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HomeMy WebLinkAbout020-1092-50-000 (2) c m °f O _.E 1 3 " co c 0 ~ CD 'a m - \ 1 ' I . ' p 0) m = N O N ~ 0 y o v N o v c N (Cp O N a N O ~ O d Z d N O O O rrty G Q W O O co O W O = N O N ! 0 N O O Q 0 W (D -D p O CD O J (n o Co c tD n 7 C- O N rn O C) O Q O d Us A a W (D (n O N d 7 N ~ m W m (0 cn p 0 m Cil A:3 ~ - n o c CD 4 -4 N W 00 O N" Q 7C .may. 'p "WA N Q O v O p O (D lD N 7 ' a N n .d. fl1 67 !3D O z N zco z A o CD 0 o a' o. m m !+i (D N N co N O N O (D W ~ d Q Z D M --j cp O = p A ? !01 N C Z1 n A Z O CEO N CD m G Z ' 3 r* z `D (D W g a S o - o a k` I CD N I 0 a A 0 A O li O Op O~ to O v O O O b C) 0- Parcel 020-1092-50-000 03/24/2006 04:37 PM PAGE 1 OF 1 Alt. Parcel 32.29.19.376J 020 - TOWN OF HUDSON Current D ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10 04/08/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BAN TARA LLC BAN TARA LLC 1274 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 668 BAN TARA LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE SEC 32 T29N R19W SW NW LOT 2 CERT SURVEY Block/Condo Bldg: MAP IN VOL I PAGE 170 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/07/2005 791606 2779/363 WD 10/22/2001 659625 1742/224 WD 10/22/2001 659624 1742/223 PR 10/2212001 659623 1742/222 AFF more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 92137 307,400 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 268,700 44,800 313,500 NO 05 Totals for 2005: General Property 0.000 268,700 44,800 313,500 Woodland 0.000 0 0 Totals for 2004: General Property 1.500 33,500 92,700 126,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT .+t OWNER TOWNSHIP L~~'c/✓~i✓ SEC-3 Tom'-`;' N, R / - W P.O:, ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100FEET OF SYSTEM fN F r k) (3 (F 0 FF'CM i Jr N i• ~ A rrV (D. ~1 ! C) J~ 11 AJ CAI 0 f,0 nl SEPTIC TANK(S) Itx)1) MFGR. CU c { S" CONCRETE V-." STEEL No. rings on cover Depth DRY WELL TRENCHES No. of - width length area BED no. of lines width i length X34 area <,< dept to top of pipe AGGREGATE PERK RATE { AREA REQUIRED AREA AS BUILT 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 T -SKSTEM. INSPECTOR . ~ DATED i7/ PLUMBER ON JOB T LICENSE # , - y~ IDUORT OF IMSPECTIO_1--INDIVIDUAL SEJA(7E DISPOSAL SYSTF,i-1 Sanitary Perrlit Stat Septic T0~•]I~SIiIP t. Crol~ County SEPTIC TA'?T; Size gallons. umber of Compartments Distance From: We 11 (ft. 12 0 or greater slope Building - eft. Wetlands f r glz1aater ~r..~. - ft. DISPOSAL SYST:1 Tile Field or Seepage Pit(s) Distance From: i•Tell 12% or greater slope ft Building ft. Wetlands f;. FIELD 11lighwater ft. Total lengthy of lines /1 L ft, slumber of lines Length of each line 369 ft. Distance between lines F, ft. Width of the trench ~ft. Total absorption area sq. ft. Dept:: of rock below tile ~ in, Depth of rock over the in. Cover aver.rock, Depth of tile below grade in. Slopo of trench r in per 100 ft. Depth t.o Bedrock ft. Depth to ground water ft. PITS 'lumber of pits Ou si' a`l ameter ft. Depth below inlet ft. Gravel aro ci -yes no. Total absorption area --sq. ft. Square feet of seepage trench bottom area required `%quare feet of seepaFe'nit area .required Inspected BI-,! • ° M - title Approved F Date197 Rejected Date 197. EH 15 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ]Z DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 'ACA, r_ REPORT ON SOIL BORINGS AND PERCOLATION TES S LOCATION:. /a, Section T~ (or W ownshi or Munici aliti ' ! Z, N, R cv,,-T P P Y ~I l 1_ot No. Block No County 12'. j Subdivision Name <e L. Owner's Name: ✓ - G'J ~Lj Mailing Address: A 90A 33Y J5 11_izJKwA4F 6, TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT .3103 DATES OBSERVATIONS MADE: SOIL BORINGS 16-11PERCOLATION TESTS 29 SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS NEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE "SUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN sER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 sec; /0/0 's i ~ ~ 5,1 ' ~ c' Inc°~~ ~ 1~ / H'.- Q - 7 ~ • SOIL BORING TESTS TEST C i AL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES VUMBER INCHES OBSERVED ESTIMATED HIGHEST T (DEPPTH TO /BEDROCK IF OBSERVED) M ate a 4 S ~ 3 ' Al q c. PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) kidicate on the plan the location and square feet of suitable areas. Indicate numb off sA uare feet of absorption area r-eded for building type and occupancy. 2,_ - OC'f `ter ,S1 e yr6Ae 6_1 ew- Indica e scale f r distances. Give horizontal and vertical reference oln . Indi & slope. i - - q 3 t I S t ~ ~ r 7' I _ 1 , - + M E F , ZR+ 'vim /11 6 _E ' 1 t N ' 1 I } ~ LLJ f.. C I, the undersigned, hereby certify that the soil tests reported on this form were made by a 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. - 4 Name (print) Certification No. Address Name of installer if known CST Signatur % K ' - - COPY A -LOCAL AUTHORITY State and County State Permit # 6 7 Permit Application County Per # - PLB e 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: B. LOCATION: 1 114/1(f,= a '/4, Section- T? N, R/V if (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# _ Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES K NO # of Bathrooms 2- Automatic Washer X YES NO Other (specify) F_. " EPTIC TANK CAPACITY/006i Total gallons No. of tanks Holding tank capacity Total gallons No. of tanks <ew Installation Addition Replacement Prefab Concrete aC Poured in Place -Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)___-~ 3) -~7Total Absorb Area E sq. ft. i'• awI>-, Addition Replacement *Fill System 61's i F Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length, ~_Width at Depth 1/0" Tile Depth " No. of Lines J Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land /0 lEl f" Distance from critical slope >t r 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 Ce tified Soil T ster NAME C.S.T. # and other information obtained from 7 owner Plumber's Signature s MP/ * Phone #71J~--::-, Plumber's Address J PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). /t./o St'et7 ~j - A%'/¢41 Atg1~112 2 \ ~-r C 4 t 3i~. y5 ~S 7 G' powe4- Do Not Write in Spac e o FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State ,er 0 County Date Z~Y 11 Permit Issued/Rejected (dat) -Issuing Agent Name Inspection Yes No Valid# Date Recd 1. county (wh' a copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy)