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02/14/2006 11:43 AM
Parcel 002-1041-80-000
PAGE 1 OF 1
Alt. Parcel 18.29.16.271D 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 - WEVERS, GREGORY A & SUSAN
GREGORY A & SUSAN WEVERS
2108 90TH AVE
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 2108 90TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 1.750 Plat: N/A-NOT AVAILABLE
SEC 18 T29N R16W IN SW SW LOT 1 CSM VOL Block/Condo Bldg:
3/634 ORD TOWN BALDWIN ALSO COM SW COR
SEC 18, TH N 99', TH S 87 DEG E 132', TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
N 142', TH N 29 DEG W 33.96', TH S 87 18-29N-16W
DEG E 264.40' TO POB, TH S 237', TH S 87
DEG E 75', TH N 237', TH N 87 DEG W 75'
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 867/225
2005 SUMMARY Bill Fair Market Value: Assessed with:
86939 224,700
Valuations: Last Changed: 11/02/1999
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.750 8,200 136,100 144,300 NO
Totals for 2005:
General Property 1.750 8,200 136,100 144,300
Woodland 0.000 0 0
Totals for 2004:
General Property 1.750 8,200 136,100 144,300
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
"TER _5 TGITNSHZ~_i~~ SEC. Af T % N, R
0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
3DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
17
PI
i
_ I
I
'TIC TANK(S)jac>,-, MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
"NCHES NO. of width length area
no. of lines width jam" length ~1 area y~•y R,` %YS{~(,+;,'_~~~
depth to top of pipe ?C. _
3REGATE
_;K RATE 7% AREA REQUIRED AREA AS BUILT
f~
:--claimer: The inspection of this system by St. Croix County does not imply complete
pliance 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
_-tem operation. However, if failure is noted the County will make every effort to
Lermine cause of failure. j
ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
fj v
i
--INSPECTOR
DATED PLUMBER ON JOB
j LICENSE NUMBER m ~F ~1
Z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitany Penmit-
3 State Septic/
L,
`y Townshi
NAME p J a LC L[ iL.% S Cnoix County
Location-A 4 06, Section/ N, R1 W
SEPTIC TANK
Size % gatton1s. Numben o6 Compantments
Distance Fnom: Wett (v(~ it. 120 on gneaten 6tope - it
Buitd,i,ng 0 it. WetXand6 171 it.
H i..ghwaten _ it.
DISPOSAL SYSTEM
Di.stance Fnom: We2~ b 12% on gneaten /s.2ope fit.
Building C ' fit. Wettands Ft.
Highwaten j 6t.
FIELD DIMENSIONS:
Wed- h o6 trench it. Depth oU nock below tite /f-,i n.
Length o6 each tine it. Depth o6 nock oven tite ~Z in.
Numben ob tines ,Z_ Depth o6 tite below gnade !~;in.
Tota.L Zengt-h o6 tines ~z it. Sto pe o6 tnench Z ~ n pen l 0 0 it.
Diz lance between e-ine,5 ~ it. Depth to b edno cFz . . ~
Totat abaonbtion anea b 6t2 Depth to gnoundwatvL ~ .
2
RequiAed anea , ! - it
PIT DIMENSIONS:
Numben o6 pitz 0 Gnavet anound pit6__,f_yes no
Outside diameters it. Depth betow in.-et ~ it.
Totat a onbtion anea ' 2
6t. z
~ 2 ~
Anea equated rn
INSPECTED BY~~' `TITLE
APPROVED DATE C_ 19
REJECTED, DATE 197
EH 115
• WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
v MADISON, WISCONSIN 53701
/ REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section it e , T AA, RAE (or) W,_,Township or l%oi ~y *;RA A 4""y
Lot No. , Bloc No. County .5T~`_.'~`C7 / -
e- P Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms _ P Other
EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
-~Qr~
SOIL MAP SHEET I SOIL TYPE
PERCOLATION TESTS
? c_
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
L Q.
P- (1 1511
NO
I
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSER ED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED){ !
/0 r y qG
74 A
74 If
B- ! W rr If t I y
' AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
licate on the plan the location and square feet of suit~~e areas. Indica number of square feet or absorption area
t:eded for building type and occupancy. - Indicate scale
distances. Give horizontal and vertical reference points. Indicate slope.
_ N/
49
- _ L
-
go,
140
E L °
I I II t N
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01
-M M
a t
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.
+ Certification No.~
Name (print)
Address y Y
Name of installer if known _rL
CST Signatu
COPY A -LOCAL ALJT1-l0^(TY
L B 6 7 State and County State Permit # -
Permit Application County Permit # 'X
t 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: i
WtIvel's
B. LOCATION: _ _'/4 '/4, Section T N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village _
Township W .
C. TYPE OF OCCUPANCY: *Commercial Industrial *Other (specify) *Variance
Single family K Duplex No. of Bedrooms No. of PersonsCA-7 0
r
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES C NO # of Bathrooms.-t:
Automatic Washer -,X,-YES NO Other (specify)
E. SEPTIC TANK CAPACITY /(9OQ Total gallons No. of tanks OAn e-
'Holding tank capacity- Total gallons No. of tanks
' ew Installation Addition Replacement Prefab Concrete X.
`Poured in Place Steel Other (specify)
rFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) S3) Total Absorb Area sq. ft.
P~ew-)(- Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length ~j Width Depth -C?- C? Tile Depth ,I, f? fi No. of Lines O
r
Seepage Pit: Inside diameter 7;2,Liquid Depths -iir Tile Size f
Percent slope of land e!75I~ Distance from critical slope
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-Ser! Tester, JJ 1/ /
NAME _ ✓ ke, T 0 L9 C.S.T. # and other information
obtained from N e (owner/builder). p
-Phone #17~~ ~0
Plumber's Signature MP/MPRSW#44 PF
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
A
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- O C)
' O S.
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G
W ell Go, rpom Seollc,-Tactk 13V
1 I
) Q
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State /o r o 0 Courn;y X1'7- C~ Date
Permit Issued/Roj"t d (date) Issuing Agent NameI~./,r J &I _ 5 L V
Inspection Yes.. 4N0Valid# Date Recd
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 6/1 /76