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HomeMy WebLinkAbout020-1119-60-000 o Cl) ° r d o d c CD 3 n 3 C#n ~ m CD m m n Cl) I 3 r: ~ Ti ~ Q Z Q 7y' v 2 v 2 N N O C v 0 c . ~ v o O W o O 7 O O CCD 0- n !n O C. d d O ' n N O 0 W a) 0) 0 N d O cn 0) Q O CD CD n j W 9 Aj O 3 ~ w 3 I ° o N~ C W U) D 4 0 CD W CD ° N cn ° o CD 0 3 La. o CD W 0 m a CD.' N 0. 1 "*ANA i !!~•ff1 0 CD -4 G. , N 0 00 O C 2 ~ N (t~l 5 N 0 ? n - co 3 N N N O v o v s cil w b~yy CD D (D d ° N ~ - (D =r G1 N (D 707 O y N 3 - (D 0 a N z N O z 07 z Q CD = D O ~r v (n m !V • O CD N ~1 a N N O O l C CD N W C3 C1 z CCDD N O O O A Z O N A 7 N O O < v CD N z 3 p 00 " can N < z (D A W ~ I S (D C N a Nc O d..--. T I O 7 n N N C d'o cn o e (D tz O 2 O 7 ~ N O CD A R- 0 0.7 3 O S 7 TJ 1 "O O S O =Y N m ~ do Om m i ~ m 3 =3 'D CD v CL N v N aD O i, N O N a O i A :3 k-j (D dQ li W EA O r O O b O (D y 0 i ti ni Pdreel 020-1119-60-000 08/11/2006 01:00 PM PAGE 1 OF 1 Alt. Parcel 17.29.19.513 020 - 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 - CHICK, TERRY C TERRY C CHICK 399 BROOKWOOD DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 399 BROOKWOOD DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.900 Plat: 2553-TROUT BROOK WOODS ADDITION SEC 17 & 18 T29N R1 9W TROUT BROOK WOODS Block/Condo Bldg: LOT 10 ADDITION LOT 10 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: ! ~1 ~ °-r' I' ate Doc # Vol/Page Type v 05/23/2003 722725 2252/157 QC J " 11/06/2000 633041 1556/429 WD ~ / 07/23/1997 980/550 WD (f/ I 07/23/1997 845/536 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/30/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.900 74,600 186,500 261,100 NO 05 Totals for 2006: General Property 1.900 74,600 186,500 261,100 Woodland 0.000 0 0 Totals for 2005: General Property 1.900 74,600 184,300 258,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 217 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 'Co 33 ~10 3 7 . to \ N 00 C)- 2 ~C ; t s s Q ° oo, 0 L Z lS ^ 91, 2 S ~ \m \ N o © o lei d i it S `41'00'' E S 0°41'00` E_ 4.46'3 6.8 8' 1 1; t,l 'l I 't i i i 1 r\ I O o Eo C f, S ~ c, I 6 y !J (n S 0041100'' E 0°00 co e? 389.65 ; r 363-81' I co 1GD l~ o n? j Z Q? co (Ai N N o O N CD 0 v n1 i = 0 m , S 0°41'00'' E S 0°41'00" E 359.64' W ( 3953 9' OD ( W ~ L~ Cn Q O JJ C~ 0 0} V 1 O ,Z j p r or W 66 ~ 6 1 f ,E C,e ~~aC~ AS BUILT SANITARY SYSTEM REPORT ISJfEI /1 Jh r fK TOWNSHIP SEC./3- R /c/ W J. ADDRESS } , • I~'',c` G-., 't~ r , ST. CROIX COUNTY, WISCONSIN. IN. DIVISION-+ c'jf,` LOT• -Z OT SIZE Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEMS ~ is --,i t f t--- - Indicate North Arrow I cPTIC TANK(S) 3 MFGP..F' CONCRETE STEEL NO. of rings on cover Depth DRY WELL i,NCHES NO. of width length - area no. of lines---!,--___ ines width s length -5 2/ area depth to top of pipe AGREGATE f Vi~-- la I . K ~i RATE _ APEA REQUIRED Z AREA AS BUILT C ,5ciaimer: The inspection of this system by St. Croix County does not imply complete aRQliance 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 15tem 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 SYSTE~. `INSPECTOR. l j J f1 t d ' DATED P1 IBER ON JOB `~I LICENSE NLMdEP. - REPORT Or ITISPI;CTI0'.1---INDIJ1I TJAL SEM(' 17, DISPOSAL SYS'TE 1 Sanitary Permit State Septic ..A1 1E T01•TI1S H I P St.` Croix: County SF:°TIC TA'11; Size gallons. umber of Compartments Distance From: Well ~ft. 12% or greater slope ter' ''f i. Building rft. Wetlands f= Highwater _ ft. DISPOSAL SYST2:1 _ _Tile Field or Seepage Pit(s) Distance From: well _ft. 12% or greater slope' ft Building r ft. Wetlands f: FIELD 111lighwater ft. Total length of lines f ft. !Number of lines Length of K each line ft. Distance between lines ft. Width of the Vrench ft. Total absorption area sq. ft. Depth /r f rock below tile in. Dp-pth of rock over the in. Cover 6,6ver.rock ~ , -,;,4,/Depth of the below grade / i in. Slope of J ` rench _ rin4)er 100 ft, Depth to Bedrock Depth to ground water ft. PITS 'lumber 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 ( ✓1( Title* . f= Approved Date Rejected Date 197 , State and County State Permit # s, PLB67 Permit Application County Permi i 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: ~Y4 T/,. Section T N, RE (trc)_ W Lot# City Subdivision Narrre, nearest `road, lake or landmark Blk# Village Township i r-3 J-1 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family 1\_ _ Duplex No. of Bedrooms e No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES _ ~ NO Food Waste Grinder nC YESNO # of Bathrooms)-2 Automatic Washer AYES NO Other (specify) E SEPTIC TANK CAPACITY ! 000 Total gallons No. of tanks 'Molding tank capacity_ Total gallons No. of tanks _ vew Installation Addition Replacement Prefab Concrete X `Poured in Place Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~ 2) 6, 3) 7 Total Absorb Area -sq. It. ;dew N Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches - ~.~epage Bed: Length 3Cn/_Width _f Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size ='ercent slope of land s? % 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 Jj 1-1 eFc-> C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# l Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 3 LINCrc 1/, Sao ff (YQ0- YZ t `7o L ►1 t i Do Not Write in SpaWate) OR DEPARTMENT USE ONLY i Date of Application Fpes Paid: State t C' County ~ Date Permit Issued/ Issuing Agent Name _ Inspection Yes No Valid# Date Recd 1. county (w it copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4 nli-mher Ican3r= EH. 115 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 r LOCATION: '/4, Section TAN, R _LJ W, Township -ar- n ±y r~•• Lot No. [G Block No. County Subdivision Name Owner's Name: H t F^Nl Mailing Address: J No l~ i.~; v.OJI TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW /ADDITION -REPLACEMENT- DATES OBSERVATIONS MADE: SOIL BORINGS/ PERCOLATION TESTS SOIL MAP SHEET. 1SOI L TYPE x'g 15 t111 'P_ qA/Sch C ~ r~1 Pt_t- PERCOLATION TESTS TEST_Ic~CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUMCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN 1 t I 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- If 1c, L j ~7_ A2 f:¢ fst 7= Jam'. 1•~~~ :'r ~ { B-= ;rte C1~ 7 14 G y L ~t'` CAL 4 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate numbe ,vf square feet of absorption area needed for building type and occupancy. E;_ C `G tfiS "i ~'r vac f roc=ii Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. lvl~ C, - 1 - i-: z E ' t ~ I I p I I I- /,C, C 777 J~~ IV 4H F 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 (prmt~ Certification No. ' = j C-- Address Name of installer if known - CST Signature - 7 P, W'SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 23569 PAGE 1 10/20/92 St. Croix County Zoning DATE COLLECTED: 10/06/92 911 4th Street DATE RECEIVED: 10/07/92 Hudson, WI 54016 COLLECTED BY : CLIENT DELIVERED BY : CLIENT SAMPLE TYPE DRINKING WATER Attn: Mary J. Jenkins SERCO SAMPLE NO: 95902 713 SAMPLE DESCRIPTION: Conrath ANALYSIS: Bromodichloromethane, ug/L <0.2 Bromoform, ug/L <0.5 Bromomethane, ug/L (Methyl bromide) <1.0 Carbon tetrachloride, ug/L <0.2 9 19 Chlorobenzene, ug/L <1.0 X Chloroethane, ug/L (Ethyl chloride) <0.4 2-Chloroethylvinyl ether, ug/L <0.4 ~cn -1 ~Y w, Chloroform, ug/L <0.5 Chloromethane, ug/L (Methyl chloride) <0.6 Dibromochloromethane u L <0.4 s1 s<>= (Chlorodibromomethane) m N A 1 1,2-Dichlorobenzene, ug/L <1.0 ~N` (o-Dichlorobenzene) 1,3-Dichlorobenzene, uq/L <1.0 (m-Dichlorobenzene) 1,4-Dichlorobenzene, ug/L <1.0 (p-Dichlorobenzene) Dichlorodif luoromethane, 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. MEMBER SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 23569 PAGE 2 10/20/92 SERCO SAMPLE NO: 95902 SAMPLE DESCRIPTION: Conrath 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 This sample's analytical result ar / are not below the U.S. EPA's SDWA Maximum Contaminant level o 1/30/91 for those requested compounds which are also on the SDWA MCL list. M < means "not detected at this level". 1 mg = 1000 ug. MEMBER . SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 23569 PAGE 3 10/20/92 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, ?n& 4tt Diane J. A Berson Project Manager M < means "not detected at this level". 1 mg = 1000 ug. `U" 1n p , ,~.sof: MEMBER COMMERCIAL TESTING LABORATORY, INC. 514ain Street, P.O. Box 526 Co ax, Wisconsin 54730 4wjl:Aw 4', 715-962-3121 800 - 962 - 5227 ".t i COMTHOUSE Mi Lt Con.. JIM* 390 Broo:, ECTOR: K. Jenk i E COLIECTEN 10-2?~' i'l COLLECTED** 2 RCE OF SAMPLE 14 ANALYZED: 10-(W, ANAL.YZED442:00fi. [FORK*. 0 z fvr Fii ti•C1a +i S ~i ii'v If N' 9k C' '~r Approved Lab No. l ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 - Telephone - (715)386-4680 The St. Croix Co. Zoning Office offers the service of septic and G~ water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. . Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. c WATER TESTING------------------- V/ -------------FEE : $ 35.00. (For nitrates and coliform bacteria) / WATER TESTING FEE:$185.o0 ✓ (VOC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAM: ~f C 4 h r a t~PROPERTY OWNERS ADDRESS: 3?04 &rook"ooclaCITY• I`/udSdn Legal Descript''onIVIV 1/4, SW _1/4, Sec. /7 , T aq N-R /4 W, Town of /~uGtS66 Lot No./,Subdivision ri,, cf C~rdd~[Jop FIRE NO. 2? v./Nj ~ - el LOCK BOX NO. q-(3 Color of house_C'reetm l~roaw Realty sign? YeS Firm: " ,~A ~3 PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, 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. I 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 requesting services:- Telephone 6 No.___ 39&-!F.72& 823& REPORT TO BE SENT TO: 7,^ a loo 0 , S • u Soh wi CLOSING DATE: c O Signature:_ jfjV ON T29N:-R.20-19W 2~ OLD H5 Y. SEE PAGE. 9coLD irr t "7m fRTEfSLHTE~:: FPO y . 0 7 Alm. M9 RUN L E<'.~st ff,~E'✓ r LL$r., EC.E'e~ Lind: L CSfQ tC of a, 3 r RHMt.a w~YiD:::SMAIL-: OAK D Wisco~7s/n 4.i Z LS/ 9a T .PLAT'.:: 7.". W/LA iludifh Ann R MALI. C / LOM8 •R/VE . \V f ban Recd / /S : d T12A~ oy C r, LA V • t:5>&4&,9 - H¢nn¢h W a n a P EnGC~ °C 3 /Votu/cz/ Res, F Wes S~ Q IQIAGE c 4(00 PAJ9K 0 ■ s . 3s H 29/ us/ °r4/ x A 0 T! Y C,Yyyof Zn z "'SrnfaLl ue% f A NU2fso < !'9 jRi1CT5 ~ e j~~ • 74, S 9s 7r s 47 'MCC C'Hf Re~em /`7C7~-;e E. • 7 PARKVI E.W C /a/ser <Pc<de Oary res. 5M. /o o eF rn 7612 J¢m Gq . /tG ' . TRS o tv /<TuCt's o n 44 ~ . . 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