Loading...
HomeMy WebLinkAbout020-1140-60-000 o m f 01 ° t:~ m c ' 0 9 M v m # ° ` 1 m v v o w o c `C• c, 3 O O tD Q) CD N CNp ~I n n n` M V 7 O c W W co a O ^ N d j N fll N N j .y \ 1 C) CL 0 0) O COD (CD N n W ? 0 ~O1 3 N ~ O O l~ O O 0 n O v u> D a c m o N a o 3 O o °a V co a nr ` _ CD L N CVD CvD p N O c z O O O rr N N i ~lwf r-3 7 mm a a a CD D '_NO vi = C a mod. N N 0) CD N A a ~ N z z W z O D CD a o Z (D N O O V7 C CD C. O (o N w n n 3 ET z m co to o A z ~ v n a Z G7 a. W m N f0 CL - z 'o _ -91 ;o Z y < z N W D a ~ o - z a O (D N y'y O A a II N N O O a A N a b CD O a o C> 0- I Parcel 020-1140-60-000 08/28/2006 08:16 AM PAGE 1 OF 1 Alt. Parcel 19.29.19.717 020 - 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 - PENFIELD, JAY P & CHRISTINE A JAY P & CHRISTINE A PENFIELD 358 AUDUBON LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 358 AUDUBON LA SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.613 Plat: 2167-MALLACOVE SEC 19 T29N R19W MALLACOVE LOT 12 Block/Condo Bldg: LOT 12 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1129/316 WD 07/23/1997 1129/315 WD 07123/1997 764/449 07/23/1997 720/267 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.613 67,600 175,300 242,900 NO Totals for 2006: General Property 1.613 67,600 175,300 242,900 Woodland 0.000 0 0 Totals for 2005: General Property 1.613 67,600 175,300 242,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 208 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT TOWNSHIP SEC. T~ 11, R W 0. ADDRESS s , ST. CROIX COUNTY, WISCONSIN. 'DIVISION Nom, LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM AL, ( 19f) I i is -I - - ~ -____j -r-__ ~ ; ~ - ' -~----t------ i 1 -1 i , i l I i i I ' I i I r I I i t I ~ i I ~ II - - -t - 1----- ! ! I Iiidicate North Arrow - - - - ! ~ f- - - - I SCALF L 7C PTIC TAN'IK(S) MFGR. _CONCRETE STEEL NO. of rings on cover _ Depth DRY WELL INCHES NO. of width length area no. of lines_ width length area depth to top of pipe GREGATE _ ' RATE AREA REQUIRED / AREA AS BUILT i sciaimer: The inspection of this system by St. Croix County does not imply complete rpliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for tem. operation. However, if failure is noted the County will make every effort to ermine cause of failure. ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.- --INSPECTOR r DATED PLU:fBER ON JOB - - LICENSE NLILBER z REPORT OF INkPECTION INDIVIDUAL SEWAGE SYSTEM Sakti taAy Pvun it State. SepticO02 ,7 _ NAME iownehip Cnoi'x County Location ~f/ Section SEPTIC TANK e Size t7 ! ga.ttons. Numbers o6 CompaA,tments A j D.ustanee FAom: We.L.L 6t. 12% oA gAea-te.A 4Zope 6t Bu.itd.ing 6.t. WetZandA 6t. H.ighwatvL bt. DISPOSAL SYSTEM Di..atanee FAom: WeU '?h S 120 oA gneateA 6Zope 6t. Bu.iZd.ing ~ 6-t. wetZands Ft. H.ighwateA 6t. FIELD DIMENSIONS: Width o6 tiAen ch _6t. Depth o6 Ao ck below t it e_~ in. Length os each tine ~y 6-t. Depth o6 Aock oveA Cite .in. j - NumbvL o6 Zine~s Depth o{ tiite below gAade J in. Totat .length o6 tines St. Slope o6 tAench in peA 100 it. Distance between Zine/s t: Depth to bedAock 6z. f z. Totat absoAbtion aAea F ~ti2 Depth to gnoundwatvL - ~6t. t , - 2 _ RequiAed area ``p 4t Type o~ Coven: Pape& oA StAaaw PIT DIMENSIONS: NumbeA of pits ~v ! GAavel atLound pitz yeas no Out-side d,iameten 4t. Depth below inlet 6t. 2 Total abzoAbtion aAea 6t A AAea Aequited 6t2 INSPECTED BY TITLE APPROVED , DATE- 197 REJECTED- DATE 197- i EH 115 ` WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 r. ~~¢¢REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: Section i' % , JT't9N, R ~ E (or) W, Township or Municipality H UDSC? Lot No. 1Z , Block No. _ 1~/4lCOU,6- SU~,DiViS16N County /I'1 7,., Subdivision Name / Owner's Name: d AA~~ Mailing Address: L'`EA) FZ~J Gi¢,~EL ~~ts'v 07/ ~f TYPE OF OCCUPANCY: Residence A No. of Bedrooms 7 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS~RiL 9n/f ,f PERCOLATION TESTS /4 7 / SOIL MAP SHEET-5-'e'5 -6 _ SO I L TYPE /'.~►2t p~~4iiV F~ ~ l~~}/`T Y -5r4NZ> 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 AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P-l ~ 9 RN, 5 , 2 7 ` ~ti'-~l~eQ Nor 3 ?rIek S. ~VEC'ESS. / ~ //Z P 2- 34, ~3A✓, S. T5, 2-?' 4W -,Pelt 3 / /6 P-3 36 j 31 11 5'10111 3 5 W 1,44- 5 r 1 /6 j 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) B 7~ /~l~,V a 72 8"i$nr g ,.R-Bno l1'tD• 5 26 -0 5 2 -0, 3 Gr.. Z " ONE 'fjN /S -r5 13Ai V4-,0, S S "D. S -Na GrAW , 417' w;H, r, B 1o'k' . 7 11,6D S 0 lie y y 4104)E- "/3 . /S TI I "*R . * d : 5 „ O. s 20" d • 5 Gir. B S Is S m P S -S, " d.5. Gr. 6 "lino. fs 'T to„R rnek S °'p.5 360 0.S. 3 Gr. 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. 6&0 FOR 'oViCA ~20 F 0'< 844E Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 1 ~ S E j D bPRCps_ ~'~3~~ E ; f i L iT L i _ GS - ~ IRT W 4 h RE ; Pr6 i1 J i 1 P9FIMA~ EAST 0,Vh IOAJ 3 ~'t = UTA 4 B d?cJ ? I ~ , 8 ;per z ~ ~~Pc~`[l ~~Aj+>FR I~ I I yes ` / Nupo L/4X1E 1~QRtl~ dF.A~bo[3oN i M t~ N 4A_ C-4ev Tidr~ o~ g ~''I Cab; t I 6C7 (ytEi3 C!am [3 iI yi S P14 } - - - - F - - - y`Tti r 9 . S DoT TEj> ZOPG t i I t y ~AC-65.5 ~AU~oly L-~ i ~S t I p t , I I i ~ I I T-A 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. _,Vhof 1? A 7- Name (print) Certification No. d N«L VI>s©ti 11WS Address k' ` ° Name of installer if known QS A10° 401S CST Signature ~ COPY A -LOCAL AUTHORITY GG 'PLB67 ` State and County State Permit # v Permit Application County Per7t # /11 for Private Domestic Sewage Systems County Ceti- *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: ~/v F-IV7-1, 5-(PC , C l IrXx" /,/,v/& B. LOCATION: '/4 y '/4, Section T N, R E „(or) W Lot# /L--City - Subdivision Name, nearest road, lake or landmark Blk# Village A A, (A il~ 0 (6' Township j&,d .~AIJ C. TYPE OF OCCUPANCY: *Commercial *lndustrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher t YES NO Food Waste Grinder YES K NO # of Bathrooms_z- Automatic WasherYES NO Other (specify) E. SEPTIC TANK CAPACITY 1 no(1 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) EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) -.3 3) Total Absorb Area Newt/ Addition _ Replacement *Fill System 1 Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenc Seepage Bed: Length _.5:Width / r Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section HF2.;?'. Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 E by the Certd Soil Tester, ~ NAME izlo /t Ise 11,_ C.S.T. # 5 '-7 132- and other inform obtained from wn builder). Plumber's Signature MP/MP$ZL# & /Phone #j~6 -C 1 4- Plumber's Address `72 9 @AJ `j d, /l1 r) ft/ pc:! es PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). P 1~o PC b 1 ~ J oco AL .ye- PT 1 C i ~ i l t Gr n, 1) .10 vt 1 Do Not Write in Spac elo FOR DEPARTMENT USE ONLY p Date of Application Fees Paid: State ~L00 Co'nty Date Permit Issued/ (ate) suing Agent Name Inspection Yes No 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