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HomeMy WebLinkAbout020-1177-10-000 N p (D CC0 ti C e I I O I N O d C c L O O C I > I c z co �i c rn 0 I Cl) E rn Z « O z w a m co F- Z I I O Z C 2 y y Z � I (D �w N O O V� coo CD CL y • m a� IV o. U) L D O Q Z m Z � I N c Y ca E wt w cc e �T I ►� — a �c _ H .R d CD m m c c a` n E E II N N U) N t U r — U o I •N R aaa a y v CO ro o ° Z _ o - U � I @ o N C J to N O d Q (A �i Q O C = of ° ° '• Z • N O N co O T O O N N 2 2 co O Z — = F- it 3 � ', c w I r A c°� CL '', oaici x � PUMP CHAMBER t 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, Ft. Number of feet from well: Number of feet from building: won (Include distances on plot plan). ABSORPTION SYSTEM Bed: Trench: Width: l z Length: r 27 Number of Lines: 2 Area Built: Fill depth to top of pipe: ` Number of feet from nearest property line: Front, O Side, Rear,0Ift . Number of feet from well: 0,Ue s'/ `ti J Number of feet from building: T— (Include distances on plot plan). SEEPAGE PIT Size: Number o.f pits: - Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O 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, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: P Inspector• Dated: Plumber on job: _� +��� t „K-✓/�.�.._ License Number: 3/84:mj Form - STC - 104 w AS BUILT SANITARY SYSTEM REPORT OWNER ,//rte,,, I�,ty,z�j TOWNSHIP � �.,,��,.r/� SEC. �2 T 2 N-R W ADDRESS �'� / 1�/i•c��,z. !� ST. CROIX COUNTY, WISCONSIN SUBDIVISION ay , LOT if LOT SIZE f'Qcvvs PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Q Y INDICATE N RTH ARROW BENCHMARK: Describe the vertical reference point used �,_ ,� Elevation of vertical reference point: I/Y), �f Proposed slope at site: -- SEPTIC TANK: Manufacturer: Liquid Capacity: 1125FJ Number of rings used: ,;Z Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,0,Side,o Rear, O l! feet From nearest property line : Front,0 Side 10 Rear,O feet Number of feet from: well 7�f , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE i ^ DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MA©ISON,WI 53707 ❑CONVENTIONAL El ALTERNATIVE State Plan ID.Number: (If assigned) ❑Holding Tank ❑In-Ground Pressure ❑Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: n William Harwell Box 1910, Cty Trk ""UU"" Hudson 54016 ff—F4 / BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT. LEV.: NE NE, Section 28, T29N—R19W, Town of Hudson,Lot 11, Cedar Hills Es:. Name of Plumber IMP/MPRSW No.: county: Sanitary Permit Number: William Schumaker 6382 St. Croix & 88440 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIOUt CAPAC V� TANK IN E ELE TA O TLET ELEV.: WARNING LAB�NO LOCKING COVER PROVIDED: PROVIDED: .00.00001 f �� OYES I ❑YES ONO BEDDING: VENT DIA.:. VENT MATL.: HIGH WATER NUMBER OF ROAD PROPERTY WE BUILDING:IVENT AESH (�—J"lI/ C ALARM: FEET FROM LINEfa r� I OYES O OYES NO NEAREST G DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIP ON MA NU CTUR ERA.'. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ONO IQYES ONO OYES ONO OYES PUMP AND CONTROLS OPERATIONAL: BER F PROPERTY WELL BUILDING:IVENT TO FRESH GALLONS PER CYCLE: LINE AIR INLET: (DIFFERENCE BETWEEN F T FROM PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTF{ w LENG H NO.OF DISTR.PIP SPA ING. COVER INSIUE CIA. SPITS LIQUID BED/TRENCH /� TRENCHES M IAL1 PIT DEPTH DIMENSIONS RAVEL DEPTH FILL DEPTH DISTR.PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NO MBER O F PROP®TY WEL BUjLDIyG. V NT TO F BELOW fIPV1 VER: SIN TOE V EN t� A@ ET FROM/V M(1 (/�^ 7 AREST--► 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. OYES ONO SOIL COVER ITEXTURr PERMANENT MARKERS OBSEH VAT ION WELLS DYES ❑NO ES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED 7ED CENTER: EDGES: OYES E:1 NO ❑YES ❑NO S ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH'. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPF. FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MAT ERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MAHKING ELEV.. ELEV.: DIA.: ELEV.. PIPES DIA.. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL PLANSCAL LIFT CORRESPONDS TO APPROVED ❑YES ONO ❑YES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PR OPERTV WELL: BUILDING: FEET FROM LINE. 1-1 YES 0 N E]YES 1-1 NO NEAREST Sketch System on twin i county file for audit. Reverse Side. SIGNATUR. TtTLE. DILHR SBD 6710(R.01/82) INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION 4 TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owners name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; Ili. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8Y2 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; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building servec; 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. ----------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground cater included the creation of surcharges (tees) for a number o' regulated practices which Wisco dirt o can effect groundwater. The surcharge took effect on July 1, 1984. All of the water tha` buried [easute; is used in your building is returned tc, the groundwater though your soil absorption 0 system or the disposal site used by your holding tank pur .per. 0 The monies colic sec: through, these surcharges are credi:ed to the groundwater fund adminis- teret by the Department of Natural Resources. These funds are used for monitoring ground- t water,, groundwa"rer contamination in,.estigations and establishment of standards. Groundwater, s worth protecting. r 3D-6398 18.03/86) SANITARY PERMIT APPLICATION COZY DILHR In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# S, I,//-)4Q —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 814 x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ❑ NO PROPERTY OWNER PROPERTY LOCATION yv '/4, S T , N, R E (or PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER B SUBDIVISION NAME_0 CITY CITY,STATE ZIP CODE PHONE NUMBER 0 VILLAGE : NEAREST ROAD,LAKE OR LANDMARK II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. K New b.❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. ®Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a.&Seepage Bed b. ❑seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): � G 1,5— �� /� �r �� Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete stru n- Steel glass Plastic App Tanks Tanks Se tic Tank or Holding Tank ❑ Lj El Lift Pump Tank/Siphon Chamber ❑ L1 I ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system sho on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Sta s) P PRSW No.: Business Phone Number: , a S Cha, ��5 Plumber's Address(Street,City,State,Zip Code): Name of Designer: e f III. SOIL TEST INFORMATION Certified Soil Tester(CST) ame CST# T's ADDR (St City,State,Zip Code) Phone Number: 1-10-7 vc col IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) # XApproved ❑ Owner Given Initial h rc rge Fee Adverse Determination C/ X. COMMENTS/REASONS FOR DISAPPROVAL: i SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber • 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/contrac ,ax, ("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 � � , Section 2.g , T _,29 N - R W Township Mailing Address CTH UU BOX 1910 HUDSON , WI . 54016 Subdivision Name Lot Number 11 Previous .Owner of Property Total Size of Parcel Acre Date Parcel was Created Aug 1986 Are all corners and lot lines identifiable? � Y•ea No Is this property being developed for resale (spec house) ? x _ Yes No volume 743 and Page Number 185 as-:recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract . 3. Other recordings filed with the Register of Deeds Office 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 the Certified ,Survey Map shall also be required. PROPERTY OWNER CERTIFICATION 1 (We) ce4t%6 y that aU a tatements on thiA 6onm ane true to the best o j my (oun) know2.e.dge; that 1 (we) am (ate) the ownen.la) of the pn.openty de cAi.bed in this in6o4mati.on Jonm, by vihtue o6 a wauanty deed neconded in the 066ice of the County Reg"tteA o6 Deed-6 as Document No. 413172 and that I (we) phee entey own the pn opased 4ite, JoA the__4gwa9,e obtained an eae ement, to nun 4d th the above des embed pa.o peaty, 6o4 the conatnucti.on o6 aai.d byetem, aad the aame hab been duty necoA4ed in the 066ice o6 the County Regi,6t.eA o6 Deeds, as Document No. SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED , l DOCUMENT No. STATE BAR OF WISCONSIN FORM li—19821 THIS SPACE RESERVED FOR RECORDING DATA 7`` PERSONAL REPRESENTATIVE'S DEED 4i�•054 -- BOOT '45 P,, � Stewart R�E�t1STERS OFFICE Harry J._- -_---__ �I ------------------------------------------------------------ ST. CROIX CO., WIS. - ------------------------------------------ as Personal Representative of the estate of Ind' for Record 1116 2n d Aldro Larsen a/k/a John Aldro Larsen a/k/a John Aldro i, of d�lY A.D 1986 ---------------------------------------------------------------------------------------------------------------- day " Myren LarsenZ a single man 11 • A AAA ---------------------------- ("Decedent"), for a valuable consideration conveys, without warranty, to .--William C. Harwell 16M1W of Dow$ ---- --------------------- l �., ______ __ _ ____________ _ ___ ______ _____ ____ ___ ___ ----------- __________ y Grantee, RETURN TO it the following descr_ __ _ ibed real estate_ __ _ in ______St.___CYOlX___________________ --------------------------------------- State of Wisconsin (hereinafter called the"Property"): !� Lot 1 of a Certified Survey Map recorded in Vol. 6, --' ----- Page 1650 as Document No. 412037 in the Office of the Register of Deeds for St. Croix County, Wisconsin. Tax Parcel No_ ______________________________ ITf This deed is given in partial satisfaction of a land contract between the partiesy recorded in Vol. 743, page 185 as Document No. 413179. Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated this ------ISt--•-------------------------------- day of ----------------- Judy--------------------------- -------, A_" .j(•SEAL) --•---------------•---------------------•---------------------------(SEAL) ---- w�l = S ` ------------------------------------------------------------------ * _Ha rry J. Stewart -� ----------------------------------------- Personal Representative Personal Representative s', O C i✓ '. _ AUTHENTICATION ACKNOWLEDGM�IIP Signature(s) ------------------------------------------ -•-----•------ -- STATE OF WISCONSIN '•I,. ss. -------------------------------------------------------------------------------- -St..--Croix- ---- --—--------------County. authenticated this --------day of--------------------------- 19.----- Personally came before me this ----!:$t day of ---------July------------------------ 19__86-_ the above named Harr Y_ J Stewart s ----- --- - TITLE: MEMBER STATE BAR OF WISCONSIN -----------------•-------------------------------------------------------------- (If not, authorized by § 706.06, Wis. S tats.) ---------------------------------- ............................................ to me known to be the person ------------ who executed the foregoin trument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY - R. _X-- n-) n Cots O .�& SHERBURNE> P.O. Box 229> Hudson, WI ��u r --------•----------------------- ------- ---•••------------------•------------------------------ ------------------------ Notary Public ----;St. Croix County, Wis. (Signatures may be authenticated or acknowledged. Both MY Commission Is permanent.(If not state expiration are not necessary.) — 1 l date: --•-----•------------S_ - --r.- -------•(�---------� 19. ) kn *Names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. H y r STC - 105 r y H " H SEPTIC TANK MAINTENANCE AGREEMENT O St . Croix County H Cjf OWNER/8t[YEIt , ill am Har'-V�1e11..__-_ _ --- -- F i r e Number. ROUTE/Box NUMBER C T H SJU Box__1910 --- 54016 C i'C'Y/ S'1 A'Pr Hudson, Wisconsin" --�---- -` Zip NE `-4, Section_2.$_ � T 2�N . R_19 .-W , PROPERTY LOCATION : NE ''4+ _ Town of HudS ori ------------ St . Croix county , Subdivision_Cedar Hills Estatebot number 11 Improper use and maintenance of yourseptirupestem could result in t e its premature failure to handle war three y ea rs or sooner , sists of pumping out the septic tank every ou put into if needed , by a licensed e_nsed septic tank pumer p . What y function of tl,e septic tank as a treat the system can affect the - ment stage in the waste disposal system . residents may be eligible to receive a grant for SL - Croix County — replacement of a failing system, a maximum of 60% of the cost of rep 1 � Ly78 . 5t . Croix County which-was in operation prior to .luly accepted this program in August of 1980, heI systemsuproperlythat owners of all new_ systems agree to keep t maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signad by the owner licensedtpumper`�veri- journeyman plumber , restricted p fying that (1) the on-bite wastewater disposal system iss (n(if P operating condition and (2) after inspection and pumping if nec- essary) , the septic 'tank is less thae1y130fdsludge andtscum- Certification form will be sent approximately H 0 three year expiration . £ I/WE, the undersigned , have read the above requirements and agree x e disposal sys to maintain the private sewage in accordance with r, ru the standards set forth , herein , as set by the Wisconsin Depart- ment of Natural Resources . Certification gOff�kc:etwithinm30edays and returned to the St . Croix County Zoning of the three year expiration date . SIGNED DATE St . C ,..oix County Zoning 'Office P .O . ,tox 95, llammo''d , WI 51,015 715-716-2239 or 715-425-8363 Sign, date and return to above address . DEPARTMENT OF REPORT ON SOIL. BORINGS AND SAFETY&BUILDINGS DIVISION INDUSTRY, LABOR AND PERCOLATION TESTS (115) MADISON WI 37707 HUMAN RELATIONS (1,163.09{1)&Chapter 145.045) LOCATION TOW MUNICIPALITY: T NO. NO.: BDIVIS '+N NAME: P4 ����� TZIN/R/94lor c�4%0 �� �Fdatt, Htcls ESTATES COUNTY: AM Si C�?01x rLUAM �qR C.T 14i,uu" P4k /9/6 �u4'SoN r SQorC DATES OBSERVATIONS MADE USE -9 DESCRIPTIONS:ri TS: COLATION TES INO :rOMMEFICIAL DESCRIP FI Residence UNK Naw ❑Replace IJov 5 X98( /Jty✓ So riS K A" 66 'Zoos 6 ' r^rA RATING:S-Site suitable for system U-Sib unsuft"for systan )z V N O D NI :COMMENOEO SYSTEM:I tional)r 09 s ❑ a s s au S ❑S cav v&, IawA & if Percolation Tests are NOT required DESIGN RA E: N any portion of the tested area is In the under s,H63.09(5)lb►,indicate: C,C14S5 Floodplain,indicate Floodplain elevation: p I;T PROFILE DESCRIPTION BORING TOTAL L f L TEXTURE, AND DEPTH Ng ELEVATION I TO BEDR K IF OBSERVED SEE ABBRV.ON BACK.) B• I 7.s� 47.94 N �?•S$ iq''$�crs zo"kON SL /z",rr BRFr M S 36"8 NOW6 e 4"LT$RN MS W'&.LTS /S'BRwSL 14"C?I811W MS 4.1.614 CS`fGZ B- Z 8.0$ 98-n >B4O19 - �9.33 MS Cale / 34zo B+e,v MS 6i; 11 164v C'%'(6*-B- 3 9.3 3 /66-a< oN B- 4 1z5 ion y-? -7.TS 6f$LLT$ 1l"&WSL40 0NCS4Gt ;t6*kr&NMS 124FBLLTS W'emta S L 2411 &.4 /07.04 9.7 M B- rr, PERCOLATION TESTS DEPTH W R IN LE TEST MINUTES TEST NUMBER S AFTER SWELLING INTERVAL-MIN. PER INCH P_ I /-t< rt 00,35 3 �> 1Z P_ Z 3.27 ? A? P. 3 P •_..,. . .Y t&LEV ATi o w AT "cktC_ .. 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 p Show the surface a tfon a all nd he rsctlon and percent of land slope. �� I Z�Yf" AIPC SYSTEM ELEVATE RimsteY`_45,so , ' ,' ww coemst 44-Laf I I SYST�M �.OGi4'1'1 t�N ' t F I q, IeTiil I Lane„ AM iwr ; >fC �.Tatn ii�uef�' • � .j. i i i � ' f 1,,46 4 •3� i � i _._i.. .. ' _ _....___-i.._...�._ __ . ._.._..I �.._._._�1... �t •! LIZ ..�, T 4 i • 1,the undersigned,hereby certify that the soil tests reported on W ohm vue y me in accord with the procedures and rrwthods specified in the Wisconsin Administrative Code,and that the dets recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: I A Y NSO k4ovaMBZ� /9 VF- ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 40? 7S6CO3Qh S-1 /.143dSan► Wr Sgoib 34� E: "t%_40SO CST SI TUR DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER -- ro lr`Y e ,a b (6a 5� 4� ti 4 r 0 7Y�� ' Parcel #: 020-1177-10-000 1 06/01/2006 GE I OFnII Alt. Parcel#: 28.29.19.1111 020-TOWN OF HUDSON Current Xl 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-MADDEN,JEFFREY E&LORI A S JEFFREY E&LORI A S MADDEN 768 ALDRO LA HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description "768 ALDRO LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.088 Plat: 0151-CEDAR HILLS ESTATES SEC 28 T29N R1 9W 2.088AC LOT 11 CEDAR Block/Condo Bldg: LOT 11 HILLS ESTATES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1108/201 WD 07/23/1997 779/223 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.088 69,400 238,300 307,700 NO Totals for 2006: General Property 2.088 69,400 238,300 307,700 Woodland 0.000 0 0 Totals for 2005: General Property 2.088 69,400 238,300 307,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00