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Parcel 038-1086-70-000 12iG7n2006 1' 45 AM
PAGE 1 OF 1
All. Parcel 21.31.18.357G 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
SCOTT R COTY O - COTY, SCOTT R
1093 210TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1093 210TH AVE
SC 3962 NEW RICHMOND
SP 1700 W'ITC
Legal Description: Acres: 2.080 Plat: NIA-NOT AVAILABLE
SEC 21 T31 N R1 8W PT NE NE COM INT N LN Block/Condo Bldg:
SEC 21 & E LN HWY CC, TH S 33 FT, E__
FT TO POB: EST, S 155 FT MOL TO Tract(s): (Sec-Twn-Rng 40 114 160 114)
RIVER, WILY ALG RIVER -TO-PT-S OF POB.- 21-31 N-1 8W
N-POB 4361594 ALSO COM SE COR LAND
DESCRIBED IN VOL 307 P 376 TH N TO PT 33
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
05!0311999 602391 1423/319 WD
J.y~1 J 07!2311997 1177x244 WD
071211997 rk~rl,~~Ci~ 770,1340
i
07!23%1997 462!232md21/ ]f'
J
2006 SUMMARY Bill M Fair Market Value: Assessed with:
175374 229,000
Valuations: Last Changed: 10/141200414', ~u,l!
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.080 88,100 114,300 202,400 NO
Totals for 2006:
General Property 2.080 88,100 114,300 202,400
Woodland 0.000 0 0
Totals for 2005:
General Property 2.080 88,100 114,300 202,400
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
• AS BUILT SANITARY SYSTEM REPORT
WfIvER ' TOT,.'NSHIP if_SEC.o?/ I~ N, R W
0, AIVFESS ST. CROIX COUNTY, WISCONSIN. .
3DIVISIOV , LOT LOT SIZE
PLAN VIEW
Distances b dimensions to meet requirements of H62.20
SHOW' EVERYTHING WITHIN 100 FEET OF SYSTEM
W1 L
i ~
AS I
I
I
I I E I j ~ I I i
I--North Arrow
l Indicate l
!SCALE:
tPTIC TANK(S)MFGR. CONCRETE TEFL
NO. of rings on cover / Depth / 7 DRY WELL
ANCHES NO. of width length area
j no. of lines width--LL_ lengthy f area
depth to top of pipe 7
aGREGATE
?'RK RATE AREA REQUIRED (i, j_~7 AREA AS BUILT
►,SCiaimer: The inspection of this system by St. Croix County does not imply complete
.0-pliance with State Administrative Codes. There are other areas that it is not possible
,Q inspect at this point of construction. St. Croix County assumes no liability for
IStem operation. However, if failure is noted the County will make every effort to
.j~erriine cause of failure.
.{EASES AND OILS SHO",LD NOT BE DISPOSED THROUGH THIS SYSTEM.
_ ~ 'INSPECTOR
,
DATED PLLMISER ON JOB
LICENSE NU11fBER
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i.tany Pe Lm it
State Septic__
NAME Township S.. Cno.ix County
L o c a.t.i o x Section
SEPTIC TANK
Size gatton6. Numbers o6 Compantmen.ts i
ViA tanee Fhom: WeU 12% o t greaten 6tope 'p it
Su.itd.i.ng 6.t. We.ttands S •
Highwate,t it.
DISPOSAL SVSTE+d
D.i6.tanee Fnom: Wett 5t. 12% of grcea.tek s.Zope St.
SuiZding it. We.t.Zands Ft.
H.ighwa.ten t S t.
FIELD D "d_ENS T ONS :
Width oS .trench St. Depth o6 rock below .t.ite in.
Length o6 each tine j - St. Depth o6 rock oven -t.i.Ze in.
Numbers o6 .Z.ines Depth oS ,t.i.Ze be.Zow grade - in.
Totat .Zeng.th o6 Zines St. S.Zope o6 -trench in pen 100 St.
Di4tanee between .Zines_ .t. Depth to bedrock Sti.
Total- abs onb.t.ion an.ea- S,t2 Depth to gnoundwa.te!L St.
Requ.ined area S,t2 Type os Coven: Papet on S.tnaw
PIT DIMENSIONS:
Numbers o6 pits Ghave.Z -anound pits yes no
Out-Aide diame-teA 5-t. Depth below in.Ze-t S.t.
2, _
To.ta.Z absonb.tion anew; 64, z
2/
Atea nequ.ine.d.
INSPECTED BY TITLE
APPROVED , DATE 197.
REJECTED , DATE 197.
- s.w...w;..
EH 1.15
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. ~F Section 2-1,T-e_/N,R)ge~(or)W,Township or +Fof71tipa++tyS -i~-
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address: ),2• olz 11 G w
TYPE OF OCCUPANCY: Residence L~ No. of Bedrooms_ Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
~~g- T~
DATES OBSERVATIONS MADE: SOILBORINGS __PERCOLATION TESTS
SOII rViAP SHLE T _ ~ L - SOIL TYPE _ 64!~
PERCOLATION TESTS
I _EST DEPTH HOURS WA 1 ER IN TEST TirviF DROP IN WATER I FVFL, INCHES RATE CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
NUM- INCHES THICKNESS IN INCHES MINiIN hER 1ST WETTED SWELLING IN MINUTES PERIOD _1 PERIOD 2 PERIOD 3
P- l 36,~ S a 6--r ,0og 4-A_ rvv .3 - G 5
P_S 3L ,I t zo 5
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- '
I
B z 7Z O rUe-0 7 72- 1'
B 72 -777-,,
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
reeded for building type and occupancy. CP 15 aI Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
i
' i
_J1
t, I ip
- - - - - 1_E N
I
D
I ! i ~
10.
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) Cer ' ' ati No. ZZ -
Address -
-f inct~IIAr if lennivn - F]~
-
COPY A -LOCAL AUTHORITY CST Signature
PLB 67 s State and County State Permit #
( i r;- Permit Application County Pe# k or Private Domestic Sewage Systems County '9,
'DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailin ddress.
f) ftyy-) &6-- a 'r- b o, e , a r-,(~ ~2 i
B. L ATION: LYE- Section TOL N. R E- (oil W Lot# City
Subdivision Name, nearc;t roar.;, Idke or andmark 3k: `Village
C TYPE OF OCCUPANCY 'Commercial 'Industrial 'Other lspeci=yi 'Variance
Single family Duplex No. of Bedrooms .3 No. of Persons Z
D. SEPTIC TANK CAPACITY/&t2ZI _Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel c-- Fiberglass Other (specify)
New Installation -Replacement L
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)E. EFFLUENT DISPOSAL SYSTEM Percolation Rate I Total Absorb
Area sq. ft.
New Replacement 4 Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length_ A'2 '__Width /Z Depth L~ 1,_Tile depth (top) No. of Lines Z
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land -Z °7e Distance from critical slope
WATER SUPPLY: Private L 11 Joint ❑ Community ❑ Municipal J
Owners name as listed on EH 115 if other than present owner:
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Ovisconsin Administrative Code, and that I have sized the effluent d,sposal system from the EH 115 prepared
by the Curt d Soil Tester,
NAME x S 4- ` C.S.T. # 'Z Z. °7 $ and other ntormatinn
obtained from j~bC e- (owner/builder). 6 Plumber's Signs ure y V MP!MPRSW# Phone
Plumber's Address cu i
PLAN VIEW Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall he 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.
INC,'
--Al t
S01
10'
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY_
Date of Application f L L A Fees Paid: State County % .r ( Date-: /7
Permit Issued/R ~ (date) /tr 2/ - % Issuing Agent Name r
Incncr-tinn YPc 1' Nn C~~r~ t~ i afr nom. o,
•••"Y°-- v.c.w voila Tr vac ~~ca.u 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copo 4. p ur,her ?cjnarv COPY)
Revises! [date 7il!78