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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@
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RTHOUSE DATE r,,FcEIVFIP' 19/21/92
'ON. 4!I
ANALYZED** 16-21--
ANALYZEn.2S00pf,
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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.
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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) _ 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
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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 `
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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)