HomeMy WebLinkAbout020-1402-01-000
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Parcel 020-1402-01-000 03/09/2006 09:45 AM
PAGE 1 OF 1
Alt. Parcel 11.29.19.2512 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 - KLEIN, HAROLD E & LYNN E
HAROLD E & LYNN E KLEIN
1009 TANNEY LN
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1009 TANNEY LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 9.120 Plat: 2185-MISTY VIEW 1/17 020/02
SEC 11 T29N R19W PT SE SE MISTY VIEW LOT Block/Condo Bldg: LOT 01
1 9.120AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-29N-19W SE SE
Notes: Parcel History:
Date Doc # Vol/Page Type
01/21/2004 752235 2495/125 WD
04/09/2002 675857 8/100 PLAT
2005 SUMMARY Bill Fair Market Value: Assessed with:
94170 265,200
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 9.120 103,500 167,000 270,500 NO 05
Totals for 2005:
General Property 9.120 103,500 167,000 270,500
Woodland 0.000 0 0
Totals for 2004:
General Property 9.120 61,800 123,900 185,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch
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
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272.81' r-2e 200.00' G
NOO°271O"W 662.00' 19) W
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• AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP SEC. 1 / T N, R W
.0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
UBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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M ff111
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2 (mac; At~ ~ r'T- IC
]PTIC TANK(S)MFGR. ~,~L l k CONCRETE_,?~_ STEEL
NO. of rings on cover j Depth DRY WELL
TENCHES NO. of width length area
-D no. of lines 1 width__L,~/ length 1 ,;T area l
depth to top of pipe
=GREGATE ~ ( L~<7 fry j<
"RK RATE AREA REQUIRED AREA AS BUILT
'sciaimer: The inspection of this system by St. Croix County does not imply complete j
mpliance 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
termine cause of failure.
EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
.
INSPECTOR
f
DATED k PLUMBER ON JOB
LICENSE NUMBER
• 5c
• o
REPORT OF ITTSPECTIO?1--I r,)IVIDTJt L S; rte YE DT_SPoSjV, SYSTEM
Sanitary Permit -=:Vx/
Star Septic
CIE TOWNSHIP
j s.cv
t. Croi County
MET'TIC T.V.7T'
Size gallons. `dumber of Compartments
Distance Fro::: 'Te1I ft. 12% or greater slope i1.
Building* ft. Wetlands ft
ghwater ft.
DISPOSAL SYSTEb1 Tile Field or Seepage Pit(s)
Distance From: hell ft. 12% or greater slope `t
Building ft. Wetlands f.-.
FIrLD 1:11ghwater ft.
Total length of lines ft. Number o` lines Length of
each line ft. Distance between lines ft. Width of the
trench ~ft. Total absorption area sq. ft. Dept::
of rock below tile - in. Dp-pth of rock over the in. Cover
over rock, Depth of tile below grade _-_in. Slope of
trench in per 1.00 ft. Depth t.o Bedrock ft. Depth to
ground water ft.
PITS
Number of nits Outside diameter ft. Depth below inlet
ft. Gravel around pit: ___yes no. Total absorption area
--sq. ft.
Square feet of seepage trench bottom area required
Square feet of seepage nit area required
Inspected by:- Title:
Approved Date 197
Rejected Date 197
1
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
s DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
E REPORT ON SOIL BOR GS AND PERCOLATION TEST
LOCATION: /4,` /a, Section, 7N, R+ orwnship or Municipality
Lot No. Bloc No. CountyCr~t
bdivision Name ,af1s ~~f+:~°~. t1
Owner's Name: y
Mailing Address: ca ~~T e 61ro,",e /~'1~ .•rr J/~o
TYPE OF OCCUPANCY: Residence No. of Bedrooms 2 Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE:: SOIL BORINGS -PERCOLATION TESTS
1'5 -
SOIL MAP SHEET __r = Icy SOIL TYPE u rd ~2 /~'I
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
E BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
r--
P-1 Z -7
See Ar-e-
P
lit
jP__3
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
j NUMBER INCrrHES OBSERVED ESTIMATED HIGHEST (/DEPTH TO BEDROCK IF OBSERVED)
~j .11 C-1
iB-
5-
M.-AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
>Jdicate on the plan the locationand square feet of suitable areas. Indi e,nurr)bw squara feet , f absr~r io;~ area
needed for building type and occupancy. Indicat scale
or distances. Give horizontal and vertical reference p i ts. ~~'c " e slope.
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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 elief.
Name (print) S Certification No.
4~0
Address /Z/ Ike
Name of installer if known f.
CST Signature ~
COPY A - LOCAL AUTHORITY
v
State and County State Permit #
PLB67 u ~1
Permit Application County Perm~if #
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: E(Z-YS- ~/lG;
/ .9 / 7? 76 -e2~ -t, Ste,
B. LOCATION: Section _ , TjW7N, R" 4D (or) 62.Lot# -City_
Subdivision Nam N4 nearest road, lake or landmark Blk# Village
Township 4%-44/Scy~/
C TYPE OF O CUPANCY: *Commercial 'Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms ,3 No. of Persons
'j. TYPE OF APPLIANCES: Dishwasher _X YES NO Food Waste Grinder YES_XNO # of Bathrooms_i_
Automatic Washer _,_YES NO Other (specify)
SEPTIC TANK CAPACITY 10ad Total gallons No. of tanks !
Holding tank capacity Total gallons No. of tanks
"Jew Installation X Addition Replacement
'Poured in Place ---Steel Other (specify)
=FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) -3 2) 3) -Total Absorb Area sq. H
lewX- Addition Replacement *Fill System _ 6ls ome
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Jeepage Bed: Length Width /Ar' Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope
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 Ce tified Soil es -
NiAME C.S.T. # :i and other information
obtained from % .Z WONCbui
Plumber's Signature MP/MPRSW# ~ Phone #715 ' -::7f&
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
I
/O ,gore Ar ee
u
a„ s
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application ! Fees Paid: State /r, (1 (7 Coura ~ Date
Permit Issued/RefeetEd (clte) Issuing Agent Name , _ , /
inspection Yes No Valid# Date Recd
1. county (wh to copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
Revised Date 6/1 /76