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Parcel 020-1025-70-200 05/26/2006 11:04 AM
PAGE 1 OF 1
Alt. Parcel 15.29.19.11OC-20 020 - 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 - SODERLUND, TIMOTHY D & JUDITH M
TIMOTHY D & JUDITH M SODERLUND
695 MCCUTCHEON RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 695 MCCUTCHEON RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.520 Plat: 3973-CSM 14/3973
SEC 15 T29N R19W PT SE NE BEING CSM Block/Condo Bldg: LOT 6
14/3973 LOT 6 2.520AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
15-29N-19W SE NE
Notes': Parcel History:
Date Doc # Vol/Page Type
03/06/2001 639844 1596/562 WD
07/23/1997 1146/370 W ID
07/23/1997 972/352
07/23/1997 686/445
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 2.520 77,100 143,600 220,700 NO
Totals for 2006:
General Property 2.520 77,100 143,600 220,700
Woodland 0.000 0 0
Totals for 2005:
General Property 2.520 77,100 143,600 220,700
Woodland 0.000 0 0
Lottery Credit:
li Claim Count: 1 Certification Date: Batch 203
i
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1025-70-100 05/26/2006 11:02 AM
PAGE 1 OF 1
Alt. Parcel 15.29.19.11OC-10 020 - 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 - SOMMERFELD, BRUCE J & NANCY L
BRUCE J & NANCY L SOMMERFELD
699 MCCUTCHEON RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description " 699 MCCUTCHEON RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.510 Plat: 3973-CSM 14/3973
SEC 15 T29N R19W PT SE NE BEING CSM Block/Condo Bldg: LOT 5
14/3973 LOT 5 2.510AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
15-29N-19W SE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1146/370 WD
07/23/1997 972/352
07/23/1997 686/445
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 2.510 77,000 232,500 309,500 NO
Totals for 2006: ~
General Property 2.510 77,000 232,500 309,500
Woodland 0.000 0 0
Totals for 2005:
General Property 2.510 77,000 232,500 309,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 203
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM RE'POR'T
1 OWNER. 7
TOWNSHIP
_-SEC' ,N-R.,
~ ADDRESS
_i ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT_- LOT SIZE
PLAN VIEW
Distances and diiliensions to meet i c~lui_rruicnt oL 1103
- ifiOW. LVL:RYTf11 NC WITHIN 1 OO FI,A%-F OF SYSTkI4
t
7
4
r)
7- V
_t
i
i I
i
i
it
e
'A L
BENCHMARK: (Permanent reference Point) Describe:
Elevation of vertical reference point
SEPTIC TANK: Manufacturer: s ,
I , i q u i d Cap.i c i t y :
Number of rings on cover a - / -
I'ank nu:>nhole cover- c, levat ion
Tank Inlet Elevation: c?f - lank Outlet Elev,.;t ion:
PUMP CHAMBER
Manufacturer:
Nuad),..l of gallons
Number of gal. pump se or a c y c I e T- a 1 1 o n 5 - total - ~ _y f
distribution lines -,--__total c:~~~acLt :i
gallon : size of pw11P___ head;
gallon per minute horsepower_____.____ brand r►ame of pump
and model number - -
Type of warning device-------__.-----.-____-'
HOLDING TANK: Manufacturer _ Number of ~a11_ons
Elevation of manhole cover - -
Type of warning device ~
SEEPAGE PIT SIZE: -Number oF pits meet cT ainetet _
feet liquid de tIF- ,
P seepage pit- inlet pipe-elevation
bottom of seepage pit elevation 7s
feet. BED SIZE: number of lines idth 'i ffj
SEEPAGE TRENCH: width - - --C $2-_ lc rgtitT~ tilt dept;
PERCOLATION RATE _ 1er~~ h
r AREA IZLQUIRL[) ARE AS BIJIIT . .
DATED INSPI?C'1 i .
P hk4 J~ ON JOB
LICENSE NUMBER
DEPART%~cNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LA.9(0&' HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.U. BOX 7969 BUREAU OF PLUMBING
MADISGN, WI 53707
®CONVENTIONAL ❑ALTERNATIVE \p State Plan I.D. Number
(lf assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NA OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE.
C? k ` rr
BENCH MARK ent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.. CST REF. PT. ELEV.
IS f) E - !
Name of Plumber. JMPIMPRSW No.. JCounty- Sanitary Permit Number_
-13q 3 C-11 il!~
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIOUID CAPACITY. TANK INLET ELE TANK OUTLET ELEV. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED-.
R DYES ENO DYES ENO
BEDDING: VENT DIA.. V MAT LIM R O ROAD PROPER~T+Y'(L WE~Lj/L BU,~/IJ~L~~D-h~NG- VENT TO F,jR-ESH
RM. _ ( LINE ._1.' AIR f~ET/
EET FROM 7J`/.~ 3
DYES ENO YES O NEAREST _
DOSING CHAMBER:
MANUFACTURER BEDDING. LIQUID CAPACITY - PUMP DE PUMP SIPHON MANUF ACT URE R. WARNING LABEL 4:OCKING COVER
PROVIDE PROVID D:
DYES ENO _ EY ❑ O E ENO
GALLONS PER CYCLE: u P NDC T Ls ArIONAL NUMBER OF PEHTV E B DI. vENTroFRESH
(DIFFERENCE BETWEEN FEET FROM LIVE r' AIR INLET
PUMP ON AND OFF) Y ENO JNEAREST
SOIL ABSORPTION SYSTEM. Check thesoil moil re Vh th plowing r1EH MA ERIyLA MARKI c
or excavation. (If soil can be rolled into a wire, nst /Paf llase until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH LENGTH NO. OF DISTR. PIPE SPACING COVER INSIDE OIA aPITS LIQUID
BED/TRENCH TRENCHES n nrE AL PIT DE„„
DIMENSIONS
(,Ii..CAF I. LI PTI~I FILL DEPTH DISTR PIPE DISTR PIPE DISTR. PIPE MATERIAL. NO. ISTR NDMBER OF PR OPERTV WELL BUILDING'. VENT TO FRESH
BI Lrr I IPf s ABOVE COVER ELEV. INLF r ELEti. END PIPES. FEET FROM , uNE AE
~ NEAREST~-
2,5 7 77 o
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check t texture t fi I material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mou Stems o Make e in that it ON REVERSE SIDE. SHOW ELEVA-
me ~r'`t e crit la for me m sand. TIONS MEASURED.
DYES ENO
fy.
SOIL COVER TEXTURE ! PERMANENT MARKERS OBSEH NATION WELLS
DYES ENO DYES ENO
DEPTH OVER TRENCH BED DEPTH OVER TRENCH: RED TEPTH (%F PSOIL. SODDED SEEDED MULCHED.
CENTER EDGES
DYES ENO DYES ENO EYES ENO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH NLATER4SP IN G. 7EL D TH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES.
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR PPE NIFO M AL NO. DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
E I.EV.
ELEVATION AND ELEV. DIA. ELFpU. PIPES DIA..
DISTRIBUTION
HOLE SIZE HOLE SPACING DRILLED CORRECT COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED
.INFORMATION DYE 'i NO PLAN'S DYES ENO
COMMENTS: PERMANENT MARKERS: 0BSERVAT N WELLS: NUMBER OF PROPERTY WELL: BUILDING.
FEET FROM LINE:
❑ YES ❑ NO ❑ YES ❑ NO NEAREST-
co
/at
7• 37
4.71
7.s~ ~•Js
za
Sketch System on F3~ta+t~ file for audit.
Reverse Side.
SIGN TITLE.
DILHR SBD 6710 (R. 01/82)
DEP4RTMENT OF APPLICATION SAFETY & BUILDINGS
INDflSTRY, " FOR SANITARY DIVISION
LABQR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PL13 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.
Proper ner: Mai 'ng,Address: 001,
Property Loca ' .C4, Vill"o or Township: County:
iTQ N/R (or) W
Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake r rk: State Plan I.D. Number:
.✓J~ (If assigned)
TYPE OF BUILDING
'006 r Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
1 or4rFamily *State Approval Required.
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER
GALLONS OF TANKS CONCRETE PLACE INSTALLATIO MENT (Specify)
SEPTIC TANK CAPACITY etr
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 Seepage Bed ❑ Seepage Pit
i ❑ Alternative (specify) ❑ Seepage Trench
Water Supply: Owner's ame as Listed on Soil Test Report (If o er than present owner):
Private ❑ Joint ❑Public tgmc I& I
ez/Z
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
;me Plumber: Si PRSW mber:
/ ~ ~
r -.5 umbe
's Adress: ~Lr Name of esigner:f~
COUNTY/DEPARTMENT USE ONLY
Si n ture of Issu Agent: Fee: Date: APPROVED Sanitary Permit Number:
❑
in ED L
^yrA la~ ❑ DISAPPROV
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 (N.03/81)
DEPART ',Y, of REPORT ON SOIL BORINGS AND SAFETY & BUD(
INDUS ',_R VISION II,
C
LABOR AND . PERCOLATION TESTS (115) MADISP.O. BOX 7969
ON, WI 3707
HcJMAN RELATIONS
(H63.09(1) & Chapter 145.045)
LSATIN- SECTIOjT-,-SN/US E (or TOWNSH`P/MN~ LOT NO.:BLK. NO.: SUBDIVISION NAME:
1/4" 4 COUNTY: OWNER'S/R{~Y~R'S NAME: MAILING ADDRESS:
37• C7Z_3 ) x 4u,~,j , w i. S C/ o/ 6
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION TESTS:
~Residence ❑New Replace /J / / S Z l8 2
((RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONi:M OUND : N-GROUND-PRESSURE:SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
[Qs EIZS ❑u ZS ou ❑s Zu os Nu J,5r,z3c' -E~
F ercolation ests are NOT required DESIGN RATEI If any portion of the tested area is in the
er s.H63.09(5)(b), indicate: TC 5` T7-#, ~ Floodplain, indicate Floodplain elevation: )K ~ '
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER- CHARACTER OF SOIL WITH.THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHS ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B t - 99.05 ~vdt~E > 6 8' -2.0
B Z 6 99.93 l~o)L}E > 6• r rr \.Z Br, G" cS j tl.l ~t, w~e~ c
B- S 99 9~ ti~>J~ > 6•S o•S j st -S „
B-
B-
B- I
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PERIOD 3 PER INCH
P_ I 3`3 Z- h Goti E /!v L_ L- S S < 3
P_ z as - Z < 3
C 3
P-
P-
P-_
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
of land slope. s(3 S o! L JL \2 U TU2►cr/f1 R LT- SA7Tr E
,E In
SYSTEM ELEVATION
O'F `r?fE_ ~
i ' 1~ CoTtN`2 OF Tt'6 S= ~yy~ //y ! j
i
I
,
~S -
;YS ~ZSt1,` x ? xt SY~ - - I 965 He Gru~ctt 0.~ s,
V~ aS }?I -1. X
1~RP•~~~ _ 30' -sl ~ NI P3 CI BI ~
i
1, 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.
(NAME (print): TESTS WERE COMPLETED ON:'
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBERloptional):
S V 13)j S-)6 3:381
CST SIIG~NNA~rURE:
DISTRIBUTION: Ot lginai and one copy to Local Authority, Property Owner and Soil Tester.
L _HR SBD-6395 (R. 02/82) - OVER -
it~?STf IlU1 t` FOR COMPLETIWG FORM 115- SRD - 1,395
To be a coniplete, and accu your report must inciude_
i . Complete legal description
The use section mmq clearly indicate whether this is a residence or cornmerciai project;
3. MAX IMUM number of iiedrooms or connmel cial use planned;
4. Is thi, a nev4 of replacement system;
Ei, ccmniete, the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
011HER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS
F. PLEASE a se the alowlatkno s1wwr: here for writing profile descriptions aw completing the plot plan;
i. WAKE- A LEGIBLE dhyam acc -atOy loc; !ng your test Iccations. D: at in to scale is preferred A
s(',, 3 we Sh ,e°.."nay ne usm it rtes -ed,
, 441 v sure your bemhma. k and e ..:a± : lwt' han mkience paint jre -iv siiovmi, and are_permanenat,
9. CC;"VIve all appiom ate `-loxes as to dates, names, addresses. hoorl ply , Qw, Percolation test eXemp-
t.Vi n, H anyorn Iat.P;
1G. Ii the in-ro r'r::,ic2.n i ;lr!, = v: Aaw Wevation) does not app 1, N.A i., trif, ajlvvowiate box;
t Sic Be R gm and {>tar e your ' un nt addr .s.`- and your certifica non nu ba :
,r\r4<e c ~nic,s anc' disc ihef as roqulred, ALL SOIL TESTS MIUST BE FILED t lTN THE
L OCAL AUTHOR Y V01 i HIN" 30 C_'AYS OF CO~NIPLET! OI•.
ABERP,"!A T IONS FOR CERTIFIED SOIL TESTER' S
SC='ii Separams and Textures Other Symbois
st - Stone {order 10 BR - Bedrock
coin _ Cc)'.-)We !3- ` SS - Sandstc;
gi Gavel iundc: T"; LS - Limestone
Sa:zc HGt> - k-; gh Groerrulv.atef
cs - Coarse Sand FOB P Anwin Rate;
coed - f,•rlediur; SE.n C';' _ la.!'
is - Fine Sand Bidg - Bui ding
r.
tf. - i (3a~n}' `Oan(_; - t7rc'aiPr
s! - S.ndv L,ia;r - Less TTIa,
Loan, BA - Browfi
'su - Sia Lu i:- Bi (slack
Gy - Gray
'cl - Clay Loarn y - `iellov~
sci - Sandy Clay Loam R - Red
sic) - Silty Day Loam mot - Mottles
Sc SWAY Cloy v'- - v. i11!
sic: - S!!7~' C ?c ffi fe\v, fine, f8int
C Clay C'C' - common, coarse
pt - Peat ne-n - Many, mediurn
m - Murk d - 6!~t:nct
l"r p ro n'i i n e r,i
Hilt- H4.n lr8tC1' level,
Six ge t •a Trt;4 swrfac
fo; ilc Wd trav anosa! ENO - Bench Maik
VRP Vow & F;r' wencr Point
TO THE MINER:
Tnv S ws1 report is the to t sow wrU!ing a sanitary permit. The county of the Department mayregcrest
veiifi wwri of tills sm, test in V'r 6 Ufiol to ;permit issuance, A comnl(rte s°; c, t pians for the pt!vate
s, evro:gr system ana n• wu:" he suinowtt'd is the apps,, w, awhowy ir: order
oma n a pare t. TO "n t °?i,r:._ w :,ta,ned and p owed hrirw t(, On ar; nt cinv cc?nst~u,^lirn.
wner's, name San. Permit No.
H63.05 PLOT PLAN
Showe _II
Location of building served F-.) Dosing chamber
Septic tank Vertical reference point
ED
ED Building sewer Horizontal reference point
Effluent system Well
NA Replacement system area Property lines w/.in 50' of system
Distribution boxes Scale = 1 : - _C> or dimensioned
N A Pump and controls:
4 Mfr. 6 Model. No. vertical Lift Size Force Main
Friction Loss T. D. H. Vol. Dist. Pipe Gal. per Min. Gal. per Cycle
Place check mark in appropriate box, indicating item is showrj on p;.ot plan below:
4 1 k Ti ,
t, 4 ki k ?C \ ST ~►1 c;,
p
t e ~u
ax i.:
z-
~TI.
i.:
Cy . F ~
i
r I
ors t ~ ~ _r r` ~ C
ti ~ ~ } ~ azs~ t i h JYi 1 ' a ~ •a ~ I I I ~ d t r ,
y r
- '3 i 6 i E
e II rj I
tai>•'
f~
i
Bv;,the granting ng or approvinq of the above plan, or upon the event of a subsequent
Lr]exit. begin iBSne,fit,~'?: X County and the xCounty Znnincl Administrator, dor>:~
x l~Yt
no a'r~tume or,hold itself liable for any defects in plans or specifications, plan
Onlssion., examination oversight, construction, or any damn e that may result in or-
a•Et4*r ins:tallaton,.
• umbr r 5 s i' - - -
L ;natu e