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Parcel 020-1039-50-000 01/12/2007 09:09 AM
PAGE 1 OF 1
Alt. Parcel 18.29.19.166B 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
TIMOTHY J HAUPT O - HAUPT, TIMOTHY J
1060 LAKEVIEW TRL
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1060 LAKEVIEW TRL
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.500 Plat: N/A-NOT AVAILABLE
SEC 18 T29N R19W PRT OF SW SW LYING N OF Block/Condo Bldg:
LAKE MALLIEU
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
18-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/18/2003 740385 2412/598 QC
03/13/1998 574992 1305/342 QC
07/23/1997 647/453
2006 SUMMARY Bill M Fair Market Value: Assessed with:
161311 344,300
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.500 142,400 185,800 328,200 NO
Totals for 2006:
General Property 3.500 142,400 185,800 328,200
Woodland 0.000 0 0
Totals for 2005:
General Property 3.500 142,400 185,800 328,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 208
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
4
AS BUILT SANITARY SYSTEM REPORT
OWNER
TOWNSHIP SEC. jj_T,,,2P-R/c J
ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
. O[~L EVERYTHING WITHIN 100 FEET OF SYSTEM
, N l l~
I d i _a a of th A r rF6-ty -K-_- ' I
- SC LE :
BENCHMARK: (Permanent reference Point). Describe:
Elevation of vertical reference point: got) Slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity: ,,2- 00 14
e-
Number of rings on cover : _ Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cyc e gallons; total capacity--
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 diameter
feet liquid dept seepage pit in et pipe-elevation-
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines width letigth Mile depth y;
SEEPAGE TRENCH: width length
PERCOLATION RATE l4s> AREA REQUIRED ,>L AREA S BUILT 3= _
INSPECTOR _
DATED PLUMBER ON JOB _
LICENSE NUMBER _
RI PORT 01 INSPI MON - INDIVI VUAi - LtWAGL SVSH M
Saki4 (-a if Vc'11ol
STa t.' Sept( c 146 Z/V
N A X11 r_____ r ow n A h i p SQ t. C ~(u ( x C u u vi (11
I (Ica f i on Subdtiv.c,5 4 on-
SI P-I IC TANK
S, 'c' _9affonA Numbeh 06 eompa,,itme.n-tA
U(. ta nce {~curn: IUe.f, k Fu~kdtn 12% Akope.
Htighwa.te 4
I'OM P 1 NG CHAMFER
gaffcv(A Vamp . Manu actune~(
~t M u d v( N u m E~ I r
M) 1 O IN(; -1 ANK
S( I' yafe(Iki Numbers of CompantmentA
p I A
l u II r a r( rn S A te rn
&C(~t i<n -
- e'dz'ng___ -------.I,,2 0' A Pope
Highwa-te4
AliSORPTION S17-E
KIJ Ti ench
uru: Woe,' Fui4'(h'ny
Ire ghwa.te!t
Atl'-M, 'l ION SITE 01MENSIONS
Ur1(1~ th.e.v(eG( .t Re(1u4hed area
I r qth o each f.cne
~t Depth .,A r(ocfz bcPow t.ik'e ~ tvl
Nnrob cri of vi eA 'Depth o(y r(ocf oven tiYv ~ in
I o to e f,,en g,th o A Ti vi e,6 At , -
fi Der tGi a~ t4 P e b e ow Ip(a d e i n
0i5fance between e4"111A (i t SeOPc tr(ench rvr. vole 100
Total abAanp,tion anea . T( ,
(-t e o Cuv, Vapctl o~ It (ILA)
('I1 1)1MtNSIONS
Number( oh p,4" t6 GrcaveP a, (nand p!.t5 (IeA nrou t( i de d4, ameto rl
- (De ptb( heKaw -inl'ct
Totaf abAOr(p,t,tan anea_
A. r(e a (e q u i- rc e. d h p r~
INSPrCIV0 fSV TI 71.1 i
AI'I'ROVI "D
DATE 19 &
I)I 11('111
_DATE: 1 , h
I,'1 A~,(IN I (~I' IZI JECT IOt~
you
PLB 67 State and County State Permit #
L Permit County Application Y
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: S. ; -SCAJ '/a, Section 16 , T _05~1 N, R C) -E-;~ W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township c> S~ J
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family - Duplex No. of Bedrooms No. of Persons 3
D. SEPTIC TANK CAPACITY %k)aotal gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete _Xi 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 Rated Total Absorb Areail~ D-sq, ft.
New X Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length ` 4~ Width T-1/8 _Depth a7 Tile depth (top) 45' No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- /6 V.-I Distance from critical slope
WATER SUPPLY: Private P< 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 Tes er
NAME -_JC r)tS (A C.S.T. # and other information
obtained from Cy /r -(owner builder
Plumber's Signature MP/MPRSW# Phone #3Y4- ?66
Plumber's Address- liy 310 / S s lc - Cc C'S
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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application/ Fees Paid: State e} County Date
Permit Issued/Rejected (date) Issuing Agent Name .4 Z-1e
Inspection Yes _LNo State Valid# Date Rec'd y
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
EH 1-15R,,,. 9178 C-C~u fJ n Ci,G,
REPORT ON SOIL BORINGS AND PERCOLATION TESTS 9V C>5C1'Vj &,-)I,
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701 P46 ~E Z - AD 0,,1JC:x
Dc:. P7'7'I ra2.. SYS
LOCATION: '/o~'/,, Section /6 T~ G ` 8
~N,RI ~ Ce#o'r.}-W, Township y ~ U 1
Lot No. , Block No. County
ubdiv~sion ame
ner's ' yers Name: 0
Mailing Address: E l1/ = N.
30 TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL UFf
EFFLUENT DISPOSAL SYSTEM: NEW.OKREPLACEMENT / ALTERNATE SYSTEM OT_H1
DATES OBSERVATIONS MADE: SOIL BORINGS 3 PERCOLATION TESTS lO
SOIL MAP SHEET 7 NAME OF SOIL MAP UNIT- P Lr4 ! Al Pr 1 L--L L~
1J~1^! ~i3 2.CO r•-A1•-i onl T'1= i PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE
NUM INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL
MIN/I1.
BER 1ST WETTED SWELLING IN MINUTES PERIOD 71 PERIOD 2 PERIOD 3
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.ADDIT#d,k)r4` D&Pr'H On/ SOIL BORING TESTS f+0LEIS Zt j4N4 L3 ca,vt.Y
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- 4 klot JI 7 °J D 64'5cE SKEET J 6n Ned 5 6R • -14 5 7
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PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location 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.
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I, 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) C.
Certification No.
Address 42-0 G~ S oti (s(,) .
.Name of installer if known /j
Signature Copy A -Local Authority CST
IVl t lC,~. 'T-140b ,pwhr/
L, H ' 115 Rev. 9/78 Cr,cdv 0,-:1 Co
REPORT ON SOIL BORINGS AND PERCOLATION TESTS i ( C> S
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATIONSection r ,TZ-2N,RZ9f W, Township OS0A
Lot No. , Block No. County : r- e'*?_Go~
Subdivision Name
Qwner' uyers VA'&2 PT
Mailing Address: 'RIMS- tDi-= i V~ l0. u i~SOA.)
TYPE OF OCCUPANCY: Residence( No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS 5&/ - PERCOLATION TESTS G 4-311,51
SOIL MAP SHEET NAME OF SOIL MAP UNIT ?-AW Ir 193
_ 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_ ! ~2 E I~ r~. ,a-rra it
P_ 4"q ft f4- O ~7,
P- 11 it It I,*
P--
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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
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PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy 6/1~ FI• Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
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I, the undersigend, hereby certify that the soil tests reported on this form were made (e in accord with the procedures and methods
specified in the Wisconsin Administrative Code, and that the data recorded and Iocatlbp of test holes are correct to the best of my
knowledge and belief. VV//
Name (prin E- SG Certification No. ` E'
Address
.Name of installer if known ~ tj L - 1 _ 1 A
Copy A -Local Authority CST Signatures '
For-,. Intel i k~iE I ~ r►~ PSG
EH- MI5 Rev. 9/78 ~ G.N
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
• WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION _'/4,,zr~'/o, Section C6 ,T~'N,R9 f~) W, Township -er MwRicipality
Lot No. , Block No.
r County
i\~ c elm ,•44opT Subdivision Name
ner'/Buyers Name: ~
ca
Mailing Address: 0 ®StsN,(4 t .
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACE ENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS '7s/syg PERCOLATION TESTS
SOIL MAP SHEET 5-7 NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME^ DROP IN WATER LEVEL, INCHES
RAKE
NUM- SINCE HOLE HOLE AFTER INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-7 .33 :5EP- Bete-a P~oL.e D -t-A e i 3 I ~a l% I i~ 3
P_ 4 9 « r+ 0,4 r= ,3y4 3 Y,& 0 l
P-9 OA/E -3 3T/6 3'S 3%4
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B -7 fidotte 69
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PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy % i5 Ste' F7-' Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
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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).J LS /V1 E E_ 2 SS-H rtification No. S6 t)
Address ~z'o 0r4 WC-7'E- ST
blame of installer if known
CST Signatu
A -Local Authority
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