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HomeMy WebLinkAbout161-1058-50-000 n O 3 m -0 0 0 d o o 'D Lo~ 3 ~ cD ~ co ~ y (DfD m \ 1 A: ==N z ^s W c w rn `C ~,(D N SU O CO v N N N MCI O O fD (0 N 7 - - (p CD CL Q fl. N m O N ! (D N N N (A C') O OC~ C-n NO p (D N OZ W O O 0 CD CD 0 o 3 N N N (D d C C.} D/ A w e e~ v to D ° cD CL :3 ~ N co CD < 3 0 m (D O se a I lot L CD C co Co O o r N (D N OD w < cn O c CD 71' cr Z 0 0 0 0 tails o O O O =r < N Z n 'o fn co N N D N "0 v v O o' (D ID N ow m n O cp -1 N O 3 E O (D O N z = rn Z Z co Z O I ~ O D a 0 h1 • o CD N C N N C (D N (D W ~ Q I a 3 7 CD (p 1 N N O p O Z v d ? z 7 O. W m N W M CD CD Z a c cn N o m o y Z CD ? w ~ m N Q o a - N O' c CL a O (D (D N _ (D N 7 n? y Q 0 C) (D N e v A ~a s r (D CD o N N N O (D O c ~ V A 0 N O Oq 69 W O O O (D O b O t. S Parcel 161-1058-50-000 01/03/2007 02:45 PM PAGE 1 OF 1 Alt. Parcel 13.29.20.523E2 161 - VILLAGE OF NORTH 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 O - WENGER, BRUCE C & ANDREA B BRUCE C & ANDREA B WENGER 1539 RIVERSIDE DR N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1539 RIVERSIDE DR N SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0742-CSM 03/0742 PT OL 82 VIL NH .52A LOT 2 CSM VOL 3/742 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-20W Notes: Parcel History: Date Doc # Vol/Page Type 02/26/1999 598463 1406/397 WD 07/23/1997 945/232 07/23/1997 629/490 I 2006 SUMMARY Bill Fair Market Value: Assessed with: 181518 545,900 Valuations: Last Changed: 05/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 258,000 235,100 493,100 NO Totals for 2006: General Property 0.000 258,000 235,100 493,100 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 258,000 235,100 493,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 519 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 161-1058-40-000 01/04/2007 09:51 AM PAGE 1 OF 1 Alt. Parcel 13.29.20.523E1 161 - VILLAGE OF NORTH 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 O - RADOSEVICH, WILLIAM J WILLIAM J RADOSEVICH 1543 RIVERSIDE DR N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1543 RIVERSIDE DR N SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0742-CSM 03/0742 PT OL 82 VIL NH.46A LOT 1 CSM VOL 3/742 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-20W Notes: Parcel History: Date Doc # Vol/Page Type 10/07/1997 566553 1269/06 QC 2006 SUMMARY Bill Fair Market Value: Assessed with: 181517 509,600 Valuations: Last Changed: 05/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 252,300 208,000 460,300 NO it Totals for 2006: General Property 0.000 252,300 208,000 460,300 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 252,300 208,000 460,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 s AS BUILT SANITARY SYSTEM REPORT l3.Zl OWNER OR/7~ ~ ~'-$6ftdslfi-P .~1~ /-/0DS]g&J SEC -RAW ADDRESS ST. CROIX COUNTY, WISCONSIN. b . x 'v Ct9 ~ S S ~ ~ h SUtDIVISION- LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW-UERYTHING WITHIN 100 FEET OF SYSTEM y } a ,rte '4 a t, j, I - I di AtTe lUorthi Arrnw ' SCALIw . ~ L I J ~g b i f-E N p1 Pl 5~ gtC,VG 131NCHMARK: (Permanent reference Point) Describe: ` ;;;'5r' Q9cr;<Qr1 L.iwf /CC " e4- Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number- of rings on cover, -Tank manhole cover elevation:-- Tank Inlet Elevation: Tank Outlet Elevation: 1'L)M!' (A[AMBER ~I utacturer: Number of gallons 1 , ,iiof gal. pump set or a cycle---,-- gallons; total capacity-- T d i i ribution lines gallon: se of pumpv_ _J_head,- ,,iii lun per minute horsepower-, brand name of pump .inJ model number !yp of warning device - 1101,0 1 NCB TANK:. Manufacturer Number of gallons - - i,.`lcvation of manhole cover I'vpe of warning device SEEPAGE PIT SIZE: umber-o~pi.ts meet diameter feet liquid depth seepage pit in et pipe-elevation- bottom of-seepage pit elevation feet. i SEEPAGE BED SIZE: number of lines _ width -T" le-figth ; -tile depth SEEPAGE TRENCH: width - length _ PERCOLATION RATE 1/0 AREA REQUIRED 5~ AREA AS BUILT_ INSPECTOR DATED PLUMBER ON JOB~~~ - tr LICENSE NUMBER REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Permit If State Septic SAME P-Ww ~K_TOWNSHIP St. Croix County .OCATION Sectioqzvq- Lot # Subdivision EPTIC TANK Size_ gallons Number of compartments ,istance from: Well Building 12% slope 0 Highwater 'LIMPING CHAMBER Size gallons Pump Manufacturer Model Number IOLDING TANK Size gallons Number of Compartments Pumper Alarm System ')istance from: Well Building 12% slope Highwater ABSORPTION SITE Bede1 Trench _ )istance from: Well Building j% 12% slope " Highwater ,BSORPTION SITE DIMENSIONS Width of trench ft Required area _ft. 5G Length of each 'line ft Depth of rock below tile in. Number of lines Depth of rock over tile in. Total length of lines ft Depth of the below grade; in. 'Distance between lines ft Slope of trench Z- in. per 100 ft. Total absortption area ft Type of Cover:- i'IT DIMENSIONS Number of pits Gravel around pits yes___ _ no -Outside diameter ft Depth below inlet _ ft Total absorption area ft Area require ft 4 4 s CNSPECTED BY ` C ;t _ta~ X-a- TITLE_ APPROVED DATE REJECTED DATE 198 REASON FOR REJECTION State and County State Permit # PLB 6 7 Permit Application County Permit # 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: (3i1f ~A L)1 c-t~ ~ B. LOCATION: /4, Section Tj N, Raj E (or) W Lot# ' ' City Subdivision Name, nearest road, lake or landmark Blk# Village Ay W&A_S Urt~ o/,.so/u /~?oTownship C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family 'A,- Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY ~00<D Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete )'0- 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 ' L~ Total Absorb Area r= sq. ft. New - Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: 4 Length_ " Width /Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter. Liquid Depth No. of Seepage Pits Percent slope of land_ g 7-97e. Distance from critical slope 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 Soil Tester, NAME ,Zo J4 E.e 77 (J rW C.S.T. # aZ and other information obtained from (owner/builder . Plumber's Signature MP/MPRSW# / Phone #6 - 2-9>-d Plumber's Address ZZ G PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- 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. 1;kI L fiA 14 tL *770A) AJ6 64 641 . v wop-f ~am ~e e e. 3 n )V 42 MCI Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 9-/~ _0 Fees Paid: State County g C~ p - ~~4q 9 - Permit Issued/Re}ee#ed (date) Issuing Agent Name Inspection YesNo State Valid# Date Rec'd county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 7!1;76 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS VISION INDUS,,RY, c P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BILK. NO.: SUB (VISION NAME: 1/ 1/ t~ 1T2? N/R2C4 (or)JK yuZsaAr 1'1/J t1vp~. 'mprT/~~ COUNTY: OWNER'S BUYER,'S NAME: MAILING ADDRESS: 5 t` eolx A// USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: R INS: PERCOLATION TESTS: I Residence New ❑Replace fy.,N,'F4v fA ~o,~E DTs RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑U IRIS ❑U IS ❑U ❑ $ ❑t ❑ $ ❑U If Percolation Tests are NOT required DESIGN RATE: SYSTEMEL It any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevat' PROFILE DESCRIPTIONS /61 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THI ^ SS, A-VEXTURP, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SE BRV. CAI B- / FCC Off; S26 • L S "10 G i B- 2- fay B- 1 ,y B L 8G I r/ Novi > ecj Y' p~ .~.v . LS Z/ r /i7~,6,tJ , GS/ D.~ U' s. B- 77 Natl,t- ? F(p 2f „G/aJ. 0,10 B- /D N©, )x- S PERCOLATION TESTS ETEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH 0 Noy.-p- , 6 • > & P_ 5e) No Ai-e- > > P- P- P- PLAN VIEW: 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 slop. /QED /3 e TTd-1 Axe SYSTEM ELEVATION lOO r 4e/&' * ,P~Qv<r~'Es ~~S sQ Fi' rM. = l lo.~j P/JE of I y~ il.it~~~!✓~1 ~ W SErA'lau~ ~ ! i a ~ LriUE. ..C' p,Qa~los Tts~~ ~GSc ' ~C ~jely: ~ v DNS /00 f,C'btif /Soft %4-5T 4 ?cqS , or /rSTEV /N ~ ,&_bhrleA1 ~t ~U W P3 q Mae lhYf1fh11 aww fiez v ERSr or _ 13M. a. E'A-sT Lot Gr~1f i, the undersigned, hereby cert. y 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: Aaba r- 111h 1111 i 14Ay i Z /yj?/ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): QZLl f 2, CST SIGNATURE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 IN. 03/81) y N 88°-53'-48"W 251.00' ( REC. AS WEST i F 119. 3 7~ E6~ X8 8°-4l '-38° E 31.47' 171.0 4' u, of Z ~ I O ~ RECORDED AS 2069.8 a, o- z EAST OF THE NW CDR. 6 EXISTI NG rn n OF SAID OUTLOT 82" l po, HOUSE o '4 U, a in u') K\ N coo 11° C D ~ o' o N 1 LEGEND ~COL LO T 25 LOT I 0.52 A. 0.46 A. ~ - 2*'IRONPIPE FOUND V - - IRON PIPE FOUND _N 3/4"1RON PIPE FOUND O---I"X 24"IRON PIPE SET, WT. 1.68 LBS./LIN. FT. O- I " X 30" 1RON PIPE SET, ~ WT. 1.68 LBS./LI N. FT. i 10 I °-5~- I I" - -3/4"STEEL ROD FOUND O N D , 00 LT,-k THIS INSTRUMENT WAS DRAFTED BY GCS. 78-69 GO - i ° OQ E 00 O a CENTERLINE LOCATION OF~ , og 3,30 MPS' E~~V@ ~C;0 ap~y_~ J RIVERSIDE DRIVE NORTH ~L~,-:~•(TRAVELED PORTION IO'WIDE) 90 ~P. GENE C. SHAFFER F S-1325 r. HUDSON Wis. SU F~'= VOL. PAGE 1 a ~j~oatsa~s CERTIFIED SURVEY 'IFIAPS ST. CROIX COUNrl"y, /l G - Cdr ~41 c /3 s~ Av" e ej~ ss a U OF - - q I f oc ` ~ I I ~ l~, `o,~ ~~[oW Aof~ - - -