HomeMy WebLinkAbout161-1094-70-000
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Parcel 161-1094-70-000 10/03/2006 09:40 AM
PAGE 1 OF 1
Alt. Parcel 13.29.20.750 161 - 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
DAVID W LANG O -LANG, DAVID W
253 STATION CIR N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 253 STATION CIR N
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 04/38-ST CROIX STATION 1977
ST CROIX STATION LOT 26 VIL NH Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/16/2005 787626 2751/144 QC
02/16/2005 787625 2751/143 PR
07/23/1997 932/574
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 0.000 112,000 218,000 330,000 NO
Totals for 2006:
General Property 0.000 112,000 218,000 330,000
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 112,000 218,000 330,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 111
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
- i "
AS BUILT SA.'NITARY SYSTEM REPOP.T /d r7 .76-L
7R
'
41 S~t-IP?f~~ EC. TT N
S 7 , R o2C~ W
ADDRES SCONSIN.
ST. CROIX CGJ.ITY, It
DIVISION t r y i f sec LOT
_LOT SIZE
PLAN VIEW
Distances dimensions to meet requirements of H62.20 IVFII J~
JUL. 7 -;';`79 SHOW EVERYTHING W11"EIN 1100 FEET OF ~STE?T 11t?'' S
1 ! I ~I I ,y ..~-j j
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TIC TANK(S) /~6~cJ aMFGR. Indcae Nanh Anna_w
5 eV S ~1C i ~?Jt _CO.ICRETE X STEEL
NO. f rings on cover 2 D ep th si D Sca?o_
-~RY WELL
:INCHES NO. of width length area
no. of lines width
lengthy_ area
depth to top of pipe aye/
,7-ELATE
RATE <~2 AREA REQUIPED AREA AS BUILT 1c)D,?47'
;claimer: The inspection of this system by St. Croix County does not imply complete
.'oiiance 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
stem operation. However, if failure is noted the County will make every effort to
-ermine cause of failure.
.:.ASES AND OILS SHOULD NOT BE DISPOSED THROUGH '.HIS SYSTEM.
`INSPECTOR
DATED PLL^tBER ON JOB st P~✓ ~L~~ cw
LICENSE NUtflER~~S _3
'ZEPORT OF INSPECTION INDIVIDUAL SELVAGE SYSTEM
San.itaAy PeAm.i-t =Y
State Septic-; -
NAME____'_ iownsh.ip _St. CAO.ix County
f
Location - Section f
F
f
SEPTIC TANK '
Si zegat.Conz. Numb en a4 CvmpaAmenz _ j
Distance FAOm: W e.CC it. 12% on gtceaten 4tope it
BuiCdif2g - it. wettand~5_ ~ .
H.ighwateA it.
DISPOSAL SYSTEM
Distance FAOm: WeU ~ it. 120 on gAeateA .slope it.
Bu.itd,ing it. W et.Cands Ft.
H.ighwatet- it.
FIELD DIMENSIONS:
Width o f trench it. Depth o6 Aoek below tiZe -(.n.
i
Length o j each tine Z it, Depth o6 hock oven ti.E'e tn.
NumbvL o6 X-ines Depth o6 tite below gAade '(in.
Totat length o% tines fY it. Stope of tteneh in pet 100 it.
Distance between .C.i.na it. Depth to bedrock ~ti.
To.ta.C absotcbtion aAea/),-'(,' it2 Depth to gtoundwatet_ 6 -
2
Requited Type os Covet: Papn, oA .StAaw
~ it aAea s
PIT DIMENSIONS:
NumbeA o6 pitz GAave.C around p.i s yes no
Outside diameFonea it Depth below inter it. - 11) 2
Totat abzoAb it
t2 rn
u "~e~d'"' s
AAea Ae4,.
INSPECTED By,,Z-/Y~ TITLE f 6-;
APPROVED. DATE 19
REJECTED DATE 197.
1.
/ f
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
4 DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: N~'4, 04-4Z., Section a, T-2-1N, R -OE (or) A, Township or Municipality P11, C6E a~ ~Ok~ UDSOAJ
Lot No. 2_6 , Block No. S74- C/f0/A :574, low County ✓ e~eol x
~.O 01-i U t FLE R Subdivision Name
Owner's Name: J
Mailing Address: 290l7 Rc eloUD t Soud4 l3u1?415u111,,s- 1-r1',yv • 5533-7
TYPE OF OCCUPANCY: Residence X No. of Bedrooms I/ Other
EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT
8477 PERCOLATION TESTS MARCH 3U / 7
DATES OBSERVATIONS MADE: SOIL BORINGS 1414RC# ~2/
SOIL MAP SHEET SCS SOIL TYPE JJ/ /Ir 5 - Hu~OWD L-5'
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ o b~r x 0
P- 1390 WA) AIEP. 2-0 0 15, I
S A9 iv ' `2 -'k, Coto 1_0 P-3 3/ 13 ,QowA) AIFP / a C 0 1 c In
.9-0 0
64A) D j"C 6) b 140 Ica
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)
2 7 L o ? 7~, ;10" SAJ, /s 7V " R v lite~e, S zy" t/i $nv Tj~ S.
> ZO &VN S 0 /3u• n14, 5. 2-2 " E//' 13A) ,1i $ .
B- 3 14 1 0 > '71 2 `'/~M %S with cob. 3 L" 9,vAr S E/-l3iv f• sr I'll s L o J- 57 "13,v S 3 o It N. NISA s E/ -sv.
S_
?Z o > 7a 2C`"/3N /S 30" 449N. MEO. E/ w F 5:
PLAN VIEW (Locate percolation tests,soi I 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. 1000 J50K 'TX16A1C `f' T 12- 6 FG-V At=-n~ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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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. /
Name (print) Rohe er ZI/h~ / Certification No. ✓ / "
Address X r, l ~~Q)i 5
Name of installer if known
CST Signature L~~
5 '
PL B• ~ ~ - 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:
~v~+e l,~~J K r~,~~- ley1e Grc-I~
TC) 10 14 14
)LO (or) ®Lot# 594, City
B. LOCATION: Nei '/4 VJ Section _L-Z, Tomj- N, R
Subdivision Name, nearest road, lake or landmark Blk# Village ap NV.
S Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) Variance
Single family A_ Duplex No. of Bedrooms -No. of Persons
D. SEPTIC TANK CAPACITY ~~SCSL~ Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete- Poured-in-Place Steel Fiberglass Other (specify)
New Installation >C Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate C-Tc.SS~Total Absorb Area b , sq. ft. 9y5a re,r&-e.Z
New X Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. -Width- Depth Tile depth (top) No. of Trenches
Seepage Bed: Length fVidth Depth Tile depth (top) ~~No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land 4-eSS" f17c2 rt lrti Jys ~~n aeec- 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 Cert d Soil Tester, /
NAME 12t.,/- a f C.S.T. # 3el and other information
obtained from fr t~ (owner/builder).
J 1 f t
I MP/ RSW# Phone #5,K,
Plumber's Signatur P7 n
-k r1r\
Plumber's Address `40I
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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Cen der zilC~ GI Cv f JI11ra,0 /Ely
Do Not Write in Spac Beell~ow FOR COUNTY AND STATE DEPARTMENT USE O PLY
/ p
~'l CJ
Date of Application ~i Fees Paid: State&) I el 0 C un at
Permit Issued/ (date) - - Issuing Agent Name
Inspection Yes No State Valid# Date Recd
1. county (whi 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 - J