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Home My WebLink About026-1099-30-000 (2) r_ c NO !K ~0 C7 V~ c m -0 c 3 3 U) N N 0 O CJI O 7 aC.) p l N `C O• c> o w m c m (n 00 o~ Q to N m? o ° o Cp CD 3 W W :3 oo C O j N a Cr N 3 moo O 0 CD CD CD C O W W C) 3 N O O `.3 y ° CD (D Us D a m ~ m W a o 0- 0 CD :3 3 _ O 5DD lot ~ co o m CD CD r z O O O Y 0 o 0 N 0 N rr- ~ o CD N m tD _ (D o d N 3 d N CD a N z W z O CD 0 d O D n o c+i. CD U) 'a (n N W CD n 3 7 z CD CA p 0 A Z c Q. A z O n Q 0 z co ccnn W M M O CD , ~ z '0 3 .A ~ Z w y z g w D CL CL cwt 0 - Z) c 0 a CD m I A O C a N N O I ~ i a A ti O N CD Dro a c O O O a Parcel 026-1099-80-000 11/21/2006 12:09 PM PAGE 1 OF 1 Alt. Parcel M 35.30.18.540B 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 - FUGINA, PETER B & SHEILA W PETER B & SHEILA W FUGINA 1331 130TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1331 130TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 39.000 Plat: N/A-NOT AVAILABLE SEC 35 T30N R18W 39A NE NW EX 1 A Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1202/165 WD 07/23/1997 928/04 07/23/1997 686/49 2006 SUMMARY Bill M 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 36,000 140,400 176,400 NO AGRICULTURAL G4 36.240 5,000 0 5,000 NO UNDEVELOPED G5 0.760 100 0 100 NO Totals for 2006: General Property 39.000 41,100 140,400 181,500 Woodland 0.000 0 0 Totals for 2005: General Property 39.000 41,100 140,400 181,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 026-1099-95-000 11/21/2006 12:09 PM PAGE 1 OF 1 Alt. Parcel 35.30.18.542 026 - 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 - ANTOSH, JUDITH A TR JUDITH A TR ANTOSH 1604 W ORCHARD AVE #427 NAMPA ID 83651 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 35 T30N R18W 40A SW NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/11/2004 776627 2672/564 SWD 07/23/1997 970/558 07/23/1997 915/16 07/23/1997 599/289 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.480 6,300 0 6,300 NO 00 UNDEVELOPED G5 1.520 100 0 100 NO Totals for 2006: General Property 40.000 6,400 0 6,400 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 6,300 0 6,300 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 - f • AS BUILT SANITARY SYSTEM REPORT ' }rxZ , TO.TN'SHII' SEC.- T_ id, R r.' W r) "74 ADDRESS~ra,.,.,,, +r ST. CROIX COJNTY, WISCONSIN. DIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EIIr RYT?;T_NG WTTHiN 100 FEET OF SYSTE?3 - - - i ' ~ ~ f~ I I I J- I • I 1 I ~i ! i I i ! I ~ ! , i I 1 ~ I ! 7-1- - -r-- - - - fi- - - ! ! I ~ 1 ; I i ~ j i 1 ! I I I I i I , F_ I iI I ! r C ~ ' ~ I- I ~ ~ I I ~ I I ` I I ~ ! I I - 1 i I Indicate Nand A ow TIC TANK(S)__ _ MFGR _CONC:tETE1_ STEEL S caX e NO. of rings on cover Depth DRY WELL :'I.CHES 0. of _ width length` area no. of lines) width' length 'Jr areal j y, 7 depth to top of pipe ;:NEGATE RATE ? 'EA REQUI RED_,& AREA AS BUILT -claimer: The inspection of this system by St. Croix County does not imply complete <fDliance with State Administrative Codes. Thee 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 ~rrsr.e cause of failure. : ASrS AivD OILS SHo~2D NOT BE DISPOSED THROUGH THIS SYSTE11. r - `INSPEC"i0R'Xt-) 1 1 DATED PLL^.-MER ON JOB LICENSE NU:L,F.R - z REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM San.i,ta,,Ly Pe.tm.i,t State Septic NAME i ownd h.ip Cto.ix County Locatiog Section SEPTIC TANK h• Size gattonz. Numbers ob Compat,tmentz j Distance Ftom: Welt 120 on gteatet ztope it Bu.itd.ing it. Wettands Highwatet it. DISPOSAL SYSTEM D.iztance Ftom: Weft it. 12% of gteatet 6tope it. Bu.i.-d-ing ` 6t. wettands ' H.ighwatet - it. FIELD DIMENSIONS: Width o6 .ttench~it. Depth o6 tock below Cite I 'Z-tn. Length o6 each tine 00 6t. Depth of Lock over Cite .in. Number on ti..neA Depth o6 ,tite below grade .in. Iq U Totat .2.ength o6 tines it. Stope o6 trench Z-- in pet 100 it. q 4 ,,r'D.is Lance between Una ~o 6t. Depth to bedrock 11W it. ' 2" Total. ab~sotb.tion atea_~6t2 Depth to gtoundwatetit. i' J I Requited area 6t2 Type a Coven: P ape,~- v t Straw ~ ~ z s ~i PIT DIMENSIONS: Numbet o6 pit,5 Gtavet around pith yes no Out,s.ide diametet it. Depth below .i.nte,t it. 2 Totat abzotbtion area 6t A g 2 Area tequited ~ ~r INSPECTED BY TITLES APPROVED ,DATE 197. (1 ,t REJECTED DATE 197__ > 1~, ~ rte' ~ _ J EN 115. WISCONSIN DtPARTMENT 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: 4-L-'/4, '/4, Section, 3-&--, TZN, R& q (or) W, Township or Municipality n1G~.e~r '1 Lot No. , Block No. County -S: r- ( Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence X_ No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET ----.j~'/__-_-__-- SOIL TYPE PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN 1 P- P- n 136, 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) x J 41 9/ C`' t j PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitabl ta/eas. Indicate number of square feet of absorption area needed for building type and occupancy. ZIQ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 0 - I c7 ~ e~ tN - - i 7 A%i e s :&:K o .000 S tom- = rn_..A4 IN~ 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 Wisconsi inistrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and bel' f. Certification No. Name (print) ° Address Name of installer if known y' CST Signature COPY A - LOCAL AUTHORITY PLB 6 7 State and County State Permit Permit Application County Per ~ ~ ~9'~ Count for Private Domestic Sewage Systems Y *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: _Zi17 a)n- j "fir %~irrL.~L B. LOCATION: AIZ % &4 '/4, Section ,2_jj, Tom! N, R /,Y It (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _Z Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY / z-V-j Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete .Ti Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate- - C Total Absorb Area ' sq. ft. New-,y Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: ~Length _Width J~ Depth Tile depth (top)~No. of Lines Z Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land k ;2o Distance from critical slope WATER SUPPLY: Private,K 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 Cert' " d Soil Te ter NAME U c.v Z C.S.T. # S f and other information obtained from (owner/builder). Y6 - Plumber's Signature /S6 MP/MPRSW# Phone #121 S~~s Plumber's Address J-- 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. 4040 P F F E l J~~ . ~w ..m ..F w rv E E ~tl t E ~-E,utc _ m. i( ~ Do Not Write in Spac elovv _FOR COUNTY AND STATE DEPARTMENT USE ONLY f Date of Application ` j Fees Paid: State/ :r_ ( oun y Date Cc.o b Permit Issued/ gefest-~ (date) Issuing Agent NamP/, Inspection Yes No State Valid# Date Recd 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