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Home My WebLink About020-1016-07-000 n cn O g -u n d o d f m o ft 3 r. C CD w (D v m 1 3 - ~ m 3 n O N 0 O j W C N to <<: • 3 c: (D O D W n d N N n 3 CD 'o z :7 7 `A\ Co A o o O J n m 0 O 0 O ° CD 7 3 N V A~ h~h 7 N O Oj N d (D CD V) CL m CD W o TD 0 se C. =3 TD ~0- CD O W CD- cn 0 m 3 ~r `D ~ ch r cn (n 000 W a N a cal I v v v v fl- z o O O o o Cl) e ccn vii ccn o J D v 3 v v G1 'a ° CD 1 (.P r a; N N) CD N z m z 0 D o v Q o o cD CD CD (n -1 y D o CD N. 0 d J (D z (D ~ N q 'A Z cl) c n A 2 O v a ~ a Ct) as -0 ~ N CD z O O " cn 3 z m (D r Q Q ~ v c I' z a (D N '.v n I I ~ N O O a a O b m Dro O ° N ° o tD ° CL Parcel 020-1016-07-000 03/14/2006 01:14 PM PAGE 1 OF 1 Alt. Parcel 12.29.19.71 F-20 020 - 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 TIMOTHY J WEISKOPF O - WEISKOPF, TIMOTHY J HETCHLER ROBIN P C HETCHLER ROBIN P 1022 MOON BEAM RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1016 MOON BEAM RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.836 Plat: 4040-CSM 15/4040 020/01 SEC 12 T29N R19W PT SW SE BEING PT CSM Block/Condo Bldg: LOT 7 5/1417 LOT 4 & NKA CSM 15/4040 LOT 7 3.836AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-29N-19W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 05/09/2003 720915 2237/180 WD 05/09/2003 720914 2237/179 QC 01/07/2000 616680 1482/549 QC 07/23/1997 1112/130 WD more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 91468 316,200 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.836 92,300 230,200 322,500 NO 05 Totals for 2005: General Property 3.836 92,300 230,200 322,500 Woodland 0.000 0 0 Totals for 2004: General Property 3.836 58,600 211,100 269,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 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 r W TOWNSHIP jj SEC. 1 T ~N, R W O.•ADDRESS ST. CROIX COUNTY, WISCONSIN. MVISION LOT LOT SIZE PLAN VIEW -Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~~T ~ ~ ACC y• All, TIC TANK(S) MFGR.~ CONCRETE - STEEL N of rings on cover rr Depth DRY WELL ,NCHES NO. of width length area 7 no. of lines width l ! length,)- area- depth depth to, top of pipe ~REGATE AREA REQUIRED - RATE" " AREA AS BUILT • ,claimer: The inspection of this system by St. Croix County does not imply complete j pliance with State Administrative Codes. There are other areas that it is not passible j inspect at this point of construction. St. Croix County assumes no liabilit,,~~ for`' tem operation. However, if failure is noted the County will make every effdrt to .ermine cause of failure. 'ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS S)[StEM. 7Z- - INSPgTOR DATED ` PLUE • ON JOB LICE SE NUMBER Vi ' z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sanitatcy PeAmitz,~%/ r State Septic NAME v ( Township St. CAoix County T' o Location~z, ai; SecZivnl N,1j~ U1 SEPTIC TANK Size gattons. Number oh Compq,,ktments Di,stance FAam: Wett it. 120 oA gneatet zZope/5 it Building it. Wettand/s C; ~ . HighwateA it. DISPOSAL SYSTEM w Diztance FAOm: We.2.t/'~ it. 12% oA gneateA ztope,/4~, it. Building it. Wettand/s • c-0 Ff Ft. HighwateA.,C C,` 6t. FIELD DIMENSIONS: Width ob ttench ' it. Depth vjj Aock below tite /2- in. Length ab each tine ~c it. Depth of Aock oveA tiZe L in. NumbeA of Una Depth o{j tite below gAade 2/in. Totat Zength o6 Zinez-1 it. Stope v6 ttench in pen 100 it. Di,s lance between tines 6 it. Depth to b edAO ck 7aat absanbtian atceajt2 Depth to gAOUndwateA Requited atr.ea ~t2 j PIT DIMENSIONS: NumbeA v6 pitz_~` / GAavet around pits yes no Out.6ide diametvL it. Depth below inter it. ,s Tota.L absmbtion .a)iea.' 6t2 . z AAea AequiAed it2 m INSPECTED B- TITL L APPROVE D REJECTED DATE 197. if V f EH 1V WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ~I DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH cb 9 'A P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: Section I?, T-ON, R&&(o,Y W, Township or Municipality e" f NG ` Lot No. ,Block No.-- County ' ~ ` ,J-C Subdivision Name Owner's Name: f_ C r'° I Mailing Address: TYPE OF OCCUPANCY: Residence ` { No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS Cr' S' eft PERCOLATION TESTS (L-Aa9 1,7{- SOIL MAP SHEET- SOILTYPE J PERCOLATION TESTS TEST DEPTH) HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- CHARACTER SINCE HOLE HOLE AFTER INTERVAL RATE INCHES THICKNESS IN INCHES BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/1',J . 3_11 r P-/ 75 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES j NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- i!` > 7 2 ~A c'= c74+,r~ ~awt ~q ti►-e~ 'L`" pct C l 113- / 47 ~ 77" "73 low Ao~%e N3 VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) :1dicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area ;seeded for building type and occupancy. . f s Indicate scale distances. Give horizontal and vertical reference points. Indicate slope. - 1 74 t N El ~ - - 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. Name (pri(1 Certification No. 1 Address , ' Name of installer if known CST Signature - Al c COPY A -LOCAL AUTHORITY 4 ~ State and County State Permit # County Permit PLB67 Permit Application 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: 7 B. LOCA ON:'/4'/4, Section /4 , T, N, R%~ E or W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village _ Township C TYPE OF OCCUPA/NCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons_ D. TYPE OF APPLIANCES: Dishwasher _t_---YES NO Food Waste GrinderYES 1VU # of Bathrooms--])----- Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY /j Total gallons No. of tanks er-x%.,Z- *Holding tank capacity Total gallons No. of tanks New Installation Addition- Replacement -Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1)2_3 2)_-j,13) "Total Absorb Area ~v f --sq• ft. New ~Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches - Seepage Bed: Length _,;2'_Width r" Depth Tile Depth y " No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size y " Percent slope of land % Distance from critical slope 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 Certified Soil Tester, NAME -7,4 h S y .4 tk C.S.T. # 55 C -2 3 ~>and other information obtained from (owner/builder). C~2 //7 5 S Plumber's Signature MP/MPRSW# Phone # Plumber's Address -22 C PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). a 0 j / xIr c7 Do Not Write in Spa Below- FOR DEPARTMENT USE ONLY r CC ~J , Date Date of Application Fees Paid: State r7 C' County, Permit Issued/F3ajoe ►d~ (date) Issuing Agent Name }x-"~ E w Inspection Yes4_-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) , .