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Parcel 038-1092-90-000 02/23/2006 11:18 AM
PAGE 1 OF 1
Alt. Parcel 22.31.18.382B 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 - MCFETRIDGE, SANDRA K
SANDRA K MCFETRIDGE
2025 110TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 2025 110TH ST',
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.370 Plat: N/A-NOT AVAILABLE
SEC 22 T31 N R1 8W W 241 FT OF S 208 FT OF Block/Condo Bldg:
NW SW
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/14/2005 800337 2843/318 QC
06/14/2004 765719 2594/516 QC
07/23/1997 1157/491 QC
07/23/1997 675/633 more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
119414 152,300
Valuations: Last Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.370 29,100 120,600 149,700 NO
Totals for 2005:
General Property 1.370 29,100 120,600 149,700
Woodland 0.000 0 0
Totals for 2004:
General Property 1.370 29,100 120,600 149,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 502
I
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 038-1092-80-110 02/23/2006 11:12 AM
PAGE 1 OF 1
Alt. Parcel 22.31.18.382A-10 038 - 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 - MCFETRIDGE, SANDRA K
SANDRA K MCFETRIDGE
2025 110TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 0.850 Plat: N/A-NOT AVAILABLE
SEC 22 T31 N R1 8W PT NW SW COM SW COR SEC Block/Condo Bldg:
22;TH N 0 DEG E 1324.66' ALG W LN SW1/4;
TH S 89 DEG E 241.01'-POB; TH CONT S 89 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG E 177.83'; TH N 0 DEG E 208.01'; TH 22-31N-18W
N 89 DEG W 177.83'; TH S 0 DEG W
208.01'-POB.85AC
Notes: Parcel History:
Date Doc # Vol/Page Type
07/14/2005 800337 2843/318 QC
06/14/2004 765719 2594/516 QC
07/23/1997 853/514
2005 SUMMARY Bill Fair Market Value: Assessed with:
119413 4,400
Valuations: Last Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.850 4,300 0 4,300 NO
Totals for 2005:
General Property 0.850 4,300 0 4,300
Woodland 0.000 0 0
Totals for 2004:
General Property 0.850 4,300 0 4,300
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 038-1092-80-000 02/23/2006 11:12 AM
PAGE 1OF1
Alt. Parcel 22.31.18.382A 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
RALPH S & MARY K MONDOR O - MONDOR, RALPH S & MARY K
1854 100TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 22 T31 N R1 8W NW SW EXC W 241 FT OF S Block/Condo Bldg:
208 FT AND EXC PARCEL AS DESC IN 853/514
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 853/514
07/14/1997 1251/336 TI
2005 SUMMARY Bill Fair Market Value: Assessed with:
119412 Use Value Assessment
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 34.150 5,200 0 5,200 NO 10
UNDEVELOPED G5 3.630 2,700 0 2,700 NO
Totals for 2005:
General Property 37.780 7,900 0 7,900
Woodland 0.000 0 0
Totals for 2004:
General Property 37.780 8,100 0 8,100
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
L
AS BUILT SANITARY SYSTEM REPORT
OWNER &ZtdV
TOWNSHIP,'jj,&& SEC. T_ N, R W
P.O. ADDRESS Sri ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE 20 2
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Q
r
SEPTIC TANK(S) MFGR. a. J CONCRETE STEEL
I
NO. of rings on cover Depth -1~ DRY WELL
TRENCHES NO. of width length area
BED no. of lines-;2 width` length area
depth to top of pipe.
AGGREGATE: ' " -
PERK RATE AREA vREQUIREDj L-1 * r AREA AS BUILT
=T
Disciaimer: 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
F
DATED ~Lr l - r} PLUMBER ON JOB
T- LICENSE NUMBER f ( j'
t
{
.j
REPORT OF ITISPECTIO?1--I DIJIDUAL S04AGE DISPOSiV, SYSTEH
Srinitary Permit i
~ r
State Septic
1E T&WNSHIP
• t. Croix County
SEPTIC TA' .11
,,ize gallons. 'Dumber of Compartments ,
. ;
Distance From: tfellft, 12% or greater slope ft.
Building ft. Wetlands ft
tDighwater ft.
DISPOSAL SYST:1 Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope ft
Building ft. Wetlands f_
FIELD r,ighwater ft,
Total length of lines ft, dumber of lines : Length of
each line ft. Distance between lines ft. Width of the
trench -ft. Total absorption area sq, ft. Dept::
of rock below tile in. Dp-pth of rock over the in. Cover
over. .rock, - Depth of tile below grade 'Z'
gin. Slope of
trench - in per 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
Square feet of seepage nit area required
Inspected by: Title
Approved Date I97 L
Rejected Date 197
r .
i "
EH 115
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 TEAT,B
LOCATION:A_k_L%,'/4, Section -wed, TR- N, R"Wor) W, Township or Municipality RzL. __A_
Lot No. , Block No. County ~iC~Gv`~C
ubdivision Name
Owner's Name: t= t
Mailing Address: ti l~J.LV~-~
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
):SATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
"OIL MAP SHEET 3 C~ C~
SOIL TYPE Y" el,
PERCOLATION TESTS
I TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
I NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/INI
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
t-
P-L
P-3 y
SOIL BORING TESTS
TES, r i 0; ~L 0EP7i DE P] H TC :,ROU JDIAIA ER, INCHES CHARACFER OF SOIL *iTH _ HiCKfNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
G C ~S%O
3 B-
5,1
S 5~ 40 5,1 140
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption are,i
needed for building type and occupancy. * Indicate scale
or distances. Give horizontal and vertical reference points. Ind ate slope.
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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 WisconsijAdministrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and bel ef.
r i
Name (print) C." k2l e- Certification No.
Address
Name of installer if known
>~J
CST Signature
COPY A -LOCAL AUTHORITY
State and County State Permit # l C r,
PLB67 Permit Application County PermitA _
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:
0 A C, 7Z r,
B. LOCATION: A,~W '/4 Y4, Section -jj T_31 N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Co merc! I *Industrial *Other (specify) *Variance
Single family - Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES-,~ NO # of Bathrooms-:-
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY /C-C}Zj 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) 3 2) 3) Total Absorb Area/ sq. ft.
NewA Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length_ _ Width Depth - Tile Depth- _ No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land r t. SL✓ 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 l have sized the effluent disposal system from the EH-115 prepared
by the Certifi Soil Test t
NAME C.S.T. # 5 and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# O Phone #
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
i
H62.20, including well).
e
b fl
Do Not Write in Spa Le Below FOR DEPARTMENT USE ONLY „
Date of Application Fees Paid: State Count " , Date
Permit Issued/ R (date)' ;!Y -Issuing Agent Name -2' ` e
Inspection Yes7No 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