HomeMy WebLinkAbout002-1072-20-100
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Parcel 002-1072-20-100 01i05i2007 08:50 AM
PAGE 1 OF 1
Alt. Parcel 29.29.16.432C 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 - EGGEN, RICHARD
RICHARD EGGEN
2279 80TH AVE
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 2279 80TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 1.840 Plat: N/A-NOT AVAILABLE
SEC 29 T29N R16W NE NE 1.840 ACRES COM Block/Condo Bldg:
NE COR SEC 29 W 1009.74'S 3 DEG E
33.07'- POB S 3 DEG E 266.93'W 300'N 3 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG W 266.93'E 300 FT -POB 29-29N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 600/617
2006 SUMMARY Bill Fair Market Value: Assessed with:
153908 189,700
Valuations: Last Changed: 10/25/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.840 23,800 170,200 194,000 NO 00
Totals for 2006:
General Property 1.840 23,800 170,200 194,000
Woodland 0.000 0 0
Totals for 2005:
General Property 1.840 8,500 113,400 121,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch M 510
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
• AS BUILT SANITARY SYSTEM REPORT
_f
TOWNSHIP ,61?/ r SEC.q T_ N, R W
J. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
3DIVISION LOT LOT SIZE , j ,cc
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
-TIC TANK(S) MFGR. CONCRETE. STEEL
NO. of rings on cover ? Depth ?s DRY WELL
?NCHES NO. of width length Z ° area
J no. of lines width length area
depth to top Z pipe
3itEGATE ~
_'.K RATE AREA REQUIRED AREA AS BUILT
:claimer: The inspection of this system by St. Croix County does not imply complete
_.Dliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
em operation. However, if failure is noted the County will make every effort to
ermine cause of failure. r
.]ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.,
--INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER Q
t
z 'REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary Penmi t
J
' State Sep.t.tc i -
S Cr.oix County i own6 hip- y
Location Section 2 -
SEPTIC TANK
Size/00,0 gaUon,s. Number o6 CompaAtmentz
D,i6tanee From: WeZ 12% on greater 6.-ape 6z
Bu.iZd.ing 2 6t. we.tZands 6t•
H.ighwater 6t.
DISPOSAL SYSTEM
D.i6tance From: wetf- 1 6t. 120 or greater sZope 6t•
Bu.it d.ing:z 6t. W etZands - Ft.
H.ighwater 6z.
FIELD DIMENSIONS:
Width o6 trench 6t. Depth o6 raefi betow t.iZe--,/-Z- in.
a,
Length o6 each Zine 6t• Depth a6 Pock aver ~~e 1-- in.
Number o6 Zines Depth o6 tite below gn.ade35 .in.
To.taZ Zength o6 Zine6 , 1 `fir 6t. SZope o6 trench in pen 100 6t.
D,i6tance between Zine6 6t. Depth to bedrock
Total ab6 or.btion area l-SG 6.i 2 Depth to groundwatet
Required area 2 Type a6 Coven: ' PappeA. or Straw
- / 6t PIT DIMENSIONS:
Numbet o6 pit.6 GlltfveZ around p.it6 ye6 no
Outside diameter 6 ' '6pth below .inZe,t 6 •
2
Total. absorbtiion ea ,6 z
Area teq ui ted 6 t
INSPECTED BY yr GG~ TITLE r
APPROVED DATE I o. 19 1~.
r
REJECTEV , DATE 197-
I
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Y
r--- -
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION:; V~ '/4,IY~_-'/4, Section4", T,VN, R&',E-(vr) W, Township e -P~ertit±i~ratrtY ! t~ ~trtz>r.~'
Lot No. , Blocky No. y
Subdivision Name Count
Owner's Name: 1 c~~j d /.s C4 9 AI
i
Mailing Address: 14~LC1~~
TYPE OF OCCUPANCY: Residence X_- No. of Bedrooms T Other
EFFLUENT DISPOSAL SYSTEM: NEW _X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOILBORINGS ,~PERCOLATIONTESTS
SOILMAPSHEET-_ 77C_- SOILTYPEAEAtey L Y A, 10Iyr /0i
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- / j /~1.a~ i~Lg :'~UA/L1,4dCe~1 e7 'I Aff-
~p Vii, 7'~PSe~L ~c "v 4-dom .401
~ ~ ~ r~~.S t* r L a~/ t• Set Kc fLca/ I
> .i
P 174 `
4r
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B_ J Q ~`J /Vo:J f; 4 N A'eCaAJ apse';! .?c•'' S'aAl y~LeaAf yy' dAt4
-2- 1
B N e N x- Gl /V 1'-N& care 'r 71 s
1 c j l _10 : 5aa y 1_e4 .4f .16 72 i14-'Nt? a 1".4 " raw f` a c QAt[~ L ANJ
r Sanr
B -56C gy Al QA1t- tt14,kmpav.+( "Ye~sc;l o~c r~.. ane j L &'r ^'V
Ai kjj(aW,1 a l' Sayd1 1✓ ' - la.vd
PLAN VIEW (Locate percolationtests,soiI bore holes and suitable soil areas.)
Indicate on the plan the 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.
)
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2 1 1 ~ ( E 1 1 I
a 3 r
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4
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44 + 0't
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YE7 Y r -
s
W7777
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the proc
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct a~~✓
to the best of my knowledge and belief..
Name (print) Dal Certification No.
4 900 Ai j
Address
Name of installer if known
CST Signature _ -
State and County State Permit #
PLB67 Permit Application County Per #
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:
Richard, Eggen RR2, Baldwin, A
B. LOCATION: NE '/4 NE Section 29~_, T_29 N, R 1 E (or) (W) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township Baldwin
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms 3 No. of Persons 2
D. TYPE OF APPLIANCES: Dishwasher Y YES NO Food Waste Grinder YES X NO # of Bathroomsl,r
Automatic Washer % YES NO Other (specify)
SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks 1
Holding tank capacity Total gallons No. of tanks
%iaw Installation X Addition Replacement Prefab Concrete
'Poured in Place Steel Other (specify)
`FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) _ 20 Total Absorb Area 750 sq. ft.
New Z Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet 252 Width 31 _ Depth _C Tile Depth 30 _ No. of Trenches _3~-
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size _ 44
Percent slope of land 4% Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
'.'Jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
lay the Certified Soil Tester,
NAME Keith R. Albrightson C.S.T. # 551411 and other information
obtained from Owner (owner/builder).
Plumber's Signature -e MP/MPRSW# 5184 Phone # 698 -2407
Plumber's Address Wood9flle A
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
I
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--------______-o
rj:C f7 t. T. i l .6
Do Not Write in Sp Be w F PR DEPARTMENT USE ONLY
Date of Application l / Fees Paid: State Count 7~ 0 to
Permit Issuedritecopy) (date) - id ~7 -Issuing Agent Na,
Inspection YeValid# Date Recd _
1. county (w 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4. plumber (canary copy) -