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Parcel 038-1108-60-000 11/30/2006 02:10 PM
PAGE 1 OF 1
Alt. Parcel 27.31.18.456B 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
TODD A & CHRISTINE L OLSON O - OLSON, TODD A & CHRISTINE L
1985 115TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1985 115TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 4.750 Plat: N/A-NOT AVAILABLE
SEC 27 T31N R1 8W 5A IN NE NW BEGIN N 1/4 Block/Condo Bldg:
COR; TH S ODEG W 660 FT TH N 89 DEG W
330 FT; N 0 DEG E 660 FT; TH S 89 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
330 FT TO POB EXC PT TO TOWN RD DESC IN 27-31N-18W
979/415
Notes: Parcel History:
Date Doc # Vol/Page Type
10/29/2001 660403 1748/483 WD
07/23/1997 979/415
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.750 43,400 105,200 148,600 NO
Totals for 2006:
General Property 4.750 43,400 105,200 148,600
Woodland 0.000 0 0
Totals for 2005:
General Property 4.750 43,400 105,200 148,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 221
Specials:
User Special Code Category Amount
Special Assessments Special Charges (Delinquent Charges
Total 0.00 0.00 0.00
.,ER TOWNSHIP_~J/1111 SEC.- I T-3 I' Nf, R~ W
7. ADDRESS ' )tr y ST. CROIX COUNTY, WISCONSIN.
'3DIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
. j
/6
5
1
1
TIC TANK(S)__z__ MFGR. / ,4- ~"S CONCRETE STEEL
NO. of rings o cn over
Depth-.--- ' DRY WELL
'NCHES N0. of width length area _
no. of lines width length 4 area
depth to tPp of pipe
=GATE
a RATE 7 'AREA REQUIRED AREA AS BUILT
:claimer: The inspection of this system by St. Croix County does trot imply complete
?fiance 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 AN'D OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTE11.
'INSPECTOR
DATED L7, L, PLUMBER ON JOFiB~~
LICENSE NI MMER
z
REPORT UP INSPECTION INDIVIDUAL SEWAGE SYSTEM
j Sanitary Perm,i - QJ
State Septic/.,Vre .
` } r r
NAME Towns hip/LG2a~~ c. S t. Crcai x County
Location/c, o~~~/ Sec tian T.3/N,R%S1 W
SEPTIC TANK
Size gattonz. Numbers o4 CompaAtments 1
f i ,vL
Dio
ns ance FAOm: Welt 12% on greateA zZope it
Buitd.ing it. We,tZand,5 t.
` Highwater _ b .
DISPOSAL SYSTEM
Distance FAOm: We.2.2 /vl_~ (t~✓c-<-" 120 oA 9AeateA stope .
Bu.itdingj~7, it. Wettands Ft.
H.ighwateA it.
FIELD DIMENSIONS:
Width o6 trench it. Depth of rock below tite / .in.
Length ob each tine /,y' it. Depth of Aock oven t.iZe ~ in.
Number o6 Zinez Depth o6 tite below grade
in.
i
Totat t ength o6 tines it. Sto pe o6 tAench -.in per 100
l
D.i/sLance between Zines it. Depth to bedrock it.
Totat abz orbtion area C' 6- 2 -
r( btDepth to graundwateA it.
2
Requited area it
PIT~, t kj(MENSIONS:
Numb et o j p.itz GAavet around pits yeas no
-
-Outside diameter b f~ Depth below intet ~ .
Totat abzoAbtion area it
z
Area Aequired ~2 rn
i
INSPECTED BYE' TITLE /
APPROVED )ATE 197.
REJECTED DATE 197.
S
3 f
f
~ P
V ~I
I
ir
r-
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 J
LOCATION:/, _ %,/K'/4, Sect iort~?TIN, R/4-IrV, (or) W, Township orgy L
Lot No. , Block No. County X
L. / Subdivision Name
Owner's Name: - - ee- u
Mailing Address: 7 a i/ ,f~
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION -REPLACEMEN
DATES OBSERVATIONS MADE: SOIL BORINGS l J PERCOLATION TESTS 11 9 ,
SOIL MAP SHEET f SOIL TYPE
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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P_ I /f
41
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- 727
Z_ 7,2 '17" i~411Z,
R_ ZP
C
B- 72 7;;~w 4
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable reas. Indicate number of square feet of absorption area
needed for building type and occupancy. Zdoeoo 74 /t o Indicate scale
or distances. Give horizontal and vertical reference oints. Indicate slope.
N`~
{
t ,
- -
{
IL
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 kn wledge and belief.
Cer ' is io No. ~1- r~'y
Name (print)
Address _
Name of installer if known
CST Signature
COPY A - LOCAL AUTHOM.TY
PLB67 State and County State Permit
Permit Application County Permit #
for Private Domestic Sewage Systems County ?T~A~ j x
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State (Plan I.D. #
A. OWNER OF PROPERTY Mailing Addres
B. LOCATION E~ /a_f -U__Y4, Section ._;Z Z, T-ffj N, R 1~' (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
- - - Township
C. TYPE OF OCCUPANCY: ! C_ mmercial *Industrial *O1:her (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES -NOD # of Bathrooms
Automatic Washer L---"(ES NO Other (specify)
E. SEPTIC TANK CAPACITY f a-Z,-Z-} Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks_
New Installation C.---Addition Replacement _ Prefab Concrete
"Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 70 2) r c+ 3) Total Absorb Area l-I_sq. ft.
New ✓Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Ste, Width Depth Tile Depth y No. of Lines - z_
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Cw'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 Certifi d Soil Tester,
NAME C.S.T. # ? z_ and other information
obtained from__. 112L - (own /builder'.
Plumber's Signature MP/MPRSW# Phone #A
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
all
7~~
(4
4
i
Do Not Write in Sp Ice Below OR DEPARTMENT USE ONLY i~
Date of Application C3 4 Fees P : State C,00 County
-2
Permit Issued (date)- Issuing Agent Name
Inspection Yes No Valid# Date Rec'd_
1, county ( ite 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