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Home My WebLink About020-1130-30-000 n N O 3 v n d `r1 3 m O - m 3 M - 5 v 3 m 3 - 0 U) N U) O v N C 74 ON <<: U7 " d N Q by Cyl (D (D U) CO V_ 7 W O N ? p ~i~yS N C1 7 3 o W i7 O O O -0 0 A co O C Q CA 7 O w cn C) v cn ~ D m a N m r - cQ a CD m CD CD m c 3 aO~o 0 3 m O rn a L N ~ O N c,~ 0 co ti O G lr ~ o- z 0 0 0 » • Z p rn W o In N to v o U) v O O O N CD Cn O CD LI 'o CD ty CD (D (mil m w N N C CD CU 0 CD Q- z V) - z W co z o O O D co CL =3 o C m l~'! • I ~ CD N C CD N y C CD CCD W CD C1 Z Cn Zt O p Z CD N ! N_. ,p z O C1 3 0 m v m fD z c 3 a O Z 3 m N < CD W d Q :3 C z a 0 CD fn } O b n a z 0 N O O A A (D d0 A w to O o O (D b O a- v Parcel 020-1130-30-000 12/05/2005 04:07 PM PAGE 1 OF 1 Alt. Parcel M 17.29.19.618 020 - 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 - BARTLEIN, JAMES L & LISA A JAMES L & LISA A BARTLEIN 467 PARK LA HUDSON WI 54016 Districts: SC = School SP Special Property Address(es): Primary Type Dist # Description " 467 PARK LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.460 Plat: 2274-PARK VIEW ESTATES 1ST ADD SEC 17 T29N R19W PARK VIEW ESTATES 1ST Block/Condo Bldg: LOT 37 ADD. LOT 37 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W i Notes: Parcel History: Date Doc # Vol/Page Type 10/02/1997 566301 1268/002 WD 07/23/1997 822/70 2005 SUMMARY Bill ;q: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.460 57,600 176,800 234,400 NO 05 Totals for 2005: General Property 1.460 57,600 176,800 234,400 Woodland 0.000 0 0 Totals for 2004: General Property 1.460 29,700 165,700 195,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 122 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 At BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP L l' ~ SEC . T "IN R W ADDRESS ST. CROIX COUNTY WISCONSIN. SUBDIVISION o LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM / ~ t Y .25 4 b' i i I di atre othi Arrow I ! SEPTIC TANK(S) / MFGR. CONCRETE STEEL NO. of rings on cover ? Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of wicdt length area BED NO. of lines width + ? length area dephto-top of pipe T NUMBER OF SEEPAGE PITS Outside diameter total pit area AGGREGATE PERK RATE i y AREA REQUIRED f f'_ AREA AS BUILT 1 Disclaimer: The inspection of this system by St. ICtoix 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. However, if failure is noted the County will make every effort to determine cause f failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH T IS SYTEM. INSPECTOR I 1 DATED F 7- dT PLUMBER ON JOB LICENSE NUMBER 91) • AS BUILT SANITARY SYSTEM REPORT TOWNSHIP SEC. T N, R W 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN_ . LDIVISION , LOT LOT SIZE • PLAN VIEW Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i Indicate North, Arrow j I SCALE : OPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover_ Depth DRY WELL ,ttNCHES NO. of width length area . no. of lines width length area depth to top of pipe A=GATE RATE AREA REQUIRED AREA AS BUILT IISCiaimer: The inspection of this system by St. Croix County does not' 'imply complete .09liance with State Administrative Codes. There are other areas. that it is not possible ,Q inspect at this point of construction. St. Croix County assumes no liability for j$tem operation. However, if failure is noted the County will make eve.ry:,,effort to ,jterm_ine cause of failure. TEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `INSPECTOR DATED PLU;iBER ON JOB LICENSE NUIMER ~i 1 REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sani.tany Penm.i-t - • State Septic NAME Town.6h.ip S$. Cno.ix County Locat.iox Section SEPTIC TANK Size /000 gatton.s. Numb en o6 Compantmen-t.6 D.iztanee Fnom: We.Zt 12% on greaten tope S.t Building 6t. Wettands ~ • Highwaten it. DISPOSAL SYSTEM • D.iztanee Fnom: Wett it. .12% on greaten scope -6.t. $u.itd.ing it. Wettandz Ft. • H.ighwaten. it. FIELD DIMENSIONS: . Width o j then eh it. Depth o j no eh. b etow tit e in. Length o6 each tine it. Depth o6 rock oven t.i.2e .in. Numbers, o6 tin ens Depth o6 t.ite below grade .in. TotaZ Zeng.th o6 Q.ine.6 it. Stope ob .trench in pen 100 6t. Di4tance between .2.ines 6t. Depth to bednoek. it. ~y Totat ab 6 orb son anea ' t2 Depth to gnoundwa en it. 2 5~ Requited anea Type os Coven: Papers n Stxaw PIT DIMENSIONS: Number, o6 pits Gnavet around pits yeA no Oat4 ide d.iameten it. Depth below .inlet St. 2 T6tat `abzo&bt.ion anea st Area/nequi.ned it2 TNSPHT€D-_._B.~ .L.i-' TITLE APPRUV•€D..__. .DATE REJECTED DATE 197. PIP' EH 115 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:'/41)6 /4, Section j_ ,TaN,F~*-(or)t ow,~ship or Municipality Lot No., Block No. County Subdivision ame Owner's/Buyers Name: F Mailing Address: T -ei, f ~~r,- /Q- A4, Sn,cc ce s , 4~-Ve/ TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS ~7- "2 2-- 7 r/ PERCOLATI TESTS SOIL MAP SHEET S~3 NAME OF SOIL MAP UNIT ex." PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTE INTERVAL BER INCHES THICKNESS IN I NCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN I 0 ? v S~ P- / ~n csl e /11) P- 2-1 clef L1114 1 1 0 e P-_3 1 w, E L 6,'ti'-e- 2i 0 ~ , a ~ P- P- 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 B B- I~ RCN E > ~•,z << ,2 . Sl_ PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the Ian thLe 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. .14~, 'AIL CZ _/Cc'~ / . N cC 3 E E ~ ~ I y 17~rj q get a F I E 1~2 3 % ' 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. Name (print) 5 Certitication No. ~yC Address ~ f~4 F' <c Sc',cr C.'r S . s- C Name of installer if known Copy A -Local Authority CST Signatur c State and County State Permit PLB 67 ` Permit Application County Perrryi~. # a - Y for Private Domestic Sewage Systems Count - *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: '/4, Section , T_ N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village l y Township a C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete t 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 sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land r 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 C.S.T. # ? _ _l and other information obtained from (owner/builder). Plumber's Signature • ' Phone # - MP/MPRSW# Plumber's Address I 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. j(..r { i , ~ i w m _ m n a. o . , ' . _ _....._.,m, . . . _ r w^I m r I R ~ A 41 7t Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application, Fees Paid: State CountyDate Permit Issued/ Wate) ZIssuing Agent Nar>ie~ ,4Z h" i t 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) Revised Date 7/1/78