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Parcel 002-1052-80-000 06/22/2007 04:58 PM
PAGE 1 OF 1
Alt. Parcel 22.29.16.325A 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 - ONKKA, JOHN R & MARY K
JOHN R & MARY K ONKKA
2419 90TH AVE
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 2419 90TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE
SEC 22 T29N R16W 5 A TO BE SURVEYED IN N Block/Condo Bldg:
1/2 NW NW CSM VOL 2/569 & PARC DESC AS
COM NW COR SEC 22; TH E 493.77 FT TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
POB; TH CONT E 132 FT; TH S 338.19 FT; 22-29N-16W
TH E 644.02 FT; TH S 54.74 FT; TH W
776.02 FT: TH N 392.93 FT TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1147/311 QC
07/23/1997 1147/310 QC
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/27/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 35,800 134,600 170,400 NO
Totals for 2007:
General Property 5.000 35,800 134,600 170,400
Woodland 0.000 0 0
Totals for 2006:
General Property 5.000 35,800 134,600 170,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 510
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Mimoonain Department of Health snd SUoia rvice,s
Plb. #67 3/70 Division of Health
SEPTIC TANK PER2':IT AP 3LICATION
TYPE or USE BLACK I'd
A. OUPf ER OF PROPIRTY ~ n
Name Address (Street, City, Zip Co.""))
7
B. µLOCATION OF PROPERTY WtYR;, SYST21 WT_I' B7 CONSTRUCTED, ALTERED OR EXT2,7DED. COUNTY:
Check One: C mfy
' CITY VILLAGE LEGAL DESCRIPTION
TOWNSHIP
C.IS LOCAL PFR,"IIT REQUIRED FOR THIS WORK? YES NO 5PERMIT NUMBEI. `
D. SEPTIC TANK CAPACITY Gallons NEW INSTALIATION _ v REPLIC`-EKT ADDITION
.MATERIALS: Prefab Con,:rete Poured in Place Steel Other
NUMBER OF TANYS PO BE :.-NSTALLED:
E. TYPE OF OCCUPANCY
Cheek One. One or Two Family Residence Coanarcial Industrial Other
2;uuv_ of Persona to he Acco:rxaadatad Number of Bedrooms
F. APPLIANL'ES, ETC: Food Waste Grinder YES NO Automatic Clothes Washer YES NO
DisYaxasher YES NO Auicr.•,atie Potato Puler YES NO
Othe:• (Specify)
G. MASTER P1JUt-3 ER MAKING INSTALLATION
Nara: Address: - License N--ber:
Signature of Applic nt; ti i".P RSW
Address:
o ba ^ nL°' d by Issuir. a
T
aw,
Date or Application -76) Fee Paid
Permit Issued (date) Permit Number
Agent (Name)
Town, Village, City, County, etc(
(Specify)
Note: The application cant-; be considered for filing until all of the above questions are answered a.-..d tt;
fee paid. Agents will for•r.ard applicaticn, the fee of $1.00 for each septic tanx and the third copy
of the parmit (canary) to the Division of Health. Checks and money orders should be made payable to
the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
I. DATE RECEIVED ( 1 - ~ - -76 ACCEPTED BY RETURNED
(Initials) (Date) See CQrres.)
FEE RECEIVED VALID. No. / rZ PERMIT NO. .-~4
es or No
REVIEG`ED BY APPROVED DATE
(Initials) Yes or NoT
SFFITSC TANK PERMIT NO.
R E P O R T O N S O I L P Z R C 0 L A T 1 0 N T I S T.
A N D S O I L B O R I N G S
TO
DIVISION OF H ALTH - PLL ISINGG S:.TIt Y
P.O.Box 309, radison, Wis. 53701
Pursuant to 4 Wis. J. ~ inistrativ( Cc,"
P R R C 0 L A T 1 0 N T E S T
Teat Dvpt!t Cis ractcr o° Soil Hou.^s Water Tes' Time I DrO2 in Wstc2° Lavel Inohas i-~utes
ktz:be, L^^.c? cr Thic moss in In,ohas Since Ho? in Hilo Int« rval ~ Second to Nast to bast o Fall
1st Wetted vyerni ' t in lllnutas Last period Laaa t Pariod leriod 3nom Inch
Example`
P - 0 I 3611 Too Soil 109° Ciay 26" 25 Yes or No 30 I 1/2 2 1 2 6U
RECORD DATA FRCM MIN Ti U.1 OF 3 T_ST~R,-17 ~
Compute size of resorption arsa in accord with H 62.20 Wis. Administrative Code.
_ S 0 I L _B 0 R I N G S- Mjn3.,cfy 361' Belca Pro used Ab_sar_ptio_n Sy3t9m
Boring Total DeYt_A Depth to Ground 43tor Depth to Badroct
d Lber , Inohen G served E ti7atod Cbserva' sat t e d Character ci Soil-.th ih±^_.n st,_ '.r T i .
Ex1.4pld
B - 0 72" 72" Black Top Soil 12"; C1a,18"; Saii_ 18"
REZC.RD DATA FROMMININUT1 0' 3 Pb?'
TYPE OF OCCUPANCY:
RESIDENCES NL=ber of Bedrooms OTHER: (Specify) Number of Parzons
D WASTE GRII'xDED.t Yes Nc Diat=ashera Y93 No -uto:7~atic Clo: ea Washer: Yes No
a..~.
FFLUEN'T DISPOSAL SYSTEM: NEW EXTENSION ADDITION Ry?L.kr-i-ZIEhi __.._r.
Tile Size No.Lin,Feet y Trench Width Depth Number of Lines
Seepage Bad: Length Width Depth Tile Size No. Lines
Seepage Pits Inside Diamster Liquid Depth
Is the undersigned, hereby earthy that the percolation tests reported en this form were made by ma or under my super-
vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and
that the data recorded and location_of._test holes are correct to the best of my knowledge and belief.
NAME TITLE
Type or Print)
REGISTRATION NO. or MASTER PL IMBFR LICENSE NO.
ADDRESS I f? L_ Z_✓ >
DATE SIGNATURE
c
wisoonsin Department of Health and Social Ssr:-ioes
b
Pl'o. #67 3/70 ~C Division of Health
r~+ 1191i SEPTIC TANK. PERMIT APPLICATION
TYPE or USE BLACK INK
A. OWNER OF PROPERTY
Name Addresses (Street, City, Zip Caws)
B. LOCATION OF PRO?ERTY WiTRE SYST~I WILL BE CONSTRiICTED ALTEREI' OR EXTENDED COUNTY,
Check One: v1 S C /y/ %1 GL)
CITY VILLAGE LEGAL DESCRIPTION
TOWNSHIP
C. IS LOCAL PERi'IT REQUIRED FOR THIS WORK? YES NO ~ PERMIT N-.MBE.^.
D. SEPTIC TANK CAPACITY - Gallons NEW INSTALLATION RLPLACE,11N'T ADDITION
MATERIALS: Prefab Concrete Pocred in Place StFel Other
NUMBER O&' TANKS TO BE INSTALLED:
E. TYPE OF OCCUPANCY
Check Ones One or Two Family Residence Commercial Industrial Other
Specify}
Number of Persons to be Accormodated Number of Bey: oc:ms
F. APPLIANZES, ETC: Food Waste Grinder YES NO Automatic Clothas Washer YES NO
Dishr*asher YES NO Automatic Potato Peeler YES NO
Other (Specify)
G. MASTER PLU3FKR MAKING INSTALLATIGN
Name: r Addresss Lioense Number:
Signature of Applicant: MP RSW
A rasss
?o_ba Ccc clet d by. Issuir.. n . -rt1
Date of Application Fee Paid t = i._?
Permit Issued (dat Permit Number-
Fors
Agent (Name)
Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above questions are answered and the
fee paid. Agents will forKard application, the fee of $1.OL for each septic tanK and the third cop.
of the permit (canary) to the Division of Health. Checks and money orders should be mde payable to
the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
I. DATE RECEIVED I - J • ' 7(1 ACCEPTED BY RETURNED /
(Initials) (Bate) See CQrres.)
FEE RECEIVED ✓ VALID. No. ~Z PERMIT NO..
es or No
REVIEWED BY APPROVED DATE
(Initials) Yes or No
COMPLETI arH R SIDE
r- SEPTIC TANK PERMIT NO.
R T P C R T O N S O I L P R R C 0 L A T 0 H T Y S T
A N D 5 0 I L B 0 R I N G S
TO
DIVISION 0? R ,ALTH - PLCt3BVQ SZCTIU`'.3
P.O.Box 309, Madison, Wis. 53701
Pursuant to H 62.20, Wis. ktlninistrativa Code
P E R C 0 L k T I 0 N T E S T
Test Depth C'naraotsr of Soil Hours Water Test Time Drop Ln Water Level Inches inutes
Number Inches Thickness in Inones Since Hole i in Hole Inte:-VI Second to Next to Last To Fall
1st wetted OvorniSkt in Minutes I Last Period Cact Period Period Cnq, Inch
Example
P - 0 3611 'loo Soil 10" Cla_r ?_6%t 25 Yes or No 30 1 2 l 2 _A Z2 60
RECORD DATA FROM MINE" OF 3 TEST HOLES
Computs size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B O R I N G S- Minimum 36" Belmx Pro )asd Abso Lion System
Boring Total Depth Depth to Ground idatrr 1 D_^ th to Bedrock
Number Ine3,aa Cossrved Observed Estisated Character of Soil with Thickness in Inches
~.uaaple T
B - 0 721, 72" Black To Soil 1211; Clay 18111 Sand 1811• Grsvol 244'
RECORD DATA FROM MINrVM 0? 3 BORy ROLES
TYPE OF OCCUPANCYt
RnSIDRNC£t Number of Bedrooms OTHER: (Specify) Number of Persons '~21
D WASTE GRI4DERt Yes No Dishmasher: Tea No V Auto^satic Clothes Washers Yes No >C
FOO
FFWEh'T DISPOSAL SYSTEM: Ny+4 " EXTENSION ADDITION REPLACEMENT
Tile Size No. Lin.Faet Trench Width Depth Number of Lines F`
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pitt Inside Diameter Liquid Depth '
I, the undersigned, hereby earthy that the percolation tests reported on this fora were made by me or under my super-
vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and
that the data recorded and location-of-test holes are correct to the best of my knowledge and belief.
NAM r f ' j c /c~ l~ TITLE
Type or Print
REGISTRATION NO. or MASTER ?LUMBER LICENSE NO.
ADDRESS % C/ v : r~ l ✓ S j
%
DATE SIGNATURE
3
I' B.A L DW I N T 29 N-R. 1 6 W 3
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SEE PAGE 21
~Sf C' oil L'ou ~ /16s. a r
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4-H CLUBS AND COOPERATIVES HELP TO INCREASE INCOMES AND LIVING STANDARDS
stop. At 1" s~yK 6j
ST. CROIX CONSUMERS COOPERATIVE ONE OF THE MIDLAND FAMILY
t BUY AND SAVE ON
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PHONE: BALDWIN 684-3331 - WOODVILLE 698-2426