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Parcel 038-1154-90-000 11/30/2006 04:53 PM
PAGE 1 OF 1
Alt. Parcel 13.31.18.713 038 - TOWN OF STAR PRAIRIE
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 - BIRKHOLZ, GEORGE M & MARION V
GEORGE M & MARION V BIRKHOLZ
2175 132ND ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 2175 132ND ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.820 Plat: 2348-PRAIRIE RICH ADD
SEC 13 T31N R18W 1.82AC PRAIRIE RICH ADD Block/Condo Bldg: LOT 09
LOT 9 A 1/15TH INT IN OL 1 HAS BEEN
ADDED TO THIS PARCEL 711/521 764/594 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
825/67 13-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997
425w--
07/23/1997 764/594
07/23/1997 J 711/52L L
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.820 31,400 104,900 136,300 NO
Totals for 2006:
General Property 1.820 31,400 104,900 136,300
Woodland 0.000 0 0
Totals for 2005:
General Property 1.820 31,400 104,900 136,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 138
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
183.65' av--v~ - its t 325.00
b nq 37' g Ks
- - - - - - - -j - - - - c 6 6's` °
'i - - - - - - - - DIN -
I ap `J
G °~0
O O
„n 0
r o 15 ti
r o = o 1.306 A.
G 4 5
z f4 1.267 A. 0 o 0
1.269 A. O
Z S 89°-07'-38"E
325.00'
i1 15
0
(SA O 0
O
6 g
2 183.65' 183.65' ~ 14
S B91.306 A.
°-07'-38" E 367.30'
S 890- 07'- 38 E
0 I 325.00'
o ~
rn
0 6
N 1.685 A. of
~ O p
r ; 13
1.306 A.
S890-07'-38"E M
> of
366.83' 0
1 325.00'
3 v
o ^ a) - o
p Ot O
h I r 7 0 ° ° M
o
N 1.683 A. h m w `0 ti p_
N s 1 h h O
h tCf
M o - N 12
O ( n h
' O N
I 1.306 A. ~ OD -
S 890- 07'- 38"E p I •
3
v 0 S 89°-07'- 38" E 7
366.35'
i = X
_0~ 15\„ W 325.00' aD
(D °-52 o", cr
_ 90 Z6(3. q 1 O
07'-51"w I = 0 2~ ~I o
64.0 5' (D p o 0
8 0 y
" 0
0 1.480A. 0 N 1.306 A. -
v
• 3
N
N S 89°-07'-38"E
S 890-07'-51" E I roo 1
o 325.00'
-
301.82' oao
N o
TEMPORARY 1 z
CUL-DE-SAC f = 0
10 N
P 1. 182 A. N
O \ V
~ \I )A I/ S>40
'26"
OUTLOT I 6 s' N s3> 52E
M PO O
06
N
N h
~ PRIVATE PARK M
p I w v
z 2.604 A. M h
m 3 NI 9 306 ~x3vd
115 M 15' 1 1.820 A. crl-A! ~ W
1 ll~/Vl O
0' 6 6' p O
Z o 1 N
O 1
09 (990 0
O° cj2 I (n 56 ~9 0
g I a3 ' ~
300.92 OA,
66.00' 00 32 5.00' Ov%
N 890- 07'- 51" W 691.92'
vN, . ~P
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San'itany Penmkt-,
d State Septic
P
St. Croix County
NAME Towns h i p . J,jy L
Location/!, o Secti on~T_ !N, R ,r° !W
SEPTIC TANK
Size 1d:" gattons. Numbers o4 Compantmentz
Distance DLom: WeU s { 4t.
Bu.itd.ina REppR`f R W
1T AR`s SYSIEM N
eolt, J,-„''`
DISPOSe' BU11 S~~
(J ST~IY ~~Y' S~ZSppt351~ CA
TpO CpL
pRpV, LAI LJ
Lol LOT SIZE 3oo1 ~C ~j bbJ ~ ~
2
DRESS _!J VZ
f x62.
o
~ yL re4uixemerts pF SYSTEt't
1~1Cs" to
meet ldp E~
ances ~ dimerslors EVERY'~Z~p WZ~xI~ .
.Dist SxpW
W
INS'i
STEEL
A P P R pp:1c~E DRY WELL'/
REJEC De'?
area
I pR s on 'Covet le, area
(S~ ring dth,---~ length" iete
TZC TAB ~ p. wl b i e B LT i 4tY cot vossi
of_, a AS UZ not m s ro
0. o f 4 es i t
o
*1C oES of lire depth 'to to4.. A x County eas that lability to
r A SQUIRED by St. Cr other as umes rev xY effort
LEGATE T A this Sy ostedes . Tbes oi a X colla - will eke
~y ~TE~ ins4eetio lnl rats ~~t on' S red the
St
Tre are Adm corstr e is ro YS'fE v /
claim ct: e with St 4p1nt of if faylut G~1 Till S
;liar t at this °we~er, D1RpD ~jy
f` ope-raiser o f faiD %oT LE g1S pSE CTpR: '
nN-ne c a pZLS Sxp~' ~>ZTISYE ~ ~ ti ~ ° .
()Jg pB
~SES 3
ffiER
w.e
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: M- 1/4/-114, Section L3, T_1N, RJg'E (orMTownship or Municipality 4
Lot No. , Block No. County T C o
Subdivision Name
Owner's Name:
e ~f
Mailing Address: (C -1j Z~i_-jc~l (x) ! S
TYPE OF OCCUPANCY: Residence ``No. of Bedrooms ~ Other
EFFLUENT DISPOSAL SYSTEM: NEW )c ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS /C1 PERC L TI N T STS ? ` / 0 ?T
SOI L MAP SHEET S /t SOI L TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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
no 3-
P-3 S ~
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)
> Ile
-52 t4 'S
R- 4A C-
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square fe t of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
I
1
j i I FEZ I ! j N
1 i
i.l M
~ I I ~ I i I
I
i ~ f t ~ i I 7 i = s
I ( i a
1 I t
I ~ s
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 knowle e and belief.
Name (print) Certification No. '4
Address le
Name of installer if known
1 ~
CST Signature
COY A -LOCAL AUTHORITY
Jy
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 if Required State Plan I.D. #
A. FOWNER OF PROPERTY Mailing Add, s:
B. LOCATION: ri YQ / jtt Y4, Section T N, R E (or) W, Lot City
Subdivi ion Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: 'Commercial *Industrial *Other (specify) 1 *Variance
Single family. Duplex _No. of Bedrooms No. of Persons J
D. TYPE OF APPLIANCES: Dishwasher _,I- YES NO Food Waste Grinder YES.-' NO # of Bathrooms--L
Automatic Washe~ YES NO Other (specify)
E. SEPTIC TANK CAPACITY l C'C~C Total gallons No. of tanks f
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement Prefab Concrete
*Poured in Place -Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)1__Z3) Total Absorb Area _ sq. ft.
New, Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length S'2-1-Width 2r Depth C-/.Cj Tile Depth ~i No. of Lines -z__
Seepage Pit: Inside diameter Liquid Depth Tile Size ~J
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.S.T. # 4 I and other information
obtained from , (owner ilder).
Plumber's Signature U M PRSW# Phone #2 y6 - S.? a
Plumber's Address k- r Y
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). C
tti Cc.
t ~
AV
v
Do Not Write in Spa Below FOR DEPARTMENT USE ONLY ~7 Q
Date of Application Fees Paid: State C Q. County Date
Permit Issued/€ed (date) Issuing Agent NameG~
Inspection YesNo Valid# Date Recd
1. county (whit " copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink dopy) 4. Plumber (canary copy) Revised Date 6/1 /76
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
• DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
• V.
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS ~f
LOCATION: rJ'/4, 61.1-1/,, Sectionj~, TJ)N, R 9E (orQZUTownship or Municipality
r~'/4'>
Lot No. , Block No. County S T_ L: l~ I X
bdivision Name
/ e__
Owner's Name: Uk -j Q ,j
Mailing Address: A I!) cl n r z C
TYPE OF OCCUPANCY: Residence 3" No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW N1- ADDITION REPLACEMENT ' t~
DATES OBSERVATIONS MADE:SOIL BORINGS -772 - 40 - ~4 PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPES L/ /'`ics S's4~z 1,
K!~ -
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
.01
P
P
ce` 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- 7C
i
B
B- > p - S- _ %C S
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square et of suits le ar as. Indicate number of square feet of absorption area
needed for building type and occupancy. f y . Indicate scale
or distances. Give horizontal and vertica reference oints. Ind Cate slope. ~
t
I
I ~ ! i t f t ~ I ~ I I
1 t{ ii 1
f
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) Certification No, .4-
Address c ( ;C
Name of installer if known]
CST Signature