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Parcel 038-1154-30-000 11/30/2006 05:07 PM
PAGE 1 OF 1
Alt. Parcel 13.31.18.707 038 - 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 - BRIGHTON, CECIL & CLEO
CECIL & CLEO BRIGHTON
1307 220TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1307 220TH AVE
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.207 Plat: 2348-PRAIRIE RICH ADD
SEC 13 T31 N R1 8W 1.207AC PRAIRIE RICH Block/Condo Bldg: LOT 03
ADD LOT 3 A 1/15TH INT IN OL 1 HAS BEEN
ADDED TO THIS PARCEL 826/10 908/162 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
13-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 908/162
07/23/1997 826/10
1223/423 QC
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 1.207 26,500 123,000 149,500 NO
Totals for 2006:
General Property 1.207 26,500 123,000 149,5000
Woodland 0.000 0
Totals for 2005:
General Property 1.207 26,500 123,000 149,5000
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
00
Total 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
ER TOWN SHI -SEC._~-~? R1 W
ADDRESS - ST. CROIX COUNTY, WISCGISIN.
3DIVISION LOT_" LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN
100 FEET F
0 SYSTEM
j.
a
TIC TANK(S)MFGR. CONCRETE e STEEL
NO. of rings on cover Depth DRY WELL
''ACHES NO. of width length area
no. of lines width length area
depti to top of pipe
UREGATE , - I
a RATE AREA REQUIRED AREA AS BUILT ~ I
i
: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 j
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.
"INSPECTOR 1 1'~
DATED PLUMBER ON JOB ,
LICENSE NUMBER LC
I
RFPOr,T OF IT1SI'ECTIO'_t--I:4DIVIllUAL SL,•)AGE llT.,PO.,AI, ,,y,, rEii
_ Sanitary Permit
r.. State Septic
7A! 1E 1 TOtTI1SNIP
t. Croix; County
SJEPTIC TA'?3:
.,rize gallons. `umber of Compartments
Distance From.: Teel l ft.
12% or greater slope IF
t.
Building ft.
Wetlands f.
llighwater ft.
DISPOSAL SYSTL:1 4-Tile Field or -Seepage Pit(s)
Distance From: i7ell ( Zi- ft. 12%.or greater slope ft
Building; Wetlands f
FIELD 'Highwater ft.
Total length of lines ` Q ft, !lumber of lines. Length of
each line ft, Distance between lines
ft. Width of the
trench 1,ft, Total absorption area G sq. ft. Depth
of rock below file `
in. Depth of rock over the ~ in. Cover
over . xo ck,
l~C c4 Depth of tile below grade ~in. Slope of
trench min' ner 100 ft. Depth to Bedrock ft. Depth to
ground water
PITS
"lumber of pits A Outside diameter ft. Depth below in
ft. Gravel a +d it • es no. Total absorption area
sq. ft.
Square feet of seep ge trench bottom area required •~S
%:quare feet of se page nit a required
Inspected tiy: Ct,1~ f tt, Title:
Approved - JDate / 197
Rejected Date 197`.
EH, 1.15
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS J
LOCATION: " ' Section, N, R,t C(or)/W~Township or Municipality r ri=
Lot No., Block No. County
/ Subdivision Name
Owner's Name:
Mailing Address: 3 r rI T,'
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS, - 2S PERCOLATION TESTS
SOIL MAP SHEET SOILTYPE~'4-I_- 1L- -'ai, - - - -
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
cP i l
t
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INgCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
1 ! sd d 7L -z k - $
94
4 96 >1 7e- 0 914
- 4v 5, Zf c v-
PLAN VIEW (Locate percolationtests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of syitable. areas. Indicate number of square feet of absorption area
needed for building type and occupancy. zze ` Indicate scpje
or distances. Give horizontal and vertical reference po' ts. Indi teslope.
4
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1
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+ 1
1
~ 1 I~ t 3 _a. 4
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# 1
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 knowledge and belief.
Name (print) lk J~0 A/ 1-0 n-~.S Certification No.
Address
Name of installer if known
t '
ature
COPY A -LOCAL AUTHORITY CST Sign
7 State and County State Permit #
P4B6 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 Mailing Address:
B. LOCATION:; '/4_'/o, Section, T N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
km, , ,L GCS Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms _ No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms
Automatic Washer X_YES NO Other (specify)
SEPTIC TANK CAPACITY 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)10-_3) (y TotaI Absorb Area t sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length I I 40
Width Depth Tile Depth,,,,, ? f~ No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the 1~e~Soil T s r, /
NAME OW e.,v, C.S.T. # and other information
obtained from (owner/builder).
Phone 42 to - 5 L~~
Plumber's Signature MP/MPRSW#
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). R
ACC.
~ f
.
Do Not Write in Space elow~ FO DEPARTMENT USE ONLY ! s
Date of Application /Fe a State Count- Date
Permit Issued/R.ejawd (date) Issuing Agent Name` ~ - - *r
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