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Parcel 042-1090-70-000 12/21/2006 12:50 PM
PAGE 1 OF 1
Alt. Parcel 32.29.18.499A 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
CLEO C & DENISE M CARROLL O - CARROLL, CLEO C & DENISE M
1030 65TH AVE
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1030 65TH AVE
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 10.820 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R18W PT NW NW & E 1/2 NW SEC Block/Condo Bldg:
32 KNOWN AS CSM 6/1683 EXC COM NW COR;TH
S OT E 1118.76FT; TH N 87'E 78.65FT TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
POB;TH S 169.57 FT; TH N 89'E 32-29N-18W
1259.93FT; TH N 01' E TO S ROW 194; TH
WLY ALNG ROW TO POB & INC PT E 1/2 OF NW
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1200/634 WD
07/23/1997 1055/531 QC
07/23/1997 930/611
07/23/1997 859/282
more...
2006 SUMMARY Bill Fair Market Value: Assessed with:
149845 Use Value Assessment
Valuations: Last Changed: 05/31/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 41,400 152,500 193,900 NO
AGRICULTURAL G4 7.820 600 0 600 NO
Totals for 2006:
General Property 10.820 42,000 152,500 194,500
Woodland 0.000 0 0
Totals for 2005:
General Property 10.820 65,900 200,300 266,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 12/04/1998 Batch 516
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 15.00
Special Assessments Special Charges Delinquent Charges
Total 15.00 0.00 0.00
Parcel 042-1090-30-000 12/21/2006 12:51 PM
PAGE 1 OF 1
Alt. Parcel 32.29.18.497B 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 - CARROLL, CLEO C & DENISE M
CLEO C & DENISE M CARROLL
1030 65TH 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: 0.000 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R18W PT NW NW KNOWN AS PT Block/Condo Bldg:
LOT 1 CSM 6/1683 EXC AS DESC IN
WD-1200/296 & EXC AS DESC IN 1204/391 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
ASS'D W/042-1090-70 (499A) 32-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1200/296 WD
07/23/1997 1055/531
07/23/1997 930/611
07/23/1997 859/282
2006 SUMMARY Bill Fair Market Value: Assessed with:
0 042-1090-70-000
Valuations: Last Changed: 07/28/1999
Description Class Acres Land Improve Total State Reason
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
TOWNSHIPk'1"n.~,,, SEC. T a_N, R
0. AD RESS , ST. CROIX COUNTY, WISCONSIN.
r
-LDIVISION LOT LOT SIZE ,
PLAN VIEW
Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
E
I E
! I !
t ~
I ! Trdicae North Arrow
J : S CALE /
~QTIC TANK(S)MFGR. ' 6, CONCRETE STEEL
N0. of
rings on cover S Depth - DRY WELL
'rl,NCHES
NO. of width length area
no. of lines_ width-2- length ~j . area
dept to top of pipe
A=GATE
t: RATE AREA REQUIRED L•S AREA AS BUILT
itsciaimer: The inspection of this system by St. Croix County does not imply complete
.0pli.ance 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
13tem operation. However, if failure is noted the County will make every effort to
,itermine cause of failure.
!{EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM
`INSPECTOR
DATED PLU;
- ~ IBER ON JOB (_.-/~1G''~'i,~ h/~.~•.r~_l5'~ -.,j1j'
LICENSE NUMBER
Z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitaAy PeAm.i,t~'~:'~~ F
State Septic
o
NAMEOt i"ownbhtip St. Cto.cx County
Location. Section
SEPTV TANK
Size 106 .gattons. Numbers oti Compa.ttments_zDistance From: Wett it. 120 oA gneateA scope-,3 tit
Buitd,i.ng~ it. W ettands
s
DISPOSAL SYSTEM NighwateA - tit.
Distance FAOm: (sett '5V 4- tit. 120 oA gAeateA scope it.
1
Buitd,ing '7 45 it. WetZands Ft,
NighwateA
FIELD DIMENSIONS:
W i.dth o6 tAench /o'?,. it. Depth o6 Ao ez b etow ti-t4L-_-in.
Length oti each tine it. Depth oti hock oven tite~ in.
.Z.
Numb eA o ti tines R Depth o ti tite b etow' gAade,O in.
Total Ze,tgth oti tines 9c~ it. Stope oti .t.Aench~ Z^ in peA 100 it.
D.istartce between Una tit. Depth to bedAoch_
Totat abz oAbt.ion a%Lea-~2ygt2 Depth tc tjundwate, _ tit.
Requ~.-7.ed a%Lea Type o! Coven: Pa eA oA StAaw
- t p
ti `
PIT DIMENSIONS:
Numbe.A o6 pits GAa.ve.t around pitsyes no
Outside d.iameteA tit. Depth i,, etow .inlet
Total absoAbtio Vaea tit .
AAea equifLed t` rn
INSPECTED BY A A A JVJ TITLi
APPROVED , DATE__ 19 7
_
REJECTED , DATE_ 797
I~
II
EH 115 Revs
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
t
LOCATION: '/4,J, Section ~~,T 2`-_N,RLLII (or) W, Township or ality O ~ 2(44A%
Lot No. , Block No. County
1 Subdivision Name
Owner's/Buyers Name: ~Q b`~ ~J•~' 1- D e C
Mailing Address: ( & G
TYPE OF OCCUPANCY: Residence No. of Bedrooms -mss COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW2_REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SO Ii%iAP SNEF_. NAME OF SOIL MAP UNIT
j'~(jfyC~(rI1$'~
PERCOLATION TESTS
HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES
F NUM DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RA7"E
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING INMINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
WEj
P_ i
P- 1 f r _
r J i
P-3 i l r, r 1
P-
P-
P-
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
B-
B- 7 <
B- z. -
B- - E -
B- C ° s "J 1
B-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan th ;;cation and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy .Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
40
,d1
/7
W,4
400 40P
L t
1
6 i
0
A
a
Q
,
` a- 05
. N
JUL 121979
_4 1006
Off
a a
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 L1,41 j1 J. X-a+ J~,PFem, Certitication No. SIS J Z Address jj J ; ZJ 2
Name of installer if known
ST sign .
CST A -Local Authority
1
PLB67 State and County State Permit #
Permit Application County Per 't #
for Private Domestic Sewage Systems County 't
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY j 'j- Mailing Address:
..I C gym. ~ 4=
B. LOCATION: Section T N, R (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township Of &4L
C. TYPE OF OCCUPANCY: '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 _-NO # of Bathrooms-j_~
Automatic Washer RYES NO Ot-her (specify)
SEPTIC TANK CAPACITY /00 Total gallons No. of tanks _ i
'Holding tank capacity Total gallons No. of tanks
Jew Installation _ Addition _ Replacement Prc X
'Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area /-'sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
eepage Bed: Length c r Widtht=2 1 Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size 7
Percent slope of land Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
,Ilisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Cert' ed Soil Te r,
NAME a-,,/ t
jxo C.S.T. # s' <5i and other information
obtained from ?t-~- (owner/builder).
lumber's Signature f}c MP/MPRSW# _ Phone -
Plumber's Address ar
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
1 _A0
A-A J1?12 '
95-
iai'
`o/
Do Not Write in Spa Below - FOR DEPARTMENT USE ONLY
Date of Application r r Fees Paid: Stated Cpun Date 7
Permit Issued/Red' (date) Issuing Agent Name ~c
Inspection Yes No Valid# Date Recd _
1. county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
(rink -r0 (canary copy)
Revised Date 6/1 /76