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Parcel 038-1093-80-000 02/10/2006 09:34 AM
PAGE 1 OF 1
Alt. Parcel 22.31.18.387 038 - 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 - RTS NEW RICHMOND LLC
RTS NEW RICHMOND LLC
3531 OAKTON DR #1006
MINNETONKA MN 55305
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 2014 118TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 22 T31 N R1 8W SW SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/12/2004 759266 2545/604 DM LT
04/12/2004 759265 2545/603 PR
04/12/2004 759264 2545/601 DM LT
04/12/2004 759263 2545/600 PR
more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
119426 131,200
Valuations: Last Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
UNDEVELOPED G5 39.000 95,100 0 95,100 NO
OTHER G7 1.000 20,000 13,800 33,800 NO
Totals for 2005:
General Property 40.000 115,100 13,800 128,900
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 115,100 13,800 128,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 157
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
0.00 0.00
Total 0.00
Parcel 038-1093-30-000 02/10/2006 09:36 AM
PAGE 1 OF 1
Alt. Parcel 22.31.18.384 038 - 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 - RTS NEW RICHMOND LLC
RTS NEW RICHMOND LLC
3531 OAKTON DR #1006
MINNETONKA MN 55305
Districts: SC = School SP = Special Property Address(es): Primary li
Type Dist # Description
SC 3962 NEW RICHMOND
SP 1700 WITC
i
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 22 T31 N R1 8W SE SW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/12/2004 759266 2545/604 DM LT
04/12/2004 759265 2545/603 PR
04/12/2004 759264 2545/601 DM LT
04/12/2004 759263 2545/600 PR
more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
119421 101,800
Valuations: Last Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
UNDEVELOPED G5 40.000 100,000 0 100,000 NO
Totals for 2005:
General Property 40.000 100,000 0 100,000
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 100,000 0 100,000
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
• j I
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP y~ f ~rrr- SEC??- ~K~N-RAW
ADDRESS Cv J'Z 6A 3S - 0 ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
QTnL_-EVERYTHING WITHIN 100 FEET OF SYSTEM
11-4
y
I P Ag
I di a de o th Arrow
SCALE:
fly
BENCHMARK: (Permanent reference Point) Describe:.>5im*/,t-
Elevation of vertical reference point: Jo Slope at site:
SEPTIC TANK: Manufacturer : __W% ti= TJ nIli', Can:.city :
Number of rings on cover : Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation: ; n•,~
PUMP CHAMBER
Manufacturer: Number of gallons
Number of ga ,--pump set or a cycle. gallons; Iota capacity o
distribut' lines gallon: size of pump head;
gallon r minute ; horsepower ran name of pump
and el number ;
Ty of warning device
HOLDING TA Manufacturer Number of gallons
Elev ion of manhole cover
ing device
T e of wa pn -f
SEE PA E PI IZE: Number o pits eet diameter
feet quid ept seepage pit in e- p pe-elevation
bo om o seepage pit e evation feet.
SEEPAGE SIZE: number of lines wi t length tile depth
SEEPAGE TRENCH: width , - length ^ .4-e-0
1,rJr,
PERCOLATION RATE qU REA REQUIRED nom' AREA S BUILT
INSPECTOR
DATED_ C)~~ PLUMBER ON OB
_i?,,~E~i
LICENSE NUMBER
1 00
REPOR`f OF INS PEC` ION - INDIVIDUAL SEWAGE SYSTEM p-11041
Sanitary Per-mit,.)Dx/
State Septic
NAM' ' TOWNSHIP 7AAO ~~t. Croix County
1,0CA'T'I0N _ Section per.. Lot # Subdivision
SEPTIC TANK.
Size gallons Number of compartments
Distance from: We11-- Building----- 12% slope
Highwater
PUMPING, CHAMBER
Sze_ _ gallons Pump. Ma nu fac turer Model Number
HOLDING 'L'ANK
Size gallons Number of Compartments
Pumper_ Alarm System -
Distance from: Well Building 12% slope
Highwater
ABSORPTION SITE
Bed Trench
Distance from: Well Building 12% slope
1ighwater
ABSORPTION SITE DIMENSIONS
Width of trench ft Rec~udired area c ft.
Length of each line ft Depth of rock below tile
Number of lines Depth of rock over ti_le 72 in
Total length of lines L.~ ft Depth of tile below grade
Distance between lines ft Slope of trench in. per 100 It.
Total absortptiion area ft Type of Cover.
PIT DIMENSIONS
Number of pits Grave around pits ves no
Outside diameter ft j'h below Inlet ft
Total absorption area ft
Area required ft
l
I_NSPEC'rED By--,
TI'T'LE
- - -
APPRO D DATE 198/
- N
REJEC'T'ED DATE 1-98
REASON FOR REJECTION
V
DEPARTMLNT OF APPLICATION SAFETY & BUILDINGS
INDUSTRY, FOR SANITARY DIVISION
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PLB 67) MADISON, WI 53707
Attach plans for the system on paper not less than 8'/z 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. The owners copy or a legible reproduction of the soil test report must be
included.
Property Owner:
f 1 Mailing Address:
P'sU A e_ r 6 U r7d JL - l Gt7 n h i
Property Location: City, Village ownship County:
'/4~'C' _ 1/4S •,2,,/T.3 1 N/R U k (or) W r I E_
Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number:
(If assigned)
TYPE OF BUILDING
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
7k1 or 2 Family *State Approval Required. 2-
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER
GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify)
SEPTIC TANK CAPACITY r~ 4--
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER: 0C
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit
❑ Alternative (specify) Seepage Trench
Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner):
A Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber: Signature: MP/ PRSW)Jo.: Phone Number:
1... t~•~..- mot. .~~~.~.~__k' ~ ~ ~ (r7/~7 ~ 4-E -(a
Plupbper'~s Ad ress: Name of Designer:
~C r ► JI
zll~ COUNTY/DEPARTMENT USE ONLY
gnatu of Issuing Agent: Fee: Date: APPROVED Sanitary Permit Number:
Xi IL et ~ L DISAPPROVED
e on 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 (N.03/81)
I
Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS fx
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701CI>
LOCATION- , '/a;~-'/a, Section ~-2 TS _1 N,Rd- E (orC ownship or Municipality
Lot No. , Block No. County
ubdivlslon Name
Owner's/Buyers Name: Y
Mailing Address: S- K`l61~t~nr
TYPE OF OCCUPANCY: Residence JG No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MA E: IL BORINGS PERCOLATION ESTS
SOIL MAP SHEET_Jj
NAME OF SOIL MAP UNIT 44(
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTE INTERVAL RATE
MIN/IN
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
312 xc>
P- S / U
27 StIT Iva
P- - .S (1 S S~ 2 V ] J
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
B- iv4w 7. I&AISJ1 OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES 65,11
B- Z ~o 'ySZ ~i . S
B- ~rl Z , e l tr
B- t 63 ! 3ucv Lt
B- 10
B- S, T z t 1 /s
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on th-e~I tth I c on rd square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy ~1Z 11-• , dicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
° ° L
s
_p F 60 a
~i
E
I
E .
o ,x - ---A- ---A- I
I, the unOrsigend, 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) Certification No.
Address
Name of installer if known _
Copy A -Local Authority CST Signature
rv
1 95
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