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Parcel 236-1759-04-000 03/27/2006 08:30 AM
PAGE 1 OF 1
Alt. Parcel 236 - CITY OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
ANTHONY M & JACQUELINE K CARLONE O - CARLONE, ANTHONY M & JACQUELINE K
1860 RIVER RIDGE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1860 RIVER RIDGE RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.060 Plat: N/A-NOT AVAILABLE
1860 RIVER RIDGE RD LOT C CSM 2/567 Block/Condo Bldg: N/A C
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 03/20/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.060 155,000 395,400 550,400 NO
Totals for 2005:
General Property 2.060 155,000 395,400 550,400
Woodland 0.000 0 0
Totals for 2004:
General Property 2.060 155,000 395,400 550,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
St. Gnic County Panning and Znning `
I
I
a
~~#S U S11 f 1 AS BUILT SANITARY SYSTEM REPORT
/
"ZER TOWNSHIP ~~_SEC.36 TZy N, R e6
0. ADDRESS (i LU t C ST. CROIX COUNTY, WISCONSIN.
_3DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
SQ~1~
FES
AO
_ TIC TANK(S)! MFGR.__Q Se/2 S CONCRETE X STEEL
NO. of rings on cover Depth DRY WELL
INCHES NO. of width length area
0 no. of lines~_ width jgr length area
depth to top of pipe
JREGATE JAI k4k 4e ts _I 1/t_11
ZK RATE AREA REQUIRED
t o AREA AS BUILT
t.~__
~3ciaimer: 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
: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 J
t~
REPORT OF INSPECTION INDIVIDUAL SELVAGE SYSTEM
Sanitary Petcmit-
State Septic
NAME Towntsh.ip St. Ctco.ix County
Location% o~ Section W
SEPTIC TANK
Size ` gaUons. Numbetc o6 Compatctmentts /
Distance Ftcom: LVeU - c it. 12% atc gtceatetc 5topu " it
Buitd,ing it. LVettandt6 ~ .
H.ighwaten it.
DISPOSAL SYSTEM
Distance Ftcom: Wet 120 otc gtceatetc ~stope it.
Bu.it.d.ing 5 it. LVettands Ft.
H,ighwatetc it.
FIELD DIMENSIONS:
Width of ttcench ~ t. Depth of tcock betow tite 1,2
.in.
49 Length aj each dine it. Depth o4 tcock ovetc tk 'te
in.
~ - ` Numb etc o6 Zines Depth ob tite below gtcade- f ("in.
Tatat .length o6 tines ~.,,'2 it. S.-o pe o i trench ~ n pet 100 it.
f D.its Lance between tine/5_-Lit. Depth to b edtco ch ~ .
Totat absotcbtion atcea bt2 Depth to gtcaundwa etc ~ .
.Requited atcea it2
PIT DIMENSIONS:
Numbetc o6 pit's i / tcavet around pits yeas no
Out/side diame.i tL 1 6t Depth below inlet it.
2
Tatat absatc tcon atcea 6t z
A
Atcea tc quitced Jt2 m
INSPECTED_._ TIT
APPROVE , DATE 19 7e--.
REJECTED ,DATE 197
J
Za ~ _ \
. P
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EH 115, (11-74)
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
j DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: _'/4, '/4, Section TN, R E (or) W, Township or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOI L 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-
P-
P-
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-
B-
B-
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. Indicate scale
or distances. Give reference point. Indicate slope.
N
t
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) Signature
Certification No.
Name of installer if known
Cagy C - Local Authority
r
~ ~ .Lr
State and County State Permit
18 6 7 S
Permit Application County Permit #
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 1 yMailing Address:
B. LOCATION: ~c Y4 ` ~ Y4, Section T,_) N, R E---(&) W Lot# -(City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township jq i -
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons c
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderAYESNO # of Bathrooms
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 Jl Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) f Total Absorb Area Cr st , sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Depth `f Tile Depth > G No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land le 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,,
NAME i11I it C.S.T. # - C•<' and other information
obtained from ~ f- _S A r/builder).
Plumber's Signature MP/MPRSW# Phone #J, dlo- ZQ Sd
Plumber's Address -v"
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
Ml t~ i~ r_
!4
2111
Do Not Write in SpaaSe Below FOR DEPARTMENT USE ONLY / C4-~
Date of Application Fees Paid: State r County 'y -j` !Date
Permit Issued/Rej cted (date) Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (p rl-