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HomeMy WebLinkAbout002-1090-80-040 n to O 3 'O 0 t7 p CI O c m (D ^ I ~ 3 i ~ y \ 1 3 - Z+ v Q i 0= N Z CD m v rn oo• zr 00 00 0 N) (D 3 00 :3 E N O. z D_ N c- O N~_° W= m w o n n3 N cn j O'D U 6 (D n = m ° rn° CO N co 0O 7 N (D O C (CA -4 d U) D a m m < ° (n W a 3 n C _ O m (D N) CL CL 9 cD (D ' 0 r cn CD 00 00 0 r- cn ~ ~ Z O O O o o r < z ° a a tin o D c r vvv o cQ (D "m U) 41 = N Gl 'O - (O (D CD ID (D y o N C= z O II N ° z -~z D N ° m O = ( S ~ o ° CD • m ° C O N M (D (a 0- a (D (D Z (D (p O v a A 7 O III Z N m ooCD mm GNi Z O F Z y Z CD N ~ D. Q C G O _ N C °z ~a m N I z a I o U N 0 I o v A (D Oip V A EA 0 ti N O ((D a O CL Parcel 002-1090-80-000 01/05/2007 09:38 AM PAGE 1 OF 1 Alt. Parcel 36.29.16.5166 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 - NELSON, WALTER W & CAROLYN L WALTER W & CAROLYN L NELSON 2081 60TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2629 70TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.580 Plat: N/A-NOT AVAILABLE SEC 36 T29N R16W 5.58A IN NE NW LOT 1 OF Block/Condo Bldg: CSM VOL 4/1004 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 09/10/2004 773913 2653/49 WD 09/05/2003 738931 2401/367 TI 11/27/2002 700220 2063/210 QC 07/23/1997 701/67 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 154057 186,200 Valuations: Last Changed: 10/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.580 37,600 152,800 190,400 NO 00 Totals for 2006: General Property 5.580 37,600 152,800 190,400 Woodland 0.000 0 0 Totals for 2005: General Property 5.580 12,900 93,100 106,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 09/16/2005 Batch 05-15 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 r AS BUILT SANITARY SYSTEM REPORT +-ER TOWNSHIP -SEC. - ADDRESS N, R ADDRESS , ST. CROIX COUNTY, WISCONSIN_ C41 DIVISION LOT LOT SIZE r " A/4 PLAN VIEW Distances & dimensions to meet requirements of H62.20 ` %eC 90 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM / 3 j ' TIC TANK(S) MFGR. . CONCRETE STEEL NO. of rings on cover Depth DRY WELL "'tCHES NO. of width length area , no. of lines width__ length. area depth to top of pipe ti ..a. _ ZEGATE RATE AREA REQUIRED AREA AS BUILT claimer: The inspection of this system by St. Croix County does not imply complete )liance 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 t:em 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 PLUMBER ON JOB LICENSE NUMBER r ' R1-POINT 01 INSPECTION - IN"DIVIOUAL SEWAGE SVSTEM S a va, t z rc cl P c n rn.< t S ,t a t 1MI _ e_Tr cj n T owkish St. CAUL x Cuunty C uttion r Section( Lot ~ Subd~-vision PI TANK / S,c ze --/aTfo n.6 Number o f cornr-pantme-n,ts --/?.rte? g ~ ti tart ee (Jnom: Gl42, kiu.i~dEn 120 4eupe._-- Hi-ghwa.teh ~ S IMPING CNAM6ER ze.- ga.fk-on'~ Pump Manu(ae.tc.cnen Model. Nurriben L1) INu' cAN& Size gaLPons Numbers uA Compan,tmen(A Pampe,c Atagm Syetem ranee A~com: We,LQ. 8c~-i~din - 9-- _12a s1'ope ti i.ghwate~r 0RPTION SITL Lied Trench ~ 2 ~tavrce. Ahem: Cve.kk buikd.i_nu 3 72° nN Hi-ghwaten 'W RPTION SITE OIMENSIONS Width uA tn,eneh S At Reyuc Icc d area C ~ Leng.tit u each 1'4Pt c, (t Oepth oA n-ach bef'uw ti ev Numbelc (,A 0,vieA 2 Pe.pth oA nuch uve~c tike I-n lutak Te-ncith oA K~ne.h ,/Q O At Oepth oA t-tkeb ceow gnude- <n V46 tanc.c) be tween vnee ~ At Stope uA trench pe.n_ 100 A-1 I otat' ab:5onp -Eon a rea---- At Type uA Cuveh.: Pape~c ut fe.- aw ~I DIMENSIONS Nu-rrnbv4 A P4 t) G 4 a v v arcouvrd p4,ta yc5 nu 0utA-(*de diame --teir t el p t it bekow cnevt t Tu taE abAonp-ti o n area I V1 CI I O 6 y T I I L t '1'ROVE D OATS 19 8 11 CTEO GATE 19 8 I ASON EON' REJECTION ~6 • "{~oaM~eo; PLB 67 State and County State Permit # S 8 ;f w Permit Application County Permit # Ti for Private Domestic Sewage Systems County 1- *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 0 C', B. L AT10N '/4 Vle Section j T N, F E (or) `W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township f k C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms -No. of Persons KK i D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete 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. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area 4, (_~O sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. L Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private 2 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 p; by the Certified oiil Test r, NAME L c i' I'.-~ C.S.T. # 1 4-' ( and other mform~t obtained from (owner/builder). Plumber's Signature [,vafl MP/MPRSW# Phone # Plumber's Address _ . 7-7107-1 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 ' q E r i ~ ~ F a .,.a. e .,s a i e-.. a . - e . m . 5 e .,,a.. . s m. a m . t [ , f ee ~w. . ems P. j 3 1 F t l Do Not Write in Space B Vow FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 0 lt. F)o Fees Paid: State County ..2 t Date 101 16 $O Permit Issued/Rej tied (date) Issuing Agent Name Inspection Yes _No State Valid# Date Rec'd~ 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 y DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: W/4, Section 3-6, T29 R 16 E (or)(4, Township or Municipality Baldwin Lot No. , Block No. County St. Croix Subdivision Name Owner's Name: Walter Nelson Mailing Address: RR 2 Baldwin Wisconsin TYPE OF OCCUPANCY: Residence x No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 9/11/80 PERCOLATION TESTS 9/11/80 SOIL MAP SHEET 71 SOIL TYPE SAB SANTLaGO 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-1 42 4" T.S. 38" Sand 4 No 10 2" 2" 2" 5 F P-2 54 4" T.S. _50" Sand 4 No 10 2" 2" 2" 5 P-3 42 4" T.S. 36" Sand 4 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 74" Nona 4" T.a. 70" Sand 2 ?4" None 4" T.S. 70" Sand B_ 3 74" None 4" T.S. 70" Sand 4 74" None 4" T.S. 12" Sandy Loam d* Sand B- 5 74" None 4" T.S. 180 Sandy Loam 52" Sand PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitablebar~ s. Indicate number of square feet of absorption area needed for building type and occupancy. l1 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. i yy //)3 I 911116 cjj t N CI) - - - - ! _ - _ Lz l r~~ - I 1 y 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. 14A6 t Address Woodville, Wisconsin Name of installer if known CST Signature, Signature , S V E Y M 5 Walter Kelson to Jerry Elton. (Release from L. C. f ~ ~w a+ 0 1, t ~ ,Rw~~R +t4' 41 { W tt t That certain ptrael of land located in the- Northeast 1/4 of they Morthweet 1 of Section 36,, Township 29 North* ewe l w*at, 'I'owa of 13a3,ttwrfn, St. Croix County, Wisconsin, more fully described as follows: Commencing at the Northwest corner of said 3%cti on 36 thence go N 9o° 0fl' Ml 1; along the North line of said Section 36 a diatance of 1668.75 f "t to the POINT O ,SWIN,NING of the pareal borhoz oln roloaoedi thence, co1',1tr1,I' ie$ , 9011 004 00'" R 1'99t, i 1 Foot' thence S 000 601 001' 238.82 f tt thence S j°5'$" x.35 feet; then* N ()0,0 ()6, 00"V.1 *,W)0.00 feet to the' POIN"f' OF SlJNW, NO, the above ciesr- rtbed parcel eontaini e 1.23 acre*., and being subject to easement for 'dawn Road purposes over the North 33 feet thereof. (`All bearis re~,ferenee~d to tho, ,North line of` sti.d 30eti xn 3 ,as being OWI E), N 900,00, State of wicansin) County of Pierce sad 1, James L. tMurphy, do 'Ineroby pertify that by dire c0on at the Owner. i have surveyed the above. described property accar4jag :tv ofiiciill' r girds and that the above mop is p true and ; correct representation thereof shaW09 tbo correct dimensions and location of this property,, all structures, apparent easements and eh+ re peturier,t,e thereon. This certification is or the exprots uee of the Owner or tus designate for mortgage or title transfer purpose* and shaft aontihue for on# year from the dots of survtj unless- changes occur ro said property thereby nullifying' this certification. 0 Denotes iron pipe found. © Denotes iron pipe set. WI so onsin Ken. No, _ -104 DATE 9 - 2'$ - >$rC5 FLO SURVEY 9wt9-8e~+ lu~ L. RP Y ~~v", ~F~'~,lY ((u i ; j 7 S.. r SCALE I" 1t74"~ . 4v Eif,+L'hk^stNEl' lv't~ PALLS, REVISE d L4G,ATi ►G.- 9 1 C 4 . ► R l V 9 R F A, 1 S x W l S C O N S t Nil ~''if~ JOB NO, MWA. s 5 S a d[F t 1 F . 3 r fi e a I,~