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HomeMy WebLinkAbout004-1012-60-200 0 cn O 3 T 0 r c C `r1 d (D (OW) c 3 - m 0 M o= N Z N) W 0 O a) oo 3 M N 0 O w N C N A ( • C Oo i3, [ill O N = O N (D Q) T_ a cn cn = ( W = p <n O ^ N N N O_ O N CO O O CD 0 O- n O a N 7 A E; O ~ ° D N O CD O' C) o = N (D Z c O O C.J V !D O CL 0 73 cl C O N N 3 O O O 0 'o L A j O ~V V A i w lS`~ f CL O m OV CC) C Z -0 N O O O o a " (~y~ • W ~ ~ < N z w w w o 11 -0 O O U N CD N AO A .U I N T O m - V c0 P..ta ( 3 O) w CD V ° N o O Z ~ Z A Z O N D N O O c i 0 m e = m CD N m 0 N `f 6 N N a ~ ~ Q- 3 m 7 (D -4 cn O A Z A =3 A Z O Q O = (n N O co v m m co z 0 3 A O ^ z 3 m cn N Z CD A Co Cl) ti D v m~ a °z o m o o' - O T co N Cf) (n O O' O CA N (D m m-0 N W O (.0 6 O O N (D Z 63 D N (D 7 o co a - V z ~v ZL: O ~ O v O (D p O (D pq O O O c O (D v a© Parcel 004-1012-60-200 04/26/2011 12:58 PM PAGE 1 OF 1 Alt. Parcel M 06.28.15.84A-10 004 - TOWN OF CADY Current 11 X ST. CROIX COUNTY. WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 11/23/2009 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - DUCKLOW, DIANNE M DIANNE M DUCKLOW 570 CTY RD NN WILSON WI 54027 Districts: SC = School SP = Special Propert ddress(es): = Primary Type Dist # Description CTY RD NN SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC V Legal Descripti _ Acres: 33.010 Plat: 5670-CSM 24-5670 004-2009 SEC 6 T R15W PT SE NE IqCT-ePI%4F--RCSM Block/Condo Bldg: LOT 02 3/639 N A CSM 24-5670 LOT 02 (33.01AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-15W SE NE Notes: Parcel History: NEW FOR 2010; TAKES ALL 004-1012-60 Date Doc # Vol/Page Type (84A) & 004-1012-70 (8413) NKA C S M 11/23/2009 907582 24/5670 CSM 24-5670 LOT 1 004-1012-60-100(54A-05) & 07/18/2005 800492 2844/376 TI LOT2 (84A-10) 004-1012-60-200 05/31/1990 459091 872/147 WD 2011 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/19/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.890 37,000 139,800 176,800 NO AGRICULTURAL G4 27.120 5,100 0 5,100 NO UNDEVELOPED G5 1.000 100 0 100 NO AGRICULTURAL FOREST G51M 2.000 3,300 0 3,300 NO Totals for 2011: General Property 33.010 45,500 139,800 185,300 Woodland 0.000 0 0 Totals for 2010: General Property 33.010 45,500 139,800 185,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0 00 0 tno Ka, -0 0 o d m CD m 0 -a 03 3 _ \ 1 3 0 P) C) c- z 5- :z (n CD CD z co o O n 07 n ° W O -0 CD C) m Z CD r 7 fA (D O N C, C v w U> Z D n o n D o a. 3 c O A 3 0 o A Z Z CD c n r- C/) m co co - N Q o O ~ O O O z o D - v < ~z GQ c cn cn cn a o D Q v O O N CD O CD y v W ° M m ~ N _ D D ~ N O d N 9 a z N z ~ z O ° D O O !r • o" m ? CD w 70 CD ° `i G (D W (D d Z N an O_ = p A Z n O W M N (D _ co z 0 3 1 x O ' Z 3 ~ N Z A (D D Q o T N C Z Q ° CD N A. I A o- t a N O O O A ° Zy < o w r, 69 O w ° a CD CD ro Parcel 004-1012-70-000 02/15/2006 10:54 AM PAGE 1 OF 1 Alt. Parcel 6.28.15.84B 004 - TOWN OF CADY 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 - DUCKLOW, DIANNE M DIANNE M DUCKLOW 570 CTY RD NN WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 570 CTY RD NN SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 2.890 Plat: N/A-NOT AVAILABLE SEC 6 T28N R15W 2.89A IN SE NE LOT 1 CSM Block/Condo Bldg: VOL 3/639 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 872/147 2005 SUMMARY Bill Fair Market Value: Assessed with: 106370 200,700 Valuations: Last Changed: 09/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.890 34,200 177,500 211,700 NO Totals for 2005: General Property 2.890 34,200 177,500 211,700 Woodland 0.000 0 0 Totals for 2004: General Property 2.890 9,800 92,800 102,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sanitaxy Pexmit--; State Septic/ NAME Township St. C,c.oix County Location % off .'+4, Section T_N,Rf` W SEPTIC TANK Size gatZon4. Numbers o6 CompaAtment6 Distance Fxom: Wets 12% on gxeateA stope it P Bu.itd,ing it. Wettands ~ . HighwatvL ~ . DISPOSAL SYSTEM Distance Pxom: Wett .12% ox gxeateA ~stope it. Bu.itding ' it. Wettand/s Ft. HighwateA it. FIELD DIMENSIONS: Width of tAench it. Depth o6 Aock below tite in. Length ob each tine e i~ it. Depth of xoch oveA tite 2 in. { Number of Una A Depth of Cite below gxade Z; , in. L Totat .Length o4 tines it. Stope o6 ttench in pet 100 it. r f D.us Lance between tines ~ it. Depth to b edto ck it. Totat absoxbtion area < 6t2 Depth to gAoundwatet ~ . 2 Requii Led aAea 4 PIT DIMENSIONS: NumbeA of pit/s GAavet axound pitz yes no Outside diameteA" Depth b eZow in.Let it. Totat abzoAbti.on~ aAea it2. AAea ,tequi. Led it2 "y INSPECTED BY :'t. "°z ' ,°r4 cal" TITLE APPROVED t A ,DATE REJECTED , DATE 197. / 4 J EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 I/ REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: C '/4, 1V , Section -6, T24N, R /E (or) W, Township or Municipality C,4P_1 Lot No. , Block No. County 0(10/x sLOrr .Duc-4 /rw <pRo SOStiosion0wmi ele Pk~ Owner's Name: p ~ icSrtit i U+,.rw~~.i4 - ED ~+li5'Y'EAD - T- Mailing Address: 213 iem S/, wooall1le l(1/S TYPE OF OCCUPANCY: Residence - No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACE, ENT DATES OBSERVATIONS MADE: SOIL BORINGS M, 4 P? 7 ' PER*LATION TEST Iff4X 3 ~q7? SOIL MAP SHEET x`!71 SOIL TYPE /3/ -'A PERCOLATION TES t; TEST DEPTH HOURS WATER ` TE T TIM ROP IN WATER LEVEL, INCHES RATE CHARACTER OF SOIL SINCE HOLE HOLE AFTE L NUM- INCHES THICKNESS IN INCHES MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 3 to ~ES~c Gr/!✓Ec~ 7KX S~f}/t9E 2-3 0 ~/l Cv ` / ~Z 2- +5 13 B +o cl /0 P-3 REFER 3EL0K) 23 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) _ f 2- 0 774 10"SeL 33„51A IQ" 4! 1 SA+.+AS o*e B z n 0 2 7Z /3 50 39" 5 r „ S C to 0 7 7:Z 5c-/, B- 0 7a 2~5 5do 2c) 0 7.2 d" T5 5L- 32 " 5~ >4'5 t „ PLAN VIEW (Locate percolation tests,soil 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. fall' 'TRENch= 7S0 A2R 13CD *6' Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. f i + I { - i . CRdJ R ~Lo' S►IC+, s , N 11031 4 i + tI•' 14., 1 Iu N I I ~_......'Y S ~W f ~ 1 i { I ~I 1 r I , i ~ 4 C I Q t i I I' .t- t~ 1 I ! } - , { r - lot ! 5 111 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) Zr 7O lacDi 7/b 02-4 9 h Certification No. Address R r./ H G11250 Al W15, 540160 Name of installer if known R CEDAR P 1-0 Ira IN J Q9 MEN!-AR. COPY A -LOCAL AUTHORITY CST Signature k A (C,l1k_ I State and County State Permit # PLB67 ~ Permit Application County Permi 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: B. LOCATION: S % '/4, Section r T Z N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms j No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms-- Automatic Washer A YES NO Other (specify) F. SEPTIC TANK CAPACITY A-e-v Total gallons No. of tanks i 'Holding tank capacity Total gallons No. of tanks New Installation X -Addition Replacement Prefab Concrete X i `Poured in Place Steel Other (specify) E z_FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) /Z 3) Total Absorb Area sq. ft. New A Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width .7. Depth `/f Tile Depth 1 t No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Ice ' Percent slope of land 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 Soil Tester, NAME-- ?T_ C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# P `ice Y Phone #101- Plumber's Address n'sa y.s~ ,s 5' PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). C f~ . - I P1g 1 VA Tt Oil !yam JA.'/? y " t_ A,J VC w \d / 7p~ r eFeE•n 4 S , e Do Not Write in Space Below FOR DEPARTMENT USE QNLY am / g Date of Application Fees Paid: State /•c L ' Count Date 3 Permit Issued/R`ajoe+ed- (date) -Issuing Agent Inspection Yes 1( 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 copy) 4. plumber (canary copy) I Revised Date 6/1/76