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SEE PAGE 47 S
SEE PAGE 45 5.
/3.
PLAT BOOK COMMITTEE
SALES COMMITTEE Cont'd. on page 61
Mr. James Ray Mrs. Charles Smith Mr. Jim Ruemmele
Mrs. Gordon Mueller Mrs. Ross Pierson Mrs. Miles Casey
Mr. and Mrs. Bob Phillips Mr. Robert Hater Mr. Al Franko
Mrs. Guy Wilbur Mr. Don Matysik Mrs. Judy Ferguson
Mr. and Mrs. Merton Vrieze Mrs. Joe Lohmeirer Mrs. Willard Johnson
Mrs. Robert Gardner Mrs. Robert Hanson Mr. and Mrs. John Steele
Mrs. Freida Fellinger Mrs. John Lavelle Mr. Robert Condon
Mr. Leon Holle Mrs. John Glassbrenner Mr. Del Polzin
Mr. Steve Thompson Mrs. Harlan Johnson Mr. LaVerne Karastes
3
I Wisconsin Depar•ttnent of Health and Social Services
d57 10f69 - Divisien of Health
y PER"1IT APPLICATION /
3 for
PRIVt.TE DOMESTIC SEWAGE SYSTEMS k.7
i
S
i
A. C„'NER OF PROPER11f TYPE OR USE BLACK INK
e Name p=~~ Address (St'reet' City, Zip Code)
Canty
B. LOCATION OF ?ROP'r~R'PY WH FE SYSPEN WILL BE CONSTRUCTED, ALTERED R EXTF-17DE'D
Check One:
CITf VILLAGE LE,'AL DF.SCRiPTIG1:
a TOWNSHIP _ ~s
C. IS LOCAL PE ,IT FE2UIFCD FOR THIS W0 :LK? YES NO PFR IT NU2ER
y r~;
D. SEPTIC TANK CAPACITY / Gallons ' l;:Erl INSTALLATION REPL.ACF.;''F;;?' ADDITION
MA itRIALS: Prefab Concreta x poured iri Place Steel Other
NUEJER OF TANKS TO BE IASTALLED: f
E. TYPE OF OCCUPANCY
Check One: One or Two Family Residence Commercial Industrial Other
(Specify)
Number of Persons to be Accommodated C-3 Number of Bedrooms -S
F. A?PLIANCES, ETCs Food Waste Grinder YES / NO Automatic Clo-.hes Washer X. YES NO
Dishwasher YES NO Autocratic Potato Peeler YES _ NO
.Other (Specify)
G. EFFLUENT DISPOSAL SYST,K NEW ~ EXTENSION ADDITION REPLACEMENT
Tile Size ~.r! No.Lin.Feet ✓ ta, Trench Width S Depth Number of Lines
Seepage Beds Leng=th Width Depth _ Tile Size No. Lines
Seepage Pits Inside diameter S 7T Liquid Depth -
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours Water Test Time Droo in Water Level Inches inut9s
Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to jLaat To Fall
1st wetted Cvernight in Minutes Last Period Last Perio Period One Inch
Examp 1 e
I
P- 0 3611 To Soil lfl" Clay 261t 26 es or no 30 1/2 1 2 1/2 60
7 ~L C b t; < /S
77
RECOFU DATA FROM IMINIMUM OF 3 TEST HiLES
ompute aize of absorption are, in accord with H 62.20 Wis. Administre,ive Code.
S O I L B 0 R I N G S- Minimum 36" B91ow Prop sad Absorption Systtm
Boring Total Depth Depth to Ground Water Deoth to Bedrock i
umber Inches Observed Estimated Observed Estimated Character of Soil with Thickness in Inches
Example
-.0 72" 72" Blaok To Soil 12"; Cla• 18"; Sand 16" Gravel 2411
RECORD DATA FROM MINIMUM OF 3 BCR~H.9 -S
COMPLETE OTHER SIDE
I, the undersigned, hereby certify that the percolation tests reported on this fonn were made by me
or under by supervision in accord with the procedures and method specified in Ch.1pter H 62.20 (3),
:p Wisco;istn Actninist native Code, and that the data recorded and location of test holes are correct to
the test of m,/ knowledr;e and b~lief.
Nub / / - t / .j TITLE
(Type or Print)
i
REGISTRATION NO. or MASTER PLUi,"BER LICENSE No.
DAT SIGNATU
MASTER PLUIrJE2 MAKING APPLICATIGI
MP
Signature - r = License Nu:ber:
Wc Completed by Issuing Agent)
Date of Application 1, Fee Paid
Permit Issued (date) /2 Permit Number
Agent (name) I ,(r J 1? t For:/
Tovm, Village, City, County, etc.
(Specify)
Notes The application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be made
payable to the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
G~
DATE RECEIVED 7 r ACCEPTED BY RETURNED
(Initials) (Date) j(See Colrres.)
FEE RECEIVED VALID. NO. PERMIT NO. (Yes or S7o)
REVIEWED BY APPROVED DATE
(Initials) (Yes or No)
CMIENTS :
Parcel 006-1030-50-000 06/26/2007 03:20
PAGE 1 OF 1
F 1
Alt. Parcel 14.31.16.201 B 006 - TOWN OF CYLON
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 - BURTON, KENNETH J LE
KENNETH J LE BURTON C - HARPER, DAWN M
DAWN M HARPER
2156 250TH ST
DEER PARK WI 54007
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 2156 250TH ST
SC 1127 CLEAR LAKE
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 13.330 Plat: N/A-NOT AVAILABLE
SEC 14 T31N R1 6W 13.33A S 1/3 OF SE NE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
14-31 N-1 6W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/18/2004 754526 2511/396 OC
01/07/2004 750963 2487/293 TI
02/23/1971 303943 469/264 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/08/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 13.330 35,000 115,600 150,600 NO
Totals for 2007:
General Property 13.330 35,000 115,600 150,600
Woodland 0.000 0 0
Totals for 2006:
General Property 13.330 35,000 115,600 150,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 512
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00