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Parcel 020-1140-90-000 03/17/2006 08:58 AM
PAGE 1 OF 1
Alt. Parcel M 19.29.19.720 020 - 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
THEODORE J & LISA M COOPER O -COOPER, THEODORE J & LISA M
892 AUDUBON CT
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 892 AUDUBON CT
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.083 Plat: 2167-MALLACOVE
SEC 19 T29N R19W MALLACOVE LOT 15 Block/Condo Bldg: LOT 15
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/03/2002 689155 1967/11 WD
07/23/1997 1037/186 W ID
2005 SUMMARY Bill Fair Market Value: Assessed with:
92590 243,600
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.083 53,300 195,100 248,400 NO 05
Totals for 2005:
General Property 1.083 53,300 195,100 248,400
Woodland 0.000 0 0
Totals for 2004:
General Property 1.083 27,500 177,500 205,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 109
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
9-3
V T. CROIX COUNTY,
WISCONSIN
ZONING OFFICE
i ST. CROIX COUNTY COURTHOUSE
ri 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
Specify desired test(s) & remit appropriate fee with application.
outside water lines are often turned off during winter months,
making access to the home necessary. Please make arrangements with
this office to insure a time when entry can be gained.
❑ Water (VOC's) $185.00 IxSeptic $25.00
1XWater (Nitrate & Bacteria) $35.00 (Visual inspection)
owne r: Qy uck r 0tAnn S~avt/ Requested by: V ~u~ily ~cli~a A?ea/>I
Address: u k on Gf• Address:
City & State: a so 1,/;. City & St. u soy,
Zip Code: -<-4101(,, Zip Code: S yoih
Telephone NI: ( 71S) 38s( , - 821 ° _ Telephone N4: ( ) 3~~- S23G
Property address (Fire N2 & Street) A, a/K 6°H C7`
Location: #W A)6- Sec. I9 , T aq N, R I9 W, Town of
St. Croix Co., WI . Tax ID N° Parcel ID N° ;0 - //yo - `j0
House color: Realty firm: e G-A'u Lock Box Combo: v~~?
rows
~
Water sample tap location: ?
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE O1;-THIS FORM*
Is the dwelling currently occupied? Yes ❑ No
If vacant, date last occupied: yea lI~
Septic system installed by: A -7 D
Septic tank last serviced by:
Previous Owner's Name(s): p
Have any of the following been observed? 3 tj
❑y TTNI Slow drainage from house. V 2
❑y ~N Sewage Back-up into dwelling. f--
❑y ~rl Sewage discharge to ground surface,
road ditch or body of water. dp
❑y1 Slow drainage from the dwelling.
❑ t y _ Foul odors. G.
l ..y
Other comments relative to system operation: 1-(~,7' ~
I certify that the abo e information is complete and true tofth
best of my knowledge.
OWNERS DATE:
SIGNATURE:
d/9~
OWN S DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
,L I /
P , e,c
5P -
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? []Yes []No
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: []Below grd []At-Grd []Mound
Approx. size 'X []Gravity []Dose []Pressurized
` Ft.2 []Bed []Trench []Dry Well
[]Holding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES []Other []Unknown
Septic tank
Setbacks: []House []Well []Prop. line []Other
Dose tank
Setbacks: []House []Well []Prop. line []other
[]Locking cover []Warning label []Pump/Floats
[]Alarm []Elec. wiring
Soil Absorption System
Setbacks: []House []Well []Prop. line []Other
❑Ponding: []Discharge:
General comments:
INSPECTORS SKETCH OF SYSTEM LOCATION
N
Inspector
Title
ST. CROIX COUNTY
WISCONSIN
PLANNING & DEVELOPMENT
PLANNING SOLID WASTE REAL PROPERTY ZONING
715-386-4674 715-386-4623 715-386-4677 715-386-4680
August 31, 1993
Jim Dahlby
Edina Realty
700 2nd Street
Hudson, WI 54016
Dear Mr. Dahlby:
An inspection of the septic system on the property of Bruce and
DeAnn Swavely, located at 892 Audubon Court, Hudson, was conducted
on August 30, 1993. At the same time a water sample was obtained
for testing. The results of that testing will be sent to you as
soon as we receive them back from the laboratory.
At the time of 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
may be dependent upon proper maintenance of the system.
Should you have any questions, please contact this office.
Sincerely,
James Thompson
Assistant Zoning Administrator
mij
ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD • HUDSON, WI 54016
.Cr4MERCIAL TESTING LABORATORY, INC.
4nl:A:w~4 Main Street, P.O. Box 526
. olfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227
FAX-715-962-4030
ATER REF'i: R I' DATE. 9/01,,
1 CARMICHAEL ROAD
I IT
'ATION: 892 Audabon Ct., HI
..LECTOR; Jim Thompson.
'E COLLECTEDS 8-30-5'
tE COLLECTEDI 3:15pm ter,
JR.CE OF SAMPLES S E P
s
-E ANALYZED*#8-31-x'3
E ANALYZED t2~0i; COUNP.'
zONiNGOr-F,;:
_IFORM,MFCCS v 1V Ink
5r
"ERPRETATION: $acteriotogicaLLY Sr:
4 ppm
10 ppm exceeds the
N ~t\NDEPfNOf1,l.
4 Approved Lab No. I4
A -ass "LESS THAN" 1,
5
PROFESSIONAL LABORATORY SERVICES SINCE 1952
i_ REPORT OF IPISPLCTION--I 4DIJIDUAL SMJAGE DISPOSAI, SYSTEM
S Sanitary Permit
r State Septic
✓ i
TOWNSHIP
• t. Croix County
Sr.PTIC TA771:
.size ,2 b gallons. 'lumber of Compartments,
Distance From: '.•leII s~ ~,1
ft. 12% or greater slope ~i.
S Building ft. Wetlands f:
Ilighwater ft.
S
DISPOSA, SYSTF:-I _2!rTile Field or Seepage Pit(s)
Distance From: Well 12% or greater slope r- -ft
-2-
G, .27 ft. f~
Wetlands
FIELD 13 11 .
Total length of lines _LzLf t, !Number of lines. Length of
each line IZIAft. Distance between lines ft. Width of the
trench _ft. Total absorption area 7i sq. ft. Dept::
.of rock below the s~. in. Dp-pth of rock over tile ~ in. Cover
nver.rock, Depth of tile below grade ~_in. Slope of
trench _ in ner 100 ft. Depth to Bedrock ft. Depth to
ground water -LLf t.
PITS
Number of pits Outsid d' ft. Depth below inlet
ft. Gravel around t _yes no. Total absorption area
sq. ft.
.Square feet of seepage trench bottom area required
%Square feet of seepage -a required
Inspected - - Title: .
Appro,red P Date 197
Rejected Date 197
PPFFP,1 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: )OP 'A4, *W6_'A4, Section /1, T4- N, R/~ IE,`(or) ,Xownship or Municipality N444 r
Lot No. Block No. edL1 4?_ County t rf~Clt
Subdivi Name
Owner's Name: RRa C E /e cl en.-' vQZ1
Mailing Address: / 1- ~'/11w~`,c sOt.t LE.~a S • s .6
TYPE OF OCCUPANCY: Residence No. of Bedrooms --3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 3`.;2 .5 '7 -PERCOLATION TESTS - W
SOILMAPSHEET FF`~ SOIL TYPE aC'4= C.-/
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
/C1 5X
SXY
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)
Y ,urn S ,.,C 5 3-B-
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indi a nu ber ,o,ff~ square feet of absorption area
needed for building type and occupancy. 1 L'v s~l6 f}~~ In icat scale
or distances. Give horizontal and vertical reference p - ts. I is t lope.
i
Ik lee). A.'
. ~ f 4
sal
{
_ E
:
ok.
I I
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 nowledge a Ad belief
Name (print) -z L1,W0jt? /d jp/e, s Certification No.
Address Z
Name of installer if known
% CST Signature -
COPY A - LOCAL AUTHORITY
PLB67 State and County State Permit # `
Permit Application County Permit -r 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:
16 v A.
i-Lcc 0- &C-140A.1 41-el/ /9/4 d/
B. LOCATION: '/4 '/4, Section , TZgr N, R 0) (or) & Lot# ,'S-City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
Cdr.
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family K Duplex No. of Bedrooms -3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher _X- YES NO Food Waste Grinder YES X, NO # of Bathroom -
Automatic Washer _X__YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity_ Total gallons No. of tanks
New Installation _ X Addition Replacement _ Prefab Concrete X
*Poured in Place -Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) -3 2) 3 3) 3 Total Absorb Area sq. ft. /
New X Addition Replacement *Fill System /S e~~•d
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. o ren~ hes _
Seepage Bed: Length / Width Depth Tile Depth g~ No. of Lines 5
Seepage Pit: Inside diameter T~ Liquid Depth Tile Size ly _
Percent slope of land x3 /i?-// bV 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 C/e~ ^ified Soil T ter
NAME Amy. C i-S~ C.S.T. # 75 'OS ~9 and other information ,ov obtained from ~ ~ ~K~ (~vv+r udder ~ .
Plumber's Signature MP/MPRSW# Phone # ~frr- 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).
tea A"Z.'a
~R ~i ~csr~ 4-~,eZ 4
IV
-
Do Not Write in Space elow FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State ~C~"~ County . Date
Permit Issued/PA499 l 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) -