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Home My WebLink About002-1061-40-000 n cn o C v n t7 c r m o CD C#n m (D 3a w ! c 3 3 gc \ 1 ~ 0 0 w w ~C • c 0) O N pl o z fNJI C(0 CO CNj O 3 0 r- m (D N) m a N IP CD a z a CD a CD W> o n N Q j O N ~7 W CD O -4 O C) LOD N c j 00 CD Q 3 • 7 3 to N li - O O rn N C 0) `j I ~ CD N p G 0 W 3 O p N m ono C co~ co a- n O C N O o P z o 0 0 K z 0 0 0 . o cn g a t~i~ to tin 0°NO o D a- v v v O O d 'O -D CD _ lp !V N N Q ~ N z zco z v O D a ~ h :3 CD CD cn X -1 En C CD N CD a a 3 z CD N S C O O p Z R N c o_ A Z O (n -i N W < cn CL 3 z ? .Z1 C fT (J) W N O (D m- a 3 Q m co m _ 3_D = T B. 3 Z a 0 3~ ~ CD 0 0 o N N v O Co CD A CD 6-D o N d A co n CD O C) A O LR 7 F O N A O 7 C O 7 O n N 0) O CD V A O~ b b [v O v 0 C) y C) CL Qr O ~ O I O N 0 r„ O O ra O y li I C ~ ti ~ I s m N I ~ v ° c z LL C O N 'O C E Q U U CO CO E o 6~- o Z NN F- CO a m o z !t r O N d 'z g F- rn to c ~ N N Cu N C N a = I O c O Z O H O Z N i ~I CL a 'R C) N d d 00 0 o a d> Z j No H H F ~ lot U) 0 0 0 r1 ►v a a a FL O N ° o g > OD ao fA J U p } ~►i Arno Qy 0~~ = CO N C O r ~l 7 p U C O O U ~~o W C C C m ~ a~ y " 'o z ICI N N >>mm N0) avr 5 2 E O N m > m N z N 2 H CAS a a 3 • CC CL d V d t A US a~l 0 inv Parcel 002-1061-40-000 01/03/2007 02:01 PM PAGE 1 OF 1 Alt. Parcel 25.29.16.378C 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 - LEE, TERRI R TERRI R LEE 2604 HWY 12 WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2604 HWY 12 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 1.490 Plat: N/A-NOT AVAILABLE SEC 25 T29N R16W IN SW SW LOT 1 CSM VOL Block/Condo Bldg: 4/1017 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/23/2006 816998 EZ-U 07/23/1997 1076/430 DJ 07/23/1997 623/325 2006 SUMMARY Bill Fair Market Value: Assessed with: 153810 115,000 Valuations: Last Changed: 10/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.490 20,900 96,700 117,600 NO 00 Totals for 2006: General Property 1.490 20,900 96,700 117,600 Woodland 0.000 0 0 Totals for 2005: General Property 1.490 7,400 57,900 65,300 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 TR 1 b ? ~/~~,a ~r r~ , TOWNSHIP SEC ADDRESS caw y . , T N, R W ST. CROIX COUNTY, WISCONSIN. r, I L : i i LaI. S . -;DIVISION , LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Cot t~ + f y U,y` C~ 49 0 v \ 1 V'- ` iNous f TIC TANK (S) L MFGR. CONCRETE 6,. STEEL NO. of rings on cover Depth _y2 _L- DRY WELL tiCHES NO. of width length area no. of lines c width j c length ~ Carea depth to top of pipe 3EGATE RATE 10 /p AREA REQUIRED 2 t~ AREA AS BUILT r claimer: The inspection of this system by St. Croix County does not imply complete ,)fiance with State Administrative Codes. There are other areas that it is not possible j aspect 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 "rmine cause of failure. SES Ab'D OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSP DATED PLUMBER ON JOB LICENSE NUMBER yf i t REPORT OF INSPECTION- INDIVIOUAL SLUTAGL SVSHM S an.i tai y P n m.i t_ State SeptA.c ~ SAME. Townshi St. Cnu-(,-x County c a t i u n,~SW S(A)_S e c'-ti u nOJT Lot b S u b div a s 4. o n I PTIC TANK Size gazyonb NZoib e.n u curnpan tmen s_- )i,stanee 640m: Wetx- ~F / BuiY_dl('.ng 0'Q l2$ ekupe - Highwa-teh LIMPING CHAMBER Size Q(~ gattoYL4. Pump Manu6actuae.4 _Mudek Numbers - iOLDING TANK Size gaxCon4 Eel u6 m,paAtmentis Pumpers y em )(",stance 640m: Wex.E Bu.4.ed4.ng____ __._12$ axupe_ Highwa.teK BSORPTION SITE Bed Tneneh i stance 6hom: WeZt Building M .elope Highwa.ten 6SOPPTION SITE DIMENSIONS - Ul.idth oA trench 6t Requ.ined an.ea ° - t Length o6 each tine "y 6-t Depth o6 noch betow t~xe-` ' ! ~n Nurnbe~i uA tine,6 Depth u6 4oeh oven T o ta,e X.e.n q th u6 Zines i. 6-t Depth 06 -tile betow 94ade__7` 41 n 19 i s Lance between Zineb 6z SXope o6 -theneh_ 4-n. pen 100 6-t f4 ~ 1 u, C,,L ab,5 041i tiun anee 6.t Type 06 Coven: Paper un. .e thaw IT DIMENSIONS" NumbPn o6 pit,e~ navek around p4'te yee o Ou-te.ide d.i.ame-te4 6 Depth beYow kn('e-t 6x To-tat ab.6o4p.tion ne.a 6-t Area n-equined 6t N S P TITLE PPR0VED DATE 19 8 - 'L JECTED DATE - - 198 'I ASON FOR REJECTION S~ 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: 3W%, 5V' '/4, Section -2J'-, T23N, R 16E (or)(W)Township or Municipality Baldwin Lot No. , Block No.-_, County St. Croix Reuben Waller Subdivision Name Owner's Name: Mailing Address: Baldwin, Wi TYPE OF OCCUPANCY: Residence X No. of Bedrooms j Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT X DATES OBSERVATIONS MADE: SOIL BORINGS 10-31-60 PERCOLATION TESTS 11-3-60 SO] L MAP SHEET 71 SOIL TYPE A013 Attiago 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 71 PERIOD 2 PERIOD 3 P 1 48" 10" T.S. 20" Clay Loam 18" San 2 No 10 2" 2" 2" 5 P 2 48" 10" T.S. 20" Clay Loam 18" San 2 No 10 2" 2" 2" 5 P 3 48" 10" T.S. 20" Clay Loam 182 San 2 No 10 2" 2" 2" 5 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- 1 jV108" None 10" T.S. 16" Clay Loam 4" Hardpan 76" Sand B-2 102" None 10" T.a. 30" Clay Lam 62" Sand B- . 3 102" None 10" T.6. 20" Clay Loam 72" Sand PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of suitable areas. Ind' to number of square feet of absorption area needed for building type and occupancy. 615 5q ft. (Bell Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. s i f I I ~ ~ . I I 7P _ f E P ~ I t f I ~ i • ~ _..S / ~W ~ i ~ t t I I 1 - N t 1 _ _ _I 910 i t 1 i{j! 1 ' ~ t II I ~ ~ i f 5,9 C. - ; - --t I € 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) Stephen L. Aaby Certification No. 1406 Address Woodville, 4i Name of installer if known Aaby Plumbing, Heating & Elect. Inc. CST Signature C'OPY A -LOCAL AUTHORS "k' t - - PLB State and County State Permit # 67 1 Permit Application County Permit # u ication ~ 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: Michael Lee (Buyer) Woodville, Wi Reuben Waalen (Seller) Baldwin, Wi B. LOCATION: '/4 -37 Section 23 TN, 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 j No. of Persons_ 4 D. SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks 1 HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement X Lift Pump Tank or Siphon Chamber 600 Total gallons Prefab concrete X Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate A'U Total Absorb Area~24 sq. ft. New Replacement X Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: X Length 261 Width 24' Depth-46" Tile depth (top)- 36" No. of Lines 4 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land d/ Distance from critical slope None WATER SUPPLY: Private k] 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 Stephen L. Aaby C.S.T. # 1406 and other information obtained from Owner (owner/builder). Plumber's Signature' MP/MPRSW# 514 Phone #69 - 2407 Plumber's Address 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. i e .F. . »a as a m...». .t , s w....e .....a-..... ..r a PLEASE R&&'l TO ATTACH& DRAWINGS. E E r 1 a , a 3 k t i f t t e_~a ...__...m E 3 € b 1 j 7 a E ((7 . e Ro 'lot Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date F Application f Fees Paid: State fyo--(-) County / Date 9 Permit a'U ate T ued/9s4oe+ed ( ate) Issuing Agent Name IIZ4Adl~- 4L4 -,6 lnspection No State Valid# Date Recd 1 county l 2 Sri*e pink copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, 4. plumber ,anary copy) { r LEE, MIKE Town of Baldwin Woodville, WI 54028 Form Sent 1-24-85 Returned 5-28-85 Action Taken: Proper Operating Condition (5-10) Date of Card 8-26-85 sec. zs ~ 8~j~/C ate O pas%a i INA. REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Time of Inspection ame, ress, License o. OT installing Plumber I TALLATION CONSI S OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: M DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO ; 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ N0; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: Parcel 002-1061-40-000 01/25/2007 09:23 AM PAGE 1 OF 1 Alt. Parcel 25.29.16.378C 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 TERRI R LEE O - LEE, TERRI R 2604 HWY 12 WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2604 HWY 12 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 1.490 Plat: N/A-NOT AVAILABLE SEC 25 T29N R16W IN SW SW LOT 1 CSM VOL Block/Condo Bldg: 4/1017 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/23/2006 816998 EZ-U 07/23/1997 1076/430 DJ 07/23/1997 623/325 2006 SUMMARY Bill Fair Market Value: Assessed with: 153810 115,000 Valuations: Last Changed: 10/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.490 20,900 96,700 117,600 NO 00 Totals for 2006: General Property 1.490 20,900 96,700 117,600 Woodland 0.000 0 0 Totals for 2005: General Property 1.490 7,400 57,900 65,300 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 /ON I i 1:~Gt CT',~ iZ f( ~ a I I 3 I i Y I t 7 I I ev - 19 - P. 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