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HomeMy WebLinkAbout040-1194-30-000 n fq O F. -0 n o _ CD a y^ ~1 CD 0 0 0 o vw o o a a `C • :y 3 C N ao Cn N O H CD O CD N CD CO a- 1. 3 CD W O cc O N (D 21 N N N < A ""S O O CO [J O 7 v W N d O C) CD CD o Q C) ° 3 0 oo CD u) CL m 71 cn W c c 3 0O o C CD- N3 lz (7) CD (O CD < CO/) Lo fb CD N O C 2 3 rT U I c ~ a v v o "*A . z j ° Cl) n W = 0 3 ai co CD .'fin y O .Z_7 ~1 O C- CL 0 M CD cc (n C) O N CD C a = Z - N Z OJ z O v D CD 0 O CD -0 U) C CD CD (D Cl) (D CL n 3 7 I Z ° p 2 --j cn CD 0 Z N A p0-D m fD , ~ ~ z 0 3 4 O - Z 0 M N CD W F D CL CL C O - T N C 7 Z O. 0 CD I fi A I N O O a A 00 O h0 V O <fl O 00 0 (D a ti Parcel 040-1194-30-000 07/18/2006 08:54 AM PAGE 1 OF 1 Alt. Parcel 4.28.19.874 040 - TOWN OF TROY 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 - PETERSON, RICHARD RICHARD PETERSON 580 HIGH RIDGE DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 580 HIGH RIDGE DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.390 Plat: 2080-HIGH RIDGE COURT SEC 4 T28N R19W 2.39A HIGH RIDGE COURT Block/Condo Bldg: LOT 03 LOT 3 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/20/2005 806906 2891/498 WD 05/05/1999 602660 1424/440 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.300 60,500 175,600 236,100 NO Totals for 2006: General Property 2.300 60,500 175,600 236,100 Woodland 0.000 0 0 Totals for 2005: General Property 2.300 60,500 175,600 236,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/25/2006 Batch 06-01 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 COMIVOERCIAL TESTING LABORATORY, INC. "514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 C2:w iio@ Nu ;-oUS`i 4 Y \u ° RTHOUSE DATE r,,FcEIVFIP' 19/21/92 'ON. 4!I ANALYZED** 16-21-- ANALYZEn.2S00pf, kFORM4 . 0 j~RP C•hL.CCUw w Mater Stan I~ O N C-> oho a) rr n x - n rn N Z RESULTS: FAX'D ON: PHONED ON: CALLER: ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse ~J 911 4th Street C~ Hudson, WI 54016 Telephone - (715)386-4680 i he St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form ia essential ag that U& rpr erty can 12e 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: $ 35.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $185.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 x (Determines if system is properly functioning at time of inspection) PROPERTY OWNER'S NAME: PROP. ADDRESS: ` ) ( ( t l 1 -lit I'~ << `t I { CITY ^V SLY ~r~~'1' Legal Des~Xiption 1%4 of the 1/4 of Section T N-R Town of _Lot Number Subdivision: I '1: C'(.~ FIRE NUMBER LOCI BOX NUMBER '3 Color of house Realty sign by house. I£ so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A HAP,i.e,COPY OF PLAT HOOK, WITH LOCATIO14 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: 01(U-)i1)'~_~('tIa L~" Telephone Number__ i~REPORT TO BE SENT TO: rz cc ? ld Sf CLOSING DATE: Signature A/ ST. CROIX COUNTY s WISCONSIN 4 ZONING OFFICE ST. CROIX COUNTY COURTHOUSE r 1. 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 October 19, 1992 Michelle MidAmerica Bank 600 - 2nd St. Hudson, WI 54016 Dear Michelle: An inspection of the septic system on the property of Wayne & Judy Keiser, located at 581 HighRidge Dr., Hudson, WI was conducted on Oct. 191 1992. 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 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, . Mary J Jenkins Assistant Zoning Administrator cj REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM t Sanitary Perm State Septic NAME ~4_ ~s~~ TOWNSHIP ~ St. Croixr County 1,OCA` lON-_AlG ~ Section-4/ Lot # Subdivisio SEP`['IC TANK Size AL(, gallons Number of compartments Distance frLo-m: Well Building_~~f 12% slope- , - - Highwater~~ t~~ In PUMPING CHAMBER Size gallons Pt,,,,., , rgr;r,:~'a, :u HOLDING TANK Sizgallons Number of Compartments Pumper Alarm System Distance from: Well - Building--__ - 12% slope------__-_. _ Highwater ABSORPTION SITE Bed Trench Distance from: Well Building, 1'27 slope Highwater ABSORPTION SITE DIMENSIONS Width of trench' _ ft Required area / ft Length of each line G~. ft Depth of rock below tile ! in. Number of lines Depth of rock over tile- in. Total length of lines ft Depth of tile below grade Distance between lines ft Slope of trench iij. per 100 ft. Total absortption area-- ft Type of Cover: PIT DIMENSIONS Number of pits- 'Gravel around pits---yes- no Outside diameter ft Depth below in Let ft Total absorption area ft Area required ft LNSPECT D BY TITLE - APPROVED I REJECTED DA'CF, ~ L98 ~ REASON FOR REJECTION EH 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION Section - ,T~N,R E (or) W jownship or Municipality Lot No. Block No. County Subdivision ame Owner's/Buyers Name: Mailing Address: - TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS - SOIL MAP SHEET NAME OF SOIL MAP UNIT' 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- / P- P_ P- P- _ _ 113- 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- 13- 13- 13- 13- 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 coet of absorption area needed for building type and occupancy Indicate scale or distances. " Give horizontal and vertical refe once points. Indicate slope. ~2-. , . xt; E : ~N .u , f f z _ O_ o f-ri cl; I,1 r- 0 i M ! ` 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) _ Certification No. - :address s)larne of installer if known CS7'Signature Copy A -Local Authority EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES . ' DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: Section T N, R _ E (or) W)Township) or Municipality Lot No. - Block No. = ; - County ` _ - Subdivision Name Owner's Name: Mailing Address: tf_ TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS - ~J PERCOLATION TESTS SOIL MAP SHEET SOIL TYPE ' r'L-' T tr 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 BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN r ~ P- - - SOIL BORING TESTS - - TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- - .53 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. 1 d t N i 1 3 I, the undersigned, 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. - Certification No. Name (print) ` Address" - Name of installer if known _ CST Signature ` COPY A LOCAL AJEHC~ ; TY r I ~O \ \ C \ ~ I o kk s`~~e f. 1E M1"rU I~yP ~AjP(,AS r } i.AN01 5 , J, lii! r" ~s s h ! f, 41 *Am mow s ..w ove 4 w. s r ; TPOAT 1 HNO AVOWYCO. Mt ui Of 8941140 1 ,'T!!M , $ . 14400ft AT *466 THE gAST Lima F ` ~ f X91 1 ° 1M . 70.9` *12.00- RADIUS CURY$ CONCAVE s ~ ~ ~ ~ r s~ LT 14a $5, ALON$ A 1& AYR 4T*lW**W Mae Ice of 06. Wole* Y Lt~ T tA$ttil~y Rf~4Mt ad... .r ,n S14 11 4 Aft MA09 %W.# $"VtY LAND 1i0 i UCM PLAT is A comet 'BCD AND tN9 sUml'1it'$3A1+1 4tjt Of CRAPM,#'94 Of TM f + i ~ ♦ ,46 -lit ' r J ti 06 a to 3 sultvt NY, ess Qa w~ WY OF A #3 ~ ~y.4"57~`i~'+,'~' ;#"+8'~It !"+W► ~ ,,5~ jra ty,~ • ~`g~ 1M ~yk''~+Ig°' ~ DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY,' FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/z x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailing Address: "k a 4tA Q , 4 Property Lo n: City, Village or Township: County: i E % VE m'S 2-6 i T N / R /'I 4F__ W , k Lot Number: Blk No.: Subdivision Name: rest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) ~ i ~ v TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. ~s I TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER I GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY LM n HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement El Experimental Seepage Bed ❑ Seepage Pit ED Alternative (specify) El Seepage Trench Waterpply: i Owner's Name as Listed on So Test Report (If other than present owner): LJ Private ❑ Joint ❑ Public j LA- r4 'r e- V~ I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Si ure: ^ 9n 1 MPRSW No.: Phone Number:` Plumber's Address: _ Name of Designer: d 77 . f COUNTY/DEPARTMENT USE ONLY Si a re of Issuin Agent: Fee: Date: APPROVED Sanitary Permit Number: Q c9 ti O ~6 "l ❑ DISAPPROVED Reason for Disapproval: i Alternate course(s) of Action Available: I Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to i;,. stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (N.03/81)