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Parcel 020-1027-90000 07/10/2006 11:32 AM
PAGE 1 OF 1
Alt. Parcel 16.29.19.123C 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 - HOVER, KEVIN D & DAWN M
KEVIN D & DAWN M HOVER
594 MCCUTCHEON RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 594 MCCUTCHEON RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
I
Legal Description: Acres: 2.957 Plat: N/A-NOT AVAILABLE
SEC 16 T29N R19W NE NE LOT 2 CERT SURVEY Block/Condo Bldg:
MAP IN VOL III PGE 851 REPLACED BY CSM
VOL IV PAGE 997 REPLACED BY CSM 7/1882 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
16-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
01/07/2005 784503 2728/224 QC
01/07/2005 784497 2728/218 QC
12/11/2000 635058 1566/189 WD
07/23/1997 915/416
more...
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.957 72,800 212,900 285,700 NO
Totals for 2006:
General Property 2.957 72,800 212,900 285,700
Woodland 0.000 0 0
Totals for 2005:
General Property 2.957 72,800 212,900 285,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 310
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227
ST. CROIX ZONING REPORT NO.: 17430/01 PAGE 1
ST. CROIX COUNTY REPORT DATE: 1/30/92
COURTHOUSE DATE RECEIVED: 1/29/92
HUDSON, WI 54016
ATTN: THOMAS C. NELSON
OWNER! Daniel ntese
LOCATION: 594 McCulcheor, No... Hudsur,
~
f'
COLLECTOR: M. Jenkins
C DATE COLLECTED: 1-28-92
TIME COLLECTED: 3:30pm
SOURCE OF SAMPLE: Kitchen faucet i
DATE ANALYZED41-29-92
TIME ANALYZED:2200pm
COLIFORM*# 0 /100 mi 1
INTERPRETATION: Bacteriologically SAFE
NI >7AT7_N; 6 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard. p„
1 jQ
N r+-1
Z
C) 2 UC-) O ran
ZQ
3 ~
z c~hiij ,LAN, ;"na: ,dire F
.OF.NOEOENOEN v
h t, WI Approved Lab No. 19
O P
v >
Z O
Means "LESS THAN" Detectable Level Approved by'.
PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY ZONING OFFICE
911 4th Street
Hudson, WI 54016
Telephone - (715)386-4680
v The St. Croix Co. Zoning Office offers the service of septic and
water inspection to Lending Institution, Realty Firms, and
private individuals.
COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE
LOCATED.
Please provide the following information, enclose appropriate fee
made payable to ST. CROIX CO. ZONING, 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:$ 25.00
(For nitrates and coliform bacteria)
WATER TESTING FEE:$175.00
(VOC'S)
SEPTIC SYSTEM INSPECTION FEE:$ 25.00
PROPERTY OWNERS NAME : b A A , L , d~C SL 3o v PROPERTY OWNERS ADDRESS I &,~j~LY(£0►t d CITY: 4
Legal Description 1/4, 1/4, Sec. , T N-R W,
Town of Lot No. Subdivision
FIRE NO. ilze--/
LOCK BOX NO. ~/Color of house dw Realty sign? Firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT
BOOK, WITH LOCATION 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:
Telephone No.
REPORT TO BE SENT TO: cL~~ 3 C-c may`
CLOSING DATE: _Z> - 1S -'I
Si.gnature
'7l/o/Vb
Parcel 020-1027-90-000 02/16/2006 08:55 AM
PAGE 1 OF 1
Alt. Parcel 16.29.19.123C 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 - HOVER, KEVIN D & DAWN M
KEVIN D & DAWN M HOVER
594 MCCUTCHEON RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary .
Type Dist # Description " 594 MCCUTCHEON RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.957 Plat: N/A-NOT AVAILABLE
SEC 16 T29N R19W NE NE LOT 2 CERT SURVEY Block/Condo Bldg:
MAP IN VOL III PGE 8-ST-REPtA= BY CSM
VOL IV PAGE 99TREPLACED BY CSM 7/1882 Tract(s): (Sec-Twn-Rng 40 174 160 1/4) Y V
Jar 16-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
01/07/2005 784503 2728/224 QC
01/07/2005 784497 2728/218 QC
12/11/2000 635058 1566/189 WD
07/23/1997 915/416
more.
2005 SUMMARY Bill Fair Market Value: Assessed with: qyy ~~r4 --71 91573 280,100✓ScIZ^ a DDSs
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.957 72,800 212,900 285,700 NO 05
Totals for 2005:
General Property 2.957 72,800 212,900 285,700
Woodland 0.000 0 0
Totals for 2004:
General Property 2.957 50,400 169,800 220,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 310
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
E'R COL t"Ak..? , TOMNSHIP~ , SEC. T2'1 N
ADDRESS-01,,t) ST. CROIX COUNTY, WISCONSIN.
DIVISION LOT4~~LOT SIZE .
PLAN VIEW
Distances & dimensions to meet requirements of 11062.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEt4
i I
Lill
j ~ I ! I t ~ i ~ I i t
Ti_
i
i
Indicate North'
-1
J
tr;
SCAL8. ►
'TIC TANK(S)_ _ MFGR. CONCRETE / \ STEEL
NO. of rings on cover Depth DRY WELL
ITCHES NO. of. - width length area
_j no. of lines 3_ width length area- i
de rh to top of pipe
I.ECATE 3 5 - ► ~l1 ~t~ C K
RATE ! AREA REQUIRED ,S~ AREA AS BUILT
;claimer: The inspection of this system by St. Croix County does not imply complete
Dliance 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
-,-em operaticn. However, if failure is noted the County will make every effort to
ermine cause of failure.
:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYST
_'INSPECTOR GG~~Dy4~/
DATED_ j^ PLlJ:ffiER ON JOB
LICENSE NU:~ER
I _
III - - -
REP'~RT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM
" Sanitary Pe."rn.i " State Sopt.~c
NAME --(ownsh.ip St. Cnotix County
Location Section
- 4
4
SEPTIC TANK "
i
Size DD gattonz. Numbers o4 CompaAtments Zo- j
Dvstanc_e Ftam: well S 120 on gteateA zZope 6.t I
i
Buitd.ing / 6ti. Wettands 6t.
DISPOSAL SYSTEM Htighwatet 6t.
Distance FAOm: WetZ 1S7 6t. 120 on gteatiet stope - it.
BuiZd.ing_ ,t. Wet.2ands Et.
Htighwatet 6t.
FIELD DIMENSIONS:
Width ob .tneneh 6t. Depth o6 rack below tiZe J Z in.
Length o6 each tine 6t. Depth o6 tack oven Cite Z' in.
NumbeA o6 .itines Depth o6 t.ite below grade in.
A Totat. Zeng,th o6 2tines~6t. Stope o6 .trench- Z- in peA 100 it.
Distance between Zines 6t. Depth to bedtack N~ g .
IV
Totat abs onbttion area X41 Depth to gtaundwatet_
Requited area ~v ~t2 Type o~ CoveA: PapeAJoa Straw
PIT DIMENSIONS:
NumbeA of pits GAavet around pits _y es no
Outside dtiametet 6t. Depth below tin.iet
2
Total absoAbt.ion area 6t
Area equ.iAed 6t2
INSPECTED BY ITLE
.
APPROVED- ,DATE Of _197?
REJECTED DATE 197.
i
Tt~ ~1` oc,r.l -ro C _0M Int. r /v tr/* ST. Grzo I y Co.
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: t 1~ N •
Mailing Address: L 'A ,
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOI L 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_
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- i
!G } -tom i "l, r , I,~
n
B-
• a, t_ T.S. ,I l- ` Yl'L;
r .
B-
1 s~ 5 '
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.
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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.
Name (print) ln' Certification No. l'
}-:l C
-taller if known
CST Sign
ature _
AUTHORITY
3
LB- State and County State Permit # z
Permit Application County Permit #
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:
J H F, FI"\ `71 ~ - I ie S(= fi 1 / 6' A1,14 746 ate
B. LOCATION: " '/4 '/4, Section T_ZqN, R / E (or) Wy Lot# City
Subdivision Name, nearest road, lake or landmark Blk# J Village
a _ i Township L/)ca14G,
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
, .
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY L(~f' Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate- Total Absorb Area~Z t 5 sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. _ Width Depth Tile depth (top) No. of Trenches
Seepage Bed:- _Length _Width 15~ r Depth Tile depth (top)~No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land 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 A 0i C.S.T. # ~ ~ -s(4 0 and other information
obtained from s, (owner/builder).
Plumber's Signature MP/MPRSW# Phone
Plumber's Address 1 ':4 /
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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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application i I Fees Paid: State/ " C County !y Date f T
Permit Issued/ (date) Issuing Agent Name
;:li~~ ;._t;% j ~I,•._
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)
16, - Revised Date 7/1 /78