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Parcel 020-1111-30-000 10/16/2006 10:34 AM
PAGE 1 OF 1
Alt. Parcel 12.29.20.451C 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
O - CAPEDER, WILLIAM J & JANICE I
WILLIAM J & JANICE I CAPEDER
241 RIVER HEIGHTS TR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 241 RIVER HEIGHTS TR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.200 Plat: N/A-NOT AVAILABLE
SEC 12 T29N R20W PT G L 2 FROM N1/4 COR Block/Condo Bldg:
GO W 487.8' TH S15 DEG W 1000.1' S2 DEG
E 395' TH S7 DEG W344.8' TH S43 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
910.4' TO POB TH S 150'S75 DEG W 12-29N-20W
305.64'N 78 DEG W 272.18' TH S 32 DEG W
176.28' TO S LN G L 2 W TO RIVER NLY ON
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.200 225,200 325,300 550,500 NO
Totals for 2006:
General Property 2.200 225,200 325,300 550,500
Woodland 0.000 0 0
Totals for 2005:
General Property 2.200 225,200 325,300 550,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1111-50-000 1 oil sizoos 10:35 AM
PAGE 1 OF 1
Alt. Parcel M 12.29.20.451 E 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
O - CAPEDER, WILLIAM J & JANICE I
WILLIAM J & JANICE I CAPEDER
241 RIVER HEIGHTS TR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.840 Plat: N/A-NOT AVAILABLE
SEC 12 T29N R20W GL 2 COM N 1/4 COR W Block/Condo Bldg:
487.8'S15- DEG W 1000.1'S 2 DEG E 395'
S 7 DEG W 344.8'S43- DEG W 910.4'S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
150' POB S 86 DEG W 272.72'S 23 DEG W 12-29N-20W
61.34'S 2 DEG E 89.3'MOL TO S LN GL 2
ELY 293.2' PT S OF POB N 159.7' POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 755/460
07/23/1997 574/442
07/23/1997 501/442
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.840 21,000 0 21,000 NO
Totals for 2006:
General Property 0.840 21,000 0 21,000
Woodland 0.000 0 0
Totals for 2005:
General Property 0.840 21,000 0 21,000
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 020-1111-40-000 10/16/2006 10:34 AM
PAGE 1 OF 1
Alt. Parcel M 12.29.20.451 D 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
O - CAPEDER, WILLIAM J & JANICE I
WILLIAM J & JANICE I CAPEDER
241 RIVER HEIGHTS TR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.260 Plat: N/A-NOT AVAILABLE
SEC 12 T29N R20W G L 2 COM N1/4 COR W Block/Condo Bldg:
487.8' S15DEG W1000.1' S 2 DEG E395' S 7
DEG W344.8' S43 DEG W 910.4'S 150'S 86 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG W 272.72 FT TO POB TH S 23 DEG W 12-29N-20W
61.34'S 2 DEG E 893TH WLY 365 FT ALG
S LN GI-2 TH N 89 DEG E 291.05 FT TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 755/461
07/23/1997 574/440
07/23/1997 491/259
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.260 31,500 0 31,500 NO
Totals for 2006:
General Property 1.260 31,500 0 31,500
Woodland 0.000 0 0
Totals for 2005:
General Property 1.260 31,500 0 31,500
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
• AS BUILT SANITARY SYSTEM REPORT
-a p G2 , To.-INSHIP ,f,~ O SEC. 14 Tag' N, R__/._~. ~W -
ADDRESSgS(,, QcsCu.lt-p - , ST. CROIX COUNITY, WISCONSIN.
iDZVISION LOT LOT SIZE 9. oZ At,rz~I
PLAN VIEW
Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Lo~ Litie
LW
T -T-
i ~ l i!►! ? l i i l I
• i I i ~ ~ I I I I ~ ~ i I
40
2 a I ' I, I i I i r- --T- !
I I , I ~ ~ fzi ~ I
I
1-I
-7-
&
(l Ce~~ . S 14 004
i -
I ~ ~ ( I I I
' TIC TANK(S) GR, P indicate No Lth Atc.Aew
s n~+. ~e AST CONCRETE ✓ STEEL Scate / 10
NO. of rings on cover Depth DRY !,VELL
-'TCHES NO. of width length area
no. Of lines width length area
depth to top of pipe
S::, ELATE
•u`: RATE / S AREA REQUIRE) Q y 5 AREA AS BUILT Q~p
-claimer: The inspection of this system by St. Croix County does not imply complete
.!oliance 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
stern operation. However, if failure is noted the County will make every effort to
ermine cause of failure.
`:."USES AND OILS SHOULD NOT BE DISPOSED THROUGH nl iIS SYSTE`S/-
`INSPECTOR
DATED P1 IBER ON JOB__Lr TIC b ° Q
LICENSE Ir'U115ER _ ~
Q)
RE. P0P,T Or ITISPLCTIO'_T--174DIJIDUAL SU•1ACE DISPOSAI, SYSIE11
Sanitary Permit
• • r State Septic
IE- T&JNSHIP
• t. Croix County
S I .PT I C TA' ?I:
S Ze gallons. 'umber of Conoartments
Distance From: well Aft. 12% or greater slope
t~ % r
Building: ft. Wetlands f
ll~ghcaater ft.
DISPOSAL SYSTL,:1 Tile Field or Seepage Pit(s)
Distance From: well ft. l
12% or greater slope ft
Building Jr ft.
Wetlands f.
FIELD Highwater .~_ft.
Total length of lines - ft, Number of lines - Length of
each line 4"." ft. Distance between lines t. ft. Width of the
trench <:eft, Total absorption area C f ~
~sq, ft. Dept;
.
of rock below the in. Dp-pth of rock over tile in. Cover
over . rock , Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
L
PITS
Numb ex of pits Outside, iameter ft. Depth below inlet
r
ft. Gravel {round pit: ~ Yes no, :Total absorption area
sq. ft.
.Square feet of seepage trench bottom area required
%.square feet of /seepage nit area required
Inspected by /Af Title
Approved f `1
Date / 1971L.
Rejected Date 197.
EH'115
A WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
- DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
L-EYr Z' REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section Z , T_4~1\1, R-ZeE (or) W, Township erfAnrrie4QL1y I U ►>SoAJ
Lot No. , Block No. County S 'L.a'
M Subdivision Name
Owner's Name:
Mailing Address: I t c-K*~Ji6g-r ~T P f+-U t)Jl 4~ " S`//
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW 1C ADDITION REPLACEMENT /
78
DATES OBSERVATIONS MADE: SOIL BORINGS 4~/-0&5 PERCOLATION TESTS -5- 42-9
SOIL MAP SHEETi~54 - a14 SOIL TYPECAIAN(
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TES-; 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
3/4- Y4-
P- 4o ~ c D,+r.4 Z¢ /0 z 3 ~1
G~ tS~
P_
4 z Z4
P- T/ /j /y~ 9
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)
9a /CA 7-5; +2v g, s a.
i Pi rl
1~lut 790
790
S 9G NvnPu ,
1 ,3-
9o jq"A a ''9o i„
PLAN VIEW (Locate perco lat ion tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate nu,c,,, wr of sgi.as faet ,,,f abso,pf ior, area
needed for building type and occupancy. ~s d'rZ Real. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
A A0
V a i
E' 4-1 o 0 7 > z
N
/ dz C F Z
14 oK' t N L
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I
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) N E. r">SC'4 Certification No. S.S-,SZc9
Address S S
Name of installer if known
CST Signature
"Y A -LOCAL AU'B !0P.ITY
I
k State and County State Permit # _
PLB67 Permit Application County Permit
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: 7
B. LOCATION:` '/4, Section jL T N, R-y_ E ( ) W Lot# City_
N" U
Subdivision Name, nearest road, la 9 r land # Village
Township /)f c.-'/ ->0
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 3 -No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES X NO # of Bathrooms-"
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY- C-1 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks _
New Installation to<, Addition Replacement- Prefab ConcreteK,__
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 15- 2) G' 3) Total Absorb Area sq. .t.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length ti l Width Depth Tile Depth 3No. of Lines
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 0-1 f, C.S.T. # and other information
obtained from t (pvvner/btti dgr9
Plumber's Signature lblP/MPRSW# Phone # 33~ - CQY y)
Plumber's Address "3 r A or.) ox, , c.. -s
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
v
wa
Do Not Write in Space Belo FOR DEPARTMENT USE ONLY
Date of Application 121Y`17,`3 F s aid: StateG -County Date 7
Permit Issued/Rejected (da ) Issuing Agent Name inspection Yes No Valid# Date Recd T
-
1. county (whiite-copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
' state (pink copy) 4. plumber (canary copy)
s~
• F TRANSFER FORM
PLB « 6-7-T SANITARY PERMIT
State Permit #
Sanitary Permit #
County
Sanitary Permit Transfer Date Original Permit Issuance Date
A. Property Location: •5LL '/4 h L`„ Section T -2L N, R / E (or W Lot # City
Subdivision Name, Nearest Road, Lake or Landmark BILK # Village
Townshipz/ c/Sin:
B. TYPE of Occupancy: Commercial Industrial Other (Specify)
Single Family ✓ Duplex No. of Bedrooms ? Variance
C. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab Concrete ✓ Poured-in-place Steel Fiberglass Other(Specify)
New Installation y / Replacement
LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify)
D. EFFLUENT /DISPOSAL SYSTEM: Percolation Rate -5- !L, 'Total Absorb Area sq. ft.
New_ r/ Replacement Alternate (Specify)
Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No. Trenches
Seepage Bed: Length m' Width Depth Tile Depth(top) No. of Lines
Seepage Pit: Inside o amPer Liquid Depth No. Seepage Pits
Percent slope of land - F /r, kNf't 4 Distance from critical slope__
E. WATER SUPPLY: &-Private ❑ Joint ❑ Community ❑ Municipal
Present Sanit ry Permit Holder Phone No. & = 4 y
~J ,S Sanitary P*rmit Transferred To: Phone No. ~
Name Name FF 7-C H
Address , ~ h i w'• (1~ ~C`- Address / j 1J (l.' ~~i a r
Zip1~ l~~ r Glr I. Zip
1, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with
section H 62.20,, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared
by the Certified Soil T st and/or a✓n ,additional s/oil tests that may have been required.
Plumber's Signature /MPRSW # _ 5 5 ) Phone #359 3 1 /
Plumber's Address &
\ J
Information obtained from t ' owner br agent)
PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord
with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh-
bor's pro pert . If well has of been drilled, l~ease'
d:
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Signature of Issuing Agent (t 414 A/
1. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH
2. State (White copy) 4. Plumber (Green copy) P.O. BOX 309, MADISON WI 53701