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HomeMy WebLinkAbout020-1066-50-050 } 1 0 t_n O 3: v C~ : w o c 3 cD m A f cD :z z S !;n o o C/) a noJ % et+•+ Q p ; v N cn CO p O C m co 3 m I'D v 0 N N N O Cn U) C O j = W C O (D 7O CA O ~l G7 - O N C7, Q M~ C O r N (D :N Z N O_ _ O In Q co I D N C O p O N O O Co !3 A A co . Z o o Z n r to w4ft O ~1 O (n O C O C S 01.6 X11 (C O O O = W%ft N c C o z to cn cn - m u ~ !D N C D CI '6 Q ~ °~Y 7 CD - CD N Q :7 G) N O0 Ut N O (D A Z Z o Q m m D o *~r 3 CD o , N ~ -0_ Cl) c m O ("I Y F Q i D - cn 13 cn 'D J C IZ3 o (D n a N CD Q n~C N A O co N < ri (D z L 3 a a7 o - 0 a 3 CD N z (D Q A A W O. O Z:r - C 3 (D ill CD Cn - O n i0 T CJ `G E co O (ND O. (R v E~Aa . W (n N C Q 0 ItD 0 co 3 N C iN ll W N (D Q~ < fll - ~ 7 0 D 7 C O v D p N N (n O: CD (D v N -p U') (n (D N - D N (OD M O D C v O O - 0 C) -0 N) Co (O O , ~ A ' O W (D Co ED -0 Ln 7J N N G OR D C Q n ° (n (n 4) 1 w IcD y. Cn vJD q&s - 35~ Wisconsin DeF,%rtment of Health azd Soclwl S„ vc Plb. #673 3/70 Division of Health SEPTIC TANK PERMIT APPLICATION TYPO or USE BLACK INK l ~~{,l uir► 1 y A. M~IER OF PROPERTY Name Address (Street, City, Zip Code) ti B. LOCATION OF PROPERTY WHEP1 SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED COUNTY Ox Check One: _ CITY VILLAGE LEGAL DESCRIPTION TOW*+SHIP C. IS LOCAL PER''IIT REQUIRED FOR THIS WORK? YES NO PEANIT NUMBER D. SEPTIC 'L'ANK CAPACITY b <'r' Gallons NEW INSTALLATION x REPL4CR-IENT ADDITION ~ MATERIALS. Prefab Concrete Poured in place Steel Other NUMBER OF TANKS 70 BE INSTALLED: 1 E. TYPE OF OCCUPANCY Cheek One: One or Two Family Residence Commercial Industrial Other Specify) Number of Persons to be Accomm.odated 7 Number of Bedrooms F. APPLIANCES, ETC: Food ,paste Grinder YES NO Automatic Clothes Washer YES NO DisYNasher YES _ NO Autor..atio Potato Peeler YES NO # Other (Specify) 8 ( G. MASTER PL[rB ER NAKING INSTALLATION Name: 41t v! C Address: z ; ' t'/ z, i~ License Numbers Signature of Applicant: a/c. + C c ri MP RSW t Address: f ~ 76/< ":t ; H. (T be ompleted by Issuing Agent) Date of Application Fee Paid Permit Issued (date) Permit Number / X Agent (Name): J For: __y:/ f_e Town, Village, City,`County, etc. (Specify) Note: The application cannot to considered for filing until all of the above questions are answered and the fee paid. Agents will forward application, the fee of 41.00 for each septic taruc and the third copy of the permit (canary) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY I. DATE RECEIVED ACCEPTED BY ! y l"'l 1 RETURNED (Initials) (Date) See Corres.) FEE RECEIVED VALID. No. PERMIT NO. )3 REVIEWED BY es or No APPROVED DATE (Initials) Yes or No SEPTIC TANK PERMIT NO. s R I P 0 R T O N S O I L P I R C 0 L A T I 0 N T I S T A N D S O I L B 0 R I N G S TO DIVISION OF HEALTH - PLLtMING SECTI15N P.O.Box 309, Madison, Wis. 53701 Pursuant to H 62.20, Wis. Administrative Code P E R C O L A T I O N T 15 T utos Test Depth Cneractor of So11 Hours Water Test Time Drop in Suter Level Lh ~T~~'Fall Number Inohes Thickness in Inches Since Hole in Hole Interval Second to Next to Last 1st Wetted Overni in Minutes Last Period Last Period Period no Inch Example P - 0 3611 To Soil 101' Cla 261' 25 Yes or No 30 1/2 1/2 1/2 60 • fir, X'ii. Sli:~ t7 1 t ~ Y RECORD DATA FROM MINIMUM OF 3 TEST HULES Compute size of absorption area in accord with H 62.20 Wis. Administrative Code. S O I L B O R I N G S- Mini^-z+*+ 3611 Bela"w Pro osed Abso Lion S Stem Boring Total Depth Depth to Ground Water Depth to Bedrock Number Inohas Observed Estimated Observed Estimated Character of Soil with Thio!zness in Inches Exaaple B - 0 7211 7211 Black Too Soil 121! Clay i81'; Sand la"; Gravel 2411 RECORD DATA FROM MINI''ILN1 0.^ 3 BORE HOLES rYPE OF OCCUPANCY: RaSIDENCEs Number of Bedrooms OTHERS (Speoify) Number of Persons D WASTE GR INDERs Yea No i Dishmasher: Yes ~T No X _ Automatic Clothes Washers Yes No FFUJENT DISPOSAL SYSTEM: NEW EXTENSION ADDITION REPLANT Tile Size No.Lin.Feet Trenoh Width Depth Number of Lines Seepage Bed: Length Width Depth Tile Size No. Lines 2-Seepage Pits Inside Diameter Liquid Depth _ Is the undersigned, hereby certify that the percolation tests reported on this form were made by me or under my super- vision in aco.ord with the procedures and method speoified in Chapter H 62.20 (13), Wisoonsin Administrative Code, and that the data Bearded /and location of test holes are correct to the best 9oof~ my knowledge and belief. NAME TITLE T/ (Type /6r Print REGISTRATION NO. or MASTER PLUMBER Lll ENSE NO. 7 L ADDRESS !r { _ ' G~ el DATE ~.120 SIGNATURE J 0 y O g -0 C) v d 3 Con m o c ~ ~ w co ~ A fD 3 r 'lot n z z G7 = a oN n_ o o m = a o _ y+ CD n n w rl O {i CD (D O O CD D v ~ co ° 3 1 m -I N rn t t N J ' t ~JJ O M O CD CD :0 _ n 0 _ W 0 O ~.-.1 V \ C1 CD N. N ` Z D m t tD D a co C o C O O W 3 n -41 T3 G o o w "*AN* n O ~ n r cn <n cn n o c s ` O 7 -D 0 < A z 3 to to cn ° D o D O CA m ° N ( N Cl) n ~ J o z m z O ~ D a o t O z O (D l~V s (D CD N N (D N O N N (D m w m n CL 3 ~ -i z CD N O O o A n j' O A Z O l o J O C ~ A y CD Q z 1 A ZJ \ 3 . C O N Z A O W O C cC III A ' (D G O 3- v O N C O - v O ~ N O r N \ O O ~3 N ON 3 O Cr N M (D r Cr N 7 Co N f (D S O N (D 7j ~O J (10 O V O ~ C) Q CD \ ~V Parcel 020-1066-50-000 01/12/2005 05:07 PM PAGE 1 OF 1 Alt. Parcel 24.29.19.256B 020 - TOWN OF HUDSON Current LXJ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner DENNIS R & LINDA A GILLENWATER GILLENWATER, DENNIS R & LINDA A 818 BADLANDS RD HUDSON WI 54016 ' Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 818 BADLANDS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 12.278 Plat: N/A-NOT AVAILABLE r SEC 24 T29N R19W PT SW SW BEING LOT 4 OF Block/Condo Bldg: CSM 8/238312.09 ACRES ALSGPARCEL DESC AS;COM SW COR SEC 24; TH N 0 DEG W ALG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) SD W LN SEC 24 1306.21'; TH N 89 DEG E 24-29N-19W ALG N LN 1043.07' TO POB; TH S 0 DEG W 27.14' TO N LN CSM 8/2383; TH S 88 DEG E more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 07/23/1997 7 07/23/1997 Jlou S 2004 SUMMARY Bill M Fair Market Value: Assessed with: 48163 371,500 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.278 79,400 208,000 287,400 NO Totals for 2004: General Property 12.278 79,400 208,000 287,400 Woodland 0.000 0 0 Totals for 2003: General Property 12.278 79,400 208,000 287,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 120 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 12/08/2009 09:13 AM Parcel 020-1066-50-050 PAGE 1 OF 1 020 TOWN OF HUDSON Alt. Parcel 24.29.19.256B-20 ST. CROIX COUNTY, WISCONSIN Current X # Permit # Permit Type # of Units Creation Date Historical Date Map # Sales Area Application 10/23/2006 00 0 Owner(s): O =Current owner, C =Current Co-Owner Tax Address: O - PARADOWSKI, RYAN R & BRITNEY C RYAN R & BRITNEY C PARADOWSKI 818 NOTTING HILL CT HUDSON WI 54016 =Primary Districts: SC = School SP = Special Property Address(es): " 818 NOTTING HILL CT Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 4.570 Plat: 5295-CSM 21-5295 020-2006 Block/Condo Bldg: LOT 06 SEC 24 T29N R1 9W PT SW SW FKA LOT 4 OF CSM 8/2383 BEING CSM 21-5295 LOT 6 (4.57 Tract(s): (Sec Twn Rng 40 1/4 160 1/4) AC) 24-29N-19W Parcel History: Notes: Date Doc # Vol/Page Type 09/23/2008 881771 WD 10/23/2006 837214 21/5295 CSM 03/28/2006 821588 AFF 01/27/2006 817357 WD more... 2009 SUMMARY Bill Fair Market Value: Assessed with: 0 Last Changed: 06/0512007 Valuations: Class Acres Land Improve Total State Reason Description RESIDENTIAL G1 4.570 95,300 257,400 352,700 NO Totals for 2009: General Property 4.570 95,300 257,400 352,700 Woodland 0.000 0 0 Totals for 2008: General Property 4.570 95,300 257,400 352,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: Category Amount User Special Code Special Assessments Special Charges Delinquent Charges 00 0.00 0.00 Total ' r COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 W7 16 io ST. CROIX ZONING REPORT NO.: 11097/01 PAGE 1 k' ST. CROIX COUNTY REPORT DATE: 9/20/91 k COURTHOUSE DATE RECEIVED: 9/18/91 HUDSON, WI 54016 ATTN: THOMAS Ci NELSON f OWNER: Dennis GiiLenwaters f LOCATION: 818 Badlands Rd,, Hudwp ~I COLLECTOR: M. Jenkin , SOURCE OF SAMPLE: Kitchen faucet COLIFORM: 0 /100 mt INTERPRETATION! Bacteriologically SAFE NITRATE-N: 5 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml. Nitrate-Nitrogen, mg/L LAB TECHNICIAN: -ram Gane Ell ~ sit! 'A ti.~ Gy ~ ti- ?a o ~ Means "LESS THAN" Itete0able Level. Approved by: © PROFESSIONAL LABORATORY SERVICES SINCE 1952 ge)j ST. CROIX COUNTY ZONING OFFICE 1.I St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, 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. County Zoning; Office, 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 XX (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 XX (Determines if system is properly functioning at time of inspection) Property owner's name Dennis Gillenwaters Property owner's address 818 Badlands Road, I Hudson WT 54016 Legal Description SW 1/4 of the SW 1/4 of Section 2, T~9_N-R19W Town of Hudson Lot Number 1 Subdivision Name FIRE NUMBER LOCK BOX NUMBER Color of house Realty sign by house? If so, list 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. The First National Bank of Hudson Firm or individual requesting services:Dorepn u_ wh;rP Telephone Number 3,96-5511 REPORT TO BE SENT TO: The First National Bank of Hudson 07 Second Street, Hudson, WI. 54016 Closing date 10-1-91 Signature i f O O 1 ~ ~ E E 4 p M11LOIhZo00N ueaq oownsse v ° E L L 'qZ u0140aS jo CMS ay4 Jo autT IsaM ° N N T 3 .V f~ C OJ C aye oq paouauapu aue s6utjeag o L ,n o L ~ ° o .u 4- -a O ~ -o O ~ ~ N L L _ 'N L N O V ro S O W O O C, N a~ a, o s m 1 0 N (n d H L ~ Q, M 1 ~ m 1 ~ Z ro~ C O C L U L ~ ~ -C) N 7 H O 3 ro C O N C t(S C O d C O U. r-, O O d E C o tD H O. O O O O O o C-) W 11 1 ~~II Oro O E (n O U w c O o u a 1 H E 1] N °t -0 a~ 1 v r` 9 •.a tf) W C 0 W r= c X Co C:) / 3 0 I~ O 1 = O U ` < 0 ° x ~n ro c ¢ w c+~ w ~ w w CD r c m v z z a co o m x ~ O d v M 1.. 2 ~ I ~ I ~ roI CI • .--I ro 1,, T.~ _ N n 1 w 1 - v 4" !1 r~ H C=i OSh '6d `Z 'IoA uI w'S 0 \ v\k iu 1 a :~+Y Iy~ (y ; u o N) N l H,609 M116712To00S 108'SLS % 0 T EE t 4 b". v v I 4J C~~ 9 Q_ d ~ w v. LLJ Q, I 3 6\ f \ ~ rTya lf") i ~ I S U co \ • C I ~ (n CJ 1 I \ \ (ll U1 o 1 ro w S d\ \ O I GIs n L \ Q .fn ~ ~ ld ~ ~ N • \ W 4-1 0 n c f\ LL 4-4 U) s ^ o O ¢ 0 -H Alt LLJ It cli w 3 V U1 >Y M v~/ ` ON c~\\\ 3110~15Z000S j\ -c~~ I \ rr L v cn r ~7 ^ 4J 0 U0'OZZ c~ o co o 4-4 U z\ X x ° 0 x r1 w ~V ~ 0 C:) o V1 \x~ ' N a N O ~6 a ° i o Ln a °o A\ OI Z O m • r{ U7 ~ I w I ~ ca f\ I r, fA \ _I N r -,6h'TLE- o; 8E'ZT TI'69 E 100'009 0 U 'Z3 1 m 0 ~l 19S'06 MuOhiW o00N (3nZSiSOoOOS) \ I lol z 40l FO 1~ E Hi d `LI ' i°P. S '0 Ln Lo 0 o O o 1 a, 1 1 L N co L N O Z w C C C c L O L OM O O U y u L.) 41 u a v, ITZ'90ET ITZ'90Et N v, IZh'ZI9Z MnL01hZo00N - 7Z uolqoaS ~o CMS ay4 do auTT 4"M II ST. CROIX COUNTY WISCONSIN ZONING OFFICE K R, ~a`7F~rP } r`~Lr?x ST. CROIX COUNTY COURTHOUSE 19 F4 Pq 911 FOURTH STREET • HUDSON, WI 54016 ` (715) 386-4680 Sept. 24, 1991 Doreen White first National Bank/Hudson 307 2nd St. Hudson, WI 54016 Dear Ms. White: An inspection of the septic system on the property of Dennis Gillenwaters located at 818 Badlands Rd., Hudson, WI, was conducted on Sept. 17, 1991. At the same time a water sample was obtained for testing. The results of that testing have already been sent to you. 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. irycerely, ~ Mal J f/ Jenkins Assistant Zoning Administrator cj