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HomeMy WebLinkAbout020-1092-50-000 -Parcel 020-1092-50-000 03/24/2006 08:59 AM PAGE 1 OF 1 Alt. Parcel 32.29.19.376J 020 - TOWN OF HUDSON Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/08/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BAN TARA LLC BAN TARA LLC 1274 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 668 BAN TARA LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE SEC 32 T29N R19W SW NW LOT 2 CERT SURVEY Block/Condo Bldg: MAP IN VOL I PAGE 170 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/07/2005 791606 2779/363 WD 10/22/2001 659625 1742/224 WD 10/22/2001 659624 1742/223 PR 10/22/2001 659623 1742/222 AFF more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 92137 307,400 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 268,700 44,800 313,500 NO 05 Totals for 2005: General Property 0.000 268,700 44,800 313,500 Woodland 0.000 0 0 Totals for 2004: General Property 1.500 33,500 92,700 126,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Ls~(/v h Ud~ 9~3/ Zlz • ~ A~; M.M.3' SANITARY SY:;T1,:M ItEPOl~'I' ()W il":lt I-OWN Sll1 l' A1)T)Itl-:`;:; ~72 ST. CIM I X COUNTY, WISCONSIN . U 0 504/ tom'f.S ryof U W) I) I V I `7 I ()N P I.AN V L I,:W 10il'iilt c:; dnd lIt-111L n i1tJn`,3 to lilee( 1 equi.reriieill :i ()t IV)" IIUW 1✓VERYTHI Nf W I TIi 1N 100 OF .`~YS• VI'l i i 4 1 Is" r a _X __sr • v ~ _ _ , AA v 4 t ~ I i a.. I c1i r tte otlthl Ar. raw a I_ Ifl-MCHMARK: (Permanent reference 11oirlt) Descri_i) e Klev<at i1)rt of ver_ti.cal reference: paint Slope at site "TANK.: Manc.tfacttal,er: 1,i-yu1-d Ca1)aci t y ?C`C) Niunl)er of ritigh on cove]' _ Tanlc"manhole cover elevation Tank Inlet L:levat.ion: Tank Our-.let Klevation: N IMI' C:IIAM1*:R ma 1.1( l I .ac I_rirer : Nitmber of } a I Ions 141arnher of )gal . pump set. for a cycle ga l IoIIs ; Cora- cap~ici tv o- di t ri-I1c.ttion 1i_nes gall(n- size or pullip Head; ).,,<1 I l ura per mlriute horsepower .and model, dumber- 'T'ype of warm ng clevlce M)IMM; 'T'ANK: Manufacturer F.1ev.1t_i.ou of manhole cover 1'ypc' (d warn 7_ri~" device . C4"t't ~Iiwmclr k 1; l l'A(;1? P I T t ZE : Wlu6er of I , I I ee"i I idi.li_d d(L'ptil seepake pi t haler hipc -eIevat -i_on pay,cr pt t eTevaI ion fecal . I)(,r 1 ()III I o MAI'll )er Of I i lWS .c~ wi1111 I_eoy t li j" i it e depth I:I:I A(;I: l of SIZE: 5ee.e. TRI-M*H: w.Ldth / ---fen t_h~f .n rn rrn iTttrp ARV.-~ A >31TT1.T ,:I;I lil.n T ()N RATE I_NSP1,1C'TOR 1_, ICI-:NS1-: NUMP*Y E DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS / PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING f~ ~}lHfreit MADISON, WI F~31'07 t~ L7 l.D. Number. i 111.y~ XCONVENTIONAL ❑ALTE RNATIVE ISr,, fassiPlganned) ❑ Holding Tank ❑ In-Ground Pressure 1:1 Mound Of assigned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE mIKPH Ma l1 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.'. CST REF. PT. ELEV. L)0 -T D c- l cl a- Narne of Plumber: MP/MPRSW No.. County Sanrtary Per-rt Number. 1 0 f) 0- i i to i d 81 d SEPTIC TANK MOLDING A K: MANUFACTURER. , LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED PROVIDED G~ ❑YES LINO ❑YES LINO BEDDING. VENT D A.. VENT MATL. HIGH WATER NUMBER F ROAD: PROPERTY WELL. BUILDING: VENT TO FRESH 'ARM. FEET FROM LINE AIR INLET. ❑YES LINO ES LINO NEAREST DOSING CHAMBER: _ MANUFACTURER BEDDING: LIQUID CAPA ,I fV PUMP MODEL. JIUMP/SIPIION MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES LINO ❑YES LINO ❑YES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WE L_ BUILDING IVENTTOIRE5H (DIFFERENCE BETWEEN FEET FROM `INF AIR INLET PUMP ON AND OFF) ❑YES LINO NEAREST SOIL ABSORPTION SYSTEM. Check thesoil moisture at the depth ofplowing Nt Tl, - ;IAr"FIER IMAT1111AL AND MAHKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH INOOF DISTR. PIPE SPACING COVER INSIDE DIA -PITS. LIQUID BEd/TRENCH '_q TRENC RIAL: PIT DEPTH DIMENSIONS pjr .10w~ INLE GRAVFi D:PT11 FIL.I DEPTH 1111STR PIPF DISTR.PIPE DIST PIPE MATERIAL. IST NUMBER OF PHOPE T' WELL BUILDING. VENT TO FRESH T BF ( rriv PIPE/S y ABOVE COVER EL INLET ELEV END / FEET FROM LI N/E'~ AIR C.i 2- 9 pf/~/• NEAREST--► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM 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 .'OVER. TEXTURE PERMANFNT MARKERS. OBSEH NATION WELLS 1 ❑YES LINO ❑YES LINO DEPTH OVER TRENCH BED DEPTH OVER TR ENC H;BEO DEPTH OF TOPSOIL SODDED SEEDED MULCHED. CENIEH EDGES ❑YES LINO ❑YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO. OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING L[ F'/ ELEV. CIA ELEV. PIPES DIA.'. ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECT LV COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION ❑ PLANS. YES LINO ❑YES LINO COMMENTS: PERMANENT MARKERS OBSERVATION WELLS NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE: LIYES ❑ NO ❑ YES 1:1 NO NEAREST Sketch System on n in c unty file for audit. Reverse Side. - • N ORE DILHR SBD 6710 (R. 01/82) TITLE: 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: N Mailing Address: I,/L'r 11 IIER 6Ek i u 9(0 ~'E-VA1 ~sr~TE ~uD was sY Property Locatio _ City, Village or Township: County:: t/4 /4S .31-/T ~ N/R 1 E (or) W v~SO•c.) Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: ffJ (if assigned) Ci '9/f'MICLijPL TYPE OF BUILDING 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 1 HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER 1.4 lpe4) MANUFACTURER: W_el,fg ,s EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New X Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit o-~ fr ❑ Alternative (specify) ❑ Seepage Trench 2 X 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: Si gnat MP/MPRSW No.: Phone Number: 1 L9 27-4 #-k Plumber's Address: Name of Designer: a2 M 5% X104- )P50) COUNTY/DEPARTMENT USE ONLY Sig a ure of Issuing Age Fee: pp~~ Date: APPROVED Sanitary Permit Number: LJ 8p1,, ❑ DISAPPROVED Q~ 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) bl DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION 707 LABOR AND PERCOLATION TESTS (115) MAD P.O. ISON, WI BOX 537969 HUMAN RELATIONS \ / 3707 ` 1 1//1 (H63.090) & Chapter 145.045) LOCATION: SECTION: i- TOWNSHIP/MUNICIPALITY: LOT NO.: BILK. NO.: SUBDIVISION NAME: 4W '/a '/a 32 /T.29 N/RH E (.,)W ~/-/uf»So~ - COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: C~.D. .f.f/~9GG ~fT,f USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: Roi-y OFILE DESCRIPTIONS LATION TESTS: N Residence ❑New Replace 16 /P->- A /G /y( I.)- 'V L'vR~E~1 % S~STE,c~~ i 5 YAi G EQ cS ~ J6 :5C B~,c',~h•9,~~J-- sL RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: M®ND: -GROUNDS P❑RESS I RE: SYSTEM-ILH❑ SG©U . RvE~N~D SYSTEM: (optional) J(PZa S T. If Percolation Tests are NOT required DESIGN RATE: I If an r~ L y portion of the tested area 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.) "11.13 - 010? ale B- > 42 Pace - e B- Z 9f~ 90~ > 9,P 18 13A,. s•L, All, CM"4_P 44 - AJS 1rl, > (o ,fJ3,t1- 6% P SL , 12"13,0- S L, /O - G RA-). 4 L I-Roo B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PERIOD 3 PER INCH P_ /i < f° V 1~o ius < 3 P- 7~hAj .2 Ml vv' E P- 2 ~3 P_ CP / P '371 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. 13 ovzoti aF %3-P 9-44 t-1- Li£ 9r 6L46IM7/Ov OF 0000, 6 fr oe ~ti U _ SYSTEM ELEVATION ~KVS ExA~r~Y FT. /ouJ Val--lat- e,,f. lDoioi - • 0 P3 p o ` C 5 47ZS° B ~ 0 3 TN l/tl~Tc~G l?alvr 75, E A5 sT~c s r s xau>w d~ ~o SioE 7- C. oFD~'iUE. U ~i Si/cJ lr lUe-f~ %S 5~7CIgT D kaP-c- f~~ /s ✓ Ja a¢o ~a P. % v. _Si one To- Qsr of ,yav . I, 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: Abbek T"2/4Ric yT l ~ 2, ADDRESS: C RTIF CATION NUMBER: PHONE NUMBER (optional): 3 ~y -2, 3o CS-T SIGNAT RE: DISTRIBUTfOF14, nriginsl in j nn^ ^npy to Inca -otho-i-v, Propel ty Own r - OVV Ot cry; s.3~ i., _s........p.. ,f~.. t s b s , t i i F3~e.e 1 "n, t r PLB ~7 pi.pT and CRO55 SEC710 N PIANS ~ tT• r ~ , ~ ~ g~3 5011 7ESTt_7P1 Siq~c4,4//1 r 5M r Fr- l ~ ~ /00 Q 70 ~ 4jIq E/t U~ roN 2~> Mv~I~ER ~Xisji,Vy (,~c 11 tM{ C'oup~T~oN l * J ~1po _ 4 `So F~oM lc~~6 YiE6 7- sw se ~u~so U cv/s . y y c T. 3z, T 19ti, ~ iq && D Fresh Air Inlets . And "Observation Pipe ' Approved Vent Cap Minimum 12° Above Final Grade ~~tU~tTl4~J °F ~iui -Al UM /-~~-v ~rToM tlfiTIo~t/ Above Pipe 4" Cost Iron P2 So« ~~SI- To Final Grade Vent Pipe l~ Marsh Hay Or Synthetic Covering fT Min. 2" Aggregate Over Pipe Distribution Tee Pipe 0 0 0 0 0 ~2 "Aggregate o Perforated Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System