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Parcel 026-1052-95-000 06/22/2006 04:50 PM
PAGE 1 OF 1
Alt. Parcel 18.30.18.274C 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 - YANG,NENG
NENG YANG C - HANG, TONG
TONG HANG
1552 95TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1522 95TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 4.002 Plat: N/A-NOT AVAILABLE
SEC 18 T30N R1 8W 4.OOSA IN SE SW LOT 1 Block/Condo Bldg:
OF CSM VOL 3/789
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
18-30N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/01/2006 817703 WD
11/12/2003 746379 2454/442 QC
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.000 49,500 136,200 185,700 NO
Totals for 2006:
General Property 4.000 49,500 136,200 185,700
Woodland 0.000 0 0
Totals for 2005:
General Property 4.000 49,500 136,200 185,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 145
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
TO INSHIP
~R 1; N, RI W
AD E ST. CROIX COUNTY, WISCONSIN.
-DIVISION , LOT LOT SIZE
PLAN VIEW
Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET Or SYSTEM
I I j I I I i
~1-_ _ 1 - -i-- i - A
I
'
_Ib
TIC TANK(S) MFGR. k I ndi ate Nah hAhhUW
- CC,/lAse COPICRETE STEEL S cat e NO. of rings on cover- , Depth e _ DRY WELL
'_NCHES NO. of - width length area
no. of lines width__ length area U
depth to top of pipe
3 ELATE r `
1'2
•:u: RATE AREA REQUIF.ED AREA AS BUILT
.claimer: The inspection of this system by St. Croix County does not imply complete
::,Dliahce,with State Administrative Codes. There are other areas that it is not possible
- irspect-'at this point of constriction. St. Croix County assumes no liability for
stem operation. However, if failure is noted the County will make every effort to
,-•-rmLine cause of failure.
'LASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`'INSPECTOR
DATED PLIj,,MER ON J 0 B
c
LICENSE NUMBER
z _ i
REPORT OF INSPECTION-INDIVIDUAL SEWAGE S`>'STEM
San.i.taAy PeAmit .
Mate Septic
NAME i owns hip S$. CAaix County
Location.S~ SlC Section
SEPTIC TANK
Size gattons. Numbers o6 CompaAtments j
Distance FAom: WeZ it. 120 on greaten s.eope it
Bu.itd.ing ' '17 6t. Wettands
H.ighwateA ~.t.
DISPOSAL SYSTEM
/
0 on greateA slope it.
Distance From: We.e.2 ] 2o
Bu.itding it. Wettands Ft.
H.ighwateA it.
FIELD DIMENSIONS:
Width o6 trench 6t. Depth of Aock below Cite in.
Length o6 each tine. 6t. Depth o6 Aock ovvL t.ite in.
Numbers o6 Zi.nes Depth ov t.ite below gAade .in.
Totao tcrgth of .eine,54t. Stope of tAeneh_ in pen 100 it.
Distance be,veen Zi.nes~t. Depth to bedrock- bt.
Tota.e a.bs o,`Lbt.ion. a%Lea ~t2 Depth to gAOUndwaQ bt.
2 '
Required area bt Type of Cove,`,: Papers otc Straw
PIT DIMENSIONS:
Number o6 pits Aavet around pits_ yes_ no
,F
Outside d.iamete `A t Depth below i;itet _~t.
2
Totat absoAbt,ian ea pt A
Area Aequk&ed 6t2
INSPECTED By- TITLE _
_
APPROVED 9 DATE 197
REJECTED DATE 197_
C~
f
-115
P p-
_ 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 .,5~-'/4 `i_, Section ,rte, TAN, R/,!~ (or) W, Township o ty_ - -
Lot No. , Block o. _ County
Subdivision Name
Owner's Name:
Mailing Address: Z a' ~S 6
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ~ ADDITION REPLACEMENT
'
.9 PERCOLATION TESTS
DATES OBSERVATIONS MADE: SOIL BORINGS. r5' 7 SOIL MAP SHEET - 3 'j- SOIL TYPE ~XC - -'~~C ' i'h~,S~/~~, ` 4-A
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN-INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
III
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)
72 72 13, Z
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square f~et of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy, rJ., Cf /'r 414t)01,1' Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
i
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- - - ~ ~ He f i 1 ' --r ~ ~ t
Ott i * t I I _1 i .
f!l I i li$f I f' A ` yf
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 location of test holes are correct
to the best of my knowledge and belief.
NIL li am' i~ Z 7. fication No. z z ler if known
CST Signature -1--
a
State and County State Permit #
-PLB Permit Application County Per t #
u
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:
)Kfe
B. LOCATION: _'/a, Section , T_4& N,r R (or) W Lot# City -sz
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: ommercial *Industrial *Other (specify) *Variance
Single family { Duplex No. of Bedrooms 'r No. of Persons
D. SEPTIC TANK CAPACITY 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
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-PlaceOther (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate
~ - Total Absorb Area y sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width _ Depth Tile depth (top) No. of Trenches
Seepage Bed:-4, Length Tf Width Depth , Tile depth (top)es:%'9 No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
r y.
Percent slope of land- Distance from critical slope _
WATER SUPPLY: Private X 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 Certified Soil Tester,
NAME / C.S.T. # r> and other information
obtained from - y~~ /
(owner/builder). _
Plumber's Signature MP/MPRSW# 1 Phone #-RyL. K jc
Plumber's Address : 'r 4 'J r 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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State I"r-,, G C% County, Dat
Permit Issued/-Rejected (date) l~ ~S - 'l % Issuing Agent Name
Inspection Yes No State Valid# Date Recd
1. county (w to 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