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Parcel 018-1068-30-000 03/15/2007 02:09 PM
PAGE 1 OF 1
Alt. Parcel 30.29.17.467B 018 - TOWN OF HAMMOND
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 - KAPANEN, DAVID & SHAWN M
DAVID & SHAWN M KAPANEN
1598 70TH AVE
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1598 70TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE
SEC 30 T29N R17W 1.5A SE COR SE SE S 12 Block/Condo Bldg:
RIDS OF E 20 RIDS 431/618 652/601
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-29N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
08/21 /1997 1259/43 WD
07/23/1997 710/392
07/23/1997 710/391
07/23/1997 652/601
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/22/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.500 24,200 110,300 134,500 NO
Totals for 2007:
General Property 1.500 24,200 110,300 134,500
Woodland 0.000 0 0
Totals for 2006:
General Property 1.500 24,200 110,300 134,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 501
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I
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:}Ipa lo Aa0}}01
0 0 000,0 PUelpooM
009'LOZ 009'ZLL MUSE 5005 AljadOad IWOuaE)
:9002 a0; sle;Ol
0 0 000'0 PUelpooM
009'LOZ 009'ZLL 000'9£ 900,9 Aljadoad leaauOD
:LOOZ J01 sle;ol
ON 009'LOZ 009'ZLL 000'9£ GOO'S LE) 7VliNDCIS~2J
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• AS BUILT SANITARY SYSTEM REPORT
'ER UA U-~ d 0A N .~Q 4 , TOWNSHIP - P rz i~t ~~EC. 2 T~N, R J~ W
D. ADDRESS o 6.t S!,' , ST. CROIX COUNTY, WISCONSIN. .
3DIVISION LOT LOT SIZE .
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
SRI v k/A
S e"
c,91~
. 31,
lid t ~
_'TIC TANK (S) ~ t> 0 MFGR. WIe, CONCRETE L,- STEEL
NO. of rings on cover Depth DRY WELL
-7 NCHES NO. of width length area
:v~ no. of lines width length area l j D.
depth to top of pipe
=REGATE
-a RATE AREA REQUIRED, - AREA AS BUILT
='ciaimer: 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
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.
OASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYST >
`'INSPECTOR -
DATED S t PLUMBER ON JOB ~r Q. t=•
LICENSE NUMBER ~t _ 7
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary Permit
7 J _3
Sate Septic-/
NAME rown4h ip S~. Cnoix County
Se c.tio n ~
Location
SEPTIC TANK '
Size le" gatton4. Number o6 Compan.tment.6 j
D.t,4tance Fnom: Wet c~ it. 12$ on greaten 4tape it
Buitd.ing it. Wettand,6 ~ •
H.ighwazen Z_ it.
DISPOSAL SYSTEM
D.i4tance Fnom: Wet it. . 12$ on greaten 6tope.,-- it.
Bu.itd.ing it. W ettand4 Ft.
• H.ighwaten rat.
FIELD DIMENSIONS:
Width o6 then ch_Z it. Depth o6 no ck b etow .t.itez-L-in.
1. Length o6 each tine it. Depth o6 hock oven tite Z in.
Numb en o6 tin e4 3 Depth o6 t.ite below grade 40 in.
I"ota.2 .2eng.th oj t.ine4~it. Stape oj .trench in pen 100 it.
`d~~ V"tance between Una -t. Depth to bedrock
6t2 Depth to gnoundwat
/,O otat ab4 onbtion are a~/
Requited area 6t2 Type of Coven: Papers on Straw
PIT DIMENSIONS:
Numbers of p.it4 Gnavet around p.it.6ye4 no
Outside diame.te4 ~ ~Depth below inlet it.
2
Totat ab4 a nb t,ipb ea A
• V
Area nequ.cned it2
INSPECTS TITLE
g fk6 VED , DATE 19 7_
REJECTED DATE 197.
r
01
i
.
115 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION: SE '/4, 1 Section 30 T_aN,R_~1E (or)(W)Township or Municipality Hammond
Lot No. , Block No. County St. Croix
David Hanson Subdivision Name County St. Croix
Owner's/Buyers Name:
Mailing Address: Roberts, Wisconsin
TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS 4 June 79 PERCOLATION TESTS 6 June 79
SOIL MAP SHEET 68 NAME OF SOIL MAP UNIT tiPC2 ROCKTON
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
RATE
NUM- SINCE HOLE HOLE AFTER INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIS!/IN
P- 1 48 30" T.S. 1:2" Loam 6" Sand 8 No 10 1j" 1j" lift 8
P- 2 48 30" T.S. 12" Loam 6" Sand 8 No 10 11" Jj# Jill
8
P- j 48 30" T.S. 12" Loam 6" Sand 6 No 10 11" 4" 1j"
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- 1 96" None 30" T.S. 12" Loam 54" Sand
B- 2 9 " None J011 T.S. 12" Loam 54"Sand
B- 6" None '0" T.S. 12" Loam 54" Sand
B-
B-
B-
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 615 sg.ft. Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
II, X j( jt iC X X X X :x
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I, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and method
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) Stephen L. Aaby Certification No. 1406
Address 4oodville, Wi CTy
Name of installer if known Aaby Plumbing, He4ting & Elect. Inc., Woodville, Wisc.
Copy A -Local Authority CST Signature
i
• State and County State Permit # ~-7!V
PLB67 ~ 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:
David Hanson _ RR 1 Roberts, Wisconsin
B. LOCATION: SA % S13 Ya, Section 3V, T29_ N, R 1 E (or) (W )Lot# --City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township Hammond
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms 3 No. of Persons 5
D. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste GrinderYES X NO # of Bathrooms 1
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks
`Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement X Prefab Concrete X
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area 615 sq. ft.
New Addition Replacement X *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches -
Seepage Bed: Length 35; _Width 16' Depth 4a" Tile Depth No. of Lines - j_.
Seepage Pit: Inside diameter Liquid Depth Tile Size 4"
Percent slope of land 4i6 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 Tester,
NAME Stephen L. Aaby C.S.T. # 1406 and other information
obtained from Owner (owner/builder).
Plumber's Signature t,.~-~ MP/MPRSW# 5104 Phone # 69~ - 240?
`Plumber's Address Woodville, i
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
Io
/p ? Wr
A-F
1
1 x1 i; c term K ' '
t~+XLL
NO as E _ f! n is 4 G-R Rd~ p
L#'
0 0 O
f. X
Do Not Write in Space Bel OR DEPARTMENT USE ONLY ~rr~~ Date of Application - Fees Paid: State/5-'Co C n ~ `7`~ 49 -0 Date--4---50- 90
Permit Issued/Rejefted (date) - - - _Issuing Agent NanXe~ ` its`
Inspection Yes_X_N0 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)
Revised Date 6/1 /76