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Parcel 038-1057-10-000 t 1127!2006 09 54 AM,
PAGE I OF 1
Alt. Parcel 14.31.18.244A 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 - DUBOIS, MARY
MARY DUBOIS C - ANDERSON W, J. T, & JOHN
ANDERSON W, J, T. & JOHN,ET AL C - ANDERSON, WILLIAM R
1584 95TH ST C - ANDERSON, THOMAS
NEW RICHMOND WI 54017 C - ANDERSON, JOHN CASEY
C - ANDERSON, JAMES
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 2184 CTY RD C
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 37.980 Plat: N/A-NOT AVAILABLE
SEC 14 T31N R1 8W NE NE EXC 2.02A IN CSM Block/Condo Bldg:
3.674 EZ-UT-12261261
Tract(s): (Sec-Twn-Rng 40114 160114)
14-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
01/12/2004 751332 24901140 TI
03/22!1999 599830 14121311 Qc
05i21!1996 543969 1179,163 TI
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10i0512005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 25.000 98,600 123,600 NO
AGRICULTURAL G4 35.200 6.600 0 6,600 NO
UNDEVELOPED G5 0.780 100 0 100 NO
Totals for 2006:
General Property 37.980 31.700 98,600 130,300
Woodland 0.000 0 0
Totals for 2005:
General Property 37.980 31.700 98,600 130,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
STAR PRAIRIE T 31N-R.18W. 55
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IS£E ('A.F Si rl SEE PAGF '43 r - t. -
BEK NA R D' SKOGLUND OIL CO.
NORTHTOWN Pt-ne:346-J767 Schwan Plumbing &
Ne.v Richmond, W'isconsln Heating &
HIGHWAYS 64 & 65 NORTH 540„
NEW RICHMOND, WISCONSIN 52-017 SOMERSET Hardware
DEEP ROCK Sales -Service Repairs
PHONE: 246-2236 Plumbing - Heating &
Phone 24~ sea Pump Work
Somerset, Wisconsin
TWIN CITY t rll,i,l,r h PHONE: 148-3760
PHONE: 439-2905 I Bvfk Form Delivery Star Prairie, q'isconsin
" • Gos - Fwel Oil - Diesel
AS BUILT SAIIITARY SYSTEM REPORT
-ScC._f T Pl, R W
i~ URESF ST. CFICI,: COUNl , 'WISCONSIN. ;I VISTO;T ;.OT LOT SIZE
PL-LT VIEW
Distances b d_z.ensions to -•eet requirEments of H62.20
St1r`.7 EVE': Y :1*T1,C IT:gIPT 11 +0 FEET OF SYSTF'i
I a
-T
I I I ! + I -t--
-VI
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I I 1 i I
I ~1 ~ I I I i i ~
i I j - I-t-- 1'
I
T_IC TANK(S) xiFCR. , . - -~.,T I r>ci:~ca i i' No tth kt ,ov,
CO:~C'tET..F ST....L S ca
t e
110. cf or, covcr nept ' - DRY ++1cLL
- Tom,-
'';CFIES ti0. of ~i t h -
a 6 th 1c i th area
no. Of lines .'idth
' lenQtarea~
depth to tcp of pipe '
S: F FATE
--%TE cL::n REQUIRED_ AREA AS EUI1 •1
:claimer: The ins:?ection e: this syste'i, by St. Croix County does not fr-,ply cer~plec.e
:?11anCe with State nd;~;1'_~tr,tl've ;odes. There --e ether 'irejs that it is nr o` rossible
inspect at this point of cons trull t ion. St. CrC X C0-,~::tV aSSLM?$ P.O lidbllitY fc-r
zem operation. lio ever, if failure is Noted tt:e County will make every cffortto
.,rmir.e cause of failure.
-%S ;:S A14D OILS SHOULD LOT E DISPOSED T11. 0UGI1 =HIS SYSTD1.
INSPECTOR-----DATED Z YLLmyE O 4 JOB /
LICENSE NU,tLER
i
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SVSTEM
NAME < r ownsfup =S~. CAoix County
Location Se.c.tion
SEPTIC TANK
Size. gaZZons. Numbet c6 CompaA.tments
D.ie.tanee FAOm: WeZZ 120 on gAea,te.A slope 6t
8u.it.d.i.►Tg6t. We.ttands S.t.
H.ighwa.teA 6.t.
DISPOSAL SYSTE'.,
Diz Lance FAO►.n: WeZZ 6.t. 12% o.t gnea.te-t slope 6ti.
Bu~xd.irlg _6ti. WetZands Ft.
H-ighcea.te.t ~ti.
FIELD DI!"ENSIONS: -
Wid-th or ,-,tench L 6.t. Depth o~ ,Lock be ow .t-itein.
Length o6 each. Zine C 6.t. Depth o6 Aoe-k oven .t.ite Z .in.
Numbo. v6 Ziiie6 L Depth o6 tiZe beZow gA.ade ►t.
To.taZ Zenq th v6 Z-ina _4t. S.eope o6 tree ach - in pc-.-t 100 5.t.
Distance between .roes f.t. Depth to be.dAOCfz _ -
Total absoAbAtion atea(Z'1 6t2 Depth to g)Loundwa.tet ~ fit.
2 Tape o' Covet: Pa oa Sir-,aw Req u iAed area ~t 1
PIT DIMENSIC,'S:
Numbers o6 p%.ts Gnavei. around pits ties no
Out,s.ide d.iame.t Depth be.Zow .inZe.t_- 6t.
2
Total ab.soAb,t on A-te. 6t A
AAea Aequ ' ed 6,t2 (m
1
INSPECTED BY TITLE
APPROVED , DATE 1 9 7`
v V
REJECTED DATE 197.
~i
EH 115 h...: y. ;
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCAL ION: 4L-1,,&L',-;, Section_de;LJ2ZN,R,~ (or) W, Township or Municipality '%IF` L~lp-46d
Lot No. , Block No. County !&&X
~ Subdivision Name
Owner's/Buyers Name: ~t, ►~y~.~~;
Mailing Address: ` J J ti1lJL-1C`1 a,- , 6,
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT~ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS - 7 _PERCOLATION TESTS Zy
:)II P.1A1' SI If ! 1 r'f-• - NAME OF SOIL MAP UNIT CD 3-,7
PERCOLATION TESTS
I ES I DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE MIN; IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD
2 PERIOD 3
I
lP- 41n 4% t?e,4.r_k r r
<
P-
P-
P-
SOIL BORING TESTS
i EST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED
HIGHEST IF OBSERVED IN INCHES
B- >
B-
B cr '
- - _ - c3 B-
B-
9-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale ur distances.
Give horizontal and vertical reference points. Indicate slope.
Ax
O Ile
~j•+k:S
n F`r: t 7'0:FST
! ! MP+ - N
I
-f- - I r
J
I, the undersigend, 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 Jx CertiticaTinn
Address 7.~~1.,~.~,~~ cl,L S~.dL!
Name of installer if known ~~_t? 1~~_ ~1
Copy A-Local Authority CSI Signa'ure-
P L B 6 State and County State Permit #
' Permit Application County Permi 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:
B. LOCATION: Section T N, R~ V (or) _W Lot# City
Suhdivi6nn Name, nearer' rcnri, lake ~)r landmark. BIk tr Village
Townsh p~j;~y(rll
C. TYPE OF OCCUPA%CY `Cummercia' Industrial 'Other (bpu~ify) `Variance
S ngle family oe Duplex No. of Bedrooms No. of Persons a
D- SLPTIC TANK CAPACITY Total gallons No. of tanks /
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete-_ Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM Percolation Rated Total Absorb Area X16 sq. tt.
New Replacement- X Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:_~_Length , ~ Width 4_1' Depth- Tile depth (top)~No. of Lines
Seepage Pit: Inside diiam'eter Liquid Depth No. of Seepage Pits
Percent slope of land- 2/ Distance from critical slope
'.HATER SUPPLY: Private X Joint _ Community _ Municipal J _
Owners name as listed on EH 115 if other than present owner:
I, the undersigned, do hereby cert fy that the information I have reported is in accord vvith Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the Eli-115 prepared
by the Certified Soil Tester,
NAME _L~~~ r e C.S.T. # ` l and other information
obtained from (oviner/builder). Plumber "s Signature Lrc.~,-~
MP~MPRSW# ,~1~.3 Phone # -~;_~_c" Plumber's Address !
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. WelI loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate. I
/ t_.
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT U E O LY
Date of Application - - ~~ees Paid: State CJ Cam' Cou ty ~JDat r
Permit Issuedi~iyi~t d Idate} -/y -~~Issuiny Agent Name
Incnontinn Y is /1 Nn Ct~to V~G~I - Qo..~.a
I. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53/01
2. state (wink copy) 4 -Airnher (unary cnpy)
Revised Date 7 1