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Parcel #: 020-1138-80-000 05/13/2005 11:16 AM
PAGE 1 OF 1
Alt.Parcel M 29.29.19.699 020-TOWN OF'HUDSON
Current X' CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): `=Current Owner
*LIGHTLE,WILLIAM L&VERA L
WILLIAM L&VERA L LIGHTLE
738 GHERTY LA
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): '=Primary
Type Dist# Description "738 GHERTY LA
P
SC 2611 SCH D OF HUDSON � V
SP 1700 WITC
Legal Description: Acres: 2.520 Plat: 1979-GHERTY'S ADD
SEC 29 T29N R19W GHERTY'S ADD LOT 6 BLK Block/Condo Bldg: 3 LOT 6
3
rv� — Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-29N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
07123/1997 811/125
07/23/1997 795/39
07/23/1997 767/576
2004 SUMMARY Bill#: Fair Market Value: Assessed with:
48787 427,500
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.520 32,600 298,100 330,700 NO
Totals for 2004:
General Property 2.520 32,600 298,100 330,700
Woodland 0.000 0 0
Totals for 2003:
General Property 2.520 32,600 298,100 330,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 111
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
LOCATED
T
OF HUDSON STo CROIX 'C' Y'
'SOOD01 00,E
324.991
198 X91,
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t
. .
5 In M
62.1' 233.15'
k N02030'00"E SO3. :
,,,.- -=--�-- PUSL I C S T*EE T
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302030,OOnu $03.15'
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Parcel #: 020-1138-80-000 05/13/2005 11:09 AM
PAGE IOF1
Alt. Parcel#: 29.29.19.699 020-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
*LIGHTLE,WILLIAM L&VERA L
WILLIAM L&VERA L LIGHTLE
738 GHERTY LA
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description 738 GHERTY LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.520 Plat: 1979-GHERTY'S ADD
SEC 29 T29N R19W GHERTY'S ADD LOT 6 BLK Block/Condo Bldg: 3 LOT 6
3
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-29N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 811/125
07/23/1997 795/39
07/23/1997 767/576
2004 SUMMARY Bill#: Fair Market Value: Assessed with:
48787 427,500
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.520 32,600 298,100 330,700 NO
Totals for 2004:
General Property 2.520 32,600 298,100 330,700
Woodland 0.000 0 0
Totals for 2003:
General Property 2.520 32,600 298,100 330,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 111
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
Parcel #: 020-1138-00-000 05/13/2005 11:22 AM
PAGE 1 OF 1
Alt. Parcel#: 29.29.19.691 020-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
*PALM,JOAN A
JOAN A PALM SIREK RICHARD L
SIREK RICHARD L
764 GHERTY LA
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *764 GHERTY LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
'Legal Description: Acr 2.617 Plat: 1979-GHERTY'S ADD
SEC 29 T29N R19W GHERTY'S ADD LOT 6 BLK Block/Condo Bldg: 2 LOT 6
2 �'�
i— Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-29N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
04116/2001 642801 1618/351 QC
07/23/1997 792/499
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.617 33,100 237,500 270,600 NO
Totals for 2005:
General Property 2.617 33,100 237,500 270,600
Woodland 0.000 0 0
Totals for 2004:
General Property 2.617 33,100 237,500 270,6000
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 115
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total p 0.00 0.00 0.00
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• JJ �,l ` AS BUILT SANITARY SYSTEM REPORT
ER-0-1 ,A h l C?/7��L. , TOWNSHIP �U�LOW SEC. Z2- T,4-;9-N9 R__`_j_�W
0. ADDRESS p ti , ST. CROIX COUNTY, WISCONSIN.
3DIVISLUN_
A 61) � - v�'� LOT � LOT SIZE
PLAN VI�)L�
EW
.Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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I dijcate North,' Arrow
SC L
TIC TANK(S)� � MFGR. C?Oq!• /�pDCONCR$TE X STEEL
NO. of rings on cover—_ Depth DRY WELL
ttNCHES NO. of width length area
no. of lines _ width
length 36 • area
' , de th to top of pipe
GREGATE r )A �D �� �, IZo
U RATE v5 AREA REQUIRED & (S AREA AS BUILT 62 q
%-SCiaimer: The inspection of this system by St. Croix County does not imply complete
oopliance with State Administrative Codes. There are other areas that it is not possible
o-inspect at this point of construction. St. Croix County assumes no liability for
Stem operation. However, if failure is noted the County will make every effort to
termine cause of failure.
`EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYST
`INSPECTOR
DATED S " z�—� PLUMBER ON JOB
LICENSE NUMBER
z r �•
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itaxy Pexm.i 3y�
State Septic
C 9S
NAME Townzhip St. Cno.Lx County
LocatanL ��GU' o& 4, Sectioa�T_N
i , R W
SEPTIC TANK
Size 00gattonz . Numbers ab Compaxtment.6�_
Di4tance Fxom: Wet � ��. 12% on gxeatex stope it
f
Bu.i.('d.ing 6t. Wettands bt.
Highwaten�6t.
DISPOSAL SysrEM
Distance Fnom: Wett �O it. 12% on gneatex stope it.
Bu.itd.ing it. wettandd Ft.
H.ighwatex it.
FIELD DIMENSIONS:
Width ob txench it. Depth o6 xock below t.ite Z .in.
Length o6 each tine _it. Depth ab xock oven t.ite :, .in.
Numbex. a6 Una � Depth o6 x.ite below gxade 'VZ in.
Totat .length o b tinez it. Sto pe o6 txench in pen 100 it.
Distance between tine.6 it. Depth to bedxocFz _it.
,Totat abs axbt.ion axea4�6t2 Depth to gxaundwatex it
Requited axea 6t2
PIT DIMENSIONS:
Numbers a6 pit's Gxavet axaund pits yez no
Out6 ide diamet. Depth below inlet it.
12
Totat a b oxbt it
Axea 4quxed �t2
i cn
INSPECTED By ITLE
APPROVED � DATE — 19 7
REJECTED ,DATE 197 .
9H 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
` J DIVISION OF HEALTH,BUREAU OF ENVIRONMENTAL HEALTH
P.O.BOX 309
MADISON,WISCONSIN 53701
,,.,,
���REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: '/� '/4,Section ZL,T2��N, R ?1f(or) W,Township or Municipality
Lot No. , Block No. —, ��� �if� 6 046 County _J� 4 '
Subdivision Name
Owner's Name: ��/°� /t� /f+ �^ "7
Mailing Address: �%�(.2!4 s d Al" Z'-,"/ S
TYPE OF OCCUPANCY: Residence -)4-,— No.of Bedrooms ��—Other
EFFLUENT DISPOSAL SYSTEM: NEW � ADDITION REPLACEMENT
DATES OBSERVATIONS M DE: SOIL BORINGS .11-211 7 PERCOLATI N TESTS 11_=29 — 71F
SOIL MAP SHEET SOIL TYPE �f�
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES RATE
NUM- INg1 THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P_ t �r ' P 5c*I L_ COQ r2F
fAN
o �
P-? �r c F� >c i[. y'' C��vas ,���,
c' X110 _L. 3L `
1519e5 LO z
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER,INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- �' �` r P Sow y,• 60&45, (;,epjv Z * 4e JW,0v 4
B— T r , ' P !�CtL. Y" Cov AA tie L.
11 C1 zc 4
ii �� SGt4. �{�� CG'G'.E'3C° �•�11G�'G Y�� -�'I,> c' �f/�
B— A-7 `��/ �1.44 / .
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitableareas. Indicate number of square feet of absorption area
needed for building type and occupancy. A Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
nd methods specified in the Wisconsin Administrative Code,and that the data recorded and location of test holes are correct
the best of my knowledge and belief.
nme (print) Cer ification No. �S
galress � U �� 41`► C,t1 l
r
Name of installer if known.`
CST Signature
COPY A—LOCAL AUTHORITY
s
State and County State Permit
PLB67- Permit Application County Permt #
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNEq OF P♦ OPERTY ` Mailing Address:14 U i->!>0 A/ 1 (,4,_)
B. LOCATION: _' %, Section 2je , T N, R -jt� (or) ,,W Lot# -±_City
Subdivision Name, nearest road, lake or landmark Blk# Village
1 �-f CN r_1 f-t� I t/i l �t��� Township
C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance
Single family _X Duplex No. of Bedrooms -:3 No. of Persons c?
D. TYPE OF APPLIANCES: Dishwasher _,& YES NO Food Waste Grinder 5<� YES_NO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY %?2 ^n Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation X _Addition Replacement_ Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) ,5 3) Total Absorb Area sq. ft.
New X Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length , ',` Width _Dept Tile Depth 1 No. of Lines 3
—7b�
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 57'`ya Distance from critical slope A,,;C&
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified oil Tester, r
NAME /L'7 /'irb or-' t_ /� C.S.T. and other information
obtained from AC." (owner/builder). f_
Plumber's Signature 1 c c `- Mp/ PRSW# ! M Phone #� p- L
Plumber's Address �'` f'� l
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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Do A Write in Space Below FOR DEPARTMENT USE ONLY
Date , Application f�- Q °l� Fees Paid: State Z0,Q 0 County Date
Permit sued/Rejec d (date) —_Issuing Agent Name
lnspeCiionl Yes No Valid# Date Recd
1• county (whi a copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON,WI 53701
2• state (pink copy) 4. plumber (canary copy)
Revised Date 6/1/76