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Parcel 042-1043-60-000 01i10i2007 02:13 PM
PAGE 1 OF 1
Alt. Parcel 16.29.18.247A1 042 - TOWN OF WARREN
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
0 - WINZER, JAMES W & JUDY
JAMES W & JUDY WINZER
964 110TH ST
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 964 110TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE
SEC 16 T29N R18W 3A IN SE NW LOT 1 CSM Block/Condo Bldg:
VOL 3/757 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
16-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill M Fair Market Value: Assessed with:
149302 268,000
Valuations: Last Changed: 06/22/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 42,500 153,000 195,500 NO
Totals for 2006:
General Property 3.000 42,500 153,000 195,500
Woodland 0.000 0 0
Totals for 2005:
General Property 3.000 42,500 153,000 195,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 139
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
OWNERS i TOWNS I-IIP~~'M C. /(e_ N, R/9 W
ADDRESSJXi I : ST. CROIX COUNTY WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 17FT OF SYSTEM
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'ALA
- I Indi cate North Arrow
' SCALE :
SEPTIC TANK(S) MFG R. _ CONCRETE ~STEEL L. ,
----L~2-
N0. of rings on cover Depth _ _
PUMPING CHAMBER SIZE _ PUMP MFGR_ - MODEL NO.
GALLONS Per Cycle
TRENCHES NO. of width length- area _
BED NO. of lines 2 width Z length ~ Z area
depth to top of pipe 'Z,' i
NUMBER OF SEEPAGE PITS Outside diameter total pit area
AGGREGATE
PERK RATE AREA REQUIRED-10n5-40, AREA AS BUILT a Sl+~' -
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 SYTE-M--``-
INS i ~.2~-9
DATED, PLUMBER ON JOB
LICENSE NUMBER
z ,
REPORT Of INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary Perrn.i.t QS~(_
• State Septic
NAME~F6 I Vj -2e V, Fowneh.ip W6L rre_YA S Croix County
Location ~ 6) ltq Section
SEPTIC TANK ' Aiw,_
Size )0()() gattona. Numbe4 o6 Compar.tmen.ta
DiA Lance From: We.1'.e ' it. 12$ on greater atope it
Bu.itd.ing 2 it. We.ttanda
6~.
DISPOSAL SYSTEM Highwa#en
D.ia.tance Fnom: Wett it. 12% on greater 4tope it.
Bu.itd.ing it. We.ttanda Ft.
H ighwa.ter it.
FIELD DIMENSIONS:
Width o6' -trench 1 5L it. Depth o6 no ck b etow. -tit e in.
Length o6 each tine ~+(c it. Depth o6 rock oven -t.ite 2 in.
Number 96 tine, Depth o6 .t.ite below grade 22- in,
To.ta., .Eeng.th o6 t.inea 6.t. Stope o6 .trench in pen 100 it.
D.i.a.tance between 2.ine.6 6t. Depth .to 'bedrock
To.taC abaorbtion area 6#2 Depth to groundwater
Required area S it 2 Type o6 Coven: Papers on Straw
PIT DIMENSIONS:
Number o6 p.i.t6 Gravet around p.i.tz yee no
Ou -6 ide diameter. Depth below .inte,t it.
Totat ab6onb.t.ion are it z
A
Area required 6.t2 M
INSPECTED' TITLES`
APPROVED DATE 197 U~c)
REJECTED - ,DATE 197.
rl(
~T
b State and County State Permit #
PLB67 d Permit Application County Permit #
/X
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNS OF PROPERTY Mailiny Address:
B. LOA ION: '/4 '/4, Section TAN, 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 Duplex No. of Bedrooms No. of Persons_
D. TYPE OF APPLIANCES: Dishwasher --Y-ES NO Food Waste Grinder YES # of Bathrooms)
Automatic Washer DES NO Other (specify)
E. SEPTIC TANK CAPACITY 100c3 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement- Prefab Concrete
*Poured in Place Steel L~ Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 6 2) 5 3) .5Total Absorb Area 6 / sq. ft.
New t----Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length Width /G Depth J1 Tile Depth ~ , No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Ig Y- Distance from critical slope
1, 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 Ce ified Soil Tester,
NAME + (gi p t4-,NN V) , ~r C.S.T. and other information
obtained from / own builder).
Plumber's Signature f" MP/MPRSW# /b °l Phone #A Y~-5 y
Plumber's Address L
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
{L -
e _
,2
Do Not Write in Space B low - FOR DEPARTMENT USE ONLY
Date of Application ees aid: State County Date . f f`/
Permit Issued/Rejected ( ate) lf U _Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county (white copy) 3, owner (green copy) DIVISIO10F EALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
Revised Date 6/1 /76
'EH 115
W]SCCANSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION:6/1 1/4, Lw Section , Tf~7_N, R Lf L (or) W, Township or Municipality r~~//' e"
Lot No. Block No. County '51 Ci 1
Mailing Subdivision Name
W14-
Owner's Name: J17,V1 c 5 z" ' r
Address: dInhe''
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOI L MAP SHEET -s~_ - SOI L TYPE _ %~,r1e J~ Si Z_
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN'/IN
P
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
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B f<
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of s 'table areas. Indicate number square feet of abs pti ea
needed for building type and occupancy. ica a scale
or distances. Give horizontal and vertical reference points. I d' ate slope.
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I, the undersigned, 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. I
Name (print) 1- ,~jt'r~ / 4,511P 1h S Certification No.
Address i e- -2 0
Name of installer if known
CST Signature4, ,
COPY A -LOCAL AUTHORITY