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Parcel 008-1091-80-000 02/22/2006 08:19 AM
PAGE 1 OF 1
Alt. Parcel 32.28.16.485C 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 - LANGER, STEPHEN J
STEPHEN J LANGER
34 230TH ST
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 12.580 Plat: 0268-CSM 03/0670
SEC 32 T28N R16W PT NE SE LOT 1 CSM VOL Block/Condo Bldg: LOT 1
3/670 & NE SE LYING SLY N LN LOT 1
EXTENDED TO W LN EZ+U-1499/248 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
32-28N-16W NE SE
Notes: Parcel History:
Date Doc # Vol/Page Type
04/29/2003 719245 2222/535 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
138973 154,900
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 27,000 73,600 100,600 NO
UNDEVELOPED G5 6.000 2,800 0 2,800 NO
PRODUCTIVE FORST LANDS G6 4.580 5,600 0 5,600 NO
Totals for 2005:
General Property 12580 35,400 73,600 109,000
Woodland 0.000 0 0
Totals for 2004:
General Property 12.580 35,400 73,600 109,000
Woodland 0.000 0 0
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
. MILT SANITARY SYSTEM REPORT
OWNER ~fe4xe ~crs~G TOWNSHIP Zau C-ollc SLC..3L TZ N, R A- W
P.O. ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOTLOT SIZE ~LC r~ <
L PUN VIEW
Di, s c i's to neet requirements of HG2.20
's ~ n
to Ski T y .~TNtj WITHIN 100FEET OF SYSTEM
M+ lp Gam` - .0 ~
~ per, ` y , _;i - 9
'S
~f Seale,
u>r, Ro a d
SEPTIC- TAILC 1FGR, STEEL
CONCRET`T , S NONO
of rings on cover Or, e- Depth DR:' WELL
TRENCHES No. of width length area
I3ED azo. o lines 2 dt-Ti - T--, 1engLh y" area
deptt iitt~o -top of pipe ,3O lSO For/Je_L!_
•AGGRE.GATE
PERK PATE Z9 AR?-A REQUIRED AREA AS BUILT? °
DISCLAIMER: The inspection of this system by St, Croix County does not imply
complete compliance with State Administrative Ccdes. There are othcr areas
that it is not Possible to inspect -:.t this point of construction. St. Croi:':
Count"
noted : . l O L .Z will Lc)
GREASES AND OILS SHOULD NOT BE DISPOSED `I!1!1%01j(,H HIS SY TEM.
INSPECTOR
DATED
I'LLMER Oil .7()ia
LI'CE., SE 4
e
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itaA y Penm.it-
State Septic
NAME a. Township - c c St. CAoix County
Location % ab Section _T 'N R,'."-, W
SEPTIC TANK
Size Y F ~ gaUon/s. Numbers a6 Campa)Ltment/s
D.i,stance Pram: WeZ.L 6t. 12% an gAeateA z.Lape jt
Bu.itd.ing it. WetZand/s .
HighwateA it.
DISPOSAL SYSTEM
Distance FAam: WeU 12% aA gAeateA .sZape it.
Bu.itding _it. W et.Lands Ft.
HighwateA it.
FIELD DIMENSIONS:
Width a6Aench it. Depth a6 AacFz be2awite gin.
Length a6 each Zine t. Depth a{y Aack aveA tite in.
NumbeA a6 Zinez Depth a6 tite beZow gAade in.
Totat .length o6 2.inez it. S.2a pe o6 tAench in pen 100 it.
D,i/s Lance between Z.inels1. it. Depth to b edAa cFz - ~ .
Tatat abls mbt.ion atcea Depth to gAaundwateA ~ .
Requited aAea it2
i
PIT DIMENSIONS:
NumbeA a6 pit.6 j GAavet aAaund p-it6 yes no
II
Outz.ide diametvL it. Depth betaw inZet it.
2
II A
Tatat absarcbtian aAea it z
AAea AequiAed it2 rn
INSPECTED BY <,..1 --TITLE
APPROV E-D" P DATE
/ 197.
REJECTED DATE 197
~1 4
~1
MEIN"
EH 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
C(/-" ~ a / /e
R/61P (or) W, Township or
LOCATION: /'/4, '/4, Section j, T S- ON ,
Lot No. , Block NO- County 5)4'
V ~S~d' gion Name
Owner's Name:
Mailing Address: gG,✓~~
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT Q
DATES OBSERVATIONS MADE: SOIL BORINGS _ 7- 7Y PERCOLATION TESTS J 7~
-'~2
SOIL MAP SHEET SOIL TYPE
_ PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS ICHARACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER F 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
/Vo do
P-,3, t1 y rr it /C) If L/ w /0 ja 2
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED IGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- or L rr m - /4z
Z l( 5 P is o s rr aU 14 u
rr
B
04 1 l r J r n n r/ r~ r/
5 r it 7 T
B-o 1( Sc:~ r r rc n r r
r J t( u ti 'r a ~[[JLr/
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) T
Indicate on the plan the location and square feet tabl2ppeas. Indicate number of square feet of absorption area
needed for building type and occupancy. s ' - Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
S
.C e- 17
0
All
b 0
Ori %e
I
I -s t4. 7* e +
ok eta c s`
- - -
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) IE-VI a ~ACertification No.
Address r
Name of installer if known Lc_
CST Signature
COPY A -LOCAL AUTHORITY
State and County State Permit #
PLB67 Permit Application County Permit #
for Private Domestic Sewage Systems County S7~', ` Ry~ LAS-
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
Ldw~w;
B. LOCATION: NE /4 '/4, Section T N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township _AU 1IC
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons //~2r e
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES_,)< NO # of Bathrooms--
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY _.10Q_-Total gallons No. of tanks _O/V-f-
"Holding tank capacity Total gallons No. of tanks _
flew Installation X( Addition Replacement Prefab Concrete
'Poured in Place Steel Other (specify)
'EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)~ 3) Total Absorb Area sq. ft.
i` ewA Addition _ Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
seepage Bed: Length--f/~ Width Depth -36, Tile Depth2 No. of Lines i_
Seepage Pit: Inside diameter %A Liquid Depth _ 4 Tile Size
Percent slope of land_ Jo 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 / T l~ d J.~ey C.S.T. # and other information
()ntained from (owner/builder).
Phone #6,?4 X-3 7?
":umber's Signature MP/MPRSW#
Plumber's Address
LAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
41e LI;9e 7 xeo-es
VIP-
/y-o
Zt.
well 6
NIA II - QC)~,O- \A01(p
5
Q V~1e11 - ~"ccm S~pfi'►~~k,
~►~td 2a'~o~ 1
Do Not Write in Space Below) FOR DEPARTMENT USE ONLY
Date of Application ~;I Fees Paid: State ,f c C 'tlCount Date -
Permit Issue (date) _Issuing Agent Name
Inspection Yes o Valid# Date Recd
1. county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)