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Parcel M 29.29.19.817 020 - TOWN OF HUDSON Current 1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner * ZAPPA, DONALD E & JUDITH A DONALD E & JUDITH A ZAPPA 720 GLENNA DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 720 GLENNA DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.090 Plat: 2356-PRESIDENTIAL ESTATES SEC 29 T29N R19W PRESIDENTIAL ESTATES Block/Condo Bldg: LOT 8 LOT 8 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 684/176 2004 SUMMARY Bill Fair Market Value: Assessed with: 48903 274,900 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.090 27,500 185,200 212,700 NO Totals for 2004: General Property 1.090 27,500 185,200 212,700 Woodland 0.000 0 0 Totals for 2003: General Property 1.090 27,500 185,200 212,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 112 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 Fo rm - S T C - 104, AS BUILT SANITARY SYSTEM RE'PONT OWNER TOWNSHIP SEC. 1' N-R~ W ADDRESS /O'~~~ _ar`~_ < < = ST. CROIX COUNTY, WISCONSIN SUBDIVISION PwAL _ LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ti 6"1 SHOW EVERYTHING W.L1111w .fin FEET of, i.l'EM ( havSG V~ 3 ~ zoo Z ~ ~ I Z ~n35 72 N5 rl ~ BIA7 \1 INDICATE NORTH ARROW bENCHMARC: D,rscribe thc_ vert i cal rel ~reuce point Elevatioi of vertical reference point: Q 7 Proposed slope at site: SEPTLC T1NK: Mauutacturer: Liquid Capacity: 00 Numb-!r of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Numb ~!c- of feet f-rom nearest Road: trout Side,0 Rear, (D feet ~ ~ i i1-- G'rom ❑e:_irc:A proprrCy I -iw truuc ,O Side, Rear, O feet Numb-2r of feet from. well building: (LnClnde this informration of the abovu plot plan)( 2 reference dimensions to septic tank 5l_C 1(I'VI I?';I' I Ill: PUMP CHAMBER Manufacturer: - Liquid Capaci t. y : 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, Side, ~Rear,0 Ft. Number of feet from well: Number of feet from building: (include distances on plot plan). - SOIL ABSORBTION SYSTEM Bed: Trench: Width: Length:' _3 Number of Lines: -A-------- Area Built Fil.1 depth to top of pipe: Number of feet from nearest property line: Front, 0 Side, ~ Rear,~Ft . Number of feet from well 7 Number. of feet from building: _ _ - - (7.11clude di st~lnces on plot plan). `;HIEPACE PIT Sizc: Number of pits: Diameter: Liquid depth: Bottom of Seepage pit elevation: Area Built: T^ Has either a drop box 0 or distribution box 0 been used on any of the above soil absorbtion sytems? (Check one). IIOLDING TANK MaT1UfaCtllrer: f/. Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, Side, Rear, Ft. 0 0. 0 Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm N3nufacturer: Inspector: Dated: Plumber on job: , License Number: DEPARSMENT 41' INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON,J,!VI 53707 XCONVENTIONAL ❑ALTERNATIVE State Planl ) .D.Namber ~ Holding Tank ❑ In-Ground Pressure ❑ Mound (If assigned NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE- Don . Zappa 552 Lemon St., N. Hudson, WT BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.. CST REF. PT. ELEV. SE SW, Sec.29, T29N-R19W, Lot # 8Presidential Estates,Vill. of N. Hudson Name of Plumber. MP/MPRSW No.. County. Sanitary Permit Number Roger Evenson 4183 St. Croix 49439 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELE V.. TANK OUTLET ELEV.. WARNING LABEL JLOCKIN COVER r ~ OV IDED PR ID L✓ C I J C l s YES LINO YE LINO BEDDING'. VENT DIA. VENT MATL. JHIGH WATER NUMBER OF ROAD: PROPERTY 1WELLLL~~~ BUILDING : VENT TO FRESH f~ ^ / ALARM FEET FROM ` LINE.! LAIR INLET. EYES LINO (f ` ! ! EYES LINO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP 1D EL UMP/S4,MOTV MANUFACTURER WARNING LABEL LOCKING COVER y / PROVIDED PROVIDED EYES LINO EYES LINO EYES LINO GALLONS PER CYCLE: PUMP AND j NT RID L PEWA T10YAL NUMBER OF PHOPERTV WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM uNE I AIR INLET PUMP ON AND OFF) Y ENO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the dept T of plowing LENGTH 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: BED/TRENCH WI TVHSIH NGTH NO OF DISTR PIPE SPACIN(, COV JINSIDE DIA PITS LIQUID DIMENSIONS TREIZ!'HEs / ER A PIT j- DEPTH GRAVEL DEPTH FI L PIPE DISTR DISTR. PIPE MATERIALNOIS R NUMBER OF PROP RTY WELLBUILDINGVENT TO FRESH BELOW PIPS ABOVT IP FEET FROM LI"E AIR LET1 1 N_S EARESTs (L , MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- E YES LINO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS EYES LINO EYES LINO DEPTH OVER 7RE NC HBED DEPTH OVER TR ENC H;BED DEPTH OF TOPSOIL SODDED SEEDED ]7_IYAE D CE NTER EDGES EYES LINO EYES LINO ES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. TRENCHES LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH . DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE JMANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV.. DIA. ELEV.. PIPES DIA.'. ELEVATION AND DISTR IBUI ION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS EYES LINO EYES LINO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY JWELL: BUILDING. FEET FROM LINE ❑ YES ❑ NO ❑ YES L1 NO NEAREST 7 -S lr 4S ~ 5l Sketch System on Relain,), i county file for audit. Reverse Side. x; - f SIGNATURE TITLE w '.C ' DILHR SBD 6710 (R. 01/82) wls~onsln APPLICATION FOR SANITARY PERMIT ST, Gia-U 1)( COUNTY ~DILHR (PLB 67) ~ OEPRRTTT 1EnT OF UNIFORM SANITARY PERMIT # InOUSTRV, LRSOR 6 HumAn RELRTIOnS -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 OM"UP9 Ila, V MAILING ADDRESS TDa4 ZA-PPA ,5 LeMoff/ Sa ► A/c, vDSone 11 t74-o PROPERTY LOCATION C9"?': SE 1/49A/1/4, S ?_c , TZ N, R 6 g W TowN cF TC J DS O/ LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER h:! ~R~ESIDC-NTIry~ E:TAT~S 1-74 C_4,R IC,ffA t_ ah~ p TYPE OF BUILDING OR USE SERVED d aU 1 or 2 Family Number of Bedrooms. ❑ Public (Specify): tl THIS PERMIT IS FOR A: New System ❑ Tank Replacement ❑ Repair i❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Y 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 Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: 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): i Sea5 'f AAA c 0 840 (0 4 X3 S L 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): Signatur IMP/MPRSW No.: Phone Number: 0L,E~2 aVENSo"i pa (715-)3 &S, Z'3, Plumber's Address: Name of Designer: 4 1 Z 5% ~DSc/v COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ' -y r U ~ I❑ Owner Given Initial G U 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. APPLICXf ION FOR SANITARY PERMIT S T C - 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/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 ac ^J A L so z,+(-PA Location of (IProperty sL ~4 Sit/ ~G, Section T Z-~ N - R /9 W Township V ©S O Mailing Address S5 z L~ yt~ pA) Subdivision Name Lot Number Previous Owner of Property ~,q.fLtz ~ CL L~ Total Size of Parcel 09 tt( Date Parcel was Created /(~)C,50 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number - / Z 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Lt1ND CoNTRRGT PROPERTY OWNER CERTIFICATION I (We) eeAtt 6y that aU 6t nt6 on thiZ 4o4m cvice cue to the best o~ my (ouA) knowledge; that I (we) am Wane') e owneA(a) o4 the pnoperety dact.%bed in this in6onmati,on -4onm, by vi tue o6 a neeonded in the 066ice o6 the County Regis teA o 6 Deeds ab Document No. J 4-) Z ; and that I (we) nuent,f owpq_.the pnoposed site ion the sewage dizposa -ays tem (ore I (we) have obtained an ea6ement, to nun with the above de cAibed pnopenty, 4on the coast ucti.on ob said .6ys,tem, and the same has been duty ,uecoreded in the 066ice o6 the County Regi6-tvL o~ Deeds, a6 Document No. S GNATURE OF OWNEd-I 'F SIGNATURE OF CO (IF APPLICABLE) DATE SIGNED DATE SIGNED YRfi i fYif'NT OI= AND ~ SAFETY & BUILDINGS tf~t~115f1?Y, ON SOIL BORINGS DIVISION LABOR AND ~j E r REPORT # ~OLATIO TESTS (115} MADISOP.O. BOX 769 H 0HUMAN A~! RELATIONS l I N, WI 37 4163.090) far Chapter 145.045) fTOi:RT'INIT--~ SECTION - TOVVNQ /fv1UNiCIPA1,II Y: _OT NO.TI3LK. NO.]S~UBDIVISION NAPhE: 5e` i4~4 ~ fl /ij E_ -t~ESIDENTIP~~ ESTATES :OUNTY: ---0;^N~INER'~EFtS Atv1k - MAILINGADDFTFSS: 1+ r5 1 JO l~I . ~f~ 55-L LEMz_7n1 sT No, ~ UDSo/v ~J~ • _a"~l-v/~a DATES 013SFRVATIONS MADE _ - 10 BEYC 82AS,: t.OMti1Ff?CIv1L DESC:rSIFLION: - PIiOFII E j~ESCRIPTTOfJS: [F2(bLA ON TESTS: ~~Residence New ~_~tieptace _ - f 7 - [ Sup- K-14101% P- U -r -15 NA M E- I- RATING: S-- Site suitabt. tor,tsyrstarn U= Site muitahla for syi~tem IAL: tiM1Oc1N it IN C,RC7iLtJDPRES,Ut?f`?~SYSTFtA-IN-FILLROLDIN GTA NK. if_ COMMFNUf.F1 SYSTEM(optional) - - ~J-«tw.l ~ 91 S EUEIS^Mu KONVENTIod-f-t_ TbEb t Percolation Tests are M(U required i)fc:>IGN 1lA"ff ' - A' `if any portion of the tester! area is in the it s.HG t.09(9)(b1 Catr: IY LFloodpiain, indicate Flooiilrlain eir•vation: f~ PT PROFILE DESCRIPTIONS 9:)liING "LOTAL D -f TO GROUNF'r?/dn"LER INCFtLS CHARACTER OF SOIL V11T1-1 THICKNESS, COLOR, TEXTURE, AND DEPTH ELTVATION I II ~ti1Li_:R DEPTH -r•)flSERVED _ ~tST. IEIGHESTi_ TO BEDROCK IF OBSERVED ISFE Ai3BRV.ON BACK.) _ 00' o . 67' 8L _ L; 7-33 ' ~ " FY1 S o S C S tit/ Ca . I B 2,04E `;3 58 h,i~>Nc }~,OOr o,g3' Sl L T 17' F3tj MED S GS w/G- S,oor , cD,nZ ~{r~n~c B,oD, 0'4Z P, t- 0-4-i T-Z~ N L5~ 7117.' r3v ru S ~B- 4- c3,00' &Jny ' 7 3,oa ` o,~8' gL L'j C', 4Z' 13rj LS; 7,00' (fir/ b 01 5; - - - R- 6,713' ~ 1, L j G- 4Z ' 2-1 M'r S S 1u~- ar.~ PERCOLATION TESTS - \I U M, 3.r't; CCi f~f=ES N ~S V j I' auJ Ate; r'T Fo, TEST DEPTH ViATEA IN IIL~ & TEST "f it+ilE DROP IN WATER LFVEI_-INCHES_ RATE t,41f1UTES NRJM3EFk' S AF"LEf?ShVELL:1aft INTERVALIG11tJ: iF~n~ - 1_- _ _ PEREbG - vPl'FiTbB_t PER INCH P- ,,I or PLAN: Show Icrations of perccnt:tton tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Descrihs what are the hori- zontal and vertical ele union reference ;mints and show itheir location on the plot plan. Show the surface elevation at all borings and the direction and percent of land stripe. SYSTEM. PELBIATION O I i-° 7Gca ~ FOTI °J ir) µ 1 _a -t ~w 'j' t E r S Q: F fi- NiG all4,~4 I i E I r~; , j ' yJ `t~~ F ,t+ } t T ; Si I ~ 1 ~ r L. I i t a it:P /0 i I t - - - - - UT! CC CQ? L oI. c.~ Id,n~; I 1 I . 0. N 0 C) Lb ~ t 0p\, I f , s p y wP-d r•,: ~ Z h 1 t LI ~ I. _ _ ' j ' O ' i I c -k____- ii✓_._ _r-_ ' ons vran - = v is 0 ffud ir'` .F.o,a Q\ tfis co .o a 1 % I fb U 'Ile 41~ rhho 12- 1, tf-.e undersigns d, hereby certify that the soil tests reported on this form were made by iq accord with t`Ze p oced,rres and methods specified in the Wisconsin A o.,nistrarive Code, anti that lie data recorded and the location of the tests are correct toYhC-qst of my kn tledye and belief" ~`~1 (print - TESTS Jrrril (Ot3P:E7El~ OrJ: r, CER fif-ICATION NUMBER: PHONE NU GF(;loptlon-;ij 10 CST/SIGNATURE: F)f:LRi[:Ul lQN 0:;:,-n)l -$n on. "np,: rn t_.,..! qutil-xlty, Pri~;ll.; ~y r .~n.,.:mcl S.,ii Tester. - - R.5 7 O-T w~ 3 z L E tai r,J ZZ7.3' o F:~C} R.E, N o t- c TEST o P E R_c..ca I-N-ri O J a tT LOT ■ PC~o~osFn sEPT?~ T~~ L.oT o P P-10-PO SEC) N wT co ar~ Q.o l N = I ~ O ~ ± OK..IGInJA-L i5 u o, /aLTE~NATE ~N o BENCH N1APU. IS T'OP o OF I" PIPE- ELEV. ~R- {Z NSo~J A 0 0. O o a e 1200 (*AL, - 35 SEPTIC -rAN< - N oUSE P-4 O PELF, PIPL' ~RVV ~O VI D M ni ,vi u M N P-1 y O i of E ~ S I i~ dwn,3 CfB 9C~ ~1SJ.s +id tvoilnQj i'V151 Q rvo-~~8 _ T Nom. ~11d~S eiNlc- oav s S ~Sn°rI i da 'ILI Crc) SS lut", l~rl~ Frsah Alf Inlete And Ob6arvation Pips Approv40 Vent Cop Minimum 12" ,e - Final tirade :IU - 42" Above f'Ipe 4" Coal it tin To Final 4raaa Vanl Pipe Moran Hoy Or $yninNic Cavei my Min 2" Agyrayolo Over Pipa Oiatrlpullon - - Tao plea 0 0 0 0 0 b" Appr •pul• Parfurofed Plpe Below 0 8enealh F'Ipa --Coupling Twininalln0 At bottom of System o !t SOIL FILL DISTKIBL1TI0l,.11 PIPE - APPROVED S'-jt,1j1-iETIC COVER MATERIAL 0~- 9" 01= STRAW 2"OF hGGRF.GAZE ~A~su 41 A`1 2'1Z AGGREGATE i PEE DfSf RiFUTI -)M PIPE TO BE. Al LEAST -7 _ ttd BFl_Uw OR1GWAL GRADE AIJ1) AT LEAS" .,?C) IKICNEC BUT 1.10 MORE TNAfJ 12 IAICNES dLL.OW FIFJAL GRADE MaIMUM p€pTr► OF EXCRVATmi,) FRorl Of I&WAU &RAK wILL BL F%INIMUM ®CPrli OF FXCAVATIDW fKOM. C~li(,WAL GRAVE WILL BE 1. 57 L. I G E: R1 S E ►,J lJ M ~t E i~ : ' `i'~~ 3 ' I D ATE: C 9" Dimensions of system area