HomeMy WebLinkAbout020-1091-00-000
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ALLIS-CHALMERS,
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LAWN & FARM
EQUIPMENT
PHONE: 684-3434
PHONE: 386-5155 ~
Pontiac & Olds BALDWIN, WISCONSIN 54002
Sales & Service
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Parcel 020-1091-00-000 05/22/2007 08 32 AM
PAGE 1 OF 1
Alt. Parcel 32.29.19.374H.375C 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 - HOEL, GEORGE O & MARY
GEORGE O & MARY HOEL
423 STAGELINE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 423 STAGELINE RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R19W PT N1/2 NW1/4 COM ON S Block/Condo Bldg:
R/W LN S FRONTAGE RD HWY 1-94 1391.6 FT
E & 122.2 FT S OF NW COR, TH S 372 FT, W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
319.17 FT, TH N 322.4 FT TO FRONTAGE RD, 32-29N-19W
TH E TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 878/401
07/23/1997 631/561
07/23/1997 552/359
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 2.500 82,800 231,800 314,600 NO
Totals for 2007:
General Property 2.500 82,800 231,800 314,600
Woodland 0.000 0 0
Totals for 2006:
General Property 2.500 82,800 231,800 314,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 202
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconairi Department of Health and Social Senn ~e 1
Plb.67 10/69 Division of Health
PERMIT APPLICATION
for
' PRIVATE DC1•TSTIC SEWAGE SYSTLIS
A. 04NER OF PROPERTY TYPE OR T -13E BLACK INK ~ 7 S
dame Address (Street, City, Zip Code)
County
B. LOCATION OF PROPERTY WiE'E SYSTEM, WILL BE C01iSTRUCTED, AL'E~D 0:' EXTECiD~M
Check One:
CITY VILLAGE LEGAL DESCRIPTION: `
TOWNSHIP
~ r
C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? YES NO J PEWIT NUMER
D. SEPTIC TANK CAPACITY Gallons NE.i DiSTALLATION REPLACEP2-NT ADDITIO l~
MATERIALS: Prefab Concrete Poured in Place Steel Other
NU22ER OF TANKS TO BE INSTALLED: l
E. TYPE OF OCCUPANCY
Check One: One or Two Family Residence Commeroial Industrial Other
~ (Specify)
Number of Persons to be Accommodated e Number of $edrooms
F. A?2LIANCES, ETCt Food Waste Grinder Y-WS NO Automatic Clothes Washer YES NO
Dishwasher YES NO Automatic Potato Peeler YES ~ NO
Other (Specify)
G. EFFLUENT DISPOSAL SYSTEM NEW EXTEI;SION ADDITIC14 ~ REPLACEMENT
Tile Size No.Lin.Feet 'trench 4lidth Death Number of Lines
Seepage Beds Length Width Depth [ Tile Size J- 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 T Character of Soil Hours Water ITest Time Drop in Water Level Inches Minutes
Number Inches I Thickness in Inches Since ?sole I in Hole !Inte-val Second to i Next to Last To Fall
1st Wetted ! Overni,ht in Mites Last Period Last Periocl Period One Inch
Exa:aple
I
P- 0 36" Too Soil 1011, Clay 26" 25 es or no 30 112 1/2 l Z2 60
RECORD DATA FROM MINIMUM OF 3 TEST HOLES
I
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
,l
S O I L B 0 R I N G S- Minimum 36" Below Proposed Absorption System
bring Total Depth Depth to Ground Water Death to Bedrock
umber Inches Observed Estimated Observed Esti-mated Character of Soil with Thickness in Inches
xample /
- 0 72" 7211 wv Black To Soil 12"• Cla• 18"• Sand 18"• Gravel 24"
5-, ILI
3 <J / y << , < < 1 Al r
T RECORD DATA FROM MINIMUM OF 3 BORE HOLES
COMPLETE OTHER SIDE
I, the undersigned, hereby certify that the percolation tests reported on this form were made by me j
or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3),
Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to
the best of my knowledge and belief.
NA2'.E TITLE
t:
(Type or Print)
REGISTRATION NO. or MASTER PL~TIBER LICENSE No. '1 Ev
ADDRESS v iUv `v
DATE 0~~~ ( SIGNATURE
MASTER PLUNDER i"AKiNG APPLICATION
Signature: License Number:
MP RSW
(To be Completed by Issuing Agent)
Date of Application Fee Paid $ / A
Permit Issued (date) Permit Number
Agent (name) For:
Town, Village, City, County, etc.
(Specify)
Notes 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 write in space below - FOR DEPARTMENT USE ONLY
DATE RECEIVED - 3 - 70 ACCEPTED BYu RETURNED r
(Initials) (Date) (See Corres./
FEE RECEIVED VALID. NO. PERMIT NO.
(Yes or No)
REVIEWED BY APPROVED DATE
(Initials) (Yes or No)
COMMENTS:
w -
e+ '"5.r N,.s: _ L' , t.:: "_t o ' N.ealth and Social Se:wiae
r.1b, rr7 1J/fQ Dl.vis.o.t of h alt?
11, 970 F£:tifl"i' APr'Ll A';'IU?; Y WY q_ ~ 3 75~
fC)
PRI'iA'i^'_ D,.... TIC SEWr.,,E
A. CR FLACK I.:s: -7 -7-
Neate ddre_.s (Street, City, Zip Code)
A
J County
B. 1~".T iCIN 0 ri-OPisR`z' r' SY ti IIIa n G^` Tr_t;1tJ~ ALrFr'~D OR EF:r]Dr~
CITY VILL+I A1, DESL'riP;10;,l; Cw~Lc~t-ti% ~C f~f?!~a
OI,iNS iIP a
C. iS LOCAL PERII1 R '~UZr^ •D FOR TEIS Y'::S NO PEau 1;' N": `d F
I~
D, SEPTIC CAPACI'PY g` -Gallo,,., 2vr`sv I`S ALLAi'i d ...Pk,LAC~ t„:': ADDI'"IOi; ..wM f
MA'P1:R!ALS: Prefab Concr-to Poured in Place StEel Other
_ ,
Ni.R'e3;t: O' i'fuv:,5 TO E, IirSLLLt.i3'
E. TYPE OF OCCUPANCY
Cheer-!~ One; Ono or `I'-wo Family Corat.eraial Industrial crt',Iar
(Specify)
Number of Persons to be Acco::":nodated Ntv:ber of Bedroon3 1
F. AP'LZA"dC is ET Cs Fcod ras`.e Grinder _Yr:S _ _7t NU Auto:,:,;tir, Clothes Washer y' Y""S NO
Dis'r:; a._..,,, r YES NO Autor:: tic Pot<~to Peeler YES NO
Other (Spe^,i.fy) G. EFFLUENT DIS['OSAL SYSTEM NEW EX ivSIOiI _ ADDITION RE?: ACEi T
-
Tile Size No.Lin..Fe:,." Trenoh 4;idth Depth Number oP Line;
Seopaga, Beds Lora-th Width Depth _ _ Tile Size No. Lines
Seo Ze ?it: Ir..ide 2 y Liquid Dep-?' s~ ►
P E R C O L A T I O N T E S T
Tes" Depth I~ Cha aster o ~0 7 f u:c ; a M~ T__ 1, T
Numoee Inches Pni^ m ass in Inches Sinn Hole in Holo k1 s 1 Sc r to Ncxt, to La t To Fall'
1't rv tt d 0-a~r 1 11t , ii-I 11,in 't ~ PP riod t Perl0 Pc One Inch
E~NN ' la E
P- 0 36" To 50 1 10" Ct ✓ 2n" 25 y or no 30 112 1 ? 1 60
r I _ K-~ ~ 5.'4 :l 'd 'l ~ ''"f r ~ ~ ~ I f'.~ ~ r._~ L•_.__.. ~ 1.
i
P.E-CC:D 7 TA OF 3 T;_5' HOLIES
~ompute aize of absorption area in accord with H 62.20 Wis. Administr'tive Code. ~
S 01-11 L -B O R I -N G-3 -Minimum 36" 6_alow Proposed Absoro_tion Svsten _j
Orin; Total Cop'h D_pth to Cro. q 13' r j D A+7_to BeArc t
dumber Inches Cac..rded Es ted I 0 e^✓ad F.s im t, ( CFa.r3 iar Soil with Thic'ness in Inches
xa.nple ~ _
- 0 72" 72" Black "t'oo Soil 1211i C1aSsnd 18"; Gravel 24"
RECORD DATA FROM h1IViuUC? OF 3 R"R:•; FOLES
I, the undersigned, he:-eby cec-',,ify the perno)a.tien tests reported on this fora we" maLle by mo
or under by suoe.-visio!i in aceor-d S.i th;; pro rc'.ur hvd sce:ifizd in Cr. :pt•:r H 62.20 (2),
4;iscrns L. AWnistra i o e Coda, and W L, ths data rcww_ _ wNd to of ,,wt K A" o cc.omt to
the bast of m,
f
u3J
N AJ,. r0 1 ;.1, r f t 2 = i a a T S i'ix: s~
(Typs or Print)
Pux;GIS'i'R.aTI01: NO. or MAS'Pt;:t :'L;;,JE° I.ICENSi. No.
DATF is •7 7J Sl J..,:
~.J
amber:
.,(To b, Co rplet~d by Issuing A,'n.
eo Paid $
Data, of An i .,atw„n , t:
Pe:-.J.t Issued (date) Permit Number
i -
Anent (name) For:
Tae,-n, Village, City, Co a:ty, et...
(Specify)
Noto: Ths appiic:-tien carrot be constd-red for filing until all of the above question-ci are an. Brad
and the fee ;raid. Agents will forward a.ppiication, the fee of $10.00 and. Copy (b) of the
Per:-:.It (yello:, copy) to t:,.. Division of H,'-j.lth, Ch,.-._s and monzy orders should be rrade
payable to the Division of H,c:1ti;.
W it e in ap".ca bel v a FOR DFPAR _.NN USE ONLY
DATE RECEIVvD ACCEPTED BY RETURNED
(Initials) (Date) (See Corres,)
FEE R'&SiVED VALID. NO. ' 0~ PE;SU T N0.
(Yes cr No)
Ru'1IE:.i3;) BY APPROVED DATE
(Initials) . (Yes or NOT
COF-MENTS:
31 q-T7
I
Parcel 020-1090-80-000 05/22/2007 03:19 PM
PAGE 1 OF 1
Alt. Parcel 32.29.19.375A 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 - HOEL, GEORGE O & MARY
GEORGE O & MARY HOEL
ANNEXED 1999
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 20.280 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R19W PT NW NW EXC W 3 RDS & Block/Condo Bldg:
EXC P375C & D & EXC PT TO HWY 1-94 AS
DESC IN 875/553 ANNEXED 1416/362 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
32-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
03/25/1999 600058 1413/362 AX
07/23/1997 878/401
07/23/1997 631/561
07/23/1997 552/359
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
FEDERAL X1 7.350 0 0 0 NO
Totals for 2007:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00