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Parcel 020-1121-50-000 04/22/2005 12:08 PM
PAGE 1 OF 1
Alt. Parcel 07.29.19.532 020 - 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
THOMPSON, RICHARD E & LENORA M
RICHARD E & LENORA M THOMPSON
353 KRATTLEY LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 353 KRATTLEY LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.850 Plat: 1925-EAGLE RIDGE
SEC 07 T29N R19W EAGLE RIDGE LOT 3 Block/Condo Bldg: LOT 3
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 983/486 WD
07/23/1997 850/119
07/23/1997 704/300
2004 SUMMARY Bill Fair Market Value: Assessed with:
48620 352,600
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.850 38,100 234,700 272,800 NO
Totals for 2004:
General Property 1.850 38,100 234,700 272,800
Woodland 0.000 0 0
Totals for 2003:
General Property 1.850 38,100 234,700 272,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 218
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 r t` C y r o HIP SEC. T N, R W -
ADDRESS f) V,; ST. CROIX COUNTY, WISCONSIN. T
DIVA. N LOT-1-LOT SIZE OZO - //,27 - f
PLAN VIEW
Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
1 ~ ~ i ! I I k-~ 1
T-T
I, f i I I j I I I I _l
I T i I i j--T-*-
- indicate Nahth AtLLow
"'TIC TANK (S) ( MPGR• C0 CRETE__2C _ STEEL S ca te
NO. of rings on cover Depth _ DRY ,ELL
",ACHES NO. of width length area
no. of lines ---S- width length area it ~.-iA '
depth to top of pipe
•s: RATE i AREA REQUIRED AREA AS BUILT /0.1 o Lj
-ciaimer: The inspection of this system by St. Croix County does not imply complete
_loliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix. County assumes no liability for
stem operation. However, if failure is noted the County will mace every effort to
'-,--rcine cause of failure.
::ASES AND OILS SHOULD NOT BE DISPOSED THROUGH '-'HIS SYSTEM.
7
.INSPECTOR Lee a v r
DATED
- - PLUMBER ON JOBS-
LICENSE NULIMER
i •
S '1
RfiPOr,T OF IT1SI'rCTIO'_1--I:~DZVIlli1AL L,JAGE llISPO..,AL .71S
EI1
Sanitary Permit ~o
r - State Septic dq_,o5z 1Z
7011L T&WNSHIP
• t. Croix County
SP.PTIC TA711: oi( 4r
.~.~ze gallons. 'lumber of Compartments ,
Distance From: T-Jell ft. 12% or greater slope ft.
Building - ft. Wetlands ft
Highwater ft.
DISPOSAL SYSTL.:1 Tile Field or Seepage Pit(s)
Distance From: Well ft. 12%,or greater slope ft
Building ft. Wetlands
FIELD Flighwater ft. -
Total length of lines ft. Number of lines Length of
each line ft. Distance between lines ft. Width of the
trench ~ft. Total absorption area sq, ft. Dept::
of rock below the in. Depth of rock over the in. Cover
over.roclc,,Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock ~ ft. Depth to
ground water £t.
PITS
Number of pits Outside diameter ft. Depth below inlet
ft. Gravel around pit: dyes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
1quare feet of seepage nit area required
Inspected by: Title':
Approved Date 197, .
Rejected Date 197.
PLB 67 State and County State Permit #
w Permit Application County Permit #r
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL RcQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
R o b 7 G Y i T; o)
B. LOCATION: S,w', Yg S Section, T N, R (or) W Lot# Z5 City
Subdivision Name, nearest road, lake or landmark Blk# Village
a ~?.'d Township ~H ~1 Cre
C. TYPE OF OCCUPANCY: *Commercial *Industrial "Other (specify) *Variance
Single family A Duplex No. of Bedrooms - r No. of Persons 3
D. SEPTIC TANK CAPACITY`*'!k:5 I gallons No. of tanks 7
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation A Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLU,ENT DISPOSAL SYSTEM: Percolation Rate ~ Total Absorb Area ;t v sq. ft.
Newer-Replacement Alternate (Specify)
Seepage Trench: No. Of ineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length!S 1 Width y' Depth Tile depth (top) No. of Lines y
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land 6 % s Distance from critical slope S
WATER SUPPLY: Private 1K 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 d c r,p s C/s , " s / c- s c C.S.T. # SS and other information
obtained from S,/c-y c &c",,,.,Z.., (ovvFer/builder).
Plumber's Signature,,. C': ct MP/MPflSW# r' S Phone #j`, - 3 ~ Y-3
Plumber's Address] x,
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.
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E
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a_
I
• 1
Do Not Write in Space. Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application % Fees Paid: State ' County Date
Permit Issued/%jec:,gd (date) Issuing Agent Name:'ti,,
x
Inspection YesS No State Valid# Date Recd i
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
E H I 15
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:= l` '/4, Section -P? N, RL1 19 (or) 16/Township or Municipality
Lot No. 3 Blo No.~-~' l County
Subdivision Name
Owner's Name: r ~_St Lt,~ • s
Mailing Address:
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION T2ETS
SOI L MAP SHEET -2 SOIL TYPE ~
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST' TIME DROP IN WATER LEVEL, INCHES RATE
"JUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER IN MIN/IN
sER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
lys /L:-
t._
At /C
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
I NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
/;~r'"
W -7
c:
7 02
y„ ~Jc`uc ~~s, 7 ~,Gt f cs l~"
13_ `f S - zs pc',- 6.~- " 4'~4 -
/4,t r •,~'S /~''f'•'Ss ~S w r~ _3 ' ~,~f
113-
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square,. feet of suitable area Indicattp nrber f sq re feet of absorption area
needed for building type and occupancy. `LO "'2 Indicate scab
or distances. Give horizontal and vertical reference poi ,Slope. /=r S~~~ +~/~~X'~• -O'- /
E 3
(:q, I i
E _ - t
S _
Col-
~r Xr e
1, 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 '7 belief.
Name (print) Certification No.
Address i Li
Name of installer if known
CST Signature
"CPY A -LOCAL AUTHORITY ,
`?Ib State and County State Permit #
Permit Application County Per it #
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 Adress: cis--/-=
T
B. LOCATION: 5w' '/4 S Y4, Section T.29 N, RIt re, (or) (VII' Lot# `City
Subdivision Name, nearest road, lake or landmark Blk# Village
/ Township '64 Scy,f
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher .X, YES NO Food Waste Grinder YES X NO # of Bathrooms -t~yz--
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY njz " ' Total gallons No. of tanks 140
*Holding tank capacity I~~ U Total gallons No. of tanks
New Installation JC Addition Replacement Prefab Concrete-K_
*Poured in Place Steel Other (specify) -
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) .3 2) 3) 7 Total Absorb Area - J
New_, Addition Replacement *Fill System d
Seepage Trench: o. Lin. Feet Width Depth Tile Depth No. f r~ffches _
Seepage Bed: Le, t'"Width IS* Depth Tile Depth 3C~ " No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land S' IC lr 5: «7`~• . 1J~/ Distance from critical slope -S C
..fin. 40-C-14 L' ~ 'S j'
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 / C.S.T. # S S ' >S-and other information
obtained from - `s a (owner/b>).
Plumber's Signature n MP/MPRSW# l Phone #M- ~BSO
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
e _ I
too
Ile,
r
E
3 l
V 4
E
i
1 t i
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State Coun
Date
Permit Issued/Rejeeted~(date _Issuing Agent Nam f' '{7 ~ ,a ~
Inspection Yes N0 Valid# Date Recd T
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 3/1/75