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HomeMy WebLinkAbout026-1108-30-000 ncno ~v0 r_ o d o C7 v1 E m > > 0 m m n a~ ~i~ v m w 3 h O N 'Ui N W N ~ A ON t~V' • _ O C O 2 z Q O (D O W 7 co O C o o m 1, o a ~o t rn o C c' C7 d m a ° eJ o m D a (n A C) > D O (D '.::I O CO ID ~~ff W j(D j O C v '0 v Iz O O O o Y war cn ' * * * Q W < V~ n' c <n to cn m (D 3 co - v v v Cl) (o Ul O N CD .m•. D1 'O A OT. (D - m ° N r d CA V < N ((D _ ° < N ° z z C o D 0 D a p (D 3 ° h • 1 co N a t o (D ro c fl - N C_ N (D G (O 0- (D 0- 7 z (D (n CA ° O ? n c n' `p z O w a O o Z -i a W m CD m ° Q Z A ~ O C o m m ~ (D A W N O (D c > 3 O (D (D ° T 3 CL co c z a l: c Q (n (D CD a ~ (o a CL Ot W N p W W ti O ~ V J W O O ~ A (D Uti ffl 0 O O C CD CD O v Parcel 026-1108-30-000 03/14/2007 10:37 AM PAGE 1 OF 1 Alt. Parcel 4.30.18.602 026 - 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 - SMITH, LINDSEY E LINDSEY E SMITH 1195 174TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ' 1195 174TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.350 Plat: 2573-VIEBROCK'S RIVER VALLEY VIEW SEC 4 T30N R1 8W LOT 3 VIE- BROCK'S RIVER Block/Condo Bldg: LOT 03 VALLEY VIEW ADDITION Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/05/2004 776175 2669/242 WD 05/18/2001 645887 1642/01 WD 11/13/2000 633516 1558/633 WD 09/16/1998 587129 1357/281 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.350 22,500 85,700 108,200 NO Totals for 2007: General Property 0.350 22,500 85,700 108,200 Woodland 0.000 0 0 Totals for 2006: General Property 0.350 22,500 85,700 108,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 533 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 026-1109-95-000 05/25/2005 07:58 AM PAGE 1 OF 1 Alt. Parcel 4.30.18.618 026 - 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 " ROTHE, GARY R & SHARON GARY R & SHARON ROTHE 1729 174TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ` 1729 174TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST i SP 1700 WITC fu d i Legal Description: Acres: 0.480 Plat: 2573-VIEBROCK'S RIVER VALLEY VIEW SEC 4 T30N R18W LOT 19 VIE- BROCK'S Block/Condo Bldg: LOT 19 RIVER VALLEY VIEW ADDITION 442/390 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 442/390 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 0.480 24,800 130,800 155,600 NO Totals for 2005: General Property 0.480 24,800 130,800 155,600 Woodland 0.000 0 0 Totals for 2004: General Property 0.480 24,800 130,800 155,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 126 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i r' AS BUILT SANITARY SYSTEM REPORT OWNER LA 1-e X TOWNSHIP SEC.,~,/ TYoN-RISW ADDRESS lf,7 ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT Q3 LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 W-T-VEMYTHING WITHIN 100 FEET OF SYSTEM - ~T I \1. 41 9 I - , I di a e oath Arrow SC L i BENCHMARK: (Permanent reference Point), Describe:rx)/4 ~011 14C~iS~, vndA~~dOI Elevation of vertical reference point: &-nd Slope at site: SEPTIC TANK: Manufacturer: )~C -s Liquid Capacity: J p&n Number of rings on cover C, Tank manhole cover elevation: Joc;'? Tank Inlet Elevation: C4-81 -1/ Tank Outlet Elevation: PUMP CHAMBER Manufacture Number of gallons Number of al. pump set or a cycle gallons; total capacity o- distrib ion lines gallon: size of pump head; gallo per minute horsepower ran name of pump and Model number Typd of warning device HOLDING TA Manufacturer Number of gallons Elev on of manhole cover Typ of warning device SEEPAGE P SIZE: Number o pits feet iameter feet iquid dept seepage pit inlet pipe-elevation- bo tom of seepage pit elevation feet. SEEPAGES D SIZE: number of lines width length tile depth SEEPAGE TRENCH: width length /o° PERCOLATION RATE < AREA REQUIRED AREA_ S--Bt T - ~ I T DATED LUMBER ON JOB - LICENSE NUMBER- _3 t:. REPORT Of INSPECTION - INO IVI D(IAL SWAGE SVSIt M San i tany PPItm< t SIato SPptic/o NAMI yam. Euwn~h i p S-t. Coot x Coon of S o t o n Lo t a Sub d .t v~~~ o n--~_~ Gam' cl Ic LANK claFfon6 NumbP4 oh compa4tmanfib r s tamcv (nurn: Wvff suif ding Highwaten rNMVING CHAM(iER tii zP ya('P ins ;Um ManuAdetunPn ModPX Numben HO I Of NG TANK rr' ~i zP gak('( ne ;TlumbPA of C o m p a n tmPnAs A Al-_ P u rri t e r n S y 6 t P_ rn Pt n taocv (rum: WvFf"~~- Buifd. ng12% ekape-- H i ghwatPit lh=rl ION SITE ticd Tnovrch 1"MCC Alum: W e f f Bai Pding 12 o 6fope HighwaTel ~,hQWVHON SITE DIMENSIONS w(dth n6 01 V,neh J ht Requined an.ea t fvngth 06 each V4nP _6t Depth o6 nock Wow W Numbon oh fine.b_-- Depth 06 nosh, oven We in I taf Wg,th o6 ine-e 6t Depth o6 We bveow gnade -in U( s tancP bP-tw(,eVj P.ine6- _-.--6x hope o6 tnench----_--_i,n. pen 100 At l ta(' a(~tiunpt<an anea At Type 06 Coven.: Papc~von h tna(n) 01 1)IMI NSION r Ni,iN 0 a U ( p-r fiV Wave f anound pi th qVA nu (~l dv diameton f t ath,bvVow i n e v t (t - IPtl' aboonpt-ion aAea_-_ Aiva ncquined N I' f l' T f :D 1:1) y T I T L L _ i APPROVED DATE l /9K COO, A It C I I U VA Tf 19h 0 A` ON IOR RI JI CT ION State and County State Permit # PLB- 67 ]fr 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 } rr1 JMailing Address: f J~ B. LOCATION: /U / Section , TAN, R-18 K (or) W Lot# ity Subdivision Name, nearest road, lake or landmark Blk# Village_ I// N PK Township ~r .yrBrrC~! C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms -No. of Persons D. SEPTIC TANK CAPACITY 1porG 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 4/- Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate < - Total Absorb Area -~-6~ sq. ft. New ReplaceMent k--- Alternate (Specify) Seepage Trench: No. of Lineal Ft.2_Width -5-_Depth Tile depth (top) -4~7 No. of Trenches Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 070 Distance from critical slope WATER SUPPLY: Private,?S-Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 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 Certifi Soil Tester, NAME en to-" C.S.T. # 'Z.~'f and other information obtained from (owner/builder). Plumber's Signature bra MP 0 Phone #_~l5 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. 3 . i i x q. F am.g 5,. m.... . ` i - . .:.n. .,a, .e..~ • . - ma..... e e _ ~.m. «.,.....p,.„.e- 3 ~ i , , y F e e`` c a - , , w..~. e. wp ev........•,.,,. m,_ -nt..'... e.. e..v re... r.:m. aka. S ~ Y 6 € .....,P -..,tea m-,,.„.,r m e ,~.«._aP .p. ....:.r„. P ~,p ..-,err......, rA. {>ar,~ e ~ .«.,.«:§...,.m. ®..e ip m e e t , e .m . _.m. o- s ~ _ . , ...tee . a l , I 1 Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ON4Y / Cate of Application 7' --Fees Paid: Statejy Co my d-t/ Da / Permit Issued/Rejected (date) Issuing Agent Name Inspection Yes X No State Valid# Date Rec'd 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 7/1/78 E+1 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS ' WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:~vr= '/4, Section ,TJStN,R16 E;(or) W, Township or +eipality Lot No. , Block No. l ~7rV(o ~1 County caner' /Buyers Name: Subdivision Name ,r cal i~D` Mailing Address: TYPE OF OCCUPANCY: Residence L~ No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM DATES OBSERVATIONS MADE: SOIL BORINGS lG - ~ PERCOLATION TESTS 4:2 SOIL MAP SHEET 2-9 NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTE INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- 3F" /1) 0 < .3 P- 3 ) r O ~ (E7 ~ < -y P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES 7~ ~r B %C~ /jf i7 _t .L..C B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy ,Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. /tea' d'►&rva1+ ~Fi_ p= ~-tES+ ~'1= 30 ~ ~ F~u~,~r~~+o~ !gl ocrKS ni it 3 may. N a _e } ~.I 13 1 ^ ~A1 D 1 S43 13 -3 - E ©--L-5 t 3 a 3 E E 3 I, the undersigend, 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) Certification Address - Name of installer if known I ~ Copy A -Local Authority CST Signatur - y Scold ~ 1,41 V14 a i ~ 5 e A- l., Wisconsin Department of Industry, PLB-1 INSPECTION REPORT Labor & Human Relations Safety & Buildings Division Bureau of Plumbing, Platting & Fire Protection Name o remises Date an No. Street city -County Sanitary Permit T as er um er Firm Name dress Journeyman Plumber Tadress Owner Address - - i iscusse wi igna ure ( )See Attached. DILHR-SBD-6192(N.09/80) Signature o is um ing up. 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