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Parcel 020-1067-10-000 01/20/2005 02:34 PM
PAGE 1 OF 1
Alt. Parcel 24.29.19.257C 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): Current Owner
DENNIS C VOLD * VOLD, DENNIS C
823 BADLANDS RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 823 BADLANDS RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE
SEC 24 T29N R1 9W PT SE SW LOT 1 CERT Block/Condo Bldg:
SURVEY MAP IN VOL I PAGE 48 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/23/2004 754817 2513/536 CO AF
10/22/2003 744449 2441/144 QC
2004 SUMMARY Bill Fair Market Value: Assessed with:
48172 188,600
Valuations: Last Changed: 10/29/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.500 55,300 90,600 145,900 NO
Totals for 2004:
General Property 2.500 55,300 90,600 145,900
Woodland 0.000 0 0
Totals for 2003:
General Property 2.500 55,300 90,600 145,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 122
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
Parcel 020-1067-20-000 01/20/2005 02:29 PM
PAGE 1 OF 1
Alt. Parcel M 24.29.19.257D 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): Current Owner
KVANLI, GRETCHEN M
GRETCHEN M KVANLI
825 BADLANDS RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 825 BADLANDS RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 4.600 Plat: N/A-NOT AVAILABLE
SEC 24 T29N RI 9W PT SE SW LOT 2 CERT Block/Condo Bldg:
SURVEY MAP IN VOL I PAGE 48 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/04/2001 642073 1613/244 TI
07/23/1997 476/344
03/29/1980 383107 609/627 WD
2004 SUMMARY Bill Fair Market Value: Assessed with:
48173 289,900
Valuations: Last Changed: 10/29/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.600 60,500 163,800 224,300 NO
Totals for 2004:
General Property 4.600 60,500 163,800 224,300
Woodland 0.000 0 0
Totals for 2003:
General Property 4.600 60,500 163,800 224,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 306
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
Parcel 020-1067-30-000 01/20/2005 02:29 PM
PAGE 1 OF 1
Alt. Parcel 24.29.19.257E 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): Current Owner
GARY W ASH ASH, GARY W
827 BADLANDS RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 827 BADLANDS RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: 0237-CSM 01/048
SEC 24 T29N R1 9W PT SE SW LOT 3 CSM 1/48 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
11/13/2002 698259 2045/083 WD
12/02/1999 614796 1475/251 WD
07/23/1997 790/51
07/23/1997 755/249
more...
2004 SUMMARY Bill M Fair Market Value: Assessed with:
48174 205,800
Valuations: Last Changed: 10/29/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 56,500 102,700 159,200 NO
Totals for 2004:
General Property 3.000 56,500 102,700 159,200
Woodland 0.000 0 0
Totals for 2003:
General Property 3.000 56,500 102,700 159,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 136
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
I,ER- TOWNSHIP SEC . 2 N, R W
o. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
3DIVISION 12 LOT LOT SIZE
PLAN VIEW (
Distances & dimensions to meet requirements of H62.20 FCC
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
.Y
r
f II
• f
I-S ff
Lai
TIC TANK (S) MFGR. 1 e s c CONCRETE i' STEEL
NO. of rings on cover ' Depth DRY WELL
71"ICKES NO. of width length area
no. of lines- width length- area sir .
depth to top of pipe
z EGATE _
,K RATE AREA REQUIRED C AREA AS BUILT
'claimer: The inspection of this system by St. Croix County does not imply complete /
aliance 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
zem 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 THIS SYSTEM.
.0
"INSPECTOR
DATED ` r PLUMBER ON JOB
LICENSE NUMBER 1` 4`'
a
REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Sanitary PeAmit
State Septicd
.AMETownship St. Croix County
ocat4on5E SCe) Sectional'/ Lot # Subdivision
LPTIC TANK
Size gatto ns Numbers o j eu mpantments
6 Lance {nom: Wett Buieding L2% scope "
Highwatet
LIMPING CHAMBER
Size gatton. -Pump Manu6aetunen.• Mode. Numbers
OLDING TANK
Size gattons Numbe.A o6 Com•pahtments
Pumpers Ataxm System
s tanee. 6Aom: Wett Building 12% 6 tope
Highwaten
8SORPTION SITE
Bed TAeneh
stance. (nom: Wett_ Building t2% s~upe
Highwate.n
liSORPTION SITE DIMENSIONS
Width oK tn.eneh St Requi&ed area a- ~t
Length o6 each tine 6t Depth o6 kock below tite ,cn
Numbers o6 tiles Depth o6 tock oven. tile. - in
Totat tength u6 -ines St Depth o6 tite bekow grade n
Distance between tine-.6 6t Shope oA tnench__ in. pe.n 100 6t
- y
l u d,u t. Ltbs o4ptiun area
C 6t Type o6 Cuve)t: Paper an. straw
IT DIMENSIONS-
Number o6 pits Gtavet around pits ye.s no
Out,5ide. diameter. 6t D•epth be.Eow inlet - - 6t
To tat abs onption area ~t
At.ea nequitted 6t
NSPECTED By TITLE
PPROVED DATE 198
f JECTED DATE 198
'EASON FOR REJECTION
r;H 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: SE '/4, SW '/4, Section -2-4-, T29N, R -19E (orWTown\sl~ip or Municipality County Hudson.
Lot No. ~ 1 , Block No. , - SharonDale - R,0 6emis Y St. Croix
Subdivision Name
Owner's Name: Dennis Volld
Mailing Address: Roberts, Wi
TYPE OF OCCUPANCY: Residence X No. of Bedrooms j Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 9-22-80 PERCOLATION TESTS 9"22"80
SOIL MAP SHEET 9 SOIL TYPE BXC2 Burkhardt
L ` lrU WO Y' + ERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL Y~ 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 r5.1 RIOD 1 PERIOD 2 PERIOD 3
P- 1 36 240 T.S. 14" Sandy Gravel 2 None 10 5" 5" 2
P 2 3d 24" T.S. 14" Sandy Gravel 2 None 10 2" 2" 2" 5
P- 3 36 24" T.S. 14" Sandy Gravel 2 None 10 2" 2" 2" 5
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)
B- 1 74 No 24" TS. 12" Sandy Loam jd" Sandy Gravel
2 74 No 24" TS. 24" Sandy Loam 26" Sandy Gravel
_ 3 74 No 24* T.S. 24 " Sandy Loam 26" Sandy Gravel
No 2" T.S. 72" Sandy Gravel
B 4 74
B- 5 74 No 74" Gravel
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.
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31
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Y /I I I 1 I i i
I 5
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a f _ ~ I I
/LSo' r, ash $r.1c4 wArLK PRop~/ yy L lHF
10 o r Ca' K P ' lSr>'accord with the procedures
I, the undersigned, hereby certify that the soil tests reported on this form were made y me i
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) S.L. Aaby Certification No. 1406
Address Woodville, Wi
Name of installer if known
CST Signature
C: 0°T-'y A 'LOCAL Ate s H
PLB-67 i State and County State Permit
w 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:
Dennis Volld RR 1, Roberts, Wi
B. LOCATION: S '/4 ~V '/4, Section 4, T_ N, R_ 19 E (or) ( W) Lot# City
Subdivision Name, SharonDale nearest road, lake or landmark Blk# Village
Township Hudson
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms 3 No. of Persons
D- SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks 1
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify)
New Installation X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate in Total Absorb-Are a -&40----sq. ft.
New X Replacement Alternate (Specify)
Seepage Trench,:,~~ No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Ski 361 Width 18' Depth 2~" Tile depth (top) 24 No. of Lines j
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land lA0 Distance from critical slope N A
WATER 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 Stephen L. Aaby C.S.T. # 1406 and other information
obtained from Owner (owner/builder).
Plumber's Signature MP/MPRSW# 5184 Phone #698 - 240?
Plumber's Address BOX 2154, Woodville, W
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.
Please refer to attached drawing. ®m . m . m.. .
F
3
i
Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY /
Date of Application C~ Fees Paid: Stat ;Yi County , 2' Date 9 y/,
Permit Issued/@A4@ 1e4 (date) -vim y ~c.~ Issuing Agent Name
Inspection Yes J_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
REPORT ON INSPECTION OF SANITARY PERMIT #
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
f Time of Inspection
ame, ress, License No. o InsT-311 Ong plumber
3 IN ALLATION CONS T OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
BEN Permanent re Terence Point) Describe:
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:
M 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 ❑ N0; Wired? ❑ YES ❑ NO;
Locking device on cover? ❑ YES ❑ N0; 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 TREN H: 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:
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