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006-1022-70-000
oca o ic -0 n V o o it (D (D CD -0 v ~-o x c 3 X 0 co S w Z co o °o °C • 3 y O N C O tD N O ; 2 ~ c 1 O\ CL Z d N ZJ j O "'h lA 0 --1 l O\ C 3_ W 3 7 III 0 N 1 Ol N N N a CO Q 7 Q (D fl_ v O O Oo (D -0 CD n W N O D O w W p N O O ~ N O N G . d (L7 O N CD C_- c C L o 3 O CD ° CD m ' co 0 N 0 m n o c N O O DJ N •T U "WA m 9 'p rr z O O O O W Z ~f a fn cn ca o D v W 0 0 0 O G (D K N 7 O ~ 01 '6 ~y i 7 (D ~ ~ N a N N Z O a Z co o D a 7 v tr • o' m (D 1D CD y~~r ~D w ( 1 `i c m CD d n 3 E Z (D (n A Z CD O N C 0 C a n v i W ~ M z 3 a 00 = cn rn 3 m 5 N Z _ A W N N Q C 3 ~ ~ G a O T N `G 3 Q N Z a c cn O N < (D N O_ y Q 'i ~ m o CD O N A S O (D y` 7 ~ A N (D ~ d N O O (D V ~ I A (D O is Efl O ti o N ya O f f Parcel 006-1022-70-000 01/08/2007 09:16 AM PAGE 1 OF 1 Alt. Parcel 10.31.16.147A 006 - TOWN OF CYLON 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 JASON A BOE O - BOE, JASON A 2366 222ND AVE DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2366 222ND AVE SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 30.000 Plat: N/A-NOT AVAILABLE SEC 10 T31 N R16W PT NW SE BEING THE S 30 Block/Condo Bldg: ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31N-16W Notes: Parcel History: Date Doc # Vol/Page Type 03/01/2001 639466 1593/449 QC 07/23/1997 1204/329 WD 07/23/1997 414/397 2006 SUMMARY Bill M Fair Market Value: Assessed with: 144309 282,200 Valuations: Last Changed: 09/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 20,000 164,100 184,100 NO UNDEVELOPED G5 6.000 4,200 0 4,200 NO PRODUCTIVE FORST LANDS G6 20.000 52,000 0 52,000 NO Totals for 2006: General Property 30.000 76,200 164,100 240,300 Woodland 0.000 0 0 Totals for 2005: General Property 30.000 76,200 164,100 240,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04117/2001 Batch 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n to O v n d O y f c 0 M ~ m m 0 i/1 v> (o r2 co 0 O O { 2 ~~r • C7 O N rp J O N p i O i..i ]rIl IS co - O W ~ O N ^'t < D N U {y CD- -4O p Z CL ;U --I co =3 CT n n N D w e o w CD 3 N O O O O C N 10 D m N h Icy N N a as M~*+~ h p ~ D V c_. rn co CO ~ O c m cn o o h 9 m "NA• z O O O p c N C, N o m m O _O (n O W m N G° !ai O M O1 'C tit c m = o (mil 3 N ~ ~l (D - Cl. la 7 Z ~ O Z W Z D m c C- :3 m nr • o CD N m ~ N m ~y~ CD `i of c CO (D CL w (D N Z_ p Z <D Ic N a AZ3 ca o _ O W a z 0 3 'a ~ 0 Cn E 3 m z w T N -u D (D N Q C d ~ G D n O ~1 < m m c CD l< cr cn z a c rn c C/) .D m (D N < n a N cf) a ° m v v m ~ N n S S < 7 _ 7 (D O N V (n A O (D 7 ~ N (D N n 7 Op n O N c a ~ O ~ 0 v (D bC iA N O O ~ a V O Q. O O n (n O g n o m o 3 h D a a~ • (D CD (D m m \ 1 a: Q U1 L: Z v~ O N) W C~ O O (D o CP Z~l -4 N 03 ~ A C 03 N O 0 7 p O N C.' ^t m 9L -4 0 0( (D a O J O ``j Q III 0 0 0 O n O ~ N d7 N C 7 p_ O co O M 0 N_ N O (D N D O fl N a D A CO L « O O_ (D N N N O O CO CD O' N (D (D (D (D cn N O C N a T . :,a v v v it O O O !+l ° a 0 0 Ja p c` N N N cn (D n 0 m a O _O o O O (-D• M O y O Sp W O W N W J O N G N O z Q o Z W Z - D C o CL =3 o C C CD h• D O CD O N V `17 O (Q C O N - CD O CL W (D Z (D O ~ C 41 m ~ n n a p Z O W m w o CD (D Z 0 3 C/) 3 Z C A co N O O C_ Q C W O O = T N C t17 - 7 Z a CD o_ N S A O r, A ~ A u I A t N N O O v o b° (D is e CD a ry Parcel 006-1022-70-000 03/28/2007 10:52 AM PAGE 1 OF 1 Alt. Parcel 10.31.16.147A 006 - TOWN OF CYLON 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 JASON A BOE O - BOE, JASON A 2366 222ND AVE DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2366 222ND AVE SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 30.000 Plat: N/A-NOT AVAILABLE SEC 10 T31N R16W PT NW SE BEING THE S 30 Block/Condo Bldg: ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31 N-1 6W Notes: Parcel History: Date Doc # Vol/Page Type 03/01/2001 639466 1593/449 QC 07/23/1997 1204/329 WD 07/23/1997 414/397 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 20,000 164,100 184,100 NO UNDEVELOPED G5 6.000 4,200 0 4,200 NO PRODUCTIVE FORST LANDS G6 20.000 52,000 0 52,000 NO Totals for 2007: General Property 30.000 76,200 164,100 240,300 Woodland 0.000 0 0 Totals for 2006: General Property 30.000 76,200 164,100 240,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 006-1021-20-000 03/28/2007 10:52 AM PAGE 1 OF 1 Alt. Parcel 10.31.16.135A 006 - TOWN OF CYLON 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 - BOE, RONALD & RITA RONALD & RITA BOE 2328 222ND AVE DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 34.000 Plat N/A-NOT AVAILABLE SEC 10 T31N R16W 34A NW NE EXC CSM V Block/Condo Bldg: 4/1034 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31 N-1 6W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 414/397 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/08/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 32.000 27,500 0 27,500 NO PRODUCTIVE FORST LANDS G6 2.000 5,000 0 5,000 NO Totals for 2007: General Property 34.000 32,500 0 32,500 Woodland 0.000 0 0 Totals for 2006: General Property 34.000 32,500 0 32,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 'NER TOWNSHIP ! iV SEC. ~ C T~N, R~W ADDRESS ST. CROIX OUNTY, WISCONSIN. '3DIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM . --L(' . X11 i 7TIC TANK (S) %i MFGR. k (,r i CONCRETE -1 STEEL N0. of rings on cover Depth DRY WELL INCHES NO. of width length area length area 1 no. of lines Width= pth to top of pipe REGAT.E 4/7 .uti RATE AREA REQUIRED1' ~L AREA AS BUILT l / f .claimer: The inspection of this system by St. Croix County does not imply complete pliance with State Administrative Codes. There are other areas that it is not possible j inspect at this point of construction. St. Croix County assumes no liability for tem operation. However, if failure is noted the County will make every effort to -ermine cause of failure. , ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `'INSPECTOR DATED PLUMBER ON JOB LICENSE: NUMBER r z #REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM r s s , Sanitany Penm.i.taf l 2z S tat e S P p.t,i c NAME Townahip S CAOtx county LocatioK i_ Sec.t..on 0 SEPTIC TANK S~.ze-42yul,_ga,tton4. Numbers o6 Compa4tmen.t4 I A•i.a.tance FAOm. W eZZ 6 t. 121 on gnea.teA a.to pe it y Bu~.Ld~.nO ~6 Wettand4 6$• NiahwateA DISPOSAL SYSTEM 6.t. Di4.tance FAoms Wett v ~r 6t. 12 $ 04,94 eate4 a eope~ 6•t. We.tZand4 Ft. N~.,g hw a.ten~~ 6.t FIELD DIMENSIONS: Width 06' •tAench 6•t. Depth 06 Aock bezow..tite.._ _ gyn. Length 06 each tine it. Depth 06 4OCk oven. •tiZe_________ NumbeA, 06 tinea Depth 06 •tite below 94ade4n, To.tat zeng.th 06 tine'6.t. S.Qo pe 06 ,tAeneh ~.n pen 100 it. D•i.4tance between UneaDepth •to'bednock To.tat aba o).b.t.ion a4ea._____6.t2 Depth to 94oundwa.te4 6$' ° Requined area 2 ,Ct Type 06 Coven: Papers oA StAaw PIT DIMENSIONS: Numb eA 06 p.it4__ G4ave4 aAvund pi t.6 yea no Ou•ta~.de d~.ame.teA , .......6,t Pep•th b et4w inzeat-__._ 6 t, Tota.t abaoAbtion aAea 6,t2, z Aa.ea %equ.4Aed A 6$2 m INSPECTED BY TITLE APPROVED DATE r97 . REJECTED DATE )97 12 PLB State and County State Permit 1~;Lq - -67 v Permit Application County Permit # 6.9 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: l / d 4J r ✓ XJ B. LO ATION: ection / G, T N, RZ,( 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 _et Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY / d Gf 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. New4~ Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Qepth Tile depth (top) No. of Trenches Seepage Bed: 4 Length 7-7_Width C Depth_ Tile depth (top)_ 2 No. of Lines Seepage Pit: Inside diaeter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal ❑ o 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 Certifi d ,Soil Te NAME 3 eL C.S.T. # ~J /5S Tand other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# o Phone . 13 Plumber's Address Z~~a Of 7_ 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 neighbq;s f r property. If well has not been drilled please indicate. C h fjc;~CCf y V G e 16 6v UCH © win. K i 1k `'~s a E e ~ 6 ~tv A~ • L m ~ ~ m , E 3 . e 7 Do Not Write in Space Below p FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application ° 2yJC~ Fees Paid: State . County mil/. d-~ Date Permit Issued/FiTjeeted (date) Issuing Agent Name y _ Inspection Yes ✓ No State Valid# Date Rec'd 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) Revised Date 7/1/78 EH 115 1`4ev. 9/76 ~ p REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION°~, Section 'T iN,R E (or) ~1)Township or Municipality L~ Lot No._, Block No. Owner's/Buyers Name: 4 u ivlsion ame County, n d Mailing Address: /i TYPE OF OCCUPANCY: Residence No. of Bedrooms_ '2 EFFLUENT DISPOSAL SYSTEM: NEW COMMERCIAL _REPLACEMENT____,____ALTERNATE SYSTEM-.OTHER DATES OBSERVATIONS MADE: SOIL BORINGS. 5 1 t , I ~--SOIL MAP SHEET PERCOLATION' T~STS ~ ^~--r NAME OF SOIL MAP UNIT'~F TEST PERCOLATION TESTS NUM- DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP BER INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL IN WATER LEVEL, INCHES RAI 7 / P- 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/ PL 13- F lr-mot,' i , ~r , } ~ ~ ~ _ tr► P- j c- / I P P- I I _ SOIL BORING TESTS R, TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST B- t`, ( r IF OBSERVED IN INCHES B- l' I B- - ' ` r, B PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the Ian th(, tion and s u r Indicate number of square feet of absorption area needed for building t t a,~ q, a e feet of suitable ar 4 Give horizontal and vertical reference points. Indicate Slope. type and occupancy Indicate scale or distam I JJ i 1 7' 1, the undersi ~ 1 Bend, hereby certify thl,t t e 4o11`44s reported bn 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) Address Certification No. J !)'1 t l Name of installer if known COPY C P eve V, 19w er CST Signature E 1 15 Rev. 9/78 L REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION" J, Section 0 T=-5 ,N,R-&E (or) IV Township or Municipality Lot No. , Block No. County Owner's/Buyers Name: C) ' ubdivlslon ame Mailing Address: g 3 ~F TYPE OF OCCUPANCY: Residence___.2(__No. of Bedrooms COMMERCIAL ` EFFLUENT DISPOSAL SYSTEM: NEW2_REPLACEMENT ALTERNATE SYSTEM DATES OBSERVATIONS MADE: SOIL BORINGS Jt OTHER PERCOLATION T STS_ 7 ~-t ~Y-0 SOIL MAP SHEET_j(:=-A1 C: NAME OF SOIL MAP UNIT cya PERCOLATION TESTS r its r NUM- DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME 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/1% P- P- st~ js 3 N`y /3 S '~b 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 > 5 B_ j ? es N v s~ PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the locatio and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Id d Give horizontal and vertical reference points. Indicate slope. Indicate scale or distances. Ac. i } s / G I z N _ a i bib z ~ ~ w . Q f 1, the undersigend, hereby certify thdt~tlfe"sbilekts reported on t~ s m 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) Certification No. ~,tl~~ jr= S S Address Name of installer if known Copy A -Local Authority CST Signature