Loading...
HomeMy WebLinkAbout038-1128-90-000 b + ,1 f ^ o co O 3 v n d o f c 0) o tp 5' 2. 3 3 ty, v •o of c • v ~ \ 1 Z X ~ O CD rn cn o • 3 o m N Of a x 3 o c O m m 00 rn Q z Q w ° a D j M n U) co Pd 7o c m oo ~ O H m >v N S N o cn \ 1 O W O 7 C) (D m A 0 C i CD v 0 >v ~+r (D ~o O 0) 3 ! j f D °o rho rd n co m d O N rt r v A 00 O O rrt O m co m N a a C.) (A K (U H 7 H O~ l? c Q W O O Z1 ~O In O O) 01 d c''! H N) b o 0 o 000OOo3 NO c LTI cn cn m 3 P n y "WA 9 ~ O O O p o ~y~ d v m Q v v a C) N O (p ((D M y ~ N ON I m (n 1 00 Cn H v c In rt 7 < y rd v, z N In ~i E o z o7 z iv n N• 00 D a 0 Co n cn m O N -b "WA (D Fl @ rd (r y n o °C o p rt .1 (n c ry H. CD. p c m N CD 2 O W (D Cl) - rt w n 3 3 c J Cvy11 ~ z A ZTT fD O N C ' N ~ Z o C CL O 3 o =3 z , m m a z 3 ~CC N ~ G D A w N O O CL d Q C 'O 7 T 3 v C :3 Z d 0 o (D 0 m CL a: A Z A N a O O V O b e (=D b W O O ~ ~ ay O ~ ti y Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER I~ 1 « 1 TOWNSHIP EC. T I/ N-R W r ST. CROIX COUNTY, WISCONSIN ADDRESS SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILIIR; 83 SHOW EVERYTHING WITHIN 00 FFET OF SYSTEM ~c t .s 1 ! I v J ~ s _ ~ C '1fi INDICATE NORTH ARROW BENC Describe the vertical reference point used C, c-) Elevation of vertical reference point: Proposed slope at site: Ai SEPTIC TANK: Manufacturer: c-~-- ~y Liquid Capacity: )C Number of rings used: Tank manhole cover elevation: ~Tank Inlet Elevation: (71- Tank Outlet Elevation: Number of feet from nearest Road: Front, Side, Rear, O feet From nearest property line Front,Q Side,0 Rear, O - feet Number of feet from: well art', building: J (Include this information of the above plot plan)( 2 reference dimensions SEE REVERSE SIDE septic tank) PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: Length: c~J Number of Lines: Area Built: Fill depth to top of pipe: an Number of feet from nearest property line: Front, © Side, O Rear, Oirt..,L Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADIS3N, WI 53707 1 k.CONVENTIONAL ❑ALTERNATIVE IS',,,Plan ID.Nr,mb,, (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound 4 NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTIO E. 71 Joseph Rivard 1 ADDRESS R. 1, Somerset, WI 54025 ~s )P3 D 01 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF_ PT-ELEV.. CST REF. PT. ELEV. NW-4 SW4, Section 31, T31N-R18W, Town of Star Prairie Name of Plumber. MP; MPRSW No. County Sanitary Permit Number Cal Powers, Jr. 1563 St. Croix 64910 SEPTIC TANK/HOLDING TANK: MANUFACTURER 11 LIQUID CAPACITY. TANK INLET ELL V.'. TANK OUTLET ELEV.. WARNING LABEL LOCKING C V oft PROVIDED: PROVIDE YES ❑NO ❑Y S ❑NO BEDDING. VENT DIA.. VENT MATE. HIGH WATER NUMBER OF ROAD. PROPERTY WELL. BUILDING. JVENTTOFRESH CSL C* ALARM. FEET FROM LINE: AIR INLET [:]YES N ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING LIQUID CAPACITY PUMP MODEL PU !SIP ' N MANUF ACTUREH WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. ❑YES ❑NO # ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CO O ERATIONAL NUMBER OF PR OPE RTV WELL BUILDING VENT TO FRESH I AIR INLET (DIFFERENCE BETWEEN y FEET FROM LINE PUMP ON AND OFF) ES ❑N'O _ NEAREST 111 SOIL ABSORPTION SYSTEM. Check the soil moisture at t de th of Plowin JLENC11f DIAMETER MATERIAL AND MARKING g FORCE or excavation. (If soil can be rolled into a wire, construe IT shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH. LENGTH INOEOF DISTRPIPE SPACING COVER -PITS LIQUID BED/TRENCH r' C TRNCHES MATERIAL P:T DEPTH DIMENSIONS ~J - GRAVEL DEPTH FIL DEPTH DISTR. PIPF DISTR PIPE DISTR. PIPE ATERIAL. NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH BF LOW PIPES ABOVE GOV ER. ELEV. INLET ELEV. END PIPES.`. FEET FROM ,LINE: AIR INLET: y, L NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain tinat it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand TIONS MEASURED. ❑YES ❑NO SOIL COVER TEXTURE PER ANL TMARKERS oesERVArIONwELLs ❑ ES ❑NO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVFR TRENCH: BED DEPTH OF TOPSOIL. SO DED SEEDED MULCHED CENTER EDGES ❑YES NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LLATERAL SPACINGGRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRNCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ? ELEV.. ELEV.. DIA. ELEV.'. PIPES.. DIA.: 1 ELEVATION AND DISTRIBUTION - VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING. DRILLED CORRECTLY COVER MATERI 'L PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: JBUILDING: FEET FROM LINE. ❑YES ❑NO ❑YES ❑NO NEAREST C C, _.-6 ~Re Mn in county file for audit. Sketch System on i Reverse Side. sICNATURE TITLE ~i _71 DILHR SBD 6710 (R. 01/82) i ~ 0 WISCOnsln APPLICATION FOR SANITARY PERMIT ; ~ DILHR COUNTY (PLB 67) UNIFORM SANITARY PERMIT # OEPRQTTT1EnT OF In OU57RY, LABOR 6 HUTRn RELGITIOnS 6>i -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/2x 11 inches in size.. -See reverse side for instructions for completing this application. PLEASE PRINT PROPE TY OWNER MAIL NG ADDRESS PROPERTY LOCATION C4-TY: VA) N, R (or)~ VIt. O F: e'lvl 1/4.S 1/4, S , T3 TOWN N OF =NUBER BLOCK UMBER SUBDIVI ION NAME NEAREST ROAD, LAK OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED C'~/~ O3 //07 O QD 1 or 2 Family Number of Bedrooms: Public (Specify THIS PERMIT IS FOR A: ❑ New System Tank Replacement ❑ Repair 1 Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity , Q Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of he pri to sewage system shown on the attached plans. Nam of Plumber (Print): Signature: i j MP/MPRSW No.: Phone Number: Plumbe 's Address: Name of Designer: J,4: S:~ 7, COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fe Date: ❑ Disapproved < e ❑ Owner Given Initial s Adverse Determination Reason for Disapproval: c~ Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398, To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property _'4 14, Section T _ N - R _ W Township '~re____~Y,r~/Ln% _ Mailing Address Subdivision Name - Lot Number Previous Owner of Property r~,L Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes` No Votume and Page Number as recorded with the Register of Deeds .INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: - I Warranty Deed , 2. Land Contract 3. Other recordings filed with the Register of Deeds Office i In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPFRTV OWNER CERTIFICATION I (We) cmt { y that a4Y b tatements on this 4orLm ane t ue to the beet o4 my ( oust ) knowledge; that 1 (we) am (ahe) the owneA (,5) o A the pnope t ty de s cAibed in .thi,6 %n~onmatcon Konm, by vigtue o6 a wwftanty d ~-r7 .d neeondeedd in the 046 ce o{ ,the County Registers o { Dee.dz a,5 Doeumen Na . 7 and that 1 (we) present y own the proposed/site {ion the sewage pos I5ystem (on 1 (we) have. obtained an eaAement, to hun with the above de/scAibed pnopeAty, ion the eonst,tucti.on o4 said system, and the Same h" been duty Aeeotded in the 046ice o4 the. County Reg-isten o{ Deed, " Document No. ) . j SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED y ' r S T C - 105 r y SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County d y . -i&w ra OWNER/BUYER - ROU'T'E/BOX NUMBER / Fire Number- _ C I T Y / S T A T E F1/ - 1 - - "l. l i'_1 PkOPERTY LOCATION Sect ion i N, R W, Town of St. Croix County, Subdivision Lot number - I Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed se~tic tank pm)er. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix. County residents may- be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri tying that (1) the on- site wastewater disposal system is in prOJICI Operating condition and (2) after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to ti three year expiration. o I/WE, the undersigned, have read the above requirements and agree Un to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- 110 ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE -Z--- - St. Croix County Zoning Office P.O. Box 98, Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. v N 'r m x , x m v cnw~~ ~m-.-.`<p~ o cD x (a o o ID 7 ° Q p c p w w can 2 0-3 '0 fO c 0- 3 c ca co p 2 p (D' a (D (D p c %MCD~ ~ g g oo ° aw A i (Am CD CD CCD (n 0- w CD O :3 cD CD (o CD o O (D (D 0cDO 0 0_ 0 CD C: O_ 7 5 to w no 0O _G O cp ~ p Lc- cc3 0 U) 3 n 0 E! 5 O O _0 p w (n - 'Coo Z .a .o n CD w A CD c Q O (D ton Cn: No D c ip O o o O L O to (D O O P-) o ~c ag w C V1 & P CD (=Dr :0, Z w c ~cmnm mD(DDCD D m a (D o 3 N' CD c~ o0 171 a na =w w o 0 > > w QN a o N =a(o g N V Ch w a ccn w w CD C m CD cn CCD , 3 3 'a OL (D 0 U) CD 0 CD U) N, to > Z3 <0 - roc r.m -.9 cioo:NUS ~ w ~ ap 3 a c Q 0 c*= m a p in c c Q w O m CD CA o w =gym OL acv; Q O. . ~ (D w (D N n 0 o L~ c0 7 l< vi p 0 CD o °c (D 0 c CL p ` o U) CA. 0 O o co w -c. (~D (D c (D air a 7 0 0. ? C (D w 0 0 V ps C c 3 p j p° 3 ' N (o o CAD O DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY; DIVISION LABO13 AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LO ATION: SECTION: TOWNSHIP/M ALITY: LOT /N.: BLK. O.: SUBDIVI ON NAME: 1/a /T3 N/R L~ (or~ UNTY OWN R'S/BUYER'S E: M ILI G ADDRESS: - i),- USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMERC AL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence ❑ New Replace RATING: S= Site suitable for system U= Site unsuitable for system - s CONVENTIONAL: MOUND: IfV-GROUND-PRESSURE:SYSTE -I -FILLHOLDINGTANK: ECOMMENDEDSYSTE :optional) S ❑u ZS ❑u s ❑u ❑ s ®u ❑ s ®u 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: Floodplain, indicate Floodplain elevation: PR ILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATE CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 3 - Albivic B" 2" ~ f B- - - - f1f B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INeH- H AFTERSWELLING INTERVAL-MIN. PERIOD PERIO PERIOD .3 PER INCH P- 7 / sr P P- AIPAIZ Z) P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate sca~e or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show th n of all borings and the direction and percent of land slope. SYSTEM ELEVATION 'Sal If t N t~ c~~s 3 e ; E , _41 , E E I, the undersigned, hereby certify that the soil tests reported on this form were ma e by me in accord with the procedur and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location fthetun are'corr at to.the best of-my knew ge and belief. NAME rint): " TESTS WERE COMPLETED ON: / s, , 'At ADD S CERTIFICATION NUMBER: PHONE NUMBER (optional): - CST ~JN,~ITIJ_RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - To be a c _ phat and amur arc3 sa at, ymu mpN c man ,sQ?sr;==: f, co tphnp my de r3pi(n1.,r, 2. The SU FL. =Lift m ant cWa ly Mum `.°Jhed `i t1 s . a i pskOnce or ct+C£ m ,rdal 1}a Cbpun; 3, number of bc.Boarnsor m'rt?.,YI:dCk! E: a,,Er{a3rd; 5 n he ad .rl ;t"'Y i M,.tg boxes.. An SITE 1. r' _1 FOR A HA-DING TANK ONLY IF ALL. a.. PLEASE i._ i s _Lf3''E k -.3 shown tl.=„'i( for king ptruili; dc'scril3nion a w i;wn(3iWWg ,lc plot than; t MAKE A i...F_ GlVi_y dld1w,.r."i aCaC t,l a:;i:'p' (.r..tin,j yt,L[t 1''..,°'. c;'.:xit:i`?n<,. D .itviiltF iki si.e3?t, is ,-iwl"t'3"{"ed. A sopan,rt-slwet may be u5c-I if df~,,J! '(11; .E, :e yi?>,.Ii to..lci'tY"W and voila! t,,n,zi t;yamra t„$ogitfs, plCarF ~.IE. CCe,z€r£~ shoovnr;.93a Pe'Ellizn°32i; n1 ot-ez A ag)lrrofE€ime 13 x :s. as to des, s'(a3C"€"ek <;;ddr-eS.ab t;C't3 l plain data, p)t:~'rcolx'a!:ion esf 6.'xerlp- e.ip { pihoc; K"+ as MA yi?=l E:'. n) dM MA Eam"q g lz,,- o .A, n thu api:n,opriat€3 lox: art` -Ctr3 ,i .a.-,C8 Place xt. a.a ,::.i W v.-. t not v L3a C.r , t}Q".0'i number; 3iw ,'-.i. SOIL TES72 MIST 'F 7 _c.. D atl HE Swan ova Ill') 0112,ock t €.r rM t,. c. 7 W) LS i 3t7€f~5ttlilc^ r r sand "i. tJ - ! , G ~ Lri t5 7E il'-a'ai.£'r Coarse `.i,:_1 c P .alga . o 1 91ai.%=, r S, AV „t, f> Y irk s - t,J :I I i Law, Simi Gre~n,~( Sandy Loyr, Less Thu r Lna.-o Br: Brown r. - t ir, Sit Wanr Sill Gy Gray ,may Loon y..., air Swan; Coy Lown R Rol S"My My VV/ Yolk `'tMY t. lav iii Far t'P3> Wrt Clay cc swunst cmirm G i " t t-a n Maw ;,4 t l ut at Pon T! AOSAW,l ,Jr a PAGE OF Joc~°S cf sf'r o S S c' I u (--I O t~ l~l r J 5 r'- 1 Frs&h At( Inlolc And Obcervaflon Pipe Approved Vent Cap Minimum 12" Above Final Grade 2U - 42" Above Pipe _ 4" Cost Iron To Final Grade Vent Pigs Marsh Hoy Or Synthetic Covering m1n 2" Aggregate ' Over Pipe Distribution Pipe 0 0 0 0 0 - Too 6" Aggrhegou• o Perforated Pipe Below t Pip Benea o - Covpiing Terminaling At Bollom Of Sysletn jDF,nJ SOIL FILL DISTRIBUTIOFJ PIPE A,PPROVEO ~IM'TNETIC COVER ° `MAT~RIA~ OR q` OF STRAW r OF /AGGREGATE ! ~j OR J1ARSN HAS ° i ° (o OF 2_x12 AGGREGATE tLEV. aF-?& FEET-... DISTRifj'JTIOIJ PIPE 'TU BE AT LEAS-T IUCHES BELOW ORIC IIJAL GRADE AMU AT LEAST20 IUCHES BUT IJO MORE THA1J H2 INCHES BELOW FINAL GRADE i MAXIMUM DEPTH OF EXCAVATioo FKoMl OKiGVJAL &KAoF- WILL BE _ WCHES MINIMUM AEprVi OFEACAVATIOM FKOY~ C*161MAL (Ravf- WILL BE -36 irvcHEs SIGUEO: LIC E1J SE K-10MBE R: DATE xs-- i „o ~s 3b s3 ~B rX 978 may' Q ~,c 97s ' 3C' ,13m ~ 36 Cl/ / Y _33~t /J / ~ r Parcel 038-1128-90-000 01/26/2007 09:16 AM PAGE 1 OF 1 Alt. Parcel 31.31.18.524A 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 - RIVARD, JOHN M & CATHERINE A JOHN M & CATHERINE A RIVARD 1828 CTY RD C SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1828 CTY RD C SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 44.830 Plat: N/A-NOT AVAILABLE SEC 31 T31N R1 8W NW SW EXC PARCELS IN Block/Condo Bldg: VOL 554 PAGE 112 & EXC PART TO CO HWY AS IN 771/526 & 783/203 & EXC PT TO TOWN AS Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) DESC 814/420 31-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 12/23/2002 703413 2089/219 WD 09/23/2002 691402 1986/165 EZ 07/23/1997 1038/162 LC 07/23/1997 814/420 2006 SUMMARY Bill Fair Market Value: Assessed with: 175830 Use Value Assessment Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 26.830 4,100 ___,_0 4,100 NO UNDEVELOPED G5 15.000 1,500 0 1,500 NO OTHER G7 3.000 30,000 138,100 168,100 NO Totals for 2006: General Property 44.830 35,600 138,100 173,700 Woodland 0.000 0 0 Totals for 2005: General Property 44.830 35,600 138,100 173,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00