HomeMy WebLinkAbout030-2019-90-000
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Parcel 020-1061-60-000 03/16/2007 01:14 PM y
PAGE 1 OF 1
Alt. Parcel 23.29.19.233A 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
STEPHAN E & MOLLY K GEISLER O - GEISLER, STEPHAN E & MOLLY K
779 HWY 12
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ` 779 HWY 12
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.180 Plat: N/A-NOT AVAILABLE
SEC 23 T29N R19W PT NE1/4 NE1/4 & PT Block/Condo Bldg:
SE1/4 NE1/4 LOT 1 CSM 8/2298 3.18 ACRES
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
23-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/10/2002 689860 1973/63 QC
07/23/1997 1089/491 LC
07/23/1997 888/354
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.180 76,100 197,600 273,700 NO
Totals for 2007:
General Property 3.180 76,100 197,600 273,700
Woodland 0.000 0 0
Totals for 2006:
General Property 3.180 76,100 197,600 273,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 112
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00
0.00
. Form-STC- 104
AS BUILT SANITARY SYSTEM REPORT
_ i
OWNER M~/~ 1411 %5/,fj5 TOWNSHIP SEC. I T Z-f N-R-o W
ADDRESS R t ffZc7r 3S ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT / LOT SIZE
Coot Lo7` l q2? jock
PLAN VIEW
Distances and dimensions to meet requirements of URR, 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
„mac-.._ ~ ~Q~"u'` ~3'~~ 1 ~ • c~
ot^
1, )61r
o~top~ No
-
3, 70
! BO
(~o I
7010
p' `!ar covG~l~
~ i ~ Six' !7 00
ass%z~-p T"p °
S, X rA'#0S7- Pi000F
30' a 7-
~,Q . rEpf 7. s~ a . y0
400,0 40,`, INDICATE NORTH ARROW
r
lop of co OC44 a ~00e 71,0,049AV
BENCHMARK: Describe the vertical reference point used ~R^~ • SW • j'i p
Elevation of vertical reference point: /00-
Proposed slope at site:
SEPTIC TANK: Manufacturer: WE,6*F,r eDAuC• 1idV
Liquid Capacity:
Number of rings used: Tank manhole cover elevation: /
Tank Inlet Elevation: Tank Outlet Elevation: ,
Number of feet from nearest Road: Front,(V-I) 0 Rear, O D
VC) Side O
feet
From nearest property line Front, 0Side, ORear, 0 /00 (9/,,0 ~7(i S jiaG. fee t
Number of feet from: well DSO
building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
P
PUMP CHAMBER
Manu turer: Liquid Capacity.
Pump Model: Pump/Siphon Man turer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevat' Gallons per cycle:
Alarm Manufact r: arm Switch Type:
Number 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: Trench. 2 3
Width: S Len$th? 7 Number of Lines: Area Built:
Fill depth to top of pipe: (81' A0 -3(0"
Number of feet from nearest property linOe: Front, O Side, Q Rear,O Ft. X00
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Si Number of pits: er:
Liquid depth: _ Bot of seepage pit elevation:
Area Built:
Has either a p box O or distribution box een used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TAN
Manufacturer: Capacity:
Number of rings used: Elevati ottom of tank:
Elevation of inlet:
Number of feet nearest property 1 Front, O Side, O Rear, O Ft.
/ Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector: HUIVItbi
c - /2/~ Plumber on job: RT. 3 O'NEIL RD., HUDSON: WIS. 54016
Dated:
WIS. MASTER PLUMBER LIC, N0.3307 M...
License Number : MINN. INSTALLER & DESIGNER LIC. NO. (10663
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P`O. BOX 7969 a BUREAU OF PLUMBING
MADISON, WI 53707
UCONVENTIONAL ❑ALTERNATIVE [1,1, PI-I-D. Nnmber
E:1 Holding Tank El In-Ground Pressure [11 Mound f assigned)
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE.
Mike & Alice Sime R. R. 1, Badlands Rd., Hudson, WI 95_-9~- -dip p d
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT ELEV..
W4 NW-4, Section 1, T29N-R20W, Town of St. Joseph, Lot#1
N-P of Plumber. IMP/MPRSVV No_. Coumy Sanitary Permit Number_
Robert Ulbricht 3307 St. Croix 64844
SEPTIC TANK/HOLDING TANK:
MANUFACTURER LIOU10 CA PACITV. TANK INLET ELEV.. TANK OUTLET ELE V.. WARNING LABEL LOCKING COVER
/ td,_' PROVIDED PROVIDED
/ nYES ❑NO ❑YES I~1NO
BEDDING. VENT DIA ::~]HIGH WATER NUMBER OF ROAD: PR OPERTV WELL BUI ('.,G T TOFRESH
JAV'ERN
ALARMET FROLINEJLDIN
INLET.
❑YES NO ❑YES ❑NO NEAREST
DOSING CHA BER:
MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED.
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING I VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) ❑YES ❑NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing ji INGf H 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. LENGTH NO OF DISTR. PIPE SPACING COVER =NSIDE DIAuPITS LIQUID
BED/TRENCH TRENCHES MATERIALDEPTH:
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTH. PI Pf UISTR. PIPE DISTR. PIPE MATERIAL. NO. DYS NUMBER OF PROPERTY 777~LDING . VENT TO FRESH
BELOW PIPES ABOVE COVER El FV. INLET ELEV. END PIPES, FEET FROM LINE. AIRINLETI
r NEAREST--► MOUND SYSTEM: f
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
❑YES NO meets the criteria for medium sand. TIONS MEASURED.
❑
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
❑YES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH BED DEPTH OVER TRENCHL BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER IEDGES
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEV.. ELEV.. DIA. ELEV.. PIPES DIA.:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
❑YES ❑NO ❑YES ❑NO
COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
FEET FROM LINE:
❑YES ❑NO ❑YES ❑NO NEAREST
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNATURE. TITLE „ -'DILHR SBD 6710 (R. 01/82)
pia wisconsin APPLICATION FOR SANITARY PERMIT
01LHR COUNTY
~W oeaRRrmenr oc
(PLB 67) UNIFORM SANITARY PERMIT #
~ I mousrRV,LReifRf--UM-n Recanons ~J
4 ~ e7 ji
-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 OyVNER MAILING ADDRESS
/~Ii ~C'c' ~l Li•c~ Si ~f~ ,P f / ~i9Dvit.vDS
PROPERTY LOCATION ~Ir E.
. -(S ~ '
1/4 IJ(4)114, S T-'qq N, R 16 E (or W _TOWN0F.
~
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME -74' NEAREST ROAD, LAKEATE PLAN I.D. NUMBER
/ ao / s- 33 3 s~I y
'`~``'y ~s N 7t
Z
TYPE OF BUILDING OR USE SERVED
1 or 2 Family Number of Bedrooms: ❑ Public (Specify):
THIS PERMIT IS FOR A:
New System ❑ Tank Replacement Repair
1 Replacement Soil Absorption System Revision ❑ Privy
Alternate System LJ Reconnection (_J Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
Seepage Bed X Seepage Trench Seepage Pit ❑ Holding Tank
E_J System-In-Fill ❑ In-Ground Pressure Vault Privy U Pit Privy
Existing, For Which A Previous Permit Is On File, Permit # issued
ul An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total # of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity 26 p
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer: 40,5-_rX-5 ,,,e O ;D /
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): PROP ED (Square Feet):
< --3 6(, o 7r z .uES
Joint ❑ Public
S ' 70 Private __1
I, the undersigned, hereby assume responsibility for installation f the private sewage system shown on the attached plans.
Name of Plumber (Print) OMESITE SEPTIC PLUMBING gnature:
A/W{MPRSW No.: Phone Number:
RT. 3 O'NElt RD HUDSON WIS. ` 016 ( 3 3 a (7/S) 326 Pi
Plumber's Address:
WIS. MASTER PI.UMEER t-16 NO. 3301 MT R.S Name of Designer:
z 'IGNER 0C N0. 00663
COUNTY/ DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date:, El Disapproved
/q)/ 7' Owner Given Initial
/4a~4id 71 Approved El 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
HOMESITE SEPTIC
Rt 3 Pf UMf~ING CO.
APPLICATION FOR SANITARY PERMIT 0'NR ER HUDSON, WIS, 54016
WI S. MASTER PLUMBER LBRNOT3307 M.PRS.
S T C - 100 ktNN. INSTALLER & DESIGNER LIC, N0. 00663
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
Location of Property ~4 Section / T Z 9 N - R ~ W
Township S7' ' /
Mailing Address 2 ~y}~ j~,~Jj)S' ^T'
Subdivision Name 3 Z3 7s-5 gfcj-
Lot Number
Previous Owner of Property
Total Size of Parcel
Date Parcel was Created
Are all corners and lot lines identifiable? x Yes No
Is this property being developed for resale (spec house) ? Yes /1 No
Volume and Page Number ,7'? <d as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
C:L 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) eeAti6y that a,eQ Statements on this 6mm aiLe ttue to the best o6 my (oun)
knowledge; that I (we) am (ane) the owneA(e) o6 the phopeAty da n,ibed in this
in6o,,mation 6onm, by v.iA,tue o6 a wanhanty deed neconded in the 066ice o6 the
County RegisteA o6 Deeds as Document No. ~y ~3 :2 7 ; and that I (we)
pnLuentey own the pnoposed site bon. the sewage di. Pout.6ystem (on I (we) have
obtained an easement, to hun with the above d"cA bed paopenty, Joh, the
cons,tAucti.on o6 said system, and the same has been duty neconded in the 066ice
o6 the County RegisteA o4 Deeds, cv5 Document No.
y~
L
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
HOMESITE SEPTIC PLUMBING CO.
R1. 3 O'NEIL RD., HUDSON, WIS. 54016
ROBERT ULBRICHT
WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S.
WNN. INSTALLER & DESIGNER LIC. NO. 00663
CERTIFIED SURVEY SAP
Located in Government Lot 2, Section. 1., T29N, RZO~V
N42050'E Town of St. Joseph, St. Croix County, Wisconsin
300', MORE OR LESS Surveyed for: Arthur Keiper, Rt -2, Hudson, Wl 54016
N296.07 (N00 19'40"E 3G9.70'R)
N 0° 19' 40" E 369.!5' ASSUPAED BEARINGS REFERNCED TO
- t THE N-S,4 SECTION LINE BEARING
4.78' 364.37' ~Q.
o
w "5, 83, 058 sq. ft.
W (1.91. acres)
W o O SCALE IN FEET I'J=100'
' U') \ 0
o z N LOT 3 c`c'.i
W cD
LEGEND
m w I \ DESCRIBED POINT OF BEGINNING
FOR 70' RIGHT-OF-WAY(EASEMENT)
w 0 LL_
COUNTY SECTION CORNER
o ti BERNTSEN CAP
I" IRON PIPE FOUND
6 a" " \ (36970'13) r`O
CD ro W N,0° 19' 40" E \ 369.15' car- O I" X 24" ROUND IRON PIPE
""o
WEIGHING 1.68LBS./FT_ SET
a m
a I w~ - - BLUFF LINE
w
C()~ ~ EXISTING BUILDING
W 83,058 sq. ft. ,n<
x in Z ' 1 (1.9-1 acres) 0) L0
0 Z: rvi CORNER N0049'18"E SEC, I N I,T29N,
z~2
W 11 LOT 2 0j
I I I N 3.96'J~ 26 6.47
a N
0j < ,J
~N w
I I I r °
V_ a I S.E. CORNER ~
IN0°19'40"E J, JQ (369.70'R) L_0 T3` o
F- 369.15
rN 2' V!
w 180° 48 .42
0.30'R)
o ro 208,759 sq. ft. to meander lin°e.)'\, to
(4.79 acres) rio
' 237,924 sq. ft. I to water's edge X60 0
(5,46 acres) r~ '9 ,n a✓
LOT 9
-'S.W. CORNER iLOT 2
N
/ i
(D
3 S
N[k
a) Z'
f P~~
NOTE: This map is prepared to locate
and monument previously +iescribed
F, f
0-~ 09 / property lines, and to rna1Ce a permanent
w X56 record of the parcels and improvements
l5 as conveyed and recorded in Volume 515,
page 390, as document number 323755.
.
• r
DESCRIPTION
A parcel of land located in Government- Lot 2, Seca.
St. Joseph, St. Croix County, Wisconsin, described as
/4 corner of said Section l; thence 110049118"E(assume(.
OF SOUTH 1/4 Section line of said Section 1) 2626.47 ~u
< 'ne; thence DUE WEST 3.96' to a 1" iron pile at the monumented center o..
Section 1; thence continuing DUE WEST 770.21' (recorded as 773 0 101); thence N0 ' l,_• W
380.42' (recorded as 380.30')to an existini; 1" iron pipe; thence N0019'40"E 369.15'
.recorded as 369.70') to an existing 1" iron pipe and the point of beginning; thence
X189055'18" W (recorded as DUE WEST) 483.47'; thence N89°19'30"W 663.94' (recorded
as DUE WEST , combined distances recorded as 1154.91') to an existing 1" iron pipe
whic' iS q71, more. or l^_ss,'fr^m the w'a,ter'3 edge of the St. Croix River; thence
535028'04"E 461.24' (recorded as S36027'09"E 459.62') along a meander line to an
existing 1" pipe which is 72', more or less from said water's edge; thence S89048'33"E
(recorded as DUE EAST) 394, 16'; thence 589055118"E 483.47' (recorded as DUE EAST,
combined distances recorded as 876,31'); t?-ence N0019140"E 369.15' to the point of
beginning, including all land lying between tine meander line anci the water's edge of
the St. Croix River, containing 374875 sq. it. or 8,606 acres, more or less, to said
meander line, or approximately 9.5 acres to the water's edge, and being subject to
all easements of .record.
Also a n ~ivexgjusive access easement, '70' in width, located in said Government
Lot 2 the sQt-' line of said easement previously described as follows: Beginning
at the above stated point of beginning; thence N560I21E 296 ~ 071; thence N42050 'E 300',
more or less, to the Westerly right-of-wa-y line of State Trunk Highway "35",
I, James E. Rusch, registered Wisconsin 1_and Surveyor, hereby certify that I have
surveyed and mapped the above described -property; that such plat is a true and
correct representation of the exterior boundaries of the land surveyed; and that I
have fully complied with the provisions of Chapter 236, 34 of the Wisconsin Statutes,
the St. Croix County Subdivision Ordinances, and the Town of St. Joseph Subdivision
Ordinance to the best of my professional knowledge, understanding and, belief.
Jar.~es E. RuSch
a
Wisconsin Land Surveyor S-ij'(b
`~~~f'.
421 Second Street
%
Hudson, Wisconsin 54016 i"Mr_c c
s RUB,A
Januar;- 27, 1984
Hudson,
^~y Yiis. Q o
%
H
HOMES11L SEPTIC PLUMBING CO-
RT. 3 O'NEIL 0 U SON: WIS 54016
ST C- 105 r
ROI
WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. r
N7iNN. IN5IALLER & DESIGNER LIC. NO. 00663
SEPTIC TANK MAINTENANCE AGREEMENT
H
St. Croix County
OWN ER/ B-j4`E-}i C,1_
ti
/ m
ROUTE/BOX NUMBER ( ~Oed~.,45 /n n 'V Fire Number
C I T Y/ S T A T E ~U~ se-/ Z I P S yCS/
PROPERTY LOCATION: S~
. Section T N, R 20
W
Town of St. Croix County,
Subdivision Lot number
~fv 3 z37sJ '
Improper I
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
the system can affect the function of the septic tank as treat-
ment stage in the waste disposal system.
St. Croix.County residents m 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.
0
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- •y
ment of Natural Resources. Certification form must be completed
and returned tu.the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNEDv YY'l
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 ad~ireaa
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DEPOTMENT DUS , OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, C DIVISION BOX LABOR
N RELATIONS PERCOLATION TESTS (115) MADISON WI 539069
` (H63.09(1) & Chapter 145.045) G'QU f ed f ,Z-
LOCATION:' Aht~ SECTION: TOWNSHIP/+4I4 W_41A4La4Y: LOT NO.:BLK. NO.: SUBDIVISION NAME:
S(~J '/a /TL9 N/R 2OE ( r) s'- d-ox_-, !/o .s~ d'V`13-3
COUNTY: OWNER'SfBtN`ER'S NAME: MAILING ADDRESS:
~ • Go i ii ..e , lp-/' / ~up1o~J 4~ is . S5%
USE DATES OBSERVATIONS MADE
NO. BEDRMS. COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
Residence ~ ❑ New Replace - / p? 4 -4
C ~Lv fry -rig CDs
SCf ° 66'67/ 7-
RATING: S= Site suitable for system U= Site unsuitable for system
ONVENTIONAL: FMffOU D : IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANRECOMMENDED SY TEM:(optional)
Q s❑ u s❑ u s❑ u ]S KU
o sou 0o,)`F.J;;6~ G 7eFti s O;
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: CL/~SS Floodplain, indicate Floodplain elevation: `
PROFILE DESCRIPTIONS IN ~ tM L -frf- .
BORING TOTAL DEPTH TO GROUNDWATER CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSER ED (SEE ABBRV. ON BACK. ,
D ~r r 8j IS .2. oJO ' '(f 13 N
B- . ,
? 4 J f S rfAj U~.e C S /afrt ~iE~ .
B L RN . S'o 3
! ! / 9 ~a ~~j(! moo` FQ S 7 S
/ Q . C'S ,1U cJL
v c' S 6"_,-ex ejaje
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP ER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 2 PERIOD 3 PER INCH
P- SOiC a,Qj /~EUP L Al
P- ACco RD o SG OF
P EA AFL X Gco S <
P-
P-M 42A
Flom 7,1
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and shown their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. 441&A $-T 71P~47.0,~-k - SL. 0
SYSTEM ELEVATION Q
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This test siteAPPROVEQ
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord w h the procedures and methods specified in e Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
HOMESITE SEPTIC PLUMBING 54016 I/ Aa / ~If
lIpSON, WIS. ADDRESS: CERTIFICATION NUMBER: PHO E NUMBER (optional):
ROBERT ULBRICHT s,J -o j-
11114 MAR10 R LIC, NO. 3307 M.P.R.S 6 A
IGNATURE:
it N.INVALLER&DESIGNER LIU, NO. 00663
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
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PLOT PL-AN PROTECT I'. D.
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HOMESITE TESTING CO.
(i"r. . 3, O'NEIL ROAD BOB DL1;1j,~cjj Y
1rV1S..__ 54016 ^ G2 C574. y~Z
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PROPOSED HNSE MOST LIE Z~ Fr 0,e MORE F,POM jII TEST f3,PEgS,
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NOMESITE SEPTIC PLUMBING CO.
LicE~SE #RT. 3 O'NEIL R0. HUDSON WIS. 54016
WIS. MASTER PLUMBER L IC NO. 3307 M.P.R.S
`w'.;NN IN9TAI I FR & DESIGNER LIC. NO. 00663
Fresh Air Inlets And Observation Pipe
-SOIL TE5r/)3g 6y
MOM ESITE TESi':NG 1:6, Approved Vent Cap
10'NE« RC),,,)
HUDSON, WIS. 'x4016 Minimum 12" Above ~-n,l~l~~
Final Grade
/ow~s~ TC'Fu _ 13
M f~ x i ri v M--~
Above 4~~ Cast Iron
Pipe -
Vent Pipe
o Final Grade
Marsh Hay Or Synthetic Covering
Min. 2" Aggregate
F~ f4 Over Pipe
Distribution Tee
Pipe IF -00 0 0 0
Low "
1wrli6k l ~ Aggregate
o Perforated Pipe Below
Beneath Pipe
Coupling Terminating At
00
i ~R~^~ Bottom Of System
Parcel 030-2019-90-000 03/16/2007 01:20 PM
PAGE 1 OF 1
Alt. Parcel 1.29.20A26B 030 - TOWN OF SAINT JOSEPH
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 - SIME, SHERWIN G & ALICE M
SHERWIN G & ALICE M SIME
233 CEDAR DR W
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 233 CEDAR DR W
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.930 Plat: N/A-NOT AVAILABLE
SEC 1 T29N R20W GL 2 LOT 2 CSM 5/1433 Block/Condo Bldg:
ASM'T INC 030-2020-70(426J) &
030-2020-80(426K) Tract(s): (Sec-Twn-Rng 401/4 1601/4)
01-29N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.930 535,900 286,400 822,300 NO
Totals for 2007:
General Property 1.930 535,900 286,400 822,300
Woodland 0.000 0 0
Totals for 2006:
General Property 1.930 535,900 286,400 822,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 211
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00