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• `Parcel 236-2023-00-000 11/17/2006 01:31 PM
PAGE 1 OF 1
Alt. Parcel 236 - CITY OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
ORVILLE MAUSOLF O - MAUSOLF, ORVILLE
491 STAGELINE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 491 STAGELINE RD
SC 2611 HUDSON
Legal Description: Acres: 1.331 Plat: N/A-NOT AVAILABLE
LOT 1 CSM 15/4219 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/02/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.331 58,200 108,400 166,600 NO 00
Totals for 2006:
General Property 1.331 58,200 108,400 166,600
Woodland 0.000 0 0
Totals for 2005:
General Property 1.331 58,200 110,300 168,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 10/14/2005 Batch 05-33
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
"Parcel 020-1089-90-000 11/17/2006 01:31 PM
PAGE 1 OF 1
Alt. Parcel M 32.29.19.373D 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
ORVILLE A ANNEXED MAUSOLF O - MAUSOLF, ORVILLE A ANNEXED
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 491 STAGELINE RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R19W PT SE NE COM 1070.8'N Block/Condo Bldg:
& 353.6'W OF SE COR S236' W 240'N
320.3' TO S LN TN RD S 70 DEG E ON RD Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
254.2' POB ANNEXED IN 1621/221 32-29N-19W SE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
04/19/2001 643188 1621/221 ANNEX
07/23/1997 561/100
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/18/2001
Description Class Acres Land Improve Total State Reason
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M 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
SanitaA y Penm.it - J
• State Septic
NAME ownahip S$. Cno.ix County
Locatiow Section ~Z
SEPTIC TANK
Size gat onz. Number o6 Compantment6 j
Distance FAOm: Wett it. 120 on gneateA zZope it
Bu.itd.ing it. Wettand/ it.
DISPOSAL SYSTEM NighwateA
,
Diztanee F,%om: Wett it. 12% on gneateA 6tope it.
Buitd.ing it. W ettands Ft.
• Highwatet ~ .
FIELD DIMENSIONS: _
Width o6 trench it. Depth o6 Aock below t,ite .in.
Length o6 each tine it. Depth o5 Aock oven t.ite .in.
Numbers o6 tines Depth o6 tite below grade .in.
Totat .length o6 Zine6 it. Slope o6 trench in pen 100 it.
Distance between tine/5- it. Depth to bedrock it.
Total ab,s orbt,ion anea_ it2 Depth to groundwateA it.
2
Requined area it Type o6 Coven: Papen on Straw
PIT DIMENSIONS:
Numbers of pitz GAave.- around pitz yeas no
Out-side d.iameten it. Depth below .inlet it.
Totat ab~sonbtion anea it 2
A
Area nequiAed 4t2 (rn
INSPECTED BY TITLE
APPROVED DATE 197.
REJECTED DATE 197.
I
I
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
LOCATION: '/4 Section - ,T~N,R/ 9 E+yr) W, Township c~rAlFtrn~crp7rfity /TL' ~~`-'E"fit
Lot No. , Block No. County
Subdivision Name
Owner's/Buyers Name: Call IL =
Mailing Address: -3 7 S k-/ S C? i
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEWKREPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATI MADE: SOIL BORINGS 7Z7Z7PERCOLATION TESTS 717175
SOIL MAP SHEET 'lc NAME OF SOIL MAP UNITS I
PERCOLATION TESTS _
I~TEST J HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RATE
BER INCHES THICKNESS IN IF
1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-- SwE ,i~M D I %L A(ONC
P- Yz 'A( E
rr r r. Y) I/,L L C)
L
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B- I cl) f~nlE 4- ~3 t3F 'rV /O' S..L 17; p_1
B Z ~J {z C/vr 'y s r•, ' yL 'r' 71
l ~Y' - sr4 Q~1
B- ~OM G E C. R- i .t I 7 I 7 ice/ (7 `
SIC Sr s Zt` i~N S• ,9 F~:v ~7
41 -
B- ~ CND ~r P fv B ;L s r T' s. R _
B- cAtjE- iL t~ / S /c ; ► 3 . ..a S C=
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) 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 az-t-~) <'O' Pr .Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. ArP-1✓A / 7~F S T 4p> IN.. Cl C) 0 OF-1
vlc ~N~cl-I_ ~L. /GCS.
W RE
L
77 0 S
o
s Q OLD ~~~A~ ~c.SYSr 0
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N
4 4
PAR
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yyrZ N 3
Sn asLo tijZPtrc i`eP_ 92,Csa OL~ URY w6t46
7 i~ M o T"E w e C.~ ti to .y' ~ O t~ v rN -ru r_ 4- L C- E. L/w F
1G 3 Z_
1, the undersigend, reby 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] Arh!\ 9~j c- 14- Certification No.
r
Address ~ "Z- 2~
Name of installer if known
Copy A - Local Authority CST Signature ~d
PLB67 State and County State Permit #
~
Permit Application County Permijivj~
~r
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:
L~ ~ AAAoSCj1=F' ~ j f ~ i vaSc~r.! VJ1,
B. LOCATION: 4: '/4, Section -3 L T N, R/5 E--torn W Lot# City
Subdivision Name, ,G~S~,.`nearest road, lake or landmark Blk# Village
/
14 X > i ej- Township 4(.r Ds,-rn,j
C. TYPE OF OCCUPANCY: *Commercial *In strial *O er (specify) *Variance
Single family- Duplex No. of Bedrooms L~ No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YESNO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY ota gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation K_Addition Replacement- Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) I 2) 1 3) 1 Total Absorb Area ~X sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length
-Width Depth Tile Depth No. of Lines 3
7 4'
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,
NAMEtt«5 r. ~?o ci. G H C.S.T. # wand other information
obtained from (owner/b, 11cler).
Plumber's Signatur 1 - MP/MPR # c- ~ Phone #J ~ S
Plumber's Address rly - Lei C ~i/mar-'
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
Ta=r- _
J~.--Zo \,~,u
Do Not Write in S ce Below IN OR DEPARTMENT USE ONLY
Date of Applicationk-f , 7 Fees Paid: State Cou Dated ~
- (date) Issuing Agent Name~~ 1±
Permit Issued/ I j } 1,
Inspection Yes No Valid# Date Recd
1. county (whi a 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 J