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HomeMy WebLinkAbout161-1051-90-000 0 V1 O o d C CD 0 CD K (D C ~ ~ X07 ~ N A I ~ ~ O Cl) CD :3 3 cD d Z Q tOfi N y CD N C N Q7 O O O Cn O N CD NO N N Q j "S 0 -0 Z D C:) 0 C nCD 7 m n o D o o o S r* 3 3 N C O O N d .J m I ~ cn ~ D o CD G CD (n G o CD N c~ o o Z 3 O cn m (D (D N N cl t Q O- r\ (D to to 0 (D cn (n co co fn M C (D Q 0 "WA z O O O s ~r o N gg`i= ~~yy.,,~~ ar m aiaic~n a o. v N ~ o p o N -0 90 d y < O C 4, CL a y co o 0 v O ' ~r a. h. CD N "i N m o - Ql~ C (D N CD (D w ~ d n 3 7 z CD N O = O A Z _ n c ;o CD- ? z 7 0 03 'o C N) A (D C CL , z , 3 O " Z N 3 m ° (D w ~ C CD :3 n m D 3 O S CL O O. CD vn L 3 m 2_ D , v T N C N )'O w 7:3 w N z d . N CD (D N N 0 (n. N Q O ID C_) c d c ~p A 0 3 (SD a 0 7 a F cn N S 0 N (D O * V N N N CD N A O~ O OY~p Es> O ti N yb ° O O y Parcel 161-1051-90-000 03/27/2006 04:11 PM PAGE 1 OF 1 Alt. Parcel 13.29.20.510A 161 - VILLAGE OF NORTH 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 ROBERT A & CATHERINE HAWKSFORD O - HAWKSFORD, ROBERT A & CATHERINE 1110 RIVERSIDE DR N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ` 1110 RIVERSIDE DR N SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0055-VIL OF N H ASSESSORS PLAT W 100' OL 70 VIL NH INCLUDES Block/Condo Bldg: 161-1051-80-001(P509F) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 108254 441,500 Valuations: Last Changed: 05/20/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 285,600 146,400 432,000 NO Totals for 2005: General Property 0.000 285,600 146,400 432,000 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 130,000 117,100 247,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT. 4 OWNER' TOWNSHIP1 /1~lib.~o►1' SEC. T N, R 2j W P.0`. ADDRESS ) / z V 'c A)OST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW I' 1 Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM J I SEPTIC TANK(S) fp0o MFGR. (kt~- CONCRETE .K STEEL NO. of rings on cover Depth DRY WELL TRENCHES NO. of width length area BED no. of lines width j length 36 area f,, depth to top of pipe AGGREGATE lL//g t C~GK . PERK RATE G AREA REQUIRED AREA AS BUILT tCP 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 - Z ] PLUMBER ON JOB ✓v ` - LICENSE NUMBER t, t { RFPOP,T Or IJISPECTI0:1--I1NDIVIDUU SE JAG,E DISPOSiNJ, SYSTF,i,i Sanitary Permit r / State Septic `A, 1E T&UNSHIP • t. Cro, county SEPTIC TA71: .~~ze gallons. `umber of Compartments Distance From: We 11 ft. 12% or greater slope £t Building` ft. Wetlands f~ Highwater ft. DISPOSAL °YST:1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building; ft. Wetlands ~ f FIELD Nighwater 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. Dp-pth of rock over the in. Cover Dver.rock,, Depth of tile below grade in.. Slope of trench in ner 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. EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES > DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 l// REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: CW/4, `G/4, Section TZ%, RZVE Municipality NQ ~ D-3i O Lot No. , Block No. County 57"-UPIX ~ f~ jJ Subdivision Name Owner's Name: IKciT' S~'T ! T► f~~! KS F'p PP- Mailing Address: Z3.3 ►V';~Ias,C>- ~~►V.c~No i TYPE OF OCCUPANCY: Residence No. of Bedrooms _ Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 90(,/7,k PERCOLATION TESTS ' SOIL MAP SHEET Z-51 SOIL TYPE 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 3 MIN/IN P-~ 3~ SEE r_a- e ra 1 YZ AICAlc 755 / /L z 6- AkAlti5 -3 '(Z- -Z_ 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 ~ 8 4- ~N~ > c34 Zg /z; 5, Z S ~ c08)3, /Z-' B- li !0 784= G5, / Z S, 3~~ ~i°, z_ t) 4- L N` Z¢; S s~6:)a /off S 3,5 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. 4/57 502- FT I12-0QU I -E-:p' Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. E 01 1 7T__ C o I n! _ 6 3 9 8, i I I I~ 5 J4 C c 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) E_ Certification No. ZZ- Address Sr, Name of installer if known CST Signature COPY A -LOCAL AUTHORITY _ J State Permit # - If PLB67 State and County Permit Application County Permi - ~ - 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. Acv ~S r~3`~~vc~s~r2 1yo , Aso B. LOCATION: ~'/Cr/4, Section Z.4~, T~ N, R Zd> E-4o W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village ~O- 4U;>.&o ✓ = /VO , Township .V~fz-S _f> +9:;" © F_ ®v i"L.E~T f9 iD~. C. TYPE OF OCCUPANCY: *Commercial -Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms 3 No. of Persons_ D. TYPE OF APPLIANCES: Dishwasher __2( YES NO Food Waste Grinder <YES NO # of Bathrooms Automatic Washer X_ YES NO Other (specify) E. SEPTIC TANK CAPACITY /QO ® Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _X_ Prefab Concrete/K -Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) X- 2)_Z, 3) ZCTotal Absorb Are sq. ft. New Addition Replacement -Fill System Seepage Trench: No. Lin. I Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length S~ WidthDepth C7 Tile Depth Za No. of Lines 5 to Seepage Pit: Inside diameter Liquid Depth Tile Size 4 _ Percent slope of land 0TC) Distance from critical slope 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 Certified Soil Tester, Q NAME atM< ~VSC-( C.S.T. # ✓~5 S~V and other information obtained from own builder). Plumber 's Signature MP/MPRSW# Phone Plumber's Address Y Ls i,, c PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). r 17 \ Y , ra•' y r r « ~ sty r'T- C r 40 Do Not Write in Space Bel w FOR DEPARTMENT USE ONLY Al) Date of Application 'Fees Paid: State JO_IOC_county. ~ - uz Date C _ 9-0 Permit Issued/Red (date) l1-<,Z0 Issuing Agent Name Inspection YesNo Valid# Date Recd 1. county (whiter 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