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Parcel 020-1020-50-000 07/17/2006 09:42 AM
' PAGE 1 OF 1
Alt. Parcel 14.29.19.93G 020 - TOWN OF HUDSON
Current ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
01/25/2006 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
JOANNE M HILLMAN O - HILLMAN, JOANNE M
757 MCCUTCHEON RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 757 MCCUTCHEON RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.590 Plat: N/A-NOT AVAILABLE
SEC 14 T29N R19W SW NE COM NW COR Block/Condo Bldg:
SW-NE-E 220' POB TH S 695.7'-E 350'-N
696' TO CL TN RD-W 350 FT TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
14-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
03/09/2006 820345 TI
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.590 90,500 143,700 234,200 NO
Totals for 2006:
General Property 5.590 90,500 143,700 234,200
Woodland 0.000 0 0
Totals for 2005:
General Property 5.590 90,500 143,700 234,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 116
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 020-1020-80-000 03/14/2006 01:49 PM
PAGE 1 OF 1
Alt. Parcel 14.29.19.94C 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 - DESHLER, JOSEPH & KATHLEEN A
JOSEPH & KATHLEEN A DESHLER
775 MCCUTCHEON RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 775 MCCUTCHEON RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 14 T29N R19W SE NE W 1/2 OF W 1/2 Block/Condo Bldg:
BEING CSM V IV PAGE 967
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
14-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
91513 261,800
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.000 117,000 150,000 267,000 NO 05
Totals for 2005:
General Property 10.000 117,000 150,000 267,0000
Woodland 0.000 0
Totals for 2004:
General Property 10.000 88,000 132,600 220,6000
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 134
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
00
Total 27.00 0.00
AS BUILT SANITARY SYSTEM REPORT
°MR TOWNSHIP SEC. T N, R W
.0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
BDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
Cam'-
-?TIC TANK(S)MFGR. (J~ (L 'SC-- 12 CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
"7NCHES NO. of width length area
no. of lines width! length area
depth to top of pipe
:;REGATE `~~C 02" tt c k
i
Ia RATE AREA REQUIRED toI AREA AS BUILT
claimer: 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
°tem operation. However, if failure is noted the County will make every effort to
:ermine cause of failure.
."ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
"INSPEC.TOR
DATED PLUMBER ON JOB
LICENSE NUMBER f 4•
~w iq
W-PORT OF IJISPI;CTIO'_1--I?4,')I:VIDIJAL SET1AflE llISPOSlu, SYSTEii
Sanitary Permit ~
S ate Septic Zee
TOt•]NS Ii I P
t. Croi County
SEPTIC TA711;
Size gallons. "cumber of Compartments
Distance From: T.-Jell
ft. 12% or greater slope mot.
• Building ft. Wetlands ft
Itighwater ft.
DISPOSAL •SYSTF:-l Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope ft
Building ft. Wetlands f:.
FIELD Ilighwater ft.
Total length of lines ft. !dumber of lines Length of
each line eft. Distance between lines ft. Width of the
trench eft. Total absorption area sq. ft. Depth
of rook below the in. DP_pth of rock over the in. Cover
...over.rock, Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water F; 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
`%quare feet of seepage nit area required
Inspected by: Title:
Approved Date 197.
Rejected Date 197
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
' DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
~~pREPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: S-W%, AE'/a, Section I_Z., Tca9N, R 19 Pt (or)(@Township or Municipality f~S'e) 02
1
Lot No. , Block No. County
& " /~ld ' h Subdivision Name
Owner's Name: /5
Mailing Address:
TYPE OF OCCUPANCY: Residence - No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS "Y-41--ZY PERCOLATION TESTS-
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
INTERVAL
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER
BER ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P / 70
PSe e
tit& t rte- /V
5 49# See- ,gore. Da,,,Aa,
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
i
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
&One ;;p
775 16 ~ 4 70 Med -5
Mine. 7 '~,6" 91 . 1 „A
ii /V on f
' /'Ilone, /d;, , 7& Mau'
96 tial) e 7 't~
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square f et of uitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. f UOG S~t`fsi bl~ Area Indicate scale
or distances. Give horizontal and ve t' I r An e p ' ts. Indicate slope. For SyStGm ~RepfcCL:7►P_►1~"
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T ~e
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1, 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) Dennis /'l e 7- : /'r 56,4 Certification No. L5~5 QQ
Address
Name of installer if known 44
CST Signa `
L COPY A -LOCAL AUTHORITY
State and County State Permit #1
PLR67 Permit
Application County Permit #
4 . 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:
B. LOCATION: Section /Y, Ton N, R f`? e (or) NO Lot# City
Subdivision Name, nearest road, lake or landmark Blk#- Village
Township H-ue& )a-
C-.- TYPE OF OCCUPANCY: *Commercial 'Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES-,< NO # of Baehr >oms
Automatic Washer A YES NO Other (specify)
E SEPTIC TANK CAPACITY r) Total gallons No. of tanks
'Holding tank capacity- Total gallons No. of tanks
New Installation A - Addition- Replacement- Prefab Concrete JC
*Poured in Place --Steel Other (specify)
'EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) oj~- 2) .S-3) ~S-Total Absorb Area
Y~ sq., ft.
New x Addition _ Replacement *Fill System 6i f v~ v d;.,,
Seepage Trench: No. Lin.. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Depth -tea---- Tile Depth _36 No. of Lines
Seepage Pit: Inside diameter _ Liquid Depth- Tile Size
Percent slope of land f-4e:-11 Distance from critical slope-2C ' ' j`C
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.2(
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepare
by the Cer 'fled Soil Te er,
NAME - - C.S.T. # and other information
obtained from.,` uil
Plumber's Signatur____ _ MP/MP RSW#/'y3 Phone #1- -
Plumber's Address Oiv /l~Uti✓/
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
a,
4 '
U
t
Do Not Write in Space elow FOR DEPARTMENT USE ONLY 6)
Date of Application Y Fees Pai : State' (County
~Date ,
Permit Issued/ ( ate) _ Issuing Agent Name
Inspection Yes No Valid# Date Recd _
1. county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
Revised Date 6/1 /76