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HomeMy WebLinkAbout020-1143-30-000 0 cn O 3 T n ~ -1 c c: c 0 CD ID ID n (D n u v a m ~ n 3 p O W Cl) Q v O w° n V o `C • C) (D m y m CD En m 00 CO 0 co a) I :t CD W r,j C1 ; o A W O O ty N CVO 7 N O O 3 03 N N (n O O O O m CD (D ZZ CD CD (n CD n G a 3 V N W ~ CD c 33 QO o ° a c 00 C j = l+a CD C n r N N OW (D 0 N O Q z O O O cn 0 cn o A rjl~ v 3 fin y N rn 7 V~ vvv o' CD CD 0 m CD Os CD CD _ tr (n m N O CD N N Z N CD Zco Z = o CD 0 0 O D a = :7 "fto CD N ~ _0 N CD CU C C CAD CD W CD CL a D S z CD (m i cn O = p Z W O ? ~ a 0 Q A Z F p' W M N V CD CD CO Z 00 3 A 0 Z 3 m m N Z < CD A W I D a n o' - o= c 0 4 CD Cn y lz~ b m I o- z 0 a N O O O Oo CD dQ a O O . N I p i ~ Parcel 020-1143-30-000 12/06/2005 08:53 AM PAGE 1 OF 1 Alt. Parcel 17.29.19.742 020 - 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 - HART, STEPHEN C & CLAUDIA M STEPHEN C & CLAUDIA M HART 978 SHERMAN RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 978 SHERMAN RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.530 Plat: 2276-PARK VIEW ESTATES 2ND ADD SEC 17 T29N R19W PARK VIEW ESTATES 2ND Block/Condo Bldg: LOT 49 ADD LOT 49 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 792/277 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.530 59,100 277,500 336,600 NO 05 Totals for 2005: General Property 1.530 59,100 277,500 336,600 Woodland 0.000 0 0 Totals for 2004: General Property 1.530 30,500 253,200 283,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 210 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 y~~ 9A 17a ST. CROIX COUNTY ZONING OFFICE v r 911 4th Street V Hudson, WI 54016 U/10 ' Telephone - (715)386-4680 The 5J Croix Co. Zoning office offers the service of septic and water inspection to Lending Institution, 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 CO. ZONING, 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:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 i PROPERTY OWNERS NAME: PROPERTY OWNERS ADDRESS: "/7~ _~~y~M•i;v ~r_, CITY: v oN Legal Descr'ption 1/4, .1/4, Sec. _f~7 , T „L- N-R W, Town of v ,Lot: No.t Subdivision FIRE NO. Gl ' LO S 1 6X NO c~ Color of house Dr -fro w ti, Realty sign? Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, 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: Telephone No. REPORT TO BE SENT TO: CLOSING DATE: XVI Signature: s 74 1 0,4 00-5+GOnuo it c i 3 q I ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning office offers the service of septic and water inspection to Lending Institution, 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 CO. ZONING, and mail, along with form to the above addr,ess. 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:$175.00 (voC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAME: ~r f PROPERTY OWNERS ADDRESS: 77~ S~rA4a" CITY:Ajsol(J Legal Descr ption 1/4, • .1/4, Sec. , T N-R W, Town of L6t: No. , Subdivision a FIRE NO. 77 LOCK BOX NO. Color of house Dr Kr-o w,U Realty sign? Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, 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: Telephone No. REPORT TO BE SENT TO: r CLOSING DATE: ~ r Signature: 74- r f ~ ~'o ~'y'41 Ll)~z s ~"G ~ rti FXI- keoN Ar. SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7176 LABORATORY ANALYSIS REPORT NO: 20883 PAGE 1 03/26/92 St. Croix; County Zoning DATE COLLECTED: 03/21/92 911 4th Street DATE RECEIVED: 03/23/92 Hudson, WI 54016 COLLECTED BY : CLIENT DELIVERED BY : CLIENT SAMPLE TYPE DRINKING WATER Attn: Mary J. Jenkins SERCO SAMPLE NO: 21692 SAMPLE DESCRIPTION: S.HART ANALYSIS: Bromodichloromethane, ug/L W.2 Bromoform, ug/L <0.5 Bromomethane, ug/L (Methyl bromide) <1.0 Carbon tetrachloride, ug/L <0.2 Chlorobenzene, ug/L <1.0 Chloroethane, ug/L (Ethyl chloride) <0.4 2-Chloroethylvinyl ether, ug/L <0.4 Chloroform, ug/L <0.5 Chloromethane, ug/L (Methyl chloride) <0.6 Dibromochloromethane, ug/L <0.4 (Chlorodibromomethane) 1,2-Dichlorobenzene, ug/L <1.0 (o-Dichlorobenzene) 1,37-Dichlorobenzene, ug/L <1.0 (m-Dichlorobenzene) 1,4-Dichlorobenzene, ug/L <1.0 (p-Dich1orobenzene) Dichlorodifluoromethane, ug/L (Freon 12) <0.5 1,1-Dichloroetnane, ug/L "'0.1 1,2-Dichloroethane, ug/L <0.2 (Ethylene dichloride) 1,1-Dichloroethene, ug/L <0.2 trans-1,2-Dichloroethene, ug/L <0.1 1,2-Dichloropropane, ug/L <0.1 cis-1,3-Dichloropropene, ug/L <1.5 trans-1,3-Dichloropropene, ug/L <0.9 < means "not detected at this level'". 1 mg = 1000 ug. ~ Member Ar. 7 SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 20883 PAGE 2 03/26/92 SERCO SAMPLE NO: 21692 SAMPLE DESCRIPTION: S.HART ANALYSIS: Methylene chloride, ug/L <5.0 (Dichloromethane) 1,1,2,2-Tetrachloroethane, ug/L 40.2 Tetrachloroethene, ug/L <1.5 1,1,1-Trichloroethane, ug/L <5.0 1,1,2-Trichloroethane, ug/L <0.1 Trichlorofluoromethane, ug/L (Freon 11) <0.7 Vinyl chloride, ug/L <1.0 Benzene, ug/L 41.0 Ethylbenzene, ug/L <1.0 Toluene, ug/L <1.0 Trichloroethene, ug/L <0.4 This sample-s analytical results are j ~34W(9Z , below the u. S. EPA " s SDWA Maximum Contaminant level of 1/30/91 for those requested compounds which are also on the SDWA MCL list. < means "not detected at this level". 1 mg = 1000 ug. Member SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 24883 PAGE 03/26/92 All analyses were performed using EPA or other accepted methodologies. Samples that may be of an environmentally hazardous nature will be returned to you. Other samples will be stored for 30 days from the date of this report, then disposed of by SERCO Laboratories. Please contact me if other arrangements are needed. This report may not be reproduced, except in its entirety, without prior written approval from SERCO Laboratories. Report submitted by, Diane J. Anderson Project Manager I < means "not detected at this level". i mg = 1400 ug. Member • AS BUILT SANITARY SYSTEM REPORT 11;~iER , TOWNSHIP SEC._I_Z_ TR~W 0. ADDRESS Sy-rte = ;r , ST. CROIX COUNTY, WISCONSIN. uDIVISION , LOT LOT SIZE PLAN VIEW .Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM - t- > - 4-y 4 , I 1 __1- _ i E i L 7 r i _ _ i Indicate North; Arrow i - - T' -i SCALD - - > - i j- 7 r ITT_IC TA T,(S) MFGR. - CONCRETE r STEEL NO. of rings on cover 9 Depth DRY WELL N 1. CiL, NO. r idth length area no. of lines_ width length-,- area depth to top of pipe GREGATE I, RATE o AREA REQUIRED AREA AS BUILT 4sciaimer: The inspection of this system by St. Croix County does not imply complete oppliance with State Administrative Codes. There are other areas that it is not possible o inspect at this point of construction. St. Croix County assumes no liability for +jstem operation. However, if failure is noted the County will make every effort to i~ermine cause of failure. GASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. r --INSPECTOR. F DATED / r PLUMBER ON JOB LICENSE NUMBER 3 REPORT OF INSPECTION - IND"IVI"DUAL SEWAGE SYSTEM S ani tan.y Pen-mit AZ3 State Septic_ NAME Township St. Cnoix. County Loca,tionNE &E, Section Lot Subdivision SEPTIC TANK f Size gattonb Numbers o6 eompaAtmen.t4 Distance 6Aom: Wett Building ~ t2% zZope HighwatvL PUMPING CHAMBER Size gattons _ : .Pump Mc~nujactuAe.A Modet, Numbers HOLDING TANK Size gatfonb Numbe t o6 CompaAtment6 Pumnen Ata.Am System Distance 6Aom: wett- Building 12% 6ZOpe_ HighwateA ABSORPTION SITE Bed_ /,02 n TAench Distance. 7 Aom: We.L'Q l9 0 Buitdin ~~---12% btope HighwateA ABSORPTION SITE DIMENSIONS - w Width 06 -tAe.neh ~ pZ 6t RequiAed area ~ l ~x Length a each tine__jL A6t Depth o6 Aock below -tile NumbeA o6 T-i-ne.6 Depth o6 %ock oveA tiZe in To;tat tength of tines 6t Depth of -tile betow gnade_ ir, Distance between tines CU 6t Shape of t&eneh in. peA 100 6t TotaQ ab4afep Eon anecc6 Type a6 Cove A: (7Pape& 6t&aw PIT DIMENSIONS Numb eA o6 pits, GAavet. abound pit.6 yes no Outside diameters. 6t Depth: below inke-t~ hit- Totat abbatption aAea. 6t AAea Ae.quiAed bt INSPECTED BY TITLE APPROVED DATE 198 REJECTED DATE ' 19 & REASON FOR REJECTION REPORT ON INSPECTION OF SANITARY PERMIT # 12e,-k (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection ame, ress, cense No. o ns a ing Plumber Time of Inspection 3 INS LATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BENCHMARK: (Permanent reference Point) escri e: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: PL13 6 7 State and County State Permit # <3 to 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: Section , T N, R E (or) W Lot# ity Subdivision Name, nearest road, lake or landmark Blk# Village Township u S G i/ ~rA, V s 1-g7-.-5 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY-/ ©6, 0 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete 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- 7 Total Absorb Area Arl1~ sq. ft. New I,"- Replacement Alternate (Specify) Seepage Trench: - No. of Heal Ft. Width ppth Tile depth (toy No. of Trer~hes Seepage Bed: y LengthWidth Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of lands ..A Distance from critical slope WATER SUPPLY: Private oint ❑ 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 G~ PA el Ij NAME i1 J G / JG~~p .fir C.S.T. # 7 7 1 5_f/and other information obtained from 0 -jA 9 (owner/b j a4 Plumber's Signature MP/MPRSW > )Phone #7- 3 L 3 " Plumber's Address w r 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. E E C 0 1C, 'T 10 a' A >r` a 0 f Wn~~ 1Z, 30 i E ,V Do Not Write in Space Bellow FOR COUNTY AND STATE DEPARTMENT USE ONLY p Date of Application , -~O Fees Paid: State County. Date -7- ~ "r7 0 Permit Issued/Rejreted (date) Issuing Agent Na 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 6- EH 115 Rev. 9/78 _ REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCA ON: '/4, Section ,T_N,R_E (or) W, Township or Municipality Lot o. , Block No. County Subdivision Name Owner ~ uy s Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- 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 B- B- B- B- B- B- 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 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. , a 3 I , t r.a , s. I _I I ~ . IV 3 s I 3 i m 3 , m r E I , 5 g J_ _ _A-- . s , i 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. Name (print) Certification No. Address Name of installer if known Copy C -Property Owner CST Signature EH 145 Rev.s/78 n REPORT ON SOIL BORINGS AND PERCOLATION TESTS T WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES CO R~~~,Y~ a0 P.O. BOX 309, MADISON, WISCONSIN 53701 s 1pN11~~ LOCATION:/-1/Section T4nN,R_&F(or)&.~Fownship or Municipality Lot No._7Block No. P County ubdivision Name Owner's/Buyers Name: f Mailing Address: i:JJ44- J c d p TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOILBORINGS S_- , 2,;?. 'd n? PERCOLATIO TESTS .2a-F® SOIL MAP SHEET NAME OF SOIL MAP UNIT 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 MIS!/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- _5ee- &re a,41,4 A10 (o P-,2 fte ~e Aore / O -3 P- -3 re ' © •.S~ _YXL Se 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 B- S rB- H Is 1746 Awe- k' 9 a 7 . J, 6 y -5 h S B_ A, 1W 1?, :7 F,6 4' /07 a O"S B- 11:M1 6001 B- it ?46 4 I/off 10 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 61.S )0'. 1- WC) '0' Indicate scale or distances. Give horizontal a A10 _Z~X 46 nd vertical reference points. Indicate slope. - / 6' Yb © arc A ao FL' q 7' O L'__ F4_ p 0 1\ A-0- ell IN 17 "1 70 Slope 146'r"A wtil 610 &4rCA Qro&-e d 130, Aef CorI'ej- AAS ~ fa 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. Name (print) ! Certification No. e Address e .Name of installer if known - 42 Copy A - Local Authority CST Signature