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Parcel 020-1036-20-000 08/14/2006 05:13
PAGE 1 OF 1
F 1
Alt. Parcel 17.29.19.155F 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 - DURO STANDARD PRODUCTS
DURO STANDARD PRODUCTS C - COMPANY LLC
COMPANY LLC
DAVIES & OAK ST
LUDLOW KY 41016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE
SEC 17 T29N R19W SE SE COM E1/4 COR SEC Block/Condo Bldg:
17 TH S 1793.65'W 533'S 574.97'S
61 DEG W 446.62'-POB S 78DEG W 180.87'N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
18DEG W 'ITS 70 DEG WLY 23.43'N437.15- 17-29N-19W
E205 FT TH S 41 OFT TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
05/31/2000 623891 1514/535 QC
07/23/1997 664/155
07/23/1997 530/498
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 2.500 79,000 111,400 190,400 NO
Totals for 2006:
General Property 2.500 79,000 111,400 190,400
Woodland 0.000 0 0
Totals for 2005:
General Property 2.500 79,000 111,400 190,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1035-70-000 08/14/2006 05:13 PM
PAGE 1 OF 1
Alt. Parcel 17.29.19.155A 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 - DURO STANDARD PRODUCTS
DURO STANDARD PRODUCTS C - COMPANY LLC
COMPANY LLC
DAVIES & OAK ST
LUDLOW KY 41016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 486 CTY RD A
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 28.000 Plat: N/A-NOT AVAILABLE
SEC 17 T29N R19W SE SE COM E1/4 COR SEC Block/Condo Bldg:
17 TH S 1793.65' TO POB W 533'S 574.97'
S574.97' S61 DEG W 446.62'N 410'W 205'S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
437.15' SWLY ON CURVE 65' MOL TO S LN 17-29N-19W
SE SE W 141.70'TO SW COR SE SE TH N TO
NW COR SD 40 TH ELY TO NE COR TH S TO
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
05/31/2000 623891 1514/535 QC
07/23/1997 530/499
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/30/2006
Description Class Acres Land Improve Total State Reason
MANUFACTURING G3 28.000 0 0 0 NO
Totals for 2006:
General Property 28.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
General Property 28.000 149,900 2,673,200 2,823,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
►XVER NIKO I
TOWNSHIP j~i,~[~TSEC. / T '2 N R W
0. A 5RESS - . t ST. CROIX COUNTY, WISCONSIN.
-3DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
-r - - t 1 I - I
,
iLl
_ t
~
~r - - - 4-4-
{
Indicate North ArroU7
t
~ ~ ~ SCALE
I ! - I
r
L~TIC TANK(S)MFGR. CONCRETE)_ STEEL
N0. of rings on cover_ Depth DRY WELL
CINCHES NO. of width length area
no. of lines width lengthy, • area o- ;sue
depth to top or: pipe
'kaREGATE
RAlE AREA REQUIRED Gs 1,:5- AREA AS BUILT
i)SCIaimer: The inspection of this system by St. Croix County does not imply complete
,*rpliance with State Administrative Codes. There are other areas that it is not possible
,0 i.nspect at this point of construction. St. Croix County assumes no liability for
j tem operation. However, if failure is noted the County will make every effort to
'Cerm'ne cause of failure.
c1ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
.'INSPECTOR
ri
- - r
DATED C PLU'HBER ON JOB
LICENSE 2v'U11BE R
i
F
r
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REPORT OF INSPFCTIJiJ INDIVIDUAL SEWAGE SYSTEM
li San.i.tatcy Penm.i-t
State Septic-
NAME Township St. Cno.ix County
Locatiox Section
SEPTIC TANK
size gattond. Number o6 Compan.tment.6 j
Distance Fnom: Wett 12% ot greaten ztope it
Buitd.ing it. wettanda - ~ .
Highwazen - it.
DISPOSAL SYSTEM
Distance Fnom: Wett 6z. 12% on greaten ztope 6~.
Buitd.ing 6t. wettands Ft.
Highwaten 6t.
FIELD DIMENSIONS:
Width o6' .then eh it. Depth o6 no ck b etow x.ite / - in.
Length o6 each tine ~ it. Depth o6 rock oven .t.ite .in.
Number 06 tinez Depth o6 tite below grade,../ in.
~.r Tota.. teng.th o6 tines-/" it. SQope o6 ,trench in pen 100 it.
Distance between tines----'. 6.t. Depth to bedrock 6.t.
Totat abdonbtion area 6.t2 Depth to gnoundwa en 6t.
Re4uined atcea 6t2 Type o6 Coven: Papex on Straw
PIT DIMENSIONS:
Numbers o6 pits Gnavet. around pits ye.a no
Outside d.iame-ten it. Depth below .intet it.
• 2
To#at abzonbtion atcea 6t
Area %equk)Led 6t2 rn
INSPECTED BY TITLE
APPROVED ` r DATE 197.E
REJECTED DATE 197_
.
E H 1 3. 5 . 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: SE/4, Section r a TL/ N,R? ~ le11
E (or) W, Township or Municipality
S
Lot No. , Block No ''P~~ , Ii~~ME NEXT 7'0 ` -,4GT0/yoyl County ~l
~y~~`~/~Cr /A/6 Subdivision ame~
Owner's/Buyers Name: Gl~PETi4A~SiP:S /'//1/4TE
Mailing Address: #UW C)A.) 60/S
TYPE OF OCCUPANCY: Residence -X No. of Bedrooms -3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT Qx ALTERNATE SYSTEM -OTHER
DATES OBSERVATIONS MAD IL BORINGS 7 / PERCOLATION TESTS
SOIL MAP SHEET 5 NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
RATE
NUM- SINCE HOLE HOLE AFTE INTERVAL
MIN/IN
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- /OEA) c y &l,f TE E p
P- d :411610 iv
l Z~ yCo
P- 2 / to
P-
- o- E E y
P- ~DE~ is o52 710 Yf
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES 7
B-
B- 2_
B-
B- A9A)E Hci s 0 to HA0. 7„ s y" sc
B- 13gicuLL, ~6 _ y f d-G -PfO s „ Gs
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 ~~/!L'~?b Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
elIsr. rUE/f //ES to ` ~d2~ ~f
NEWS
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E:XisnNl- M~Sf ~J
•,4~,ayE 0 uSc ~ ' - Srr9t~D 2~,~aE/z P~9UEv I~~P~uE wAy .
r Sty J~~fINS V0T ?D SGi9/E. /7iSTi~~`Es ff
~ • 81 0 ~ pc,Pc
' h aP /3/y = s"tv ~Dy.E ~f e2we-,PETE 1well
, _
/3&6 AT f,P4DE• i N
1 Z/6)0
4
. EIE14710A0F 13
~ ~~y • E---%~ M ~ 'w /g~ = 1~"9 w il/ GPE4~' APE
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y t~'CA V&,rlNf ~w
.rte 1~t'~ /jz /S3 7~ - / y¢ rJiN
10<1-1
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I, 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`.
I`Jas (k, i,a .__1?1//APT Certification No..J
Address
Name of installer if known tl %/v O J l~S ~V / I -
~r
Copy A - Locol Authority CST Signature -
State and County State Permit # 7
PLS'67 County Permit 3 `
Permit Application y
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:
~77?v,Po g,46- M,4NJfAC CC) . JVA~.ry , Av A , R"t z 6015_. SYDX~7
B. LOCATION: 59' '/Z_ '/4, Section 1-7 , T N, R / E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Ce0AJTy RQai) T ^ Township )YUD,S®Ay
C. TYPE OF OCCUPANCY: *Commercial *Industrial / *Other (specify) *Variance
Single family X Duplex No. of Bedrooms No. of Persons
C,4A0e rAe" 's. ARIP4TF" / aq,5- " .,dleFc fq W_-sr of 7ii4/A~
D. SEPTIC TANK CAPACITY /00 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 Replacement X
Lift Pump Tank or Siphon Chamber Total gallons Pref b concrete Poured in Place Other (Specify)
- - - - - - - -(S - -
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (S E y)
Seepage Trench: No. of Lineal Ft. 1pidth _ Depth Tile depth (top) No. of Trenches
Seepage Bed: _X_Length Width a Depth Tile depth (top) 4 2- No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land 2--y!& Distance from critical slope NQ'yF
WATER SUPPLY: Private 5ei Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner: ])yRo 6,4(r fAM01 , Co .
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 ecbgF ~(~6R1C<i r C.S.T. # J -(9ZyJ-L and other information
obtained from ~&L S' - OF 741bRIC6,7" (owner/builder).
- Z~S D
Plumber's Signature MP/MPRSW# I' Phone #3Z
Plumber's Address 6S, 22 MQ.AoW0 j5- 3r. A "6'e UOSOA/
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.
W E~il
'61161,14W
No.ME
ti ,3M /3>4sz of f~~P~/H T jod
SEPf'c ' , f'o paQc µ
,
,
,
I I
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State Comer ty Date
Permit Issued/R (date) Issuing Agent Nam S[/, c L
Inspection Yes_~_No State Valid# Date Recd y'
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