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Parcel 020-1068-30-000 03/16/2007 12:50
PAGE 1 OF 1
F 1
Alt. Parcel 24.29.19.259C 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 - DANIELSON, THOMAS E & DIANE L (TR)
THOMAS E & DIANE L (TR) DANIELSON
872 BADLANDS RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 872 BADLANDS RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.740 Plat: N/A-NOT AVAILABLE
SEC 24 T29N R19W PT NW SE COM SW COR TH Block/Condo Bldg:
E 126.25 FT TO CL TN RD N67DEG E 1033.15
FT TO POB; TH N 285.76 FT E 175 FT S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
212.59 FT TO CL RD S67DEG W 189.87' TO 24-29N-19W
POB- ALSO PCL OF 2.74 ACRES N 1/2 OF
SE1/4 LYG ADJ TO ABOVE PCL AS DESC VOL
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
01/09/2007 842190 QC
07/23/1997 2001/590 WD
07/23/1997 589/247 WD
07/23/1997 464/233 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.740 92,000 177,400 269,400 NO
Totals for 2007:
General Property 3.740 92,000 177,400 269,400
Woodland 0.000 0 0
Totals for 2006:
General Property 3.740 92,000 177,400 269,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 110
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Health and Social Services
Plb.~`67 Division of Health
PEFtaT APPLICATION
U ! for
.-t 2 PRIVATE DCr1ESTIC SEWAGE SYSTF2 S
A. OWNER OF PROPEkiY TYPF OR USE BLACK INK
Name Address (Street, City, Zip Code)
County
B. LOCATION OF' PROPERTY WHERE SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED
Check One: -
CITY VILLAGE LEGAL DESCRIPTIONS L SL S%~ C/ c
' TOWNSHIP
lie)
C. IS LOCAL PEFNIT REQUIRED FOR THIS kORK? YES NO =
D. SEPTIC TANK CAPACITY Gallons NEW INSTALLATION REPLACEMENT ADDITION
MATERIALS; Prefab Concrete Poured irk Place Steel Other
NU23ER OF TANKS TO BE INSTALLED: /
E. TYPE OF OCCUPANCY "
Check One; One or Two Family Residence Commercial Industrial Other
Specify
Number of Persons to be Accommodated 3-z
F. APPLIANCES, ETCt Food Waste Grinder YES NO Automatic Clothes Washer L.-- YES NO
Dishwasher YES NO Automatic Potato Peeler YES NO
Other (Specify)
G. EFFLUENT DISPOSAL SYSTEM NEW EXTENSION ADDITION REPLACEMENT
Tile Size No.Lin.Feet Trench Width Depth Number of Lines
rJ l
Seepage Bed= Length Width Depth Tile Size No. Lines
Seepage Pitt Inside diameter Liquid Depth
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches Minutes
Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last Tn Fall
lst Wetted Overnight in Minutes Last Period Last Peri Period ,,,e Inch
_ Example
P- 0 36" To Soil 1011, Clay 2611 25 es or no 30 112 1/2 1/2 60
f`
,
C
RECOFO DATA FROM MINIMUM OF 3 TEST HOL ES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B 0 R I N G S- Minimum 3611 Balo°v Pro used Absorption System
oring Total Depth Depth to Ground Water Depth to Bedrock ^I
lumber Inches Observed Estimated Observed Estimated Character of Soil with Thickness in Inches I!
xample
- 072" 72" Black Top Soil 12"; Clay 18"; Sand 18"; Gravel 2411
t. iC •,/i f i'-
iRECORD DATA FROM'MINIKUM OF 3 BORE HOLES
COMPLETE O'PHER SIDE
I, the undersi&med, hereby certify that the percolation tests reported on this form were made by me
or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3),
Wisconsin Administrative Codo, and that the data recorded and location of test holes are correct to
the best of my knowledge and belief.
NAME Z~ TITLE 'r:'
Type or Print) /
REGISTRATION NO. or MASTER PLUMBER LICENSE No.
ADDRESS 7-
DATE / 71? SIGNATUF3
MASTER PLUMBER MAKING APPLICATION
Signatures -Ile License Number:
MP RSW
(To be 7~, plated by Issuing Agent)
Date of Application ~ 7 Feo Paid ; 1
Permit Issued (date)/7 Permit Number
12r
Agent (name) Fore
Town, Village, City, County, etc,
(Specify)
Note: The application cannot be considered for filing until all of the above
questions are answered
and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be made
payable to the Division of Health.
Do not writs in space below -I FOR DEPARTMENT USE ONLY
DATE RECEIVED l 3I d ACCEPTED BY RETURNED
(Initials) (Date; -7see Corras.
FEE RECEIVED _ VALID. NO. PERMIT NO.
Yas or No)
REVIEWED BY APPROVED DATE
(Initials) Yes or No)
COMMENTS: