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Parcel 038-1123-30-000 02/09/2006 04:12
PAGE 1 OF 1
F 1
Alt. Parcel 30.31.18.511 D 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 - PARADIES, JAY E & DARCIE M
JAY E & DARCIE M PARADIES
1926 90TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1926 90TH ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 1.210 Plat: N/A-NOT AVAILABLE
SEC 30 T31 N R18W PT NE SE COM SE COR SEC Block/Condo Bldg:
30; TH N 1420.8 FT; W 33 FT TO POB: N 25
FT; N 5 DEG E 80.5 FT; TH N 79DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
371.6 FT; S 34 DEG W 150 FT S 83 DEG E 30-31 N-1 8W
446.27 FT TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
03/28/2002 674759 1862/336 DMA
03/28/2002 674757 1862/318 WD
07/23/1997 812/251
07/23/1997 705/123
2005 SUMMARY Bill Fair Market Value: Assessed with:
119725 283,700
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.210 107,500 171,300 278,800 NO 05
Totals for 2005:
General Property 1.210 107,500 171,300 278,800
Woodland 0.000 0 0
Totals for 2004:
General Property 1.210 107,500 158,200 265,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 08/22/2005 Batch 05-3
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
y CL't>c?Lrr~~ "l~ Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC. _ T Z_J_N-R_J_& W
ADDRESS c 60(_, ti ,,4'+ A, a ST. CROIX COUNTY, WISCONSIN
,t' ~iKl^,~A~J r7? rte „
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I:LH.R 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used S4
Elevation of vertical reference point: / 6~O Proposed slope at site: '2 170
SEPTIC TANK: Manufacturer: l~ K , Liquid Capacity: I g o o ~~yG~
Number of rings used: Tank manhole cover elevation:
Tank Inlet Elevation: 20 Tank Outlet Elevation: ~ZZ
Number of feet from nearest Road: Front ,~LLSide 0 Rear, O IC) feet
From nearest property line Front,0 Side ,Q Rear, O feet
Number of feet from: well building: ',ll
Cam'
(Include this information of the' above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/S'phon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elev ion: Gallons per cycle:
Alarm Manufactu er: Alarm Switch Type:
Number of eet from nearest property line: Front, O Side, O Rear, 0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: Length: Number of Lines: Area Built:':~C ~
Fill depth to top of pipe: j~
Number of feet from nearest property line: Front, O Side, Rear, Ft "'4
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Nu er of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built-
Has eithe a drop box O or distribution box O been used on any of the above soil
absorb ion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
r
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 : ~3c~c
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUM,A.N RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BC, f 7969 BUREAU OF PLUMBING
.MADISON, WI 53707
XXX CONVENTIONAL ❑ALTERNATIVE State Plan Number
(If assign dl
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER'. INSPECTION DATE:
James Larson 2606 Ruth St., Little Canada, Mn _ j~ _9y
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: ICITRE1. IT ELEV.
NE SE, Section 30, T31N-18W, Town of Star Prairie
Name of Plurnher'. MP/MPRSW No. Cou my Sannary Permit Number'.
Gary L. Steel 3254 St. Croix 58903
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. a LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV.. WARNING LABEL LOCKIN _ R
PIDED: PROM EDr
\r/ C: lll %J v'✓~ J DYES ONO ONO
BEDDING: VENT DI JVHIGH WATER NUMBER OF ROAD: PROP ERT JWI I4 BUILDINGENT TO FRESH
ALARM FEET FROLINE'] AIR IN LETOYES DYES ONO NEAREi/~. f..
DOSING CHAMBER: v
MANUFACTURER 7YING L IQUID CAPACITY PUMP MODEL PUMP/SWARNING LABEL LOCKING COVER
PROVIDEDPROV IDE DES NO .OYES ONO OYES ONO
GALLONS PER CYCLE: _7 N D CONTROLS OPERATIONAL NUMBER OF P 07/ TV JWELL BUILDING (VENT LE FRESH
(DIFFERENCE BETWEEN FEET ROM FINE AIR IN T
PUMP ON AND OFF) DYES ONO NEAR ST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE FNi;TH DMATERIAL AND MARKING
or excavation. (lf soil can be rolled into a wire, construction shall cease until MAIN fx the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
BED/TRENCH WIDTH LENGTH NO OF DISTR PIPE SPACING COVER INSIDE DIA UPITS LIQUID
P TRENCHES M'ATrt1AL: PIT DEPTH.
DIMENSIONS -•lk
GRAVFL DEPTH FILL DEPTH I'EftTl"I . PIPE DISTR. PIPE DISTR. PIPE MATERIAL . NO'. D H NUMBER OF PR OPERTV WELL . BUILDING . VENT TO FRESH
BELOW PIPF~ ABl)XE COVER NLF fELEV. END _ PIPES 1 LINE/. / AIR INLET{
P r, ,0~ ~~cr NFEET FROM C/
EAREST--~ ! V
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 cert that it fl EVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sang. TIO S MEASURED.
OYES ONO
SOIL COVER TEXTURE JPEFMANENTMARKERS OBSERVATION WELLS
EYES O OYES NO
DEPTH OVER TRENCH: BED DEPTH OVER TRENCH: BID =SOIL SODDED ISEEDE MULCHED.
CENTER EDGES
❑yES NO OYES NO OYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH LENGTH TRENCHES LATERAL SPACING GRAVEL D, g H BELOW PIPE FILL DEPTH ABOVE COVER
DIMENSIONS /
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD ATERIAL. NO DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING.
ELEV.. ELEV.. DIA. ELEV.. PIPES CIA.'.
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS.
OYES NO DYES NO
COMMENTS: PERMANENT MARKERS: BSERVATION WELLS: NUMBER OF PROPERTY WELL: JBUILDING.
FEET FROM LINE:
❑ YES ❑ NO DYES ❑ NO NEAREST
C/ cj~
Sketch System on Retain irNcounty file for audit.
Reverse Side.
SIGNATURE. ]TIT LE
DILHR SBD 6710 (R. 01/82)'..
e Wisconsin APPLICATION FOR SANITARY PERMIT
~~-COUNTY
DILHR
DEPPRTrT (PLB 67)
1EnT OF UNIFORM SANITARY PERMIT #
O InDUSTRY, LR60P 6 HumRn RELRTIons
~y' 03
0
-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
PROPERTY OWNER MAILING ADDRESS
i - Cod
PROPERT OCATION e}{~r;
P C 114,56-114, S ~a , Tom, N, R (p~ V1t-t!*6F: 'Z=5/15W t
O~ (DC) W TOWN OF:
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME T AREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
t (1 .
TYPE OF BUILDING OR USE SERVED
1 or 2 Family Number of Bedrooms. 2 ❑ Public (Specify):
THIS PERMIT IS FOR A:
New System ❑ Tank Replacement ❑ Repair
Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepage Bed K 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 0 J
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):
3 L30 Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installati of the private sewage system shown on the attached plans.
Name of lumber (Print): Signature: ktP{MPRSW No.: Phone Number:
00 t~' ~ (his )Z 6 'fv Zesty
Gar, ~
Plumb is Add ss: / Name of Designer:
COUNTY/ DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date:
❑ Disapproved
❑ Owner Given Initial
XApproved Adverse Determination
Reason for Disapproval:
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 POI2 SAN'TARY PERMIT
T C - 10o
This application form is to be complete(' in Cull 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.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
i
Owner of Property
Location of Property E. ~4 'jC. 't,, Section T N - R i~ W
Township ~7'`At1Z.RR,A i (Z1
Mailing Address
Subdivision Name A
Lot Number &&" 11 4z- `PA-(L tel.- o F _._-A-y- .Ae-"eo '&A "iE 7
Previous Owner of Property 71iM<T14 4(~~fA I%-
Total Size of Parcel .''Z( c7
Date Parcel was Created] -
Are all corners and lot lines identifiable? x_ Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume f7 ~ and Page Number +t O as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed /
2. Land Contract V
3. Other recordings filed with the Register of Deeds Office
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.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTT.FTCATTON
T (We.) cmtiC)y that OX ~tatement~s on thii {mm ane fihue to the bmt os my (ouh)
know~e.dge; thc t T (we) am (aAe) the owneA(,~) o{ the pnopetty deScAi-bed in this
in6o)7mation KolLm, by vi)ttue o{ a wa"anty deed necoAded in ,the. O~Aice o~ the
County Regi.AtcA o A De ed.6 at, Document No. 35 -"1 5~, 0 ; and that 1 (we)
pneAentky own the p,~opo5e.d Ate. {ion ,the. 5ewaQe~o-a..e ,5y~te.m (on T (we) have
obtained an eabe.ment, to ~,un wit-Pt the above deA-u14be.d phope'tty, {ion the
eon,sttuetcon o~ said byd,tem, and the. Game hay been duty 4eeonded in the O{(ice
oA the County Regiz.te,.7 aA Doe.ume.n_t No.
.IGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE. SIGNI?) DATE SIGNED
LL I
1
H
'Y
S T C - 105 r
y
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County
0
y
OWNER/BUYER M~5 (,40VL>C>1.1
ROUTE/BOX NUMBER JZCAA Fire Number
CITY/STATE
-MEN-S_~'~--- ------z1i,- 54-d"z
PROPERTY LOCATION: Ito; i4, --_-_`'a, Section 3v T 31 N, R W,
Town St. Croix County,
Subdivision Lot number
Improper use and maintenance of your Septic system could result in
its premature"tailure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
it needed, by a Itcensed S-e1)_tic tank pumper. 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, L978. St. Croix County
accepted this program in August of 1980, with the requirement that
owners of all uew systems agree to keep their systems properly
ma intatned. - -
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a.licensed pumper veri-
fying that (1) the oa-site wastewater disposal System is in proper
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 :cent approximately 30 days prior to
three year expiration. Ho
F.
I/WE, the undersigned, have read the above requirements and agree
i
to maintain the private sewage disposal system in accordance with x
H
the standards set forth huf`Oin as Set by the Wisconsin Depart- w
[rent of Natural Resources. Certification form roust be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED
1) ATE
-
St. Croix County Zoning Office
P.O. Box 98
Hammon -d, WI 54015
715-7''6-2239 or 715-425-8363
Sign, date and return to above address.
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Il i
DEPARTMENT OF - REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX ON, WI 7969
HUMAN RELATIONS
(H63.09(1) & Chapter 145.045)
3'k (
LOCATION: SECTION: TOWNSHIP/Mtlt~- Y: LOT NO.:BLK. NO.: SUBDIVISION NAME:
3v N/R Flo, W
4 /4 or)
COUNT OWNER'Sh&bll`E S NAME: MAILING ADDR SS:
t
AANA4 .
~a 1
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TEST-S-71
Residence I
2,ew ❑Replace I /~L~ J/~ / 14
RATING: S= Site suitable for system U= Site unsuitable for system l
CONVENTIONAL: M(OOUN(D: Ilks ND-PRESSURE: SYSTEM-IN-FILL HOLDING T~jA'NIK: RECOMMENDED SYSTEM: (optional)
1S ~U UZ-J ❑U ~U J Zu E IS ICJY
If Percolation Tests are NOT required DESIGN RATE: If an
1 y portion of the tested area is in the
under s.H63.09(5)(b), indicate: f~/fv Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS G
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF S IL WITH THICKN SS, COLOR, TEXTURE, AND DEPTH
NUMBER FiN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- Ap 10
B > iI. S,0-
Ivo
B- ,3 d /V L 8 %l. S 'k ' a,1:~ 5,~1 g`~n . E s
B- 0 A)
A20 A) L
B-
Slrngl~ PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 141G++FtS AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PERK INCH
P- 7 (o C J
P- z o 4. -3
P- 3 !a -
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
,P1P~ df1,
/04
• ,
3
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 the location of the tests are correct to the best of my knowledge and belief.
NAME (print - TESTS WERE COMPLETED ON:
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
2Z S~ 2 -
CST SIGN U E:
C
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DII_HR-SBD-6395 (R. 02/82) - OVER
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