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Parcel 036-2000-60-000 09/19/2006 04:29
PAGE 1 OF 1
F 1
Alt. Parcel 31.31.17.613 036 - TOWN OF STANTON
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 - COLEMAN, MICHAEL & MARY
MICHAEL & MARY COLEMAN
1820 144TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1820 144TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 0.800 Plat: 2106-HOOK'S ADD
LOT 16 HOOK'S 2ND ADD Block/Condo Bldg: LOT 16
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
31-31N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/27/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.800 18,000 172,200 190,200 NO
Totals for 2006:
General Property 0.800 18,000 172,200 190,200
Woodland 0.000 0 0
Totals for 2005:
General Property 0.800 18,000 172,200 190,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 151
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
TOWN OF STAN
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• AS BUILT SAN.I TARY SYSTEM REPORT
,ER j,/dL, , TMINSHIP SEC. T4.~, N, R.
ADDRESS l ST. CROIX COUNTY, tdISCO:.SiN.
_'DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of 1152.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
-1---;
_ --t-----
i i I
- It-- I i
I
I
I I - -C - ; i-._ - -4 - r---+-- -
L ILL!
"TIC TANK(S) MFGR ' i I I/Ld cafe. Nartth. AtL tots
_c OiTCRETEV STEEL S CCtQ ?
N0. of .rings on cover ~ Depth Hy c{LI.L
C1YES :10. of width lengtharea
no. of lines width length area
depth ,to top of pipe
R.
kTE AKEA REQUIR D i' AREA AS BUILT / z '
' 4 r-.
-claimer: The inspection, of this system by St. Croix County does not imply complete
oiiance 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
;-tern operation. However, if failure is noted the County will make every effort to
-_t2rmir.e cause of failure,
A SES AND OILS sHOt'LD NOT BE DISPOSED THROUGH THIS SYST~*L
'-INSPECTOR
DATED PLUMBER ON JOB /jam yr~
b-sr `
LICENSE NUMBER ; ;
z _
REPORT UP INSPECTION -INDIVIDUAL SEWAGE SYSTEM
SanitaAy PvLm.it
State Septic- I
C?
NAME i own.dh,ip St. Cto.ix County
Location Section
SEPTIC; TANK
I
Size ga.t.ton4. Numb en o6 Compattmentz _ i
Distance 1=tom: Wett it. 126 oA gneaten stope it
Bu.i.td,ina St. Wet.tands fit. #
H.ighwatet it.
DISPOSAL SYSTEM
r
D.ietance Etom: We-t•t 12-06 on gneaten Is tope bt. I
Bu.i.td.ing_ 6t. Wet.tand/s Ft.
Highwa.ten it.
FIELD DIMENSIONS:
Width o6 tteneh it. Depth o6 loch be.tow .t.i.te ,in.
Length os each tine it. Depth ob nock cveA t.i.te in.
Nu.mbet of tines Depth o6 t-i.te be.tow gtade ,in.
Tota.t .length o6 .t,ine.46t. S.tope o6 t,'Lench in peA 100 it.
D.i,stance between .Lines 6t. Depth to bedtock -_6t.
Total. ab.6otbtion aAea 6t2 Depth to gACundwatet it.
2
RequiAed area it Type o~ Covet: Papers oA Stnaw
PIT DIMENSIONS:
Numbe.t o6 pits GAave.t around p-itz_-ye's no
Outside d,iametett it. Depth below .in.tetit.
2
Total absctbtion area it ~z
Area tLequiAed it2 m
INSPECTED BY TITLE
APPROVED , DATE -197-.
REJECTED , DATE197--.
k'A Jio Y
EH 11J 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: jPi - /4, Section . i`' T- N,R~zF (or), W, Township or Municipality
Lot No. , Block No. County i ~lJ~J
Subdivision Name
Owner's/Buyers Name:
Mailing Address: o:;
TYPE OF OCCUPANCY: Residence- 11 No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS .7---2,L-22 PERCOLATION TESTS_
SOIL MAP SHEET NAME OF SOIL MAP UNIT j~JTif`r_` L✓>4fr.
'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-
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
17
B
B- Z ? J
B-
B-
B-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the 9cation and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy L !S'" ,Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
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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 (pant) /1r Certitlcation No._
Address 4 Z A/1:1, NZ ~ ,Z
Name of installer if known
Copy A -Local Authority CST Signature
PL I967 State and County State Permit #
Permit Application County Per i
for Private Domestic Sewage Systems County
d-Z
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address
0 ~r eZ L44 `-.tit vi I F ~i r
B. LOCATION: J - Y<.ti<<r Section, Ta~_ N, R (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. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES' NO # of Bathrooms_T-
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY i7- otal gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement -j Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) L3) 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,ir,2Width f Depth - !''T Tile Depth. 1 No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size f1
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 Certified Soil Teer,
NAME C.S.T. and other information
obtained from - (owner/builder).
Plumber's Signature MP/MPRSW# A~ Phone
Plumber's Address r'-r j 1
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
y .
_ . . rl
11.
'N4i
E
I
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application 1 %
~ ~-j' Fees Paid: State ICI, C C County ,2, Date
Permit Issued/Fit end (date)-/ - 2 S = Issuing Agent Name `i
Inspection Yes__,I/ No Valid# Date Recd
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)
Revised Date 6/1 /76