HomeMy WebLinkAbout161-1060-50-000
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Parcel 161-1060-50-000 03/20/2006 11:57 AM
PAGE 1 OF 1
Alt. Parcel 13.29.20.526F 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
O - GROVES, JAMES D & MAXINE
JAMES D & MAXINE GROVES
703 GALAHAD RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 703 GALAHAD RD N
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 0055-VIL OF N H ASSESSORS PLAT
N 100' OF S 720' OF OL 85 VIL NH Block/Condo Bldg:
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:
108327 646,200
Valuations: Last Changed: 05/20/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 332,300 300,000 632,300 NO
Totals for 2005:
General Property 0.000 332,300 300,000 632,300
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 179,600 198,100 377,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 107
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
' AS BUILT SANITARY SYSTEM REPORT
V t i f ~t~ c=
OWNED TOWNSHIP p 14-, SEC. T N, R W
P.O. ADDRESS' AJ_Z4 ST. CROIX COUNTY, WISCONSIN Lou I SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r
J
L
4 Y_
x'1-1 Q_ I
r
SEPTIC TANK(S) MFGR. LU l ~"P p' S CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
TRENCHES NO. of width length area
BED no. of lines width length area
depth to top of pipe
AGGREGATE
PERK RATE AREA REQUIRED AREA AS BUILT
Disciaimer: 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 tC t "u~ i
LICENSE NUMBER f
z~
REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM
Sanitatcy PeAmkt ~State Septic2---:
1L~~7/i' L, 6 1 i O
NAME - r 2 x - Township ip St. Ctoix County
,7- 1
Location'/ 4- o// Sectionl Tyi;N,Rj/Gl
SEPTIC TANK
f Size gattonz. Numb en o6 CompaAtmentz
D.ustance FAOm: Wett 6t. 12% of gAeateA stope 6t
Buitd.ing 6t. wettand/s 6t.
DISPOSAL SYSTEM HighwateA 6t.
i
t
Di.stance FAom: Wett 6t. 12% oA gAeateA stope 6t.
Building 6t. Wettand~s Ft.
H ighwateA 6t.
FIELD DIMENSIONS:
Width o6 ttench 6t. Depth o6 Aock below tite .in.
Length ob each tine bt. Depth o6 Aock oveA t.ite in.
NumbeA o6 Zines Depth o6 tite below grade in.
Totat .length o4 Zinez fit. Stope o6 ttench in pet 100 6t.
D.i/s Lance between Z ines 6t. Depth to b edto ck bt.
Totat absonbtion area 6t2 Depth to gtoundwateA 6t.
Requited aAea 6 2
PIT DIMENSIONS:
NumbeA o6 pits GAavet around p.itz yeas no
Out/side diameteA 6t. Depth below inlet 6t.
2
Totat absonbtion attea 6t z
AAea AequiAed 6t2 rn
INSPECTED By TITLE
APPROVED DATE 197
REJECTED DATE 197
y
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P_
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: '/o,%, Section U , Is27N, R.,~$~(or)~A~Township or Municipality- ~
Lot No. Block No. County S~ orr, X
a 6-r Subdivision Name
0 L! -
Owner's Name: _
Mailing Address: 4e eAd &I.
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS~7-r7 PERCOLL'iATI N TESTS
SOIL MAP SHEET _-F~- SOIL TYPE--[
PERCOLATION TESTS
i HOURS WATER IN ?EST TIME DROP IN WATER LEJE" INCHES
TEST DEPTH CHARACTER OF SOIL RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
i
Ate '00,11119 /0
fir
SOIL BORING TESTS
f TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
',LUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
2- V, 4s Ejj~
!9, 7'-s 9 ,,LS4-evwe .3. .s ~S,,Sir 4 C/~C),~1~[~e
6- _4AA7 2d'` / S, ' ~~~4Ir t. 3~.,~ /Y"J ~ltl +F &A jjc
d Ai e- -.0-f -6.Viiz
' _AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Iicate on the plan the location and squar feet.9tsui ble areas. Indi to"mb r of, G .ra o-k t of at > e } a ea
eded for building type and occupancy. ~f . L/e A indicate scale
r distances. Give horizontal and vertical reference points. I ic slo ta•.
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1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with t e 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 nowledge an belief
r71re.w.f7 , Certification No.
Name (print)
Address 1AIC. A 14 1' 4e
4~
Name of installer if known
i
igna ure r
CST:
COPY A - LOCAL AUTHORITY
PLB67 - State and County State Permit #
~ 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 l Q7 Mailigg ,Addressr 4 ~-t
TA A f -S
B. LOCATION:.'/4 Section a, T N, R ,ZC+ I" (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family >4, _ Duplex No. of Bedrooms No. of Persons
~L
D. TYPE OF APPLIANCES: Dishwasher __X YES NO Food Waste Grinder YES NO # of Bathroo ms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify)
;v4 -
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _,p 2)_9_3)_7 _Total Absorb Area_- / s . ft. f
NewX Addition Replacement *Fill System Q~r'R f~K•5~1~
Seepage Trenc No. Lin . Feet Width Depth Tile Depth No. of Trenches -
Seepage Bedj ength Width /g, Depth ~`y„ Tile Depth r' No. of Lines
Seepage Pit: 'Inside diameter Liquid Depth Tile Size
Percent slope of land 1-07` Distance from critical slope 00
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 ified Soil T ,
NAME r e. KS fg! Lo C.S.T. # .S .l and other information
obtained from yi tE- (@+ udder . i
Plumber's Signature r-- MP/MPRSW# Ci Phone # ~iZ, - / 1
Plumber's Address 4 lr F-; < l'
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
I
- ycll/
/47
L~;acr-,+~ Lj
oil
1
4Y \
N.
Do Not Write in Spac Below FOR DEPT TMENT/
Date of Application Fees P "d: State County C~ Date
Permit Issued/ (date) _Issuing Agent Name"
Inspection Yes No Valid# Date Recd
1. county (whi a copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) d nl,irnhor (ranar•.!