Loading...
HomeMy WebLinkAbout020-1146-20-000 o cno rm c d r~ v o c v i m co 3 ~ •s n N 0 o rn m c N) N) S `C • 0 . a c m N N° W Q. Z Q N N m r O CD :3 N O_ NO N N 7 0 V N O O S N V O O m e CD n ~ 7 p y 3 O 7 N O~ O I O y0 v 'I O C D C a CD y O N W CD c CL O O O 3 O oo cn N CD co CO c 0 r- N 00 cc) cn C C O O ~ z OC O O ~r O N G A O~ N c to p 'O fn In co m O' O _W S O M N 7 C W a O 6t 7 tu N 3 N z co z D CD O O a o' CD N !+i N N CD (O N 10 c (D N I w m C- E. Z _I N O O A Z C1 O n 7 A Z O CD- . 0 Z N CD W m CD CL , z 3 4 O r: cn O 3 m CC y z < CD w ~ D CL o - :3 T v c z G 0 CD N a, A , I R I ~ I O W I I N O O V A O b [v N Op O V cs3 O ti C) g c b o i Parcel 020-1146-20-000 01/03/2007 12:49 PM PAGE 1 OF 1 Alt. Parcel 26.29.19.771 020 - 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 PETER J GALUSKA O - GALUSKA, PETER J 788 MEADOW DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 788 MEADOW DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.439 Plat: 2077-HIGH MEADOWS SEC 26 T29N R19W HIGH MEADOWS LOT 6 & Block/Condo Bldg: LOT 6 INCLUDES LOT B OF CSM 6/1764 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 900/382 07/23/1997 824/633 07/23/1997 814/49 2006 SUMMARY Bill Fair Market Value: Assessed with: 162247 215,500 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.439 76,700 128,700 205,400 NO Totals for 2006: General Property 3.439 76,700 128,700 205,400 Woodland 0.000 0 0 Totals for 2005: General Property 3.439 76,700 128,700 205,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 146 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 't'A (1j:A:w,6& 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 03980/01 PAGE 1 ST. CROIX COUNTY REPORT DATEi 4/18/91 COURTHOUSE DATF PECFI4rD 4/A /91 HUDSON, WI 54016 rT TN * "NOM€1'a C, tiEiA3,N T7-7 / & LOCATION. 788 Meadow Drive, Huds;ja COLLECTOR: Mary Jenkins SOURCE OF SAMPLE' Kitchen faucet 1- COLIFORM* 0 /100 ml INTERPRETATION: Bacteriologically SAFE r~ : F Ppm :above 10 ppm exceeds the recommended Public Drinking Water Standard. ;:o l i' ovi-m bac ter i ..a.- ivO AL Nitrate-Nitrogen, mg/L ,F TECHNICIAN: Pam Gane -~~N EOENO, 7m O P V D Means "LESS THAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE P n Ramme-nu, WI 540116 Q Ali Telephone - ( 715 )44-&--223- or (715)425-8363 to - The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and arivate 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 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. WATER TESTING----------------------------FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at time of inspection) Property owner's name or~ A Property owner's address Legal Description A Z-7 1/4 of the 1/4 of Section Town of Lot Number Subdivis~on Name FIRE NUMBER Z+'~ LOCK BOX NUMBER Sk' t<-, . Color of house C> L_io Realty sign by house?_J~/6_- 'If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LI•TING SHEET. Testing Df residential water reoi:ires a sample that is fresh. If the :tome is vacant, and has been so for some time, the water line must be purged by running the water for n2V t~l i!ou J2forE test can be conducted. WINTER TESTING: Many times water lines are turned off, or :ill cocks aye turned cff, making access to the home necessary. If this is the ca :e, please make proper arrangements with this office to ensure '::ime when entry may be gained. Firs, or individual requesting services: fJAi..u L` Teleoho:-e SIC_ Ld ~r.1• a ~zl0sJI::1 i ST. CROIX COUNTY s; WISCONSIN t.q1 ~vfi ~d i ~J tia J}~ 91M e k ZONING OFFICE A~ ST. CROIX COUNTY COURTHOUSE }f~ t T 911 FOURTH STREET • HUDSON, WI 54016 i (715) 386-4680 April 17, 1991 Bill Seiffert Coldwell Banker 126 2nd St. Hudson, WI 54016 Dear Mr. Seiffert: An inspection of the septic system on the property of Ron & JoAnn Potterbaum located at 788 Meadow Dr., Hudson, WI was conducted on April 16, 1991. At the same time a water sample was 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. Sincerely, 9t,3'enlYns Assistant Zoning Administrator cj 2- q, 7 7 AS BUILT SANITARY SYSTEM REPORT OWNEIR TOWNSHIP l•°aSc)-'t" SEC., T~YN-R/~ W ADDRES / l ST. CROIX COUNTY, WISCONSIN. exl SUBDIVISION ~~~(;~tl(tf`_ LOT - LOT SIZE PLAN VIEW .Distances and dimensions to meet requirements of H63 ? SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I I di a e oath Arrow BE14CHMARK: (Permanent reference Point) Describe: 0--~~~~ S~TfL'c~~tlG Elevation of vertical reference point: rVC,~ Slope at site:( _ SEPTIC TANK: Manufacturer: Liquid Capacity:___( c y~rt, Number of rings on cover _Tan~c-manhole cover elevation: ((JJ`" Tank Inlet Elevation: F Tank Outlet Elevation: PUMP CHAMBER Manufacturer: _ Number of gallons i~ui' iber of gal. pump set or a cycle gallons; total capacity_ of distribution lines gallon: size pump _head; gallon per minute horsepower brand 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 inlet pipe-elevation bottom of seepage pit elevation feet. SEE'1'AGE BED SIZE: number of lines width / le igth~j the depth SE1,PAGE TRENCH: width length PERCOLATION RATE_ I AREA REQUIRED 4 / AREA AS BUILT___ c INSPECTOR _ DATED PLUMBER ON JOB xv c~ LICENSE NUMBER RLPO RT OF INS PE CT1QN - INDIVIDUAL. S1.WAGE SVS IF IM Savi.4 tan y I'e~irn.~ d s.tu to s e pt4'v - Tow n6h.i.p a t. Cnoi x County Section Lot d ~ Sub di V4*.4 10 n I I(, I ANK ,"max ; " 1 ° gaNumb en o!j ccrrnpah#.mente 6nom: Welt 12% 6fo,pe 1 N.ighwaten. L.4 op, Q,4 ,t Q nd . M a nu 4d (ft e n. M o d e t N u m b e r 11) r NG TANK „9Pttonb Ambe4i o6 Compaktlnt6 f'iirn1 h Ma ,M SyQ"'te.m f,l~i~i6nomr G►eE Quied~r--__- _12$ 6t'ope . 11 1 1ON SITE TA ovioh ~ rn Gl a It ~ B u c f ilti vt y 1240 6~ o e 114 shwa t.( "q I (IN ; I I I D I MCNS I ONS ,1f1t o~ tn.ench _ _ ~t Requ4ned area- - -fir l vi it o6 each line. 6t Depth o6 hock below tike to Depth o 6 nook oven. ti. e 1.n it fo f eength o6 tlne.e 6t Depth o A "tile be. ow gnade4 n ranee between 4inea " 6t 6 Itape o6 .tne.nch .in. pen 100 At 11rae ab604p-tion aKea 6t Type o6 Coven.: Pawl on 6tnaw i 1) 1 MI NS I ONES J,mlih o K tb 't 6 K Gnavef an.ound pit's ye6 c r, I (Ic dfamete.n.~~_. -6t Depth bePow infet 6t (,11' ahAonption an-ea 6.t, I'r r I I u IiV TI TI F D A T F 198 it 1 r r I' DATE 198 a ~ SIN I(Ir, I. r:~l_cTIVN I. 67 State and County State Permit # PLB • 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: B. LOCATION: N v4 SE Section Z ~ , T 1 N, R / E: (or) _W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Apvte- Township 11~1O~L1 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family x Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY-_16-6V- 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-•P (p /~z-Totall Absorb Area j sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: -X_Length - AF-35--:Width /9 • Depths-Tile depth (top)-2-Z-~No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land /0 ~70 Distance from critical slope- (or WATER SUPPLY: Private YJ Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 1, 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 Testery r NAME t,06b ,Q'T' C.S.T. #73.02-7`I1- and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone # /~~dto /dJ a Plumber's Address 2 O~ .t? Okp 0f0.!rc)IQ WI-5 • -5-44k(e 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 I1i property. If well has not been drilled please indicate. co yr--e /Pu ,y piv 10 q,: f c E PP6olVcD ~,A ®`~taP RC „Rack . a y 0 00 cs rz @ o f \~A /3 ~~~~Qg TE R SA 1Vw- /3ep f3o rT~.~y Do Not Write in Space Below YOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application - ;;2f-81 Fees Paid: State /V, 0-t) County Date Permit Issued/P.&*Eed (date) Issuing Agent Name Inspection Yes_,A_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 A /Ns if~l~~~f~ti' PLB 67 tit /t 51 (Ali l VA) Mel, ~ w pD fq , P~ ~p F f 4Z7"N,fTF v ~l 3 fT 5;vEwq(IS ~ a~~eQ Ah R ~P a~'6 p Q cv '0M u lulu /M. ~w Pkoltlr~ v,rX Sy4% ~`1 ~ ~ lAvf el 4)j)j~ee7 eo 7f DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUST DUSTSRI' • - c DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 N WI 53707 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAM g. ,~<~r ,5-*'~_1/4 T 21/V E (or) W u~s'o~✓ C~ 7 alv~ COUNTY: OWNER' BUYER'S NAME: MAILING ADDRESS: Ss-125- V_ Z 4*1 .f //V / . ~060/)96r Aeff USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: R DESCRIPTIONS : PERCOLATION TESTS: FoResidence New ❑Replace 17y~~_~a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUN[5-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) WS ou ©s ❑u , Z]s au _]S /K]u a S K u yyfyji®yrtL 46E 1,Nff'',e~ S'O%T If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL I If any portion of the lot is in the / under s.H63.09(5)(b), indicate: It Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- gGj 26 B /S ~EieG GG T/L?~ % S % ELD CC:~~P~ T~9if~E'l,' /~I/ ~LTFiP.iI~~TE l4•PE.~' 13- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ 3 / P- U ' 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. 03e/ rom Or'54y 'tcj L/E ey*xy SYSTEM ELEVATION 9Lj"W Sic V RM 6; '00 VE- 2~. ~ furl ~5 a~ It P y ~5Er AW Aft 01 OPP p I P All off!,, i, the undersigned, hereby certify 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: Aohexr ADDRESS: CERTIFICATION NUMBER: IPHONEUMB (optional): ./llL (X ICJ CA' CST SIGNATURE: J6 l0 DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) DEPAF37MENT OF FETY & BUILDINGS INDUSTRY', REPORT ON SOIL BORINGS AND ,r DIVISION P.O. BOX LABOR UMAN REDLATIONS PERCOLATION TESTS (11f,' fMJC~ISON WI 53707 H LOCATION: SECTION: P/MUNICIPALITY: LOT,N LK. N!g bfV $a NAME: &9 1/ 541/ Z6 /T2,1 N/R If E (or) W COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: Sf ~rPQ/X UtPeh-- 6~&3 ®/%i•~ uaoo~ L oo ~,P~ rz USE DATES OB TI©NS . E NO. BEDRMS.: COMMER~lAL DESCRIPTION: R S: PERCOLATION TESTS: XResidence 2- ZNew ❑Replace I 2-2- //S>/ ~fjf) Z3 /f~/ RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) QS ❑u F]S ❑u []S ❑u ❑S Du ❑S ZU A--P 61ssv . If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. If any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS S0 11C'A,lXD7' BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 00 V 16 ® B' /60 10V B- Am~ B- NoTF: S'~~,~ o,~ N~lTU,Pe~L ~`P.4AE ot1~R ErY E t1l~E PERCOLATION TESTS Ge.3l`T/w~ AV a,PDlr-f T4 TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- i © P- P- L 3& - P- P- 3 0 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. 30 TIM •-1 _ ii A ~D / ~/7 /7~~~~r f G , SYSTEM ELEVATION • 40 , fS l3sAl Iva p ap LTtZV TE ffe?Z Ua r • #r ce-4 tl" nr aor tN l,t" S4 pTtG /,00-Al 7° r yr 'rxo - ~ ~i 710 /00 a ~f~Ilfi fiiaN~ A& ~ ~ ?ra P u! 1, the undersigned, hereby certify 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: ;?4 7-6 /%f/ ADDRESS: r CERTIFICATION NUMBER: PHONE NUMBER optional): ) CST SIGNATU~~ggE: i(G.9 U.r~ 1~ VOTE- '/.lg DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81)