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Parcel 020-1099-90-000 06/08/2005 11:32 AM
PAGE 1 OF 1
Alt. Parcel 34.29.19.402C2 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
BERLE, DON L & BO SOON
DON L & BO SOON BERLE
12335 W 162ND ST
LAKEVILLE MN 55044
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON .
SP 1700 WITC
Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE
SEC 34 T29N R19W NE NE LOT 2 OF CERT Block/Condo Bldg:
SURVEY MAP IN VOL III PAGE 803 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
34-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
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 2.500 43,000 106,400 149,400 NO
Totals for 2005:
General Property 2.500 43,000 106,400 149,400
Woodland 0.000 0 0
Totals for 2004:
General Property 2.500 43,000 106,400 149,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
FORM NO. 985•A i (f~ "'°°~'(1° r-• „t
M,CMF,IIrCwrprry® ; Iii A,-
- ° y
0€"
C a L d F
L C' O IX QUNT ~ .
_tS
356996
CERTIFIED SURVEY MAP
UNPL.pTSF.IZ -L,-ANQS_
. . . . . . . . . . . . . . . . . . . . . . . . . . . . • .
cfl _
389°58E 150.35
S 89°56'20" E 150.33 In SCALE
et
19
Oo o \s 0 100 200 30C
`a
O
i W 7''o , o ~Fo 3/~s /
d E
M tS~ s i O
c
E o 'i 9,p
e ° - GARAGE C`
U QD
LEGEND
u CQ~
a HOUSE
o Y LOT 2 • 1" iron pipe found
m O 2.5009 ACRES 'A `~°05 20
~j R= 200.08' 0 3/4" X 24" iron bar set
N z° i M col o y12°
co County Section Corner
ol, w; OD Monument
~~a a rn ~0 NOTE; Slant lettering
00. ~ M
al a indicates recorded data
= I S 890 52' E 350.62' '
W; 3
N 1/4 Caner ,
Section 34
T 29N, RI9W J. NE-NE o
_(.0 Q
N W' z! NOTE: Lot #1 shall (r) 12 1
OD V c°,; have the right of I C)i
0) Q; op vehicular ingress Oi ; °Z,
W W: and egress onto Bake c~ w
MAY 22 1979
Road only and not o; JAMES ,
-00 CO onto County Trunk -
-It
cn H ; R•alii'y~ CONA`Ell 'A
00 p N LOT I Highway "N" . Cd U> I . a s►, C01 f 0e•d,
Z IN 2.4586 ACRES N M I Ld ; z (9 WI cong. ,
4 9
mIi•
3 :
S 87° 2453' W o
28.70 9?0 ?D
POINT OF BEGINNING ~~9o 7V
0
° 6 6,
50998035' E 01 S 87° 56'W 322.10' sa"
N 87°054 30° E S87°543011 W 322.Q5 S87°23~ ~~W
547.73' 2869 (D
tD
COUNTY TRUNK_ HIGHWAY 11 .
DRAFTED BY JAMES E. RUSCH
UNRLATTED LANDS PROJ. NO. 400-95
APPROVAL, Or i .E MiNV' R SU. D,ViSION
DOES NOT MEAN APPROVAL FOR
BUILDING SITE OR SEPTIC SYSTEMi
REFER TO H62.20.
1
APPROVED
MAY 1 7 1979
St. C.tO X I r :Volume 3 Page 803
COMP9EHENSIVd PARKS NLAN,,ING
AND ZONING COMMITTEE ,
Parcel 020-1099-80-000 06/08/2005 11:31 AM
PAGE 1 OF 1
Alt. Parcel 34.29.19.402C1 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
DON L & BO SOON BERLE " BERLE, DON L & BO SOON
12335 W 162ND ST
LAKEVILLE MN 55044
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON ! SP 1700 WITC
Legal Description: Acres: 2.380 Plat: N/A-NOT AVAILABLE
SEC 34 T29N R19W NE NE J- 1 OF BERT Block/Condo Bldg:
SURVEY MAP IN VOL III PAGE 803 ORD EXC
PT TO COUNTY FOR RD Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
34-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1004/433 WD
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 2.380 42,300 117,500 159,800 NO
Totals for 2005:
General Property 2.380 42,300 117,500 159,800
Woodland 0.000 0 0
Totals for 2004:
General Property 2.380 42,300 117,500 159,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1100-60-000 06/08/2005 11:23 AM
PAGE 1 OF 1
Alt. Parcel 34.29.19.403B 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
" YEALEY, DEAN A & SUSAN M
DEAN A & SUSAN M YEALEY
697 BAKER LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 697 BAKER LA~
SC 2611 SCH D OF HUDSON ~j
SP 1700 WITC
Legal Description: Acres: 3.010 Plat: N/A-NOT AVAILABLE
SEC 34 T29N R19W NW NE OF SEC 34 & SW1/4 Block/Condo Bldg:
SE1/4 IN SEC 27 AS DESC IN VOL 490 P565
ASSESSED WITH P308C Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
34-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 891/500
07/23/1997 891/499
I
it
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 3.010 46,100 140,900 187,000 NO
Totals for 2005:
General Property 3.010 46,100 140,900 187,000
Woodland 0.000 0 0
Totals for 2004:
General Property 3.010 46,100 140,900 187,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 137
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
y
'°tER t! ~ / TOWNSIITP 1, ~ 2_SEC. T ~VN, R Jd w
;0.' ADDRESS ~ ST. CROIX COUNTY, WISCONSIN
?DIVISION I.0.1, LOT SIZE !
PLAN VIEW
xY'. 4
,ivd
Distances b dimension:, to meet requirements of Ii62.20
" SHOW EVERYTHTNG WITHIN 100 FEET OF SYSTEM
1 .
TZG TANK(S), MFGR. CONCR .TE STEE>;
of rings on cover Depths bRY WELL
:NCIIES NO. of width ength area
fwna. of, lines---R= width ` length area /
depth to t of pip
REGATE _
RAT AREA REQUIRED AREA AS BUILT,
claimer: The inspection of. tlj i; :;ystcrn by St. Croix Cnriaty dour not imply c~nmi~letr
" ;>13ance with St:itc! Adinini~;t.rat;ive Codes. There are i;ther ireai; that it. rit ~yc„,;:;ilyle
'.F inspect at ttti ~ Iaoint' of construction. 5t Croix County T10 I
7,,tem operation, 1iowt~vea;, if failure is noted the County will make every et'fort to
;ermine cause of failure.
ri,ASES'AND OILS SHOULD NOT BE DISPOSED THROUGH THT.S SYSTEM.
INSPECTOR
DATED PLUMBER ON .]O
LICENSE: NUMBER ~
f
r3
t ^
r
0 PORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary PeAmit
~
State Septic
Townahip _St. CAoix County
Locat.iois Section
SEPTIC TANK
I
S.i.ze! gaZton-s. Numbers o6 Compattments
Distance Fnom: we.EZ 12% otc gtceatetc ztope ' 6t
1
Bu.itding 6t. WetZand,s 6.t•
H.ighwateA 6t.
DISPOSAL SYSTEM
P
D.i.btanee Fnom: Wett a 6t. 12% otL gteatete stope 6t. ~
Buitd.ing. , Wet.2ands Ft.
H.ighwaten t.
FIELD DIMENSIONS:
Width o6 trench j` 6t. Depth o6 rock below Cite in.
in.
Length o4 each Zing r 6t. Depth o5 rock oven tite
Number o6 Zine~s Depth o6 .tile below grade .in.
Totat tength of tines 6t. Stope ob tteneh Y" in pen 100 bt.
D.i,stance between tine's gt. Depth to bednoeh 6t.
Tota., absoAbt.ion area At2 Depth to gnoundwaten 6t.
2 'Requited area 6x Type oj Coven: ' Papen an Straw
PIT DIMENSIONS:
Number ob pitz GAavet around p,it,s yeas no
Out~s.ide d.iameten 6t. Depth below inlet 6t.
2
TotaQ ab,sonbt.ion area St A
2 ~
AAea ~equ.ined m
INSPECTED BY, TITLE T
J
APPROVED :r DATE I 19`, .
REJECTED DATE 197.
i '
EH 115
' 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 p
LOCATION:- '/4 NL'/4 Section 3y, T_?YN, R _9E (or) W, Township or Municipality
Z A 1%4,PCE/ Svd~~reiiD f 5^~3 Co u nt
Lot No. , Block No. _ Y
~ON `3ZI h7 Subdivision Name
Owner's Name: D u
Mailing Address: p1 / 13oX 1~ y,0YOti 4olS .
TYPE OF OCCUPANCY: Residence Y No. of Bedrooms Z Other
EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS TUNE /(D ~ & /97Y PERCOLATION TESTS TU'cJ~ /9 /y7y
SOI L MAP SHEET ~C S (D- SOIL TYPE t)r C2-
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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P_ LJI) /011 A16-r
Lz /j 4, AE Ole.
P- 2 yLl 7" 13.v L, _3_7
:P:_314/p 1,50 51,
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 7 iGOVL ,BA, L-, lf "t • ti. D. 5/ „ p, C5 w,d~ p .
L AIAVC 7 7& " &V. L !G Lf•AN 5/ 5- „ Q, CS 40
B 3 A/ON~ > 7 RN, L / S/ 9- 0 h " h
y ~t/nvt'' ? 7G !o"/3,v s/ 1^ " 0, C5-
B- 5- w►'d~
it/O.v5' 2 13 "Ay L ~L. dti 61 w,Ve, r O, c r
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. 3.30 Q Ti1FFN64 `11a 647P Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
s
~y _D E - S/ t NES fI EC ~E I f m -~~/;lp s {
i
IN MU11'
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f { i i~,~ l I I B3 t N
t ~ _ - 1_
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136 i
1 1 ki.
I I { I f i s
M f i
13 /f~PEI 0 t + _ 1 I
~UiES%I LQT,t I -
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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. p ~j ~f
,For✓~~ / /~n /CACertification No. ~O2
Name (print) ie
r1
Address S lV1E 1)L'Y~n-/L-' _
Name of installer if known
CST Signature
AUTHORITY
State and County State Permit #
t
Permit Application County Pe ,
{ 'LB-67
for Private Domestic Sewage Systems County ~
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. ~ OF PROPERTY Mailing Address:
'Ak
B. LOCATION: /4 ° '/4, Section ' N, RJ~7 E (or) W Lot# City
ubdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE O OCCUPA Y: `Commercial *Industrial Other (specify) *Variance
Single family L/ Duplex No. of Bedrooms No. of Persons
.415
D. SEPTIC TANK CAPACITY 7,1 _Total gallons No. of tanks
HOLDING TANK CAPjkITY Total gallons No. of tanks
Prefab concrete C Poured-in-Place Steel Fiberglass Other (specify)
New Installation Z- Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
-C A 42
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate - Total Absorb Area sq. ft.
New L- I Replacement Alternate (Specify)
Seepage Trench: No. of I~Ft. Width Depth Tile dept p) No. of Trench s
Seepage Bed: ~engthWidth1~~ Depth Tile depth (top) No. of Lines
Seepage Pit: I side, diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private 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 Ce ie Soil T er
NAME a C.S.T. 5d other information
obtained from wner/bu cler). ,
Plumber's Signatures /MP # - 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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE NLY
Date of Application Fees Paid: State 6 e n Co
WP( ty 04,~h Date
Permit Issued/ (date) Issuing Agent Na is
Inspection Yes No State Valid# Date Recd
1. county (w M e 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
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