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Parcel 311801-12-03-00-00-000 182 - VILLAGE 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 - SCHWARTZ, DWAYNE E DWAYNE E SCHWARTZ 542 5TH ST STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 542 5TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.150 Plat: N/A-NOT AVAILABLE SEC 1 PRT NW NE N 100' OF NW NE LYING W Block/Condo Bldg: OF APPLE RIVER VIL STAR PRAIRIE FKA PARCEL 164B Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 01-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type I 2006 SUMMARY Bill Fair Market Value: Assessed with: 182599 138,300 Valuations: Last Changed: 09/08/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.150 50,000 62,100 112,100 NO Totals for 2006: General Property 1.150 50,000 62,100 112,100 Woodland 0.000 0 0 Totals for 2005: General Property 1.150 50,000 62,100 112,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 312 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 7A AT 1 i ~o 3 , r I y. ~2a s ST vin S y f, 3 _3 ~ r , r t ~ 4 i 5`1 s rte" AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP ' ~--SEC . N-RL~W ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 QW F:VEKYTHING WITHIN 100 FEET OF SYSTEM i i r "Id I di- a e o~, th Arrnw - _ SCAL F BENCHMARK: (Permanent reference Point) Describe: G Elevation of vertical reference point: Slope at site:, SEPTIC TANK: Manufacturer: r` Liquid Capacity: ~?f Number of rings on cover an manhole cover elevati Tank Inlet Elevation: Tank Outlet Elevation: r" PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cycle ^ gallons; total capacity of distribution lines gallon: size of' pump head; gallon per minute horsepower rand name v E pt.imp and model number Type of warning device _ HOLDING TANK: Manufacturer Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number o pits met c IM11 l_CI feet liquid dept seepage pit in e_t pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines width _lei%th_~ile dept 1 SEF"PAGE 'FRENCH: w' th length; PERCOLATION RATE ;Y,/,,.,1/ AREA REQUIRED- S BUILTi loe INS OR _ DATT?.D- - / P MBER ON JOB LICENSE NUMBER f • DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDitSTRY, 1 C DIVISION .LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: /T N/R i , (or) W 7, % . COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: s ~ )1 r r r - 7 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: 'PROF! - DESCRIPTIONS: LA ION TESTS: ©Residence ❑New Replace ER I l RATING: S= Site suitable for system U= Site unsuitable for system - CONVENTIONAL: MOUND: IN-G SURE: SYSTEM-IN-FILL HOLDING TAN : RECOMMENDED SYSTEM:(optional) KIsou ❑sEA TnV,1 a s❑u as❑u - r.. ltliZ If Percolation Tests are NOT requ' e' j QES ~~A EM EL i If any portion of the lot is in the under s.H63.09(5)(b), indicate: C% I Floodplain, indicate Floodplain elevation: ~;'1 OOy p OFILE DESCRIPTIONS BORING TOTAL DEPTH VgMOU"WATE-F1-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATIO OBSE ED ES. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-, B B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIO 2 PERIO PER INCH P , P_ 14, P- P- i P PLAN I 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? r . rr ~.,..4,t/kL:/t ~~,,,-ef.( -J.rl'fC ~✓.t.~Y ,/Y~A.~.._. ~~i~ fJ~c,.tiG• _r I Aft A U ~r~..... 2r- _4~ r ° ~ ~ L9 a~ ~dw' ~ - - s e. ,T. - f. i n ' .C~L;t~,.1A~'.. ~--h.~r_• ~ ~.X:Xf_SY~.s-sc~fsT,~tn - 4, r-.Z,4z i ;,the under i ned, 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 (print): TESTS WERE COMPLETED ON: ADDS : CERTIFICATION NUMBER: PHONE NUMBER optional): 71 s CST /S ATU E: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) •a ar3ca REPORT OF INSPECT'I'ON - ' 1_NDIVIDUAL SEWAGE SYSTEM 9" g"gr Sanitary Permit A- State Septic IJO- JAME - -TOWNS1lIP St. Croix County LOCATION 0YW-&LE------Section-1--Lot Subdivision EPTIC TANK Si-ze~C7Z" gallons Number of compartments Distance from: Well---. Building- 127 slope - Highwate.r PUMPING CHAMBER Size gallons m Ma factures Model Number. IIOLDLNG TANK Size gallons m e f Compartments Pumper r Alarm System uiseance /fom: W 11 Bu i. Id In 1l.7 slope Highwat .r - liSORP`CION SITE Bed Trench - Dist_ance soma Well Buildin / 1.27 slope - g - L - - - - Highwater miSDRPTION SITE DIMENSIONS Width of trench / ft Required area 4 ft. Length of each line ft Depth of rock below tile in. Number of lines Depth of rock over the in. r Total length of lines ft Depth of the below gradec1'y's- in. Distance between lines ft Slope of trench in. per 1.00 ft. Total absortpt>(on area - V~ - - ft Type of Cover: - - PIT DIMENSIONS Number of pits Gravel around pi.ts______yes _ no Outside diameter ft Depth below ft Total- absorption ar a_ ft Area required - ft - _y... I NSPFC-PA', TITLE 198 APPROVED DATE-- - I: EJECTED DA'Z'E 198 REASON FOR REJECTION o APPLICATION SAFETY & BUILDINGS DEPARTMENT OF INDU8YRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8% 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: Mailing Address: !1 r - Property Location: City, Village or TcLWaship: County: t/4 _ '/4S /T ' N/R /''j e (or) W I?, , 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: i 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specif ) SEPTIC TANK CAPACITY j / HOLDING TANK CAPACITY i LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: i-S EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Q Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench FWater Supply: TO wner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public J~fl I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature: MP/MPRSW No.: Phone Number: Plumber's Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY ,Signs re of Issuin A nt: Fee: Date: Sanitary Permit Number: / APPROVED 6e !2-f P DISAPPROVED R ason 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)