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Parcel 004-1034-95-000 02/15/2006 02:35 PM
PAGE 1 OF 1
Alt. Parcel 15.28.15.233B 004 - TOWN OF CADY
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 - WHEELER, BETTY J
BETTY J WHEELER
355 HWY 128
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 355 HWY 128
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 19.310 Plat: N/A-NOT AVAILABLE
SEC 15 T28N R1 5W 19.31A S 1/2 SW NW EXC Block/Condo Bldg:
PART TO STATE .29A) AS IN VOL 633/215
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
15-28N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1233/414 TI
07/23/1997 880/602
07/23/1997 818/70
07/23/1997 633/215
2005 SUMMARY Bill Fair Market Value: Assessed with:
106576 Use Value Assessment
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 28,000 165,100 193,100 NO
AGRICULTURAL G4 14.310 1,600 0 1,600 NO
UNDEVELOPED G5 3.000 1,900 0 1,900 NO
Totals for 2005:
General Property 19.310 31,500 165,100 196,600
Woodland 0.000 0 0
Totals for 2004:
General Property 19.310 14,000 93,400 107,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 511
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
F"z 4
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitvLy PeAm.it-
k State Septic
NAME TownA ip St. Ctoix County
Location % ob Section ! T_N,R W
SEPTIC TANK
Size 5-C1 gattons. Numbers o6 CompvLtment~5
Distance FAOm: We.L.L 6t. 120 on gneateA stope 6t
Bu.itd-ing 4t. wettand/s 6t.
Highwatetc 6t.
DISPOSAL SYSTEM
Distance Fh.om: WeU ~ 12% m gAeateA ztope ~ .
Bu.itding 6t. WetZand/s Ft.
H.ighwateA
FIELD DIMENSIONS:
w.iRh ob tteneh 6t. Depth o6 Hock below tite ~ n.
Length ob each Zine_Z,\) bt. Depth of Aock oven tite in.
NumbeA o6 tines Depth o4 tite betow gAade , /in.
J TotaZ Length o6 Zinez 16 Z% 6t. Shope o{ tAeneh in pen 100 bt.
Di, stance between .tines / 6t. Depth to b edto ck ~ t.
Totat ab~soAbti_on atcea ,j ~t2 Depth to gtc.oundwaten 6t.
RequiAed aAea %7 5 7~ 6t2
PIT DIMENSIONS:
Numbers of pits GAavet at ound pith yeas no
Outside d-iame eA 6`~ Depth below intet fit.
2
r Totat abz oAbt~ o /atcek 6t Az
AAea Ag uiAed g2 rn
INSPECTED BY _ C r '%-TITLE i
APPROVED SATE 19 7.
REJECTED , DATE -197-.
I
i
EM 115
' WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
C' r DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: %,t_ ^/4, Section N1', T;~eR E-+e 4 W, Township or A4 +etpafity
i _ 1Zs i X
Lot No. Block No. County
Subdivision Name
Owner's Name: A--), c-,
Mailing Address: 1ZCCa -v=,, L- 'K k4o ~►~-Sc%I~i, k)1, `f® L1
TYPE OF OCCUPANCY: Residence n No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW >C ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS` 8 PERCOLATION TESTS 3t-' IF 3,l f
SO I L MAP SH E ET / i- SO I L TYPE \
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-1 L)z )S, Z Zo~~~~,
P- Z~'
E1~5p I s , t t3,,1 s Ca►~, 0, 1 b /iz 31/z
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)
sa I& C-117 C
A•i3 C hs: Gy c 2
-76 c ' Y
Gy 6%S 18' Gtan crl ' Z
bx-T Z6'- of S7S T-1
_ ~3 '7 Ca !J Gig J TS..sy_~a 111S r1 ~ l 7
BSA C6 Ce. ko 3e~`- •17" S C > n S Z~' b-7 S~/ l0
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. }`i ~Z 1~~~El r✓ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
-L t 1 ► T' l A lZ `l~
t
t * I
.3:y yJ i if
I t
iiii.
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t i
I, ~ I I S s ' S°
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So^Lrz \%I % bU I
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.
Name (print) Certification No. 6
Address T.ci f';t Z =lole`~l~i.k>1L`T ~ j . tS Vod
Name of installer if known
CST Signature L-
COPY A -LOCAL AUTHORITY
C, J= c_
E14,115
a WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
t4 DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION:t '/4, Section I S , T7?N, R S E (or) W, Township or +oi~
County
Lot No. , Block No.
Subdivision Name
Owner's Name: fj'ru c 1rC _-!~e i 3 F-~1 C~~ 7 C7~ )AJ (a
r
Mailing Address: 7;~Z-~ ~L-Tj:' Ll
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOI L TYPE
PERCOLATION TESTS
TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
CSE L
P- 'tf
P- ) C) r=
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)
77- ? G - s 7 I3a s , 3 C, C- fS A, T 3i C, ~e Q.,;
B A& `a -1 Z K-3 C) I-,
_ 7 "Z c I.7 ' TZ, T3ii / J
.17 .2 Z L4 -7
11 7j` T ` 7 7 T< t 3 ' 'S _ I g G/ 3y G C 2
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
3
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I
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I- - -
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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.
Name (print) ::,v Ls IZ L Certification No.
Address L 1c; i-L- _ koc.)a 77}4 k2t S V W_/
-
Name of installer if known /
CST Signature ~
COPY A - LOCAL AUTHORITY
` :j l
PLB'67 State and County State Permit #
Permit Application County Per t # -
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address: No
U), l sue
B. LOCATION: . L D ' '/4, Section TjP N, R
-d~-E (or) W Lot# City
r-
Subdivision Name, nearest road, lake or landmark Blk# .5/ Village
Township e7cad
C. TYPE OF OCCUPANCY: *Commerciai _ "Industrial 'Other (specify) 'Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCE : Dishwasher YES NO Food Waste Grinder YES # of Bathrooms
Automatic Washer RYES NO Other (specify)
E. SEPTIC TANK CAPACITY f Total gallons No. of tanks
Holding tank capacity Total gallons No. of tanks
New Installation -Addition- Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~ 2) 3) Total Absorb Area f. sq. ft.
Newer/ Addition Replacement 'Fill System
Seepage Trench: No. Lin. Feet /1'0 Width Gfi~ Depth r Tile Depth 0No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
If
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land !y 0-~FFc Distance from critical slope I, 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 Certi ied Sit Tester,
NAME ~ f ftI A ~ ~~t J sr~~ C.S.T. # ? and other information
obtained from (owner/builder). _
Plumber's Signature MP/MPRSW#~ Phone #
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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R +
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We-11 To 3F- ~ cx4rr-D UP 4i LL
fOT
I IAN,. A*RD
" ' Rot ZVI 'T iAL
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: Stater', 00 CountN~A % Date
Permit Issued/ (date y _ 7 -XT Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2, state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76