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Home My WebLink About020-1034-50-000 c r M c CD `r a 2. 1 m v C ~ w cD CD 3 p~ N O W V O rn m (D Q cN rn m o C° C) z N C O O V 7 O CO O CD N a 7 O p ? cn O O m h (D o = co o 1 :E 7 N 7 ° O O 'n 9L Q N G d U> D CD O ip a N a V N W c c o o 0 m 20 t~ m co = n r cn V r - (n 0. w 3 rot cQ CD N = d z 0 0 O a 0 m cn cn N v c fl r 0 o o m m (D m G7 m m cn ~ m = ~ ° I co N Gf m I W N A N N z cn z - y m o O o nO ' o" c D c • T ~ CD c ~ I w ~ I 3 j - _ z CD z c O A _ U7 ? Q n A z O 0 W -0 Z N V (D Cl) O CL N z 3 00 N CD A < CO O L C O C) Q N O T `G r O N CD N :3 T O O fl C :3 m z p N 7 (D O 7 (D N O N O N S S S Q ~ O =r J O 00 C O D(n~p o 0 s CD CD CD i N F N ti O CD CL cu CD @ :3 O N O Q O A A I O CD hp p ~ A EA 0 W p :E b (D O (D 11/10/2005 08:32 AM Parcel 020-1034-50-000 PAGE 1 OF 1 Alt. Parcel 17.29.19.148B 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 - BUECHNER, SHIRLEY J SHIRLEY J BUECHNER 427 GREEN MILL LANE HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 427 GREEN MILL LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.070 Plat: N/A-NOT AVAILABLE SEC 17 T29N R19W N1/2 SW1/4 CER SURVEY Block/Condo Bldg: MAP IN VOL I P182 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 848/185 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.070 76,800 137,300 214,100 NO 05 Totals for 2005: General Property 5.070 76,800 137,300 214,100 Woodland 0.000 0 0 Totals for 2004: General Property 5.070 50,200 121,400 171,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 210 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 PP, R"PGRT OF I~TSPEGTIQ'~?--I?•3DIti'7.D'"'Ji L SERAGE DISPOSAL SYSTEM ' Saaritar Perrait Aj State 'Septic St. Croix County ~V'77 L /pTK ooa T f"e.llons. -uzi.,ber_ or Distance From: T,,Ie11 ~ t. 12% or greater slope ~C) ft Bu.ildiang ~ ft. Wetlands ft. N1,3PCS'-L SYSTE"I Tile Field or _ Seepage Pit(s) Dish ncc From ''ell ft. 12;/, or greater slope ft Puildinr ft. F,,,=. I-Lr (IS f#_ FIFID;i t ?Itr?atEr ft. Total length of lines f L'. Number of lines- Lengt?_Y of each line t, Distance between lines ft. Width of the trench _ft. Total absorption area sq. ft. Dept':, of roc',. below tile in. Depth of rock over tale in. Cover M rt.% of the below grade in. Slope of =ye C'L in -ner 101) ft. Depth to Bedrock 4t. Dept' - to Fund water ft. of ?acts . Outside diameter ~ 7 ft. Dent') below inlet ft. Gravel around pit: yes no. Total absorption area 300 sq. ft. Square feet of seepage trench bottom area required Square feet of_ seepa t are regquired Inspected by 'iitle-- _ Approved - Date ~ 197,q. Rejected gate 197 1 ~ e. State and County State Permit # / PLB67 Permit Application County Per 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: 14W Z B. LOCATION:~L'/4 /4, Section T74? N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family 7)(- Duplex No. of Bedrooms 3 No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder,"YES NO # of Bathroom Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY 00 0 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) F. EFFLU N DISPOSAL SYSTEM: Percolation Rate 1) / 2) 3) Total Absorb Area sq. ft. New--I Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines Y --I Seepage Pit: Inside diameter Liquid Depth- <~300a-4 Z~)ile Size Percent slope of land istance 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 So Tester /JC NAME C.S.T. #~~1 / and other information obtained from (owner/builder). Plumber's Signature v C ~ - MP/M RS # Phone # ;j sPle- -Z S-5-0 Plumber's Address Q ` PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). err 1LL. /.7cKeb d q tv i, I 5 ~ V5 l Do Not Write in Space Below FOR DEPARTMENT USE ONLY 6 a Date of Application C-tea-28' Fees Paid- State LO, O County Date r- -~4 Permit Issued/BSed (date)-~D -Issuing Agent Name C Inspection Yesx-jNo 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) Revised Date 6/1 /76 • AS BUILT SANITARY SYSTEM REPORT l2 (/,j " r`NER ~j//►i✓~i~~~ 1~0 TOWNSHIP 1,1~ .I.S6fii/ -SEC. T , R I Cl W •0. ADDRESS ST. CROIX COUNTY, WISCONSIN. .TBDIVISION LOT LOT SIZE PLAN VIEW Distances 6 dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM "PTIC TANK(S) MFGR. LL~~ S CONCRETE STEEL NO. of rings on cover Depth DRY WELL L_ 1j00s NCHES NO. of width length area :D no. of lines width length area depth to top of pipe ;YREGATE ! ,t i l.C/~9SifL 1 :K RATE AREA REQUIRED AREA AS BUILT ,_ciaimer: 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 :item operation. However, if failure is noted the County will make every effort to _ermine cause of failure. :BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. .i "INSPECTOR { DATED T P 41; LUMBER ON JOB Ly_ LICENSE NUMBER 3j1 1 • a i i Plb' 67 State and County State Permit # Permit Application County Permit 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: Ak I* Section LT, Tit N, R E it (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village _ &r 1--IIZ/ C._411 C_ Township ~13 Q G C-) ' 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--L Automatic Washer 'X_YES NO Other (specify) E. SEPTIC TANK CAPACITY I C) ti 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) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size 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 Certif' d Soil Tester, NAME 7- `i , C.S.T. # S1 and other information obtained from ' e _ L6 (owner/bd+Ldef.). Plumber's Signature - - MP/MPRSW# Phone # j~(p - Zr--Y`a 10/1 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). r te c-41-Z) 414 VIE t~N DQywr I E F f ~ V~w P r 3 E a E 3 E I i r l 3 r 3 3 E 3 f [ t i 2 Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State ! County Date Permit Issued (date) / , , ' Issuing Agent Name 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) Revised Date 3/1/75 EH 115 (11-74) " WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 < REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: /o, '/a, Section , T-N, R E (or) W, Township or Municipality Lot No. , Block No. County Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 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 NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- P- 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) B- B- B- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. Indicate scale or distances. Give reference point. Indicate slope. i t N I --tttl 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 (print) Signature Certification No. Name of installer if known Cnpy C - Local Piuik,o i",y