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Home My WebLink About038-1006-70-000 n y O m v 0 r~ 0 m a m O d `r1 c m 0 m .0 K -0 v 3 m # to 3 A+ r ~ 3 ~ Q ~ o v v, o w oo m m o o • ? o o Ei. m a o CD N Q N a N j O CD CO O :3 CD 0 0. = Q m w FD' 44 rn o c M m m 0 a ~ o ~ cn 3 CL o ° oo = N y A 7 O O ~1 c Cl) O lV cn (n D a CD (D W CD ) (D CL 3 O o CD 0 N N CD F~ ti R 20 < (D o Z n r cn Co Co (D too c f I ~ V Z Q * * * j 3 a (D a►4 (A (gyp N < (n o ' D < c A N ~ A O CD Oc J d N O a (D l 3 N N z o Z Z m 0 D D o p a ElF CD Q ; co m n 3 z (D -I to O D A ? n u .;0 C A Z O 7 O O i Z -I N 0o v m ; m 1 z 0 3 O * (n N z (D A Z(D NN J> O v (O O D N O Q C U) -n N (D 3 DOj CG 0 O ~ - 7 Z p N _ D O 0 C-) N O (D N 0 _ (CD l ti ;v cn 7 Z 0 X- 3 a ~ A v cn CD M °spoCD N O U) Z N 7 CD N O O N v 0 O O c ~ U) a CD ti • i (D Op A N 69 0 ti C) :E 6 CD o a ~ TOWNSHI r" • : SE ~L TN, R f W J, ADDRESS ST. CROIX C IISCONSIN. wjo2j `;DIVISION LOT LOT SIZE PLAN VIEW e ~X y c. s Distances dimensions to meet requirements of H62.20 2 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a. 6 • tom- _ _ • 111 I . `,TIC TANK(S)__I_ MFGR. CONCRETE STEEL r. NO. of rings on cover f Dep h ,;fz, DRY WELL INCHES NO. of width length area j no. of lines width length area depth to top of ' 3U_GATE pipe -K RATE AREA REQUIRED AREA AS BUILT ,claimer: The inspection of this system by St. Croix County does not imply complete ; pliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for .tem operation. However, if failure is noted the County will make every effort to :ermine cause of failure. ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. ZNSPECTOR DATED PLUMBER ON JOB LICENSE MIBER ; s W ~/rn~' + a d ! b +~a3 l off, Pa 9 rr o i RFPOP,T Or It1SPECTION--I74DIJIDUAL SE`,•IAGE DISPOSAL, SYSTE1.1 Sanitary Permit -s r State Septic TOWNSHIP St. Croix County SEPTIC Tr.?S. t4 E-~ L, Size gallons. 'umber of Compartments - Distance From: Well ft. 12% or greater slope ft r Building` ft. Wetlands f: IUghwater ft. DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building ft. Wetlands f FIELD ILighwater ft. Total length of lines ft. Number of lines Length of each line eft, Distance between lines ft. Width of the trench -ft. Total absorption area sq. ft. Depth of rock below tile in. Depth of rock over the in. Cover over.roclc,, Depth of tile below grade in. Slope of trench in ner 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Dumber of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: `yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required `square feet of seepage nit area required ' Inspected by: Title': Approved Date 197 Rejected Date 197. • 1 PLB67 State and (;eunty t State Permit # ' Permit Application County Perm' 3~ 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 Mailing Address: B. LOCATION: - % ection Q T31 N, R W 40 (or) W Lot# ity Subdivision Name, nearest road, lake or landmark Blk# Village 00 Township ..C~ C. TYPE OF, OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family 7'~ Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NNO # of Bathrooms-1 Automatic Washer YES NO Other (specify) E. !TjpbWC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity 0 0 Total gallons No. of tanks New Installation X Addition- Replacement- Prefab Concrete X- *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) - a) 3) Total Absorb Area Ne _ Addition Replacement *Fill System Se page Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Se age Bed: Length Width Depth Tile Depth No. of Lines Se page Pit: Inside diameter Liquid Depth Tile Size Pe cent slope of land Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62-?' Wisconsin Administrative Code, and that I have sized the effluent disposal system by the C rtified Soil Testr, _ NAME Ll Q 1,~ C.S.T. # g ~y obtained from Y (owner/builder). Plumber's Signature MP/MPRSW# Phone • w~ Plumber's Address sat PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Do Not Write in Spac Below R DEPARTMENT USE ONLY 7 jj (f Date of Application Fees Paid: State County Date r d Permit Issued/ qjL~ (date) f Issuing Agent Name Inspection YesNo Valid# Date ec'd 1. county (w ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADIS N, WI 53701 2, state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 t 4 Ok k cr @ ko~l i f Ir ~ ` I I N, f rill\v r hj C\ 4 z 2. 'jCl r Z4 sv 4 i Ca C)l m Z ' AUG 14'?~ i, 4- a s~ C7~1 r ^ State or f Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES » DIVISION OF HEALTH Nuattat 17, 1875 MAIL ADDRESS: P. O. BOX 309 MADISON, WISCONSIN 53701 IN REPLY PLEASE REFER T0: SECTION OF PLUMBING AND FIRE PROTECTION SYSTEMS Ps~e Cwt Product* Plan Id \'f Its o.74-04 4K 3a Sox 249 Ri:sh=md, WI 54017 PSG ^0*01 ' Dear Sir: Re : r-er 1d Fx1.sy » 14si4once ~~lding Ts `I 1/49 Sw 1/4, t. 2, 70319, 916W. T at 'star Prairis, St, C"ix CtalmtT This is to acknowledge receipt of your plans and specifications for the above- indicated project. When referring to this plan in the future, it will be absolutely necessary to utilize the plan identification number assigned to the-project . The spaces below indicate if proper fees have been submitted or if more information is required. Providing plan review is not completed within thirty (30) days, a permit to start construction may be issued if requested. See Section H 62.25, Wisconsin Administrative Code, for limitations in reference to permits to start construction. Preliminary plan review for determination of fees does not hold the department liable in the event additional fees may be required upon complete plan review. Preliminary review indicates the plan review Fee required is $ Fee received is ${a Plan accepted for review. Fee is being returned because of Overpayment El underpayment. Providing one of the two catagories above is checked, please remit correct total fee in one payment. Indicate plan identification number on remittance. No fee has been remitted. Plans submitted with no fees will be held in abeyance until remittance is received. Indicate plan identification number on remittance. Additional information required. See attached Plb. 100. The permit to start construction will not be issued until 30 days after requested information is received and accepted. Plans being returned. See attached Plb. 100. Sincerely, Z c;r~ ames A. Sarg Chief JAS:fjs Parcel 038-1006-70-000 09/28/2006 09:30 AM PAGE 1 OF 1 Alt. Parcel M 2.31.18.16 038 - 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 - HERMANN, JEROME A(LE)& DONNA (LE) JEROME A(LE)& DONNA (LE) HERMANN C - ET AL ET AL 1246 S CEDAR DR NEW RICHMOND WI 54017 J Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1246 S CEDAR DR SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 2 T31 N R18W PT LOT 2 NE SW COM W 400 Block/Condo Bldg: FT & S 25 DEG W 10435 FT FROM SER -tCr" S 2 DE 10 35 N RTract(s): (Sec-Twn-Rng 40 1/4 1601/4) L E NELY TO N 4E~0B S TO_ _ 02-31N-18W HERMANN BRUCE, MARY & KNUTSON DENISE &BROWN NANCY & EHLERS SARA EACH 1/5 INT Notes: Parcel History: r~ r Date Doc # Vol/Page Type 01/22/2002 668964 1820/30 QC 01/22/2002 668963 1820/29 QC -7 7 02/02/2001 637876 1582/287 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 178,800 160,600 339,400 NO Totals for 2006: General Property 0.000 178,800 160,600 339,400 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 178,800 160,600 339,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 217 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1007-70-000 09i27i2006 05:02 PAGE 1 OF 1 F 1 Alt. Parcel 2.31.18.22D 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 - HAYES, JOHN C & MARY L TR JOHN C & MARY L TR HAYES 12441 KELLY SANDS WAY FORT MYERS FL 33908 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1236 S CEDAR DR SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R~ Legal Description: Acres: 2.230 Plat: N/A-NOT AVAILABLE SEC 2 T31 N R1 8W PT OF NE SW 2.23AC LOTS Block/Condo Bldg: 1 & 2 OF CSM 5/1221 ALSO LOT 4 OF CSM 5/1236 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 02/10/2006 818327 QC 07/23/1997 919/282 07/23/1997 871 /4 07/23/1997 /53 2006 SUMMARY Bill M Fair Market Value: Assessed w1 0 Valuations: ; Last Changed: 10/12/2004 Description Class Acres Land 'Improve Total State Reason RESIDENTIAL G1 0.000 168,900 142,400 / 311,300 NO I I Totals for 2006: General Property 0.000 168,900 142,400 311,300 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 168,900 142,400 311,300 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 Parcel 038-1007-80-000 09/27/2006 05:03 PM PAGE 1 OF 1 Alt. Parcel M 2.31.18.22E 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 - FIRNER, GERALD E & MARYANN GERALD E & MARYANN FIRNER 146 W KING ST ST PAUL MN 55107 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R Legal Description: Acres: 0.561 Plat: N/A-NOT AVAILABLE SEC 2 T31 N R18W PT RE--A Of~CSM V Block/Condo Bldg: 5/1221 ALSO LOT F CSM 5/120 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 966/89 07/23/1997 919/283 07/23/1997 669/595 07/23/1997 654/435 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.561 107,000 79,600 186,600 NO Totals for 2006: General Property 0.561 107,000 79,600 186,600 Woodland 0.000 0 0 Totals for 2005: General Property 0.561 107,000 79,600 186,600 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 Parcel 038-1007-95-000 09/27/2006 05:05 PM PAGE 1 OF 1 Alt. Parcel 02.31.18.22G 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 - BREEZEE, RICK & BONNIE RICK & BONNIE BREEZEE 1244 S CEDAR DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1244 S CEDAR DR SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R Legal Description: Acres: 0.860 Plat: N/A-NOT AVAILABLE SEC 2 T31N R1 8W PT NE SW.86AC LOT 5 OF Block/Condo Bldg: CSM V 5/1222 AN Fyn M 5/1236- Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-31N-18W I Notes: Parcel History: Date Doc # Vol/Page Type 06/06/2006 826883 WD 07/21/1998 583340 1341/515 WD 07/23/1997 1162/384 WD 07/23/1997 919%285 2006 SUMMARY Bill M Fair Market Value: Ass . 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land % Improve Total State Reason RESIDENTIAL G1 0.860 155,300 190,700 346,000 NO Totals for 2006: General Property 0.860 155,300 190,700 346,000 Woodland 0.000 0 0 Totals for 2005: General Property 0.860 155,300 190,700 346,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 217 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1007-90-000 09/27/2006 05:03 PM PAGE 1 OF 1 Alt. Parcel M 2.31.18.22F 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 - RECKINGER, JAMES E & MARY E JAMES E & MARY E RECKINGER 6942 WYNDHAM WAY WOODBURY MN 55125 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R l Legal Description: Acres: 0.550 Plat: N/A-NOT AVAILABLE SEC 2 T31N R1 8W PTS1F-lE-SW 4 OF CSM Block/Condo Bldg: V 5/1222 AND L . T 6 OF CSM 5/1236 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 02-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 919/284 07/23/1997 853/329 07/23/1997 823/454 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.550 134,000 104,900 238,900 NO Totals for 2006: General Property 0.550 134,000 104,900 238,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.550 134,000 104,900 238,900 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 Parcel 038-1007-30-000 09/27/2006 05:17 PM PAGE 1 OF 1 Alt. Parcel 2.31.18.21 038 - 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): 0 = Current Owner, C = Current Co-Owner JEANENNE TRUST RYLANDER O -RYLANDER, JEANENNE TRUST 1250 S CEDAR DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1250 S CEDAR DR SC 3962 NEW RICHMOND SP 1700 WITC SP 8055 CEDAR LAKE/N R Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 2 T31 N R1 8W PT LOT 2 QQM--SE-CQR_W-- Block/Condo Bldg: 400 FT N Tn-C LY-O4 AKE TO__Iy_ LN LOT 2 E TO NE COR S TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 02-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 04/05/2004 758711 2541/597 QC 01 /31 /2003 707783 2127/38 WD 06/06/2002 681115 1906/214 TI 03/07/1988 435033 804/454 QC mor 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 L Valuations: Last Changed: 10'/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 240,000 87,900 327,900 NO Totals for 2006: General Property 0.000 240,000 87,900 327,900 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 240,000 87,900 327,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 126 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00