.PT.ELEV.: CST REF.PT.ELEV IO � or� Name If Plum er MP/MPRSW No. County Sanitary Permit Number. James Boumeester 1 03404 St . Croix 12 SEPTIC TANK/HOLDING TANK: MANUFACTURER: ILIQUIO CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED • 7 OYES ❑NO DYES ONO BEDDING: VENT[A,,/ VENT MATL. NIGH WATER NUM ER F ROAD: PROPERTY WELL BUILDING VENT TO FRES n ALARM FEET FROM LINEr / J AIR INLET OYES ffNO l.� ❑YES NO NEAREST 5 / DOSING CHAMBER: MANUFACTURER TYES DING'. LIOUID CAPACITY P MP M( EL PUMP/SIPHON MANUF ACTIIRER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. ONO OYES ONO ❑YES ONO GALLONS PER CYCLE: PUMP AND NTR LSO fl T AL NUMBER OF PH OPERTY WELL BUILDING IV ENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) YE NO _NEAREST SOIL ABSORPTION SYSTEM.Check the soil p moisture at he e P t of wm il FORCE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire,const uct shat cea until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BEO/TRENCH WIDTH: LENGTH/ NO F UIS R PIPE SPACING COVER NSIUE DIA -PITS LIOUID I�IMEN$IONB 1 �l r I . ' TR CHEy M ERIAL: PIT / DEPTM GRAVEL DEPTH FILL DEPTH DISTR.PIPF DISTR PIPE/ DISTR.PIPE MATERIAL NO.DI t i NUMBER OF PROPERTY WELL BUILDING V NT TO FRESH BELO PIPES ABDV COVER ELE V.INI F(� ELEV.END G� PIPEnS , LINE. ,' AIRINLET. �/ 1 II lOc��� I0 � I /—� NEAREST—� MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES ONO SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS OYES ❑NO ❑YES 0 N DEPTH OVER TRENCH/BED DEPTH OVER TRENCH;REU DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES OYES ONO DYES ONO DYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: ta`r NO OF$Eb/1 RENCH WIDTH LENGTH TRENCHES LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER CltME11I�10N5 MANIFOLD_ PUMP MANIFOLD T)ISTR.PIPE MANIFOLD MATERIAL. No.DISTR DISTR. I DISTRIBUTI N I E MATERIAL dt MARKING ELEV. ELEV. DIA.. ELEV.. PIPES DIA.: ELEVATION AN t'WRIOUTION �ruy'I HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED ia.7F I PLANS. DYES ❑NO DYES 1-1 NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑YES ❑NO YES ❑NO NEAREST Sketch on System Y v � � �/ I Retain in county file for audit. Reverse Side. SIG TURF: TITLE DILHR SBD 6710(R.01/82) &'` j 0 / I __I , ZE715ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code COUNTY Ceolx, -Attach complete plans(to the county copy only)for the system,on paper not less than STATE SANITARY PERMIT#❑ ���/�� 8%x 11 inches in size. c ec if r vis on o previous application -See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPERTY O—WNX PROPERTY LOCATION J 0 h N &ZLAD LJ%a W%4,S 13 T<�9, N, R O E(or)W PROPERTY OWNER' I�gILING�RESS LOT# ' I BLOCK# 306" TT1h� `1 C�IT1Y,STATE ZI C3 E PHONE UMBER SUBDIVISION NAME OR CSM NgER , T,�tbSoN S c 1111�� "5t, C d LJ CITY NEAREST ROAD II. TYPE OF BUILDING: (Check one) State Owned O VILLAGE oa u� d M e ❑ Public ®1 or 2 Fam.Dwelling–#of bedrooms 3L PA RNEwL T X NU ) III. BUILDING USE: (If building type is public,check all that apply) `d -/G 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 8 ❑ 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. NNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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 ❑ 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 14. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED(sq.ft.) PROPOSE (sq.ft.) (Gals/day/sq.ft.) (Min./inch) qQ�+ ELEVATION O I'S 3 I /•. 0 Feet 103, Feet VII. TANK CAPACITY Site in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION urers New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdina Tank j 6 O W2t Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsits sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: TAmt5 s o o 6 0800RO Plumber',ldre llttreet,Ci ,State,Zi de lJ- U OSo , S . S o jCv IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater a e Issue Issuing Agent Signature(No Stamps) Approved ❑ SurchI arge Fee) Owner Given Initial / ,S f3 P Adverse Determination G� X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&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 & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. I1. 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) cress section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) air'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 + i 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. -----------------------------------1--`--,---------------------------------------- Owner of property V1 Location of property _1/4 1/4, Section _, TN-R W Township 0 "� m Mailing address _ / J U� �` S�� . t Address of site ) Subdivision name IVYC/Y7 ��CJ f Lot number Previous owner of property Total size of parcel Date parcel was created �IoNn ✓ pA 1n- I —7 4 Are all corners and lot lines identifiable? X _Yes ��lo Is this property being developed for resale (spec house)? Yes _�N0 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, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In 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 (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. aid system, and the same has been duly rec the Office of the Couunty Re ster of De , as Document No. ) . C S neture E Owner S a+-ure of -Owner (If App icable) F �t ZO to of Agnature Date of Signature �� t i �.. .g R. y � .;�. �i � i � '�� � i . `r �� i I. ` '� '� � � f �y i `�",l p �, '.E ,.. I 'ru �=:: ,�_ � � � t� '� � � t � �� ;. m� � ? ��r ,: v nr�e z ' x � �: � � r 12 F ' `ii, •tip. �;� .! .. !> j r �, �"�5. - � '. H STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER •/ (1 L -�v r FIRE NO. ROUTE/BOX NUMBER CITY/STATE Y j 1 4 ZIP S 7`Ol PROPERTY LOCATION: 119 1/9, Section _, T .1'IN, RAW• Town of of) gaU Sb VI , St. Croix County, Subdivision Lu lr,u 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. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), 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. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County 2�ning Office within 30 days of the three year expiration date. IN S 'T' I GIBED t - DATE ` St. Croix County Zoning Office St. Croix County Courthouse 911 9th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address NDUSTRY, nCrUK i Vi DIVISION cz ' MA RE PERCOLATION TESTS 115' P.O.N BOX 1 3969 IUMAN RELATIONS MADISON,WI 53707'.1 (ILHR 83.09(1)&Chapter 145) f LOCATION: SEZ`TION: T�WpiL1a11�;MUNICIPAI_ITY: OT NO.:BLK.NO.: SUBDIVISION NAME: t� ,Uc)1/ W % 0 /T�9 N/R,'OE lor)W Nao'4' a KG2 vo/3 13 . ''7e, COUNTY OWNER'S/BUYER'S NAME: MAILING ADDRESS: ' 5>' ;fall( TogAj 60eup JP4 7 rgo) 3 ! � 1-1 E�b�+o��E to fs S4 7s/ SE 2 3 S' $2 = w.�' t 4 —� y DATES OBSERVATIONS MADE NO. 9MMS.: COMMERCIAL DESCRIPTION: �POf'TCE bE3�G 17P� i �S�T Poliesidence RINew � ❑Replace P� L —" 1 3 N ( � y�9 wArvE p � � FE G:S=Site suitable for system U=(Site unsuitable for system ✓ CS J 7 ��~EI�T— /s rc L4 ES ENTION L: MOUND: IN-GROUND-PRESS_" SYS-TEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:loptional) S EJU ©S ❑u DS E] CAS ❑u ❑S EIu EA k r^Oti v�v Win Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the der s. ILHR 83.09(5)(b),indicate: CG-4 SS Floodplain,indicate Floodplain elevation: } )m t /P{QU lie&17 PROFILE DESCRIPTIONS r� CORING 10TAL DEPTH T t GR UND ATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND OEPTH ;t INEH DEPTH IN. ELEVATION OBSERVED H TO EDROCK IF OBSERVED(SEE ABBRV.ON BACK.1 { S '�D�.s . .��,�1� 5' i s a�-a� �E,�y � rfr B j 03. 52 110 ' �, EA 9 R. J/; " ' OiQ r!�EiR)/ C S 3 ",! Z p . 03, Y' > p /.2s 'O,rS,), tsuasc= IS 10 1, 7S ' OP-na VeAyea0,0SE S ' B- d.D ,`� v 'D 3 PeA yk. S, o ' op- u6 '�s 4 fICAl C-e B 3 0S /�� .��� > �s ' �.o' or. 9,,. is 2 .0 - Ole-8,, v CS - y,e , CS 9• 02.yl' `�0 > 9 Q ' /• (O7 'D,f li,,. /S /. 33 ' o�P- a �dt t..�t S 7R B 01 ./v� �- .. > � ' _S ' ��6�. S� 1. o • c7.t?-8a : �ovR1E- s ' : 'a Oe. v pt C's s p-� B PERCOLATION TESTS v TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES ' NUWItfLH INCHES AFTERSWELLING INTERVAL-MIN. PERIOP I PER INCH P. P. _ �}} P• 'a i,'.��i LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hors- ntal and vertical elevation reference points and show their location on the P lot plan. Show the surface elevation at all borings and the direction and 9 percent r IYSTEM ELEVATION �y 50 / r; This test site APPROVED 1't` for a conventional septic system. i I , TN " 1 f ', ,.... , .�.. ( 11 t'•1} 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 1 1; dministrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief, NAME Iplmq: r TESTS WERE COMPLETED ON: f NOMESITE SEPTIC PLU..�BING CO. 655 O'NEIL RD.,HI-� p SON,WIS.54016 �P/P�� � 9 J ADDRESS: ---- ROBER.ULBRIGHT CERTIFICATION NUMBER: YM NUM ER(optional): WIS.MASTER PLUMBER LIC.NO.3307 M.P.R.S. 1 yI P2 _ _���s-- MINN.WIS-TALLER&TjcSMNeRtIC.�-008 CST SIGNATURE: DIST RIBUTION:Original and one copy to Local Authority,Pronerty Owner and Soil Tester. f i fit ()ILHR•SBD 6395 IR. 10/83) —OVER � Z' ST AJ 67 to A IZ,,, 17 r " f^ try O v 17 Q7 Zp tit Y^ m s �.,�M :_,•,�. g sue, • W �A 3r (01) J (T, r N tit m N rl.. •. k.�u r' am zm M - 0 i i!ti V m "M —! T 3f f- nI - ,,5.:E ') �� to r (1 — zc- all � • s °b `PB. L. 67 PLOTAND CROSS SECTION PROJECT PLUM ER NAME Su N Boicup NAME LOCATION s L I C ENS E 3 0 A E 0d .S 1799 PLOT MAP Note: Ancelk lots-, WAS APe �ArAer, t n1J 1WF vQ From Septic f svffm Ijote : We I I i s ' AP-tkeR l hivj 75 f t FRom CAG"'i's old Goir�9 to hQ Se�tiC- 4 Sys�'ern ��Ry wa l l Derr Ul isle z CR61N & I ZRoN pipe set Pit ps is, 90' 0 oa a 3y' •pY d8' 83 �e17/1h`�,y.��^ J� nn &PA ay' B ►o eit i rJe set 11' 1Rom Next �"� lot IiN�ee) �r FeNC-Q Post fte-I, l IK, 'V rU of '' P e = 100.0 mt. Re P� FRESH AIR INLETS AND OBSERVATION PIPE CROSS -SECTION Approved Vent Cap Minimum 12" Above J:' NM A i GfzA Of Final Grade ►03. 80 Y) m> 4" Cast Iron Above Pip <-- Vent Pipe To Final Grad Marsh Hay Or Synthetic Covering Min. 2" Aggre4ate Over Pipe Distribution Tee Pipe ) it Aggregate Perforated Pipe Below 4�.SO Beneath Pipe 4____ Coupling Terminating At Bottom of System ' r. Parcel #: 161-1062-70-000 10/16/2006 11:21 AM PAGE 1 OF 1 Alt. Parcel#: 13.29.20.529E 161 -VILLAGE OF NORTH HUDSON Current LXi 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 JOHN M&JENNIFER E BORUP O-BORUP,JOHN M&JENNIFER E 242 SOMMERS LANDING RD N HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description *242 SOMMERS LAND'G RD N SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0876-CSM 03/0876 PT OL 87&88 1.94A LOT 4 CSM VOL 3/876 Block/Condo Bldg: VIL NH Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-20W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 838/231 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 157,400 256,400 413,800 NO Totals for 2006: General Property 0.000 157,400 256,400 413,800 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 157,400 256,400 413,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 130 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00