The URL can be used to link to this page

Home My WebLink About020-1019-80-000 o cn o ' is d `i1 v Z v d zn \ 1 A cn _=N z (0 N) A (0 0 III C ? fir- (7 y N N cn ° ( fJ (yam, (D (3D = p N N Q. n d` N 7 O a 6 O N O °o CD <D :3 D ~ m O Q t~ o O ° d y O O 0 CA 00 fl1 ~ cn~D m 4~ (D cn N W Q I. CL i rn ° ID G (D (DD 2 n r N t++i N o o n D o v o o 7 "Ito z o o O O ::E rr `i o Z ai CD m ° m 0 0 O (CD (D N w O A v N (D . CD I cD v D) N J fl1 N N 00 CL N z z co o > (D 0 O a :F v (n !mil • m tr :3 CD U) N 70 -1 CD CD CD - a w m _ a CD D -I cA Z CD p Z m O N O CI D_ A 7 O CC < A W -0 CL , z 0 z m m y z ~ A W i O Q I ~ d N T -p N C Co Z a cn_, 5 N CD . N O Z 7 ~ Q' fi A N W I N O i a A O b N bAq W ft w Q) O ~ N O Q- Parcel 020-1019-80-000 02/23/2006 10:44 AM PAGE 1 OF 1 Alt. Parcel 14.29.19.92E 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 - STRANDQUIST, CLAY ALAN CLAY ALAN STRANDQUIST 982 TANNEY LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 982 TANNEY LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.025 Plat: N/A-NOT AVAILABLE SEC 14 T29N R19W NW NE LOT 4 OF CSM V Block/Condo Bldg: Sec-Twn-Rn 401/4 1601/4) 3/768 Tract(s): ( 9 14-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 810/140 07/23/1997 751/586 2005 SUMMARY Bill Fair Market Value: Assessed with: 91504 225,200 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.025 87,200 142,500 229,700 NO 05 Totals for 2005: General Property 5.025 87,200 142,500 229,700 Woodland 0.000 0 Totals for 2004: General Property 5.025 58,200 117,900 176,1000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 126 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges 27.00 0.00 0.00 Total AS BUILT SANITARY SYSTEM REPORT 11W1~RR f L TOWNSHIP &O>CA, SEC./ Z_T2q N, R19 W ADDRESS 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 'NN I r, i :b -I IVIA 13 ILI' <IT N I di, a e Ko~thijrrow SCAL . n SEPTIC TANK(S)NIFGR. I S C K' CONCRETE_2_ STEEL N0. o 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 a ~area depth-to top of pipe NUMBER OF SEEPAGE PITS Outsi a diameter _ total pit area AGGREGATE PERK RATE AREA REQUIRED / l AREA AS BUILT 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 NUMBERa p 2idEHt1N SSN30iZ . gof NO ugulmlia + xoaaaasNi, - 'IS7.s sIHZ 1,10noxHZ Q3soslQ ss Wog Q u7c11s iIO cth sasv3j - 03 IJo33a SIana axPm TTTM A1uno0 a 'aanTTui 3o asnpo auTmaa:pi qj palou ST ainUrl IT aanamoH •uoTivaado malsb a03 fITTTquTT ou sawnsse AZunoo xTosO 'IS •uoTionilsuoa 30 luTod sTql Ie laadsut 01 aTgTssod jou sT 1. iegl Seale 10g10 a.ze ajau •sapo0 anTjPZ~sTu;iu a v alaldmoa ATd you sao o Pv 1 IS g2TM aausTTdf4 P 0 IS 4q m3:js iqa 3o u0xIoadsuT aqZ :jamTVj0s,J ZII1 Sv v32Iv QQ`d b v''. 3Zv lI ;J;t 3ivongJ adid 3o do3 ol. gidap sale q~~uaz gIPTM sauTT jo •oa r sale gl2uaT glpTri ZZdM h`dQ q~daQ N 'ON S~N:~C zan00 uo s2ut.z Zo -ON ZSdIS 3Z Ot 0 '8033I (S)CI.` x Dili! r~o~ zy u~ o a ~ p ii t_ t ; Kals,Is d0 d.ddd OOT NIHIIM 0NIH1.&uaAd MOHS 0Z•Z9H 3o siuama.;Tnbaa 3aam oa suoTsuamTp g saaua:jsTg. M3IA Ned - azls Ioz Io•T ` - NOISIAM2- ' NISNOOSIM `XINnOO XIOHO 'ZS ` Ssaucav •0 M S `N Z •Ods dIHSNMOZ ` Hsi:~e luodau I aMs xldvlINvS ZZing sv AS BUILT SANITARY SYSTEM REPORT OWE R /11' ADDRESS TOWNSHIP 6 j~ SEC. / /T?-N', R/4?W --d ~ ST. CROIX C UNTY WISCON IN. SUBDIVISION LOT ~ LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM l ~ W - - - k I 6 I c ~ ~ E_ a e a 9 0 / S 7- _ I C T di a e ot'1i rr ILL SCAL~ SEPTIC TANK(S) MFGR. rr CONCRETE ~ STEEL NO. o_ rings on cover / Depth PUMPING CHAMBER SIZE PUMP MFGR. MML NO. GALLONS Per Cycle TRENCHES NO. of width _length area BED NO. of lines width2r len th dept-F ~top pi,pe„ g 3S area , U NUMBER OF SEEPAGE PITS Outsi e diameter total pit area AGGREGATE &,A514, 4 -7 ~~~••I PERK RATE AREE REQUIRED---- AREA AS BUILT 7,411 Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas thn 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 -l REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Pcnrnit T~ State. Se.p,tA.c NAMI Townsh t - - p L!~ -St. Cn.aix County , . I -uc a ,ttcino N F Sectionj_~__ Lo,t #Subdi v.ts .Eon !;I NIIC TANK Le_. gat on. Number. o6 compan.tmen-ta I?ihtanee "Lo m: we t Building 12a .6tope. Highwa.ten. NIMPING CHAMBER .tip gattons. Pump Manu6aexun.en. Mode. NumbE n Ik%i_UINo TANK S-Ize.__ ga ton.5 ..Numbe4 o6 Compan..tmen-t6 P(Impen Atan-m System 1) okice. A.om: Wet.Q_ Bu-4-'Zd.Lng 120 stope Highwa.ter. A6-SORPTION SITE tied Trench 1) lance 6 40 m: Well _ Building t2a s ope H.Eghwa,ter. AISSORI'TION SITE DIMENSIONS Width a5 -tne.neh -___.6,t Re-qu,ined area - _ 6t I-cnq.th 06 each Dep-tjh o6 Hock beeow ~iYe 1H Numbe>c. oA e4.+ies Depth o6 rock oven -t ee_ in To to f k.e.ng-th 06 eines___ _-___J t Depth. o ~ -tike bekow grade D.iAtanee be,twee.n Z.ine_s 6t Stop o6 trench Vin. pen 100 .t Fo tak absohp.tion area - t 7 ype o6 Coven: Papers an 4.tnaw I'll DIMENSIONS Numbcn o6 p4 tb _ Grav~ around per-to---Yee - _n( Outs-<dc diame-te.n6z Depth befow tnkex {~,t i, taK abaonp,t,i"on area - - ~t IN_;PI C-110 BY 7ITL1 A I'I'ROVf D _ ~ • D ATf 19 8 ~ I ! It C-111) DAT( /9n KIASON FOR REJECTION I REPORT ON INSPECTION OF SANITARY PERMIT # 2 521 (1) Name and Addres of Permit Holder Person/Persons at site (2 )Date of Inspection ~c » u Time of Inspection ame, ress, License o. o ns a ,ng Plumber 3 INSTALLAT N° N S 0 ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent 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 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? []YES ❑ NO 8 HOLDING TANK: Manufacturer o ga ons 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 ❑ N0; 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.05/80 Signature of Tnspector: 13850 r REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at site (2 )Date of Inspection Time of Inspection Name, Address, License No. o ns a Ong Plumber (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent 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 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? [_]YES ❑ NO 8 HOLDING TANK: Manufacturer o ga ons ; construction depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ N0; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ N0; 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.05/80 Signature of Inspector: EH 15 Rev. 9/78 RE~E~~EO ,~~1 ` REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ~Q~11NG,: w P.O. BOX 309, MADISON, WISCONSIN 53701 E, . tidE LOCATION!`~_'/4,14ie '/4, Sectionl-,TR~N,RLL_*(o<12Township or Municipality WesO~ Lot No.Block No. , Ceri S"~vt~ 1/0 ,47' 7alcounty 5 ' ceo'~( ubdivislon am Owner's%Buyers Name: X~ .u~ /_J_ `e'e J f t Mailing Address: of -d- ~G /Q Qla U* tk 4-tJi L TYPE OF OCCUPANCY: Residence X No. of Bedrooms -3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM-OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 10 ` d - 4 o PERCOLATION TESTS SOIL MAP SHEET ~_5_cp NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE 1 NUM- SINCE HOLE HOLE AFTE INTERVAL MIN/IfJ INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 BER 1ST WETTED SWELLING IN MINUTES I v v i P- Are- 4,41,4 P- 02 S" re are d A y 3 S_ S- .s I P- ..3 lee- & - e2 O 3' 3 s 3 P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- B- .3 V,) Ltz_ 7 6" S ,L 3 S 3 S B_ keYe . 5' B- /-/L" a e- -7 Q6`' la"~S ,2 S B- 7 PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the I.a7n~the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy ~~sp I~r dicate scale or distances. Give horizontal and vertic I refere?n e p ints. Indicate slope. t /(/,7 SC - !i. 5.4~OC.~S /S~ S d I`r+p-l cJ L 1~ J g/.= 103'e ' flares r Ce, ~fQ- t= R~ 13,3 Re. /0 Akrk OF ' E/. = /11) rvA,MC Cwt e_ v E CPO //Q ~a l f`i`at e_ ~ ~ l / , ca, del., I, 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) Certification No. l Address r v f~v Name of installer if known Copy A -Local Authority CST Signature PLB State and County State Permit # 67 County Permit # Permit Application for Private Domestic Sewage Systems County "'rte "DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: &~'/4_&C_'/4, Section f , T Z N, R E (or) _V_ Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township t%( bD ct C. TYPE OF OCCUPANCY: "Commercial Industrial "Other (specify) "Variance Single family X- Duplex No. of Bedrooms 3 No. of Persons_ D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete 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 Total Absorb Area - s sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trer= Seepage Bed: Length Width /2 DepthTile depth (top) No. of Lines = 3 Seepage Pit: Inssilde iameter Liquid Depth No. of Seepage Pits Percent slope of land ~ IV tj e-_ Distance from critical slope WATER SUPPLY: Private 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 f)rrjjN,S C4A1S_ -it) P4,99_1 -S 'r ,u C.S.T. # and other information obtained from al~Eb AJ IFo re (owner/builder). Plumber's Signature MP/MPRSW# Phone # 3i~(p Zis C Plumber's Address '722 /rfo ov Z UU_ Sri T LG'i ZV o ~(o 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. E a e.. .e v.. w.....,m.. e.. t - i F t , t 3 E _ .,i t., ' .a _ . - E I I f 3 ~ ~ s E Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State County .0-0 Date / U Issuing Agent Name Permit Issued/Re}eeteelI date) Al / Inspection Yes __No 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) Revised Date 7/1 /78 I f fj i'~ tr 7 C