HomeMy WebLinkAbout020-1068-00-000
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Parcel 020-1068-00-000 05/13/2005 11:42 AM
PAGE 1 OF 1
Alt. Parcel 24.29.19.258C 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
* DUX, RICHARD J & SUSAN M
RICHARD J & SUSAN M DUX
898 BADLANDS RD
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 898 BADLANDS RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 5.610 Plat: N/A-NOT AVAILABLE
SEC 24 T29N R19W NE SE LOT 2 CERT SURVEY Block/Condo Bldg:
MAP IN VOL III PAGE 784 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 971/101
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/29/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.610 63,000 79,000 142,000 NO
Totals for 2005:
General Property 5.610 63,000 79,000 142,000
Woodland 0.000 0 0
Totals for 2004:
General Property 5.610 63,000 79,000 142,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 221
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Z
+ REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM l 7 ,
San.i-taA y Peam.i t
State Sep.tic_
NAME rownah-i,p S~. CAo.ix County
LocatioK Section
SEPTIC TANK
Sized ( ) gattons. Number of Compa,%tmen.tz~_ i
Distance FAom: We.f'.~ 12% oA gAea,teA 4topelm±-i,t
Bu.it dd.ng~ ~ Ul e t tandd
N.ighwazeA 6t.
DISPOSAL SYSTEM
Distance FAom: We.et .12% on gneateA 4tope 6t.
Bu.i.Cd.ing s.t. W ettand3 Ft.
• HighwateA St.
FIELD DIMENSIONS:
Width o6" .tAench f ~ SZ. Depth of Aock betow t.ite~I--in.
Length o each tine t. Depth o Aock ov_e)._t.ite cZ. in.
C) NumbeA og tines Dep-th os t.ite betow gnadej-&-in.
Totat teng,th o6 tinez- 6t. Stope a enc .in 00 it.
Distance between tinez it. Depth to bedAock gz.
Totat abzoAbt.ion anea4Q ~t2 Depth to gAoundwateA " 6t.
RequiAed aAea ~y~✓ 6t2 Type of CoveA: (Pap - n StAaw
PIT DIMENSIONS:
NumbeA o6 pits GAavet aAound p.itz yez no
Outside d.iameteA St. Depth below .intet St.
2
Toxat abzonbt.ion aAea {t Z
AA.ea %e4ited 5t2
INSPECTED B'Z TITLE-
k-
APPROVED , 4~".._*DAT _191,.
_
REJECTED DATE 197
01
EH 115 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
• WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
~ dE (or) W, Township or Municipality
LOCATIONAJC SK'% , Section _ ,L T YN,R
Lot No. Block No. r County
Subdivision Name
Owner's/Buyers Name: U X
Mailing Address:, y~^ J f (f eO; A 1lolj?"f# #yA-'S A--' ow 5. f /
TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS *01"'6 Zi 7 / PERCOLATION TESTS A/104/' 27 l y?y
SOIL MAP SHEET Y NAME OF SOIL MAP UNIT 5X9
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 AFTE INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- I 7F 7PEA17-1 (,,fi,L 7'V /5,
P- p d
P- /3"/-7N. i, l~-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B do~E 6 S,/ 2-,-) zl,ef se/ .50"Neo.s, 36"'C5
B- D O(/G'~t,~~ 7 f7" 4427v, S/`f 13-- L.yJ--" S/ '"`/~Aa. ms's ,~j,P.
B_ y .tv0 S1 / / °'11„1S,/ 70 t1.51 I,)," InEA5 36, "CS i ,P
B- /~Z?~E 7 y l/"J3nt. Sii. /.""O-RV S:t, S/
B- S" 72- N',E- SiL
B- I ~rV > 72 i °'1~•~1.aif 13"0 Jrf ;f 3 ''CS 2 2W,
PLAN VIEW (Locate percolation tests, soil bore holes and suitable so Indicate on the plan the location a square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances.
Give horizontal and vertical reference points. In ate slope.
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t e ~y x'11
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1, the undersigend, 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.
r~am~ (llrltit).. Certification No.
Address
Name of installer if known
~ ~
Copy A -Local Authority _ CST Signature-2--
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~a u,SC ~
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R State and County State Permit LB 6 7 Permit Application County Per
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: C] 6 1, C(Zr+~
S ~~IC? i•
r r in
B. LOCATION: (N P_'/4 r Section ;aq, T2~j N, R19 E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
T wnship
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _ x Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher _X_YES NO Food Waste Grinder XYES NO # of Bathrooms
Automatic Washer AYES NO Other (specify)
E. SEPTIC TANK CAPACITY o I gallons No. of tanks _j
*Holding tank capacity Total gallons No. of tanks
New Installation X Addition Replacement- Prefab Concrete X
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area H. sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length _ 51~! Width 4 Depth 0" Tile Depth _/5_"r No. of Lines J
,r
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land ti,,t 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, r _
NAME z~ .6 Q%tji C.S.T. # ~i ~Q~`lr'J and other information
obtained from /I- gi 3 (owner/b~de.4.
Plumber's Signature MP/MPRSW# NIP ~~-Phone
Plumber's Address S (-,H 01 C-, t,. Q ~ I S-1 ;,Lr, r 'L L C 5 1.4 i ~ i (P
PLAN VIEW: Provide sketch bellow of system (include direction of slope and all distances in accord with
H62.20, including well).
I ~
/ J >
IIG _ i
I,
~qt~
5,~ru
Do Not Write in Space Below FOR DEPARTMENT USE ONLY ~I,,// I
Date of Application ' c' Fees 7~ Paid: State C,0 Count Date c t
Permit Issued/R4j;s~ (date) - -Issuing Agent Names ' '
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)
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