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Parcel 17.30.18.256A 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 - FRANK, RANDY W & KATHERINE J RANDY W & KATHERINE J FRANK 1527 100TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1527 100TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 36.880 Plat: N/A-NOT AVAILABLE SEC 17 T30N R18W 37A pl)p(CyA( EXC CSM (-1.E I) Block/Condo Bldg: 7/1802 & EXC PART TO CSM 8/2119 Tract(s): (Sec-Twn-Rng 401/4 1601// 17-30N-18W 7L b 2S~o Notes: Parcel History: Date Doc # Vol/Page Type 10/30/2001 660487 1749/269 QC 04/02/2001 641816 1611/387 LC E 07/23/1997 971/570 07/23/1997 846/48 more... 2006 SUMMARY Bill Fair Market Value: Assessed wit Use Value Assessment I ZtIr 5-5-r Valuations: Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 22,500 80,400 102,900 NO AGRICULTURAL G4 26.270 3,600 0 3,600 NO 05 UNDEVELOPED G5 0.610 100 0 100 NO AGRICULTURAL FOREST G5M 8.000 15,000 0 15,000 NO Totals for 2006: General Property 36.880 41,200 80,400 121,600 Woodland 0.000 0 0 Totals for 2005: General Property 36.880 41,100 80,400 121,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 138 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ArcIMS Viewer Page 1 of 1 ~rx. ' a rfl r t 7 SE t MN-sw x }f v 3 y y , g d d` y+ Mzlt {sc"'g Y as Alt. http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 11/15/2006 • AS BUILT SANITARY SYSTEM REPORT ,.,ER J l TOWNSHI~,,f _ `~L'~:h''.fi SEC. jj T_N, R_iT - .j, ADDRESS ST. CROIX COUNTY, WISCONSIN. 3DIVISI0N LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYT'dING WITHIN 100 FEET OF SYSTEM 1 ~ i i I I ~ 1 i I I I I~ I I I I i I i I I I i- I" ! I i-~- _~_-_r- I ' ~ ~ ~ ~ I I j ~ I ~ I i I I_F-4 I I i I i I i I L ~ I I I ~ I -I i j I I I I I I i 1 I I -~-~-I I i + I--T---~- ~ ~ I--- .-.;--~---~-Tom.--r-----i I I i -1 i i ---t - - =~---i- _ I _ I i - - f ! I I I " j ~j IIj i - 12 Indicate Natcth A~onoV TIC TA2r`K(S)MFGR. CONCRETE_ STEEL Sca2.e 140. of rings on cover Depth DRY 14ELL 'tiCHES NO. of width length area no. Of lines width length depth, to top of pipe ;::LEGATE i RATEL AREA REQUIRED 7 7 AREA AS BUILT i ;claimer: The inspection of this system by St. Croix County does not imply complete :oliance 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 tem operation. however, if failure is noted the County will make every effort to _ermine cause of failure. _.ASES AND OILS SHOJLD P'OT BE DISPOSED T1i1'OUG1I THIS SYST `iNSPE DATED PLU11 Ov J0$ LICENSE NUIMER N r KEPORT or IMSPECTIO'_I--I_MVIDUAL SLT•)AGE DISPOSI SYS TEii Sanitary Permit ~'Tz~ State Septic TOWNSHIP • St` . CroJ_x Coun -y f O?~~ gallons. `umber of Compartments Distance From: '•le11 ft. 12% or greater slope 'A- r Building` Q ft. Wetlands - f Highwater t. DISPOSAL SYSTL~1 ✓Tile Field or Seepage Pit(s) Distance From: Well Of ft. 12% or greater slope o~ft Building -yft. Wetlands f FIELD 'Highwater ft. Total length of lines ~ft. Number of lines Z- Length of each line ft. Distance between lines ft. Width of the trench ft. Total absorption area 2 sq. £t. I)epL-:: of rock below tile . /2-1n. Dp-pth of rock over the Z in. Cover over rock, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock o--"ft. Depth to ground water --'ft. PITS ' Number of nits Ou Vte ter ft. Depth below inlet ft. Gravel around i no. Total absorption area - sq. ft. /l Square feet of seepage tr~t*o tom ar a required Uquare feet of s age nit a e re red . Inspected Title: Appr ed ~ D ate I97 ejected Date 197. ~w 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: &L -'-W/4, Section TAN, Rt-4- f (or) W, Township or Municipality % - f~ Lot No. , Block No. County 4 Subdivision Name Owner's Name:' Mailing Address: ' of) A r TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION - REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS -PERCOLATION TESTS 7 SOIL MAP SHEET SOIL TYPE •r_T_liai' PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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 P- > P- 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- B 1/ - B- i PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitableyareas. 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. c7 I . N I X 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 location of test holes are correct to the best of my knowledge and belief. Name (print) y' • ' - / - / Certification No. Address Name of installer if known r CST Signature 4~ COPY A -LOCAL AUTHORITY I A State and County State Permit # Ps B- 6 7 Permit Application County Pe it # - 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. LOCAT N: Y4 '/4, Section 7, T_3L N, R (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township f~;~' ~y/<<'n C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons , D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YESXNO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2)~ 3) ___Total Absorb Area o, sq. ft. New Addition Replacement A' System Seepage Trench: No. Lin . Feet Width Depth __Tile Depth No. of Trenches Seepage Bed: Length 4 I Width 4z,? - Depth Tile Depth j " No. of Lines Seepage Pit: Inside diameter Liquid Depth _ Tile Size Percent slope of land 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, NAME I C.S.T. # and other information obtained from (owner/builder). J Plumber's Signature Lt MP/MPRSW# TG Phone Plumber's Address -4 LS PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). I 31 ict Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State /C''. Count - Date Permit Issued/Raje~ctedacte) /7 ~Z _Issuing Agent Names Inspection Yes No Valid# Date Recd 1. county (whi e copy3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 L2. state (pink copy) 4. plumber (canary copy) -.0110 -