HomeMy WebLinkAbout038-1030-10-000
C7 cn O 3 -0 n
y `r
n n' A V ~CD A m J ^
3
o A r (A o c
[n g z 2 v 0
T y o m c O cNO j ac r
cu 7 n 0 ~ n A
W (C d 9 W t7 ~ ~ ~ O .y 1ni a 3 y co cf - 1
° o - m m R
n O Vr N ~ p p
N ~ A :3 ~l
y ~ O •v
a o
v_: z D (D
m C. O :n om
T
~ p
c CD Cl
G o
w w z n
Z c~ cD (D
o c o r ~r- (n tir
=r
os v v v 3
O O O o ti
n' £ 3 N fn N ~ n
Ct O O O
J CJ 'N6 AO 90 tit
a _ [D Q N
V1 V ,yw~
a
z cn z ~
(D c
y O D
(n "am •
c N
N G~
CD
a' Q
I1 7
Z cc cI -4 W
C' _ ? A z M
A z 7
Z -4 J
m ' m 1
o z
0 3 ~ ~
o Cl)
3 m mC
N z
A
Cl)
T'
1
L1
-7 T
m C
z 3a
m
r
v
r'
3
p
i
O
L`
2 ti
r, ` tJ
J
7
C) J
Parcel 038-1030-10-000 12!04!2006 12:-4 PNI
PAGE 1 OF 1
Alt. Parcel T31.18.139C 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 O•.vner, C = Carent Cc-Umler
O - LICHT, RICHARD R & CAROL J TR
RICHARD R & CAROL J TR LICHT
2224 90TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Prirnary
Type Dist # Description ' 2224 90TH ST
SC 3962 NEW RICHN10ND
SP 1700 WITC
Legal Description: Acres: 15.600 Plat: N!A-NOT AVAILABLE
SEC 7 T31N R18W S V2 NE SE EXC N 290 FT Block/Condo Bldg:
OF E 660 FT
Tract(s): (Sec-Twn-Rng 401!4 160114)
07-31 N-1 8W
I
Notes: Parcel History:
Date Doc # Vol/Page Type
07!07;2006 829150 WD
07!23;1997 462!519
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10i13!2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 35.500 224,900 260,400 NO
UNDEVELOPED G5 13.600 34,000 0 34,000 NO
Totals for 2006:
General Property 15.600 69,500 224,900 294.400
Woodland 0.000 0 0
Totals for 2005:
General Property 15.600 69,500 224,900 294,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 218
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisoonsin Depetirtmeat-or Health and Soolal Services
• Plb., e67 3/70 Division of Health
SEPTIC TANK PERMIT APPLICATION ;
-41
TYPE or USE BLACK INK 2 2 2,y ~ ( S
T.
A. CIWNE.R CF PROPTRTY
Name 4 1 Address (Street, City, Zip code)
B• LOCATiCN OF PzOPERTY i;~ ftI SYS-,r-K ;{_LL RE CCNS'IP.I."CTF.D ALTF.RFC OR F,XTEN'DED COUNTY
Check One:
CITY VILLAGE LEGAL DESCRIP ICN
X TO*W.SHiP i
C. IS LOCAL PFRN:T RF.CUIRED FOR THIS WORK? YES NO PETi~iIT NJi6ER
D. SEPTIC TA.'rK CAPACITY
l _ Gallons NEW INSTALLATION REPLACEMLhi ADDITION
MA ZRIALS: Prefab Concrete ?oured in Place Steel Other
HUMBER OF TANKS TO BE INSTALLED: /
E. TYPE OF OCCUPANCY
Cheek One: One or Two Family Residence Commercial Industrial other
1' _2 Specify)
Number of Persons to be Accommodated Nuanber of Bedrooms ~
F. APPLIANCES, ETC: Food 'waste Grinder YES X NO Autorwttio Clothes Washer / YhS NO +
Dishwasher YES X NO Autocatio Potato Peeler YLS/_ NO
Other (Specify)
G. N.:STIR PLUP3ER IIAKING INSTALLATION
Name: Address: „mot 1 l\:, v F , car License Number:
Signature or Applicant:
e r,
Address:
H..
{To be CocpleLed by Issuing Agent}
n n
Date of Application J L) Fee Paid =
.L •
~ Permit Issued (date) pemit Humber
Agent (Name) f t7l _ For: ~ h✓""~
Town, Village, City,, County, etc.
,Specify)
;:aCe: The a.,pllc~ icn cannot cc considered for filing until all of the a'love questions are answered and the
fee paid. Aaent9 will fcr &rd appsicati.-n, the fee of $1.C:; or each septic twvc and the third copy
of .he permit (ca::ary) to the Divisicr. or Health. Checks and money orders should be W-de payable to
tre Division of Health.
Do not wri.e in space below - FGR DF.?ARTM!NT USE ONLY
I ~ I
I. DATE RECEIVED ~Z, ACCEPTED BY RETURNED
(initials) (Date) See Corri
FEE RECEIVED ~ VALID. No. PEPk;IT NO.
lYes No
R£YIE'WED BY APPRCVEG DATE 'S 1
(Initials) Yes or No}
COMPLyTE OT TR SIDE
♦ ' SEPTIC MIX PERMIT NO. ~ r , y r
R L P 0 R T O N S O I L P I R C 0 L A T 1 0 N T E S T
A N D S 0 I L B 0 R I N G S
TO
DIVISION OF HULTH - PLU'',BING SRCTI0%(
P.O.Box 309, Mrdison, Wis. 53701
Purauarit to F( 62.20, dim. Ad::Anistrativ9 Code
P L R C 0 L A T I 0 N T T S T
Test Depth Criss: wo or oP Soil Hours Water Too. Time DroRin Water Level Inones inutos
Number Inohes Thickness in Inches I Since Hole in Hole Ints:^ral Second t~ ;lext to Last To Fall
1st Wetted OvenAgInt in Hin~rtos Last °er:od List Period Period aih Inch
Example
P - 0 3G11 To Soil 10" Clay 26" 25 Yes Cr No 30 1 2 1/2
1 2 60
RECORD DATA FROM MINXJM OF 3 TEST HOLFS
Compute size of absorption area in aocord with H 52.20 Wis. Adainistrative Code-
S O I L B O R I N G S- Minimum 36" Below Pra osed Abso tion S stan
Boring ?ot.1 Depth Depth to Ground a- er Depth to Bedrock
Number Inches Cb3erved Lsti-stod Observed Estla,ated Character of Soil with Thiokness in Irohos
Yxample
B - 0 72" 72" Black To Soil 12" Clay 1B" Sand 1811, Gravel 24"
RF=RD DATA FFO`i MINL':U.i OF 3 BORE Hol-rS
I
YPE OF OCCUPANCY:
RESIDENCE: Number of Bedrooma i OTHER: (Specify) Number of Persons )
POOD WASTE GRINDER: Yes No Dishwsshor: Tes No tutomatie Clothes Washer: Yes k No
EFFLUENT DISPOSAL SYSMM: NEW ? EXTENSION ADDITION REPLA_M11UNT
Tile Size a No.Lin,Foet ` n C Trenoh Width Depth Number of Lines ,
Seepage Bed: Length Width _ Depth Tile Size No. Lines
- Seepage Pits Inside Disnater Liquid Depth
I, the undersigned, hareby certify that the peroolation tests reported on this fors wore wade by oe or under my super-
vision in a,oord with the proce,ires and method cpeoiPied Ln Chap.er H 2.20 (13), Wisoonsin Adainistrative Ccc..a, and
that the data reoorded a_nd loco ion of test i:oie3 are oorrect to the bait of cry knowLeduo and belief.
NAMF, ! - -
- - TITLE
(Type or Prin-
REGISTRATION NO. / or' MASTER ?Ljv3cR LICMSE NO.
DA-F. - / ~l SIr,NA'R.1R%