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Parcel 030-2026-60-000 06/10/2005 11:03 AM
PAGE 1 OF 1
Alt. Parcel 22.30.20.4381 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
" SKOGEN, DENNIS R & PATRICIA A
DENNIS R & PATRICIA A SKOGEN
1450 TRIANGLE DR
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 1450 TRIANGLE DR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.860 Plat: N/A-NOT AVAILABLE
SEC 22 T30N R20W PRT GL 2 COM 80 RDS W Block/Condo Bldg:
OF SE CORN 150 FT W TO RV, SLY TO S
EIVW ONS LN TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
z 22-30N-20W
Notes:co Parcel History:
Date Doc # Vol/Page Type
01/18/2001 637003 1576/599 WD
~ 01/18/2001 637001 1576/594 QC
07/23/1997 1061/54 QC
07/23/1997 1061/52 TI
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.860 231,800 111,600 343,400 NO
Totals for 2005:
General Property 2.860 231,800 111,600 343,400
Woodland 0.000 0 0
Totals for 2004:
General Property 2.860 231,800 111,600 343,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 307
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
r REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM '
Sanitary Petcmit-
State Septic
NAME Township St. Ckoix County
Location -.'4 o6 Section " T_N, R W
SEPTIC TANK
Size gattons. Number o6 Compatctment6
Distance Ftcom: weZZ it. 120 on gtceatetc 6Zope it
Bu.iZding it. Wet ands it.
Highwatetc ~ .
DISPOSAL SYSTEM
D.i6tance Ftcom: WeZ it. 12% on gAeatvL sZope it.
Bu,i.eding it. Wettandts Ft.
Highwatetc it.
FIELD DIMENSIONS:
W iRh o4 ttcench it. Depth o6 tcock below t.ite .in.
Length o6 each .tine it. Depth of tcock oven tite in.
Numbers o6 Una Depth of tite below gtLade in.
Totat .length o6 Zinets it. Stope of ttcench in pen 100 fit.
D.it6tance between tines it. Depth to bedkock. It.
Total absotcbtion atcea it2 Depth to gtcoundwatetc it.
2
Requ.itced atcea it
PIT DIMENSIONS:
Number o6 pits Gtcavet around pits yea no
Outside d.iametvL it. Depth below inZet it.
2
TotaZ abzotcbt.ion atcea it z
2
Axea tcequ.itced it rn
INSPECTED BY TITLE
APPROVED j ")ATE 197.
REJECTED DATE 197.
4:00
r-
H 1,15
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
M DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
` P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION:: Y4, 414, Section T'LC2N, R,4~E4or) W, Township or.MWPiG0I3&1l:y
Lot No. , Block No. County `(iye
r Subdivisign Name
Owner's Name: ~0 56" s)-Av rd
Mailing Address: ~L I T ~~~i• i'~e, t
TYPE OF OCCUPANCY: Residence No. of Bedrooms -_3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS cl4%PERCOLATION TESTS9
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
`SUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/INI
"ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- -3/
i
7 le
P_3
SOIL BORING TESTS
TESL I i . 1 A D P! H DEPT!' E9, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
7 4'
L _ !1 l
3- 7
45
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
~e ;iicate 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. jam,/ z Qz Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
110
I
N
I ~ 4i
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) ~ t Certification No. 7
Address "C/
Name of installer if known
CST Signature ti
OPY A -LOCAL AUTHORITY
PLB67 State and County State Permit #
Permit Application County Permi #
for Private Domestic Sewage Systems County -P--C-~'--
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required - State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: Section T 'x~ N, R~ f(or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons Z
D. TYPE OF APPLIANCES: Dishwasher ---ffS NO Food Waste GrinderYES Z-TTO # of Bathrooms
Automatic Washer DES NO Other (specify)
F SEPTIC TANK CAPACITY ~^0c' Total gallons No. of tanks _ f
'Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement Prefab Concrete
'Poured in Place Steel Other (specify)
i--FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _7_ 2) 3) __;7Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
::seepage Bed: Length 5`~ ,_Width I ~f_ f Depth ~ Tile Depth No. of Lines
_
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope
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 Certifi Soil Tester, C
NAME C.S.T. # -and other information
obtained from(owner/builder).
Plumber's Signature -MP/MPRSW# Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (include d)rection of slope and all distances in accord with
H62.20, including well).
0
1 +,j ,v > 1
6t
~ a
V
Do Not Write in Space Below; _FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State f County, Date ~C,
Permit Issued/R2}ee+ed (date) l _Issuing Agent Name
Inspection Yel~/_No Valid# Date Recd
1. county (vvhite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
U.D l/ 33/ t5~
'437 D
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437 B 437 F
437 E
~E
437 C
437 A I
rrww` ~ ~ \~'vy~ ~Q
t I Wv~~~ \a ~h1au~~' 438 F
t c,~ ~o$ oQ,
Xti
1100
43,8 H 1-- qd p 438 C 438 A I
ss' 90$ LI
0 5 IQi 438 B
R~ G 1160 (6
G ~
v qu '3
1(4 C)
4 38 H 2 438 G
LOT 2
W l5'31/3 3
e27' t~4~~~S5~t~ ~,pf4GBlgq
438 E38 D 438-J
438 _ I ° to 0(~ ?560 - -72
V 8 Pad s m~
TRIANGLE DR.
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