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Home My WebLink About002-1069-90-000 • 1 0 vi O 3 -0 0 0 03 ° 1 y (D ~T 1 d 3 ~Oy n z N VNi 0 O OD 0 W rnN O `C t;• C: a) 00 OM ro 7 fl ° ro ro N fl O `a cYl C. ro d N A a j. O n,wi tA\ CD 03 :3 ro m C 1 N N CL 10 0 O N c0 "rte! Q O p - CD 7 O r'-S N c ro m ro w D o 3 0. o Q 0 o r* 7 N v O N N m y (0 (v v° cn z D (y a N (D cn ° a o 7 CO CD c c a 3 0 o ° CD CD F. o co o 0 r cn 00 a) cn a o c v O O O 0 0~ o ~t a o D a 3 C, O Cl o I N) (0 ro N '(D ty d N y N CL 3 N N 0 O z(M Z ~y 0 D a j 0 : (n lV • 7 ro N ro D) y C (OD N w (D CL z CD O p Z in ~ II r A n 7 A Z O v n O W ((D N) W CL z 3 N z N a i (n 3 7' -0 ro o m a (D 7 O7 7 'ii 3 m L y ~W°Qm v c ~oa3 o7 0 0 0 ° (D o C N ro m Cl) ~ 0 7 n ° 5°'3 ^ (D 7 'O 0 S CMD 7 CD ~O 3 A f c. m ro = m w X D c 0 n - `o CD ro 7 N X V N A 7O ~ v O ,I DrAQ Oti CD A W 69 0 o0 O ~ ~ a Parcel 002-1069-90-000 01/19/2007 09:55 AM PAGE 1 OF 1 Alt. Parcel 28.29.16.422A 002 - TOWN OF BALDWIN 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 - WOLVERT, HAROLD R,& B CHRISTENSEN HAROLD R,& B CHRISTENSEN WOLVERT PO BOX 313 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 769 230TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.800 Plat: N/A-NOT AVAILABLE SEC 28 T29N R16W PT SW NW BEING LOT 1 OF Block/Condo Bldg: CSM 9/2652 4.42 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1066/429 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 153887 148,500 Valuations: Last Changed: 10/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.800 31,700 120,100 151,800 NO 00 Totals for 2006: General Property 4.800 31,700 120,100 151,800 Woodland 0.000 0 0 Totals for 2005: General Property 4.800 12,200 86,100 98,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/1712001 Batch PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel M 002-1069-90-100 01/19/2007 09:55 AM PAGE 1 OF 1 Alt. Parcel 28.29.16.422A-10 002 - TOWN OF BALDWIN 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 - WOLVERT, HAROLD R HAROLD R WOLVERT PO BOX 313 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 767 230TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 15.100 Plat: N/A-NOT AVAILABLE SEC 28 T29N R16W PT SW NW BEING LOT 2 OF Block/Condo Bldg: CSM 9/2652 14.98 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 04/19/2002 676801 1875/469 QC 07/23/1997 1066/429 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 153888 63,600 Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 15.100 36,500 28,500 65,000 NO 00 Totals for 2006: General Property 15.100 36,500 28,500 65,000 Woodland 0.000 0 0 t Totals for 2005: General Property 15.100 20,900 28,000 48,900 f Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 REPOR'T' OF INSPECTION - INDIVIDUAL SEWAGL' SYS'I'I-:M \j j I.. VV :2~ ^ Sanitary Permit wi State Septic NAME' COWN SLi11) St. Croix Cout)Ly 1,0CATI0N S_)__IAA Secti.ondff LoL Subdivision SEP'T'IC 'L'ANK Size gallons Number of compartments Di-stance from: Well fiuiIding 12% slope - Highwacer PLUMPING CHAMBER Size gallons Pump Manufacturer Model Number 1101,D ]AC 'T'ANK Size gallons Number of Compartment Pumper Alarm System_ Distance from: Well Building 12% slope Highwater ABSORPTION SITE Bed Treuch 1)istatic e from: We11 Building L2% slope- It i gtrwater AhSORI)T'ION SITE DIMENSIONS Width of trench ft IeqLt ired area It Length of each Line ft Depth of rock below the in Number of lines Depth of rock over the in 'T'otaL length of lines ft Depth of ti1_e below grade in. Distance between lines ft Slope of trench.- in. per 100 ft 't'otal absortpton area 1 t Type of Cover: PIT DIMENSIONS Number of pits- Gravel around pits yes no Outside diameter ft Depth below inlet ft Total absorption area ft Area required ft INSPECTED BY TlTLF. APPROVED DATE t98 REJECTED D ATE- 198 REASON FOK REJEC'T'ION State Permit # PLB 6 7 State and County f Permit Application County Permit # for Private Domestic Sewage Systems County n *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 11q0 /✓/4 ,L.c✓ C.,ehJ/J Ac~ ~Lc~LZJi L S B. LOCATION: '/4 /Y ✓lll Section T N, R_Z.LO (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 a7 No. of Persons 14c, m e D. SEPTIC TANK CAPACITY %ir CC Total gallons No. of tanks c^Ne. HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify) New Installation X Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 5L-Total Absorb Area sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length ~ 2 Width c_Depth Tile depth (top)- ~ No. of Lines w-o Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 91-1 Distance from critical slope WATER SUPPLY: Private X Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 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 Tester, NAME rZ v i2&- 'f'f oL~f C.S.T. # C-51- 0 S Y and other information obtained from cL//v e- (owner/builder). Plumber's Signature ✓ C NIP/MPRSW# n110 J41Y21 Phone # `715'-& 3 7b' Plumber's Address - 'L w t tJ.s PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. t E r y E i 3 F ~ E ..m _ eew a ....e em... e- - e e _ a - r i { w ......a 7, e m„. , a.. . , s~._ ..e a. _ e. e.. e... ' s f Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State County j Date O 9 jr/ Permit Issued/Rejected (date) /G f -JV Issuing Agent Name Inspection YesNo State 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 7/1/78 e r ~ f 1 s t \ t ~ r u tl r _ ~ t r ! Z> ' f CIO e ! Ll-- t~ C Fri i r t tp Ac 4C>. ~ , Q fib t 13 I" i :101 IQ IL' 4 0-0 p i D to r 7b .t r o DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING;. INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS LOCATION: ECTION: TOWNS ~jlw MVnrCr7!Zr_ Y: LOTNO.:BLK.NO.:SUBDIVISION NAME: '/a /TCVN/R/6I (or) W R c..' w COUNTY: OWNER'S BUYER'S NAMO ) ")A ig ci MAILING ADDRESS: / t USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIP 'ON:t 25N R ER A ION TESTS: nce /Y) h/ ew ❑Replace l `7 c RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED S M:( ~n N 1 EL If Percolation Tests are NOT required DESIGN RATE:SYSTEM If any portion of the lot is in the d` CF under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevati PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TETTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- pi e B 7z 9 „ > S - " 5'z_, ;2-1 `t B-:5 72- -7,3-9" 51- , er N B- S4_ B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER10 2 PERIOD PER INCH P- 1 P- P- L P_ - 'nZ P- /s 3 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 tXAA4(i /00'099, C✓~t V Pt'`~~' _ _ o l #2 e 4 '5e C. t- .2 Ao J 5' T1 r'' UR~~~p ~Lj'r1 e Em o -0i /.e- . 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. NAME (print): i TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): r _6 7/-5 C SI N TUBE: ~f Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. k1lin + ~ ~ ~ t . ; ' 2~ ~ V 4. ~ } \ C Ali I J 1 i` - Y~ ter,. *a 4 r~