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Parcel 020-1129-40-000 12/05/2005 03:43 PM
PAGE 1 OF 1
Alt. Parcel 17.29.19.609 020 - 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 - FREDRICK, BRIAN
BRIAN FREDRICK C - SCHRAUFNAGEL TANYA L
SCHRAUFNAGEL TANYA L
433 PARK LN
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 433 PARK LN
SC 2611 SCH D OF HUDSON
17
SP 00 WITC
Legal Description: Acres: 1.420 Plat: 2274-PARK VIEW ESTATES 1 ST ADD
SEC 17 T29N R19W PARK VIEW ESTATES 1ST Block/Condo Bldg: LOT 28
ADD. LOT 28
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
10/11/2004 776718 2673/430 QC
10/28/2002 696000 2025/529 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
i
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.420 71,000 223,700 294,700 NO 05
ill
Totals for 2005:
General Property 1.420 71,000 223,700 294,700
Woodland 0.000 0 0
Totals for 2004:
General Property 1.420 36,500 201,300 237,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 216
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 +aaaaa adau ll.li 1W1 V1\L
IER~DRESS , TOWNSHIP SEC. T -N, R W
ST. CROIX COUNTY, WISCONSIN.
i C
-3DIVISION LOT LOT SIZE y
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET 01' SYSTEM
3 .
i '
-'TIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth _ DRY WELL
'NCHES NO. of width length area
s no. of lines width length area
depth to top of pipe
= ,GATE
RATE AREA REQUIRED 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. a
'INSPEC'TOR
DATED PLUIMER ON JOB
LICENSE MTBER
REPORT OF ITISPECTION--INDIVIDUAL S:[ TJAGE DISPOSAL SYSTEH
Sanitary Permit ~ u
. State Septic
1E_ A,
T&I
• t. Croix County
SEPTIC TA'?I:
S ize _ gallons. 'umber of Compartments ,
Distance From: Tlell ft.
12% or greater slope
Building j. ft. Wetlands ft
ILighwater _ ft.
DISPOSAL SYSTL.:1 Tile Field or Seepage Pit(s)
Distance From: Well
C j ft. 12% or greater slope ft
Building; < ft. Wetlands f
FIELD Hiphwater ft.
Total length of lines -4-1-f t. Number of lines Length of
each line (ke ft. Distance between lines ft. Width of the
trench _]_L_ft. Total absorption area sq, ft. Depth
of rock below tile rZ_ in. Dp-pth of rock over the Z in. Cover
over..rock 3c---. Depth of tile below grade 2 _in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water ~ ft.
PITS
}Number of nits Outsid d' tom- ft. Depth below inlet
ft. Gravel around pit es no. .'total absorption area
sq, ft.
-Square feet of seepage trench bottom area required
`:quays feet of seepa r. t ar a required
Inspected by: Title':
Approved -
, Date 197.
Rejected Date 197.
's_
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 TEVk)
LOCATION: //4, I"'/4, Section _T, T4~V, R~ (or) W, Township or Municipality
Lot No. ~12 91 , Block No. X ~ / e~ 1,~ County -c z7- 1"49 le'
&e__1 Subdivision Name
Owner's Name: 1 ,
Mailing Address:
TYPE OF OCCUPANCY: Residence L__ No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW L'/ ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS- 7 PERCOLATION TESTS 3 `7
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
PIS / 3 A~' 4 s
P-" le ° 1 i 1
° / ~ ~Gl ..7 .Es l s
P-3 3 l~ ' l / r 6 Ea G Sr
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 ? a- 5
~L /C
7: ~2
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suita le area. I icate number of sgoar,, ~t of absorption aria
needed for building type and occupancy. _ U Indicate scale
or distances. Give horizontal and vertical reference p ints. Indicate slope.
Z_
I a ~ I
4 N
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. p`
Name (print) / C C1 X a 42 &1 > n L Certification No. f
Address r t° V
-4 At-
Name of installer if known.
CST Signature
E COPY A - LOCAL AUT(IO^.; 7~Y
PLB67 State and County State Permit # ~ -
Permit Application County Per
ry !
for Private Domestic Sewage Systems Co u nt y - ---~--r-
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
5A 11,1 wl III C R x4l-~-7 le-77111
B. LOCATION: ~tJ \J_'/4 Section , T N, R E (or) W Lot#-City
Subdivision Name, nearest road, lake or landmark Blk# Village
PA1? K tJ 1Ew CST47- S Township 14 0 d $
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family V Duplex No. of Bedrooms ? No. of Persons
D. TYPE OF APPLIANCES: Dishwasher V- YES NO Food Waste Grinder ✓ YES NO # of Bathrooms
Automatic Washer tl YES NO Other (specify)
E. SEPTIC TANK CAPACITY 66 rJ Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement Prefab Concrete V
*Poured in Place Steel Other (specify)
F. EFFLU~tNT DISPOSAL SYSTEM: Percolation Rate 1), 2) 3) Total Absorb Area 2 sq _
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length 5-Z' Width 2-• Depth_ Tile Depth r~ No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size CIA I Percent slope of land Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
isconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
}y the Certified Soil Tester,
',1AME R 1, h 1~ K U Pik i I')5 C.S.T. # 1314 and other information
o ,tained from (owner/builder).
"umber's Signature '.f ~z MP/MPRSW# /VI 7 IL 3 ~ Phone *7 - 3 ~
Plumber's Address ✓ ti
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
PA K L A - IV E R O A O
f
DNA
_ I
} 1~
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State Q0 County T. eo Date F2 rl
-
Permit Issued/Pa aged (date) _Issuing Agent Name V14~~ IF
Inspection Yes YNo Valid# Date Recd `
1. county (wh to copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2, state (pink copy) 4. plumber (canary copy)