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Parcel 020-1050-20-000 03/17/2006 10:26 AM
PAGE 1 OF 1
Alt. Parcel 20.29.19.193A2 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 - FRYE, SCOTT W & PAULA M
SCOTT W & PAULA M FRYE
830 NORTHVIEW DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 830 NORTHVIEW DR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 3.010 Plat: N/A-NOT AVAILABLE
SEC 20 T29N R1 9W NE SW LOT 2 CERT SURVEY Block/Condo Bldg:
MAP IN VOL III PAGE 604 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 896/46
07/23/1997 859/606
2005 SUMMARY Bill Fair Market Value: Assessed with:
91772 242,400
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.010 75,100 172,100 247,200 NO 05
Totals for 2005:
General Property 3.010 75,100 172,100 247,200
Woodland 0.000 0 0
Totals for 2004:
General Property 3.010 46,100 123,600 169,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 204
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
M.P0P,r G1., "LASPECTION--174D JIDUAL SUJAGE DISPOSAL, SYSTEii
Sanitary Permit
r' State Septic
.:&I 1E TOWNSHIP
t. Cro" County
SEPTIC TA'!I
Size gallons. 'umber of Compartments ,
Distance From: T-•lell t
ft• 12% or greater slope Wit.
Building 5f I(. Wetlands f.
liighwater fit.
DISPOSAL SYSTF.:.l ile Field or Seepage Pit(s)
Distance From: i1eli ft., 12% or greater slope ft
Building ft„ Wet-lands f .
FIELD 111lighwater ft„
Total length of lines -ft. Number of lines S Length of
each line _ft. Distance between lines ft. Width of the
trench _ZLYfIt Total absorption area sq, ft. Depth
,of rock below tiled ? _ in, Dp-pth of rock over the `Z-- in. Cover
aver .rock,,` ? z Depth of tile below grade Slope of
trench in n' er 100 ft. Depth to Bedrock
f~. Depth to
g,round water ft.
PITS
Number of pits Outs e arid. er ft. Dept below inlet
ft. Gravel around ~i es no. Total absorption area
sq. ft.
.Square feet of seepage_-trench bott M area required ,
Square feet of epage nit a e erred
Inspected h zTitle':~
Anprov d Date I97
Rejected Date 197.
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
y MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: A6114 ~i/4, Section oL, TA%, R a& (or)4 township or 1unicipality,,//~ ` ex l
Lot No. _,21, Block No. 4 w r-0- ` Q? County ? r nn-_4e
O X Subdivision N me
Owner's Name: /-r Q Y
Mailing Address: C, c'
TYPE OF OCCUPANCY: Residence X. No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW 1< ADDITION --REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS l~7- 7X PERCOLATION TESTS di'-z7' 7 a
SOIL MAP SHEET_!_`-f~- SOIL TYPE~L'
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 1 MIN/IN
p
P
f2~c_ / Z-4
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-3 W" ftlvae.,.3 /Y`` 6,2F'
14.e S
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet o suitab areas. Indicate u er of square feet of absorption area
needed for building type and occupancy. Indicat scale
or distances. Give horizontal and vertical referen po is slope. Sys EF►d?s~-~.
s
i
I
'Ic _T
I
1 1, I I
I ,
1
t N
I ~ 3 1 !
I fi'_- i i I s I ~ i i ~ I = I I ~ I ~ I I I I J
I i i f ( ~ I ~ I.a I I i i
i { t
i { 1 1117
0 4;
_ ';~.'_-_..__i--'_.`_.__._.. i -
i {{i t ± I i i I 1 i ~ II
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T)AI 4L
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 Pan belie .
Name (print) Certification No.
Address P~lfe~"~' ej, 9
Name of installer if known
t
4 e'
COPY A -LOCAL AUTHORITY CST Signatur -
State Permit # d1'
PLB67 State and County
~ Permit Application County Per
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:
/ xo<
B. LOCATION: Ala,,SQ-, Section T,;Z N, R/ _ C-, (or) 117E ot# -2-- City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~c .SCX 4
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family >Q Duplex No. of Bedrooms . No. of Persons .y--
D. TYPE OF APPLIANCES: Dishwasher _,X YES NO Food Waste Grinder YES 9 NO # of Bathrooms
Automatic Washer _X YES NO Other (specify)
E. SEPTIC TANK CAPACITY /dCC> Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation x Addition Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _f- 2)i,~'- 3).,J% Total Absorb Area sq. ft.
New )4- Addition Replacement *Fill System ~/SC! Cs!'i Q
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length 16' Width iI Depth ' Tile Depth -36' No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size yii
Percent slope of land 16- vo 40"I'A ~57Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
`'Visconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
6V the C ified Soil e r
NAME ylr yJ6st C.S.T. # ~ and other information
1. _
obtained from ovvnerLOatV
'Number's Signature P/MPRSW# Phone
S'lumber's Address
I PLAN VIEW: Provide sketch beio of system (include direction of slope and all distances in accord with
H62.20, including wel►).
r° Al
6 ~el; fcask d Lc-;d L
•~~d X
N.
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4
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A"~ Cru~~
44
Do Not Write in Space Below FOR DEPARTMENT USE ONLY ~L11 /
Date of Application 7JO Fees Paid: State /C . G C Count Da y0
Permit Issued/R iae*d (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)