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HomeMy WebLinkAbout020-1090-40-000 n ti O ic v n d -1 o m c o 3 z C c v I 3 - l 3 O n O z z co -4 • N (N1i O CJ CO (D C N ON °C 3 ra C N a N O FBI CD a 2 p CD N C O CO C CD CD Q 2: ~R , L~ O r+, CD W :3 Cn CO co CD QI Cll O O "5 (1 7 V ? CD B- - 0 CD (D CD d (D D O O 3 N O O a 00 (D 41 v cn D ° O (D cn CD 0 d Z I,. m m CD 3 0 o t3 0 °00 20 _ a c o N 0 c co co Q' z O O O cn K ctrl o z Vq 3 cn to to m D _ n ro v w g 0 :3 O ~ m m D co A ~ m w I m C _ CL z N z co z O D CD p C) O C1 :3 o m CD m CD N Z CD c CD m CC N CD C CD CJ ~ f1 a 3 7 z CD -I N O O p z m a A C) Z N N co-0 m~ fDa z 0 3 41 A y z I D ~ i ~ T I Z a p CD 4 I t n a N a I N I O O a A 0 A • (D O CD Efl 0 ~ w 6 0 CL Parcel 020-1090-40-000 03/24/2006 03:37 PM PAGE 1 OF 1 Alt. Parcel 32.29.19.374D 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 - BRUCH, CARL W & ANITA F CARL W & ANITA F BRUCH 684 O'NEIL RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 684 O'NEIL RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.512 Plat: N/A-NOT AVAILABLE SEC 32 T29N R19W PT NE NW N 324 FT OF S Block/Condo Bldg: E349.2FTOFE220FTOFNENW Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1038/301 WD 07/23/1997 1038/300 PR 07/23/1997 806/569 2005 SUMMARY Bill Fair Market Value: Assessed with: 92119 446,700 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.510 57,700 397,900 455,600 NO 05 Totals for 2005: General Property 1.510 57,700 397,900 455,600 Woodland 0.000 0 0 Totals for 2004: General Property 1.512 33,600 389,500 423,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 101 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 -TROR-5 j ST. CROIX COUNTY ~ WISCONSIN 10 ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 ` 3 - - - (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. eater (VOC's) $185.00 ❑ Septic $25.00 Pater (Nitrate & Bacteria) $35.00 (Visual inspection' Owner: MAQILVN kNw250tJ Requested by: gZNN OLSor3 Address: IpR14 NEtt AP Address: ~t~(st '04 St So City & State: J+uD_-,ot0 , L31 City & p1l Zip Code: LIOIl-a Zip Code: Telephone N°: (2L5 313(p- Telephone N°: n 5 Flo" 2C'l Property address (Fire N2 & Street) : L06~4 O' NEIL SAD ROOSot-1 Location: Sec. 32 , T N, W, Town of St. Croix Co., WI. Tax ID N2 Parcel ID N2 House color: _-F;,Q ,aJRealty firm: e'21 Lock Box Combo: . 3-7Water sample tap location: TO BE COMPLETED BY PROPERTY ER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM O REVERSE OF THIS FORM* Is the dwelling currently occupied? 0 s 0 No If vacant, date last occupied: 3 -7 Septic system installed by: Year: Septic tank last serviced by: Date: Previous Owner's Name(s): Have any of the following been served? ❑Y ❑N Slow drainage fro house. ❑Y ❑N Sewage Back-up ' to dwelling. ❑Y ❑N Sewage dischar e to ground surface, road ditch or body of water. ❑Y ❑N Slow draina e from the dwelling. ❑Y ❑N Foul odors Other comments relat' e to system operation: e above information is complete and true to the I certify t/knledge. best of my OWNERS SIGNATURE: DATE:' i 4/93 II OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION t N 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 BMound Approx. size 'X []Gravity []Dose []Pressurized Ft.2 []Bed []Trench []Dry Well []Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES Bother []Unknown Septic tank Setbacks: []house []Well ❑Prop. line Bother Dose tank Setbacks: ❑House []Well ❑Prop. line Bother []Locking cover []Warning label []Pump/Floats []Alarm []Elec. wiring Soil Absorption System Setbacks: ❑House ❑-lell ❑Prop. line Bother ❑Ponding: []Discharge: General comments: INSPECTORS SKETCH OF SYSTEM LOCATION Inspector Title COMMERCIAL TESTING LABORATORY, INC. , '514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 C:I:A:w 4, 715-962-3121 800- 962- 5227 6400. FAX - 715 - 962 - 4030 ~lTth RLIFURi DATE4 Yrci!`Y 01 CARMICHAEL ROAD DATE RECFIVED2 9/23/93 :'ISON. Wl 54016 1 I 1 i CATIONS 684 O'Neil Rd,, Hudson ,-LECTORS Jim THompson ,TE ANALYZEDS9-23-93 ME ANALYZEDS2S00pm i..IFORM,i4FCC: 0 /100 M( Cpl 'n~Fl~~ _f, Approve6 Lab No. 15 j OF.\NDEFENOE~ . J O ~ D O r a n J 4 d PROFESSIONAL LABORATORY SERVICES SINCE 1952 r l ` ST. CROIX COUNTY WISCONSIN r' r ~z1` ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 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. ❑ ,y7ater (VOC's) $185.00 ❑ Septic $25.00 Water (Nitrate & Bacteria) $35.00 (Visual inspection) Owner: Marlilyn Henderson Requested by: Becky Weller /Heritage Title Address: 684 O'Neil Road Address: 502 Second Street City & State: Hudson, WI-, City & St. Hudson , WI Zip Code: 54016 Z ip Code: 54016 Telephone N°: ( 715) 386-2594 Telephone N°: ( 715 ) 386-1073 Property address (Fire N2 & Street) : 684 O'Neil Road Location: Sec. , TN, RW, Town of Hudson St. Croix Co., WI. Tax ID N2 Parcel ID N2 House color Realty firm: Century 21 Lock Box Combo: Water sample tap location: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* s the dwelling urrently occupied? ❑ Yes ❑ No If vacant, date la t occupied: Septic system install by: Year: Septic tank last servic by: Date: Previous Owner's Name(s): Have any of the following be observed? ❑Y ❑N Slow drainage from house. ❑Y ❑N Sewage Back-up into welling. ❑Y ❑N Sewage discharge to g and surface, road ditch or body of w ter. ❑Y ❑N Slow drainage from the dw ling. ❑Y ❑N Foul odors. Other comments relative to system operation: I certify that the above information is complete and rue to the best of my knowledge. OWNERS SIGNATURE: DAT 4/93 crn 54gct c rl\-:k L~ r i i tom(, ~ 1 HOUSE & SEPTIC SYSTEM LOCATION OWNERS DRAWING OF t ' N J 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 OAt-Grd []Mound Approx. size 'X OGravity []Dose OPressurized Ft.2 []Bed ❑Trench []Dry Well []Holding Tank 00utfall pipe OBSERVED DEFICIENCIES 00ther OUnknown Septic tank Setbacks: []House []Well []Prop. line []Other Dose tank Setbacks: ❑House OWell ❑Prop. line []Other []Locking cover []Warning label []Pump/Floats []Alarm []Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well []Prop. line 00ther OPonding: []Discharge: General comments: INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector Title 09/21/93 12:25 $715 962 4030 COMM. TEST LAB 444 S.C. CO CRTHOUSE 17j001 COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.Q. Box 526 Coifax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 4:2:1F FAX - 715 - 962 - 4030 ST. CROTX C0014TY GOVERNMENT REPORT NO,*' 49064JOI PAGE 1 CENTER REPORl' DATE: 9/21/93 1101 CARMICHAFL ROAD DATE RECEIVED: 9;16/93 HursloN t W: 54016 ATTN: THOMAS Co NELSON OWNERi I;ar i Lyn HenderEion LOCATION: 584 ©lNeiL fry., Hudson COLLECTOR: Jim Thompson DATE COLLECTED! i5-g3 TTM£ Ci1LLECTED'3:16pm SOURCE OF SAMPLE': Ki+chen faucet DATE AiNALYZE11:9-16-93 TIME AKALYZEnL:2:00pm COLIFORM 4 hFCC: 80 /100 m ! ,N ERPRETATION't Bacter i o Loo i ca L LY UNSAFE NITRATE-Nt b pp5ll abovo 10 apm exceeds the reccnme::ded PubLis lirinkina Mater Siandard. Caliform Bacteria/00 m! Nitrate-tai+roaent mg/L RESULTS: FAX'D ON: 211 ( l as e LAS TECHNICIAN 44 F`a:r, Gana PHONED ON: CALLER: o Pe" WI Approved Lab No. 19 , L Ya` O r. V - Means "LESS TwA1 tecTebta LrveL Approved b7t d~ ~a PROFESSIONAL LABORATORY SERVICES SINCE 1952 COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 G 1)1 CARMfICHAEL ROAD T,~Tr PEi-FT~!C ASON, w1 -,ATION = 084 1 r ± % n ,,-LECTOR' Jim. Th omp .;o R ECEIVEQ, Go SEP 2 3 1993 ST CRG,.. TE ANALYZED*# 9-16-,r;:, COUNTY ZONING OFFIC AE ANALYZED 44 2 i 00p ;z I_IFORMt,MiFCC: 80 I1 U0 r~rl 9~ 5 pNAi ix~t'~17~ iii 1,1~$?•r RESULTS: FAX'D ON: GI~I I `13 PHONED ON: 1.10153 CALLER: ` OF.INDEGENp Q A "LESS T14AN" d~ s ti'b. D? O PROFESSIONAL LABORATORY SERVICES SINCE: 1952 I •1 AS BUILT SANITARY SYSTEM REPORT "`ER ! TOWNSHIP d jj SEC.' Tr N, R J. ADDRESS, ST. CROIX COUNTY, WISCO SN IN. 3DIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM J t . K - • 1 -TIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL 'NCHES NO. of width length ;.rea no. of lines width r length ~f . area depth to top,of pipe REGATE RATE AREA REQUIRED AREA AS BUILT 12 :claimer: The inspection of this system by St. Croix County does not imply complete j aliance 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 make every effort to .ermine cause of failure. :ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM, "INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER ' IZr•POPT OF I1ISPFXTI6'(--IND1V1D1JAL SE?1ACE DISPOSAL SYSTEII Sanitary Permit State Septic TOWNSHIP t. Croix County` SE.PTIC TA7111 r. :size gallons. umber of Compartment; Distance From: Well ft. 12% or greater slope f1. Building ft. Wetlands f: Iiighwater ft. DISPOSAL•SYSJE-,1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building; ft. Wetlands f~ FIELD p,hwater ft. Total length of lines ft. ;lumber of lines Length of each line ft. Distance between lines ft. Width of the trench -ft. Total absorption area sq. ft. Dept:: { of rock below tile in. DP_pth of rock over tile in. Cover ever.,rock, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of pits 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 `square feet of seepage nit area required Inspected by: Title': Approved Date 197. Rejected Date 197. ~c 3~ ~c State and County State Permit # PLB67 Q Permit Application County Permi far P00ate 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: ' ( 4 B. LOCATION: VII'/4, Section " T N, R1-ff- j W Lot# -City_ Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Com -ercial *Industrial *Other (specify) *Variance Single family A Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder .YES NO # of Bathrooms__Z_L Automatic WasherK-YES NO Other (specify) E SEPTIC TANK CAPACITY - Total gallons No. of tanks `Holding tank capacity Total gallons No. of tanks _ ''ew Installation l Addition Replacement_ Prefab Concrete Poured in Place Steel Other (specify) FFLU.ENT DISPOSAL SYSTEM: Percolation Rate 1) J 2) 3) Total Absorb Area I Z(o< sr. Addition Replacement *Fill System eepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches f <~epage Bed: Length 7 V Width Depth 0 'Tile Depth- 7y, No, of Lines ,~epage Pit: Inside diameter Liquid Depth Tile Size ercent slope of land Distance from critical slope me undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, isconsin Administrative Code, and that I have sized the effluent disposal system F;um the FH 11 15 prepared )y the Certified Soil Tester, - r 1_3AME pl C.S.T. # and other information -,I;tained from (owner/builder). :'lumber's Signature MP/MPRSW# IPhone -C ~ AA-1 JV Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Re Pcs~e~ Wz(I i G ,bls~ N YO L, 7C Do Not Write in Space Below FOR DEPARTMENT USE ONLY a Date of Application Fees Paid: State Count T Da Permit Issued/R„~.j~ (date) y ,7/ Issuing Agent Name , _ Inspection Yes7XI - No Valid# Date Recd 1. county (whit2 copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1 /76 EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MAD. [SON, WISCONSIN 53701 REPORT;iN SOIL BORINGS AND PERCOLATION TESTS LOCATION: 'A'/,, Section TAN, R L_~_ E-jor4 W, Township or Municipality Lot No. , Block No. County Subdivision Name Owner's Name: S~ ILt X LA- i, Mailing Address: TYPE OF OCCUPANCY: Residence x No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS Z SOIL MAP SHEET _ • r__;_ SOIL TYPE 7',- PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS ICHARACTERN INCHES SINCE HOLE HOLEAFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P 2 C 1. ~r, 4< P--'~ L rk fA 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- j Z i a -~tL, j~-' ~ ~ iL' ,C,r.,.jt (°r,,.'_f,~ `i 4 I~ t" a.!~- j ~lcfL.~ (i•'~ (y /2.~ 31 ~ c"~~1 :t r ~ 4 4 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. t Z Q, O Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I I ( _ Le "i 0, j; t N t I I I 3 i~ y I ' ~~F~ f i 3 , € I I I i ~ ~ ----}----I IA- cil i 1r-- ~ . 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. Name (print) .26LI, Certification No. Address C-~ wiz Name of installer if kytJnowns COPY A - LOCAL AUTHORITY CST Signature