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Parcel 030-2044-95-001 06i09i2005 09:29 AM
PAGE 1 OF 1
Alt. Parcel M 26.30.20.507 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
MCCONAUGHEY, THOMAS
THOMAS MCCONAUGHEY
1325 15TH ST
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1325 15TH ST
SC 2611 SCH D OF HUDSON `j
SP 1700 WITC ~ ~ b(fb
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 26 T30N R20W 40A SW SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
26-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 39,100 176,200 215,300 NO
AGRICULTURAL G4 37.000 4,100 0 4,100 NO
Totals for 2005:
General Property 40.000 43,200 176,200 219,400
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 43,400 176,200 219,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 312
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wi.sc~nsin D ^t,narrt of Health end So im.l Se
-Flo. X67 10/69
Division of Health
PEiVTT APPLE; ATION
for
r z' _ T PRIVATE DU'ESiIC SEWAii% SYSTE:!S
A. C4!,-FR OF PR,")"r%'Y TYPE: G3 Est,:CK THK
N m _ Address (Street, Citf' Zip Coao} r;-
~ .mot
B. LaCA1T0; 0? P ~PiY H-'' -C' SYSTE 'VILL BE CO:;` rt'JCT;"0 AL FECD R
Cheek C'!1z;..._._..
r m_ CITY VIL7.A.'vL I LEGAL DESCRIPTION:
TOWNS!iIPP
C, IS LOCAL PErMIT FL;>UIr~, FOR THIS YES NO PERMIT NL 2PER.
D. SEPTIC TANK CAF-ACIIY Gallons NEr+ INSTALI.AriONd P-SPLAC 'iiNT ADDITII-N
Ni', I'F',RIALS: Prsf_.b Cor_cr eta Poured in Place Stef l Other
N:-,"',?::R OF CS :'G BE IN S AIL^D
E. TYPE OF OCC'JPA4;CY
Check One: One or Two Fa.;nily Residence Commzroial Industrial Ot'h r
_ ~Sa cify~
JNumber of Persons to be Accommodated , Nu:rber of BadroOma
F. APPLIANCES, ETC; Food Waste Grind~,,r Yr:S _ NO Autonatic Clothes Washer YES No
Dishwasher ~TYES ~J NO Automatic Pots-to Pseler YES NO
Ocher (Specify) G. EFF"UM DISPOSAL SYSTE.'" NE.7 EXTENSIQ ADDITIONS REPLACE'"L-NvTMP y
Tile Size NO.Lin.Feet Trench Width Detith Number of Lines `
Seepage Bed: Length Width _ Depth _ Tile Size Ns. Lines ^
% Seepage Pit: Inside diameter r Liquid Depth
P E R C 0 L A T I U N T E S T
Test Depth Character 0f Sail roars Water ; Test innI Droo jl nWat _r Lavel ,rr ~i.irutas
Number inches Thickness in inches Since Hole in Hol* +IIrter-a! S67713 to Piext to - Last To ?a1"1
_ is+. Witted Gvarn3nht ! in i.a'.tas II _reriod Last Peria Period,Ie Inch
Ex mpls
P- 0 35 To Soil 10" Clay 2611, Y 25 es or no 30 1121/2 60
RaCO i'~TA F 2G1 MINII.LM OF 3 TEST HOLr:S
Compute size of absorption aree in a,3oord with H 52.20 Wis. Adninistra•'.Ive Code.
S O I L B O R I N G S- ?iinimu~ 36" Bel:w ProooSad Ab301,)ti0.~n Sy3ten
Boring Total Depth Depth to ;round Wa~tarrDDeoo,h to Bedr:)o'.z y -
umbar Inches CbsWrved c,stiTat_d G'osarved Estimated
Character of 5011 with thickness in inch,~s
xaTple
- U 72 72" Blaok To So1? 12"; C1av 18"; Sand Gra•,ral 2"'
RECORD DATA FROM MINIMUM OF 3 BORE: 'TOLES
COMPLETE OTHER SIDE
I, the undarsi,ned, hereby certify that the percolation tests reported on this forn wera made by me
or under by supervision in aocord with the procedures and method specified in Chapter H 62.20 (3),
Wisconsin A&Tinistrati`✓e Code, and th~_`, the dat recorded and location of test holes are correct to
tha best of r;j knGrriedge arld belief.
(Type or Pr nt) /
REGISTRATION NO. or I°ASi'ER PLUidER LICF,N5E No, /G
AD D.-~FSS
/l
DATE ! 1 SIG* U. r
MAS'[ER Pi.,Ji'_ : ? I LN71 F:=:~il'Jr. IGN
VIP
Signature License N-^.ber:
r;P RSW
(To be Completed by Issuint, Agent)
Date of Application. Fee Paid
Permit Issued (date)-~ Permit Number
Agent (nar...) For: ,Gi`g''
Tos+n, Village, City, County, etc.
(Specify)
Note: The a?eli^s`..ion cannot be considered for filing until all o° the above questions are answered
and the fee paid, Agents will fon and application, the fee of y10.00 and Copy (b) of the
Permit (yellow cops') to the Division of Health. Checks and money orders should be made
pay,le to the Division or Health.
Do not write in space belsx - FOR DEPATi91NT USE ONLY
DATE R EiVED ~-7 ACCEPTED BY FETUPNED
(Initials) (Date) (See Corres.)
FEE RZOaIVED VNO. 7PERCIiT NO. (Yes or ilo)
REV IEPI Ei` ~Y ,2 A?PROVJ-U DALE ✓ ~'~i~
(Initials) (Yes or No)
CON 1.NTS