The URL can be used to link to this page

Home My WebLink About020-1051-90-000 n cn O -0 n d M C C O C1 1 7 to ~ 3 r1. ID 02. -0 v m fD A Cn 3' = N z c) N = N O n w O N O O O C O N ~C • d. A z a N N Ln O 1 O lAl O O 0 W y ~ O~ C 1 O -9 p 7 Q N - O O O !l t 7 y O D ~ 4 CD 0 N a o c 0- o a I~ t _ 3 p ° CD V t) ~z M =:R co o 1 z z c ED :T 0 r. C/) 0 CO CO 0 N N Q 0 0 0 cn E c < z v o 3 can tin can a l t D c v o v O (D CD (n f n C- sr -0 -0 j ~ - y (O ( d N - p z z co z O D o ~ p fl- ~ I FD' "Aid y !J 'yp y (D n~ c m m W a / n z ~ Z O A n n D A O N 4 O z N O co M m CD M i „ z 0 3 -P, X c =r N 9 m CD y + < W Er Q y ~y N C 7 ~ O o d y O N c I ~ 0 I o 9o A W cn N ~ a ~ N O O O O A O CD Gp ti (A p 0 O * ti yN O m j O i ' iv Parcel 020-1051-90-000 05/26/2006 10:35 AM PAGE 1 OF 1 Alt. Parcel 20.29.19.195B 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 KEVIN B & LINDA K SNYDER O - SNYDER, KEVIN B & LINDA K 829 DORWIN RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 829 DORWIN RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.760 Plat: N/A-NOT AVAILABLE SEC 20 T29N R1 9W NE SE LOT 1 OF CSM Block/Condo Bldg: V5/1210 (HISTORY 668/94 706/523) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1019/112 WD 07/23/1997 948/08 07/23/1997 936/445 07/23/1997 787/202 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 1.760 69,000 205,300 274,300 NO Totals for 2006: General Property 1.760 69,000 205,300 274,300 Woodland 0.000 0 0 Totals for 2005: General Property 1.760 69,000 205,300 274,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 020-1051-90-000 03/22/2006 08:20 AM PAGE 1 OF 1 Alt. Parcel 20.29.19.195B 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 KEVIN B & LINDA K SNYDER O - SNYDER, KEVIN B & LINDA K 829 DORWIN RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 829 DORWIN RD SC 2611 SCH D OF HUDSON YI 6-'d SP 1700 WIT C i ~ ])n~ Legal Description: Acres: 1.760 PI N/A-NOT AVAIBLE SEC 20 T29N R19W NE SE LOT 1 OF CSM Blo Condo Bld / V5/1210 (HISTORY 668/94 706/523) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-19W Notes: j . Parcel History: Date Doc # Vol/Page Type t 07/23/1997 1019/112 WD 07/23/1997 948/08 07/23/1997 93645, 07/23/1997 X87/202 ` 2005 SUMMARY Bill Fair Market Value: Asse "mse d-with:~Is 91781 268,900 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.760 69,000 205,300 274,300 NO 05 Totals for 2005: General Property 1.760 69,000 205,300 274,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.760 27,600 155,200 182,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. ,>C, TaN-R&W ADDRESS'S ST. CROIX COUNTY, WISCONSIN. ff , SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 0W-E-VEKYTHING WITHIN 100 FEET OF SYSTEM t _ i I di a e o th Arrow SC L I i BENCHMARK: (Permanent reference Point) Describe:-Zr ' Elevation of vertical reference point: /4jSlope at site: SEPTIC TANK: Manufacturer: IL7S`~r G Liquid Capacity: 4i 6 e, ~oe Number of rings on cover -7 Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cyc e_ gallons; total capacity o distribution lines gallon: size of pump head; gallon per minute horsepower ; bran name of pump and model number ; Type of warning device f HOLDING TANK: Manufacturer f4' Number of gallons Elevation of manhole cover Type of warning nevi er SEEPAGE PIT SIZE Number o pits feet diameter feet liquid depth seepage pit in ee t pipe-elevation bottom of seepage pit E e~vation_ feet . i % SEEPAGE BED SIZE: number lines - -width. ~ le~igth55- tile depth 36, SEEPAGE TRENCH: width lxll~A length PERCOLATION RATE-, ---w IC; _ AREA REQUIRED /,/5:p! REA AS BUILT ' INSPECTOR DATED 10 I r ^PLUMBER ON JOB LICENSE NUMBER-- L } DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS 'LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O'. BOX 7969 BUREAU OF PLUMBING 19 MADISON, WI 53707 Q CONVENTIONAL ❑ ALTERNATIVE [1,1, Plan I.D. Number. f assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER. INSPECTION DATE BENCH MARK (Permanent reference pmnt) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.. CST REF. PT. ELEV C f r \ N.nnr nl Plumber. IMP/MPRSW No County Sanitary Permit Number. SEPTIC TANK/HOLIBING TANK: 2Q MANUFACTURER LIQUID CAPACIT V. JTANK INLET ELEV. TANK OUTLET ELEV.. WARNING LABEL JLOCKING COV~fR PROVIDED. PHOVID 31(aW 0 ❑YES ❑NO EIIEV LJNO JAVENT BEDDING. VENT DIA.. VENT MATL HIGH WATER NUMBER OF TROAD: PROPERTY WELL. BUILDING. TO FRESH IR ET _ ALARM LINE I M-4 FEET FROM / TL -~~IJ YES ❑NO I ❑YES ~NO NEAREST DOSING CHAMBER: MANUFACTURER IBEIIIIING. LIQUID (.APACIIV PUMP MODFI PUMP: SIPHON MANUFACiLIHEH WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: ❑YES ❑NO ❑YES ❑NO 11 ❑YES ❑NO GALLONS PER CYCLE: PuMPANOCONTROLSOPERATIONAL NUMBER OF PH~mFHrv wELL JBITILDIN(; ~VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM mTE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST-?. SOIL ABSORPTION SYSTEM. Check thesoil moistureat thedepth of plowing -T I. IAMIIFH JM ANOMARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FARCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH 1_ENGTH NO.OF DISTR PIPE SPAI 1', (:OVEII j:: INSIDE DIA S LIQUID BED/TRENCH ( 3~ TRENCHES A Vitt A[ PIT DEPTH DIMENSIONS PROPS TY ELL BUILDING VENT TO FRESH DII'1I I'LL DEPTH DISTH PIPE DISTH PIPE DISTR_PIPE MATERIAL. NO. UISIR NUMBER OF 1R A ~~Ih'~ ~ rlsrtvE wEH FI by INLf I ELFV END PIP FEET FROM ~Q y AIR INLET (~►J NEARESTs T 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. ❑YES ❑NO SOIL COVER TE Y,IUHF PE HMANENT MAHKFRS OBSEHVATION WELLS ❑YES ❑NO 1-1 YES ❑NO DEPTH OVER 7RF N(:U BED DEPTH OVE H IHI NCII BTU UFP rH OF T()ES()IL S()UDED SEEDED JMULCHED CI N1FH EDGES ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: _ :V~DIH IENGTH NO. OF LATFRALSPACING. 1GRAVELDEPTHHELOVVI'111 FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS _ 1NIFOLD PUMP MANIFOLD DISTH. PIPE MANIFOLD MATFHIAL. NO DISTR DISTR. PIPE DISTRIBUTION PIPE MATERAAI & MARKIN(, ~LFV. ELEV. CIA ELEV. PIPES DIA ELEVATION AND DISTRIBUTION L INFORMATION HOIF SPACING ORILLL D CORRECT LV COVER MAT ERIAL VER TICAL LJF T CORRESPONDS TO APPROVED ]"O'[ESIZF PLANS 11 YES El NO -DYES ONO COMMENTS: PERMANENT MARKERS. OBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING FEET FROM LINE ❑YES ❑ NO ❑YES ❑ N NEAREST- _ _ tom,,,, 4 6 ~ a 1q. 1,7- t ~ y~ r'Z IS• 1 5.88 w~ Sketch System on Retain in county file for audit. Reverse Side. sIONAruRE TITLE DILHR SBD6710 (R. 01/82) _ DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, 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. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: Z 3 A Property Location: Q4,,. iue~e..r Township: Coun y: Nj6 t/a 5,r- /4S T G'j N R / -E-Eef4 W Lot Number: Blk No:: Subdivision Name: Nearest Road, Lake or Landmark: State P Tan I.D. Number: (If assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. 3 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY N LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: ~.4 Li EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): DZ New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit < ~D GX 6) ❑ Alternative (specify) ❑ Seepage Trench Water Supply: 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: Signa e: ie9P/MPRSW No.: Phone Number: 3 z l Z. (?t,~'sSfi$-W4,tao Plu beddress: 13/ ~ Name of Designer: on,x 7 Z Scc L....- COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent- - Fee: Date: APPROVED Sanitary Permit Number: ❑ 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) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ,INbUSTRY' DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: 1/4 r: ?_..C? /T2_'V N/R6 &,4W tf y ~ / , f> M - ' eed 4 S - COUNTY: UYER'S NAME: MAILING ADDRESS: USE ATES OBSERV S MA NO. BEDRMS.: COMMERCIAL DESCRIPTION: FR-OFILE D ON§9 A 10 STS: ;4Residence New ❑Re lace n RATING: S= Site suitable for system U= Site unsuitable for system / CONVENTIONAL: JMOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDEDS T :(optio al) ~S ❑U (S WS ❑U ❑S U ❑S 113eoi ~I If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. If any portion of the lot is in the /'~j under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: iV / 14 _0H~ Y~~ SG~.d~ dawt S~)PROFILE DESCRIPTIONS BORING TOTAL ELEVATION PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, CO OR, T TUBE, AND DEPTH NUMBER DEPTH IN, E OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- % -73 / ra~,4 T 78 B- Z 7th /c%6• B-3 ko, B- JOO" B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFT RSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERT D3 PERINCH P- 3 3l~ < P- P_ P_ -P.- PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe re the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and t on and percent of land slop. SYSTEM ELEVATION c c~ ~ 71a ~ 3f ell k~ 17"'? 0 14 . TN 4 ADD 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 (print): TESTS WERE COMPLETED ON: r 9 i 7/Sz ADDRESS:: . CERTIFICATION NUMBER: PHONE NUM/BEER/ optional): 1'2-, X (-',/(A- k ,;_._t.y~? 745 . ,Q-- !7° CST SIGNATJE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 IN. 03/81) r w • fl y Mme' DA w p/r mow, ~+Y y y w ~ a 3 w ~oQc3~~ Cac ~ a a U tol 7 b z A a O LiJ (qj z a th d o 0 4;Z 03 rp &LL 0- cu C) -`1 r C~► C