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Parcel 026-1072-80-300 09/08/2005 04:09 PM
PAGE 1 OF 1
Alt. Parcel 25.30.18.380B-30 026 - 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
O - OLDENBURG, JOHN A & ARLENE
JOHN A & ARLENE OLDENBURG
1445 140TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1445 140TH AVE
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 29.060 Plat: 1794-CSM 17-4614 026/03
SEC 25 T30N R18W PT NW NE CSM 17-4614 Block/Condo Bldg: LOT 03
LOT 3 (29.060AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-30N-18W NE NW
Notes: Parcel History:
Date Doc # Vol/Page Type
09/18/2003 740461 17/4614 CSM
11/19/2001 662466 1765/506 WD
I
2005 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 06/20/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 30,000 83,800 113,800 NO
AGRICULTURAL G4 20.003 2,800 0 2,800 NO
UNDEVELOPED G5 7.060 7,100 0 7,100 NO
Totals for 2005:
General Property 29.063 39,900 83,800 123,700
Woodland 0.000 0 0
Totals for 2004:
General Property 29.063 40,100 83,800 123,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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`~LI11U 1 V L:;LUN I.U'1' I.U'I:;Ill:
V I AN V 1 1:W
1)lu Lances and Menu iunu LO wuut i uqu a euiunl "I Hui
iCl _ J_ ' T111w, W l'I'll l N w o h l.l.'l Ul•'
i
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rh, At ri)w
I-1 I --_-1- It
J~wr X:2. BENCItMAKK: (PerULA11CIAL reference 1'u t_nt) DLuc t the .
Elevation at vertical reterisiuce po Lot "t Alt,- ManuYa~.t,vl ~r u1(.I,lut~l t:.~l
Nuuilber of rings on cc e / i"h"IC r"v"1 I,'Va1 i„l
'1'clnk inlet Elevu.tLUU: 11wik Out W Elcva1 I-u
PUMI' CHAMBER
Mtinul-tic Luret- ; Nuuil,~• I ~ ~ t 1~,a I I „I,:•
1'~lt(Rb~tl UL Kal -lump fief. fol a Cycle bra l 1u11:, (()1 a1 I I y
dial ributiun Ituclu n"110" it: c & Pump I„ .ld,
gallon her minULU ~I I~uu1i,
and utode l ttumbur
Type of warning, device
HOLDING TANK: Manutac tur.e_r Nuwt,~~I (II t.~I t„ii~.
I:levatt,~n of n►itnhole cover
Type "I wu► n l ng Jev Ice
Sia::PME PIT SIZE . Nim l "I pile I,, I ,liallci( k
feet- liquid dhhCl~- "Cupagu pit tlll1_'I I ipc VUval i"I
hot will of de0PxK,e 1,1L elevat k )u I ct I
SEEPACL hLI) SIZE. uuluber Ul: I Ln,'u
SEEPAGE TRENCH. w ciLh
PERCOLATION RATE y A.R7 A REQUIRED Altl`:A A.`, 11tH I.T
DATED 11V:;1'L:I:'flll< ~
I'IAJM111.k w) Hfli ~ f~/~I ~rCSC-S
l.lt:L:N`;L: NUM111•:K ~S~_-j
D.EPARTNI*r T OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS DIVISION
P.O.,BOx 7969- PRIVATE SEWAGE SYSTEMS
$ ~REAU OF PLUMBING
1
MADISON, WI 53707
[~(CONVENTIONAL ❑ ALTERNATIVE State Plan I D Number,
El Holding Tank El In-Ground Pressure ❑ Mound
N ME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER. INSPECTION DATE.
t
tt p 5
B• H MARK (Permanent reference point) DESIyR BE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT ELEV.
_ Y
Nam, of Plumbers MP/MPRSW No. C.,my Sanitary Permit Number. -7
SEPTIC TANK/HOLDING TANK:
MANUFACTUR LCAPACITY: TANK INLET ELEV.. ITANKJ OUTLET ELEV. WARNING LABEL LOW~%PYES ❑NO PRO
Lr2 ?i'
BEDDING: VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD PROP RTV,, L WELL,r,. BUI LDING VENT TO FRESH
tt ALARM FEET FROM LINI Q It-4~ 7/- *54 A-3,1+
YES ❑ NO S' NO NEAREST I
:9 ~
DOSING CHAMBER:
'e PAT PUMP MODEL JPUMPiSIPHON MANUFACTURER WARNING LABEL LOCKING COVER
MANUFACTURER BEDDING. L
PROVIDED: PROVIDED.
DYES DYES O YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PERrv E J LDING V TTO FRESH
(DIFFERENCE BETWEEN FEET FROM (1NF AIR INLET
PUMP ON AND OFF) DYES ❑NO NEAREST_
SOIL ABSORPTION SYSTCh c thesoil istureatthedepthofplowing ,I'Jt.TI Ar~CTEH" M T IAFy o ARKINc
ORCE 9
or excavation. (If soil can e roll into a wire, construction shall cease until FORCE-_],
MAIN
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
WIDTH LENGTH NO. OF pISTIR PIPE SPACIN(~ (:OVEE2 INSIUE Dln # LIOUID
BED/TRENCH r TRENCHE l MA IAL PIT DEPTH
DIMENSIONS I 74 (IRA(, I E ' H Flu DEPTH IDISTR ILFPF DISTR PIPE DISTR. PIPE MATERIAL- NO. D R NUMBEROF PROPE TV W EIL L. BUILDING- VENT
TO FRESH
BE (c Pf ABOVE co ELEV r ELEV END PIP u
FEET FROM NE ^ AIR ~L
yy1
4 7~~ NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the text e f the Ill m ria f PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systelis ma e cer in at it ON REVERSE SIDE. SHOW ELEVA-
meets the uff or ediu san TIONS MEASURED.
DYES ❑NO
SOIL COVER. TEXTURE PEH ANENT MARKERS OBSERVATION WELLS
DYES ❑NO DYES ❑NO
UE PTH OVER TRENCH BED DEPTH OVEH TRENCH EO DEPTH OF ( 501 SS EEDED MULCHED
CENTER EDGES
ES ❑NO DYES ❑NO DYES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
'WIDTH. LENGTH NLATERAL SPACnA L DEPTH BELWSISTR L DEPTH ABOVE COVER
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR PIP /AN7IFLD 7AL'. JfD STRPIPE DITRIBUIN IELEV ELEVDIAELEV. A
E LEVATION AND
r
DISTRIBUTION
HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MA EHIAL. VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION PLANS
1:01 Y ES ❑ O ❑ Y ES D NO
COMMENTS: PERMANENT MARKERS'. SE, ATION WELLS: NUMBER OF JPR OPE RTY WELL: BUILDING.
FEET FROM LINE.
( ❑ YES ❑ NO ❑ YES ❑ NO _ NEAREST_-
i' l«
• ✓ j / lC
Sketch System on Retai county file for audit.
Reverse Side.
SIGN TITLE.
DILHR SBD 6710 (R. 01/82) '
I
DEPARTMENT OF APPLICATION SAFETY & BUILDINGS
INDUSTRY, FOR SANITARY DIVISION
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PL13 67) MADISON, WI 53707
Attach plans for the system on paper not less than 8'/2 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. The owners copy or a legible reproduction of the soil test report must be
included.
Property Owner: Maig ddress: I
Property Loca ion: or ownship: County:
Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: 'State Plan I.D. Number:
A (If assigned)
TYPE 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 (Specif )
SEPTIC TANK CAPACITY
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER: J, 77
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental 5iJ Seepage Bed ❑ Seepage Pit
❑ Alternative (specify) ❑ Seepage Trench
Y ~
Water Supply: Owner's Name a Listed on Soil Test Report (If other than present owner):
5~ Private ❑ Joint El Public
I, the undersigned, hereby assume responsibility for installation of the privy sewage system shown on the attached plans.
Namel~f Plumber: Sign at a MP/MPRSW No.: Phone Number:
I ~J
Plumbs Address: Name-pf Designer:
4A
COUNTY/DEPARTMENT USE ONLY
Sig ature of Issuing Agent. Fee: Date: ❑ APPROVED Sanitary Permit Number:
t L c ?ti-. ❑ DISAPPROVED 3 -7 J-7
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 (N.03/87)
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
L~AqOR AND P.O. BOX HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707
LOCATION: SECTION: TOWN HIP/MbitAttTY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
Alf !k~ 1/a /T->(;,N/R/8F(o')W1 Z',
-
OUNTY: OWN R'S BUYER'S NAME: MAI IN~ ADDRESS: l
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: ICOMMER(-,I/-\LpESCRIPTION: I R DESCRIPTIONS: 1PERCOLATION TESTS:
OA, Residence ❑New Replace I( y~
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM- N-FILL HOLDING TANK:
RECOM ENDED SYSTEM: (optional)
INS oU ~S❑U MSOU aS u ❑SEK U (20111
If Percolation Tests are NOT required DESIGN ATE: SYSTE EL V. I If any portion of the lot is in the /
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
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.)
3
B"
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIO 2 PERIOD 3 PER INCH
P- 3 310 Z
P
P_
PLAN VIEW: 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. Sh w the surface elev tion at all borings and the direction and percent
of land slop. L N.~C5a
SYSTEM ELEVATION
!7 Sod
A
i
Jy _
.2
.
_
4
i
a4
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME *ntIV TESTS WERE COMPLETED ON: A ADDR S: CERTIFI ATION NUMBER: PHONE NUMBER optional):
CST T RE:
DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester.
DI LHR-SB D-6395 IN. 03/81)
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