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HomeMy WebLinkAbout161-1093-20-000 o o r. v 0 1 O d 'I (D I m 3 3 co -1 2 z w w rn °C • y O N cn O 4 N C N N FBI CD _n CD 0- z CL z p 7 O W 7 N W ~C O O O N 0- O O N < Z W N o O p 7 Q(D = O m O O C CD CD n S 'O M 3 a 3 0 3 N = O N C NO C r►7 n. m 00 (n Us D 4 cn j cD cfl CD 5 (n W G m C o C (D a O o w n co cD n r cn N 00 a Z (n 0 c c ~ N • " z o o o 0 0 5 3 0 0 0 v v o ° m M o 0 D C-0 -0 c N 3 o. CL Z N Z W Z o D (D o ~y v O ' N cn • o CD CD ~y ((D N N (O N' C CD CD w u o. z CD (n O _ O p ` M u C .Z7 p z O w n O 3 0 :3 Z O m N) W D Z 0 • Z N m o N z _ CD A W Q O CD Q C i N E- O T D CL z a O O y fD O N 7 :tt c O 3 a n m o ~ I N n ° O A w CD 6p V A ffl O ti N O :E p a p CD y O L 'i Parcel 161-1093-20-000 01/09/2006 11:09 AM PAGE 1 OF 1 Alt. Parcel 13.29.20.736 161 - VILLAGE OF NORTH 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 - KRUEGER, WILLIAM A & MARY L WILLIAM A & MARY L KRUEGER 208 STATION CIR N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 208 STATION CIR N SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 04/38-ST CROIX STATION 1977 ST CROIX STATION LOT 12 VIL NH INCLUDES Block/Condo Bldg: PARCEL 7376 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 108569 598,300 Valuations: Last Changed: 05/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 205,200 380,200 585,400 NO Totals for 2005: General Property 0.000 205,200 380,200 585,400 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 116,300 232,500 348,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 110 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM G"a Sanitary Permit State Septic 3 NAME` iQ,-4OWNSHIP~~ ~'t. Croix County LOCATION S Sect~ion/_~=Lot # Subdivision SEPTIC TANK Size gallons Number of compartments Distance from: Well Building= 12% slope i Highwater PUMPING CHAMBER Size gallons Pump Manufacturer Model Number HOLDING TANK Size gallons Number of Compartment,,; Pumper Alarm System Iistance from: Well Building 12% slope Highwater ABSORPTION SITE Bed Trench Distance from: Well Building 12% slope Highwater Y ABSORPTION SITE DIMENSIONS J Width of trench ` ft Required 4area ft. Length of each'line ft Depth of rock below tile in. Number of lines Depth of rock over tile- in. Total length of lines b, ft Depth of tile below grade, in. Distance between lines , ft Slope of trench in. per 100 ft. Total absortptfon area ft Type of Cover: - PIT DIMENSIONS Number of pits Gravel around pits yes______ no Outside diameter ft Depth below inlet ft Total absorption area ft Area required ft LNSPECTED BYTITLE_ APPROVED DATE ~l f'~A ~ 198_ REJECTED DATE 198 REASON FOR REJECTION APPLICATION DEPARTMENT OF SAFETY & BUILDINGS INdUSTBY,, 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% 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. The owners copy or a legible reproduction of the soil test report must be included. P operty Owner Mailing Address: 01 GDG Property Location: City, Village o ship: County: 1 a J'/aS ~Z- /T -~IN/R leMWW of Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (if assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. j TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): X New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name a% Listed on Soil Test Re rt (If other than present owner): Private ❑ Joint ❑ Public 2w. / I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Na a of Plumber: Signatur MP/MPRSW No.: Phone Number: 4R) 2'r7--N5 ~;~r Plumber's Address: h Name of Designer: €iU TLS ~1 /77 /AI J 3Zl / COUNTY/DEPARTMENT USE ONLY gnat re of Is in nt: Fee:p FO Date: /-ZAPPROVED Sanitary Permit Number: LJ" DISAPPROVED Amon 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 (N.03/81) .DEPARTMENT OF 4AFETY & BUILDINGS INDUSTRY', REPORT ON SOIL BORINGS AND DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS MADISON, WI 53707 3707 S4L) L CATION: SECTION: TOWNSHIP/MU ICIPALITY: LOTNO.:BLK NO.: SUBDIVISION NAME: /T k'?N/Rad COUNTY: OWNER'S BU ER'S NAME: MA -LING ADDRESS: S r4f Q.o / f !'t1 K d / ~~$'oA! • ?~/I1 l9 JJ / O f. ~Q W!i USE DATES OBSERVATIONS MADE S: PERCOLATION TESTS: r~_ NO. BEDRMS.: ICOMMERCIAL DESCRIPTION: 1 -1 E3 1 -41 PROFILE DESCRIPTIO ~lrtesidence 13 ~lew ❑Replace & RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING M D S ptional) ©S ❑u ©S ❑u ®S ❑U EIS ©u EIS © a q` ZIsof If Percolation Tests are NOT required DESIGN RATE: SY T M If any portion of he lot isZo under s.H63.09(5)(b), indicat (ASS /ASS f Floodplain, ink icate Floo 1*4 evation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL H T S$; LOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. GHEST TO BEDROCK IF OBSERV (SE 'A ' N BACK. B- / 90 7,1) /v nioe ;,gv Dk"Ts Q w B- Z 89 70 X 89 c B w s B- 9 S'3 77 D Ax a' AAA3 U w u -1%ZVdV_ '92 B- 5S' ti Ol-L 7 S~ 1) kc 154 x bilrown 1k, .1# Q e B-83 14,D T~~ cZr KJS D8d 66y A) ov%e- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RIOD 1 PERIOD PERIOD PER INCH P_ t Ala to s ~f P- 2. 33.' fir o to P_ ~f o t/ 3 + P-. 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. Sg '1 SYSTEM ELEVATION g~03 c t D I 1 ; i O ~ l r ( J4 15 N; o- "a- A a; ~ c I ; - I, the undersigned, hereby certify that the soil tests reported on this form a madd by I. fie-procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the are correct to the nlwle(_and belief. z g NAME (print): TESTS WXU COMPLETED ON: F To 110 - 3A ADDRESS: / CERTIFICATION NUM ER: PHONE NUMBER optional): If C E: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soi Tester. DILHR-SBD-6395 (N. 03/81) 1 It`- r ri l LY 71 fir Kv, v' I