HomeMy WebLinkAbout034-1029-20-000 (3)
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Parcel 034-1029-10-000 12/19/2005 04:23 PM
PAGE 1 OF 1
Alt. Parcel 13.29.15.202 034 - 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 - NYHUS, STEVEN L & REBECCA A
STEVEN L & REBECCA A NYHUS
935 CTY RD W
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 935 CTY RD W
SC 2198 GLENWOOD CITY
SP 1700 WITC e"t". ~
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 13 T29N R15W NW SW 40A Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-15W
I
I
Notes: Parcel History:
Date Doc # Vol/Page Type
04/10/2000 620960 1501/369 WD
07/23/1997 450/542
2005 SUMMARY Bill Fair Market Value: Assessed with:
82060 Use Value Assessment
Valuations: Last Changed: 05/26/2004
Description Class Acres Land mprove Total State Reason
AGRICULTURAL G4 37.000 6,700 0 6,700 NO
UNDEVELOPED G5 1.000 50 0 50 NO
OTHER G7 2.000 •9,550 1941,000 203,550 NO
Totals for 2005:
General Property 40.000 16,300 194,000 210,300
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 16,300 194,000 210,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Health and Social Services
Plb. #67 Division of Health
PERMIT APPLICATION
for
PRIVATE DOMESTIC SEWAGE SYSTEMS
°3`~- lazy- lo=be
A. OWNER OF PROPERTY TYPE OR USE BLACK INK 1~ 3 ; GZ
Name Address (Street, City, Zip Code) /
County
B. LOCATION OF PROPERTY WHERE SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXT&NDED
Cheek One:
CITY VIUAGE LEGAL DESCRIPTION:
1 TOWNSHIP f ( iJ E;X
.f
C. IS. LOCAL PEF?1IT REQUIRED FOR THIS MDR;{? DYES NO
D. SEPTIC TANK CAPACITY Gallons NEW INSTALLATION REPLACFPIF.NT ADDITION
MATERIALS: Prefab Concrete ` Poured in Place Steel Other
NUMBER OF TANKS TO BE INSTALLED:
E. TYPE OF OCCUPANCY
Check One: One or Two Family Residence / Commercial Industrial Other
Specify
Number of Persons to be Accommodated
F. APPLIANCES, ETCt Food Waste Grinder YES v NO Automatic Clothes Washer YES _ NO
Dishwasher YES - "rf0 Automatic Potato Peeler YES NO
Outer (Specify)
G. EFFLUENT DISPOSAL-SYSTEM NEW V EXTENSION ADDITION REPLACEMENT
Tile Size No.Lin.Feet L"-- Trench Width Depth - '?e- Number of Lines -
1 C;
.1 ! Seepage Bed= Length Width Depth Tile Size No. Lines
l Seepage Pit: Inside diameter Liquid Depth
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches Minutes
Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last "o Fall
1st Wetted Overnight in M.'.nutes Last Period) Last Peri Period ~)ne Inch
Example
P- 0 3611 To Soil 10", ClV 2611 25 es or no 30 1 2 1/2 1/2 60
RZCOIT DATA FROM MI`iI'1M OF 3 TEST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S 0 1 L B ) R I 11 G S - M?a wx 36" Belcw Pro ose4 Absorption System
_
L-op Total Depth Depth to Ground Water Depth to Bedrock
LnchPs Obse^ied Estimated Obsarvad Estimated Character of Soil with Thickness in Inches
72" 72" Blaok To So
il 1211, Clay 18"• Sand 1811, Gravel 2w-
RECORD DATA FROM MINIMUM OF 3 BORE"HOLES
3
COMPLETE OTHER SIDE
y, r
r
I, the undersigned, hereby certify t1-at the percolation tests reported on th.'.s form were made by me
or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3),
Wisconsin Administrative Code, and that the data recorded and location of.test holes are correct to
the best of my knowle a and belief.
NAME Tom,, f j. n TITLE
y, a or Pmt
REGISTRATION NO J~ or MASTER PLUMBER LICENSE No. /
ADDRESS1 ;7 t 1 / /
DATE SIGNATUPS
MASTER PLUM3ER MAKING APPLICATION
Signatures MP
License Numbers
MP RSW
i
(To be Completed by Issuing Agent)
` Date of Application /7 Fee Paid
7 # L=
Permit Issued (date) 17 Permit Number
Agent (name) For:-L.
Town, Village, City, County, etc.
(Specify)
Notst The application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be made
payable to the Division of Health.
Do not write in space below' + FJR DEPARTIENT USE. ONLY
7DATIEIVED - / G ACCEPTED BY RETURNED
{ (Initials)
-7 (Date) See Corres,
FEE RECEIVED VALID. NO. d / PERU T NO.
(Yes or No)
i
i
REVIEWED BY APPROVED DATE
(Initials)
Yea or No)
COMMENTS: t
Parcel 034-1029-10-000 06/19/2007 01:20 PM
PAGE 1 OF 1
Alt. Parcel 13.29.15.202 034 - 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 - NYHUS, STEVEN L & REBECCA A
STEVEN L & REBECCA A NYHUS
935 CTY RD W
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ' 935 CTY RD W
SC 2198 GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 13 T29N R15W NW SW 40A Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
13-29N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/10/2000 620960 1501/369 WD
07/23/1997 450/542
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 06/15/2007
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 37.000 7,750 0 7,750 NO
UNDEVELOPED G5 1.000 200 0 200 NO
OTHER G7 2.000 9,550 237,100 246,650 NO
Totals for 2007:
General Property 40.000 17,500 237,100 254,600
Woodland 0.000 0 0
Totals for 2006:
General Property 40.000 15,550 194,000 209,550
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
'SPRINGFIELD T 29 N-R. 15 W 37'
• OD SEE PAGE 49
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E ford /yaP _ ub/s., Inc. SEE PAGE 23 Sf ~'>oir Cou.7/y,
i
WILSON ELEVATOR CO.
PHONE: WILSON 772-4764 KOOIMAN MOTOR SPORTS
VALLEY ELEVATOR Suzuki Snowmobiles
PHONE: 778-5734
Feeds- Seeds PHONE: 684-2615
and Blackhawk Fertilizer
BALDWIN, WIS. 54002