HomeMy WebLinkAbout020-1077-20-000
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Parcel 020-1077-20-000 01/03/2007 11:33 AM
PAGE 1 OF 1
Alt. Parcel 28.29.19.310B 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
THOMAS H FARRILL O - FARRILL, THOMAS H
599 CTY RD UU
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 599 CTY RD UU
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.720 Plat: N/A-NOT AVAILABLE
SEC 28 T29N R19W NE NE LOT 1 OF CERT Block/Condo Bldg:
SURVEY MAP IN VOL III PAGE 862 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
28-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/22/2003 740846 2416/103 EZ-U
601/313
2006 SUMMARY Bill Fair Market Value: Assessed with:
161648 268,400
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.720 71,900 183,900 255,800 NO
Totals for 2006:
General Property 2.720 71,900 183,900 255,800
Woodland 0.000 0 0
Totals for 2005:
General Property 2.720 71,900 183,900 255,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 106
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 lf{~/~ TOWNSHIP llo 5 ~ OtuU SEC.,;?-'g T `I N , R /qW -011 ADDRES 41t'~--T-5 4+ ; ST. CROIX COUNTY WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s
I di ate o~thj Arrow
SCAL
SEPTIC TANK(S) MFGR. It' CONCRETE STEEL
NO. of rings on cover Depth
PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO.
GALLONS Per Cycle
TRENCHES NO. of width - length area
BED NO. of lines ~ width length area o
dept to top of pipe
NUMBER OF SEEPAGE PITS outside i.ameter total pit area
AGGREGATE Gt►H S jA 6 iltz-11 re-llr-K
PERK RATE o AREA REQUIRED AREA AS BUILTs 0
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. However, if failure is noted the
County will make every effort to determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM.
INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
~i3~1l1N 3SN30i'I
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• HZIS 101I ZO'I NOIS:(AIQE--
' NISN00SIr1 `,ZNnOO XIOND 'IS ` ssau(i(Iy '0
M H `N J. '03S dIHSNMOZ ` ?ISlaM
MOM Nalsis XUVIINVS Ilinq SB •
REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
~ Sani:t.1 ~l.y PF,... t(al'i V`..0 /
State Sept.(.c 'A
.AM r Towns hi r St. C n u -i x C o u vi y
t uvi N.6 1YL Sec-tion_ 9_ko t 0
Subd.iv.i.a4 ovt
1111C TANK
S,i ze_ gaftona Numbers o6 eompantmenta
tr4rce AI n.(; m: We
H4.ghwaten
IMPI NG CHAMBER
--gak'-kans Pump Ma,vtuactunen
( Model-
N u m b e n.
0-I N AN
-Ze - ----------gaUona Number o6 Cumpa_n.tmv.n.tA
Pumpetc Atanm Syatem
5taylec 440m: weft Bu4 din 12o' akope
Highwaten.
;;SORPTION SITE
r - .
Ged T,'tench
ti tanee nom: WClt Buifd~n
9_-=_ f 2 0 ~ ~o p e
High.wate(
SORPTION SITE DIMENSIONS
Width o A trench --~.t Requ.~ned anea t
Lv!igq th o A each tine- 6 t
Depth o4 h Cl Ck b e~ U W
Numbest (,A ki-r~ea - Depth o6 rock -oven tif(,
~jIotak length o6 tinea- At Depth a tife betow grade 4n
04-5tance between Z4.nes -6t S.Eupe of tnevtch tin. pest 100 At
1..t~°;ta . ab,1.vh.r~t.o.yy:: ahea 6,t Type oA Coven: Papers on ntn.aw
1 DIMI N,~ IONS
Numbers u6 p4ts Gnavef an.ound p~ta yea nu
,''(},;its c ~ d c ccm e t e n . .
6t Dopth betow inket- _ -~.t I
1 u ::4T, a b!t o 4p o n a n e a '6t
Al(ea ne.qu.<_ked-; 6t j
i
d 7 ' E C T I D B Y 71 T L E
'!'ROVED 19 8
J1 C T E D DATE 19 8
IASON FOR REJECTION
EN 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL LTH
P.O. BOX 309 ► I j`/ p wFr/
MADISON, WISCONSIN 53701 !1
REPORT ON SOIL BORINGS AND PERCOLATION STS IOC ~r1979
LOCATION: ✓y~'/4,/~l~'/, Sectiort; Tr_2-& R/j It (or)(jQI'ownship or Municipality L j G ~
Lot No. , Block o. , County`.,
-y- Subdivisioq Name
Owner's Name: / tl"titfJ S /Ciq r- r I
Mailing Address: if 9 ~ Ao~l also (_J
TYPE OF OCCUPANCY: Residence x No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MAD/E: SOIL BORINGS PERCOLATION TESTS G?f_/ ? J9 _
SOIL i,:,lAPSHEET SOILTYPE I lq T<770L
PERCOLATION TESTS r
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
INCHES THICKNESS IN INCHES '
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- /
F , SQ 0r•e_ j TA es,
P-
~ 3 e~
~P Are 404A4 ~y /1/Q 3 C 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) j
fy«~S
ti d
j_ _ L 9G~, /tad 7 c r cfr Q
s Z « S~ ( C4 r-f S
B_ N / 1?,, /e" S'/, fear" C04)-se
PLAN VIEW (Locate percolationtests,soiI bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of s itable areas. Indicate number of square feet of absorption area
n:eded for building type and occupancy. / ALM I~ndic a scale
or distances. Give horizontal and vertical reference points. Indicate slope. ~f 1~'7L
121,
Lcy
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I, the undersigned, hereby certify that the oil 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) ~~5 = 4 e Certification No.
Address
a-14 1-44f: t-3e
Name of installer if known
,I R
Y
CST Signat C
bbh1iiiilixCAL AUTHORITY
PLB State and County State Permit # 7/
67
Permit Application County Permit
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:
B. LOCATION: A)-F-'14 Section 2-Y, T!jLZ N, R E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 111410
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family- Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY ( Total gallons No. of tanks
HOLDING TANK CAAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-lace 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- Total Absorb Area sq. ft.
New Replacement- -Alternate (Specify)
Seepage Trench: No. of LineaN Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: -Length- Width Z Z' Depth z~ Tile depth (top)/ "H ` No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- 'T IC's (Ajgc;Tg-K LI Distance from critical slope
WATER SUPPLY: Private PS Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
1, 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
E7
NAME
l1/ ( 5 'A) C.S.T. # t4E;j` 5"?5 and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# ~G ! Phone #3006 Plumber's Address -72-7 a L
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.
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Do Not Write in Space Below C` FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State t~ County Date 6
Permit Issued/&efestecJ (date) IQ j? - b Issuing Agent Nam -
Inspection YesXNo State Valid# Date Recd
1. 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)
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Revised Date 7/1 /78
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