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HomeMy WebLinkAbout038-1088-30-100 ocl) o r. d 0 d r~~ o 1 M r: =r m o m o 41 y v r- x A Q (D Q CCD N N CD 'O `rs co ~o ~I M CD OD :3 CD w CL (D (D Cl) W C) -0 CT CD (3) 0 C) I @ CD CD w o 3 NO * O O r0• N N v (n Z D m a n CD (O O m G 77 W A ? a O v Cl) N) N) ' O Z co to (D O -J' j N O c z 0 0 Z O O O ry~ 0 JEI 3 :E 3 v m v O v N 0) m 90 d N N 7 C1 a Q N N Z z( o z o D m m o (D N CD C N ~f C N CD w (D a 3 ET CD -1 Cl) c Z v n 0 O cn w co - CL Z 3 Z °C N Z CD A W i -0 4 s D N a o a (D 5. T (D Q v 3_ - . v c NO C,) Z o. CD F a 0. E CD N ID SD d W CD 0-0) y CD 8 0 CD U) o s w CND CD N CD o N °o oa (n (D O A p A A :3 i CD pp O f t» O o (D o CL w Wisconsin Departw.,..,;: of Health ',AdlSeoia' Services Plb, 67 3/70 Division of Health SEPTIC TANK PERMIT APPLICATION TYPE or USE Plvlx INK A. OWNER OF P-,C I SRTY Name Adc.ress (Street, City, Zip Co&) -77 B• LOCATION OP PROPERTY WHF3ti: SYSi`"►. WILL BE CON "i`RUCTED. ALT''REll OR FXTFhDED COUNTY v~- Cheek Onus CITY VILLAGE LE'CAL DESCRIPTION 4f71 71 - n C. IS LOCAL PERMIT REQUIRED FOR TnbS WORK? YES .r. NO ' l~ I,PV1IT NUMBER i D. SEPTIC T%NK CAPACITY Gallons NEW INSTALLATION' REPLACEMENT ADDITION MATERIALSt Prsfab Concrete Poured in Place Steel Other NUMBER OF TANK` '0 BE INSTALLEDs E. TYPE OF DCC;,-F,: ; ,Chsok.One; or Two Family Residence Co®sercia'_ Industrial Other S eoify Nus.tr of to be Accommodated Number of Bedrr< F. APPLi::NLES, ETC: F.= d Waste Grinder YE" Auto;.-Atic Clothes YES_- NO Dig. ":rasher YE:: i Auto-tio Potato Prer.ar YES NO Ot::er (Specify) G• KAS,a PLUaZA MALI,' It STALLATI Name: Addrsa License Nur er s d MID Signature of Applicants MP RSWr `f=--- Address: -c- H. / (To be Completed by Issuir.;, At,ent) Date of Application Fee Paid Permit Issued (d'te) Permit Nueaber / Agent Fors Town,-Village, City, Count;:, 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 $l.Ou for each septio tanx and tha third cony of th; permit (canary) to the Division of Health. Checks aie money orders should be made F~~.yabls to the Division of Health. Do not write in space below - FOR DEPARTMEN' :!~K ONLY I. ~J1 DATE RECEIVED ACCt:PTED BY RETURNED (Initials) (Date) See Co r`s.) FEE RECEIVED VALID. No. PERMIT NO. ( - i es or No - - REVIEWED BY APPROVED DATE (Initials) Yea ar No - T' I COMPUT`: 07,' TIDE SEPTIC TANK PM MIT NO. v R t P 0 R T O N S O I L P Y R C 0 L A T I 0 N ? E S T A N D S 0 I L B O R I N G S TO D? ISION OF HEALT'i - PLIMI iG St -,TI&A t'~•^^ P.O.BoxsU9, Madison, Wis. 51701 67 Pursuant to H 62.20, WJ:,. Administrative Code 1ri y 14 P S H C O L A T I O N T E S T G' r 6 Toot Dep'::!k Chsxrwoter or Soil Hours Water Test Tisai5 Drop in 1.~if:or Level Ino es Minutes Number Inohes Thioknc!~s in Inches Since Hole in Hole Intc:vat Second to Next to Lest To Fall lot Wetted Overnieht_ ,t!_<nutes Last Period Last Period Period one. Inch Example P - 0 36" To Soil Ire" Clay 2611 25 Yes or No 30 1 2 11-2 1/2 60 / P ~i., C 1 :I'... P /f . Sit ~ f~,•_ t` / , REC'';.:i DATA FROM MINIM-s:3 OF 3 TEST HOLES Coat;ute size of absorption area in aocord with H 6i..20 Wis. Administrative C_ >a. S 0 B O R I N G S- 36" Below Pre,, Absorption Systm Bering Total Dop Depth Ground Water De~~ to idrack `:umber Inches Obser~'- I,ro ..ro°'.r1 Cflse. s ^d Character of Soil with Thtc`:,ness in ! _ahes maple B - 0 7214 f B1acim 'igSoil 12"; C1= Arlt! 1611- Gravel 24"j +..E 4,1 - ='t'jCGWR DATA , t!INIMUi Cy.3 BO?~ NOLi'S YPE OF OCCUPANCYt RESIDENCES Number of Bedrooms OTHERS (Speoify) Number of ,vreons ROOD WASTE GRINDERS Yes No 77\-' Dishvvrshert Yes No Automatic Clothes Washers Yes No EFFLUENT DISPOSAL SYSTEM: NEW _ EXTENSION ADDITION REPLACE ENT Tile Size No. Lin. Feet Trench Width Depth Numbe, of LinozY Seepage Beds Length Width Depth Tile Size No. Lines Seepago Pitt Inside 0.71-Mr Liquid Depth I, the undo: sigv%,•i, hereby certify that the per oolation testa reported on this fors were rdo by me or wader super- vision in aooord x'th the procedures e.nd method speoified :1n Chaptor H 62.20 (13), Wisoon,in Administrative Cody, and that the data /rtso ,led fd koooation of hest holes are corriT:t to the best of my knowledge and belief. NAME / _ TITLE ~rt •^1 Typo ar r;.~- REGISTRATION NO. or MASTER PLUMBER LICENSE NO. / ADDRESS DATE 7/ f SIGNATURE r ~ Parcel 038-1088-30-100 12/08/2006 12:08 PM PAGE 1 OF 1 Alt. Parcel 21.31.18.363A-20 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Q2076 Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CLASS, WILLIAM A & BERNICE L LIAM A& BERNICE L CLASS COOK DR ERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2076 COOK DR SC 3962 NEW RICHMOND SP 1700 WITC W d-/ Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 21 T31N R1 8W PT SW NW EXC PARCELS Block/Condo Bldg: 363J,363E,363D, 363B,363C,363H,363F,363G, COOK DR & CTH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) C 21-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 508/421 2006 SUMMARY Bill Fair Market Value: Assessed with: 175392 157,300 Valuations: Last Changed: 10/29/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.860 46,300 92,700 139,000 NO Totals for 2006: General Property 4.860 46,300 92,700 139,000 Woodland 0.000 0 0 Totals for 2005: General Property 4.860 46,300 92,700 139,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 110 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STAR PRAIRIE T 31 N:-R. 18 V1~. 5, Ji POLK COUNTY J • , Fdq¢- ~i Lesr~~- • h~ .>hr .ten C i ~,F e sc' P O ~ : sr as o _ 'IT s~ Ah 0 0 % \ 7w kath. va szes~en CEDAR v o HH j ye o ~j ~j Jtrohbe en /sz ,f v° v s a v v s 6 s'` v de ye~e is6 LueC W b ~v •h a o h o p be s: y Y v 1' l ov - (3 lei S~~¢ d i~o N ea ~ o~~ / /~i/ • ar cl v ~ s /lie/s C sro ~`J ha ~h ~ ~ D`F i<~ • H x < .za ~ _ s~i HUNTING rife {s ~ w Cp d `6 ~ .gyp Lu ce, O.sE. /I-o ~ as Me ,cJc o ¢O ,Pr '~ec~ S i /m /i.i d ~fPrm¢~ oo qqs 3 w tl 59/v4"-t© C X00 4 R h H AIF3 ~ti Ne/son ~ - ~ ~3 s- ~ . /A.-v2 ~o~e r y ,P b f d Z~ s it/e/sow d l ) SGt s:&¢ zaRzs .w ~tY e ~F~ go s 41~ ~.8mc I a~ 6 7a s. moo/ • - ~ <~/o% C/o f ~3y r"/s h 4c fhe/ I ~~m¢.~ ~i ` 7 n Zna • ~ ~!s ~ r-c ~l ;~p ;.o s ^i, cei- ~cTah~' . C~eane 90 'tre QU ► g~ i~¢/✓e son c Toyee C C v ~z o 7 ao - y Daan© Mc >r// L i c9Z5a /'~/Q~/e ~ h ~ ~ bc~~ • zs6 ~8 C Bo . qi/- ~7~~ . %i¢~oi7, e,~ P/a„fe C/oaf er- I sn _ • y ~ 40 h ` Johnson so ,zB ss ef¢/ Bc>~eo dof .~esL °P%(%,u>s~ Ajws. /'~O ~~41 ro fu t-o ~F,~4 beef ,E icha~d rh nv r, T a- ~TOa ~ C~-o /I {Ui// ~d iPcf."o~o% Btvb acd c/a„ P~:n~izn r 9nde son Gea,- e Da~.e/ 65 //anse~ tl to - ~u u ~t+r ~ d - hw M //a~2 Bo ,20 ~ i6o_az ~ ~ y~ co " 4o t30 8 ~ '4 ~o Maw, r7 L~oz~se~? ra'ir:ron P i • - h Rat . L3:~k~o3 /60 f~ i ti e A % •r~cha.d R a © 9/a4 L3 -WC+~ofhPm, /unc~ SPo ~ C /VC/ 0/~7~ /52 / 40 .IL an ~ ,eE.,o RW. r A9 sf- R. GEC •/',9 i;<o~~ has , imz ti q//e~ ,Y~~ 1a464 GR ro t. R. .a Leie~ 6o s c ov. ,P cfi.• al,d pffe ~roh~ o„ ecz~so~ ~ ,9nd2 .~'e ~6`i~'~ '840 h 'n s ,o Robec/- ~j fJas /ar- iO~ 135 ms _ i-zo ~ e~c•e Pan>`c~ B. U 6B ~ a O/ z Lambe% W Gay (.ym fLacr//e Lee W5M U6 nE ~bei e 9o~¢/d V v W odeo GLeo.oa 9° e / ~o h Cp o `s ~ N 90 `'Be2 ~ Q ~ 90 ~ ° j~ m io.r Gook ~ E e. saw ~ / so~ ~ 6/se/a/ , 7t+; 4 4 ~ ~ K ~s s °O W a6o1n ia9~ d ~o . 69 ~ i vok, ~ ~ --f_ • Bo i C I- C K G ti n W W a_<k o C o 0 0 7932 ~51~ ~d~ h ye°,.n .y m- •~9/ c e a v° b /c C/ u/ier' ~x~ u o ,eobc,-t - r; 0 T¢ : ~e 4~^~ 4o y~o . 60 1~ ~7 t 3 W FV La sow s~ Pd.. - .Pops L'¢~ a~ z _ ~ Yl ~ Lesfci' U ban F ~ k ~ 7,~ ~ 6~~--- 7U r~~0 _f ~ Dffo ~ ~ `~o U% Be/fs/e 6776 Pau/. e 6¢ Pobe f Nan 9.j' 9 .'u~0 ✓ r- h /o v pia S rRA%V L. r~ , meson c, _ 76o O o 4i.r6 v iz6 3C1N r z 1 ~ ~ ` h .Tohn, J 1 < v -s. ~ ~ cPa/ h 5 eBeQ d 60 • ~ saber/ ~P~doi~h Gem-a// P o z,o .r<.e,a- .2o6e/f kuso /~ov/so ~ C/o<.,`iri- u//on '(LF! ~y¢ y /~/on doi- q .y. o ssee/ f/"l~ine y'o 8c ' 79 - lic. G o. > Bo v 7 Loco (/o ~3 ~h Lemo 0O C.K. Ch¢~-/es /10 q f 4Qob f: C u tiLynda. L. Lansor7 • E/me~LS cy z37 y~ y v v .zr 8 f o /mo nd i Pacht Sao web v¢~d s H¢/ve so i~ ~0.3J ~ ~c,~-e Fi /'moo V:~ a 7 80 ~ ~ , 40 c S h ~Ecr/fi C/ _ C/io'¢m~ M¢~Pe//- ,ti C 0 /comas, / cToe C C T ~Pob~~f ~ C oy m QQ i y C/ufier- 3p V.d 7h m¢s ~ B~c,o efa/• i7 i-Q/JC'O/3 ~ 7dso fig/EmC- 90 ,Doris z7 i 4 d i~ ,5-~d¢' 70 !dR/ ~yT ~`q0 • L - e ~ia~ ~I!B~' ~ ~ ~ rohnf as. ~ C~n ~'Vh ,6u o~ ssz9r ~ Fa m' /~ichmo.~d cfi-r e¢~ ~ ~ fwa/d H r. of u ~C l L _ zQO • ~ f/ohneke ./knt3 ,ao ~v CSd~ 100 ~ coo ~ •~/ib as ~ ~ ~ ao ,y C.r ~ ~ •/i coo~f ( 6 ,beat a.S~aies F v h v ~bF o. a6e uA M ( gg . awcr- '¢o oy kca 9s 80 M W C Vl C fb . ~~a a D h t~ . , oi' izo ~o/ate o 2V are 70✓ \V~ ~s ~¢o =o ~e zosoe/ ~tiH AT /ELD'. ec f i y~ ~ ~h1 s~ v~ ~o -9 L . 64 sz ~ h • ` da a u CI P ~0~~ 0 Pa~Gne ` Hah a,Fe v ~ Ce.,te~ C c i u`I ,w so v 0 sdaP e., f. 3 p ~ ~ . ~ v F ~ ,Puss. ~ ~ ~ ~sB r-sn G/e~ /7a~y o ~ es ae ~ ~ h v ~ ~ D .~i✓o~Oc ~ \ N ~ ~ 373 of X ~ ~ N.~ YY ~~lp' Y e ® s tlp e,6 8/ Dp UN k \ FDIC FQga h crohn Fixzr,c,s F ~¢~~e N /s ~ FLn„ z - v 0A~. f .Toh~ C 0 .~zs kL T ~oac; ~ °1, p Q° ~ Om.9/.cc o,c ic. oyee cS~ro~b ~ ~ C! Rebfiaq Laws <Ti', e1a/ ~\'y ~ ~ ° ' _ V ~ R ~ P~h ~"/andoc' I© /.%o £ rneir a Bs G ou .ro 64 " m 65 • SEEI PAGE 43 i ~sf C'~~.x < n /y !~✓rs Y71 o' d~-~ u i~l cc Re~q 6Q SEE PAGE 33 ' ARD'ARD'S FRIENDS OF 4-H l~ NORTHTOWN FARMERS UNION G.T.A. LINE ELEVATOR 401 South Main - Stillwater, Minnesota 55082 HIGHWAYS 64 & 65 NORTH NATRO-GAS INC. 1 NEW RICHMOND, WISCONSIN 54017 Highway 12 -Baldwin, Wisconsin 54002 PHONE: 245-2236 COAST-TO-COAST STORE TWIN CITY Lfnits~.eR Baldwin, Wisconsin 54002 PHONE: 439-2905 F Parcel 038-1089-60-000 12/13/2006 09:36 AM PAGE 1 OF 1 Alt. Parcel 21.31.18.364D 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 - CLASS, WILLIAM A & BERNICE L WILLIAM A & BERNICE L CLASS 2076 COOK DR SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.000 Plat: N/A-NOT AVAILABLE SEC 21 T31 N R18W 1A IN SE NW N 200 FT OF Block/Condo Bldg: W 217.8 FT PARCEL S/B IN SW NW A COR- RECT PARCEL KNOWN AS 363A-20 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 038-1088-30-100 IN SW NW 21-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 508/421 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 038-1088-30-100 Valuations: Last Changed: 04/10/1992 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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