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Parcel 020-1097-10-000 09/18/2006 05:02 PM
PAGE 1 OF 1
Alt. Parcel 33.29.19.389H 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 - GEORGE, JOHN W & JOANNE
JOHN W & JOANNE GEORGE
583 CTY RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 583 CTY RD N
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.990 Plat: N/A-NOT AVAILABLE
SEC 33 T29N R19W SE NE COM S1/4 COR SEC Block/Condo Bldg:
33 TH N 1326.7' ALG CL HWY 35 E 75'N ON
E R/W 1072.2'E 1230.16 FT N265.37' TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
POB N 355.83'N 2 DEG W 246.82' TH E 33-29N-19W
363. 85'S 2 DEG E 602.9' TH W 377' TO
POB
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 80,900 188,600 269,500 NO
Totals for 2006:
General Property 1.000 80,900 188,600 269,500
Woodland 0.000 0 0
Totals for 2005:
General Property 1.000 80,900 188,600 269,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
y
AS BUILT SANITARY SYSTEM REPORT
OWNERR G1t/V EOPL~C TOWNSHIP f7G0/>.Sy~i/ SEC.,_3-3 T&N-R W
ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
ERYTHING WITHIN 100 FEET OF SYSTEM
N _
~ f
I d i a e o tr row
SC LE : 1 e (
BENCHMARK: (Permanent reference Point) Describe:
Elevation of vertical reference point: /Gli`-60 Slope at site .
SEPTIC TANK: ' Manufacturer: r,LtrL /r 5 Liquid Capacity: /Z)ao
Number of rings on cover : Tank manhole cover elevation: 1(~91,3
Tank Inlet Elevation: 97- Tank Outlet Elevation: 97-1
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cyc e gallons; total capacity o
distribution lines gallon: sizes 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 depth seepage pit in epe-elevation
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines 3 width /S._length3&,' .tile depthLI) it,
SEEPAGE TRENCH: width length
PERCOLATION RATE REA REQUIRED RE AS BUILT y'
INSPECTOR CL 1,4,/1,,
DATED - - ~ PLUMBER ON JOB N r7-
LICENSE NUMBER 3;~ ~5-
REPORT OF INSPECTION - INDIVIDUAL SCWAGE SYSTEM
Sani tan y PC4Qt
State. septic
NAME1,covt _Town6h,i.p _ _St. Cnoix County
Loca Sec i,on~ Lot _Subdivision
SEPTIC TANK
Size ~ ga P.Co nos Number o6 eompantmentb- /
f
Distance loom: W f Building 120 .slope
Highwaten
PUMPING CHAMBER
Si ze~ ga Ion.-6 Pump ManuAae.tu~~en ModeY" Numb
en
HOLDING TANK
S i_~c gallons Number oA CompantmenQ
Pu.mpen--- Atanm Sytitem-
Wtaoc.e Atom: Building_____ 126 ~~ope
H-i-gh_wa tejc
ABSORPTION SITE
Dri_5lance loom: Welt ~ Butitd~ng_-- ~ 12 06 ope
Htighwaten
ABSORPTION SITE DIMENSIONS
Width 06 trench w 1
/ f-" At Requited area- ~ A
/
Length oA each Fare ~7 ~ At Depth_ aA mock below Me
~n
Nu_mben oA P"i.~.e5 Depth o6 mock oven ,t.tke
otal length o6 tines At Depth o6 We below grade
ti~tanee between ltine,5~
At Slope o6 trench in. pen. 100 At
s- ;
i, ta.P ab6on-pttion. area _ At Type oA Coven: Paper o(:!,::,,:
P%I"P DIMENSIONS
Nu_mben aA p%tb Gravef_ anou_nd p~tb_ -ye5- - -na
Out6ide d_iame_ten At Depth below tin-let At
Total ab6onption a.ne.a_ - t
Alta neq uti-ne At
7
INSPECTED By TITLE -
APPROVED DATE ez- 19 8
REJECTED DATE 191
REASON FOR REJECTION
I
L
State and County State Permit # 16 U f/
PLB 67 a! 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:
5'67&A/ 6-c,0 R 6 G= .2 -2 Dj,e rtt Y /¢614- a1&1i 4 )24FA 1 /-A/r
B. LOCATION: Y4 Al Section _71, Tgl N, R/5? (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township hf/lJ-7V IV'
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms o~ No. of Persons
D. SEPTIC TANK CAPACITY /000 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 X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate-Al rx S~Total Absorb Area ~ sq. ft.
New k Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: -Length 3C Width /K Depth Tile depth (top) Y2 /,r No. of Lines 3
Seepage Pit: Insidediameter Liquid Depth No. of Seepage Pits
Percent slope of land 9% Distance from critical slope
WATER SUPPLY: Private X 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 &aerxr L&~/ ,+r C.S.T. # S d,Z y iC and other information
obtained from Iv- GAT wner uilder). _
Plumber's Signature - Phone
6 MP/MPRSW#
Plumber's Address f?T,2 ezf/ SydZ
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.
3
3
t
4
i 1
j
.
Do Not Write in Space BelowG FOR COUNTY AND STATE DEPARTMENT U E ONLY
Date of Application Fees Paid: State , 0`0 Co t Date - /
Permit Issued/R*jo ted (date) Issuing Agent Name
Inspection Yes 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
Eli IJS Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS /_ES
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
NE
LOCATION: /4, y
G ' '/4, Section 33 T zc~ ` N,R /1 E (or) 11(, Township or Municipality/I~~<~~
t_ot No. , Block No. County 3;1- CA40 "OF
&E-OiP ub ivision Name
Owner's/Buyers Name: TO 14A,)
/ f.`..
Mailing Address: 2J ~Q ~Tti J~11 . IJE'`) 441E TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL- "yl
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT -ALTERNATE SYSTEM g OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS S- &4 d 1ST ERCOLATION TESTS _
SOIL. MAP SHEET S~ -----NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
MUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL RATE
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- 60 I-Prof c.f L To l3 -t o l 0 / > > G t'4o
P_ D /0
P- 2 v ?~.rcP ,i1 S-
P- 3 A N I'C,+L v O 0 ~s L b 2° H
-5-36 -
"
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- /2 b ND,~E > /LO "d v. s "'&J, "4Ag(e /s / 0 040 'CS.
B- Z .s .C'S 412 aee ,P.
B- 2 Al OAJE- > " ,Ba - 4du-S c .SL , l ) ",6,,j . S L ~a " Of. C,< .
B- -3 ~ ND,vE 7 7 2- 0 "'wav. QW4~ S~ a",Q,v.SL ,..aN ~s ~f
B- CaKn-sc s /c? " Co7tit ~e SL
B- L A/o.NE ? 77-- SL s. 11" O . ,S-L
PLAN V IEW (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 "'A/ ST S~ J*e• 524 ,Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. /3 EJ~
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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. l
Name (print)1I Dh £X T WAell 47- / Certification No. ~0.1,
Address Rj 3 O~i )E/L ~UDSO.t~ 4'~S
Name of installer if known
Copy A -Local Authority CS Signature
E H' 1 1 5 Rev. 9/78 /
REPORT ON SOIL BORINGS AND PERCOLATION TESTS ✓ CJ
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION:,_~'%, Section 33 ,T_1 N,R_LE (or) W, Township or Municipality
Lot No. , Block No. _ County
EO,pSubdivision Name County
6-,-C-
Owner's/Buyers Name:
zs- ~o Q v e . Qstccn__ SS// o
Mailing Address.
I' TYPE OF OCCUPANCY: Residence x No. of Bedrooms 3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: IL BORINGS ?iy 0-4 P/S /MOPERCOLATION TESTS P-/`1- 000
SOIL MAP SHEET ~C NAME OF SOIL MAP UNIT. 6)1e~ll "IdeP 77
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
RATE
NUM- SINCE HOLE BOLE AFTER INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
P-
P-
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- 72- NONE > -72- /O "AIr 161V L S yz " e,v. c S zo ®.P x4
B- 1A r? N) /®d f "'W. tj'j. I-S LS Q6 w
B- /Q NOVE > /d /2" . 4-5 " L/' /3..) LS J cP , CS
B- o:P~v wlfAe, &ie
B-
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 Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. -(O",e .
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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) Ao6ERT k b/P/ C tiT- Certification No..j^✓~~ p2- yJ9 z
Address Rr. 3 01A)e%L Pee ~V psoAj 4?IS _
Name of installer if known _
Copy A -Local Authority CST Signature
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