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Parcel 022-1069-70-000 04/16/2007 03:15 PM
PAGE 1 OF 1
Alt. Parcel 25.28.18.387C 022 - TOWN OF KINNICKINNIC
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 - WATRUD, D ROBERT & SUE A
D ROBERT & SUE A WATRUD
1471 EVERGREEN DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 1471 EVERGREEN DR
SC FLLS
SP 01800 CHIPRVALLEY VOTECH 72i
Legal Description: Acres: 4.910 Plat: N/A-NOT AVAILABLE
SEC 25 T28N R1 8W 4.91A IN SW NE COM N1/4 Block/Condo Bldg:
COR SEC 25, TH E 1325.93' ALG N LN S 0
DEG E 1399.11' TO POB TH S 493'S 89 DEG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
W 443.91'N 493'E 441.62' TO POB 25-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 780/531
07/23/1997 509/33
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.910 80,000 166,100 246,100 NO
Totals for 2007:
General Property 4.910 80,000 166,100 246,100
Woodland 0.000 0 0
Totals for 2006:
General Property 4.910 80,000 166,100 246,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 502
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
l
r COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
CC
. CROIX COUNTY RfF'{if.T DATE: 8/21/9C
".OURTHOUSE.
'LaSQ 1, t43 54?"
U
0
~ JF,
ias H. Ca:.; 1
7CATIONt River Fails
;OLLECTOR: Mary Jenks
IURCE OF SALE; Kitcl
JLIF•:
t4TER•
1TRATE-N+ 2 p
Under 1
4iform Bacter-iallUO ml
..orate-I~itr~aF:E, arat"-
;B TECHNICT-0
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fj~oF~ ~etit~
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PROFESSIONAL LABORATORY SERVICES SINCE 1952
bz; 1/ -7 q,
~4- A 5-4
T. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
.c.% 911 4th Street
Hudson, WI 54016
,y Telephone - (715)386-4680
The St. Croix County Zoning of septic
and water inspections to Lending finstitutionst,e Realty service Firms, and
private individuals.
~ntenietion of this form is essentia- so that the nr^^a ty can be
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.
-FEE: $ 25.00
HATER TESTING---------------------------
(For nitrates and coliform bacteria)FEE: $175.00
WATER TESTING
(For VOC'S) FEE: $25.00
SEPTIC SYSTEM INSPECTION------- -
ioning at time of
(Determines if system is properly f70-voopLt)
inspection) Property owner's name
S ~,5 SOa~
3 c.vev c reeyc Driv 1 e ^ 1)
Property owner's address
Legal Descri tion ~:;Zc.l 1/4 of the /Vl-- 1/4 of Section S5. T Z N-R-L&/
Town of ih4 Lot Number _2 _Subdivision Name
Color of house (~.e m Realty sign by house? If so, list firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, .e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN0 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.
Firm or individual requesting services:
Telephone Number
REPORT TO BE SENT TO:
C { > 4
Closing date
Signature
• T ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
T 911 FOURTH STREET O HUDSON, WI 54016
-11 MW MAO-*
iii■~
(715) 386-4680
Aug. 17, 1990
Eldon Bader
904 3rd St.
Hudson, WI 54016
Dear Mr. Bader:
An inspection of the septic system of the Doug Campbell
property located at 1463 Evergreen Dr., River Falls, WI was done
on Aug. 16, 1990. At the same time I also obtained a water
sample for testing. The results of that test will be sent to you
as soon as we receive them back from the laboratory.
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 inspections. This not not in an~r
way warrant or guarantee the continued proper functioning or
operations of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system is totally dependent upon proper
maintenance of the system.
Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
Mary J Jenkins
Assistant Zoning Administrator
cj
• AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP ~i~r/✓ N, RW
ADDRESS ( =i/~~h z ST. CROIX COUNTY, WISCONSIN.
5DIVISION LOT ..LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
. Yom, • s~ i ter:-~=~ . ~-l.
3t,
'TIC TANK(S) CONCRETE ✓ STEEL
NO. of rings on cover Depth DRY WELL
"ICHES NO. of width length area
no. of lines width -42 length_ area
depth to top of pipe
_~.1EGATE
{ RATE AREA REQUIRED AREA AS BUILT
'ciaimer: The inspection of this system by St. Croix County does not imply complete
?liance 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
poem 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 PLUriBER ON JOB
\
LICENSE NUMBER
Z
-REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
` San.itany Penm.i-t
State Septic_
i
NAME Township S$. CAO.ix County
Location Sectio
SEPTIC TANK
Size /O UC; gattond. Numbers o~ Compan.tmenta / j
Distance FAam: Glen 7' it.
12% on gneateA b.tope,)&I ~-t
Bu.i.td.ing l . it. Wettand,a ~ .
~S Gu
DISPOSAL SYSTEM NighwazeA it.
Distance FAOm: We.tt 12% on gnea.teA b.tope it.
Bu.i.td.ing `i it. W et.tandd Ft.
• K.ighwateA it.
FIELD DIMENSIONS:
Width o6 ttench it. Depth of Aock be.tow .t.i.te .in.
Length o j each tine ~I it. Depth o6 Aock oveA .t.ite .in.
NumbeA o6 tines ~ Depth ob t.iZe bestow gAade t in.
Total' .teng,th o6 tines it. S.tope o6 .tAench in pet 100 it.
Distance between tines- fit. Depth to b ed.zo ck it.
Tota.t abzonbt.ion aAea 6t2 Depth to gnoundwateA
Requited aAea F it2 Type of Covet: Papers .6t Sttaw
PIT DIMENSIONS:
Numbex o6 pits GAave.t anound pits yea no
Outside d.iame.teA ' it. Depth b e.2ow .in.teti
Toxa.t absanb.tionf'a&e,a l ~ it2. z
t
Anea Aequt.Aed- it2 m
INSPECTED TITLE
APPROVED ,DATE 19 7L, 4.,
REJECTED DATE 191_
I
F ~q
EH 11 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:W /t6 '/4, Section T N,R-L4ZE (or) W, Township or Municipality
Lot No. , Block IN Ze r ~'tA.,,-s's%S /f/liP 0t County
Subdivision Name
Owner's/Buyers Name: IV- M95. 'Q U C C- ) ( _ r
Mailing Address: D C'>~- U
TYPE OF OCCUPANCY: Residence No. of Bedrooms -3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYS ~Vk _OTFI
DATES OBSERVATIONS MADE~SOIL BORINGS 7 "Z--?,-- PERCOLATION TESTS ~7-\
SOIL MAP SHEET 56 s NAME OF SOIL MAP UNIT /.3.N 13
PERCOLATION TESTS 1900.t1115-
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RA f
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIS?/1'•i,
I P- 13 30,. A /3/N s , 1 j;y z. y'
P-3 %-A Aw 57" I 1VOW
P-
P-
P-
L
01
SOIL BORING TEST
ti~ o
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER 6u!
NUMBER INCHES TEXTURE, MOTTLING AND D H TO B
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES AT
B- / _1ef/^V,6!5_ S13 8q> 5 2 ,"f' L/ r9a~, S 51 u!I(i;~E 5 ?
B- 172 7 7k 4
B- 2- AI99kZ- 91:1 AJ ~7''-C-, 1 . RN 5
B- 4/ 7 O r 76 -Z L 9W t G1 h s . Ids-.
B- 72 &®mef- r 7~ 5 13A; lS L. F. B-) S
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 ~r13y f`616,6::0 Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
~i'f firs ~Va~i/~ 191,iAl s •c or
0/__ P 5,74AY 4,e
AkV
3
a sf
To
102 P eop- ~ -s
,D/ t r -
°
T i~ •
y id-a
3 '
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PAiNT,-P A35-A 2-
A of 3AI AT
lei,
Sze, r / _ i
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24 __R
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rd z
I, 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)D~~k~~~ Certification No.
Address
Name of installer if known
i~
Copy A - Local Authority CST Signature e'
~ State and County State Permit #
~f.. Permit Application County Perm #
PLB-67
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: Ste'/4 N,E Section , TN, R t! -5 (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 rte`` Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY /&Cc Total gallons No. of tanks ~
S j.f-f~ C 1 ~ nlyx . 7!~`G
T. Total gallons No. of tanks i
Prefab concrete lr Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber 764 Total gallons Prefab concrete Poured-in-Place Other (Specify)
ate-2- 1 -/'-S Z "-Total Absorb Area e-, sq. ft.
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate-2-1-
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: A-- Length 3a Width iR Depth A " Tile depth (top)Z ~ No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land `,ci, o tc S I Distance from critical slope
WATER SUPPLY: Private ?t-Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
1, 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 , ' 4 7- C.S.T. # and other information
obtained from a Z,6,t k_ > (owner/builder).
Plumber's Signature Phone #2~
Plumber's Address f . 111L°.EIL jq"- Z_
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.
/Yr: P;"s i- w;e c< rc -t i j 4, c
t+,r n.t ri:,E.CL 7~,~p ? lac
1 cc c CAL s.7"
757eL.44 s"Mp
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Ae
4 -
EC si,120 . / .C..Zl c JI.L Y2 l6 % 'lr'z 3Gr AEA
.
-4 1
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
-o2f~ _
Date of Application - Fees Paid: State Count Date
Permit Issued/ (date)' Issuing Agent Name 7 I
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)
Revised Date 7/1 /78
I
w z Parcel 022-1069-50-000 12/22/2005
PAGE 1 09:26 AM
OF 1
Alt. Parcel 25.28.18.387A3 022 - TOWN OF KINNICKINNIC
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 - CAMPBELL, DOUGLAS H & GLORIA
DOUGLAS H & GLORIA CAMPBELL
1463 EVERGREEN DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1463 EVERGREEN DR
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE
SEC 25 T28N R18W 4A IN SW NE LOT 2 CSM Block/Condo Bldg:
VOL 4/907
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
143712 265,200
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.000 60,000 208,100 268,100 NO
Totals for 2005:
General Property 4.000 60,000 208,100 268,100
Woodland 0.000 0 0
Totals for 2004:
General Property 4.000 30,000 151,200 181,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 104
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
" Parcel 022-1069-30-000 12/22/2005 09:25 AM
PAGE 1 OF 1
Alt. Parcel 25.28.18.387A1 022 - TOWN OF KINNICKINNIC
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 - CAMPBELL, DOUGLAS H & GLORIA
DOUGLAS H & GLORIA CAMPBELL
1463 EVERGREEN DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 11.460 Plat: N/A-NOT AVAILABLE
SEC 25 T28N R18W 11.46A IN SW NE LOT 1 Block/Condo Bldg:
CSM VOL 4/907 BEING REPLAT OF CSM VOL 3
PG 848 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
25-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 4
07/23/1997 L603/4
2005 SUMMARY Bill M Fair Market Value: Assessed with:
143710 0
Valuations: Last Changed: 08/11/2005
Description Class Acres Land ~ nprove Total State Reason
ENTERED BEFORE'05 CLOSE W8 11.460 69,000 0 f 69,000 NO
Totals for 2005:
General Property 0.000 0 0 0
Woodland 11.460 69,000 69,000
Totals for 2004:
General Property 0.000 0 0 0
Woodland 11.460 28,000 28,000
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00