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HomeMy WebLinkAbout236-0852-00-000 t 0 N 0 -0 0 d 0 m f c 0 cD W (D \1 w 0 2 0 Z rn(D v n a w G 0 d r- o • D O' O CD LD (0 O O CD O d O Z d N 7 N co h (b CD n) N W = O N O O N 0 O c- N O C O O r C D O = n CCDD O M. 6 O 3 3 N 707 = O O ~1 d -4 O !V co 'D cn m n m N a a c N W 7 C C y CD 3 a O N N lot CD m 0 r to 00 cn N co O Q Cf) O C lV O "hit z O O O tr ~ ~ N f~/) N cn III 'A ~ y v v~ v v s CD 0) o D CD N O N a ~ 3 m CD Z z N Z co Z O D a j h o m CD U) (y~,~ m En l Q C CD CD n 3 Z CD -j to O O p Z CD N C ~ CL A Z 6) O M N A 00 C M CD 1 ' Z 0 3 Z `i CD I A W tll O (D tv y 3 CL CD Q a CD Cn 0 - T cn :3 o v c o a v o' m ~ N (D A. Q 0 A O A CD ~ I A vi ~ A N O N O O V A o ,b o0 bA N O 0 O a ° 0 Parcel 236-0852-00-000 01/03/2007 08:36 AM PAGE 1 OF 1 Alt. Parcel 236 - CITY OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - ERICKSON, SHANE E SHANE E ERICKSON 575 SUNSET LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 575 SUNSET LN SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE PROEHL'S ADD L14 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill M Fair Market Value: Assessed with: 188903 210,300 Valuations: Last Changed: 12/20/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 75,000 139,700 214,700 NO 05 Totals for 2006: General Property 0.000 75,000 139,700 214,700 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 28,500 107,200 135,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r~ \,C ?'~±Q'II,~~ .C, ,tip C' n u-4'.i~ r"s n e a 2 s $ Y 7 n ~ u A IlY y, ~ pn / n ~f n 0 x U c• { ~ `p r 4 pia -n Z4, ~'SRC 4•F Y. 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U4 v, e H. 7 0 .~•'oY, 0 m R J ~ C 4 ~ ^ 0 _ u \ J.C J.4 .e _ ~~ro .w ~ ,z n c-~9 ~ _ ~ o i, a.G 0 , ~ 2 ~ ? ~ H.~ ~ r.: ~1 "+NQy, !~,T ~0 Q- S a y, n _ ~ ,n a ~ nn 4 to s~ ,0~.10~ c ♦ 0 ,-j 3 \ m ro > ~ i; ~ c, J a a ry ~e n l ^a 4 ~ to , Q ~p~ r , AS BUILT SANITARY SYSTEM REPORT OWNER J 1 t' ` I lc,) TOWNSHIP E C - ~T~N , R.26 W ; 7, e)-'e 1A) EF ST. CROI ADDRESS 'COUNTY WISCONSIN. A/ L1a (71TPnT17TC rnni LOT LOT SIZE r PLAN VIEW Distances & dimensions to meet requirements of H62.20 SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM ;J V ' N di a e oath Arrow r 1 SCAL I~ C: W L1 __LE SEPTIC TANK(S) / MFGR. Lei / S CONCRETE STEEL N0. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. DEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines _3 width j ~ -length area ,3 dept to top o pipe NUMBER OF SEEPAGE PITS Outs e diameter total pit area AGGREGATE /moo r_ K- T PERK RATE f RE REQUIRED Fi AREA AS BUILT SO S& i Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas tha 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 I. - DATED _ PLUMBER ON JO LICENSE NUMBER i CA REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM S ani tan y P e n rn~-,t State Sep-tie. ,AME~~~;/'~~•L Townahtip St. Cn.o.ix County uca.tionSe rAl o,jj Sec:-tiona4Lo.t a Subdiv.izion I PTIC. TANK Size. gattonb Number o6 eornpah.tmentta ,(.stance 64um: WeU jb building 12% akope Highwa-ten 'LIMPING CHAMBER Size e~dd_gaixon4.. .Pump Manu6actun.e& ~Mudet Number. - O,LDING TANK , Size gatton.a Number. o6 om eats Pumpe n At.a S e tem i e .t a n t e 6r. o m: W e t t B u.i x d.i n g _ 12% b z o p e H.ighwa.ter. IiSORPTION SITE Bed Tneneh ~!,tance 6r.om: Wett Bu.itd'ing c~ 12% stops - Highwa.te.4 rc,~ORPTION SITE. DIMENSIONS W.i dth , o A tneneh 6,t Requ4 red a/eea t Length o6 each tine 6t Depth o6 n.och below t'xe -(n Numbers oA P.inea_ Depth uA nosh over tike-__---- TotaY Y.eng-th.u6 tines 6t Depth o6 t.iPe below grade c.n D.i,stance between tineb_ 6t Sxope o6 tn.ench Pell 100 6t 104"'t ab6 o)Ll. lion a tea 6,t Type o6 Cover.: PapeA on 6 t4aw IT DIMENSIONS" Numbe'A u6 pi-t6 Gr.avet around pcta yes rro Outer de diameter. 6,t Depth below 4.nYet At Totat abso)Lp.t.ion. area 6.t An.ea n.equ4'.&ed 6.t NSPECTED. BV TITLE I'PROVED DATE 19 8 JECTED DATE 198 IASON FOR REJECTION L j `7 C ~ 67 i_ State and County State Permit # Permit Application Count Permit # 1 County C~~~tL for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: S ~75 ~ T 44412 B. LOCATION: $Z- Y4 NLt/ '/4, Section L T N, R20 E (or) W Lot# City //Uz)JOw Subdivision Name, nearest feaF/, lake or landmark Blk# Village 57- Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family K Duplex No. of Bedrooms No. of Persons 3 D. SEPTIC TANK CAPACITY 10-6-V 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 1< Lift Pump Tank or Siphon Chamber Total gallons Prefab concretePoured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate otal Absorb Area sq. ft. New Replacement X Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width e th Tile depth (top) No. of Trenches Seepage Bed: X Length- -3-6 Width Depth Tile depth (top)_a No. of Lines _3 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits _ Percent slope of land 24.eO 111-14-41- Distance from critical slope b^JATER SUPPLY: Private 0 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, _ 5- NAME ~/j~iQT Zllmlell C.S.T. # -dZ 7 Z- and other information obtained from <'5 7- (owner/builder). Plumber's Signature 2~'~-ca~~hsr-~ MP/MPRSW# Phone # Plumber's Address 72 ~3si~ S/,~'nF- p P //y1~SC~ v Ec1/S 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. w 0 A M 30 v r►~ ~ ~ ~ ~y J cif ~a o a ~Gq l/. - /3't U ~ 7~flM Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY / Date of Application I Fees Paid: State , j5le~ County 17/. ` Date Permit Issued/RtieLted (dat .5 '0 Issuing Agent Name Inspection Yes4_No State Valid# Date Rec'd county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISO ate (pink copy) 4, plumber (canary copy) Re S'75- sv~s~i I-Iv /~U1~-SoN GUi S . ~IoU 2 3 /9 I ,4v,"v /ti N N R R v~P y~P~,~ y,•yfi ~Cl-y j 7jJi,ui.yv~y ' v P ~Rr~E s~o~E 5~ I 'V ST,PU~Tiov ~ ~ ~ ( Mor ~ -fti,av i ~lri1PA~~~ I I ~ i l\ ~ I i Al s D~r.~i1/f o ve,P~// I i l ~rpPR au~rTioA) UEN SOv Lot L~ v~ eO4P Z,;f E,v T EH 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES s - P.O. BOX 309, MADISON, WISCONSIN 53701 J Z zv C ~ } cr s©.v LOCATION :J~ '/4, Section ~,T_N,R_E (or) W Town hip or Municipality Lot No. , Block No. County ~D~ , Subdivision Name Owner's/Buyers Name: /C 14~P AI Mailing Address: , x TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENTQ x ALTERNATE SYSTEM -OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 06{ ZU ?U PERCOLATION TESTS QC/- ` 2-0 / l CPO SOIL MAP SHEET S~ S 5~7 NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE NUM- SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD I PERIOD 2 PERIOD 3 P- l '4 5 " 134, Z_ s P_ P-Z Z5, 1 tvr-"H~ c Z Z P_ „ Av L S P- L iPE v 'c l-Q 7'0 Pew E e a- -lo IP- 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- A✓D cJ~ LS G7 Pv. es ,F'.. cV B- B- Z L NL'.(~ 7 7 2. 23"'G1,/3.J . 45 " OAP.. Cf : A0. -14J C6-61-- B- B- 3 7 Z Alt7,t~~ > 7 Z 7"~u LS /z"©P LS w 4sG S 3 c'S . 113- 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 644 AK Indicate scale or distances. Give horizo ntal and vertical reference points. Indicate slope. fA~WD c7 7uT.-,JAC- 13ED Sep C 33-7 SQ, FI. Af /e&SPW/2 4 051slelhof/o~V = 16W,Fiy6s IW74- 1 ~ Y aN& VERr. o - yg~ I K _ . "GAS 7c) ~A,644e- 13 13,,Aw /3 M s ,d , gz y t la- PM Q3 " ~e few ~M 33 Pl'R g2~ . 7 J3e1o4v ~M P - If, .e CA) 7- d e s MhL~ALiFU D~'. 1, 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) A &,J 42b ® /CL7- l Certification No. J f -OL 7 u Z- Address' YName of installer if known / Signa 7o Copy A -Local Authority UST REPORT ON INSPECTION OF SANITARY PERMIT # 9r2' (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection G Time of Inspection ame, ress, icense o. o ns a Ong Plumber '-n~z 4 X49 el ~~-3 INSTALLATION 0f~8 ST F: ❑ Septic Tank Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BENCHMARK: (Permanent reference 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: (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 ❑ N0; 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: ~~v std /.v "will ~T o c~ oo~ll i.fr s e~ co,~ ~ I v I~ I I I i ~ e Ilk, o Uc P~ I r-~I ,~pUE~ EN l E