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Parcel 008-1098-90-000 02/22/2006 08:33 AM
PAGE 1 OF 1
Alt. Parcel 35.28.16.530A 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): D = Current Owner, C = Current Co-Owner
CRAIG A & JOY L ROSENBERG O - ROSENBERG, CRAIG A & JOY L
45 250TH ST
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 45 250TH ST
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 19.730 Plat: 3756-CSM 3/3756
SEC 35 T28N R16W PT NW SW BEING CSM Block/Condo Bldg: LOT 1
13/3756 LOT 1 19.730AC
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
35-28N-16W
Notes: Parcel History:
Date Doc P Vol/Page Type
11/19/2003 74-/015 2459/311 WD
11/02/1999 61129 1467/579 WD
07/23/1997 858/46
07/23/1997 852/179
2005 SUMMARY Bill Fair Market Value: Assessed with:
139038 307,100
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 34,200 163,200 197,400 NO
UNDEVELOPED G5 2.000 900 0 900 NO
PRODUCTIVE FORST LANDS G6 12.730 17,800 0 17,800 NO
Totals for 2005:
General Property 19.730 52,900 163,200 216,100
Woodland 0.000 0 0
Totals for 2004:
General Property 19.730 52,900 163,200 216,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2x01 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
A S B U I L T S A N I TA R Y P, E P 0 R T
Ot~'R~ER. ti , Township.., , Sec. F n Tn. td, R u .,w
P.O. ADDRESS : Norm Coimty, Wisconsin
Subdivision Lot Lot size
PLAN VLr7
Distances & dissensions to meet requirements of Sec. H62.20
i
4
Septic tank(s)~~~Iifgr. Rio rings 1 Dept to cover
Dry yell size J Tyne of Aggregate w'v t Covered with
Depth of seepage systeriVent caps in placE! number used
DISCLAI.--7~1.1Z: The insp•°ction of this system by Pierce County does not imply complete
co.:nliance with State Administrative Codes. There are other areas that it is impossible
to inspect at this point of construction. Pierce County asstmes no liability for system,
operation.
PLUMBER ON JOB.
i
DATED: LICENSE I:'UMBEH:
Z
-REPORT OF INSPECTION INDIVIDUAL SELVAGE SYS -EM
Sanitad-y Penmit--?'f
State Septic,-,; NAME - > Township ' - St. CdLoix County
Loca iaW,' % a~i`L< Secxian` T.% N,R!,,W
SEPTIC TANK
Size / ! gatton3. Numbers o6 Compatctment6~
Distance Fdom: Wett - 12% m gtcc.a,tetc 6tope it
Bu,itd.ing it. Wettand,5 t.
DISPOSAL SYSTEM H,i.ghwatetc 4t.
Di6tance Ftcom: Wet 12% otc gtcc:atetc stope
Buitd-ing it. Wettands Ft.
H,i.-g hw at vt it.
FIELD DIMENSIONS:
Width o6 ttcench ' it. Depth o6 nock below tiZe i -~7 .in.
Length o6 each tine J ~ it. Depth o{y tc.ock oven Cite - .in.
Numbed- ob Una Depth o4 tite below gtcade gin.
TotaZ tength of tine,6 ' it. Stope o6 ttcenc-h Z in pen 100 it.
Distance between tinez - it. Depth to bedAcck / 6t.
Totat ablsmbtion aAea 6t2 Depth to gtcot,ndwatetc ( it.
2
Requtid.ed atcea `l ~ it
PIT DIMENSIONS:
Numbe& of pits Gtcavet ad.ot,nd pits ye/s no
Outside diametetc it. Depth below .in.Let it.
2
Tota.L abzotcbtion atcea it a
E D.
AAea nequitced it2 rn
f
I INSPECTED BV TITLE
f
f APPROVED , DATE 19 7
REJECTED DATE 197
4
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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
LOCATION: '/4, SW Section J5-, T 28N, Ri6 E (or(W)Township or Municipality Eau Gallo
Lot No. , Block No. County St. Croix
Owner's Name: Terry Blue Subdivision Name
Mailing Address: RR 1 Spring Valley, Wise
TYPE OF OCCUPANCY: Residence $ No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 11-6-7$ PERCOLATION TESTS 11-7-78
SOIL MAP SHEET 1FF-27 SOIL TYPE Onamia Chetek Complex
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 48 48" Sand No 10 2" 2" 20 5
P-~ 48 48" Send 4 No 10 2" 2" 2" 5
P 3 48 6" T.S. 42" Sand 4 No 10 2" 2" 2" 5
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)
B_ 1 84 None 84" Sand
2 84 none 84" Sand
B_ 3 84 None 84" Sand
4 84 None 84" Sand
B_ 5 84 None -TS 78" Sand
6 84 None 6" T.S. 78" Sand
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. 4195 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.
Name (print) Stephen Le Baby Certification No.__06
Address Woodvilley Wise _
Name of installer if known Aaby Plumbing & Heating, Woodville, Wis
CST Signature
COPY A - LOCAL AUTHORITY
• State and County State Permit
PLB67 Permit Application County Permit #
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:
Terry Blue iiRl Spring Valley. Wis 54767
B. LOCATION: - _'/4 /4, Section T 2 _ N, R 1_ E (or) (W) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township F.au Galle
C. TYPE OF OCCUPANCY: *Commercial *industrial `Other (specify) *Variance
Single family X Duplex No. of Bedrooms 3 No. of Persons 1
0. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste Grinder YES X NO # of Bathrooms 1
A'Atomatic Washer X YES NO Other (specify)
SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks 1
`Holding tank capacity Total gallons No. of tanks
?'~w Installation X Addition Replacement _ Prefab Concrete X
Poured in Place Steel Other (specify)
FLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)53) 5 Total Absorb Area 49 sq. ft.
w X Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet 62 Width _ 0 b Depth 80 Tile Depth 360 No. of Trenches _2_
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 276 Distance from critical slope None
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
','%Jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
NAME Stephen L. Aaby C.S.T. # 1406 and other information
obtained from Owner (owner/builder).
P'lumber's Signature MP/MPRSW# 5184 Phone #x698 - 2407
Plumber's Address 0 e. se
PLAN VIEW: Provide sketch bellow 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 FQR DEPARTMENT USE ONLY
44 ~G County Date
Date of Application Fees Paid: S
Permit Issued/Rsjeeted (date) Issuing Agent Name - -CL C
Inspection Yes/YN0 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
TRANSFER FORM
L,~ _ ~ ~ ~ T SANITARY PERMIT
State Permit #
Sanitary Permit #
County
Sanitary Permit Transfer Date Original Permit Issuance Date
A. Property Location: Section T -N, R E (or) W Lot # -City
Subdivision Name, Nearest Road, Lake or Landmark BILK # Village
Township
B. TYPE of Occupancy: Commercial Industrial Other (Specify)
Single Family Duplex No. of Bedrooms Variance
C. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab Concrete Poured-in-place Steel Fiberglass Other(Specify)
New Installation Replacement
LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify)
D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No. Trenches
Seepage Bed: Length Width Depth Tile Depth(top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. Seepage Pits
Percent slope of land Distance from critical slope
E. WATER SUPPLY: ❑ Private ❑ Joint ❑ Community ❑ Municipal
Present Sanitary Permit Holder Phone No. Sanitary Permit Transferred To: Phone No.
Name Name
Address Address
Zip Zip
I, the undersigned, do hereby certify that 1 have reported all revisions to the sanitary permit and that all revisions are in accord with
section H 62.20,, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared
by the Certified Soil Tester and/or any additional soil tests that may have been required.
Plumber's Signature MP/MPRSW # Phone # -
Plumber's Address
Information obtained from (owner or agent)
PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord
with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh-
bor's,proper If well has dot been drille~lla jica
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Signature of Issuing Agent
1. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH
2. State (White copy) 4. Plumber (Green',copy) P.O. BOX 309, MADISON WI 5370"i