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HomeMy WebLinkAbout016-1076-40-000 o a-0i °o, N p GF> ~ N ~ O I O ti b ~ O O L O N (6 N O C d II ~ O a N E N C A morn a) ~ m m co N m 0 O O c w w 3 O M O O z p w N C = C m 7 N O 3 LL C N j 0) U .p (0 Q U > N 3 ~ V I N ' w E n z Z E ° I!' a m (I7 M M H ~ C O O U C z O Z :!!t c ~ N O N Z 'V ~ 0 ~ fn F- ~I' ~ O Z c o O M ) m _ _ N N N (n y ~ L = L O d U I o U N O O Z H z o N Z M E N C O 7 p C 06 N d ~ 41 O a o o a N N w co N fn v F- 1-- 0 E 0 o 0 0 0 z a a a N a co J U rn rn } :7 :7 Of '0 o o M O - '0 V O O O T3 O cn (n c: O d 7 'p m N O O N N C N C CD E O m o c (O LO Z5 (D L6 0 p C m N C D 4.r O O ~ N ~ Z ~ ~ M 0(n ~ M Z N= N 2 (n cO ~ .r V ~ E d v~ d m a a m a r~ E c I c 1 :3 r A ciao Oco v Parcel 016-1076-40-000 12/04/2006 12:23 PM PAGE 1 OF 1 Alt. Parcel 35.30.15.524B 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 ARVID J JESKE O -JESKE, ARVID J 1251 RUSTIC RD R4 GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 1251 RUSTIC RD R4 SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 20.500 Plat: N/A-NOT AVAILABLE SEC 35 T30N R1 5W 20.5A W 676.5 FT OF SW Block/Condo Bldg: NE Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 12/21/1999 615824 1479/20 QC 07/23/1997 814/443 2006 SUMMARY Bill Fair Market Value: Assessed with: 165752 Use Value Assessment Valuations: Last Changed: 07/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 12,000 246,100 258,100 NO AGRICULTURAL G4 11.500 1,400 0 1,400 NO AGRICULTURAL FOREST G5M 7.000 7,000 0 7,000 NO Totals for 2006: General Property 20.500 20,400 246,100 266,500 Woodland 0.000 0 0 Totals for 2005: General Property 20.500 20,700 246,100 266,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 l i d } i I i\ fI J ~r ~J 1~ J i 1 v i l ~ V RIPORT 01 1NS1) tCT10N INDIVIVUAL S I W A G L SYSTtM ~ Sava talcy I'enrn4.t ~p S to I'-;' S cI p.t i-c/ - Tuwn'5 It Cno i x Coun If cl<<n -Seet4an3SLot Sub(Liv-i6.ioVI I'l IC IANK al'Q-unb Nurtibe4 o h eornpa~t tme.ntA ti t (itc (horn: wve f a ts i_(dt n~_--- 12 0 '5 Pope Hi plcwa teh i'ioHIIN(; CHAM61 R yaPPon) Pump Man11 1-4c.tco e'c Modee Numbc,c W1ITING TANK 'r cjaefovrh Nambc> t a( Compa.ntrnent!, I't4mrcPi Aea.nrn SIII h tern tccc;(Horn: Glee(' Mu.ik-d,i-n 12% ~iopv HigJrwalen.- iW,OI; I'1 ION SITE 1>ccl Trench ti ticnee ~j~cuni: (Veee kdi n 920 Ae pe. Ht,ghwa teh :cll'l'l /ON SITL DIMLNSIONS Illc c( tnevtelc ht Requi-ned a n.ea I (,kill tit o ~ each eT nP / _ At D c p t h o6 n a c F t b e o w t l e i i n Ncirnhcn o (I ('j.neh---- L _ - 0vp,th o n-och o ven t< e n 1;tae ('my'th 06 Ines ---~j,t Depth o() tiY_e beeow clnade rvc !cc ti lance between 'ei-ne'5--~----fit -S~kope o the.neh ___-_----.4n pen 100 l l ota1' a06oA'p-ttion ane.a {y.t Type o6 Coven: Pa.pen on a thaw I1 1) 1MtNSION~ Narnben o~ p,i to Gnavee anoun-d pi t/5 if CA n„ Outotde d<ame-ten (t Depth beeow ,inevt t f toe ab3on-p,tion area-~ Anca ncqut 1e -d t ~x h ! V III C T1 _ D - TIT 1- t 1111CROVI U DATt Iq n I II C I IP -~j VATL 19 is CI ASON 10R 1:tJI C110N rjo V~ r''1 P State and County State Permit # PLB_~7 r Permit Application County Permit for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 'b2Ci2~t _QJ7 rev er/ 7 B. LOCH N: _'V' V1Y4 Section ? T L N, R~ E (or) (WLot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township(, IQ nuic.;C4 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY 100(13 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate ~ Total Absorb Area sq. ft. New V Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width ~5- Depth_3_1~_Tile depth (top) 2- No. of Trenches - Seepage Bed: Length Widfh Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private I 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 Certifiej Soil Tester, NAME: I ~G C C.S.T. # , -S~ and other information obtained from (owner/builder). Plumber's Signature U,e ' IMP/MPRSW# c~~ Phone # U~ ,~"t3 3j Plumber's Address 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. ) , E E r t E w wme. , , E . . m.. ee J_ 4 , E e Do Not Write in Space Below OR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application el- C Fees Paid: State Aunty ~Z Date r~ Permit Issued/I"e}eeted (date) ~n - tIssuing Agent Nam Inspection YePNo 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 EH -115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS es o WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES' r • r -ja 4P P.O. BOX 309, MADISON, WISCONSIN 53701 0 LOCATIONA UY4,1a. Y4, Section Lti2E (or)I@Township or Municipality = ' ' °e Lot No. , Block No. County 13.t- Subdivision Name Owner's%Buyers Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW -1/-1"REPLAC MENIT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATI TESTS /~C7 V SOIL MAP SHEET Zj C7 NAME OF SOIL MAP UNIT PER COLATION TESTS T`j HOURS WATER IN TEST TIME DEPTH CHARACTER OF SOIL DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST'WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- l 7 e r e- 1 0 e, -Drdti- o $ 1318 O P- 3 10 /6/14' yk S'r P oZ ? O 116 1/8 D P- P - F-1 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B_ / 4~ ` w B p O llaf*~n • i B- 3 B- 7 > 7' 8 B- © > e PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate o the plan t e 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 horizontal and vertical reference points. Indicate slope. V ,a1y' t Y''YL } a 91-1 I I i _ m Pill 1 m., .w 13 P-3 /'A , N Q~ 90 S 1' ll`` f . e - - x 4o;j ^I j 1, the undersigend, hereby certi that the s I tests reported on this form were made by me in accord 14 t e procedures and methods specified in the Wisconsin Adm e, and that the data recorded and location of test tioles are correct to the best of my knowledge and belief. Name (print) a L e- f& - Certification No. S 5 ~ Jr r~ _R / c ~ Address Pc a 6 Name of installer if known CST Signature=~G~' Copy A -Local Authority t rJ,~~-,~.~ ~~'~l~ ~I,) c r 1~~1<( 4 4 / o n ~ ~ J 1 \ / ~ / % ~i ~ ~ _ I j/ / f / IA~c ~ ~ ~ '4~Q _ i ~ ~r ST. CROI X COUNTY 3 T*r WI SC0 N S I N r ZONING OFFICE 796-2239 HAMMOND, WI 54015 May 4, 1981 Richard Lee R.R. 2 Boyceville, WI 54725 Dear Mr. Lee: The soils test done for Barry Smith, located in the NW,, of SEA;, Section 35, T30N-R15W, Glenwood Township, was taken on the Arland sandy loam soils. This is a questionable soils and is so indicated on the list of questionable soils, and must be inspected by this office. Before we will issue any permit-,, oii Lt-F_%: we will request that you provide back hoe, bore hole pits in the tested area, for our review. Should you have any questions, please feel free to contact this office. Yours truly, 41 Thomas C. Nelson TCN:sl Enclosure