HomeMy WebLinkAbout020-1023-50-000
n cn O v O `r1
d d ~1
c
~ 1 I G1 A ~ A
1 I\ 1\
•
n v N cn O Cp (0 ((D C A N
CD O O O y Uri p N 0.4
c.n 0. a a m O
_ O
CNp W W 7 CD III (D N O
N Q
D O O Cn
°o
C.n ro m a n 2 0 o
7 N V ~ 0
O O
d
I ~ (n D a =
m n ° a °
N
c ° W
O it -
CD o ~ L
m
oz 2 \r
w Q N o c NJ
o -9
z o O O ~r•
z
o _ (jam
o-' ~E
4~ CD
0
0 D O rn m h
0 (D
:3 ° m v PO
CD
6
d N O
N ~ 3 r. I n
N N
a
z
zco z
o
CD 0
v p D n
O N
N
N N C M/~
O CD V
O O O I
W N 0-
a 3
z CD --1 cn
° O O p Z CD
N c
n A z O
o.
C N A
W (D < C.0
a 3 zzT
0 N
00 r: Cl)
Op
W
D
_s a
(n
C_
N
N Z) -
O z G
~ O
W CD
O_ rn
C
O
0
O
a
CD
0_
Cll
2
C 4;
°
0
I ~ VA
m p
a
A
o b
m
o-AO W
cyv O
C) m
0 0-
Parcel 020-1023-50-000 07/14/2006 05:07 PM
PAGE 1OF1
Alt. Parcel 14.29.19.104H 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): O = Current Owner, C = Current Co-Owner
O - SACHSENMAIER, SCOTT A & DEBORAH M
SCOTT A & DEBORAH M SACHSENMAIER
766 HOLDEN LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 766 HOLDEN LA
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.030 Plat: N/A-NOT AVAILABLE
SEC 14 T29N R19W PT NW SE COM E 1/4 COR Block/Condo Bldg:
TH WILY 2010.32 FT TO POB S620.56'-ELY
353'- NLY 620.49' TH WLY 353 POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
14-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 759/534
07/23/1997 733/61
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/30/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.030 81,100 162,900 244,000 NO 05
Totals for 2006:
General Property 5.030 81,100 162,900 244,000
Woodland 0.000 0 0
Totals for 2005:
General Property 5.030 81,100 153,500 234,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 112
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
la
{
1983 44'
NVV 1/4 cF f>
't
1'l
CENTERt INE_ OF PROnSEQ T4-WN____ROAD
"470C
51ou ERLY R!GHF -G= W AY `NE nw Pii0P SFD,
AS BUILT SANITARY SYSTEM REPORT
OWNER, TOWNSHIP SEC. 1-P/jw -ialyl ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
F -V
ERYTHING WIT. 100 FEET OF SYSTEM
hL_'
I di a e No th Arrow
sc &
BENCHMARK: (Permanent, reference Point) Describe:
Elevation of vertical reference point: zhr.,',`' Slope at site:
SEPTIC TANK: Manufacturer: ,r Liquid Capacity: jG100, :7A4
Number of rings on cover / Tank cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:--f't"
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cyc e gallons; total capacity o
distribution lines gallon: size o pump head;
gallon per minute horsepower ran name of pump
and model number ;
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device
SEEPAGE PIT SIZE: Number o pits feet iameter
feet liquid depth seepage pit in epipe-elevation
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines n width e ' leiigth, raj file depth
SEEPAGE TRENCH: width length
PERCOLATION RATEAREA REQUIRED . REA AS BUILT
' INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER IS'
REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Savtt.-tats-y Pet~m,(.
S.ta t e. S e p t 14 c_ ►
NAME Township St. C4.0.('-x County
Locat,Eon Section Lot # Subdivi64'on
SEPTIC TANK
Size gaUon6 Nu_mbe_n oo eompaAtments
Dl,5tanee (IAOm: Weft Buit(Ung120 6Zope
Highwate_n
PUMPING CHAMBER
Size __gat_eons Pump Manu(jaet(vt.eA Modet NurnbeA
HOLDING TANK
Size _g a. eons Number o6 CompaAtments
Pumpe.A. Atahm Systern
Di,5 ante {Aom: Wc,e- Z Buitding 12%
h~ope___-
Highwa-te.A
ABSORPTION SITE
tied / ~x ~ti- Tlceneh -
Di6ta-nee ()AOm: W e f f_ ,0-y- 6 u i dtin126 Mope
Highwa,teA
ABSORPTION SITE DIMENSIONS
Width o4 t4eneh 6t RequtiAed area
Length oo each 4"He j-0 6t Depth oo Aoek be.eow ttiee. J ~ i.n.
Numberi oo .t-ti4q.e6 _ Depth oo rock oven t if e. ,
Totat eeng-th of Pined -6t Depth o6 tile be~-ow grade- 90 i-n
Di.,5 anee between fine-6 4 6t S.Eope o6 tAeneh- 2-- in. pet 100 At
O
Totaf abdoApt.ton aAea ~j,t Type o6 Coven: Paper oA dttaw
i
PIT DIMENSIONS Gt2~
NumbeA o() pitd GAavet vLoun. p.Etd yed no
Outdtide diame"tel- -fit Depth below in.ee_t ( f
TotaE abAOApt.ion anew 6;t ~i
AA.ea Aequi Led 7 (I t
INSPECTED BY TITLE G
APPROVED - DATE _ 19-~
REJECTED DATE 1q&
I
REASON FOR REJECTION
E M 115 Rev. 9178
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION SectionT.,,~'..~N,Rl.X V (or) W Township or Municipality Al
Lot Nd. , Block No. County
ft u iv Ion Name
Owner's/Buyers~Na/me: K~'1
Mailing AddrLe f~ , -
TYPE OF OCCUPANCY: Residence No. of Bedro ms CO MERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW _REPLACE MEN ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS Z" , ,2 PERCOLATION TESTS
SOIL MAP SHEET , Zld' ? NAME OF SOIL MAP UNIT , 1' &V;ZZJ,
PERCOLATION TESTS
TEST DEPTH v~- CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MINIIN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
S _
c-
P- A16 AJr
P- i
(1 11
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B-
B- s
B- -
13- -2
B_ f ! ) /
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the I~cption and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
I
A '
s~7t-AlcJ* //ifdt{ s:aT/ .UT7,.k
E I ~ a I f
,
U
S1` 4- 4
}
( a ~N
I
Y
I ~
i F
r ~
f
' - . . m.. _
a 9... .r.a. _3...._. ..#F~F..(t'.
Y
E i
1, the undersigend, 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.
Name (print) - Certification No.-:S:
Address 2, 4)
Name of installer if known
Copy A - Local Authority CST Signature ti
State and County State Permit # v
PLB 67 w
Permit Application County Permi #
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:
cu,
B. LOCATION: Section TJ~/ N, R_a (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~Lj
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family ~X Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate -4, Total Absorb Area L / sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: _X_Length 1 ` Width Z .1 Depth_ 2 Tile depth (top) - No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private Q 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 t - L A 1!t, C.S.T. # and other information
obtained from , , t (owner/builder).
Plumber's Signature Mp/MPRSW# Phone I%
Plumber's Address-4 A . d~
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.
E
I i P
{ E
{
rl..
~ m, v ems. rs A ma m a. .s. ~ e e-,.... ..d~i_ e e. .
i €
E
P x mm. a, m e..~,..... _ , m.P.n .,„e e ;-,..m. i...< e _ ~ . ...e „ « .«,~n..~...~..
f
e.
t k
t ~
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY r
Date of Application Fees Paid: State .1 (y, &'o Co my Ole.) Date
Permit Issued/Roortarl (date) y .20 -F1 Issuing Agent Name
Inspection YesNo 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
REPORT ON INSPECTION OF SANITARY PERMIT # I
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
Time of Inspection
Name, Address, License No. o ns a Ong plumber
(3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
BEN Permanent reference Point) Describe:
Elevation of vertical reference point: Slope at site:
(5)MATERIAL AND DEPTH OF SEWER:
(6)SEPTIC TANK: Manufacturer: Liquid Capacity:
Tank Inlet Elevation: Tank Outlet Elev:
# ft to lot or property line: # ft to well:
(7)DOSING TANK: Manufacturer: # of gallons:
# of gallon pump set for a cycle gallons; total capactiy of distribution
lines gallon; size of pump head; gallon per minute ;
horsepower ; brand name of pump and model number
Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO
8 HOLDING TANK: Manufacturer o gallons
construction ; depth to the cover ft; If septic tank is
being used are baffles removed? ❑ YES ❑ NO; ft from residence;
ft from well; ft from property line. Type of warning device
Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO;
Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ;
Distance from building to vent
(9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth;
ft to residence; ft to well; ft to property line;
ft to ordinary high water mark of lake or stream; ft to edge of slopes
greater than seepage pit inlet pipe-elevation ft; bottom of
seepage pit elevation ft.
(10) SEEPAGE BED SIZE: ft width; ft length; tile depth;
lineal feet tile; ft to residence; ft to well; ft to lot or
property line; ft to ordinary high water mark of lake or stream; ft to edge
of slopes greater than 20% falling away toward lakes, water courses or drainage ditches
Elevation of tank discharge line entering bed ft.
11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft;
tile depth ft; ft to well; ft to ordinary high water mark of
lake or stream; ft to edge of slopes greater than 20% falling away toward lakes,
water courses or drainage ditches; elevation of tank discharge line entering seepage
trench ft.
(12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO
(13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO
DILHR-SBD-6095 N.05/80
Signature of Inspector:
. 1 L
~hcfi✓mv t" T~iW% A-' ,~'ao',c.•,prs 111' rt,~~> ~ ti~.sE~.✓
i
/00" 00
.01
4C
W
i
I~
i
I
i
.
10