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Parcel 038-1150-50-000 10/06/2005 11:42 AM
PAGE 1 OF 1
Alt. Parcel 30.31.18.678 038 - 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 - MCVITTY, ROBERT A
ROBERT A MCVITTY
1935 CTY RD C
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1935 CTY RD C
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 0145-CARRIE'S APPLE RIVER ADD
SEC 30 T31 N R18W LOT 7 CARRIE'S APPLE Block/Condo Bldg: LOT 07
RIVER ADD
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
30-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1116/196 WD
07/23/1997 950/562
07/23/1997 815/241
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 83,300 158,400 241,700 NO
Totals for 2005:
General Property 0.000 83,300 158,400 241,700
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 83,300 158,400 241,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 111
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
a 1
1
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AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC . TN-R _W
ADDRESSST. CROIX COUNTY, WISCONSIN.
~..SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
InI__EYEEYTHING WITHIN 100 FEET OF SYSTEM
Y 4
B'
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ca
0
I di a e oath Arrow
BENCHMARK: (Permanent reference Point) Describer
Elevation of vertical reference point:If"L Slope at site:
SEPTIC TANK: Manufacturer:f. -4~ Li;- Liquid Capacity
yFn~
Number of rings on cover, r Tank manhole cover elevatio : -
Tank Inlet Elevation:Tank Outlet Elevation:
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons; total capacity-f-
distribution lines gallon: size of pump - _-head;
gallon per minute horsepower brand name of pump
and model number ;
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device -
SEEPAGE PIT SIZE: um er o pits eet iameter
feet liquid depth seepage pit in eft pipe-elevation_
bottom of seepage pit elevation- feet. f
SEEPAGE BED SIZE: number of lines width_le:tgthtile depth
h SEEPAGE TRENCH: width, length
PERCOLATION RATE AREA REQUIRED 't 7 AREA AS BUILT_~
r'
INSPECTOR
PLUMBER ON JOB
LICENSE NUMBER _ SL '
DFPARTMFNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7965 BUREAU OF PLUMBING
MADISON, WI 53707
CONVENTIONAL ❑ALTERNATIVE state Plan LD. Number:
(lt assigned)
E] Holding Tank F-1 In-Ground Pressure ❑ Mound
NAME OFPERMIT HOLDE -N ADDRESS OF PERMIT HOLDER INSPECTION DATE
h
BENCH MARK (Permanent fl ,77t- rent- point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.'. CST REF, PT. ELEV
SE__ , 3O _ too
Name of Plumber. JIVIPIMPRIW N,, Cnun ly. Sanitary Permit Number:
A-1ah
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV. K ET ELEV. IWARNING LABEL IL ] l P
O IO TAN
r7O Cd Ct 7 L- YES ❑NO 0-
BEDDING : VENT DIA. VENT TL HIGH NIATER NUMBER OF ROAD: PROPERTY 11111-1-: V7 BUILDING. VENT TO FRESH
M LINE: ^ AIR INLET.
ALAR FEET FROM
YES ❑NO ❑Y NEAREST 3
DOS( G CHAMBER:
MANUFACTURER BEDDING LIO D CAP ACITV PUMP MODEL PUM P;SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED:
❑ S NO _ DYES ❑NO DYES ❑NO
GALLONS PER CYCL PUMP AND CONTROLS OPERATIONAL. NUMBER OF V WELL BUILDING VENT TO FRESH
(DIFFERENCE BET FEET FROM `IN AIR
PUMP ON AND OF DYES ❑NO NEAREST
SOIL ABSORPTIOsoil SY EM. Chet the soil moisture at the depth of plowing n^-,TII II,11 TER - RIAL AND MARKLNG
or excavation. (If can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM: _
WIDTH LEN H NO OF IDISIR PIPE SPACING 111114 ~ INSIDE DI ITS. LIQUID
BEd/TRENCH T NcHES MATE IAL PIT DEPTH
DIMENSIONS 2-"°
GHrlbl U6-Plii FILL DEPTH DSTR PIPE DISTR PIPE DISTR. PIPF. MATERIAL NO DIS NUMBER OF PROPERTY WELL. BUILDING. VENT TO FR ES
Bf I() IPCS AB ECOVER EILEV INLE EL / END PIPES - LI AIR( LE '
1! 272-1 c
`I l ,L ~NEARESTO--►~_ l1 J
MOUND YSTEM: _ S T..
Mound site plowed erpendic 7N, pe Check the texture of the fill material for PROVIDE ADIAGRAM OFSYSTEM
and furrows throw slop mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
❑ Y fr SOIL COVER TEXyU E PERMANENT MARKERS OBSERVATION WFLLS
/DYES ❑NO DYES ❑NO
I V DEPTH OVER THEN'i FD DEPT .1 TRENCH :BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER EDG S
DYES ❑NO DYES ❑NO DYES ❑NO
PRESSURIZED DIST IBUTION 84STEM:
-
H LENGTH NO. OF LATERAL SPACING. GRAVEL DEPTH EiE LOW PIPF FILL DEPTH ABOVE COVER
BED/TRENCH -
rRE s
DIMENSIONS
MA FO D MP MANIFOLD DISTR PIPE MANIFOLD MATERIAL. NO DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL . & MARKING
ELE ELEV DIA. ELEV. PIPES DIA.:
ELEVATION A D
DISTRIBUTf~bh N F{dyE SIZE O SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATj N ` PLANS
DYES ❑NO DYES ❑NO
COMMENIAS: v RMANENT MARKERS JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING.
FEET FROM LINE:
5.A-A DYES ❑NO DYES ❑NO _ NEAREST- _
10 1 L)
Sketch System on R-etaitn- e for audit.
Reverse Side. "
ORE. ITLE
DILHR SBD6710 (R. 01/82) _
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DEPARTMENT-OF DJUaTRY. ENT`OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY. CC DIVISION P.O. BOX HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON WI 53707
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
1/ 1/a /T-,,/ N/R E (or) W
COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS:
USE BATES OBSERVATIONS MADE
NO. BEDRMS.: 1COMMERC!AL DESCRIPTION: PROFILE TONS: 1PERCOLATION TESTS:
QResidence New ❑Replace
RATING: S= Site suitable for system U= Site unsuitable for system r -
I -Al
CONVENTIONAL: JMOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FIL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
WS ❑u EIS au os ❑u os au as ❑u
If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. 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.)
B
B- > < / j
y
/L' J 9 L . S
PERCOLATION TESTS
ETEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
INCHES AFTERSWELLING INTERVAL-MIN. PE I D 1 PERT D2 PERIO PER INCH
P- X,
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
F ,
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/ery ,Q, the undersignethat 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-(print): ) TESTS WERE COMPLETED ON:
C
-J41 .'Al
ADDRES
I. CERTIFICATION NUMBER: PHONE NUMBER optionall:
CST Sh NATURE:
DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Ovyner, 4th page-Soil Tester.
DILHR-SBD-6395 (N. 03/81)