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Parcel 002-1085-20-000 02/15/2006 09:01 AM
PAGE 1 OF 1
Alt. Parcel 33.29.16.493 002 - 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
STEPHEN M O'KEEFE O - O'KEEFE, STEPHEN M
PO BOX 201
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' ROSE LN
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 33 T29N R16W NW SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-29N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 438/479
2005 SUMMARY Bill Fair Market Value: Assessed with:
87315 Use Value Assessment
Valuations: Last Changed: 06/28/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 38.000 3,500 0 3,500 NO
OTHER G7 2.000 4,000 95,500 99,500 NO
Totals for 2005:
General Property 40.000 7,500 95,500 103,000
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 7,500 95,500 103,000
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
ER PSHIP SEC. 3 3 T -~?N, 63W K
WISCONS
PoD. ADDUSS -ST. .-VISCON-SIN'
S IVISI(Rd - "LOT LOT SIZE
Y
PLAN VIEW
Distances & dixe!msi.oni.i. ;to meet requirements of H62.20
k WITHIN 100TUT OF SYSTEM
~]oud
J
i
n
SEPTIC' TANK(S) /000 1 F GR. CONCRETE 1,-' STEEL
NO. oT rings on cover Depth_ DRY
I TRENCHES Nc. of L_ width 3' -length 52 ' Brea 9S' .1. 1 11
1 BED no. oT lines width ~length area
dep~h to top of pipe
y~
"AGGREGATE
PERK RATE - 5' WREW Q RED AR$A AS BU ILT Ll q
DISCLAIMER: The inspection of this :system by St, Croix County does not is 1.
complete compliance with State Administrative Codes There are' otheX arotai,,
is not possible to inspect at this paint of construction. Str io
County assumes no liability for system operation. _ However, if failure is. `r
noted the County will make every effort to determ~ f failur
GREASES AND OILS SHOULD NOT BE DISPOSED THROU H SYS'
INFECTOR
000-
Ole,
DATED /0- 9"
PLUMBER ON JOB
z
REPORT UP INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitaAy PeAmtit--2%,~
State Septic
%~c~
NAME
Township L--~ St. Ctvix County
J Lacatian&?1, ai-~%, S e c t i av-f T R W
SEPTIC TANK
Size gat.-aws. Numbers a6 CvmpaA,tment,5
Distance FAam: Wett_.2QQ it, 12o m gneaten 6tope it
Bu.itding~ it. wettand/s it.
HighwatvL
DISPOSAL SYSTEM
Diztance FAam: Wett-.2 00 T it. 12% aA gAeateA Is.-ape 4t.
Buitd,ing 6t. Wettands Ft.
H,ighwa,teA it.
FIELD DIMENSIONS:
Width o6 tAench_ it. Depth o6 Aa ck b etow t.iZe,/
Z_in.
Length a6 each tine _it Depth v6 AvcFz vveA tite L in.
NumbeA o6 Una Z Depth o4 t iX e b etaw gAade-?-Yi n .
TataZ t eng,th o6 tines it. S.2a pe o6 tAench in pen 100 it.
Di.6tance between tines ~ }t. Depth to bedAack it.
To-tat ab/svAbt,ian aAea -41,9x6=6t2 Depth to gAaundwateA it.
Requi, Led aAea 2
PIT DIMENSIONS:
NumbeA a6 pits GAavet aAaund pit,5 yes no
Outz ide diamete Depth be.2aw inZet it.
2
Tatat absaAbt" n e f bit z
AAea Aequ~Aed,.:...F-t2 3Z
INSPECTED ~X~lTLE
APPROVED i7-(Z DATE 197
REJECTED DATE 197
I
2
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: SE Section _U, 120-N, R1641(or) W, Township or Municipality Baldwin
Lot No. , Block No. County St. Croix
Steve 01keefe Subdivision Name
Owner's Name:
Mailing Address: HR Baldwing iliac
TYPE OF OCCUPANCY: Residence x No. of Bedrooms _ j Other
EFFLUENT DISPOSAL SYSTEM: NEW x -ADDITION REPLACEMENT X _
DATES OBSERVATIONS MADE: SOIL BORINGS 29 AU8 78 PERCOLATION TESTS
Aue
SOIL MAP SH EET ? ' SOI L TYPE Bargent Silt Loam
_ PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATL
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD ts
D
P_ 8" T.S. 18" Clay Loam
1 36" 10" Gravel 8 No 10 min 2" 2" 2" P_ 8"
T.S. 18" Clay Lout
2 36* 10" Gravel 8 No 10 Min 2" 2" 2" 5
P- 8" T.S. 18" Clay Loam
3 360 10" Gravel 8 NO 10 Min 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 72 None 8" T.S. 18" Clay Loam 46" Gravel
2 72 None 8" T.S. 18" Clay Loam 46" Gravel
B_ 3 72 None 8" T.S. 18" Clay Loam 46" Gravel
4 72 None 8" T.S. 24" Clay Loam 40" GRAVEL
B- 5 72 None T. S. 24" Clay Loam 40" Gravel
72 None 8" T.S. 24" Clay Loam 40" Gravel
PLAN VIEW (Locate percolation tests,soiI bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. 495 Sq Ft. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
- I #
i~4
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--4
,4"
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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. Aab Certification No. 1406
Address Woodville. Willa
Name of installer if known AAasby Plbg & Heating
r CST Signature 4
V t P, ~ CA L 11, N1, 1,3 I I' s
1
PLB67 State and County State Permit #
Permit Application County Perm'
'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:
Steve O'keefe Baldwin, Wiac
B. LOCATION: Section 33 T29 N, R 1 (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 3 No. of Persons 6
D. TYPE OF APPLIANCES: Dishwasher YES _X NO Food Waste Grinder YEF X 1
Automatic Washer X YES NO Other (specify)
SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks 1
'Holding tank capacity Total gallons No. of tanks
,Jew Installation Addition- Replacement _ X Prefab Concrete X
Poured in Place Steel Other (specify)
.FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) - 2) 5 3) _ 5 Total Absorb Area 495 sq. ft.
"•ew Z Addition Replacement X *Fill System
Seepage Trench: No. Lin . Feet 1 Width 364 DepthM Tile Depth $ • No. of Trenches 2
-36 Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size 4"
Percent slope of land 2 Distance from critical slope None
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
"Jisconsin 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/builder).
p'lumber's Signature MP/MPRSW#~ -Phone #69 - 240
Plumber's Address -VI[iBCOnS
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
t
7el X14
,4
144, s -n
Do Not Write in Space Below FOR DEPARTMENT USE ONLY ~j
Date of Application- Fees aid: State 14:5) Q ounty Date
Permit Issued/
Rusted (date) _Issuing Agent Name _
Inspection Yes No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink ronv) a. olumhe. (cr~na-v
Revised Date 6/1 /76