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HomeMy WebLinkAbout026-1090-60-000 0 y o m 'u n v O _ c m O 3 M (D v C/) v O~ ° owo N o °N `C • m N v m o w ° co O 1 00 N n co p o D p- A O ` 1 O O n 7 N V CY) O O A7 U1 d n O ,..r ~ O 3 y O O p y N (O p '.7 O N CD m cn < D m (D m a _D (n 7 C 7 O (0 OJ N lot N w i o z C 8 p m co w N O c W W 3 .r Q n S v 3 m h• cn (1) ~ G - Z f S D U v v 5i. o p' f/l n (D ID A O n A m o C 3 y V N 7 3 N ~ A O z N DWa O CD (D N p N ~ 0) Si C CD CCD W D O_ Q 7 z C1 N o p Z CD A Z O N O_ 7 O J C W O W 'D m o m C Z O 3 A (n O 3 00 Z CD A wf ° n co o - N ~ T - s^il C z o O m m m m n~ x O fi N ~ X A c N ` S O V N O O a ? oc C v ~ N O o z o a Parcel 026-1090-60-000 06/07/2005 08:30 AM PAGE 1 OF 1 Alt. Parcel 30.30.18.471C 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): Current Owner LEWERER, ALLEN & ROXANNE ALLEN & ROXANNE LEWERER 994 130TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 994 130TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.110 Plat: N/A-NOT AVAILABLE SEC 30 T30N R18W 1.11A SE SE LOT 1 OF Block/Condo Bldg: CSM 5/1291 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 876/42 07/23/1997 666/627 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.110 28,400 105,900 134,300 NO Totals for 2005: General Property 1.110 28,400 105,900 134,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.110 28,400 105,900 134,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 309 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 026-1090-70-000 06/07/2005 08:30 AM PAGE 1 OF 1 Alt. Parcel 30.30.18.471 D 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): * = Current Owner * LEWERER, ALLEN & ROXANNE ALLEN & ROXANNE LEWERER 994 130TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 994 130TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 8.890 Plat: N/A-NOT AVAILABLE SEC 30 T30N R1 8W 8.89A LOT 2 OF CSM Block/Condo Bldg: 5/1291 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 876/98 07/23/1997 658/544 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.890 41,000 13,900 54,900 NO Totals for 2005: General Property 8.890 41,000 13,900 54,900 Woodland 0.000 0 0 Totals for 2004: General Property 8.890 41,000 13,900 54,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 a AS BUILT SANITARY SYSTEM REPORT OWNER T1 TOWNSHIP 11h zr- J7) SEC.'LJ/N-RLW ADDRESS, ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT j1) 1,~4 LOT SIZE PLAN VIEW r Distances and dimensions to meet requirements of 1163 jy? SHOW EVERYTHING WIHIN TOO FEET OF SYSTEM T- I ! ~ cus 3 Ii di at N r h rr w J BENCHMARK: (Permanent reference Point) Describe: /,9q Elevation of vertical reference point: _ -Slope at site: SEPTIC TANK: Manufacturer: ;9),ZFA r~Liquid Capacity: Number of rings on cover ank mantiole cover elevati n: Tank Inlet Elevation: y.7T -.Tank Outlet Elevation: 3 PUMP CHAMBER Manufacturer: Number of gallons Number of gal - pump set for a cycle -gallons; Total capacity of distribution lines _ gallon: size of pump head; gallon per minute horsepower ;brand name of pump and model number ; 'type of warning device HOLDING 'LANK: Manufacturer _ Number of gallons Elevation of manhole cover ; `.Cype of warning device _ SEEPAGE PIT SIZE;___ Number of pits feet diameter feet liquid depth _ seepage pit inlet pipe-elevation bottom of seepage pit elevation- feet. SEEPAGE BED SIZE: number of lines width-_ 9 -length&~2 -tile depth i1 EEPAGE TRENCH: width l(~n gth PERCOLATION RATE AREA REQUIRED AREA AS BUILTj~:/~- INSPECTOR--- DATED_PLUMBER ON JOB LICENSE NUMBER ' DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.G. BOSC 7969 BUREAU OF PLUMBING MADISON, WI 53707 CICONVENTIONAL ❑ALTERNATIVE IStatesPlan l DNUmbe! f asigned) ❑ Holding Tank El In-Ground Pressure ❑ Mound (I NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: David Lewerer RR~~ 4, New Richmond, WI f-/3 S'3 //ti'2i1' BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV. SE SE, Section 30, T30N-R18W, Town of Richmond Name of Plumber. MNo. County Sanitary Permit Number: Cal Powers 1563 St. Croix 38507 SEPTIC TANK/HOLD NG TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COV R - - ' f `WARNING PROVIDEf~ ~J o- YES LINO S LINO BEDDING. V E N DIA., VENT MATL NUMBER OF HIGH WAT ROAD: POPERTY' 111ILL: BUILDING: TO FRESH `U. ( ALARM . LINE yy; AIR INLET FEET ❑YES NO t ` ❑Y f NO NEAREST M LM /vG V / IVENT DOSING CHA BER: MANUFACTURER BL IQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVI DEDPROVIDEDYES NO ❑YES LINO ❑YES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PHOPERTV JWELL BUILDING I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES LINO NEAREST__~ SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENCITH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. ILENITH NO. OF DISTR. PIPE SPACING. COVE JINSIDE DIA -PITS . LIQUID BED/TRENCH TRENCHES MAT L: PIT DEPTH DIMENSIONS I/ L- z_- - -11 GRAVEL DEPTH / FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. TR. NUMBER OF PROPERTY WELL. BUILDING: VETTO F ESH BELOW PIPES i ABO~ VER JEV. "NIL T ELEV. END PIP LINE. S A'j NLE! , r FEET FROM ` NEAREST-- ► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make cert hat it ON REVERSE SIDE. SHOW ELEVA- meets the criteria f r mediu and. TIONS MEASURED. ❑YES LINO SOIL COVER TEXTURE PER N MARKERS JOBSERVATION WELLS ❑YES LINO ❑YES LINO DEPTH OVER THENCHBED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDE SEEDED IMULCHID. CENTER EDGES f ❑Y LINO ❑YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO. OF LAT RAL PACI G: GRAVEL DEP BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. IP ANIFOLD MAT RIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATEHIAL & MARKING ELEV. ELEV. DIA. ELEV. PIPES. DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED C NRECT LV JVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES LINO ❑YES LINO COMMENTS: JPERMANENT MARKERS: OBSERVATION WEIJA N NUMBER OF PROPERTY WELL. BUILDING: FEET FROM LINE. [!]YES LI NO ❑YES LI NO / EAREST ILI 3 3 P/r ~L Sketch System on e in coup y file for audit. Reverse Side. S= TITLE DILHR SBD 6710 (R. 01/82) llr~-~_ ' DEPARTMENT OF APPLICATION SAFETY & BUILDINGS ITIDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8Yz x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailin7resV O Property Location: illa~e or Township: County: S 4- %S iT N/R (or) W Lot NuJnber: Blk 7N..: Subdivision Ikame: Nearest Road, Lake or Landmark: State Plan I.D. Number: 1 (If assigned) i TYP OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per in PROPOSED (Square feet): © New ❑ Replacement ❑ Experimental ® Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Names Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam of Plumber: / Signat MP/MPRSW No.: Phone Numbe Plum is Address: Nampof Designer: / e/ 7 COUNTY/DEPARTMENT USE ONLY ISajry Permit Number: Si a re of Issuing A nt: Fee: ~j Date: j1 O<APPROVED s 8 d.C / ~s` J ❑ DISAPPROVED r1D Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) Form - S `1' C 100 Owner of Property ArZ'e.h Apl' ZeLu ,err Location of Property' 67 4 4, Section T N R Irf W Township N~`L /l~C~, -*n~,, yL Mailing Address Ale e,- r,1Ghsy1~;,~~ ICJr ~ %~0 Subdivision Name Lot Number ~cf S 1 led ~ .Previous Owner of Property 1l,"cAM oh f'~~/Mt~ ,ham p~-f by ;h f. f~ Total Size of Parce]. 00 Date Parcel Was Created Vhf' 1 Z Are all corners identifiable? Yes No Include with this application one of the following: .Certified Survey Map .Deed .Land Contract, or .Other I:egal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owne.r(s) of the propertyde scribed in this information form, by virtue of a warranty de~d recorle in the ffice of the County Register of Deeds as Docu?r~nt. No. 0 that I (we) presently own the proposed site for the see.-disposal-9ystem (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. ez~K (1~1 L~ SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 6-,;- /-7- 53 DATE SIGNED DATE SIGNED r DOCUMENT NO. WARRANTY DEED-By Corporation STATE OF WISCONSIN-FOR'1t 10 THIS SPACE RESERVED FOR RECORDING DATA THIS INDENTURE, Made by_ Richmond Plumbing--& He a t i nca- Inc-~-- - - a Corporation duly organized and existing under and by virtue of the laws ofthe State of Wisconsin, grantor, of _ St. CroiX County, Wisconsin, hereby conveys and warrants to Allen D_._1te_We_rex --a-single man _ grantee of---,St.---Croix --------County, Wisconsin, for the sum of -One dollar and other qood_ arid-- valuable RETURN TO -consideration the following tract of land in St. --Croix-__- County, State of Wisconsin: --I A parcel of land located in the Southeast One Quarter of the Southeast One Quarter (SE4 of SE4) of Section Thirty (30), Township Thirty (30) North, Range Eighteen (18) West, in the Town of Richmond, more particularly described as: Lot 1 of St. Croix County Certified Survey Map recorded June 2, 1983, Volume 5 of Certified Survey Maps on Page 1291, as Document #385094. ,~I I i In Witness Whereof, the said grantor has caused these presents to be signed by David-----. Lewerer- its President, and countersigned by --_Evelyn-_ - . Lewerer--_ its Secretary, at New --Richmond Wisconsin, and its corporate seal to be hereunto affixed, this - __---day of _Jun_2__ A. D., 19 --83-. SIGNED AND SEALED IN PRESENCE OF RICHMOND PLUMBING & HEATING, TNC. Corporate 'Name President David Lewerer - COUN I LRSIGNLD: Secretary Evelyn- Lewerer___ i STATE OF WISCONSIN, 1 J} St. Croix s. - - County. Personally came before me, this day of June___-___ , A. D , 19 __83, - David------.-- Lewerer - - President, and Evelyn-- Lewerer _ Secretary of the above named Corporation, to me known to be the persons who executed the foregoing instrument, and to me known to be such _ President and Se( retary of said Corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of said Corporation, by its authority. 1 This instrument drafted by NOTARY SEAL Notary Public -County, Wis. Warren W.-_.Wood .Ltd.. New Richmond WI 54017 My Commission (Expires) (Is) (Section 59.51 (1) of t e Wisconsin statutes provides that all instruments to be recorded shalt have pl Igly~rt ed r/jt~writt~ thereon the names of the ¢rantors, ~+ra tees, witnesses and notary). ~ ~J WARRANTY DEED-ST I., I'F. OF \\'ISCONSIN, FORM NO. 10 HCMdierCo vany~ I , DEPARTM~NTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABF-R ANC PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOW SHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: N/R/ (or) W <J COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIO S MADE rI~~I NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: W Residence V New ❑ Replace r ~T RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: IMOUND: /N- GROUND-PRESSURE: SYSTEM-IN-F ILLHOLDINGTANK: R E Is MMENDED SYSTEM: (optional) U SS~ S U S UU SS UU If Percolation Tests are NOT required DESIGN IRATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: ~{J/A L{' PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 61 LZ '<r r 19,2 / i 1 / B- 1 a' S, / Z /'9 i 7 - - S 1 , B- B- 9' - .Js news, PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERT 2 PERT D 3 PER INCH P P-,2 3 X6. P_ 2 2 7111- 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 0 e'er 1,.v~5 Q I / a, - ro o & 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: A7s,s: / j CERTIFICATION NUMBER: PHONE NUMBER (optional): ! CST SIGNATURE:, DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - Wyn, h Lk Ff ,3L a', Y'=,3„ _.i..m1, E E.... j Q(?CWi 1:i3i, ,uii:Sltb°33a;l. tFx ;*di't . E't`€)[al }a, oJt. t;e.:; a a€A,,A F,d 4i0m i t) d a' _'.i'?'"7ut.s E_, t".wi IS SUITAKE ,.x , E,a M z' t, . t, , a and awnpl o, q i= loot plan; JTn G=I «i ,a%.t = i .w Ph'.t' arc a tivE'tti°t ,n , is «i i!ttd,t Fh6y. ~,E< ,E( r °c. _ .t`' :75 tc ,=_tt (+2;'?4,rsOd S5.. M ! platy a da€'lmn p,..ec,,w_.a,.r test rxenqj- ton ~ aE yr ~~t ~ : l! i 'i i h ar viOtt box i wn v a lum vow n 'FI ,d Ys"e "'Cnas n jI LOW AW...H r C r,F_ a~ p.a r c v t - s .,a ~ f 3 ~f "y i eo-; m'" 3 S : smummr, (Why: 13- i r.:t.y nV 3 a-, L_. ~ _ e_ t .sP1j{"Sc, I o- rykq .,j.-1,d') X7.5; k. .r., QEii i an 5"d B1 "21 Lcmny 0-6 News. Thon R s k 5 - t,v is NO 1 7 AL. . - 1-1 i I ?"E.. w fun ? '.1"'3 , , 3. , it <a sm . E. y f'.`,ft WN :f7E= t3t?~3<??"~°"it j,a FFic2:t t s 0.:t?"j1' ),o rr 3~ap ~i ii -IV r i /Y Ca~//Sf/c,0 7JOCt' ~ i i r 4) `I 411,