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Parcel 008-1064-50-000 02/21/2006 11:33 AM
PAGE 1 OF 1
Alt. Parcel 22.28.16.330 008 - TOWN OF EAU GALLE
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 - FALDE, VERLYN & PATRICIA
VERLYN & PATRICIA FALDE
229 CTY RD BB
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 229 CTY RD BB
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 22 T28N R1 6W 40A NW SW Block/Condo Bldg:
I
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-28N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
138726 Use Value Assessment
Valuations: Last Changed: 08/04/2005
Land Improve Total State Reason
Description Class Acres
RESIDENTIAL G1 3.000 36,000 143,900 179,900 NO
AGRICULTURAL G4 20.000 1,900 0 1,900 NO
UNDEVELOPED G5 6.000 1,400 0 1,400 NO
ENTERED BEFORE 2005 OPE W7 11.000 7,300 0 7,300 NO
Totals for 2005:
General Property 29.000 39,300 143,900 183,200
Woodland 11.000 7,300 7,300
Totals for 2004:
General Property 29.000 39,300 143,900 183,200
Woodland 11.000 14,700 14,700
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 513
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 138.00
Special Assessments Special Charges Delinquent Charges
Total 138.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
^.IER / TOWNSHIP; SEC. T - 0`7N, R A W
D. ADDRESST ST, CROIX COUNTY, WISCONSIN.
_3DIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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- _ ICI
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?TIC TANK (S) MFGR. STEEL
CONCRETE
NO. of rings on cover C~ z,-- Depth DRY WELL ,_70 n
-]NCHES NO. of width length area
3 no. of lines width-/,--- ' length ' area
depth to top of pipe ::K RATE f~ AREA REQUIRED AREA AS BUILT
~i
sciaimer: The inspection of this system by St. Croix County does not imply complete
_Cliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
item operation. However, if failure is noted the County will make every effort to
-ermine cause of failure.
_;ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`'INSPECTO
G
DATED f~~ ✓ - j~ PLUMBER ON JOB
R)
LICENSE. NUMBER 1, y) 41 X -f
RFPOI;T OF ITISPECTION--1NDIJIDUAL SL?•TAGE DISPOSiV, SYSTE:-1
Sanitary Permit J J
r State Septic
Jul 1E
sue.-~ ~L ~ TOWNSHIP
t. Croi County
MR. TA'11I
Size
7 gallons . 'Dumber of Compartments
Distance From: ?Nell ft. 12% or greater slope ft.
Building ft, Wetlands f.
Iiighwater ft.
DISPOSAL SYST::1 Tile Field or Seepage Pit(s)
Distance From: 'Nell ft. 12% or greater slope ft
Building --~ft, Wetlands f
FIELD iiighwater ft.
Total length of Iines/`2O ft, Number of lines Length of
each line _ft. Distance between lines G~ ft. Width of the
trench t. Total absorption area - sq, ft. Depth
of rock below tile '-in. DV-pth of rock over tile in. Cover
..,over. rock., -
LA,= Depth of file below grade
; in. Sloe of
trench in ner 100 ft. Depth to Bedrock ~ ft, Depth to
around water ft,
PITS
Dumber of pits 0 tsi' `,der 2_ft. Depth below inlet
i
ft. Gravel a-roun; es no. Total absorption area
\
sq. ft.
Square feet of seepage tr~nch bottom area required
Square feet of seep _e nit e required
Inspected by: Tit 1 e':.
Approved lc , Date 1972.
Rejected Date 197`
l
E14 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: ff-"A/4, 50/4, Section a-A, TcAOIM, R (or) W, Township or qty ~p U11 le-
Township
No. , Block No. County
S bdivision Name
Owner's Name: Y °~.-R l-j N we
Mailing Address: w:w
TYPE OF OCCUPANCY: Residence No. of Bedrooms > Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE:: pSOIL BORINGS_ ,Q ~7- 7Q PERCOLATION TESTS lp - 7-P
SOIL MAP SHEET SOI L TYPE A~ / 4 f " ~I C► a j'1
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ -1, X 11~_ _~2'_
P-& z4 No So
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)
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PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of s itabl 4reas. Indica;e number of square feet of absorption area
needed for building type and occupancy. 9V Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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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. L
Name (print) Certification No. c7 Y' 6
Address r W t $
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
State and County State Permit #
Permit Application County Permit #
PLI367
Cf~Q-x
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:
Ve eCI.y F,41--We- LJ I -S
B. LOCATION: IV VV '/4 '/4, Section T N, R 6 (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~/lc1 f1 ~lG
C TYPE OF OCCUPANCY: *Commercial *Industrial_ *Other (specify) *Variance
Single family X Duplex No. of Bedrooms 72!&9,-3 No. of Persons-v~ee
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste GrinderYES X NO # of Bathrooms
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY O d Total gallons No. of tanks _0-Vd
*Holding tank capacity Total gallons No. of tanks -
New Installation X Addition _ Replacement _ Prefab Concrete X
*Poured in Place Steel Other (specify)
' FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) f ~ 3) _/;~r Total Absorb Area sq. ft.
?yew Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
epage Bed: Length S. Width Depth ~Tile Depth $iLrr No. of Lines
Seepage Pit: Inside diameter Liquid Depth_ Tile Size Y7
Percent slope of land- Distance from critical slope _
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
%isconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
ay the Certified Soil Tester,
i`:AME g7" t c~ o c~ 1~ C.S.T. # and other information
oi_,tained from cc3N iP (owner/builder). Phone #6d ~~7d
'lumber's Signature MP/MPRSW# - --1-- cr
Plumber's Address e t
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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Do Not Write in Space Below c FO, DEPARTMENT USE ONLY 00
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Date of Application ~0 -'3,~ - Fees Paid: State Countyc_ ~ Date / - 2d '/7c _
Permit Issued/R.eintSed (date) 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)