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HomeMy WebLinkAbout020-1115-90-000 0 0 Ev0 C~ r~ 3 0 3 M 0 CD CD d CD A 3 ly ` 1\ I r. A7 Q O N y O ICI CD 3 O CD -4 d d CND m d. COi y ,p Q. C ID D o n -1 A c C 1 N = N '1 O O O CD (P OD 7 O 3 K U) cn v (n c D N y a = CD (O O T CD c M~ C: C) CD 3 a rn -P~ a V ~ CYI o ( m~ a n r C N w w = N CL v v v r r-3 a. w CD v o v o G) m Cn N CD D Q Q z N z W Oz 0 0 v o D a o. y ~r D y N CD w ; C CD CD co ~ n a 3 z CD cn o Z CD m c A a CL A z j ou _0 m co CL 3 ~ z o z O A y m CD C4 E 0 CD 7 :3 d CD F 0 Q C O j O w N x a) o w a o m d m y CD y CL o ~ A p b N fn0 Cl. ft CD t b Cn N CD O ~ O n ~ A 0 w O_ CD dQ a < ft 69 O O O O C) 0- Parcel 020-1115-90-000 12/19/2005 03:50 PM PAGE 1 OF 1 Alt. Parcel 19.29.19.477 020 - 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 - SLOMINSKI, PAUL J & DONNA S PAUL J & DONNA S SLOMINSKI 871 WILLOW RIDGE I HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 871 WILLOW RIDGE RD SC 2611 SCH D OF HUDSON SP 1700 WITC I Legal Description: Acres: 0.750 Plat: 2626-WILLOW RIDGE ADDITION SEC 19 T29N R19W WILLOW RIDGE ADDITION Block/Condo Bldg: LOT 2 LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 743/555 07/23/1997 472/220 2005 SUMMARY Bill M Fair Market Value: Assessed with: 92347 222,800 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.750 39,800 187,400 227,200 NO 05 Totals for 2005: General Property 0.750 39,800 187,400 227,200 Woodland 0.000 0 0 Totals for 2004: General Property 0.750 20,300 171,500 191,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 223 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 -COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 O cj::Awv 6 i f ST. CROIX ZONING REPORT NO.: 14151/O ST. CROIX COUNTY REPORT DATE* 11!72/^ COURTHOUSE „71)VE, HUDSON, , WI WI 5401c", I ATTN: THOMAS C. NELSON LAM R2 Paul & Iionna S~omins; LOCATIONI 871 COLLECTOR; M. I a i t nk i n4 Date+- Standard. O ~ .1 I OF.\NDEDFNOpH / ....a i 1, X o Means "LESS THAN" I4eiecfabLe Levei Approved b>s PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAME: Paw-/ yG <3P0nr1~ ~jorr~~,ts~t PROPERTY OWNERS ADDRESS : ` 11 olv"Ld t?j d e=CITY: )7;),J_5 D- Legal Description 1/4, 1 4, Sec. /9 , T_AJN-Rj_W, Town of Lot: No . -,Subdivision FIRE NO. _ LOCK BOX NO. Color of house Realty sign? Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone No. -71 S 31:6 & - g1 REPORT TO BE SENT TO: a aJ 1 i /~o J /'Z d q ,S b7L~. C~~ CLOSING DATE: Signature: z ST. CROIX COUNTY t WISCONSIN r ~ F A ! -h ~q n; Y~° `ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Nov. 20, 1991 Paul Slominski 871 Willow Ridge I Hudson, WI 54016 Dear Mr. Slominski: An inspection of the septic system on the property of Paul & Donna Slominski, located at 871 Willow Ridge I, Hudson, WI, was conducted on Nov. 20, 1991. A water sample was also obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. rely, J 1(/fT^f/I -r ~ t,.: ✓✓i, ll../v-rte Mar 4;Jenki s Assistant Zoning Administrator cj E A COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 522' C ::RUix Ouutff REPORT DATE' 6!2$. ;JRTHOUSE DATE RECEIVEP+ ISON, WI 5 401,, 2-6 to minski L(,/V ATIOtr't 871 Co. Hwy. At Hudson _G ECTORI Jis, Thompson APLE2 Utility -i-ns 4 /100 nl i EWRETATIOhlt Bac tpr i t r . RATE-N** b O4.ND G¢ J` Vm O P u y iiINii' i.°•e'ieGt& l? L,°lui f1pPY6VE+o i,,.. PROFESSIONAL LABORATORY SERVICES SINCE 1952 Parcel 020-1115-90-000 11/24/2009 04:52 PM PAGE 1 OF 1 Alt. Parcel 19.29.19.477 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY. WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SLOMINSKI, PAUL J & DONNA S PAUL J & DONNA S SLOMINSKI 871 WILLOW RIDGE I HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description " 871 WILLOW RIDGE RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.750 Plat: 03-091-WILLOW RIDGE ADDN SEC 19 T29N R19W WILLOW RIDGE ADDITION Block/Condo Bldg: LOT 2 LOT 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 743/555 07/23/1997 472/220 2009 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/20! Description Class Acres Land Improve Total State Reaso i RESIDENTIAL G1 0.750 39,800 187,400 227,200 NO Totals for 2009: General Property 0.750 39,800 187,400 227,200 Woodland 0.000 0 0 Totals for 2008: General Property 0.750 39,800 187,400 227,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 223 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse C~ ;a 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Como.lS~tion o this worm is essential `no thatthe orn2grty can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. MATER TESTING------ ------FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at t me o! inspection) Property owner's Property owner's address 221 Legal Desc pt on 1/ of the 1/4/of Section 9Gi , T - N-R I Town of UNumber Subdivision Name LOCK FT R K KUNB ER - BOX r3I7?i EB.,.._. Color of house Realty sign by house? If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, .e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the % test can be conducted. HINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone Number REPORT TO BE SENT TO: Closing date Signature ST. CROIX COUNTY WISCONSIN ZONING OFFICE 1. ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 27, 1990 Paul Slominski 871 Willow I Hudson, WI 54016 Dear Mr. Slominski: An inspection of the septic system of the Paul Slominski property located at 871 Willow I, Hudson, WI was conducted on Aug. 24, 1990. At the same time I also obtained a water sample for testing. The results of that test will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspections. This not not in any way warrant or guarantee the continued proper functioning or operations of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely,i ~ames K. Thompson Assistant Zoning Administrator cj AS BUILT SANITARY SYSTEM REPORT r OWNER_ 1' 1~ TOWNSHIP A ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE_ PLAN VIEW D.i_st:arnces and dimensions to meet requirements of H63 HOW_ EVERYTHING WITHIN 100 FEET OF SYSTEM - - I I di~a e oath Arrow I S C L>: - - - fi(?NC IMARK: (Ferman t refe ence Point) Descri e:: OaK q76 ~17/0 . t p - =,~SLpPe at site F:levat i_on of vertical reference point:,-_ -L?ot3 `;l?PTIC TANK: Manufacturer: ~ltl'ei -e eS Liquid Capacity: Number of rings on. cover. : rl-- anl< manhole cover elevation : Tank Inlet Elevation: _ Tank Outlet Elevation:_ 1'UMP CHAMBER Manufacturer: _ _ Number of gallons Number of gal. pump set for a cycle- gallons ; tot--a~capac z distribution lines gallon: size o. pump____ _ Zeal - gal]_on per minute- - horsepower- brand name oI ptiml, and model number "Tyne of warning Device HOLDING TANK: Manufacturer_ Number of gallons Elevation of manhole cover _ 't'yppe of warning device S1F.1?1PIT SIZE: -~mTer 6T -pits-------met c iameter i- eetliquid deptTi seepage pit inlet pipe-elevation hot tom of seepage ptt----elevation feet. - `:1?1''PAGE BED SIZE: number of lines width leogth 33 ti]_E depth 42- :;h:EPAGE TRENCH: width length REA REQtIIRED_~---~=A AS Bi1II.T _~o_ 1'1.IZC:OLATI0N RATE INSPECTOR DA` I-',1) PLUMBER ON JOB - - LICENSE NUMBI`R PI I'Ohl OI IN' IVf CI ION INUIUIUUAI tiIwA1;l '~V';11 M P7 r IrI I I rI %97V 1A11 II,wYIAh-(p WA svct on Lo f N tinhdi vi A I nn t 1' 1 IC IAN K I ~I, yae o n 6 NIt mhvh (I cl,in r)ati tFit evn to r~ r~IIf IIIFit: WI,ff cJ-Id' 614f e i,nll nYul~c lit y61wa tv'I MVINI; r'I(AMKI R I - c ga fonA Pump ManaAa,c-tuhen Ml,dvt' Nurnl)cIt I UINr; IANK ;I c gaYYunA Number o6 Cumpahtmvntey_ I'll Flirt, 7 Alarm SyA tem I fllncv Ahum.: weff - 6utiQd-tng H.ighwaten It;oPVI ION SITE K t, /5 I! r Tn v n c h X~~ 1 11if kivv chum: We IF 1---- 44 Bu.ifding j~ r2$ AYI~r'v - Highwateh ~,I11:►'I ION SITE DIMENSIONS WIIIfh it (Aeneh_ ~-t Reyu-4nvd area Ivnylh „6 each Y<ne` - ~t Depth I,A hoeh hefow t4YI, Numl)r~l in e,6 Dvr)th u(~ nuch uvl~n r<YI~ ~ I~~ ~ 4vr 1, f It tjth I, l'IneA ~t Der.) tit u~ ttfv hvYuw (I IF a d v 1)11ri'fYII'{' 11Ptween Y4YIv6 ~jt S4'op I, I1 tIvn0it 4n r~l'h 100 hr - i l l ~IIi 1i,hlJ t4 on ahv~l - ~t Tg1.)k, CUVe I I'it C)I'It Uh A thllw ~ 11 1) 1MINtiIONS ~t>f Nurnil~h Ir )1tJ Ghavvl' IF uund r~~I to yvA Y 0I4fAIdv d4ame.teh (~t Dvptit 1)rYow 4YIYvt i Iot14Y n1-)AOhptiun ahea ~t Ali ,it hvgi44 yed Ntil'1 C11 U KV T I I L I 19 h DAU I'I hOUI U 'I 11 CI l D DATE I A`;ON I Ov RI UCTION ~ State and County State Permit # PLB 67 v Permit Application County Permi # County for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: j -611v e7,_5_' B. LOCATION:'/Section 1~, T` N, RLY_ E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ~/1 ~SL1A C. TYPE OF OCCUPANCY: *Commercial 'Industrial 'Other (specify) Single family _Y Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY /c~Z~ Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement X Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) - E. EFFLUENT DISPOSAL SYSTEM: Percolation Ran~~ Total Absorb Area Cy sq. ft. New Replacement X Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches- Seepage Bed:-Length ~Z Width / Z Depth-Tile depth (top) Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits _ Percent slope of land c, Distance from critical slope XNATER SUPPLY: Private 5~ 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 C~~}}rtified Soil Tester, NAME ~Cd2y/6,e rC-4* C.S.T. # J~~ d~y~Land other information obtained from C 7 (owner/builder). ~p Plumber's Signature MP/MPRSW# / ~ Phone #3 Y~t7,S0 Plumber's Address 2-2- 401 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' . Of VO) ►J n. / ~tR T►a'~ Pr, ~Vv ~e . Q A"IV41- y, P,, J' t PVC pvt . 61 In o A ISM Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Q~ Fees Paid: State Co my to `r Permit Issued/R2rjrmd (date) y- 94 = Z/ Issuing Agent Nam Inspection YesA-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 I ,1'G~9l~r4T~A~lr A107' j ~ , SFlU EH, 115Rev. 9/78 NEw 40o11 -V REPORT ON SOIL BORINGS AND PERCOLATION TESTS 74e / CCU 7- WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES cfj ZZ0E1_ g=, - P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION Section)T~l-N,R~/ E (or (i&~TToywnnsship or Municipality n l G Lot No. Block No. County J-0 11A) e D~ ubdivlslon Name Owner's/Buyers Name: n Mailing Address: ~~~~,o TYPE OF OCCUPANCY: Residence- No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT X ALTERNATE SYSTEM ~ 7laL 17 DATES OBSERVATIONS MADE: SOIL BORINGSIAW- 17 _/h ~ PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL f PERCOLATION TES-FS TEST HOURS WATER IN TEST TIME DROP iN VVAT ER LEVEL, INCHES RA[;_ NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL MIN/It,!' INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 I BER P_ 3,10 lvaN c g °•t,~. /sue ~ , 7 "~f•!~~ • ~ ~ > ~ ~ ~ / ~ , P- L"elf C~ P- Z we r C L 13 1-0 L~ 7 P- P 3 6o (4A 7~1 / 71t> >4' > > J' o P- SOIL BORING TESTS DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEST TOTAL DEPTH D TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES 21- & V~ 13 eA4 B- e- /2. o rt9lt.N~ 12-r N.L d "G;/3,J. ~-"d~P SG 7~ d~P B- 11 W G 2 0 no L 16 1 B- 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 fr~L,S ~a~ .Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. DiPi4L~~ifL/~ AeD P 0~ 114, LET Lidl~ ~ A11AW5 Wr 4-100- 70 ~ I I3~T%ST~9,ve~~ o9~cc~~P~4TF . _ . l+~ 41,r (4r -feef,111e) (t7 x ~ 3 ALGi'{ioN . 13M x C.) F7 = fc~~ Sr`TE,$ I C~ a = d _ v py /I g / 37 4614 al 4AI i 3e l 3 w ~a4 (bopthVI ~~M S C //_5S 4& / 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. C ADO& % -Certification No. tame (print) address j ;dame of installer if known 17 a- 47CST Copy A - Local Authority r 41e HvvS~-' ~i'S . ,c~~ p/~~~~~"-~'% sf%s~~~I j~%~•v~ ~~~DS~,v r~~ssya~~ t , 0 t ~,D~whl/f t I t /30 ErE , ~ - /06 R , ce~ut 1 L t3M I I i1W ~ FX Si~titf 5t i~ I