Loading...
HomeMy WebLinkAbout016-1044-40-000 o N 0 fn p 3 v 0 r~ O f c 0 m r1 I c m~ I c~ 7 D D 3 h, ~ m~ ~ m ~ m o O • CD ~ d CD 1 3 m _ I m z= m z o CD cn cn g 2 z - cn G) O E3 c O O d 1 0 d O m 0 o CT W 03 O m c 7 O CD w 7 7 W 1~1 N E3 N co 4a7 1° Z a m y w N ° (D W 7 CD 0Nj C 7 W 7 m O Ui A O 3 N N CD" 7 O c N a 4 CD r O T o m r o O m n a cn C m m O O O O y CL O 7 N O 7 N p> O ~~1 W C ^y a ' C a a z D a p 1 m cn < D a li to Cp O (n p, N CD Ca N N G N W N c co 0 CD N CL CO`D COD 00 3 O O O O 0 A A S CD NO S _ _ (n cn z CO (D CD CD O Vo JO N Oo W Or. ' fp j Q0 ~ 0 0 0 rn 1 0 0 0 rn E N Ul n c fR (n N n~ 3 7 ? Q v v v 7 a l m CD 'a 0 -0 0 (n m H a 2 cn m m 3 :3 m w 3 a Ul ~ z D CWD o A l D m o a O O O ~1 O a 7 O v a 7 lrV 0 ::r m c w l h• CD m m G' D Q CD N CD ED N m o c ca c m ~ c CD Cn CL w m CD co Z m v -i to N o n 7 ~ z o' A C1 7 O7 m w o W 'U W '0 o m CD M N z C 3 21 III z Z7 c c m 3 3 N .Z1 z CD (D O N N I 0 _ m v7-I D o Q ? maN w a o = m m m - N 07 T ci V) m 0 7 '71 0 v c S 3 CD N N c z z a n O N ~ 0 O O CD V CD d Cn ? CD , w A ~ CD O go3 0 O N N N CD A 7 M 7 cn o CD ;L a S 7 S C O pQ m 3 CD S M 3 3 m ti - N CD Oo N O X _a m °a 7 ' A O O b oa 0 CD m ts~ O O v, O o :E o a CD C CL ° o ~ I Parcel 016-1044-40-000 08/28i2006 09:28 AM PAGE 1 OF 1 Alt. Parcel 20.30.15.319 016 - TOWN OF GLENWOOD 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 - KONDER, KRAIG K & MAUREEN KRAIG K & MAUREEN KONDER 1462 290TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1462 290TH ST SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 20 T30N R15W SE 1/4 NE 1/4 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 941/32 07/23/1997 918/303 07/23/1997 817/562 07/23/1997 697/255 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/26/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 37.000 3,400 0 3,400 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 9,000 101,900 110,900 NO I I~Totals for 2006: General Property 40.000 12,500 101,900 114,400 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 13,300 101,900 115,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 220 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 GLENWOOD T•30N7R.15W. 49 S SEE PAGE 60 DUNN COUNTY 71 Pau/2B 11 y mocha d Zed/iT .zo N tch 3 4 STAscxuc a r,EME~RALID 7 L/T B Y0O / 9 P irseri cSY¢n ¢ant C/a~cnce K eh/, ~Se~e song eK -7 L.1 99he • sr~ CA Lechna /ao /oa Bo /91 `T' z/s aY he 174' 1-7 9B. zB noon C/e/a/d R € oe • ¢ //y rva~ 2abe / C M 1c6 B ue- c/n~ /sz P eo T Ha./ans y Fi-a.~/c era mes Mary C?~ tl ~s.Fe f oo ~Po 91, \ vo/et . wa/v-.en Sch ~Tohnson ~,e F BO ¢o d ec ye%n~ Moe Mc%a r/ y ~ 0 Wayne £~Ta mess Row/ F cSha~on ~ `'C 9 ~e,-v To//e1a. L Loi or~c •~d u`ia~s6u~ jj~l~ lNarne~ soo /sT /60 \ Q es iH'h e/da yo /60 dec Roses J h -DOno/d s /y ~rarne c ` 4 p ' f as ~l .Bo./te ~iady ,Bo n~ ~ b y /zo 9 d cw sc ~hn Kno s y0 h ~ Cac eha ~ ~ Lp ~ 6a ~ ~q'%B. 80 0~ v C o y ri¢e.rgo ~ /s¢ v~,~o ,vnde son Hn son .r.~ o~ tlNn f/ ~vm.a~ Leo X 69 4-0 tl /BS ff Lyons /60 • 77 7Y s ZS vo ~mMa//awe 4-0 ' l ~P ChoTd . p He be r W~ r y C t rPose 0 c/o.K `/~'d/e• Leo~a~d v~?r 60 °ssegs 'aa 6 Gcozce Haf>`.E W Tim;, Luks C o Q5~- T t~ e • /94 barm.~e/% Oba~m..2//e r- ~•~v. G'e /dy ~l l' 40 F t f ~u~ e CR e rian -h 3 3 e /60 2637 eD~NcYi ~tl~ q w ~ ~ d~H ~ . PLgiaa//b/ee¢w~/r r,10 r~ " -",5 s¢/iy non JAC E / ~s.3/ V 0 cinasf S k%chacd• • y tl /ay k Bhn a/ , U-(TON c B° ~C ehy e A d ey 9ys y ao to sow 40 *a ~ Emei-a/d Fa ~r,rBns Duane E Nancy n /zo 200 me 0 ~n~~ b y ~tl `vo \ /zo fBa~b Q O Q 6xeh¢ 9e Znc. 6ch/iebe/ \ 40 Q ~ Pa/ - \ ry~~ p v ~Dii i.k rnan V U Q /z o • ~l7 CT ~ ~ .,~.c~ tl .0 J W F ants Lelo S ' • E-a< e H r'%J 2 x IJaJe ~s°s°.~ ~ H°//dog 1 p a 2 c5'c% 9 Mae d C L~ 0 L eo~>o~d Be/ends A demos on • 6a~t t ti ~o O 7B ~tl ~ ~ t Pa.~/a 765 Bo ~ L o//'q.nE INes/a ~ .Qcb~Y •,/7 O 77 n ynca £Docis ,Bra-tea d V d b ' 0 Ci ff ~cL s ~TCa n y /ass T rf/ X10, ~P d e D/a u/~ Fa m rz.~ C~ \~l 0 l v~ r~ndcanon C C . a \`lh fSa//y /B3 Jan72 S -fps l \ ' h ,Pobecf tl !/a to v a s 9 ~7 ~C 21 e 6~a/yn O H// . ~ A~ ~ Te'9~''/ o5h 0 O IJa vid Few a o•-f n 0 d 3 co r/9 30- E ~ / F 0 ,e e /z4- ~ b Ian SoSroeder ya ~ ; u<~ a a~ z/e oN = G ° 3e ' K rti h l- \ w• to e be > e..d~ VC~ ~ ansa~ ~xo yx ~ ~y~ Cp. FP Loe ,Ee 79 a F~anci~s E b h .326 h0~ \ 0 .5 C 0~ 0 0 T~F '~a~ah \oEq 0 ~tJC h\ b ~ Gapvo ve~„e~. f /B w E Obearnuc/%, tl~ n 0 ail p C h C L------- t xwy z C 6 nh n 0 t~. 9 d qFX ao C/a~ence QI ss w V q z s tl `h ~~V ~F ~O /70 ° o h CHo~ nan N K o E n~s~ . •hT._ B«~ • .y, ~a e : 7 26 Q p B May Ch t -c r _ Cu~f/ss, 0 cScha/ 6 Geo. € se ~R. Thayen c/z.x • fHdcn wed ~0 do 7;1 C~ p ~ ~ M nd/ /zo /zo GLEN OD - CIT p 0 : /3aofh b C • d~ Bo Le/oyL da3a/ 1r1 6a Otl 0^`~ ~ ~ m ~ ~ ~y -y 6/echl • ~ d o ~;y ood K, W~ e~ /eyh DH ' at•' fLQ ✓°~~e K6ran • ©UCe (Tan Leto S -DOria/Q MOE / G N \ • 5 B (/HOARY y s 3r N Lacso io De/°n~s Kond j /!rn 7,1 °O-51'F/ J E zo Fiie6u 9,• 6z V C 1/ ao y e Thom/oson N C p ~9/be.-1 < ous 4 /zO J,s ~`•:~14~ C ~-CC s1e h'e%„~~Ti y eon2 Maa. j b\ n r/a /-v/n s so rns /s8 ,Booth Thom/oso zoo 0 Kaerr. / auk tl(TO 3~y"~7 n pis 4✓rs~ 71 n C iQo 3 0 ~ f'eod qw~ tlaC Teyen usrrc9 mss v /zo L a.~cen ce F Q H ~ G'a y f M cue ~ ohs ~T ; ~ be~1 36 w F66.e Ha ya./ ~ y .aooth /r• C <7'o.~tfi 5' rscPt/y • r ve/rna ao c`^ h ~ZV~ Bo /z/ . n ~w 4~F vQv T ryas C~osb✓ U~ zzB C'C 000 P7.Yf n • ./zo 17ona ✓on b~ /66 ^>r •v p of. 0~ 35 //o~-/.n.son f:Bovea/ /c'B Fcrw. • n w¢/df 0~~ 0 Jo d~ /3373 R ob f ~o ~hra~ ad~n- 'Q 0~ v .P2h Bo . E ar..n Bay to iP-W of D. DD c /96BR c,Ffo~d /"/aN 6/s,I c,P~./y7 SEE PAGE 37~ ~9f C~oiu G'unnty, rn//s. GLENWOOD GLENWOOD CITY GLENHAVEN, CITY AUTO CO. CO-OP SERVICES INC. GLENWOOD CITY, WISCONSIN 54013 Your Home - Away From Home a Phone: 265-4224 Intermediate Care Mill: 265-4827 - Fertilizer Plant: 265-7212 Facility GAS * FUEL OILS * LUBE OILS Phone: 265-4555 PHONE: 265-4877 TIRES * LP GAS ACCESSORIES GLENWOOD CITY UNIVERSAL MILKERS * FERTILIZER 612 East Oak Glenwood City, Wisconsin WISCONSIN GRASS SEEDS * FEED, BAG & BULK 54013 Parcel 016-1044-10-050 08/28/2006 09:22 AM PAGE 1 OF 1 Alt. Parcel 20.30.15.316A-20 016 - TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/03/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - KONDER, KRAIG K & MAUREEN KRAIG K & MAUREEN KONDER 1462 290TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1494 290TH ST SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 7.000 Plat: 4711-CSM 18-4711 016-04 SEC 20 T30N R15W PT NE NE LOT 1 CSM Block/Condo Bldg: LOT 1 18-4711 (7 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-15W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 03/03/2004 755692 18/4711 CSM 03/01/2004 755603 2519/275 EZ 07/23/1997 941/32 07/23/1997 918/303 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/26/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 7.000 300 0 300 NO Totals for 2006: General Property 7.000 300 0 300 Woodland 0.000 0 0 Totals for 2005: General Property 7.000 400 0 400 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 Parcel 016-1044-10-025 08/28/2006 09:22 AM PAGE 1 OF 1 Alt. Parcel 20.30.15.316A-10 016 - TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/03/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner KRAIG K & MAUREEN KONDER O - KONDER, KRAIG K & MAUREEN 1462 290TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 33.000 Plat: N/A-NOT AVAILABLE SEC 20 T30N R15W NE NE EXC PT TO CSM Block/Condo Bldg: 18-4711 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 03/01/2004 755603 2519/275 EZ 07/23/1997 941/32 07/23/1997 918/303 07/23/1997 817/562 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/01/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 32.000 1,900 0 1,900 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 33.000 2,000 0 2,000 Woodland 0.000 0 0 Totals for 2005: General Property 33.000 2,200 0 2,200 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 Wisconsin Delartmant of Health and Soolacl Services P1b. 467 370 Division of Health SEPTIC TANK PERMIT APPLICATION TYPE or USE BLACK INK A. W- FR OF PROPERTY Name Address (Street, City, Zip Coda) z /r ✓ 4,c t r, 1:? _ ~~L~' fry J B. LOCATION OF PROPERTY WFTRE SYSTZM WILL BE CONSTRUCTED ALTERED OR EXTEATED Check One: CITY VILLAGE LE I - TOWNSHIP Ic 'e, C. IS LOCAL PERMIT REQUIRED FOR THIS n ? YES NO 2z 9 7 PERMIT NUMBER D. SEPTIC TANK CAPACITY ( Gallons NEW INSTALLATION REPLdCEMENT ADDITION MATERIALS: Prefab Concrete Poured in Place Steel Other NUMBER OF TANKS TO BE INSTALLEDs E. TYPE OF OCCUPANCY Check One: One or Two Family Residence Cosmercial Industrial other TSpecify) Number of Persons to be Accocnodated ~C Number of Bedrooms F. APPLIANCES, ETC: Food Waste Grinder YES NO Automatic Clothes Washer YES NO Dishy asher YES NO Autoratio Potato Peeler YES__,k~. NO Other (Specify) G. M4%STER PLU R MASL'?G INSTALLATION Name: Address: Liosrss Number: Signature of AP lios.nts MP P.sW Addre s s s H. (To be Completed by Issuing Agent) Date of Application Fee Paid S f' Permit Issued (dated Permit Number i~ Agent (Name`"~ `/'/1<i % Fors~a Town, Village, City, County, etc. (Specify) Note: The application cannot be considerQd for filing until all of t::3 above: questions are answered and the fee paid. Agents will forHard application, the fee of 41.OU for each septic tanx and the tnird copy of the permit (canarj) to the Division of Health. Checks a-td money oa d'ers should be made payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY n 1. DATE RECEIVED r D -1 -7 D ACCEPTED BY RETURNED (Initials) (Date) See Correa.) FEE RECEIVED VALID. No. 1 737 PERMIT NO. T es or No REVIEWED BY APPROVED DATE (Initials) Yes or No T COMPLETE OTHER SIDE l s SEPTIC TANK PERMIT NO. 9 c R Y P 0 R T O N S O I L P I R C 0 L A T I 0 N T E S T A N D S O I L B 0 R I N G S TO DIVISION OF HEALTH - PLLP:31117G SP,CTIdN P.O.Box 309, Nn-disor., Wis. 53701 Pursuant to H 62..20, Wis. Administrative Code., P S R C 0 L A T I 0 N T I S T Test Depth Character of Soil Hours Water Test Time Drop in W ter Level Inoi,es ~ utas Number insshes ?hiczoss in Inches Since Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overraizht in Mirutes Last Pariod Last Period Feriod Cne, Inch Example P - 0 36" To Soil 10" Cla 26" 25 Yes or No 30 1 2 1 2 1 2 60 ~y RECORD DATA FROM M L`lUii OF 3 TEST HOLES Compute site of absorption area it. aocord with H 62.20 Wis. Administrative Code. S O I L B O R I N G S- Mininuri 36" Bel-i Proposed Abso tion S st m Boring Total Depth -De -4h to Ground Hater Depth to Bedrock Number Inohas served Esyir.:atod Cbserva3 Esti .tad Character of Soil with Thickness in Inches Exaaplo B - 0 E72 " 72" Black Top Soil 12" Clay i8" Sand 18"• Gravel 24" RECOPD DATA FROM MIVL`fUM OF 3 BORE HOLES YP£ OF OCCUPANCY: RESIDENC%s Number of B33.ows OTHER: (Specify) Number of Persons D WASTE GRLNDL..~t' s Yes No Y Dishnashers Yes No Automatic Clothes Washers Yes k No EFFLUENT DISPOSAL SYSTEM: HEW EXTENSION ADDITION REP L, Tile Size - No.Lin.Feet Trench Width Depth N ines Seepage Bed: Length / Width n Depth, Tile Size ~ No. Lines Seepage Pits Inside Diameter Liquid Depth -P- I, the undersigned, hereby certify that the percolation tests reported on this fora were made by me or under my super- vision in acoord with the procedures and method specified in Chapter H.611.20 (13), Wisconsin Administrative Coda, and that the data /recorded and location of test holes are correct to the best of my knowledge and belief. NAME TITLE L a . Type or Print REGISTRATIONN1NO. or MASTER PLUMBER LICENSE NO. (s= J LI J ADDRESS ~,C- L LCjL~ Q (1 DATE ,7 17 n SIGNATURE r GL"ENWOOD T30N-R.15W. 49 Ma/~,-,~ Law ence ch 5 z S h. f QE PAGE 60 FN j DUNN COUNTY d F C/a Q• •p La°ra K eh/ Jc z 66 aar-t 2 sz •1 ~ Pau/us so Loan cSf imo,~so Do fa ca Y L. 1 /o a z 6 i /26 P, ff c z ref ~na.nz 90 1 •j . s z t zoe ~b , S C/a e ce `l E, .r> /ir n cha d Za if/ :F gp 6 4a 3 s 92 6*a%% uis fch y U A r/B 3 < s A l a d f Ke.~.reth cS~ee~ 2rQ b 3 5 ~ Q~ n b • 3 4 5 ^ 6 3 4 3 4 5 0 h a /¢9 Ha~o/d :;,K~PALVSTA• c6 e . o e Henke ` E 9 dys • OQ •Ho wa d •G✓a~ner- Fancls Mar- rat iza Sch y loss a 9 sh,> / cStac.E l7a vid q. u~ S E ~e Ss may CA Gir,/ eSYa aer-f C/a~cnce E s an ~,e r, Fied a5; z17 ! p,99f>a in P -o.°r''7 /o a- Do Lechner- K o J. zis 19/ C199 r ursf 98.28 49 6 27G _ 1-7 Don , e ai ' aB tf¢~/and ii9 te r. Fi a.~/c ~Ta mes R Ma/iy CTS • Mtc~ B ke e% isz ~A eo ¢ b !ho/ef ,warner Schu Jhnsor7 v~ tl BO ¢o der Bo ~ er \ M~ha e ti tl G(/ayne ~✓¢me~ zop /s7 /moo l tl ~ ~ 9 maw Tom/e12 E Gor• or.>a ~ r °d cSta.rsbu~ l,~'~ , es Yoder Ross e/a'¢ /GO ill z~~ s~ora/d f • /.S' same • r \ s • ~ 40 ~J "Bo7fe ~/ady ,Bo ~Ye ~ e ~ ~ /zo 9 ~ ew y~ Z ~,~v~~dFi •97 ao ~B• 80 ~b Vy0 y•~ • Ma e.s~ • h/s¢ ?s O~ ~0 L..9 H rc.¢ 60 ~W~ Cx h~ b Ear/e\~0 A demos o~ ndersorr ~0, .3a o tl rvm. 'Y y 01~Q 69 ~w 4-o a~ ~l tl cToN a-~n /8s /-toff a~ L ao7s eta/ 77 r a 79 ~ 7s e3o e Ma//e~e • va • '`1 r!a be r 3e e ~ E Gassers ¢O l .2 chard . y C ~ F .Pose 0 ' - t~~,,rr//e• Le Ba .3B e G~gce Hat/,e ?7 ~v L .Es 'x C;r GLSer- T tf/e• i9¢ T..>., ] bai'mue//a ObBrmue//ar- ~y~ f o.'s.a• / 77 gc ERA(_O 3 /vo 2337 • 0 a no cDe ofh~v ih tl h Pooei/ t es %an f C E - 18 v~~ Mi,'~ tltl v l~. Lorr¢ine Tutffe ym /-✓m e R Ma,... -a -1 sre c3 z E ~3r ° v v n C 3 e,~,f3 y rr rTOAI BO V _DO~of/ti S ,P chary 99,.E 0 3y Eva.-e t k eh., ti W 0 Q va C Ny w vo /zo Fred ~~9 _ u Emery/d Fay ,per-s D~rana 4 Nan h n rzo C o o n a V - J e Exchaa :Y ~ ,2 6 t v fBarbar2 e I%7c. cSeh~ieber 2DO ~ \ p~. l \ O 4 '9 /zo y-o ~ ~ Pa/a- \ ~ ~ p ~ ,Drr r„E man u ~ 40 ~ 0 ~'0 t R ~ .may n z76 W . F~¢n~„ Dray 1 U a < ,y ~:y ~ 4] ~ c.s 9 Moe 5 e 0 e e.s ~ E. N°//do f' ,P ba.f ~y rv w v a. 2 v7 7a \ ~ Leo o.-d /ends ,9 deso,7 1• 4p J ^ `e y t Pa /a , 765 Bo v r Lar74 ire • Lva s/ey ,Q 6~> ~117 O ,Efer..,a d w nivtl Pa/awrf ~a m a;Y 0 ~ ~ Cr ff ~cL F <rean ~ /ass `j ~~tf/e ~ o ,P ,a e D/~ Cow z o l .9 derso„ C C. v \`lh fSaUy P ~ Q res c7a es ~ ~ h _ _ 40 beat a F v fa 0~ r 9 a Fve/nn H,/ . Q 7erye.7 o~h David rr/ey N FP.st zoo b b 7a~.~F ir9 ?y E,o / K, b .Y,~ Schroer ed 1 G o r nos ` ~ ;o"`. ye~ ~a7 ~XO h r ~ • WN' C 0• z FP1'~ ~ ~ya~Fa,ci~sc ~ti h • 0 3e~ u~~~ y~v y q ivy oo r!F -F ~~~e ~Ea vyE Ober-mpeL/rr tl~Fn 4 a \ v Qt0 h Z--- > s B I ss wq V q zzs o y de .s° aox e o o cia.a tl c 0 cSc/ab er- •hn c_ BL UE• -Da,-.y/ Jp ~s 2 6 P o ""C do a P~ Ge Mu d/sa ER. Tht~r cs~ sfer s t c,v~ Zy '~o`~ Gov LeroyS Ha3e/ rer /zo OD Ci7 \~0~ 6p tlbtl 8a Moe .g.o gab/y F,~/- ~.3 a m o ~y 6/echl 4° y H ,guc%,yh 6 cc ~N ' H f• o . y ood W~ o fLa vo~r,a F Ka~e.7 • 9ruce Jan- Zero 2 • -DO~a/d "vrY.Y / G . s e uHUeer Gr- Lars -Do.>a/d 1 ~>d iConder .s.Ei ~9oe i F ~Tu .e McE H ~r °~o ~e/ore ~s 77 at 76 .~9 ec ° Fre6ory,• Bz ofh- eu. NI Cu ii ss ,ey s9nra Thornroso,3 ~ ~ ~ 0 fJ/beg/ s Lous 4 /zo s ~s f 21~ ~ C C i s1e~n Jc e~ Tho meson -o U b w rn e eon2 Ma J. ] d~ tl o , /Q vrn c cYiS /sg ffe%.> ,Boofh 7~ ~ ,ja.7. / a - C1CTa ~p\yy. Uor-is wse C o o fie/d ~w~ tl Tai9/z a usric9 mss La~.r•ar~ce S @~ f7'a -Y ;f 36 f)bb,effau a~ + B th 7/ tl C C >s T 3 P b t w 'tl COJ~ 60 /z/ 0 01C C tl !jc v`fi d5 cscPfty f v /,nQ <o ~g h D 9 ao o~, xv ~Fo M r,ye c°sby o~^ zz6 Cy ~tl0 /h7{-o~ •rzo ~ZJOna von tl ~ _ 2 d •I 0 vn ti~~~ rla tn~son t:Bavec/y y~~ /m6 128 I Q ~ v dp lc eh war ~ 0 /.3373 a s f o.n CJ 0 dt ~bZ doted- b 40 ' DD Qe - ~~-.m Boy era/' ,es fY e/9~B .Pocefo d rra~ b~s.,Jnc; Rev r97 SEE PAGE 37! x C'o~,~fy cv.,,, GLENWOOD GLENWOOD CITY GLENHAVEN, CITY AUTO CO. CO-OP SERVICES INC. GLENWOOD CITY, WISCONSIN 54013 Your Home - ~ . . Away From Home Phone: 265-4224 Intermediate Care Mill: 265-4827 - Fertilizer Plant: 265-7212 Facility PHONE: 265-4877 GAS * FUEL OILS * LUBE OILS Phone: 265-4555 ! TIRES * LP GAS ACCESSORIES GLENWOOD CITY UNIVERSAL MILKERS * FERTILIZER 612 East Oak WISCONSIN ® GRASS SEEDS * FEED, BAG & BULK Glenwood City, Wisconsin C 54013 0-A 37- AS BUILT SANITARY SYSTEM REPORT OWNER NR :i rl Nr~~e=r J- TOWNSHIP ti~_ <<< SEC. !7 s,N-Ri7"W ADDRESS f Lr A( Lam,, cl, ST. CROIX COUNTY, WISCONSIN. 2-6f SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 - VERYTHING WITHIN 100 FEET OF SYSTEM r .y l N , y Z I/e i I di a e o th Arrow SC-L,: ,f -i_- J BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer:__ / 5 f, ,y Liquid Capacity: 117 ~cNumber of rings on cover : Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cyc e gallons; total capacity distribution lines gallon: size of pump head; gallon per minute horsepower ran name of pump and model number ; Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number o pits eet diameter _ feet liquid dept- seepage pit in et pipe-elevation bottom of seepage p- t e ev ition feet. SEEPAGE BED SIZE: number of lines width length tile depth SEEPAGE TRENCH: width > length le', _ PERCOLATION RATE -AREA REQUIRED t1, RE S BUILT INSPECTOR DATED /D PLUMBER ON-JOB <c E' _.r LICENSE NUMBER REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Perin L A46" r r State Septic _[__oQ__,3 NAMr: 4Q!_IJT -TOWNSHIP-A~f /I OCIb- - St. Croix County LOCA'T'ION St _ _.IVA-- Section -7 Lot ~l Subd:iv1SAL 0n. SEPTIC TANK. Sizc:r ` gallons Number o,f c, tnpa'rLillents 1)Lstance from: Well ) Buildi.ng12% slope III ghwater I'll MPI NC CHAMBER Size gallons Pump Manufacturer Model Number I10LD1NC TANK Size-_ gallons Number of Compartments Pumper- J Alarm S~ stem Distance From: Well i /Building 12% slope. 11 Khwarer ABSORP'T'ION SITE Bed Uistance from: Well Building- 12 _ Z slope Ilighwater ABSORT'i;ON SITE DIMENSIONS Width of trench ft Required area Et Length of each line ft Depth of rock below tile in. ,r Number of Lines Depth of rock over tile in Total length of lines ft Depth of tile below grade ire - DlstarRce between lines ft Slope of trench in per 100 1 I'otal. absortption area ft Type of Cover: f ,1 ~ t PIT DIMENSIONS r~ Number of pits- Cravel_ around pits yes nu Outside diameter ft Depth below inlet it Total absorption area ft Area required ft Q INSPECTED- BY TITLE r-_ APPROVED DATE % 1913 " REJECTED DATE 198 REASON FOR REJECTION DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 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. Property Owner: Mailing Address: Property Location: -QAy, V4ege or Township: County: S C '/a %S /7 /T 3u NCR jS` 1 (or) W ` IV,4vo 0,0 ,s ' C s Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I. D. Number: (If assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. i TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEV REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE STALLATI N MENT (Specify) SEPTIC TANK CAPACITY i HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER:, Gj-~' Ca~~ L L.YS EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA i (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit L4 00 y El Alternative (specify) ® Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): ❑ Private >C Joint ❑ Public 0 /L AA 1) 5 t-11N 1)h 9R•-' I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. ' Name of Plumber: Signatur P MPRSW No.: Phone Number: Plumber's Address: Name of Designer: L0/V 5N 0 6 ftL ~ jt1 j irk COUNTY/DEPARTMENT USE ONLY Signa re of Issuing Agent: LL Fee: Date: Sanitary Permit Number: I APPROVED KDISAPPROVED kiss e son for Disapproval: Alternate course(s) of Action Available: i i Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Golden rod•Piurnber DILHR-SBD-6398 (N.03/81) DUSTPVY OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 HUMAN RELATIONS N WI 53707 LOCATION: 7i70/T,3o N: TOWNSHIP/ Y; LOT NO.:BLK. NO.: SUBDIVISION NAME: Sc ~'/00'/4 N/R/5 I (or) W r ~ enure W~ . COUNTY: 'QANLe R'S BUYER'S NAME: MAILING ADDRESS: r 57 G d r V h rr A /i .Aye ~11 I a &j4.- ~i r~ 1/Lf y C" C i/ W. 5 V Q 13 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I PROFILE TONS: ER LA ION TESTS: Residence JR'New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(o (11'S ❑U ❑S ❑U ❑S ❑U DS ❑U ❑S ❑U C gA11,ENtj Eunder#.H673.09(5)(b), n Tests are NOT required DESIGN RATE: SYSTEM EL V. If any portion of the lot is in the n indicate: '4 ~ Kj Floodplain, indicate Floodplain el ion: ~C'J p PROFILE DESCRIPTIONS Ipy~`( BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH TH OL X DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROC I BSERVED ( EE ABB V. B- 72 /dry 5 513 3 r~ B- 93 /0 1 7 T_s s "0' 5cLoe 2,.~ W iV EG► 5 3-1 a ~ C_ -3 7:2 B- 72 scl_ B- 2 o ' ;Zit 72 9"r /d, 5 G1 ; 2..2~ Mee) S 31 5 C. 5 1, .25 IeD -Slot PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES T NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- it' a; 6 3i ~kl Ir i 4 q .30 P- 0 30 77Z Z 3 P- ' P_ P_ PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate a or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevati t all borings and the direction and percent of land slop. SYSTEM ELEVATION 71 P4.5 Tore e- C 070 e r c tb, = E Sn E V K ~ i R s . i, 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): TESTS WERE COMPLETED ON: AL'IF W, -5 /o - - Y/ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): Jr 2-eAiWQ0.0 C~Z'r GU's. s ~a 13 7 G.50-4 35 CWSG ATURE: - DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) Smith Plumbing PHONE (715) 265-4838 GLENWOOD CITY, WISCONSIN 54013 V Tre-nc.hsr5 ~ v e-