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Home My WebLink About020-1067-40-000 0(4 o g '9 n p o _ c co o m 3 fD m v 3 m m 0 -s o ° o o s a a o C • (D O 3 (D W N N co zI c N z (7 V+ N O O O ..y Q (o T- CO ° 0) U) . -j N Cl O (n p N A O O p n 7 CD O :E -4 C 0 < O ~ O (n ~ CD ,1 3 N co - O Q N_ N N ~y O (mil O N (n CIO CD A A C CO (D O N ~ N Cp d c o o o C 0 O G' a (D a co o o (D o o C N °y o c c Q fl) Z c~vl o 3 o f D n a) Vin.- vvvA o o ~ m o w o v rn 3 `I N Q. N (D a ~ N z o zz m a > CD Z Z) O :T "fti o CD CD N N CD N C 0 (D N G CD (D w (p a a 3 z (D (6 -j cn o _ p Z m c K A Z O v CL 7 Cl) o' co v m N A co o - I z 0 3 A CX 0 co N .r C z C (D A W F N o D ~ o N O T N' - ril C Oo O~ Z d W O N N (D N N O p 61 d ~ CD O~ O x a O cn 3 w a X- ~ m CD cn w a o v, o A o ,b N CD A W < A J 0 CD Ca- o Ca Parcel 020-1067-40-000 05/13/2005 12:19 PM PAGE 1 OF 1 Alt. Parcel M 24.29.19.257F1 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 ROBERTS, ROCK E & CINDY S ROCK E & CINDY S ROBERTS 826 BADLANDS RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 826 BADLANDS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.010 Plat: N/A-NOT AVAILABLE SEC 24 T29N R19W SE SW LOT 1 CERT SURVEY Block/Condo Bldg: MAP IN VOL III PAGE 658 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 850/125 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.010 54,000 142,500 196,500 NO Totals for 2005: General Property 2.010 54,000 142,500 196,500 Woodland 0.000 0 0 Totals for 2004: General Property 2.010 54,000 142,500 196,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT , ?RW A OWNER -~'`t"-~-' TOWNSHIP SEC. TN P.O. ADDRESS. , ST. CRO X COUNTY, WISCONSIN .-e~--_,i SUBDIVISION , LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM < • 3 S`j, I y SEPTIC TANK (S) r.~ MFGR.C. i..rl -CONCRETE STEEL N0. of rings on cover Depth DRY WELL TRENCHES NO. of width length area BED no. of lines_ wid_h lenth7 area „ _ZLL apt to top of pipe AGGREGATE - ' L~ r PERK RATE AREA REQUIRE-? AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure, GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSPECTOR - C 7 DATED PLUMBER ON JOB L lit r= -T--- L1CEP SE NU. ? 1 e I 1 _ ~ z -4 REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itaty Penm.it • f State Septic >'f 1 ~ NAME (ownship S;t. Cno.ix County Location Section i SEPTIC TANK Size 9attonz. Numbers of5 Compantments i sue. Distance Fnom: Wett 120 on grLeateA .6tope ~t i Bu.iX ding tit. wettands i 3 H.ighwaten - 6t. DISPOSAL SYSTEM i Distance Fnom: WeZZ 6t. .12% on greaten 6tope 6t. BuiZd.ing =6z. w et.2and/s - Ft. • H.ighwaten 5t. FIELD DIMENSIONS: Width o4 .trench 6t. Depth o6 tLo ck b eZow tite in. } Length of each Zine L? St. Depth o5 rock oven tiZe .in. Numbers o6 Zine~s Depth o~ tiZe below gkade in. Total length o4 Zinez t; a 6t. Stope o6 trench in pet 100 fit. D,is Lance between Z ine~s 6t. Depth to b edno ck ~/t• f• Depth to gnoundwaten fit. Totat absonbtion area 6t2 Requited atcea 6t2 Type o~ Coven= Papers ok Straw PIT DIMENSIONS: Numbers o6 pits Gnavet aAound pitz ye/s no Out/s.ide d,iame en Depth below .inlet 6t. 2 Total abzanbr 014 vla 6t A l Area nequiAed ~t2 INSPECTED BY TITLE APPROVED DATE 197 REJECTED DATE 197 i K State and County Permit # ~C3 PLB67,- V Permit APPlication County Permit # _ oZ AP for Private Domestic Sewage Sy e County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNTR OF PROPERTY Mailing Address: B. LOCATION: V-' Section s2 T~ N, R f--'~ E (or) Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) _*Variance Single family Duplex No. of Bedrooms `~j 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 d ? Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation -Addition Replacement- Prefab Concrete Z - *Poured in Place -Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3► _,eTotal Absorb Area 7~ "Q sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches S Seepage Bed: Length Width Depth Tile Depth No. of Lines 19711 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 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 ~Q i,1TC~, it e G(/ ZL ~f C.S.T. # 9~and other information obtained from (owner/builder). Plumber's Signature a &A- 04 P/MPRSW# Phone # Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). i r r- l 1 I r be C, Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State County >t v Date Permit Issued/Rejected (date) issuing 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 EH, 15 • WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES f w DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH \q~Z`•, P.O. BOX 309 y' MADISON, WISCONSIN 537011 R ~~I REPORT ON SOIL BORINGS AND PERCOLATION TESTS rf `~~(J LOCATION Section Z+ , T=ie N, R L`_ E (or W, ownship or Municipality 1 Lot No. , Block No. County Subdivision Name Owner's Name: r.7'0r'7 Z4 Z - /V 'V Mailing Address: TYPE OF OCCUPANCY: Residence -V_- No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW Ii,/ ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS ~YV SOIL MAP SHEET S SOIL TYPE Ofd /"I 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- C CAL ~ / C~ i.i - - S'T~ ~1•-` ~ i P- ! L H ° S j I" r Q G r~ t? s jc, £ U 3 Y r f ~C rn, c n C, rv h vsa jv n.. 01 SOIL BORING TESTS -1. TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B_ S 7~ iVolve' J -7-~ 0- `'?"S --7Z_' ` a i. . 7 ¢ - c C c I P- ? 61-s Z (v c'- G c r. S- >TS r - B- . i~ 0_7 -5- Z-7 s 6; 3-17zl- i 7 G Lu - 7Z cS a- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) f 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. 5-4-PA(--~ 1)1~,E sec rj - hQ X 3 7tao Sz'~T"• Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. LA 0 O'2 I z ~i `"oz~ N TE C. M L v~ r 41-_ 4 0 t pl{ f _J 0 ;o 6 :z;5 7 E p 7 f 1, 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) Certification No. Address It z.~ Le-"4:7 Name of installer if known ' L ! _J L, v CST Cgnature COPY A L^CAL AIsT: iO~ i7y r I - ~ a- ~Od f~ ~ ~ _ , EW 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SEN. DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEAL P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: 5_E__'14, SW '4 Section 24 , T29N, R 190M _W Township or Municipality Hudson Lot No. 1 Block No. C . S . M. Vol. 3 - a e 658 County ~St _ C1Q X Sub ivision Name Owner's Name: Steven M. Johnson Mailing Address: 52 Cemetery Rd. River Fal Is., Wi sconsi n TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW XXXXX ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS May 30, 1979 PERCOLATION TESTS May 31, 1979 SOIL MAP SHEET No. 59 SOIL TYPE Burkhardt Sandy Loam 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- 1 38 12" sl Ts, 20" Is, 6" brns 20 no 10 2 1/4 2 3/8 2 1/4 4 P- 2 38 13" sl Ts, 23" Is, 2" brns 20 no 10 1 5/8 1 1/2 1 9/16 7 P- 3 36 13" sl Ts, 21" Is, 2" brns 20 no 10 1 1/8 1 1 10 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- 1 74 none 74 12" sl Ts 20" is 42" s+ " ii sl TS, 23 is, 3 72 none > 72 13" 1 T 2 is " + 4 72 none > 72 14" sl Ts, 22 Is, 36" s+g 5 72 none > 72 14" sl Ts 21 is 37" s+ -6 72 none 71 72 15" sl Ts, 23 Is, 34" s+g PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate umber of square feet of absorption area needed for building type and occupancy. 750 ft trench, 945 ft bed Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 22 " This l isl a er n f a -bprei hose t elves igation,irli-d 1~2- 9 se attache ~...pekc tes ts_ - - , Co y} . It -waS- byfow er' ~n l A Elevatio` ~ le at on~re plumber that locating system~on`West red of ow r l oxj s de of house was dOsirab~ rom a?~ 3%~ Scale!: 100 ~ Stan po nt~ I a 10 __.;...._.....i - 7t x 1St 1 ' I _ ed DA - rile=_.___ _ 1 I 34 - - { r- I ! 1 I f J~94 { _ ( N 5 t ~ f ` i I i I Iwell 1 ~ ~ t i # j ' C I I ;43 I l i I_ ~ I t { ; • I Section 2 i 4 _ i l _a1a11.ds , - dwn Rd i~ 1, the undersigned, here y 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) Roger A. Swanson Certification No. 55-606 - Address RR5, Box 124, River Falls, WI 54022 Name of installer if known Calvin hTWR - c1• CST Signature AUTHORITY 1 115 'EN WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 t?i_ MADISON, WISCONSIN 53701 v- REPORT ON SOIL BORINGS AND PERCOLATION TESTS ✓p Fi rr( Y LOCATION: __.-_'/4, Section T.__N, R E (or) W, Township or Municipality ltlfyrt Lot No. Block No. -----------_County Subdivision Name - ~ fir- ~ Owner's Name: - ; ----.y --1iti;~~ Mailing Address: - ~ t TYPE OF OCCUPANCY: Residence No. of Bedrooms Other - ` -REPLACEMENT EFFLUENT DISPOSAL SYSTEM: NEW , ADDITION DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET SOIL TYPE - ( PERCOLATION TESTS HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCH E-- RATE R TEST DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL NUM- INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3I "''SIN I'' BER y - li P- P- 't P_ SOIL BORING TESTS - - TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES 1 NUMBER INCHES (DEPTH TO BEDROCK IF OBSERVED) OBSERVED ESTIMATED HIGHEST B- 41 ~B- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) i Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area Indicate scale needed for building type and occupancy. - or distances. Give horizontal and vertical reference points. Indicate slope. , 4' 4.41 ~ ~7 1. I ti 1. 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 j to the best of my knowledge and belief. i i 1 No. Name (print) Certification _ t Address - a Name of installer if known - CST Signature - r BState and County ' State Permit. # Permit Application County Perm #Cj for Private Domestic Sewag ys r{as~ County `•u" *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: %e t^ . qAnseti B. LOCATION: 5 L~~ '/i Section Z!Y, T"N, R E (or) Lot# Subdivision Name, nearest road, lake or landmark Bikv# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons_ D- SEPTIC TANK CAPACITY_Zey) J 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. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 7 Total Absorb Area sq. ft. C 7-.;> News Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: > 3 ~._Length > Width-le_Depth Tile depth (top)_raZ...~_No. of Lines Seepage Pit: -Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land ~ Distance from critical slope WATER SUPPLY: Private K 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 ~v + ,:~t~.~+~fJ~'C3 bf C.S.T. # -4; and other information obtained from y (owner/builder). Plumber's Signature MP/MPRSW# 'CE'' Phone 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. ~2 95 m_ E E E i A "4 e- . s Q _ s • 1 ~ I i J Ali j~t r Not Write in Space Below FOR COUNTY AND ~STATE DEPARTMENT USE ONLY -f Application ~ j Fees Paid: State f County C Date - jed/ . i. RejeetEd- (date) Issuing Agent Name \,_No State Valid# Date Recd 'e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 copy) 4. plumber (canary copy) Revised Date 7/1 /78