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HomeMy WebLinkAbout020-1210-20-000 °c ; 3 m CD F v y H` v a 4t 5 v d ^ 3 - ~r C/) o m a: z v o ~ o N c m ON `C • (D 7• (D O j d N 0 ~ a Co (A z CL N 00 p j 7 O W 7 N N 7 O C 1 a d d N N r.s O N o CD A o A7 O c J C, Co 6 3 co l = N O O m (n ~ D (p a p (D (o N N O. 0 75 CL IW o o a 3 ao a I O ~ r V O N d CL CD C co co = o r, to N ((0 cJO 0 N O C c 3 D (n o O O O "d0 'm Q v v v o O ((DD .~i y Q) N ~ d d z N z Q z W O v O DQ o. h • @ N N N (a N' C (D (D W D O_ CL 3 Z CD -j cn (D O A o. :3 _ O W (D a ~ ~ z 0 r* z co 3 m rn z CD I W m o ° a ca 01 Q m N o m :3 n d 00 ~ 7 Q) v z a 00 w. o o N 0 O E N m C Q O 7 (D < (D m cn o CL S p O N m O O ` N N :3 7 (D D X p d N 3 O ~ O a N A (D O O ti O pq ~ N O O „ q yb O y O C, ti Parcel 020-1210-20-000 07/11/2006 05:11 PAGE 1 OF 1 F 1 Alt. Parcel M 16.29.19.1204 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 - SAX, THOMAS J,&D GOSKESON THOMAS J,&D GOSKESON SAX 989 MCDONALD LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 989 MCDONALD LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: 2282-PARK WAY ADDITION SEC 16 T29N R19W PT NW NE LOT 2 PARK WAY Block/Condo Bldg: LOT 2 ADDITION Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 818/178 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 3.000 54,000 133,000 187,000 NO Totals for 2006: General Property 3.000 54,000 133,000 187,000 Woodland 0.000 0 0 Totals for 2005: General Property 3.000 54,000 133,000 187,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 y AS BUILT SANITARY SYCTFM R7PORT OWNER TOWNSHIP j/_: SEC. ~j T aY N, R i9 W P. 0. ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE ~PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100FEET OF SYSTEM 6e 3 ! iy SEPTIC TANK: (S1) i1FGR. ; , ti ,a.N ✓a~ CONCRETE STEEL NO. rings on cover a•-- Depth r DRY WELL s1.,.. TRENCHES No. of _ width -length area ! BED no. o-f lines width length-r, r. area s depth to top of pipe - AGGREGATE r, , a +y < Y PERK RATE _ z AREA REQUIRED yF/c ARK AS BUILT DISCLAIMER:: The inspection of this system by St, Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation,. HeWever, if failure is noted the County will make every effort to determine cause of,.`failure. GREASES AND OILS SHOULD NOT >E DISPOSED THROUGH '3HIS SYSTEM j • INSPECTOR DATED ~p t /7 I PLUMBER ON JOB i,', 6 r~:~ y1 v~ it ! LICENSE RRPOI;T OF IIISP?,CT10'_I--I~1DlVIDIJAL SE?•IAGE DISPOSAL SYSTEM Sanitary Permit ~j fate TO~nNsxxP _ t. Croi" County S17.PTIC TA'?S` Size gallons.lumber of Corinartments Distance From: Well + ft. 12% or greater slope ft. Building" ft. Wetlands f. Highwater ft. DISPOSAL SYST2:1 Tile Field or Seepage Pit(s) Distance From: yell ft. 12% or greater slope ft Building ft, Wetlands f:. FIELD Nighwater 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. Depth of rock below the in. Dp-pth of rock over tile in. Cover ,over . Tock,, Depth of the below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft, Depth to ground water ft. PITS Number of nits Outside diameter ft. Depth below inlet ft. Gravel around pit: __yes no. .Total absorption area sq. ft. Square feet of seepage trench bottom area required %1quare feet of seepap.e nit area required Inspected by: Title " Approved Date 197 r. • Rejected Date 197. ti 1H 15 - ~ WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES y DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS U ~ LOCATION:-6_W%,2' '/4, Section T' XN, R /Y E (or) W, Township or Municipality Lot No. , Block No.?-W Cr GtrJ~yey ,cy btu /-2FeV County O ~E 1~~~ Subdivision Na e Owner's Name: ~J,~ Mailing Address: lff 2 A/ /~ntisf~ G~iVC , v,~Sn~l /s s ye~61 TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT c DATES OBSERVATIONS MADE: SOIL BORINGS 4/rd J~ 1J 2~ -PERCOLATION TESTS 4' T / ' ~23 SOIL MAP SHEET 5G75 56) SOIL TYPE-Z3 -X C Z 13 '~.F1~~'9 T- 4 " 7 - 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 Nr P- 34 /c 6 9e Av Vv r 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) _ I 1Vf .CIE i -7 /1 P.f, by S'! yl" 1-Y. ESN. 5/, 19 " 0 (W s $ I- . - ~voNE , 7q r 1),r= .y Y/ /S Z7/3N S% 3 C a 5 B 3 72- NW y~ > 7 S' i'~ /3-v Sl Ali S' 7-1 o,v~ 7 y a % 1_c . ,V s ,F. s. y G3 72- , ,k /3.v S/ 1 0,51 2 C:0 3 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitab a area . Indicate number of square feet of absorption area needed for building type and occupancy. `1~ Ago ;WiLL~EAIndicate scale or distances. Give horizontal and vertical reference points. Indicate slope. • C ° - I 46/_g s t , t \1I> ; { I , ~ t f 1R, Ira a 1,4 ` r - - - -~-4 - + - i ~ ' I I J i ~ I I 1 I INS, C, e ; 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) 1^ / ~ G~ r Certification No. L✓_~~/ ~V 21 70 Address Name of installer if known * p yq CST Signature G'v 2W/_~.---- PLB&67 State and County State Permit # - Permit Application County Perm' l' 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: /}"GCE B. LOCATION: S' cr%'/o_ '/4, Section T N, R E (or) - Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms _ 73 No. of Persons D. TYPE OF APPLIAS: Dishwasher _X YES NO Food Waste GrinderYEK_NO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY if QGO Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks „ New Installation Addition- Replacement- Prefab Concrete x *Poured in Place Steel Other (specify) F. EFFLUE T DISPOSAL SYSTEM: Percolation Rate 1), 2)_3) Total Absorb Area sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin., Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth ' Tile Depth _3& " _ No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land c L' /~5r Cc rDistance from critical slope 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 13 t b 4 r) f- IC t ~ C.S.T. # .S and other information obtained from 1 t'V' (owner/builder). Plumber's Signature mil MP/MP S W # Phone #3~ , - 1S ~f r J Plumber's Address ~7 '2/L/ C /v r' Irv 4- C,. PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). i i r- c~X15fi)r~:G NOME &)eu; ~c E Ooh ~a L c S PT Ic I T~ i f Do Not Write in Space Belem FOR DEPARTMENT USE ONLY i Countyi"Date pp Date of A lion ~.-State Permit Issued/ f ,(date,)rFees Paid lssu ng jAgent Name-, ~ Inspection Yes~^ NO Valid# Date Recd yl 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) T29N-R•19W. EASTHUpSpN FART n V SEE PAGE dl a~a u /;,~,;s-ed _ i Ph./gyp! e unfin b, I c. 40- I WIL OW :Hoek s / fwd 2i ee`79s ,PLt//1d/L// 4 ~trFALLS A i PON 'e~' 4o sas_ eves F'Qf/ic/¢ ~n vti RI ER f ~J Ne d¢~ o Ip/ sb .ayd ~ ~ynar~ P \o ~ S1¢ e o Wis, R Ras . Kf5 P2 m y 14502 h W ~0 u C /zs Comm /6O : ~/e 43 a9 L' m ~e cu/eau C~~~a 5~ ~ ~ ~ f rum 3 e° SR STA7 P °-s%/ ~ /e fKlifli o~. e /zs P✓ ..Dept NQ1 Ya/ elo s~z~ e ¢ 7s B/ a s8 - < a0. Resources, 4Q G' s ~ is t~/✓. Ruf:, s1e/' ,Q/'cwn 2~Oi jp . o eC e ~GWES /02.8 Kat e~ ~ o ~ ti ti~ Roth 8 . • /iss F;a a i/ auf Co~~c•/ .Qj •3829 v/rry' , ~Lhv a fS. C/-a/ic Z-9 7e Y734/ Q n/ Noz~~o ✓atiey `0 5 teYSOn n3.z . SM A~~- Kew f R~ e z7o rw:cTS ~5/oott ~ a ~ E9~ e /s8 1 fPaf ,eir~iord o V h ~ ~ C No/- as f.~a.E,Fe~ gDona/de n. Yo4 60 Spe~'S' ,PZs Charm/e ~s d C y inn JO /so s ~o f~c~ es 4/B Q Q ,3 Barb ehara'son 3 a A ~ ~ sTrz cT5 `C• ~E za ~ a~f_ N 39. S C!D/ 1 0 ~P ein t/enfuYes U o~ a e C. 8 N• h C W sa zo r /2 I.' Waxo~ ~ L.~ CN 6.9 • ~a/e a. B l K~e~ y R Q N Ly/e L • ~ ~ ,Bcss ~Isabe// /u/ ~ W h .gym f3ae~ 77,7 /do.G 2 ChaI/e Ke tea//sue/s ~ `0 W0 ~zo /5375 Ll ) 9 "D ti y Kennefh /B7 0 ~ d, /B5 ~~/b e~-f T. f I~,r~ Q h 75 iPoh/ etux Ma/y ,Q;chey e~,,,,,.r NP/s 41 Bo w a 2/90 ~e r ^ 3° • /°a/en q, BADLANDS ~Y. /o Aw UU •,H Ft David Ne/s .a s //ec1- He~~a~d s f'o/ar,. efuX ~o~ KafheTine e~~a d I. c iy°° ero/ k.~y Maryf K,~ney ~ ~~ay iS 9/a/io NGL 1f7 ~ /60 . La/tsen 1, a7'11- ~fll' V / Fsh e / US /3B C ,67.6 ,67.6 U Q /96-z c'/eon GI/i/a~' F/at~. c.a --K a y Gvaxon Z C)\J~,111J o d Ranc ~c7~ Rauchno>eta~ 9a/ a e ? 2/cha!'d M ' = ©ss s 9 o doh P Y74 0 n Mo/'c/a- / K4 / NljL Coc/aaca /"/bn S(j h~ s39B 94 eve. 35 12 a a n ✓ 9° die ✓axa o~ v i'ne o~~.- h ~ ~c s FJffo/~ eta/ /,v.// awn %mnr-s 5 _ s n /az-/B 6orb ~ha- iMa~y~ e m <m5 0 74-9 Xl~ D the v~ ~3 B 3 -9` s aD C "P- ` 5 ZL ~e J~o ~ - ST.ICE 1NE osa.B E l h ~ h 5. B 5,~se o 3 - arzs zs a k ~ via ~ ~ s~ _ ZI ~ S' /rasfec .2obeil m o Ri fQ e - ~ ~v ~akec C7a/he ~ ~ ~ ~ v eE u a vSu Ein C 3 "s9 zt~ 339 p/ ~ W ~G N U 11911 h~o oaf t h/ y ` ~'`f~ Q a "r4.- d s G9 /O ~J~ c'9/G N c?5 Gs, -,A'-1,979 SEE PAGE 15 ~/96B Kac ~ocd /"/a✓o P.. 1 I I i I FINDLA Y ELECTRIC STATE REPRESENTATIVE ELECTARPPLIANCCES - HART WARE RPAINIRING CENTRAL REFRIGERATION &D TRENCHING SERVICE & HEATING BOB "flit ER Hammond, Wisconsin 796-2223 CO~ 29th DISTRICT a _ ~WN Parcel 020-1210-10-000 07/10/2006 05:19 PM PAGE 1 OF 1 Alt. Parcel 16.29.19.1203 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 - SWENSON, DAVID L & JUDITH D DAVID L & JUDITH D SWENSON 995 MCDONALD LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 995 MCDONALD LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.510 Plat: 2282-PARK WAY ADDITION SEC 16 T29N R19W NW NE LOT 1 PARK WAY Block/Condo Bldg: LOT 1 ADDITION Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-29N-19W II Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 892/48 I 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.510 46,800 269,700 316,500 NO Totals for 2006: General Property 2.510 46,800 269,700 316,500 Woodland 0.000 0 0 Totals for 2005: General Property 2.510 46,800 269,700 316,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 209 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~z 1 x - i' I i ~ r ~v 9112 " x y , \ I