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Home My WebLink About106-2034-20-000 n N. O _0 n d C F C Lo~ O CD = (D Z -u d # (s 0 Z -o~ Imo (D M (fl W N ~ O p O (p z C7 N m 7 (D O M CD CA) O m C 1 N O W O p co O- ro 7 j W oN O CD e o o W 3 N t 5 °O (n (n 7 O d N v cn D a cn m UD N W a s CD > 3 Q a 5D i O to j co v CD v-4* N o c co OD z O O O cn 0 p cf) < z oN 0 W D ~E' N N N n m v `°-a voo 0 (D (D i (p CL i N z N N zco z O D (D O i o am I o o zr N N. ' CD CD D u (►1 (D v 11 N. C (D CD W N d CL 3 E z (D -q C/) 0 O p Z N C 0 n A z O CL Z -i rn cow mK) z ;o 000 * CD z (D W ~ p -i(n C) 0) a^ D (D O H O O) o n CC C7 N N K (D N 3 O. G N N (D N N O 6, cD (D cp D7 d 0 O C O'CL 0 Co 7 N ' p z WS - p 2 7c N a (D CD O p (n 75; 0 v cn y C: :T a- = En cn N?* SON O 3 X C O W (D O a. 0 C,) CL Q C 0 W (D ~ _ ! 9 n b CL C/) CD m O C O O (n CD Co CD C,) 3 O N S SOW O O (n O (D O (D O (D ~(0 3 ti O7 O O • b 0 Ol (D DQ A o O w O ((D ~J O s. Parcel 106-2034-20-000 12/05/2005 01:12 PM PAGE 1 OF 2 Alt. Parcel 06.28.16.946 106 - VILLAGE 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 - SCHMOKER, FREDERICK & ANGELA FREDERICK & ANGELA SCHMOKER 2111 55TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2111 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 750 Plat: 3422-CSM 12/3422 SEC 6 T28N R1 6W SW 1/4 FRL BEING LOT 1 Block/Condo Bldg: LOT 3 ` CSM 10/2803 9.952 AC FORMERLY G - - LOT 3 CSM Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 12/3422 2.75AC 06-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/11/2005 799890 2840/218 SWD 02/25/2005 788227 2755/026 SD 01/06/2005 784285 2726/482 SD 12/01/2004 781258 2705/479 SD more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/04/2002 / Description Class Acres Land Improve Total State Reason tom' RESIDENTIAL G1 2.750 60,000 241,300 301,300 NO Totals for 2005: General Property 2.750 60,000 241,300 301,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.750 60,000 241,300 301,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 309 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 106-2034-20-000 12/05/2005 01:12 PM PAGE 2OF2 Parcel History: cont. 05/14/2004 762525 2571/272 WD 05/22/1998 579632 1325/479 WD i I Parcel 106-2034-20-200 12/05/2005 01:11 PM PAGE 1 OF 2 Alt. Parcel 06.28.16.946B 106 - VILLAGE OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: / wner(s): O = Current Owner, C = Current Co-Owner BALDWIN MOTELS LTD (O - BALDWIN MOTELS LTD PO BOX 165 61 EAU CLAIRE WI 54702 V d Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2111 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC r~ Legal Description: Acres: 1.740 Plat: 3559-CSM 13/3559 SEC 6 T28N R16W SW 1/4 FRL BEING LOT 1 Block/Condo Bldg: LOT 6 CSM 10/2803 9.952 AC FORMERLY 008-1017-50(87C)NKA LOT 5 CSM Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 12/3422//6.17AC & PT CSM 10/2900 NKA LOT 06-28N-16W SW 6 CSM 13/3559 1.74AC QC-1472/63 (EASEMENT) EZ-U-1496/405 ASSM-T INC more... Notes: Parcel History: Date Doc # Vol/Page Type 03/21/2005 790020 2768/004 WD 03/17/2000 619777 1496/170 QC 11/18/1999 614080 1472/064 TD 08/03/1999 607988 1446/471 PR more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2004 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 3.450 172,500 1,127,500 1,300,000 NO Totals for 2005: General Property 3.450 172,500 1,127,500 1,300,000 Woodland 0.000 0 0 Totals for 2004: General Property 3.450 172,500 1,127,500 1,300,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 106-2034-20-200 12/05/2005 01:11 PM PAGE 2OF2 Parcel History: cont. 06/24/1999 605608 1436/607 QC 06/24/1999 605607 1436/605 QC 04/15/1999 601304 1418/608 QC Legal Description: cont. 106-2034-20-300 (946C) & INC PT TD-1472/64 MOTEL AMERICINN • AS BUILT SANITARY SYSTEM REPORT N ER ' & 5 e,(-) , TOWNSHIPEA1, 6v,4//L SEC. ~ T -:?,!?N, R W ADDRESS ST. CROIX COUNTY, WISCONSIN. r 3DIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 5 C "P4 'TIC TANK(S)__L_ MFGR. - ~JI• CONCRETE STEE NO. of rings on cover Z_ Depth DRY WELL "INCHES NO. of width_ length area ;i no. of lines ,2 width_ j2_ ~ length _5' .Z ' area 1 ' depth to top of pipe;" ` ~?ZEGATE jam' ` _ RATE T AREA REQUIRED /5_ 4 AREA AS BUILT -laimer: 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 ermine cause of failure. ASF.S AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM, FINS-PE&OR DATED ! r PLUMBER ON JOB LICENSE NUMBER. M-POET OF IJISI'I:CTIO.Z--I,JJ)IVIDIJAL SE.JACE DISPOSAL SYSTE2-1 Sanitary Permit . State Septic T&INSHIP t. Croix County SEPTIC TA'?I: ' Size gallons. 'lumber of Compart-Ments Distance From: We 11 ft. 12% or greater slope fi. c Building` ft. Wetlands ft I"ighwater ft. DISPOSAL SYSTE:4 Tile Field or Seepage Pit(s) Distance From: Tlell ft. 12% or greater slope ft Building; ft. Wetlands f . FIELD I:aighwater ft. Total length of lines ft, dumber of lines Length of each line ft. Distance between lines ft. Width of the trench 'ft. Total absorption area sq, ft. Dept.: of rock below the in. Dp-pth of rock over tile in. Cover over. rock,, Depth of tile below grade Jinx. Slope of trench in ner 101 ft. Depth to Bedrock £t. Depth to ground water ft. PITS "lumber of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: -`yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required i:quare feet of seepa it ar require.d Inspected b ~ Title Y~ Anprov Date 197 Rejected , Date 197 i 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: '/4, '/4, Section TAN, R (E (or) W, Township or Munici}~alily y Lot No. , Block No. County 4"t 6 /Sub Ivlslon Name Owner's Name: Mailing Address: ti TYPE OF OCCUPANCY: Residence No. of Bedrooms Other E' FLUENT DISPOSAL SYSTEM: NEW ' ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS=? /S PERCOLATION TESTS f SOI L MAP SH E ET SO I L TYPE 1 cr c. C!/ - t ~ PERCOLATION TESTS 1 -1 EST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE ;vUM_ INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL HER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN i P- IP Al 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) 7.2 7,7 4 / PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicat number of square feet~of absorption area needed for building type and occupancy. C,'n.3cC' f il, /Ah k, Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. [ < { Z 4,o r '4 t N l 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) _57 - Cert'fication No. Address 41- 5A) ~2 5~ 'Name of installer if known _ CST Signature COPY A - LOCAL AC 9TY PLB67 State and County State Permit # v Permit Application County Permit # 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: 04 B. LOCATION: '/4, Section (L_ T.; N, Rle'- -I - (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township r,),, C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms -3 No. of Persons D. TYPE OF APPLIANCES: _Dishwasher NO Food Waste Grinder YES ----N-0 # of Bathrooms-! Automatic Washer c-/YES NO Other (specify) F SEPTIC TANK CAPACITY / C Total gallons No. of tanks Holding tank capacity Total gallons No. of tanks "1:ew Installation Addition Replacement Prefab Concrete Poured in Place Steel Other (specify) i- FLUENT DISPOSAL SYSTEM: Percolation Rate 1) r) 2) ;c 2-3) Total Absorb Area l i sq. ft. ,'1'ew 4_--Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches ;seepage Bed: Length,'-' Width Z , Depth „ Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land e- - ~ 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 Cer •fied Soil Tester, / C.S.T. # < t~ and other information NAME - /er- f obtained from Jl /S (CQwner/builder).- C _ / s - Mp/~IJpRSW# Phone # Plumber's S i g n a t t~h Plumber's Address%% PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). C' ~.L_. f 5: e N k, A - L' F r C . P S ~ } Do Not Write in Spac Below FOR DEPARTMENT USE ONLY 4 Dat e of Application Fees Paid:State 0 CounDate Permit Issued/mod (date) ./Issuing Agent Name iz~ Ci" Inspection Y No Valid# Date Recd l/ 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)