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Parcel 038-1118-30-400 01/09/2007 03:38
PAGE 1 OF 1
F 1
Alt. Parcel 29.31.18.490D-40 038 - 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 - OHIO SAVINGS BANK
OHIO SAVINGS BANK
1801 E 9TH ST STE 200
CLEVELAND OH 44114
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1947 93RD ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.190 Plat: 4131-CSM 15/4131
SEC 29 T31N R1 8W SE NW&NE SW BEING LOT 7 Block/Condo Bldg: LOT 7
CSM 15/4131
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
11/10/2006 838574 SD
08/07/2001 653207 1695/269 WD
04/08/1998 576678 1312/599 WD
07/23/1997 1085/420 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
175693 301,100
Valuations: Last Changed: 10/15/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.190 91,500 174,600 266,100 NO
Totals for 2006:
General Property 3.190 91,500 174,600 266,100
Woodland 0.000 0 0
Totals for 2005:
General Property 3.190 91,500 174,600 266,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 516
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 038-1118-95-000 01/09/2007 03:33 Pit
PAGE 1 OF 1
Alt. Parcel 29.31.18.490K 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 - CROTTY, ROBERT A & MARY M
ROBERT A & MARY M CROTTY
1953 93RD ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1953 93RD ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 1.620 Plat: N/A-NOT AVAILABLE
SEC 29 T31 N R1 8W 1.62A IN SE NW LOT 1 OF Block/Condo Bldg:
CSM IN VOL II PAGE 533
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-31 N-1 8W Notes: Parcel History: S
Date Doc # Vol/Page Type
07/23/1997 2000/561 WD
07/23/1997 1 61 WD
07/23/1997 (:91/6b3
2006 SUMMARY Bill Fair Market Value: Assessed with:
175699 242,400
Valuations: Last Changed: 10/15/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.620 26,800 187,400 214,200 NO
Totals for 2006:
General Property 1.620 26,800 187,400 214,200
Woodland 0.000 0 0
Totals for 2005:
General Property 1.620 26,800 187,400 214,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 121
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
This instrument drafted by Ed Flanum Job No. 94-45
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0 121.58 1221.90' n ~ mn
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8'94I
ST, CROIX COUNTY ` q ~~entb
o ;omprehensive Plannir AO
Zoning and
P27' S Committee o i// ~l \~•I
If not recorded
within 30 days of S00040' 12'"E 4256! Z
approval date 16 9 . 9 2
approval shall be
-4 z „old Z
~J F~ L A I TL v_ Bearings are referenced tc the
N r ^ North-South line of Section 29,
r„ ~-~~11 ~J`~ assumed to bear N00°40' 12"W.
0
VOLUME 10 PAGE 2780
AS BUILT SANITARY SYSTEM REPORT
Wl'(ER TOTWNSHIP , , ,ri o -SEC. c~ T, N, RW
0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
'3DIVISION LOT LOT SIZE .
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW E YTHING WITHIN 100 FEET OF SYSTEM
i
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s
I
TT
T__ I
T7
Indicate NorthArrow
i 'SCALE . i! ' i----?
tPTIC TANK (S) J MFGR. T
.~._o-,~ S ~`r=iti its CONCRETE STEEL
NO. or rings on cover- Depth - DRY WELL
ANCHES NO. of width length area
no. of lines- width, length,." area,,,
,depth,.fto top of pipe
aGREGATE
?'AK RATE AREA REQUIRED AREA AS BUILT
tisciaimer: The inspection of this system by St. Croix County does not imply complete
,oppliance 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
43tem operation. However, if failure is noted the County will make every effort to
;itermine cause of failure.
,TEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
D2 -,;2~- See? PLIJIMER ON JOB
DATE J Ic
f'n~11= C
LICENSE NUMBER / ~~f
z
REPORT OF INSPECTIJN INDIVIDUAL SEWAGE SYSTEM
San.itahy Penrn.itQZ
.
State SPpt.ic.;Uft
NAME e/1!~'/^~ ~ ill Q/7 I ownah ip *37~Fj- /q'4,/;! S.. C,%o ix County
Locat.Lom Section
SEPTIC TANK
Size i ga•t•tona. Numbers o6 Compantmenta I
D•c.atance Fnom: Wett 6t. 12% on gAeaten a.tope it
Bu.i.td.ing it. Wet.tanda 6t.
- t
DISPOSAL SYSTEM NighwateA 6t,
D.i6tance Fnom: Wett it. 12% oA gneateA a.t'ope 6t.
Bu.i•td-ing 6t. Wet.tanda Ft.
NighwateA 6t.
FIELD DIMENSIONS:
Width o6" tn.en ch it. Depth o6 ao ck b e.tow, .ti to in.
Length o6 each tine it. Depth o6 Aock oven t•i.te .in.
NumbeA 06 .t.inee Depth o6 t.ite be.tow gAade in.,
Tota.t .tength o6 .tinea it. S.to pe o6 .tAench kn peA 100 it.
D.i..a.tance between Zinea__'L_jt. Depth to'bednock
Tota.t aba on.bt.ion aAea 6t2 Depth to gnoundwaten 6t.
Requ.ined aAea it Type o6 Cove&: Papers on Stnaw
PIT DIMENSIONS:
Num1beA o6 p.Lta GAave.t aAound pity yea no
Outa.ide d.iameteA it. Uepth be.tow .in.tet it.
Tota.t aba oAbt.ion aAea 6t2 • 2
AAea %equ.LAed 6t2 rn
Y
INSPECTED By TITLE
APPROVED ,DATE 197-,
REJECTED DATE 197
PLB State and County State Permit #
67 a Permit Application County Permit # for Private Domestic Sewage Systems County / y X
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: /a /a, Section TN, R` V (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 t Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
t I
Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify)
New Installation X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length Width- Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private N 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 Tester,
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature Phone # -
MP/MPRSW#
Plumber's Address
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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
C" o
Date of Application o%Z fQ Fees Paid: State /4
County Date
Permit Issued/Rejected (Ate) fry Q _~w Issuing Agent Name
Inspection Yes No State 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 7/1/78
EH 1 15 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: '/a,_. Section ,TTN,R_E (or) W, Township or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's/Buyers Name: (C ^ ",c) ,
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE
MIN/IN
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
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
B-
B_
B-
~e_ l J
B_ j
B- l , .
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.
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I, 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 (print) i J kr Certification No. > >
Address
Name of installer if known
Copy A -Local Authority