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Parcel 006-1063-50-000 02/17/2006 10:22 AM
PAGE 1OF1
Alt. Parcel 29.31.16.441 B 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
O - OLSON, LAWRENCE J
LAWRENCE J OLSON
1974 220TH ST
DEER PARK WI 54007
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1974 220TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE
SEC 29 T31 N RI 6W SE NE LOT 1 CSM VOL Block/Condo Bldg:
2/592 ALSO A PARCEL DESC AS; COMM NE COR
LOT 1 CSM 2/592; TH N TO N LN NE SE; TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
W ALG N LN TO A POINT APP 24'N FROM NW 29-31N-16W
COR OF SD CSM; TH S APP 24' TO NW 1/4 SD
CSM; TH E ALG N LN SD CSM 660' TO POB
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 929/292
2005 SUMMARY Bill Fair Market Value: Assessed with:
531 Use Value Assessment
Valuations: Last Changed: 11/05/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 15,000 193,600 208,600 NO
AGRICULTURAL G4 3.000 500 0 500 NO
Totals for 2005:
General Property 5.000 15,500 193,600 209,100
Woodland 0.000 0 0
Totals for 2004:
General Property 5.000 15,500 193,600 209,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 512
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
~ AS BUILT SAPdII ~.RY SYSTEM REPORT
OWNER r t- ! t(; J';o rt TOWNSHIP _SEC. -j T~j N,
P.O. ADDRESS fl,bY. ST. CROIX WTJN'fv-, WISCONSIN
_~LL" l C - r Ir w"-) v
SUBDIVISION LOT LOT SIZE'
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 10 F~-EET OF SYSTEM
l
i
OXX G-j'
SEPTIC-TANK(S) MFGR. jG f=/S > ( ti, CONCRETE "STEEL
N0. of rings on cover Depth 5 DRY WELL
TRENCHES No. of width , length area ~j' ` IT,
BED no. of lines width length area
depth to top of pipe "
AGGREGATE 0 y ' 1) (i
PERK RATE AREA REQUIRED j AREA AS BUILT
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 f construction. St. Croix
County assumes no liability for system operatio . Hewever, if failure is
rioted the County will make every effort to dot rmine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROU TH SYS
INSPECTOR _ C~ G ,
DATED 17 LLJ' PLUMBER ON JOB
LICENSE
REPORT Or, ITISPEC' l0:l--Ii4DIVIDIJAL SEJAGE DISPMV, SYSTE11
Sanitary Permit
r State Septic
•101 IE - T01,111SHIP
• t 11o County
Si,DTIC TA71I~
t
Size g;all.ons . `lumber of Compartments --J----
Distance From: We 11 ft. 12% or greater slope ft.
Building ft. Wetlands ft
Ilighwater ft.
DISPOSAL SYSTE11 Tile Field or Seepage Pit(s)
Distance From: Well
- - ft• 12% or greater slope ft
Building. ft. -
_ Wetlands f
FIELD `Klighwater ft.
Total length of lines dumber of lines. Length of
each line 7 ft. Distance between lines l~ ft. Width of the
,trench ft. Total absorption area sq. ft. Depth
5
f rock below tale in. Dp-pth of rock over tile in. Cover
. `zwer .rock«, .~-11
~ C' Depth of the below grade in. Sloe of
trench min per 100 ft. Depth to Bedrock Depth to
ground water ft.
PITS
Number of nits Ou d'i'e diameter ft. Depth below inlet
ft. Gravel -ropnd pit: `yes no. Total absorption area
sq. ft.
.Square feet of eepage trench bottom area required
:square feet of seepage nit rea required .
Inspected by Gt l Title': _
Approved Date _197'
Rejected Date 197.
•
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MAq,ISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION!1Z-L'/4,/~_ `/a, Section 'Z~, T:dN, R/-&-E-(or) W, Township or Municipality
Lot No. , Block No. County
/ Subdivision Name
Owner's Name: k C
Mailing Address: L C ~l iC► ~f 1~-~ G C ~ti .
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS' 7S PERC LATION TESTS Z5
SOIL MAP SHEET SOI L TYPE t
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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-
l=-- J0
50 lj4-o
V
1-76 5&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)
j_.
"7 7"7!_ _:Z 7 S/l. I"Si d .11 1 /
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
r; .eded for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
10
r { i,j , f r
IT
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) Certificati n~`I o. • ~ ` 1 ~,_'`_(i
Address
Name of installer if known
CST Signature
PLB"67 State and County State Permit # ~
Permit Application County Permi # -
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 ddress: 130, ~l
B. LOCATION: _ '/a /4, Section T.3/ N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township /I-
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) 'Variance
Single family L-__~Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher LAS NO Food Waste Grinder YES 4~0 # of Bathrooms
Automatic Washer ~S NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks
New Installation L~ Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify)
E°=FLUENT DISPOSAL SYSTEM: Percolation Rate 1)/~ 2)~3)Total Absorb Area
w G-lddition Replacement *Fill System
z +~epage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
-epage Bed: Length tj 3 , Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size-
Percent slope of land__ O Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
°,Iisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
y the Certified Soil Test r, /
AME _a•r~ C.S.T. # 2 % and other information
i tained from .C ow uilcler).
"'umber's Signature MP/MPRSW#r L6 _2__-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).
If
•1.
• v
r~
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application% ~ Fees Paid: State /L r County, < < Date ) /
Permit Issued/Re,*ted (date) _Issuing Agent Name
Inspection Yes_,kNo 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)