HomeMy WebLinkAbout020-1140-20-000
o- O c o d
> 0 3
(D -O sy AI.
`G "U 71 a C
m ~ 1
(D 3 3 n
~ 1 ~
1
3
z -n
O m O (O N (D C ON
v (O O_ N I•r
O_ " 9 ON O O (c
r0
~o n
o ; N
c 3 F w° m o
CD A °
O
3 N O ~ O O
y C C
W
a c
cn C D m n
E U a Q
X* CD
(D =3 C: D
N) w (=D
z r- (n
O (o m n c
Q
0 0 0
0 0 0
n A O
- f~/1 f/1 Ul ° m
L v o v rn
n~i D (D O
cm
3
w a
N
Zco Z o
D CL CD 0
CA - h •
O
O N
77
O
~ m
N
C_ (D (D
O-
O 0 v,
O A Z M
C 0
O
7 A
CL Z
G 7
00 -0 M N m
(D N (O
Z
r 3 A
° Z
3 z
CD 4,
w
N O a
CD
o~ -
O O T
fl7 C
N z a
C
~ n N
S
3 O
D7 d
r! N
O D
O ~
3-o
-0 a
C7
d O=
O ry
7
O
S N
O O
O- O
n
O A
O
O
A
C) O
O d \
Parcel 020-1140-20-000 04/11/2005 03:40 PM
PAGE 1 OF 1
Alt. Parcel 19.29.19.713 020 - 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): Current Owner
ANDERSON, GORDON L & JUDITH A
GORDON L & JUDITH A ANDERSON
348 AUDUBON LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ` 348 AUDUBON LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.495 Plat: 2167-MALLACOVE
SEC 19 T29N R1 9W MALLACOVE LOT 8 Block/Condo Bldg: LOT 8
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1036/585 WD
07/23/1997 590/484
2004 SUMMARY Bill Fair Market Value: Assessed with:
48801 356,800
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.495 33,500 242,500 276,000 NO
Totals for 2004:
General Property 1.495 33,500 242,500 276,000
Woodland 0.000 0 0
Totals for 2003:
General Property 1.495 33,500 242,500 276,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 112
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
7-1
S QUILT SANITARY SYSTEM REPORT ~
r N` t ka Y 7 { r
-t r $T. CROIX` COUNTY WISCONSIN.
ix1IS.IO -::.T,..:..,........• LOT LOT SIZE
PLAN VIEW
tv' mett requirements of H62.20
x SHOW E,. YTHING WITHIN 100 FEET OF SYSTEM
t
r,
~°qi + • ; Rif'' 'u a a✓' 3 1,i
a YJ tj,ry{+ If f+~, k.
t l f t
y4+ { a1 d r i ~ r
L t f, e.rS a r A"ttyN"Xi„v /j ! ! ! 1
d i 0 '4 a r 4 Y~' { Yet •t,
4T
t k Y 1 a l 1
yt
"
r
w +
r 7 a', .d
YY
,77-71
CONCRETE ~aTEEL
caveir 1' Depth . URY' WE
rea
~~r,tfI" Y, od;th'~, length area
J-1 pth,
-Z 'Al
i Q . I ~,:.,~2 AREA A$ BUILT
pet#on of this 'system by 5t. Croix County does not imply complete
zkr~ ins
s
" ;i' tta ;Arlmi iatrative Codes, There are other areas that it is not possible
le-'•t,ta,,onf conatructor~. St. Croix County assumes no liability for
to„opera.asa. Hovr,..i failure i's noted the County will make every effort to
tax! ~a ce of fOlur,e..
ROM O` &X 19'I RPSE+'O TH UGA TRIS SYSTEM.
'a,
`"SNSPEC R l - ` r Gam- t c_
PLUMBER ON JOB
u
LICENSE NUMBER
i
REPORT OF INSPECTION INIVIVIDUAL SEWAGE SYSTEM V
San.i.taAy PeAm i-t
State SPp.tic /j ✓L „ ~
NAME r -t Lf i own.ah.ip St. Ctoix County
Location s ,,,;Section -
~r f
SEPTIC TANK
Size gattonz. Numbers o6 Compattments
D.c.a.tanee FAOm: Wett St. 120 oA gAeateA ztope it.
Bu.iZd.ing 6.t. Wettands ~ .
H.ighwateA it.
DISPOSAL SYSTEM
D.iatanee FAom: WeU 12% on gneateA 6.-ope it.
Bu.itding ice. Wet.'ands- Ft.
H.ighwa,teA n.
FIELD DIMENSIONS:
width o i .tAench it. Depth o4 Ao ck b etow ,t.i£2 in.
Length o% each Pine it. Depth o6 tcoch oveA tite in.
Numb eA o6 tined Depth o6 .tti.P_e below gA ade in.
Totat f ength o l tines it. Sto pe o i .tneneh in pep- 100 it.
D.idtanee between Uned it. Depth to bedtock it.
Totat abs0Abti0n aA2a it2 Depth to gAoundwatetc t.
_ 2
.Requited a,,,--ea it Type of Covet: PapeA oA Sttc.aw
PIT DIMENSIONS:
Numbetc o6 pits GAavet atcound p.itd yed no
Outd.ide diameteA it. Depth below .inlet it.
2
Total absoAbtion area it z
A
AAea AequiAed 6t2
INSPECTED BY TITLE
APPROVED ,DATE 197
REJECTED DATE 197 r
EH ' 115 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 3,39, MADISON, WISCONSIN 53701
LOCATION'/4, / '/4, Section ,T~N,R W, Township,rPdlm~ty
Lot No.L, Block No. /~r4Ll.~/ SCounty
Subdivision Name JD
Mailing Address: C r- 6'
TYPE OF OCCUPANCY: Residence_No. of Bedrooms
COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT -ALTERNATE SYSTEM rr
DATES OBSERVATIONS M SOIL BORINGS 7/ Z6// 7y PERCOLATION TESTS Z..O&G! 79 -71 SOIL MAP SHEET NAME OF SOIL MAP UNIT ~E--
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WAT;AFTER TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM INCHES THICKNESS IN INCHES SINCE HOLE HOLE INTERVAL MII~/IN
BER 1ST WETTED SWEIN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
P- Z_
P- 313 O1~dT
D
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- 67 No > ~ 1501 sirs 3`~r t3ay 5 ',IZ L3;M StGft 8 Ya•41 P 5%-C;~F (2-1
0 ' Q (SLR` PA S 3' 5 ' i.. fZ= isAMsfc7Q47-
E5 OVA
B- C) C
U C~ BiS~_T's 3 U S ` + 13 r G ° $:v,c. S
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 El- BELZOdicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
p x:c" CSiF i3
' tlvl.. S ~
SiJ12Jt?)'CrZ.3.
~ i7l f~c
m
41
1100 SQ. Wr"
F s` ~
i! .'tits p k- (M
W 7/
0 vl
E
i e
0 4.
n
%s Suszir__' a~ 'S \ ES IZair-l+ MAr2-K, G : / ZQ Pte- /e~ Z,
Pi PF Of' PI P M lal` . 100' 0
t.at~?SI f03 8
T ~T
I, the undersigend, hereby rtify at the soil tests reported on this form were made by me in accord with the procedures a mgt Vs
specified in the Wisconsin Ad stra 've Code, and that the data recorded and location of test holes are correct to th st offj*W
knowledge and belief. . Z" SVy Lve y Qlws Piae
J
Name (print) ~ i2 'J Certification No.
Address644 .Name of installer if known 'PAU,- C u, A i✓ S
~i C Signature dam--
Copy A -Local Authority
PLB67 w State and County State Permit #
Permit Application County Per o 't # _
for Private Domestic Sewage Systems County ~'LC
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. DOWNER OF PROPERTY Mailing Address:
c-
B. LOCATION: Section T~N, R ja -&"!bMd W Lot# _ City_
Subdivision Name, nearest road, lake or landmark Blk# Village f
Township x A~Gti!
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _X Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY-/ 000 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition- Replacement- Prefab Concrete
*Poured in Place Steel Other (specify)
F, EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) a 2) 4-- 3) 3 Total Absorb Area b3c) sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length !t! Width /6' Depth Tile Depth 42-- No. of Lines -3
Seepage Pit: Inside diameter Liquid Depth Tile Size 4 of
Percent slope of land "3'7cj Distance from critical slope iYL+-'w ' ~~1 l ?
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 M C.S.T. # and other information
obtained from
(owner/builder). ,
Plumber's Signature -7 /-7q MPRSW# ~~/Ph ne
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
<y
~r w
Do Not Write in Spa Below FOR DEPART NT SE ONLY
Date of Application C~ l Fees Paid: State z~ ( Cgouy ~JZ Da
Permit Issued/--(date)' //l" !=t Issuing Agent Name
Inspection Yes11(jNo 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 6/1/76