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1 SE CORNER S 2300744"E
SECTION 7, 31.23'
T29N, R18W
LEGEND I UNPLATTED
N 89052'50"W LAND
-0- COUNTY MONUMENT, BERNTSEN CAP I~ 200.75'
12.54'
• 1" IRON PIPE FOUND 1 S 7231659 E / '33 I
S 0042'59"W 547.40 1
p 1"X24" IRON PIPE WEICIiING 1.68#/LINEAL 436.08' POINTOFBEGINNINCy 111.32 3311
FT. SET S72°16'06"E 19 / .0 ' / s o
/ Mm 6I
S28°44'14"E
1"X24" IRON PIPE WEIOHNG 1.68#/LINEAL 30.98 o o
FT. ON LINE N
SE-SE NE- NE a
4Y' - 01
P / D I
4.54 ACRES oLL 0 F-I
J 6 ~o 0
S 7001008"E co Z ZI Z
58 7979 184°31 25" h Q
0 a:
~j 7, N w
e907Sb2, 4g5-'E "le 4/ z 66
02 463. /s, 33 331
9 10 S 51040'04"E/ f~9 15 "c 23 1'
1j / Ir~~°45'26" 2 167°08'28 LLI
00 5 /92 69 3.08 ACRES /r I-
JUM 2I 1976
r- DES 0. f
R oONKEIi ?QOSO 8~'F 284• S~ ~ a.
oplslor /
of D•®da 4 165 45'26' S6S 8 I 1 r
yy a;'ItY, S80009'12"E 48' e2 I
S 17-1 88.63 1 3
7 W W 0- / 1 5°56~ 12" 3.69 ACRES
li > 3340 /
/ 66 /6?00928 3 /
U / Soo? S4 T~ N 64013V /
/ F 16770
SW-SE NW-NE s4s°S' Aso°2'03 61/
UNPLA TED LAND
1/4 COR
SECTION 7,
T29N,R18W SCALE / TRUE
_ BEARING
200' 100' 0' 200'
SURVEYED FOR: WILLIAM WHITE
R. R. # 1
ROBERTS, WIS. 54023 APPROVAL Cr- T;-115 x.`11: loP S! 11 DIVISION
SUBDIVIDER: WILLIAM WHITE DOES 10T ;'A'Ai"I :OVA L r vR SEi TIC
R. R. #1
ROBERTS, WIS. 54023 SYSTEM. F: i=~_IZ TO }-1u2.2D
SURVEYED BY: OGDEN ENGINEERING CO.
123 E. Elm Street APPROVED
RIVER FALLS, WIS. 54022
ST. cp'olx COUNTY
DATED: MAY 17, 1976 COMPREHENSIVE PARKS PLANNING
Job No. 76-630 AND ZONING COMMITTEE
ANN 1 6 1976
Volume 1 Page 263 THIS INSTRUMENT DRAFTED BY~h.'u~ax
Parcel 042-1048-40-000 01/02/2007 10:14 AM
PAGE 1 OF 1
Alt. Parcel 18.29.18.273D 042 - TOWN OF WARREN
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 - KENNEDY, PATRICK M
PATRICK M KENNEDY
1014 99TH ST
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1014 99TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 4.540 Plat: N/A-NOT AVAILABLE
SEC 18 T29N R18W 4.54 A IN NE NE LOT 1 Block/Condo Bldg:
OF CSM VOL 1/263 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
18-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/05/2006 824561 QC
03/22/2002 674299 1859/98 QC
03/22/2002 674298 1859/97 QC
07/23/1997 886/463
2006 SUMMARY Bill M Fair Market Value: Assessed with:
149360 226,700
Valuations: Last Changed: 10/22/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.540 47,000 118,400 165,400 NO
Totals for 2006:
General Property 4.540 47,000 118,400 165,400
Woodland 0.000 0 0
Totals for 2005:
General Property 4.540 47,000 118,400 165,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 10/21/2005 Batch M 05-39
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 15.00
Special Assessments Special Charges Delinquent Charges
Total 15.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
:IER r"r , C)jl, SEC. TAN, R / 4j
0. DRESS , ST. CROI COUNTY, WISCONSIN.
3DIVISION , LOT_-/_LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r
fly-.
y Ile 11~
N, W,
_72;_`
'TIC TANK(A)// CONCRETE STEEL
NO. of rings on cover 'Depth DRY WELL
'.NCHES NO. of&,14_ width lengt area /f!
no. of lines widths lengt'' area i 7 .
depth to top of pipe
:'.ELATE .
- : RATE AREA REQUIRED AREA AS BUILT
claimer: The inspection of this system by St. Croix County does not imply complete %
Dliance 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
tem operation. However, if failure is noted the County will make every effort to
ermine cause of failure.
:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
l 78
. 'INSPECTOR
DATED PLUMBER ON JOB' - '
LICENSE NUMBER
I ~
r
REPORT Or ITTSPECTIO_l--IN51VIDUAL SEt,?AGE DISPOSAL SYSTEM
% j Sanitary Permit
State Septic /Y.
~~r_/, TOT•JNSHIP !~C~%,~ ' 24~°
t. Croix County
SRPTIC TA'? T:
Size gallons. "lumber of Compartments ,
Distance From: Well 'K'"', ~ ft, 12% or greater slope Y4A.
Building sad ft. Wetlands f.
IIighwater ft.
DISPOSAL SYSTE"I TTile Field or Seepage Pit(s)
Distance From: TTell ft. 12%.or greater slope ft
Building; ft. Wetlands f:.
FIELD 'HUghwater - ft.
Total length of lines (1111,4- ft. Number of lines ~ Length of
each line Taft. Distance between lines - ft. Width of the
trench ft. Total absorption area sq. ft. Depth
of rock below tile in. Depth of rock over tile 21, in. Cover
over rock Depth of tile below grade "'2 in. S1oPe of
trench __in per 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS.
F
Number of pits Outside';diameter ft. Depth below inlet
ft. Gravel around pi/t: yes ,~no, :Total absorption area
sq.-ft.
Square feet of seepage trench bottom area required
Uquars feet of seepage pit aroi required
Insnected by: , /r% Title
Approved Date
Rejected Date 197
` L-
EH 115 (11-74)
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, '/4, Section TN, R _ E (or) W, Township or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHRATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 313, MIN/IN
P-
P-
P-
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-
B-
B-
PLAN VIEW (Locate percolationtests;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. Indicate scale
or distances. Give reference point. Indicate slope.
E
t N
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.
ame (print) Signature
tion No.
r if known
State and County State Permit # <
PL067 Permit Application County Permit _ Z
a for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF F~PROPERTY K Mailing , y Address: -Pat"
B. LOCATION: /5 % N6_%, Section /9 , T.Aq N, R 19 E (or) 6D Lot# / City_
Subdivision Name, nearest road, lake or landmark Blk# Village
Township /.J
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder /YES NO # of Bathrooms-,P--
Automatic Washer /"YES NO Other (specify)
E. SEPTIC TANK CAPACITY / O O O Total gallons',, No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation t_--- Addition Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) jo 2) ,5' 3) if Total Absorb Area s- sq. ft.
Newer Addition _ Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width 18 Depth Tile Depth J4A0 No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land y S- Oa Distance from critical slope 7 .1-0"
i, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, J
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
NAME 0..Q.. "Y' n C.S.T. # S~ 7 and other information
r
obtained from P (owner/builder). '
Plumber's Signature MP/MPRSW# Phone #3
Plumber's Address J
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). k-tK 4
> , i
v J f ~ Cl l
14
33 fyL w,A12 up-
~ a `
9
CV1
1~ I
0
d- _
Do Not Write in Spac Below FOR DEPARTMENT USE UNLY
n _
Date of Application 3 C7 Fees Paid: State C--) c 00Ccun a ~ 0(_( bate 9
Permit Issued/R4PZU4 ( ate) ~ _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 copy)
Revised Date 6/1 /76