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Parcel 020-1131-60-000 08/25/2006 05:11 PM
PAGE 1 OF 1
Alt. Parcel 19.29.19.630 020 - 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 - AYTAY, ARTHUR JR & FLORENCE
ARTHUR JR & FLORENCE AYTAY
869 STRAWBERRY DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 869 STRAWBERRY DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.140 Plat: 2516-STRAWBERRY POINT
SEC 19 T29N R1 9W STRAWBERRY POINT LOT 6 Block/Condo Bldg: LOT 6
ASSESSMENT INC 020-1046-40
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 562/43
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.140 56,400 217,200 273,600 NO
Totals for 2006:
General Property 1.140 56,400 217,200 273,600
Woodland 0.000 0 0
Totals for 2005:
General Property 1.140 56,400 217,200 273,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 217
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1131-70-000 08/25/2006 05:11 PM
PAGE 1 OF 1
Alt. Parcel 19.29.19.631 020 - 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
ARTHUR JR & FLORENCE AYTAY O - AYTAY, ARTHUR JR & FLORENCE
869 STRAWBERRY DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 867 STRAWBERRY DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.120 Plat: 2516-STRAWBERRY POINT
SEC 19 T29N R19W STRAWBERRY POINT LOT 7 Block/Condo Bldg: LOT 7
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 562/43
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.120 55,900 0 55,900 NO
Totals for 2006:
General Property 1.120 55,900 0 55,900
Woodland 0.000 0 0
Totals for 2005:
General Property 1.120 55,900 0 55,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
t
• AS BUILT SANITARY SYSTEM REPORT
T0,7NSHIP rrr~i~Jx o . SEC„ 1 y T:_ ~r N, R / f
ADDRESS 7 , ST. CROIX COUi:TY, WISCONSIN.
DIVISION y ri,r~ tj_-~-1 t LOTLOT SIZE /
PLAN VIEW
Distances b dimensions to meet requirements of H62.20 6,3
SHOW F%r RYTHING WITHIN 100 FEET OF SYSTEM
, I
- - - 1 --I- { - - - - - _ 1
rry 1t I i +
_4
i I
__j _
-
I I ~ ~ I I I , i i t I I r
f f i ! naicat.e North Arro j
I z _ t ( v~. _ ( - SCALE: `rIC TANK(S) i < c-` ITFG:?. CONCRETE STEEL G f- a~ 5c,` 4t
NO. of rings cn cove:. / - Depth- DRY WELL
ICHES NO. of width lenpth area
no. of lines j _ wi.dth_ -length .-5 w. area
depth to top of pipe- j
;,ECAfE
AREA KEQu1;ZED z AREA AS BUILT
;claimer: The inspection of this system by St. Croix County does not imply complete
C'Liarce with State Administrative Codes. There are other area;; that it is not possible
inspect at this point of cons ruction. St. Croix County assumes no liability for
:.:gem 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
PELTED PLUPfBER ON JOB. Xj' ,
LICENSE NU1fBER--7
z REPORT OFr INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i.tany Putm.it
' State Sept.ic4`
• i
NAME t.~ r i ownshi p St. Cnoix County
- I-- i.
Location Section
SEPTIC TANK V
Size i f. gattonz. Numb en o6 Compantment.6
DiAtance Fnom: WeU 120 on gne_aten z.iope t
Bu.itd.ing t- 6 Wettands ~ •
H.ighwaten_bt.
DISPOSAL SYSTEM
Distance Fnom: We-e jL ; 6t. 120 on gxeatex zZope
Bu.itd.ing fit. GletZands Ft.
Highwaten
FIELD DIMENSIONS:
Width o6 trench N. Depth o6 no ck b eZow tiZe_Z -in •
Length o6 each .tine 1 o St. Depth o% hock oven tiZe -Z--in.
E
Num6en o6 tines ine~s Depth ob tiZe beZow gnado Z4 in.
I
ti.
-pen 100
5
~ TataZ .length o4 ttinez bt. S.2ope o~ trench .in
Distance between Z ines 4t. Depth to b edno ck it.
Totat ab~s onbtion area ' ~t2 Depth to gnoundwaten 6t.
Requixed area 6t2 Type o~ Coven: Paper on Straw
PIT DIMENSIONS:
Number o6 pit/s GnaveZ around pitzs ye6_ no
Ou;t6ide d.i..ame n -6t. Depth below in.iet
2
Total absotbt'on' area'" 6t A
2
Axea !'nequi. Led ~t rn
INSPECTED BY'! TITLE
APPROVED , DATE i` 19 7.
(1 4-
REJECTED DATE 197
r EH 11 5. -
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
, REPORT ON SOI L BORINGS AND PERCOLATION TESTS
LOCATION: , /4, Section -/!J-, TdYN, R Z~ & (or&.' Township or Municipality
Lot No. , Block No. 5_klAto Y l~r~ County
bdivision Name
Owner's Name: N f= y TA Y ; i
Mailing Address:// 76 r] 1~il . /.~~.'f -<'Yyc),L
TYPE OF OCCUPANCY: Residence . X No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS )-PERCOLATION TESTS
SOIL MAP SHEET --S-2 SOIL TYPE P^ F'e 164e i Z
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
P /
S4' /5c7✓e Dj1 L ~O (2 4 + S
fs~
P- 3 go
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- / O S' xlU~t( -;79j( a 7-5 S. [ S > yY S -t Ck r.
B_ 12. ,(S
> g Z s S ,t G~
PLAN VIEW (Locate perco lat ion tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and squar feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy .~s~ ouzo ru h'~ Fa-- Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
I ,
G n t 1
.94
; S t t E t f i I i I f ~ i
wxd L..t E
N
__._.~Y_.._....~.... _ _
E I F T
y - - - r-- } 1 }
1 3 3 ` ; S s n' '
~ trr Y
I i ~ l11 r i
Nt3C`v - Ccrf EAf~ o F / F4/ t1s`S C~o.ar~s ~,cf Fn. c~ v~ S/r/yw' ~3errY Or. v @ CG?~° Q'fQG ,Z Zt/ifh
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with 4e procedures and and methods specified in the Wisconsin Administrative
Code, and that the data recorded and location of test holes are correc
`r-.3C~•S
to the best of my knowledge and belief.
Name (print) / e,uu~'s ~lr•~ o t'r Certification No.
Address ~~1~ I•-~~ ~'~r e
Name of installer if known
CST Signature
w'OPY A - LOCAL AUTHORITY
~ • Y
PLB67 State and County State Permit # - t
Permit Application County Per
for Private Domestic Sewage Systems County, r 1
*DENOTES STATE APPROVAL REQUIRED <
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
,4,r 14 V ~'CL I -J r. / x/'10 '7 ,
B. LOCATION: G)%, Section _Ly_, Tl' N, R_Llq~ ~ (or) 0 Lot# 40 City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township uUSc+/1
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family s! Duplex No. of Bedrooms 13 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher ( YES NO Food Waste Grinder YES_C NO # of Bathrooms R
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY /om Total gallons No. of tanks _-L
*Holding tank capacity Total gallons No. of tanks
New Installation X Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify) _
-PFLUENT DISPOSAL SYSTEM: Percolation Rate 1) , 2) . j 3) „j Total Absorb Area-sq. ft.
".w~ Addition Replacement *Fill System ~'~p~i/"e~>:ured
S Lepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
; epage Bed: Length -3(~ Width /L9< Depth ..3c.: Tile Depth No. of Lines _3
ii
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land. Distance from critical slope _
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
''':%isconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
t)v the Certified Soil Tester ,
l,?.AME / lq ei' C.S.T. #s= /J yand other information
htained from (owner/builder). r C J t,
04r A L" ALV
'lumber's Signature MP/MPRSW# s~Phone
Plumber's Address otl~4,
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
I H62.20, including well).
111.
Ctu 7-k A
(r%ti~ l r, T
v
~/o e
IJ
f
.001
,o~Ci~~ ~rIu
EL = ix~ w~i rv~a~ ACS s~1e e
Do Not Write in Space Below F R DEPARTMENT USE ONLY
,p y
Date of Application ~/j,r - Fees Paid: State Co nt CC~ Date
Permit Issued/Rejected (date) Issuing Agent Name
Inspection YesNo 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)