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Parcel 034-1073-60-000 06/28/2006 08:58 AM
PAGE 1 OF 1
Alt. Parcel M 32.29.15.496 034 - TOWN OF SPRINGFIELD
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 - RUHLIG, ANN M TRUST
ANN M TRUST RUHLIG
2864 60TH AVE
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 2864 60TH AVE
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R15W 40A SW SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-29N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
06/02/2000 624064 1515/405 WD
07/23/1997 903/106
07/23/1997 688/206
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 04/14/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 12,950 103,650 116,600 NO
AGRICULTURAL G4 22.000 3,200 0 3,200 NO
UNDEVELOPED G5 1.000 50 0 50 NO
AGRICULTURAL FOREST G5M 15.000 13,500 0 13,500 NO
Totals for 2006:
General Property 40.000 29,700 103,650 133,350
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 30,150 103,650 133,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 146
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
R 9 2_ 22Ar.Ar`; , TOWNSHIP(_
0. ADDRESS' zr ia SEC._ 7 N, R 1 5• W
ST. CROIX COUNTY, WISCONSIN. <
'3DIVISION LOT LOT SIZE .
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
17
-TIC TANK(S)___L _ MFGR, f ` 4, 1 ~ . CONCRETE__4_ STEEL
NO. of rings on cover / Depth;;. X.,, DRY WELL
INCHES NO. of width length area
no. of lines width length area
depth to top of pipe
JREGATE t~vT ti
RATE AREA REQUIRED AREA AS BUILT
:claimer: The inspection of this system by St. Croix County does not i ply complete ;
.pliance with State Administrative Codes. There are other areas that it is not possible j
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
DATED PLUMBER- ON JOB
LICENSE MIBEIR
S G_Z
2
RFPORT•OF 1177T _'1--1NDIJIDIJAL SEIIAGE DISPOSAL. SYSTEM
Sanitary Permit 7
State Sep is
'.'.&I 1E E-IlUf rJ
TOWNSHIP
t. oi~ County
S r DTIC TAM
^ize gallons. "lumber of Compartments
Distance From: ':Tell ft. 12% or greater slope ft.
Building' ft. Wetlands f:
11ighwater ft.
DISPOSAL. SYS TLril Tile Field or Seepage Pit (s)
Distance From: Well ft. 12%.or greater slope fi.
Building- ft. Wetlands f;
FIELD 11ighwater ft.
Total length of lines ft. Number of lines Length of
each line ft. Distance between lines ft. Width of the
trench ft. Total absorrtion area sq. ft. Dept:
of rock below tile in. Depth of rock over tile in. Cover
,over rock, Depth of tile below grade in. Slope of
trench in n er 100 ft. Depth to Bedrock ft. Depth to
around water ft.
PITS
'dumber of nits Outside diameter ft. Depth below inlet r~
ft. Gravel around pit: ___yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
`square feet of seepage nit area required
Inspected by: Title:
Approved
. Date 197
Rejected Date 197
PLB-67 State and County State Permit #
Permit Application Ccaunty Pe m t # ; 4?_._
for Private Domestic Sewage Systems County C'ee) /x
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: LO '/4, Section T_ f'N, R _MT (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Townshi ~AI?I-,(/
C. TYPE OF OCCUPNCY: *Comme- ial *Industrial *Other (specify) *Variance
Single family Z10000 Duplex No. of Bedrooms No. of Persons Z
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES NO # of Bathrooms
Automatic Washer YES _NO Other (specify)
_ SEPTIC TANK CAPACITY Total gallons No. of tanks
Holding tank capacity, ® V Total gallons No. of tanks ;2,
;,Jew Installation Addition Replacement Prefab Concrete
`Poured in Place Steel Other (specify)
E FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sc
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope
the 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 system the F14 115 rImpared
by the Certif S it Tester
NAME ~ ,u C.S.T. # $S--5.4/ and other rnforn ation
obtained from (owner/builder).
Plumber's Signature ~ NIP/MPRSW# Phone c
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
fI
I
7-4- 7-,ff r- /-e d 6~G OF 7 7
Do Not Write in Spac low /FOR DEPARTMENT USE ~O1LY
Date of Application 1.2 2 Fees Paid: State.QJ Co nt Q Date
Permit Issued/Rejected (date) 3/77 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
state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76
Plb. V 60
PROJECT DETAIL DATA SHEET
'NAME OF BUSINESS _
LOCATION;, - i`
street or highway city or township county
LEGAL DESCRIPTION;`.,'
OWNERf
' Mailing address
1 ZIP
ARCHITECT OR ENGINEER Address _
ZIP
PLUMBER m Address'
1. Check appropriate building usage(s) and fill in the information requested opposite
each usage listed:
Existing building New building Addition
If addition to existing building attach detailed memo for each.
( ) Drive in restaurant Car spaces
( ) Restaurant Seating capacity (10 sq. ft./person)
( ) Dining hall Per meal served Toilet waste Yes No
( ) Motel ( ) Hotel ( ) Cottages Number of units: 2 persons/unit
4 persons/unit TOTAL NUMBER OF UNITS
Churches Number of persons Kitchen Yes No
( ) Bar or cocktail lounge Seating capacity (T-Os-q. ft./person)
( ) Nursing or rest home Number of beds
( ) Mobile home park Number of units - dependent (camper trailer) _
- nondependent (mobile home) _
( ) Retail store Number of employees
Number of customers T10 s_q. ft./person)
( ) Service station Number of cars served (daily) _
( ) School Number of classrooms Meals served Yes
No
Showers provided Yes No
( ) Factory or office building Number of persons (total all shif_ts
( ) Apartments Number of bedrooms
f) Other Specify
2. Indicate whether or not the following facilities are connected:
Food waste grinder Yes No Dishwasher Yes _ No
Automatic clothes washer Yes No~ Automatic potato peeler Yes
Other (Speci fy) No
3. Fill in the appropriate information for the following as indicated:
r;ata,c tank capacity planned _3 f
-7-74
Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET
COMPLETE OTHER SIDE
Seepage trench bottom area planned _ width
Y
linear feet depth'
Seepage bed area planned width
linear feet depth
Seepage pit planned outside diameter
depth below inlet depth `
4. See approved plan for specifications and details.
Signature of person completing form: STATE DIVISION OF HEALTH, PLUMBING SECTION
P. 0. Box 309, Madison, Wisconsin 53701
f.
Approved: _
Address;.', •'j ~ Date.
z ZIP THIS APPROVAL IS BASED ON STATE PLUMBING
CODE REQUIREMENTS AND DOES NOT EXEMPT THE
Date: INSTALLATION FROM CITY, VILLAGE, TOWNSHIP
OR COUNTY PERMIT REQUIREMENTS AND SHALL BE
` VOID IF REVISED WITHOUT THE WRITTEN APPROVAL
OF THE DIVISION OF HEALTH.
DEPARTMENTAL USE ONLY
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EXAMINED and reported upon by the Section e
Plumbing and Fire Protection Systems, Bureau
of Environmental Health, Division of Health,
Department of Health and Social Services.
D JAMES A. SARGENT, Chief
Section of Plumbing $ Fire Protection
APPROVED by the Division of Health, Dept. of
s Health and Sec%al Services, subject to conditions
set forth in thT letter of approval.
RALPH L. ANDREANO, Ph.D.
9-0Acli;~ ir,;strGtor
V
.4- Verificatio
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September 2, 1977
2
"~~CAF\C'C
Powers Cement Products
Route 3
' rg t~
New Richmond, WI 54017
Plan Identification No. 77-03899
Gentlemen:
Re: Holding tanks - (2) 1,000 gallons
Edward Thwing - Residence
SW 1/4, SE 1/4, Section 32, T29h, R15W
Township of Springfield, St. Croix County, Wisconsin
Examination of plumbing plans and specifications for the above-mentioned
project has been completed.
In accord with Chapter 145, Wisconsin Statutes, and Chapter H 52, Wisconsin
Administrative Code, the plumbing plans and specifications are approved
contingent upon compliance with the stipulations indicated on the plans and
the following code sections. Please review your code for the requirements
of each code section noted.
1. Our review of the holding tank plans has not been evaluated for
structural stability, only for compliance to design requirements of
Chapter H 62, of the Wisconsin Administrative Code.
2. The holding tanks shall be maintained and the contents disposed of as
required under Section H 62.20 (7), Wisconsin Administrative Code.
3. !i 62.04 (4)(b). Building sewers - Depth.
4. is 02.20 (4)(d) 5 Inlet and outlet piping and joints.
5. H 62.20 (9)(b) 3. Holding tanks - High water alarm.
0. H 62.20 (9)(b) Via. Holding tanks - Vents.
7. The architect, professional engineer, registered designer, owner or
plumbing contractor shall keep at the construction site one set of plans
bearing the stamp of approval of the department.
~ k x ~ ~ r
i
Powers Cement Products
Page 2
September 2, 1977
8. In the event installation of the plumbing improvements or system has
not commenced within two years from this date, this approval shall become
void and new application shall be made for approval of these plans before
work may commence.
In granting this approval, the Division of Health does not hold itself
liable for any defects in plans or specifications, plan omissions,
examination oversight, construction or any damage that may result in
or after installation and reserves the right to order changes or additions
should conditions arise making this necessary.
This approval Is based on Chapter H 62, Wisconsin Administrative Code,
requirements. It shall be necessary to obtain and fulfill the permit
requirements of the city, village, township or county in which this
Installation is to be constructed. Failure to obtain local permits will
automatically void this acceptance.
by order of Ralph L. Andreano, Ph.D., Administrator, Division of Health.
Sincerely,
James A. Sargent
Chief
JAS:JHP:bah
Enclosures
cc: Mr. Erbert Berthold, DIPS - District 6 - Eau Claire
whir. Harold C. Barber, Zoning Administrator, St. Croix County
Mr. Edward Thwing
F,GEEEP~tEr:~i
This -greement, made and entered on this ~ day of J, 19 '-)p by
and between the Township of Pddress `A ;l
V 1-.EREP S: f n application has been made for a sanitation system on the
following described property: Southeast quarter of Southwest quarter
and Southwest quarter of the Southeast quarter of Section 32,
Township 29, Range 15, St. Croix County, Wisconsin.
V,'EEREF,S: Septic tank drainage does not meet the minimum standards of the
ordinance of St. C. roix County and state codes.
V,F_ERE~,S: The owner agrees to install a holding tank for septic tank purposes
purposes.
NCV, TEE:REFORE: For and in consideration of the issuance by the Town-
ship of of a permit for the above premises, the parties
do hereby agree and bind themselves as follows:
1. Owner agrees that they will conform to all the rules and regulations
pertaining to a holding tank system. They agree that anytime said
township deems it necessary to pump out said tank, the owners shall
have same pumped out in 24 hours, or township will have said work
doneand charged to owners and place same on their tax bill as a
special charge.
2. The Township reserves the right to assess a bond if they desire to
cover any possible pumping charge in the sum of $y:
IT IS UNDERSTOOD that this agreement shall be binding on the owners,
their heirs and assigns.
. IN V IT'NESS WEEREOF, the parties have hereunto set their hands and seals
the day and year first above written.
Township of
L'
by%
Developer _
or owner
STATE OF V,ISCONSIN)
SS:
COUNTY CF ST. CRCIX)
Subscribed and sworn to before me this day of 19~.
Are €uie, St. Croix ' unty
.EH-115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
44EPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION::'` '/a, '/4, Section_T~ 4V, R!'(or) W, Township or Municipality
Lot No. , Block No. County sr` +^C 1 o
Subdivision Name
Owner's Name: ~ ,-Q %-N-Nr,
Mailing Address: I&-% L r_1 I Wk TYPE OF OCCUPANCY: Residence >c No. of Bedrooms -Z- Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS l - 1 - PERCOLATION TESTS
SOIL MAP SHEET c - SOILTYPE AS a1 ~`►~`ti S~ `~~'`'T`'
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ t ~C.-I
P-- ~~Las c e
v„r
IP- J
i
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
I NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
tS_
3-J Ac, 94,
I-
°t AN VIEW (Locate percoiationtests,soil bore holes and suitable soil areas.)
dicate on the plan the location and square feet of uitable areas`. Indicate num r of square feet of absornlion :ri?a
ceded for building type and occupancy e\ 'N Indicate scale
it distances. Give horizontal and vertical reference points. Indicate sl e.
5 kx~
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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 Wisc n Administrative Code, and that the data recorded and location of test holes are correct
to the best of my nowledge an belie
Flame (print) Certification No. S S ~j
Address pp w " S
flame of installer if known
c
CST Signature (7-'Y A --LOCAL
Ali s iii o Y
State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES
y DIVISION OF HEALTH
MAIL ADDRESS' P. O. 80% 309
R ~.•'t.tip.~,.. MADISON, WISCONSIN 63701
IN REPLY PLEASE REFER T0:
SECTION OF PLUMBING
AND FIRE PROTECTION SYSTEMS
~ lJ
PA n dentification No.
Dear Sir:
Re: l ti ar
This is to acknowledge receipt of your plans and specifications for the above-
indicated project. When referring to this plan in the future, it will be absolutely
necessary to utilize the plan identification number assigned to the project. The
spaces below indicate if proper fees have been submitted or if more information is
required. Providing plan review is not completed within thirty (30) days, a permit
to start construction may be issued if requested. See Section H 62.25, Wisconsin
Administrative Code, for limitations in reference to permits to start construction.
Preliminary plan review for determination of fees does not hold the department
liable in the event additional fees may be required upon complete plan review.
Preliminary review indicates the plan review
Fee required is
Fee received is $ Plan accepted for review.
Fee is being returned because of II Overpayment 0 underpayment.
Providing one of the two categories above is checked, please remit correct
total fee in one payment. Indicate plan identification number on remittance.
No fee has been remitted. Plans submitted with no fees will be held in
abeyance until remittance is received. Indicate plan identification
number on remittance.
Additional information required. See attached Plb. 100. The permit to
start construction will not be issued until 30 days after requested
information is received and accepted.
Q Plans being returned. See attached Plb. 100.
Sincerely,
a~rtic~G!~/
sates A. Sarg
Chief
JAS:fjs