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CCA4^4e IT013 Property Record I St Croix County, WI 4
6~
ssessed values not finalized until after Board of Review.
le ` roperty information is valid as of SEP 26 2013 10:26PM .
.
1(
OWNER CO-OWNER(S)
CHARLES J & DIANE K WELTER
2039 CTY RD YY
BALDWIN, WI 54002 PROPERTY DESCRIPTION
SEC 36 T28N R1 7W NE SW
PROPERTY INFORMATION Property Address:
Parcel ID: 028-1045-50-000 2039 CTY RD YY
Municipality: TOWN OF RUSH RIVER
Alternate ID: 36.28.17.282
School Districts:
SCH D BALDWIN-WDVILLE DEED INFORMATION
Other Districts:
WITC Volume Pace Document #
847167
Section Town Range Qtr Qtr Section Qtr Section 819310
36 28N 17W
Lot:
Block: LAND VALUATION
Plat Name NOT AVAILABLE Valuation Date: 20130416
Code Acres Land Value Improvements Total
TAX INFORMATION G1 2.000 30,000 152,000 182,000
G4 29.300 4,700 0 4,700
Net Tax Before: .00 G5M 8.700 15,300 0 15,300
Lottery Credit: .00 40.000 50,000 152,000 202,000
First Dollar Credit: .00 Total Acres: 40.000
Net Tax After: .00 Assessment Ratio: .0000
Amt. Due Amt. Paid Balance Mill Rate: 0.000000000
Tax .00 .00 .00 Fair Market Value: 0.00
Special Assmnt .00 .00 .00
Special Chrg .00 .00 .00
Delinquent Chrg .00 .00 .00 INSTALLMENTS
Private Forest .00 .00 .00
Woodland Tax .00 .00 .00 Period End Date Amount
Managed Forest .00 .00 .00
Prop. Tax Interest .00 .00
Spec. Tax Interest .00 .00
Prop. Tax Penalty .00 .00
Spec. Tax Penalty .00 .00
Other Charges .00 .00 .00
TOTAL .00 .00 .00
Over-Payment .00
PAYMENT HISTORY (POSTED PAYMENTS)
General Special
Date Receipt # Source Type Amount Tax Status Assess. Status Interest Penalty Total
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Parcel 028-1045-50-000 03/30/2006 09:06 AM
PAGE 1 OF 1
Alt. Parcel 36.28.17.282 028 - TOWN OF RUSH RIVER
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
CHARLES J & DIANE K WELTER O - WELTER, CHARLES J & DIANE K
2039 CTY RD YY
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
YRDYY
Type Dist # Description 2039 CT
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 36 T28N R17W NE SW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
36-28N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
83074 Use Value Assessment
Valuations: Last Changed: 08/30/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 30,000 115,600 145,600 NO 05
AGRICULTURAL G4 29.300 4,200 0 4,200 NO 05
AGRICULTURAL FOREST G51M 8.700 15,300 0 15,300 NO 05
Totals for 2005:
General Property 40.000 49,500 115,600 165,100
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 21,500 73,700 95,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 109
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i
• AS BUILT SANITARY SYSTEM REPORT
ER yC_ C I ~4 of W_ , TOWNSHIP ~y.S~4 K,v2pSEC. T,-,S N, RL7 W
a. ADDRESS r_~ tq L~j~, ST. CROIX COUNTY, WISCONSIN.
:;DIVISION r LOT LOT SIZE
~C~
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
le 23
Bar r, : CleaYi G'u1 ~/0 &le~ n Cju~
137
-4p 6 4.61 V
Al ~ se nlP tlP n t (fie nj 4'e t f
-'TIC TANK(S) Os)~ MFGR. c.t) el S c ,o (21~.ocge [,r CONCRETE A _ STEEL
NO. of rings on cover C) Depth_- _ DRY WELL oo
_-NCHES NO. of *,e. width length area ~C, a' j f~L
j no. of lines width length area
depth to.,top f pipe
~
z
REGATE _ r t i
_:K RATE? AREA REQUIRED y d AREA AS BUILT 06
:-claimer: The inspection of this system by St. Croix County does not imply complete
-.aliance 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.
_ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR _J
t, v
DATED r % - PLUMBER ON JOB.
LICENSE NUMBER lp~ 77
R
a
z
r REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitvLy Permit-
State Septic
NAME Township / St. Ctcoix County
r
Location. off , Section T- ;'N, R, W
SEPTIC TANK
Size gatton6. Numbers o6 Compaktments
Distance Ft om: wett 6t. 12% m gtceatetc 4tope 6t
Buitding 6t. Wettands b .
DISPOSAL SYSTEM Highwatetc 6t.
Distance Ftcom: WeU 6t. 12% otc gtceatetc 6tope 6t.
Building 6t. Wettand/s Ft.
Highwatetc 6t.
.x
FIELD DIMENSIONS:
{
Width ab ttcench 6t. Depth o6 tcock below tite in.
Length a6 each tine 6t. Depth o6 tock ovetz Cite in.
Numbetc a6 tines Depth a6 tite below gtcade in.
TotaZ .length o6 tinez fit. Stope o6 ttcench in pen 100 6t.
Di.szance between Una 6t. Depth to beds ock 6t.
Tatat absmbtion aAea 6t2 Depth to gt oundwatetc 6t.
RequiAed atcea 6t 2
PIT DIMENSIONS:
Numbetc a6 pit,5 G&avet atcound pits yes no
Outside diametetc 6t. Depth below inlet bt.
2
Total abzonbtion atcea 6t z
A
Atcea Aequi&ed 6t2 rn
INSPECTED By TITLE
APPROVED DATE 197.
_
REJECTED , DATE 197
1
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
(~j' REPORT ON SOIL BORINGS AND PERCOLATION TE S
LOCATION: N_L- ixy5~ '/a, Sectiorr34' , N, R[Z E (o WJ~ownship or Municipality ~ u~5 ;4'~'
Lot No. , Block No. County ~ I ^ 4 X
R) p
ubdi ision a
Owner's Name: t~ ~ LLi It
Mailing Address: 4 cTol1_ ~ l~SF [ L [ KI(LfSCI /`1 ~~~3
i
TYPE OF OCCUPANCY: Residence 1..~ No. of Bedrooms 13 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION -REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS lA.Qe 67 / 8 PERCOLATION TESTS ~J ItY~F~ ~~7
SOIL MAP SHEET -___f - . _1 3 SOIL TYPE
PERCOLATION TESTS
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
sc_
PSI,
l~ 1
~n Li GM7
O QO CbI.CKS C)RAW6ISH S IL BOR GTE 1+ ~l6hi" $A 'N QKBI?cwN l:r
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B_ y 6 ~r)c- 7 'M o iltP #L, e u
ib" t,~ 9 6th 0-? [ SL '413 S*t'J n
B_ 3 g N DtiE I R,A,-' xi, SG ~ S0'` 8R~0 5 A-w' A
B- 7a iti,8L s fba SC, q,4" sm)0u) SftN
L5_ 7d ~g~tJF [c
`I
Ncn~ 6[.is 1b`,5C. Lid" 6NNDfb ~PrnZD
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and squa a feet of suitable areas. Indicate number of squar feet oftabsorption area
needed for building type and occupancy. I-r_-VD I I ~J aC NL-FOED~ = Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. -D,314 [ -A It,
C) L ? i
NJ
01.
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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 ledge and beat,
Name (prin Certification N ~7
Address C' /
Name of installer if known fit, 6 AW A) t 7 C
COPY A -LOCAL AUTHORITY CST Signature } C
State and County State Permit # 2k
P1867 Permit Application County Permit #
for Private Domestic Sewage Systems County ~f . C90
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: Y4 ~ Section , T N, R /Zb (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township VS: , ✓Ga
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms No. of Persons /
D. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste Grinder YES X NO # of BathroomsQ!V C
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY ZOO Q Total gallons No. of tanks r )/\/P_
*Holding tank capacity Total gallons No. of tanks
New Installation Addition _ Replacement Prefab Concrete X
*Poured in Place Steel Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) ;Ro Total Absorb Area sq. ft.
New X Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet,;FO6 i Width ' Depth Tile Depth c;?j No. of Trenches.
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Z~t, " Liquid Depth Tile Size
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 C? d L f C.S.T. # and other information
obtained from rV E! IQ_ (owner/builder). Plumber's Signature MP/MPRSW# Phone #6,00'7'--/, S6 7J7
Plumber's Address 1" C4 LJ, K) t S
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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Do Not Write in Space elo FOR DEPARTMENT USE ONLY
Date of Application Feeds Paid: State /er Count Date
Permit Issued/Feted (date) Issuing Agent Name l~~~~~^~
Inspection Yes4No 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)
Revised Date 6/1 /76