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r Parcel 030-2006-70-000 01/31/2006 12:30 PM
PAGE 1 OF 1
Alt. Parcel 34.30.19.373C 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 - LEWIS, JOHN & SANDY
JOHN & SANDY LEWIS
649 PERCH LAKE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 649 PERCH LAKE RD
SC 2611 SCH D OF HUDSON /
SP 1700 WITC f{~
Legal Description: Acres: 5.250 Plat: N/A-NOT AVAILABLE
SEC 34 T30N R19W NW NE LOT 1 OF CSM Block/Condo Bldg:
3/617 ALSO COM NW COR NE1/4 SEC 34 N 88
DEG E 382.84' TO POB, S 597', S 88 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
382.84', N TO A POINT 445.45'S OF NW 34-30N-19W
COR TH N 88 DEG E 316.84', N 1 DEG W
445.45', N 88 DEG E 66' TO POB,
r
Notes: t ' ; t * Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1079/616 WD
07/23/1997 877/223
07/23/1997 789/473 s
07/23/1997 789/327 more...
2005 SUMMARY Bill Fair Market Value: Ass
84119 270,500 r /
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total- State Reason
RESIDENTIAL G1 5.250 101,000 15,000 246,000 NO
-73 /3
Totals for 2005:
General Property 5.250 101,000 145,000 246,000
Woodland 0.000 0 0
Totals for 2004:
General Property 5.250 101,000 145,000 246,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 314
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 030-2006-70-000 08i0212006 05:07
PAGE 1 OF 1
F 1
Alt. Parcel 34.30.19.373C 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
JOHN & SANDY LEWIS O - LEWIS, JOHN & SANDY
649 PERCH LAKE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ' 649 PERCH LAKE RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.250 Plat: N/A-NOT AVAILABLE
SEC 34 T30N R19W NW NE LOT 1 OF CSM Block/Condo Bldg:
3/617 ALSO COM NW COR NEIIA SEC 34 N 88
DEG E 382.84' TO POB, S 597', S 88 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
382.84', N TO A POINT 445.45'S OF NW 34-30N-19W
COR TH N 88 DEG E 316.84', N 1 DEG W
445.45', N 88 DEG E 66' TO POB,
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1079/616 WD
07/23/1997 877/223
07/23/1997 789/473
07/23/1997 789/327
more...
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.250 101,000 145,000 246,000 NO
Totals for 2006:
General Property 5.250 101,000 145,000 246,000
Woodland 0.000 0 0
Totals for 2005:
General Property 5.250 101,000 145,000 246,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 314
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP SEC. T N, R W
p. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
_BDIVISION , LOT LOT SIZE
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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Indicate NorthArrow j
E ( ~ 'SCALE:
tPTIC TANK (S) MFGR. CONCRETE t STEEL
NO. of rings on cover Depth DRY WELL
ANCHES NO. of width length area
no. of lines width length area '
depth to top of pipe
abREGATE
?.V, RATE AREA REQUIRED AREA AS BUILT
liwlaimer: The inspection of this system by St. Croix County does not imply complete
Iopliance 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
IStem operation. However, if failure is noted the County will make every effort to
i~ermine cause of failure. .
.EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
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'REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itahy Penmit-~ljJ-
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State Septic 4Z ~17_3161
NAME 'Au r' ".4 hip /N5~. Cnoix County
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Locatiou~,.'~~ Sects on
1,U A
SEPTIC TANK
Size /'gattonb. Numbet o6 Compartments
Di4tance Pnom: Wett 12$ o& gteater. 4tope 6t
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Buitd.ing it. Wettands ~ .
Highwaten - it. R
DISPOSAL SYSTEM
D.i,b.tance Prom: Wet 12% or, greaten 4tope it.
Bu.itd.ing it. Wettand4 Ft.
• H.ighwatet it.
FIELD DIMENSIONS:
Width o6 trench
~ it. Depth o r.a cFz b etaw t.ite in.
Length of each tine it. Depth o6 rack oven t.i.te ~ .in.
Numbers of Una Depth of t.ite betow gr.aden.
Totat .tength o6 tin a it. Sto pe o6 .trench in pen 100 it.
D.iaLance between tine45 fit. Depth to bedtocfz b .
Totat ab4onbt.ion area 6t2 Depth to groundwater it.
..Requited area it2 Type of Cover.: /Paper., on Straw
PIT DIMENSIONS:
Numbe& of p.it4~ Gravet around p.it.6ye.6 no
Outz ide d.iame °e St. Depth below inlet it.
I. 2
Totat ab.~ar ~.on area st z
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Area requited it2 rn
INSPECTED BSS .'TITLE P
APPROVED , DATE 197
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REJECTED DATE 197.-
67 State and County State Permit #
PL8 Permit Application County Permit #
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:
B. LOCATION: Section T N, Rte= E (or), W~Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~7-77 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms. No. of Persons /
D. SEPTIC TANK CAPACITY * Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete t` Poured-in-Place Steel Fiberglass Other (specify)
New Installation Y Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 7 " Total Absorb Area Z.4 sq. ft.
New X _Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length k Width L Depth Tile depth (top) f~. No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land, Y Distance from critical slope
WATER SUPPLY: Private X, Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 Tester, _
NAME `I-z and other information
obtained from (ownrr/builder).
Plumber's Signature X: Phone # f
Plumber's Address ~}s / L c -
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State County Date
Permit Issued/Rejected (date) Issuing Agent Name
`ion Yes No State Valid# Date Recd
(white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309 MAnigonj r/i rQ-7n,
4. plumber (canary
PLB 67 State and County State Permit #
Permit Application County Permit #
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:
B. LOCATION: 1/4 '/4, Section T_ N, R_ E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length Width Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 Tester,
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# Phone #
Plumber's Address
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PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State County Date
Permit Issued/Rejected (date) Issuing Agent Name
Inspection Yes No State Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON'
ate (pink copy) 4. plumber (canary copy)
PLS 67 State and County State Permit #
u 1~ Permit Application County Permit #
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:
B. LOCATION: '/4 '/4, Section T_ N, R_ E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length Width Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 Tester,
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# Phone #
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
t
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State County Date
Permit Issued/Rejected (date) `Issuing Agent Name
inspection Yes No State 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) Rev;-
EH 115 Rev. 9/78
" REPORT ON SOIL BORINGS AND PERCOLATION TESTS 3 4 _
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES r .
P.O. BOX 309, MADISON, WISCONSIN 53701 k
'21j -1-
LOCATION: '/4,~1='/4, Section ~_,TILN,R~L&(or)6Ntownship or Municipality - SZ C Sr g
Lot No. Block No. County
u division ame ~
Owner's/Buyers Name: = / k Q
Mailing Address: -el xec-x /;2
S7S`~ L 6 1
TYPE OF OCCUPANCY: Residence X_No. of Bedrooms -3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS 5--3/'79 PERCOLATION TESTS
SOIL MAP SHEET ) NAME OF SOIL MAP UNIT 104!±2
_ PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME
~ DEPTH CHARACTER OF SOIL DROP IN WATER LEVEL, INCHES
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIP7!v
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
_Sec _72- A/0 -3-0 3C
P- t/LA
_32- -3 0
3 3 3 C...~
P- -3 c/o SP~~ l~erl, 6169 _32- /00 -30
P_
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SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
~
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES i
B- Ale, e ,S711 A, ~p
B- tiles ~ 7 ~ I-s .3 C, K c ,S54
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy 1-2 Lfl, Indicate scal: or d st_ -i
Give horizontal and vertical reference points. Indicate slope.
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1, the undersigend, 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
knowledge and belief.
Name (print) Z2',h A) v S ~ Certification No.
Address 44'a'-'el
Name of installer if known
Copy A -Local Authority CST Signatu
PLB*- 67 State and County State Permit # `
uPermit Application County Per #
y 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:
B. LOCATION: % L'=%, Section T N, R_ E (or), W, Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family_ Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation l Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate '-Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:_ Length 4. - Width Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private El Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 Tester,
NAME C.S.T. and other information
obtained from
Grier/bui e
Plumber's Si nature
g MP/MPRSW# Phone #
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
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Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application ~C , ~171 Fees Paid: State/.`j- Co my e' i Date f0
Permit Issued/&aJ (date) / Issuing Agent Name
Inspection YesNo State Valid# Date Recd
L1. county (w ite 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 7/1 /78