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Parcel 038-1008-80-000
09/28/2006 11:04 AM
Alt. Parcel 2.31.18.24E PAGE 1 OF 1
Current X 038 - TOWN OF STAR PRAIRIE
ST. C
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type COUNTY, WISCONSIN
00 0
Tax Address:
Owner(s): O =Current Owner, C =Current Co-Owner
RICKY S & JODI L BAGGENSTOSS O - BAGGENSTOSS, RICKY S & JODI L
864 LAKE RIDGE ALCOVE
WOODBURY MN 55129
Districts: SC = School SP = Special
Property Address(es): ' =Primary
Type Dist # Description ' 1206 CTY RD H
SC 3962 NEW RICHMOND
SP 1700 WITC
SP 8055 CEDAR LAKE/N R
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 2 T31 N R1 8W PT GL 3 (PARCEL 2) COM Block/Condo Bldg:
727.87 FT N & 341.88 FT E OF SW COR GL 3
TH N 109.4'TO LK, S 86 DEG W 75', S 2
DEG W 103.7 FT TO N LN HWY E ALG HWY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
80.54 FT TO POB 02-31 N-18W
Notes:
Parcel History:
Date Doc # Vol/Page Type
01/04/2002 667306 1808/213 WD
06/27/2001 649630 1670/25 WD
07/23/1997 1102/247 PR
07/23/1997 1056/503 WD
2006 SUMMARY Bill more...
Fair Market Value: Assessed with:
0
Valuations:
Last Changed: 10/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 86,600 79,300 165,900 NO
Totals for 2006:
General Property 0.000 86,600 79,300 165,900
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 86,600 79,300 165,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0
Certification Date: Batch 133
Specials:
User Special Code
Category Amount
Total Special Assessments Special Charges Delinquent Charges
0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORTc rls
TOIINSHIP'..•,~ , L%e,. SEC. 3 T N R
0. ADDRESS "ZL:Z 64 ST. CROIX COUNTY, ISCO, a
BDZVISION LOT LOT SIZE VVb 41t 0 ~2'
PLAN VIEW l Vjf d~1 Sll`~ (DZ%,
-Distances b dimensions to meet requirements of H62.20 2A ! 993 WO
SHOW EVERYTHING WITHIN 100 FEET OF S STEM-' 110Z
77t
_i
~ I I R
I ~ Y
Indicate North, Arrow
I f . SCALE c r` -j--
tPTIC TANK(S) MFGR.
•~,%i("s l i ,,a,.;;;t~,.,~~'t ;1 CONCRETE STEEL
NO. of rings on cover / Depth DRY WELL
'ttNCHES NO. of width length area
no. of lines width 42: length S area
dept to top of pipe
~GREGATE
RATE Z
y AREA REQUIRED AREA AS BUILT
j=oy
iisclaimer: The inspection of this system by St. Croix County does not imply complete
.a;?liance with State Administrative Codes. There are other areas that it is not possible
,o inspect at this point of construction. St. Croix County assumes no liability for
13tem operation. However, if failure is noted the County will make every effort to
,jtermine cause of failure.
JEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
DATED /7 PLMIBER ON JOB / Jrt - 1`
LICENSE NUMBER 4 <-L
r
Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary. Perm.it-2f`
1 r State Sep.-tic.. f ~
Township, St. Croix County
J
NAME
Location iSection _
SEPTIC TANK
Size ga.ttons. Numbet o6 Compartments
Distance From: WeZZ it. 12% on greater 6tope it
Building it. WetZands
Highwater it.
DISPOSAL SYSTEM
Distance Fnom: Wett it. 120 on greater. 6tope it.
Bu.itd.ing it. Wettands Ft.
H.ighwater it.
FIELD DIMENSIONS:
Width o6 trench it. Depth o6 rock b etow tite in.
Length of each tine it. Depth o6 rock over t.iZe_ ,in.
Number o6 tines Depth o6 tite b eZow grade in.
Totat length os Una it. Stope of trench in pen 100 it.
Di, stance between .mines it. Depth to b edro ch.
Totat absorbtion area ~t2 Depth to groundwater
2
Required area it Type oi Cover: Paper or Straw
PIT DIMENSIONS:
Number o6 pits Grave. around pits yes ilo
Outside diameter it. Depth below .inlet it.
2
Totat absorbti..on area it ~z
Area requ.ir.ed bt2
INSPECTED BV TITLE
APPROVED ,DATE 197`
REJECTED DATE 197.
EH 115 Rev_ 9/7$ q
REPORT ON SOIL BORINGS AND PERCOLATION TESTS iv \
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701 w J 1.
LOCATION:&19~ Y4,._'~AL %4, Section_ ,T,_~_LN,R_dq (or) W, Township or Municipality Sue
Lot No. , Block No. County ~~T +~°CL1(
Subdivision Name
Owner's%Buyers Name: `
Mailing Address: 4': ' Y L ~
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEWREPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS -7 PERCOLATION TESTS 2 29
SOIL MAP SHEET NAME OF SOIL MAP UNIT r EW -L_9j'4q ~y /0--
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES j
DEPTH CHARACTER OF SOIL RATE i
NUM- SINCE HOLE HOLE AFTE INTERVAL MIN/I^Ji
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- !
AIA ),0- s 1 1
P-, s. e
P-
P_
P_
P_
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER F SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST F OBSERVED IN INCHES
B- / '3:R Q0
B- v
B- m j
B-
B-
B-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan he yation 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. / ~rryyy
660WO 9,
A
was W44/
a v ~..m. N
~.a
I x E
POOR
44 /DO
a
{
4, 0
1, 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 iofint) Certification No.
Address
?,,lame of installer if known
Copy A - Local Authority CST Signature
PLB67 State and County State Permit #
# ?2ls
Permit Application County P it
for Private Domestic Sewage Systems County L
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY / Mailing Address:
B. LOCATION: ly_F_'/4 CaJ '/4, Section T N, R f (or) Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village „
Township
a__ TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES O # of Bathrooms-)-
Automatic Washer '4_ YES NO Other (specify)
E. :SEPTIC TANK CAPACITY Total gallons No. of tanks
"Holding tank capacity Total gallons No. of tanks x
^lew Installation Addition Replacement Prefab Concrete
'Poured in Place Steel Other (specify)
F ::FFLUENT DISPOSAL SYSTEM: Pe ion Rate 1) 2) P 3) k_Total Absorb Area o sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin Feet _ Width Depth Tile Depth No. Trenches _
Seepage Bed: Length 11 Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth ile Size
Percent slope of land Distance from critical slope
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 Certifi Soil Test ,
NAME LA-1-V` ~ C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/ RSW# /36-3 Phone
Plumber's Address
PLAN VIEW: Provid- sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
~,Yf
/ tg
~du1N A.A,O
Not Write in Sp fe Below FOR DEPARTMENT USE ONLY
of Application ~te) Fees Paid: State Co n y~Dat V9
Issued/4ejsesed (d- Issuing Agent Nam
7 ion YesNo Valid# Date Recd
? Sra ty (w ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
r
e (pink copy) 4, plumber (canary copy)