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020-1120-80-000
y o cn O 3 m o d m ^D c 3 m a M 7 c CD CD 3 - A7 n O N o A Oo (CD I c -I N °C • =5 3 O C 0 (D O 4ni fJ ~ n Z n ro W O `r1 ~ C 7 (D W O = " N C 1 co 5- Cl 7 O cn O N CO CD Q 7 C O (D S _ U7 O W C O O O O a 3 H 3 CD C d C N lr _ A C G (D N a CD (a W U' W '°o c c n _ ~ o o f O ~ o V (D , o I ~ n' \ -4 O n (D -4 . O c w aO = co v n I c ~ M 'D U) C) z N ~ o c N y y N o N m a' v O O V' c. CD CD N M L co N C (D O lr N T (D O N Z .-r N O O y Q j v O a ID N -1 U) CD (D (O C O (D W I n ~ ~ Z (D (o -1 y O O p Z (D n A G I o. W co N C " ~ z o 3 o M ','I (n M CO y Z (D A A N (gyp O Q CD N A Q C (D - CD (0v O. _ O n (O 7 O T N C o N N 3CZ d _ (D O X Inc (C o N ~ O I ~ N I -4 a 3 no fi D Cr O C1 .0 N S O a A O~ ti 7 CD Q'0 O A tA fn O c„ 00 0- Parcel 020-1120-80-000 03/15/2006 02:51 PM ' PAGE 1 OF 1 Alt. Parcel 17.29.19.525 020 - 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 - JONES, JAMES JAMES JONES 392 BROOKWOOD DR HUDSON WI 54016-0909 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 392 BROOKWOOD DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.660 Plat: 2553-TROUT BROOK WOODS ADDITION SEC 17 & 18 T29N R1 9W TROUT BROOK WOODS Block/Condo Bldg: LOT 22 ADDITION LOT 22 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 848/631 07/23/1997 752/564 07/23/1997 734/409 2005 SUMMARY Bill M Fair Market Value: Assessed with: 92395 336,500 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.660 68,800 274,400 343,200 NO 05 Totals for 2005: General Property 1.660 68,800 274,400 343,200 Woodland 0.000 0 0 Totals for 2004: General Property 1.660 35,600 239,800 275,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 124 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 n en p F. v n d rte. O d F c m 0 v1 c N 0' v h r. 0 y O N C O (D O O Q N o FH • O\ (D O (D (D O N L1 z O a -7 N Vl M ~o a m j O = O N CO (D 0 7 Q =r R 00 (D (D (D n Cr O O C v (n D a N m m m W 'D D N m G l0 CD 0 0 O O o lot (D OD OD 0 { (a co p n or c N V V 00 00 N = ~ Q !V z • C0 0 0 ° !~I O N < < G l~~yl 0 3 c1n u1i c1n o ti v o o c o CD m W z y A O (T a, N a N ° zco z (D O d O D o' ~ I N (D w N .0 cc c (D N O W (p Q' ci 3 7 z (D 1 cn O O O A Z n ~ ' A Z O W -0 M N v (D (D CO z O C/) O M co N (D ? z D i a T O a CD N I ~ A yy y Z n N I ~ tv I o 0 a ~ p O (D O n O a O j ~ • AS BUILT SANITARY SYSTEM REPORT 7NER.` TOWNSHIP r,,.. SEC. T N, R W .0. ADDRESS L 1;, ST. CROIX COUNTY, WISCONSIN. ''BDIVISION LOT 2~LOT SIZE 117 l va W j L,0rt o) PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM G A '?TIC TANK(S) MFGR. AI CONCRETE STEEL NO. of rings on cover Depth DRY WELL "INCHES NO. of width length area :D no. of lines width length area l f, depth to top of pipe ' CREGATE ? RK RATE L AREA REQUIRED ~ y L _ AREA AS BUILT -r yciaimer: 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 'stem operation. However, if failure is noted the County will make every effort to '.termine cause of failure. BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. -'INSPECTOR DATED PLUMBER ON JOB 4 L, u ;E LICENSE NUMBER COMME,ICIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 CoI'fax, Wisconsin 54730 CZ:A w '4'. 715-962-3121 800 - 962 - 8378 (WI) 800 - 962 - 5227 c ST. CROIX COUNTY REPORT DATE: 7/27/89 COURTHOUSE DATE RECEIVED: 7/26/39 AllPqON, UT 54016 ATION: 392 ood Drive, Hudson, W! LECTOR: Mary Jenkins - St. Croix County Courthouse SCE OF SAMPLE; Laundry Room Faucet IFORM: 0 /140 mt -ERFRETATION: BacterioLcaicall y BA, FE 4 ppm i F e it LAB TECHNICIAN: Pam Gane h S FE WI Approved Lab No. 19 3 JLjf f Ck~. COUNTY -ONfNGOFRCf .OF.XNDEPEArp Z Tp V D Z O ~b yA i Me37V5 °°LES THAN." jf@t ,yu .e Leve'L Approved o PROFESSIONAL LABORATORY SERVICES SINCE 1952 i t ST. CROIX COUNTY J1K r WISCONSIN ZONING OFFICE a ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 July 25, 1989 Mary Zajac 392 Brookwood Drive Hudson, WI 54016 Dear Mary: An on site investigation of the septic system on the Mary Zajac property located at 392 Brookwood Drive, Town of Hudson was conducted. At the time of the inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator TCN:sa 7/18/89 ST. CROIX COUNTY ZONING OFFICE tell, St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning Office offers the service of septic and water inspp-ctions to Lending Institutions, 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 County Zoning office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and fore are received. WATER TESTING----------------------------FEE: $ 25.00 X (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 X (Determines if system is properly functioning at time of inspection) Property owner's name Mary Zajac Property owner's address 392 Brookwood Drive - Hudson Legal Description 1/4 of the 1/4 of Section T N-R Town of Hudson Lot Number 22 Subdivision Name Trout Brook Woods FIRE NUMBER 392 LOCK BOX NUMBER Color of house Cedar Brick Realty sign by house? YesIf so, list firm: Century 21 Bertelsen-Cudd 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 water line the home is vacant, and has been so for some time, must be purged by running the water for several hours before the test can be conducted. 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: Jenny Olson Telephone Number 386-8207 REPORT TO BE SENT TO: Jenny Olson - Century 21 70 19th Street S - Hudson Closing date Signature OBFI DEPORT Or, IJISPECTIO'.1--174DIVIDUAL SETIMC,E DISPOSAL, SYSTM Sanitary Permit - 7~C) State Septic , ME T&WNSHTP r t. CroIia County SEPTIC TA'?R S) a 2e gallons. 'Dumber of Compartments . Distance From: Well ft. 12% or greater slope ft. Building" ft. Wetlands ft Ilighwater ft. DISPOSAL SYSTL.1 Tile Field or Seepage Pit(s) Distance From: hell ft. 12% or greater slope ft Building; ft. Wetlands ~ f;. FIELD ilighwater ft. Total length of lines ft. Number of lines Length of each line ft. Distance between lines ft. Width of the trench 'ft. Total absorption area sq. ft. Depth of rock below tile in. Dp-pth of rock over the in. Cover nver.rock,,__ . Depth of tile below grade SZopn of . trench in ner 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS ?lumber of pits Outside diameter ft. Dept 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 c • 1 EM.1.15 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: '/4,~ /4, Section /~O , TZ%, R ZIC-*=4 W`T~ownship yr 44p c paL~y 14"SO A/ Lot No. Block No. ,_r_A00r i3I~e)K YJ6.;t-S County Sr. C9_01 Subdivisl~Dqn Name Owner's Name: J~/Y~r N~iy SiF.1;24-j /'GTR,, f~©~'✓ ~ J r L~Fs"~S ryV~SP~ Ir~~S Mailing Address: G RLAf!/F~ 204-h /V49 TYPE OF OCCUPANCY: Residence I No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW __K__ ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 10,617s PERCOLATION TESTS L~~~7g SOIL MAP SHEET Z-~ g SOIL TYPE ZulZ.l~#A1wi- 4&SOW COMPLcx 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 /V 11"r 3 1 3 p 1 c ► 1~t~ TA (Cwa t 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_ 1 iZi colt > "L5~ „s~ L. j Gi L-S f 5~4~~ 41), Z8°'GS' 3'e:~ $r~!o"L5 • S/ 5 GJC-• B-~ /Zv ^ dN~ y/2-c~ v~'b"'6i) 3la`r $fc; fi"L5~ S ,rJ•rs i 2-v (cni~: Z-a 37- 3tv" rr G "C.S 4-7" 5t6woe; B- ' P LO `7iz.v ;e7~/GS ~ 34•" SILK ~jr~CS ~ 4Z " !5 fGI2- Z.tJ pa/& 7I Zg„GS ~ t~ slc~ 4~GS SVa PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square fe~of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. 61b SG? r1 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. . rj Il __T =N ( ` _ I I IMP ~ ~ ft I~A I i ! : ! rt i ) ~o_ 1 1 i a ' a I a 1~ 1 ~ I ~ j N 2- - i 3 t AJ; t.__µ _ - yI 1 { _ I i{ 1 tf t 1 # t I ~ I t ~ k~ t ~ ( f f ~ I ~ t f~ t t !~..L Y~Til'o } I } t - - 111001 ,t t t y ` t 3 - - , r . - _ _ t L - 0 v_ } 3 ( ' ~ I ( ~ i I I ~ ~ i ; 3 ~ 4 { T I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pro dures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test h es are correct to the best of my knowledge and belief. Name (print) JR-Mes E" Rosc_H Certjfication No. '-56$ Address 6 4:1 2 ( t. L~, 4i S ,WA Name of installer if known CST Signature a,,OPY A -LOCAL AUTHOR! 7 State and County State Permit # PLB67& Permit Application County Per it 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: C iv B. LOCATION: Gam'/4 Section , T Z-91\1, R /,92=#D4 W Lot# ZL City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township $v r Pour 3e00K '--n100D-S -r9-c)ur i39.ovl< C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES,< NO # of Bathrooms Z- Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY -JSLI~-00 &)OoTotal gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _ Prefab Concrete /r *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 3 2)__3) Total Absorb Area sq. ft. New X Addition Replacement *Fill System ~6 Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage BedLengthWidth / Depth 7 L" Tile Depth 5`r No. of Lines 3 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land .5- Distance from critical slope ZS ` 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 , J A M e-S E. Ru sc-µ C.S.T. # SS -S?csZ~ and other information obtained from <3 c E' cvr- ~ (owner/builder). Phone # j S C Plumber's Signature 2 AMP/ PRSW#=L Plumber's Address" " ` PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). G~ LE 1%4d r~Jy~ 41 `o Do Not Write in Space Below FOR DEPARTMENT USE ONL ~p Date of Application Fees Paid: State w 00 Count ~ Dat 0 0 -79 Permit Issued/wed (date) 1(~ -/b -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 6/1 /76