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Parcel 020-1137-40-000 05/23/2005 11:06 AM
PAGE 1 OF 1
Alt. Parcel 29.29.19.685 020 - 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
STEPHEN M & WENDY J HAMEL HAMEL, STEPHEN M & WENDY J
782 GHERTY LN
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 782 GHERTY LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.873 Plat: 1979-GHERTY'S ADD
SEC 29 T29N R19W GHERTY'S ADD LOT 2 BLK Block/Condo Bldg: 1 LOT 2
1
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/06/2004 767768 2609/423 WD
04/14/2000 621177 1502/311 WD
07/23/1997 665/286
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.873 34,400 123,300 157,700 NO
Totals for 2005:
General Property 2.873 34,400 123,300 157,700
Woodland 0.000 0 0
Totals for 2004:
General Property 2.873 34,400 123,300 157,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 127
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i AS BUILT SANITARY SYSTEM REPORT
.0. ADDRESS 5 jp 7/1 , TOWNSHIP 'I SEC. T_2 _ R_ W
, ST. CROIX COUNTY, WISCONSIN.
~Ock Cob
"'BDIVISION LOT led OT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s~
- - r- t
jl
TIC TANK(S) LC' MFGR. /1L CONCRETE STEEL
NO. of rings on cover De p `NCHES NO. of width p DRY WELL
length area
no. of lines' width i' len th
gr3,1 area v.,r
depth to top of pipe]
,~REGATE
K RATE AREA REQUIRED AREA AS BUILT
sciaimer: 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
item operation. However, if failure is noted the County will make every effort to
.ermine cause of failure.
3ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPEMk`` ~
DiiTED PLUMBER ON JOB
LICENSE NUMBER s~~
)nnitary Perr: ~
state Septic 7 c
To, '171MITr
;ize gallons. u.nber rdf C&L7I7~,~IiL licI'L
'el.l ft. 12% or greater slope
yuil_ding ' f*-4
ighwater
Tile Fie:_. 0,:
Tlell ft. 12% or greater slo-pe
Ta'.tJ_ ft. Wetlands _
. 4 " .wl 1.. L ft.
"Total length of lines ft. Number of lines Length of
line ft. Distance between lines ft. Width of the
Ch ft. Total absorption area sq. ft. Depth
of rock below the in. Dp-pth of rock over the in. Covei
over-rock, Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock _ft. Depth to
-round water ft.
Number of pits Outside diameter ft. Depth below inlet
:Lw Gravel around, pit: _yes no. Total absorption area
q. ft.
Oquare feet of seepage trench bottom area required
;guars feet of seepage nit area required
" -ispected by : Title':
Approved Date 197`.
Rejected Date 197_,,. •
21
Yj!
APPROVED
# "AU G' 1 X73
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
EH 1 DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
• P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
_jCATION: Section, T,01\1, R/9 )/W, Township tv
Lot No. Block No.A, YI 41.) 13 i7-1County r L,_'rtx
Subdivision Name
Owner's Name: K-~y t~U r 7 4:F_1__
f
Mailing Address: `2 / Z / r? Af f~vySC,)
r
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT t
DATES OBSERVATIONS MADE: SOIL BORINGSPERCOLATION TESTS Ll
SOIL MAP SHEET tl If r- I SOIL TYPE
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
NUM- INCHES THICKNESS IN INCHES MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
et C
l/ JI Ir rl / / - l-
P- ) 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- / 9C' /~Lt7~. L `J c's7)! / f; j ~✓rv ~a4~ [Co j6 iGr/~~
$~c
B _ .'~~CXv
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicat~ number of square feet of absorption area
needed for building type and occupancy. k`T t=i_ -i;x'e-A r/ / s/ %i / I=sc=/? Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slop .
I
I
AIL .
F }~~1 - - i - - - f a
-II I _ I ( ! h N
f
Ali v1L
k- C~ 1-4
I
f i ~1 I 1 € I t t , 3 i ` - € € Il~ ~ ( I I { - ~ ~-_1 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 knowledge and belief.
_2
Name (print) Am Z= Vl, tr Certification No
-C -
Address 1`41 I rft c=L `~i I V c=~' fi t c 5 I L/ i> ~~f E~ Z z
Name of installer if known
CST Signature
COPY A
State and County State Permit # °
6 -
7 Permit Application County Permit -
. ~!r
6
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:
/ A
I) CA, -S
/V-1 i` ! L
B. LOCATION: /N >e '/4 /Y Section T = N, RZl~- Fr~sr) W Lot# 2- City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance_.
Single family__. Duplex No. of Bedrooms No. of Persons
F) TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder-YES NO # of Bathrooms-
Automatic Washer X YES NO Other (specify)
;SEPTIC TANK CAPACITY I41P 6c~ Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks 1
iew Installation Addition- Replacement- Prefab Conc;etf
Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) -13) 1 Total Absorb Area !a1 sq. ft.
~ew_)(_ Addition Replacement *Fill System _
;creepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
eepage Bed: Length y Width / Dept"""! . Depth 4Z No. of Lines ~ _4t1
Seepage Pit: Inside diameter Liquid Depth Y Tile Size
~Rercent slope of land Ov7- 1(0?0 Distance from critical slope--ZIF -
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
'!%Iisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
NAME joqMt~-> r= C.S.T. # and other information
obtained from (owner/builder).
::tuber's Signature MP/MPRSW# Phone
I'fi.mber's Address
I'LAN VIEW: Provide sketch below of system (include direction of pe and all distances in accord with
H62.20, including well).
i
GC-A Le
ley
Haase
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application , _dat Fees Paid: State / Count Da
) ' ~-S Nam `
Permit IssuedlBr~}eeted _Issuing Agent e
-
Valid# at Recd
Inspection Yes_ No
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 5
2. state (pink copy) 4. plumber (canary copy)