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Parcel 006-1012-30-000 08/25/2005 05:03 PM
PAGE 1 OF 1
Alt. Parcel 6.31.16.91A 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
WILLIAM E & ANNA MAE STUNTZ O - STUNTZ, WILLIAM E & ANNA MAE
2008 CTY RD H
DEER PARK WI 54007
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 2008 CTY RD H
SC 0119 AMERY
SP 1700 WITC
Legal Description: Acres: 26.879 Plat: N/A-NOT AVAILABLE
SEC 6 T31 N R1 6W 26.879 ACRES SW SW FRL W Block/Condo Bldg:
88T OF SW SW FRL
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-31 N-1 6W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1084/257 WD
07/23/1997 843/228
07/23/1997 809/636
2005 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/26/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 15,000 160,100 175,100 NO
AGRICULTURAL G4 20.000 2,800 0 2,800 NO
AGRICULTURAL FOREST G5M 4.879 7,000 0 7,000 NO
Totals for 2005:
General Property 26.879 24,800 160,100 184,900
Woodland 0.000 0 0
Totals for 2004:
General Property 26.879 31,800 160,100 191,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/1712001 Batch 512
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC.W
P.O. ADDRESS ST. CROIX TNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100FEET OF SYSTEM
sL" y
1
1
i l~ l l Vii, a7~ 5 -
1
SEPTIC-TANK(S) MFGR. . CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
TRENCHES No. of width length area
BED no. of lines ,.1 widt length area
depth tt~ top of pipe
AGGREGATE/ /4--'/ L ~ ',,,S I)~ (I
PERK RATE AREA REQUIRED AREA AS BUILT j c l
DISCLAIMER: The inspection of this system by St, Croix County does not imply
complete compliance with State Administrative Codes_ There are other areas
that it is not possible to inspect at this point of construction. St. Croix
r County assumes no liability for system operation. However, if failure is
noted the County will make every effort to determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPECTOR
'
DATED '~yPLUMBER ON JOB
y - - _ _ LICENSE
REPORT OF IIISPLCTION-I743DIVIDUAL SEWAGE DISPOSAL SYSTEM
Sanitary Permit` az
Sta:;e Septic
_
IE X41, T61I1S1IIP
Croix Counter
S^PTIC TA"I"
.,ize /db gallons . "lumber of Compartments
tt
Distance From: 'fell ft, 12% or greater slope ft.
Building 49 ft, Wetlands ft
ti Ulighwater ft.
SP~S.4T. SYSTL:I Tile Field or Seepage Pit(s)
Distance From: sIell /Q Q ft. 12% or greater slope ft
Building G S ft. Wetlands,/ ~f~.
FIELD ;ihcrater f t .
Total le~ of lines /0 ft, Humber of lines Z
Length of
each line -11-Ft. Distance between lines ft. •Width of the
trench ft. Total absorption area --4 Z sq. ft. DcptL,
of rock below, tile 21-in. Depth of rock over tile. . in. Cover
aver.roci- Depth of tile below grade in. Slope of
trench in ner 100 ft. Depth to Bedrock / IA+ft. Depth to
d
around water ft.
TS
Number of pits Outside diameter ft. Depth below inlet
ft. Gravel around nit: __yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
_,quaL
f et of seepages
Ins-P - d--_b y . L e ,
Approved Date 197
Rejected Date 197.~~
.
` State and County State Permit # 4~ 8
PLB67 Permit Application County Permit # _
for Private Domestic Sewage Systems County . ex-0i
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
25,4
B. LOCATION: /4 '/4, Section, N, R E (or) W Lot# City _br .1,6 Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES~,Dishwasher (/"YES NO Food Waste Grinder YES~NO # of Bathrooms
Automatic Washer _YES NO Other (specify)
E. SEPTIC TANK CAPACITY 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)1-&__3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length S3 , Width Depth ~ Tile Depth No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth Tile Size rf
Percent slope of land y Ili- Distance from critical slope
1, 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 Certifi d Soil Tester
NAME _ C, c, /i AC.S.T. # _6- S - /and other information
obtained from (owner/builder). _ y
Plumber's Signature MP/MPRSW# _Phone # `J
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
r _
Do Not Write in Space Below FOR DEPARTMENT US NL'6.Q
D
Date of Application Fees Paid: State 10 County V
rL/!J~~
Permit Issued/Rejected (date) -Issuing Agent Name
Inspection YesrNo 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
t.,,J, f)0.~: nr..
RT f3.'! 50 l_. Ed tEr111IC5 EbAI: _ w~
N' R l_ (oi Township or Municipr,'
_uix(ivision ('-lamp
Narne:
)F CY,V' 'ANCY, Residen,.,e No. of Bedrooms OtPer
ENT [)t C)StA`.. SYSTEM: NEV - - -----AUGlTIOCV-_.: --------R.
° i AT T CTS
7[3JEF faTIONS MADE: SGI1. BORINGS _ ---_._FC :RC_Al_..,, . 1(:)nt : F..:'
SHE i SOIt_TYPC.__''~~
PERCOI ATION TE",
o ~ _
r? CHARACTER OF Soft.
HE SINCE HC~LE ,HOLE AFl EFi' iN(_R lrAL
D Ft R r h+1?;"
< fHlCkIVFSS {N fN~IiFS 1S'(" WETTEV Sthiwt_LING I IN M:NUrEb pari0:, 2EPI0
77
° I
SOIL BORING TESTS
l.'d.:HES CHARACTER OF SU;I_ WITt-i THWKNESS, INCHES
t !Lr3cS Ut3ccRVFJ ESTIMATED HIGHEST (UF.:FTH TOSEUROCK IF OBSERVED)
F& - - - - _ r___ r - - -
-
t.,`%N VIEW {Loc<<':a percok ion tests,soil bore holes and suitable soil ire?z.;
irate on the ctan the lc ~rtlo I and scruaPe feet of suitable areas. Ind;catr.- nt+rober of square fee, of :r
a..c
fry
ry:..,:.jed for building iVpe ?nd ,,cupancy/. __4z
Jistances. Give horizontal and' vertical reference 01rrts. Indicate Slope.
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