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PAGE 1 OF 1
Alt. Parcel 11.28.19.172B 040 - TOWN OF TROY
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 - MCDONALD, JOAN M
JOAN M MCDONALD
784 COULEE TR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 784 COULEE TR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 6.000 Plat: N/A-NOT AVAILABLE
SEC 11 T28N R1 9W 6 AC IN N 1/2 SE 1/4 Block/Condo Bldg:
LOT 1 OF CSM IN VOL II PAGE 412 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
12/03/2002 700630 2066/188 QC
07/23/1997 887/218
2006 SUMMARY Bill Fair Market Value: Assessed with:
158083 285,000
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.000 77,000 183,000 260,000 NO
Totals for 2006:
General Property 6.000 77,000 183,000 260,000
Woodland 0.000 0 0
Totals for 2005:
General Property 6.000 77,000 183,000 260,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 303
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i
• AS BUILT SANITARY SYSTEM REPORT
;5R T001 SHIP % SEC. I T N, R W -
ADUPESS , ST. CROI. CGU:iTY, WISCONSIN. .
DIVISION C ✓1~ L/!
LOT LOT SIZE T1
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
ill?Ow' v7RYTHING WTTHTN 100 FEET OF SYSTEM
i j
l ! I 1 i1 -t-1 l i l --1- -
1
~-i~
-TindiCate No th At. Low
'TIC TP.NR(S) ' , j , MFGR. JtC S CO.~CRETESTEEL S ca.- e `
NO. or rings on cover Depth DRY WELL _
'ITCHES NO. of width length area
no. of lines "7 =wi.dth__Llength. area / '
depth to top cf pipe GATE - -'L _'1 tom.-!sue =1) _
RATE ARE' F.EQUIRLD AREA AS BUILT
~3 `Y
7ciaimer: The inspection of this system by St. Croix County does not imply complete
oi.iance 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
-em operation. However, if failure is noted the County will make every effcrt to
--arsine cause of failure.
-..ASES AND OILS SHOI.Z.D NOT BE DISPOSED THROUGH THIS SYSTal.
'-INSPECTOR
DATED 7
,l -/~.Z`/ YL1^ICc3ER ON JOB
LICENSE NJMBER_-~ 11C"~
4
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 C3:w iio
CROIX 40UN 1 REFURT DAfE4* 11/16i'W)
?IiRTHOIJSE riATF F'Fr`EIUEIt4 1.1/14/9"'
)ON- III ;i•~.
C C ~rti
fJ. 2t, l 1 /-7
IFCE OF SAMPLE: Laundry Room faucri
,IFORM: 0 /100 ml
I
C%RPRETATION: BacterieLogicatLy SAFE
rRAT,E-N~f J PPm
Under 14 ppm is safe for human consumption.
io,in Zacteriail 00 m i. #
OO,ADEGEND
T,
(9m
J O
O A
D
.BLESS THAN" Deterlt7h',p Approved by'.
PROFESSIONAL LABORATORY SERVICES SINCE 1952
C06IMERCIAL TESTING LABORATORY, INC.
514 'Main Street, P.O. Box 526
Colfax, Wisconsin 54730 C3:Aw ~4j
715-962-3121
800 - 962 - 5227
`ROIX COUN'ry REf+ULK DATE: 11/06/90
:OURTHOUSE DATE RECEIVED; 1110190
501,, WT 54010
::3NER: Robert R Sandra O Lamar tre
;E OF SAMPLE: K i
'ORMt 0 /100
NTERPRETATION'# Batter;
1TRATE-alt 4
OF.NDEPENDE,y
1
O` vp
u D
r
PROFESSIONAL LABORATORY SERVICES SINCE 1952
1,03--V
j C 40
ST. CROIX COUNTY ZONING OFF1Ch
St. Croix County Courthouse
`JI 911 4th Street
Iiudson, WI 54 016
Telephone - (715)386-4680
The St. Croix County Zoning office offers the service of :peptic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form is essent,i-a_1 ~ so t_h_att_})_e_proj~er_ty can be
located.
Please provide the following i.nforrlation, enclose appropriate
fee made payable to St. Croix County Zoning Office, and mail,
along with form to the above address. Testing will be done as
soon as possible after fee and form''are received.
WATER TESTING -----FEE: $ 25.00
(For nitrates and coliform bacteria)
1^7ATER TESTING FEE: $175.00
(For VOC'S)
---7,,-
SEPTIC SYSTEM INSPhCTIOil------
(Determines if system is properly functioning at time of
inspection) i
Property owner's name / / ligA- k~
Property owner's address ~-d-C, C _7 Gad/Legal Description tj_ 1/4 of the 1/4 of Section T
Town of Lot Number Subdivision Name----
FIRE NUMBER > LOCK BOX NUV13E1Z_ _
Color of house Realty sign by house?4/C'S If so, list firm:
e_ L /
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT ROOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
Testing of residential water requires a sample that is fresh. if
the home is vacant, and has been so for some time, the %:,ater line
must be purged by running the water for Several hours :before the
test can be conducted.
1,rINTER TESTING: Many tines :.,ater lines, are turned off, or sill
cocks are turned off, making access to the home necessary. if
this is the case, please ma};c proper arrangement-: t.:itt3 this
.office to ensure time when entry may be gained.
Firm or individual requesting services : C
Telephone Number G'' -
REPORT TO BE SENT TO:
t' / tic Jl ~~y
Closing date T, ~1-~= - - -
signature
l~ la7-~~
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
Telephone - (715)386-4680
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form is essential so that the property can be
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning office, and mail,
along with form to the above address. Testing will be done as
soon as possible after fee and form are received.
WATER TESTING----------------------------FEE: $ 25.00
(For nitrates and coliform bacteria)
WATER TESTING FEE: $175.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at ti e of
inspection)
Property owner's name G ~Jzlz'
Property owner's address ' C ~c,.clec Cc
Legal Descri tion 1/zof the St= 1/4 of Section TAN-RJR
Town of _Lot Number Subdivision Name
FIRE NUMBER LOCK BOX NUMBER C.
Color of house Realty sign by house? %,2if so, list firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MA ,i.e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
Testing of residential water requires a sample that is fresh. If
the home is vacant, and has been so for some time, the water line
must be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary. If
this is the case, please make proper arrangements with this
office to ensure time when entry may be gained.
Firm or individual requesting services:, 6~u4el ry
Telephone Number 4
REPORT TO B SENT TOE
C) ~
20
Closing date
Signature
ST. CROIX COUNTY
j WISCONSIN
X ktkJ)V ZONING OFFICE
J :x1 ST. CROIX COUNTY COURTHOUSE
'Vi 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
Nov. 26, 1990
Carrie Johnson
Edina Realty
700 2nd St.
Hudson, WI 54016
Dear Ms. Johnson:
An inspection of the septic system on the property
of Robert & Sanda DeLaMatre located at 784 Coulee Trail, Hudson,
WI was conducted on Nov. 26, 1990.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This not not in any
way warrant or guarantee the continued proper functioning or
operations of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system is totally dependent upon proper
maintenance of the system.
Should you have any questions regarding this subject, please feel
free to contact me.
Sincerer, /
Mary J. Jenkins
Assistant Zoning Administrator
cj
z
REPORT OF INSPECTION _INDIVIDUAL SEWAGE SYSTEM
r j
SanitaAy Petunit
` State Septic
NAME i owntsh.ip St. Croix County
Location f Section
SEPTIC TANK
Size gatton4. Number of CompaAtments
D"tance FAom: WeZZ 120 on gneateA stope Z0 it
Bu.i.2d.ing bt. W etZands 4t.
H.ighwaten 6t.
DISPOSAL SYSTEM
D.i.ztance Fnom: WeU 6t. 12% on greaten 6tope ).0
Bu.itd,ing 6t. WetZands Ft.
H.ighwaxen - 5-t.
FIELD DIMENSIONS:
Width oS thench_ 4x. Depth o6 rock below t.iZe_4; .in.
Length o6 each tine 6t. Depth os tcock oven t.ite lo' in.
NumbeA o6 tines Depth o s tite below grade Z ~ in.
Totat .length o4 tines
St. Slope o4 tnench in pen 100 Distance between tines G ~t. Depth to bedtcock
Totat absonbtion anea- t2 Depth to gnoundwaten - 6t.
-Requited area 4t2 Type o4 Coven: Papeti oA Straw
PIT DIMENSIONS:
Number o~ pits „IT'Gt eZ around pits yens no
- 11
Outside diameten 4 e eZow ,in.Let 6t.
2
Total abzoAbt.ion an t z
A
Area nequined 6t2 rn
INSPECTED BY TITLE
APPROVED ,DATE 197.
REJECTED DATE 197
I°
3 0
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
LOCATION: /yh'/4, ~~'/a, Section eT2 N, R& 9 (or)aTownship oor Municipality Lot No. Blo k No. ~dt ~i^L~rrY County
S divisign~ Name]
Owner's Name: ~ r r ~r /"//Z, 7-,- "t-
Mailing Address: Sox 3~ -X406 is L,u" , _~;-y d/ f,
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS Ll-.2~ -7Y PERCOLATION TESTS y 122 ~ 7~ SOIL MAP SHEET SOIL TYPE P/ A /9,116,7- S,l/ ZO~"'L
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 1_1
P Sy1 ~c' c' ~or~ A W 7 L) j ~ //,y SOIL BORING TESTS
P_ -3 4-/ _3<~ _3 Ad
"51 /00
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
' S _6_51
B 3 e-- 3- 7`S 2C 5_3
B S 7(GjG'r/ /L~cn./ ~~~rr :2~•r /s N(1,C, ,34%<r
~_3 t~S r' ~y L fir.s~
PLAN VIEW (Locate perco lation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate. numrr r of square feet of absorption area
needed for building type and occupancy. 9 y~ It ~dc A /fir Indicatecale
or distances. Give horizontal and vertical reference oints. Indicate slope. SYS r t XeAloeor ..i j~
s` t t 3 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
Name (print) Certification No.
Address
Name of installer if known
COPY A - LOCAL AUTHOR! CST Signature ~
67 State and County State Permit
PLB
Permit Application County Permit #
for Private Domestic Sewage Systems CounterT=~
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
%3c".e 33
~~,%l7~Ciy CLi"
B. LOCATION. N4 Section _,Ll , T N, R-dE (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
Ll C, '14
C. TYPE OF OC UPANCY. *Commercial Industrial *Other (specify) *Variance
Single family A Duplex No. of Bedrooms ~ No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete-- X_ Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate .~y ~TOtal Absorb Area rlTS sq. ft.
New X, Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:-~( Length h-7> Width j ,f Depth 7t~ "_Tile depth (top)-. No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land !~e- Distance from critical slope
`JVATER SUPPLY: Private X 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 Certified Soil Tester,
NAME -~✓?/i1i~ ~~+%/,~7 ~y~j J.0 /V C.S.T. # and other information
obtained from ,.jam - - wne builder).
Plumber's Signature MP/MPRSW 31L ~t~ Phone # j
Plumber's A
C i
ddress ~Z 41-01
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 ONLY
Date of Application - Fees Paid: State County Date
Permit Issued/Rejected (date) Issuing Agent Name 4,,,
Inspection YesNo State Valid# Date Rec'd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
f Revised Date 7/1 /78