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HomeMy WebLinkAbout038-1095-90-000 t 0 0 Co') Q m -0 0 d C s1.r f C ~ O f9 (D 7 n lu C (D CD 0 m m n~ O a m w w r.y ro O O N N m~ 0) a d d _ ~h O O C C) a- (D ° ° ° r~. Cl c: CD CD 0) 6 3 l N N N O 7 ra. ~1 y NO O (v v v m 4 ° CD y W a s l ~ I i 3 o ~ m o O N i -4 -4 ~ I "-WA CD 8 rn 4 0 cn C ~1 = Q 3 O m !\1 0 F 3 N ti N ro p o o cn o 7 ^ N o G ~ N N j CD A CL m z N zco z 0 O D a ~r N Z (CD N N o►4 CD w a z ro -1 Cl) ~ p ~ A z ro n A z o v a 0 Cn --i N W .0 m j w (D (D Z 'o A c " cn H 0 z (D w ~ v ~ a 2 o: CD 00 cwn z rn 3 g ccn m cn s N CL t N "O 4 X 0 (D A a O N 7 m (D 00 t2. fp (a - ro 0.0 O (D a0 N O 7 (CD a C A a ~ p b ro bo w v~ O . a 0 ° a ~ Parcel 038-10135-90-000 11/30/2006 01:46 PM PAGE 1 OF 1 Alt. Parcel 23.31.18.4000 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 - GETSCHEL, ALLEN M & ANNE C ALLEN M & ANNE C GETSCHEL 1250 200TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1250 200TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 3.170 Plat: N/A-NOT AVAILABLE SEC 23 T31 N R1 8W PT SE SW LOT 1 OF CSM Block/Condo Bldg: 2/494 EXC THE NORTH 25' THEREOF & EXC THAT PT CONVEYED FOR RD PURPOSES IN Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 973/397 23-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 973/397 QC 07/23/1997 929/484 07/23/1997 843/300 07/23/1997 714/477 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.170 36,400 227,900 264,300 NO Totals for 2006: General Property 3.170 36,400 227,900 264,300 Woodland 0.000 0 0 Totals for 2005: General Property 3.170 36,400 227,900 264,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 153 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC T_ N, RAW P.0. ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances 6 dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 i r t SEPTIC TANK(S) MFGR. CONCRETE k STEEL i r' NO. of rings on cover Depth DRY WELL TRENCHES NO. of width length area BED no. of lines 3_ width length_ area depth to top of pipe 777 AGGREGATE - PERK RATE AREA REQUIRED e AREA AS BUILT - L- 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 SYSM-11. °INSPECT /ff'/ i I L DATED PLUMBER ON JOBS LICENSE NUMBER i - Irl *1 If -f PURPORT OF ITTSPECTION--INDIVIDUAL SLMAGE DISPOSAL SYSTEM Sanitary Permit ? State Septic . • ✓ ToI-nlsxlP St. Croix County SRPTIC TA'TK Site i' ~ gallons. `lumber of Compartments ~ . Distance From: Well ft. 12% or greater slope Building ft. Wetlands f: Highwater ft. DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s) Distance From: Well ft. 127, or greater slope ft Building ?Z _ft. Wetlands f:. FIELD Highwater ft. Total length of lines ft. !Number of linesLength of each line ft. Distance between lines ft. Width of the i trench ft. Total absorption area sq. ft. Depth (,o£ rock below tile ~ in. Dp-pth of rock over tile in. Cover Dver rock, Depth of tile below grade in. Slopes of 'I trench min per 130 ft. Depth to Bedrock ft. Depth to ground water ft. PITS. Number of nits 0 side 4amil ter ft. Depth below inlet ft. Gravel q#oun(Y )it: %ye's no. :Total absorption area sq. ft. Square feet of seepage trench bottom area required 7S _ t:quare feet of seepage nit ar re uired - Inspected by itle` Approved J!7.- Date , 197 Rejected Date 197 '`s 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 TESTS LOCATION: '/4, Section , T'/N, R ~ V(or) W, Township or Municipality ~e ' Lot No. Block No. i County Subdivision Name Owner's Name: - Mailing Address: TYPE OF OCCUPANCY: Residence !J No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT OATES OBSERVATIONS MADE: SOIL BORINGS_ PERCOLATION TESTS _OIL MAP SHEET _ SOIL. TYPE - PERCOLATION TESTS TEST DEPTH F SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER O I:UM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 u ~ r SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES PLUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) yc. PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate nu er sq >I 'CPI Of .-!hso! 1 11o, .rea needed for building type and occupancy. Indicate scale , or distances. Give horizontal and vertical reference points. 64cate sl W I _ d I - \ I _ tN 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 krapwledge and belie -7 t~ s ~y Certification No. Name (print) Address Name of installer if known CST Signature I COPY A - E_'' i 1 • State and County State Permit # P LE16 7 Permit Application County Per 7' er # 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, Section 5 T N, R ,Y E (or) (~V Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village _ Township ii.• C. TYPE OF OCCUPANCY: *Commercial 'Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms 3 No. of Persons D. TYPE OF APPLIANCES: Dishwasher -~C YES NO Food Waste Grinder YES.~NO # of Bathrooms Automatic Washer -'S_,-_YES NO Other (specify) _ _ SEPTIC TANK CAPACITY /C e Total gallons No. of tanks - 'Holding tank capacity Total gallons No. of tanks \,ew Installation Addition Replacement Prefab Concrete _ `Poured in Place Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 12) 3_6 3) =Z-Total Absorb Area f Z)lgsq. ft. New Addition Replacement *Fill System 'Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches--- Seepage Bed: Length <111, Width I Z' Depth " Tile Depth 2 Y s No. of Lines Z li Seepage Pit: Inside diameter Liquid Depth Tile Size IJ Percent slope of land Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, ":lisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared '_)y the Certified Soil Tester, _ NIAME r - L , A-7 t. C.S.T. # ~S 6 and other information obtained from C%-i ti (owner/builder). ,'lumber's Signature ! MP/MPRSW# Phone # Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). l 1 Do Not Write in Space Belgp FOR DEPARTMENT USE ONLY r _ Date of Application Fees Paid: State a Count J Dat r r Permit Issued/Md date►~/; Issuing Agent Name EM Inspection Yes No Valid# Date Recd 1. county (w)' copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary .rv -