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Parcel 034-1047-60-000 09/18/2006 03:44 PM
PAGE 1 OF 1
Alt. Parcel 21.29.15.325 034 - TOWN OF SPRINGFIELD
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 - MIKLA, THOMAS B & SHEILA A
THOMAS B & SHEILA A MIKLA
2941 90TH AVE
WOODVILLE WI 54028
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 2941 90TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 21 T29N R15W NE NW 40A EZ-UT-1334/32 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
21-29N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 967/273
07/23/1997 955/438
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 04/14/2006
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 37.000 2,900 0 2,900 NO
UNDEVELOPED G5 1.000 50 0 50 NO
OTHER G7 2.000 9,550 97,100 106,650 NO
Totals for 2006:
General Property 40.000 12,500 97,100 109,600
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 12,900 97,100 110,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 119
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Z v
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
State Septic-,,
NAME rownsh.ip St. CAO.ix County
Locat.ion~ Section
SEPTIC TANK
Size gattond. Numbers o6 Compan.tmentz i
Distance FAOm: Wett it. 12% on gneateA ztope jt
Bu.itd.ing it. Wettands t.
H.ighwateA - it.
DISPOSAL SYSTEM
Distance FAOm: Wett 12% on greaten stope it.
Bu.itd.ing j t. Wettands Ft.
• H.ighwaten it.
FIELD DIMENSIONS:
Width o6 trench it. Depth o6 rock b etow x.ite .in.
Length of each tine it. Depth o6 Aock oven ,t.ite .in.
NumbeA o4 tines Depth o4 t.ite betow grade in.
Totat teng.th o6 tines _6t. Stope o6 .trench in pen 100 it.
Distance between t2inez it. Depth to bedrock S~.
Totat abs onbt,ion anea 6t2 Depth to gnoundwateA ~ .
Requited anea it 2 Type ai Coven: Papen on Straw
PIT DIMENSIONS:
Numbet o6 pits GA,avet around pies yes no
Out-side d.iameten it. Depth below inlet it.
2
Totat absoAbt,ion anea it
Area AequiAed it2 "m
INSPECTED BY TITLE
APPROVED , DATE 197 REJECTED DATE 197.
-
PLB 6 7 State and County State Permit #
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:
~i4 L~ 1) 2- ~4"c T Cysi r t nx,3n
B. LOCATION: Section ,~)J, T 2V N R E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township.
C. TYPE OF OCCUPANCY: Commercial Industrial *Other (specify) *Variance
Single family _ Duplex No. of Bedrooms z'Z No. of Persons` _
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY . ICY) Total gallons No. of tanks Prefab concrete d 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. EFFLUEY DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length Width Depth Tile depth (top) No. of Lines
Seepage Pit: Ins diameter Liquid Depth No. of Seepage Pits
Percent slope of land Cc % ZA5i
/ Distance from critical slope-."7A 1`A67CR
WATER SUPPLY: Private X 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 Certified Soil Tester,
NAME goi-JARI) C.S.T. # ~S- and other information
obtained from (owner/builder).
Plumber's Signature RSW# Phone #{c^C'~
Plumber's Address JFI
!
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.
y~`cAil C•' R)SOiZ Tc _>5c'RA- F
,$ii ttAA fClzK75 w Tk Lac ICING ~~`u;
%YF/d P£S Iv T 01YE IS % /hJ Cam.
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DRAU21#1- /t r 7.,o
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application ~ 1 - f5
Fees Paid: State//. C'c Counfy- L=-*- Datq_r
Permit Issued/ZW0e+ed- (date) Issuing Agent Name/-" X)
Inspection Yes* No 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
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/K_ %,&W1.1 Section, Tca?N, R dE (or)( ''Township or Municipality
Lot No. , Block No. p, ' tA ~my±syp zoo County en /
Owner's Name: QIl i-14/) 1 ~ re_ a / LF
Mailing Address: -__N 0 x ,30 U&OdII1Z L W66,
TYPE OF OCCUPANCY: Residence No. of Bedrooms 421 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION --REPLACEMENT- X
DATES OBSERVATIONS MADE: SOIL BORINGS ~PERCOLATION TESTS
SOIL MAP SHEET - SOIL TYPE d4A Y
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
LTHICKNESS RACTER OF SOIL
NUM- INCHES IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P I 147 4
10
0 r -t 6
o yes
'3 9
1311, .10 .100, 45 jo
P-1-L 1501
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 , 5 70" c<A
7;2 _4 0#1 ow
a t c AA
>r r rss GLA
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 of square feet of absorption area
needed for building type and occupancy. _ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
H Y-4., 422,11
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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.
Name (print) ~Y2 A 0 MITTL6StAb1 Certification No. SaCJ
Address W C'
Name of installer if known mjmizsrhp7
CST Signature
(707Y A 7,03CAL AUTHORITY
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Ability Business Cord.,
A ' B ' G Complete Sever Service4"s
KNAPP, WISCONSIN 54749 Phone: 665
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rL1 It-~i ita~/h~.~_uri~ lz:c~1-hL Reyue~~ted Se ze.mbe' '
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DATE:
A.~. b n. e. c h ~t k, t
raja. W,~Jzand LOCATION: Nw% NU14r
LV 0dv{ tzc. acid 1 ownehtip
w 1,Coyl 1 1 54028 R15~
T 2 9 N _----p-
notice is
Dear p01X COUNTY ZONING ORDINA~~CE,
As required under the ST. C 6.3 q of the
riven that You are in v3,olation of Article
hereby
the ST. CROIX COUNTY ZONING ORDiNANCE•
dews a hunn.in9 into a toad ditch >Snom
The violations noted are
w i e•
15, 1979
Novembers
the following actiWls should be taken by a 6uitabte area;
and j,4 to tocate
,,mi.X.e and have phopen '6y'"em
obtain PQ
then d,c~.eez, a ptumben
.ine tatted . .
8-r- 79
Lion is nested as having occurred _46~.te~
The first viola
• the 5T, CROIX COUNTY ZONING -ORDINANCE
and any penalties.prgvided for in
shall be applicable ids of that date.
• this office, for we are available to
Please feel free to contact
assist you in clarifying this matter.
Yours truly,
4RoLD C. BARBER
Zoning Administrator
HCB:Jh
44
s°OR CERTIFIED;,
SURANCE COVERAGE PROVIDED
iT FOR INTERNATIONAL MAIL
(See Reverse)
s
STR&IET AND NO.
P.O., STATE AND ZIP CODE
POSTAGE $ _
CERTIFIED FEE
w SPECIALDELIVERY _
W RESTRICTED DELIVERY
A SHOW TO WHOM AND
CL W DATE DELIVERED
I =1 2
I W H SHOW TO WHOM, DATE.
AND ADDRESS OF
a DELIVERY
Z w SHOW TO WHOM AND DATE
t= x DELIVERED WITH RESTRICTED
z o DELIVERY
_i SHOW TO WHOM. DATE AND
ADDRESS OF DELIVERY WITH
RESTRICTED DELIVERY
TOTAL POSTAGE AND FEES $
POSTMARK OR DATE
MC '
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HOLDING TANK SERVICING CONTRACT
ontract Date
This contract is made between the
c -5-
olding Tank Owner(s) Name(s) and I Pumper's Name►
Y~
e acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal description:)
1. The owner agrees to file a copy of this contract with the iocai governmental unit hereinafter called the "municipality", which has
signed the pumping agreement required in Ch. ILHR 83.18 (4) (b), Wis. Adm. Code and
with the County of
2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to
enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access
road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay
the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper.
3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18 (4) (b), Wis.
Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees
to include the following in the semiannual report:
a. The name and address of the person responsible for servicing the holdir}g tank;
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b. The name of the owner of the holding tank,
c. The location of the property on which the holding tank is installed; r - r < -2 w d~~~~ L
d. The sanitary permit number issued for the holding tank; f y 7
e. The dates on which the holding tank was serviced;
f. The volumes in gallons of the contents pumped from the holding tank for each servicing; c' 0
g. The disposal sites to which the contents from the holding tank were delivered. ;?Y 4, ~ ,~2z_„/
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract,
the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality
and the County named above within ten (10) business days from the date of change to this service contract.
Owner(s) Name(s) (Print) I Owner's Signature(s)
Y . 1 1. C ~j N(
Subscribed and sworn to before me on this date:
I
I ' r Lam.
Pumper's Name (Print) I Pumper's Signature a-!-y- 7 ublic
My commission expires:
Pumper's Registration Number
SBC,-7574 (N. 11/85) This instrument was drafted by the State of Wisconsin Department
of Industry, Labor and Human Relations, Bureau of Plumbing.
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STATEMENT / - Z~ -
Glenwood City, Wi 54013 (O 19
In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, WI 54013
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FINANCE CHARGE OF 1% per month, with a minimum charge of 50f will
be added to all accounts over 30 days.
STATEMENT
Glenwood City, Wi 54013 Y-3
19_?C;
In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, WI 54013
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FINANCE CHARGE OF 1% per month, with a minimum charge of 5&,, will
be added to all accounts over 30 days. h
STATEMENT
Glenwood City, Wi 54013 19
In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, WI 54013
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FINANCE CHARGE OF 1% per month, with a minimum charge of 5 , will
be added to all accounts over 30 days. ;
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STATEMENT
Glenwood City, Wis. 54013 v.....".. ' .............19
In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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FINANCE CHARGE of 11/2% per month, with a inimum charge of 50c, will
be added to all accounts ove~ 30 days.
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STATEMENT
Glenwood City, Wis. 54013 ---_:e............ '..A .........._.19.; -
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In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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FINANCE CHARGE of 11/2% per month, with a mimum chargef 50c, will
be added to all accounts over§130 days. 1
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STATEMENT
Glenwood City, Wis. 54013 19-5....5.
Ire Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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FINANCE CHARGE of l1 i
/2% per month, with a inimum charge $f 50c, will;
j be added to all accounts overt 30 days. ' f I
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STATEMENT
Cf
Glenwood City, Wis. 54013 ..Z 19_-:c
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In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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FINANCE CHARGE of 11/2% per month, with a Minimum charge pf 50c, will
be added to all accounts over` i30 days.
STATEMENT
Glenwood City, Wis. 54013 7--J
19.- ~
In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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FINANCE CHARGE of I1/2% per month, with a inimum charge of 50c, will
be added to all accounts over 30 days.
STATEMEN r
Glenwood City, Wis. 54013 f-. ~ 19-1
In Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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FINANCE CHARGE of i1/z% per month, with a inimum charge Hof 50c, will
be added to all accounts over 30 days.
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STATEMENT
Glenwood City, Wis. 54013 .-/x%..._........ ___....19k-e-
I n Account With
Cassellius Sanitation Service
Robert Cassellius
Phone 265-4623 Glenwood City, Wis. 54013
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Finance Charge of 11/2% per month, with a minimum charge of 50c, will
be added to all accounts over 30 days.
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