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Parcel 020-1156-90-000 12/06/2005 10:18 AM
PAGE 1 OF 1
Alt. Parcel 17.29.19.876 020 - 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 - SAMUEL, ARTHUR C & JOAN C
ARTHUR C & JOAN C SAMUEL
455 GREEN MILL LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 455 GREEN MILL LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.092 Plat: 2277-PARK VIEW ESTATES 3RD
SEC 17 T29N R1 9W PT NW SE PARK VIEW Block/Condo Bldg: LOT 82
ESTATES 3RD ADD'N LOT 82
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 805/85
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.092 49,700 167,100 216,800 NO 05
Totals for 2005:
General Property 1.092 49,700 167,100 216,800
Woodland 0.000 0 0
Totals for 2004:
General Property 1.092 25,000 147,200 172,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 217
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
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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. B6X 7969 BUREAU OF PLUMBING
MADISON, WI 53707
CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number:
(11 auigned)
❑ Holding Tank ❑ In-Ground Pressure F-1 Mound
II NAM( OF PERMIT HOLDER:: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
I.,
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.
`rte ` i `7 I i Il qi Lt
Nam I Plumber: Fl°~ MP/MPRSW No.: Coumy: Sanitary Permit Number:
SEPTIC TAN 1 OLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: t TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
% PROVIDED: PROVIDED:
97"f" 7 0~ I-P&XF:S ❑NO ❑YES ❑No
BEDDING: VENT DIA.: VENT MAT L.: HIGH WA NUMBER OF ROAD: PROFFFPERT WELL. BUILDING: VENT TO FRESH
N el ALARM: FEET FROM z' L'N7 /)Pj~► LAIR LET.
YES ❑NO C- ❑YES ❑NO NEAREST' sa/~{~Jr
19 11.1
L' L-
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTR LS OPERATIONAL . NUMBER OF PROPERTY WELL BUILDING. V NTTOFRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET.
PUMP ON AND OFF) ❑YES ❑NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH [IAMETEH MATERIAL AND MARKING
or excavation. I If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH. LENGTH. NO. OF DISTR. PIPE SPACING V JINSIDE OIA *PITS LIQUID
BED/TRENCH C TRENCHES t M PIT DEPTH
DIMENSIONS I .
GRAVEL DEPTH FILL DEPTH DISTH PIPE DISTR. PIPE ISTR. PIP MATERIAL . NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES. ABOVE COVER ELEV. INLF ELE .END PIPES LINE: AIR INLET.
a / r FEET FROM
07, ?4 ~ • , F/ ? NEAREST o Z
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
❑YES ❑NO
SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS
❑YES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL- SODDED SEEDED MULCHED
CENTER: EDGES.
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH. NO. OF LATERAL SPACING (1HAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO. DISTH JU:STR. 1 DISTRIBU i ION PIPE MATERIAL & MARKING
ELEVELEV.CIA ELEV. PIPES DA.
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT LV COVFR MATERIAL PLANSCAL LIFT CORRESPONDS TO APPROVED
❑YES ONO ❑YES ❑NO
COMMENTS: PERMANENT MARKER OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING
FEET FROM LINE
DYES. J -)NO OYES L~7N0 _ NEAREST
Sketch System on / Retain in county file for audit.
Reverse Side.
SI ' T F ITITLE
DILHR SBD 6710 (R. 01/82) ~ ~ CC% •r~`-"~~
DEPARTMENT OF APPLICATION
SAFETY & BUILDINGS
INDUSTRY FOR SANITARY DIVISION
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PLB 67) MADISON, WI 53707
Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal
and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master
Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be
included.
Property Owner: / Mailing Address: v g { ~ _
S e l P ~-'r o K f r v FC !~f to v at t 5 I
Property Location: c.ax_Uiuege-or Township: County:
111 k/% % a S C %S 1 7 iT -'-°I N i R I q e (O0 W H t, J 5 o ti ,S C r t I
Lot Number: Blk No.: Subdivision Name: 77~rest Road, Lake or Landmark: State Plan I.D. Number:
A 1 A (if assi ned)
V
~~~h ./~Irll L ~hr g
TYPE OF BUILDING
Number of
❑ Public* El Variance* 1:1 Other (specify)* Bedrooms:
C1q`11 or 2 Family *State Approval Required.
3
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHE
GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specif,
SEPTIC TANK CAPACITY Q 0 L ~
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER: W / SC
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental LJ Seepage Bed ❑ Seepage Pit
3 C ❑ Alternative (specify) ❑ Seepage Trench
Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner):
GOPrivate ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plurrlber: Y Signature: MP/MPRSW No.: Phone Number:
Qa.:c9lGS 5]~rc~D~'Ch 6 M~'-5}~L (~t7)-3233 I.
Plu ber's Address: e Name of Designer:
COUNTY/DEPARTMENT USE ONLY
Si nature of Issu'ng Agent: Date: Sanitary Permit Number:
r R , 3 KI.APPROVED
` L t t I r ❑ DISAPPROVED
Reason for Disapproval:
Alternate course(s) of Action Available:
I
Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber
DILHR-SBD-6398 (N.03/81) AA
REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
PARTMENT OF DIVISION
DUSK RY, P.O. BOX 7969
\BCtR AND PERCOLATION TESTS (115) MADISON, WI 53707
JMAN RELATIONS (H63.09(1) & Chapter 145.045)
NE:
DCATION: SECTION: - TOWNSHIP/ Z~L+. LOT NO.: BLK. NO.: SU DIVIS~ONWA~
'/4 / N/R / w s ,
MAILING ADDRESS: _
:OUNTY: OWN R'S BUYER'S NAME:
I / /".Grit / (.~t~/t t7. lGl .~G,~t Gtdrl S ~ Y
_ v-
DATES OBSERVATIONS MADE
ON TESTS:
SE - - NS: PER LATI
O. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILEDESCRIPTI O p-
D4New ❑Replace >A( y / r ~►~pt~esidence _I 20 S~ r
ATING,'S= Site suitable for system U= Site unsuitable for system ~G. S O ~l 'ONVENTIONAL MOUND: IN-GROUNDPRESSURE:SYSTEM-IN-FILLHOLDINGTANK: R C M ENDEDSYrSTEM:(optional
x S C1U x S ❑U_ ®S E1U CIS ®U ❑ S DU CL)Alve' k I~~,,rt t.v
DESIG 14AATTEEE: If any portion of the tested area is in the
I Percolation Tests are NOT
order s.H63.091511b1, indicate: ` Floodplain indicate Floodplain elevation: P
PROFILE DESCRIPTIONS
30RIN3TOTAL P-fH TO GROUNDWATER-INCHES CHARAC7~R OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DE
,JUMSER DEPTH IN. ELEVATION OBSERVED EST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) _
/ y --je /6 "Ar /t/ 9 " bpi, /r + q,~
;0 .7 1910, 1
B- /001- AK" 57
B- " gyp- " /lu,u
B _
La PERCOLATION TESTS
H WATER IN HOLE TESTTiME DOP IN WATER LEVEL -INCHES RATE MINUTES
NTEST DEPTUMBER INCHES AFT ER SWELLING INTERVAL--M R MIN. PERIOD 1 PERIOD 2 PE R I OD PER INCH
P-III t3
P .2- I~
P
'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
)f land slope,
SYSTEM ELEVATION 1~6
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