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Parcel 030-2067-40-000 05/24/2007 02:52 PM
PAGE 1 OF 1
Alt. Parcel 35.30.20.609J 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): O = Current Owner, C = Current Co-Owner
O - WEGGEL, ANNABELLE J
ANNABELLE J WEGGEL
179 RIVERVIEW ACRES RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 179 RIVERVIEW ACRS RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.560 Plat: N/A-NOT AVAILABLE
SEC 35 T30N R20W PT GL 4 COM SE COR SEC Block/Condo Bldg:
35, TH N 945.69 FT, TH W 736.79 FT TO
POB: (CL 66 FT RD) N 53DEG W ALG CL 100 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
FT, TH S 50DEG W 392.12 FT TH S 66DEG W 35-30N-20W
322.48 FT TO ELY SHORE LAKE ST. CROIX,
TH SELY ALG SHORE 100 FT, TH N 69DEG E
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
02/04/2000 617960 1488/376 TI
07/23/1997 695/84
07/23/1997 462/276
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.560 276,100 209,300 485,400 NO
Totals for 2007:
General Property 1.560 276,100 209,300 485,400
Woodland 0.000 0 0
Totals for 2006:
General Property 1.560 276,100 209,300 485,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 210
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Plb. X67 Wisconsin Department of Health and Social Services
Division of Health
PEFtUT APPLICATION
for
PRIVATE DO~ESTIC SEWAGE SYSTEP;S
fti VV b
A. OWNER OF PROPERTY VV 0 -l -X74 TYPE OR USE BLACK INK
Name Address (Street, City, Zip Code) 7f,
County
B. LOCATION OF PROPERTY WHERE SYSTEM WILL BE CONSTFUCTED, ALTERED OR EXTEvDE'D ~
Check One: _
CITY VILLAGE LEGAL DESCRIPTIONS
✓TOWNSHIP I `
C. IS LOCAL PEFMIT REQUIRED FOR THIS'WOFX? YES NO nu:ab
D. SEPTIC TANK CAPACITY r: Gallons NEW INSTALLATION REPLACEMENT ADDITION
MATERIALS: Prefab Concrete /Poured in Place Steel Other
NUMBER OF TANKS TO BE 11,STALLED: C~
E. TYPE OF OCCUPANCY
Check One: One or Two Family Residenec /Commercial Industrial Other
(Specify)
Number of Persons to be Accommodated
F. APPLIANCES, ETCs Food Waste Grinder r% -YES NO Automatic Clothes Washer L---!tES NO
i Dishwasher LAS NO Automatic Potato Peeler YES NO
Other (Specify)
i
i
G. EFFLUENT DISPOSAL SYSTEM NEW l/ EXTENSION ADDITION REPLACEMENT
Tile Size No.Lin.Feet Trench Width Depth Number of Lines
Seepage Beds Length Width Depth Tile Size No. Lines
~L-Seepage Pits Inside diameter 7' Liquid Depth $
P E R C O L A T I O N T E S T
Test Depth I Character of Soil Hours Water Test Time Drop in Water Level Inches Minutes
Number Inches I Thickness n inches Since Hole in Hole Interval Second to Next to l (Last 7o Fall
1st Wetted Overni^ht in M..nutes Last Period Last Perio Period cne Inch
Example
P- 0 36" To Soil 0" Clay 261- 25 es or no 30 1/2 1/2 1/2 60 _
2
TJ 3
RECORD DATA FROM MINIMUM OF 3 TEST HOLES i
i
Compute eize of absorption area in accord with H 62.20 Wis. Administrative Code.
S 0 1 L B O R I N G S- Minimum 36" Below Pro osed Absorption System _
oring Total Depth Depth to Ground Water reoth to Bedrock _I
umber Inches Cbserved Estimated 'Cbserved Estimated Character of Soil with Thickness in Inches
xample i
- 0 7211 72" 1 1' j Black To Soil 12"• Cla 18"• Sand 18"• Gravel 2411
l Sj S D I r " i3" r r 1 f 41
1/
y~r
RECORD DATA FROM MINIMUM OF 3 BORE HOLES
' COMPLETE OTHER SIDE
9
I, the undersigned, hereby certify that the percolation tests reported on this form were made by me
or under by supervision in accord with ';he procedures and method sjpeoified in Ciapter H 62.20 (3),
Wisconsin Administrative Code, and that the data recorded and location of test holes are oorroot to
the best of my knowledge and belief.
NAME % L~ S TITLE
(Type or Print)
REGISTRATION NO. or MASTER PLUMBER LICENSE No. /d 1
ADDRESS
DATE SIGNATURE
'
MASTER PLUM3ER MAKING APPLICATION -
Signature:License Numbers
--r MP RSW /
(To be Completed by Issuing Agent)
Date of Application Fee Paid $
Permit Issued (date) Permit Number
Agent (name) For:
Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be made
payable to the Division of Health.
Do not write in space below - FUR DEPARrIAXNT USE ONLY
DATY RECEIVED -7 I-7 O ACCEPTED BY RETURNED
(Initials) (Date) See Corres, r
FEE RECEIVED VALID. NO. D ~c --7 PERMIT NO.
Yes or No)
REVIEWED BY APPROVED DATE
(Initials) Yes or No)
COMMENTS: