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Parcel 036-1088-20-000 01/11/2007 03:16 PM
PAGE 1 OF 1
Alt. Parcel 34.31.17.530 036 - TOWN OF STANTON
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 - DALTON, MICHAEL J & MARK J
MICHAEL J & MARK J DALTON
1759 HWY 64
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1759 HWY 64
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 34 T31N R17W 40A NW NE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
34-31N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
10/12/2005 809156 2907/272 QC
07/23/1997 1065/188 WD
07/23/1997 798/101
2006 SUMMARY Bill Fair Market Value: Assessed with:
166992 Use Value Assessment
Valuations: Last Changed: 05/06/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 35.000 6,400 0 6,400 NO
OTHER G7 5.000 20,000 260,900 280,900 NO
Totals for 2006:
General Property 40.000 26,400 260,900 287,300
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 26,400 260,900 287,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 129
Specials:
User Special Code Category Amount
I
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
ER , TO,,TNSHIP SEC. T ' N, R W
_
ADDRESS _
, ST. CROIX COU-Y, W_ISCONSL'~.
DIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYT'dING WITHIN 100 FEET OF SYSM
! rp Y
F1, I
I
I I I I ! ) j ~ I
-TIC TAITK(S) YLFGR. CONCRETE STEEL S ca e r~.
NO. of rings on cover ~ Depth (2' _ DRY WELL
.~";CHES NO. of width length area
no. Of lines *.width length ~ area
depth to top of pipe
a.EGATE
RATE AREA REQUIRED AREA AS BUILT
.claimer: The inspection of this system by St. Croix County does not imply complete
.Diiance 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
~r-dne cause of failure.
USES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTLH.
'-INSPECTOR
DATED PLGr; iF3ER ON JOB R ,
LICENSE NUIMBER -
REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Santitan y Penmit7
State Septic /
NAME
Town.t,hi p St. Chatix County
Location Section. Lot # Subdivision
SEPTIC TANK
Size ga2.E?on6 Numbek o4 eompan.tments
Distance loom: Wetf Bu.itd.ing 12% scope
H,ighwa te&
PUMPING CHAMBER
Size ga fgn6 _ Pump Manu{ac un.ete Model Numbers
HOLDING TANK
S-i.ze._ ga tons Number o4 Compaktments
Pumpers A.(?akm System
Distance (nom: Wet _ Bu-itding -12% mope.
Highwaten_ _
ABSORPTION SITE
Bed Tkeneh
~ r~
Di.dtanee loom: Weft Buitding 120 s ope
H.ighwate.n
ABSORPTION SITE DIMENSIONS
Width oU zn.eneh ft Requited area 4t
10 Length o4 each fine 4-t Depth o6 n.o ck b etow t,ite in
Numben o{ tines Depth o6 noek overt Cite in
Totaf teng.th o6 Ines 11 o Depth o6 tite b etow glade .in
Distance between fines - ~ 6t S.Qope oA toeneh in. pee 100 bit
1>
Tota.Q ab6oteption area ? {t Type o4 Coven.: Papek on. 6',tn.aw
PIT DIMENSIONS
Numb e.n o6 pits Goavet around p-it6 yep no
.
Outside d-iamete.k (It Depth beEow -inKet
Totat ab6onpt,ion area Ut
An ea 4eq uired s 6t
INSPECTED BY TITLE
APPROVED DATE 198
REJECTED DATE 198
REASON FOR REJECTION
REPORT ON INSPECTION OF SANITARY PERMIT #
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
.Name, ~ ress; cense NO. o Install Ong Plumber Time of Inspection
(3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
BENCHMARK: (Permanent reference Point) Describe:
Elevation of vertical reference point: Slope at site:
(5)MATERIAL AND DEPTH OF SEWER:
(6)SEPTIC TANK: Manufacturer: Liquid Capacity:
Tank Inlet Elevation: Tank Outlet Elev:
# ft to lot or property line: # ft to well:
M DOSING TANK: Manufacturer: # of gallons:
# of gallon pump set for a cycle gallons; total capactiy of distribution
lines gallon; size of pump head; gallon per minute ;
horsepower ; brand name of pump and model number
Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO
8 HOLDING TANK: Manufacturer o gallons
construction depth to the cover ft; If septic tank is
being used are baffles removed? ❑ YES ❑ N0; ft from residence;
ft from well; ft from property line. Type of warning device
Is the warning device installed? ❑ YES ❑ N0; Wired? ❑ YES ❑ NO;
Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ;
Distance from building to vent
(9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth;
ft to residence; ft to well; ft to property line;
ft to ordinary high water mark of lake or stream; ft to edge of slopes
greater than seepage pit inlet pipe-elevation ft; bottom of
seepage pit elevation ft.
(10) SEEPAGE BED SIZE: ft width; ft length; tile depth;
lineal feet tile; ft to residence; ft to well; ft to lot or
property line; ft to ordinary high water mark of lake or stream; ft to edge
of slopes greater than 20% falling away toward lakes, water courses or drainage ditches
Elevation of tank discharge line entering bed ft.
11 SEEPAGE TREN H: Total length of seepage trench ft; width ft;
tile depth ft; ft to well; ft to ordinary high water mark of
lake or stream; ft to edge of slopes greater than 20% falling away toward lakes,
water courses or drainage ditches; elevation of tank discharge line entering seepage
trench ft.
(12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO
(13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO
DILHR-SBD-6095 N.05/80
Signature of Inspector:
r
PLB 67 State and County ~f/Cvyt 0y" - State Permit
Permit Application County Permit
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED 'g-/< 146
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: i' Section T, T N, R 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 es Duplex No. of Bedrooms No. of Persons
/,ZOO
D. SEPTIC TANK CAPACITY 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.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft- Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length Width Depth /'r - Tile depth (top) No. of Lines
Seepage Pit: Inside diameter. Liquid Depth No. of Seepage Pits
Percent slope of land-1 , 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 - C.S.T. # and other information
obtained from
' owner/guilder).
Plumber 's Signature Phone #
MP/MPRSW#
s. -
Plumber's Address
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 Fes tPaid: State y- 6' Dat
Permit Issued/R~-Z9r- (date) _5 -Issuing Agent Namo 2. ~
Inspection YesNo State Valid# Date Recd
1. county (wh tl e 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
AFFIDAVIT
STATE OF WISCONSIN )
ss.
COUNTY OF ST. CROIX )
JAMES W. DALTON, being first duly sworn, deposes and states:
1. That he is the owner of the NW-1, of NE-14 of Section 34, Township 31 N,
Range 17 W, St. Croix County, Wisconsin
2. That he makes this affidavit in support of his building permit
application on file herein.
3. That presently on the premises are situated a house and a mobile
home, two dwellings.
4. Affiant recognizes local building regulations limit the parcel to
two dwellings without subdividing.
5. Affiant does not presently desire to subdivide the parcel.
6. Affiant desires to proceed forthwith to construct the new dwelling
and estimates it will be sufficiently complete to occupy on or about April 7,
1981..
7. Affiant further represents within 30 days after the completion of
the dwelling, that is May 1, 1981, he will cause to be removed from the premises
the mobile home dwelling so that the parcel conforms to the local ordinance of
two dwellings.
Further affiant sayeth not.
f
mes W. Dalton
Subscribed and sworn to before me
this J day of July, 1980.
Notary Public
} ✓\~NV1iv ✓v~A r+
ROGER M. RUETTEN
NOTARY PUBLIC--PA INNESOTA
' WASHINCTON COUNTY
My Comm scion EzP;re,. Aug 30 !V6
sc y~,,^. ;n.^.^f✓,,~nntivwwv,,
v,ti^~vwvwv .
,-JOHN E. LVALSH
GARY R. SCHURRER
ATTORNEYS AT LAW
SUITE 300 STILLWATER 612 - 439-4695
LUMBERMAN'S EXCHANGE BUILDING
127 SOUTH WATER STREET
P. 0. BOX 142
STILLWATER. MINNESOTA 55082
July 21 , 198%
Mr. Harold Barber
St. Croix County Zoning Adm.
Hammond, Wisconsin 54015
In Re: James Dalton
Dear Harold:
Sometime back we discussed the matter of constructing a new home
on the Dalton Farm referenced in the attached affidavit. Of
course, the boys are farming and are exceptionally busy in the
summer so as of yet there has been nothing done other than the
perc tests. What we will need is the winter months to complete
the house, however they would like approval at this time to com-
mence construction in the event time and farm work allows.
I trust you will find everything in order.
Best personal regards,
`John E Walsh
t~
JEW:gw
Enclosure
cc: Jim Dalton
C 1 1 5 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:1'1a-1%NC_ '/4, Section T LN,R&E (or) W, Township or Municipality S 4/<~
Lot No. , Block No. Sf' C'rd +i _ ~F
County
Subdivision Name
Owner's%Buyers Namee:.- i Le_ 12A /Ac-1n/
Mailing Address: ~J R -a A~,_j W.:C / ~.5, S S/~/'7
TYPE OF OCCUPANCY: Residence-XNo. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION T/~ESTSS
SOIL MAP SHEET 2 NAME OF SOIL MAP UNITTSA 7t S:`~ ~c yN1
EAU d Y Su d S~rA ~uK~
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD I PERIOD 2 PERIOD 3
P- ve- S~~ ~c+re f oZ W10 0 3'/ 3 .3
P- lle- -5e e- Se,. A10 lo .2y _a72
57-
P- 3 S e e go-re &A,4
0
j
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- / 6 „ C) e_- > 4' S _391",6( i B- Z c1 `110.. S 42 P.41 / ',S " k-6, .t S " .Gj~iCS (rr
B- y
t " a
B- 96`' *s a../ s rs ,C`"t-4s 4
B- 6>.vle - 0 rs' 14, / fr,CS h .CswGf
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 &/-5-y 2, 0e-<)_' Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. ,S K c fgb/e /-1r e,9
i iGOr SY
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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) /0 'e ~je"j Certification No.
Address cr.,(. toj'S, YG'/r%
Name of installer if known-
Copy CST A -Local Authority