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Parcel 042-1034-60-000 01/09/2007 04:00 PM
PAGE 1 OF 1
Alt. Parcel 13.29.18.2040 042 - TOWN OF WARF,EN
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 - RASMUSSEN, GLEN E & JULIE K
GLEN E & JULIE K RASMUSSEN
1430 HWY 12
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1430 HWY 12
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.322 Plat: N/A-NOT AVAILABLE
SEC 13 T29N R18W 1.322 A IN SE SW LOT 1 Block/Condo Bldg:
CSM VOL 4/983 ORD -
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1067/521 WD
07/23/1997 918/06
,/7 51tP
2006 SUMMARY Bill M Fair Market Value: Assessed with:
149226 216,000
Valuations: Last Changed: 10/22/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.320 28,900 128,700 157,600 NO
Totals for 2006:
General Property 1.320 28,900 128,700 157,600
Woodland 0.000 0 0
Totals for 2005:
General Property 1.320 28,900 128,700 157,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 127
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
OWNER -,-4. , • . -
TOWNSHIP SEC. T. -'N R i W
ADDRESS ~ .
-ST. CROIX COTY -WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN'VIEW
Distances & dimensions to meet requirements of H62,20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
y b
i
. /1
d"
I di a e oath Arrow 1 `
rr -
SCAL
SEPTIC TANK (S) MFGR.~. CONCRETE STEEL
No. of rings on cover Depth 11
PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO.
GALLONS Per Cycle
TRENCHES NO. of with length area
BED NO. of lines width length f area
dept to top of pipe
NUMBER OF SEEPAGE PITS Outside ameter total pit area
AGGREGATE
PERK RATE RE REQUIRED fi AREA AS BUILT 1
Disclaimer- The inspection of this system by St. Croix Cbvnty does not imply
complete compliance with State Administrative Codes. There are other areas than
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 TfilS SYTEM.
INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
JIVIMERCIAL TESTING LABORATORY, INC.
514 Main06treet, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121 M2:~&;
800 - 962 - 5227
f , i:iJ:4 i.itif`~l i i~Y`iJh f Uii a't• : ii~f u~/~Y'1
COURTHOUSE MATE RECEIVED: 10/02/91
?UDSON, WI 54016
VIA-
I ~ 2l. I ~ y
)WNER: n
OCATION: 1430
XLECTOR: M.
:)Pm
,Dove W PPm exceeds ib
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PROFESSIONAL LABORATORY SERVICES SINCE 1952
[D-I-qt
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CROIX COUNTY ZONING OFFICE
911 4th Street
'-Hudson, WI 54016
1
t!~`, F Telephone (715)386-4680
t
The St. Croix Co. Zoning office offers the service of septic and
water inspection to Lending Institution, Realty Firms, and
private individuals.
COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE
LOCATED.
Please provide the following information, enclose appropriate fee
made payable to ST. CROIX CO. ZONING, and mail, along with form
to the above address. Testing will be done as soon as possible
after fee and form are received.
WATER TESTING FEE:$ 25.00 7/
(For nitrates and coliform bacteria)
WATER TESTING FEE:$175.00
(VOC'S)
SEPTIC SYSTEM INSPECTION FEE:$ 25.00
PROPERTY OWNERS NAME: ;+0- Gig-,+.a -t~SU r)
PROPERTY OWNERS ADDRESS : 143o H WV • 1 CITY: 66-fs
Legal Description SfE 1/4, ..1/4, Sec. l3 , T N-R_l W,
Town of Y~~1~rr~►'1 Lot: No. I Subdivision
FIRE NO. y LOCK BOX NO.
Color of house brcwrn Realty sign?w-.r, Firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT
BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. r.-Y
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 No . ~ ~ i a- ~a$-49r4 -5 ' '14q- -
REPORT TO BE SENT TO:
CLOSING DATE: i1
signature:
L
Aj I
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4-
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AS BUILT SANITARY SYSTEM REPORT
OWNER
'p
ADDRES TOWNSHIP SEC - T,
ST. CROIX C UNTY WISCON1SIN IN. R1 --W
SUBDIVISION
LOT
LOT SIZE
P N'
Distances & dimensions to meet requi
rementsWof R62,20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
f
M i
s t r
f
cv. y
I di a e o th Arrow '
SC AL ' '
SEPTIC TANK(S) MFGR. ~
CONCRETE
1(STEEL
N0. o_ rings on cover Depth
PUMPING CHAMBER SIZE PUMP MFGR.
GALLONS 'Cycle _-'L NO.
TRENCHES NO. of wi t
BED NO. of lines length area
width -length
deptF~ to top o pipe Si area -
NUMBER OF SEEPAGE PITS
AGGREGATE OutsicZe` ameter total pit area
PERK RATE T
RE REQUIRED /-),//S AREA AS BUILT
Disclaimers The inspection of this s
complete compliance with State Administrative Codes. Therrenaredotheroareaslthn~
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 IS SYTEM.
INSPECTOR
DATED
- yC PLUMBER ON JOB
LICENSE NUMBER
ii
~l xrr9' sc' yulT~"
X,v
'sea~e -
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1000
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31b
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ST. CROIX COUNTY
M i^
WISCONSIN
3
ZONING OFFICE
V'A' XN
J .n ST. CROIX COUNTY COURTHOUSE
,
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
~I
Oct. 4, 1991
Lynn Bishop-Pidcock
FBS Mortgage
120 South 6th St.
Minneapolis, MN 55402
Dear Ms. Bishop-Pidcock:
An inspection of the septic system on th Rita Gustafson property
located at the SE 1/4 of the SW 1/4 of Section 13, T29N-R18W,
Town of Warren, St. Croix County Wisconsin (140 Hwy. 12) was
conducted on October 1, 1991. At the same time a water sample
was obtained for testing. The results of that testing will be
sent to you as soon as we receive them back from the laboratory.
At the time of th 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 inspection. This does not in any way
warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system may be dependent upon proper
maintenance of the system.
It was noted by this inspector that the septic tank is located on
the edge of the driveway, and approximately one foot from the
garage. Wisconsin Administrative Code, Section 83.15(4)(a)
requires that septic and other treatment tanks shall not be
located within 5 feet of any building or its appendage. From
existing records it appears that the garage did not exist at the
time of the septic system installation, but was constructed at a
later date.
Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
JJr
Mary.J. ,'idnki s
Assistant Zoning Administrator
cj
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
- (715) 386-4680
Oct. 10, 1991
Minnesota Title
502 2nd St.
Hudson, WI 54016
To Whom It May Concern:
On October 1, 1991 an inspection of the septic system on the Rita
Gustafson property located at the SE 1/4 of the SW 1/4 of Section
13, T29N-R18W, Town of Warren, St. Croix County Wisconsin was
conducted. It was noted that the septic tank is located
approximately one foot from the garage. While this is not in
compliance with Wisconsin Administrative Code, the County Zoning
Office will not require moving the septic tank. It appears that
the building permit for the garage/family room was issued in
error. In order to achieve total compliance at this time, the
property owner may apply for a variance (to the administrative
rule) to the Department of Industry, Labor and Human Relations.
If they wish to do so,'this office will be happy to assist them.
Should you have any questions please feel free to contact this
office.
S' ncserely,
Mar--. /J nykilis
Assistant Zoning Administrator
cj
IZIPOKT 01 INSPtCTION - INVIVIOUAL SL.UTAGE SYSTLM
San 4--1,1 t1 P( Stab! Sep;r~.c.
,'AME Towvt's St. Choi x Counts
u~attun ~j - _Secr.tiuvr_/3 Lot N Subd-i.visli.ovr
I P-I I C TANK
Si z e a. f to vt,5 N u m b e- n- o6 e u m p a vL t rn e, n t b ~y
1 Lance (it uIn : (fie-e(___._..._.- Hutit d%ng - 12 o 6 0pe
1-1 hw a t e. n.
UM PING CHAM8tEIII
Si zC gafkon6 Pump Manu.6aetuh.en Mode.e. Number
1) 1 No IAN K
~i zc ga.ePuvte Numben_ o{ Cumpan;trrle.vta5
1 urt~ ,tit A. arm St stem
1 ranee Oom: WeI
H.i.clhwaten.
It_ti 01: PT I ON S l TL
Lied x l o - - T it e vt c Gt
i tiLanes- (I nom Wve f Iiu,iXd~.n r2a 6 ode
IICghwaten
1,S01,N)I ION S1-1L 0IMENSIONS
w d ,t It a t /t e a c h .t R e v u.r. h e- d a A e-a----__-_- - t
Icvtytl, 06 each e,~vte 0 ~.t Depth u6 nucFz be1'.uw ti,.Ye Z tiY)
Numbo> l u0 e.iyte" Depth u6 roc-h oven .t-i-E'e -ki.
i
f lutae ecki(101 o6 e -i.vtee cx Cl - 6t Depth uh t-i.ee. beeow grade ,~~n
0)iAtuvwc be-tvveen ktft Seupe u( tnencIt ~ in.. pe.,n_ 100 At
Iutae tblult-ptT un aIi ea -_f t type 06 Coven: Y ~e.n un. s.tkaw
All 11 01 MI N_ti l ONS
Numbest u() pith Gnavek- a,,tou.nd p,(, t6 -Y C, 6 Y1
0u tn; tlc di amts -te/t ~jt De.pth beeaw inee:t 6t
l u taX ub unp.ti uvt ~~te,:c ~t
A,teU 1ic((fit!t~t -t
J
w :PI CII D k)Y 1ITLI
I'I'I;OVt U tl DATE ! 19 80
tI C11 U DATE 19 8
I A';0N 1 0K' I:I fI CI ION
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State and County State Permit #
PLB-67
Permit Application County Per izt #
m for Private Domestic Sewage Systems County J'` ,,Cn % X
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: '/~SGY '/4, Section T N, R (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 ~J 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 concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons P efab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New X_Replacement Alternate (Specify)
Seepage Trench: No. of Line I Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: _Length 10 idth Depth-3(, Tile depth (top) -No. of Lines -=;2
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- / . Distance from critical slope
'v'VATER SUPPLY: Private A 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 ied Soil Test ,
NAME ? s _ ' C.S.T. #-and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW#Phone #1 ~5 '
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 STATEbPARTMENT USE QNp rq
Z.11) 0
Date of Application //Fees Paid: State l- C n ate
Permit Issued/Rejected (date) <n7+-'E~2 Issuing Agent Name
Inspection YesXNo 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
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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:s& ,/4,_<,;&_%, Section /--J ,T~N,R Y (or) W, Township or Municipality may-
Lot No. , Block Nn. County t C
Subdivision Name
Owner's/Buyers Name: _ Icl Sc y1+ 11
Mailing Address: w~ rr~ a y ~>v1 t $ C
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW~REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGSPERCOLATION TESTS
SOIL MAP SHEET /1-6 - -,lf•_)s NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
RATE
NUM- SINCE HOLE HOLE AFTER INTERVAL
MIN; IN
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- 3& 17 -36 JF
P- f rc 1~ ~i '=v
P- Jt I 9 .e)
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- S
B-
B- 3 > S;/ ►j V6 4 _5~ 0- ei)
~
B- - Gs " . ES Yv S,4-"',
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indi'c'ate on the plan the ocation and square fee 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.
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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). •i~> Certification No.
Address 41~ "I 94J,4~ I (A.) -
Name of installer if known
Copy A -Local Authority CST Signatur