HomeMy WebLinkAbout002-1014-80-000
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Parcel 002-1014-80-000 01/03/2007 09:34 AM
PAGE 1 OF 1
Alt. Parcel 07.29.16.95C 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 - KLANDERMAN, LEAH M
LEAH M KLANDERMAN
1056 220TH ST
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1056 220TH ST
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 10.800 Plat: N/A-NOT AVAILABLE
SEC 7 T29N R16W IN SE NE LOT 1 OF CSM Block/Condo Bldg:
VOL 4/937 ORD TOWN BALDWIN EXC THE E
293' OF THE N 90' OF LOT 1 CSM 4/937 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
07-29N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
12/07/1998 593186 1384/270 LC
07/23/1997 903/364
07/23/1997 735/531
07/23/1997 706/82
2006 SUMMARY Bill Fair Market Value: Assessed with:
153363 Use Value Assessment
Valuations: Last Changed: 10/25/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.760 23,100 98,100 121,200 NO 05
AGRICULTURAL G4 7.540 1,500 0 1,500 NO 05
UNDEVELOPED G5 0.500 100 0 100 NO
Totals for 2006:
General Property 9.800 24,700 98,100 122,800
Woodland 0.000 0 0
Totals for 2005:
General Property 10.800 7,300 65,500 72,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 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
~
OWNFR r, TOWNSHIP, . SEC. % T ~~N R ,
11 r
~ 1 W
ADDRESS y ST. CROIX COUNTY WISCONSIN.
SUBDIVISION LOT LOT SIZE
LAN
Distances & dimensions to meet requir
ementsWof H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
R
r
C
4 I di, atre ozthi Arrow -t I
S CAL
SEPTIC TANK(S) MFGR.-CONCRETE G4! STEEL
NO. OT rings on cover Depth -'d
PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO.
GALLONS Per Cycle
TRENCHES NO. of wid-t length area
BED NO. of lines width
/'length- area
dep ~to top oT pipe--,',--,
NUMBER OF SEEPAGE PITS Outsi e iameter total pit area
AGGREGATE
PERK RATE ~-`e' AREA REQUIRED AREA AS BUILT S
Disclaimer; The inspection of this system by St. Croix County does not imply
complete compliance with State Administrative Codes. There are other areas that
it is not possible to inspect at this point of construction. St. Croix County
assumes no liability for system operation. However, if failure is noted the
County will make every effort to determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM.
INSPECTOR
DATED PLUMBER ON JO
LICENSE NUMBER Sys 4-qq__
AS BUILT SANITARY SYSTEM REPORT
µx{ER , TOWNSHIP SEC. T N, R ~
0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
'3DIVISION , LOT LOT SIZE
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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' Indicate North! Arrow
S GALE .
tPTIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
ANCHES NO. of width length area
j no. of lines width length area
depth to top of pipe
~SREGATE
K RATE 4ARIM RE 7V AREA A BU LT
t►Sciaimer: The inspection of this system by St. Croix County does not imply complete
.o-pliance with State Administrative Codes. There are other areas that it is not possible
tp inspect at this point of construction. St. Croix County assumes no liability for
,Stem operation. However, if failure is noted the County will make every effort to
;etermine cause of failure.
~fEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLU1BER ON JOB
LICENSE NUMBER
Z .
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San'i'tary Penm.i-t
` State Septic_'
T
NAME Township St. Cno.ix County
Location Section
SEPTIC TANK
i
Size sr' gattons. Numb en o6 Compar.tmentb j
Distance From: Wett 6t. 12% on greater ztope 6-t
Bu.itd.ing A/I 6.t. We.ttandd 6t.
H.ighwater 6t.
DISPOSAL SYSTEM
Distance Fnom: Wett L #I" 6Z. 12% on greater .6tope 6t.
Bu.itd.ing S.t. Wettands Ft.
H.ighwater 6t.
FIELD DIMENSIONS:
Width o6 .tren ch~s• 6t. Depth o6 no ck b etow .tile in.
Length os each tine 6t. Depth o6 rock oven t.ite~ in.
Number. o6 Zines to Depth o6 .t.ite below grade -s .in.
Totat tength o j tines `I _ St. Sto pe o6 trench in per 100 6.t.
Distance between tines Depth to bedrock
Tout abz orbt.ion area _ 5t2 Depth to g.toundwater
..Requited area 6t2 Type of Cover: Papers or Straw
PIT DIMENSIONS:
Number o6 p.itz Gravet around p.itt~s yes no
Outside diameter 6t. Depth below .inlet 6-t.
2
Tout abz orbt.ion area St z
Area requkred 6t m
INSPECTED BY TITLE
APPROVED DATE 197.
REJECTED !DATE 197
i
1 1' 1 1 5 Rev. 9/78
EH'
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
M5' TA/N,RC ~Le#tyl.J
LOCATION: /4, /4, Section 0 (or) W, Township or 1N~+ei~aaJaty
Lot No. Block No. County
division Name
Owner's/Buyers Name: 19
Mailing Address: A C4 (A)"S
TYPE OF OCCUPANCY: Residence No. of Bedrooms Q& COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X_REPLACEMENT ALTERNATE SYSTEM OTHER _
DATES OBSERVATIONS MADE: SOIL BORINGS - 19 - Q'6 PERCOLATION TESTS 4-19-50
_
SOIL VI AP SHEET_ NAME OF SOIL MAP UNIT A M C_ Me Ax
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- I ~Ir $:I--~► 1 O ry - LA4 4:7
P 3 (l rIr t~ tl If /6n sT t7 - Cq A IS
P- - I f, it 4 it A 411 „ 'r
~ o Z)
P-5 3(~ if c~C nor rr ~j p 0
P- 6 34 r r T Il 0 1t tr rT T 0 1)
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
11 rv I/ $ f1 I1 rr
B-
2A L)
B- 2- u 1l rr 5d r
B- 4 :7 2L IQ 4: 4 4- f+
B- 2- y f~ 1a µ Ir D tr tr ij?"
B Fu 1 r 1r 1• O* r r N
PLAN VIEW (Locate percolation tests, soil 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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1, the undersigend, 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) r v e- to e + t 6.01- + Certification No. 5141-+ ~
Address f~ U 1 ! e S
Name of installer if known -1 c) L4
A- Local Authority CST Sifi:, t I _
Eks' State and County State Permit #
PL
6 7 ' 93
,i Permit Application County Permit #
for Private Domestic Sewage Systems County 6 71 CA C)t Y,
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
C r4 R R 01_ L 1~4 ti,,j C1 -(&A L IJ 1, vJ CJ s
B. LOCATION: 1-7 Section , Tg;23N, R~d (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Villag
Township -tJIL-4w~,V
C. TYPE OF OCCUPANCY: *Commercial *Industrial 'Other (specify) *Variance
Single family _X Duplex No. of Bedrooms -ry t? No. of Persons
D. SEPTIC TANK CAPACITY /Q Q O Total gallons No. of tanks ON e- -
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete x Poured-in-Place Steel Fiberglass Other (specify)
New Installation X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-PlaceOther (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate -r~ Total Absorb Areal sq. ft.
New X Replacement Alternate (Specify)
Seepage Trench: No. of~Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: X Length - _Width- A ' Depth z' Tile depth (top)~No. of Lines 77N0 ji6 Seepage Pit: Inside diameter Liquid Depth No. of Seepage
Pits
Percent slope of land- Q "
Distance from critical slope s
-
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 S Tester, 11
NAME C.S.T. # and other information
obtained from r2
(owner/builder).
Plumber's Signature MP/MPRSW# Phone #Cc>
Plumber's Address L „EJ
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.
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o 10eA ~l~s Po
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Fre 4 1 m
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Do Not Write in Space Below_ FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State S<<'~ County : ~G1 Date
Permit Issued/ mod- (date ~ Issuing Agent Name R_77
Inspection Yes No State Valid# Date Recd
t county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
Wink copy) 4, plumber (canary copy) Revised Date 7/1/78