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HomeMy WebLinkAbout026-1005-70-000 0 N O 3 M n r~ d r/~ ° m f ° c~ M I ~ Q ~s 0 p3j O w 0 O O COO C C. N N `C • OD ~l CD 3 O_ CD l: g 0 N CD WO 0* O fD Z a 1 j 'O ci ID CD 0 m rn W N N N a 00 n ° r N- 0 N N n 0 a' 0 2) O W (D C: c0 0 COO c o ° F O n A+ S tr1 m' f C)° n (D z ° 0 o I ~ !r►~ rat K n Z CD CD CO d 90 a CD CO CL CO -4 =3 (n CD o w rt o t- c CO, o °w ::t En N N 00 00 (D - n CO O -4 W "%*A 0 L z N O COO M N C7 r l/1 Q H Z O O O ccn h• C) C) z o o zt 0 r'3= cn cn cn o z o N DZ :E CD tr~i 0 0 o a N e 2L 0 m ~ ~ 0 In- Z N ° o w D a = I' o° 0 ° ill • Ul CD -4 00 cn 'a cn CD w 1-d Fl- n o n rt w 5 r• CD 0 5 (D n 0 o 3 I i O Z m u; rlj 0 z ° a a z ° j Z w N 00 - m a (D CD v a Z ° m w y Z I w ~ a v a I ° 3 o=i c o °Z 3a n CD w N CL I i I ~ a I A S R ti O I O V I ~ b ti 7 I m 0 H C) a Form- S T C - 104 t AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T ~j N- R. W ADDRESS / ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILUR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r VY I \q I INDI AT NORTH ARROW BENCHMARK: Describe the vertical reference point used / } U~ Elevation of vertical reference point: Z~Z,p Proposed slope at site: SEPTIC TANK: Manufacturer: ~7j ^~SL.;ti~)r:✓d iquid Capacity: • .,c Number of rings used: - © Tank manhole cover elevation: ~a D Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side(Q)Rear, O feet From nearest property line Front,0 Side,© Rear, O j feet Number of feet from: well 4A~ building: : (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: / Length: Number of Lines: C2 Area Built:- 50K-Fill depth to top of pipe: , Number of feet from nearest property line: Front, O Side, O Rear, ® Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: l Dated: /~i - - Plumber on job: J y- / License Number : 3/84:mj DEPARTMENT,OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 5370? BUREAU OF PLUMBING CONVENTIONAL ❑ALTERNATIVE State PIan LE) Numoer . ~ ass~yneBl ❑ Holding Tank El In-Ground Pressure ❑ Mound uI NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTIO DAyE Larry Suennen R. R. 1, New Richmond, WI 54017 BENCH MARK IPermanenl reference P-10 DESCRIBE IF DIFFERENT FROM PLAN. REF, VT. ELEV. ICSIHEI, PT, ELEV SE SE, Section 2, T30N-R18W, Town of Richmond Nainc oI Plumber FMPMP,R15 SWN<,Sani,ary Prmit NumberCal Powers 63 St. Croix 69622 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK. INLFT ELLV TANK OUTLET ELEV WARNING LABEL LOCKING COVER PROVIDED PROVIDED BEDDING vENTDIA. vENrMAT[ HwATLH - ❑YES_❑No ❑YES LINO ALARM NUMBER OF ZROAD PROPERTY WELL BUILDING TO FRESH FEET FROM INE AIR INLET ❑YES ❑ NO YES ❑ NO NEAREST _ IVENT DOSING CHAMBER: M A N OF A C T 11HFR BEDDING _1011111 C: APACI IY i'I;MP Mr1Uk I UMP SII ~Ir)N ~,'.Atilil n(.T IIfiFR WAR!-A N BEL LOCKING COVER PROVPROVIDE❑YES LINO LINO ❑YES LINO GALLONS PER CYCLE: PUMP ANDcONTRO_sQPEHATIONAL NAIMBEROF HOPEFRTY BI_UD1Na JVENTTOFRESH (DIFFERENCE BETWEEN ,FEET FROM IN AIR INLET PUMP ON AND OFF) ❑YES LINO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I , nMFTFR [All '-1 [11 ,,"HInLANDMARKwr; or excavation. (If soil can be rolled into a wire, construction shall cease until 1 FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF srH PIPE ,PA.,N~ ovFH NSICL 11A _P1T; uQuib r THE N1>0S ,1ATERIAL'. PIl• DEPTH DIMENSIONS GRAVEL DEPTH Fll-L DEPTH B VE C DISTR PIPF DISTH PIPE DISTR PIPE MATERIAL NO fJISTf+ PHO P ERTV WELL BUILDING VENT 70 FRESH BE_owPIPES AOOVER FIEV INIFr ELEV LND I NUMBER OF PIPF S LINE AIR INLET FEET FROM NEARESTs- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑ YES LINO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TFXT,JRe I H CIAN INI M AHKE IiS OIiSE HVArrzON V f L IS _ __1 YES LINO OYES LINO DEPTH OVER TRENCH BED DEPTH OVFH THENC,H BEU IA PTII OF TO)PSI )IL 1f 111f )f D T DF1) JMULCHED CENTER EDGES ~l__JYES F1jn DYES L'_1 NO OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO OF LATERAL SPACING GHAVEI. DEPTH HF LOW PIPF - FILL DEPTH ABOVE COVER TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MAT EH IALINO D ISTH DISTH PIPE DISTRIBUTION PIPE MATERIAL & MARKING E I.EV. ELEV. DIA ELEV. PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING LFiILLF D COHHF CT LY COVER MATERIAL VFHTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES LINO ❑YES LINO COMMENTS: PMARKERS. OBSERVATION WELLS . NUMBER OF P W RO PERTY ELL. BUILDING. FEET FROM NE ❑YES NO ❑YES N O NEAREST- - r--- - L J,/ Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE DILHR SBD 6710 (R. 01/82) wlsconsln APPLICATION FOR SANITARY PERMIT DPLB 67 ~EnTOC ( ) UNIFORM SANITARY PERMIT # In DUSTRV, LRBOR 6 NUMAn RELRTIOnS -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS c nnQ Rig 1.> lje- =w fcJ_ r,or'I C1~-~~` C ~`JQ I PROPERTY LOCATION crr7: 1 /4 S ,r' 1 /4, S 2)- , T3C) N, R / Xd (or) W TOWN OF: Lv. (1'1 C3 ~ LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, K __jSTATE PLAN I.D. NUMBER 911 N 7U C-1 H C' Ifl~JJ TYPE OF BUILDING OR USE SERVED 1~`1 or 2 Family Number of Bedrooms: Public (Specify): r THIS PERMIT IS FOR A: New System ❑ Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. L~V Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued - El An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity J ~J p 1 Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation o private sewage system shown on the attached plans. Name of PI mber (Printl ~ Sign r ~ #P/MPRSW No.: Phone Number: PI ber's Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of issuing Agent: l~ Fee: Date: ~I ❑ Disapproved -~4P~ p Approved Owner Given Initial Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.) ; 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. I TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT ST C- 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractpr,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property .L A r r y U 2 73 Y1 P-- YY-d - .11 Location of Property Section , T Sy N - R W Township R lL~ rn pv~C` Mailing Address ) Subdivision Name Lot Number i CIL Previous Owner of Property Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: ° r°y~ 1. Warranty Deed C 2. Land Contract 3.• Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) eeAti.6y that ate statement6 on th,i,6 6oAm aAe tAue to the but o6 my (ouA) lenowtedge; that 1 (we) am ( ahe ) the owneA (6) o6 the ptopeA,ty deb en,i.bed in thiA i.n6oAmati.on JoAm, by vixtue o6 a waAAanty d d AeeoAded in the 066.tee o6 the County RegizteA o6 Deed6 " Document No. D 3S y ; and that I (we) p4e6entty own the ptopo6ed 6.i to 6oA the sewage po,6by6tem (oA I (we) have obtained an ea6ement, to Aun with the above de6etibed pnopeA.ty, 6oA the con6tku.cti.on o6 ba.id 6y6tem, and the same ha6 been duty AeeoAded in the 066.ice o6 the County Reg.idteA o6 Deed-6, a,d Document No. ) SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED a ('l! OL'aSc IM1„Of,11069 N 'bSE MjVZE.Zio69 N ,oo'£~ Sa alz ! '0L'901 b t H,(A0•>a 1z 1 ,t:£ I.., 99 r ( T_ ( I ti 1 1 O I I h N H ' r>~/H 9KIOn10x7 I ' fo •M CUD$ a ssel,11S3HOV 60FL"z ( ( a 1 1 I'ld'OS nzlet? S3m:)v IQ 10'&I I a 1 W _ ~+1 N 0 1 v W t = Z w w I W I 1 ~ W 1 101 HO! .S H I 1K3iw13SV3 1VOIH13313 301M+01 y N ( co M '19S'IZE tD o ~O 1O ~8S'bf+V, 3"S6,01gols8 N W I F- Z' I M - -----`1N3A 311d32 z a I f-~ ° Avas IOn1OX3(ld'OS z11®LISavoy Z£61'1 N O O W in 0 J o C~ e _ W o W I V -n 314 O 31now W - Z H H a • ST C- 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT H St. Croix County z 0 Y%, C) a OWNER/BUYER H ~.c~ r r v t7l ROUTE/BOX NUMBER RR Fire Number CITY/STATE '6'll{} /~j~C l`-rte ZIP S%~l PROPERTY LOCATION: Section cX T N, R~W, ~1 Cl1 m cr• St. Croix County, Town of Subdivision Lot number I I Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into I the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix. County residents may be eligibLe to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. e DATE/ St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. v x x ~ Y (D 0 . {p y 0- 3 'D S S w (D (D O= H 0 0 C T (D -0 a = CD N (D a * O m a 0 o w o m C D CO n Ali p O N w w oo _ w fD (D En to O (3D Ow O 0 CD =1 ° co (COD COD r wr. S = - ° G 3 C- C Z co O C 3 0 a o w w S -Cs = D w w O C C N (S no O w w O p a fD ~ ~ Q m c 0 C) CD (°i, C p ti y 1i n O _ n (D CD ~p o a 0= w O tJ,m Nv°, a(SDV w~N C N CD -1 z 0 (D CD :3 --i v, c cD O o 3' -1 a -04 w ~ o SO m OL ;:w Co CD CD 0).. acfw n f N V m 3w° ~ww C m CDC? ° , °a=CCD 1 _ C6 (D (D ~ 'Y a rn 0 3 Q w~ _ = o CD co D p c° a ° ° w ~ a CD ~ (Q OM Ca wao a, C: c F ' O CD =M a w o m C CL0 °-°-aa~= C ~O Q= SU, N C (o S (D = < . fD (D <D (7 C +n fp co n L 0= a O N o CD O 0 a c w m -i m m m ac° a SC: m w .moo a, 3 0O3 m = am = O ER CD CA a o < 3 co CD v o z 0 DEPARTKENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION N LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 P.O. BOX 76 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOC TION: SECTION: T SHIP µ1A{}N}C}PLOT NO.:BLK. NO.: SUBDIVISION NAME: J' '/4 '/a Z /TSON/RI Ior) W - 100 Ai p NIA COUNTY: OWNER'S~BUYER'S NA MAILING ADDRESS: C re USE lJ~+ ~n r Q DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL =,ANv, ROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CUOV~TI❑~ . ~1~ D: IfV-GROUND PRESSURE: SYSTEM-1 -FILL HOLDING TANK: RECOMMENDED TEM:(optional) S ❑U ❑S ❑$PIJ If Percolation Tests are NOT required DESIGN RATE: [F'Ioodplain, any portion of the tested area is in the under s.H63.09(5)(b), indicate: - Z indicate Floodplain elevation: ~i_QCFIE~ESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWA ER-hPS CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH-} , OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- r . b UIVQ , " a_ 5G s -2.9Gn~~►~2, _7~ r / O- GIs, _Z,n3,( -2,~-3S_V 610 S ;i B- 2, 01 r _ B-~/ Q J~Q _ B- e1r - o Ale- 2 6,091 ' _ ~ fie:. ?B(2- B_ f-T PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER ++a++I~o AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER OD 2 PERIOD 3 PER INCH P- U P- 1/3 _ olv 2Y P- rte' P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION , 6encG, rr•/-r? flower p~ gA~oo 3 E i l w ' i 36 Y , E E D ( [ E a x . a_ ttT- i 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: C e- Y'S AD RESS: CERTIFICAT N NUMBER: PHONE NUMBER (optional): _3 ew irk h-►o,, ~.U~ S u 5 ! 71 'ZY~-S r 3 S CS GN UR U DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - §3'R aPoY.€ ,e9 mr vE..-T S~ L~'L"s ~a a9 r° a €-'r ~s # r _ t{'ii: x,l d etc ~ ti c:: (.t~ ,i1,~¢C.)% '1t.fA F?al" C1 t r P cu C'i) 2 t icw; z t :i 3z3€1 ' L °dts ~i rlrvv cir rs-:l)t SITE a W 3 t ,M . "r t ')ibrea aa i ns sh e= f -t iv rb" t.= profile ckiscriplions and (,(")5'i'1 ±V I ? z6r _ „4. i~"3 acc E ~..oly 100",:?xi "'8w Drawing to Itli ,.i.e S13(e E S.`rt , lel d ` y. ;:ai _ a3-, C°i. aely 0i"'n1"n, and ilfe iwf t<, p , t3; a ai3 1F it_1Lk t i'ix ` to fla iea ne ~ ~3~~s .x_~t Hood play, dwl'i, percoli-= imf 1M i,Uri°, iitlct,- plain, tdovaiiom) dos no" .,iiply, ol,lc! N_A- i3. t£;W .~fi,ii€ 3f t,t'€ F.i rte's vE;rar c€ rr,e addr€ ss Fwd V;t?r cv - i Fes' 3" - F aSf,'sd G"I ; :.itFTi t5a ~o d >t ..`c,-,w t Se?L tat {t t. € r tho 6`favaU ~ tt r`, y o-,2 • i 'r~Sfi 1" ~Q sa PAGE OF cru JZC~101-,, G /r 4Jri~ sys~(1n-~ ) V J.r 1 f\j, le, Freclt Alf InLelc And Obcervallon Pipe ~~-~Y-- Approved Vent Cap Minimom 12" Above Final Grads CU- 42" Above Pipe _ 4 Cost Iron to Final Grade Vent Pipe MmM Noy Or synthetic covering win 2" Aggregate Over Pipe Disl,ib 'lion Pipe - 0 0 0 0 0 b° Aggregate Beneolh Pipe o Perforated Pipe Bela. o Coupling Terminating At bottom Of Syclem ~~eJ•.7 tall SOIL FILL DISTKIgL1TlOrl PIPE APPROVED S4tJTIETIC COVER ° -MATER11 4 Op q" pG sTRAw 2" OF AGG9 EGAlE OR MAP SW HA':~ ~rEQ a OF %p AGGREGATE ELEV. OFFEET DISTRi@UTIC)U PIPE TO BE AT LEASE IUCHES BELOW ORIGIQAL GRADE A11L AT LLAST20 II~ICNE~ BUT UO MORE THA1.1 HL IUCHES BELOW FINAL GRADE MAXIMUM ®F-PrH OF F-)VAVATm►.D IF'KoM OKiGW+AL bKADF- WILL BE C/ I"( HES 1AIM UM 6EF" OF FACAVATlmN FI\ol\. o4?\lt,IkAL (3RAPE WILL 0E 2_ INCHES SIGAIED: LIC-FUSE LJUMBER: S DAT E : 3 ~yo • t ~ ~e. n n e ern, n e-w r►, u r~ ~d ~ s c 5►2- e irk 7,9 i foo i e - { i jqI St. Croix Co„nty Sanitary Maintenance Certification Form for system installed during 1985 1. The private sewage disposal system is in proper operating condition. --2, The septic tank was recently pumped by a licensed septic tank pumper, or it was inspected and is less than 113 full of sludge and scum. Signed by!' Title Time Day Month Year Signed by owner Time <~,a,.-oay ' Month Year Make occupant or address corrections here Parcel 026-1005-70-000 01/25/2007 11:01 AM • PAGE 1 OF 1 Alt. Parcel 2.30.18.21C 026 - TOWN OF RICHMOND 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 LAWRENCE B & DENISE R SUENNEN O - SUENNEN, LAWRENCE B & DENISE R 1732 140TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1732 140TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.010 Plat: N/A-NOT AVAILABLE SEC 2 T30N R18W PT OF NE 1/4 SE 1/4 LOT Block/Condo Bldg: 2 OF CSM 5/1202 3.0131 A. Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 716/339 07/23/1997 715/126 2006 SUMMARY Bill Fair Market Value: Assessed with: 176626 181,700 Valuations: Last Changed: 08/07/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.010 45,000 96,700 141,700 NO Totals for 2006: General Property 3.010 45,000 96,700 141,700 Woodland 0.000 0 0 Totals for 2005: General Property 3.010 45,000 96,700 141,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 110 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00