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HomeMy WebLinkAbout020-1004-20-000 n~wO w :E w 0 d 0 I ~ v A c n1. (D v 3 3 o .ti Cn = 2 Cd z V N n C v N ~C • j C a a` 0 U7 CD j 03 03 =3 a CD w w w N CD O OD ~ ' O N 1 0 (D (D N n 0 D O O O 7 p ra EL w a 5' CD w D a rv CD cn m W C) C) CL w m w d CD ~r (D. ~ Oo c0 f" 3 N Oo co CD N O r c/) C O = :7 cr !V I C ~ a' 0 0007 : N o~ a4 0 -1 N -a 3 CD (A 90 w ~ d• <D Q~ ! Q lV n~ 3 v C: C ro a CL N IZ N z z c 0 o D a CD vN (a N, CD (D w ro a a 3 cn z CD A I ~ a fn -I v 00 m A z o cn I H Z !2 2 CD w I ID m o a a n N0 T V -o 'p n w C w nm m o a 5 eo o 2) N CD O N a a~ a+ U) l a 3 O CD N n ' O O N 3 A O_ ro DQ a Gq 0 ti N a O ti Parcel 020-1004-20-000 02/14/2006 09:28 AM PAGE 1 OF 1 Alt. Parcel 07.29.19.8A 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): O = Current Owner, C = Current Co-Owner O - DREVNICK, BERNARD M & MICHELE A BERNARD M & MICHELE A DREVNICK 329 KRATTLEY LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 329 KRATTLEY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.100 Plat: N/A-NOT AVAILABLE SEC 07 T29N R19W SE SW &NE NW SEC 18 Block/Condo Bldg: T29N R19W COM SW COR SEC 7 N 88 DEG E 300.3' TO POINT 340' WESTERLY FROM E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) LINE NW1/4 SEC 18 N 30.6' CONT N 271.1' 07-29N-19W TO CEN.LINE TOWN ROAD, WLY ALONG CEN. LONE TOWN ROAD 300.4'S 269.4' TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 765/130 2005 SUMMARY Bill Fair Market Value: Assessed with: 91385 271,600 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.100 69,600 207,400 277,000 NO 05 Totals for 2005: General Property 2.100 69,600 207,400 277,000 Woodland 0.000 0 0 Totals for 2004: General Property 2.100 40,600 178,800 219,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 121 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 AS BUILT SANITARY SYSTEM REPORT OWNER kb,l/ ~r ADDRESS TOWNSHIP _~~SEC.T N, RW ST. CROIX COUNTY WISCONSIN. SUBDIVISI N LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOV EVERYTNING WITHIN 100 FEET OF SYSTEM y 1- T. OU 4 I I di a e o th Arrow ' j E: R i ~ It SC L L2~ a 1 Z/01 SEPTIC TANK(S) MFGR. S ~~s CONCRETE STEEL NO. o rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle _ TRENCHES NO. of wilt _length area BED NO. of lines 13 width length_ rea deptft to top of pipe NUMBER OF SEEPAGE PITS Outs a diameter total pit area AGGREGATE LAJ AS NF-b W,7' ~ PERK RATE rAREA REQUIRED (o(,5 AREA AS BUILT 70 Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. Howeve if failure is noted the County will make every effort to determine cause f failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH IS SYTEM. ' INSPECTOR z X:1' DATED $ PLUMBER ON JOB _ LICENSE NUMBER (g st • ~i38l~MI 3SN3311 , zor No um ma a ~a 'W ;LSIS SIHI HOfIOdHI (13SOdSIa 3T'ION 1TMOHS uio QhTH `S3SY3,' ~za~.:. a •asnUe; 3o asnea auT=e:p, 07 310339 a axem TTTM Ajunoo aqa paIou ST aznUr; 3T 'zaAMOH •uoTleaaoo malst 203 AITTTq?TT ou samnsse Azunoo xtoaD -IS •uoTjoniasuoa 3o 3uTod sTtp 3e :10ad3uT aTgTssod zou sT IT asgz spaae,awpo aje `aaagl '•sapoO aetj ._3StUTTZpy aIEIS g3ue aausTjdt.e. 83-aTdmoa_AT Sou Sao noo O •IS 11q maq Tg uoT:laadsuT,agy ;zamTeTaSq l CV9 III <RSV . daxv a in 31va ')%F 31v!) ?1v a:dTd 3o do3 o:j gadap raze gZSuaj q:jpYIn sauTT TO 'ou C Bale q:z2uaZ u1PTM 3o 'OK s3 ont, TiaM 12IQ gadaa .Ianoa uo s2uTz Jo *ON runs o~ -Hoax (s)MIMI ailai -IVDS 4 ' oz.zy !uj.%oj 93s6tp I t a I,A 5 - - W. WA xaZS,&S d0 imi oat XIHIIA -DNu,uIaaA ~"loxg . OZ-Z9H 3o s3uamaaTnba.z 2aam oI suoTsuamTp ,jq :sbourl-`sTa Male xma 32Is Zoel lo'I ` ,halls htIGU NISNOOSIM 'XINnOO XIOUD 'ZS. ` r ;sS3 QIIb •0.: M 3 `N J. -OHS aMsmav , Z2iOM walsis IUVII VS 17ms .sv A. REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM San.i.tany Penm.it w. State Septic VAME Townbh.ip St. Croix County t_oca.t.i,oyLslr Is ek) Secti..onjLot 0 : S-ubdiv,i,6ion LPTI"C TANK Si z"e C(=" ga.-to n,6 Numb en o j compan:tmen ?s~s`tance bnom:.,_ Wett Bu.itd.ing_ 12%..6tope H.ighwa.ten c PUMPING CHAMBER , Size gatton.& ,Pump Manuiac.tune& Mode.t Numbers HOLDING TANK Size - gatZon,6 Numbers o6 Compa,%tmenta Pumper Atanm'Sy4tem 00,6 Lance 64om: We4t Bu-itd.ing 12% zZope_ H. ghwaten ABSORPTION SITE Bed Trench 910,6 tanee 6nom': Wet.2 H ighwa:ten ABSORPTION SITE 'DIMENSIONS Width o 6 -tn.en.ch it Requi red an.ea~_~~~~ Length of each tine it Depth 06 rock below x.ite in ~ Numbea a eb cp 6 Z.4-,n , Depth a6 nach oven t.i..Ee .in To.tat teng.th o6 tinea U Depth. a tiZe be.Eaw ~ .t ~ grade in Di,s tance_._between .2i-nee _ tC get <Skape. a6 .trench in. pen 100 it _ Fc u;-"-u-bw-(j7q uH "a`re ? ~t Type as Coven: Papers on etnaw rn PIT DIMCNLL I~(1 Numb en o6 p.itt,6 Gnavet around pi t,6ye.6 no it : Vepzh bet ow inlet it Area nequ~.n d 0), INSPECTED BV ~ a C TITLE APPROVED DATE 198 REJECTED DATE 198 REASON FOR REJECTION T1yn/ POA) )Wfr/-/ 7z~ ~vv~ v~scav 7 Willow 60C HoR : f f viSDil/ kd. w, wr~s y ~aNo;~yAhm i)~p~ •1 SITE 'TESTING co. RT. 1, O'NEIL ROAD '"L woo. 54016 REPORT ON INSPECTION OF SANITARY PERMIT # (1) N e and dress of P rmit Holder Person/Persons at Site (2 )Date of Inspection Time of Inspection me, ress, License o. o ns a ing Plumber -r- ~o -20 3 INSTALLATI OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System B N ermanen reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set fora cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is.the warning device installed? ❑ YES ❑ NO Wired? ❑YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth.; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.0 /80 Signature of Inspector: 14464 REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection name, ress, icense o. o ns a l,ng Plumber Time of Inspection. 3 INST LLATIrd C0NSIS S OF: ❑ Septic Tank See a,e Trench Dosin ❑ P 9 ❑ g Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent reference Point) escri e: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? AYES ❑ NO 8 HOLDING TANK: Manufacturer o gallons ; construction depth to the cover ft; If septic tank is being used are baffles removed? YES D NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed?,' ❑ YES ❑ NO; Wired? DYES C ]NO; Locking device on cover? []YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth.; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high %ater mark of lake or stream; ft to edge of slopes greater than 20% falling,away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering-seepage trench ft. (12) Has system been installed in area indicated on EH 115? C] YES ❑ NO (18) Has system been installed in floodway? OYES ❑ NO Floodplain? ❑ YES E] NO DILHR-SBD-6095 N.0 /80 ,Signature of Inspector: PLB State and County State Permit # g7 67 , Permit Application County Permit # f for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: )eO/V SctiRoE~~.P 9'2-1 LVAJD Ne. llb Dso t~ ~i -4 -,,4o14, B. LOCATION: % Sec ion T_.~ L N, R ~5~ /g ~E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# r Village A-,(0 15ZC : NSO~/ Township 1~j~U~fO~c/ /6 e,IfTny 114A&L- IVOAeA_ C. TYPE OF OCCUPANCY: *Commercial *Industrial "Other (specify) *Variance Single family X Duplex No. of Bedrooms 3 No. of Persons Z D. SEPTIC TANK CAPACITY /tea Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify) New Installation . Replacement Lift Pump Tank or Siphon Chamber _ Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate a Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth-Ar-Tile depth (top) 4r No. of Trenches Seepage Bed: X Length 3-1 Width JR DepthYC' Tile depth (top)-- ` No. of Lines 3 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 1-5- Distance from critical slope_ 3 WATER SUPPLY: Private X Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 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 Soil Tester, NAME bhaer 4 "/C`T C.S.T. # 3Y:02-W2- and other information obtained from C$7'- (owner/builder). a Plumber's Signature MP/MPRSW# 1160 Phone #717 -,3Gpp(0-zpro Plumber's Address 722 MCxV/1 ~e~yovej W Sd,v I'S- I PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. VaTfic,+L ~3M ` c 3 ~ ©AK r1eEE Of ti hT /3,4;e taw .n - , E E e z E f ' ~m G~rf ~CiYG S~,OE ~ vtI o0 _ 30 m ~mw ~S`' m r7o ~M - . y pi P~ ~ y" ~jQ~4dEL CdvE~Q PUe2 ~ - a V,d c q v . o t3eA i~14 ~J o ilk _e Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY 9- Permit Date of Application 9-~~ Fees Paid: State County 's , d-U) ZkArz-l~ -Issued/Rejected (date) 9-/9 - jd Issuing Agent Name Inspection Yes No State Valid* Date Recd county (white 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 7/1/78 'EH ..15 Rev, 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS Q _ ` WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES f Q P.O. BOX 309, MADISON, WISCONSIN 53701 ate' (p~ f~ LOCATION:'/4 '/4, Section Tx N,R!LE (or)_W, Township or Municipality GA0s0AI Lot No. , Block No. Z / A' ~'~~"?'y~ ' C. ToEfNSo.✓ County n Al _/COaCF// t I~QEQn Subdivision ame Owner's/Buyers Name: QA__ Mailing Address: . L U.tl/~ /t/o. t jll/~j fp cJ TYPE OF OCCUPANCY: Residence X. No. of Bedrooms --3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW K REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: OILBORINGS /9fw PERCOLATION TESTS s Z(0 /yl?0 SOIL MAP SHEET SG S NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME NUM- CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL DROP IN WATER LEVEL, INCHES RATE INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN BER 1STWETTED SWELLING IN MINUTES P- 5Ai/A A o O l ~va>w2._ .41 6 f ~IL G ~ P- 1 36. Simi&g 71`6 IS AJA as_ Zee- P- N P_ 3 7L jo 7~gAl. e&ug a ow, ~e~, < L Ca n ie;,' P- LS d e SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 40 ~ NONE > 12 a.e" B- IWAE- 12 0 7" .Sc 2 G7~ V - Z Joc1P a.,eQ cs ,p• B- 3 > 72- " L O" de GQ4:r_ 4S' w 3 "Cf w . • 901? B- 7 NONE > 2 W AI, S4 "o~P• Ls t aP, CS - cf B- S 120 AlvA) > 12,0 I&Js4 221W edm. cs 9 " oe Qti, cs w g . B- 7 " ONE >'74/ " .o• 54 2"~ 8e c~ a - L S 63"o~ cs 3W, PLAN VIEW (Locate percolation tests, soil bore holes arid suitable soil areas.) Indicate on thep Ian the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy COBS Alf RED ,Indicate scale or distances: Give horizontal and vertical r ference points. I dicate slope. i 13 7rv15 ?L AV oNc ~e > 7L I S[, 32" L7</3a•~~ 360 "T!~ LOAM ea . , _e 3 ,L R. Std F.eyccR Posy- - ,10 DOSED 10 Ar-- E---~-~ • ~~1 `~o A~ cv/AVV ADZ// I So t S 51'©~ j _ E r R e' . a - s , s - ~1s~Y: B lfots _66 lo, E r QE 3 117 1 1 0 i 3 6 a i Noy !o~4GE _a t 1, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. C p Name (print) ROAEXT AV1'e'ti7- Certification No. : _ ~ d Address AW& SOS- h2_xC'f1V#T1Ny 72 Z I • ly-ow ~O c-- Name ti G>!S of installer if known ;V6` Copy A -Local Authority CST Signature Rev, 9/78 4~- REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES Z /of 6e;,< P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: 7K %,,50 Section 7 ,T:T N,RZZ E (or) W, Township or Municipality Lot No. , Block No. County 0 opwy ision ame Owner's/Buyers Name: ub iv ~ Mailing Address: L A. 740,0,561V TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM,. ~ ~ ~ OTHER DATES OBSERVATIONS MADE: SOIL BORINGS oaf t I M9 PERCOLATION TESTS / f Cn l9rPO SOIL MAP SHEET _ SC S y 4 NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME NUM- CHARACTER OF SOIL DROP IN WATER LEVEL, INCHES RATE INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- P- P- P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES OBSERVED ESTIMATED HIGHEST TEXTURE, MOTTLING AND DEPTH TO BEDROCK IF OBSERVED IN INCHES B- B- B- B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number'of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 7,t- I f (Oiik' wi,:1111~ ~V_; 7) 76 /3 M- 122- a d.7-! COX CAVAT) N G- N 0TE_ w s = " _ s ;4S s,7E ,'s 4) ?e5T~~vm Sloo>=S. _ ~ /~car/,v y oF~ To/>so,L yg (Z119'y/y1,;U~nv E = 12z~.~ w ISM 9 P ,q Cow _ AM 3, wm Also f ~ '~v~tT~ ";elf ~r E v ,QD~'o Nis a 3 1, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Name (print)_t&26- Certification No. Address Aga eAfcd Of 7 ,v ZL No ~j Y 71 , Name of installer if known Copy A -Local Authority CST Signature o 1 1 I f fi~j°Rov~D I i o o ~ I oRS~Rd~~ I , ~ ~ ~ w Z Ac, ~f I I o I top o Z ..r~ o S ~ CC1 r,~~ "1 n D~~ TV\ 1 SEP CIS 4 ~