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HomeMy WebLinkAbout038-1049-45-000 -0 0 Q o CD M 0 e» ~c+ ono ~ I o n 0 0 N N Oi ;b I. N C z c U. _ O I 'v a I M v a3i ?l ~ Z yr I W U) O £ O Z d d a m c 0 z o o - m 2 d c Z o E '2 p M N a) ^V N O O Ca. • y (D `m o ►ol ~ ,_c _ d is o o a Q I, z m z o N z I o : N M III' V E cO Il, U) L > y a) C _ d > Q w w 2 C (O c~V1 ~2 li N m o T 0 o G G a m M N 0 o _ Z N E F- 1- F- N ° m 0 0 0 Z° m CL CL CL EL a3i z U) a - rn a J) J V N O2 O) (0 O FV i U) 00 a) O O N O O = 7 N C.0 d M d N O O N a>- N 41 W n O 7 C O N N 00 3 N N C O E Ai 0 0 O - C C p~ tC I- U W O O 0 S) O rr ~n _ a~ w w u 4. a, o O N O. a G - \ N L rn N y E E w a) O to O '1 N O O O O - N 4.w -3 - Q} O CY, O L L CL C) a`) I- I- c a°i co n ao rn • co v I N E E `rea L O r (n W O Z- cn Q ~a I a) CL • CL d ,V al w O w E 7 U (L O v) V '1 DEPARtUAT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State lan I. D. Number: NW%, SE%, Sec . 11, T31-R18 CONVENTIONAL ❑ ALTERATIVE ( assigned) Town of Star Prai ❑ olding Tank ❑ In-Ground Pressure Mound NAME OF PERMIT HOLDS : ADDRESS OF PERMIT HOLDER: INSPECTION DATE: a~ BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. LE CS REF. PT. ELEV.: vv _s a Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: SS 19 149037 Byron Ri-rd Jr- SEPTIC TANK/HOLDING TAN : Cv~e~ = l W-1 d ~ MANUFACTURER: LIQUID CAPACITY: ANK OUTLET ELEV.: WARNING LABEL LOCKING COV PROVIDED PROIED: ze dz 27 V O ❑ YES BEDDING: VENT DIA.VENT MATL.: HIGH WATER NUMBEPROPERTY WELL: ILDING: VAERNi TO FRESH ALARM: FEET FLINEti(❑ YES O ❑ YENEAREST DOSING CHAMBER:. MANUFACTURER: BEDDIN LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL CKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO _-4 I LGAICILONS PER CYCLE: PUMP AND Co LS OPERATIONAL: NUMBER OF PROPERTY WELL: B DING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FO LENGTH: DIAMETER: IAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue. CONVENTIONAL SYSTE , ~3 0 s{cwt = a WIDTH: L NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH TRENCHES: ( MATERIAL: DIMENSIONS k2 S~ ~ ~ T c, r GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. D I TR. NUMBER OF PROPERTY WEL DING: VENT TO FRESH BELOW pIPFj~: ABO ~E~ C VER: ELEV. IN E~ E EV. END: PIPES: FEET FROM LI / i AIR LET: / 97 NEAREST / tw ~~J1 MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW YE meets the criteria for medium sand. ELEVATIONS MEASURED. SOI COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ N D TH OVER TRENCH/BED DEPTH OVER TRENCH/BED PTHS OF TOPSOIL: SODDED: SEEDED: MULCHE NTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ S ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BELOW PIPE: FILL DEPTH ABOV VER: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL StPACINGGRA TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE RIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ORRESPONDS TO DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: ER MATERIAL: VERTICAL LIFT C INFORMATION APPROVED PLANS ❑ YES ❑ ❑ YES ❑ NO MBER OF PROPERTY WELL: BUILDING: PERMANENT MARKERS: OBSERVATION WELLS: 5AREST---- COMMENTS: ET FROM LINE: ❑ YES ❑!NO ❑ YES ❑ NO ci Re in in county file for audit. Sketch System on Reverse Side. T E: TITLE: SBD-6710 (R. 06/88) I D'ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 6 T Z 1106,37 8'/z x 11 inches in size. c eck if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNE PROPERTY LOCATION Y. S T , N, R E (o PROPERTY E 'S MfAIILING ADDRESS LOT # BLOC JL, .Q 1• / CkTY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one CITY NEAREST ROAD ❑ State Owned EZ**iTOWN F: VILLAGE Qr ❑ Public or 2 Fam. Dwelling of bedrooms PARCEL AX NU ) 111. BUILDING USE: (If building type is public, check all that apply) HQ/ ~[-lp oZoJ 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ti4*ew 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) / ELEVATION !7 c / ~ / ~ 6 OZ e ' 47-5 Feet 7 Feet VII. TANK CAPACITY Site in gallons Total of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete structed Con- Steel glass Plastic App Tanks Tanks Septic Tank or Holdin Tank e e_ Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): ( Plumber's ignature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumbs Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a sue I ssuing Signat (No Stamp Approved F0_1 Owner Given Initial Surcharge Fee) ~ Adv rs Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS i F 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of r3newal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes ,n ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check,only one and complete of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 13'% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawr to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mairs/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) • APPLICATION FOR GANITART PERHIT • 9TC-100 This application form Is to be coraplntad In full and signed by the ovner(a) of the property being developed, My Inadoquacles will only result In delays of the pit rnlt Issuance, -Should this development be intended for resale by owner/contractot,(spec house), thou a second form should be tatalned and completed when the property is sold and submitted to thla office with the ■pproprlate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner at property e Location of property 04L4Ll/4 1/4, Bectlon T r•R V Township u~ re+ Kalling address o ~G Address of alts -5/0/ Rubdlvlelon name Lot number Previous owner of propetty Total size of parcel _ '2 3 ~tGj"{S Data patcel was created Are all corners and lot lines ldentlflable? on _ 1♦0 Is this pcopetty being developed Sorgg resale (spec house)? Yes Mo Yolnr.e and Page Number '17~/_ as recorded wlth the Register of Deeds. -R~GJ C? INCLUDE WITH THIS APPLICATION THS POLLOWINCI A VXARRNTr D¢tD vlilclt Includes a DOCUHtHT HUMnER, VOL"z AND PAOt NU?(atft, and the 21,kL Or Tlit RgaiGTRR OF DRKD9. In addition, a cettifled survey, if available, would be helpful so as to avoid delays of the reviewing proeees. It the deed description tolerances to a Cettlfled Survey Hap, the Cattlflad Survey Hap shall also be required. PROPIERTY MMER CBRTIPICATION l(VI) eettify that all statements on this form are true to the beat of ■y (our) knovtedgel that I (we) em (ate) the owner(s) of the property described to this Information form, by virtue of a usrranty deed recorded In the office of the county Regiatec of Deeds as Document Ho. 41 6 I and that I (va) presently own the proposed alto for tho aawags disposal system (or I (we) have obtained an easement, to tun with Ilia above described property, for the conettuctlon of ssld nystem, and the same has bee d 1 sac rded In the office of the Coynty aeglater of Deedsj an Document No. signature of owner Signature of Co-ovnet (It Applicable) Date of signature Date of Signature i Ili THIS NO. i. STATE BAR OF WISCONSIN FORM 3-1982'.1 SPACE RESERVED FOR RECORDING DATA QUIT CLAIM_ D5E 433GS7 , REGISTER'S OFFICE om 801 ~ j ST. CROIX CO., WI Recd for Record j ~i Jan. 13. 1988 __-Clay_A. Edin and Wendy K. Edin, husband and wife as survivorship marital.__property__________________ ti 8:30 AM quit-claims t0 Joel J. Edin and Diane L. Edin, husband ~I and- wife-' as - sure iii vorsh p__mar ta-- __~roperty Registerof Deeds - the following described real estate in ST_. CROIX County, ij State of Wisconsin: Northwest Quarter (NW 1/4) of li RETURN TO Southeast Quarter (SE 1/4) lying East of the Apple;l River EXCEPT the North 400 feet thereof; Southwest Quarter of the Southeast Quarter (SW 1/4 of SE 1/4) and Southeast Quarter of Southwest Quarter it (SE 1/4 of SW 1/4) lying East of the Apple River Tax Parcel No : EXCEPT the North 740 feet of the South 1171.7 feet thereof and, EXCEPT commencing at the Southeast corner of the Southwest Quarter of the Southeast Quarter (SW 1/4 of SE 1/4), said point l being 1322.4 feet West of the Southeast corner of Section Eleven (11); thence West along the South line of said Section Eleven (11), a distance of 1422.4 feet to an iron pipe stake on the East shore of the Apple River; thence on a meander line along l said shore, upstream, North 20103' West, a distance of 459.5 feet; thence East parallel to said Section line, a distance of 1577.3 feet to the East line of said Southwest Quarter of Southeast Quarter (SW 1/4 of SE 1/4); thence South 00°21' East with said East line, a distance of 431.7 feet to the Point of Beginning, INCLUDING all lands lying between said meander line and the Apple River. North Half (N 1/2) of Southeast Quarter of the Southeast Quarter (SE 1/4 of SE 1/4); and ALL parcels located in Section Eleven (11), Township Thirty-one (31) North, Range Eighteen (18) West. This deed is intended to convey an undivided one-half interest in said property. i FEE This 1----- n- homestead property. „F,XEM" (is) (is not) Dated this day of ------------January------------ k ------------------,19.8.8 (SEAL) -------~---------------------(SEAL) * _ Cla A-. .Edin -------------------------------------------------------(SEAL) Uj-l?-r~cE -G----- _(SEAL) * * . Wend-y- K Edin---------------- AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. County. authenticated this ........day of 19---..- Personally came before me this /r. _._day of --_January 1988_._ the.abdV6'named ---Clay A-- Edin and-_Wendy_-_IC_._.-d * husband and wife as survitv_orsi'p TITLE: MEMBER STATE BAR OF WISCONSIN marital proPert--- .C~ (If not authorized by § 706.06, Wis. Stats.) to me known to be the person '~wl &b j: AI M-'the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY i~ Judith A. Remington ---9_V_a41Ak_a,_' i REMINZMN--LAW--OFFICES---------------------- New Richmond WI 54017 Notary Public T, ROIX County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19.........) l QUIT CLAIM DEED STATT TZAR OF WISCONSIN Wineoe~in Letnl nlnnk Co. Inc. FORM No. 3 -1982 Milwaukee. Wis. DOCUMENT No. STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FCR RECORDING 0:.7A AUIT CLAIM DEED REGISTER'S OFFICE 433686 nor 801 49 ST. caaIx co., wi Rec'r l Record Joel__ J.-__Diane__L.__ Edin_,___ husband Jan. 13, 1988 and-.wife _as_-.survivorship--marital property 8:30 A M quit-claims to Cla A Edin and Wend K Edin and and n^gistel oi- Oe,:ds y----------------------------------------- y._ wife__as__survivorship___marital-.property Q0 - -----i the following described real estate in S_t.._-.CrQ1.X---------- County, State of Wisconsin: RETURN TO North 740 feet of the South 1171.7 feet of the Southwest Quarter of Southeast Quarter (SW 1/4 - of SE 1/4) and the Southeast Quarter of Southwest Quarter (SE 1/4 of the SW 1/4) lying East of the Tax Parcel No: Apple River, EXCEPT commencing at the Southeast corner of the Southwest Quarter of the Southeast Quarter (SW 1/4 of SE 1/4), said point being 1322.4 feet West of the Southeast corner of Section Eleven (11); thence West along the South line of said Section Eleven (11), a distance of 1422.4 feet to an iron pipe stake on the East shore of the Apple River; thence on a meander line along said shore, upstream, North 20°03' West, a distance of 459.5 feet; thence East parallel to said Section line, a distance of 1577.3 feet to the East line of said Southwest Quarter of Southeast Quarter (SW 1/4 of SE 1/4); thence South 00°21' East with said East line, a distance of 431.7 feet to the Point of Beginning, INCLUDING all lands lying between said meander line and the Apple River. South Half of the Southeast Quarter of Southeast Quarter (S 1/2 of the SE 1/4 of SE 1/4). ALL parcels located in Section Eleven (11), Township Thirty-one (31) North, Range Eighteen (18) West. i' This deed is intended to convey an undivided one-half interest in said property. EXEM, This s_•nOt-___ homestead property. (is) (is not) Dated this / ..t- Januar 8 8 - day of - ---y 1 9. IL ------(SEAL) ------------(SEAL) * Joel J. Edin (SEAL) (SEAL) * Di~ne.._L....Edin..... AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST CR ......---OI X----------.County. authenticated this day of 19 Personally came before me this 11 day of January 198 8___ the above named Joel J. Edin and Diane L. Edin + husband and wife as_survivprhito TITLE: MEMBER STATE BAR OF WISCONSIN marital property `_1 (If not, . authorized by § 706.06, Wis. Stats.) tome known to be the person the foregoing instrument and acknowledge Eke-samtr.---`* THIS INSTRUMENT WAS DRAFTED BY ~7• 1 '172 lL' Judith__A.•--Remington.._................. REMINGTON LAW OFFICES N€3w--R-ichmo.nd-,---H11_-----a4D.1 I--------------- Notary Public .-.County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.l.If not, state expiration are not necessary.) date: 19......... ) QUIT CLAIM DEED ST %TE VI %It 01' NVISCONvIN wis,- in l.ocai Mank Co. Inc- SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 0 0 014NER/BUYER ROUTE/ BOX NUMBER Fire Number____: ZIP CITY/STATE k, Section~~~• T.& N, R~W, PROPERTY LOCATION:'~~~,~ Town of St. Croix County, Subdivision Lot number_ Improper use and maintenance andle wastese~tPropertmaintenancegcon-in its premature failure to h sists of pumping out the septic tank every thrWhat you ee years or sooner, if needed, by a licensed' 's'e t'ic tank um er. the system can a ecG a .unet on o. t e•septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents-TAX be eligible to recieve a grant for a maximum of 604 of the cost.of replacement of a failing system, whic was in operation prior to-July 1, 1978. tSt.r Croix Countthat accepted this program in August of 1980, with owners of all new ~Et'ems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, veri- journeyman plumber, restricted plumber or..a licensed pump fying that (1) the on-site wastewater disposal system is in proper nec- operating condition and •(2)•after inspection and pumping essary), t-he septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year'expiration. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as.set by the Wisconsin st Depart- :r ment of Natural Resources. Certification f be completed V and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. SIGNED ~ Q am DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. DEPAIRTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION j LABOR AND PERCOLATION TESTS (115) MADISON, BOX 3707 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATIO : SECTION: TLOT NO.:BLK. NO.: SUBDIVISION NAME: NW 1/4SEl/ 11 /T 31 N/R18 Nor) W Star Prarie n/a n/a n/a COUNTY: OWNER'S BU ER'S NAME: MAILING ADD ESS: St. Croix Joel Edi.n 630 Derrick Dr., New Richmond,. Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFI DESCRIPTIONS: PERCOLATION TESTS: ©Residence 3 n/a New ❑Replace ( 10-19-87 n/a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN~-FIILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) E DU ~U X~ U S [~TU S conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Class 1 Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 4 EM BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHS ELEVATION OBSERVED ST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B-1 6.92 99.75 none >6.92 .75bl.s.l. 1.67bn.cob. gr. 4.50bn.c.s.&gr. B-2 6.92 99.80 none >6.92 1.17bn.s.1. 5.75bn.c.s.&gr. I B-3 7.50 99.77 none >7.50 .75bl.s.1. 2.00 bn.cob.gr. 4.75bn.c.s&gr. B-4 7.00 99.35 none >7.00 1.00bl.as.l. 1.67bn.cob.gr. 4.33 bn.c.s.&gr. B-5 6.92 99.69 none >6.92 1.00bl.s.l. 1.92bn.cob.gr. 4.00bn.c.s.&gr. B-i i - - - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 P I D 2 PERIOD3 PER INCH P. P- s d s • qi rate P- P"- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ~ ~ SYSTEM ELEVATION 96.25 , - _4 I tv I I I s~ (fN E ~~~5.' i i e, t i ~I i I I, the undersigned, hereby certify that the soil tests repotted 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: Gary L. Steel 10-19-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 988 N. shore Dr. New Richmond, Wi. 54017 2298, 115-246-6200 CST SIGN RE- DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBO-6395 (R. 02/82) - OVER - _ PLOT PLAN PROJECT t~-e --e )r q ADDRESS 6 ?,,.17 YkA/4 .l;~1/4/S///T,-,T/N/R/ W TOWN COUNTY _G Sao/7 MPRS Byron Bird Jr. 3318 DATE BEDROOM CLASS PERC/ CONVENTIONAL„" IN-GR D PRESSURE CONVENTI AL LIFT MOUND_ HOLDING TANK SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA h PERC RATE G •~BED SIZE Benchmark V.R.P. Assurrfe Elevation 100' Location of o Benchmark o 6 ~ I H.R.P. Cl Borehole Q Well Scale Feet 0 Perc Hole System Elevation Uent 12" Grade TYPAR COVERING 122" 3, 4 6' ERock 6 " SewejOr /D o2 ~iBr L ~ ~ ~~i a ! fro 17 ~ 11jej N014 i~ /r+ /s o c ~l Par,,cel 038-1049-455-000 06/22/20 P07 08:34 AGE 1 OF n1 Alt. Parcel 11.31.18.208C 038 - TOWN OF STAR PRAIRIE ST. CROIX COUNTY, WISCONSIN Current X 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 - EDIN, JOEL J & DIANE L JOEL J & DIANE L EDIN 2232 127TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 2232 127TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 22.046 Plat: 3376-CSM 12/3376 SEC 11 T31 N R1 8W NW SE, NE SW, SE SW & Block/Condo Bldg: LOT 2 SW SE BEING LOT 2 CSM 12/3376 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 804/247 07/23/1997 801/50 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.646 164,400 255,000 419,400 NO AGRICULTURAL G4 15.400 2,400 0 2,400 NO Totals for 2007: General Property 22.046 166,800 255,000 421,800 Woodland 0.000 0 0 Totals for 2006: General Property 22.046 166,800 255,000 421,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 209 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00