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Home My WebLink About042-1018-95-000 i 0 (1) f ic -0 0 o ° d ((D 0 ((D -0 CD v' c c (D m ~ Q R (n Z ~ N W ~ ~ ~ ~ ;r • 03 0 (D so Ul Q CD C N W O CD a) 0 to ~CD n 0 CD Na= _ c m O = O C) Y 3 cn o 0 j y N O O ~1 y (D O A v n D C s (D (D ci cB N a < M~ ca- - ° ° X V O m rn I aD N V) N O C O cD C 3 a_ -0 -0 -0 Ln z o O O o !!`ll 0 <~Z N N N o D , -o v v o eQ y W p (D .'O. (D d D p 0 ID M, =3 00 N O Q z O 0 _ Z~Z y m ° n O d = ~i CD O' c) - CD N m y m O N C (D (D w m n 'D -q cn O ~ C A ~ (O'f = A z O m a O o. Z N V (D CD c0 (D CD CL z 0 °o m m z (D ? W ~ w D C) D- (D 00 n C 21 N O= T S O N C US z a (D CD O CD w D o _ o c x 'o w ~ m r Q c, (D R CL O N _ N O O ~ O A O O A (D a ~ N Efl ~ N O (D ~h y O n. ti .1 Parcel 042-1018-95-000 09/26/2005 10:08 AM PAGE 1 OF 1 Alt. Parcel 07.29.18.11 OD 042 - TOWN OF WARREN 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 - MCMULLEN, CARL W & RUTH C TRUST CARL W & RUTH C TRUST MCMULLEN 952 104TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 952 104TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 7 T29N R1 8W IN 604/39 ORD THAT PT OF Block/Condo Bldg: NW SE INCL IN CSM IN VOL 3/890 ORD (105D 3A) (11 OD 2A) ASSESS WITH P 105D Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 07-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/562 WD 07/23/1997 963/626 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/19/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 48,500 174,200 222,700 NO Totals for 2005: General Property 5.000 48,500 174,200 222,700 Woodland 0.000 0 Totals for 2004: General Property 5.000 48,500 174,200 222,7000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 516 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 042-1018-10-000 09/26/2005 10:09 AM PAGE 1 OF 1 Alt. Parcel 07.29.18.105D 042 - TOWN OF WARREN 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 - MCMULLEN, CARL W & RUTH C TRUST CARL W & RUTH C TRUST MCMULLEN 952 104TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 7 T29N R18W THAT PT OF NE SW Block/Condo Bldg: INCLUDED IN CSM VOL 3/890 ORD ASSESSSED WITH P11OD Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 07-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/562 WD 07/23/1997 963/626 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2005: 0 General Property 0.000 0 0 Woodland 0.000 0 0 Totals for 2004: 0 General Property 0.000 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 00 Total 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT fi,$ a~'~'FR a') ;5 TOWNSHIP i= SEC. T N, R W ADDRESS , ST. CROIX COUNTY, WISCONSIN. 3DIVZSION , LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I rt + t ! C I , I- I ~ ~ I w >t IL ~ I Ilk - E xt i 14 I Liz- _LL i-? i I l yt ~y l- f i ~ I I , I ~ . ( I I 1 I } I I -i i 1 IridiCate North Arrow - - - t-- - - - - - --a - a- ' i + - - I I I i S CALF -T- --r ?TIC TANK(S)MFGR.COTICRETEL STEEL NO. of rings on cover Depth DRY WELL t NCHES NO. of width length area ;f no. of lines- width ~ 7, length 7 area / L, . ' depth to top of pipe f/ GP:EGATE _ / / / lf- ; / / N,', RATE AREA REQUIRED / AREA AS BUILT_[- /X isclaimer: The inspection of this system by St, Croix County does not imply complete orpliance with State Administrative Codes. There are other areas that it is not possible Q inspect at this point of construction. St. Croix County assumes no liability for stem operation. However, if failure is noted the County will make every effort to or, *ne cause of failure. r5ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `INSPE(:'I'CS , DATED PLb2iBER ON JOB , - _ / , ~ ~ LICENSE NU1fBER~- 1 o cn o 3 m o m `+1 m 'o 3 3 (D ry m -0 3 (D c ° It a) CD v 3 n w o rn o W N ~ .A co S a Z N s O CD Q C_ 7 O O 0 W Q 1 W m N N (a NQ CD o (ID * CD O 00 N o ° ~ N N O Q m c y (D O O Cf) D m O Q N (A ° D a ° m O ° CD I i _ U) O ~ U) WO N N O C Q vvv~ < z ME N o D ~.U C' ' vov o O m ~ ~ VI W (D (a 1 O d :3 CC) N < co :3 CD a z co z zD W o O O CD CD N Z m m ~ N C (D (D W m Q z -1 (n O p z (D C n = A z O O_ O = o Z N Im -0 ::E O CD z 1 A 0 O " Cl) 3 m N z (D ? W ~ N O °O Q C O (C) O S D) ~ T O N C z 'o CD CD o N m ~ N y = S ~ U O p W ~ X W O ~ Cr _ O Q a ~ R O N = v0 7 O N ~ O ~ O A O w CD A r CD ~ v < ft fig O o O O m C) a • Parcel 042-1018-95-000 09/29/2005 08:42 AM Y PAGE 1 OF 1 Alt. Parcel 07.29.18.11 OD 042 - TOWN OF WARREN 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 - MCMULLEN, CARL W & RUTH C TRUST CARL W & RUTH C TRUST MCMULLEN 952 104TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 952 104TH AVE SC 2422 ST CROIX CENTRAL U V1 / SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE A;y SEC 7 T29N R18W IN 604/39 ORD THAT PT OF Block/Condo Bldg: ~j NW SE INCL IN CSM IN VOL 3/890 ORD (105D 3A) (110D 2A) ASSESS WITH P 105D Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 07-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/562 WD 07/23/1997 963/626 I 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/19/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 48,500 174,200 222,700 NO Totals for 2005: General Property 5.000 48,500 174,200 222,700 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 48,500 174,200 222,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 516 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING OFFICE /Ati r St. Croix County Courthouse 911 4th Street ' Hudson, WI 54016 Telephone - (715)386-4680 r. -,The St. Croix County Zoning Office offers the service * o-f---septic f ' and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 35.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $185.00 (For VOC'S) / SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00° (Determines if system is properly functioning at, time of inspection) PROPERTY OWNER'S NAME : ~l a 8 c- PROP . ADDRESS : / _ / ~ ,~/ii 4 CITY ) -C , t ZC i Legal DescFiption 1/4 of the 1/4 of Section -7 T "N-Rlf Town of Li ,~M ~ Lot Number Subdivision: / 116 FIRE NUMBER LOCK BOX NUMBER t_ Color of house ~az= - Realty sign by house? If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. %l.~~a Firm or individual requesting services: Telephone Number ? 4'E b'~c7 REPORT TO BE SETT T rti ~U C c CLOSING DATE: Y - /202 Signature n a h ~ 'S7 1 ST. CROIX COUNTY WISCONSIN ~,ry ti tfy ~ tii °-r'~'>~5' • t.~;?3d"~ ~}s'~~ ZONING OFFICE a r~ z 1 ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 3, 1992 Dave Anderson Century 21 706 - 19th St. South Hudson, WI 54016 Dear Mr. Anderson: An inspection of the septic system on the property of Roger Berg, located at 952 - 104th Ave., Roberts, WI was conducted on Aug. 3, 1992. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Si erely, tr Mary J. Jenkins Assistant Zoning Administrator cj z • ' REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itany Penm.it ` State Septic NAME rownbh.ip ST. Cno.ix County Location Section SEPTIC TANK Size gattond. Number o6 Compantment4 Diztance FiLom: peat 12% on greaten 4tope it Bu•itd.ing it. Wettande DISPOSAL SYSTEM Highwaten - a it. • D.iatance Fnom: Wett it. 12% on greaten scope it. Bu.itd.ing it. wettand.d Ft. • H.ighwaten it. FIELD DIMENSIONS: Width o j trench it. Depth o6 no ck b etow t.ite in. Length os each tine it. Depth o6 rock oven t.ite .in. Number o6 tines Depth o6 t.ite below grade .in. Totat .Length o j t Inez it. Stope ob .trench .in pen 100 it. Di4tance between tined bt. Depth to bedrock it. To.tat abz onbt.ion area jt2 Depth to gnoundwaten Requined area it2 Type of Coven: Pape.n on Straw PIT DIMENSIONS: Number of pits Ghavet around p.it.6ye,6 no Outz ide d.iameten_ fit. Depth below .inlet it. 2 Totat abdonbt.ion area it Z Area %equ.ined it2 rn INSPECTED SY_.. TITLE APPROVED DATE 197 REJECTED DATE 197. EH, 115 Rev. 9/78 • REPORT ON SOIL BORINGS AND PERCOLATION TESTS f4c~ ~ r WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES +C n(GjrV~ 1J ° n L C~~ti1P~, 7'P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:,''y sg-y,, Section__~_,T Township I/►~P_ nJ Lot No. Block No. fZ1'/ ~i e~~p c fe t,~c=Y County !5 i?C ub ivision ame Owner's/Buyers Name: ~j 1~--C%-s E~ >y Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW4_REPLACEMENT ALTERNATE SYSTEM / OTHER _ DATES OBSERVATIONS MA SOIL BORINGS g Z_r 7 9 PERCOLATION TESTS y/z~ f7 ~l SOIL MAP SHEET NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER HOURS WATER IN TEST TIME NUM- OF SOIL DROP IN WATER LEVEL, INCHES INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL RATE BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- 4~ Sic C Fja P- z 4 ~I a yZ ~t 1 z ! l 9I<t~ Z P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES OBSERVED ESTIMATED HIGHEST TEXTURE, MOTTLING AND DEPTH TO BEDROCK IF OBSERVED IN INCHES B- 96 111()A45- 7 9 Ge LS ' U/AL 4? L!5 G,e. B- ' ~o /ll .vim > G 6 L S Ge 4 -F8 L S loci LS R U t_55 of 4-0 -7 Z. S ryn/5 7U 4- L P4-s t Z, LAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on t e,pIan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy %/S. pT QL'C~ Give horizontal and vertical reference points. Indicate slope. Indicate scale or distances. -5 C' A EE 4 . '6ne1: 4,_L0 a ® cez -A-t0 14 Q i 3- ' .ray o u DG~' 'T Pat- c c F ~%S Ti1✓0 3 y u c AZ's 1--,r (!~,gvu ti+ r> 4z- a V I-l L~Nc s 4 E n g P-Z 'Ne E 8-3 s 1\ 5u av. -0 C's I I=C, IV/ I, the underslgend, hereby certify that Hesoi l te sts 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) -Cc -d Certification No. SS`5 Address ~ S^ IVY- ~14~C_S D Z.r Name of installer if known Copy A -Local Authority CST Signatu State and County State Permit # p LB6 7 * . 1?,, Permit Application County Per iq4j # for Private Domestic Sewage Systems County, *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERT~Y+ Mailing Address: B. LOCATION: _ UL'/a Section 7, TI'N, R E (or) W Lot# City -ZE Subdivision Name, nearest road, lake or landmark Blk# Village Township C TYPE OF OCCUPANCY- -Commercial *Industriai Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks ~7~ HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete-' JI( - Poured-in-Place Steel Fiberglass Other (specify) _ New Installation X Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate r- - - = =Total Absorb Area ,,/'-6 sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: ok_Length 34> -Width _J_Depth Tile depth (top) JC No. of Lines -3 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- eb! 4. Distance from critical slope WATER SUPPLY: Private Ik' 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 ; f-~Vs '4` C.S.T. # and other information obtained from = war uilder). Plumber's Signature MP/MPRSW# Phone # a Plumber's Address 6,r- /2/-, 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. X geo ~ e m e ...M. ~ u a E 4 M E ~t Rai" f : s r i a e, . . E t b F i Do Not Write in Space Below F R COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State t Coun Date Permit Issued/Rte (date) l6 7 ` Issuin9 Agent Name Inspection Yes_X_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) q, plumber (canary copy) Revised Date 7/1 /78