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Parcel 040-1202-50-000 01/13/2006 03:24 PM
PAGE 1 OF 1
Alt. Parcel 6.28.19.936 040 - TOWN OF TROY
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 - DOUCETTE, RICHARD L & LYNN D
RICHARD L & LYNN D DOUCETTE
525 NORDIC LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 525 NORDIC LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.070 Plat: 2204-NORDIC HEIGHTS ADD
SEC 6 T28N R19W 2.07A LOT 15 NORDIC Block/Condo Bldg: LOT 15
HEIGHTS ADD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1128/563 WD
07/23/1997 914/537
07/23/1997 804/195
07/23/1997 705/135
i
2005 SUMMARY Bill Fair Market Value: Assessed with:
103621 245,000
Valuations: Last Changed: 07/22/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.070 55,700 180,100 235,800 NO
Totals for 2005:
General Property 2.070 55,700 180,100 235,800
Woodland 0.000 0 0
Totals for 2004:
General Property 2.070 55,700 180,100 235,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 205
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
IiRER 6L ; lei C__,_c/c/ , TOWNSHIPS SEC. _ 1- N, R /5 W
0. ADDRESS'l
, ST. CROIX CO TUB Y, WISCONSIN.
-3DIVISION LOT LOT SIZE '
i
PLAN VIEW
-Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~o rn
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All
I
4
n f
1 f 1
Indibate North; Arrow
SCAL -I~--T--+ I
E1
Q'TIC TANK(S) MFGR. C.%s.ur CONCRETE__j_ STEEL
NO.Zf rings on cover __2 Depth DRY WELL
'"CHES NO. of width length area
no. of lines widths lengtarea
depth to top of pipe. •
GPEGATE
RATE AREA REQUIRED _ h 3J AREA AS BUILT a
Siciaimer: The inspection of this system by St. Croix County does not imply complete
liance 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
tem operation. However, if failure is noted the County will make every effort to
ermine cause of failure.
ES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
az~
t
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227
cz:Lw.^C_ l 31",1 ~43 i 3 ,40;,F.
ST. CROIX COUNTY REPORT DATE: 7/24/91
COURTHOUSE I~ATF IVED: 7/23I9 1.
HUDSON, WI 54016
ATTN: THOMAS C. NELSON. f
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(hi :r t.x,, HNi i c
OWNER:
LOCATION, 525 Nordic Lane. Hudson
i
COLLECTOR: M..lenk i ns
SOURCE OF SAMPLE: Kitchen Faucet
COLIFORii: 0 /100 ml
INTERPRETATION: Bacteriologically SAFE
NITRATE-N: 5 ppm
i
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria/100 ml
I
8 9
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B TECHNICIAN' F'am Gan o
O~ N G
OZ0
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OF.\NDEOENppH G
2` ~s
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Z f Means "LESS THAN" Detectable Level Approved by:
PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY ZONING OFFICE
P. O. Box 98
Hammond, WI 54015
tJ"
y
Gr;" Telephone - (715)796-2239 or (715;425-8303
The St. Croix County Zoning Office offers the service of septic
and water inspections tc Lending Institutions, Rea'_ty Firms, and
private individuals.
e, _o% or _3 m ~s F'sseii-:._a_ 30 at p pe~ - T1 J~
located.
eT,
G nv_
._ease moo. _ L _lie I- Y._. _
C, .k _ Ourity oii ny i.,i_1'_~ ct:~ lilt _ ,
..-._%ia C. with Zroz Ct tc t h .ibc : e aud_-e SS TeS ti_ic W~+i bC i1 U11C aS
soon as possible after fee and form are received.
W11TER TESTING FEE: $ 25.00
(For nitrates and coliform bacteria)
WATER TESTING FEE: $127.00
(For VOC'S)
SYSTEM _NSPECT_O!v------------------_
"'e--ermines i_ s__,-~_-em proper functio::_nc Gt ~ime o~
y c w n e z n a me ~A_ N'~-
oper y own__ , ad s: 2~1C LA -J- Z7:7_~
_{!=1 UeSC= 1 1 Oi: oi t- he 4 oZ Section , -R
mown Of fL~ Lot Number Subdivision NamejJr_Cto,C. ~li=a~i}►i
FIRE NUMBER LOCK BOX NUMBER
:17 EASE 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
ze home is vacant, and has been so for some time, the water line
!De purcelz by runnincg t'-e walcr =C seveini 1GL S be pia + he
_ can be conducter].
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ST. CROIX COUNTY
'r WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
July 22, 1991
Bill Seiffert
Coldwell Banker
126 2nd St.
Hudson, WI 54016
Dear Mr. Seiffert:
An inspection of the septic system on the property
of Wayne Hector located at 525 Nordic Lane, Hudson, WI was
conducted on July 22, 1991. At the same time a water sample was
obtained for testing. The results of that testing will be sent
to you as soon as we receive them back from the laboratory.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This does not in
any way warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system may be dependent upon proper
maintenance of the system.
S-In erely,
U
Mar~--Jekkins
Assistant Zoning Administrator
cj
REPORT OV INSPECTION - INDIVIDUAL SLWAGE SYSTEM
Sant,tatl y PF nrIl4 t-49-12-
St-at-e Sep-t.i.
AMCTown-6hip - -St:. Cna,i.x Cuun tly
,cation~SG Section Lot Subdiv.C,s,Con
OPTIC TANK
Size gaUon.6 NumbeA oA eompaALtmentls
ti tance {Aam: Weft 6uitding-A- 12 0 6Zope_-^-- -
Highwa.ten.
+IMPING CHAMBER
S "ze_ i -gaUon,5 Pump Mana6act;unen.~ Mode_E Numb
eh.-
LUIN(Y TANK
S i z C. a f a n s Pumpers--- - Atahm System
6 tanee Aom: weft Buitd.Cng 120 slope
Ht.ghwa.teA
;SORPTION SITE
tied T~Leneh
titanee. 64um: Weft But~ding-.,l f2%
Ht ghwa.te k
tiORPTION SITE DIMENSIONS
Width of t•Aench----- "----6t Requ.ln.e.d anea _ -,6t
Length oA each tin e.___ _f.t Depth oA Aock- bed_ow .tite to
Numbers oA ft'+Ie/s Depth. 015 Lock ove.A ,tiC e
Tota.e &,.ngt.h o6 Unes -6t; Depth oA tite betow gnade~- _.----i.n
Dt6.tanee between ft.nel 6t Stope o A tAeneh -in- pen 100 At
iutaf (th6o)Lptton a.ae.a 6t Type oA Cove.A: PapeA oA s-t)taw ice'
iT DIMENSIONS _
Numbeh oA pits - GAavek a4ound pt.-ta yee,
Outside d-i ameteA-_` {t Depth betow inZe-t t
To,taX ab6o4pt-Con. ah.ea 6t
Aliea nequt.Ae.d At
~`;PECTrv BY TITLE
'PROVED DATE_ ( 19 81
It C1 ED DATE 19 8
Ati(oN Vol,' RI H CT ION
LB State and County State Permit #
P 67 L 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:
CL-J, le's C-1- J- d
B. LOCATION: 1-_'/4'/a, Section , Tei~6N, RLci_ k (or) 11 Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
J~ J Township
yt~ T
ar di C, et%~ kh
C. TYPE OF OCCUPANCY: ommercial "Industrial *Other (specify) "Variance
Single family _Z_ Duplex No. of Bedrooms T No. of Persons_
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete-_ 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 C, G 5S Total Absorb Area sq. ft.
New-,x Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width De.pth Tile depth (top) No. of Trenches
Seepage Bed: _~_Length in Width I'6' Depth ~Tile depth (top) -A4 A, No. of Lines
Seepage Pit: Inside dia~mer Liquid Depth No. of Seepage Pits
Percent slope of land 3- 1 Distance from critical slope
WATER SUPPLY: Private ❑4 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 ) CC
NAME. CC.S.T. # IS and other information
obtained from e (owner/builder).
-
Plumber's Signature M MP SW# -792Y Phone # 3VIO
Plumber's Address r S >1. ~S t1L
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.
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- - - - - - - - - - - - -
}
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY p
Date of Application 6 U Fees Paid: State County -,;21
~L~/. ~ Date e
Permit Issued/Rejected (date) 16 -1Y-16 Issuing Agent Name -CSC ( L n /
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
Revised Date 7/1 /78
EH-,115Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION:&y 1/4, S~/,, Section T_YN,R (or)LV11~ Township or Municipality ' ' La
Lot No. , Block No. ~ County X -
j / ub;iivision Name
Owner's/Buyers Name: ~f S Ltd - L~ C`
c
Mailing Address: %/~cecG ~•~llQi-l~f, ~~'rs: `fU~
TYPE OF OCCUPANCY: Residence X- No. of Bedrooms y COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS I PERCOLATION TESTS 21
SOIL MAP SHEET-----2---y NAME OF SOIL MAP UNIT SZ Lam' -SA %7~~F L
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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P o_ S
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- 7~ea
P"M
B- "A PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plari the location and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy ~f SZ ` Indicate scale or distances.
Give horizontal and vertical reference points. In/deicate slope. f _
7
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ITS
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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) Certitication/No.
Address /lez Ae
Name of installer if known
CST Sigr,,t c si4• L- C~~ v
Copy A -Local Authority
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REPORT ON INSPECTION OF SANITARY PERMIT #
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
Time of Inspection
Name, Address, License No. o ns a Ong Plumber
(3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
(4)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 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: