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HomeMy WebLinkAbout038-1161-60-100 3 O K o Ali O N In o N O W N W °C • CO' 3 ;3 C Vl c0 j 00 D CD 00 C 7 (D W < m 0 O 1 N Q= O N N p V m 0 :3 0) O 'O tO~ 0 C) D CD CD CD 7 N O O C d lr CD cn C. a T D N co 3 n w O CD m o m l~ C co co CD n O C N co O co 3 Y fl o O O O o• 0o v a rn S 0 0 a ~ eQ a m m v a 'I :3 m = CD o Q, .di N I y -4 D N 3 C `s CL rr p z N Zco Z O N O I - D n' a D O a m I CL CD "fti cD w ° N ° a ° O N O CD CD Cl) (D C. n 3 7 CD -j U) 0 O Z f9 A O O Z O p a 0 7 co v N m CD a z i 3. A A 0 o cn 00 z m m w co D n n 0 3 r. ~ ° co T W e o' o a CD i o ca ~ 21- m CL CL CD A CD A a CD ti O V D. N O O V A i p I A i CD Oq ti v, O . Oq O 0 CD O CL S ti AMMS Viewer Page 1 of 1 I r' [ , I I y 1 T ~T R(.I . f - } ~r J. x m 0 i -El 4 x ~5 http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 1/12/2007 Parcel 038-1161-60-100 01/17/2007 04:35 PM • PAGE 1 OF 1 Alt. Parcel 12.31.18.760A 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 - MAGOON, CHARLES R & NANCY E CHARLES R & NANCY E MAGOON 2202 135TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 2202 135TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.779 Plat: 4632-CSM 17-4632 FKA JOHNSON & ASSO SEC 12 T31 N R1 8W PT JOHNSON & Block/Condo Bldg: LOT 07 ASSOCIATE'S 1ST ADD LOT 6 (1.440AC) NKA CSM 17-4632 LOT 6 (1.779AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 12-31N-18W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 10/08/2003 743047 17/4632 CSM 07/23/1997 694/405 2006 SUMMARY Bill Fair Market Value: Assessed with: 176033 220,000 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.779 30,500 163,900 194,400 NO Totals for 2006: General Property 1.779 30,500 163,900 194,400 Woodland 0.000 0 0 Totals for 2005: General Property 1.779 30,500 163,900 194,400 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 038-1161-30-000 01/17/2007 10:09 AM PAGE 1 OF 1 Alt. Parcel 12.31.18.757 038 - 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 - BERG, MALVA L MALVA L BERG 2209 135TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2209 135TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.565 Plat: 2141-JOHNSON & ASSOCIATE'S 1ST ADD SEC 12 T31 N R1 8W JOHNSON & ASSOCIATE'S Block/Condo Bldg: LOT 03 FIRST ADD LOT 3 r- Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 12-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 09/17/2003 740340 2412/392 QC 07/23/1997 873/365- 07/23/1997 : 3S7S30 7 LG 2006 SUMMARY Bill M Fair Market Value: Assessed with: 176030 226,900 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.560 28,900 171,600 200,500 NO Totals for 2006: General Property 1.560 28,900 171,600 200,500 Woodland 0.000 0 0 Totals for 2005: General Property 1.560 28,900 171,600 200,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 218 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 T~ /yes ga-6 AS BUILT SANITARY SYSTEM REPORT (Z A ~ TOWNSHIP JW ST. CROIX WISCONSIN. V T L()N SS6'C . LOT Sfi/~~OIZE PLAN VIE ~r e ;mces and dimensions to meet requiremeFrof H63 r /A k _ LiEVE -YTHING WITHIN 100 FEE YSTEM y fi 7 C/ net, y~Ak { r I di a e oth1 Arr SCAL, f r I f. `i31'iJCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: - 100 Slope at site: SEPTIC TANK: Manufacturer: r Liquid Capacity:_ Number of rings on cover Taira- manhole cover elevation /O(/,L/ Tank Inlet Elevation: ) C4 _y- Tank Outlet Elevation: y:z PLIMP CHAMBER llufacCurer: _ Number of gallons ~L ,c-: r- of gal .pump se o a -cycle _ gallons ; totem c pac t.v { r ri_bution lines gallon: size of pump _ ---head; loo per minute horsepower-, brand name of pump model number ; Of warning device 1u, TANK: Manufacturer Number of. gallons Rtion of manhole cover ~I) f warning device- _ G pits eet diameter ( T SIZE: um-B s quid depth seepage pit inlet pipe-elevation- of seepage pit elevation feet. t 1. D SIZE: number of lines__ idth length . the dept-h.-,---- I' t~i,'T'RENCH: width length ,AT ION RATE- '_AREA REQUIRED 3 AREA AS BUILT ! y j INSPECTOR PLUMBER O- O-: v NUMBER LICENSE KI POKI 01 INSPECTION - INDIVIDUAL StWAGL SVtiII M tic(vic tcAhr/ I'v~cmc ( y/I 4406V LawneGi.ip_S#,-~~~~_St. c'„uvi(o _ticcttonjz Lot # Sit bdA,V.c.,54on ! A N K yaE'X.une Number( oh corripahtments i),,m: weQf bud-Zdtin 120 Ako ")e it c_ yhwa to n gI'IN.. CHAM8E_R c c' gaitone Pump; ' an Aac.tune.,,(~ p;.. Modet Numbe tc i1 ~1DINC IANK ,S re ga fone N mbe~ o6 Cort~ah.tme.ntA s 1)1 rnr,e i( f Ataa S(pAte,1I v, t,AVf oe ,.SuiZd.cng _ 120 Atone Highwat'e~c A i, ,OI'I'I I o N SITE l _ Tn.e n ch I!, , Oom -G1Qt', - Buti~diny_ f2`;, Ak.o~e Fl~.ghwaten . i,; i' I I IAN S I If DIMENSIONS w,.1cl, u(~ tnene6( _ _6t Re_qu,(1(vd ahe.a~ I kigth „h each 14ne (,t Depth oA aoch beeow t44'e. Numbelc o(y' I',ineA Der)th o6 Loch oveit t( fv 1., tr(Y tenyt6c 06 X-i-neA - At Depth o6 tike bekow q Lade 1) t,(Pi re between 44nea At Se oae a tke.nch 4Yl )ca 100 lfrclc11,9n~r)t4on o1Ie.(4 ~ rte. At 1y r~)e LlIl C('1Veh: e'c-5thcna, 1' 1 I 1) 1 M I N ti IONS N„ml,e/) o pi to OIL atie f l(hou.nf{ c)~~ ~,Ie ,It r(rnete~( 6 t De.rdtF( beEow c,nYet iced 1 k 11 is I 1 1) DATI 19 x A,,; N I ))I~ I.1 J[ CTION V) PLB 67 State and County State Permit # Permit Application County Permit # - for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address B. LOCA ION: ','W '/4 . '/4, Section , T_4[N, R-4 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# - Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms ? No. of Persons D. SEPTIC TANK CAPACITY e Total gallons No. of tanks i HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete! Poured-in-Place Steel Fiberglass Other (specify) New Installation Zj Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area It sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length- F` f Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land ° t L Distance from critical slope WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME / L 3 C.S.T. # e and other information obtained from L,_ , Y VA r (owner/builder). Plumber's Signature Phone # MP/MPRSW# 1 Plumber's Address At r PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. 3 # j . 1 F ~ - ; ems.. .wa xm.e. P... P m _ _ a ..a m - e ..ear.. n-~ «_e,. a mH w. . e er a., i r # . r ~..~.e e ..ems . . w .s 6. a .,.m ~x». r w.« e - a~ m M. r . E t p E F _ e e ~.m. _ e.. , . _ e I t _.....ae,. en.,,.. d. m . r e . .m _ v e e- . P . e .~aj4 s j . r . .y me ~ s ~e ~ N ...e.. . a F _ Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State Co my Dat ' ©9(~ Permit Issued/Re@Gt-&d (date) -SO Issuing Agent Name Inspection Yes No State Valid# Date Recd 1, county (wh e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. Plumber (canary copy) Revised Date 7/1/78 EH 1 15 Rev. 9/78 • REPORT ON SOIL BORINGS AND PERCOLATION TESTS t WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 ~_,T~N,R12?E (or) & Township or Municipality LOCATION:sSection j~ f, Lot No. , Block No. County 46 40A~_ Subdivision Name ~Y Owner's%Buyers Name: L)Ai Mailing Address: TYPE OF OCCUPANCY: Residence jC No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS L -l712 p J PERCOLATION TESTS 14 Ae2 9Z SOIL MAP SHEET 41- 64 D; NAME OF SOIL MAP UNIT_" h q - S rie _ (ZIVAA/£g PERCOLATION TESTS " TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- -32 4V ' I~` S 44e " o 4,2 " P- 2- d 1/ 4 7 lit ' • / as P- C x S Jr4 1 S 4 8-0 P- P- P- rr 4 r" y ~icT ~ So: T~ ~Is L~~~L~y ' T P 5 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES 111~k I 74004,8r L? B- 6 B- 41 1k S / "e B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan tF~e lac tion nd square feet of suitable areas. f v Indicate number of square feet of absorption area needed for building type and occupancy a a',1ndicate scale or distances. Give horizontal and vertical reference points. Indicate slope. P 4- t P~ ht'L~ 5~.1 ~c2ruEE' ~~f~yt~~ A , E p iep r 'e -A /V e, q j 0 '0,0 A* OCT i N , ` ~s ~.~.y tit / ~lltJ ~jil~ 1) k a i / "14 00 5 6 , S ` r ^ s I J00 ca N e 1~ poet's I, the undersigend, herel y rtiiy t at fide soil test 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. 5~ ~ ~ q Name (print) AO Certification No. - - Address Name of installer if known Copy A - Local Authority CST Signatu rye o' r . _ w i _ C Az s f ~1 . e~ 1 I r r ~ ! I r -77 r~ 'OR JL~~ S v~ S L C 7 V- 31 o MP--~a-t- WP 7Sy ^~b ~ II lR l In h s crr ' vv G n~ 3e Lo s Y~ ~6 ~j -7 ~A-5rSoc. (~U S o f / C b, PL4- f ~av~~ t 7 S E ~s w - ~C lv G~_ ~4~G/ ~me rsd-~- L/(- 3- ~S c- o r S