HomeMy WebLinkAbout038-1135-90-000
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Parcel 038-1135-90-000 06/15/2007 03:52 PM
PAGE 1 OF 1
Alt. Parcel 33.31.18.553C 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 - NELSON, PHILIP H & CAROL J
PHILIP H & CAROL J NELSON
1857 100TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ` 1857 100TH ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 1.060 Plat: N/A-NOT AVAILABLE
SEC 33 T31 N R1 8W PARCEL IN SW NW COM W Block/Condo Bldg:
1/4 COR SEC 33, TH N 661.44 FT TO POB:
TH N 165 FT, E 264 FT, TH S 165 FT, TH W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
264 FT TO POB EXC W 33 FT ALSO A PARCEL 33-31 N-1 8W
DESC AS COM W1/4 COR SEC 33; TH N ON W
LN SEC 33 826.44' TO POB; TH N ON W LN
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 972/360 WD
07/23/1997 806/298
07/23/1997 776/221
07/23/1997 756/358
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.060 25,700 101,500 127,200 NO
OTHER X4 1.000 0 0 0 NO
Totals for 2007:
General Property 1.060 25,700 101,500 127,200
Woodland 0.000 0 0
Totals for 2006:
General Property 1.060 25,700 101,500 127,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 143
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
Plb. #67 3/70 Division of wealth
SEPTIC TABK PERMIT APPLICATION
TYPE or USE BLACK INK
A. OWNER OF PRO: ERTY
Name Address (Street, City, Z1 C o<..;% }
Be LOCATION OF PROPERTY WdRRE SYSTEM WILL BE CONSTRL-CTED, ALTEP ) 3R Ea'ir,.i)IDD COUNTY
Check One:
CITY VILLAGE LECAL DESCRIPTION
TOWNSHIP
F-c. IS LOCAL PERMIT REQUIRED FOR THIS WOPK? /L YES NO PE°RP;IT NUMBEI
D. SEPTIC TANK C ? ACITY Gallons NEW INSTALLATION ~ REPLACEi"'.ENT ADDITION
MATERIALS: Prefab Concrete Poured in Place Steel Other
NU110ER OF TAIMKS TO BE INSTALLED: /
E. TYPE OF OCCUPANCY
Cheek One: One or Two Family Residence / Commercial Industrial Other
(specify)
Number of Persons to be Acco=odated Number of Bedrooms ~
F. APPLIANCES, ETC: Food 1;4st® Grinder YES r NO Automatic Clothes i;a;^. r ~_YES_ n
Dishrasher YES NO Au'oe!p.tie Fotsto Peeler YES NO
Other (Specify) G. MASTER PLU'13F' Y-!',-KING 2-IST t r ATIO%T
Name: Address:
Liosnse Number:
.
Signature of Applicant: "IP RSW
Address:
H• (T be ompieted by Issuing Agent) , n
Date of Application ~O Fee Paid Gam'
Permit Issued (date _7 n Permit Number
Agent (Name) ,ylt,~,l Far ' ~ CAL
Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the . ove questions are answered and the
fee paid. Agents will forward application, the fee of $1.00 for each septic tanK and the third copy
of the permit (oarary' to tha Division of Health. Checks an' money orders should be made payable to
the Division of Health.
Do not write in space below - FOR DEPART',ENT USE ONLY
I. DATE RECEIVED ACCEPTED BY J 'L RETURNED
l
(Initials) (Date) See orres )
FEE RECEIVED VALID. No. PERMIT NO. a
es or No
REVIEWED BY APPROVED DATE
(Initials) Yes or No)
COMPLETE OTHER SIDE
` SLPTIC TANK PERMIT NO. 9 - r~-----
R E P O R T 0 H S O I L P F R C 0 L A T 1 0 N T K S T
A N D S 0 1 L B 0 R I N G S
TO
DIYISIC:i OF HEALTH - PLtt~Zr r S]ZTI' :
P.O.Box 109, h3lson, Wis. 53701
P^° .o H 62.20, Wis. Adminidtrativ) Ccd~
P E R C O L A T I O N T E S T
Tast~I~Dopt~ Cna:actar of SoSI No rs ~R Water ?esy i Drop :.n Water Level Inoiias unutas
Nu:ber f L ahaa Phiaine33 in Inohaa Since Hola 17I E01.0 Int V .l J8C0 1d 1'O NBct to La Bt To Fall
1st batted Oversai„rt in t:1'~aLd List Period Last Period Period Cnx Inch
Example l
P 0 I 35 ur, kn3.1 10"myC!,,T 26111 22 i Yes or No ?Oa~ I 112' 1/2 _I Z2 CO
ZIL-
RECORD DATA FROM MINL'f_ri OF 3 7 --ST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Ad3inistrati.ve Code.
S O I L 0 RR I N G_S 36" Below Prooosed Absorption S stem
J Be lr Total D ptra Depth to C o„ d r~ Dtpt:z 1 to 93d oc%
r- , r In-n:a Ca er-le Esl'i: a;ed Cha:ac o' 5-,:1 with Thio"ciess in Irches _
anpI a
I B - 0 72" 72" I Black Too Soil 12" CIM 18"; Sand 18" ra•!el 241,
G
RECORD DATA FRC`MVMINDIU`I OF 3 BORE FO!.: Z
TYPE OF OCCUPANCY:
R3SZDtCt Number of Ssdro os C;HcP.s (Spacify) Number of Persons
D WAST`: GRL'7DMt Yes N. ~ Dish:iashnr: 'Tes No kuto=atic Clothe9 Washers Yes No
EFFLUENT DISPOSAL SYS71-M: NEW EXTENSION ADDITION REPLACI- EN'T
Tile Size No.Lin. ?ast
~j!-, Trench Width Depth Number of Lines
Seepage Bad: Length Width Depth Tile Size No. Lines
Seepage Pit: Inside Diameter Liquid Depth I, the undersigned, hereby *art fy that the peroolation tests reported n this form were made by me or under n super-
vision in accord with the procedures and method specified in Chapter H 52.20 (13), Wisoonsin Adainistrative Code, and
that the data recorded an location of test holes are correct to the best of my knowledge and beli:eP.
NAiE TITLE
(*e or Print)
REGISTRATION NO. or MASTER PLUM'-E-R LI"P- SE NO. _
ADDRESS
DA-E ~T" SIGNATURE V re-
P/-7 Ca~