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Parcel 042-1033-70-000 01/10/2007 09:57 AM
PAGE 1 OF 1
Alt. Parcel M 13.29.18.1988 a is 042 - TOWN OF WARREN
Current ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
01/25/2006 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - RHK FARMS INC
RHK FARMS INC
1382 100TH AVE
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 981 140TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 5.040 Plat: N/A-NOT AVAILABLE
SEC 13 T29N R1 8W 5.04 A IN NW NW LOT 1 Block/Condo Bldg:
CSM VOL 3/685 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 587/356
2006 SUMMARY Bill Fair Market Value: Assessed with:
149215 Use Value Assessment
Valuations: Last Changed: 07/11/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.040 25,000 80,700 105,700 NO
AGRICULTURAL G4 4.000 200 0 200 NO
Totals for 2006:
General Property 5.040 25,200 80,700 105,900
Woodland 0.000 0 0
Totals for 2005:
General Property 5.040 25,200 80,700 105,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 15.00
Special Assessments Special Charges Delinquent Charges
Total 15.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
T6NER TOWNSHIP SEC. T N R
W
Z/ 73 111
.0, ADDRESS , ST. CROIX COUNTY, WISCONSIN.
~ ~,VBDIV'ISION LO~~`~" S
t~ L~T SIZE ,
PLAN VIEW
-Distances bdime lions to meet requirements of H62.20
ZZi f.2
m
c7 A
1
.r
A~
r
"?TIC TANK (S) MFGR. - CONCRETE STEEL
O, of rings on cower-Depth DRY WELL
r"NCHES NO. of.~ width_ lengthTI~ area
no. of lines width len h area
depth to top of pipe
RELATE _.~_r
2K RATE /AREAI~R UI~D AREA AS BUILT
:claimer: The inspection of this system by St. Croix County does not imply complete
rrnpliance 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
item operation. However, if failure: is noted the County will make every effort to
ermine cause of failure.
.,EASES AND,OILS .SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
DATED 41 PLUMBER ON JOB
LICENSE NUMBER
• t
Z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.izaAy Putm.it
State Septic
NAME ~Townsh.ip c S$. CAo.ix County
Locat.iox Section 1 _
SEPTIC TANK
l
S.iz~i'~:%.= _ga.ttons. Numbers oS CompaAtmen.ts
Distance Fnam: Wett 5_1 it. 12% on gnea.teA sZopeit
Bu.i.Ld.ing it. We.ttands ~ .
H.ighwaxeA a it.
DISPOSAL SYSTEM .
Distance Fnam: Wet.e. X00 it. 12$ on gneaten stape St.
Bu.itd.ing St. Wettand.s Ft.
• H.ighwateA -it.
FIELD DIMENSIONS:
W.id-#h oj trench it. Depth oj rock betow .t.ite C2 •in
Length oj each tine mac' it. Depth o6 Aock oven -t.ite ~ .in.
Numbers o6 tines SS' Depth oj t.iZe below gnade_.2_~in.
Totat .length as 2,inez it. S.Eope o6 .trench in pen 100 it.
Diztance between tines 4~ i•t. Depth to bedrock S~•
Toxa.C abs onbt.ion anea'Z?' D St2 Depth to gnoundwat
S a en is S to aw
..RequiAed area 5 .
Covet- P
2 Type aS p
PIT DIMENSIONS:
Number o6 pit-6 Aavet around p.it~s yes no
Outside d.iame.t S . Depth below .inte.t it.
2
Totat abdonb n a ea it
A
2 rz
Area Ae it
INSPECT 8Y TITLE
I -
APPROVED DATE 0197.
REJECTED DATE 197.
i
1
i C
E H • 115 Rev. 9178
• REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION: Section' Tom=%'N,R,~_aE (orCW ownship or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's/Buyers Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms / COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT y ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS L - eU PERCOLATION TESTS
SOIL MAP SHEET 4>0 NAME OF SOIL MAP UNIT
..NUTC~ Ors/ fr TF_- /.v1f~E'GT/O~ I
PERCOLATION TESTS,,,,
TEST HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE
MIN/IN
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD I PERIOD 2 PERIOD 3
r r
P-
8r,
P-
P -
SOILBORING TESTS t z.
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- z- ~ s- -
B- r, Lam.
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 Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
cz. _25
~ O
V
40
N
QP ~'vr rc !r'~ -
` ~crZ IFI ~dX
. ~ 73 ooU
E -
-41, 4_1 4
3... .a m . _4__4 F i`7 _
e i I
a I 9 i
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) Certification No.
Address o gr-y~Pj-- ~i v~~ c'~~~ y✓/..~ S`~~ Z
Name of installer if known r'-~-
Copy A -Local Authority C, IS T _~i
r
FL13* i State and County State Permit #
6 7 „ ( w 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:
B. LOCATION: Section TN, RE (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township _ i
C. TYPE OF OCCUPANCY: 'Commercial "Industrial `Other (specify) "Variance
Single family j..,= -Duplex No. of Bedrooms _ No. of Persons
D. SEPTIC TANK CAPACITY JQ'~ Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete- I--*-- Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement i---~
Lift Pump Tank or Siphon Chamber Total gallons Pre ab concr to Poured in Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate
thillilit ' sorb Area sq. ft. '
New Replacement terpt$ (Specify)
Seepage Trench: _ SO No. of Lineal F 9 Width Depth~Tile depth (top) No. of Trenches
Seepage Bed: Length Width Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land !5 Z e2 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 Cert ed Soil Tester,
i
NAME C.S.T. end other information
obtained from _~owner/builder). r L
Plumber's Signature _ /M W# -'Phone
Plumber's Address-- 74
'
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 dimen ' n cation of wells on t pr per or neighbors
I/ v. If well
"lip ease ind444
'
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,
E
-~c~-c•-~~' CAL
L.
lip
3
Do Not Write in Space Be w FOR COUNTY AND STATE DEPARTMENT USE 0 Y vi- Date of Application 00 ee Paid: State County ate
Permit Issued/Reject (clte) ) 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