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Parcel 161-1068-80-000 10/03/2006 09:43 AM
PAGE 1 OF 1
Alt. Parcel 13.29.20.54613 161 - VILLAGE OF NORTH 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
JAMES A & MARY KNAUB O - KNAUB, JAMES A & MARY
313 GALAHAD RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 313 GALAHAD RD N
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 0813-CSM 03/0813
SEC 14 & 23 T29N R20W.46A LOT 1 CSM VOL Block/Condo Bldg:
3/813 VIL NH
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
06/14/2004 765662 2594/346 QC
10/28/2003 745059 24455/0866 EZ-1
YIG~
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/20/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 72,100 182,500 254,600 NO
Totals for 2006:
General Property 0.000 72,100 182,500 254,600
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 72,100 182,500 254,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 161-1068-95-000 10/03/2006 09:42 AM
PAGE 1 OF 2
Alt. Parcel 13.29.20.5476 161 - VILLAGE OF NORTH 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 - STOECKELER, DR JOEL S TR
DR JOEL S TR STOECKELER
315 GALAHAD RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 315 GALAHAD RD N
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 23 T29N R20W PT GL 1 COM NE COR SEC Block/Condo Bldg:
23, TH W 33', S 100'W 200' TO POB; W = N
LN TO LAKE, N ON LAKE TO SEC LN E ON SEC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
LN TO PT N OF POB S 100' TO POB AND PT 13-29N-20W
GL 1 IN SEC 14 T29N R20W AS DESC IN VOL
486 PAGE 413& EXC CSM VOL 3/813 VIL NH
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
01/13/2005 765052 2590/109 LC
05/18/2001 645849 1641/ 28 QC
2006 SUMMARY Bill Fair Market V ue: Assessed with:
0
Valuations: Last Changed: 05/20/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 474,300 128,400 602,700 NO
Totals for 2006:
General Property 0.000 474,300 128,400 602,700
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 474,300 128,400 602,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 313
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
10/03/2006 09:42 AM
Parcel 161-1068-95-000 PAGE 2 OF 2
Legal Description: cont.
INCLUDES 161-1068-70 PARCEL 546A
AS BUILT SANITARY SYSTEM REPORT
:DER it ( , TOWNSHIP V~ 1►~~ry~ SEC. 't Tg~ N,
R
G . ADDRES S_l~i`~/ CW
ST. CROIh COUNTY, WISCONSIN.
od 13. 2-q 2
.:;DIVISION LOT LOT SIZE- A,1144
.
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOT' EVERYTHING WITHIN 100 FEET OF SYSTEM
t i-
1
-
00
I I j, l r~ ! ~ l i
-L- ` -
_4_ -
i
E
-L- I
} Indicate North: Arrow
' S CALL .
'TI-C TA-NK(S) _1rx _ MFGR. _iSI K'~S CONCRETE X STEEL
NO. of rings on cover Depth DRY WELL
itNCHES NO. of _ width length area
no. of lines ___Z__ width ( length area-
~ .depth to top of pipe J_r,`~GREGATE 1 F_
~r( k: LkTE AREA R QUIRED i _ AREA AS BUILT Z
i,Sgiaimer: The inspection of this system by St. Croix County does not imply complete
',*ipliance with State Administrative Codes. There are other areas that it is not possible
oi.nspect at this point of construction. St. Croix County assumes no liability for
Stem operation. However, if failure is noted the County will make every effort to
etermine cause of failure.
GASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
I
t.~t'~ i, ~ ~ '
f ~
V
S d
m !~P
z REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM
SanitaAy PeAm.i.t
State S e p t.i c&4 1J
e
NAME i ow n.6 h.ip St. C&o ix Count
Lo a .ion ection
SEPTIC TANK /
Size gattonz. Numbers o6 CompaAtment5 I,
P
120 on greateA ztope it
it.
Distance FAOm: WeZz C'' (
BuiZding~ it. WetZand.5 ~ .
H.ighwateA it.
DISPOSAL SYSTEM
Distance FAOm: WeU it. 12% on gAeateA 6tope it.
Bu.iZd-ing it. Wettan&s Ft.
H.ighwateA it.
FIELD DIMENSIONS:
Width o6 ttcench it. Depth o6 Ao ck b etow t.iY.e in.
Length o6 each tine - Depth o6 Aock oven ti.2e .in.
Numb eA o6 Zin ens Depth o6 tite b etow gtcade in.
Totat Zength o6 .roes ' it. Slope o6 trench in peA 100 it.
Distance between Zines " it. Depth to bedrock it.
Totat absmbtion atcea / ~t2 Depth to gtoundwateA it.
2
Requ Type o6 CoveA: Papen on StAaw
- .iAed area it
PIT DIMENSIONS:
Numbet o6 pits GAavet around pits yeas no
Outside diameteA 'Depth b eZow .inlet it.
Totat abzorbt.ion aAe~ it Z
2 rn
AAea AequiAed ~t
INSPECTED BY TITLE
APPROVED , DATE 19 7_
REJECTED DATE 197.
E14 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 01 q,c
LOCATION: Section R 2'o E (or)V, Township or Municipality Ne'e' ` /7 !1!>Tc~~ yrl/~~
Lot No. Block No. 191E4E R• 7~JV~~6 County S i ' C R() i X
Subdivision Name
Owner's Name: J;kq s ~~N i NMUS
Mailing Address: VO ROMAX3 h; ~ 0(3 , 53-1-E 61bf#_AD 1U. PO)e l Q0,6^0 TYPE OF OCCUPANCY: Residence- No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT f c
DATES OBSERVATIONS MADE: SOIL BORINGS d PERCOLATION TESTS /
SOIL MAP SHEET 5C-5 ✓7 SOIL TYPE J '040 oK
PERCOLATION TESTS
TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER
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_ D'6 1-f (fN 'v°
Y MEO. S ~tl~ CESI. MOVIE-
co
P_L yOfi{/~"' /,{o /76-
11164 /3N. hY &R, /6 P - 3T3 IF
/ /6
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)
L 0AUE ? 72 " RA/ S i /G " L • N. S w.' coh-A X2 " 04, S .
iu/ cob
q 74 ILI 13N IS f12 AV OV.,
Y, 15" q?
GA;
> 7.2- S,. BAJ is yZ„ ,6,v s d• S -
PLAN VIEW (Locate perco lat ion tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square eet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. _!45__;!*7R 7'k i (ff 1, 61:C . o 44FID Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
,
4-- tvt_
al
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0) F-AlkE
~jv iaw4x tI
4
412- ~xoo f r Isl''!;
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F 6 v z~ O N UDs~w
I, the uncle ed, her y certif the soil tests reported on this form were made by me in accord with the procedures
and method ied in the, 9c sin Administrative Code, and that the data recorded and location of test holes are correct
to the best of 'uWF~clg ~a' belief.
Name (print)~/~ Certification No. jO 2- ye 2__
Address &(~~5~~s
Name of installer if known f d V N f /0/6
CST Signature rLcfr -
' PATHORITY
RLB67 State and County State Permit # --~`~~`'~V
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:
B. LOCATION:''/4 Section TZ N, R 00 E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village WC M/63t-A)
- AL ~~+1 tCb- AJ0 Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons-
D. TYPE OF APPLIAN ES: Dishwasher YES 2 NO Food Waste Grinder- YES NO # of Bathrooms j1
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY? Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ,a 2) C` 3) Total Absorb Area sq. ft.
New Addition Replacement- *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Z Width Depth Tile Depthi _ No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Le V IF. _ 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 Cer Hied Soil Tester, '
NAME ' - C C.S.T. # I e. "0 Z land other information
R (owner/builder
obtained from A'
WA 15
LomA Plumber's Signature MP/MPRS # Phone #31?6
Plumber's Address j t ! d
PLAN VIEW: Provide tch e w of system (include direction of slope and all distances in accord with
kl ir~Iucling II).
F
f
l x 6A L 5e-F T'te~
iF-
HaUS
~r d
Nc)PT44
PRcP`~v
T
_~t1 30 _
2-0 /
Do Not Write in Spa?-e Below FQR DEPARTMENT USE ONLY
Date of Application Fees, Paid: State / Coun y Date
Permit Issued/_Re3Ed (date) -Issuing Agent Nam i
Inspection Yes No Valid# Date Recd
1. county (w " e- copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)