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HomeMy WebLinkAbout020-1146-50-000 ~ S 0 In 0 ~ m 0 d _1 o s, F m o :3 0' 1 O ° C y CD :r a Z a o C: CD 20 &T o co o o Q o o~ o -,j Cn 1 Q p ° T l~ 7 N -4 p C (n Cn -4 w U3 D iy 4 CCD m o N a _W a CD N 3 ci (D F; Cl ` W L Lri 0 r- en Z CD an. 3 cr CD CD v oz 0 0 0 v m 3 can a N A ca No- vvo°' C"D a) a a C N cn O 7 m N N z o z co Q 0 Dam D c U -AD (n O v l1~~11 (D N C ((D C D (D O m --I fn d A Z (D a p z o' a D W CL 3 z 0 A Z7 O O C m N z CD I CL D m a 3 v c z 0 o a CD m v m I a D C CL a CD I a ~ n Cy O +l a N A N O A O b b A A N 6q O EA 0 II ti W O CD 0- O 0 y t AS BUILT SANITARY SYSTEM REPORT r OWNER TOWNSHIP 0.SC~Y SEC s~~ T- L.N, R W ADDRESS , j y 5 ST. CROIX COUNTY WISCONSIN. ~ SUBDIVISION J>~ LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM fi~ 7 e OVA) o know ~i r. 0-0 - E ghkOAW I di, a e oath Arrow SEPTIC TANK(S) MFGR. ,1V1ITN MT CONCRETE_STEEL N0. o rings on cover j Depth " PUMPING CHAMBER SIZE PUMP MFGR. MODAL NO. _ GALLONS Per Cycle _ TRENCHES NO. of width length area BED NO. of lines _ ! width i IV, _length area dept~i to top of pipe C NUMBER OF SEEPAGE PITS Outside diameter total pit area AGGREGATE / PERK RATE / /,4 {n/ ARE REQUIRED r/. AREA AS BUILZ'_ /r Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT RE DISPOSED THROUGH THIS SYTEM. INSPECTOR f ,L DATED PLUMBER ON JOB ` C, LICENSE NUMBER - FDEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 EN CONVENTIONAL DALTERNATIVE State Planl.D.Number: IR nsignedl D Holding Tank ❑ In-Ground Pressure D Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: r Bob Bradham 6142 4th St., Hudson, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. NW SW, Section 26, T29N-R19W, Hudson Township Name of Plumber: RIMPRSW No.: County: Sanitary Permit Number: Howard Mittlestadt 2619 St. Croix 34806 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIOUID CAPACITY TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL JLOCKING COVER PROVIDED: PROVIDED: i.,J~? / i / ~ OYES ONO OYES ONO - TO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD PROPERTY WELL: BUILDING: VENT FRESH ALARM: FEET FROM LINE: AIR INLET : DYES ONO DYES ONO NEAREST r r DOSING CHAMBER: MANUFACTURER. BEDDING: LIOUID CAPACITY PUMP MODEL. PUI71 N MANUFACTURERWARNING LABEL LOCKIN COVER PROVIDEDPROVI D: OYES ONO OYES O D ES -"ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL/ NUMBER OF PROPERTY WELL BUILDIN V NT OFRESH (DIFFERENCE BETWEEN / I FEET FROM LINE I INLET PUMP ON AND OFF) DYE ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture t the dept of plowing FORCE LENGTH DIAME TER MATERIAL AND MARKING . or excavation. (if soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: f CO VE JINSIDE DIA *PITS 11-101.JD WIDTH. 4E-0I~'T NO. OF UISTR. PIPE SPACING 1BED/TRENCH TRENCHES MATERFAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH UISTR PIPF DISTR. PIPE ISTR. PIP MATERIAL . No. w NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV. INLET ELEV. END. PIPE LINE: , AIR INLET. ' FEET FROM 7 / NEAREST 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- meets the criteria for medium sand. TIONS MEASURED. DYES ONO SOIL COVER TEXTURE PE ANENT MARKERS OBSERVATION WELLS DYES ONO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED. SEEDED MULCHED CENTER EDGES DYES ONO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF. FILL DEPTH ABOVE COVER. BED/TR1rNCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANFO LD MATEHIAL NO. UISTR UISTR. I DISTHIBU I ION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV.. DIA. ELEV. PIPES DIA.: DISTRIBUTION HOLE SIZE HOLE. SPACING DRILLED COHHEC I I. Y COVFR M TERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS OYES ONO' OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS:/ NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE Z L_IYES I_]NO [DYES L NO _ NEARES_ i 1 I 5.10 Sketch System on Retain in county file for audit. Reverse Side. SIGNA TURF TI LE DILHR SBD 6710 (R. 01/82) DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 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. The owners copy or a legible reproduction of the soil test report must be included. Propert Ric S 3&2~LD HAM y Owner: Mailing Address: f ti _ I_ I a N~-~~°N Pr/o~erty Locsation: City, Village or Township: County: "W'/a '/aS /T,~q N/R E (or W l~~SC K C; o i 7( ! C? Lot 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)*~ ll~~-'s-0-60 Q Bedrooms: 1 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 1)o HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: 17h -M F c'c IC COI 6 EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): X New ❑ Replacement ❑ Experimental A Seepage Bed ❑ Seepage Pit P SS FT❑ Alternative (specify) ❑ Seepage Trench Water Su ply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature' IMP/MPRSW No.: Phone Number: Plumber's Address: Name of Designer: G P & c tc ~l~ L,SZA 1 COUNTY/DEPARTMENT USE ONLY Signat re of Issuing Agent: Fee: © Date: APPROVED Sanitary Permit Number: p ❑ DISAPPROVED 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 Dli_H"r?-SBD-6398 (N.03/81) DJpt,164f10,0 Or` / ~,?F 7 S%S f✓'~ ~,PUi''► ~c% j~C~ ' .trcul c~~4IC-- />:U,9;%/c',~ j 1A !CT 'DE-PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION 7969 LABOR INDUSTRY, AND PERCOLATION TESTS (115 MADP.O.ISON, WI BOX 53707 3707 LAB ~ HUMAN RELATIONS (H63.090) & Chapter 145.045) (00 A)7 LOCATION: a SECTION: TOWNSHIP/MUNICIPALITY: LOT NO BL BDIVISION NAME: &4V '/4 1/4 14 /T27 N/R ►I E (or) W y~~vsvti~ 5 COUNTY:, OWNER'S/BUYER'S NAME: MAILING ADDRESS: Sf ~%i4/X /~iP~✓>h"/~f C~ / ~i Ll #l~~S®.(~ DATES OBSERVATIONS MADE USE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATI N TEST : Residence 3 New ❑Replace ,s~tY,- RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)('O(1(~{UT~G%~,jL ~7S ❑U ®S ❑U xi S ❑U DS DU DS DU X3V DESIGN RATE: If any portion of the tested area is in the Funder olation Te are NOT required .H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: Fj PROFILE DESCRIPTIONS 563 /3pk',~l t BORING TOTAL DEPTH TO GROUNDWATER-11*e*+6S CHARACTER OF SOIL WI HICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH,W, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) y J /5",du. , BB--3 9_3y B-~ > y v i. ,f'l3w.,2,yi YS3 ' Ole s . ,s/,'av.SL1 /.~25"H/3AI.5"1-A/7'44 B-~ B f /p D joy! 0 Q 116 '/.3AI.SG , A3, 'off, sL Oat, C-9 ; 73 `af'c.,57 1,2_3 AV. ql e ole P.S. B-6 6'd /©C~•5 0 ' O ,A_7£,V196CA7FlJ 50,el--We- PERCOLATION TESTS ~r u,4 10 A) ~u FeEr TEST DEPTH WATER IN HOLE TEST E DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER tMe4ES AFTER SWELLING INT AL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH O • G~ P- / P- P_ O~ P- P_ /v v- Ce3 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 I-/E- 3.5 F'r- J of land slope. 13E1/^ SYSTEM ELEVATION ~i fT , 3 i t a i a t ; S /r AZU. , e , 1 I, the undersigned, 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. BOB ULLAVIGT"r NAME (print): -LL TESTS WERE COMPLETED ON: TESTE.RZ CO.- 7 : CERTIFICATION NUMBER: PHONE NU BERloptional): ADDRESS _ CST SIGNAT RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Testei. DI''-HP-SBD S 'S (R. 02!82) - OVER "AX lf',vl, ~t.i .S..r 3 .'^t Scale t i C, aE E E )t z, Fpm 3, e E e _ 'REPORT ON SOIL BORINGS PERCOLATION/ TESTS Iis- Ao/3 13,44 A1,1til S 7- 9 Paor PLAM PRC)TECr r.D. 11%,4 APoWaws DA T-E- 4PV,G /y / `Igo HOMESITE TESTING CO. RT- 3, O'NEI1 ROAD BOB AUUSON, WIS. 54016 CST SS ClL y~2 PROPOSED HOUSE Mosr LIE 2l' Fr. o~ MG~PE F~QoM .qL~ TEST ty,PEAS. PRO po$E D w Ea M vsr LIE 5o FT C,Q t/OiPE FiPo~y ~jLL TEST tI ~E~9s. . = 9AaW-0X" PITS O = 471SAI.V W EL z. AEvG loC.¢1 wwf = y~,uJj 400 ,Cfev o,Q 540acL 134eE5 • Yobiz . B T Ni xj T, ` LEGEND 61EVArd l C` t1al. .Vex To PiP~' Lor DoT t NeRZ. c .20 j NJ h.4t h t~ w c V <Z L3 C-o x 1 C 13 Py ~ , 10 13Z i EH 1 15 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 N J1 -S LOCATION: /4, /4, Section T_N,RIE (or) W, Township or Municipality a Lot No._Block No. /y 90a~f Count 354 e'eo l ub Ivision Name y Owner's/Buyers Name: ~'1/P• S Ob Mailing Address: / ' 1 V4 yT 0,P,5"C)A_) ~/S ✓~~r'p C7 /r•'•, ' TYPE OF OCCUPANCY: Residence --Z-No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 0"" 30 1/-,PO PERCOLATION TESTS 52-/' 3G SOIL MAP SHEET S~. 6,(:~ _ NAME OF SOIL MAP UNIT 1501ee14J '0 PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL RA 6ER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN` P- sqoirr 45 B N®,v~ P_ P-L SL 17`'Q.P. <'I- N®,jo- 2- Off. . SAA.I7 P- 3 5L / NONE > ~ ~ G ,~ll P- 7 . ~NI~ /L v S SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 72- N©h 7 7i G "a,,V.Se /.I "Of S4 1Z'CIP)h,4.S 22- "Oe. if f 67 B- Z /d .uD B- 3 O ©A.)h 7 /O z/ 'Q,v. Z. 'WA). Z-5 S d,P s- B- L AIOA.1C 7 72-- "/~f.v 5~ "Lf Q~ .SL /y"a~P S 36 B- 3 /Lo .2-0 /Y"Aw s,6 , /Y - ~PsLw fly "aR . cs B- 72- 1 o,vK__ 7 7Z "13A). Sc 2-7,,av. 1-5 36 "DAP .S✓q,vv PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy 615^ 11Cb41 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. O.~/itJ I~ ,,e ~Rd No/ !Cv low--!7 Q OSE /3ENL~fMA ~17'10 Tvy%~~/E TAE _ a o C'E SATES y tp _ _ zo 8 -13 E s1Q6 ? ' = r ©A 6e 91 t °F B, - 7S ,e loci 16%q yy„ ow I a_a Efhria,~ Ury = 9 ft/fov~ ~i+~l of 3 " M 3 6 G ,¢13zV_r-- 1311~ I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Name (print Certification No. ' _02- Address -3 11vt9Se>x_) I.l~/S • Name of installer if known Copy A -Local Authority CST Signature • ~i • cI Sewer and Excavating Services KNAPP, WISCONSIN 54749 Phone: 665-2112 3i rlb*mm R61Yi E i?tl.•~`' y 11R (R'Ur3,FC' t)L. 43 r ~oa'iZunl/~1 L 4?- v; L ?"FST , NO rt - /irk ~E•~/ U -.A 100: oa _ a _ y" CAST (y -SEAL ,,~ofNTS SEALED GJJFR _ GAL.; 0REc,AST SAP/C. Tf1NR a, '4- yJif q 30" AlAV#w.C iP/Stl? $tL c1 A-44/'SHNO (T,QaoC GAsr RIS,,F>' -•SiATE A,,- BUCK t/ivsH Fv ,r" 3'!~ Da ~ Q~ cif'- ,nF~t'FER,PATEO SE~Pia~~- ~:N,€S D. Li,vFS /5' h Rciv1 S/fib ~Jd,LLS o ~ ~ ~XG,~ i.1A 7/oils ~ ♦ - S Epti R~ 7/0 0 //Y G E/YTF~ }3F~ s rRAcJ lb ' 1iVEST of B/RGi-~ Th'E!= /00 SYSTEM Ta 86 11VSTALL96. `ok ,~30,6 SeA 0,4AAA Ayldy G~ S cJ y T/o y Tou)N 4?N ?ANNE ; U u-) ;tiS TL 1-lou),9 kz 1m )TT1 FS7'.4d7- M PR,5 a 6 / ? - P' --I' A ° ° C Sewer and Excavating Services KNAPP, WISCONSIN 54749 Phone: 665-2112 T f7 --SWE APPRcolcb tJFNT CA P cL AST ueNT y" . _ O u NC'r Wtio.~~ti v a~F n ~o v o v o a 48 /)o A vv oa 0 6 r A dff do a~ o d o v es o` c P~~fo2/a1ED t'!.,A,SfI~ ' ~o~ ~~To S5, ~ doe Oro 'p NO V40,W0,761 q 71 00 A 000 0 0" 00': amp 10 'r ® O ® d d a p E~ a c~ ® n ct O ~ k Sk-6 Tloly ~ ~ouoiv 4y/V '4/ycYr low Hd u1~r R~ iN ~7T~ tS T,a,D T ~u~iv►,~ ~ k M Peso) X61? - )P,y, 66 -)1,?7 ® Server and Excavating Services KNAPP, WISCONSIN 54749 Phone: 665-2112 T S LATE APPRcGI EZ) ;DENT p 04 d AST ;t) -7,v r y F //Y /-S N C j~ i'; RA .D E' c o ST o DER ~Hc cc, C 1~ ate 40 ~ ~ v. ~ o N a ca ~ o ~ ~ oe .o u e v o c a a~ ~1 Cr U O d7 e d O c9 p a PFRFaRA7ED P1-ASTIG - 4/"" _MAI 7, ~ ~ O O U O C~ ~7 f~ d ap d d p d i► O A d iii o d 0 A d 0 Od b B "i Vol-lc--p r~ a o 4~ p p D 0 y d d O Q b ® O d® e~ A ~ O b .C di' ~ Q Q 30 B ~3~';~ Dt~N~ /Ytc) Y c z S cc) SEc; holy Si: C aix 6DO Nry M PR.Sid X61? P# 64S o3,?7 ~a~ a ,p,- ~ ,,x, r"~;;.; '1, _ S S jj • S • C Sewer and Excavating Services KNAPP, WISCONSIN 54749 Phone: 665-2112 PZ4 y No 7,F - No ZA)161 ~ Vvo~I Ph'aPoSF,a ,1,0,41,F IJAs woop7gs( C ,Qo~PF t O y'GAST Ty-.SEAL ro/NTS IgOD GAL. jnacAs r s FP)rG TANk S $AFAWIM0 3o'-'r ` ° y'0- CAST RIS,-R 11ASOJE F/N4#ED GRADE # "JIM STAlk ApAW' 0-00 SEALED Pop w . Jb r1 S ~,p A. SOLID D67RlBUTjaw 1.11Y'F ~ ~ 8~g .8, y- pE~eFoRAr~o LINES C. j~ENT~ y"CAST I~ASaJE GRAD D, L1NES /,,S" rROM SI DF WA LLS ~ 1 ~ OF EXGA IIA~/AN - ~"'SE~ARAr~N /N o GENT,EQ q V~ ~ 8.F'a STiQA~J G~uEREa rf--► F, PROFILE of ~AIrE ~ /D0, oo SYS7--c ( TD $F IJVSTA1Lf p ,co,~ A PP o ~ ,g A,D H o ~ y gy Solo TksrFe 7/OA" ~ sw ToIJN>Yw a Y ~ ~ PAN~~ /9 cJ P RoBFer UG 8&&'V r SY5TF/Vf TD B //YST/JLL ~,D j? y~ ~ PRsc~ a6 ~y P~ ~ 6.~ a3~~ Y r_ M IN t s I I-A 1 70 i y • 1 ' C Suer and Excavating Services KNAPP, WISCONSIN 54749 Phone: 665-2112 ~OTF - No I.JE/I . /1 F~/S&~D pL,q y o%/ -1 Vv P/'aPoSFD IV401Y1 F 14)A S wood crag ~30~'~ if `/Y1DtJ~',1~. ° B3~~ ~oG9TIo~Y v ~sodoyd Tiy,~" sq yNGAST Ty-SEAL Tolw7S Igoa 6A1. pYEc.Asr s Fyric, ?ANk S 54U AM 3p'l G 000'4 ` ° tj'yCASr RISER /i,goaJF F/NtS#ED C-RADE uJ/TN STALE A/°MOOZO SEALED rdP o r 'D S# A. SOLID D1S?Rl807,ory L/l'E' ' ~ r ; ~ 1, ~ ` 8MlF ,8, y- PFIPFoRAlfO LAVES G UENrr y "CAST ,h . 1 ~ A8a VE GRA AF D, LINES /,S' FROM SIDF WA LLS' w Or EX CA tJA 71&V QC. nor°~' I B,ED sriQAcJ Gv tl ER,ED F; SRO F/L F p $E,a .ice - pAl~F ~ /40, oo SYS7SM Td $F /lj/STA1Lct,0 foi~ y ' 0/' PC A I 0 Bo ,D HAvs1 Ntc) y o~ S~ f gy so1~ TEsrE~ /i SFC71&V-'*6 74)43N FN RA~~F /9 uJ J~oSF~T UL 8R/~N r Imaw 5yS 7.-Fm 70 &F //~ST,gI L FAD /,3y: 11010A PV 14 iTTL,CS r.4a7' M PRScJ o'?6 /9 p/y ~ 6~=a~~~ i /(JU/~i~LR' a x rn td C m N\ d N ~j 41 > rY rt r-r o w w rr s o F-- 4- to 00 Vl CD -F-I H Z al, O z ~ y 9 r r ~ t-j i C7 N In F-3 In I N . W ~ W Z Co I W W ~ Z r• a rr m cn ` r* o (D N n m m y rr O N w E ~ a ~ r Parcel#: 020-1146-5'50-000 05/22/2006 11:45 AM PAGE 1 OF 1 Alt. Parcel 26.29.19.774 020 - 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 O - ANDERSON, DAVID E & VICKI A DAVID E & VICKI A ANDERSON 770 MEADOW DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 770 MEADOW DR SC 2611 SCH D OF HUDSON - SP 1700 WITC Legal Description: Acres: 2.836 Plat: 2077-HIGH MEADOWS SEC 26 T29N R19W HIGH MEADOWS--LOT 9- Block/Condo Bldg: LOT 9 tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) U. 6-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 03/16/1999 599441 1410/575 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.836 78,400 152,500 230,900 NO Totals for 2006: General Property 2.836 78,400 152,500 230,900 Woodland 0.000 0 0 Totals for 2005: General Property 2.836 78,400 152,500 230,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 139 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00