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030-2049-50-000
n cn O 3 -0 0 r~ v ~+1 o 3 n 3 3 o N 0z cn ° C tr. CD 0 _ a o k C\, O (G N o (D o O N '3 n Z n N N p n O U O O 41 o m . t o O 9 FD w (n CD IV a 0 O _ cn O C) -n 0 7 N CD C (D O p ey-' O O 0- 3 N (D 7 p O N ~ d CD O G CD w a 0 d N T n o o O (\7 N L \O A cn N W a-C U) O C ~~1 7 ~ co (n rr 0 0 0 ° E T f/1 U1 V) o m vvv(M fo (D N N ~ d a) (D CD 0 < M ~ O N ' CD a _ O N z N z co z Q O D CD CD 0 H• o m CD N ~r ~ CD N m c (D N c (D CD !W D O_ C_ ::5 7 z N (o ~ (A A Z (D C s ~ n C, A Z O w a 0 W -0 O wp -I G Z 00 3 O ' O 3 Q g Z N w ~ o -n =r c v o CD oo a m O •0 (n o 0 .1 (D D? y c 0 - 0 s =3 z a CD -0 o (D c O (D 0- CD N N N v m C'- I C, 0 n~ 0 C `G N 61 A 7 O F 0 p O A O N ~ R 7 Q N f) m 3 x N 61 ~ N vtn M m Q N c u' (D o 0 ~ b o0 m ~ ~ w ('s O ° a 0 o ° v • Parcel 030-2049-50-000 03/08/2005 09:48 AM PAGE 1 OF 1 Alt. Parcel 27.30.20.512B 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 SIEBENALER, ROBERT & MARGARET ROBERT & MARGARET SIEBENALER 1321 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1321 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 27 T30N R20W PRT GL 5 ELY & NELY OF Block/Condo Bldg: HWY353AC Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 27-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill Fair Market Value: Assessed with: 6134 221,300 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 75,500 142,200 217,700 NO Totals for 2004: General Property 3.000 75,500 142,200 217,700 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 44,300 118,300 162,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 542 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 030-2049-90-000 03/08/2005 09:49 AM • PAGE 1 OF 1 Alt. Parcel 27.30.20.512F 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 ROBERT & MARGARET SIEBENALER SIEBENALER, ROBERT & MARGARET 1321 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1321 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.001 Plat: N/A-NOT AVAILABLE SEC 27 T30N R20W PT GL 5 COM N LN GL 5 & Block/Condo Bldg: INT WILY LN HWY 35, SLY ALG HWY 385.15 FT TO POB: WLY BY DEFL > 99 DEG TO RT 286.8 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FT WLY BY DEFL > 13 DEG TO RT 122.9 FT, 27-30N-20W TH WLY BY DEFL > 1 DEG TO LEFT 143.3 FT SWLY BY DEFL > 12 DEG TO LEFT OR S 65 more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 465/128 2004 SUMMARY Bill Fair Market Value: Assessed with: 6137 135,600 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.001 50,000 83,400 133,400 NO Totals for 2004: General Property 0.001 50,000 83,400 133,400 Woodland 0.000 0 0 Totals for 2003: General Property 0.001 23,000 62,700 85,700 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 WEST 29- KWI PARTST . JOSEPH .re SEE PAGE 53 rea W¢/ e~- p ~ ~ d a~ • /ke ~ N C Ernct Club 1 k is B/ O 0 h C O w C ao . H 99E Rfi:CT:.& : 80 ~ • ~ ` ~ \ V~j cb yfe~ ~ 0 ® `V ~ /6 0 2 35 ~ ~ N • 64 Hem ~ • ~~e$ c.Odeia end yrn~y ao WOOD DREdwo~ V 5 rbra sz.9 40 /a/// n • C F Qow/e c7"cz F /`7if~i ~ .^9 Lent3 fl hl cSie\yf~~ec/ q ~ °0 V i.~ ~j~~~ p/son tl 1s9 q 9nd~i son p a p v /o 4: 78.76 Everett ~ (0.' cTo c~ 7s V d¢~ Ql ~ v~ .s,ov 7 eta/ ~7 No rnz / ah/ke ~w 0 Ksti. bC d Ca Rio/ N.: W~ fCilEfe/fc¢~n 0 C ~m person ~13'~ ~'c7r'o/" z 7~7 Ql r7 ich~`wooL"D caDuc- f7nde 30 HI'LeSUe 64 ¢oa o y son n JyN s ~r s s cPO~ Ka 77 .eo Ha comb 25 L FE. r 151 IC17 HO u~ B UFo~ i//s/rom Ilk W U /~cz~F nson To~eJc FQ~/c zz.~ -ZO796 ° • Bo ~yy4l,; Inc. `3B z ~2u~.E pp LQYa~~e J •T'horn¢s o w~h /¢3 K ¢ 40 wee- n l' SMOgy;l ,gndei-son 1cC'anau h 3 ~ ~ Q Z Eu,9.0 z 'fRAC.T$ do v Bo 9 .y bG' 4w.er e s ~r,_ waio' c RUN / c F C 41 O c i G. ~a~ • o/COm • 73 zs ~ v ,_U /CJ~'~i. /PCL mo kLQ L/oyd ¢//Es Se~~ cE et¢/ ~ • p /83 /98 ~ C /53 S~ /70rr- //Un --,I WOODS £ E/~, jQ6 efh 4 zaq \ ~41 M C a/e f Maw ndc~so~ Vivir. f,3eii`e%son f,.0 ptlp"~ ~l a f~ c% \ -3 870 (o Inc 74..... `l \ 80 ~'rEnitL .PINE r2Ee /o BoE W.1 d v me JL. R1v Erb. oe7f9er MEADOWS JtL A", JiEw Du an ~127h YOUR~lpHWMJ / i l Y, rA S O IJWdOgIl,~i4GmmNT ti L y • V' 0 h 20 V I` SMALL uN.RECOa DEO- ~N \ SLf2VE TRACTS Y : •~~Q~~ ~ \ U~d l ~'1/Q/ IS z ~1 F3? 776 ~i W~7 i~ L/oy ~.sa o. ~r/i YcL o £ vc.~c Maiy Qt U b LSO TR 6_ Y. _ e 35 yC it7 0.~ Q~e/7L7avrs 40 4; a~ x 6/ y,g wb.y o ~ 33 S4 ock ~ a ~ Eroe M F q p - /O - - Ec.E~~-C~' U dog n: G $ SMALL. TR.4C TS 25 Z x ¢ l3l --77/.6 1 ~ ©/96B Poc Efo.d %ao °u6/shIf /°y SEE PAGE 2S R.20 -1-R.19 /f! 33 y d 1979 \R AS BUILT SANITARY SYST`:M REPORT OTr;NEct~✓~., n ? `r,' ~.C r° x , TOWNSHIP_ SEC,1? T ii _N, g P.J. ADDRESS/ , ST. CROIX COUNTY, ISCONSIN. SUBDIVISION LOT LOT SIZE 614 5 PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 Fr y 3 s 1 ' Ad- -n I SEPTIC TANK(S) MFGR., _ , , CONCRETE STEEL NO. of rings on cover Depth DRY WELL TRENCHES NO. of width length area BED no. of lines width length area/.., <X' de tai to top of pipe "2" r , AGGREGATE PERK RATE ' AREA REQUIRED t AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County sloes not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction: St. Croix County assu_ne:< no liability for system operation. However, if failure is noted the County will mace every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM 'INSPE-CTOR DATEDPLUMBER ON JOB 1 ~c ,.4 LICENSE NUMBER __4 f ' RFPr)P;']• OF ITTSPECTIO?l--I DIJIDUAL SE!JAOE DISPOS v, SYSTEM Sanitary Permit State Septic y I All T&WNSHIP t, roix County Sr DTIC TA' ?T7 Size gallons. 'lumber of Compartments Distance From: ileII E0 { £t. 12% or greater slope Building` ft, Wetlands , f. Highwater /'I ft. DISPOSAL SYSTE_I Tile Field or Seepage Pit(s) Distance From: hell f ~ft. 12% or greater slope' 4'!1_ft Building _~~ft. Wetlands f~ FIELD Highwater =r~-ft. Total length of lines ; /ft, Number of lines Length of each line ft. Distance between lines ft. Width of the trench ft, Total absorption area V sq. ft. Depth of rock below file in. Dp-pth of rock over tile ~ in. Cover Dver.roL~i L_ Depth of tile below grade ~ C! in. Slope of trench per 1.00 ft. Depth to Bedrock / t. Depth to ground water f t. ~I-TS - 1 Z 2 Number of nits Outside diameter ft, Depth below inleF _,T) z cl ft. Gravel around pit: ___yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required `square feet of seepage pit .-are, required Inspected ti . Title Z Approved Date 197 Rejected Date 197 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: VNl'/4, =sue '/4, Section Z? , T~~N, R ~E (or) ownship or Municipality T Lot No. lock No. County cel 0 ?-,V p Su~dlvision Name Owner's Name: ..eJttY~c~ Mailing Address: Aenl, eA) LA-.Cy TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ~c ADDITION REPLACEMENT C, DATES OBSERVATIONS MADE: SOIL BORINGS - PERCOLATION TESTS 7a SOI L MAP SHEET I L TYPE y ~ ~ S Coln , T 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 t~ I yl P V0 P C l / / f✓1 Z- C 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) 5 - 6 _Z s Z- 36- iE 4- L-3L4 ' G ~6 ".AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) ,dicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absod ption area ,;ceded for building type and occupancy. 'm 9 .?A- Indicate scale distances. Give horizontal and vertical refer ecne pmts. Indicate slope. t i Ly 1 t t I Q N o jT r 0 t 1 d I 7 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 Administra ' Code, and that the data recorded and location of test holes are correct to the best of m~wledge and belief. Name (print) Certification No. Address w <<- - - Name of installer if known ~ in, w CST Signature COPY A -LOCAL AUTHORITY P-LB67 State and County State Permit # Permit Application County Permi f 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: ~luJ Y Y,, Section T30 N, R E (or) (V Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ~T (0 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms _ j No. of Persons D. TYPE OF APPLIANCES: Dishwasher __y YES NO Food Waste Grinder YES- YNO # of Bathrooms. Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY 06 e-7 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation X Addition Replacement _ Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _;7 2) 3 - 3) Total Absorb Area le sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length , Width Depth 36 " Tile Depth - Q0 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 Certified Soil Test NAME L L) Dc,1 C.S.T. # and other information obtained from 6t-74w (owner/builder). r Plumber's Signature MP/MPRSW# 53 Phone #2-YV+ 3 5 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 1400 Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State/10,C0 County r CO Date ✓f b Oaf _ 17 Permit Issued/mod ( ate) V Issuing Agent Name Inspection Yes 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 copy) Revised Date 6/1/76