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Parcel 020-1145-00-000 12/06/2005 09:31 AM
PAGE 1 OF 1
Alt. Parcel 17.29.19.759 020 - 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 - OKU, HENRY
HENRY OKU
962 WERT RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 962 WERT RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.790 Plat: 2276-PARK VIEW ESTATES 2ND ADD
SEC 17 T29N R1 9W PARK VIEW ESTATES 2ND Block/Condo Bldg: LOT 66
ADD LOT 66
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.790 64,800 141,000 205,800 NO 05
Totals for 2005:
General Property 1.790 64,800 141,000 205,800
Woodland 0.000 0 0
Totals for 2004:
General Property 1.790 33,500 123,600 157,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 215
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
Al
• AS BUILT SANITARY SYSTEM REPORT
f
W ER TO%TNS?iIP SEC. I T - tai R W
ADDPESS ST. CROIX COUNTY, WISCONSIN.
3-DIVISION LOT ; LOT SIZE .
PLAN VIEW
.Distances & dimer)sions to meet requirements of H62.20
SHOW EVERYTHING WIT'-iIN 100 FEET OF SYSTEM
t I t t
j- - _ - -1
41 4-1-
I L
1 11 .11 F
___i_ ! < < i _ \ 1 j III J
1 ' i i - -r--- rte-- a---~-- ; --~7-- - i
i
---t r
Irkdicate North Arrow
I i SCALE
'",'TIC TANK(S)' MFGR. CONCRETE STEEL
NO. of rings on cover / Depth DRY WELL
LNCHES NO. of _ width length area
no. of lines _ width j ? length area
depth to top of pipe
jSF:EGATE
RATE AREA REQUIRED ! AREA AS BUILT
,vziaimer: The inspection of this system by St. Croix County does not imply complete
oj)liance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes :io liability for
Stem operation. However, if failure is noted the County will make every effort to
ttormine cause of failure.
LEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
-'INSPECTOR "
• 1, ~ ~ K
DATED PLU;IBFR ON JOB
LICENSE NUMBER - Y~
REPORT OF INSPECTION INDIVIDJAL SEWAGE SYSTEM
SanitaAy PeAnu.-t
. State S(,p,tic
NAMEI/11-111 i ownehip ---S$. Croix County
LocatioA Section
SEPTIC TANK
size Y.~f~"~ gatton.6. Numbers ob CompaA,tmentz
Di.6tanee FAOm: wett JT .74 120 oA gAeateA stope _ 6t
Buy..-ding J~ 6t. We,ttandz - 6t•
H.ighwaze,t fit.
DISPOSAL SYSTEM,
D.iztanee FAOm: Wet C.° 6t. 12% oA gneate)t ztope 6t.
Bu.itd.ing 6z. weLtands Ft.
H.ighwateA 6t.
FIELD DIMENSIONS:
W idth o6 tAench 1 , 6t. Depth o~ Aoeh below tite~in.
Length of each tine 6t. Depth o4 Aock oveA t.ite .in.
NumbeA o6 tines Depth o6 tiZe below gAade(~?in.
Totat tength o6 tines 4 St. Stope o' .tneneh in pen 100 6t.
Distance between t.ine~s r 6t. Deptih to b edAO ck St.
-s Total ab s mb t.io n a,,Lea & ~ jt2 Depth to gAOUndwate"ej' C •
` RequiAed area 6t2 Type o{ CoveA: ~PapeA n StAa_w
PIT DIMENSIONS:
NumbeA o6 pits GAavet atr.ound p.i,tz yes no
Outside d,iameteA fit. Depth b etow .intet 6t.
2
Totat abzoAbt.ion vLea 6t A
AAea equkAed 4t2
INSPECTED BY ~~~~fX T IT L E
APPROVED C..+' , DATE'' 1970W.
REJECTED DATE 197
J
~ 15 Rev. 9/78 "A
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES n
P.O. BOX 309, MADISON, WISCONSIN 53701 ! r~
LOCATION: "1/4, Section ,T2fN,R[. &(or(LTownship or Municipality S~/✓ ~
Lot No., Block No. County
Subdivision ame
Owner's/Buyers Name:
Mailing Address: ,
TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS ° .23 - ~y
SOIL MAP SHEET .S~ NAME OF SOIL MAP UNIT
PERCOLATION TESTS _
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
DEPTH CHARACTER OF SOIL RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL
MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- / yf " Sew r-- A ' v X1/0 r. ( . S'
P-
P-3 IL10 3 6 6 o S
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B- ! (c .r /~cciw 7 -r " t~ /x n SS/_ sf t!~ h
B- '01 -1
_57 6
B- 3 6.. SIC C 7" S~ Lr.
B- y
B- S'
/Z S41
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 5--Vo 4/ Indicate scale or distances.
Give horizontal and vertical reference points. Indelicate slope. ,¢6/e-
D« ! Od/
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1, 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.
v S
Name (print) ',it[iS r r,3 e/'s?ati' Certitication No.
Address yel
Name of installer if known
Copy A -Local Authority CST Signature
State Permit #
F'9 State and County
Permit Application County Per t #
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 Addre~s~s:/
I
B. LOCATION: '/4 Section , Tj!~j N, R E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township d g-a.i
rs7ts -
C. TYPE OF OCCUPANCY: -Commercial -Industrial -Other (specify) -Variance
Single family bl~ Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY / 600 Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Lf"" Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate - 4- Total Absorb Area C" sq. ft.
New ✓ Replacement Alternate (Specify)
Seepage Trench: No. ofLin~eal Ft. Width q Depth Tile depth (top)- No. of Trenches
Seepage Bed: Length 61=Width(2_Depth I" Tile depth (top) -9 0 No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land ~2- 71a Distance from critical slope
WATER SUPPLY: Private OPTjoint ❑ Community El 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 ertified Soil Tester, -1 '
NAME el j l e-S v .eT I C11 C.S.T. # - ( 5 and other information
obtained from 5 -M 6 nr (owner/builder).
Plumber's Signature MP/MPRSW# f!1 F f 3.-Phone # 2}7- 3 3
Plumber's Address e , fit i c Nl 14--,` '
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 Fees Paid: State Cp_u)ty~ Date
Permit Issued/mod (date) Issuing Agent NamX1
Inspection Yes No State Valid# Date Recd
1. county (whife 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