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008-1058-10-000
N O O O C) C5 C) C C O O 2: O C m C co O L 0-0 -C O r ` > > O L m't O L Co --t O N mx in a mx (n c- C) c Q) CD N c°oEO o m E c°w E o m E ° U Q N° o ° Q N -O _ y O p a Y O p a M -0 Z3 o cco00c oca co y N oaa'i ~Ma) ~"oaa)) co m o `o E m o o f - ~ 'c co o Z m m . c m o Z, :3 Co Na, O O C co N~ O p C CD M y`~ C m 0 .5 m C m 0~ m [r r N 01 C 'p r (n O) C Ul '2-0 p N C O -2-0 O N C' p C 'O U O L p L p C 'O U O L O C Z O O a.- aUj HE Z 02- - 1 • rLL CO L) U) a) -0 L) U. c c N c.> •o a) -O c c E(n o~o m m a c 2Et I=3 .o=Eu5 ccoc a Fo- aa)i :3 m r Q. m a m H aa) ° 2 s CL- cu o o E~ m o o Ea o `off E c o~' o d o~ E c o.2 o I Cl) Z y co W E Z _ p o z 7t C '0 °D W a co N F- Z 4 o C C7 O Z ~ co U r r_ w aUi Z c o o cn I- ~ m Z m z E E M co O ~ N a) il • C O r O =3 m O Q Q Q w Q U O 2 Z Z o 0 MANT Z Z E N N ~ c c a) a) U) (D a) M 0. m ~y > C > C v L) o " a E W o W o o E o E o 'r co co cn 3 3 a ° m _ U n m° = w VA z z • ►~i a a a IL U) J U m rn rn (n (n Z Z ~V Q ~ ~ w ~ m w o I ,n LO = O Q E = O O E t O O ~ 'p Z7 O ~ ~ TS ~ Vl C C 4. 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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 - ERICKSON, BRUCE & JANE BRUCE & JANE ERICKSON 2289 30TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2289 30TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 20 T28N R1 6W 40A NE NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 11/05/1999 613361 1468/509 WD 04/18/1989 447043 838/312 LC 2005 SUMMARY Bill Fair Market Value: Assessed with: 138666 Use Value Assessment Valuations: Last Changed: 08/04/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 36.500 3,700 0 3,700 NO UNDEVELOPED G5 1.500 100 0 100 NO OTHER G7 2.000 6,800 125,500 132,300 NO Totals for 2005: General Property 40.000 10,600 125,500 136,100 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 10,600 108,900 119,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/02/2005 Batch 05-56 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 EAU GA L L E T. 28 N.-- 21 R.16 W. r a¢ es y V o I !tea da e/ 7.3a 9 o¢ `C l C'ha.-/eQ u C v/al SEE PAGE 33 L J LA. 9 'C W ~ ~ dP~ ij C Cj/En~ R ~e n /OE .ea ~z h N p /z 0 N~yr~..~d h , .Cana i m ~o L 6J °ha 0'C h uC q 0\ SJa/e Q% wv .3z 3 nd^ \A oC tl l0 ~o once/d ~s rim /Pe.k • .B.os a/xp a.- hr. . ~ b ~ N Mo /ton l ~Qlq % FJ d f ~.z.7s B y~e ~hn r/e /e a• 'sac • u . ~ o ~ W $ C h h -a.o ~ ss / ° p~ x N 96 v e 9~no/d E s y BB P ~e de/ 3 s c. 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Electric Motor I Wisconsin Clinic SALES AND SERVICE Tom Vondeberg, Owner General Contracting NEW AND USED CARS I Also Authorized Factory PHONE: Dealer & Installer of BODY SHOP 715 - 698-2421 Hagen Cellulose Insulation 698-2463 • Woodville, Wisconsin Phone: 698-2934 111 River Road East or 698-2664 Woodville, Wisconsin I 54028 AS BUILT SANITARY SYSTEM REPORT UbJf~I.R_. yr' ,ma'r' ,~i^>( 's TOWNSHIP,6 ly f' SEC ?1N-R W - - - AUI)kI SS n ST. CROIX COUNTY, WISCONSIN. SUBDIVISION ' LOT 4 LOT SIZE S 1-e t PLAN VIEW Distances and dimensions to meet requirements of H63 SHO NG WITHIN 100 FEET OF SYSTEM 7-7 fin, - _ ~ n - _ - W la 7 X I I di a e o~ th~ rrow BENCHMARK: (Permanent reference Point) Describe: - ~47 ~c'~;P_/7~ oo SfJ Ga~nP r °'c ~OUS•' Elevation of vertical reference point: Slope at site: SLPTTC TANK: Manufacturer:.Z/) Liquid Capacity: Number of rings on cover fns,., Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet. Elevation: PUMV CLAMBER Ianul ac curer: _ l ,f Ls7 e r~ Number of gallons lumber of gal , pump set or a cycle / Z:5~ _gallons ; total capacity or d i_s t ribution lines __gallon : size of pump--- h e a d ; rtllun per. minutell~ horsepower brand nante of pump ,iiid model number i ,arm j i'ype of warning d-~/ns r,7 nv» /.f-___ HOLDING TANK: Manufacturer Number of gallons /1?_ Elevation of manhole cover. Type of warning device SEEPAGE PIT SIZE: Number o pittsj_G feet -Ti ter f feet liquid depth- seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. ';1;I:1'AGE BED SIZE: number of lines -wile Ygth -/tile depth,-y/' kI']'AGE' TRENCH: width- ozlength - I' k i CULAT ION RATE AREA REQUIRED AREA AS BUILT INSPECTOR I ~A'L't:ll PLUMBER ON JOB LICENSE NUMBER SJ? T175 ST. CROI X COUNTY ti.z WI SC O N S I N ZONING OFFICE 796-2239 t I HAMMOND, WI 54015 March 7, 1983 Mr. Everett Boldt 780 Curtis Baldwin, WI 54002 tear Everett, In order to bring our files up to date the following AS-BUILT is needed: Everett Erickson NEB NEB, Section 20 Eau Galle Township Please send the AS-BUILT for this Mound System to the Zoning Office as soon as possible. Sincerely, Thomas C. Nelson Assistant Zoning Administrator TCN:mj j DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS SAFETY & BUILDINGS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING ❑CONVENTIONAL ❑ALTERNATIVE State Plan l.D. Number. ❑ Holding Tank ❑ In-Ground Pressure (If aeelgeedV Mound v _ ~J 7 NAME OF MIT HOLDS ADDRESS OF PERMIT HOLDER: INSPECTION DATE: BENCH MARK (Permanen((((t fe rence point) ;IBE IF DIFFERENT FROM PLAN- '1 _ REF. PT. ELEV.: CST REF. PT ELEV. Name of Plumbe r MP/MPRSW No_. County ✓ Sanitary Permit Number SEPTIC TANK/HOLDING TANK: S/e B '39 MANUFACTUR ER. d' LIQUID CAPACITY. TANK INLET ELE V.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED .P..., PROVIDED. BEDDING _ v YES ❑NO VENT DIA VENT MATL HIGH HATER. RIYES ❑NO ALARM ' ,}s NUMBER OF ROAD Y„ PROPERTY WELL. BUILDING. VENT TO FRESH ❑YES ❑NO ❑ yES`..?❑ } FEET FROM L E IAIR INLET O NEAREST ' f f DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACI TV PUMP MODEL PUMP/SIPHON MANUFACTURER e' " WARNING LABEL LOCKING COVER ~,.f •f [:]YES ZNO f '1 ~ J l~l/~ /.,PROVIDED. PROVIDED: GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL ❑YES ❑NO ❑YES ❑NO (DIFFERENCE BETWEEN / 7 < NUMBER OF I'WIPRTV WELL BUILDING VENT TO FRESH PUMP ON AND OFF) FEET FROM ~AIR4NLET YES ❑NO_ NEAREST ,7 Cf / (7 .10 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing Ncn, DIA ar rR 4ArERIAL AND MARKING, or excavation. (If soil can be rolled into a wire, construction shall cease until LFORCE y , the soil is dry enough to continue.) AIN (1 V C CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF R_ PIPE SPACING COVER DIMENSIONS f THE HE MATERIAL T SIDL DIA -PITS LIQUID PIT DEPTH GIt 7\, C1_ f>E F'Tll FILL DEPTH UISTH. PIP _ Bf L.GrvV PIPES DIII ST E ISTR. PIPE MATERIAL . NO. DISTR. ABOVE VER E LEV I _E EL END NUMBER OF WELL. BUILDING VENT TO FRESH CO. . PROPERTY PIPES FEET FROM LINE AIR INLET: NEAREST--~ MOUND SYSTEM: Mound site plowed perpendicular to slope and furrows thrown upslope: Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER. rExruRE f PER ANENT MARKERS OBSERVATION WELLS 11 DEPTH OVE7EN,(R BED DEPTH OVER THENCH;BED~ 4JYES ❑NO YES ❑ CENT-EH P EDGES / DEPTH OF TOPSOIL SODDED SEEDED. NO ) ~ JMULCHED. / ❑YES O PRESSURIZED DISTRIBUTION SYSTEM: ES ❑NO C^S"ES ❑NO BED/TRENCH WIDTH ENGTH NO OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE { TRENCHES. FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MATERIAL NO. DISTR. DISTR. PIPE DISTHIBU TION PIPE MATERIAL & MARKING. ELEVATION AND ELEV_ aZ 3, ELEV V-79 DIA ELEV PIPES DIA DISTRIBUTION 93'79 j J INFORMATION 'IDLE SIZE} HOLE SPACING DRILLED CORRECTLY - f COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED 1 PLANS COMMENTS: PRMANENrMARKR YES ❑NO ❑YES ❑NO oasRVanoN WELLS: NUMBER OF PROPERTY WELL: BUILDING FEET FROM LINE ')f J 1 YES ❑NO YES ❑NO NEAREST- tDS.SS T~ I~ io3.az Sketch System on Reverse Side. Retain in county file lot L,c SIGNATUR€"' DILHR SBD 6710 (R. 01/82) ~.3 APPLICATION SAFETY & BUILDINGS DEPARTr.%,!---NT OF FOR SANITARY DIVISION INDUSTRY, PERMIT P.O. BOX 7969 LABOR AND (PCB 67) MADISON, WI 53707 HUMAN RELATIONS Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Mailin Address: Property caner: Property Location: or ownship: County: / X /116%1VJ5%S AO iT A?N,R V (or) W Av (a~A e 5-f; G/PO Nearest Road, Lake or Landmark: State Plan I.D. Number: Lot Number: Blk No.: Subdivision Name: (If assQ}fileeJ)D ©a ~ L I /YA D,e,~ ;JJ TYPE OF BUILDING Number of Bedrooms: El Public* ❑ Variance* ❑ Other (specify)* 2 1 or 2 Family *State Approval Required. c~ TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specif, SEPTIC TANK CAPACITY /000 ON ~ X X HOLDING TANK CAPACITY X n LIFT PUMP TANK/SIPHON CHAMBER /000 (•)/v e_ MANUFACTURER: ON C. c~ fG EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): l~ New ❑ Replacement ❑ Experimental ❑ Seepage Bed Seepage Pit Alternative (specify) /Y1 0 tJ N q ❑ Seepage Trench ~o ~ 7S r y%Pripatee ply: Owner's Name as Listed on Soil Test Report (if other than present owner): ❑ Joint ❑ Public I, tjundleersigned, hereby assume responsibility for instal ion of the private sewage system shown on the attached plans. Namber: S' nature: ne NumberPlddress: Name of Designer: 7,2, COUNTY/ DEPARTMENT USE ONLY Fee: Date: gppROVED Sanitary Permit Number:- n cure of Issui ng Agen g Date- DISAPPROVED eason for Disapproval: Alternate course(s) of Action Available: building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- staiiation. Faiiure Lo comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (N.03/81) T Y OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, G DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISON WI 3707 HUMAN RELATIONS TOWNSHIP/MUNI IPALITY: OT NO.: BLK. NO.: SUBDIVISION NAME: LOCATION: SECTION: J / L COUNTY- OWNER'S/ BUYER'S NAME: MAILIN DDRESS: e_ re e- C_ CK5, J CJ/ S USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I R DNS: ER LA, ION TESTS: Residence y~ XNew ❑Replace X RATING: S= Site suitable for system U= Site unsuitable for system C 18 CONVEccNTIONu NAL: IMOUNcD: IN-GROUNND-PRESSURE: SYSTEcM-IN-FIILLHOLDIIN~G TANK: RECOMMENDE EM:(op • nal) /y ~J ~J ju ~J ~J Y ~J Elu o EL V. If any portion of the lot is in t e y O O~ Q O ) If Percolation Tests are NOT required DESIGN RATE: SYSTEM under s.H63.09(5)(b), indicte: Floodplain, indicate Floodplain a ation.. ~C js ? a PROFILE DESCRIPTIONS r. BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKN LOR, TE AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBR 1 it r~ C Ala ) r :51/_ / ✓ l V' / T ccTT N ` J B-3 7~~~ /4' ,34- rr 3 ~-7~ ~r B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER IINCH ES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD P_ / .C D z_"G, P vZ D P P P- PLAN VIEW: 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 slop. SYSTEM ELEVATION o 4 ~s e7 0 'r /0-~ •5t Pe-4 i3 3r v 5 _ CAJI~o od'e IS< _Safe 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. 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