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HomeMy WebLinkAbout020-1037-00-000 y O ' N O z 3 fD ~ II 0 E3 ~ 01 fD O ~p O O OD w 7 Q IV 00 :I- C Cp tD N N co n n d N m O CO s C_ 3 P CO aj CO O N N N N 3 v m O ZJ, r' m C', 7 m o O 0 LO d M N !V m U) D CD a 0 m G N a N E 73 m M o o El O ~o N (D j ° O ~ ~ 0 II N C0 CO ::3. n r N N o-4 m N O c v I 2 ~ c v v a ! z O O O 0 o Cl) 0 zr 3 3 v _v m CD U) fu O CD po lei 7 y N O C ~ ~ D1 N < m CL n ,r z O z co z O 0. O D O CL Z) o CD !r • N CCD v 'a M. c c~OU m ci a z j cn o N O s; M n A z O v n O a. S _ W (D N W a z a C " z 3 m y ~ _ ~ a LO I I D [L n o - m c z a 0 CD cn w ' A y A ~ I I a Z I O V N I O a ~I A 00 t tip Oho O A O g c ,ti C) i 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 i ~ t~ J iG C ~ ~ I 3 J I ~ a I ~ I I 4 3 I a r i $ I ' -6+ E5r- 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. PJ l g` l t 1 t N r _ s2 - -s 14.• E -_z - / - 47 L LIJ 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 ~ i ! 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. I { I AE- t I t ~ i ? 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 y~ o- g e10 6 17 p~ op ~y ~LIP%- i~ E ..r eE J I Z _ ~M=. _ 1 7e, i s 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 LiA Us e, P E / Coe) yr- _ E PRIILF ti E 70 5sff~ f~ _ . 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 ~l 3 5 L Q B- r, C, L cv 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. 4- o O c er . rFr I S~ LC New 1~" LL u"'1= _ ~ ort 167 1 K/A L. 13 -5 3- L 'tEC> / IJ LE -j~- - Felvc- fpLc re 9-TY L-INCE ~N O Br P_a t4aL Tt~S~ p P~~c. r~c.~. I~Qt'~ ~ ~ r~''c.i✓i i iNSiAL+L A'nCAJ YV,1 Lo etj PO5 T ~T )~(G1M 1~~~~tk ih^1~ / P S'lK amt. ~.oa a . SK` ~IVew , e S F a • i cLn fK 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