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Parcel 020-1139-90-000 03/17/2006 09:28 AM
PAGE 1 OF 1
Alt. Parcel 19.29.19.710 020 - 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 - BEAVER, GEOFF A & BETH M
GEOFF A & BETH M BEAVER
355 AUDUBON LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 355 AUDUBON LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.200 Plat: 2167-MALLACOVE
SEC 19 T29N R1 9W MALLACOVE LOT 5 Block/Condo Bldg: LOT 5
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
06/17/2002 681946 1911/555 WD
06/17/2002 681945 1911/552 TI
12/12/1977 345347 566/106 WD
2005 SUMMARY Bill M Fair Market Value: Assessed with:
92580 207,700
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.200 57,800 154,000 211,800 NO 05
Totals for 2005:
General Property 1.200 57,800 154,000 211,800
Woodland 0.000 0 0
Totals for 2004:
General Property 1.200 29,600 159,100 188,700
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
AS BUILT SANITARY SYSTEM REPORT
OWNER ) _ * TOWNSHIP SEC. T,N, R
P.O. ADDSS r ,1 ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT_<L_LOT SIZE u> j c~
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 F ET OF SYSTEM
►N) f)a~U
150
a
L1nV r ^ y~
L
SEPTIC TANK(S) to(-ic`N MFGR. (.Ur E_~,E,( S CONCRETE k STEEL
NO. of rings on cover 2_ Depth DRY WELL
TRENCHES NO. of width length area
BED no. of lines width length-52r- area ~,a<
depth to top of pipe
AGGREGATE 7 NI-" rso c
PERK RATE AREA REQUIRED AREA AS BUILT 6,
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
LICENSE NUMBER
REPORT OI' IPISPECTION--I~~DIJIDUAL S'I~IAGE DISPOSAL SYSTEM
v
Sanitary Permit ~
State Septic Z
"AME T&VINSHIP
St. Croix County
SEPTIC TA'?K
.size ZM2 gallons. ',umber of Compartments .
Distance From: Well 74
ft. 12% or greater slope fi.
Building'Z~I_ft. Wetlands ft
Highwater ✓ ft.
DISPOSAL SYSTEM Tile Field or Seepage Pit(s)
Distance From: i7e11
7 4-- _._ft• 12% or greater slope ft
Building t. Wetlands . f„
FIELD -5 Hiphwater ft
Total length of lines O ft. !lumber of lines ~ Length of
each line eDist l
ft. e between lines _ ft. Width of the
trench 2 ft. Total absorption area sq. ft. Depth
of, oc% below the L in. Dp-pth of rock over tile in.. Cover
nver.rock,
Depth of tide below grade
in. Slope of trench min Der 100 ft. Depth to Bedrock Qt~n,ft. Depth to
ground water ft.
Number of nits 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 seep nit a required
Inspected by:Title':
. e
Approved :Date 197
Rejected c\~
Date 197.
K
PL-B67 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 Mailing Address-
2-0 f ~ c>ts, o
B. LOCATION: Section , T21 N, R/ (or) Lot* City
Subdivision Name, nearest road, lake or landmark Blk# Village _
11AZ Z,# e Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons1~_
D. TYPE OF APPLIANCES: Dishwasher _X YES NO Food Waste Grinder YES NO # of Bathrooms?--
Automatic Washer A YES NO Other (specify)
E. SEPTIC TANK CAPACITY .100 0 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement- Prefab Concrete X
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1► _ 2) / 3) __Total Absorb Area sq. ft.
New Addition Replacement *Fill System ~QGt.~ircl
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length~Width 1Z ' Depth f--Tile Depth No. of Lines Z
Seepage Pit: Inside diam ter Liquid Depth Tile Size
Percent slope of land s
Aa*oe A j Al Distance from critical slope p
!A
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 Certe Soil Tester,
NAME C.S.T. #~-,S 7q and other information
obtained from e e G (off/builder).
Plumber's Signature ` MP/MPRSW# 161 Phone #-&J&- I
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). xxo,
_Z~
e
ccr o ~ 6-
BG11~
Do Not Write in Space Below FOR DEPARTMENT USE ONLY U
Date of Application Fee Paid: StateIrl.00 Count Date
Permit Issued/ date) -Issuing Agent Name ' Lr
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 (pink copy) 4. plumber (canary copy)
Revised Date 6/1 /76
F f4'. IIit ONPN"DEPARTMENT OF HEALTH ACI . ES' .
DIVI$K3NPF HEALTH_ B[JR:AU OF ENVIRQNAAEA[TAI~Iii`AL1~
at
'P.01 BOX 309.
MADISON,.WISCONSIN 53 01
REPORT ON SOIL BORIVO AND PER COLATION TE S ,
' Section, T N, R/T4b(or `township or Municipality
.ck NO. L, Z County 5 / , C~f'cU, X
b ivision ame
C-Y: Residence No. of Bedroomsf Other
AL SYSTEM: NEW ADDITION -REPLACEMENT ,
P
t r IONSMADE: SOIL'BORINGS
A S~_PE COLATION T STS
T. 44m Y
F / - Y SO1 L TYPE
Er
° PERCOLATION TESTS
HOURS WATER IN TEST TIME DROP IN -11 1 CHARACTER OF SOIL
THICKNESS IN INCHES SINGE MOLE HOLE AFTER INTERVAL
1STW,ETTED SWELLING IN MINUTES PERIOD 1 •t ~16' 2 PEE
vz~
yle 4e- 44
e.~ f
SOIt` BORING TESTS
x ,VOTAI-,DEPTH "DEPTH TO GROUNDWATER,,.:INCHES CHARACTER OF SOIL WITH HICKNIE IN
OBSERVED ESTIMATED HIGHEST (DEPTH-TO BED13OCK IF OBSERVED).
41 I'S
aft 75~
it
PLAN VIEW' (Locate'porcdlationtests soil bore holes and suitable soil areas.)
N Indicate on the plan the location and square• a of suitable areas. Ind to nu r sq ref
needed for building type and occupancy. 'K
or distances. Give reference point. Indicate pe +'~AC"' sys
jf~AIAE
4
I J,
.k J
1-
*1 41 0-od 010
t
\ ':J..
, 'P t h
` t to
T 3
+Y
e
4 heresy certify that the soil tests reported on this form w made by-rne i acco?d•
~toWied ftthe Wisconsin Administrative Code, and-that;tw.*ta.reCorded anddoea¢ton r , r i
6_1 ge and belief.
Lure
.
a,
77
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