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Parcel 020-1407-02-000 03/07/2006 01:10 PM
PAGE 1 OF 1
Alt. Parcel 10.29.19.2549 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 - JENSEN, TIMOTHY L & KRISTA J
TIMOTHY L & KRISTA J JENSEN
1707 THURSTON AVE
BELLEVUE NE 68005
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1051 SCOTT RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 5.150 Plat: 2453-SHEPHERD PARK 1/11 020/02
SEC 10 T29N R1 9W PT NE SE SHEPHERD PARK Block/Condo Bldg: LOT 02
LOT 2 5.150AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
10-29N-19W NE SE
Notes: Parcel History:
Date Doc # Vol/Page Type
08/19/2002 687480 1952/302 WD
08/02/2002 685871 9/25 PLAT
2005 SUMMARY Bill Fair Market Value: Assessed with:
94204 243,000
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.150 87,600 160,200 247,800 NO 05
Totals for 2005:
General Property 5.150 87,600 160,200 247,800
Woodland 0.000 0 0
Totals for 2004:
General Property 5.150 51,900 151,500 203,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
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
f
SERCO L
aboratories 41J 2,6 -106
1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 `7 -3 1 2
LABORATORY ANALYSIS REPORT NO: 23811 PAGE 1
11/04/92
St. Croix County Zoning DATE COLLECTED: 10/21/92
911 4th Street DATE RECEIVED: 10/22/92
Hudson, WI 54016 COLLECTED BY : CLIENT
DELIVERED BY : CLIENT
SAMPLE TYPE DRINKING WATER
Attn: Mary J. Jenkins
SERCO SAMPLE NO: 103752
SAMPLE DESCRIPTION: Ander-
son
ANALYSIS:
Bromodichloromethane, ug/L <0.2
Bromoform, ug/L <0.5
Bromomethane, ug/L (Methyl bromide) <1.0
Carbon tetrachloride, ug/L <0.2
Chlorobenzene, ug/L <1.0
Chloroethane, ug/L (Ethyl chloride) <0.4
2-Chloroethylvinyl ether, ug/L <0.4
Chloroform, ug/L <0.5
Chloromethane, ug/L (Methyl chloride) <0.6
Dibromochloromethane, ug/L <0.4
(Chlorodibromomethane)
1,2-Dichlorobenzene, ug/L <1.0
(o-Dichlorobenzene)
1,3-Dichlorobenzene, ug/L <1.0
(m-Dichlorobenzene)
1,4-Dichlorobenzene, ug/L <1.0
(p-Dichlorobenzene)
Dichlorodifluoromethane, ug/L (Freon 12) <0.5
1,1-Dichloroethane, ug/L <0.1
1,2-Dichloroethane, ug/L <0.2
(Ethylene dichloride)
1,1-Dichloroethene, ug/L <0.2
trans-1,2-Dichloroethene, ug/L <0.1
1,2-Dichloropropane, ug/L <0.1
cis-1,3-Dichloropropene, ug/L <1.5
trans-1,3-Dichloropropene, ug/L <0.9
< means "not detected at this level". 1 mg = 1000 ug.
r
MEMBER
SERCO Laboratories
1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178
LABORATORY ANALYSIS REPORT NO: 23811 PAGE 2
11/04/92
SERCO SAMPLE NO: 103752
SAMPLE DESCRIPTION: Ander-
son
ANALYSIS:
Methylene chloride, ug/L <5.0
(Dichloromethane)
1,1,2,2-Tetrachloroethane, ug/L <0.2
Tetrachloroethene, ug/L <1.5
1,1,1-Trichloroethane, ug/L <5.0
1,1,2-Trichloroethane, ug/L <0.1
Trichlorofluoromethane, ug/L (Freon 11) <0.7
Vinyl chloride, ug/L <1.0
Benzene, ug/L <1.0
Ethylbenzene, ug/L <1.0
Toluene, ug/L <1.0
Trichloroethene, ug/L <0.4
Total Xylene, ug/L <1.0
A
This sample's analytical results are /nvt-below the U.S. EPA's
SDWA maximum contaminant level of 1/30/91 for those requested
compounds which are also on the SDWA MCL list.
u
< means "not detected at this level". 1 mg = 1000 ug.
=fit ~ =o
y
MEMBER
W'SERCO Laboratories
1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178
LABORATORY ANALYSIS REPORT NO: 23811 PAGE 3
11/04/92
All analyses were performed using EPA or other accepted methodologies.
Samples that may be of an environmentally hazardous nature will be
returned to you. Other samples will be stored for 30 days from the
date of this report, then disposed of by SERCO Laboratories. Please
contact me if other arrangements are needed. This report may not be
reproduced, except in its entirety, without prior written approval
from SERCO Laboratories.
Report submitted by,
cl -
Diane J. nderson
Project Manager
W
< means "not detected at this level". 1 mg = 1000 ug
ICI MEMBER
COMMERCIAL TESTING LABORATORY, INC.
5: Jain Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 CF Cw iiooc
CRUIX {:ULWTY REPORT DATEt+ 10/3x,
`IRTHOUSE
i'F1yC: ~e4 r:.
ATIOPI: 1051 Sc a+
LECTOR: M. Jeri,.
COLLECTED*. 10-
IE COLLECTED. 34#(
CE OF SAMPLES I:.
ANALYZED.10-28-92
m ANALYZED:2t04pm
[FORMS 0 /100 m';
.;:RPRETATION' Bacter i '
t a pp;.
Ica
Ca d% OJ y0
1 fa ~
pproved Lab
Parcel 020-1407-02-000 10/19/2009 09:07 AM
PAGE 1 OF 1
Alt. Parcel 10.29.19.2549 020 - TOWN OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - JENSEN, TIMOTHY L & KRISTA J
TIMOTHY L & KRISTA J JENSEN
1707 THURSTON AVE
BELLEVUE NE 68005
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description " 1051 SCOTT RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.150 Plat: 09-025-SHEPHERD PARK 1/11 020-02
SEC 10 T29N R1 9W PT NE SE SHEPHERD PARK Block/Condo Bldg: LOT 02
LOT 2 5.150AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
10-29N-19W NE SE
Notes: Parcel History:
Date Doc # Vol/Page Type
08/19/2002 687480 1952/302 WD
08/02/2002 685871 9/25 PLAT
2009 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.150 87,600 160,200 247,800 NO
Totals for 2009:
General Property 5.150 87,600 160,200 247,800
Woodland 0.000 0 0
Totals for 2008:
General Property 5.150 87,600 160,200 247,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
BOARD OF REVIEW CHANGES - PERSONAL PROPERTY
SIGNATURE OF PERSON REQUESTING CHANGE
MUNICIPALITY
COMPUTER # CODE ACRES LAND IMPROV TOTAL
NAME
COMPUTER #
NAME
COMPUTER #
NAME
COMPUTER #
NAME
I
COMPUTER #
NAME
i
I
I
COMPUTER #
NAME
I
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ST. CROIX COUNTY ZONING OFFICE
LQ St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
~1 Telephone - (715)386-4680
~ U
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
~J Completion of this form is essential so that the property, can be
located.
r~ 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.
r'
WATER TESTING----------------------------FEE: $ 35.00 h~
(For nitrates and coliform bacteria)
WATER TESTING FEE: $185.00
(For VOC' S )
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at time, of
inspection) ell,
PROPERTY OWNER'S NAME :
PROP. ADDRESS: / ,-,5 / ~ J Y"t CITY
Legal Description 1/4 of the 1/4 of Section, T1`7 N-R_LZ
Town of l~~c^ yt~ Lot Number Subdivision:
FIRE NUMBER LOCK BOX NUMBER
Color of house Lip t~> Realty sign by house? If so, list firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A NAP,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.
Firm or individual rec4uesting services: fill L>~f
Telephone Number Y'L ~ Z
REPORT TO BE SENT T
'L
CLOSING DATE:- Z2 2
Signature('---c- ' - x-
46
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77 rd WISCONSIN
"VI
ZONING OFFICE
tU , ,
r V. ST. CROIX COUNTY COURTHOUSE
~T 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
October 21, 1992
Dave Anderson
Century 21
706 - 19th St. South
Hudson, WI 54016
Dear Mr. Anderson:
An inspection of the septic system on the property of Dean
Anderson, located at 1051 Scott Rd., Hudson, WI was conducted on
Oct. 21, 1992. 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 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 uRon proper maintenance of the system.
Sir)cerely,
L f
Mary J. Jenkins
Assistant Zoning Administrator
cj
LL-U U 3 19~M- / ' / '
Mo19 pao ,234 2 /
/ / /
i / / /
Ncp. 2
/ °o 87,
O I / °
I
I 1A 5 \
I O ~G~~ GOP
F~0,;
O
LOT 2
5.15 ACRES
EXISTING DRIVE S 224,487 SO. FT.
I N
33' 33' co
cVl SHED v
~5 TI o
~ i N
0o ILE T
I r c S89°35'22"E 590.04'
m 394.46' 195.58' oM
_
cr)
Lo
O I M U g p 8• LOT 6
i to 10 J 2.46 ACRES INC. ESI
CCti a I LOT 1 107,098 SO. FT.
" = 1"I p 2.32 ACRES
I N
N o NI 100,910 SO. FT. 60
~ 2.09 ACRES EXC. ESI
N
90,931 SO. FT.
~I z
o I
I i
FENCELINE IS 1'+/- NOR
fi fi OF LOT CORNER
33.00' 35.9 - ......396.76' 360.83'
77.46'
a I S89°3'
° op do a C
o
Qq~ .G od 04
• AS BUILT SANITARY SYSTEM REPORT P / 'All A, /qj,
°R ~O%f- C ,TOWNSHIP SEC. T YN, R~W
ESS~~~ ST. CROIX COUNTY, WISCONSIN.
.0. ADD 1 r .i r'4'tr1 •
, BDIVISION LOT LOT SIZE
~aZin~~c~el~ lC fPLAN VIEW
Di ances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
\IJ
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PTIC TANK(S) L MFGR. CONCRETE f STEEL
0. of rings on cover Depths DRY WELL
TENCHES NO. of width /length area
.D no. of lines_ width /;2 length j-'.Q area . ;r
depth to top of pipe fib-
GREGATE 14
,,,!K RATE l AREA REQUIRED %0 AREA AS BUILT l ~
3claimer: The inspection of this system by St. Croix County does not imply complete
^pliance 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
stem operation. However, if failure is noted the County will make every effort to
ermine cause of failure.
,EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`"INSPECTOR
DATED J PLUMBER ON JOB akV fA ,
LICENSE NUMBER 42 Q G
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REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitaAy Pv m.i,t-
• State Septic
NAME Township St. CALoix County
Location % o6 Section T_N,R W
SEPTIC TANK
Size ' gattona. Number g61CompvLtment6
Distance From: W e t Z 3i'\j e' it. 120 m gnea et 6Lope
Bu.itd,ing it. Wettands 6ti.
H.ighwateA it.
DISPOSAL SYSTEM
Distance Ftr.om: W e t t it. 12% on gneateA stope- it.
Buitding it. Wettands F .
Highwaten-- - it.
FIELD DIMENSIONS:
W idtth of tAench it. Depth o6 Aock below t.ite in.
Length o6 each tine it. Depth of Aoch oveA tite in.
NumbeA o6 Zines Depth of tite below grade in.
Total Length o6 tines it. Stope of tAench in peA 100 it.
Distance between tines it. Depth to b ed to ck it.
Totat absmbt.ion aAea 4t2 Depth to gnoundwatetL it.
Requ-iAed aAea it2
f
PIT DIMENSIONS:
NumbeA o6 pits GAavet vLound pith yeas no
Outside diameteA it. Depth below .in.Let it.
2
Totat abzoAbt.ion aAea it
z
A
AAea Aequii Led it2 rn
R INSPECTED BY TITLE
APPROVED ,DATE 197
REJECTED DATE 197
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EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
pp REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: 114, Section T-ON, R 6 E (or) W, Township or Municipality 4yOSo iu
Lot No. Bloc No.~~~«Z / c/Aly Sch-) I C., Rr`y ~13P~/~1J ~•'~l~iunty 5~' C~Cti/ it
` Subdivision Na e
Owner's Name: ~~'~t' t~s v i Ale i1yi1C nC'RPt=9NA4 ~G
Mailing Address: 7~~ J9Ll17'I/c 5r PAI,/L M/'y/✓ S5104-
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X t, ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS a L PERCOLATION TESTS S
SOIL MAP SHEET fd / SOI L TYPE
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
0 4)
16
1,11151
-7 -7
:P E-36 /0 xi,(5i 4),
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) ff
B C T 7z If"TS siCLl ~,r'
72- Z
-7,2- 7 s-1 3
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square fee of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. ~'lc_'CA ze, i C_A 6/3 aR AEb Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
P-kl 4_1 L~°' C S. r
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I, the undersigned, 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. L
Name (print) ROERT W/&/r\jCh/ Certification No. ~
Address AT l 4)"/V/EL ~L' f~ Iy/J5C'~. KJOrS 5
Name of installer if known
COPY A -LOCAL AUTHOReTY CST Signature
PLB67, State and County State Permit #
Permit Application County Permiit / h'
for Private Domestic Sewage Systems County cD A-)e z (
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
Xex W
B. LOCATION: % Section / T N, R~g E (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 0C JWV
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons_
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES. NO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY /,Me) Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks
New Installation ~ Addition Replacement _ Prefab Concrete
Poured in Place Steel Other (specify)
.-FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) Total Absorb Area sq. ft.
Plew_It Addition _ Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of, Trenches
Seepage Bed: Length jr~g Width Depth _ Tile Depth No. of Lines
l r
Seepage Pit: Inside diameterLiquid Depth Tile Size_
Percent slope of land _ Distance from critical slope -Ac'1%1K
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 Certifi d oii Tes r,
NAME C, / C.S.T. # f ' t and other information
obtained from e12 0 V(owner/builder).
Plumber's Signature MP/MPRSW# Phone #
Plumber's Address
PLAN VIEW: Provide sket below of system (include direction of slope and all distances in accord with
H62.20, including well).
J/v
oil
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C' k l1 Lc er
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Do Not Write in Spaoq Below9 FOR DEPARTMENT USE ONLY
Date of Application _ - } Fees Paid: State C^ C^' County r ' Date-
Permit Issued/Rejesud (date) - Issuing Agent Name-
7
Inspection Yes No Valid# Date Recd
1. county (white copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy) _