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HomeMy WebLinkAbout020-1143-90-000 o 'n0 lE a d :E r 11) 1 7 ID ID ZD O! M (D Ot 3 L o 0 ~ N t7i) O U7 ~ s ~ II C J N ~ • OJ (O n O CD o(D m cn m~ p ^ n y ? ` 1 CD W N n = O O .7 O p p N A O O O C cn 7 p k 3 W O O ~1 (D C) G 0 / i C a 5 CD CL 3 rn cil 10 O N N CD 00 ~ f7 r ti o o N! C 3 Z -V vv(„ !r• z O O O a C-n o ~ vcntoy cnm v 0- C' 3 m v o < I o' m ~ :3 (D CD Z 3 Q. PO c v CD 01 N Z N - ` , z N z co z O D o O C ~ o• ~y • CD N ll~~~yll C (D co N aD N C (D (D W N n ii Z CD (p -I Cn 0 C) n a 0 W CL " - z e 3 a A o z 3 m N z CD -P, D n n o' - D) c z a 0 (D U) m y ' A zt b a t O a I N O , O A CD Dq ti ~ O 0 p ((D O i ti Parcel 020-1143-90-000 12/0612005 09:12 AM PAGE 1 OF 1 Alt. Parcel 17.29.19.748 020 - 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 - SCHLEI, DIETMAR, & JUDY WYATT DIETMAR, & JUDY WYATT SCHLEI 458 MCCUTCHEON LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 458 MCCUTCHEON LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.270 Plat: 2276-PARK VIEW ESTATES 2ND ADD SEC 17 T29N R19W PARK VIEW ESTATES 2ND Block/Condo Bldg: LOT 55 ADD LOT 55 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 685/298 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 2.270 70,300 239,000 309,300 NO 05 Totals for 2005: General Property 2.270 70,300 239,000 309,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.270 37,500 235,000 272,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 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 0WAR TOWNSHIP SEC. T _N, R W ADDRESS ST. CROIX COUNTY WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a 4 t i d .w 4 1 I di, ate orthl Arrow SCAL SEPTIC TANK(S)t? g MFGR. CONCRETE STEEL NO. oT rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. -M65EL NO. GALLONS Per Cycle TRENCHES NO. of widtFi length area BED NO. of lines width d length area depth Tt top of pipe NUMBER OF SEEPAGE PITS outside diameter 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 cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER • AS BUILT SANITARY SYSTEM REPORT KR , TOITNSHIP ;'EC. T N, R W 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. T- . .BDIVISION , LOT LOT SIZE PLAN VIEW -Distances b dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I iA 4 I i I i • I I 1 4 S I I:rYdicate Nozth Arrow j i SCALE: tPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL- ;r NCHES NO. of width length area no. of lines width length area depth to top of pipe aGREGATE ,,;W, RATE AREA REQUIRED AREA AS BUILT kisclaimer: The inspection of this system by St. Croix County does not imply complete .0pliance with State Administrative Codes. There are other areas that it is not possible p 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 .jtermine cause of failure. ,IE.ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. 'INSPECTOR DATED PLUIMER ON JOB LICENSE NUIMER Z - REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.ita4y Penm.i.t CMG State Sep-t.ic..119 NAME - townah.ip St. CALoix County LocatioA 11+1? n C_ Section I- US SEPTIC TANK S.cze~ ga.2.bona. Numb en o6 Compant"men.ta DiA Lance F&om: W ett 77 6t. 12% on greaten a Lape_ 6 Buitd.ing 6.t. We.t.banda DISPOSAL SYSTEM Highwa.ten D.ia.tance Fnom: Wets 6.t. 12$ on greaten 6tope_ 6t. Bu.i.Ldin t. We-ttanda Ft. H.ighwa.ten FIELD DIMENSIONS: Width o 6• .then ch_6.t. Depth o6 no ck b et ow, -t.i.e.e Z i n . Length o6 each tine--A 6.t. Depth o6 rock oven .tile in. Numb en- 06 Linea Depth o6 .tite be.Cow grade!:.; .in, 1. ]'o#at berg th o6' pine in -6 4 .6.t. Stope o6 .trench pen 100 6-t. j D.ia Lance between ' tinea!_L-it, Depth to ' b edno ck h Toxat abaoab.t.ion area j/,,/,() 6.t2 Depth to gaoundwa.ten 6.t. Requited. area . 6x2 Type o6 Coven: P pen' ~n S V L a w PIT DIMENSIONS: Numbers o6 p.itz Gnavet around pitz yea no Ou" ide di'ame.ten. 6.t. Depth below .in.Ee-t To.tat Oz o kb.t.ion area 6t z Areaequ.ined 6t2 rn INSPECTED BBC TITLE 'C, APPROVED , DATE 19. REJECTED ,DATE_ 19 7 a State and County State Permit # ~S PLB 67 Permit Application County Permit S • for Private Domestic Sewage Systems County r *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: ~G.r~ t l~~ B. LOCATION: AI'LV% Xd_%, Section T_,2:'jN, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township d 5 vi C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family jf Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAP, ,CITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation ~f Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width 4 . Depth Tile depth (top) No. of Trenches Seepage Bed: Length ,~4- Width 2- Depth (z -z Tile depth (top) - No. of Lines Seepage Pit: Insi e diameter Liquid Depth No. of Seepage Pits _ Percent slope of land 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 Certified Soil Tester, NAME e I;• i, r ~t /~.r+ G h- ~~k • - C.S.T. # and other information obtained from j ',i i ! (owner/b i y 2-Phone # Z- Plumber's Signature yyMP/MPRSW# Al P 5' Plumber's Address fy ~1 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. a 3 3 3 E A'r) G ~ u rtlP V _ Do Not Write in Space B ow - FOR COUNTY AND STATE DEPARTMENT USE ONLY Z3 SL Date Date of Application S 1 'Fee Paid: State 1 S County 2 Cj A Permit Issued/R je d (clte) Issuing Agent Name inspection Yes No State Valid# Date Recd / 1, county hire c py) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pi k copy) 4. plumber (canary copy) Revised Date 7/1/78 f E H t5 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS < WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701-~~ LOCATION: 9_0__/1/4, /"SectionL7_,T~LN,R/_4L (or ownship or Municipality Lot No., Block No. t.1'c`< ` S County X Subdivision ame Owner's/Buyers Name: ~t~•ll / 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 mTEST-TIME DROP IN WATER LEVEL, INCHES v T NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL RAZE i BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IPJI P- P_ X S' P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 3 B- 7 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 ~ii`stances. Give horizontal and vertical reference points. Indicate slope. AIL" Pews 2 d a C~ x ~ J s. , , e ~S ~c ,FZ . ` . N C ~r A '~y< S r~cS.dc:cC CL~ A~ J-o1" % C QO AA /Vo / f ~ F s f l'f S"y' 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. rs r ' r~ eCertitication No. S I Name (print) k1F/1"I' / Address c e l-e / cc ) S , d t Name of installer if known - Copy A -Local Authority CS_ sic: