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Parcel 032-2042-70-000
PAGE 1 OF 1
Alt.'Parcel 11 ;;0.19 641 03'~ - I Ov'J~ OF SONI1 RSF-
Current X ST :;ROIX COUNTY, AISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
CO 0
Tax Address: Owner(s): O = Cirrent Owner, C = Current Co-Owner
GUY THELL 0 - THELL, GUY J
730 160TH AVE
NE','V RICHMOND %'VI 54017
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 730 160-H AVE
S(` 5432 SOMERSE-
S~ 700 \,1%ITC
Legal Description: Acres: 5.000 Plat: 3387-CSM 12,3387
SEC 1' T30N R19W PT SE SW BEING LOT 1 Block/Condo Bldg: LOT 1
CSN' 12?3387 EZ-UT-1411144
EZ-UT-1424,405 Tract(s): ;Sec-Twn-Rng 401;4 1601;4)
11-30N-19VV
Notes: ~C Parcel History:
Date Doc # Vol/Page Type
01;15/1998 571324 1288!345 WD
I 01;1511998 571323 1288,1344 %VD
07;2311997 953,15
07;23!1997 888:409
Tlf.fP
2007 SUMMARY Bill Fair Market Value: Assessed with:
Valuations: Last Changed: 07;23!2003
Description Class Acres Land Improve Total State Reason
RESI-DENTIAL G1 5 000 58.000 193.400 251,400 NO
Totals for 2007:
General Property S coo 59,000 193.400 251 ,400
Woodland 0 x:00 0 J
Totals for 2006:
General Property 5.000 58,000 03,400 251.400
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 108
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
- r ...r a.aa V L V La.ai 1\LL Vill
".,ER G/.4RD I'~& M TO'n'~.SHIP. k'~L~ Sr SEC. T N, R W
0. ADDRESS~T i/. ST. CROIX COUNTY, WISCONSIN.
/
3DIVISION LOT LOT SIZE .
PLAN VIEW
} Distances & dimensions to meet requirements of 1162.20
SHO14 EVERYTHING WITHIN 100 FEET OF SYSTEM
T/QAi~ ~Q Ac 4,SC
- U -
-'TIC TANK(S) i MF0. CONCRETE
NO. of rings on cover ed/r- Depth DRY WELL
'NCHES NO. of width length area
no. of lines ; width length area depth to top of pipe _721
REGATE
.~K RATE AREA REQUIRED AREA AS BUILT
;claimer: The inspection of this systen 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
teat operation. However, if failure is noted the County will make every effort to
.ermine cause of failure.
:«SES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
DATED PLU`I3ER' ON JOB
LICENSE NUIBER 33~
REPORT OF INSPECTION INDIVIDUAL SEWAGE SVST1!•i
Sanita-ty Pe.pul
State Septic
NAME Totenship St. Croix County
Locatioj~% 06 Section// T3 ,,111 W
SEPTIC TANK
Size f ~ gattons. Numbe.n o6 Compa.t.tments ~
Di,6 tanee Enom: Wett t. 12% on gte.atet 6 tope _St
Bu.itding St. We..ttands n, t.
H.Lghwa.ten - St.
DISPOSAL SYSTEM
Distance Ehom: WeU St. 120 o,t g.teaten sZope 6t.
Bu.it ding St. W etiZ ands - Ft.
Highwa.tn it.
FIELD DI".4ENSIONS:
(Vidth o6 tneneh St. Depth o6 -toc.k beleo,j .t.iZe in.
Length oti each Zane St. Depth o6 tock ove,, tite in.
Numbe-t oS tines Depth o6 tite below o•tade_ in.
To.tat teng-th v j tines -I St. St.ope o6 t,tench in put 100 St.
Distance between Una bt. Depth to bed,toch St.
Tota.2 absanb,t.ion area 6t2 Depth to groundwa•te,t St.
Re.qui.ted a,zea 6 2
PIT Dlil-PENSIONS:
Numbers o6 pits 1 Gnavet a-tound pats ye•s_ ►to
Outside diame.tet ~t. )Depth below inte-t St.
2
Totat absonb.t.,i.on -tea st z
A
A,te.a ne.qui Led 6t2 rn
INSPECTED By TITLE
APPROVED $ ,DATE 197 ) .
REJECTED ,DATE 197
C-'
- -
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: Sectiun T49NI, R/-%Wor~ownsliip or MuriicipaliLy d~
f of No. Block No. County ~y_f~~- ~_/"u•tX
Subdivision Name Owner's Name: V.+r -d /~k^41 .-1'_
MdilingAddress: 0Y" Aix ,7•27 4_al~•~+rir
TYPE OF OCCUPANCY: Residence X No. of Bedrooms -3 Other ~2d ~~°k+
FFFLUENT DISPOSAL SYSTEM: NEW K -ADDITION REPLACEMENT
DATES OBSERVATIO~NS+MMADL: SOIL BORINGS P-.Zo -2P PERCOLATION TESTS
SOIL MAP SHEET ~r~~,C" - SOIL TYPE /2/407-7-
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 MINJIN
P- r_ yes, Sri--- - D ' - - --s~ Y Y
12-
~3 AIQ 1z 02,
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)
6V, Sx .23"
SL zsue
B- ~6" • > ~ • ts, yY `'~Cr ,~G•;, .r 7 • S f Gr. J9 24"'Vz' Yl(f' /S Ile
02 S PLAN VIEW (Locate percolationtests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square ;feet of suitable areas. Indicate rum er of square feet of absorption area
needed for building type and occupancy. 6~5~'7 j3y /4? FQy Indicate scale
or distances. Give horizontal and vertical reference dicat~ lope.
I ~ I
0 01 ?~UrG ~w ~~O.v i
F
I _
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undersigned, hereby certify that the on this form were made by me in accord with the procedures I, the soul tests reported o
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 Iprint) Ga. Certification No.
a ~~-r d Address 441
Nnme of installer if knnwn
CST Signatu
,COPY A -LOCAL AUTHORITY J
State and County State Permit # ~7
PLB67 4 Permit Application County Permit - . _ 7 r
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:
r
H. LOCATION: 4 Section T c-- N, R (or) CYr-Lot# C;t
5uhdiei;io !Jame, nearest ari• la~:r cr landmark Hlk-tr Village
Township ~ve.,•
C TYPE OF OCCUPANCY: 'Commercial 'Industrial _ 'Other (specity) 'Variance
Sinyle family X Duplex No. of Bedrooms .3 No. of Persons ! _
D. TYPE OF APPLIANCES: Dishwasher YES k NO Food Waste Grinder YES XNO # of Bathrooms
%~Aomatic Washer x YES NO Other (specify)
! LPTIC TANK CAPACITY--/Q_OC) --Total gallons No. of tanks /
Holding tank capacity Total gallons No. of tanks
.ow Installation ___X___Addition _ Replacement Prefab Concrete X
Poured in Place -Steel Other (specify)
F_ FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)/3) _3 Tutal Absorb Area _6j,'Cf , sq. ft.
r,v r, Addition Replacemen- _ -'Fill System 7/
Seepage Trench: No. L~n . Feet Width Depth Tile Depth No. of Trenches
;epage Bed: Length Sib '(-Width /X'_ Depth Y8"_ Tile Depth No. of Lines 3
Sccpage Pit: Inside diameter Liquid Depth Tile Size 4y
Nercent slope of land a .S Kf,4 f.~~a'.S f Distance from critical slope
I, tie undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Alisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Ce titied Soil ester, /
NAME d?ti4rr5 C.S.T. # Sf77 JF_ and other information
obtained from ~ix4°v oti^mer
Plumber's Signatu _ .q~ MP/MPRSW# Phone #71f 3 23
Plumber's Address - %mor
PLAN VIEW: Provide sketch belo%% of system (include direction of slope and all distances in accord with
H62.20, including well).
,tla Sc~~/~_
E,LAe ~t 7Fv, o $v r e s
?oP to: F~~.• SQL h~..~e i.+~~~=...~-~~
p~ /
DPd
E~~ z +zvC7'
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Zcx w Z /11/ 1)1/11 l'1//,1 lilt//
Do Not Write in Space Below 7 FOR DEPARTMENT USE O(ONLY 0 C) Date of Application Fees aid: State County at
y Permit Issued/f}fijaated (date) _7 Issuing Agent Name
M- D-'.1
Inspection Yes No vaimop
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumher (canary r.; ,yI ~ Revised Date 6/1;76 J