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Parcel 020-1050-90-000 03/24/2006 08:41 AM
PAGE 1 OF 1
Alt. Parcel 20.29.19.19361 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 - BEAUDRY, JOSEPH & KIMBERLY
JOSEPH & KIMBERLY BEAUDRY
822 N VIEW DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 822 N VIEW DR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 4.112 Plat: N/A-NOT AVAILABLE
SEC 20 T29N R19W SE SW LOT 1 CERT SURVEY Block/Condo Bldg:
MAP IN VOL III PAGE 771 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 741/195
07/23/1997 654/411
2005 SUMMARY Bill Fair Market Value: Assessed with:
91773 274,100
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.112 81,700 197,900 279,600 NO 05
Totals for 2005:
General Property 4.112 81,700 197,900 279,600
Woodland 0.000 0 0
Totals for 2004:
General Property 4.112 52,700 162,200 214,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 305
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
At BUILT 5ANLTAKY SYSTLM KLPUKI
UWIVI ti TuWN:illll' C I ~G~ 5 G I N k W
AUUILI 5S ST LKU 11( CUUNTY : W I SCUNS W
IUBULYISIUN LuT LUT SIZE
PLAN VIEW
lJit►L46►C:13d MCId (iCUwLldlUnu Cu w~~L t c yullt utt ltL~ ut "63
lflrjlY'l'HINC; W1T"IN IUU F1:.►:T UF SYSTEM
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Tunk Inlet k:lavuLiutt:
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tWLU1NG TANK; MUIIUkUk'.LUrcI lVcuul,c t ul 8a l lutt,.
ENVULlon of WAUhulc: Lavin
SL&A 'L PIT S11E Numbut ul pi t l uct di'L,t,ct ct
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:;L•.IA'j~GL TRENCH WidL-l► tc1l6th
PLULULAT IUN, IA19 M'(LA REQUIRED G: (5- AkEA A:; ►lu 1►_ t' G
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DEPARTISIENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. 60X7969 BUREAU OF PLUMBING
•MADISOr4, WI 133707
asstgned) Number
XCONVENTIONAL ❑ALTERNATIVE ( If i9 ed)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. FELEV.
BEN MARK (Permanent reference point) DESCRIBE IF DI ERENT FROM`PLAN. N
eme lPI-,herMP/MPRSW Nor,
IF- 02
SEPTIC TA K/HOLDING TANK:
MANUFACTURER. LIQUID CAPACITY. 7TANK LET ELEV TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED.
XYES LINO ❑YES LINO /Al BEDDING. VENT DIA. VENT MATL HIGH WATER NUMBER OF TROAD: PROPERTY WELL. BUILDING VENT TO FRESH
ALARM FEET FROM LIN AIR INLET
YES LINO 1 ❑YES LINO 1NEAREST~_ Q /
DOSING CHAMBER:
MANUFACTURER BEDDING jL1111JII1(: APACI TY PUMP MODEL PUMP;SIPHON MANUF AC TURER WAR=LABEL G LOCKING COV ER
IPROVPROVIDED:
❑YES LINO ❑❑YES LINO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBEROF PH'W"' Y WELL JBUILDING J(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) ❑YES ✓''NO INEAREST
SOIL ABSORPTION SYSTEM. Check the soil moistureatthe depth of plowing ~E_ MAraE1EH MATERIIL ANDMARKIN<I
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM: _ ap__
1'I IJTH LENGTH INOOF DISTH PIPE SPAC:I N~ JVEH INSIUE M03-IT-_1 JLIQUHID
BED/TRENCH THrNCHES PIT DEPTDIMENSIONS 30a -f, 121f 3 'E LL DEP
TTT DISTH PIPE DISTH PIPE DISTR. PIPE MATERIAL NO. DISTH NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
sfrvECOVER EI/LV INII)r ELEV FNUI 2 PIPEg,_ FEET FROM AIR INLET
,~I 1 ~h~ IQ 1 NEAREST L-V
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 LINO
SOIL COVER TExTURF PERMANENT MARKERS OBSEHVATION WEt IS
❑YES LINO ❑YES NO
Uf PTH OVER THE NCH BET) IDEPI II OVFH THr NCH HEU J PTH OF TOPSOIL =SO EDED MULCHED
:E NTEH EDGES
ES LINO ❑YES LINO ❑YES LINO
PRESSURIZED DISTRIBUTION SYSTEM:
'VI[1TH LENGTH NO. OF LA rFRAL SPACING GRAVE L DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES
f DIMENSIONS
I
L"ANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
FIEV. ELEV. DIA ELEV. PIPES DIA.'.
ELEVATION AND
DISTRIBUTION
HOLE S"" HOLE SPACING DRILLFD CORHECTI V COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION PLANS
- - ❑YES LINO ❑YES NO
COMMENTS: PERMANENT MARKERS. JOBSERVATION WELLS. NUMBER OF LROE ERTY WELL: BUILDING'.
FEET FROM
❑YES NO ❑YES LINO _ NEAREST-
Sketch System on Retair n county file for audit.
Reverse Side.
SI NATU E TITLE
DILHR SBD 6710 (R. 0'1/82)
PLB State and County s~ ( State Permit #
L W 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 PROP// 0 q C-4 Mailing Address: gkr i t
7!y. /VLfI/Or Tr du rrrfi~y~ kc~so~/ , /iy
B. LOCATION: '/a 'T /a, Section 2 T 25N, R4_!F r) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
' " 3 ~ a i ~o/ Township ~ u ~ S ✓ =t
C. TYPE OF OCCUPANCY: `Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. w s..
SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
- - - - - - - - -1 i~- Jot
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate _ Total Absorb Are sq. ft.
New Z Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width [,epth Tile depth (top) No. of Trenches
Seepage Bed: tl'~ Length 3 idth t~ i~ Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land t's^ R Distance from critical slope
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 Cer i ied Soil Tester, !y
NAME Z^WL C.S.T. # S ( and other information '1~ A4 obtained from (owner/builder .
t4 J_ .vPhone #
Plumber's Signature Q- /L1 MP/MPRSW# !
Plumber's Address ,rte r h Vf/ t' a t f r
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
3 E
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Do Not Write in Space B_ low_ FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application - e -`C~l Fees Paid: State County Date
Permit Issued/Ra}estod (date) Issuing Agent Name H( gi ~ r,, x.-f.A,_ .i
Inspection Yes No State Valid# Date Recd
1. county (white 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 7/1/78
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY' C DIVISION
P.O. BOX 76
LABOR AND PERCOLATION TESTS (115) MADISO
N WI 53707
HUMAN*RELATIONS
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BILK. NO.: SUBDIVISION NAME:
1/ 1/ /T N/R E (or) W
COUNTY: OWNER'S BUYER'S NAME: J P r
cWamG ADDRESS:
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: JPEE]Residence ❑New ❑Replace I
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
❑S ❑u ❑S ❑U ❑S ❑u ❑S ❑u ❑S ❑u
If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL I If any portion of the lot is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
B-
B-
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P-
P-
P-
P-
P-
P-
PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal 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
of land slop.
SYSTEM ELEVATION
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional):
CST SIGNATURE:
DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester.
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