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,Parcel 020-1121-30-000 04/22/2005 02:37 PM
PAGE 1 OF 1
Alt. Parcel 07.29.19.530 020 - 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): Current Owner
NOVACK, JAMES C
JAMES C NOVACK
i
341 KRATTLEY LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 341 KRATTLEY LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.130 Plat: 1925-EAGLE RIDGE
SEC 07 T29N R19W EAGLE RIDGE LOT 1 Block/Condo Bldg: LOT 1
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1218/379 WD
07/23/1997 878/360
2004 SUMMARY Bill Fair Market Value: Assessed with:
48618 307,800
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.130 40,800 197,300 238,100 NO
Totals for 2004:
General Property 2.130 40,800 197,300 238,100
Woodland 0.000 0 0
Totals for 2003:
General Property 2.130 40,800 197,300 238,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 304
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
• AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP ; SEC. T N
~
0, ADDRE s tftlC~ ~yv , R w
ST. CROIX COUNTY, WISCONSIN.
?DZViSION LL jr e t , LOT_Z_LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
j - - t -j -t- - -
--rt - - - - } --f--+- - i _
J1 S' II I i
SCALE ateNorth% Arrow_
EPTIC TANK(S) MFGR.",/ t _cONCRETE_X_ STEEL
NO. of rings on cover Depth DRY WELL
r'.NCHES NO. of _ width length area
no. of lines_ width d_ length . G, area _
depth to top of pipe
~L', EGATE _
~b RATE AREA REQUIRED_ AREA AS BUILT
I.wiaimer: The inspection of this system by St. Croix County does not imply complete
,r.:n?liance.with State Administrative Codes. There are other areas that it is not possible
;;,J-nspect at this point of construction. St. Croix County assumes no liability for
,Stem operation. However, if failure is noted the County will make every effort to
t';?rrLine cause of failure.
'ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
_-INSPECTO/
DATE DD~ PLUKBER ON JOB
LICENSE NUMBER~~•,--
I -
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
' Sanitary Pvr.m.it _
' State Septic_.
NAME i owns hip -St. Croix County
Location Section
SEPTIC TANK
Size gatton4. Number o6 Compartments
Distance Fxom: Wett it. 12% on greaten scope it
Buitd.ing it. Wettands - St•
Highwater
DISPOSAL SYSTEM
Distance Fnom: Wett it. .12% or greater scope it.
Bu.itding it. Wettands Ft.
• H.ighwater it.
FIELD DIMENSIONS:
Width o6 trench it. Depth o6 rock b etow t.ite in.
Length o6 each tine it. Depth o6 rock oven tiZe .in.
Number o6 tines Depth o6 tite betow gxade in.
Totat length o6 tines it. Scope o6 trench in per 100 it.
Distance between Una it. Depth to bedrock it.
Totat absorbtion area ~t2 Depth to groundwater it.
Required area it2 Type of Cover: Pape%L or Straw
PIT DIMENSIONS:
Numbers o6 pits Gravet around pits yes no
Outside diameter it. Depth betow ,inte.t it.
2
Totat absorbtion area it
A
Area requiked it2
INSPECTED BY TITLE j
APPROVED DATE 197
REJECTED DATE 197.
EH 115
y 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
I
LOCATION:. /4, Section , T2YN, RA--R (or)~ownship or Municipality 1-Akd el
Lot No. Block No. SIC- County _5'A ~!^Di x
~ / / Subdivision Name
Owner's Name: /7 S7`rucT~e`CIA/ /
Mailing Address: y3 5 &.511, ST D/~u ~ /L7.~~ 'S
TYPE OF OCCUPANCY: Residence No. of Bedrooms - 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 1 PERCOLATION TESTS S- 7
SOIL MAP SHEET ~T SOIL TYPE
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
P l Y I _.e e- RC, re 4 J /Z, N ox 1;Z_ ~ j
2 'VP 5 e,2 t~e,, V2-
VP Al.-e- 44,7 12,
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)
(J i CJ
lc .cldu 'L 7 ' S Z " ` Y -5
B- t5l
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. 2' S00 Ar« /Fc.-Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. r R~l~A" e,_Zf
I
3
t I I I L-
7~ 7 wMy .2
-
.2
II
_ i_- - -
1-2
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cVYU1 i$ if t i i I
13
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l'S~if'd
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.
v
Name (print) .415 ~tll( / Ev C'ti6 Certification No.
Address 40 ' s r S S'7ijG/
Name of installer if known
:F ~ A -LOCAL AUTHORITY CST Signature"
i
J t~ -
PrLB State and County State Permit # 67 Permit Application County Per it # Z42
for Private Domestic Sewage Systems County' r-~-~
*DENOTES ~TATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: Section , T N, R--a E (or) Lot, 1' City
Subdivision Name, nearest road, lake or landmark Blk#_ Village
Township %-1an_;,,-A1
AGLi~ nC.-
C. TYPE OF OCCUPANCY: *Commercial *Industrial Other (specify) *Variance
Single family _x Duplex No. of Bedrooms -No. of Persons
D. SEPTIC TANK CAPACITY &)0/0 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 ' • .y Total Absorb Area sq. ft.
New Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth-Tile depth (top) No. of Trenches
Seepage Bed:-9, Length 36- Width Jf Depth ,341." Tile depth (top) No. of Lines -3
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private 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 sew C.S.T. # and other information
obtained from , t, S " (owner/ i der l _
Plumber's Signature = • _ Phone #
MP/Mp SW# 3
Plumber's Address `t
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.
1,47-4 A I &E
,
y La° '
.
.X3
• N 131:0
/400 C:h4
t
s ,CjOr14 TANK
1Y
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application 1 r Fees Paid: State t, C ( Coun y - ( C Date - /
Permit Issued/Red- (date) Issuing Agent Name tz z~ <<
Inspection Yes i 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