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HomeMy WebLinkAbout020-1122-40-000 Q 0 N O N o y ° E C o N O X n X O a V O_ U N N O O Y O C h N 0 O (D 7 O m v) a~ ~c w p o o o p = - c Z o n L_ N LL C O m 3 2 q? U N 75 v) Q ~ ow ~ 3 M v ! o Z N rn w o rT U) y O V p z 1 m N w N CL co c C7 o z v ° Z) o Q) z a U) F- O C m c (V N O c ►1~ N O O O d t O t0 N ~ O U U O m O N Q w N Q o Z m z 15 Z O o OL C L (D ❑ 0 (1) w CL m 43) 'O N N N N o 2 73 ❑ ❑ a E w ! c F- cn F- ! J 3: 0- UJ •►NV a a a a ~i (L 6 7 O Y W N w U rn rn } M (O O _ N O N 0 - N O C) O O O O -O O N (D O (n 2 N O Q U) 6 ^~i O O O N C O C N E to o a, _ yap rO pV w V Lo ~ N rn c9 N 4~ N O C O c N C m o Lo N o Z w o ° ~ c a o ( a (D oo E • o 0 2 M O z O fn ! Z O F cn v ~ °3 ~t _a ' a a • ces a- m .gym °w' c t A U CL 0 U) U a o 0 o o 0 ° y c~ ap ~ be, m, 4 O E M O -0- N -0 N o y x r v M N 6 0 O i C ~ C N O >N O 7 O N (6 N N ~ C y O O _ O a O - - Z O N L N . 7 t0 LL c ~ M 3 a U m ~ N C 0 Q c m o 3 c-> v ~ ~ Z N o) W O N = O L L Z N d N W a m c C7 O Z d c: : N a0i Z 2 c N H m C c E 7 ~ N CM CY -~V N N N N N O O O ~i O o O Q w- 0 N zmN z °zo Z C M d m O 0 a) N 0 ~l u) fl_ w N N N d L cu c cm cn u) u) W O O O N 5 O O O •N m = a a a a c 0 ~ J (h m v) 7 O (n J U ~ cc) cc) N r is O O - N O O O ~ ~ N ° ° v m c n rn o N -Oo Q r cn Q C 3 O 7 N N V 15 :a N C -o E LO r c a o 0 0 v N Qj c O V C - N O N L" m O LO N N Z N rn O N r N U C N • O C)= 'M O z N Z f-rL' U m w a a ~ a a Q d V d N C ~V r.+ E i C C 3 A v a 2 0 in 0 Parcel 020-1122-40-000 03/28/2005 12:02 PM PAGE 1 OF 1 Alt. Parcel 07.29.19.541 020 - 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): * = Current Owner * REINSCH, BARBARA A BARBARA A REINSCH 377 KRATTLEY LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 377 KRATTLEY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.090 Plat: 1925-EAGLE RIDGE SEC 07 T29N R19W LOT 12 EAGLE RIDGE Block/Condo Bldg: LOT 12 F/N/A BARBARA FLOYD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill M Fair Market Value: Assessed with: 48629 244,600 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.090 28,200 161,000 189,200 NO Totals for 2004: General Property 1.090 28,200 161,000 189,200 Woodland 0.000 0 0 Totals for 2003: General Property 1.090 28,200 161,000 189,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 111 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 41) cn co o 'S X20°3?':rz o "6° lot °h 28 ~61 N 88°19 30ItE 440.09 ~ \ 4 - 9 7.19 238.16 10 4.74 W 660 ~2 ~ ~ N6 24-5 6 cn N66 14 s 3.74 ACRES 13 Q ~ r 1.97 ACRES r \z, 99 X312 +a/ / ii v T?°38'2 ~SSa 1.09 ACRES 0 W 294 90, ,A), moo,, o 4,SS° A9 3R , o \pK \O 6`S 3S3S" ~6~J, 3.93 ACRES 9 98°4040 ti !.49 ACRES a SS° o R9 2~ 02 Aso ~o 9 4 d< 138.00 ' S 89°04 50 A o `?S , 9 0 RgS - ,VO ~ 9g N O ti LB S~ x - co 8 3j, 103°53 10 PIl 00 L8 2.23 ACRES 3.68 ACRES Cn; 's z S~~' X23°35 0 Q, LE 01 S~ -00 N C 00 I E ai O 3 0 t AS BUILT SANITARY SYSTEM REPORT OWNER 5 TOWNSHIP `1 G SEC. 7L/G" a N-R~ ~W ADDRESS l A- J~ ST, CROIX COUNTY, WISCONSIN. SUBDIVISION L~/a ~rol fir, LOT ( 2 LOT SIZE PLAN VIEW Distances and dimensions to meet requirements,ol; H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ii i I dic at N r h rra w - J-L BENCHMARK: (Permanent reference Point) Describe: c- r I l= Elevation of vertical reference point: Slope at site: Z SEPTIC TANK: Manufacturer: ~~l ~ s~ _ Liquid Capacity: jU~'~' cry / Number of rings' on cover -Tank manhole cover elevation 'l'ank Inlet Elevation: 61, Tank Outlet Elevation: PUMP CHAMBER /~ManufacturerNumber of gallons AL Number of gal,. pump set for a cycle- /1/ 4 gallons; Total capacity of distribution 'lines ~f,4 gallon: size of pump 4- head gallon per minute ^/jT horsepower /t/.4 ---;brand name of pump and model number Type of warning device HOLDING TANK: Manufacturer-- /L/~ Number of gallons Elevation of manhole cover____ Type of warning device ~/-/t - SEEPAGE PIT SIZE; _ Number of >its fL~~~ feet diameter feet liquid depth 474 seepage pit inlet pipe-elevation Nom{ bottom of seepage pit elevation 1/t/ feet. SEEPAGE BED SIZE: number of lines width 2 length 70 the depth SEEPAGE TRENCH: width length 4- PERCOLATION RATE ? AREA REQUIRED- C~ 7 AREA AS BUILT- INSPECTOR DATED PLUMBER ON JOB- LICENSE NUMBER i t J~ kn cr w~ T.~ S Min (/Ily Jtlt~(~(J ~ y , AS BUILT SANITARY SYSTEM REPORT chi 6'04-"j ~ i' N-R'`~W SEC . 1 r _ OWNER t' TOWNSHIP ----SEC. ADDRESS ST. CROIX COUNTY, WISCONSIN. j~u~GiU~) ~~l y Gag S"lH U f y LOT SIZE SUBDIVISION Ile AJel~ - LOT 1'2- PLAN VIEW Distance's and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Uild(ate N r h Ir w ttl BENCHMARK: (Permanent reference Point) Describe: C C- /r!^ d7` OJT" Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: t/~/(^ Liquid Capacity: jl1G'C Number of rings on cover Tank manhole cover elevation: ~(Q 7,/ Tank Inlet Elevation C1~ Tank Outlet Elevation: Z~ PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set for a cycle 14Z4 gallons; Total capacity of distribution lines JV -gallon: size of pump /V 4- head; gallon per minute ; horsepower ;brand name of pump and model number 4- _ `T'ype of warning device___ _'Al A-y HOLDING TANK: Manufacturer 4 Number of gallons /f /A- Elevation of manhole cover Type of warning device- SEEPAGE PIT SIZE; Number of pits feet diameter A/ teet liquid depth---- AI /Aseepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines -width- length -70 tile depth SEEPAGE TRENCH: width length PERCOLATION RATE AREA REQUIRED- AREA AS BUILT - INSPECTOR DAT ED PLUMBER ON JOB LICENSE NUMBER /W J Ga1ie 4 13, Al 16 ~ fi c r i~ ~ c> h t L/ r 7' S Gl~ ` ~1{i 5 Gar17 Clst ~d/~ J~ ~ 1:7 6 errs d Pe 7,sf" ~ucl1 -~d~ I~ i ,r 000 13 r A Oil d 8 J;1 t l,3 AA 1 d 0 r /4 Von y 5 i c .5 S Ier fin p "-qF DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS L.+,30R &,HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P,O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 UCONVENTIONAL ❑ALTERNATIVE Stet. Pi" 10, Number: w ...Ionwl ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER. INSPECTION DATE. Sam Miller Troutbrook Road, Hudson, WI 4 - )c-9 3 - r o ~ ~ r:$ENCH MARK IPerm.n.nt .I Pomp DESCRIBE IF DIFFERENT FROM PLAN. Lot 12 REF. PT. ELEV.: CST REF. PT- Et SE SE, Section 7, T19N-R19W, Hudson Township,Eagle Ridge Name of Plumber: MCount v S.niury P.rmtt Number. Douglas Strhobeen 5432 St. Croix 34815 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. j1A.1,NRdGLA LOVE PROIo ( ,7~ to 1 ES ❑NO D "2 ~eEDDING. VENT DIA.: VENT MATE.: ALARM HIGH WA NUMBER OF ROAD: PRAOOPPrERTY. WELL: BUILD ING. VENT T FRESH 1!j / FEET FROM ~,"~J~ LI C A L ❑YES ❑NO I r f YES ❑NO NEAREST V DOSING CHAMBER: MANUFACTURER BEDDING'. ILIG D CAPA UMP MODEL PUMP/SIPHO A UFAC TIIH ' Wq G LABEL LOCKING COVER OVIDED. PROVIDED : OYES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUM AN C N R L OPERA ZONAL NU ER yl LL BUILDING JVE.TTOFRESH 1 (DIFFERENCE BETWEEN FE ,9T FR(AA AIR INLET PUMP ON AND OF F) ❑YES ❑NO AR T SOIL ABSORPTION SYSTEM. Ch the II R1 sture et he depth of plowing pCE NGTH )TAAL AND MARKING or excavation. (if soil can be rolled into a wire, constru tion shall cease until the soil is dry enough to continue.) AIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH N DISTR PIPE PACING COVER IUE DIA *PITS LIQUID TH~ES~ MAIENIAL: PIT PTH DIMENSIONS ~~~sss GRAVEL D H FILL OEPTE OISTI I DISTR PIPE IUI5TFI. 1 MATERIAL NO DISTH NUMBER OF ROPERTY, WELL jBojiLD11NG. VNIT TO FRESH LIE LOW PIPE ROVE COVEN ELEV INLfJ ELE V. END ~Cf Q p . Z ? Z C PIPES FEET FROM LIN(1.~ NEAREST C1l 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 syste ' to make certain that t ON REVERSE SIDE. SHOW ELEVA- meets the cr a for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER TEXTURE , PERM NENT M HKEHS OBSEH VA TION WELLS ❑Y ❑NO ❑YES ❑NO OLPTH OVER TRENCH/BED DEPTH OVER TRENCH/ ED DEPTH O - T PSOIL SODDED SEEDED MULCHED CENTER EDGES ❑ ❑ JO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO OF LATERAL SPACI ; GRAVEL D PTH BELOW PIPF ILL DEPTH ABOVE COVER TRENCHES L DIMENSIONS MANIFOLU PUM MANY D DISTR PIPE MANICOL MA EHIAL NO U TH DISTH. 1 CISTHIBUI ION PIVE MATEHIAI. ✓V MARKING ELEV ELEV OIA ELEV PIPES CIA ELEVATION AND 'DISTRIBUTION jINFORMATION HOLESIL1 HOLE SPACING HI ICOHHfCIIY COVER MATE HI L VERTICAL LIFT CORRESPONDS TO APPROVED PLANS COMMENTS: A EHMAN N MA K 3. - YES L-1 NO ❑YES ❑NO OBSERVATION WELLS NUMBER OF PR OPERTV WELL . BUILDING. FEET FROM LINE ❑ YES I - I NO ❑YES O _ NEARES Sketch System on e n county file for audit. Reverse Side. SIGNA TE TI LE DILHR SBD 6710 (R. 01/82) IJEPARTM~NT OF APPLICATION 1 SAFETY & BUILDINGS INI5UGTRY„ • FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: Property Location: t4~ t ana or Township: County: \/i5 %l 9 ~ /4S 7 /T I N/R I q V(or) d j _5_~*CP f Lot Number: Blk No.: Subdivision Name: [Nkest Road, Lake or Landmark: State Plan I.D. Number: l 4 ( 1.i n r-4 "j-10 L a (If assigned) TYPE OF BUILDING Number of ❑ Pblic* 1:1 Variance* El Other (specify)* Bedrooms: Ll , or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY QOM HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: [ S EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA ~ (Minutes per inch): PROPOSED (Square feet): []/New ❑ Replacement ❑ Experimental L'J Seepage Bed ❑ Seepage Pit ? © J J ❑ Alternative (specify) ❑ Seepage Trench Water upply: ✓ Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public /V I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Sign ure: /MPRSW No.: Phone Number: u b (I s f` C. X I F eh MP P S~ 3_ 97 3,.2 3) Plumber's Address: / ) ~7 Name of Designer: 17 07, 1 COUNTY/DEPARTMENT USE ONLY Signat re of Issuing ent: Fee//: //y~ Date: APPROVED Sanitarry,Perrrmit Number: PVC- L ~ ❑ DISAPPROVED 37 Q IS Reason for Disapproval Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) I'u rni I' c I UU Owner Of P r u h ur t y Location of Property N It ~ Townsflip 41 1 i Mailing Address Subdivision Name _t_ ' Lot Number Z Previous Owner of Property Total Size of Parcel Date Parcel Was Created- Are all corners identifiable? _-_Yes-_ Nu Include with this aPl_licatioa one of t_he follow .Certified Survey Map .Deed .Land Contract, or Other Legal Document which descril.>us the 1)r(ipt.rry PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty de r cord d in the Office of the County Register of Deeds as Document No. ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. SIGNATURE OF OWNER SIGNATURE OF CO OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED DEPARTMENT ENT OF REPORT ON SOIL BORINGS TY & BUILDINGS IFJ'Dl#ST•RY, _ DIVISION p P•O. BOX LABOR RAqD ELATIONS \ PERCOLATION TESTS (11 ISON HUMAN RE 7969 F , , WI 53707 3707 CATION: > ' SECTION OWNSHIP/ jM1~W LOT~N K. DIVISIO E~: Y9 ~q/T/ N/pp 11/f it (or / COUNTY: OWNER'S BUYER'S NAME: /.2- ~r" L~ AILING ADDRESS: USE NO. BEDRMS.: COMMERCIAL DESCRIPTION: DATES SERVATI NS MADE Residence PROFI _E D R TONS: ER O A ION TESTS: rf x ❑ Replace ~7- RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING LANK: RECOMMENDED SYSTEM (optional).. ®S ❑U1S ❑U ®S DU EIS ®.U CAS U - If Percolation Tests are NOT required DESIGN ATE: SYSTEM EL V. ` If any portion of the lot is in the under s.1463.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER -INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEP i H NUMBER DEPTH ELEVATION OBSERVED EST. H1GHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B 7. 8/5./ n C eS /2AnS/+ 46 .7y-SC B- .2 70' /o3: a,~c d ; 98(S.` '211 c ~2.S B,t S! sew B-3 7,0' v •.Q' Vwz.- 7 n , 3UO/SC .S_'6nS/ Sly .8~ flae ~B 7.S' .gars-. BC 2, 0' vq~~ / ` /(~ct~,lP~ 7 0' V P~ S~/ L° oc. it .S 9 .tl~- r B PERCOLATION TESTS TEST ' DEPTH+ UVATER IN HOLE TEST TIME NUMBER ;tAF'IERSWELLING INTERVAL-MIN. DROP IN WATER LEVEL-INCHES RATE MINUTES PERIOD 1 PERIOD 2 PERIOD 3 PER INCH j P 3 .c 3 1 L~p E 3 e 1 A30 7 P- P- PLAN VIEW: 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 slop. SYSTEM ELEVATION 4' g-41, 5, - o 8 ► mot, r`s t~ ller f. - - te% a ,nsQ WIND ~ ~3y3 S ra ke o Ilk~1'g xc}~d arA 4e D,,u T0#0 of A f" 110,t' y 8,4,:~A JC 4) F _ d t0erc S C I e S e'j~o.~ Fl ~5= su 4441e 19reA S of c~ ~os't Aloxz&S jy '7' I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedurzs nicthods specified in : e ;Niscorr,.n Admimistrative 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: S-1 'Z - ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional;:, 4-Lj. &I CST AT E: t - ( DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) C, t4k ,~1~~1~~ mss, TT7 L \ r~ S 64 I~ ~ y ~ d C iu S X19 1r vn w A'1:i el T c 7'rry 1 c 1 II i t n s~.^L7~r Uh f'c►^ t vent J