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Parcel 030-1015-20-005 04/04/2005 08:15 AM
PAGE 1 OF 1
Alt. Parcel 04.29.19.631 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): = Current Owner
MILES, KENNETH E & BARBARA L
KENNETH E & BARBARA L MILES
1185 SUNDANCE PASS
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1185 SUNDANCE PASS
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 17.180 Plat: N/A-NOT AVAILABLE
SEC 4 T29N R1 9W NW NW COM NW COR SEC 4 S Block/Condo Bldg:
88 DEG E 498.51'-POB S 88 DEG E 782.21'
S 1191.18'N 89 DEG W 761.41'N 680.67' Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
N 01 DEG W 66'N 88 DEG W 8.02'N 04-29N-19W
448.78'-POB EXC PT TO CSM 9/2562
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 799/154
2004 SUMMARY Bill Fair Market Value: Assessed with:
4812 330,000
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 91,200 183,100 274,300 NO
UNDEVELOPED G5 14.180 50,400 0 50,400 NO
Totals for 2004:
General Property 17.180 141,600 183,100 324,700
Woodland 0.000 0 0
Totals for 2003:
General Property 17.180 99,300 149,900 249,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 107
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 030-1014-90-000 04/04/2005 08:36 AM
PAGE 1 OF 1
Alt. Parcel M 04.29.19.63A 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): Current Owner
MILES, KENNETH E & BARBARA L
KENNETH E & BARBARA L MILES
1185 SUNDANCE PASS
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.185 Plat: N/A-NOT AVAILABLE
SEC 4 T29N R19W FRL NW NW EXC W 140 FT Block/Condo Bldg:
AND EXC N 83 FT & EXC CSM 5/1476 & EXC
P631 AS DESC VOL 799/154 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
04-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1253/138 WD
07/23/1997 835/219
2004 SUMMARY Bill Fair Market Value: Assessed with:
4808 3,800
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.185 3,700 0 3,700 NO
Totals for 2004:
General Property 1.185 3,700 0 3,700
Woodland 0.000 0 0
Totals for 2003:
General Property 1.185 2,200 0 2,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 030-1014-70-000 04/04/2005 08:30 AM
PAGE 1 OF 1
Alt. Parcel M 04.29.19.62A 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): Current Owner
MILES, KENNETH E & BARBARA L
KENNETH E & BARBARA L MILES
1185 SUNDANCE PASS
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 35.410 Plat: N/A-NOT AVAILABLE
SEC 4 T29N R1 9W FRL NE NW EXC N 83 FT Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
04-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1253/138 WD
07/23/1997 835/219
2004 SUMMARY Bill Fair Market Value: Assessed with:
4807 Use Value Assessment
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 11.000 1,300 0 1,300 NO
UNDEVELOPED G5 24.410 30,000 0 30,000 NO
Totals for 2004:
General Property 35.410 31,300 0 31,300
Woodland 0.000 0 0
Totals for 2003:
General Property 35.410 28,300 0 28,300
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
• AS BUILT SANITARY SYSTEM REPORT 0
-~NER« TOWNSHIP SEC. T , N, R
JI'( W
.0. DRES ST. CROIX COUNTY, WISCONSIN.
JBDIVISION LOT LOT SIZE ~1{}
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ! =
1, 1
y~
I
'?TIC TANK(S) /„j Ct MFGR. CNCRET_E- STEEL
NO. of rings on cover Depth DRY WELL
'_::NCHES NO. of width length area
no. of lines, width` length__5e_~_ area 1/ .
depth to top of pipe z E.7 .
GREGATE ~j
_',K RATE, A REQUIRED `i AREA AS BUILT
;claimer: The inspection of this system by St. Croix County does not imply complete
._:pliance 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
stem operation. However, if failure is noted the County will make every effort to
rermine cause of failure.
ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
• i
"INSPECTOR 4'= f
DATED N PLUMBER ON JOB
LICENSE NUMBER
w
I
REPORT OF I?ISPECTI011--I74DIVIDUAL SPJACE llISPOSAI, SYSTEii
Sanitary Pe
7
State Sept1C
a
it
f
IE ' TOWNSHIP
• t. CF oiH Co my
SRPTIC TA.TK1
SiZe Jti gallons. umber of Compartments
Distance From: !JeII ft. 12% or greater slope fi.
Building`
ft. Wetlands f
Highwater ft.
DISPOSAL SYSTL.:1 Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope ft
Building ft. Wetlands f
FIELD ilighwater ft.
Total length of lines eft. Number of lines Length of
each line ft. Distance between lines ft. Width of the
trench -ft. Total absorption area sq• ft. Depth
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 ner 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
}lumber of nits Outside diameter ft. Depth below inlet
ft. Gravel around pit: eyes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
Iquare feet of seepage nit area required
Inspected by: Title:
Approved Date 197
Rejected Date .197-.
• a '
EH - .11 15.
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: Section N, R/10 4hMor)~/ownship or Municipality -
Lot No. Block No. 5 `-'AdS,~~r0.51 AC~'+P06e- County ~~I C-edsX
Subdivision Name
Owner's Name:
Mailing Address: - '1/ 1-2 `U~
TYPE OF OCCUPANCY: Residence _ - _ No. of Bedrooms tK Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL. MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH' HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
NUM- INCHES THICKNESS IN INCHES MIN/IN
?ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P Are- /Z_ /Vo l0
P-4 . e x,ee- l f7' 3 02 3 Z Y(f 7
I
o lam' ~ „x- /Z_
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO OHOUNDWAI ER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
L ?UMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
e_ ~Y6 z°" S
..B- 3 Fa %rr i,//0•ule 7i Its A.
y rs ~T1L 7 CC~~f~ G? " i` S ~r S
/y
/0 30 -4,
PLAN VIEW (Locate percolationtests,soiI bore holes and suitable soil areas.)
indicate on the plan the location and square feet oaf suitable areas. Indicate u~bb r of square feet of absorption area
needed for building type and occupancy. zd 00 C "_57 Indicate ale
o distances. Give horizontal and vertical r fence rots indicate slope. ~jrSp,H
A .ice e s 1 ? I3 3 r ( P'r
1 i ~r
1A f
0,~ I
i
_T_ t N
E
le,
r_ 41e
L~ 3
f
100, C~,o
I
333 E / t[
L .4
I I
3 p€ x
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 nowledge pad Vbef.
Name (print) fs S'i^ Certification No. Z~Y _
Address ~Z
1, it 4 5
Name of installer if known - -
CST Signatu r
i
PY A -LOCAL AUTHORITY rf
State and County State Permit # 9
PLB67 Permit Application County Per it # -
for Private Domestic Sewage Systems Count
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
Wa l/1Wh A, EPY' Ler Cam.` 5 G~/ 51, nt Sv ~ 5!! ~
B. LOCATION: ~'/4 ZI, '/4, Section T N, R iP (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village _
Township 51. asCy!
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance _
Single family x Duplex No. of Bedrooms No. of Persons 6
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYESA~_NO # of Bathrooms
Automatic Washer < YES NO Other (specify)
E. SEPTIC TANK CAPACITY f~00 Total gallons No. of tanks
*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)~_3) Total Absorb Area sq. ft.
Nlew K Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width o-Q-Depth - ~r Tile Depth 3o5" No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land c7Distance from critical slope
ZAe e,4
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 Ce ified Soil Tes
NAME C.S.T. # and other information
obtained from c owner/ .
Plumber's Signature MP/MPRSW# _ c Phone #7rr~~
Plumber's Address
PLAN VIEW: Provi(`, sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). /
6- d"Is 7-r&
7c~. 9 /9 e r e- 1
all ~ c 6,;, ~fv
v
Do Not Write in SpaK(date) el w LFOR DEPARTMENT USE ONLY
Date of Application p Fes Paid: State l "U County Date
I
Permit Issued/Rejected Issuing Agent Name
Inspection Yes (X 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 cooy)