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Home My WebLink About020-1064-20-000 t 0 fn O 0 (n O 3 m 0 hh..~. v1 7 7 (`D 3 0 _ 1 K T K T .O ~ C T i CD 2) A 3 - 3 - "IVA :3- N N N O co Q p O cOii O CO (~O p a N N0 (D 3 O ID N (O C Q N O N 0 \Al O.. ~D a N N (D r7 N w O O ~ O ~ (D O (D O O N Q W- C7 3 C) 0 N A ^'Y C) -U n d d CD =3 3 O ' CD CL O O N 00 R l~ 7 N co 7 H 00 O O N N 000 C 00 R C !V a) n f D CD a m (n z D o. M (D cC CD a 2 cQ D a 7 co O C O C O C CL = O O Q 3 O Q Q n> O o N CD O N T ( O\ C F' C 8 d Z CD- CD -.4 (0 0 r- Cl) -4 -4 N 0 0 7 O 0 7 In C !V v z . T T T O O O z O O O 0 " Cl) Uri fn tai) C3) fin N C' a CY) D o F -0 00 0 in m -0 ~0 p F5, .~i rn 7 N 'a C) 0 cD ID (D 7-. CD (C) N < w 0) N _ 7 W O (D ~ z N Z 03 z z co o 0 O D a D O D Q O (n CD CD (D CD CD (D c~D v ~ ~ w c N. c CD C. w Q n 3 S 3 3 z (D (D -1 to O D O p Z CD c ~j Q A v n Z 0 z N A 0o v ca -V m a C a CD Z 0 3 00 z M <~< N z y z ? C w CD w (D i 0 0 2 (D S Q (D O _Q y_ n -.0) T 0 T - N C N v C OZ Q O O Q (D F O O N v, ~ cn N ~ ~ d O x ~ a w n U) cn n = 3 a D' N 0- a ti CD m C o 0 A O O O O O D A q (D D V O 0 O 0 oo 00 CL 00 G ` ,~a Parcel 020-1064-20-000 05/24/2005 10:42 AM PAGE 1 OF 1 Alt. Parcel 24.29.19.246A2 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 " STOCKEY, CLYDE A & MARIE CLYDE A & MARIE STOCKEY 898 HWY 12 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 898 HWY 12 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.420 Plat: N/A-NOT AVAILABLE SEC 24 T29N R19W NE NE LOT 6 CERT SURVEY Block/Condo Bldg: MAP IN VOL I PAGE 193 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 798/97 07/23/1997 531/271 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.420 49,500 105,800 155,300 NO Totals for 2005: General Property 2.420 49,500 105,800 155,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.420 49,500 105,800 155,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 310 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 * AS BUILT SANITARY SYSTEM REPORT • S~"OCIC E ER TO~rrfi~SHZP SEC. T N, R +I - ADDRESS , ST. CROIX COUNTY, WISCONSIN. T- r~~ :;DIVISION LOT~LOT SIZE CS M t PLAN VIEW QZ0-L0 Distances & dimensions to meet requirements of H62.20 G 2y(,/4 ,,a {-furZ SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM y ► 1 I i I I I j 1 I ~ I ~ ~ i ~ 1 j I j I I i J - - - J - - -~--E -1-- 1_ - - - - j 7, -i- - Indicate North Arro~~r ~ j TIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover J Depth DRY WELL -ICHES NO. of width length area no. of lines width r length area depth to top of pipe RATE AREA REQUIRED AREA AS BUILT claimer: The inspection of this system by St. Croix County does not imply complete 7)liance 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 ,-em operation. However, if failure is noted the County will make every effort to errine cause of failure. -ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. -'INSPECTOR • r FATED PLL':iBER ON JOB_ LICENSE NUMBER ;fir U.PORT OF IMSPECTIO`?--IIDIVIDUAL SE7MrE DISPOSAL SYSTEM Sanitary Permit State Septic TOWNSHIP j St. Croix County r~,,mIC TA"M S Sze" gallons . "'umber of Compartments Distance From: ?dell ft. 12% or greater slope - f' 7ouilding ft. Wetlands "sgter ft. DISPOSAL SYSTL.d'I V Tile Field or Seepage Pit(s) Distance from: ',te11 ft. 12% or greater slope ft 3.aildin ~ -6 ft. Wetlands ft I1~.4a F:B- -hwater ft . motal length of lines ft. Number of lines, Length of each line 'JLI ft. Distance between lines ft. Width of the trench _ft. Total absorrtion area LI-41 11, sq. ft. Dept':: of rock below tile J "Z in. Depth of rock over the Z-- in. Cover ` over rock jp` Depth, of tile below grade in. Slope of trench inner J170 ft. Depth to Bedrock ft. Dept'a to - c. ground water ft. P ITS' 'lumber of nits ~ut s i~4~dtameter ft. Dept's below inlet i ft. Gravel aroUY fitz~ yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Square feet of seepage nit ar,_@a" rgquired f.~ F Inspected b ~ ',=T-,,+ Approved Bate Rejected Date 197 PLB-67 State and County State Permit # Permit Application County Permit # ~ 42 - for Private Domestic Sewage Systems County - _ for STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # v A. OWNER OF PROPERTY Mailing Address: f yI)e s re) c xL L-A cl-Lif/AL- ~ B. LOCA ION: _.&,0_Y4 Na Section 1_1, T ,92N, R_1~2 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 _X Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY f4L;:~C~ 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 ,Aif Total Absorb Area rs 'Y, sq. ft. New- Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: X_Length 3~ ° Width -1'Depth 54• Tile depth (top) No. of Lines 3 Seepage Pit: Insidrre~~diameter Liquid Depth No. of Seepage Pits Percent slope of land- Z ,zC Distance from critical slope WATER SUPPLY: Private WJoint ❑ 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 e_, ',&z tt, ly Ile,- Z/ ;~X1,1,5' C.S.T. # l j 6l / and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# 32C~ Plumber's Address 1 I 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. CALL= ` 7L' 3 t j _ P E ; m...- N. m . m E r yyr` E - E ~ \n 4 E i I 3 j F /coo t _ a M. - a. G f i 3 ` . Do Not Write in Space _Below FOR COUNTY AND STATE DEPARTMENT USE NL~,' _ Date of Application y ;7- Fees Paid: State Count Date ~ - ~ ~ - 2 ;7..6x Permit Issued/Rejected (date) ;I -Issuing Agent Name , r s Inspection Yes No State 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 7/1/78 Plb 67 State and County State Permit # Permit Application County Permit # for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQL>IRED Date Approval Received from &ate if Required State Plan I.D. # A. OWNER OF PROPERTY S~Gk>F Mailing Address: B. LOCATION: lY4 Section 4.~(, T2-7 N, R / E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township j C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family k Duplex No. of Bedrooms No. of Persons_ D. TYPE OF APPLIANCES: Dishwasher - YES NO Food Waste Grinder YESANO # of Bathrooms_~ Automatic Washer YES NO Uther (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation -J Addition Replacement Prefab Concrete 14- *Poured in Place Steel Other (specify) IV F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area y~S sq. ft. New_ Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Length Width Depth 34 Tile Depth -2 y it No. of Lines _Z Seepage Pit: Inside diameter Liquid Depth Tile Size y Percent slope of land I~ Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrati e, and that I have sized the effluent disposal system from the EH-115 prepared by the ified Soil es NAME C.S.T. # and other information obtained from Z-Vvl---`(owner/builder). Plumber's Signature MP/MPRSW# I~S~3 Phone PLAN VIEW: Provide sketch below of system, (include direction of slope and all distances in accord with H62.20, including well). 3 ; G i \2- i E E • 3 E r d _ i t i F 4' Do Not Write in Space elow FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State , O 4 County Date r U / T( Permit Issued/R2jet Ett- (date) /O //74ai _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 3/1/75 EH 115 ~11-74) WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: '/4, Section , T_3 N, R E (or) W, Township or Municipality Lot No. , Block No. County Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET SO I L TYPE 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- P- 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- B- B- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. Indicate scale or distances. Give reference point. Indicate slope. I t N 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. Name (print) Signature Certification No. Name of installer if known Copy C .m Local Au"-Drizy 1