HomeMy WebLinkAbout020-1107-95-000
c v~o o d
3 3
U) p3j
m uNi O W S' N C G~J7 N •
0 (0 C~ N)
d Z a N Q' O, lA\
j CD w 0 W= j O O C 1
N CD 7 O m O W
CD a CUD
O CCD _ n O O
S K
N N O O
_ 0
O A 0
v cn G ° "
D fD N
(D (D N @ tl
(D C
3 0 CD C) C)
N
co co
7-- CD r
OD 00
_ r N N Q ! Q ~1
O !r
-0 M m =3
(t:~n~ IQ Z O O O
1 --i o Ul < z c~1
C -F, n g cn v, o D aQ
}C v m IQ v y v o
O N N <D N m Cn
_ C1 a
^ W f~ N w
r O
`
C C]t' a 3 CO
CX' f Z
O lv
z co Z O
, j O D a
C~ E
o m !V
N
(D N
M.
cc C
1
CD N
CD
Q
JJ Z N
--I fn
Z O
C tN o'
Z N Ul
co m ( m O
CL z
C
0 3 ~
O " m
C'
C> I w
m
N D 3
a
n
7 j
m o
n ~ T
v c
W o a
N m
c
N
CD
I ~
I
I ~
I
!
N
I
a
N
O
O
a
i A
I ti
0 N
O
A N
III CD
O
O N
O
0 i
ti
Parcel 020-1107-95-000 05/26/2006 12:14 PM
PAGE 1 OF 1
Alt. Parcel 35.29.19.430C 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 - HICKOX, WILLIAM M & JEAN M
WILLIAM M & JEAN M HICKOX
802 CTY RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description " 802 CTY RD N
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.420 Plat: N/A-NOT AVAILABLE
SEC 35 T29N R19W NE SE LOT 1 OF CSM Block/Condo Bldg:
5/1409 EXC PT TO COUNTY FOR RD
EZ-U-1482/456 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
35-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1005/426 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 2.420 71,500 15,900 87,400 NO
Totals for 2006:
General Property 2.420 71,500 15,900 87,400
Woodland 0.000 0 0
Totals for 2005:
General Property 2.420 71,500 15,900 87,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1109-57-000 05/26/2006 12:17 PM
PAGE 1 OF 1
Alt. Parcel 36.29.19.443B 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 - HICKOX, WILLIAM M & JEAN M
WILLIAM M & JEAN M HICKOX
802 CTY RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 802 CTY RD N
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.540 Plat: N/A-NOT AVAILABLE
SEC 36 T29N R19W W 1/2 OF SW 1/4 COM INT Block/Condo Bldg:
W LN SEC 36 & N R/W HWY "N" TH N 13 RDS,
E 119.25 FT, S 13 RDS, TH W ALG HWY TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
POB EXC PT TO COUNTY FOR RD 36-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1005/426 WD
07/23/1997 468/51
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.540 24,800 167,600 192,400 NO
Totals for 2006:
General Property 0.540 24,800 167,600 192,400
Woodland 0.000 0 0
Totals for 2005:
General Property 0.540 24,800 167,600 192,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 123
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE NE 1/4 OF' THE SE 1/4 OF SECTION 35, T29N, R19W,
TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN.
E 1/4 CORNER
LEGEND SECTION 35
1" IRON PIPE FOUND
1" x 24" IRON PIPE WEIGHING REPLACED WITH
O 1.68 LBS./LIN.FT., SET. COUNTY MONUMENT
4--~- FENCE o0
N 0
unplatted lands C,
owned by platter
S89°06'17"E
13.51
181.75'
N °r
OWNER x
x
cn H
MICHAEL & LYNN TREMBLAY
KT. 1 BOX 138 ~ I s r i~
HUDSON, WI. 54016 I~ LOT 1 En I(t
?7 I -3 1 ct
c ~ ict 108,880 SQ.FT.
a 2.50 ACRES
~tz' is z 0-~°o0 ILn
O -A 1:3 O ~ 0 1
r~ ~i O I a q Ln H ul H I O
w In 0 co LA
-A U1
A 7 PR0VL_D Zl ITl I O W N ~ W ~ ILL
I ~ t~ N - I
V1 trl I (D W - ICI
o > I~ 117 I
MAR 71984 O H I Ix
w
- H i`O I'tD
5T_ CSO!X COUNTY w'tri i a ion
ENtNSIVZ PARYS PLANNING = I fi
~ ZONING COMAITTEE I (D
NJ --I E
5 ~C7
SCALE IN FEET 1" = 100
0 50 100 200 300
183. 2,
j-_PI8-1036 O'~
C. N8-10 36, Ott,,
w
M
5-14,37 -
hiUOS0N1 CT. H.
lft
THIS INSTRUMENT DRAFTED BY DOUGLAS ZA1-1LER SE CORNER
JO&,NO. 83-51 ` SECTION 35
w MINTY mnN1TMF.NT
' V
AS BUILT SANITARY SYSTEM REPORT
r
OWNER TOWNSHIP ----SEC N-lWW
ADDRESS ST. CROIX COUNTY, WISCONSIN.
r1 `0,3,~ ~✓,L
SUBDIVISION - LOT_ LOT
PLAN VIEW
Distances and dimensions t0 meet requirements of H63
SHM-LVEIMHING WITHIN 100 FEET OF SYSTEM
i
V A4
I di{-a e Lootthh Arrow SC LE:- i-~-ICJ
N 7X'
BENCHMARK: (Permanent reference Point) Describe:
Elevation of vertical reference point :h~'q Slope at site _
SEPTIC TANK: Manufacturer: Liquid Capacity. 1~Q0 ~l
Number of rings on cover : Tank x7►anhole cover elevatlul~
Tank Inlet Elevation: Tank Outlet Llevation.
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump se-t for a cyclre gallons; total-capacity o
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
Ty ~e of warring device
SEEPAGE PIT SIZE. Number of its feet diameter
feet liquid depth_ seepage pit inlet pipe--elevation
bottom of seepage pft eIevetion feet It
SEEPAGE BED SIZE: number of lines _ _w4L Iei tLt l t i.le depth
SEEPAGE TRENCH : w dCh 1e i tl- _
PERCOLATION RATi: AREA AS BUILT 1yS2___
iNSPEC'1'OR _
PLUMBER UN .TOB~~11iJ
DAI I i) - -
- LICENSE* NUMISI,:k
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
r'
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI 53707
® CONVENTIONAL ❑ ALTERNATIVE IS,,,, Plan D Number.
(If assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER. INSPECTION DATE'.
Tferoblckc,v BENCH MARK (Permanent reference point) DE RIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.'. CST REF. IT ELEV.
F_ SL sec, --raci q LL)
Nam~•'If Plumber. MP/MPRSW No. Coumy SanBary Permit Number.
SEPTIC TANK/HO ING TANK:
MANUFACTURER LIQUID CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCK NI V
1 I P O DED. PRO E
LI ~.;L t~ I YES LINO _.NO
H
JC
BEDDING. VENT III VENT MAIL HIGH WAY,40-- -NUMBER DF rROAD. PROPERT WELL BUILDING. ~VEN TO FRES
A
M FEET FROM LINE AIR NLET
N YES ❑ NO Y NEAREST -
DOSING CHAMBER: _
MANUFACTURER BEDDING LIQUID (.APACI i`r' PUMP MODEL P UMP; SIPHON MANUE AC iUHEHWA RNI LABEL LOCKING COVER
PRO ED. PROVIDED.
❑YES LINO YES LINO ❑YES LINO
GALLONS PER CYCLE: ~PJMP AND CONTROLS OPERATIONAL NUMBER OF Pf3k HTV wFLL BUILDING VENT TO FR ESH
(DIFFERENCE BETWEEN FEET FROM SIN aIR INLET
PUMP ON AND OFF) ❑YES LINO NEAREST
SOIL ABSORPTION SYSTEM. C c the75oil moistu eat the depth of plowing r FORCE II - uI-~ 1FTEH 4AT1 HInI AND MARK mG
or excavation. (If soil can be ro ed int a wire, con ruction shall cease until I ,
the soil is dry enough to continu y MAIN +
CONV E L SYSTEM: _
T IDTH LENGTH NO OF DISTR PIPE SyA( If . 1-0vi H INSIDE DIA LIQUID
~ DEPTH.
BEDTR NCH.. TRENCHES aar~HI PIT ~rF ~s
DIMENSIONS
-
UMBER OF PH OP ERTV WELL BUILDING VENT T E FRESH
ti i DEPTH 1~)iSTR PIPF DISTH PIPE DIST PIPF MATERIAL . N D157TNARES
AIR INLET
In ,I ov`E c ED EI r v INLF 1 ELEVff END .,y PIPES,r' EET FROM LINE
T
MOUNDS I YSTEM: ILI '
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: moun5Y systems to make certa/ that it ON REVERSE SIDE. SHOW ELEVA-
meet5 the riteria for medium ' nd. TIONS MEASURED.
❑YES NO _
SOIL COVER IFY.TURE f' PERMANENTMAHKFHS OeSEHVATIONwFLLS
t ❑YES LINO ❑YES LINO
f -
I)f PT OVFH THENCH BED DEPTH OVFH THFNCII BEU DEPTH F T SOIL SOF FD SEEDED MULCHED
CC NT EH EDGES 9
j / ❑YES LINO ❑YES LINO ❑YES NO
PRESSURIZED DISTRIBUTION SYSTEM:
l"JIDIH LF NO IH NO. OF LATERAL SP,4CI NG RAYEL DEPTH BE LOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES
DIMENSIONS
lJANIFOLD PUMP MANIFOLD DISTH. IPE MANI FOLD MATERIAL NO. STH DISTR. PIPE DISTHIBU i ION PIPE MATE HIAL&MARKING
f LEY. EI EV. DIA ELEV. PIP DIA
ELEVATION AND
DISTRIBUTION vIEHncnLUFrcoRRESPONDSroAPPROVE D
INFORMATION ji0i ESIZE [-]YES HOLE SPACIIDC DHII I ED COHHECTL V EHIAL P A0' 1
.
---YES C~NO I ` - ❑YES LINO ___j COMMENTS: PERMANENT MARKERS: OBSERVATLON WELL NUMBER OF PROF =LL. BUILDING
FEET FROM
❑ YES LINO ❑ YES LINO NEAREST-
L
o' 0
r ( S
Sketch system on Retain in county file for audit.
Reverse Side.
SIGNATURE ' TITLE a _
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'/z 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:
c - /ice , ~
Lin"
Property Location: CUV-,-V thage or T wnship: County:
_ t/4, '/aS 11 N/R (or) W
Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark:. State Plan I.D. Number:
(If assigned)
TY E OF BUILDI G
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* 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
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER:
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental 5~ Seepage Bed ❑ Seepage Pit
❑ Alternative (specify) ❑ Seepage Trench
Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner):
❑ Private Q' Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of th sewage system shown on the attached plans.
Na a of Plumber: Signatur / MP/MPRSW No.: Phone Number:
- -
Plum er's Address:
_ Name of Designer:
75
-
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fpe: (30
1CR Date: El APPROVED Sanitary Permit Number:
!V " 3I-s ❑ 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
DILHR-SBD-6398 (R.07/81)
DEPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOfi AND, PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969
HUMA" R~ LATIONS
LOCATION: SECTION: TOWNSHIP/ TY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
N/R/ ~ (or) W ,r,r
COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS:
USE DATES OBSERVATIONS MADE
NO. IEDRMS.: COMMERCIAL DESCRIPTION: ROFILE TONS: IPERCOLATION TESTS:
Residence v~ ❑New 50FIeplace
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
~S ❑U ❑S ❑U S ❑S ❑U ❑S Eu ~~C itlr_-h:
If Percolation Tests are NOT required DESIGN RATE: SYSTE EL If any portion of the lot is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
13-
y
16-
- . r
L fii.) 3
1
13-
wj r, - / 7 -
~ VVV 3~ ,tS.iGS
B- ' - ]
B I
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD2 PERIOD PER INCH
P-
P- 5' 7
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.
SYSTEM ELEVATION i
E
3
TN
~'Jy
s f
*J
3s
i, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME ( rint): TESTS WERE COMPLETED ON:
i / _ r _
ADD E S: CERTIFICATION NUMBER: PHONE NUMBER optional):
CSTnN~TU
pegTRtg` ,a, Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester.
pILHR-SBp_g395 C. ,
r
77
41'7
C -L
CG ~x