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HomeMy WebLinkAbout040-1045-60-000 0 to O j 3 v n d C7 ° T`-° ~m M cn -I 2 v Z o rn= I'i -1 o ~C • n y O m N O p p p y (SD 3 O_ C A OOO _G IV _ I~ r1l CO CL z a N O CO v C W > ? ° U1 N N C- C) -0 N)CL n (D O O Q ~O1 C) C N : T O CF) ~3 7 N O o _ ~ v v - a (J) C D A m c? v°i W a m ' CL Ln 10 0 rt o m n CT) CL ~o C7 C/1 x z O O H n r Ch p ° c°°n can y ° Q v O 71 - ~E-, (D I-d O v v rT h ~J (D z o O¢S O a O H. -0 C 0* o CD CD ~j rt H o Lo. -a X (DD 4 ~ !V O 0 t~ ~O Ln N CD m o) rn 4-- Z 00 O N 7 W Cl- M w (D O f✓ z H z > CD W O 0 O a Z f/J • 0 CD Cl) CD :3 CD cn N C ".S CD N CD N I c m CD N t (y., ICO W z CD 1 O ' Z tyD A In ( o c , 0 H H C!1 0 n a co Z o N W T :~E N o CD M OD :d O a z t-h H 0 3 F-3 y z ri O rr w A w ~c ri N• O O rr o a ft m L:~ N f✓ 0 ct O a T m c a - ~ m z a O CD N fi A. it A' fi A i I N I [v O I O V A Oo CD 0 A EA O 00 p N a, ya 0 L ` y Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT !0 OWNER TOWNSHIP -w y SEC. T N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION/ //X LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM vERT. Pr = coocg k 131fs.17 /ooo O IgSy l57 jo to / 6/4t " y ~/E vfiTioU, %of' 6 Tip 11C,4 l oR I wlom ~l~ v 1 Tic,, > 50' x t ~,C~OQ05~0 ~ INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: /~O• C Proposed slope at site: ~2_ ~Po SEPTIC TANK: Manufacturer: Liquid Capacity: Ioz' Number of rings used: Tank manhole cover elevation: 10 Z ' S i lal Tank Inlet Elevation:/O/- Tank Outlet Elevation: 3 Number of feet from nearest Road: Front 10 Side,O Rear, O l1 ~r feet It, From nearest property line Front, 0Side10Rear, 0 'j feet Number of feet from: well yE building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capaci..t<q: Pump Model: Pump/Siphon Mauiacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevatiGallons per cycle: Alarm Manufactures Alarm Sth Type: Number of ,,.f et 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: Width: Length: Number of Lines: Area Built: 7 ,J Fill depth to top of pipe: r Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. 7~p Number of feet from well: /v S1'f11t'C Number of feet from building: (Include distances on plot plan). SEEPAGE PIT-- Size: -Number_,g€-'Tuts : Diameter: Liquid depth: Bottom of seepage pit elevat bn-:- 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: T From'; Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: r Inspector. Dated: plumber on job: License Number: HOMESITE SEPTIC PLUI;iBING CO. Rf 8 &NEIt AD., HUD-SON: MS. 540!6 ROBERT ULBRICHT W IS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. NJN14. INSTALLiR & DESIGNER LIC. NO. 00663 3/84:mj DEPARTMEN* OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 t CONVENTIONAL ❑ALTERNATIVE s❑ Holding Tank El In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATE Mark & Susan Hoffman R. R. 1 Box 102, Hudson, WI 5401 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF- PT. ELEV.. CST FEE. PT. ELEV SW% of the NW- 1, Section 10, T28N-R19W, Town of Troy', Lot #2 Name o! Plumber. JMPIMPRS,W N,~ Tnuity Sani!arv Permit Numt~e~. Robert Ulbricht 3307 St. Croix 69680 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACI V' TANK IN I.LT EIJ V IANK OUTLET ELEV. WARNING, LABEL LOCKING COVER PROVIDED. PROVIDED YES ENO DYES ENO T BEDDING. VENT DIA.. VENT MA1l HIGH WATFF NUMBE F ROAD. PROPERTY WELL BUILDING VENT TO FRESH ALAF FEET FROM / LIN` LAIR ILL YES NO DYES ENO NEAREST-- D NG CHAMBER: - PUMP M(IDFt r1..1P SIPHON ^..;.NUf ~.i:TIIREfi WARNING LABEL LOC,K IIN COVER ~MANUFACTURFR BEDDING LIOUII)(:APAC'I iY PROVIDED PR OV IDI DYES ENO EYES ENO DYES ENO I GALLONS PER CYCLE: PuMPANDCONTHOLSOPERATIONAL NUMBER OF rLHII WELL BUILDING ~ENTTOFRESH I. INF AIR INLET. (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ENO NEAREST---11 JI , - I, I,IMF TElt MATt HIAL AND MAHKINt, SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing or excavation. (If soil can he rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: - - WIDTH LENGTH NO OF DI$'H r I L IN. VLF IhSII:E OIA -F1 i5 UOUID BED/TRENCH f.r TIII Nt twI PIT DEPTH O FRESH ENT T DIMENSIONS l ! l4 +~re ! OF C; RAV EL OFPTI I FILL DEPTH LI l PIPF DISTR PIPF DISTR PIPE MATERIAL NO~D R `NUMBER OF PROPERTY IR IN BFLOwPIPF nHOovER ELEL I,ND PIP FEET FROM - ~ET NEAREST-MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslape: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. - TIONS MEASURED. DYES ENO L PC RMnNf NT MA HhE HS OHSEH V ATIOIV WE II S SOIL COVER TExn~RF _ YES _ ENO DYES ENO MULCHED DEPTH OVER TRENCH BED DEPTH OVFH THE NCH HEU DE PTII OF TIIPS(IIL SODI)E LI ISEEDF1) CENTER EDGES DYES 1:1 NO _ DYES ❑INO DYES ENO PRESSURIZED DISTRIBUTION SYSTEM: _ WIDTH LE N(,T11 NO. OF L A T F FIALSPACINC; (-Hn VEL DE Piif BE LOW PIPE F IT L DEPTH ABOVE COVER BE TRENCHES DIMENSIONS _ MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH L'ISTH PIPE UIS TR IHUTION PIPE MATERIAL 8i MARKING E I.FV EL EV DIA ELEV PIPES DIA ELEVATION AND DISTRIBUTION VERTICAL uFr coHResvoNOS TO APPROVED INFORMATION HoLESIZe HoLESPA( INa uHluE0001uTFCIIV COVER MATl_RIAL PLANS _ EYES ENO DYES NO PERMANENT MARKERS. OBSERVATION WELLS rNUMBER OF PROPEHTV WELL BUILDING. COMMENTS: FEET FROM LINE - L.I NO DYES r- N0 NEAREST- DYES - sketch System on Retain in county file for audit. Reverse Side. TITLE sI NAr~R t f f^ t~~lr~ ~Lr' l DILHR SBD 6710 (R. 01/82) mnm1~ wlsconsln 10 APPLICATION FOR SANITARY PERMIT J D' LHR PEB 67) S/ ~ O, ^ COUNTY oERRRTmcnT OF ( UNIFORM SANITARY PERMIT # 0~11111111 InOUSTRV,LRBOR&"umRn RELRTIOnS J ~J -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 OWNER MAILING ADDRESS 1%4k1,-' ' :51 S vSAN 01~f i¢N iPr• / 13oa( /o Z H u "O-AJ W PROPERTY LOCATION •C~~-p'; $W1/4 AJ414, S / 0 , T2-~ N, R E (0 r)(W3 TOWN OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, L K STATE PLAN I.D. NUMBER Z C'.s X10% y h e- 1 t d'3 TYPE OF BUILDING OR USE SERVED X 1 or 2 Family Number of Bedrooms. L- Public (Specify): THIS PERMIT IS FOR A: X New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE: THIS BLOCK. ~Q Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank J System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued An Existing System That Has Been Inspected Arid Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: l~~E~$ G gLCJ / Z:4 4.9 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 (Square Feet): y~C2 ~OlS fl ~~'Sz A X9 Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of PlumbeH6fttSfIt SEPTIC PLUMBING CO. Signature: Idll3-/MPRSW No.: Phone Number: RT. 3 O'NEIL RD., HUDSON, WIS. 54016 ~ 7 l T!s) ~ Plumber's Address: r / ^r A~ Name of Designer: WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. d b/ COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: Disapproved C7' r Owner Given Initial 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 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. HJMtSIIE SEPflC PLUMbINL 0. RT. 3 O'NEiE RD. HUDSUN WIS. 54016 ROBERT ULBRICHT WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. APPLICATION FOR SANITARY PERMIT MINN. INSTALLER & DESIGNER LIC. NO. 00663 STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequaoies 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 Section T' N - R W Township %U Mailing Address ,r - Subdivision Name Lot Number 1 l ) Previous Owner of Property Total Size of Parcel "Zc"Lig Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number P~ 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. PROPERTV OWNER CERTIFICATION I (We) eenti,6y that at°t statement-6 on .thib 6oAm ahe tvie to the beat o6 my (oun) knowte.dge; that I (we) am (eAe) the owneA (d) o6 the pnopWy deb cA i.bed in .thiA in6o4ma.ti.on 6onm, by viAtue o6 a wa4Aa.nty deed on~ed in the 066iee o6 the County RegiAten o6 Dee& as Document No. A105 /1 ; and that I (we) pneaenttey own the p.toposed &ite bon the sewage diapozat byd.tem (oh I (we) have obtained an eadement, to hun with the above de.6cJii,.bed pnopeAty, bon the cone.th.ucti.on o6 ea.id 6ys tem, and the dame has been duty tecoAded in the 066ice o6 the County Reg.i.a.ten o6 Deeds, ab Document No. ) . SIGNATURE OF OWNER SIGNATURE OF CO-OWNER ( FyAPPLICABLE) DATE SIGNED DATE SIGNED H HOMESIfE SEPTIC PLUMBING 0. cn RT. 3 O'NEIL RD.; HUDSON: WIS. 54016 H ROBERT ULBRtCHT S T C - 105 a r• WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. r' MINN. INSTALLER&DESIGNERLIC.NO.00663SEPTIC TANK MAINTENANCE AGREEMENT a H St. Croix County o z d OWNER/-BU-YER 9 a_/ 41, / c ROUTE/BOX NUMBER ✓r/- ; -I M Fire Number CITY/STATE 411 o' I L. ZIP PROPERTY LOCATION: 4, Section fc T N, R W Town of- St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could reult I its premature failure to handle wastes. Proper maintenancescon_in 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. ti 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- n ment of Natural Resources. Certification form must be completed H and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SICNED DATE St. Croix County Zoning Office P.O. Box 9S- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. v v -r m x , fD N C C N 3 0 p io N (D CD n n (~D 7 N o a3 -o9 w w wz w R S. Cl. CD CD = = ° c = 3 cn cn o = A H 0 FD -0 (D O h ' C C o~ n wo~wO~i~ co~Co m~OaNA Q 0 -0 :3 CD 4COD. ?0oCD CD CO >>Ej cos¢iOO~ oo =C-C:'C, 5,- w13: 3 -^c o S.3 ao O'Z~ ccr on o ~ =CD o -o am O 3 A (D c o N (a Q A 0 !O!> c O D C n cD Vl O = 01 n. O p = c S 2,9 a 0 O +l' w 0 0- Q. a' w C Cl) p UOi N c?p P1 Ul Z 0 CD NCO m~CD?a D D m am,0 o m 'co u, r a s sC w 0o Q(a a O N J aan N M Fp* 0) m 3 'D CD =r CD c? O_ ~p to N n (n CD U) 0oc° 0D V N O C c ~p O N W O Oa 30 cci► c n m O O cDaaaa.-. 0.0 f 7' Ui < co 'D 0 c~~ Oc m0-no c cc to O ,n <O 7 O to 0 N - ~ CD 0 no oco a c m -gym S co 7 0 0. = C (D O po °c3 0~ 0°3 m A~ p•« a 3' d CD O 0 3' a 0 DEPARTMENT CAF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.OBOX N WI 539069 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) L CATItDN: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: o /Tie, N/R t~W -T--.-:-s- z - S~ v~ COUNTY- OWNER' BUYER'S NAME: MAILING ADDRESS: ~ ( 1 ~ ~ . t _127-~> Cl z U L,LjI S ep / C~ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMME-- .RCIAL DESCRIPTION: PRO ILl DESCRIPTIpNS: P~RC _q N ESTS Residence UrtKl~d~,v - i I 1 JNew ❑Replace 71345 v 7/3/~S F5 1 : C~~ RATING: S= Site suitable for system U= Site unsuitable for system CO~PiJV~ENTIONAL: MOUND: IN-GROUND PRESSURE: RECOMMENDED SYSTEM:(opiional) LJ STEM-IN-FILLHOLDINGTANK: s ou MS ~ 0 MS ❑ SY u [ s_ou El s 0 ~,NU~IU; /vAlf4L-- Tv ~7 Tests are NOT required DESIGN RATE: If any portion of the tested area is in the [,liI.Percolation der s.H63.09(5)(b), indicate: Floodplain, cate Floodplain elevation: A I i A ,IL, -7¢ PROFILE DESCRIPTIONS "D (L 5: f3~1r` NSlf=i:~. r - L~ 3 i BORING TOTAL PT14 TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. I ,HES ' TO BEDROCK IF OBSERVED ISEE ABBRV. ON BACK.) B- 5-C 7; 13" t S, i 0 B- ~o B( ~4; ar, Nlc~ S,q-7 ~r~l. 31 z4'~ s ~ t f4; gr, Med 5 ,,W/C'R ~ cog, B-4 - >4 61 14 Fan st1 14 - gr~ B- r~ le~ 4 roc, 7©/~( 7 8 4 B- PERCOLATION TESTS NOT-I--; CC>AA(>4- Kt r"'rL/ TFST DEPTH WATER IN HOLE "TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL MIN. PERIOD 1 PERIOD 2 P R PER INCH P. 4-3 3//m 3'~a a /i is 1 P- J ry '~/6 t 'ti Z 5~5 I P- P- P- 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 show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM. ELEVATION I t~ I Pte' (2-Cv ti i. l e T0 P S€ e1.o 1 s v fT, N S P r 011 Cqo T N . O i i 0. t , s n - i a'7 Q 1, the and signed, 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ADDRESS: _ CERTIFICATION NUMBER: PHONE NUMB ER(opt ional): (71S) `56 74 CS GNATURE: 17 v- DISTRIBUTION: Original any nor ~ opy rn I nr;l~ n.uth-)i tv. Prope; ry Owner And Soii Tester. ~c N& I € UC:g RIIi'llil's i O 1t%ii-AiLi T l ` t ;.'i I'H,, vii) '63 ,95 it a i, Aoii,t) Il"ht 1in,"i ,ri,WAO who Winn itS1t+.l" t..,wt i iowc-I' fVIA)n 1110,);,I nrstili"el (it twtiruoni, Y~ Coil' I (I". t,l;tunc(f; f fli; ~,,V 01 If I,l t lA)IrI)T /Stein; t ; r . i r l ~ ; l ~ r l m,, ~ ' t - Huh1y I , 1 " P I 1"), 0 . A SITE I S .`i i l WWI I it o ! 0 A Pli}li TANr WE Y IV Af_I 011111!StS!CiVSAH RULl-0OUI BASE 10 iL 4C)1Ut)Ri NISd ; i ' I . I `iSi l i , i , l l ~ t : l 7 1 7 i v .;jli1!%iJ J I I t t , W 1W H 110 t 1 i t ( t i t ( 1 l ( i l F l t ; fIt.~v'fsLlhWW A L M i!lt5i( IIN the WOC(WH MAKE A I (JiBI1.1: rliayta+n "t(,c itrt,dy Imallnq yoitr teat luamlr)s. Dtdir,inta tit st.alt~ is hrr~iern3d. H , urc yutir t5r.nt. ,r„_a k ,,~u , atif it ,!I,>,tlit,rri it ti twice ;ltAm in i Knoly sf,t,wn, aK:i;Hv l,rimanm,t, 1. Gtt.rnplcte all dti(now mw tiumb ds to cats ey ImnHt athhn-is tluoa Yairt Llo , pa t:U(owin Wm to ir,1= titiiq if. ijiCwoluhvlo; I! ,h,° ir,!ttiin i'.i" h „a linu;i p{3in, t~levdCicsn),au~' tiot jd,a.i' 1\1 A, ti. ;-,i,tri the; i„rrn aili V ic!- youi cuiftrnl ~idtl,c..,s .u,U yn;n ct'rritic~;t?c~n 111fil1twr, as rd(tuircrL rs.(ttlLL .`',l!I[_ II.;~IS ~,1L:71 i i.)i.t _>~_I t'1~ ~•itli it ~,L [F ,:n { t.~ 4i - t.! Sx~~al 1. 1 {rl '~1~a3 w, t Ei:n .l Li i rt: f i s , ;i<ltii f3Vt1+J r~ .t -J =:jC ,tilers.. Wd K T° //Wy 35 Co v/ ~ CN s. P Pacut,e ,BOX /PEf /0 0.0 1'J 4, ~PPRovFV ~o ~.fTE~ i9 r- I~ ° 2tp~litce.rr~ •c, r a3 - v U-) ~S ro OR,MVecl~ V ~ ~ ~o~ loo' ro Se'p1`~c T~9NK r z pOPos~v Wal v Fresh Air Inlets And Observation Pipe ~ h 0 Approved Vent Cap Minimum 12" Above Final Grade 30 " Above Pipe 4 11 Cast Iron - io Final Grade Vent Pipe HOMESt1E SEPTIC PLUMBING ~0' R IS. 5401b HT. 3 O'NEIL RD. HULBR tCHT Marsh Hay Or Synthetic Covering WIS.MASTERPLUMBERLIC No. 3307M.PR.S. Min. 2" Aggregate MI NN. INSTAUK & DESIGNER LIC N0.00663 Over Pipe 411~ I.&- Distribution -Tee SD~~ Pipe o-0 0 0 0 , Aggregate o Perforated Pipe Below D cr. Beneath Pipe 9 0 Coupling Terminating At Bottom Of System Parcel 040-1045-60-000 01/25/2007 08:37 AM PAGE 1 OF 1 Alt. Parcel 10.28.19.150F 040 - TOWN OF TROY 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 - HOFFMAN, JANET A JANET A HOFFMAN 615 COULEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 615 COULEE TR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.788 Plat: N/A-NOT AVAILABLE SEC 10 T28N R1 9W SW NW 2.788 AC LOT 2 OF Block/Condo Bldg: CSM V 4/1183 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/07/2004 773528 2650/207 QC 07/23/1997 797/628 07/23/1997 722/24 2006 SUMMARY Bill Fair Market Value: Assessed with: 158055 232,700 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.788 58,000 154,300 212,300 NO Totals for 2006: General Property 2.788 58,000 154,300 212,300 Woodland 0.000 0 0 li Totals for 2005: General Property 2.788 58,000 154,300 212,300 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