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Parcel 17.29.19.638A 020 - TOWN OF HUDSON ST. CROIX COUNTY, WISCONSIN Current X 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 - ROBERTS, WADE J & JOY RENEE J WADE J & JOY RENEE J ROBERTS 904 WILLOW RIDGE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 904 WILLOW RIDGE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.110 Plat: 2624-WILLOW RIDGE 2ND ADD SEC 17 & 18 T29N R19W WILLOW RIDGE 2ND Block/Condo Bldg: LOT 29 ADD. LOT 29 EXC BEGN NW COR LOT 29, TH S83 DEG E 305.12 FT S36 DEG W 178.2 FT, Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) N 89 DEG W 261.18 FT TO W LN LOT 29 N 20 17-29N-19W DEG E 187.62 FT TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1152/334 WD 07/23/1997 912/84 2005 SUMMARY Bill Fair Market Value: Assessed with: 92511 227,400 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.110 55,600 176,300 231,900 NO 05 Totals for 2005: General Property 1.110 55,600 176,300 231,900 Woodland 0.000 0 0 Totals for 2004: General Property 1.110 28,400 173,200 201,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 , AS BUILT SANITARY SYSTEM REPORT - s OWNER ' TOWNSHIP EC. T N, R W ADDRESS I ➢ ST. CROIX COUNTY WISCONSIN. k- _ SUBDIVISION LOT LOT SIZE Vv PLAN VIEW Distances & dimensions to meet requirements of H62<20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I; .q 0 I di ate ozth; Arrow ' 'r f ! S CALF SEPTIC TANK(S) MFQR.z, CONCRETE STEEL NO.-_67 rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area ; c BED NO. of lines width length area depth to top o pipe NUMBER OF SEEPAGE PITS outside iameter total pit area AGGREGATE PERK RATE AREA REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine caus,& of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH`THIS SYTEM. , INSPECTOR DATED . PLUMBER ON JOB LICENSE NUMBER REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sani t.vi,y PE nm,it 1 State Sep.t4.e_ NAMt Township St. Cno-i.x County I ca.ton .S ect on Lot # Subdivi.6ion ! PT I C TANK Si ze-,/-' gaUon.d Numbers o6 companLtments tanc e 6 nom: W eZ Buy eding 12% At ope Highwaten. 1'(1MPING CHAMBER S,i z gattone Pump Manu 6aezunen Mo de-t Numb e i-- 10 iAN& Si ze ^ga.Ltons Numbe.n o6 Comp.an.tmen-ts Pumpers Atanm System D-i.A,.tance Anom: (deft Buitding 120 Atope Highwate4 A13SORPTION SITE f3ed__ _ T~Leneh A DiA tance 6nom: (deft Bu.Ltding ? f2% stope Highwa.ten ALiSORPTION SITE DIMENSIONS Width o ench 6 ,ta • 6.t R eq utih.e-d anea t I Length o6 each tine ~1 6t Depth o6. ILo,ck betow take -^-c_n Numbest o6 fifle-6 _ Depth 06 tock oven- tUe- lotaY te.n th o t-ineA , 9 6 ~6, 6t Depth o6 ttite bexaw gnade_ wI-_' <n U4:6tanee between tine.6 - At Stope o6 tneneh in. pelt 100 At t Fo.taK absonp.tion anea_ 6,t Type o6 Coven: -PctwL o )APi-aw i I'1"1 UIMFNSIONS Numbest o6 pi tA_ Gnave~ anound p~,tA yes n(• ou to i-dc d i-ame te,n 6-t Depth b etow tint.e,t A t I' I o tat abAonp.tion anea 6,t A!(C a PLC ((u4 4(! ~ At i NS I'1 (111 D BY _ TI TLE A1IPROV1 D f ~DATE 19 I'll .11 C1 1 D DATE 198 I,'I ASON FOR REJECTION- I ■ Rev. E.H. `115, s ,78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: Section ,T2_~/N,R_E (or) W, Township or Municipality f 70 Lot No. , Block No. ZZ County f2 ~2 T-Subdivisi ame Ajdc" Owner's/Buyers Name: 's~'✓i4!i/Vz Mailing Address: 1Z 5 0 a4l TYPE OF OCCUPANCY: Residence No. of Bedrooms 2 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT-ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 46' PERCOLATION TESTS 6" SOIL MAP SHEET NAME OF SOIL MAP UNIT PERCOLATION TESTS TESL e ~S HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- ,72 G P_- P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES 5 '7" B_ 2 B- B- ~ B- ice{ 5. B_ S 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 L/ 9t" Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. E E r C i F 3 F € s 3 i n z r > # }g # # # E , # r 1 £ t r e 1 3 , r ~ 9y u e # _Ww ~ r 1 a i t i T } S a t a s . I, the undersigend, 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. L~ CC Name ('print) G 11 ~i w l ? n ~ r l bi Certification No. %,9 Address r/ .Name of installer if known / CST Copy A -Local Authority Signature ` 6 State and County State Permit # PUB Permit Application County Permit # for Private Domestic Sewage Systems County .r / ~ - *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNK_ OFF PROPERTY Mailing Address: J- '1 17 2 B. LOCATION: il✓ % .L ct1'; Section T.:~ N, R/4 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village ® Township J~ v Scr GAL //0 ~ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family - Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY / ryt Total gallons No. of tanks a--1s° HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete e' 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: Per tion Rate is Total Absorb Area ft. New Replacement Alternate (Specify) Seepage Trench: I-E-V No. of Lineal Ft.- Z 0-V Width 6~ Depth-Za?LTile depth (top) o. of Trenches Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- , ~ ~a Distance from critical slope WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑ Owners name as listed on H 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 Cer fled Soil Teste/r, NAME ) c, Il P La C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# .2' !2 °L Phone #.°L IIL S y . Plumber's Address 1-'y+t 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. , t' 3 i F r a ~ E E t Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 1L? ' 20 Fees Paid: State. 5. County c C' Date. Permit Issued/ReeecKed (date) fj Issuing Agent Name C Zs2~ -C-2C ~e ,t L.L~ Inspection Yes No State Valid# Date Recd 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) Revised Date 7/1/78 l Plb. t-,a WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES ' Division of Health Section of Plumbing & Fire Protection Systems ON-SITE WASTE DISPOSAL INSPECTION REPORT Name of Premises Street City County Master Plumber Address Owner Address ❑ County Permits ❑ Appropriate State Permits Type of Building: ❑ Public ❑ Single Family or CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM rrt ❑ Building Sewer ❑ Conventional Soil Absorption Sm C~_ ❑ Septic Tank ❑ Conventional System-in-fill El Holding Tank ❑ Alternate Mound System c` : rn co C ❑ Seepage Bed ❑ Holding Tank . ❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH: € j t d f i s { r - - - - - - - r ~ 7 ~ i I # 1 „ df .rr E I j F T--- t ~ , , E , t r , I 4 3 r { € , f , E a > I I I r . , k e t ~j € € ig f - ° e E , I I I I s i i , € 4- A , 1,4 € ~ i 1 ` ❑ SEE ATTACHED DISCUSSED WITH PLUMBER ( ) Yes ( ► No SIGNATURE (Voluntary) DATE OF INSPECTION Signature of Inspector White - Inspector Yellow - Local Inspector Pink - Plumber or Responsible Party I I&Ts- aq k)lL 6vJ PJbCoE 1,~ SuB~IVISIO7J 5E sec. 18, TaiN,R1Qh/ iwp or Dwo j, CRoIK cc , 07 f~ l altze 7-k c::6 S -dZ . - , n . 49 l 38 I I i - A6t Z o Z i IkQ 7 f Recording Data NOL EASEMENT This deed is made between Willow Ridge II Homeowners Association, grantor, and Alan N. Jennings and Connie M. Jennings, husband and wife as joint tenants, grantees. Whereas, the grantor is the owner of Outlot 4, Willow Ridge 2nd Addition, St. Croix County, Wisconsin; and Whereas, the grantees are the owner of an adjoining parcel of land, described as: Lot 29, Willow Ridge 2nd, Addition, St. Croix County, Wisconsin, except that part of Lot 29, further described as follows: Commencing at the NW corner of said Lot 29, also being the point of beginning; thence S 83-31-33 E along the Northerly line of said Lot 29, 305.12 feet; thence S 36-54-57 W, 178.20 feet; thence N 89-48-10 W, 261.18 feet to the Westerly line of said Lot 29; thence N 20-17-00 E along said Westerly line, 187.62 feet to the point of beginning; and Whereas, the grantees are desirous of constructing a sanitary septic drainage field; and Whereas, the grantor has agreed, for good and valuable consideration, to grant to the grantees an easement for construction of a sanitary septic drainage field; Now, by this deed, the grantor hereby grants unto the grantees, their heirs and assigns, full and free right and authority to construct and maintain a sanitary septic drainage field on the following described real estate in St. Croix County, State of Wisconsin: A portion of Outlot 4, Willow Ridge 2nd Addition, St. Croix County, Wisconsin, described as follows: A strip of land 25 feet in width lying Southeasterly of, and measured perpendicular from, a line commencing at the Northwest corner of section 20,T 20 N, R 19W, thence N 740 38' 58" E 183.41 feet (being all but the East 50 feet of the division line of Lot 29 and Outlot 4 Willow Ridge 2nd Addition). The grantees hereby covenant with the grantor that they, their heirs or assigns, will repair damage caused to said Outlot 4 from the construction or maintenance of said sanitary septic drainage field by reseeding or replacing sod over any such excavation on Outlot 4. In witness whereof,.the grantor has hereunto set its hand and seal this _°day of 1980. Willow Ridge II Homeowners Association by ` j' l-__--.--- President t - _ l : G-, Countersigned by: SATEOE WISCONSIN) Secretary ss ST.. '~G{kVl UNTY ) 1-eTsgn.a.:ly came before me this 9d- day of 1980, the above 'named-Lenora 7,•1. Anclerson cz Pats 1 Ttlcknerknown' to me to be the persbns-tl~'at executed the foregoing instrument and acknowledge the same. This instrument drafted by • Joel D. Porter ~ `llci' INO"'ry P`~':' is p Nota~~~`; ~R'ub~aic~ Attorney at Law County, wj:sc,oh..sirit County, Wis. -Oxr +.',y o rr:i s~oa Expiras Avo. Z9, 2934 IL d s on , WI commission expires: von, CONSENT ACTION OF BOARD OF DIRECTORS The undersigned, being all of the directors of Willow Ridge II Homeowners Association, excepting Alan Jennings who obstains from voting because of personal interest in this matter, hereby consent to and adopt the following resolution: i RESOLVED, that the president and the secretary of the Willow Ridge II Homeowners Association are authorized to convey by deed to Alan N. Jennings and Connie M. Jennings an easement over a portion of Outlot 4, Willow Ridge 2nd Addition, St. Croix County, Wisconsin, owned by the Willow Ridge II Homeowners Association. Said easement is to be for the purpose of constructing and maintaining a sanitary septic drainage field. Said easement is to extend over the northly 25 feet of Outlot 4, excepting the east 50 feet thereof. Said easement is to be upon consideration of Alan N. Jennings and Connie M. Jennings reseeding or resoding that portion of said Outlot 4 which may be damaged by excavatie--i in contructing or maintaining said sanitary septic drainage field. The president and secretary are authorized to execute such easement on behalf of the Willow Ridge II Homeowners Assocaation in such form as will substantially comply with this resolution. Dated: 1980. REG, ST. CR©IX Co., `~,CC Direct-oRec'd. for Record N~ s 1 day of_Oc.t~oherA.D. 1980 cat 8: 30 A , M. \ t \ ~t ;LC` I~ Director James O'Connell ~ ~ n tats o~ ~ ~ ' Director deputy J`y~_ c Director The undersigned officers of Willow Ridge II Homeowners Association certify that the foregoing resolution was duly consented to in writing by all of the disinterested director. Dated: - r<, o 1980. President Secretary STATE OF WISCONSIN) SS. ST. CROIX COUNTY ) Personally came before me this 30thday of September 198031 the above named Lenora lv!r, Anderson and Paul Tuckner , known to me to be the personswho executed the foregoing instrument as president and secretary and acknowledge the same. lv --O~ ~ erg Notary Public, St. Croix County Wisconsin n+~ My commission expires ~~,s: ,~:nstrument drafted by: oei Porter Kctary i'u 1ic aucl,on, St. Croix County, Wis. .FE I~f, R & PORTER t`V`,y Commission Expires Au;~. 151,19E4 ~ 50,2,"Second Street Hudson, WI 54016 (715) 386-5844 odool S TARY SYSTEM REPORT SEC. J Y TAN , ~ W OWNER TOWNSHIP - ✓1~- - COUNTY WISCONSIN P.O. ADDRESS ST. CROIX CO , SUBDIVISION LOT LOT SIZE • PLAN VIEW ~1? Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100FEET OF SYSTEM ' I 1 SEPTIC-TANK(S) MFGR•CONCRETES STEEL DRY WELL - N0. o rings on cover - Depth c l- i TRENCHES No. of width ength area 1 BED no. of lines width. lenggtom area _ dept to top of pipe AGGREGATE 31'AREA AS BUILT PERK RATE ' AREA REQUIRED DISCLAIMER: The inspection of this system by St, Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. &Z INSPECTOR L _ 7 DATED PLUMBER ON JOB-) LICENSE T S ' gel PL B6T- State and County State Permit #10 Permit Application County Pert #1~- for Private Domestic Sewage Systems County L - *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 5,f B. LOCATION: S Lam'/ '/4, Section _L& T2j N, RJ_5 (or) W Lot# ~~City Subdivision Name, nearest road, lake or landmark Blk# Village_ Township C. TYPE OF OCCUPANCY: *Commercial _ *Industrial 'Other (specify) _*Variance-_ Single family ~-Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher L--YES NO Food Waste Grinder-YES 6---NO # of Bathrooms- Automatic Washer DES NO Other (specify) SEPTIC TANK CAPACITY Total gallons No. of tanks tom= - 'Holding tank capacity Total gallons No. of tanks _ "ew Installation Addition Replacement Prefab Concrete 'Poured in Place Steel Other (specify) t. FLUENT ,.DISPOSAL SYSTEM: Percolation Rate 1) 2) ) _ ,dotal Absorb Area s sq. Newt/ Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width 7 r Depth Tile Depth 2 " No. of Lines ~L Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land L/ :Z,,:, Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, "!isconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certifie Soil Tester, NAME / GX C.S.T. # and other information obtained from (owner/builder). _ s'lumber's Signature MP(MPRSW# r Phone #>>y~`-~'z~"1f Plumber's Address e e ~r day r , & I~l / 4 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). f y %11 SIC Do Not Write in Space Below FOR DEPARTMENT USE ONLY 4do-~ Date of Application ~Q Fees aid: State )C) CoDate Permit Issued/Be}ect~8 ) Issuing Agent Name Inspection Yes_No Valid# Date 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 cor,0 115 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 TES_T/S LOCATION: 1Z'/4„T~'/4, Section T~N, R ~ E (or) W, Township or Municipality !7 < Lot No. Block No. County % Zy Z G ~ ub Ivision Name Owner's Name: n-t Mailing Address: ~h --,e-- TYPE OF OCCUPANCY: Residence L~ No. of Bedrooms -3 Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PE,RQOLATION,TESTS SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS TEST DEPTH HOURS WATEk CHARACTER OF SOIL Sri 1 C NUM- INCHES THICKNESS IN INCHES INTERVAL BER 1ST WETTED SWELLINGR IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN E' F' car e_ c•- ~JE , 7j k- P e r r~ 1 P-_ II rr r e 3 ~S It/ i 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) P- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Ir,dicate on the plan the locationand square feet of suitable areas. Indicate number care feet of absor do ea needed for building type and occupancy. r<' Ica e or distances. Give horizontal and vertical reference points. Indicate slope. I { f i k 1 _ _ 1 I - . N V, Lit - F _Ft_ 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 /s it r z -r ~ CST Signature - - , L UPORT OF ITTSPECTION--INDIVIDUAL SL74AGE DISPOSAL SYSTEM Sanitary Permit it State Septic I t . ATIE (AIVI, TOWNSHIP -fit." CY'oix Count; SEPTIC TA'?K Size ~ OC" gallons. "3umber of Compartments r Distance From: T••Iell a ft. 12% or greater slope Building ft. Wetlands f*_ Highwater ft. DISPOSAL SYSi1 _~Tile Field or Seepage Pit(s) Distance From: T.Tell ft. 12% or greater slope fi Building, ' ft. Wetlands f~. 0 FIELD E'lig hwater ft. Total length of lines ' ft. !Number of lines Length of each line Ft. Distance between lines' ft. Width of the trench 1 ft. Total absorption area } sq. ft. Dept:: of rock below tile in. Depth of rock over tile in. Cover .over.rock,Depth of tile below grade 5 in. Slope of trench --ins ner 110 ft. Depth t,o Bedrock trench Depth to around water ft. PITS "lumber of nits Outside di,nete ft. Depth below inlet ft. Gravel around pit: no. Total absorption area sq. ft. Square feet of seepage trench bottom area required `square feet of seepage nit area required / `'y Inspected by:~; Title: 1 Approved Date 197 7. Rejected Date 197