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HomeMy WebLinkAbout010-1071-60-025 n Cl) p 3 m n d r~ r/1 o v f o , cD (D CD A B H v v c v d m A O o z N M N (2 d 3 O N cn cZD O O ~I CD CD O. ? O O N O) (D a o W J C W (n ~7 A "t 1 Q O n O WO O O CD 3 ~D Ln 3 O _ 0 A'7 N r 3 N d O O cn p y► C w n D N G N CD V a N (D T OJ N O 0 ~R 2~ N) 0 N 4 W Ot ~o O C CO CO (D ' CD C1 O C t(Dii co (0 O 'O N N 0 0 0 Z O !V O Op_ a 41 n O N N C7 O ~f U v v v 0 ~ < ° m v m (D _ (D CD N 3 ~ a N _ O ~ CD W Q z z m z O Q j D o O m "'WA• n m o , I O N. C (D (D W (D' O_ Q E 7 z (D ~ (n O p A Z CD C ;o a A z O W C O N Z W c0 c(D C m o , z , 3 4 o C/) o m y z (D A W ~ O 'V a C (D N N < CD p 3 a d O C (D O Z O. O O O O <ZZ 00 v N ` N < O (D N N (n y O N fi O O ° o 7 a I v °1 Z V N O X O O n ~ N cr O (D (D O In D H a I o b CD v O 0 0 C) Q- o (D Parcel 010-1071-60-025'5 04/05/2005 03:32 PAGE 1 OF 1 F 1 Alt. Parcel 29.30.16.441A-10 010 - TOWN OF EMERALD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner * ZIEGLER, RAYMOND J & JUDITH RAYMOND J & JUDITH ZIEGLER 1332 230TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1332 230TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 25.590 Plat: N/A-NOT AVAILABLE SEC 29 T30N R1 6W PT NE SE EXC PT TO CSM Block/Condo Bldg: 18-4643 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-30N-16W NE SE Notes: Parcel History: Date Doc # Vol/Page Type 10/23/2003 744638 2442/245 AFF 10/23/2003 744637 2442/244 QC 10/23/2003 744635 2442/241 AFF 2004 SUMMARY Bill Fair Market Value: Assessed with: 24826 199,100 Valuations: Last Changed: 10/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 15,000 118,000 133,000 NO PRODUCTIVE FORST LANC G6 23.590 63,600 0 63,600 NO Totals for 2004: General Property 25.590 78,600 118,000 196,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 30.00 Special Assessments Special Charges Delinquent Charges Total 30.00 0.00 0.00 Marcel 010-1071-80-000 04/05/2005 03:33 PAGE 1 OF 1 F 1 Alt. Parcel M 29.30.16.442 010 - TOWN OF EMERALD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner ZIEGLER, RAYMOND J & JUDITH RAYMOND J & JUDITH ZIEGLER 1332 230TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 29 T30N R1 6W 40A NW SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-30N-16W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill M Fair Market Value: Assessed with: 24829 85,100 Valuations: Last Changed: 10/19/2004 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANE G6 40.000 84,000 0 84,000 NO Totals for 2004: General Property 40.000 84,000 0 84,000 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 28,000 0 28,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 010-1071-60-000 04/05/2005 03:33 PM PAGE 1 OF 1 Alt. Parcel 29.30.16.441A 010 - TOWN OF EMERALD Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 3 Tax Address: Owner(s): Current Owner RETIRED ZIEGLER ' ZIEGLER, RETIRED Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 36.900 Plat: N/A-NOT AVAILABLE SEC 29 T30N R16W 36.9A NE SE EXC N 536' Block/Condo Bldg: OF E 250' Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-30N-16W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY This parcel will not get taxed. It exists soley Assessed with: } for parcel history tracking purposes. Valuations: Last Changed: 03/25/2004 Description Class Acres Land Improve Total State Reason Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2003: General Property 36.900 32,200 79,300 111,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 304 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 30.00 Special Assessments Special Charges Delinquent Charges Total 30.00 0.00 0.00 Parcel 010-1071-60-025 04/05/2005 03:33 PM PAGE 1 OF 1 Alt. Parcel 29.30.16.441A-10 010 - TOWN OF EMERALD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner ZIEGLER, RAYMOND J & JUDITH RAYMOND J & JUDITH ZIEGLER 1332 230TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1332 230TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 25.590 Plat: N/A-NOT AVAILABLE SEC 29 T30N R1 6W PT NE SE EXC PT TO CSM Block/Condo Bldg: 18-4643 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-30N-16W NE SE Notes: Parcel History: Date Doc # Vol/Page Type 10/23/2003 744638 2442/245 AFF 10/23/2003 744637 2442/244 QC 10/23/2003 744635 2442/241 AFF 2004 SUMMARY Bill Fair Market Value: Assessed with: 24826 199,100 Valuations: Last Changed: 10/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 15,000 118,000 133,000 NO PRODUCTIVE FORST LANC G6 23.590 63,600 0 63,600 NO Totals for 2004: General Property 25.590 78,600 118,000 196,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 30.00 Special Assessments Special Charges Delinquent Charges Total 30.00 0.00 0.00 r AS BUILT SANITARY SYSTEM REPORT A m o A).( .G eel ~e )2 TOWNSHIP CrneR A L- SEC. of ~I T S0 N, R /b W O! ADDRESS ST. CRQIX COUNTY, WISCONSIN. 71DIVISION LOT LOT SIZE ~94Qe PLAN VIEW O/o '`o-7 _ -6 -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM y9, z ,Srb C e w+e v 4- FA d Nc; 4- s A- L.. ,e nTIC TANK(S) /000 MFGR. CONCRETE STEEL NO. of rings on cover_ opj e. Depth ,I V-14 DRY WELL -INCHES NO. of width length area D no. of lines- width' length y'5., area depth to top o pipe JREGATE / ~ / se o e. K _a RATE 15-1 AREA REQUIRED t/.2 5-' AREA AS BUILT-// claimer: The inspection of this system by St. Croix County does not imply complete __pliance 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 tem operation. However, if failure is noted the County will make every effort to .:ermine cause of failure. _:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. -INSPECTOR DATED off. ? `I PLUMBER ON JOB G LICENSE NUMBER M 4/ ~9 _ ,~~~~f/ ~~T~~ i Z REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM Sanitary PvLmi t State Septic ~ NAMES i ownship S$. Croix County Location Section SEPTIC TANK Size gatton6. NumbvL o6 Compartments Distance FtLom: weZZ St. 12% or gA.eater 6tope it Bu.i.ld.ing it. Wettandz ~ • Highwat2r it. DISPOSAL SYSTEM Distance From: Wett it. 12% otL greatetL 6tope 5-t. Bu.iZding it. Wettands Ft. HighwatetL it. FIELD DIMENSIONS: Width os trench it. Depth o6 koc below t.i.le _in. Length o6 each .Line it. Depth o4 t ock ovvL t.ite in. NumbvL o6 tines Depth oii tite below gtcade in. Total .length o6 tines 6t. Stope o6 ttceneh in per 100 it. Distance between -Pines it. Depth to bedAock it. Total ab.sorbt.ion area ~t2 Depth to g.toundwatetL it. 2 CoveA: Paget or Sttaw Required area it Type o6 t - PIT DIMENSIONS: Number o6 pits Gravet ateound pits yeas no Outside diametvL it. Depth be.lew inlet it. 2 Total abzorbt.ion area it Area tLequi)Led it2 f" INSPECTED BV TITLE APPROVED , DATE 197. REJECTED DATE 197. EH 1 15 VVIS60NSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON S IL BORINGS AND PERCOLATION TESTS J LOCATION: SectionA- , T4`N, R l (or) W, Township or Mw;-~y Lot No. , Block No. _ County • S~ Qe 1 ~ ►1)d~ ~L! Jb isSon e Owner's Name: e.-- 11 .•CC.... Mailing Address: G.c_~ d y c~ V,i /e.% r W , S TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other fl- EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS-~ SOIL MAP SHEET + /03 SOIL TYPE L >4" PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER OF SOIL NCE HOLE HOLE AFTER BER INTERVAL NUM- INCHES THICKNESS IN INCHE A T WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN r P_ Ll< Me / X/ P-3 4 u f u tf -y Nd SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES tr OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 7 SO 1 -0 19 M 10 :%61V B ~~~T~~ , rt ri tl rr `r F~(e `r B_ 0 160 -0-4 79 611 1h y y r~ (11 t( / Orr 11 6 V .5/ a t I Z b 61 Z B ~ It PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) 7~ Indicate on the plan the location and square fe t of suitable are A. Ind' to nrnber of square feet of absorption area d r u. ~T_ 4 Indicate scale needed for building type and occupancy.' S° , or distances. Give horizontal and vertical reference points. Indicate slope. lA t 77771-137 I the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. C! Name (print) Certification No. Address Name of installer if known / CST Signature COPY A - LOCAL State and County State Permit # JA~ PLB67 Permit Application County Permit 1 for Private Domestic Sewage Systems County 47'x. Cy o i *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: % Section TCAN, R 6 (or) W Lot# City_ Subdivision Name, nearest road, lake or landmark Blk# Village Township mo`R p~,q% C TYPE OF OCCUPANCY *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms 5 No. of Persons D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES K NO # of Bathrooms -A Automatic Washer __X_YES NO Other (specify) E. SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks ©,~V *Holding tank capacity Total gallons No. of tanks New Installation X Addition- Replacement- Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 2)~ 3) 0 Total Absorb Area /AA sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 7-15-'~Width 57' Depth Tile Depth Z!5K' No. of Lines Seepage Pit: Inside diameter r' Liquid Depth_~~ y Tile Size Percent sloe of land slope Distance from critical slope 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 oil Tester, NAME oe °e C.S.T. # and other information obtained from t 2 (owner/builder). b Plumber's Signature MP/MPRSW# 4 _1 Phone # ~pyct Plumber's Address ro PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Ac-Re-5 J to I A O 9 F 4 Ar X WIS, r<. L- 5~5 ~R o m 5Se p o i T ~O f L Q j ~R . ~E' SC. P'c Wei LA#Vd~ ~ A Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application - Fees Pa: State ~ ~ , C C% County. ~r C Date Permit Issued/ ( ate) ) jzcj~ Be 2 ~ Issuing Agent Name ti c Inspection Yes~No 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 6/1 /76