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CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner JEANETTE M SOLLOM SOLLOM, JEANETTE M 754 GHERTY LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 754 GHERTY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.480 Plat: 1979-GHERTY'S ADD SEC 29 T29N R1 9W GHERTY'S ADD LOT 2 BLK Block/Condo Bldg: 2 LOT 2 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1151/160 TI 07/23/1997 637/542 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.480 32,400 179,300 211,700 NO Totals for 2005: General Property 2.480 32,400 179,300 211,700 Woodland 0.000 0 0 Totals for 2004: General Property 2.480 32,400 179,300 211,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 316 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' AS BUILT SANITARY SYSTEM REPORT OWNER- t) 6S~ lQA" TOWNSHIP 9,6. SQ V SLC.,;~YTJN-R, 1qW ADDk1-.'SS -1. f ST. CROIX COUNTY, WISCONSIN. ---&.6-s 0 SUBDIVISION_ 0&reT)l LOT ~ QJk Fes, LOT SIZE •2•yB,~~ PLAN VIEW Distances and dimensions to meet requirements of H63 VERYTHING WITHIN 100 FEET OF SYSTEM - of ZJV M y I d1 a e o th A ~ro SC_L ,,--a-- H BENCHMARK: (Permanent reference Point) Describe: POwt:-(' gox Elevation of vertical reference oint: P /40 Slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: p Number of tinge on cover aiik-wanhole cover elevation: Tank Inlet Elevation: ~i11V1-" Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons 14 umUer of gal . pump s-- etror a cycle__ _ gallons ; tocay capacity-off-- cfihtribut.ion lines gallon: size o{ pump head; - y. ~,1► on per minute horsepower__ hran~-name of pump «r« model number 't'ype of warning HOLDING TANK: Manufactur~r~ _ Nwnbui- of gallons Elevation of manhole cover l'y ae of warning device SEEPAGE PIT SIZE: Num~ier o p f its -Feet diameter r feet liquid d'epth seepage pit inlet pipe-elevation bottom of seepage PTt EJ1-e-Vation feet. E: 'PAGE BED SIZE: number c f lines wicltl-i Ie.it tli_i! file depthi SEEPAGE TRENCH: width leis tlr PERCOLATION RATE (J.,~"' : `--FLI U-TT2 b g 11R AS BUM INS14 E:CTOlt DA'1'1- D % PLUMBER UN J H - ---y~---~_.- - LICENSE NUMLiEIt AS BUILT SANITARY SYSTEM REPORT ~ OWNER TOWNSHIP SeAl SEC . g.~T ffN-Q4 ADDRESS-R-f. ST. CROIX COUNTY, WISCONSIN. /4.6 SUBDIVISIONT LOT 1 k LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 - VEUTHING WITHIN 100 FEET OF SYSTEM ~ N y I di a e o th A ro -Fu BENCHMARK: (Permanent reference Point) Describe: JP01t11 R X Elevation of vertical reference pint: P / op Slope at site SEPTIC TANK: Manufacturer: I Liquid Capacity: Z200 Number of rings on cover :7Y2 ank-manhole cover elevation: -X Tank Inlet Elevation_/'. Tank Outlet Elevation: R/ PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cyc l-e gallons; tots capacity o distribution lines gallon: sizeOT pump head; gallon per minute horsepower bran name of pump and model number Type of warning ev ce HOLDING TANK: Manufactur~r_ Number of gallons Elevation of manhole cover Cy e of warning device SEEPAGE PIT SIZE: - NumTer of--- eet i.ameter feet liquid dept~- seepage pit inlet pipe-elevation bottom of seepage pit :~evation feet. SEEPAGE IiE'D SIZE: number of lines -~~-wich~_ leitgth~l~ file depth SEEPAGE 'T'RENCH: width length PERCOLATION RATE_ (},~AREA ~QUIREDA-ARE A BUILT_ BATED INSPECTOR PLUMBER UN J B LICENSE NUMBER DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS INSPECTION REPORT FOR a P.O.'B°x 7969 PRIVATE SEWAGE SYSTEMS SA MADISON, WI 53707 FETY & BUILDINGS DIVISION XCONVENl ZONAL BUREAU OF PLUMBING ❑ Holding Tank DALTERNATIVE ❑ In-Ground Pressure State plan LD. Number ❑ Mound niass~gn~l NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER: BENCH MARK (Permanent reference Po,nU DESCRIBE IF DIFFEREN INSPECTION DATE: FROM PL Name of Plumber c; REF. PT. ELEV.: CST REF.PT. ELEV MP/MPR W No County: Sanitary Permrt Numb n SEPTIC TANK/ ING TANK: n MAN UFACTUHER pry LIQUID CAPACITY: TANK INLET ELEV / / D - TANK OUTLET ELEV. WARNING LABEL BEDDING: VENT CIA ~j PROVIDED: LOCKING COV ER VENTMATL. HIGH WATER PROVIDED. ❑YES ❑NO ALARM NUMBER OF ROAD: PROPERTY YES ❑NO ❑YES NO ❑YES FEET FROM LINE: WELL BUILDING. I V-I I FRESH DOSING CHAMBER: DNO NEAREST AIR INLET MANUFACTURER BEDDING . LIQUID CAPACITY PUMP MODEL PUMP;SIPHQN MANUFACTURER. GALLONS PER CYCL0EYES ONO WARNING LABEL PROVIDED. LOCKING COVER (DIFFERENCE BETWEEN PUMP AND CONTROLS OPERATIONAL PROVIDED PUMP ON AND OFF) NUMBER OF - OYES ❑NO ❑YES ❑NO hROPFRrv WELL FEET FROM vE BUILD NG I vENr To FRESH SOIL ABSORPTION SYSTEM. Check the soil moistureat the depEh of plowing NO r „ or excavation. (If soil can be rolled into a wire, construction shall cease until -NEAREST AIR INLET the soil is dry enough to continue.) FORCE DIAMETER CONVENTIONAL SYSTEM: MATERIAL AND MARK wG MAIN BED/TRENCH WIDTH LENGTH DIMENSIONS T N RoE 101 S GGOO PIPE SPACING coVEI7 t;RAVFI_[;FPIIr MATER IAL: INSIDE DIA - - BF Lr)yy 1,Ipf S ILL EPTH UISTF _ Plrs T PIT ~ uQUID PIPE DISTR. PIPE ABOVE Cp VEH FI_FV IN~Ei DISTR: PfPE MATERIAL DEPTH. 2 ELEI/ Enid _ T` NUMBER OF PROPERTY WELL FEET FROM LINE BUILDING: VFNT TO FRESH MOUND SYSTEM: _ NEAREST--y f I 4j- AIR INLET Mound site plowed perpendicular to slope and furrows thrown upslope: Check the texture of the fill material for mound systems to make certain that it ON PROVIDE A DIAGRA SYSTEM ❑ ❑ YES NO meets the criteria for medium sand. REVERSE SIDE. HOWELEVA- SOIL COVER TEXTURE TIONS MEASURE I PERMANENT MARKERS: / f (EPTH OVER TRENCH BED OBSE RIATION WELLS CFN7 FR DEPTH OVER 7R EN CH BED ❑YES l EDGES DEPTH OF TOPSOIL. so°DeU ❑NO ~J YES SEEDED PRESSURIZED DISTRIBUTION ! MULCHED. ❑NO SYSTEM: YES ❑NO ❑YES BED/TRENCH W1DiH LENGTH NO ❑YES ❑NO DIMENSIONS NO of LATERAL SPACING GRAVEL DEPTH 8- ELF TRENCHES: j F L DEPTH ABOVE COVER MANIFOLD PUMP ELEVATION AND FLEV MANIFOLD ELEV. CIA DISTR PIPE MANIFOLD MATERIAL. NO. DISTR DISTRIBUTION ELEV. CIA STR PIPE PIPES. I DISTRIBUTION PIPE MATERIAL & MARKING INFORMATION 'HOLE SIZE HOLE SPACING DRILLED Co CILY COVER MATERIAL COMMENTS: ❑ YES VERTICAL LIFT CORRESPONDS TO APPROVED PERMANENT MgRK ERS ❑ NO PLANS. OBSERVATION WELLS: OYES ❑NO ❑YES ❑ NO NUMBER O PROPERTY WELL, ❑YES FEET FROM LINE: BUILDING ❑NO NEAREST- Sketch System on Reverse Side. in county file for audit. s u E DILHR SBD 6710 (R. 01/82) TITLE DEPARTMENT OF APPLICATION I'NDU,STRY, FOR SANITARY SAFETY & BUILDINGS LABOR AND PERMIT DIVISION HUMAN RELATIONS (PL13 67) P.O. BOX 7969 MADISON, WI 53707 Attach plans for the system on paper not less than BY,, 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. Property Owner: CG~Q M Mailing Address: j~ Propert Location: `J /C~, r %4 8t4-+++ee~e or Township: County: 5c WGV~/aS 1l /T 2y NCR /Q < E (or W 1ilL'f/d,r.J Lot Number: Blk No.: Subdivision Name: ds Q N arest~R,oad'`~Lake or Landmark: State Plan LD. Number: TIC fj'E~~' S ~j(f If assigned) TYPE OF BUILDING ❑ Public* ❑ Variance* El Other (specify)* .9.3, Number of 1 or 2 Family *State Approval Required. Bedroorr,s: PRE GAOTAL OF NUM TANKS CONCRETE POURED-IN STEEL FIBERGLASS NEW PLACE INSTALLATION REPLACE- MENT ~peHcER) LLONS SEPTIC TANK CAPACITY U© HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: E! E EFFLUENT DISPOSAL SYSTEM °ERCOLATION RATE ABSORPTION AREA vt (Minutes per inch):/ PROPOSED (Square feet): D? New ❑ Replacement ❑ Experimental u Seepage Bed ❑ Seepage Pit `<7 J • J! ~'7 ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public p I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: gnat ~P/MPRSW Ph ne Number: Plumber's Address: ~ ~ _2f~~ Name of Desi COUNTY/DEPARTMENT USE ONLY igna re of Issuing Ant: Fee: Date: APPROVED Sa3rY;~r mit Numbe r: eason for Disapproval: I~~~ ,yam ❑ DISAPPROVE' D 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) REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Permit State Septic NAME% 1407 TOWNSHIP 1~la St. Croix Cou4ty LOCATION Section Lot # Subdivision SEPTIC TANK Size-~ gallons Number of compartments i Distance from: Well t _ Building 12% slope Highwater PUMPING CHAMBER Size gallons Pump Manufacturer Model Number HOLDING TANK Size gallons Number of Compartments Pumper Alarm System Distance from: Well Building _ 12% slope Highwater ABSORPTION SITE Bed YF 171- 6 Trench Distance from: Well Building 12% slope Highwater ABSORPTION SITE DIMENSIONS Width of trench yZ ft Required area ft. L, v Length of each' line_ 7 ft Depth of rock below tile in. Number of lines Depth of rock over tile in. Total length of lines J.? ~ ft Depth of tile below grade~p_ in. Distance between lines (p ft Slope of trench Z- in. per 100 ft. Total absortptton area `~Jr ft Type of Cover: PIT DIMENSIONS ~T- Number of pits Gravel around pits yes no Outside diameter ft Depth below inlet ft Total absorption area ft Area require ft INSPECTED BY TITLE APPROVED V DATE- 101 198 U REJECTED DATE 198 r REASON FOR REJECTION DEPARTMENT OF APPLICATION ItVOUSTP.Y, ' FOR SANITARY SAFETY & BUILDINGS DIVISION LABOR ANA PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 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. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailing Address: John Sollom Rtt 1, Hud i Property Location: City, Village Township: > County: S. & '/4 NW'/4S 2 iT 2 N/R 1 E (orX Hudson 51;. Croix Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: 2 2 Ghert ~ s Addition State Plan I.D. Number: Y Gherty Lane (if assigned) TYPE OF BUILDING El Public* El Variance* ❑ Other (specify)* Number of Bedrooms: r 1 or 2 Family *State Approval Required. j TOTAL NUMBER PREFAB POURED-IN NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE STEEL FIBERGLASS INSTALLATJON MENT (Specifyi • SEPTIC TANK CAPACITY j 1 X X HOLDING TANK CAPACITY i LIFT PUMP TANK/SIPHON CHAMBER i MANUFACTURER: Weiser Concrete Products Inc. -1 EFFLUENT DISPOSAL SYSTEM i PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): Lt New ❑ Replacement ❑ Experimental ® Seepage Bed ❑ Seepage Pit •5 f G ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): KI Private ❑ Joint ❑ Public John Sollom j I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signatur MP/MPRSW No.: Phone Number. Stephen L. Aaby 5164 (698) 2407 Plumber's Address: Name of Designer: Box 254, Woodville, Wi Stephan L. Aaby COUNTY/DEPARTMENT USE ONLY Si re of Issuing 2ent: Fee: Date: X IL~ _ APPROVED Sanitary Permit bar. I c~J ❑ 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 (N.03/81) tH, 115 , WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ' DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS, LOCATION: SAC_'/4,/AAt_'/4, Section -P?& R/_?_0(or ownship or Municipality Lot IVo. , Block No. C.;_ t'r )41 3 (t j<Ci~ County Subdivision Name Owner's Name: ~n~/ to , S S Mailing Address: / ko,)_ liU: 4-1e, e- yL Ac, vZ2s--,6 / eG S~'.~l e lV~ fv TYPE OF OCCUPANCY: Residence _ No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET 4 SOIL TYPE RA 02. l u;-ITA,11t-- i4 r ~/rc "TE'X PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD -1 PERIOD 2 PERIOD 3 MIN/IN 70 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) uZ B- 3 l.✓ S lv" ll~i'k'r 7 u .2o- f S_ IT ell S ",5 k/ s-y S. B- S tt-)- I -S 4 6011 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square et of suitable areas. Indicate numpe of square feet of absorption area needed for building type and occupancy. /S 11'+ C%c~a S'c ' f/~b42 '001-e'-4 Indicate scale or distances. Give horizontal and vertical referen `po' icate slope. j4',- -e- Ace/// - { I t #C 1'44 + a , _ 1 r r0 4 i4 e zj t 1 , rn ~J + 1 { + { { ~ 1 i t { t I i i fY that the soil tests reported on this form were made by me in accord with the procedures I the undersigned, hereby certify 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. Certification No.-5~S is r Name (print) Address //Z6 sue[? Name of installer if known CST Signat e g w ~ 7X v 7- Y) 090AAr f1~~ . i PLB ~7 /N~ rr c 71t'A- ~~I l Uc.4 Pi-or and CRO55 _ U,~ Ti is J! V f..r; l«.. f/`l G ~ ~ G~~,s S /D/P~O.Si~~ 5EC71ON PiAN5 s T~ /Of ro,J JAL- 6,r,~ soi/ T~sT rS'E,PT oe/ ✓E~eT P caN,c•~-~~ pr PNnNE dox ox/~VR ~ E Pow" /00 fr cs 7- it" ~r $ HOP, r ` I ~ ~ o yv S~//UM 4&7 2- ,r ~ i Nv dSOA) ~ s _ s~y~~y 5`19 Ti9 AV IVED Fresh Air Inlets And Observation Pipe • Approved Vent Cap Minimum 12" Above ~ Tina) Grade ~ o Above pipe 4" Cost Iron + '10 Final Grade Vent Pipe Erl 4Yy~ G Ncy Or Syniheti,; Covering W. t A a Min. 2" Aggregate Of Over P,pe tributlon Tee Pipe 0 o 00 12, Aggregate o Perforated Pipe Below Beneatc. Pipe r, o Coupling Terminating At Bottom Of System w r PLB (o7 Phou-L- 0 pi or and CR05' cclEv. /4u s6%1T~r ~a~G -ION P1AN C 00. d Fr- v G O KI l' pOS~ j~ 3ps V\ %tA Ri SPEcS NOR" ~ V ~IrJJ' ON Cos6 • oo c~01'Q . Cavc..e.~-c ~b Our ~o~ Ws'~8 f o 5`t~~c ',BED X y(a J02- O SQ, Fr N ~o Fhem tJM S H43. /a 0) J fEGT- I y(0' TE ~ G NFD i ; 1 ~ /C* -V f Y ,0P S ~Ptl Fresh Air Inlets And Observation Pipe o~ - Approved Vent Cap Minimum 12" Above Final Grade r Ro rTolLi i S OA W,103 4" Cost Iron ~RIoLJ R Above Pipe Vent Pipe ~.r) ',~~t)~ o Final Grade Marsh Hay Or Synthetic CoAregote Min. 2" Aggpip Over Pipe Distribution Tee e 0 0 " Aggregate 0 Perforated Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System C 40 1 s` h t- h'x V~ I Z Imo. ~ c~ ~ St C'" s. l~ C ~ J fin V ~ "J L 1 ~ ~ ~ f 1 Q~Q~