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HomeMy WebLinkAbout038-1031-20-000 0 to 0 3 'v n d 1 O y C 11 O r 7 (DD 7 3 A ^r K 'fl ~ C 0) CD (D # 3 p ` `l 3 ~o co = O~ c~ `C• n 3 O 0-0 w a f(D Q lD Z N 00 F C. w ~ No c o V) I I . - O CL O 7 CD A N O c° tD _ _ v n o D o V) m o p 3 ° y N N O .r C N O D1 A W m v> ~ D a N CD 0 N Cn o W crn (D 3 O o m i « o rn m N N N N O C * cr z O O O = ~ytr~ c > N c D O O W - A (fl ,'y O Df - N O cn k ° CL Z ° z z 0 D D o TJ v p J ``1 O W N fl 3 Z c CD -4 CD A \ W z _ w n 3 N z O _ z O r! m co 3 N z 4 rt zpm ~ Q Qo N a ZQQp _ (A N _ ~ C O 7 O _ ~ oo m o a m S N ~l O N y N d Co zr a) W W cn O CL A Q V) O C CD m ~n b SO, 3 o CD m N CD C(O N K S O V O (n 0 N O 3 C p N O N O_ d ~ cu cn 7 N O N (D D0 O ) p ti b O i ti Parcel 038-1031-20-000 05/02/2006 07:41 PAGE 1 OF I F Alt. Parcel 8.31.18.144A 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 - LARSON, STEVEN J STEVEN J LARSON 2282 95TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2282 95TH ST SC 3962 NEW RICHMOND ~ 2 6-xA~ SP 1700 WITC Legal Description: Acres: 10.990 Plat: N/A-NOT AVAILABLE SEC 8 T31 N R1 8W 10.990A IN NW NE LOT 1 Block/Condo Bldg: OF CSM IN VOL I PAGE 150 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 01/18/2002 668659 1818/84 QC 07/23/1997 823/501 07/23/1997 794/31 07/23/1997 783/321 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.990 78,100 148,500 226,600 NO Totals for 2006: General Property 10.990 78,100 148,500 226,600 Woodland 0.000 0 0 Totals for 2005: General Property 10.990 78,100 148,500 226,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcrrl 038-1031-20-000 12/27/2005 09:27 AM PAGE 1 OF 1 Alt. Parcel 8.31.18.144A 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 STEVEN J CARSON O - LARSON, STEVEN J 2282 95TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2282 95TH ST SC 3962 NEW RICHMOND SP 1700 WITC (egal Description: Acres: 10.990 Plat: N/A-NOT AVAILABLE EC 8 T31N R18W 10.990A IN NW NE LOT 1 Block/Condo Bldg: F CSM IN VOL I PAGE 150 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 01/18/2002 668659 1818/84 QC 07/23/1997 823/501 PHA 4 07/23/1997 794/3-1 07/23/1997 783/321 2005 SUMMARY Bill Fa ue: Asse . 118776 230,600 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.990 78,100 148,500 226,600 NO Totals for 2005: General Property 10.990 78,100 148,500 226,600 Woodland 0.000 0 0 Totals for 2004: General Property 10.990 78,100 148,500 226,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1031-30-000 12/27/2005 09:31 PAGE 1 OF 2 F 2 Alt. Parcel 8.31.18.144A1 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 - LOKKER, VERNON E & BETTY L VERNON E & BETTY L LOKKER 2258 95TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2258 95TH ST SC 3962 NEW RICHMOND SP 8050 SQUAW LAKE RHAB & MANAGE SP 1700 WITC Legal Description: Acres: 11.000 Plat: N/A-NOT AVAILABLE SEC 8 T31N R18W 11 AC IN W 1/2 NE 1/4 Block/Condo Bldg: COM N 1/4 COR SEC 8 S 1123.93' TO POB S 87 DEG E 563.32'S 13DEGW 156.11' S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 17DEG W 95.28' S27DEG W 144.75'S 31 DEGW 08-31N-18W 136.35'S 19DEGW 74.34'S 7DEGW 96.55' S6DEGW 213.84' S15DEGW 329.12'S 23DEGW more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 797/531 07/23/1997 678/159 2005 SUMMARY Bill Fair Market Value: Assessed with: 118777 256,100 Valuations: - ,,Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 11.000 78,200 173,500 251,700 NO Totals for 2005: General Property 11.000 78,200 173,500 251,700 Woodland 0.000 0 0 Totals for 2004: General Property 11.000 78,200 173,500 251,700 Woodland 0.000 0 0 I Lottery Credit: Claim Count: 1 Certification Date: Batch 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 114 . STAR PLti 1 N PRAIRIE k w E T -31-N • R-18-W I. S © Farn) & Home Publishers, Ltd. POLK COUNTY 800 9QQ POI.K/5T.CRDIX RQ 10 10i ii 1100 CPJ3➢INAL 72„~01300 1.400 r Teske 2 4.: 'Yt4.4 s 7~Z I o D ➢ Phrll N F ~Famil} Douglas a 1M. W h x r Farms is s t. sr3 CEDAR M kc ~$E n d r,o,~r o u c l a-m Randall & s Rivard T ,.,t ~a5 ht-~ LLC o, E" ~D u. d. E^ r Mary 0 174 1 Sri ,rCk ='83 C T1,'..J. 84 n n ne J &G = w Demulling S ll'R T b h_ = 201 t CEDAR IN TO DR 2i 44 Irrs r DR =t.,~1 Gre orY& 1, I. w sm < h i - 3 ems `;Yme LSA a Nelso - _ ~I & I in a IF t& \N[IdLfc Trdmd < u J a o Wilson 80 xoso ,6o r4 M111 Rodney 11 Vince t n ~1 t. CflT'° IlFvaid s C E 127 c c st ^ A E n F 1 142 M .emoe,., v ,62 1, ,dl,, 5 L ~~e~. 1 N 11 „ > Peter.=a 20 > Y 8 _ E^<^&£ Q D n 3o h1 ,a - llm II 40 2 Rsn 32 2 ~n _ a LF 4 '6 .h - 'sry TO d ~ n 3r E-hd ^r L.RI pp, 4~ - N Ge LH 1 ro tL G 6 $Usa ~ Gene & It l ~i 5 - 38 L 38 n~ C t Alva 40 IZ 4 I 4 60 hs J NelSOn t R 1 ,d 13' /c& bot LE ~ Oxon°~ cfll, I1- din ~ I Brian 80 v 12 1 s Fuan~r st, I CC 1^ Vogel l OLD MILL RD l + " &wudE ~y 15n 555 an II _ D n,el R R - TI- 1.11 a- Lon]se 54 ET 10 led- ID d & IN RflC ZO Ahlness I 40 1 so' & } - nil he<^ rman Geri fit ' ^c omn o - Gary h Ijy 117 Ed.. 22 _ - 2 I _ - 3 I 7 rre F o - en e 24 ' zo e( 1 t USAF ^I W11d11fe -1L ]5 1 t ~a x`<n _vs I39e U~g¢ t din .1~ r. so, 236 1 M „a fl 1 3 c ~K ° 220th AVE 40 13 [ 40 40 s r L > J J. 3r1 E 13 _ 73 7 M E Sp'?N, lttu ASE 1 3 c ` [7 a f ~4 N Neeth e E U I& CS t+ c zY Norman 77 Virll m I3 1 3`i L _ - I - 4 + . & Joyce - - i - Pine Crisdhl I _ Scott l Be I 'I 1 giua 11 r io 3 4 Mante 1 Acres Farms j- lflK ZO 1 I lso 108 _9 l C Inc 156 1 83 _ t 9E ? , R Q x ~i 80ounter { _ t 1 Ma k 1~8 ID&) 20 r "~k iz + 1t Avv & t4.- 1 Wall h Brll a -a, s t4 dt ` - ° & P t r l , , Estates Nbrt11 iC. ' ° g Mon ~1&s vo ~e tr< Jo eh Lar 1 " ,.`3•d ` 1 Ba W Du,,K M tR I I 3 d Cu I .Ha I Inc 75 5 ¢Y3ttiC tlRts i 133 t s - T _ a I Veh 5 mas TAa 02o 1& N' d ITfti 20 - 0 DdVI(1` '1135 T ii E w and n ru nn ~5 r n A b O Cook c- a 4 ~3s ; 2 2, 1i w ,.4 ¢ 79 11 211 Z y 4} p 210th, AVE 1, 't too o x I 3 43 210t ~✓E Km F 1-ph E tt d - elai I II ` -421 AI cc,t 3J Bruce 4\ yne I vt"i 4 ! R ad sad 1' e - zs a r i - Mary 3° - Emerson R.- ik < Thomas ~ Be W I I urde P411-1111 k 4C ""."t 59 S 9Ild - 3!9. I39 )ones 171 I rr _ _ r ^ Th 0 R D i lila& t ~ T_ J, P & F 4 ` z" -g t 59 O Ri.a d h~ xr 79 20 80°^ Go I e _ a+~~ fl t d tally. ge as Steven & b 14o ~K. C ,thl 4 A, lun E zo <Germa Er y 205th 4 ka AE ,a Folie ~I' C .k 1 40 - ~I G1 e Cr,s Dze V , 78 2o79 ~9 t Wick nhauser 1^^^a ;7-11 Ed Ralph fly o 142 Manny 1 s 3 Gerald lit & M y d a Cloutier Ph°'p 71 a Rosene , Mod I8 sAnna f 1 - k ` _ _ ypa5 Bonestr oo ~3- c ,v - 1 r n b W yne 1 T5,1 T jDC 13 ~A b & Anderlik 2I 14 RTS New 80 f t 2 f+{ 30 Ietal Rtyd - 175 'G 1-- S&Assoc I4. 4r R hmond \ F 1 sLi -~6 94 4 3: LLC 80 2 3 45 10al 1 ]57 f. 79 96 Carr 54 7 'i-1 hangmire t 1 ~~:4 Country a l L4~4 414 ste)en~ I L k ,de, ey oars<on E d )nc ph I Inc F J°` Living .raid & " 4 41412 & E` Genevieve Jose j P' grist 2 ! 146 yl s Z } _ Al rcella wrkenha t Francois 62pp`'- & Y ~Rktgc 6 BTckes I6or+-. 213 vd,xn,. III V 1'1 £&Yah 1 , g D nlcf ) 90 T11 st 221 fl Ia loo fr 1) a_ . ~s r~(~ Ba ~nar ~39°^ 1951hAVE L7 - aflr Ga > o Daniel 1 A~V it ~ 2 F~>aa7ar 40 ease} 40 r p<u`n„'i„ - - o= s:7 1,1+ -IZx12 1 vfere so is ary ~r~3 K I OiTP al9nt. / 4a a Kh1 BM 34 - Z 192,4 AVE 14 o ml $t GTO1X 1 ICI I 1 Victor County Houle 1&1 e dor_1 11 ? JsL 22 c Myers 111 a~ H 80 Farm 120 72 5 M_a5 ]5 _ - - _ - - - - _ eow 10 . c2 o 3 40 1' - - - - - /~lan I & St CYDIx County Of t~ J > -190th ;AVE - c lyn C. Health St Cron, 1 as She man ~4 R g n 39 ~Ne by I]S to MI hael / I A tcY &M Y I SO 120 ° hndnck & can _ John brizo j~ II Boucher gihl r ao h 40 1851 Q'. _.3 Rivar d , 1 R 1 r & 157} Mk 1 / e 726 Lindalou~ M d rs, N I e~^' x Z? Ji Lakeside wCLRR nsen I~tzo _ oo K ds . I~ Je Z Ali- 73 u l^* M k & Michael & ; Inc 127 e if tlne I Kathl el's ^ - 3 1" c 1 41 RI I R& j & 1 Dss 'q 130 6 CD a C IFIIm Cod] cdyg ~p s g r ~t3 ~D n 108 3 c -p 49 n col 1 1 , '~h s 1 t 31` 11- 34 SOMERSETS PA(,- 62 RICHMOND PAGE 48 FARMINGTON MUTUAL-4 §URANCE CO. TORN swINGLE, D~ Osceola, Wisconsin -Since 1$78 BRIAN LORI VON RUDEN KELLER, D~ , DA for more information contact our office:. Phone; (715) 294-3186 or 755-3186 MEREDITH SMITH, D Fax: (715) 755-2998 T Pull Service Veterinary C I; OR CALL, YOUR DIRECTORS OR AGENTS s Y 24 Hour Emergency Se I` Grooming & Boar I JOhHeintz Stack 100000ce Richard or Sharon David Neidemire 1231 N. Knowles AV n_ 248-3833, 4A44tl4' McCurdy '2§4-36gy;1 265-4614 646 93,3 5-246-5606 New Richmond, WI R 1 248 %Ok1 Web Site: cotmtrXsidevet-nr Henry Heintz Bremer InSUrance 'rPhyIIiS Clark Edward Sontag FAX: 715-246 9256 L-Mail: countrysidevetCfrontiernc 57-344 X35=2744 >?se-~ozs 549-6579 . COUNTRYSIDE VETERINARY CLINIC 66 Parcel 038-1032-70-000 12/27/2005 09:14 AM PAGE 1 OF 1 Alt. Parcel 8.31.18.147 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/19/2004 00 4 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner RETIRED HEINTZ O - HEINTZ, RETIRED Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 905 CTY RD H SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 39.610 Plat: N/A-NOT AVAILABLE SEC 8 T31 N R1 8W NW NW EXC.39A TO TOWN Block/Condo Bldg: 542/261 433/312 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 542/261 07/23/1997 433/312 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/23/2005 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1032-70-400 12/27/2005 08:54 AM PAGE 1 OF 1 Alt. Parcel 8.31.18.147D 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/19/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HEINTZ, JOHN N & PATRICIA J JOHN N & PATRICIA J HEINTZ 905 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 905 CTY RD H SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 31.930 Plat: 4863-CSM 19-4863 038-04 SEC 8 T31 N R1 8W NW NW CSM 19-4863 LOT 4 Block/Condo Bldg: LOT 04 (31.93 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-18W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 10/19/2004 777492 19/4863 CSM 07/23/1997 542/261 07/23/1997 433/312 2005 SUMMARY Bill Fair Market Value: Assessed with: 118794 Use Value Assessment Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 21.000 2,400 0 2,400 NO 05 UNDEVELOPED G5 7.610 15,900 0 15,900 NO 05 AGRICULTURAL FOREST G5M 2.000 5,000 0 5,000 NO 05 OTHER G7 3.000 30,000 113,500 143,500 NO 05 Totals for 2005: General Property 33.610 53,300 113,500 166,800 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 Parcel 038-1032-70-300 12/27/2005 08:55 AM PAGE 1 OF 1 Alt. Parcel 8.31.18.147C 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/19/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner JOHN N & PATRICIA J HEINTZ O - HEINTZ, JOHN N & PATRICIA J 905 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 2290 THRUSH DR SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.000 Plat: 4863-CSM 19-4863 038-04 SEC 8 T31N R1 8W NW NW CSM 19-4863 LOT 3 Block/Condo Bldg: LOT 03 (2.00 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-18W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 10/19/2004 777492 19/4863 CSM 07/23/1997 542/261 07/23/1997 433/312 2005 SUMMARY Bill Fair Market Value: Assessed with: 118793 Use Value Assessment Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 2.000 200 0 200 NO 05 I Totals for 2005: General Property 2.000 200 0 200 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 Parcel 038-1032-70-200 12/27/2005 08:56 AM PAGE 1 OF 1 Alt. Parcel 8.31.18.147B 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/19/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HEINTZ, JOHN N & PATRICIA J JOHN N & PATRICIA J HEINTZ 905 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ` 2294 THRUSH DR SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.000 Plat: 4863-CSM 19-4863 038-04 SEC 8 T31 N R1 8W NW NW CSM 19-4863 LOT 2 Block/Condo Bldg: LOT 02 (2.00 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-18W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 10/19/2004 777492 19/4863 CSM 07/23/1997 542/261 07/23/1997 433/312 2005 SUMMARY Bill M Fair Market Value: Assessed with: 118792 Use Value Assessment Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 2.000 200 0 200 NO 05 Totals for 2005: General Property 2.000 200 0 200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT Jfdh:lc TOWNSHIP SEC.' W STAROIX COUNTY WISCONSIN. Iili1)1VISI-ON LOT LOT SILE PLAN VIEW U I S Lanew and dimensions Lo a ac l ruquireuiems of H63 ;~k1QW.EURYTHING WITUIN IOU FRET OF SYSTRH .17 I ! I di --attt- Chi A M ~II SCn 5 C , 131':NCHMARK. (Permanent reference Po i qt) Describe r <'14 , ~,A Elevation of vertical reference point Slope at stCe S1 P`l'1C TANK: Manufacturer: °s-~,t„/~, J-A~ Liquid Capacity- Number of rings on cover J Tanh manhole cover elevation: Lank Inlet Elevation. Tank Outlet Elevation. jd-_ PUMP CHAMBER manufac tul: er . Number of gallons ~i +~unber of puu;p se YoC it Cy.7c~ 1-S'~ - ~~allons; tot_a yi):," ty of distri-bution lines t~al l~~u si_~.c 0G pump fa'n I; a d; na I Ion pur winut u d name cat pump and model number J;JL,~~Ci~ t✓1~,;<< i'C Type of warn_i_[ig (1ev tcc. . . cxrrlei //w _ ,d1,~' :~t~~,3j tf ,~r - .~f>~•,y~ yy,~T.ti I)UI.i)I N(.. TANK, ManuLLc't urc r Number of gal tons - Iypr "I waining dcvicc Wr.1AGh: PIT SIZE of p is ~Eeet diau)~:tc r _ i ncl l 1 qui d Apl h 5c wpan pi r in et pipe-elevation ~r (1111 oI ~~Ir.i,'•~ ~~Ii i~ ioll 1001 IiI'.1) ; W I dl h Lc.r~' ITT:,1it:ll wL~I( I; I t'l)i_l~ I' I (~I'I I:l, I'I~ t / r.i' i) (111 11:1;11 j ✓S "t ARLA A:i 1, 1 1 i.'1' I I'i"CTOll I; : 1'I Uf11i!:1~ OIJ )t)1; ~%f -S DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.0-BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL ❑ALTERNATIVE Safe Plan I D Number (If assigned) j- ❑ Holding Tank ❑ In-Ground Pressure I<Mouncl NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE'. . . BENCH MARK (Permanent reference pd,,,) D CRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: InST REF. PT ELEV Njmc nl Plumber. MP/MPRSW No County Sanitary Permit Number_ SEPTIC TANK/HOLDING TANK: MANUFACTURER' LIQUID CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER r r PROVIDED. PROVID < 9 S YES ❑NO E ❑NO BEDDING. VENT DIA.. VENT MATL 1111G1-1 WATER NUMBER OF TROAD. PROPERTY WELL BUILDING. J VENT TO FRESH / ALARM FEET FROM 7~~ ) LINE j -q 7 AIR INLET ❑YES O / ❑ NO _ NEAREST- ~7 DOSING CHAMBER: MApI CT UREH BEDDING LIOUID CAPACI rV JPUMP MODEL PU M P;SIPHONMAN UFAC7UHEH WARNING LABEL LOCKING COVER '!r1FA PROVIDED. PROVIDED'. Z'✓ ❑YES ❑NO Cz L~ ~7v 5~ I..,tt YES ❑NO YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERA oNAL NUMBER OF PRr,PE HTV wELL BUILDI NCB VENT LE ER ESH (DIFFERENCE BETWEEN / FEET FROM NEB aIR IN PUMP ON AND OFF) YES NO NEAREST )p -✓D SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing )I""" 1 E H MATERIAL AND MAHKwG or excavation. (If soil can be rolled into a wire, construction shall cease until FO CE the soil is dry enough to continue.) M N 2 a CONVENTIONAL SYSTEM: ':117TH JLENGTH NO OF DISC PE A(.I N'.: LO"EII INSIDE DIA r. IQUID BED/TRENCH RENCH~S y+A l- PIT DIMENSIONS i ~ 7 r I' - _L DEPTH PIPE OISTR PIPE l&fi PIP TERIA oDG(UMBER OF V wE L Bul HO VE COVER [1:';TH . j AIR INLET. LINE IV IN I-F f ELEV. END IPFS ~ FEET FROM NEAREST _ MOUND SYSTEM: _ Mound site plowed perpendicular to slope Check the texture`of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. YES ❑NO _ SOIL COVER rEr.TUHE eRMANFNrMnHKERS OBSERVATION WELLS YES ❑NO ES ❑NO DEPTH ()VFR THE NCH HED UEP1 E1 OVI H TRENCH RED DEPTH OF TOPSOIL ODUEf7 S F E DE L) MULCHED CENTER EDGES YES ❑ NO ❑YES 'NO ~eY ES DNO ~ r PRESSURIZED DISTRIBUTION SYSTEM: ^.I!)TH LE NC,TII NO. OF LA TE HAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH AHOVE COVER BED/TRENCH / r TRENCHES DIMENSIONS (IP 3 3(o r~ f //L ,'ANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTIR DISTR. PIPE DISTRIHIIi ION PILL MATERIAL & MARKING E I Ey~, v(p ELEV. DIA ELEVa'35 PIPES DIA`. EJ~~- Q ELEVATION AND] 0 7 8~ Tj 6, 1 / Qi( DISTRIBUTION A LA 7 OE'- ZE HOLE SPACING DRILLED CORRE CfLJ. -1 COVER MATFHIAL VEHTICAI LIFT CORR~ P(]oT APPROVED PLANIS (sJf SS INFORMATON / 7~ YES ❑NO / LGYES ❑NO COMMENT"S: PERMANENT MARKERS OBSERVATION WELLS NUMBER FROM ~I OPERTV W~E/L~L BUILDING FEET YES ❑Np YES ❑NO NEAREST- ~Cy~~~ G Sketch System on Retain i 'county file for audit. Reverse Side. 5'Z ZINATURE TITLE DILHR SBD67101R.01/82) DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION 1-4011 AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing ~ddr)ess: j Property Location: V or Township: County: / % ) '/4S T,.--/ NiR (or) W . 1 AM " Lot Number: B I k N Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) /t1 ,t 7z ~ TYPE OF BUILDI G Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY fyF,y jC HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER > MANUFACTURER: _7707 19 1 EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit ❑ Alternative (specify)~,~,;~ ❑ Seepage Trench 1 Water Supply: Owner's Name as fisted on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public Af I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam of Plumber: j Sig re: MP/MPRSW No.: Phone Number: 7 %1 Crick' - ) Plumb 's Address: Name Designer: I COUNTY/DEPARTMENT USE ONLY Sig ature of Issuing Agent: Fe,P: _ Date: Sanitary Permit Number: ❑ APPROVED l (7 dL' - , ❑ DISAPPROVED ~C J r~ Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) D EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IN ,USTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W 7969 HUMAN RELATIONS ,f LOCATION: SECTION: l~ TOWNS HIP/MU^'4CA'P^'_1TY: LOTNO.:BLK.NO.: SUBDIVISION NAME: /T N/R (or) W All, COUNTY: OWNER'S/BUYER'S NAME: MALI G ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: 1VR-(5_FTEE DESCRIPTIONS: PERCOLATION TESTS: Residence ®New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-I - LHOLDIN ANK: RECOMME ED SYSTEM:loptional) ❑S ZU 21S ❑U ❑S DU ❑S DU DS7U If Percolation Tests are NOT required DESIG RATE: SYSTEM EL V. I If any portion of the lot is in the / under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:+ PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) Hz3~7'/, ~ ,t ~ B- Q._ ' it ) - Bn .0A, 3 7. B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODI PERT D2 PERIODS PER INCH P- P_ 3 i. P- P- P- PLAN VIEW: 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 slop. SYSTEM ELEVATION ~z_ I t . l So,/~~s N A ' ,r3m W i, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME , rint): TESTS WERE C MPL TED ON: _ ADDR S: , CERT4-FtCA ON NUMBER: P ONE NUMBER optional): CST SIGNATU E: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 IN. 03/81) r _ vz- . ~i Yt WORKSHEET - MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a The site characteristics are. Depth to groundwater or bedrock in. Landslope Percolation rate ' min./in. Distance from dose chamber to distribution system ft. Elevation difference between pump and distribution system ft. i Step 1. WASTEWATER LOAD c„s~/~:' gal. Step 2. SIZE THE ABSORPTION AREA i A) Area required - = 1 sq. ft. ; B) Bed or trench length (B) _ ft. ~ {I C) Bed or trench width (A) _ ft. D) Trench spacing (C) _ Wastewater load .24 gal/ft2/day B = ft. trenches Step 3. MOUND HEIGHT A) Fill depth (D) _ ft. B) Fill depth (E) - D + slope (A) C) Bed or trench depth (F) D) Cap and topsoil depth (G) _ l ft. E) Cap and topsoil depth (H) ft. 4% S a - C' -1 Step 4. MOUND LENGTH A) End slope (K) D + E + F + H x 3 = f~ ft. 7:7 B) Total mound length (L) B + 2(K) Step 5. MOUND WIDTH Al) Upslope correction factor A2) Upslope width (J) _ (D + F + G)(3)(factor) _ ft. B1) Downslope correction factor B2) Downslope width (I) _ (E + F + G)(3)(factor) _ ft. ~4- Z - Cl) Total mound width (W) for bed = J + A + I ft. C2) Total mound width (W) for trenches = 61- J + A + (no. trenches -1)(c) + A + I = ft. 2 Step 6. BASAL AREA A) Infiltrative capacity of natural soil = gal./ft2/day B) Basal area required = wastewater flow natural soil infiltrative capacity = /'~sq. ft. Cl) Basal area available for bed for sloping sites = B x (A + I) - sq. ft. C2) Basal area available for trench for sloping sites = B W = J + A sq. ft. T C3) Basal area available for trench or bed for level sites =BxW= sq. ft. I R t Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size - _ y/ ~ in. 2) Hole spacing = 7 in. 3) Distribution pipe length in. t 4) Distribution pipe diameter in. i 5) Spacing between distribution pipes = in. 6) Distance from sidewall to distribution pipe in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe 2) Flow per pipe GPI? 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length = ft. 3) Number of distribution lines - `j 4) Manifold diameter = in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate = GPM 2) Force main diameter = in. 3) Friction loss J 7E) TOTAL DYNAMIC HEAD 1) Vertical lift = ft. 2) Friction loss = ft. 3) System head 2.5 ft. _ ft. 4) Total dynamic head = ft. 7F) PUMP SELECTION 1) Pump selected will discharger,! GPM at ft. total dynamic head. 2) Pump model and manufacturer j 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal./cycle 2) Daily wastewater volume = 4 doses/24 hrs. gal./cycle 3) Minimum dose volume gal./cycle 7H) DOSE CHAMBER 1) Minimum capacity required gal. ~'C-0 i I ~ fi DcJ i 4 ~OCJ ~ ' -nb ~'o e fir. ► t ~ 4_e 31N 1 `nt /000 IN I;L) / ! t 5EP 15 198"" mAd `i r 1 t\j i 1 I1 s ~ i I Cy y~ ~ i ( 3 . ` t7- -17 7 i Z~ i co i h i ~ O ti ~ • ~Q }may x qkj n ~p 0 I `CV" N`-/ s P C}.~ rl 1 n' 0 Y _ ~ / III • ti . ` 111 ON - r _ T Alr) 1 i f L N 4 4`; . 71 ~ a E ARTlk jlr t a~C f 7. [fa i~ Y a a PUMP CI?AMPER CROSS SECTION AND SPECIFICATIONS I ` I Vent Cap Weather Proof Junction Box Approved Locking Manhole Cover 12" Min ' 4" C.I. ' Vent Pipe Final I T4" Pi in Grade ' Conduit 18" Min - - 18" Min ► 1 I I 1 I p I I11 I I Approved Approved Joint w/ III A Joints w/ C.I. Pipe ; i C.I. Pipe Extending II Extending 3' Onto ; '.'alarm 3' Onto I Solid I ® On B Solid j Ground Ground C Off s Pump ~ D I Concrete Block j SPECIFICATIONS TANK PUMP Manufacturer P2 Manufacturer: Tank Material: %~,?=T Model Number: Tank Size: Gallons Switch Type Total Dynamic Head: FT CAPACITIES Pump Discharge Rate: S30y GPM Total Daily Effluent: Gallons vi - A = or Gallons Number of Doses: Per Day r B = or Gallons Dose Volume: J, 17- Gallons C or /C- 7 Gallons Notes: 1. See pump curve for D = U or Gallons additional performance Total Tank information. Capacity Required = Gallonsr 2. Pump and alarm are to be j installed on separate circuits ALARM as per ILHR 16.19 WAC. Manufacturer:Ty.J Mfr," SIGNED c t i_•,x i~;-t.v-s--~~ Model Number: L.ICENSE'NUMBER: Switch Type li',i~F%nrfr~•r foss ~~~L tii DATE it iel'"rs .;J `[7 1 i ST. CROI X COUNTY <.r WISC0NSI N ZONING OFFICE 796-2239 H A M M O N• D, WI 5 4 0 1 5 Division of Safety and Buildings Bureau of Plumbing P.D. Box 7969 Madieon, W1 55707 Dear Sir: An on site investigatiuu for the Michael Murphy ro ert p P Y located at the NW of the NW Section 8 T31N-R18W Star Prairie Township in St. Croix. County, revealed suita- ble soils at a depth of 30 inches, below which seasonable high ground water was noted. Thia aiLe should be suitable for a muund system. Should you have any yueatlona, please feel free to contact this office. Y'Jury truly, Thowas C. Nel_sori AualsLant Zuuiag Administrator FC N : w ] u WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING POST OFFICE BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St . Croix Location NW 1/4 NW 1/4 S 8 T 31N R 18 1 (or) W Town or Municipality Star Prairie Street Address Lot No. Block Subdivision Laridowner's Name: Michael Murphy The application for this site is to serve a: (new construction use. r-Ireplacement system use. If this is a NEW CONSTRUCTION USE, the alternative private sewage system is to be included as: one of the 25 needing a quota number. This is number of the applications made through this office. L for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. L for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. L an application on file prior to February 1, 1980. L la lot that meets the site criteria for a conventional private sewage system. 1___ione of the first five approvals guaranteed for this year. If this is a REPLACEMENT SYSTEM USE, the mound is replacing: ~a failing conventional soil absorption system. Ha holding tank that was installed and in use prior to February 1, 1980. 1--la privy that was installed and in use prior to February 1, 1980. L_]a lot that meets the site criteria for a conventional private sewaye system. certriy that the atjove intormation is true and accurat to the best of my ><r~owletiye. Nailic Luninv Administrator igndture ~ l ( -6u a ty (~f Ti lt,le 'C 11 Ad in iii i t.I 11, 1 Date AuL'us[ 30, 1982 State of Wisconsin ` Department of Industry, Labor and Human Relations Please Reply to: SAFETY & BUILDINGS DIVISION r- Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Plan Identification Number L J Re: PRIVATE SEWAGE SYSTEM ONLY- The Bureau of Plumbing has reviewed plans, site survey information and installation details for the construction of an alternative private sewage system to be installed at the above-mentioned location. The plans and specifications were prepared by and received for approval on The soil and site evaluation was conducted by The site meets the soil and site requirements specified in chapter H 63, Wisconsin Administrative Code, for the use of The proposed system is for a Wastes from the building will discharge to a -gallon capacity septic tank which will discharge to a -gallon capacity pump chamber from which a pump having a capacity of gallons per minute against a total dynamic head of feet will discharge through a.inch diameter pipe to the soil absorption system. It is of utmost importance that the system be installed in complete accord with the plans and installation details and the conditions of approval contained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. In accord with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. cc: OWS County By. Other Enclosures DILHR-SBD-6159 (R. 7/81) mes Sargent, B erector