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i p Wise.oniin Departm-.~nt of E{ecxltji e.nd Soclal
Plb. f167 1009
r Division o^ Health
PE~u1IT APPLICATIIN
for
PRIVATE DOi-:SS'S'TIC 5j:WAGF SYSTE:!S
A. 0- TYPE O'k
Nam r e Adc (Strec , City, Lip Code) i
B. LOCH 1, 1 CA F ,E ,1 r k ,i SYJTF11 11, Cv;iSTRUCTr'D~ AL;'F PFD Ojt n7 ;i r
C 3.
CIi f VILI(;E LEGAL L S C IPi'ION; 30
TOWNSH
lij,
C. IS LOCAL PZF'IIIT P-cOUIRFD FOR THIS WO YES NO Kk,rIT rR
D. SEPTIC ,aN'K CAPACITY Gallons NEW INSTA.L1, TIC' REPLACEMEN^1 ADDI T IC?I
Nu.TE;RIALS: Prefab Concret Poured in Pl-.ce Steel Other
N ~P,ER OiP TANIIS TO BE I-,SrAI:17- E. TYPE OF OCCUPANCY
Check One: One or Two Family Residence Induatrial Other _
Number, of Persons to he Acco,•ru:;odated~ Y--~ Nur:;ber of_Beriroo-~(Spec f
F. APo'LIANCFS, ETCs Food Waste Grinder r _ ~YES Y NO AutoRatic Clothes Washer ~ YES NO
Dis h;mi;her YES t p NO Autoratio Potato Peeler, +YES NO
Other (Specify)
G. EFFLUEP.C DISPOSAL SYSTECI NEW EXTENSION ADDITION _ REPLA:CE`LENT
Tile Size No.Lin.Feet {C _Trench_ Width Depth L,_ Number of Lines
Seepage Beds Length _ _ Width Depth Tile Size No. Lines
Seepage Pitt Inside diameter Liquid Depth -
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours hater ~Test Time DroTin Water Level Inches i u"t9s
Number Inches I Thin1m ess in Inches Since Hole 1. Hole fiinterral Seco-rd to Next to Last To Fall
1_-s Wetted (Yrerni h1 t f i_n Mi.,utes Last Period I Last PerioPa~~i.•?' C
Inch
P- 0 _ 36" Too Soil 10", C1 v 2611 25 _yes or no 1 30 112____r 1/2 1/2 60
is !i
f
tRRECOM DATA FROM M`NIMU11' OF 3 TEST HOLES
o^plrte size of absorption area in accord with H 62.20 Wis. Acninist-et-ive Code.
S O I L B O R I N G S- Minimum 361, Below Prooosed Absorption System
Boring Total DepthDapth to Ground Water Depth to Bedrock_
lriab=r Inches Cnserved EstiTtited Observed Estimated Character of Soil with Thickness in inches
xample - -
- 0 7211 7211 Black Top Soil 1211, Clay 18"; Sand 18"• Gravel 2411
l.. 1, ) I~ t 3 r ' = . J+ ~ •1 ~J
I'RECORD DATA FROM MINIMUM OF 3 BORE: HOLES
COMPLETE OTHER SIDE
f
.r
hcreY,y eentif;> th-tit ti.e perc:ol'",ion to_-ts rtpnrtnd on this form. ware n,.de by me
or under by supirvislon in aoeord with the procedures a:nri rneti;od spocifiedin Chaster H 62.20 ( d),
Wisconsin Ad:ainistr-ttive Cole, acrd that the data record,;d and lo-,a,ion of test holes are correct to
the beta of ".nor;le6ga t nd belief.
1
TITLE
(Tyoa or Print)
P , iS: iL:i'ION 1110. or NAS7Ek PL_ .Jr;.. LICEh`~s NO. ~
.
s
.,ER PL~RDa-{ 111AKiNG APPLICATION
i VIP
MID Rsw
I
3r
(To e Co:/leted by Issuinu ALent)
Date of Applica.tic'n Fee Paid
g Permit Issued (da+e) A") _ Permit Ncurber
For: ~ aL.C tire
f y l Agent (nr:s)
To 77 , illa~,e, City, County, eto.
(Specify)
Note: Tha applicatioa cannot be oonSidorad for filing until all'~qf the above questions are answered
and the fee paid. Agents will forera.rd application, the fee of $10.00 and Copy (b) of the
Permit (yello,r 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 DEPAWNiF.NT USE ONLY
a
DATE RECEIVED I I:~-1' ACCEPTED BY
RETURNED
s 1 (Initials) (Date) (see Corres.)
FEE RECEIVED t-' VALID. NO. ' 1• ri, PERIIT NO. L} :
(Yes or No)
3
rEVIE.i U f APPROVED _ DATE
(Initials) (Yes or NO)
COii:ENTS:
t
- _f
3
3
Parcel 028-1020-40-000 07/17/2007 11:00 AM
PAGE 1 OF 1
Alt. Parcel 13.28.17.107B 028 - TOWN OF RUSH RIVER
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 - GABLER, STEVEN C & PAULINE K
STEVEN C & PAULINE K GABLER
307 CTY RD Y
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 307 CTY RD Y
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.270 Plat: N/A-NOT AVAILABLE
SEC 13 T28N R1 7W 1.27 AC IN SW SW COM Block/Condo Bldg:
268.5 FT N SW COR SEC 13, TH S ALG CL
HWY 268.5 FT, TH E 215.5 FT TO CEN Tract(s): (Sec-Twn-Rng 40 114 160 1/4)
BRIDGE TH N = W LN 247 FT, TH NWLY ON LN 13-28N-17W
2 FT S OF GRAINARY 216.56 FT TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1201/119 WD
07/23/1997 803/565
07/23/1997 768/485
07/23/1997 646/145
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 04/12/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.270 22,700 131,800 154,500 NO
Totals for 2007:
General Property 1.270 22,700 131,800 154,500
Woodland 0.000 0 0
Totals for 2006:
General Property 1.270 22,700 131,800 154,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 202
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
t
PLEASANT VALLEY C ~~J~✓
RUSH RIVER ~ 19
' ~yn/^✓ T 28 N.-R. 7
SEE PAGE 31
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- } I e. ~o iss vs ~o ~ is o d
PIERCE COUNTY s
PLEASANT VALLEY TWP.->- E-RUSH RIVER TWP.
4-H GOES BALDWIN OIL
to TOWN CO. RUDE REALTY
JOIN NOW... BALDWIN, *FARMS *HOMES
WISCONSIN
STATION & TRUCK *BUSINESSES
SERVICE DELIVERIES
HAMMOND, WISCONSIN
PHONE: 684-2194 PHONE: 796-2506