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Home My WebLink About020-1148-00-000 nv,0 -0 o C7 r- O d F c~ 0 `+1 3 a 3 -0 9D 0 3 m /ft 0 0 w z . m o m cn o w w m c w 0 C 3 C w m n N CD 0 z a 0 „y C CD w T = A O N n- O N N m O CO CD Cm) 0 :3 0- (D O CD n 7 co O u O 3 o v p h 7 N O O h.. T O "y* C N ~►o-'S (n z D F c m n O (1) a rn CD 3 cl - C-) lot 3 0 ° O "ftmt \ N 00 q0 N N 0 r- en O C CD Q v .D: !~1 • z O O O O n N 0 n s . . . a. 3 m v v 0 CD T 'N6 N O m _ m a m VI C CD C-n _ < m m a G N) Q. CL o N z " rn m zcoz o o vn :3 CD N N Cl) CD CD Z (3D -1 V1 O O A Z n A Z O I m n ~ _ p. _ Z N W (D° m ° , z , 3 0 r. (n 3 m N Z CD W (b N Q W Q = m C m o G CD 0 <D O O ~v Cn (n s fi N ~i A, O O 9 b CD n~ N ti ~ N m O = O a a A • (D _ a O ti o0 ° (D y~ O m ~ y O 'v Parcel 020-1148-00-000 09/21/2006 08:37 AM PAGE 1 OF 1 Alt. Parcel M 33.29.19.788 020 - 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 - EVANS, FRANCIS M & LINDA S FRANCIS M & LINDA S EVANS 641 COUNTRYSIDE CIR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 641 COUNTRYSIDE CIR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.110 Plat: 0215-COUNTRYSIDE VILLAGE SEC 33 T29N R19W COUNTRYSIDE VILLAGE LOT Block/Condo Bldg: LOT 2 2 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.110 75,400 139,900 215,300 NO Totals for 2006: General Property 2.110 75,400 139,900 215,300 Woodland 0.000 0 0 I Totals for 2005: General Property 2.110 75,400 139,900 215,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 126 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM~i," Ild < Sanitary Permit 0 State Septic NAME TOWNSHIP St. Croix County I.OCATION4~ sI'_ Sectioz__Lot # Subdivision Ocrn Ry S ~DG SEPTIC TANK A. Size(;' gallons Number of compartments Distance from: Wellfl~r, " Building 12% slope Highwater PUMPING CHAMBER Size gallons Pump'Manufacturer Model Number__ HOLDING TANK Size gallons Number of Compartments _ Pumper Alarm Syste F m _ t Distance from: Well Building 12% slope Highwater i ABSORPTION SITE Bed Trench_ Distance from: Well. Building 1 12% slope Highwater C ej ABSORPTION SITE DIMENSIONS Width of trench ft Requir d~grea ft. i5 f Length of each' line ft Depth of rock below the Z in. Number of lines Depth of rock over tile Z in. Total length of lines ft Depth of tile below grade in. Distance between lines ft Slope of trench in.,,per 100 ft. r Total absortptfon area ft Type of Cover: PIT DIMENSIONS Number of pits Grav A around pits yes no Outside diameter ft Depth below inlet _ft Total absorption area ft Area required ft LNSPECTED,BY~~ TITLE APPROVED ` l DATE __198/ REJECTED DATE 198 REASON FOR REJECTION _ f State and County State Permit # PLB 67 fp W Permit Application County Permit # for Private Domestic Sewage Systems County -14 _ t.C4 *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: r ~ /C/ AI % 944c' t ~l a.S B. LOCATION: '/4 .5 = /a, Section T-;Z V N, R-4Z E (or) <T) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township h~G✓QSc7, ~~c'~c~11 rp'v' Si.~c:= Ldf 'L c ,~1 c'~= C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _X Duplex No. of Bedrooms 13 No. of Persons D. SEPTIC TANK CAPACITY ,PL1C1(~ Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X_i Poured-in-Place Steel Fiberglass Other (specify) New Installation X( Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-PlaceOther (Specify) E. EFFLU NT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length F Width_ 1g_Depth ~Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 2c% Distance from critical slope e;"DATER SUPPLY: Private IX 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 ATe/a GrL CPU/'c C.S.T. # J ' and other information obtained from tE v /r GG'1c' (owner uilder' Plumber's Signature I~ Per .7.520,1 J _Phone # Plumber's Address 12 S/r;7r 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. i i b - e s r _ I i 3 E r _ . s _ ~ . s _n .tea m~ m _ P ~ _.,W~. _ ~ r._ m ,...~e 1 Do Not Write in Space el w FOR COUNTY AND STAT~ E pEPARTMENT USE ONLY Date of Application . Fees Paid: State Count J15 141 )ate Permit Issued/ ej ted (date) Issuing Agent Name Inspection Yes No State Valid# Date Rec d 1. county (w ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ' INDUSTRY DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS Job No 76-665 LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: NE ~/4SE/4 33 /T29 N/RlgM(or)W Hudson 2 lCountr)~side COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix Francis H. Ogden 123 E. Elm St., River Falls, WI 54022 USE DATES OBSERVATIONS MApE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROF1 LE, DESCRIPTIONS: OLA ION TESTS: - ]PeQ ~7Residence 3 New ❑Replace 7/17/81 Nan Required RATING: S= Site suitable for system U= Site unsuitable for system j . L'i CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMII~IlEN ED SY2VQ op i nal)z' ❑S ❑U ❑S ❑U ❑s ❑U ❑S ❑u ❑s ❑u n If Percolation Tests are NOT required DESIGN RATE:jSY9TEM_E_L_FVj If any portion of the lot is ink of under s.H63.09(5)(b), indicate: 10 1920.00 Floodplain, indicate Floodplain a ~TOp Noi• Class 2 PROFILE DESCRIPTIONS P 6 Sh C 2 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.) B- 1 119 926.1 NONE > 119 12 Black Silt Loam Topsoil; 107 Course Brown Sand & Gravel. 2 96 923.3 NONE > 96 4 Black Sandy Loam; 6 Brown Sandy Loam; B- _ 86 Brown Sand & Gravel. 3 92 923.4 NONE > 92 8 Black Sandy Loam; 8 Brown Silt Loam; B- _ 76 Brown Sand & Gravel. 12 Black Silt Loam; 17 Sand & Gravel; B-4 116 924.6 NONE > 116 12 Brown Silt Loam; 75 Sand & Gravel. B- 5 89 923.7 NONE > 89 6 Black Sand Loam Topsoil; 83* Brown Sand Gravel. B- NOTE: This area as been cut from original grade. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P- P- ,E0 TTTI-ET, TIE 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 locgtap[l„or),Tbe.p~Pt.#?Ikhpr the surface elevation at all borings and the direction and percent of land slop.`'' SYSTEM ELEVATION l, _ ~~~i~%~✓.~ 14 r. 1 M 4. is 13-/ N ` R -40 vA~ ,!Fl- LV tuo, Zzq 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: Walter J. Gregory 55-588 7/17/81 ADDRESS :Ogden Engineering Co. CERTIFICATION NUMBER: PHONE NUMBER optional): 55-588 -715-425-7631 C T S Ic ~~G~7 U~E i4JZL DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) 1 LOCATION SKETCH N i CTY. UU E Q ! ~O~ j R j 3 MILES RANCH I-94 \V QTY N COUN TRYSIDE GILBERT VILLAGE ROAD 1ESl _ II -r-1ARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUtLUIIvuJ INDUSTRY, DIVISION LABOR AND' PERCOLATION TESTS (115) MADISP.O. BOX 7969 ON WI 53707 HUMAN RELATIONS Job N o 76-665 L A ION SEC iON: TOWNSHIP-MUNICIPALITY. OT NO" BLK. NO.: SUBDIVISION NAME: NE ~/4SE/4 33 /T 29 N/R19 01(or) w Hudson 2 COUNTY : OWNER'S BUYER'S NAME: M A I L I N ADDR~~S St. Croix Francis H. Ogden 1123 E. Elm St., River Falls, WI 54022 USE - DATES OBSERVATIONS MADE NO. B DBMS : ]OMMMM€RtTAC DDS RI TION: [jj]Rsidence 3 New ❑Replace 7/17/81_ None Required RATING: S= Site suitable for system U= Site unsuitable for system ONVENT ~NAL: MOUND: IN-GROUND-PRESSURE SYSTEM-IN FILI-HOLDING TANK: RECOMMENDED SYSTEM (optional) ~0S0U El Sau os_c~u Zas-ouZoSOU I T E . F~~TFM E LEV. li Percolation Tests are NOT required fDF. S-1 G N ny portion of the lot is in the 920 indicate Flnndplain elevationND• under t H63.09(5)(b), indicate: 10 [~Fl..dipWlain, - - Class 2 PROFILE DESCRIPTIONS - BORING TOTAL PTH T GR UNDWATER-INCHES CHARACTER_OF SOIL WI H THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION _OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK) B- 1 119 926.1 NCNE > 119 12 Black Silt Loam Topsoil; 107 Course Brown Sand & Gravel. 2 96 923.3 NCNE > 96 4 Black Sandy Loam; 6 Brown Sandy Loam; B- 86 Brown Sand & Gravel. 3 92 923.4 WINE. > t)Z 8 Black S~Uldy 1,0:un; R Iil'owfl Silt Loam; B. 70 Mown Sand 6 (4-avel. - 12 Black hilt Lain; 17 San Grave ; B-4 116 924.6 NONE > 116 12 Brown Silt Loam; 7S Sand & Gravel. B- 5 89 923.7 NCNE > 89 6 Black Sandi Loam Topsoil- 83 Brown Sand Grave B- N : Th s area las been cut from original grade. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DHOP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIQD 1, _P-tal0_D2 ?_R PER INCH P- P- - F$-41FR- P - - - PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of soltable soil areas. Indicate scale or distances. Describe what are the Hori- zontal and vertical elevation reference points and show their local ion .,r the plot plan Show the surface elevation at all borings and the direction and percent of land slop. SYSTEM ELEVATION b f _ C77 lie } 01/ TN T'- L A._ Tr-~'tia . U 3 N ic-1 109z- /7-1 C, or:- I, the undersigned, hereby certify that the soil tests n•p nir d on Ibis fnln, were rrla(le by tnk rei 01 (A)rd Will, 1f moi w1urm methurls stwcthed in the Wisconsin Admimistratuve Code, and that the data recorded and thr location of the lasts are correct to the best of my v!-,--rlyr• and belief. INAME (print) I"ESTS Wi 10 COMPLETED ON Kilter J. 551-598 -i/17/81 ADDRE Ogden Engineering Co. CERTIFICA I ION NUMBER PHONE NUMBER optional ,~r__l dls,i _-S4D2-2 - T~S 8S 88/ E -715-425-7631 pICL~ '7!~ ~~t..f !!?ice' DISTRIBUTION: Original-Local Authority, 2nd page Bureau of Plumbinq, I d page Property Owne,, 41h page S„rl I e.rer. DILHR-SBD-6395 (N. 03181) • i e-' ,r i t i O c: i i