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Home My WebLink About038-1136-50-050 (2) n» o r a n c _ 3 Lo~ m m w co W 0 3 N N 0 O Cn N- - O co w 00 CYl ° CCD 3 o o D CD m n a d N CJ 'U _ = tA\ p C 7 W W O 1 O 0 1 CD m N ~CDi CD ~ D o A7 O 0 3 O ~1 7 N 7 O O N C N O !V d N ~ cn -G D o, = I CD Cfl N N C- = W c c 3 n rn rn O A ~ CD 4 --4 n C c N co co s Q 3 O U j 0 N~ z OOOa o z D - 3 oai can ai CD co 9 < o 0 N~l m m '6 R° !r O CS _ w N O a rt N ° z W co z O O O h• o m m CD CD N N CD 0) C. (D CD W CD n a 3 _ z :3 p Z cyD O~ m O Q 0 Z O 0 CL 0 CCn w W M G a z y C W N A W p~ n CD o a CD 3 N CL CD ? rt m o g' G N O C m+ Z o aw m o v j3 N CD N N _ N N Cr m 7z CD cL a) rr" 0 CD oN CD N N j CM 3 z CD c') a 0- ~ a 0 c Cl) i N CD a CL p (D 4~Q N 69 O p O ` A. Parcel 038-1136-50-050 11/30/2006 04:33 PM PAGE 1 OF 1 Alt. Parcel 33.31.18.557A-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): 0 = Current Owner, C = Current Co-Owner O - LAVENTURE, PHILLIP M & PATRICIA A PHILLIP M & PATRICIA A LAVENTURE 1033 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1022 HWY 64 SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 29.670 Plat: N/A-NOT AVAILABLE SEC 33 T31 N R1 8W SW SW & EXC P557B & EXC Block/Condo Bldg: AS DESC 14421281 EXC TO ST DOT HWY PROJ 1559-08-231620/590 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-31N-18W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 01/16/2006 816456 WD 04/18/2001 643128 1620/590 WD 07/16/1999 606932 1442/281 LC 07/23/1997 778/32 more... i 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 29.670 60,500 0 60,500 NO VIII Totals for 2006: General Property 29.670 60,500 0 60,500 Woodland 0.000 0 0 Totals for 2005: General Property 29.670 60,500 0 60,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 09/27/2005 Batch 05-22 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT ''NER _ ~t't..r.li~►~~ .~~_.rt; , TOWNSHIP ; SEC. :?-,-z T_:.;~,LN, R I W .O. ADDRESS fpm-` , ST. CROIX COUNTY, WISCONSIN. :DIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~--wit-- A/C Ilk 9 / /Y X43 r - TIC TANK(S) ZiSr~ MFGR. ^'a-CONCRETE 1 NO. of rings on cover Depth ~ DRY WELL rNCHES NO. of , width length r~ area^ no. of line width_:2_1~ length -y depth to top of pip area e REGATE dK RATE._? '~.,yre ,z. AREA REQUIRED AREA AS BUILT ?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 inspect at this point of construction. St. Croix County assumes no liability for stem operation. However, if failure is noted the County will-make every effort to termine cause of failure. :ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSPECTOR DATED f PLUMBER ON JOB LICENSE NUMBER • /,/o J UI RFPOP;r or I11SPrcT10'.1--1ND1J1llUAL SEINAGE DISPOSAI, SYSTEM Sanitary Permit r state Septic , TOUNSHIp • t. Cro1.x County SEPTIC TA'?K .~~ze gallons. 'umber of Compartments , Distance From: '-fell ft, t 12% or greater slope mot. Building ft. Wetlands f: Iiighwater ft. DISPOSAL SYSTL.1 Tile Field or Seepage Pit(s) Distance From., Well ft. 12% or greater slope ft Building ft. Wetlands f:. FIELD aighwater ft Total length of lines ft. Number of lines Length of each line eft. Distance between lines ft. Width of the drench = _...-f t. Total absorption area f sq. ft. Depth of rock below til in, . DPpth of rock over tile in. Cover ,aver . rock,, f.' ; . Dept's of tile below grade in. Slope of trench in ner 100 ft. Depth to Bedrock ft. Depth to around water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: __,_yes no. Total absorption area r. l ' sq. ft. .Square feet of seepage trench bottom area required Oquars feet of seepage nit area required Inspected hY`,J i Title: Approved Date 19Z; . Rejected Date 197 State and County State Permit # PLB67 Permit Application County Permi 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: Y4 5_LJ Section 3, , T.1 N, Rj~9 E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village k'C'q Township ,5-b f11ta L4Ai_ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ✓ Duplex No. of Bedrooms a? No. of Persons 2_ D. TYPE OF APPLIANCES: Dishwasher YES ✓ NO Food Waste Grinder YES 4--NO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY J000 Total gallons No. of tanks / *Holding tank capacity Total gallons No. of tanks New Installation Addition- Replacement k/ Prefab Concrete A---- Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) io 2) i.V 3) Total Absorb Area sq. ft. New Addition Replacement r/ *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: LengthjV$' Width Depth :g6" Tile Depth No. of Lines _V .1 A/ Seepage Pit: Inside diameter 90 Liquid Depth Tile Size Percent slope of land Ito ~O 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 W YA A&LU6 C.S.T. # _ and other information 'Ds~rt'•'I~ obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone #71r 3 ~ - 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 e a,, 4 LO ~ IoW ( L- 1 a.:- 014?114 '01 W H d fir', t; ~s 4T ~ .IlI~b1.1t/MJ~ W Do Not Write in Space Below FOR DEPARTMENT USE ONLY / Date of Application Fees Pai StateCou ty Date Permit Issued/ (d e) Issuing Agent Name -LB• L 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 EH 11-74) ' 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 _ E (or) W, Township or Municipality Lot No. , Block No. County Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET 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 BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- P- P- 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- B- B- 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 area needed for building type and occupancy. Indicate scale or distances. Give reference point. Indicate slope. N I i 3 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) Signature Certification No. Name of installer if known Copy C - Local Authority