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Parcel 020-1121-60-000 04/04/2005 11:25 AM
PAGE 1 OF 1
Alt. Parcel 07.29.19.533 020 - 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): Current Owner
"
CHARLES A JR & JANET L CADWELL CADWELL, CHARLES A JR & JANET L
357 KRATTLEY LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 357 KRATTLEY LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.700 Plat: 1925-EAGLE RIDGE
SEC 07 T29N R19W EAGLE RIDGE LOT 4 Block/Condo Bldg: LOT 4
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 956/433
2004 SUMMARY Bill M Fair Market Value: Assessed with:
48621 291,200
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.700 44,200 181,100 225,300 NO
Totals for 2004:
General Property 2.700 44,200 181,100 225,300
Woodland 0.000 0 0
Totals for 2003:
General Property 2.700 44,200 181,100 225,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 130
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 ' d / ~4 1 °1 TOWNSHIP SEC. 7 T,1 "N R
ADDRESS 7L-" ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION yl~" ,'l L2 P LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
_ EVERYTHING WITHIN 100 FEET OF SYSTEM
1
I di a e o th A ro
1
SC L
BENCHMARK: (Permanent reference Point) Deslro be~
J7
Elevation of vertical reference point: i-tO'*~ 6*;Ir Slope at site: 'a
1 J U r ^
SEPTIC TANK: Manufacturer: Liquid Capacity:
Number of rings on cover Tan manhole cover elevation: r_
Tank Inlet Elevation: 7', 9 Tank Outlet Elevation:
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons; tots capacity o
distribution lines gallon: sized pump head;
gallon per minute horsepower, ran name of pump
and model number ;
Type of warning device
HOLDING TANK: Manufacture~r_ Number of gallons
Elevation of manhole cover
Type of warning device-
SEEPAGE PIT SIZE: Number o pits feet diameter
feet liquid de'pth seepage pit in et pipe-elevation
bottom of seepage pft f evation feet.
SEEPAGE BED SIZE: number cif lines_ 3 width f ff leiigth tile depth )C
SEEPAGE TRENCH: width length
PERCOLATION RATE 7 _ AREA REQUIRED 4 / AREA AS BUILT
INSPECTOR _ 9-~-
DATED PLUMBER ON JOB_ZY
LICENSE NUMBER y 7 5
S
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• REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Sanitary Permit cp 713.
State Septic llreftllol_
14 AMF~e TOWNSHIP St. Croix County
LOCATION ~.7 w SS Section-7-Lot # Subdivision C 1
SEPTIC TANK
Size gallons Number of compartments
Distance from: Well 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 Trench
Distance from: Well Building 12% slope
Highwater
ABSORPTION SITE DIMENSIONS
Width of trench ft Required area ft.
Length of each'line d ft Depth of rock below tile in.
Number of lines Depth of rock over tile _in.
Total length of lines I/ ft Depth of tile below grade- in.
Distance between lines ft Slope of trench in. per 100 ft.
Y
Total absortption area ft Type of. Cover:
PIT DIMENSIONS
Number of pits Gravel around pits yes no
Outside diameter ft Depth below inlet ft
Total absorption area ft
Area required ft
INSPECTED BY TITLE
APPROVED DATE _198_
REJECTED DATE _198_
REASON FOR REJECTION
II _ -
PLB State and County State Permit #
'6*7
of Permit Application County Perm # -
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: % 1E, 4, Section _~7 , T N, RIV E (or) N Lot# _ -City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 1 i C/SC~I~~
C. TYPE OF OCCUPANCY: *C mercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY 4060 Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete/ /Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E, EFFLUENT DISPOSAL SYSTEM: Percolation Rate d Total Absorb Area ~ sq. ft.
New~Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft.1Vidth Depth.23~ Tile depth (top) No. of Trenches
Seepage Bed:- eO" Length )F' Nidth / C - Depth Tile depth (top) No. of Lines _LA Seepage Pit: Inside diameter Liquid Depth No. of Seepage
Pits
Percent slope of land- JLL11 Distance from critical sloe
p
WATER SUPPLY: Private K Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified $oil T ter,
NAME C C.S.T. # / 9"F and other information
obtained from / (owner/builder).
t.- /42 Phone #/r ~j
Plumber 's Signature MP/MPRSW#
Plumber's Address f_7 rl
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
l tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
.
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Do Not Write in Space low / FOR COUNTY AND STATE- DEPARTMENT USE ONLY j
Q
-9 191 11~
Date of Application Fees /Paid: State uv County, gate ! q U
Permit Issued/Rejeeted (date) Issuing Agent Name
Inspection Yes No State Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. Plumber (canary copy)
Revised Date 7/1 /78
15
PEP
• WISCONSIN DEPARTMENT OF HE LAN SEI 'ES `cam
DIVISION OF HEALTH, BUREAU NV.IA~1\140SNl. HEATH
P.O. BOX~H ~t~1NC FG '
MADISON, WISC IN 53~ IO
REPORT ON SOIL BORINGS A RCOC~TION T
LOCATION: e~,:' ®stc~lNc
Skj 1/4 -FanN, R 170 (or 77 K~sC9
, /4, Section ),Township Y~ lp~4it~' `
Lot No. Y Block No. , E AGIe- e`d 6e_ 1 ounty
SgM i.`!!r Subdivision Name-~.:.1✓
Owner's Name: L
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS S+~ d~y/ PERCOLATION TESTS 4-51-XI
I
SOIL MAP SHEET / I SOIL TYPE O/yY - ild b ' /ii~ C~~`" O`x
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P_ X2~
y~" 7-s a2~''',(: fe ~s /Y -S ~2- /Cfo 3 (o (o •
P-3
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)
B- 94 4 otic e_ 6 6 rts, 470"S
q„ S
2. 70/1, h16M e- 7 IS
961.
B_ 3 B- OAX -e-
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PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and squar feet of suitable areas. Indi t umber of square feet of absorption area
needed for building type and occupancy. ~ Y'yd ar 5,A Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. SyS,~e-, -r-
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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 location of test holes are correct
to the best of my knowledge and belief. q
°1 I
Name (print) Certification No.
f Or
Address de °
Name of installer if known
R
y CST Signature
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