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HomeMy WebLinkAbout020-1060-40-250 . 7 > > 0 3 d X11 m 0 <D v A~ 5 a 1 M # C N N • C/) v p OZ W v "O or V ~l N O ~r =5 (n 3 O N ~ O' O O _ fl- Z rn N O , O ..y N C fD ~ p :D pOj N N O N O ` 1\ O- O N o O n 7 p ccn m m ~ Q N A~ K 0 7 N (D U1 0 O " N (n < D P. a N <p O m = cn a 3 a 0 C) a U) G CL O N Cn co co N C cn r cn CD CD CD CJO ~ a N z 0 0 0 Z * * ~ N U < w Z v U v v v o m (D ID 0) ~ N ~ lei ~ W N 3 D) N zco z o v O D o CL "wA. o cD CD D N N CD w Si jo (C c CD N O W N a Q ~ 7 Z D 1 N O , p Z m - v; C A Z O v a G) o' Cl) N N CD <D cD CL z 3 A 'o U) O m Z O A A ~ 7 > 7 a 0 - C O C O - o? N - x M aZ a A 0 O d O cn p 7 O N CL O C CD a a w ~ cn a p cn m ccn N fD ~ N N O O .O O O A O r Z) Sq N O ~ N En O • a O (CD a O L Parcel 020-1060-40-250 06/29/2005 11:35 AM PAGE 1 OF 1 Alt. Parcel 22.29.19.229B-35 020 - 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): Current Owner SPINKS, MERLE LEE,JR & IMOGENE L MERLE LEE,JR & IMOGENE L SPINKS 698 BADLANDS RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 698 BADLANDS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE _ LOT 3 Block/Condo Bldg: SEC 22 T29N R19W PT SE SE-BEING CSM 11/3226 (5.504 C) EXC PT DEESC IN -WD- 2031 /295 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 22-29N-19W SE SE Notes: Parcel History: Date Doc # Vol/Page Type 10/31/2002 696617 2031/295 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.360 48,200 183,700 231,900 NO Totals for 2005: General Property 3.360 48,200 183,700 231,900 Woodland 0.000 0 0 Totals for 2004: General Property 3.360 48,200 183,700 231,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 567 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 020-1060-40-100 06/29/2005 11:35 AM PAGE 1 OF 1 Alt. Parcel 22.29.19.22913-20 020 - 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): * = Current Owner " SPINKS, MERLE LEE,JR & IMOGENE L MERLE LEE,JR & IMOGENE L SPINKS 698 BADLANDS RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 806 KELLY RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.161 Plat: N/A-NOT AVAILABLE SEC 22 T29N R19W PT SE SE BEING LOT 2 Block/Condo Bldg: CSM 11/3226 2.161 AC - Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: ast Changed: 10/29/2001 Description Class Acres Land ITotal State Reason RESIDENTIAL G1 2.161 41,000 41,000 NO Totals for 2005: General Property 2.161 41,000 0 41,000 Woodland 0.000 0 0 Totals for 2004: General Property 2.161 41,000 0 41,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I j AS BUILT SANITARY SYSTEM REPORT OWNER ft c/,~;l~S TOWNSHIP N(j1)<,,tt)SEC. ? T_4N, R I q W P-.0. AD'RESS ST. CROIX COUNTY, WISCONSIN L r' .cc't J of/6 SUBDIVISION LOT -LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 0j z1L p . r3 • r' SEPTIC TANK(S) 1'31&() MFGR. ~Aj 0 ter ~j CONCRETE *K STEEL NO. of rings on cover Depth DRY WELL TRENCHES NO. of width length area area BED no. of lines : width jK~ length'~` depth to top of pipe AGGREGATE i) ' i ru. c _ , _ PERK RATE AREA REQUIRED z o AREA AS BUILT s 1 ~ Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. 'INSPECTOR DATED PLUMBER ON JOB L ~_l c 1~ LICENSE NUMBER REPORT OF IMSPECTION--I74MVIDUAL SETNAGE DISPOSAL SYSTEM Sanitary Perm, it~~ % State Septic 'A'. IE TOWNSHIP \ c f t. Croix County S^°TIC TA717 Size ~L r, gallons . "lumber of Compartments Distance From: ,-.?ell ft. 12% or greater slope fi. Building .ft. Wetlands f: t Nighwater ft. DISPOSAL SYSTF-L-1 Tile Field or Seepage Pit(s) Distance From: We - ` ft. 12% or greater slope Building C ft. Wetlands f FIELD hwater k `F ft. Total length of lines ft. dumber 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. Depth of rock over tile - in. Cover over rock .f Depth of tile below grade in. Slope of trench in ner 100 ft. Depth to Bedrock ft. Depth to around water k ft. PITS s "_dumber of nits Outside diameter ft. Depth below inlet ft. Gravel around pit: `yes no. Total absorption area sq, ft. Square feet of seepage trench bottom area required ~ `'.quare feet of seepage nit area required inspected by:____ Title: If s Approved Date 197_ Rejected Date 197 i G 3 F~F'4 k t 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 TESTS LOCATION: S6_%, '/4, Section, Tq29N, R (or) Township or Municipality Lot No. , Block No. County Ale ~c Sub ivis ion Name Owner's Name: /C Mailing Address: 6trf ~K ca/~ TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 7-,x/'77 PERCOLATION TESTS 7`a 3-;7 SOIL MAP SHEET SOIL TYPE ~uT~5~~ ifa- - PERCOLATION TESTS _ TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHESRATE NUM- INCHES THICKNESS ICHARACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MI N/I N P / ir'0 wG A ~v /cam 2~ ~eL orez ~ A- d t-6x ( L V F/ ~L OI ~O/F SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES i :NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) _ - / 70/ ox~e 6 Y 3 "7`S. /S" S~, i Y" .SQL 6~ M e S i„ 701 S4. 16 Gig 6 ,A IS_ -3 76 1 749 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) ' ~dicate on the plan the location and square eet of suitable reas. Indicate ium~)et cf squ re feet of absorption area needed for building type and occupancy. 374Z©A r ~u•T ° / Indd ate scale or distances. Give horizontal and vertical reference points. locat lo fl I z l k i I -14 .9s 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. q Certification No. Name (print) -C 0 Address l 61f% s Name of installer if known CST Sign _ °Y A - LOCAL AUTHORITY a , State and County State Permit # PLB67'..%, Permit Application County Permit - ' 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: -5'2.Z7 _ &e- B. LOCATION: J<; '/4, Section, Ta N, R/ 8 (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C TYPE OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher _X YES NO Food Waste Grinder YESXNO # of Bathrooms Automatic Washer X YES NO Other (specify) E. SEPTIC TANK CAPACITY A203 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3 3) _19- Total Absorb Area sq. ft. © Pte. New /"c- Addition Replacement *Fill System ff.Z Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length ~Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 2°~ T Distance from critical slope ®S 0"' 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 *Cetified So' er, NAME •C.S.T. # /.rand other information obtained e-r ;J S r. (owner )WWP). Plumber's Signature MP/MPRSW# (ci! Phone 2 4, Plumber's Address - G PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). /V0 le- N N - a~ ~ Gu R 0 K~~ w Wy• g a sop/, u I 30jxld, xoas-eele : 41, 1 Do Not Write in Space Below FOR DEPARTMENT USE ONLY 7 Date of Application Fees Paid: State (7 I~ O out © Date Permit Issued/Reje~-( ate) Issuing Agent Name a L 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)