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Parcel 036-1080-30-000 07/18/2006 05:08 PM
PAGE 1 OF 1
Alt. Parcel 31.31.17.491 B 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 - MCDERMOTT, NORMA
NORMA MCDERMOTT
1482 CTY RD K
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1482 CTY RD K
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 3.840 Plat: N/A-NOT AVAILABLE
SEC 31 T31 N R1 7W 3.84A SE SE COM SE COR Block/Condo Bldg:
PLAT OAK RIDGE EST. S 40.11' TO POB; ELY
ON HWY K 491' TH N 338.3' WLY 496.82' Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
E338.3' TO POB 31-31N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
08/20/2002 687555 1953/51 EZ
07/23/1997 1160/451 TI
07/23/1997 501/448
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/06/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.840 27,000 132,200 159,200 NO
Totals for 2006:
General Property 3.840 27,000 132,200 159,200
Woodland 0.000 0 0
Totals for 2005:
General Property 3.840 27,000 132,200 159,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 120
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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E PA 43
RICHARTZ IMPLEMENT 115---~
COMPANY I~
~Vz
2010 Stout Road EEE' - ~""jR
Menomonie, Wisconsin 54751 1'I ''°'~Q~
715 - 235-5589-
>e
Dan Gibson - Jerry Richartz 8 Bill Richartz -
Salesmen 1486 Tractor
z 1..
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
*j
Sanizany Petcmtit-
State Septic. _
NAME Town.dhip St. CALoix County
Location % o4 Section_T_N,R `'-s' w
SEPTIC TANK
Size gatton,5. NumbeA o6 CompaAtment.6
Diztance FAOm: Wett it. 12% on gAeateA zZope it
Building bt. Wetlands t.
HighwatvL ~ .
DISPOSAL SYSTEM
Di.stance FAOm: Wett it. 12% oA gAeateA zZope it.
Building it. wettands Ft.
HighwateA it.
FIELD DIMENSIONS:
Width o6 tAench it. Depth ob Aock below tite in.
Length of each tine it. Depth o4 Aock oveA tite in.
NumbeA ob tine/s Depth of tite below gAade in.
Totat tength of tines it. Stope o6 tAench in pet 100 it.
Distance between lanes it. Depth to bedtLock it.
Total absonbtion vLea 6t2 Depth to gtoundwateA it.
2
RequiAed vLea it
a PIT DIMENSIONS:
NumbeA o6 pitz GAavet around pitz ye.6 no
Outside dia.meteA it. Depth below inter it.
2
Totat abzotc.btion aAea it
z
' A
AAea requited it2 rn
INSPECTED By TITLE
APPROVED DATE 197
REJECTED DATE 197
i
f
P
e
EH -115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPO~RiT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION:-'/4,'/4, Section, T--N, R-17 # (or) W Township or Municipality SjJrC~r
Lot No. , Block No. County
j r Subdivision Name
" Ve
Owner's Name: ~
Mailing Address:
06
TYPE OF OCCUPANCY: Residence
No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE
r
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- _ 3
ICI
a
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B_ o
c i
f~ c _ c
B _ i
3 - 2
B-
? 5 S; 1 ` C
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square fe t fjtable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. I - Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
i ~ r i E( ~ ~ ~ I" I l
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14_____ I
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i i ~ I i t I f ~ I 1 1
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I, the undersigned, 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 knoyledge and belief.
Name (print) ~C "7 14-1 _5 Certification No. --~S _
Address
Name of installer if known
CST Signature
COPY A - LOCAL AUTHORITY
PLB67 State and County State Permit #
~ J Permit Application County Permit # - %
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY 1 Mailing Address:
B. LOCATION: Section _Y/, T_3 N, R / > f (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# (41 Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons y7
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES NO # of Bathrooms-
Automatic Washer RYES NO Other (specify)
E. SEPTIC TANK CAPACITY~&trIV, Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement- Prefab Concrete X
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) /j 3) 43'Total Absorb Area IY5 sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length ;90 Width Depth :yk_ Tile Depth _33 No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size y
Percent slope of land -3 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 Teste ,
NAME Ca 0 r _5 C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature P/MPRSW# 5 Z' 3 Phone #~5' s!3 5
(.y
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
.
3
~ L
1
f
Do Not Write in Space, Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State County Date
Permit Issued/Reir=ad (date) -Issuing Agent Name _
Inspection Yes 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
_ - - _A1111- _ .