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HomeMy WebLinkAbout020-1121-60-000 0co0 3- 0 d o d f c o rD m 3 ' CD 0 (D n v CD o c CD d h v o w 0 c o~ N) d m 5 0 m O) n E: 0 c Co 0 cn _(0 j O (ft) N Q O co O -u a 3 a) Cj CD co * w O O (P c Cn O V O O O O n CD D O m e m s a m T CD C0 r 3 rn j O CD v (D o o = a ~ m c !ai N 00 Lo n O ~ O r- cn CD 00 L n C z O O O a ~r ° Cl) o a m V ~ S fn cn cn rn cc o ~ O O m c m D U) CD o N C C CD z N zco z Q y m o O CD e•+. o CD CD D N cf) su = (O N C CD CD W CD d fl. 7 z Z CD p A Z O A Z O m c O o U) -j J W C CL z I A y r. z ~ z CD w ~ D Q m o 2 c ° z a o p v ~c o w X A LI) cq CS t O CL O A N O O a 4 O C A N r N O N 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 0 ti 1 a ~ W W ~ c _ rorar3 7 h, c. 4L r ii • 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. . i t E ' a a . e e 1 e ~ - d e ~ .e i F E F r 3 ,f.„ c 9 ....ee-... _ s...... e _ a .m 4-- AE 'T i 3 r i a e 3 ~ E E C ' ` n. 3 i l x E . j 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- ,I 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- Ala I ' - - s J9- - - /ewe _ z~l I If f4t } - I , N_ t 1 , %L i F~• I V ` I ~ ~ i i ~ i I ` i , _ 9 , , , I ! ~ I I 1 { SSS i i ~X v __PP I 0.r r I It. = f { - i t 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 "g ~~3g qq M ~v,/ 7 «ir ~ . ~ ~ i ,s ..r ~r ~ , •w` ~ - ~ lz .r'' ~ ai i,~T,w° r,. ~ ~ ~ . ~ ~ r s~, t; ~ ~ ~ ~ ~ ~ ~ ;p 1 ; ~ ..f.. ~ ~ ~.a ~,~i l ~ 4 ~ ~ ~ ~ ~ 1.,.,;, ~ 4 ~ r ti ~t a 1 1 7 t f f f i J~,~ i f f { $ 7 k V r i i ~~y _ ~ I ,-r ~ ? ~ ~