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Home My WebLink About038-1138-90-000 n w o & -0 0 r~ C " m o C7 ~1 3 > > 3 c ~ l 1 3 3 II ~ ~r ~s 0 O N rNn O N E A °w ~C • D = CD N N N W- (b r"'I c Z EL ( O lAl W :3 ? W O 1 O n o 7 CJ N m 10 O 0 r CD CD n CD O A7 3 0 go o 0 l~~1 N N ~ ~ (7 C lr C O tf (n < D m a O 3 N N a N) co co CD co ci On m 3 CD O ° o a ( m cn 5 o o cn N (0 00 m o O O O o < Z v> to ti ? a D m v o 3 0 i N O N N CAD .~fu -0 p' N CD n (n !V 41 < N J N N z o Z W Z D m o O CD n o N Ij CAD gyp, N (O nj i C O CD w n a 3 3 z j -j cn O A Z CD N c n n :3 A Z O v n O F! a. S Z j caw W CD Z a 0 rT cn po N Z CD a j G, F I i - D cD n 3n o - -4 m c 00 v oz a c, CD S N N O 0 j a A I b I n m m I ~ O N j O O a A o m M 0 0 O . cy„ 0 ° i~ y Parcel 038-1138-90-000 12/01/2006 09:57 AM PAGE 1 OF 1 Alt. Parcel 34.31.18.569C 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 - KNUTSON, MARY L MARY L KNUTSON 1829 110TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1829 110TH ST SC 3962 NEW (RICHMOND SP 1700 WITC Legal Description: Acres: 2.010 Plat: N/A-NOT AVAILABLE SEC 34 T31 N R18W 2.01A IN NW SW LOT 4 OF Block/Condo Bldg: CSM IN VOL 11 PAGE 487 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1183/332 TI 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 2.010 40,200 193,400 233,600 NO Totals for 2006: General Property 2.010 40,200 193,400 233,600 Woodland 0.000 0 0 Totals for 2005: General Property 2.010 40,200 193,400 233,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , ' AS BUILT SAINITARY SYSTEM REPORT ' Or~11 R W R , TWcdSHIP EC ._y ADD ESS~,_,? ST. CROI COUNTY, WISCONSIN. . DIVISION LOT LOT SIZE PLAN VIEW .Distances- dimensions to meet requirements of H62.20 SHOW E ' RYIiiING WITHIN 100 FEET OF SYSTEM 1- - ' I + r r --r-~- - - q- i j~~ HI j ' I E ~ f i j i ~ I 4-~ i j 1 E ! I J - ~ ~ 1 E -~----r--t- . 1 ( ~ (i i ~ j a i I I 1 ~ f i E 'Indicate North ~+1.1 i' L~rroW - SCALE . I '-"IC TAN, SMFGR. CONCRETE STEEL NO. of rings on cover_ Depth DRY WELL "tiCHES NO. of width length_ area _ no. of lines f width length - area f' depth to top of~pipe ;NEGATE J' RATE AREA REQUIRE! ; J AREA AS BUILic 'ciaimer: The inspection of this system by St. Croix County does not imply complete )l'ance 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 Lem operation. However, if failure is noted the County will magic every effort to -ormine cause of failure. "USES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. '-INSPECTOR DATED % PLLI;fBER ON JOB r LICENSE NU:IBER Jx RRPOr,T OF It1SPrCTI0.1--INDIJIDIIAL SEJAGE DISPOSAL SYSTEii Sanitary Permit State Septic ,-1 A! l T&WNSHIP i..St. Croi;; County SJ.PTIC TA'11: L Size, , gallons . "lumber of Compartments Distance From: Zell ft. 12% or greater slope £t. Building' ft. Wetlands f: Iiighwater ft. DISPOSAL SYST 11 Tile Field or Seepage Pit(s) Distance From: tilell ft. 127, or greater slope ft Building r` ft. Wetlands f:. FIELD ilighwater ft. Total length of lines ft. Number o` lines Length of each line eft. Distance between lines ft. Width of the trench `ft. Total absorption area sq. ft. Depth of rock below the in. Dp-pth of rock over tile in. Cover over.rock,, Depth of tile below grade - in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of pits Outside dialneter ft. Depth below inlet r £t. Gravel around pit: `yes no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required `square feet of seepage pit area required Inspected b Y tf / Title: Approved. L Date / 197 Rejected Date 197 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: Section3fZ_ T 34N, R b6 E (or) "W~, "Township or Municipality Lot No. , Block No. M- County Subdivision Name Owner's Name: L V y f' !j c T"I r\_ Mailing Address: r r' / E 7Z "?I*' -11 TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS C -1S_ S' PERCOLATION TESTS SOIL MAP SHEET _ _ SO1 L 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 MI P- * / 3 ~ E 1J 6Y /~6f o ic_ !V r P- 2- 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 l 7 2 1 - B PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square fee of s itable areas. J dicate number square feet of absor io rea needed for building type and occupancy. trod' ~ ale or distances. Give horizontal and vertical reference poin . I dicate slope. I ~ i + _ _1- {-`rt-------a---~ I f,~' = I { I I I f , i - - - - -E _ J + I i ~ ~ Z I I ~ i I ; ~ I , I + N f I { i i f I ~ , S f I i I I i t + f ~ ,.~.~pvv.~(. { fl t P i y1+ _ I I I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures let' 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) G I e, A) - ~ Certification No. - Address `i /a2 s1 Name of installer if known COPY A -LOCAL AUTHORITY CST Signature State and County State Permit # PLB67 v 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. LOCATIO . LCt '/4 S it,, '/4, Section T 1/ N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Y Township $ r?f° L c. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ✓ Duplex _No. of Bedrooms 3 No. of Persons D. TYPE OF APPLIANCES: Dishwasher t--YES NO Food Waste Grinder YES !-NO # of Bathrooms Automatic Washer L -YES NO Other (specify) E. SEPTIC TANK CAPACITY / Total gallons No. of tanks _t-~- 'Holding tank capacity_ Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete 'Poured in Place _Steel Other (specify) _ --FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) .45 3) ,'5 Total Absorb Area L< ~ sq. ft. i„ew Addition _ Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length? r Width /,9 Depth Tile Depth ;z y No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land lr 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,l NAME h j --4 V/__1` p 1,~r fAi_ 1,C.S.T. # err/ and other information obtained from (owner/builder). Plumber's Signature s f ~aC 4 C[ s Z -=---1 MP/MPRSW# C Phone #,Oy4 - Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ~n G 1 f Do Not Write in Sp e B o R DEPARTMENT USE ONLY Date Application` Fees Paid:: State ? Cou Date ,sued/Plsoeted (date) r Issuing Agent Name Yes No Valid# Date Recd white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 copy) 4. plumber (canary copy) Revised Date 6/1 /76 L TRANSFER FORM PLB 67- T SANITARY PERMIT 72 7~ State Permit # Sanitary Permit # ~ County ra Sanitary Permit Transfer Date Original Permit Issuance Date A. Property Location:'/,Section T,3_ N, R _Ak_~pg or) W Lot # City Subdivision Name, Nearest Road, Lake or Landmark BLK # Village Township r r irrr_ B. TYPE of Occupancy: Commercial Industrial Other (Specify) Single Family Duplex No. of Bedrooms Variance C. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab Concrete Poured-in-place Steel Fiberglass Other(Specify) New Installation-,x Replacement LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify) D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area 4015 sq. ft. New. Replacement Alternate (Specify) Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No. Trenches Seepage Bed: r Length -5 Width /-Depth Tile Depth(top) A Q No. of Lines Seepage Pit: Inside diameter Liquid Depth No. Seepage Pits Percent slope of land ~710 Distance from critical slope E. WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal Present Sanitary Permit Holder Phone No. Sanitary Permit Transferred To: Phone No. Name Name ,4& Address Address Zip Zip I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with section H 62.20,, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared by the Certified Soil Tes r and/or ny a itio al soil tests that may have been required. Plumber's Signature MP/MPRSW # Phone #-2~~ Plumber's Address 9R3 /Vet Information obtained from (owner or agent) PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord with H 62.20. ell location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh- _bor's_proaerty If well has nt_been drill as ~ x t f I I i 9 I m. ~ I = 1 1 ) 47 . . _TT Signature of Issuing Agent w~ G.. copy) ~3. Owner (Pink copy) DIVISION OF HEALTH 41 Ph l nhOr P.O. BOX 309, MADISON WI 5370., • TRANSFER FORM PLB 67SANITARY - T PERMIT State Permit # Sanitary Permit # County Sanitary Permit Transfer Date Original Permit Issuance Date A. Property Location: '/4 Section T N,R E (or) W Lot # -City Subdivision Name, Nearest Road, Lake or Landmark BILK # Village Township B. TYPE of Occupancy: Commercial Industrial Other (Specify) Single Family Duplex No. of Bedrooms Variance C. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab Concrete Poured-in-place Steel Fiberglass Other(Specify) New Installation Replacement LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify) D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 'Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No.Lineal Ft. Width Depth Tile Depth(top) No. Trenches Seepage Bed: Length Width Depth .Tile Depth(top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. Seepage Pits Percent slope of land Distance from critical slope E. WATER SUPPLY: ❑ Private ❑ Joint ❑ Community ❑ Municipal Present Sanitary Permit Holder Phone No. Sanitary Permit Transferred To: Phone No. Name Name Address Address zip Zip I I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with section H 62.20, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared by the Certified Soil Tester and/or any additional soil tests that may have been required. Plumber's Signature MP/MPRSW # Phone # - Plumber's Address Information obtained from (owner or agent) PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh- bor s property_ If well has not been drilled p)dit - # ~ I I I I ~ ~ m- I I i ) I Signature of Issuing Agent low copy) 3. Owner (Pink copy) DIVISION OF HEALTH 4. Plumber (Green jcopy) P.O. BOX 309, MADISON WI 53701 aNIZN5 ao~