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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. 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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 i 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 j\ Ym y d ~ I A J 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 I I i