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Parcel 016-1031-30-000 08/28/2006 09:09 AM
PAGE 1 OF 1
Alt. Parcel 14.30.15.231 016 - 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
DALE J & KARLA OBERMUELLER O - OBERMUELLER, DALE J & KARLA
1517 310TH ST
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1517 310TH ST
SC 2198 GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 14 T30N R1 5W SW SW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
14-30N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 491/433
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
COMMERCIAL G2 0.500 4,500 44,000 48,500 NO
AGRICULTURAL G4 36.000 4,300 0 4,300 NO
UNDEVELOPED G5 1.000 100 0 100 NO
OTHER G7 2.500 10,000 175,000 185,000 NO
Totals for 2006:
General Property 40.000 18,900 219,000 237,900
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 20,000 219,000 239,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 219
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 016-1031-20-000 08/28/2006 09:09 AM
PAGE 1 OF 1
Alt. Parcel 14.30.20.230B 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 - OBERMUELLER, DALE J & KARLA
DALE J & KARLA OBERMUELLER
1517 310TH 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: 20.000 Plat: N/A-NOT AVAILABLE
SEC 14 T30N R1 5W S1/2 NW SW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
14-30N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
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 20.000 2,700 0 2,700 NO
Totals for 2006:
General Property 20.000 2,700 0 2,700
Woodland 0.000 0 0
Totals for 2005:
General Property 20.000 3,200 0 3,200
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
• AS BUILT SANITARY SYSTEM REPORT
':,'ER TOWNSHIP 'F SEC. T r N R/ W
.0. ADDR SS , ST. CROIX COUNTY, WISCONSIN.
_'6DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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Pr ;e T4 +v!• fnE,
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"TIC TANK(S)MFGR. CONCRETE STEEL
NO. of rings on cover Depths _ DRY WELL
_"NCHES NO. of j" width length af'ea j~ no. Of lines width length area
depth to top of pipe
".".EGATE
.wt RATE AREA REQUIRED sf 4 t' AREA AS BUILT 14-
'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
;item 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.
i
INSPECTOR
f
DATED PLUMBER ON JOB s ~4 C !r% s C
LICENSE NUMBER
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REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i.taAy Penri,i,t 1 ?
` State S (7p.t.i c
NAME
(ownahip _S Cnoix County
Location i; Section
SEPTIC TANK
Size gattonz. Numbers o6 Compat tmen-tz j
D.i,etance Ftcom:, Wett 6.t. 120 otc gtceate& 4tope 6-t
Buy..-ding Al e-tZandts 6t.
Highwate.t 6t.
DISPOSAL SYSTEM
D.iz Lance Ftcom: WeU 6t. 12% on gnea.tetc is tope fit.
Bu.iZd.ing 5.t. Wet.Land.S Ft.
H.ighwatetc 6t,
FIELD DIMENSIONS:
Width o6 tAench 6t. Depth o6 tcock below tite - in.
Length o6 each tine 6t. Depth ob nock oven tite gin.
Numbetz o6 Unes Depth o6 tite below gtcade .in.
Totat .Eeng,th o6 tines fit. S.2ope o6 ttCench in pets 100 6t.
D.itstance between tines fit. Depth to bedAock (s t.
Tota.C abts onbt.ion aAea 6t2 Depth to gtoundwa,tetc
Requited atcea 4,t 2 Type o4 Coven: Papeti otc Sttc.aw
PIT DIMENSIONS:
Numbers o6 pigs Gt<avef- atcound pi,tz yes no
Outside diametetc 6,t. Depth below ,in.Eet St.
Total abzotcbtion area 6t2. Z
A&ea aequiaed 6t2 rn
INSPECTED BY y TITLE
APPROVED , DATE 19.
REJECTED DATE 19
j
State of W1SC0nsin\DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH
DISTRICT 5 OFFICE
1~ \ 104 STATE OFFICE BUILDING
November 29, 19 79 3550 MORMON COULEE ROAD
LACROSSE, WISCONSIN 54801
/~j';~[C' ~ .\1 PHONE (608) 785-9431
4', ~ '~J19
Mr. Harold Barber
~rt~iF
Zoning Administrator
P. 0. 227
Hammond, WI 54015
Dear Mr. Barber: re: Dale Obermueller site, Town of Glenwood
Addenda to Sept. 21 evaluation
This will confirm my findings of soil conditions at the above named site on
October 9, 1979.
As you will recall, my initial inspection of September 21, 1979 was attempted by
hand auger. Soil stoniness prevented proper profile analysis that date and also
indicated unsuitable conditions (due to soil colors). As a result, permits were
rescinded pending further investigation.
On October 9, I inspected two backhoe pits which were located in the area
originally delineated as suitable on the EH 115 for this site. Based on the
evaluation of those pits, I find that contrary to indications obtained from
hand auger borings made earlier, the site is suitable for installation of a
conventional soil absorption system. The contrasting colors identified as
wetness caused mottling on my September 21 report are actually due to silt
coatings and degraded stones with the exception that evidence of limited water
perching occurs at the 20" to 30" depth approximately. This layer is less than
12" in depth and should not cause system failure. The condition was noted only
at the east end of the designated suitable area.
A representative profile taken near CST B4:
0-10 10YR4/4 light sandy loam
10-54 10YR4/4 sandy loam w/some clay pickup noted in 20"-30" range
54-74 7.5YR4/4 heavy sandy loam w/stoniness, few degraded
Feel free to contact me if you have any questions.
Sincerely,
James A. Sargent, Chief
ction of Plumbing & Fire Protection Systems
Dennis R. Sorenson
On-Site Waste Specialist
DRS:vmd
cc: James A. Sargent, Chief, Plumbing Section
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:_' 4/-'/4, 2 '/4, Section , Tk-N, R/2 i111011410 W, Township orb ~~'L' ~ ~C
Lot No. , Block No. County r? ~x
Subdivjsiq e ~e
Owner's Name: 4~_ ~!h '~''J~_~1 'C' ~L
Mailing Address: ~%f'L ~rL N 4" P O d A 1_2~Y i-I
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET L1G~ SOIL TYPE
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-
P-j
Ive
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)
i-s_ !6e 01 "S e.4
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of suitable areas. Indicate number o square feet of absorption area
needed for building type and occupancy. ` -Z Indicate scale
or distances. Give horizontal and vertical reference points. I dica a slope.
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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. / G
Name (print) Certification No. /7 c r7
Address d~t / 6:4 L- & iy 0 0 d N< 4.' 2-
Name of installer if known
CST Signature `
COPY A -LOCAL AUTHORITY
PLB67 State and County State Permit #
v Permit Application County Pert #
for Private Domestic Sewage Systems County U
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
0,67e R A4 1(
B. LOCATION: _5t k,, '/4 ; p,,; Section fs~, T7C N, R 46- or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~i-Lr'-Nc~cd
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family A Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher _A YES NO Food Waste Grinder )e YES NO # of Bathrooms
Automatic Washer AYES NO Other (specify)
E. SEPTIC TANK CAPACITY 1 Total gallons No. of tanks
'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) _0 2) 3) el& Total Absorb Area r,00 sq. ft.
New_)(_ Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet ~ Width 6"! Depth- ZZ"_Tile Depth ;;Lk No. of Trenches Z.
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope 76-
1, 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,
(`DAME f--,¢ L e - /%4_/T/ff C.S.T. # / 7Zie and other information
obtained from 14 (owner/builder).
Plumber's Signature MP/MPRSW# -1Phone #:%,~~y~',_
Plumber's Address rC~
PLAN VIEW: Provid- sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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Do Not Write in Space . Below FOR DEPARTMENT USE ONLY r/
Date of Application ~ - / 6 Fees Paid: State/q00 Count Da -
Permit Issued/Rejeeted (date) Ala- - rZ Issuing Agent Name
Inspection Yes-X- 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 Dato 0!1 /76
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PI b. t-A WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES
Division of Health
Section of Plumbing & Fire Protection Systems
ON-SITE WASTE DISPOSAL INSPECTION REPORT
Name of Premises
Street City County
Master Plumber Address
Owner Address
❑ County Permits _ ❑ Appropriate State Permits
Type of Building: ❑ Public ❑ Single Family or Duplex
CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM
❑ Building Sewer ❑ Conventional Soil Absorption System
❑ Septic Tank ❑ Conventional System-in-fill
❑ Holding Tank ❑ Alternate Mound System
❑ Seepage Bed ❑ Holding Tank
❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System
BRIEF, FACTUAL COMMENTS AND SKETCH:
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❑SEE ATTACHED
DISCUSSED WITH PLUMBER ( ) Yes ( ► No SIGNATURE (Voluntary)
DATE OF INSPECTION
Signature of Inspector
White - Inspector Yellmx Local Inspector Pink - Plumber or Responsible Party
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