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Home My WebLink About116-1004-20-050 0 Cl) p -V 0 r~ o f c O d `r1 3 n 3 A m a M 3 o m ° \ 1 w z m z rn o~ • a r N d N O M A "C? ' Z3 N 3 CO y I~ O N CL C 1 "S C) 0 CD ID CD 0) m 3 m o o 3 a cn cn N C) O m a n - > a a a CL C) W ° V a 3 ° N O CO CO V co. y C V O O W rr 17 z 0 0 0 Cl) Z 0 0 0 p m ~ y Ia- N m -u a y0 Z CD 0 ' 0 0 Pi :3 po v O - .O, m 0 U) 3 < rl) m a N zco z c y m o v 0 CD 0 3 V !1 (p -0 C7 CD a) a (a Z) c m fn W CD c a 3 _ CD - O p 2 Cl) j n 0 A 2 0 Z w V W m 1 Z O A O Z 3 m rnC N Z < CD A W m ° D o d ° m o N m c w~ CL ' ° :3 cn~ m W ~ m c o m N y rn ~ C:L a 2 (D 7 ao m _ o a m p. o t 3 a ~ d N O m O o a O A O N 7 a0 O 0 O N O L ~ Parcel 116-1004-20-050 11/21/2006 12:59 PM PAGE 1 OF 1 Alt. Parcel 07.31.16.27A-05 116 - VILLAGE OF DEER PARK Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/26/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - KRUEGER, DONALD W & BERNICE T DONALD W & BERNICE T KRUEGER 308 3RD ST N DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * CTY RD H SC 0119 AMERY SP 1700 WITC Legal Description: Acres: 21.600 Plat: N/A-NOT AVAILABLE NE NE EXC P27B & EXC CSM 3/ 707 AND EXC Block/Condo Bldg: P27G,VIL DEER PARK. & EXC P27A10 AS DES 842/542 EXC PARCEL DESC IN 983/545 EXC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) PARCEL DESC IN 486/621 EXC PARCEL DESC 07-31N-16W NE NE IN 1498.171 & EXC PARCEL DESC IN 2875/331 Notes: Parcel History: Date Doc # Vol/Page Type 08/26/2005 804591 2875/331 WD 03/27/2000 620206 1498/171 WD 01/28/2000 617571 1486/621 WD 07/23/1997 983/545 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/26/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 12,000 109,400 121,400 NO COMMERCIAL G2 1.000 5,000 69,800 74,800 NO AGRICULTURAL G4 7.400 400 0 400 NO UNDEVELOPED G5 1.000 100 0 100 NO PRODUCTIVE FORST LANDS G6 10.200 11,200 0 11,200 NO Totals for 2006: General Property 21.600 28,700 179,200 207,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 116-1004-20-000 11/21/2006 12:59 PM PAGE 1 OF 1 Alt. Parcel 07.31.16.27A 116 - VILLAGE OF DEER PARK Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/26/2005 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - KRUEGER, RETIRED RETIRED KRUEGER Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0119 AMERY SP 1700 WITC Legal Description: Acres: 25.710 Plat: N/A-NOT AVAILABLE NE NE EXC P27B & EXC CSM 3/ 707 AND EXC Block/Condo Bldg: P27G,VIL DEER PARK. & EXC P27A10 AS DES 842/542 EXC PARCEL DESC IN 983/545 EXC Tract(s): (Sec-Twn-R.ng 40 1/4 160 1/4) PARCEL DESC IN 486/621 EXC PARCEL DESC 07-31N-16W NE NE IN 1498/171 Notes: Parcel History: Date Doc # Vol/Page Type 03/27/2000 620206 1498/171 WD 01/28/2000 617571 1486/621 WD 07/23/1997 983/545 WD 07/23/1997 983/545 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/27/2006 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i ~ A • AS LLZI,' SANITARY REPORT SEC. T R fit t'xDDRESS^ wa'I . CP~JI ; ..Ui;,'~Y, itTSCC1r1STCi. t i S I O i LOT LOT SIZE - PLAN VIEW Distances dimensions to meet xequirL%~ents of H62.20 "TO EVERYTHING ~.,r4 Wl Tl: rl`I 111 LFEi' OF FJ tJII Zj t 1 ~ : f f i I 1 ; t ~ i : f I , I } j I 1 ( _ - - -j- 7 ' 3 I• 1 f ~ jI i i ~ i I I ~ ~ - - t 1 i t , a i i I ~ r f ( i : 1 , i : -r _ - dzcate North` Arrow : LIl 1 - j SCALE (S) / MFGR. _ ^ONRETE STEEL NC . o f rings on c '_er f -',2 Depth DRY nit.LL CHES NO. of~^ a xdrli length area r.o. Of l ines_ _ Width length-- arez~-_.. depth to top of pzne - - EGA' E Ald]A REQUIRE4! AREA AS B°JILi -iaimer: The inspection of this system by - St. Croix County does no z limply coi.iple>:e fiance with State Administra._ive Codes. There are o her ar-}ns ±'h t it is no, -ossi~~ts a;_spect at this poi:2t of con trLCt-,on. St. Croix County assumes nU .Liability for, .eia operation. However, it f ?use icz noted the County will. mate eves'; Effort to _<.rlii .re cause of failura. S,ES AIM OILS SHOULD NOT BE s~1,I POSED TH'_?OUG b TEAS SYSTEM. i -INKS ECTOR DATED ~ - .nl.?i.1" r 1, N JOB IR, 11 RFPOI;T OP I11SPECT1011--ENDIVIDUAL SL-T,,IAGE DISPOSiv, SYSTEM Sanitary Permit e" State Septic T&WNSHIP • f Croix County Si.''TIC TA'71: rAZe gallons. 'umber of Compartments Distance From: Well ft. 12% or greater slope I. r Building' ft. Wetlands f Iiighwater ft. DISPOSAL SYSTEM Tile Field or Seepage Pit(s) Distance From: 'Tell ft. 12% or greater slope ft Building; ft. Wetlands f:. FIELD 111lighwater ft. Total length of lines ft. Number of lines Length of each line ft. Distance between lines ft. Width of the trench ____ft. Total absorption area sq. ft. Dept:: of rock below tile in. Dp-pth of rock over the in. Cover ,over.rock,, Depth of tile below grade in. Slope of trench in ner 100 ft. Depth to Bedrock ft. Depth to ground water £t. PITS ?dumber 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 seepage nit area required Inspected by: Title': Approved Date 197 t Rejected Date 197 r C ~E141115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES • DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 J~~~ 7REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: ~'/4, ))it'4, Section 2/N, R (or) W, Township or Municipality Lot No. Block No. County Subdivision Name Owner's Name: Mailing Address: A TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW A ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 7-16 T --PERCOLATION TESTS -7-I0'-.n SOIL MAP SHEET SOIL TYPE lT_4,4 % Al?4,05~1- 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 MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- x 7 ;./V P-3 ~G 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) CS X -R A 42 0 _'4o z. 's J. 10 L G . S 3 f S PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of s Itabl.4reas. Indicate number of square feet of absorption area needed for building type and occupancy. ~r Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I I ~ ~ N _w_ ; - _ I 444 I J01 - t- -77f - ~f f _ 1 S__......._. E ~ s f ~I y ; I ' i I b I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures 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 knowledd and belief. Name (print) LL % Certification No. Address lLCti L~ Name of installer if known CST Signature "=LT= COPY A -LOCAL AUTHORITY y State and County State Permit # PLD6-7 Permit Application County Per i # - for Private Domestic Sewage Systems County ~a *DENOTES STATE APPROVAL REQUIRED / Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: C'r Oe-e-o R-ex, , (-Aj B. LOCATION: '/4 0C Section - T N, R E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township G V14 C TYPE OF OCCCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES __VO # of Bathrooms Automatic Washer,,A_YES NO Other (specify) E. SEPTIC TANK CAPACITY 106 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks ll New Installation Addition- Replacement- Prefab Concrete X' *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ( 2)403) L-1 Q_Total Absorb Area S sq. ft. NewX Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length V'Width Depth 1-/0 Tile Depth_ No. of Lines '2 Li ! Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of lands Distance from critical slope 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 Certified Soil TPNAME CVq ( VIn lcxje(I C.S. # S S S'3 1 and other information obtained from . i u own i►der). _ Plumber's Signature MP/ PR SW Phone Plumber's Address r ,k U~ PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including weldt). ~`y~'~ I ~ ~ _ ~ C3d y 1 r ~ Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State (00 Co ty Da Permit Issued/ d (date), Issuing Agent Name Inspection Yes No Valid# Date Recd 1. county (whi a 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