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Parcel 038-1154-40-000 12/01/2006 11:15 AM
PAGE 1 OF 1
Alt. Parcel 13.31.18.708 038 - 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
MARK W & MELISSA J SWANSON O - SWANSON, MARK W & MELISSA J
1311 220TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1311 220TH AVE
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.267 Plat: 2348-PRAIRIE RICH ADD
SEC 13 T31N R1 8W 1.267AC PRAIRIE RICH Block/Condo Bldg: LOT 04
ADD LOT 4 A 1/15TH INT IN OL 1 HAS BEEN
ADDED TO THIS PARCEL 735/402 792/548 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
827/381 WD-999/399 13-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/19/2001 651654 1684/49 QC
07/23/1997 999/399 WD
07/23/1997 827/381
07/23/1997 792/548
more...
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 1.267 27,600 113,300 140,900 NO
Totals for 2006:
General Property 1.267 27,600 113,300 140,900
Woodland 0.000 0 0
Totals for 2005:
General Property 1.267 27,600 113,300 140,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 313
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER , i TOWNSHIP ;a SEC. T J N, R W
P. 0. ADDRESS ' ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION Ikp`a. ` LOT .°j LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN. OO FEET OF SYSTEM
" ~ ~ .sue
~ ~ f f
F
~,t is E: `v✓
w
SEPTIC TANK(S)_ MFGR ' r'CONCRETE STEEL
d~.
N0. of rings on cover Depth DRY WELL
TRENCHES NO. of width length area
BED no. of lines width length } area t.°
depth to top of pipe
AGGREGATE ?
PERK RATE AREA REQUIRED AREA AS BUILT ,
Disclaimer: The inspection of this system by St. Croix County does not imply complete
compliance with State Administrative Codes. There are other areas that it is not possible
to inspect at this point of construction. St. Croix County assumes no liability for
system operation. However, if failure is noted the County will make every effort to
determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPECTOR
3
DATED PLUMBER ON JOB ` j
LIZENSE NUMBER
•oD
R
SET
FPOI,T Or I11SprCTIO.1--I-MVIDUAL S1~T`JAGE DISPOSAL SYSTEM
Sanitary Permit
State Septic
TOWNSHIP
• t. Croix County
SEPTIC TA71:
n:ize gallons. of Compartments
Distance From: Well ft. 12% or greater slope fi.
Building ft. Wetlands ft
Iiighwater ft.
DISPOSAL SYSL.:1 Tile Field or Seepage Pit(s)
Distance From: Ueli ft. 12% or greater slope ft
Building; ft. Wetlands f,
FIELD Highwater ft.
Total length of lines ft. !lumber 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 the in. Dp-pth of rock over the in. Cover
Over.rock, Depth of tile below grade in. Slope of
trench in ner 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
Number 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
uquars feet of seepage nit area required
Inspected by: Title:
Approved Date 197 . C,
Rejected Date 197
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
• DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
13REPORT ON SOIL BORINGS AND PERCOLATION TESTS ,~~~,~i.
LOCATION: a~'11, Section, TAN, R 49 E (or Township or Municipality
„ 'a County
Lot No._- Block No. nQubdivision Name
Owner's Name:
Mailing Address: IN TYPE OF OCCUPANCY: Residence
No. of Bedroo s Other
EFFLUENT DISPOSAL SYSTEM: NEW k ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 3 ~ 2- ~ 9' PERCO ATION TESTS ,
-
SO i L TYPE ,
51
:TOIL MAP SHEET -_1-`
PERCOLATION TESTS
-
- HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
j i EST DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL MIN/IN
NUM- INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
BER A 1
P- V S 5 1
P~s 130
z yZ z
P-2 o
IPA I YI
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED MATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
ESTI
7S~
o- S -02 s t o ¢
0 1 B
B q,9 Eol
a_IS Z k-~~ SL6_~~ S~
E
1
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet ofzsuita le areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scaler
or distances. Give horizontal and vertical referen points. Ind' ate slope.v
tN
I-T
1, 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 owledge and be
Name (print) Certification No.
,l
Address
Name of installer if known
CST Signature
C'C;PY A LOCAL ;".Li'i;i': r I sY
~ t
State Permit # ' r
PL967 State and County
rr~i~ #
Permit Application County Pe
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OFR PROPERTY Mailing Address:
B. LOCATION: L4 i W/<, Section ta, T N, R E (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# -/~-Village
r Township
C TYPE OF OCCUPANCY: 'Commercial *Industrial *Other (specify) *Variance
Single family- Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher _A- YES NO Food Waste Grinder YES NO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY 10CC) Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 2 3) 5- Total Absorb Area / sq. ft.
New Addition Replacement *Fill System -Ar Seepage Trench: No. Lin. Feet Width Depth Tile De pth No. of Trenches _
Seepage Bed: Length :Z/ Width I -L) Depth L'1~ Tile Depth 32' No. of Lines z.
Seepage Pit: Inside diameter Liquid Depth Tile Size 41
Percent slope of land / 0ZC 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 Tester
NAME C ' Y1 ~taJ C.S.T. # T-5-31 and other information
obtained from cX.AJ (owner/builder).
xPlumber Is Signature MP/MPRSW# / S~ Phone #,2y465-/-75-
Plumber's Address w o
PLAN VIEW: Provide sketch below of system (include. direction of slope and all distances in accord with
H62.20, including well). / y' y~
i Qd
R _ ly
_ 3
A
L
Do Not Write in Space, Below - FOR DEPARTMENT USE ONLY
Fees Paid State G L' Co y f / Daj~g
Date of Application LZI
12,
Permit Issued/ cxed (date) Issuing Agent Na /1
Inspection Yes No Valid# Date Recd
1. county (w it 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 6/10C