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Parcel 030-2013-50-000 12/05/2006 11:11
PAGE 1 OF I
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Alt. Parcel 36.30.19.406A 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): O = Current Owner, C = Current Co-Owner
O - MCKAY, LEWIS LTD PARTNERSHIP
LEWIS LTD PARTNERSHIP MCKAY
5600 CLINTON AVE S
MINNEAPOLIS MN 55419
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1270 CTY RD A
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 38.790 Plat: N/A-NOT AVAILABLE
SEC 36 T30N R19W SW NE EXC P 406B AS Block/Condo Bldg:
DESC IN VOL 707 PAGE 222
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
36-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1124/191 QC
07/23/1997 707/222
2006 SUMMARY Bill M Fair Market Value: Assessed with:
169573 Use Value Assessment
Valuations: Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 43,500 167,700 211,200 NO
AGRICULTURAL G4 32.790 5,900 0 5,900 NO
MFL BEFORE 2005 OPEN W7 3.000 13,400 0 13,400 NO
Totals for 2006:
General Property 35.790 49,400 167,700 217,100
Woodland 3.000 13,400 13,400
Totals for 2005:
General Property 35.790 49,400 167,700 217,100
Woodland 3.000 13,400 13,400
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
Parcel 030-2013-40-000 12/05/2006 11:11 AM
PAGE 1 OF 1
Alt. Parcel 36.30.19.405 030 - 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): O = Current Owner, C = Current Co-Owner
O - MCKAY, LEWIS LTD PARTNERSHIP
LEWIS LTD PARTNERSHIP MCKAY
5600 CLINTON AVE S
MINNEAPOLIS MN 55419
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 36 T30N R19W NW NE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
36-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1124/191 QC
2006 SUMMARY Bill M Fair Market Value: Assessed with:
169572 Use Value Assessment
Valuations: Last Changed: 05/31/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 34.000 6,100 0 6,100 NO
MFL BEFORE 2005 OPEN W7 6.000 16,000 0 16,000 NO
Totals for 2006:
General Property 34.000 6,100 0 6,100
Woodland 6.000 16,000 16,000
Totals for 2005:
General Property 34.000 6,100 0 6,100
Woodland 6.000 16,000 16,000
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
AS BUILT SANITARY SYSTEM REPORT
OWNER fe z' TOWNSHIP SEC .21( , R W
ADDRESS ST. CROIX COUNTY WISCONSIN.
SUBDIVISION LOT LOT SIZE
Distances & dimensions to meet requPementsWof H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEH
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ITCAL
OCA
SEPTIC TANK(S) MFGR. CONCRETE X STEEL
N o rings on cover Depth
PUMPING CHAMBER SIZE PUMP MFGR. -MODEL NO.
GALLONS Per Cycle
TRENCHES NO. of wi tai length area
BED NO. of lines width s length 's area
dept to top o pipe
NUMBER OF SEEP4GE PITS outside diameter total pit area
AGGREGATE /tom tJ i I') 'e c, ~e
PERK RATE AREA REQUIRED /,2 o AREA AS BUILT
Disclaimer: The inspection of this system by St. Croix County does not imply
complete compliance 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 system operation. However, if failure is noted the
County will make every effort to determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM.
INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
=MN :ISN301 j
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4 REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i-tax y Pexm.i-t l 7597
i State Septic
j~
NAME: l'awna h ip_S C&oix County
Locat.iox Section
SEPTIC TANK
'S.ize gattona. Number o6 Compat tmen.t.6 ii
D.ibtance From: Wets it. 12% on gxeatex etope 6-t
Bu.i.Ed.ing it. We.t.tandd ~ .
..H..ighwazen 1~ a it.
DI_SfOSAL SYSTEM
Di.a#ance Fxom we.ee 12% ox g%eatex..d2ope it.
Bu.itd.in9'6x. WetZanda Ft.
• H.ighwatex it.
FIELD' DIMENSIONS:
Width o6' txench it. Depth o6 Aock below .t.ite .in.
Length o6 each tine it. Depth o6 )Lock ovex .t.ite .in.
au Numb eA o 6 Z in e.6 Depth o'i tit e below gxade in.
_
c2 Z;
Totat .Eeng.th of Zinez. it, S.e.ope o6 .txench in pen 100 6t.
Di4 tance between Z i nes _I.t. Depth to b edxo ck
Totat abz oxbt.ion axea jz2 Depth to gxoundwatex ~ .
11equixed axea it 2 Type a4 CoveA: Papen ox Sttaw
~ .
PIT DIMENSIONSr_
' Number o6 p.it.6 Gxavet around p.ix~s yeb no
Out.a.ide d.iametex it, Depth below .inZet St.
2
Tota.t abzoxbzion aAea it A
Area Aequ.i,ced i
INSPECTED BY TITLE
P' P AD_ 7- AT E
REfiTp DATE 197
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EH 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: ~4~'/4, NCBSection I &,T 34)N,R A E (or)(A~1 Township or Municipality
Lot No. ,Block No. ~Iif T Of 2/(~ 1-4 G,(~'9 y /~fo!'~tEs~ ~D County' 61161X
-ion Name
y5, 719 A/PY 6e& AY0 1`12
Owner's%Buyers Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence-No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPL JACEMENT ALTERNATE SYSTEM OTHER
IL BORINGS 2'2, 2_3 ffid PERCOLATION TESTS IWV l3 Ifteo
DATES OBSERVATIONS MADE:
SOIL MAP SHEET Sc S NAME OF SOIL MAP UNIT Ay 6 AIWAA 26_4y /s"
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-/ 3 6P 1A CA) ~tZ S A) 13
P_
P-2- 3(0 8°~.v-COr►.~h Co . S/ Z
P- /t " D . CS
P- 3 1 y " B,v. G "Gf /sv s% Z - d ' U i~ lL ~i /3
P- s
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- 72- A OtiE > 72- '/3~l t G ^L7!,r~v S/ /o ° O. /s 3~" 0- e.$
B- Z- 72 NDA~F > 72- l7`Av 'L7'/~ S'/ /S 39"
B- 72- A104 k- 7 71) / ",C3a. L o " ekwk 1,41V - S/ „ ~s.
B- 72- slid m€- ? 7.- /,Q 2D ~asc /S 3 " Z9, CS 401 gR
B- 72 1090E 7 ;7L 9"/s-,. 4W-0 S, 33C-5.
" e S
B- Z 1V'90 7 72- / 'AA) G q„ S 17 ,.ezusSt S, !w l" s *A 'O. 3.2
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 1y60 fi~4 462 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 method
specified in the Wisconsin Administrative Code, and Mat the data recorded and location of test holes are correct to the best of my
-nowledge and belief. r
(print) Aht1eT ~fiMel e Certification No._'
5
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,;taller if known h D~ C7XG ~~/•U
- Local Authority CST Signature_Z Z__ /
A
R T. 9, VNEIL ROAD
HUDSON, WIS. 54015
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PLB State and County State Permit # l s
-67 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:
MSS- "''9RyG`'`~'~~ ~l,V.~/.
B. LOCATION: A14)'/a Section 3 T~ N, R E (or) _W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Caowly p~~ d Township $7~ TOS~~f
C. TYPE OF OCCUPANCY: `Commercial /T `Industrial "Other (specify) "Variance
Single family X Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY 1.7-019 Total gallons No. of tanks f'
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete- X 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/3 .13 Total Absorb Area sq. ft.
New. A Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Tr nches
Seepage Bed: X Length 5_Width Y_Depthy Tile depth (top) ANK; ~No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- 0-2- 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 C rtified Soil Tester, p
NAME E T 77',P/C11 C.S.T. # .~zy~'2 and other information
obtained from,90/LQF jJ Sh#,eb (owner/builder).
Plumber's Signature MP/MPRSW# Phone # 71~
Plumber's Address 2- ON O~ S O.C UDSc11/ wl fCeAIJI~ O/
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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ACWAF£c7- Gi%uF Cv"Y, BEST ~itjA o,, C eIOVSc
Do Not Ate in Space B ow FOR COUNTY AND STATE DEPARTMENT USE ON . Y
Date of Application S~ lG' C
Fees aid: State County Date /ikc-) C/
Permit Issued/Rejecte (date) ELI Issuing Agent Name
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