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HomeMy WebLinkAbout020-1028-10-003 C~ cn x 1--' x H 0 P) a z nv,p 3-0 on d o c ro ro o h. CD m -0 0 tD Vd 5 gt c rt d m r I ~ ~ ~ ~ m \ 1 frt H t=~ 3 (U r: ~ b A~ l~ ~1 U) -1 2 in Z 0 rn T 2 c ;~1 • 0 y O 0~ to O A00 (a I CL Z to m 3 0 m m Cnn CA j z OL :z C, W O W !v Q c0 to O z ^ N f11 o N to O N O 'u n :3 (3 C) N (may OOD A O C N W ~ O O CD tf] N N C O V O O W fl. 1 v 3' d O O= w C n> 3 O o t a 1 00 O ~J 0 m t~ -4 U) 0o Ui rt O O v-i w o H CD Zn 00 00 cOn < CO) ^r' c 3 rot II m o o o 0 7y N `Z Cl) m ~ (D v f~I> y o W D ~yy N a rt N ° c°n w a r• v I~ U) W ~ r-~ I 3 st p - - N A o O Z to z O D n CD 0 mil n O Z O o' O N rn (D v m m Oro a 3 5 CD c6 -4 A Z CD ®'`T S 1- y a A Z Q-1 Q " C N rn ?z C z H n N 0 O A w 3 m 411 .fl p N ? N Z JH Z cn o CD a v w v~ a Z a w c r oz a d o fD 1 V1 1--+ V I 1 I ~ N ~ O N U7 ~ Ln Q G, N try it ;s d 41- Q m m ~ ~ co ti 0 Z, co ~ c I (o ~ I o N op N o O a 0 Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 41ztL TOWNSHIP SEC. T o< 9 N-R Z9 W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT j LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i U /o / ,11Z7N / 1z-A1,1TY Ls.~ E 6 i ST dn,»,~ wAy o z5 RL--~ In/ELL -jJQf - SUI,/71-1 l'~onr2TY Lr,..rs - - - - - INDICATE NORTH ARROW Cj/ ~7c_Gu"zcN~on1 /Cop _AI6 E - BENCHMARK: Describe the vertical reference point used .(a47i, , onr,ry ~PF Elevation of vertical reference point: UU' OU Proposed slope at site: SEPTIC TANK: Manufacturer: "_a'PF_rz Liquid Capacity: , U Graz , Number of rings used:_ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: r Number of feet from nearest Road: Front 10 Side,0 Rear, O feet From nearest property line Front, 0Side 0Rear,O feet / Number of feet from: well .S~ building. (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE r 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 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Zr S Trench: b~ Width: r Length: Number of Lines: 9 Area Built:_, Fill depth to top of pipe: O1/ Side,M Rear,O Pt. ~I Number of feet from nearest property line: Front, (0 Vj Number of feet from well: r~ Number of feet from building: / y l (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: Plumber on job: -77 License Number: .JbLJ 3/84:mj I DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 , t BUREAU OF PLUMBING MADISON, WI 53707 N ONVENTIONAL ❑ALTERNATIVE State Plan l.D. Number: ) ❑ Holding Tank El In-Ground Pressure E:1 Mound (If assigned NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Dale P. King 1541 Namekagon St., Hudson, WI 3 - ®S` /Q BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: OCST REF. PT. ELEV.. NW NE, Section 16, T29N-R19W, Town of Hudson,Lot#3, Fern's Addn. Name of Plumber: MP/MPRSW No, Coumy: Sanitary Permit Number: Gary Zappa 3300 St. Croix 64851 SEPTIC TANK/HOLDING TANK: MANUFACTURER: t LIQUID CAPAC Pte': TANK INLET ELEV.: TANK OUTLET. ELEV.: WARNING LABEL LOCKING COVER '~J6 r J Z j V PROVIDED: PROVIDED: OYES ONO OYES ONO BEDDING: VENT DI A.. VENT MATL: HIGH WAT NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH ALARM: FEET FROM LINE LAIR INLET: DYES NO OYES ONO NEAREST (j DOSING C AMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO DYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING. JVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing Crdr,TtI 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: WIDTH. JLENGTH- NO. OF DIST PIPE,$PACING. COVER INSIDE DIA.. PITS. LIQUID I~ BED/TRENCH TRENCHES MATE IA DIMENSIONS ! PIT DEPTH. GRAVEL DEPT FI LfL DEPTH DISTR. PIPE DISTR. PIP DISTR. PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENTTO FRESH BELOW PIP S ABOVE CO~EA: E E i~T ELE E rI PIPES LI / AIR INLET: I l Z I 7 r~ / FEET FROM Cj 7 t 1 NEAREST- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for ROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it N REVERSE SIDE. SHOW ELEVA- meets the criteria for i; m sand. IONS MEASURED. DYES ONO SOIL COVER TEXTURE ( 1 1PERMANLNy MARKEHS OBSERVATION WELLS. YES OYES NO DEPTH OVER TRENCH/BED 71EPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SOD ED. EDED. MULCHED: CENTER DGES. DYE NO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACI G: GRAVEL 714 'BELOW PIPE: ` FILL DEPTH ABOVE COVER: TRENCHES: / DIMENSIONS i MANIFOLD PUMP MANIFOLD DISTR. PIPE IMANIF 7 TERIAL. NO. DIST r. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV.: DIA.: ELEV.: PIPES: r DIA.: ELEVATION AND : DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIA VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: t~ FEE F: OYES ONO T ROM LINE OYES ONO NEAREST t✓ U' _ ' , Sketch System on in ir(county file for dit. Reverse Side. SIGNATURE: ~ TITLE: DILHR SBD 6710 (R. 01/82) wlsconsln APPLICATION FOR SANITARY PERMIT X D I L H R COUNTY ~ OEPRRTTEnT OF (PLB 67) UNIFORM SANITARY PERMIT # ~ InOU5TR4, LABOR 6 MUTRn RELRTIOnS -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 81/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS :i~41f- P. XII:t16- - ~s tai 114.:6-A,4Q'Z0.v S~. PROPERTY LOCATION-/4NE1/4, S T2/ N, R E (or) W TOWN F vDSotil LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LA ARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ✓ Public (Specify: THIS PERMIT IS FOR A: X] New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternafee 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 Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: C P Z 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): REQUIRED (Square Feet): PROPOSED ( rare Feet): Lr "A/ 3 Z rL 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): Signature: W/MPRSW No.: Phone Number: Plumber' ddress: V# U- Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved v `f~j~ f~°" ~i~~ r/~j ❑ Owner Given Initial " C~ Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber i 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. 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/contractgr,("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 P F a . Location of 'Plroperty-ly, SectionT ~ N - R W Township 1/1 ad,n on Mailing Address 1,5q L (-m npa o?T CI LicLoa! "a Subdivision Name 0=rn'S Lot Number r Previous Owner of Property ~ )e!:sl 2, ~ I r V t p QC ;!Z- Total Size of Parcel , 1p ~Q Qer es Date Parcel was Created O p p r is l e d a I, w a 3 Are all corners and lot lines identifiable?Yes No Is this property being developed for resale (spec house) ? Yes_ No Volume and Page Number ` as recorded with the Register of Deeds -76 16 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) ee4ti.6y that att dtatementa on thiA 6oAm ate tAue to the beat o6 my (out) knowee.dge; that I (we) am (ate) the owneA (a) o6 the paopeAty des en i.bed in thiA in6onmattion 6oAm, by viAtue o6 a wavLanty deed AeeoAded in the 066ice o6 the County RegiAteA o6 Deeds as Document No. S ; and that I (we) pneaentty own the ptopoaed Aite 6oA the sewage dt4poAat ayatem (oA I (we) have obtained an easement, to Aun with the above de cAibed pAopeAty, 6oA the conatAucti.on o6 said 6yatem, and the Game has been duty teco4ded in the 066.iee o6 the County Reg.iateA o6 Deeds, as Document No. J SIGNATURE OF OWN SIGN TURF 0-OWNER (I PLICABLE) DATE SIGNED DATE SIGNED • . H z . H . a ST C- 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z t7 a H OWNER/BUYER bole- P. ROUTE/BOX NUMBER 1,5411 __3 A •qFire Number J .CITY/STATE !'1 CSDn Wes. ZIP 67D11, PROPERTY LOCATION: 34, f" 14, Section/1, T P,'J N, R)q W, Town of A LAMS, A , St. Croix County, Subdivision Lot number. ~F e.rrt s Wald i on) ~ 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 E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- ro 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 r DATE Fa 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. O_ y r m I m m w 3 om<o0 ~mm 3 N 'o cocncnCA z ' =rm v am m ° o? (n * N a g J o D c M m 0 N o v 0 w m C CD :E 0 _COD (D CD 0 "a 0 , r 3 (D CD r C.0 °3a °A0C=D CD W >j.r to ow`°o'°0 3 0 0 C- c w 0 m z~ °c~ c CL 00 1 E! S 0 j; 2 C=L = CID m 0 CD -0 -0 0 Cr j3 -t- ID r- CDN~ oDc co Gf CA 0 ° ° cc, 'am 0 'a w o ~aQ~ 0 C m 0 PN NZ wow w s am0 3~a,mcna D n D W m m to ? Cl co Ul w a ac 0* m C m CD ca 0 su 3 .0 ` o N CD Err 0 CL cn m vi n "ll .-.ate w3(D _ (a ~c Al .:c~ m R A w w 0ao* Nccawo• m pa w m-=mm a a C& 0- CD OL CL cr (n cr !n < =r CD (a 0 (n -4 c, o 3 00 c~~ N c CD Oi CL C o w (..D 7' w -0 cm 3 to z • i'AH 1 „v1EN i Or- AND SA(•-E 1 Y• r!t FJUJLGIt iCS - REPORT ON SOIL RI CGS MVISl,~,1 7059 MAN RELATIONS PERCOLATION NESTS (115) MADISON. B 153707 (H63.09(1) & Chapter 145.045) ATION: SECTION: O~N,SHIP MUNICIPALITY: OT NO.: BLK. NC+.: SUBDIVISION NAME: w N~~~ 9 I `I s 3 Geta7'' .Sv~ev,~r7 10 A) LINTY: OKvNER U ER'S NAME: MAILING ADDRESS: / C~/ae3. CJ1/~5~ ~.s3 rG ~ ~'>f ~Jrl GL~'~jq/AL of q DATES OBSE A_TIONS MADE NO.BEDRMS,: COMM H AL O S IP ION: r6~iL~~ESi;fi(Pf'T6S % ~NESTS: esidence v,J~- tea AJ A, New ❑Replace 71eel 1 -(PE 1-d1 G .en'-)k A no S8 J`•o rG ~T'ioC51 7Q~scrE r•%•r,epT ING: S- Site suitable for system U'• Site unsuitable for system Z~.9Ad7W VENTIOR L: rf(ATN7: RC)l1N[? PR fI SYSTEFA•IN FILL OLDING TANK RECOMMENDED SYSI EM:Iuptrunel) S DU MS DUI N -G C)S E S ❑U OS ©U ~0~,0,c A)7/o,IAe__,34U9 -1 ercolation Tests are NOT required DESIGN RATE: Lll..any portion of the tested area is in t lrr sH63.09151(b1, indicates ~q, ~~e„s I - VN4L1t odplain, indicate Floodplain elevation: kJ. A D EC_I "A t_ FEE PROFILE DESCRIPTIONS SING TOTAL PTH T0GR UNDWATER-INCITES CHARACTER OF SOIL WITH 'fHICKNESS, COL(5H. TEXTUfiE, AND DEPfH !TIER DEPTH W. ELEVATION BSERVEU E 1 HE;' TO BEDROCK IF OBSERVED (SEE ABBHV. ON BACK.) Q)7,70 1 0 ,190' r6 1- ~-i 8,$0' aIq &IWE0 S $C' S ~N CK. 1~1arJE 'y y,00 r 0,70' r34- L~ /,vo l~r.r L RJ Lj, co 1~,EG 1 c- 1-7 0 * C S w G i2. Z® 7d 96 , /4. 70 6t- L i I.cro' 13N 1 L S'am' L~ rJ 4•" ttt. 3 /0 o~ ~`fo~vE 7' .tea' a r4 AAaa S S w ~ 2 14 7 RI ~i.lE D•bo 13L try 1.4a' o•2c~' Zo l?~✓ L-•S ; -,-9,70 7•'SO' M~ S CS ur G~. J ~rlJ 9(o r7.~ ~ 0'2> s 70 5L C.' 0,40 CP-0 Bpi LS A, CrR_) a UO` l'-'T tLD & D6G►Mgc_ PERCOLATION TESTS r- ra 1- -1 &U E DEPTH WATER IN MOLE TEST TIME DROP IN WATER LEV L-INCHES RA"fE MINUTES '9ER AFTERSWtELLING INTERVAL-MIN. PERIOD 1-02 PER INCH 4,SOt Ncioa a ---S, 98.1 1-3 g.GS' Woos 7 C 3 917-Z-5-1 3.70' N o ° 1 G~ ~ 3 73° T PLAN: Show locations of percolation costs, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe whet are the hori- at and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings anal the direction and percent rid slope. 2 8 Z 50-FT. is 4J I TA 3 L C' 4 t r__-- STEW ELEVATION --)3.&o ® P , 0 0/0 N H A S 1" fP - - -7 - - W, I o ~ \ It- E v' - - A /O I 1 1 15 i~ A"`{. I ~ .t~. i u d L' 1 P 7 lZ► J! ~ • i i i.s ! , 1 / O X ils, f+~ F~ tl f i, t -f h ti r: r - F1 'I T o t ,S ,ago o ; w N `r ~ _ 3du TN t.aT`--Ltiii E'► .~...-I-::-- W I 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 inistrarive Code, and that the data recorded and the location of the tests are correct to the bast of my knowledge and belief. C. ' Ur r F. (Print : ~ AD / TESTS WERE COMPLETED ON: 'CERTIFI('ATIO~I ~IU?,'kFR!! 1H0,1IE *Iltsti=rtiout,or,tt ~f ~ / Z ~c~ i~ .a`"..s; fyc✓l7so~1 t~t.l/.- sue:)/ ~ S~3 _ 7!,) -~v~3c_~ cs s GvaruHE: rRIBUTION: Or,rlinm ane nor -npV to I,rp ,t Auth,)ritV. Property Owner end Soil Testor. L r PLB Y 7 QGQ • ` PLOT o ncl CRO55 471 1e- =ZV' ,y ~tiy S6MON PIANS wE Il roo4°S Q More 5~~ ~ t c ~ ` G t o t d t oA ~t Z~ 200 so. col" Lr'A1F E P~P41FZ 7 INA Iz 1 6- L o f 3 RW45 4P,0/7/-0,,0 r I~E,C S'oi[. TES 7 t ,4ffi,e 0/ /00 A" TU~ of / %r~ O / S'rf6AIIED ff T S. L o 7- 5o v GOT- 4 i:J E7- l4 WWA)z e , i //CE~S~-- .7»i4 Fresh Air Inlets And Observation Pipe l1_ Approved Vent Cap Minimum 12" Above Final Grade 7~ 4" Cast iron `/7, Above Pipe 'o Final Grade Vent Pipe Ir - Marsh Hay Or Synthetic Covering min. 2" Aggregate Over Pipe Distribution Tee Pipe 0 '0 0 0 0 Aggr,egote o Perforated Pipe Below Beneatk Pipe 'p- soil TES f o Coupling Terminating At Bottom Of System . r PL B (0 13 Q~ PLOT ana CR055 + 5* 474 f SECTION PLAN' M °9E ~fb,,, 5~0 ► i 1 1 t t d5'~ F,4sf <oT GiNt: ' t ~ 7s o,, ; i 110~'~' i t T~ ~ Wrl, 3 (3AJ(01i HOME s it+~ 1 t 26=- - ,o 200 t P~P©1iFe, T L o f 3 5EWIJs r4w~ ~a ~~PR /00 /~Et' 5'o/l, TEST JV t.J~ E vE,~r• iPef Ar T S.L'c, G OT- ~'/E vrt T%ov - /OO Fresh Air Inlets And Observation Pipe - Approved Vent Cap Minimum 12" Above Final Grade ? = •ur At v'" of Yy Above Pipe 4.. Cast Iron -o Final Grade Vent Pipe Marsh Hay Or Synthetic Covering min. 2" Aggregate Over Pipe Distribution [-;70 0 0 o Tee Pipe _ Aggregate o Perforated Pipe Below Beneath Pips - o Coupling Terminating At, TES o c L- l S Bottom Of System x, Parcel 020-1028-10-003 03/01/2006 03:12 PM PAGE 1 of 1 Altr Parcel M 16.29.19.124D 020 - TOWN OF HUDSON • Current `X'i 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 - KING, DALE P & KATHY L DALE P & KATHY L KING 981 FERN RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 981 FERN RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.689 Plat: N/A-NOT AVAILABLE SEC 16 T29N R19W NW NE LOT 3 OF CSM Block/Condo Bldg: 5/1447 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 706/158 2005 SUMMARY Bill M Fair Market Value: Assessed with: 91578 270,900 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.689 71,800 204,500 276,300 NO 05 Totals for 2005: General Property 2.689 71,800 204,500 276,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.689 49,700 158,200 207,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 213 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