HomeMy WebLinkAbout038-1057-70-050 (2)
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Parcel 038-1057-70-050 06/15/2007 05:11 PM
PAGE 1 OF 1
Alt. Parcel 14.31.18.2478-10 038 - 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 - WAHLQUIST, ERIC R & MARLA R
ERIC R & MARLA R WAHLQUIST
2160 CTY RD C
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 2160 CTY RD C
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 2.272 Plat: N/A-NOT AVAILABLE
SEC 14 T31N R1 8W 2A IN SE NE COM NE COR Block/Condo Bldg:
TH WILY TO WEST R/W HWY C, TH SLY ALG R/W
608 FT TO POB: S 208.71 FT, TH WILY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
417.42 FT, N 208.7 FT TH E 417.42 FT TO 14-31N-18W SE NE
POB ALSO COM E1/4 COR SEC 14;TH N 00 DEG
E 468.95'POB;TH N 89 DEG W 455.42';TH N
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
05/29/2001 646546 1646/633 WD
07/23/1997 1158/257 WD
07/23/1997 1090/627 TI
07/23/1997 541/462
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.272 33,400 244,000 277,400 NO
Totals for 2007:
General Property 2.272 33,400 244,000 277,400
Woodland 0.000 0 0
Totals for 2006:
General Property 2.272 33,400 244,000 277,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 203
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Health and Social Services
Pib. f~7 10/69 Division of Health
r
PERMIT APPLICATION
for
PRIVATE DOMESTIC SEWAGE SYSTEMS
A. OWNER OF PROPERTY TYPE OR USE BLACK INK
ame Address (Streets City Zip Code) or
County
B. LOCATION OF PROPERTY WH:RE SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED?
Check One:
CITY VILLAGE LEGAL DESCRIPTIONS
C. IS LOCAL PERMIT REQUIRED FOR THIS WOFIC?
YES NO
PERMIT NUMBER
D. SEPTIC TANK CAPACITY /
Gallons NEW INSTALLATION / - REPLACEMENT ADDITION
MATERIALS: Prefab Concrete L Poured in Place Steel Other
NUN23ER OF TANKS TO BE INSTALLED: L l:
Ee TYPE OF OCCUPANCY
Check One: One or Two Family Residence C..eroial Industrial Other
Specify
Number of Persons to be Accommodated Number of Bedrooms
F. APkILIANCES, ETCt Food Waste Grinder YES NO Automatic Clothes Washer ~i'YES NO
Dis:rxasher YES NO Automatio Potato Peeler YES /_----NO
Other (Specify)
G. EFFLUENT DISPOSAL SYSTEM NEW C/ EXTENSION ADDITION REPLAC?'--,NT
Tile Size No.Lin.Feet Trench Width Depth Number of Lines
Seepage Beds Length Width Depth Tile Size No. Lines
Seepage Pitt Inside diameter 7_' Liquid Depth
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours Water Test Time Drop in Water Level inches Minutes
Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall
1st Wetted Overnight ~in Minutes Last Period! . Last Perio Period Cne Inch
,Example
P- 0 3611 To Soil 1011Clay 251, 25 es or no I 30 Y2 '112 1/2 60
RECO;n n' TA F'Ra1 MINIMUM OF 3 TEST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B 0 R I N G S- Minimum 361, Below Prooo3ed Absorption System
oring Total Depth Depth to Ground Water Depth to Bedrock
umber Inches Cbserved Estimated
Observed Es,.lfrsted Character of Soil with Thickness in Inches ~
xample
0 7211 721' Black To Soil 12"• Clay 18"; Sand 18"• Gravel 2411
1..
h . RECORD DATA FROM MINIMUM OF 3 BORE HOLES
COMPLETE QPHER SIDE
1 I, the undersigned, hereby certify that the percolation tests reported on this form were made by me
or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3),
Wisconsin Administrative Code, and that the data recorded and locition of test holes are correct to
the best of my knowledge and d/belief..
NAME A_( C' cz c V 6~ TITLE
(Type or Print)
REGISTRATION NO. or MASTER PLUMBER LICENSE No.
ADDRESS G c' iC ` /3 07,~f s
DATE SIGNATURE
MASTER PLUME R MAKING APPLICATION
Signatures License Numbers
MP RSW iG
(To be Competed by Issuing Agent)
Date of Application 42-. 7 Fee Paid
Permit Issued {d at ) / L f' Permit Number
Agent (name) Ford
Town, Village, City, County, etc.
(Specify)
Notes The application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be made
payable to the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
DATE RECEIVEDA Tl ACCEPTED BY RETURNED
(Initials) (Date) See Corres.
FEE RECEIVED VALID. NO. PERMIT NO. -4-
(Yes -,r No)
REVIE14ED BY APPROVED DATE
(Initials) (Yes or No)
COMMENTS :
L
15-
1~
Wisconsin "apartment of Health and Social Services
Plb. X67 10/69
Division of Health
PERMIT APPLICATION
for
PRIVATE DCy„fES'TIC SEWAGE SYSTZ: S ~
A. OWNER OF PROPEi2'TY TYPE OR USE BLACK INK
Name Address (Street, City Zip Code)
C~j -A
County
B. LOCATION OF PROPERTY WN-RE SYSTEM WILL BE CONSTRUCTED ALTERED OR FXTENDGD
Check One:
CITY VILLAGE LEGAL DESCRIPTION: 0-' j jvr ~
_ TOWNSHIP-~ C
-Z
C. IS LOCAL PEF?1IT REQUIRED FOR THIS hORK? YES NO
PERMIT NUMER
D. SEPTIC TANK CAPACITY Gallons NEW INSTALLATION _ RE?LACL'dENT ADDITION
MATERIALS: Prefab Concrete Poured in Place Steel Other
NUNEER OF TANKS TO BE INSTALLED:
Ee TYPE OF OCCUPANCY
Check One: One or Two Family Residence l Commercial Industrial Other
(Specify)
Number of Persons to be Accommodated Number of Bedrooms ,S
F. APi'LI ANCES, ETC: Food Waste Grinder YES A NO Automatic Clothes Washer >XYES NO
Dishwasher YES NO Automatic Potato Peeler YES - X NO
Other (Specify)
G. EFFLUENT DISPOSAL SYSTEM NEW EXTENSION ADDITION REPLACEMENT
Tile Size No.Lin.Feet Trench Width Depth Number of Lines
Seepage Beds Length Width Depth Tile Size No. Lines
jSespage Pits Inside diameter Liquid Depth
P E R C O L A T I O N T E S T
Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches Minutes
Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall
1st Wetted Overnight in M'.nutes Last Period Last Period Period '7ne Inch
Example I -
P- 0 3611 To Soil 10" Clay 2625 es or no 30 1/2 1/2 1/2 60 {
'14 e,
RECORD DATA FROM MI'JIMU, OF 3 TEST FOLKS
ompute size of absorption area in accord with H 62.20 Wis. Administrative Codes.
S 0 I L B O R I N G S- Minimum 36" Belau Prooosed Absorption System oring Total Depth Depth to Ground Water Deoth to Bedrock
i
umber Inches Observed Estimated Observed Estimated Character of Soil with Thickness in In--his I
=nple
- 0 72 72'1
Black To Soil 12". Clay 18"• Sand le"; Gravel 24"
RECORD DATA FROM MINIMUM OF 3 BORE HOLES M`
COMPLETE OTHER SIDE
Is the undersigned, hereby certify that the percolation tests reported on this form were made by me
or under by supervision in accord with t%e procedures and method specified in Chapter H 62.20 (3),
Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to
the best of my knowledge and belief.
%^~~L ~t^
C1 c, TITLE
NAME
(Type or PxZnt
REGISTRATION NO. or MASTER PLUCB ER L--CENSE No.
ADDRESS
SIGNATURE
J
DATE
MASTER PLLMER MAKING APPLICATION
MP
Signature: License Numbert
M? RSW
(To be Completed by Issuing Agent)
Date of Application Fee Paid
Permit Issued (dat6) Permit Number ~
Agent (name) For:
p f, Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above questions are answered
and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should be made
payable to the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
DATE RECEIVED ACCEPTED BY RETURNED
(Initials)] (Date) See Corres.)
FEE RECEIVED VALID. NO. LiG ~ f- PEF41IT NO.
(Yes or No)
REVIE74ED BY APPROVED DATE
(Initials) (Yes or No)
COMMENTS: 1
'1