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Parcel 030-1057-70-000 03/17/2005 12:38 PM
PAGE 1 OF 1
Alt. Parcel M 23.30.19.201 F 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): Current Owner
"
STEPHEN R & MARY M JUNGBAUER JUNGBAUER, STEPHEN R & MARY M
1475 N BAY RD
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1473 N BAY RD
SC 5432 SCH D OF SOMERSET
SP 8040 BASS LAKE REHAB DIST
SP 1700 WITC
Legal Description: Acres: 4.130 Plat: 1019-CSM 14/3823
SEC 23 T30N R19W PT GL 5 BEING LOT 1 CSM Block/Condo Bldg: LOT 1
14/3823
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
23-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
12/04/2000 634651 1564/246 WD
07/23/1997 4 eu QC
07/23/1997 885/319 -740
2004 SUMMARY Bill Fair Market Value: Assessed with: a-~ C.
5214 417,400
Valuations: Last Changed: 07/08/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.130 233,000 177,600 410,600 NO
Totals for 2004:
General Property 4.130 233,000 177,600 410,600
Woodland 0.000 0 0
Totals for 2003:
General Property 4.130 141,800 134,000 275,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 211
Specials:
User Special Code Category Amount
040-OTHER ASSM'T SPECIAL ASSESSMENT 627.95
Special Assessments Special Charges Delinquent Charges
Total 627.95 0.00 0.00
EAST
PARTST JOSEPH T• 29-30 N:-R.19W. 41
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BIRCH PARK WILLOW RIVER
SKI AREA INN WHAT IS 4-H?
Open 9:30 a.m. - 10:00 p.m. Burkhardt, Wisconsin
Daily % Mile Northeast of
State Park
Area Phones: Old Time 4-H members choose what they want to do,
Twin Cities - No Toll plan how they are going to do it, put their
439-3723 Country Tavern plan into action, and finally, evaluate their
Wisconsin On-Off Sale Liquor progress toward the goals they selected. 715386-1101
- 549-6777
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Parcel 030-1057-80-000 03/17/2005 11:54 AM
PAGE 1 OF 1
Alt. Parcel 23.30.19.202A 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): Current Owner
JON P BELL " BELL, JON P
1902 60TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 28.000 Plat: N/A-NOT AVAILABLE
SEC 23 T30N R19W GL 6 EXC PT LYING ELY Block/Condo Bldg:
OF LINE AS DESC IN 464/543 & EXC AS
SHOWN ON P202B ASSESSED WITH P203J Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
23-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 885/457
2004 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/16/1986
Description Class Acres Land Improve Total State Reason
Totals for 2004:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2003:
General Property 0.000 0 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
Total 0.00 0.00 0.00
Parcel 030-1058-90-100 03/17/2005 11:54 AM
PAGE 1 OF 1
Alt. Parcel 23.30.19.203J 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
JON P BELL ` BELL, JON P
1902 60TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SCH D OF SOMERSET
SP 8040 BASS LAKE REHAB DIST
SP 1700 WITC
Legal Description: Acres: 16.030 Plat: N/A-NOT AVAILABLE
SEC 23 T30N R19W A PARCEL OF LAND Block/Condo Bldg:
LOCATED IN GOV LOT 6 OF SEC 23 T30N,
R19W, AS DESC IN VOL 725 PAGE 318 EXC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
CSM 7/2007 23-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 885/457
07/23/1997 749/41
07/23/1997 725/318
2004 SUMMARY Bill Fair Market Value: Assessed with:
5226 95,500
Valuations: L st Changed: 07/08/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.030 94,000 0 94,000 NO
MANAGED FOREST LAND-( W8 10.000 111,000 I 0 111,000 NO
Totals for 2004:
General Property 6.030 94,000 0 94,000
Woodland 10.000 111,000 111,000
Totals for 2003:
General Property 6.030 55,300 0 55,300
Woodland 10.000 55,500 55,500
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
040-OTHER ASSM'T SPECIAL ASSESSMENT 359.94
Special Assessments Special Charges Delinquent Charges
Total 359.94 0.00 0.00
Parcel 030-1057-80-000 03/17/2005 11:54 AM
PAGE 1 OF 1
Alt. Parcel 23.30.19.202A 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): Current Owner
JON P BELL BELL, JON P
1902 60TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 28.000 Plat: N/A-NOT AVAILABLE
SEC 23 T30N R19W GL 6 EXC PT LYING ELY Block/Condo Bldg:
OF LINE AS DESC IN 464/543 & EXC AS
SHOWN ON P202B ASSESSED WITH P203J Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
23-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 885/457
2004 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/16/1986
Description Class Acres Land Improve Total State Reason
Totals for 2004:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2003:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
G
,,N, ER TOWNSHIP ~yl SEC. T_-:>L' N, R / cl W
.0. ADDRESS#_ j-r- ST. CROIX COUNTY, WISCONSIN.
'BDIVISION LOT LOT SIZE
J PLAN VIEW
Distances 6 dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
:PTIC TANK (S) MFGR. -4 t ._.LCONCRETE a STEEL
NO. of rings on cover Depth " DRY WELL
'ENCHES NO. of width length area
no. of lines width! length' area depth to top of pipe
>G;tEGATE 3-/' •-1C j 11
'IRK RATE - AREA
_ REQUIRED AREA AS BUILT
C. y
'.sciaimer: The inspection of this system by St. Croix County does not imply complete
i,mpliance 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
stem operation. However, if failure is noted the County will make every effort to
termine cause of failure.
EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
a
..INSPECTf?K C ` - !o
DATED, ` PLUMBER ON JOB
LICENSE NUMBER f;v-
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1
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REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Sanitan.y Pe4mit
State. Septic
NAM Town.5hip St. Croix County
Laca.tiara AIAN(4) c tiara Lo # Subdivth Lan.
SEPTIC TANK
Size gafP-ons Number o6 eompan.tments
D~.,stanee ~ Lom: Wetf Buif-ding_ 120 seope
Highwaten
PUMPING CHAMBER
Size gaPP(~r(s Pump,, ~Plrrlmu ,,tc,,-((t1Py(
HOLDING TANK
Size gaLk'on,s Numbe.n oo Compartments
Pumper-- Aeanm System
Di,s Lance ()ram: Glee'! Buitding_ 12% stope
Highwate.n
ABSORPTION SITE
Bed Tneneh
D-t3 tanee (I om: (Veet-- Bui, ding fi 2 6 s fape
Highwater
ABSORPTION SITE DIMENSIONS
Width o6 tkeneh 4t Req u~ red area
Length o(j each tine 4t Depth o6 kock betow tite tin
Numbers of Pti4qe,5_- Depth o4 rock oven. Life cn
To.taf length o~j Lane./ 6t Depth o6 .ti e beX.ow grade i.n
Distance between fines lit Stope oo trench ~cn. pen. 100 6t
Tout absorption area _(It Type o6 Coven.: Papek on s,tnaw '
PIT DIMENSIONS
Numb eA o6 pits- - Gn ave f around pits yeas no
Out/side, diame,te.n_ - (It Depth b e fow inte..t t
Total abs onpt on aAcea 6-t
Area required 6,t.
INSPECTED By TITLE ,r%,
APPROVED DATE 198
REJECTED DATE 198
REASON FOR REJECTION
7 State and County State Permit #PLB Permit Application County Perm i #
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:
-11 Re.d
B. LOCATION: _j '/a NL~i /a, Section _Z , T_ N, R I E (or) . W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family r. Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks /
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concreted 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 1. C{= Total Absorb Area sq. ft. 6ZCC'ff" z
New it Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width -Depth-Ti le dept-h~(tto~p)l No. of Trenches
Seepage Bed: Length- `f Width 3 f Depth Tile depth (top) No. of Lines ~F
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- 7, Distance from critical slope
WATER SUPPLY: Private 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 yL Gf/~:r iC1ti C.S.T. # `~.5 • C✓2~C and other information
obtained from .;c. -Y (owner/builder).
Plumber's Signature R S W # 3Z / Phone #15t e.-'1`-r"1P.
Plumber's Address rr'~ r - ~ ? 7 -7, 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 neighbors
property. If well has not been drilled please indicate.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State. .lam` County gate `Q L✓
Permit Issued/Rejected (date) Issuing Agent Name
Inspection Yes A 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
F
Li0i i 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: Section ,T-N,R_E (or) W, Township or Municipality
Lot No. , Block No. r ~ County <_71~• 1~I-lt/
Subdivision Name
Owner's/Buyers Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS,?.` , " l- 1-1 PERCOLATION TESTS =7;~-(' 4/
SOIL NIAP SHEET NAME OF SOIL MAP UNIT
PERCOLATION TESTS ` t
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL MIN/IN
BER INCHE THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
P- if" -7 J ~r ; _ T f f
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-' _T f (t" art
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PLAN VIEW (Locate percolation tests, soil bore holes ands itable soil areas. Indicate on h
Indicate number of square feet of absorption area needed for building type and occupan ndicate scale distances.
Give horizontal and vertical reference points. Indicate slope. V
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le, r e9
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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) Certification No:''
Address r'~ •o r 'r f yf,~ ^ J/ j-"" Name of installer if known
CST Si_,,iature__-_---- _
9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCO^vSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
✓ P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION- '/4, Section ,T_N,R-E (or) W, Township or Municipality 's
Lot No. , Block No. County
Subdivision Name
Owner's/Buyers Name: '
Mailing Address: f f E` ' f~ t1 -
TYPE OF OCCUPANCY: Residence No. of Bedrooms ' COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATESYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS % ~/s~O
SOIL MAP SHEET NAME OF SOIL MAP UNIT -2Lt Z'Al-412%! n.-42
PERCOLATION TESTS 7T71'
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM INCH'S THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
P-
P-
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 HIGHE SERVE IN INCHES
B_ ~r
r
B-
B-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable s an a ocat;on and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy Ar Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. .
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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 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) e Certification No_
Address
Name of installer if known
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