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Parcel 020-1141-20-000 08i28i2006 08:21
PAGE 1 OF I
F
Alt. Parcel 19.29.19.723 020 - 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 - KIDDER, KELLY P
KELLY P KIDDER
893 AUDUBON CT
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 893 AUDUBON CT
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.149 Plat: 2167-MALLACOVE
SEC 19 T29N R1 9W MALLACOVE LOT 18 Block/Condo Bldg: LOT 18
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/02/2002 675161 1865/295 WD
07/23/1997 1109/323 WD
07/23/1997 696/499
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 1.149 56,600 137,800 194,400 NO
Totals for 2006:
General Property 1.149 56,600 137,800 194,400
Woodland 0.000 0 0
Totals for 2005:
General Property 1.149 56,600 137,800 194,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 308
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
I)OUER 10 TOWNSHIP 1 b:t,aN SEC. T ` N, R _ cam'
0. ADDRESS,2tiCi (,C tj 1 T M j'"C , ST. CROIX COUNTY, WISCONSIN.
- i?DIVZSZON d11 C_ Cs l- LOT LOT SIZE .
PLAN VIEW
Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
S F' t(!- I ! i j j ~ i !
- I
_ I
IN
I
I
'Ak
~
I ~ ~ ! v I I I i r
i
I I Indicate North; Arrow
S CALF LL'
'PTIC TA TK(S)_-1 MFGR. ) _C' t_S CONCRETE X STEEL
N oz rings/, cover Depth DRY WELL
tINCHES NO. of _ width length area
no. Of lines width /y/ length _3.:;/_ area 41
depth to top of pipe A?
GIIEGATE S //•e' i)
';W' RATE AREA REQUIRET? z~ AREA AS BUILT rp 0
isciaimer: The inspection of this system by St. Croix County does not imply complete
ia~-Dliance.with State Administrative Codes. There are other areas that it is not possible
0 i.nFpect at this point of construction. St. Croix County assumes no liability for
,4Stem operation. However, if failure is noted the County will make every effort to
terrine cause of failure.
tSASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
-'INSPECTOR
DATED PLUTT,[BER ON JOB, -r
LICENSE NUMBER
I
r
RFP0P,T Or" IT1SPrCTIO'_1--Xi1DIVIllUAL SE1,1AGE DISPOSiV., SYSTEM
Sanitary Permit
r State Septic
"'A, 1E
' - - T&WNSHIP al
-
t. Croix County
SEPTIC TA'?S;
Size gallons, umber of Compartments
Distance From: Tell
ft. 12% or greater slope ~i.
Building `ft ./J2 Wetlands
Highwater ft.
DISPOSAL SYS 17,11 Tile Field or Seepage Pit(s)
Distance From: Well ft, 12% or greater slope $O,"`ft
Building ft. Wetlands f
FIELD :,ighwater ft,
Total length of lines ~ft. Number of lines Length of
each line ft. Distance between: lines ft. Width of the
trench ft. Total absorrti.on area
sq, ft. Depth
6 1A
of rock below tile ZZ in, Dp-pth of rock over tile Z in. Cover
over.xoclc,
t.,r Depth of tile below grade in. Slope of
70
trench min per 100 ft. Depth to Bedrock
. ft. Depth to
ground water ft.
PITS
Number of pits u Piameter ft. Depth below inlet
ft. Gravel ar A n p t __-_yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
Square feet of see _.e n t are required
Inspected 1;y: Title':
Approved f ' ,r , _ Date 197
IF z
~;PF
Rejected Date 197.
G .34
. L~
.'moo
1,10 t~
EH 115
• WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
` DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
ry MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION:'/4,/-, Cf~:%, Section d-, TN N, R&4,(o06&_&wnship or Municipality
Lot No. , Block No. County
L
O 9 Subdivision Name
Owner's Name: z n 15e-c vy-,&,e/ /
Mailing Address:' Liz irr / 1. & .S A s-v, Axl
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS ~•z PERCOLATION TESTS'
SOIL MAP SHEET SOI L TYPE f3 f 1i~• .1 c'/Irzy ~t
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 ! 2-
vs 5,e " J~ P-
Sce /V, __3 7L /t
/ C
P-_3 xc,e /f/10
1 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- L c,;.( _ 7 rs/ ["r y,f, ^,((s
`3 -rs y - /:/o S StGs f t.1, x y d S
B- 3 IVCA-d e 3, "r5, X 5, 1,2 S%Cv 'Yd~ s
B_ S yG` ~1~~/~L-%•~Tj/ /~~TC~ ~Sc:~s tev
C-, y~~ Oht' c - 7 t E " .3 " l`S
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square eet of suitable areas. Indicate g r of square feet of absorption area
needed for building type and occupancy. /,S/- P/ Gc E% - r .c am .Erb '-v Indicate scale
or distances. Give horizontal and vertical reference oint.,I d~~ei, ape.
3 I ~ f I f } y i
t i, v
5
I ! Cli, f
-All 412
- I GC
41-14
11*7 L ~ I S
p I
f i{
~ I llff! ~ ~ t 1 ~ IE ~ f IIIt f
i 1 1 I_ I r f 5~ h
ICCS • i
t _ 11 S
r f ,
11 f
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.
`1
Name (print) ' -ILL! Certification No.S
c S, c`1
Address Z&6 /S ~ 4i 11el IV" A
Name of installer if known
CST Signatu
OPY A -LOCAL AUTHORITY
r
PLB67' State and County State Permit #
Permit Application County Perm t .
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: li;,t,, '/4 v C Y4, Section /!57, T e N, R E (or) M Lot# , -City
Subdivision Name, nearest road, lake or landmark Blk# Village
c o F- Township l)5 p i -
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _ Duplex No. of Bedrooms No. of Persons'
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES J< NO # of Bathrooms--
Automatic Washer 'K, YES NO Other (specify)
E- SEPTIC TANK CAPACITY Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks
New Installation -Addition- Replacement Prefab Concrete Y.
'Poured in Place - Steel Other (specify)
4- F_FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) r ~ 2) / 3) ~.Ic- Total Absorb Area % t. sq. ft.
New Addition _ Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width DepthTile Depth 7 E+~' No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land I e: V t l Distance from critical slope r
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 ~!\~i j /71~I 4lI 'LIT C f Se C.S.T. # e-,~~~f.~`~ r; and other information
obtained from = owner/buiHer).
Plumber's Signature MP/MPR W# Phone
Plumber's Address v
l c
~J o \A
PLAN VIEW: Provide sketch below of system (include direction of slope; and all distances in accord with
H62.20, including well).
L
.
i
C
LLbC
Do Not Write in Space Belo OR DEPARTMENT U ONLY
Date of Application 7` Fees Paid: State Count Date
Permit Issued/Rejected (date) ♦ ` r' -Issuing gent Name
Inspection Yes No Valid# Date Recd
1. county (wh 4ecopy) 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