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Home My WebLink About020-1141-30-000 0Ch0 3vn C7 r_ c m (D v V o U c :r CD CD (D m l V W _ O w O v w o ( 0 N 0 c CO N `C • S C W `G Q N O ~.y CD O O CD fC W fD O a O Z C1 N 3 O -0 3- a c a, cn W 7 co O 1 C3- a, cn O N CO . O n j 03 ! O r' 3 N O O C7 fl' m c v (1) D a a m G~ W a O -0 73 O C C 3 Q O O N .-~D A CO C C1 CD CD 0 n r c m co OOo o to o c z 0 0 0 v cr C v v v cr CT v o CD (D O 0 CD :3 m I m v - CD (D 0 c yi Q N ~ 3 - f1 v - N z N !T 0 z co z 0 v. D CD CD 0 O CD CD h • O N ;u I CD (I 11 C: m V~ C CD N CD W C1 fl 3 7 Z (D 1 N O o A Z n co c n C ? O ~ C1 z p ~ CC W A < o z 00 ' z O N z (D ? W D 0- O T v C o a CD m I I z A R n S I ti I ' v cv ~ o 0 a A 0 b O A N CD cfl O N O V O N ' ~ 'a O L \ a' Parcel 020-1141-30-000 03/17/2006 09:10 AM PAGE 1 OF 1 Alt. Parcel M 19.29.19.724 020 - 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 ROBERT B WASMUND O - WASMUND, ROBERT B 891 AUDUBON CT HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 891 AUDUBON CT SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.014 Plat: 2167-MALLACOVE SEC 19 T29N R1 9W MALLACOVE LOT 19 Block/Condo Bldg: LOT 19 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/04/2000 620682 1500/314 WD 07/23/1997 1011/535 WD 07/23/1997 812/55 07/23/1997 719/294 2005 SUMMARY Bill Fair Market Value: Assessed with: 92594 224,200 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.014 53,200 175,500 228,700 NO 05 Totals for 2005: General Property 1.014 53,200 175,500 228,700 Woodland 0.000 0 0 Totals for 2004: General Property 1.014 27,100 160,000 187,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 125 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 TOWNSHIP _SEC. j T," N, R W DRESS ST. CROIX COUNTY, WISCONSIN. 1IVISIO:3 LOTS / LOT SIZE PLAN VIES, -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHIP<G 171TIIN 100 FEET OF SYSTEM 1 - TIC TANK(S)? - MFGR. - CONCRETE STEM. NO. of rings on cover Depth DRY WELL INCHES NO. of width length area - no. of lines width length area depth to top of pipe ~ ~IaGATE L ..K RATE AREA REQUIRED AREA AS BUILT yciaimer; The inspection of this system by St. Crc'x County does riot 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 maktia every effort to -ermine cause of failure. 'ASES AND OILS SHOULD NOT BE DISPOSED THRO""'I`IHT, SYSTEM. 'INSPECTOR DATED PLUMBk.R ON JOB LICENSE NUMBER 1 Parcel 020-1141-30-000 08/28/2006 08:20 AM PAGE 1 OF 1 Alt. Parcel 19.29.19.724 020 - 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 - WASMUND, ROBERT B ROBERT B WASMUND 891 AUDUBON CT HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 891 AUDUBON CT SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.014 Plat: 2167-MALLACOVE SEC 19 T29N R1 9W MALLACOVE LOT 19 Block/Condo Bldg: LOT 19 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/04/2000 620682 1500/314 WD 07/23/1997 1011/535 WD 07/23/1997 812/55 07/23/1997 719/294 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.014 53,200 175,500 228,700 NO Totals for 2006: General Property 1.014 53,200 175,500 228,700 Woodland 0.000 0 0 Totals for 2005: General Property 1.014 53,200 175,500 228,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 125 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 REPORT OF INSPECTION-INDIVIDUAL SET•]AGE DISPOSAJ, SYSTEM Sanitary Permit Stye Septic -?-7,' t. Croix County S7,PTIC TA'!I Size gallons. `umber of Compartments Distance From: We 11 ft. 12% or greater slope ft. Building` ft. Wetlands f: IZighwater ft. DISPOSAL SYSTE,':1 IX Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building; ft. Wetlands f: FIELD Highwater ft. Total length of lines ft. Number of lines Length of each line eft. Distance between lines ft. Width of the trench -ft. Total absorption area sq. ft. Depth of rock below the in. Dp-pth of rock over tile in. Cover "fiver rock,, Depth of tile below grade f in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to Around water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around fit:' _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. EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 AJ bAJ LJ MADISON, WISCONSIN 53701 b REPORT ON SOIL BORINGS AND PERCOLATION TESTS / LOCATION: 4W4, ~~'rr~~ k~Section TI -W R! !f11 (or) W, Township or Municipality L 4 ' L Lot No. Block No. C/~d L C ti- County Subdivision Name Owner's Name: 121 A; ~ C, I-A- Mailing Address: yly~~ ~4 / _Ji TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PER LATIN STS SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RT 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 P_ / F SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES vUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B-- _ a) r i n _ S C' r f PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet f uitable area a num r %ff square feet of aB ti on area needed for building type and occupancy. c scale or distances. Give horizontal and vertical reference point. Indicate slope. I . Ir 1 t N j ° r TT-1- 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 knowledge and belief. r~ Name (print) 1^,.4 h ~ Certification No. Address Name of installer if known It"L G / CST Signatum ^'T C0PY A - LC, CI L ACl'i: i ` 7 State and County State Permit # PLB67 Permit Application County Perm 3 for Private Domestic Sewage Systems County ~Z- -DENOTES STATE APP,ROVAZ, REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: VJ Al-9 B. LOCATION: My Section , T, N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village _ Township y(./ 15 0 Al c41-1~1 Co l) C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms- j No. of Persons D. TYPE OF APPLIANCE: Dishwasher YES NO Food Waste Grinder YESNO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY1 00Total 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. EFFLUE DISPOSAL SYSTEM: Percolation Rate 1) 2)=-3) . 5-Total Absorb Area - sq. ft. New NJAddition Replacement -Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth _ No. of Trenches _ ,Z Seepage Bed: Length r Width Depth ?(,"'Tile Depth- No. of Lines _ Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Z °7® 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 $oil Tester, NAME 120 4, J j/,? G e P N C.S.T. # and other information obtained from 6 ~ (owner/builder). hone # .Z 3 ~7 r Plumber's Signature MP/MPRSW# ~P Z f7 Plumber's Address . en PLAN VI Pr vide sketch below of system (include direction of slope and all distances in accord with H6 .20, including well). I ~ wri 1 I cl ~ r IGc'" P Do Not Write in Space Below F R DEPARTMENT USE ONLY ' Date of Application < j_L-1 W Fees Paid: Statelt, - County Date Permit Issued/Rejected (date) J -Issuing Agent Name ' Inspection Yes No Valid# Date Recd 1. county (wh'3. owner (green copy) DIVISION OF HEALTH P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4_ ~It~mher Ican-?,Nr