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Home My WebLink About038-1117-60-000 o N 0 3 m o d M d CD I 3 3 I ~ ~ ~ I ~ • y m m m O 0 CD ' ~ 'D ww `d 0 m _ = N Z p~ ~ m ~ o o m N co a n a N C 3 d. oD O (D D) Wa N 7 M.~~~ n N CL 0CD p (D CO 0) CD CD D S O O 0 O O C O C) n O A~ N n v { D ° m ca :3 0) . N N d -4 CD c O C 3 a 0 0 N O W CD j 0) fl- lei CD co co n r cn U) ao w N o c CD 3 :T Q cn Ij z O O O 3• O CD ~y,~ u ~TE 0 N to o D a)_ cr O 0 h 0 N CD .~0. y a) N - N o cn 7 ' D III w IQ N) =3 1 -4 n CD (0 N M N IZ I z oo z 0 - D o n' v O CD N • CD v F N C CD (p I W (D d a 3 z CD s -f U1 Chi A z O 9 d C 7 O (n W CNO W CL z 0 3 p 3 z Cw y < D A ~ CD n) d CD o ~ o - 2)) m - U) C 0- a in o m N p X 0) A CD I i V N O ' O V A O (D Dro O A fA 0 ti 00 CD y 'r Al Parcel 038-1117-60-000 01/17/2007 12:41 PM PAGE 1 OF 1 Alt. Parcel 29.31.18.489C 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 - VANCURA, MARK G & PAMELA J MARK G & PAMELA J VANCURA 1976 93RD ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1976 93RD ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 2.190 Plat: N/A-NOT AVAILABLE SEC 29 T31 N R18W PT SW NW 2.19AC LOT 1 Block/Condo Bldg: CSM 6/1792 HISTORY - 774/24 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 01/02/1998 5706978 1286/18 WD 07/23/1997 1049/242 QC 07/23/1997 972/282 07/23/1997 957/03, more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 175682 319,500 Valuations: Last Changed: 10/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.190 132,500 149,900 282,400 NO Totals for 2006: General Property 2.190 132,500 149,900 282,400 Woodland 0.000 0 0 Totals for 2005: General Property 2.190 132,500 149,900 282,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 123 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Jo-;q n AS BUILT SANITARY SYSTEM REPORT Sc h m ~ ~--z, OWNER~TOWNSHIP SEC.,T,N-R1-W ADDRESS` ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT i PLAN VIEW A Distances and dimensions to meet requirements of H6 VI, 140-W-,-VERY-THING WITHIN 100 FEET OF S lie t 4 ~ A Al 11 6 rc I di a e o th Arrow '&L BENCHMARK: (Permanent reference Point) Describe:A~d,- Eleva ion of vertical reference point: /~~n Slope at site: SEPTIC TANK: Manufacturer : ,;3,,,, Liquid Capacity: Number of rings on cover : l Tan manhole cover elevatiorf' : Tank Inlet Elevation:Tank Outlet Elevation: -f PUMP CHAMBER Manufacturer: r. Number of gallons Number of. gal. pump set. or a cycle gallons; total capacity distribution lines/6,/,-/ gallon: size of pump head; gallon per minute horsepower ran 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: Number o pits feet diameter feet liquid depth seepage pit in etpipe-elevation bottom of seepage pit e evation feet. , SEEPAGE BED SIZE: number of lines__,, width length~/tile depth,,,,~ SEEPAGE TRENCH: width length, PERCOLATION RATE -,,,,,,,,,-AREA REQUIRED, REA AS BUILT INSPECTOR DATED PLUMBER ON JOB s LICENSE NUMBER REPORT Of INSPECTION - INDIVIDUAL SIWAOL SYSTEM State Sep-t,i.c NAME Towvi6hip A/rw wig" t. Ckoix County Loc ti dLn _Sctton~Lot # Subd~ vision_ SEPTIC TANK Size~ gatton,5 Numbers. o6 eampantmenth Di6tance Anom: Wef 5'2? ~ (3uti~dting ~ ~ 120 6~ope H.tghwate~ PUMPING CHAMBER S,tze__/ gad on6 Pump Manu Adctun.e."I i , Mader Numbe HOLDING TANK Size. -,ga fon.6 Nu-mbe.n. oo Compantme.nt~ Pumpe-ic_-- Atan-m Sy t tem Dti,5tanee- A~Lom: GIe2~., - 13u.E~'ding 12a Slope. Highwaten ABSORPTION SITE Becl X ey T~Leneh- Di,tanee Attom: Wet~_ Buti.2dtin-g__ S~ ?20 A~ope - Highwaten ABSORPTION SITE DIMENSIONS Width aA .trench l:;~ (t Re.qu4"1ced ahea _ {t Length oA each tine At Depth oo stock below ti.ec / tin Numben- oo etines Depth oA n- oe.k oven- tit e 2-- i.n I17 Total 2e.ngth oA tines bt Depth oo ttiee bc~ ow gnade_-_ _4n D-t.6ta.nc.e between ~tn.e.s At Stope. o6 to-each. tin. pest 100 At Totak ab6on.pt-ion- area ~At Type o6 Cave.a: Pape.n an A to-aw PIT DIMENSIONS Number oo pit/5 GAave.I' anoavid pit/5 yea no Out/5tide diameters At Depth below intet ( l Total. a.b6on.pt.i-on- ane.a_-- -fit i Area Lequtitve.d_ (t ,Q INSPECTED 6V APPROVED - DATE - - f -I - 19 8 REJECTED - - D ATE. - 19 8 - REASON FOR REJECTION i 1 , i PLB 6 ~ State and County State Permit # 7 u Permit Application County Permit # r 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 A Mailing Address: L( .~i ~.2,,,/,."//. I rf ✓1 / n B. LOCATION: b, /4 411 Section T L N, R (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township _'.1 ,4~. C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concreted Poured-in-Place Steel Fiberglass Other (specify) New Installation R -placement Lift Pump Tank or Siphon Chamber btal gallons Prefab concrete __Z_ Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area c sq. ft. New Replacement W Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: _Y_Length 6 Width Z vol '-Depth / Tile depth (top) • No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private N 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 1x C.S.T. # and other information obtained from _ (owner/builder). Plumber's Signature ! MP/MPRSW# / Phone # Plumber's Address_4-/ i l'i j 11 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. F t .>w e. a ..e ,m. e.. ~ a ...e m e S { 3 € . a e.-...., e e a .e ~ d.~ Pe..., m _.e 3 ~ F : 3 ~ c ~ c i c c s I ~ E I s E S S E 1 7 i Do Not Write in Space Be OR COUNTY AND STATE DE ARTMENT USE ONLY / Date of Application Fees Paid: State f County .21 ate Permit Issued/Rej cted (da e) Issuing Agent Name i Inspection Yes No State Valid# Date Recd 1. county (w rte 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 Eli 1 i5 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: ' Ik 114,'/4, Section iLN,R_ iLV (or) W, Township or Municipality (I Lot No. , Block No. County 1 Subdivision Name Owner's/Buyers Name: S- j Mailing Address: -A • " TYPE OF OCCUPANCY: Residence No. of Bedrooms 1 COMMERCIAL' C~'~ '1C 8J EFFLUENT DISPOSAL SYSTEM: NEW REP/LACEMENT- X_ALTERNATE SYSTEM OTHE DATES OBSERVATIONS MADE: SOIL BORINGS x / PERCOLATION TESTS r r` \ SOIL MAP SHEET Z_234 Al NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- a 1 41 P- / P- , 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 OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES - B- 1 71 7 7. B- C B- - e B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the locapon and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 4 B Alamo/),~.,xx- (1vw1 E 4~r'._ _ let,' F E - Ile IIJ 00 N s 3 l e iaC. 0 ; a «tr ' , I, the undersigend, 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. Hw%-ss v- Z ir±sial!er if known r!'?~J" CST Sign ;ture uthority REPORT ON INSPECTION OF SANITARY PERMIT # (1) me and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection i l Time of Inspection ame, icense NO. o ins a Ing p ber / J 3 I STALLAT CONSISTS OF: Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? DYES ❑ NO ; 8 HOLDING TANK: Manufacturer o gallons construction depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ N0; Wired? ❑ YES ❑ N0; Locking device on cover? ❑ YES ❑ N0; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095,N.05/85) Signature of Inspector: _ i 71- F4 i. BENc hli,~**j (Al*a I-) ' ~ ~ ~ /DO ~ U rol.E woo, C?F..u4rVl - , I o, t . i 7-10AI ~DD~~~c - ,SQ'~" U10 tax' ,z,~~~~ 450 ~lf~ t!1l~lrlr/r~l OW/ ISO A 4,6 oco,%4 C ou ~C ' i - i 8 , 7"~i~t'' ve~u w.Ar ~ G t'~C?,!•*l /.SrO rr,i.Jrr ~~r•~ OW/ AwJ4 00 yob'a.~tB,P t~arrAS Jwvr I Sad _ 1 F a_ r 1) 7 T_ 6au 1 '~i~IIL _ ; . . F, II f ,~J nbft/U~. y A/D 1 WM1N it