HomeMy WebLinkAbout161-2006-40-000
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Parcel 161-2006-40-000 01/03/2006 09:14 AM
PAGE I OF 1
Alt. Parcel 13.29.20.843 161 - 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- OLSON, RE DODD & KM
R E DODD & K M OLSON
235 SOMMERS LANDING RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 235 SOMMERS LAND'G RD N
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 04/74-SOMMERS LANDING 1-5-11 1980
OL 88 VIL NH SOMMER'S LANDING LOT 8 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
I
2005 SUMMARY Bill Fair Market Value: Assessed with:
108675 304,600
Valuations: Last Changed: 05/20/2005
i
Description Class Acres Land Improve Total State Reason
RESIDENTIAL
G1 0.000 97,700 200,400 298,100 NO
Totals for 2005:
General Property 0.000 97,700 200,400 298,100
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 61,100 133,700 194,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 127
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
J A
OWNER TOWNS f' JUI S E C [
~✓G~r~~y . 1' ~vW
~
ADDRESS tlr;tiST . CROIX COUNTY, WISCOI
-4;~rc~-:rr
SUBDIVISION LOT LOT E
PLAN VIEW'
Distances and dimensions to meet requirements of H63
CHA _-EVERYTHING WITHIN 100 FEET OF SYSTEM
_ - - - - -
I- I
7
> u G -7
vf-k
71,
J di a e
N!i o th Atrow
SC LE . ~ LIf-
BENCHMARK: (Permanent reference Point) Describe: ~V ti
Elevation of vertical reference point: /pfd _Slope at site:
SEPTIC TANK: Manufacturer: T Liquid Capacity: / 0
:zl
Number of rings on cover =t=om Tan ,manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation.
PUMP CHAMBER
Manufacturer: Number of gallons _
Number of gal. pump set or a cycle gallons; total capacity oo
distribution lines gallon: size of pump head;
gallon per minute horsepower' ~ran~d name of pump
and model number
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device_ SEEPAGE PIT SIZE: Numb r .o pits meet diameter _
feet liquid dept- seepage pit in et pipe-elevation
bottom of seepage-plt cl vat on feet.
SEEPAGE BED SIZE: number c f lines ~wi (Ft-h-_ length, ti le depth
SEEPAGE TRENCH: width _ length
PERCOLATION RATE - A REQUIRED ~ Z 'SEA A~ BUILT -
INSPECTOR
DATED J, _J PLUMBER ON JAB --j,~-
LICENSE NUMBER
AS BUILT SANITARY SYSTEM REPORT
i
OWNER /o Lei GC=C~ TW SEC . 3N - RAW
ADDRESS f % ST. CROIX COUN'T'Y, WISCONSIN.
SUBDIVISION LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
SHOW EVERYTHING WITHIN 100 FgET OF SYSTEM
1
c. LC % 1l
~
4, LIT
77
,r s
1 _
I
f j
Ij-
.S Ir di at N r h rr< w
1H
BENCHMARK: (Permanent reference Point) Describe: ✓-`yo
i~-
Elevation of N&ertical reference point: Slope at'syte:
SEPTIC TANK: Manufacturer : -_L,~ ; - Liquid Capacity
Number of rip"s on cover Tank manhole cover elevation:
Tank Inlet Elevation: tank Outlet Elevation:
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set for a cycle__ _ --gallons; Total capacity of
distribution lines gallon: size of pump_________ head;
gallon per minute horsepower____ _ ;brand name of pump
and model number
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover ;
Type of warning device___
SEEPAGE PIT SIZE;- Number of pits feet diameter
feet liquid depth--__ seepage pit inlet pipe-elevation
bottom of seepage pit elevation _ _ feet.
SEEPAGE BED SIZE: number of lines --:2 width length ~Z- the dept
SEEPAGE TRENCH: width _length---
PERCOLATION RATE 0~1- AREA REQUIRED-- ! AREA AS BUILT 7 `
INSPECTOR
DATED PLUMBER ON JOBS
LICENSE NUMBER_7 ~
i
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADI$O,N, WI 53707 ,
+ CJ CONVENTIONAL ❑ALTERNATIVE IS,,,, Plan l.D. Number:
IIf assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER: INSPECTION DATE.
Charles Cudd Co. RR#2, Hudson, WI _ /f_
BENCH MARK (Permanent reference pomt) DESCRIBE IF DIFFERENT FROM PLAN: Lot omm er S Land-ing REF. PT. ELEV.. CST REF. PT. ELEV..
NW NW, Section 13, T29N-R20W, Village of,N. Hudson
Name of P[mo ber. JMPIMPRSW No y Sanitary Permit Number.
Roger Timm 3224 71 St. Croix 43687
SEPTIC TANK/HOLDING TANK:
MANUFACTUR R: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.'. WARNING LABEL LOCKI COV
# PROVIDED PROV D 7c, I
VYES ❑NO S ❑NO
BEDDING: 77 VENT MATL. HIGH WATER NUMBER OF ROAD. IPR.IERTY WELL. BUILDING V T TO FRESH
ALARM FEET FROM 1 LIN (,Z^~) / AIR I LE
❑YES NO ' / [:]YES ❑NO NEAREST v
DOSING C AMBER:
MANUFACTUR R BEDDING: LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MA FAf TURER WARNING LABEL JLOCKING COVER
f PROVIDED: PROVIDED.
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: IPUMP ANOCOUT LS ERATIONAL NUMBER OF PROPERTY WELL BUILDING I VENT TO FRESH
(DIFFERENCE BETWEEN FEHT FROM LINE AIR INLET
PUMP ON AND OFF) ❑ S ❑NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at th pth of lowing L DIAMETER MATERIAL AND MARKING
94 1 /&R
or excavation. (If soil can be rolled into a wire, constructi shall ce se until -FAN d
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
WIDTH LEN TH N. OF DISTR. (IPEXA(?/,. COVER INSIDE DIA =PITS. LIQUID
BED/TRENCH f y TOHEN Es MA PIT DEPTH
DIMENSIONS
GHAVFL DFPTH FILL DEPTH DISTR. IPF DISTR PIPE DISTR. PIPE RIAL D R. NUMBER OF PROPERTY WELL. BUILD NG. VENT TO FRESH
BFLOW PIJ'E ABO C ER EL V. INLET TrrE'IND ~rf PIP LINE. AIR INLET.
NEARESTO 1
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 tha -_it ON REVERSE SIDE. SHOW ELEVA-
meets the criterigr rt{edium sand. TIONS MEASURED.
❑YES ❑NO
SOIL COVER TEXTURE PrNT ARKERS OBSERVATION WELLS
ES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH'BED DEPTH OVER TRENCH BED DEPTH OF OPSOI JSOD[3ED SEEDED [ULIHED.
CENTER EDGES
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH. LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH e LOW PIPF. FILL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MAN M ERIAL I~e DISTR. R! PIPE DISTRIBUTION PIPE MATERIAL & MARKING.
ELEV.. ELEV. DIA. ELEV.. IPES. DIA.:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY CpLANSCAL LIFT CORRESPONDS TO APPROVED
❑YES N ❑YES ❑NO
COMMENTS: PERMANENT MARKERS: O ERVAno LLS: NUMBER OF PROPERTY WELL. BUILDING.
FEET FROM LINE:
❑YES ❑NO ❑YES ❑NO NEAREST
r
Sketch System on - Re In in county file for audit.
Reverse Side.
SIGNATU TITLE.
DILHR SBD 6710 (R. 01/82) - I
DEPARTMENT OF APPLICATION SAFETY & BUILDINGS
INDUSTRY, I 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. A legible reproduction of the soil test report or the owner's copy must be
included.
Property O ner: Mailing Address:
Property Location: City, ilia or Township: County:
-X1A) A1&J/aS / 3 /T 2 'NCR 26 )k (or o --jZ , ~ ,
Lot Number: Blk No:: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Nu ber:
m eys (If assigned)
TYPE OF BUILDING ~J
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
P.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
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER: t, le ey
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
e 9
(Minutes per inch): PROPOSED (Square feet): IX New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit
❑ Alternative (specify) ❑ Seepage Trench
Water Supply: wnecr~s Name as Listed on Soil Test Report I f other than present owner): ~Zz Private O
❑ Joint 1:1 Public c~ tr S. '
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name tuber: Signatu MP/ Pl1ll RSW~No.: Phone Number:
✓ ~J Iyu _ 2,7- (7) 3
Plurnber% ress: Name of Designer:
COUNTY/ DEPARTMENT USE ONLY
Si na ur of Issuing Agent: Fee: Date:: APPROVED Sanitary Permit Number:
~!l 7 DISAPPROVED 36,91
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)
r
Form - S T C 100
Owner of Property ~-A 0 j
Location of Property y i Section 13 T 7=- N R
s n"i M to S t;/
Mailing Address L-' rl F- tl T- L-1 IZ-1,
Subdivision Name
Lot Number
Previous Owner of Property C: L IF
F
Total Size of Parcel. c~ S <Z. FT
Date. Parcel. Was Created, ~-/7/vv~~_____~_._
Are all corners identifiable: _.,.__nyes~ ~No
Include with this application one of tI)e following.
.Certified Survey Map
.Deed
.Land Contract, or
.Other legal Document which describes the property_
14
Ceitifieate of Property Owner's agent
I, James E. Rusch, Certified Soil Tester, hereby certify that all slaternents on.
this form. are true to the best of my prof es ioi.; al knowledge, f no)(11.:r standing- an.d
belief; that the above stated is owner by vir.'tuE of the followi-og legal docuzt-ent
recorded in the Register of Deeds Office as VOL- F
instrument document number
James E. Rusch C.S.T. 568 Date
- c i ll I
„i
1 - jj 2 -T,
r
J
_ DATES UHF Er1 /ATIOtiS MADE
+ ( 7 E-Drt1 CO+`I{,tERCIAL DESCRIPTION: PROriL Li Cfllr'rtIO 1S trFt3Lai1(~t! +_STS:
r- 11
~ ~?~sru+n.~a -!V ~4 New ❑Replace ~ J ~ / r:.
Z A T:NG: S- Sit') suitably for system U° Site unsuitable for system
Vc li ON.>i- r)tJ.J.; I^v GL?C, ;C ,URE: SYSTt^,1-1iJ-FILLHiiLO1NG L NK. REC011b1"ct DED SVSrErrt:(opt,unel)
l J I IA
lJ U J a [I L J V E f-a i C r
P! a-,:colation Tescs are NOT required DESIGN RATE: If n y portion of the tested area is in the
l: 5.H6'.09(5) (b), indicate: Floodplain, indicate Floodplain elevation:
v . 3 v lGtFr-.'r_
PROFILE DESCRIPTIONS
TOTAL EPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS. COLOR, TEXTURE, AND DEPTH
;cR.'pE°TF{YLd tFLF _✓A710N OBSERVED ES • HIGHES- TO BEDROCK IF OBSERVED (SEE AKgRV.ON BACK.)
J r
d 3,a0' uL to-+D -C7 -j/- 'e-S'A'J'C ra i, T- -3
/'A1 ED S1
~'":•~i;3 ~ ~'~,GJJ ~'j1 ;J.."~`~ ¢SO ~.J Mc~ S.n, G,2.,~',CO(j -~z SIC.7- Pc;c:k.87-5
~ 2.9 a. 3:- y't D ~ ~5 W~c,:.uf+tirr_ M,aT~E_rt~ 1.10 8,v ;v1-e; 5~ 4.Sv.
Z - 41' 0 g L. M E D Sµ1 ^ ' .S r`i1 A~ r z. G~ , So ' O ci
M=C) CS of ~z C"a
y + 3 ~ L f`y1~'.. ~ S vn/ ~-s tZ ~ i..0 C3 ~ OG'.!ca. M+4TTC?-i S. 8~
•t- n I'3" i -75,~~~ ~onlcF- 7 3° a~U Rp~N Mao 5 w - Cba.
1 T 7 0 ,,,7 1-- C 7 j !o . S '5,4 t,_ 8 N AA
Cc, e,
E3-
c• f rrv~t
~=.rT PERCOLATION TESTS 1V urn23C~S C~sz w t ;r> r D.tA LEN7
' So 2.t✓ do trE. Iv V +~/14Z~
t Ta`5,: DEPTH WATER IN HOLE TEST TIME DROP IN VvATER LEVEL-INCHES RATE a,t1Nur ES
yER c S AFTER, SWELLING !NTERVAL-MIN. PERt I P-RI P /a PER INCH
-00 002
4
la t
I _
'LO PL:a"ic Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scala or distances. Describe what ara the hori-
nta' 2fld vert4cai 3ievation ryfarenc•3 points and show their location on the plot plan. Show the surface elevation at all borings ang the direction and percent
< ~ro~ >t fir. 7 SC SC P-r, 15 U ( T A-& L- t~
# I
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1 1
t
+
s1.
--F I
I t ~ f •
_m!ws:ynrrl, hrrehy -,rti'/ that the, soil tests rep„rted on this form were made by mr. in accord with the proc~ci-:•e. and mNthod; specifi-!d in
i:.. ar;vc Ced~, end "cat the data recorded and the location of the taste are correct to the bast of my knov,la.lge acid Gefi E.
'p.r t 1 STS S R L.t,..t. ET O 0;4:
r 7-. 1 ~~J: ~ I fit `
i ,
r-y t'3tl fQAf' O' final -,nr ~J,,•
't ° 'nPy 'n t_r,r;a+ 4u*h~ritY. Props. ;y Own+r :)n,1 S.iii T?3ter\_
/r~^~"'
JOB
ROHL & TIMM EXCAVATING
SHEET N0. OF Z
310 Arch Street
HUDSON, WIS. 54016 CALCULATED BY I" ~~Lf "L'- •B•h'f2 Z
(715) 386-8664
CHECKED BY DATE_
SCALE
D-t
Ito ;&k
it
l
LZ
~ i
PRODUCT 204-1 )Inc,, Gmton, Mass. 01471. 1
DDB } v/ ~ 43
ROHL & TIMM EXCAVATING SHEET NO OF Z
310 Arch Street
HUDSON, WIS. 54016 CALCULATED BY aar~ Z
f715) 386-8664
. CHECKED BY DATE_ lC~ ~ o"
SCALE
e 5
PRODUCT 2041 ees In, Groton, Mau 01471.