HomeMy WebLinkAbout004-1013-90-000
0(n0 0Ch0 K-00 d v~
O m O y f C O r
C r. cry
ID W
-o m v m m
3 3 m 3
~ •
O d N d1 O
~j O N~~' O N U)
S
( O w Q N
O
(D 3 p m O. O N N 3 N
- FD
N CL Z d :T- S (D n
{I O
NO OC 6 O Q ISO or C
O O O (D (OD O CD AZ ~M
O ;:I.
3 N N N N O C
v y f/1 J N N '.7
C J
C J N
Ut
(D 01 CD T ((D m Q O'I O r CL F.
(Tl
c
c D O D - O CD D
co
5, (D O - (D
< lot
N O N C ~V
CD Qp (O W G
a
(O (O F z (O CO Nn r (n
J J 3 O J J O O rn O C
O O O A 0 0 0 A !idly
O (j 6 C to fn fn 5 O cn fn N O
C:) FP. m
O M y .a (D D7 'O ry
< D - CD 7 (D CD
v
(D I
m T 3 2)
(9 *1 O
O
Z co
Q
o z C/) Z
z Z
D o D (D O
(D :p
v O o m
7 S S o "Ift•
r
D o c
C T N F
O O
ca m 2 a
i
Z (D (C (p ~ Z N
O p Z (D
O ~ O U 0 7f7 ,0..
7 O A Z O
o C 3
0
Z ~ rn
W m W CD co
CL a Z
3 a
o " 3 Cn (n
M
N z z
(D C A
A * N
O. O C * O O C
Q N
Co (p G 91-
O - .O- O O 00 O
O T CD -CO S O TI
Q ° m v _
o 3 z O ~.S(D 3 O fl.
O O O r CD
O O O ~ N
O Cn O O_
cn A O O
O -O N
~nmm v
(n ,Z , n
m
O Q~N za
Ln -4
cn z N
Z a
D
< O- Q N v
P v 00 N
?1 CA N
(Sp ?
O
A
3 (/1 v
4 00 b O
(D D 7G A
Efl O `a
CD
n
o m O
O 0 IQ-
o m F r m o
c
A7 h
O ((D 0' m -30
v o # c
v m
CD
3 ~ O
m
0 v uN o ° N rn o C •
3 G OD c- d N ICI
N CD :3 p0-j O (D S CO CL CL O
r_ El -
N (D a, c O n co :3
O W \ 1
N N O 7 A O O
O 00 7 0 (D O O CO ° y
m 3 _ O k
co m --,J
°
La r -',J
v
a cri
E CD 0 t
m a
cn ~
:3 N
m c
3 ca- CD CD >
m
8 8 (n r- to CD --Ij 0 co W° N o a
z O O O 4P Y ~r
o D °
3 zD
6 y J
v v _v
O Cn ~ CD
7 (D y
_0 CD (D
!r
N j y
CD
z
- N
z z
a o
0
o ZT s ti
m (O N
77 CD
C
O
W ~ d
Q ~ O
Z (D -1 (n
O O p A? n
c ;o
'A Z O
w ~ O O
Z N) °
co 'U
CL O. s Z
3 A Z1
O K (n
3 m
Z
O A
? ~ I
D
n
C -
:3 T
O C
Z Q
O
O
s
A,
,a
a
t
r
A
N
O
O
O
A
a b
O d~ w
O 0
~y
0 i „ .1
Parcel 004-1013-90-000 02/15/2006 11:31 AM
PAGE 1 OF 1
Alt. Parcel 6.28.15.94B 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
MARY E KILDAHL O - KILDAHL, MARY E
2775 55TH AVE
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 2775 55TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 29.000 Plat: N/A-NOT AVAILABLE
SEC 6 T28N R15W NW SE N OF INTERSTATE Block/Condo Bldg:
HWY & EXC E 2 RDS & EXC N 330 FT OF E
693 FT ASSESSED WITH P94A Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
06-28N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/03/2000 620604 1500/093 TI
02/06/1990 455668 862/629 PR
02/06/1990 455668 625/332 LC
2005 SUMMARY Bill Fair Market Value: Assessed with:
106387 Use Value Assessment
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.010 35,000 178,600 213,600 NO
AGRICULTURAL G4 12.000 1,800 0 1,800 NO
UNDEVELOPED G5 14.000 9,000 0 9,000 NO
Totals for 2005:
General Property 29.010 45,800 178,600 224,400
Woodland 0.000 0 0
Totals for 2004:
General Property 34.010 14,600 103,600 118,200
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
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC. T -"['N, Rl~ W
P.O. ADDRESS ST. CROIX COUNTY, WISCONSIN
i! rn,.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100FEET OF SYSTEM
ti
f,
a
f
GkC~
f
!
f
1
l~V
~ k
I
C
I SEPTIC- TANK (S) v MFGR. CONCRETE- STEEL
NO o rings on cover Depth DRY WELL
TRENCHES No. of width length area _
BED no. of lines C width length area dept to top of pipe
AGGREGATE ,
PERK RATE AREA REQUIRED AREA AS BUILT.
DISCLAIMER: The inspection of this system by St, Croix County does not imply
complete compliance with State Administrative Codes. There are other areas
that it is not possible to inspect at this point o ,construction. St. Croix
County assumes no liability for system operation. Hc2ever, if failure is
noted the County will make every effort to deter ine cause of failure,
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPECTORS Q
DATED PLUMBER ON JOB
LICENSE ~r;1
t
SE,IACE DISPOSiV. SYSTE11
Sanitary Poo, -1.!7
State S~_
TOWNSHIP 1
t. Croy.; J
Size umber of Compartments
Distance From: 'deli ft. 12% or greater slope
Building ` '7 £ .
Ugliwater
DISPOSAL SYS;L. 1 Tile Field or Seepage P1 t(s)
-4_2_Q _______tt. 12% or greater slo- c t:
ft. Wetlands f..
F1rLD I,ighwater
Total length of lines / eft. Number of lines
Length o
G'
each line __ft. Distance between lines ft. Width of t„c
trench -LFG-_ft. Total absorrtion area s q. ft. Depth
rock below the in. Dr-pth of rock over the 2--, in. Cover_
~ .over. xock,
Depth of file below grade in, Slope
trcncli per 101 ft. Depth to Bedrock ft. Depth to
ground waters,
PITS
:lumber of pits Out ic:e diary er __-ft. Depth below inle'--
ft. Gravel around. . t : es _no. Total absorption area
~sq. ft.
Square feet jof se age trench bottom area required
:square feet s epage ni a ea equired
Inspected ~-~Title:
Approved Date 197
Rejected Date 197`
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: N•W~4,~!E•/4, Section 6 T-28N, R 1-54(or)(W)ITownship or Municipality Cady twnsp
Lot No. , Block No. County
Robert Kildahl Subdivision Name
Owner's Name:
Mailing Address: RR 1 Woodville, Wiso. 54028
TYPE OF OCCUPANCY: Residence x No. of Bedrooms 4 Other
EFFLUENT DISPOSAL SYSTEM: NEW x -ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS Oct 20, 1977 PERCOLATION TESTS April 20, 1978
SOIL MAP SHEET SOIL TYPE Whalan
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ 0" Top soil, 6" Loam
1 48" 2" Dolomite 8 No 30 Min 1" 1" 1" 30
_ 8" Top Soil, 12" Loam
P 2 40" 8" Dolomite 8 NO 30 Min 2" 2" 2" 15
0" Top Soil, 18 Loam
P 3 48" 0" Dolomite • 8 No 30 Min 1" l" 1}" 22
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 96-0 None 12" Top Soil, 24" Loam, 60 Dolomite
2 96" None 8" Top Sail, 88" Dolomite
B_ 3 96" None 12" Top Soil. 36" LoAm, 48 Dolmite
4 96" None 24" Top Soil, 12" Loam, 60" Dolomite
B_ 5 96" None 12" Top Soil, 12" Loam, 72" Dolomite
6 96" None Be Top soil, 24" Loam, 64" Dolomite
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. 1272 Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
{ f
I I ! f .e_~ ~ - 3~ I
t pa4f S4
{
01,
4 T7_
AF_ _
3 I
, t ~W 5
~ i fe ' i Z ~ i { I }
.T
f *A f ~ ~
f i I ~ f
L
4 4
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. Aaby Certification No.~1 o6_ -
Address Woodville, Wise
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
• r 1
PLB67 State and County State Permit #
Permit Application County Permit
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State ;i Required - State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
i'
Robert Kildahl RRl, Woodville$ Wise 54026
B. LOCATION: N•W• Y4 S*JL Section _ T2$ N, R (or) (W~ Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# - Village
Township ady
C. TYPE OF OCCUPANCY: 'Commercial 'Industrial 'Other (specify) 'Variance
Single family X Duplex No. of Bedrooms 4 No. of Persons 2
D. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste Grinder YES XNO # of Bathrooms_J
Automatic Washer X YES NO Other (specify)
SEPTIC TANK CAPACITY 1200 Total gallons No. of tanks 1
Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement _ Prefab Concrete X
Poured in Place Steel Other (specify)
:.-FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 3 2)_-3) 22 Total Absorb Area 1272
NJew Z_ Addition Replacement 'Fill System
Seepage Trench: No. Lin . Feet Width _ Depth Tile Depth No. of Trenches
, eepage Bed: Length 530 Width 24' Depth 48. Tile Depth 364 No. of Lines 4
Seepage Pit: Inside diameter Liquid Depth Tile Size A!---
Percent slope of land Distance from critical slope None
e undersigned, do hereby certify that the information I have reported is in accord with Section H62.20
%isconsin Administrative Code, and that I have sized the effluent disposal sys'; - !,e H i 5 .,;spared
I;y the Certified Soil Tester,
NAME Stephen L. Baby C.S.T. # l~F. 06 and other formation
obtained from Owner (owner/builder),
Plumber's Signature, MP/MPRSW# 5184 Phone # 698-2407 _
?iumber's Address ~x 26 , Woodville. Wi e•
IL
502
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
I
It - ;0 0
1
V' so
r
fiz\? ""I ~-A
/~o air
K Aft A m E ,art- A UE
N
~:~Fll
Do Not Write in Space Below FOR DEPARTMENT USE 'QNLY
Date of Application Fees Paid: State/h Co t
~~..Y Date T % r -
Permit Issued/Rejected (date) d j/- Z J7-_Issuing Agent Name °
Inspection Yes No Valid# Date Recd
1. county (white77 copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink rnpy! 4 nlttmF r lam- copy)
Revised Date 6/1 /76
plb. #67 10/69 Wisconsin Department of Health and Social Services
Division of Health
PERMIT APPLICATION
for i'
PRIVATE DOMESTIC SEWAGE SYSTEMS
A. OWNER OF PROPEFrIY TYPE OR USE BLACK INK
Name ~ A Address (Street# City, Zip Code)
Rv, A/ County
B. LOCATION OF PROPERTY WzERE SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED
Check One:
~j~
CITY VILLAGE LEGAL DESCRIPTION: y f ~J 7 c/<
TOWNSHIP
"fie
C. IS LOCAL PERMIT REQUIRED FOR THIS i,ORK? YES NO PERMIT NUMBER
D. SEPTIC TANK CAPACITY J ~Y Gallons NEW INSTALLATION REPLACEMENT ADDITION
MATERIALS: Prefab Concrete Y Poured in Place Steel Other
NWJ ER OF TANKS TO BE INSTALLED:
E. TYPE OF OCCUPANCY Check One: One or Two Family Reside
n X Commercial Other
_ (Specify) -
Number of Persons to be Accommodated Number of Bedrooms
F. A?I'LIANCES, ETC: Food Waste Grinder YES NO Automatic Clothes Washer / YES NO
Dishwasher YES ~Y_ NO Automatic Potato Peeler YES ! NO
Other (Specify)
l
G. EFFLUENT DISPOSAL SYSTEM EW EXTENSION ADDITION REPLACEMENT
Tile Size No.Lin.Feet T nch Width Depth Number of Lines
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pits Inside diameter G Liquid Depth `i
T~
P E R C O L A T I O N T E S T
Test Depth 1 Character of Soil Hours Water !Test Time Drop in Water Level Inches 1;inutes
Number Inches! Thickness in Inches Since Hole in Hole ;Intarval Second to ; Next to Last "So Fall
13t Wetted Ovarni ht In Minutes Last Period! Last Period Period One Inch
Example" -
IP- 0 36" To Soil 10" Clay 26't 25 es or no 30 1 2 1/2 1/2 60
t all "r /
RECORD DATA FROM MINIMUM OF 3 TEST HOLisS
ompute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B 0 R I N G S- Minimum 36" Below Proposed Absorption System
_I
Boring Total Depth Depth to Ground Water Depth to Bedrock
umber Inches Cbserved Estimitted ; Ooser•ved F,stimated Character of Soil with Thickness in Inches
xample
- 0 7211 72" Black Too Soil 12"• Clay 18"• Sand 12"• Gravel 24"
)Z _ L / y l iG
Y )
RECORD DATA FROM MINIIVM OF 3 BORE HOLES
COMPLETE OTHER SIDE
It the undersigned, hereby certify that the percolation tests reported on this 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 knowledge and belief.
NAME l 1 ~ f, /Y TITLE ~f
(Type or Print)
4-
REGISTRATION NO. / or MASTER PLUMBER LICENSE No. ~L✓
ADDRESS L
_ i y-
DATE 7/ ~7h SIGNATURE 1,
MASTER PUIM3t;R MAKING APPLICATION G
MP LJ'-5~
Signatures License Numbers
MP RSW f~
(To bb Completed by Issuing Agent)
Date of Application / 76 _ Fee Paid $
Permit Issued (da ) J -f" /7,9 Permit Number ~-z _
Agent (name):A .1 f / For:
Town, Village, City, County, etc.
(Specify)
Notes 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 - FOR DEPARTMENT USE ONLY
DATE RECEIVED O ACCEPTED BY Yy-) L- RETURNED
(Initials) (Date) See Corres.)
FEE RECEIVED ✓ VALID. NO. PERMIT NO. C
(Yes or No)
REVI04ED BY AP PROVEL DATE
(Initials) (Yes or No)
i
COMMENTS: E
Parcel 004-1013-70-000 06i25i2007 10:11
PAGE 1 OF 1
F 1
Alt. Parcel 6.28.15.93A 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 - KILDAHL, MARY E
MARY E KILDAHL
2775 55TH AVE
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description " 540 CTY RD NN
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 35.500 Plat: N/A-NOT AVAILABLE
SEC 6 T28N R15W NE SE N OF INTERSTATE Block/Condo Bldg:
HWY&E2RIDS OF NW SE EXCN24.75FT
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
06-28N-15W NE SE
it
Notes: Parcel History:
Date Doc # Vol/Page Type
04/03/2000 620604 1500/093 TI
09/25/1998 587711 1359/596 QC
07/23/1997 1140/51 QC
02/03/1990 455668 862/629 PR
more...
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
04/06/2007
Valuations: Last Changed:
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 7,000 1,200 8,200 NO
AGRICULTURAL G4 33.500 5,200 0 5,200 NO
UNDEVELOPED G5 1.000 100 0 100 NO
Totals for 2007:
General Property 35.500 12,300 1,200 13,500
Woodland 0.000 0 0
Totals for 2006:
General Property 35.500 12,100 1,200 13,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 04/1712001 Batch PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00