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Parcel 020-1164-80-000 12/14/2004 04:43 PM
PAGE 1 OF 1
Alt. Parcel 7.29.19.988-990 020 - 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
* WYLAND, MICHAEL & JENNY L
MICHAEL & JENNY L WYLAND
303 HARSHMAN DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 303 HARSHMAN DR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.596 Plat: 1929-EDGEWOOD ESTATES
SEC 7 T29N R19W EDGEWOOD ESTATES LOTS Block/Condo Bldg: LOT 58
58, 59, & 60
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/18/2000 621434 1503/454 WD
07/23/1997 956/43
07/23/1997 734/630
07/23/1997 726/557
more...
2004 SUMMARY Bill Fair Market Value: Assessed with:
49038 224,900
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.596 41,600 132,400 174,000 NO
Totals for 2004:
General Property 1.596 41,600 132,400 174,000
Woodland 0.000 0 0
Totals for 2003:
General Property 1.596 41,600 132,400 174,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
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
Form - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER ' 4 ti 1~ TOWNSHIP "
. SEC. N-R1
ADDRESS /#ytt ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT je; LOT SIZE
PLAN VIEW S d ~~U
Distances and dimensions to meet requirements of 11HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
a .
l6~~ i
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: ~j Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity: >
Number of rings used: Tank manhole cover elevation:
Tank Inlet.Elevation: Tank Outlet Elevation:
Number of feet from nearest ° Road.: Front., Side,0 Rear, O /,;a feet
c = From nearest- property line .Front,®Side 10 Rear,
_y/ ,,'fir O feet
Number of feet from: well building: A~
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
y~
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, 0 Side, O Rear, 0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench
Width: Lendth: Number of Lines: _0_ Area Built:-?j!~~
Fill depth to top of pipe: , Aw,
Number of feet from nearest property line: Front, O Side, O Rear,.0 Vt.
Number of feet from well.: QCJ'c--, d
Number of feet from building:
(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 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, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: //Av z~ Plumber on job:
License Number :
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS
P.O. 60X'7969 PRIVATE SEWAGE SYSTEMS
DIVISION
MADISON, WI 53707 BUREAU OF PLUMBING
CONVENTIONAL DALTERNATIVE State Plan LD. Number:
t ❑ Holding Tank D In-Ground Pressure ❑ Mound ufat=,v ee)
NAME OF PERMIT HOLDER: r887376S PERM IT HOLDERINSPECON B & H Development t. Croix St., N Hudson, WI l4 ~S- //."0'
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN:
flEF.PT. ELEV.: ST REF. PT. ELEV.:
SW NE, Section 9, T29N-R220p I9W, Town of Hudson, Lot#60, Edgewood Estate
Name of Plumber: MP/MPRSW No. County: Sanitary Permit Number:
William Schumaker 6382 St. Croix 74966
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQU D CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: ARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
/Z ~1 D YES ❑NO DYES ❑NO
BEDDING: JV : VENT MATE: HIGH WATER ti1~IIBER OF ROAD: OPERTY WELL: BUILDING: VENT TO FRESH
►J ALARM: FEET FROM LINE: _ JAI. IN►
06YES ❑NO DYES ❑NO EAREST 4 L/
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMPMODEL. PUMP/SIP HON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
DYES ❑NO DYES ❑NO DYES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: N7GI ER PROPERTY WELL . BUILDING:I VENT TO FRESH
NUMBER OF
(DIFFERENCE BETWEEN FFROM LINE AIR INLET:
PUMP ON AND OFF) DYES ❑NO MEST ~J`
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing IAMETER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FOiBCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
BEDfTAEi11CH WIDTH: LENGTH "O. OF OF DISTR. PIPE SPACING: COVER INSIDE DIA. *PITS LIQUID
'r Q TRET. / MgRIAi: ROF DEPTH:
BED,` VBENC pI /
GHAVELUEPIH FILLDEPTH DISTR PIPE DISTR. PIPE DISTR.P MATERIAL: NO. R. PROPERTY WELL.- BUILDING: VENT TO FETE
BELOW PI ES: K. F E ~QVER: EL . 1(J LET. ELEV. N - ) PIP : LINE: AIR LEL
9 v FEET FROM lee' D
NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEMI
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SMOMIEI_EVA_
DYES ❑NO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS
DYES ❑NO DYES ❑NO
DEPTH OVER TRENCH!BED DEPTH OVER TRENCH/BED DEPTH Of TOPSOIL: SODDED: MULCHED.
CENTER.- EDGES: SEEDED:
DYES ONO DYES ❑NO DYES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
BFO~RI'I WIDTH: LENGTH: NO.OF LATERALSPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
TRENCHES:
DlMENt
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. D157R. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
ELEV.: ELEV.: DIA_: ELEV.: PIPES: DIA_:
~ ttLE`JATIM AV11F]
HOLE SIZE HOLE SPACING: DRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED
111111LL~~~ -
❑YES ❑NO PLANS DYES ONO
COINMENTS' PERMANENT MARKERS: JOBSERVATION WELLS: NUMQER OF PROPERTY WELL: BUILDRYG:
LANE
FEET F' W :
❑ YES ❑ NO ❑ YES D NO NEAREST
Sketch System on Retain in county file for audit
Reverse Side.
SIGNATU TITLEy
DI LHR SBO 6710 (R. 01 /82) ~
,
wisconsin APPLICATION FOR SANITARY PERMIT
D I L H R (PLB 67) COUNTY
~
OEPRRTR'EnT OF UNIFORM SANITARY PERMIT #
ummmmmi InDUSTRV,LRBOR6MUTRn RELRTIOnS -I ^axo"
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OW ER MAILING ADDRESS
PROPERTY LOCATION CITY:
1/4.V114, S TN, RAE (or) VIL N OE:
LOT NUMBER BLOCK NUMBER SUBDIVI ION NAME ARES ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
TYPE OF BUILDING OR USE SERVED
IX1 or 2 Family Number of Bedrooms: ❑ Public (Specify):
THIS PERMIT IS FOR A:
5K. New System ❑ Tank Replacement ❑ Repair
❑ Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank
❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issued
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of Prefab. Site
Gallons Tanks Concrete Constructed Steel Fiberglass Plastic
Septic Tank Capacity i
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer:
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): ~lREQUIRED (Square Feet): PROPOSED (Square Feet):
7 Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Signatu P MPRSW No.: Phone Number: J_ I
Plumber's Address: Name of Designer:
Ge_ r zizl
COUNTY/DEPARTMENT USE ONLY
Signat a of Issuing Agent: Fee: Date: ❑ Disapproved
1~~~ a - ❑ Owner Given Initial
Approved Adverse Determination
Reason for Disap roval:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
w
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.);
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
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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.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property 4?11- f4 (te ly Prj-)eVr nC,
c
J /U E" a 5 -1
Location of Property /l)1,Jk, Section 7 , T zp9 N - R WTownship _LLO SO~~
Mailing Address 71 0. p
Subdivision Name-
Lot Number a j
Previous Owner of Property
Total Size of Parcel i---c--r`e ^
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? V Yes No
Volume and Page Number ^-V~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
I (We) ceAti6y that aU statement6 on this john ate tAue to the best ob my (oun)
knowledge; that I (we) am (ate) the owneA1s) o j the pnopenty du cA bed in -th ins
inbonma ion bonm, by vi tue ob a wa4Aanty deed neconded in the Obbice ob the
County Regizten of Deeds as Document No. f aVQ-0 ; and that I (we)
pnee ent.Ey own the pno pos ed site bon the sewage di~6-p-3-6-a-AI-s ystem ( on 1 (we) have
obtained an easement, to nun with the above desn bed pnopenty, bon the
cons tAuc tion o b s aid system, and the same has been duty neconded in the O b bd.ce
ob the County Reg"teA ob Deeds, as Document No.
SIGNATURE OF 0 R SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
H
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STC - 105 r"
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SEPTIC TANK MAINTENANCE AGREEMENT H
0
St. Croix County z
d
OWNER/BUYER
ROUTE/BOX NUMBER A'~. `J 4 Fire Number
s
CITY/STATE ZIP 0~(p
PROPERTY LOCATION: , /V&J 14, Section 7 T N, R
Town of l or-/l NUJSO! St. Croix County,
Subdivision&C1c,pC,3&J Lot numb er5~-&0.
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists 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 treat-
ment stage in the waste disposal system.
St. Croix.County residents may be eligible to receive a grant for
a maximum of 60% 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 veri-
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
0
I/WE, the undersigned, have read the above requirements and agree m
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin. Depart- b
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED Q~ 1 42,1
DATE
St. Croix County Zoning Office
P.O. Box 98-
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
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6F IS Gv,oR MARTELL WELL DRILLING, INC.
George Solsvig, President
Box 340 • Somerset, Wisconsin 54025
Phone -(Collect) 247-3385 or 386-3707 • 612-439-4502
Want a Well? ...Call Martell
I)DPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS N
DIVISION
tND!~? FMK, P.O. BOX 7969
;4 ~ OR AND PERCOLATION TESTS (115) MADISON, WI 53707
HUMAN RELATIONS
(H63.090) & Chapter 145.045)
(~~LO`OCCAA .N~ SECTION: Z~ TOWNSHIP O NO.:BLK. NO.: SUBDIVISION NAME:
i _,N61 .7 1 Z11 " Y/D/9 ~(or) L4 A 60 6&4 woo ~ ES-(AT,& r &so
COUNTY: OWNERS 'S NAME: L
ST A10 RTw iUu4sO a
sE c~olx_ Fat!-i QEVELOAM.E 36 ST C06
DATES OBSERVATIONS MADE
USE 10 PROFILE DESCRIPTIONS* -PERCOLA71514 r TS:
Residence 31 C M XNew ❑Replace UCT r4 /9>3S ocT za
SOILS A4C 4 9 'S otLS - Q N G Z QN I4 M ! i4
RATING: S- Site suitable for system U- Site unsuitable for system
CON optional)
E.N7lO_ : MOUND: IN-G0 S •IN•FiLL OLDING TANK: REGOMMEN )ED SYSTEM:(
a~'A
CI& S Qu ❑ S EU S ❑u S ❑U ❑ S ILK) U GonJ j*r0$jA-;_ Z4')(4-o'
If Percolation Tests are NOT required DESIGN RATE: [Flo. ny portion of the tested area is in the
under s.FIfi3.09(5)(b), indicate: a S 5 Z. dplain, indicate Floodpiain elevation: ,
DleZfKi L PROFILE (DESCRIPTIONS
BORING TOTAL DEPTH GROUNDWATER-INCHES HA ACTER O S L WI TMiC SS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH fort ELEVATION B V D HIGHEST TO BEDROCK I OBSERVED 1 EE ABBRV. ON BAC .j
r AeO' BL S1 L_ 'rS; 20' P.O Q.,/ S; W JL, /.ov ,R.D e../ ;
B / 13 48. dfl(aNE I f , 3~ 2.j IS; l.sv 6 Y 8~ s~/<.°s s~ sr r ~:ers x~~ri~a+a r.A'ft
or < aa.oa' >Zb6.J S.'L; 0.4o pa 6&j S: J.20 6y Bw•; S
B /.00' D BnJ .Si Z.00 67 3^J T sJ
r4o; 1 • Zv' 8#4 6. S l °j, 00• LT Q+..! 4:c
B ` 6.~~ Na~~ /0,8o c 0,07' 3N LS 6A^44S
/O, Si Poc1~LTS
o. Ar S• t:. 7, SP Z.o0• 03.4 L.S; i 0.0's . 131- S; 1 i. s o' r-..J
B' ~frZU Nnlrlls. >//,Zo s' ./S'BL ; a Nre A ZD a"j SQL
. .L bR
L i.
4 ' 11..96 97.l0~ oo• 5;
B- 5 Oll' 9sr~ fJd~,c ~io.i~~ 1.70' Sjs;L, 1.4113.4 S;L _?_oO'GySjLfS 1►'6g caoa. Pep
®G 10 N t.,. PERCOLATION TESTS L-FS BaNaS
me
TEST DEPTH WATER IN HOLE TEST TIME DROP N WATFR -I H S RATE MINUTES
NUMBER kfWCi466 AFTER SWELLING INTERVAL-MIN. P PER INCH
P Nam'- /0 P 4.8 8` 44 /0 3 '4 v S
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PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soot areas. Indicate scat dim elcr'- at are the hori
rontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at orings t, he ection percent
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OF 'fuESE :S/40W/,j, ALL, i-Q 13r,J '5 1-
1, the undersigned, hereby certiftests reported on this f were made by m=: ccord with the procedures and methods specified in the Wisconsin
Administrative Code, and that thand the locatio is tests are correct to tst of my knowledge and belief.
jM.A~Y7f lpiinR:~ TESTS WERE COMPLETED ON:
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ADDRESS: CERTIFICATION NUMBER: PHON NUMBER (optional):
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GS SIGNATURE:
DISTRIBUTION: Original anti one copy to Local Authority, Property Owner and Soil Toste.r.
011 '41 SBD-6395 1H. 021821 OVER
y 'M7ElEt '1F: No. 441
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