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HomeMy WebLinkAbout192-1030-10-000 DEPART~NT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MA ISON 153707 State Plan I.D. Number SW ,W,,,Sec. 36,T29-R16 CONVENTIONAL ❑ ALTERATIVE (If assigned) Village of Woodvilln X' I S Holding Tank ❑ In-Ground Pressure ❑ Mound 'NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Giinderson ~ 14()9 Plant- Avp- RAldwiii WT BENCH MA K (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. E REF. PT. E -,7,j t u~O S.oj. e-6, 1241 Name of Plumber: P/MPRSW No.: County: Sanitary Permit Number: SEPTIC TANK/HOLDING TANK' a ' S, crj 201,7'63-56_;) 3.?9 MANUFA TUBER: LIQUID CAPACITY TANK INLE : TANK OUTLET EL V.: WARNING YES El LABEL NO El LOCKING YES' i 98. 21 PROVIDED: PROVDED: NO BEDD NG: .1GEitT DIA.: YEM~MATL.: HIGH WATE NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT T F SH G + ALARM: ~A FEET FROM LINE: / AIR IN T ❑ YES O ar 1L ❑ YES ®I~O NEAREST DOSING CHAMBER' MANUFACTURER: DING: LIQUID CAPACITY: P MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ N ❑ YES ❑ NO GAL ONS PER CYCLE: PUMP AND CONTROLSOP TIONAL: NUMBER OF PROPERTY WELL: ILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF) I ❑ YES ❑ NO SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue. CONVENTIONAL SYSTE : L,. BED/TRENCH WIDTH: tDISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID DIMENSIONS I ITREN)CtHES, / MAT IAL: 2 GRAVEL DEPTH FILL DEPTH DISTR. P PE DISTR. PIPE DISTR. PIPE MATERIAL: NO: D TR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES n ABOVE COVER: EI E T: I EL , END:, PIPES: LINE:: / AIR INLET: -ll 9G.~1`,Q3 NEAREST---~ zs/ MOUND SYSTEM: Mound site plowed perp Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and f S. t ro nslope: mound systems to make certain-that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. S COVER TEXTURE: PERMANENT MARKERS: OBSERVATI WELLS; ❑ YES ❑ NO ❑ ES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED THS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: DEP ❑ YES ❑ NO ❑ YES ❑ ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATER ACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO OMM NTS' P RMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: ° FEET FROM LINE: ❑ YES ❑ N0 [:j YES E NO NEAREST I'd Sketch System on Retain in county file for audit. Reverse Side. SIGNA URE: TITLE: SBD-6710 (R. 06/88) SANITARY PERMIT APPLICATION 70ILHR In accord with ILHR 83.05, Wis. Adm. Code OUN STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / 7 8'f~ x 11 inches in size. h k i kvsion to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION W i?SG 541 '/4fq VY4,S ~D TN,R l t'o E(or)W PROPERTY O ER'S MAILING ADDRESS LOT # BLOCK # 1 Ll k S T A/, CITY, S ATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 1611-141:2 1- lif 91$° _ 11. TYPE OF BUILDING: (Check one) El State Owned l$ VILLAGE: WD 0/G/ 1 11 / NEAREST ROAD E3 OF: (4 '1 r ❑ Public 91 1 or 2 Fam. Dwelling-# of bedrooms PA RCEL AX Nu R() l f~ III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~9 New 2.E] Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 N Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 Seepage Pit Pressure 430 Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE / /~1 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION L7 5_t/ 600 )660 q6- (`I l4L I r 2, j r3 Feet y Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 1 GG U i t t e Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb is Signature: (N Stamps) .M{PfMPRSW No.: Business Phone Number: ~"v ~ Sr4 A Plumber's Address ((Street, Qfty, State, Zip C`ode)• SG w' I4 k- WG G d cI ~ f~f t ~.e~e (~°Pa use lr IX. CO NTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued issuing A ent Signa No Suit Approved ❑ Owner Given Initial Surcharge Fee) / Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber r • INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. It building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawl to scale or with complete dimens;ons, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) a APPLICATION FOR BAR17ARY PERMIT 8TC-100 This application form Is to be completed in full and signed by the ornet(s) of the property being developed. Any Inadequacies will only result In delays of the parmlt Issuance. -Should this development be intended lot tesele by owner/contrector,(spec house), than a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Ownec of property en z u n 0/Q R E o A Location of property 1/4 N' w 1/4, section 3 T,2 ` Meiling address c 4 s a W t v k Address of site t.✓~v v+' ~f 5`LIG labdIvIslon name 014 Lot number Previous owner of property Aker-z~- Total else of parcel ~I•,= aC~ ~S Date parcel was created Ace all corners and lot lines identifiable? =_Yas _J(o is this property being developed lot resale ('spec house)? as No Voluwe"7=and Page Number` 1 _ as recorded with the Register of Deeds. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DENO which Includes a DOCUMENT NUMBER, VOLUMS AND PAGS NUMBER, and the 89AL OF THR REGISTER OF DEEDS. In addition, a certified survey, it available, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that f (we) am (ate) the owner(s) of the property described In this intotmation form, by virtue of a warranty deed recorded In the Office of the County Register of Deeds as Document No. 1-/t~/3 5:5- i and that I (We) presently own the proposed alto for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been regorded in the Office of l,h?Coun Register of Deeds, as Document No. Signatuc of Owner Signature of Co-Owner (if Applicable) ljo 9 //7 7//`J/9o Date of Signature Data of Signature L GE5 ' DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPAGIL RESERVED FOR RECORDING DATA LAND CONTRACT I; Individual and Corporate 551 I (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON-CONSUMER I - i - ACT TRANSACTIONS)_ - R"I T l ERV OFFICE i i ST, Ml r0., :ll& OntraCt by and between Brent A. Wernlund and Patrice M. bohnalek, husband -and--wife-as.__6u'r ReCtd. for Ae~;ord this 11th da of .lulu A.D.19 6 vivorship marital groperty. "Vendor", Y whether one or more) and..Randy__W____Gunderson. and..Roxann__ t 8:30 A M. Gunderson,- as.. survivgrsh ("Purchaser", whether one or more). seww of Dude Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the - rents, profits, fixtures and other appurtenant interests (all called the "Property"), i Sta___Cr01X-•-------•--_.. County, State of Wisconsin: in RETURN TO 1 Ii Part of Outlot "69" of Outlot Plat of the Village of Woodville, described as follows: Lot 2 of Certified Survey Map filed May 7, i 1979 in Volume "3" of Certified Survey Maps, Tax Parcel No page 798, as Certified Survey No. 798, Document No. 356679. I ii I' fl i This is not homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor att''.k?i liz...re..g0 sac-r the sum of a.. in the following manner: (a) $.1.,.000.. 00.................-••-•-•--•- at the rate of f....•...........9$-•--................. together with prncents per from annum at the execution of hereof on the balance toutstanding from (t me to balance until paid in full, as follows : The sum of $125.00 per month commencing thirty days from the date hereof until paid in full. i xxxxx-xxaXxxx X&x 1~bL 'kA y$ c '9~°iE FxftR' '~F9tR' 3~'~}E' ' 9k § x ~P i$:F'k *SkRrx P 'x x x x x_ x x x x x x x x?4Xx_XX ~ x;K.X Xx ~ ztl~>~i~c,~lttc x3tagX x x x Following any default in payment, interest shall accrue at the rate of 12...... % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance x x x x 4%J; A r c 1~4~6dc 6elis l3YyxV~oltdrOi~ lKt7fe 7s $~yxllso l yxts 7 1 >xs droxdt~c;itluixeSeitxo6 tyx i! +aiica~>~ya~xcec x xpcax~axtxtMtuDcne~c.~slcaeb[bcgsse~sxllmtscRixtx~caotxea~z~t~xct►x~ra~niNfi~x~$4rxdR9c~4c~Rk3~Reit~'lf~c$~Sc~R'x ; X a4tgc a4R 44xt3t >¢i tic R RT ~c SPX St3R R iS i!@itsic9tl]le$ ~$!t"x x~k'S'X~X'3E')t9~9c 3te4c~k`iF~c $~c x~ rx JEMin tere x xt*YkX51Sc ~•9F`'~ Aw ~i x~'s ft ~~°x' h ` et c Zox x x x x x xt1411rexaica lKaa VeY.46 ' svx x x x x Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time YftVrXxxxxxxXxxxx xxxx.XXtDE)CX xtz*g xrapc Zx mac *"4x xM= )pldxdt*lc )oltbwoCc jEdC=W t(3D)W xAAKd0XX x x x In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: There is outstanding a mortgage executed by the Vendors to Citizens State Bank, dated 3/20/81 and recorded 3/30/81 in Volume 627, page 134, Doc. 370017, from which the Vendor agrees to hold the Purchaser harmless therefrom. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitle to take possession of the Property on.....d3te hergOf x_Xxx)Cwx__-_- •Crose Out One. -'I KG MNIerComprly rV1 STATE 8AR OF WI$CON9IN ® FORM No. It:-,1982 Stock No. 13011 N SEPTIC TANK MAINTENANCE AGREERENT ~ St. Croix County . r~ a OWNER/BUYk:RY - w ► CI +r,.,Lv y3,~ ROUTE/BOX NUMBER •i 1e' L v; = fem. Fire Number to CITY/ STATE b,-1e;0( ci f r ! t/ s ZIP 5`~l v x r- PROPERTY LOCATION:'S Li/* 3k., j. Vk, Section_,• T_ , R)(o W, X-ar' of c~~ St. Croix County, Subdivision Lot number-. Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licen's'ed' 's'ept'ic tank pumper. What you put into the system can affect the unct on o.• t e ,septic .tank as a treat- ment-stage in the waste disposal system. • St. Croix Countyy residents•m~'be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, wh c was in operation prior to-July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new *s sy t•ems agree to keep their system properly maintained. The property owner agrees to.submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2)-.after inspection and pumping (if nec- essary), the septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year'expiration. H I/WE, the undersigned have read the above requirements and agree o to maintain the private sewage disposal system in accordance with the standards set forth, herein, as.set by the Wisconsin Depart- :r ment of Natural Resources, Certification form must be completed .d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. f 2fi/ SIGNED 111" DATE 9 7 1 ` 0 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 3707 HUMAN RELATIONS HUMAN (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALI OT NO.:BLK NO.: SUBDIVISION NAME: z,1/ t, w 1/ W. /TZq H/R L6 E (or) W w,oo~v L.L = ~ COUNTY: MAILING ADDRESS: 1(4 "17- PLt Sfty I- `WE . ZX- c_~UC RP~i~`~ Gvty O SUtIV ~~-pw~ ti w s Slo 0 2 USE DATES OBSERVATIONS MADE IND. BEDRMS.: COMM AL DESCRIPTION: TESTS: 25Residence 3 P~ aNew (❑Replace 6 _'Z3 _C•Q ~1./~, RATING: S- Site suitable for system U- Site unsuitable for system ONVENTIONAL: MOUNccD: IN-GROUND-PR : S EIS -IN-FILLHOLDIING TANK: R~COMMEND~ED SYSTEM; e(optional) oR ❑ S ❑ S ®U 2.1C 14o Uo►v 6 .U ~J bU ®S ❑U rZS ❑ If Percolation Tests are NOT required DESIGN RATE: r I If any portion of the tested area is in the * ` A under s. ILHR 83.09(5)(b), indicate: Ct-~C$S Z Y'11/~7Q b Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL P T R UNDWATER-INCH S HARACT R OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGPTST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- G,). S '16 S~ (=AGE Z of B- Z ~2 2 a`),S a ? z B- $O :l 6.8 u ~o y B_ --)-3 2 y 5 3 B- S go qg,5 > ~o rr B- PERCOLATION TESTS TES7 DEPTH WATER IN HOLE TEST TIME WATER DROP IN LEVEL-INCHES RAT MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODT I D PER INCH P- P- P_ ~o w S l LZIEQ C4f -23 MOT "011(Z 3 ' D IJSIAP G. P- P . P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 0 ~lS.- 9 V. q 7f~GE ) ~Nh ) a Lll/~1~J SYSTEM ELEVATION © cis, 3 © 9Y, s la Es , t 1 SJ l.. 3 of Inih 1114- w. Y c s S F- 7_1 o .._._.j_ f_ I 1--t L6 o Sri 3L 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 the location of the tests are correct to the best of my knowledge and belief. VVEGF13FR SOIL TING NAME print : AND TESTS WERE COMPLETED ON:b -Z3-yO DESIGN SE VICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 71S-~IZS-o/b ~ P 0. BOX 4 421 N MAIN ST. T 51GNA U : "cSTooo S-?(. RIVER FAILS; WI 54022 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM (Attach SOiI Protilu Location Map On a Suparate Shoat) C~ ~F~JV~y 6UJVDLsx7p-s w LINEAR LOADING RATE: Z.- ZS - PURPOSE L V N W i)TE FOR SAD- t 39ZP7P00 SY371!9'1 SLOPE: Z% 3 0, /0 D~RIrrION BY: 1,IP'CNyva L. WEG~l2~i2 nsrrcT; T_ DATE U~ F; z 3 111 9 O CURRENT LAND USE- t- t Fvun COUNTY/STATE' ST• C_-,Wtk ckm7o-nf, l' VEGETATIVE COVER` LOT DESCRIPTION pT O~ SW `."/-kju," Ser_,36,T2~ Ui Rl6~v DRAINAGE CLASS; LOCATION: y l l'L~ G L- 0 W Cf 01~V 1 t.l,~ GALLONS- PER SO FT PER DAY; PARENT MATERIAL(s)/DEPTII: SOIL SERIES; 0~~~"~I 1 rl 1~~~~I IKXi11ON DEPIII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII -BOUNDARY REMARKS in anlsl Gr. Sz. Shp. COATINGS ~o JU 6 z. g zc~ lo~~ Y 1 - s i t Z m s~ k r~ 9 w 3 _6(~ 7.Syrz:31 - S~6~- ZmSbk w►v~-.~ 66-~6 t~~ct~ s16 - S 1 Fsb ~Lv~r• '$0 I3 2 s ~ 1- b1 V ~r c S ~ O-~ Toyer 31 Sit Zmsbk m~-, _ ~s 3 1b4IZ s/6 '~'S 1~5btc h\3 -qt- cc.v 37_SO \b~-CR-31 wta s o s m CIS S So-~z to~tz S/6 - S mv'~r• ~0 6 3 Z 7 _Z3 tWl R W S1) Z►yLS b h-i'~'~ CS 2~ 7-3-47 I.Syrz 3/y_• S ei& 2m slok h~yi~ -4, y7--~o to~ttz s/6 ~s Sbh v CS S 7D-8a )b`~R.31 rn~-S o s m ~ p-~ )A~tR-~1Z - S ZmSbk mV'Fl cS z 6 1t~ 4R V/ - Si 1 ZPV7 -mh cw 3 1~- bo 7.S~iR.3/ S Gh Zms blz M~ Fa4. as 4 0b_-)3 vw-f r, 316 - `~s l ~C) s bk. m v _ O - low to 31z- - S 2 ) Zm s bk m u 3 ZY-S4 -)-SLfR.3/ S EL(6h Zm sbk In\) c s S640 1bKtzS)6 - `Fs 1 sbk mv`P~ 7-(y J 3, k4, s ~>v v ~k r sox-, L-i L S• M 1 o 0 cs S uqvc4res F-o S scyizz~ OTHER SITE FEATURES/NOTES: 6. Z3-qp ' Oot~ S'7 6 PNG~? of Z LIMITING FACIORS/DEPTH: Signature Date CST N • ~ y cj' r. syseNn q C5.* 7 y?.3 n i LAG ~ ~ i Ott K 8.-3 y\j V C R Parcel 192-1030-10-000 ton 1/2006 11:37 AM PAGE 1 OF 1 Alt. Parcel 36.29.16.300B 192 - VILLAGE OF WOODVILLE ST. CROIX COUNTY, WISCONSIN Current !Xi 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 - GUNDERSON, RANDY W & ROXANN M RANDY W & ROXANN M GUNDERSON 200 SQUIRRELS RUN WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 200 SQUIRRELS RUN SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 10.930 Plat: N/A-NOT AVAILABLE SEC 36 T29N R1 6W PT O L 69 11.93A LOT 2 Block/Condo Bldg: OF CERT SURVEY MAP IN VOL III PAGE 798 ORD VIL WOODVILLE Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 36-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1037/264 WD 07/23/1997 746/501 07/23/1997 746/500 07/23/1997 746/499 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/29/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 50,700 247,500 298,200 NO UNDEVELOPED G5 6.000 3,300 0 3,300 NO PRODUCTIVE FORST LANDS G6 3.930 10,200 0 10,200 NO Totals for 2006: General Property 11.930 64,200 247,500 311,700 Woodland 0.000 0 0 Totals for 2005: General Property 11.930 64,200 247,500 311,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 149 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00