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Parcel 020-1037-00-000 09/07/2006 02:57
PAGE 1 OF 1
F 1
Alt. Parcel 18.29.1 .157E 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 - DWYER, JAMES E
JAMES E DWYER
PO BOX 356
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 372 CASPERSON DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE
SEC 18 T29N R19W NW NE COM 582.8FT W OF Block/Condo Bldg:
NE COR NE THE32.8' TH S 470.1' TO
'CL 6 RD EASM 77DEG W LG UL136.3' Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
S48DEG W 345.75', NLY 722.770 POB 18-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/21/2006 818927 EZ-U
07/23/1997 835/636
2006 SUMMARY Bill Fair Market Value: Assessed ith:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 69,500 155,200 224,700 NO
Totals for 2006:
General Property 5.000 69,500 155,200 224,700
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 69,500 155,200 224,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 133
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
)QQER L~)AA/, Lac l TOWNSHIP LM.';0 v SEC. T - y' R -W
0. ADDRE$ , ST. CROIX COUNTY, WISCONSIN.
f yc~'c
_-BDIVISION LOT LOT SIZE .
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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a r i $
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Inidicate North; Arrow
SCALE
tPTIC TANK (S) d-0 i MFGR. .L1 e~ /~'S CONCRETE STEEL
NO. of rings on cover C} Depth Q DRY WELL
ANCHES NO. of width length area
no. of lines, width /3 length <7 areal_,
depth to top of pipe :30'" ASREGATE
?'RK RATES - [AREA REQUIRED 615- AREA AS BUILT yrf'
1,Sciaimer: The inspection of this system by St. Croix County does not imply complete
.*,pliance with State Administrative Codes. There are other areas that it is not possible
} ,a inspect at this point of construction. St. Croix County assumes no liability for
43tem operation. However, if failure is noted the County will make every effort to
:itermine cause of failure.
:TEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
/ r
'-INSPECTOR`
DATED / - / 1 2 ,f l") PLUMBER ON JOB ~ _ ~LICENSE NUMBER arr
z REPORT OF INSPECTION INDIVIDUAL SE(;'AE SYSTE1,1
Po San -taAy Pepm,i.t/~_~ !
S t ti ~Z-
State
NAME (ownAhi _St. Cno'cx Couz`tiy
O
_
L a ca t.i oa Section
SEFT1 C TANK j
Size gattoms. Numbers o6 CompvLtmentts i.
Diztance Pt om: WeU ~ T it. 12% on gneatn stopeit
Buitd.ing it. WetZands ~ .
H ighwaten
DISPOSAL SYSTEM
Distance. Ftc.om: WeU__ 12% oA gtceatetc 6 tope
Bu.itding . `i /it. Wet,eand/s H ighwatetc__ it.
FIELD DIMENSIONS:
W.id•th oS ttceneh J~ it. Depth o4 tock below t.iZe~-_-i.n.
Length a6 each Fine it. Depth o6 tcock ovetc ~e ~ in.
Numb et, o6 tines Depth o ~ tike b e.Low gtcade ~ in.
v
b ,Totat Zeng.th o 6 Z fine's it. Stope o6 .tneneh in pets 100 fit.
Distance between Zi.nes _ it. Depth to bedn.oefz
i~ Totai ab~so)c.b,t.ion atcea ~t2 Depth to 9tLoundtvate.~_ Ll
2 -ti-Requ~tced area it Type oj Ccvetc: L(apen htc Stkaw
PIT DIMENSIONS:
Number o6 p.itA - Gtcave._ atcound p.it,5 ye,s__n0
Outside diametett Depth bet.ow intet~ 6t.
-
Tota._ 0'z o.,,L b ti on area it 2
2
AP- ea o ui, e d 6t ~rn
INSPECTED BY TITLE /T .
APPROVED - , DATE - ~19.
REJECTED DATE ~,%f 197
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 TES S/
E(rn) W, Township ~tq
LOCATION: Section 1¢ , T`%N, F1'~ J~~ L, Scl If., - -
Lot No. , Block No. _ County
s Subdivision Name
Owner's Name: f ~r-ifh
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other -
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET OiL TYPE~~',C__
PERCOLATION TESTS
I HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
TEST DEPTH CHARACTER OF SOIL 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
✓r
P-~ ti tf 1 / r a a
It i, - _3
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)
13-
~PL.AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
.iicate on the plan the location and square feet of suitable areas. Indicate number of square feet absorp ion ar
needed for building type and occupancy. ~t'"`~ ~ k(E, C, i, ~E= Indicate scale
c;. e-h tal 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)~'~^~ C Td Certification No.
Address
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
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 TESTT~
LOCATION: _~L'/4, Section %f T~ 1C1, V~ E-"far) W, Township or -Mtmi6Pm rtSr-_fY" A+
Lot No. , Block No. County>~
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS --A,17 % PERCOLATION TESTS
-T
SOIL MAPSHEET" -Y _j SOILTYPE s-
PERCOLATION TESTS
- -
1 EST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
INTERVAL
NUM- INCHES THICKNESS IN INCHES 1SINCE ST WETTED AFTER
t3ER TED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
~
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! P_
P-
P- f,
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
CUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
12-
5r, AlnAi7--
k .01
t 1
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
noeded 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) ~kC Cf
Certification` No,
Addressf~=~-
Name of installer if known
CST Signature
.'.t AUTHORITY
rr- State and County State Permit #
Permit Application County Permi 1
PLB 6 7
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:
B. LOCATION: 1'/4 '/4, Section J_,k, T • N, R/Y E (orK,_WjLot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township _/5~~/ 323A/
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _;K- Duplex No. of Bedrooms 3 No. of Persons
D. SEPTIC TANK CAPACITY /L7 Total gallons No. of tanks %
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete _X_ Poured-in-Place Steel Fiberglass Other (specify)
New Installation - X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUEk 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 a; Depth 34-c" Tile depth (top) " No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land i Distance from critical slope
ij'VATER 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 ✓~~f'a5G%~ C.S.T. # and other information
obtained from ,A_ 11,15e wilder).
Plumber's Signature 16 dd MP/MPRSW# Phone # 71-i
Plumber's Address
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. 1
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Do Not Write in Space Below FOR COUNTY AND STATE _DEPARTMEN USE ONLY J
Date of Application Fees Paid: State Count ~ Date
Permit Issued/R (date) Issuing Ages nt Name i'I l
t r
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
P,W111hey LOCA171671V (f11,41v9L
State and County State Permit #
PLB 67
Permit Application County Per it #
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OFI PROPERTY Mailing Address:
B. LOCATION: Section L f,?, T~ N, R E Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township i:~ssx,
C. TYPE OF OCCUPANCY: *Commercial *Industrial "Other (specify) *Variance
Single family X Duplex No. of Bedrooms 3 No. of Persons if-
D. SEPTIC TANK CAPACITY 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. EFFL NT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lintel Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:x Length 3 Width ~t5 Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land /6 2C Distance from critical slope
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on H 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 ,-3AME `j c i-' 0 c-h~ C.S.T. # and other information
obtained from C"4i (owner/builder).
Plumber's Signature oLeAnce- _ MP/MPRSW# -ZZ:' Phone #,5-&- l (S%z
Plumber's Address
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.
i
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PRIILF
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70
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application - - Fees Paid: State J J-, County D - 79'
oe_ If
Permit Issued/Rejected (date) Issuing Agent Name
Inspection Yes No State Valid# Date Rec'd
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
fVOTL: 111 ~ ~'v G.!-{skIVC~G ~{C~I~E L_r=C~'TIC~/~ ~ ~t-T~N~~
EH 115 Rev. 9/78 PE rL TEST' c7,'01V?E TNia OL-1-D 01>__f0/ N+-4_0 FI LLZ0 00'1- 5_147-(
REPORT ON SOIL BORINGS AND PERCOLATION TESTS rev --.,AM E c;4L of ov4E P_ 'S
e a
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES jJo4w1 E ) VV I L ` EV=_C:_Cv-4
P.O. BOX 309, MADISON, WISCONSIN 53701 T`e+ R L T +o Imo,-T-c _ j-*e
C-.-c7 f't L'TL- e_1i'krr= is 'Tx, Fy
LOCATION: L1 W'/oAjE.'/4, Section le T .~21\!,R~t4m,4 W, Township • ~ A)
Lot No. , Block No. County C~7
` / ub ivision Name
Owner's /Buyers Name: 6i elE b V,4,y' 497r_jgj1/m
Mailing Address: 111(0 ) SY cam, : 14 sI r>sG E,,J , \41l 4
TYPE OF OCCUPANCY: Residence No. of Bedrooms 13 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW A REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET NAME OF SOIL MAP UNITt'P
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 AFTE INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- / '7 Z_ ~ ~ P~xe Dd rA 4 aNC r 0 1 y/b I / l fi
7/5
P- 24 do ij J,_= 10
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- f 3 - 3-L S 10 4 !3n 0D/-
B- / e + S r 6; ► -7,e z z
B- Y 14fj C e'4 ~ at, ~ Mao J
B- ~i~~'tJe e- 4 3,% LS 4,0 ° 5 _Z,4
B- 4- e0o
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B- r, C, L
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IRS L
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 61 - ~;G • , R-e .indicate scale or distances.
Give horizontal and vertical reference points. te slope.
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New 1~" LL u"'1= _ ~
ort 167 1 K/A L. 13
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fpLc re 9-TY L-INCE ~N
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I, the undersigend, hereby certify that the soil t tsfeported on this form wer ade by me in accor the procedures and methods
specified in the Wisconsin Administrative Code, and that the data recorded and location of test are correct to the best of my
knowledge and belief. T
Name (print _ Certification No.
Address /00 / I , 1-4 S''- (1 /L✓ C~~
Name of installer if known -S-,- e~~'•-rJ f2c t=~CGA A T-, /✓C~
Copy A - Local Authority CST Signature