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Home My WebLink About038-1084-60-000 ti o cn o 3 m 0 r O d * c 0 CD o c ^ c o J Z w o g U) o o 3° o w cn o v w a j z s w j o ^ co O I° V O o ` 1 cn z!. ` n O O O (D O O { N o M O K ~O 7 Vl O O r. O O p N CO \1 d C O~ N Cn -C r CO CD CD n N U) a ~ C/) a o o CD O rn CD Cn a m cn ~z o (D (0 3 -4 CD o r- cn cn O O cn (COO CO CD a _0 O fl: "1 • Z O O O tr o ~yt~~l 00 cn r a ccn ccnn ccnn o D No w 'm N N 00 Oi N 3 CD 00 a N i z z m z I ~ O D CD . 0 ZY !r CD m N 7 N n O1 C E ((Op N CD w ~ Q z 1 cn O A Z m 70_ A z O O o W o 0° v m m C Z z O r. Z 3 m z CD A w F 0 n= a 3 F CD L?' < CD Q O O Q T N 7 p 7 X CD Q C.11 N fl A Cr CD 'J; CD- CJ ::3 C L (D CD 7 n d S N. C), ID O d N 3 N O ~ C O N O T n S = Qr p a c T. _ v CD CD a o 0 0 O ~ S 0 O C (0 O O N N N CD 7 N O CD O CD CD cn x- m a N o w I CD i, o O a o ~ C:) a } Parcel 038-1084-60-000 04/08/2005 02:23 PM PAGE 1 OF 1 Alt. Parcel 20.31.18.352E 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): * = Current Owner MARC WILLIAM RISTOW * RISTOW, MARC WILLIAM 2009 95TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2009 95TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 1.190 Plat: N/A-NOT AVAILABLE SEC 20 T31 N R18W 1.19A IN SE SW LOT 1 OF Block/Condo Bldg: CSM IN VOL III PAGE 808 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 989/14 WD 07/23/1997 949/614 2004 SUMMARY Bill Fair Market Value: Assessed with: 30262 140,000 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.190 29,800 116,400 146,200 NO Totals for 2004: General Property 1.190 29,800 116,400 146,200 Woodland 0.000 0 0 Totals for 2003: General Property 1.190 14,900 87,300 102,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT t. U E'ER A)y TOWNSHIP /*,z SEC. T'~y/N, R W J. ADDRESS %J G' , ST. CR0 COUNTY, WISCONSIN. a~~`-- ;DIVISION LOT LOT SIZE ~ • . PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM b LL/ ti LI \ NY, ?TIC TANK(S) hGG. MFGR. e C _j -CONCRETE /k- STEEL NO. of rings on cover Depth DRY WELL '.:`INCHES NO. of width length area _D no. of lines- width length area depth to rtop of pipe CREGATE 5 Jd~~ ''iC RATE A QUIRED 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 inspect at this point of construction. St. Croix County assumes no liability for stem operation. However, if failure is noted the County will make every effort to termine cause of failure. EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. --INSPECTOR DATED LUMBER ON JOB / _64 - / LICENSE NUMBER ~r i ~y . . 2~ z kEnORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM San.itvLy Permit X.~ • State Septic-6 NAME fownzhip J ~ t&~-.1 S$. Croix County Location. Secti.on,,Z SEPTIC TANK Size oo() gattonz. Numbers o6 Compartments I r s Distance Priam: weZZ 6t. 12% ox gxe.atex zZope 6t i Bu.itd.inq 6t. WetZands 6t. r Highwa-ter it. DISPOSAL SYSTEM Distance Ftcom: Wett 6 120 ox g'teatex slope 6t. Bu~.Zd t.ng 6 W etikands Ft. • H.ig hw•a:t ex 6.t . J FIELD DIMENSIONS: Width o6 tkench~ 't. Depth o6 hock below tiZe in. Length o each tine it. Depth o6 rvch vvex tiLe Sri. r Nurnbe.L a .e.cne_s Depth. 06 tile be.Ecw gLade in. Totat 2eng-th o6 Zines_ _6t. SZope o6 ,txeneh in pe.JL 100 it. Distance be.;Luee.n Zine.s it. Depth to bednock it. To-:at absarbt-ion atcea_ 6t2 Depth to g,Laundwater it. Requi. Led area 6ti2 Type o6 CovvL: Pape& op, Sttcaw PIT DIMENSIONS: NumbvL o6 pits Gxave.E a,Laund pits yes no Outside diamet Depth betew .in.Let 6.t. 2 Z Tota.e. absvtt(,t-Lon area --6t f _A 2 rn Axe.a -Lequi.tced_ 6t INSPECTED By'_ TITLE X.. APPROVED ~ DATE -19 7 . REJECTED DATE 147 EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES Aft. DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 1 REPORT ON SOIL BORINGS AND PERCOLATION TESTS 1 JK y LOCATION: SJ jf _/4, /4, Section T~LN, R rat (or&+Township or Municipality Lot No. A, Block No. County t~ cY Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence- No. of Bedrooms - Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT- DATES OBSERVATIONS MADE: SOIL BORINGS ~C PERCOLATION TESTS p ~ SOIL MAP SHEET SOIL TYPE ~__1 1106-Al 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_ s y~~ All _ P_ ~ t) Cam` _c / ~ y O P_ 3 .ru 3 .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) y / 6 Al l 1 _ it T` A . 24 -717 / .y r ~~au s l~ ' , i [ ,w ' , AC 1 xTjzv y. PLAN VIEW (Locate npercolation tests,soil bore holes and suitable soil areas ' ~ ~.,J ///,-,d Indicate on the plan the location and square fe t of suitabl areas. Indicate number of square~eet of absorption area needed for building type and occupancy. ~~~'£1 Indicate scale or distances. Give horiz ntal and vertical reference points. Indicate slope. - { , h 6t R 1.., I_ _ l , 6, 1 , i' l i c- t ' I l i ' i r1z 73I I - 4 t i i i t i ( ~ i s r t s 1 I / 1 3 i d- 1 Q I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the probedures 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. °T Address 1115 Name of installer if known CST Signature '2Y A -LOCAL AUTHORITY 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: V B. LOCATION: 37_4= '/4 '/4, Section a T-- 2_1 N, R 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 /K%~ ( Total gallons No. of tanks HOLDING TANK CAPACITY 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-PlaceOther (Specify) E. EFFLUgENT DISPOSAL SYSTEM: Percolation Rate i.~_9-- Total Absorb Area sq. ft. NewEReplacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed-(-/, Length -Width Depth _4z Tile depth (top) No. of Lines Seepage Pit: Inside d,ameter Liquid Depth No. of Seepage Pits Percent slope of land/r. Distance from critical slope 4- WATER SUPPLY: Private F-ei 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 Testers-- . NAME r / S c) C.S.T. # and other information obtained from ( (owner/builder). Plumber's Signature MP/MPRSW# Phone # Plumber's Address r ~r-a e~ 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. v - r / 0 4!11" - f_ 3 3 (PP i F t i Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY v Date of Application Fees Paid: State eO OO County Date Permit Issued/ftiemied (date) 7~7 Issuing Agent Name Inspection Yes No State Valid# Date Recd 1411, 1. county (wh46copy) 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 Parcel 038-1084-80-000 04/08/2005 02:22 PM PAGE I OF 1 Alt. Parcel 20.31.18.352G 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): = Current Owner CLOUTIER, KATHLEEN KATHLEEN CLOUTIER 2400 ORLEANS APT 302 STILLWATER MN 55082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legatifescnption: Acres: 1.200 Plat: N/A-NOT AVAILABLE EC 20 T31 N R1 8W 1.2A IN SE SW LOT 3 OF Block/Condo Bldg: (SM IN VOL III PAGE 808 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/25/2004 777923 2681/597 AF 10/25/2004 77924 2681/599 TI 2004 SUMMARY Bill M Fair Market Value: Assessed with: 30264 14,400 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.200 15,000 0 15,000 NO Totals for 2004: General Property 1.200 15,000 0 15,000 Woodland 0.000 0 0 Totals for 2003: General Property 1.200 7,500 0 7,500 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 038-1084-30-000 04/08/2005 12:31 PM PAGE 1 OF 1 Alt. Parcel 20.31.18.352B 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): Current Owner KATHERINE CLOUTIER CLOUTIER, KATHERINE 2400 ORLEANS #302 STILLWATER MN 55082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 7.080 Plat: N/A-NOT AVAILABLE SEC 20 T31 N R1 8W THAT PT OF SE SW LYING Block/Condo Bldg: SELY OF HWY C & EAST OF TN RD EXC CSM 11/3136 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/25/2004 777924 2681/599 TI 10/25/2004 777923 2681/597 AF 11/22/1971 307946 478/582 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: 30257 16,900 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 7.020 17,600 0 17,600 NO Totals for 2004: General Property 7.020 17,600 0 17,600 Woodland 0.000 0 0 Totals for 2003: General Property 7.020 4,500 0 4,500 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 038-1084-80-200 04/08/2005 12:30 PM PAGE 1 OF 1 Alt. Parcel 20.31.18.3521 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): Current Owner CLOUTIER, KATHLEEN KATHLEEN CLOUTIER 2400 ORLEANS #302 STILLWATER MN 55082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 0.250 Plat: 0562-CSM 12/3329 SEC 20 T31N R1 8W SE SW BEING OUTLOT 1 Block/Condo Bldg: LOT OL1 CSM 12/3329 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/25/2004 777924 2681/599 TI 10/25/2004 777923 2681/597 AF 2004 SUMMARY Bill Fair Market Value: Assessed with: 30266 2,500 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.250 2,600 0 2,600 NO Totals for 2004: General Property 0.250 2,600 0 2,600 Woodland 0.000 0 0 Totals for 2003: General Property 0.250 1,900 0 1,900 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