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Parcel 038-1033-60-000 11/22/2006 04:27 PM
PAGE 1 OF 1
Alt. Parcel 8.31.18.151 B 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 - CHARLAND, PAUL J & CHARLENE
PAUL J & CHARLENE CHARLAND
2233 90TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 2233 90TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE
SEC 8 T31 N RI 8W S 1/2 OF NW SW 20AC Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
08-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 535/102
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 33,000 121,100 154,100 NO
PRODUCTIVE FORST LANDS G6 18.000 90,000 0 90,000 NO
Totals for 2006:
General Property 20.000 123,000 121,100 244,100
Woodland 0.000 0 0
Totals for 2005:
General Property 20.000 123,000 121,100 244,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 122
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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ODANO R r_. 7 , E W R l
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TOWNSHIP
% . L5,- L5,- T. N, R ~,f W
, ST. CROIX COUNTY, WISCONSIN.
'3DIVISION i , LOT LOT SIZE 7--er-xrw', A
PLAN VIEW
-Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
'°60
--TIC TANK (S) riFGR. ~ ,-y) e CONCRETE TEE L,
I NO. o rings on cover Depth DRY WELL
'.NCHES NO. of width\ length area
no. of lines width length/'\ area
depth to top of pipe
:~ZEGATE
RATE AREA REQUIRED, AREA AS BUILT
.claimer: The inspection of this system by St. Croix County does not imply complete %
.pliance with State Administrative Codes. There are other areas that it is not possible j
inspect at this point of construction. St. Croix County assumes no liability for
-tem operation. However, if failure is noted the County will make every effort to
-ermi-ne cause of failure.
'1SES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
I~
D TED' a PLU11BER ON JOB , C - _ r E i • p `
LICENSE Iv'tTrfF3ER % 1
z
REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM
San.itany Penm,i,t State SPp.tic_ .~r"
NA'•'E i'owndhip Croix County
Location Z
SEPTIC TANK
i
Size 2c(7 gattonb. Numbers o6 Companxments
Distance Fnom: Wet ` ~ - St. 12% on greaten zZope 6t
Bu.itd.ing 2 6.t. WetZands 6t.
H.ighwaten St.
DISPOSAL SYSTEM
Distance Fnom: Wett , .12% ot greaten stope 6t.
j 4t. Buit-ding Wet.2ands Ft.
H.ighwatvL 6t.
FIELD DIMENSIONS:
Width o6 ,thench fit. Depth of nock below ti2.e .in.
Length o6 each tine 6tf, Depth o6 rock oven ti e in.
epth o6 t.ite be.Low gtLade in.
Numb en o6 tines
Totat length o j tinez li jt,. .tope o6 trench in pen 100 6t.
Distance between tines V 6t. Depth to bedrock. 6t.
Totat absonbt,i..on area gt2 Depth to gtLoundwaten 6t.
2
Requ Type o6 Coven: Papen on Straw
• -fined area
PIT DIMENSIONS:
Number o6 pits GnaveZ around pits ye,6 no
Outside d.iametvL Depth b eZow in-Pet 6t.
2
Totat abtsotLbtion, a ea 6t A
Area tLequiaed 6t2 rn
J /
INSPECTED TITLE APPROVED DATE i/) 197'1 .
REJECTED DATE 197
r~.
EH 115 '
. WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: ~b ill,; I Section Z_, TVN, R &Er(or) W, Township or 114 fait lla ✓r// j rz
Lot No. , Block No. County
~)c< Su division Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence i No. of Bedrooms - Other
EFFLUENT DISPOSAL SYSTEM: NEW f -ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 144 Z g;~/~y 7e PERCOLATION TESTS
SO] L MAP SHEET _ SOIL TYPE
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
P `
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-
l z
72
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location 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.
I I i
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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.
Name (print) ` .Certification Nr~.~
Add ress '
ame of installer if known
CST Signature
- OCAL AUTHORITY
State and County State Permit # ✓ ~j
PLR 67 L Permit Application County Permit
u
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWN OF PROPERTY Mailing Address:
~c t r f+-rJ ~ Chi -
B. LOCATION: Al U3 Y4-t5 97 Section ',-T<.31 N, Rjff.& (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township flri
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family ~ Duplex No. of Bedrooms Z No. of Persons 2-
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY 2000 Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation ✓ Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTE : Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. o i ell Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: gth Width Depth Tile depth (top) No. of Lines
Seepage Pit: I s e diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private ❑ Joint rf`6ommunity ❑ 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 Ad inistrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Ce i ed Soil Tester,
NAME y: C.S.T. # and other information
obtained from (owner/builder). / e
Plumber's Signatur MP/MPRSW# Phone 47r
Plumber's Add e" ~L1z
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.
2 ca ~~~s
.
Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
of Application ? - Fees Paid_ : State IC, County ~ el Date ~ ~ -
t Issued/&Ejvad (date) - l Issuing Agent Name CL>
n Yes t' No State Valid# Date Recd
y (white' copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
ink copy) 4. plumber (canary copy) Revised Date 7/1/78
I
' .FiGRE~IVlE~:~i
This agreement, made and entered on this 16th day of __May 19 by
and between the Township of Star Prairie p ddress_Route 2. New Richmond,
Wisconsin 54017
V FIEREAS: 1n application has been made for a sanitation system on the
following described property:
V~EEREAS: Septic tank drainage does not meet the minimum standards of the
ordinance of St. Croix County and state codes.
V~.E.F,I:iLr' u: 'file owner agrees to iasiall a hclding tank for septic tank purposes
purposes.
NCV, TEEREF (DRE: For and in consideration of the issuance by the Town-
ship of Jtar rai ri to of a permit for the above premises, the parties
do hereby agree and bind themselves as follows:
1. Owner agrees that they will conform to all the rules and regulations
pertaining to a holding tank system. They agree that aryti,-ne said
township deems it necessary to pump out said tank, the owners shall
have same pumped out in 24 hours, or township will have said work
doneand charged to owners and place same on their tax bill as a
special charge.
2. The Township reserves the right to assess a bond if they desire to
cover any possible pumping charge in the sum of 4 100. oo
IT IS UNDEitiSTOOD that this agreement shall be binding on the owners,
their heirs and assigns.
IN V ITNESS WEEREOF, the parties have hereunto set their hands and seals
the day and year first above written.
Township of S "r Prairie
by
Developer
or owner Rf~~r~•`rr~.~.a yy_,
STATE OF V)ISCONSIN)
SS:
COUNTY CE ST. (:RCjX-)
Subscrib ar." sworn to be-"ore me this 15th day of May 19 79.
.c. C L ~ L
Notar Public, St, c-K County
Ruth . Johnson- Comm. Exp. 1/2/83
EH.115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS'AND PERCOLATION TESTS
LOCATION: -~_-34 Section T-31N, R /~€(or) W,' Township or ^ ~I~*<: ~I/' L -
Lot No. - , Block No.-- - -----Count
? Su division Name y - 01-`- - -
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence _-r No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW-- Z- ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE ~ `x!rf1 ?
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
P-
P- r1 1
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-
13- 77
B-
PLAN VIEW (Locate p6colation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location 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.
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