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Parcel 042-1099-20-000 01/18/2007 02:51 PM
PAGE 1 OF 1
Alt. Parcel 35.29.18.5490 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): O = Current Owner, C = Current Co-Owner
O - GIBB, EDWARD B & SUSAN L
EDWARD B & SUSAN L GIBB
631 130TH ST
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 631 130TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 2.042 Plat: 3345-CSM 12/3345
SEC 35 T29N R18W PT MW SW BEING LOT 1 Block/Condo Bldg: LOT 1
CSM 12/3345
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
&lg0-1-- 35-29N-18W
3
Notes: r 41
Parcel History:
Date Doc # Vol/Page Type
11/26/1997 569062 1279/210 QC
3 `9 / 11/26/1997 569061 1279/209 QC
07/23/1997 1127/232 WD
7a1 -y 07/23/1997 972/99 a,rn Ink more...
2006 SUMMARY Bill Fair Market Value: Assessed with:
149925 188,000
Valuations: Last Changed: 10/23/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.042 37,700 99,500 137,200 NO
Totals for 2006:
General Property 2.042 37,700 99,500 137,200
Woodland 0.000 0 0
Totals for 2005:
General Property 2.042 37,700 99,500 137,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 302
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
Parcel 042-1099-20-001 01/18/2007 02:50 PM
PAGE 1 OF 1
Alt. Parcel 35.29.18.549C-10 042 - 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): O = Current Owner, C = Current Co-Owner
O - KEMPF, ARTHUR J & MARILYN K
ARTHUR J & MARILYN K KEMPF
W6408 812TH AVE
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ' 631 130TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 0.061 Plat: N/A-NOT AVAILABLE
SEC 35 T29N R18W PT NW SW BEING OUTLOT 1 Block/Condo Bldg:
CSM 12/3345
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
35-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
11/26/1997 569060 1279/208 QC
07/23/1997 1127/232 WD
07/23/1997 972/99
07/23/1997 721/488
more...
2006 SUMMARY Bill Fair Market Value: Assessed with:
149926 100
Valuations: Last Changed: 06/09/1998
Description Class Acres Land Improve Total State Reason
UNDEVELOPED G5 0.061 100 0 100 NO
I
Totals for 2006:
General Property 0.061 100 0 100
Woodland 0.000 0 0
Totals for 2005:
General Property 0.061 100 0 100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Health and Social Serviose
Plb, x'57 3/70 Division of Health LOT /
SEPTIC TANK PERMIT APPLICATION W 9 y~~/- (0 2 Z
d 7 2/
TYPE or USE BLACK INK
A. OWNER OF PROPERTY
Name Address (Street, City, Zip Code)
lc~~
B• LOCATION OF PROPERTY WHERE SYST::M WILL 3E CONSTRUCTED, ALTERED OR EXTENDED COUNTY
Check One:
CITY VILLAGE LEGAL DESCRIPTION
TOWNSHIP ! C
C - --~2/!
C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? ? YES NO 21 PERMIT NUMBER
D. SEPTIC TANK CAPACITY L'00 Gallons NEW INSTALLATION REPLACEMENT ADDITION
MATERIALS: Prefab Concrete Poured in, Place Steel Other
NUMBER OF TANKS TO BE INSTALLED: /Lr
E. TYPE OF OCCUPANCY
Check One: One or Two Family Residenca / Commercial Industrial Other
(Specify)
Number of Persons to be Accommodated r. Number of Bedrooms 1_;T'
F. APPLIANCES, ETC: Food Waste Grinder YES NO Automatic Clothes Washer -L YES NO
Dishwasher YES NO Automatic Potato Peeler YES NO
Other (Specify)
G. MASTER PLUMBER MAKING INSTALLATION
Name: rl, Z, uAddress: License Numbers
MP
Signature of Applioe4t: KP RSW
n
Address: j7 /^j
H. (To be Completed by Issuing Agent)
Date of Applicat'_on 1/5 ~7 Fee Paid
Permit Issued (date)! Permit Number
/ 7 ji.;, i
/ Fors /
Agent (Name) , C 1~
Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above questions are answered and th±
fee paid. Agents will forAard application, the fee of 41.OU ror each septic tanx and the third copy
of the peralt (canary) 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
I
I. DATE RECEIVED ACCEPTED BY
(Initials) (Date) -See Corres.)
FEE RECEIVED / VALID. No. PERMIT N0. Li-~
(Yes or No
REVIEWED BY APPROVED DATE
(Initials) Yes or No
COMPLETE OTHER SIDE
• SEPTIC TANK PERMIT NO.
R E P O R T O N S O I L P E R C 0 L A? I O N ? E S T
A N D S O I L B O R I N G S
TO
DIVISION OF HEALTH - PLLTIIING S=TIN
P.O.Box 309, Madison, Wis. 53701
Pursuant to H 62.20, Wis. Administrative Code
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hcurs Water Test Time Drop in Water Level Inches inutes
o Fall
Number Inaha9 Thickness in Inohas Since Hole in Hole Interval Second to Next to Last ~Tonolnch
1st Wetted Overnight in Minutes Last Poriod L°st Period Period Example
P - 0 3611 ?o Soil 10" Cla 261' 25 Yes or No 30 1 2 I L2 1/2 60
1. / G s'
/I gy
RECORD DATA FROM MINIMUM OF 3 TEST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B 0 R I N G S- Minims 361' Below Pro osed Abso tion S stem
Boring Total Depth Depth to Ground Water Depth to Bedrock
Number Inohes Observed Estimated Observed Estl=ated Character of Soil with Thiokness in Inches
Example
B - 0 72 72" f Black Top Soil 12'x; CIM L8111 Sand 18l'; Gravel 2411
RECORD DATA FROM MINIMUM OF 3 BORE HOLES
TYPE OF OCCUPANCY: .y
RESIDENCE: Number of Bedrooms OTHER: (Speoify) Number of Persons
FOOD WASTE GR LNDER: Yes No ~lw Dishwashers Yes No Automatic Clothes Washer: Yes N,)
-14
EFFLUENT DISPOSAL SYSTEM: JEW ~ EXTENSION ADDITION REPIA.C'u&1ENT
Tile Size NO.Lin.Feet / Trench Width f Depth Number of Lines
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pit: Inside Diameter ~a Liquid Depth - '
I, the undersigned, hereby aerrtfy that the percolation tests reporter on this form were made by me or under -y super-
vision in acoord with the procedures and. method specified in Chapter H 62.20 (13), Wisoonsin Administrative Code, and
that the data recorded and location of test holes are correct to the best of my knowledge and belief.
NAME TITLE
Type or Print G
REGISTRATION NO or MASTER PLUMBER LICENSE NO. J~l
ADDRESS >J 2 •~7^ ; 1~ i~
DATE ._2.1ZC% SIGNATURE
COMMERCIAL TESTING LABORATORY, INC.
511►1 Main Street, P.O. Box 526
Colfax, Wisconsin 54730 Cl:A:w '4'j
715-962-3121
800 - 962 - 5227
f ST. CROIX ZONING REPORT NO.: 283.3,4/01 `AGE 1
P ST. CROIX COUNTY REPORT DATE: 6/31./92
COURTHOUSE DATE RECEIVED: 8/27/92
HUDSON! WI 54016
ATTN: THOMAS C. NELSON
OWNER: Bob & Joe Kaner
LOCA1" 0N: 6.91-130!h Gi -
COLLECTOR', M, uenk i lls,
,-.ATE COLLECTED: 6-26-92
:,1E COLLECTED: 2:30pm
IRCE OF SAMPLE: Outside faucet
DATE ANALYZED:8-27-92
} ANALYZED!2:00pm
IFOR 0 /100 of
eve 10 ppm exceeds the recommended Public
Drini,ing Water Standard.
b4cteria/100 ml
"n.:
~ 9 ~O
.e\ Cn
~i
z
F.\NDECEN
2I"'gym WI Approved Lab No. 19 £
O P
V D
g A ; Means "LESS THAN" Deter.+ab.e Level Approved b~:
PROFESSIONAL LAE30RATORY SERVICES SINCE 1952
~ a
ST. CROIX COUNTY ZONING OFFIC
~f St. Croix County Courthous 13,
I 911 4th Street ;l
Hudson, WI 54016 ~~(J J
Telephone - (715)386-4680 The St. Croix County Zoning Office offers the servile--of.-septic'
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form ,j_q essential ,IQ that thg property can be
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning Office, 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: $ 35.00
(For nitrates and coliform bacteria)
WATER TESTING FEE: $185.00
(For VOC'S) -
h , lam'
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at time of
inspection) c$N~~
PROPERTY OWNER'S NAME: U,~--
PROP. ADDRESS:4~5~l CITY
Legal Description 1/4 of the 1/4 of Section T N-R
Town of Lot Number subdivision:
FIRE NUMBER LACK BOX NUMBER
Color of hous Realty sign by house?If so, list firm:
PLEASE INCLUDE, IF AT POSSIBLE, A HAP,i.e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
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 Numbez
REPORT TO BE SENT TO:
U
CLOSING DATE•
Signatu
ST. CROIX COUNTY
rs A 11111A
WISCONSIN
elk x: w,ZONING OFFICE
' ST. CROIX COUNTY COURTHOUSE
a YV - . ~ ,
- 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
Sept. 9, 1992
Margaret Strehlo
Edina Realty
700 - 2nd St.
Hudson, WI 54016
Dear Ms. Strehlo:
An inspection of the septic system on the property of Joe & Barb
Kaner, located at 631 - 130th St., Roberts, WI was conducted on
Sept. 8, 1992. ,
At the time of 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.
S?cerely, T
- t~
Mary J. Jenkins
Assistant Zoning Administrator
cj
-3
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
Telephone - (715)386-4680
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
completion of this form 1a essential a4 that jUm property can Dg
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning office, 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: $ 35.00
(For nitrates and coliform bacteria)
WATER TESTING FEE: $185.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at.-time of
inspection)
PROPERTY OWNER'S NAME: r S~-L
PROP. ADDRESS: ~.2 7 ~ ~ cam) CITY
Legal Description 1/4 of the 1/4 of Sectioh_' , j77 N-R2C~LZd
Town of Lot Number Subdivision:
FIRE NUMBER LOCK 13QX MNU BER I
Color of house Realty sign by house? If so, list firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A HAP,i.e,COPY OF PLAT BOOR,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
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:
c,rCe~~J~
Telephone Number ~
REPORT TO BE SENT TO '
;G
CLOSING DATE: ~C7
Signatu 6~;
VARREN
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1000 /aq
1100 SEE PAGE 17 ~Y. e6 srof r.rrr~n F2rb'/~ Ti-urt o
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1300 cs/ cr<.,x A O
1400 c'o~nsy,
1500
BE A 4-H Dependable Hybrids From
Dependable People
Richard N. Kamm
1382 - 100th Avenue
CIBA_ TM Roberts, Wisconsin
Seed Division GEIGY -
Call: 749.3332
I!
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f.. ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
- - - 1.
1101 Carmichael Road
Hudson, WI 540 1 6-771 0
(715) 386-4680
i
June 6, 1995
Kathy Doornink
631 130th Street
Roberts, WI 54023
~~f I Cf
RE: Water Test Results for Kathy Doornink
Address: 631 130th Street, Roberts, WI
Dear Kathy:
Enclosed is the original test results from Commercial Testing
Laboratory, Inc. for water inspection of the above property. If
you have any questions regarding these results, please do not
hesitate in contacting our office.
Sinc rely,
im Trlompson
Assistant Zoning Administrator
db
Enclosure
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800- 962- 5227
FAX - 715 - 962 - 4030 c
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t
}T.CROIX CTY GOV.CTR RFPORT rjA,rE: 6/02/c'
%101 CARMICHAEL ROAD
;4 itsc;.i "IT -
j1Q-
4A
631 130th St.,
,tiLLECTOR2 Jim COLLECTED: 5--24r
COLLECTED: 2200;.-•
~ Z
"E OF SAMPLE*
ANALYZED:5-25-95
ANALYZED 2'00pm
..~OR~4'MFCC, 0 1140 mi. ~I
.RPRETATION: Bacterioiogically SAFE
9 ppm
we 10 ppm exceeds the recommended Public
err: ;;n•~ ;i, j,~n t^
OF HDEGENOE^,l
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y
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N, ® D~.
PROFESSIONAL LABORATORY SERVICES SINCE 1952
i
-y C RO I X COUNTY
WISCONSIN
ZONING OFFICE
_ "'ST. / COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
SEPTIC INSPECTION / WA TEST REQUEST FORM
Please specify desired test(s) & remit appropriate fee with
application. Outside water lines are often turned off during
winter months, making access to the home necessary. Please make
arrangements with this office to insure that entry can be gained.
❑ Water (VOC's) $185.00 ❑ Septic $50.00
;,Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria
retest $15.00
Owner: Requested by: flG'4ii, LCD
Address: 3p~; t ; ~'j Address
to U. z I P .5 j Ga-~-c
ZIP
Telephone N4: (7 1 5) Telephone N4: ( )
Property address (Fire N° & Street) : -~1 130'- 5t
Location: 1 ' Sec. , T _N, RW, Town of L%j0a Q~ t
Realty firm: Lock Box Combo: Closing Date:
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS
Water sample tap location: cc,,s: " K V - 41L: c
Is the dwelling currently occupied? Yes ❑ No
if vacant, date last occupied:
_
Age of septic system:
Septic tank last pumped by: Date: 6~~i.~ 14
Previous Owner's Name(s)
Have any of the following been observed?
❑Y Slow drainage from house.
❑Y Sewage Back-up into dwelling.
❑Y PfN Sewage discharge to ground surface or road ditch.
❑Y W Foul odors.
Other comments relative to system operation:
I certify that the above information is complete and true to the
best of my knowledge.
l
OWNERS SIGNATURE: 41 DATE: ~ .(~..J
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
T - -
i a
N
n~
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? OYes ❑No
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: OBelow grd ❑At-Grd OMound
Approx. size 'X []Gravity []Dose OPressurized
Ft.' []Bed []Trench []Dry well
[]Holding Tank OOutfall pipe
OBSERVED DEFICIENCIES []Other []Unknown
Septic tank
Setbacks: ❑House []Well OProp. line OOther
Dose tank
Setbacks: ❑House []Well ❑Prop. line []Other
OLocking cover []Warning label []Pump/Floats
[]Alarm []Elec. wiring
Soil Absorption System
Setbacks: ❑House []Well ❑Prop. line []Other _
❑Ponding: _ []Discharge:
INSPECTORS SKETCH OF SYSTEM LOCATION 1
i
i I
Inspector
Title
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