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Parcel 038-1008-90-000 09/22/2005 12:14 PM
PAGE 1 OF 2
Alt. Parcel 2.31.18.24F 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 - EARLY, FAMILY TRUSTEES
FAMILY TRUSTEES EARLY
1965 140TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 1700 WITC J
SP 8055 CEDAR LAKE/N R / Q
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 2 T31 N R1 8W PT GL 3 (PARCEL E) COM Block/Condo Bldg:
724.94FT N&602.09FT EOF SW CORGL
3: TH N 16 DEG W 149.5' TO LK, S 76 DEG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
W ALG MEANDER LN 120.13',TH S 16 DEG E
107.4' TO N R/W HWY H, TH S 89 DEG E ALG 02-31 N-1 8W
HWY 124.11 FT TO POB & (PARCEL 1) COM
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1108/339 WD
07/23/1997 1108/338 TD
07/23/1997 1108/337 PR
07/23/1997 658/256
more...
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 0.000 141,300 134,700 276,000 NO
Totals for 2005:
General Property 0.000 141,300 134,700 276,000
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 141,300 134,700 276,000
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
Parcel 038-1008-90-000 09/22/2005 12:14 PM
PAGE 2OF2
Parcel History: cont.
06/05/1997 1244/069 TD
Legal Description: cont.
727.87 FT N & 341.88 FT E OF SW COR G L 3: TH N 0 DEG W 109.4 FT TO LK, SE
ALG MEANDER LN 107.2 FT S 16 DEG E 107.4 FT TO N R/W HWY TH N 89 DEG W ALG
R/W 136.12 FT TO POB
I
CK I , WISCONSIN
SUBDIVT l ~}T LOT SIZE
PLAN VIEW
Distances S dimensions to meet requirements of H62.20
SHi;,"+ LVE?RYTIIINC tiYITIIIN 100 FEET OF SYSTEM
K-
I
i
pt o I p
y VG rif
43f
>EPTIC TANK(S)MFGR. /Z~_cONCRETE~ STEEL
NO. of rings on cover J:~?!/Depth DRY WELL
TRENCHES NO. of width length area
3ED no. of lines- width length area
depth to op of p e i
1GGREGATE F - o C
'ERK RATE,' AREA RE UI D AREA AS BUILT
)isciaimer: The inspection of this system by St. Croix County does not imply complete
:ompliance 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
'sy tem operation. However, if failure is noted the County will make every effort to
e cause of failure.
=REASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM
f p
'INSPEC
D•ATED PLUMB ON JOB
LIC SE NUMBER
z - ~
'REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM i
Sanity-,y Petcm.i..t _
State S(,ptic
St. Ctcotix Count
NAME 1C_ iown6hip .1 y
r
Location 1~' 4> Section ~ I
r i
SEPTIC TANK
Size gatton. Numbetc o6 Compaktmen-tz j
Durance Ftcom: WeZf- - ~ 6-t. 12% oA gtceaten t62ope 6-t
B u.i f-d,i n g 6t. W ezf-an d,6 HighwatvL
DISPOSAL SYSTEM
D.i.btanee Fkom: WeZt 12% on gnea,ten ztope 6.t.
Bu.i.td,ing 6t. Wettand~s Ft.
N.ighwazetc 6t.
FIELD DIMENSIONS:
l .
Width o6 tkench 6t. Depth o6 tcock below Cite in.
Length o5 , each Ztine 6t. Depth o6 tcock ovetc t-iZe in.
NumbvL o6 .i.ines Depth o6 .tite be.iow gtcade_ in.
TotaZ teng-th o6 Una 6t. Stope o' ,ttceneh in pert 100 6t.
Distance between tines 4-t. Depth to bedrock at.
Total' abA- otLb,t.ion attea 6t2 Depth A-'--o gtoundwatvL It.
Coven: Pape& ok Sttcaw
2 Type o6 f
Requ-itced at~ea
.
PIT DIMENSIONS:
Numbetc o6 pits GteaveZ atcound pits _yes n.0
bR~t A
Outtside dtiametetc {E Depth below ,in.Let 6t.
A
2
TotaZ abzonbttion atcea 5t
2
A&ea tcequi&ed.,. 6t
INSPECTED $Y TITLE
APPROVED ,DATE 197
REJECTED DATE 197.
State and County State Permit # PLB67 Permit Application County Permit # -
r.
for Private Domestic Sewage Systems County !-I----
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address: 7
c c h,At, Ys 1", ra , trJ .
B. LOCATION: Section , T.? N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village ,
Township
t77 TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family I\__- Duplex No. of Bedrooms No. of Persons .Z
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES_XNO # of Bathrooms
Automatic Washer Av YES NO Other (specify)
E. SEPTIC TANK CAPACITY /000 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition ReplacementPrefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 1~3 2) , J 3) . 5 Total Absorb Area sq. ft.
New Addition _ Replacement- *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length J'~j Width Depth -Y6 Tile Depth ~ No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Zr Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
°',isconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
ley the Certified Soil Tester,
kJAME -L , C C.S.T. # v-z-:-~L-9 and other information
obtained from i% L-' (owner/).
-'2~"' ~~C1
"lumber's Signature MP/_/0 -Phone #7/
Plumber's Address % P
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accer with
H62.20, including well).
S
Us%
hlQ - ~ „ ~a ~ cF
41
M"g-1,A) P
C/ 7-
.1000
50
o ` Sr~i C'uM
T
4v
43
v
Do Not Write in Space -Below FOR DEPARTMENT USE ONLY C,
Date of Application Fees Paid: State( County D to
Permit Issued/Rejecte (date) _T-]~ -Issuing Agent Name
Date Recd T
Inspection Yes r No Valid#
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
EH -115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH C `
P.O. BOX 309
MADISON, WISCONSIN 53701 d P'
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION ply '/4, Section T.MN, RZ Sr (or) W, Township or ty
Lot No. , Block No. County
Su div'sion Name -
Owner's Name: G.
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS. LUNI& 15,197 ry PER OLATI TESTS g7CJ
SOIL MAP SHEET 0~ SOIL TYPE / ~ 404V Zvi"
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
11'(y S G Ag r A /4 1 /t1 Q __51 (p (o <o S
Z36" " /00 & 6
P-9 3710` AA
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- 14Y C
B 3
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of sui able areas. Indicate number of square feet of absorption area
needed for building type and occupancy. _ 4:9Z A ' Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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I, the undersigned, 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.
7 P _
Name (print) erti ication No. X2 G
Address
Name of installer if known
CST `Signature v`
FHORiTY