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Parcel 022-1092-10-000 01/24/2006 05:09 PM
PAGE 1 OF 1
Alt. Parcel 8.18.P497 022 - TOWN OF KINNICKINNIC
Current X 32. 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 - PESKAR, VERNON E & STANLEY G
VERNON E & STANLEY G PESKAR
113 S LIBERTY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 113 S LIBERTY RD
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
L gal- escription: Acres: 37.300 lat: N/A-NOT AVAILABLE
SEC 32 T28N R18W NE NE EX(~ PARCEL DESC lock/Condo Bldg:
AS NE NE NE EXC THE E 175' THEREOF
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 522/02 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
143964 Use Value Assessment
Valuations: Last Changed: 08/11/2005
Description Class Acres Land ;Improve Total State Reason
RESIDENTIAL G1 1.000 20,000 149,600 169,600 NO
AGRICULTURAL G4 21.300 2,100 0 2,100 NO
AGRICULTURAL FOREST 5M 13.000 32,500 ( 0 32,500 NO
(OTHER ~7 j 2.000 20,000 59,600 79,600 NO
Totals for 2005:
General Property 37.300 74,600 209,200 283,800
Woodland 0.000 0 0
Totals for 2004:
General Property 37.300 48,100 168,200 216,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 308
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
01/25/2006 08:20 AM
Parcel 022-1092-10-100
PAGE 1 OF 1
Alt. Parcel 32.28.18.497A 022 - TOWN OF KINNICKINNIC
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 - PESKAR, VERNON E & JUDITH ANN
VERNON E & JUDITH ANN PESKAR
113 S LIBERTY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.700 Plat: N/A-NOT AVAILABLE
SEC 32 T28N R18W PT NE NE NE THE NE NE Block/Condo Bldg:
NE EXC THE E 175' THEREOF
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 522/02 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
143965 Use Value Assessment
Valuations: Last Changed: 06/11/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 2.700 300 0 300 NO
Totals for 2005:
General Property 2.700 300 0 300
Woodland 0.000 0 0
Totals for 2004:
General Property 2.700 300 0 300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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PIERCE COUNTY
Parcel 022-1085-90-100 01/24/2006 05:08 PM
PAGE 1 OF 1
Alt. Parcel 29.28.18.464A 022 - TOWN OF KINNICKINNIC
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 - PESKAR, VERNON E & JUDITH ANN
VERNON E & JUDITH ANN PESKAR
113 S LIBERTY RD
RIVER FALLS WI 540
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.200 Plat: N/A-NOT AVAILABLE
SEC 29 T28N R18W PT SE SE SE THAT PT OF Block/Condo Bldg:
THE SE SE SE LYING S OF TN RD EXC THE E
175 THEREOF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
29-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 522/02 QC
2005 SUMMARY Bill Fair Market Value: Assessed with:
143911 Use Value Assessment
Valuations: Last Changed: 06/11/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 2.200 200 0 200 NO
Totals for 2005:
General Property 2.200 200 0 200
Woodland 0.000 0 0
Totals for 2004:
General Property 2.200 200 0 200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 022-1085-50-000 01/24/2006 05:07 PM
PAGE 1 OF 1
Alt. Parcel 29.28.18.461A 022 - TOWN OF KINNICKINNIC
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 - PESKAR, VERNON E
VERNON E PESKAR
113 S LIBERTY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 35.141 Plat: N/A-NOT AVAILABLE
SEC 29 T28N R18W NE SE EXC PT TO CSM Block/Condo Bldg:
10/2885 & EXC AS DESC IN WD-1115/157 EXC
AS DESC IN WD-1190/172 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
29-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07123/1997 1190/172 WD
07/23/1997 1115/157 WD
07/23/1997 428/199
2005 SUMMARY Bill M Fair Market Value: Assessed with:
143904 Use Value Assessment
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 18.141 2,400 0 2,400 NO
AGRICULTURAL FOREST G5M 2.000 5,000 0 5,000 NO
ENTERED BEFORE'05 CLOSE W8 15.000 37,500 0 37,500 NO
Totals for 2005:
General Property 20.141 7,400 0 7,400
Woodland 15.000 37,500 37,500
Totals for 2004:
General Property 20.141 7,400 0 7,400
Woodland 15.000 37,500 37,500
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 022-1085-80-000 01/24/2006 05:13 PM
PAGE 1 OF 1
Alt. Parcel 29.28.18.463A 022 - TOWN OF KINNICKINNIC
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 - PESKAR, VERNON E
VERNON E PESKAR
113 S LIBERTY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 37.500 Plat: N/A-NOT AVAILABLE
SEC 29 T28N R18W SW SE EXC PART OF LOT 1 Block/Condo Bldg:
IN CSM 6/1614
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 4281199
2005 SUMMARY Bill M Fair Market Value: Assessed with:
143909 Use Value Assessment
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 30.000 4,200 0 4,200 NO
AGRICULTURAL FOREST G5M 2.500 6,000 0 6,000 NO
ENTERED BEFORE'05 CLOSE W8 5.000 12,500 0 12,500 NO
Totals for 2005:
General Property 32.500 10,200 0 10,200
Woodland 5.000 12,500 12,500
Totals for 2004:
General Property 32.500 10,200 0 10,200
Woodland 5.000 12,500 12,500
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
REPORT OF IIISprCTION--I:JDIJIDUAL SE?•1AGE DISPOSiV, SYSTEM
Sanitary Permit
r State Septic
1.W1 1E
R ? TOtTIJSHIP
/ ~ ~r ~i~~ ~ ~ t • Cr0E; •COUIht y
MEPTIC TA77K
ze gallons. `umber of Compartments ,
Distance From: We 11 ft. 12% or greater slope fi.
: Building ft. Wetlands ft
Iiighwater ft.
DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s)
Distance From: 'Ile ll ft. 12%,or greater slope ft
Building ft. Wet-lands f„
FIELD rUghwater ft.
Total length of lines ft. Number ox lines Length of
each line ft. Distance between lines ft. Width of the
trench -ft. Total absorption area sq, ft. Dept;;
.of rock below the in. Dp-pth of rock over tile in. Cover
over.rock,, Depth of tile below grade in. Slope of
trench in per 100 ft, Depth to Bedrock ft. Depth to
,.,round water ft.
PITS
Number of pits Outside diameter ft. Depth below inlet
ft. Gravel around pit: `yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
S A
quare feet of seepage nit area required
Inspected by: Title':. .
Approved Date 197
Rejected Date 197.
EH 115
Y 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: _SE-'/4, -E_'/4, Section _2q_, TZBV, R 1& E (or) W, Township or Municipality Kinnickinnic
Lot No. , Block No. County St. Croix
Subdivision Name
Owner's Name: Vernon Peskar
Mailing Address: RR 2 Box 35, River Falls Wisconsin 54022
TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT X
DATES OBSERVATIONS MADE: SOIL BORINGS October 25,-__1978 PERCOLATION TESTS October 25,1978
SOIL NIAPSHEET St. Croix CO. #91 SOILTYPE Brill silt loam - (not Arland as map indicates)
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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
1 34 See Bore Hole #1 NO 10 6 5 1/2 5 5/8 2
P-
2 36 See Bore Hole #2 PRES AK 10 5 1/2 5 1/4 5 3/4 2
P-3 36 See Bore Hole #3 NEED --.D 10 5 1/8 4 1/2 4 7/8 2
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 70 none 70 13" dk bn Ts sil, 21" bn subsoil sl, 36" sand
sand
2 2 „ „ „ none 72
B_ 3 72 none 72 12" dk bn Ts sil, 16" bn subsoil sl, 44" sand
4 70 none 70 13" dk bn Ts sil 17" bn subsoil sl 40" sand
B- 5 72 none 72 12" dk bn Ts sil, 18" bn subsoil sl, 42" sand
6 72 none 72 12" dk bn Ts sil, 17" bn subsoil sl, 44" sand
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. 49S Gn ft trench 615 s ft bed Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. PoSSI 1) 3 4 /
i f •
i I
_Lb_ety 3Rnd___ - 1
ho~liz nt
_.Dz>xie_ I1
I ! l verticle
_ _ -pre~fl cIrbrrc6--- b4se-~
I _ f tof mail box 10 e
t
or
---newer
I I ~ ~ I ; I i
I i s1ope i N
Scle 111 410- 1_ d
p ~per,c test holes' ; { ray
.1WlborervIto1 tests
ic;le
eldvatio vert
refez~en e I 4 1
iloo,
I , I
Newe
Hgme 3 bodroom o e I j
well0
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) Roger A. Swanson Certification No. 55-606
Address RR 5, Box 124, River Falls WI 54022
Name of installer if known Calvin Wang
CST Signature .
~Y A -LOCAL AUTHORITY !
/ ^ FT {
State and County State Permit # f
PLB67
~ Permit Application County Permit #K
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: `
B. LOCATION: .$'C Y4 S Section q_q, T.2,?' N, R-/TE (or) W Lot# City_
Subdivision Name, nearest road, lake or landmark Blk# Village
Township VAI , c
C lFYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons 3
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YESX NO # of Bathrooms-
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY /000 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 2)- 3) 2 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 ,?C,' Width g Depth _ Tile Depth a y No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land a %n Distance from critical slope T--"
I, 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 Certified Soil Tester,
NAME No X v ~ S L✓CL J7 ~ Y! C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# 3 Phone #27~-Y101
Plumber's Address a L= Z1-s ZJ n 7` 'S s
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
E 3
E ,
s
F
i ;
3 `
C) 4
a _
a
f
,
elor
Do Not Write in Space Below JFOR DEPARTMENT USE ONLY
Date of Application Fees P~iid: State / (C-) Cou1 ty Date
Permit Issued/Red (date) - - / -Issuing Agent Name
nspection Yes No Valid# Date Recd l '
county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4. plumber (canary copy) Revised Date 6/1 /76
KI-NNICKINNIC T28N-R-18W 17
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MONSON`S ELLSWORTH Julian - Grain Drying
FARMERS UNION Grain Banking
RIVER FALLS CO-OP OIL CO. Walsingham Bulk Handling
LUMBER CO. Farm Service Center Imp. Inc. Liquid Fertilizer
Custom Grinding - Mixing
North Main Street IHC -Gehl -Fox
River Falls, Wisconsin PS Bearcat - Lindsay DEISS & NUGENT
THE COMPLETE Phone: 715 - 273-4363 715 - 273-5068 FEED CO.
HOME CENTER ■ Ellsworth Phone: 273-5066
425-2563 Ellsworth, Wisconsin f'l Wisconsin
54011 East Ellsworth, Wisconsin
54011 54010