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Home My WebLink About026-1037-90-000 (2) M • ~ y 0 y o Q ~ C c -6.2 O c L N O r CO ~ L ~ a3 ~i (n z 0 N C ~a W !r ) c W ti 0 ~ m O o " a) T ~ O N O_ C a) E CL FU 0 0 0 c Z 0 p 7 w N > LL 0 c 0 L L L c 6 E 7 O a) o E Q m N U CU M > Z O Q_ V O Z y y O C CL DO N O Z c U W_ r O N as Z c fA V- a) c E ^ o (3) C a) N a) (n a L O Q z co z N N 0 w > LO _ d U ~ o o a 1 L 0 o rN- a no- O O O • u a a a a ~ a a3i O o (n 7 p N to U z rn rn O C) O M 00 CD t C) C) 0 0 - O O O O O L O O0 'a O V V O Q) Z) O ` N V (n a) O 2) Q) O (O M y Q U) Q O VJ "V O c N E O co p L O D O O_ N_ O 0 .ODL c0 U O O O O V O N N N N 42 M W C C CO N c Q) Q Q V V' O 7 - _N C) ~o (D M v v~ L '5 a ` 0. a m d y c `IV +r E c '3'. 2 =0 r Parcel 026-1037-90-000 01/05/2007 09:57 AM PAGE 1 OF 1 Alt. Parcel 12.30.18.1736 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 - SWIGGUM, KEITH A & NANCY L KEITH A & NANCY L SWIGGUM 1637 140TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1637 140TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.230 Plat: N/A-NOT AVAILABLE SEC 12 T30N R18W PT SW NW COM IN CEN TN Block/Condo Bldg: RD 294'S OF SW COR NW NW, TH S ALG CEN RD 247.5'E 392'N 2475TH W 392' TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) POB 12-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 09/12/2001 656410 1717/442 WD 12/11/2000 635057 1566/187 QC 12/11/2000 635053 1566/181 QC 07/23/1997 1010/179 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 176864 295,900 Valuations: Last Changed: 04/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.230 69,600 161,100 230,700 NO Totals for 2006: General Property 2.230 69,600 161,100 230,700 Woodland 0.000 0 0 Totals for 2005: General Property 2.230 69,600 161,100 230,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 309 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP J', .,,SEC . l _T_ ~ N, R jLW ADD-2ESS ST. CROIX COUNTY WISCONSIN . LVEi"~e;~.~•~ 1 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i 7-, ~r .1 A/ L z I d ate off'' j Arrow j 11 SCA SEPTIC TANK(S) ~~MFGR. ONCRETE STEEL N0. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle ' TRENCHES NO. of width length area BED NO, of lines width length -3~' area depth to topes pipe NUMBER OF SF AGE PIT Outsi a iameter total pit area AGGREGATE ) PERK RATE AREA REQUIREDAREA AS BUILT Disclaimer: The inspection of this system by St. Gtoix County does not imply complete compliance with State Administrative Codes. There.are other areas that it.is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED PLUMBER ON LICENSE NUMBER AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC . - T - N R;!, W ADDRESS";,, , ST. CROIX COUNTY WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i i ~ - e I di ateioXth Arrow SCALE SEPTIC TANK(S) MFGR. a ,CONCRETE STEEL NO. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines width length area dept to top-07 pipe NUMBER OF SEEPAGE PITS. Outside di meter total pit area AGGREGATE PERK RATE AREA REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED PLUMBER ON JOB , LICENSE NUMBER REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM San.itaAy PeAry14 t ~ 9 State Septic_~ NAME Town,6 hip i►~i~-s~~t~i St. CFcu Location 54&)N4y Section-?ZLot # Sub'd.ivi,6 ion SEPTIC TANK Size ,O 6 gattonz Numbers o4 eompaAtment-6 / Vi, stance 6Aom: fUeEk Building 1,2% dkape H.ighwateA PUMPING CHAMBER Size gaf-ton,5_. _P anu, actuneA Mode. Number HOLDING TANK S.ize_ gatton3 N be~' 6 C mpaAtmen~ PumpeA A a'Am/ yhem Dies tance- (tom: Melt Building 12% scope HighwaxeA ABSORPTION SITE Bed TAeneh D,i6tanee JAom: Weft Bu.iZd.ing 12% 6tope~ Highwatev ABSORPTION SITE DIMENSIONS Width o6 tAench 6t Requited area- Length o6 each tine -I'(,- 6t Depth o6 Aock below ZiEe I NumbeA oA ti-nes Depth os Aock oveA -t.ite. 2 Tota.E .length o5 Unes Depth o6 ti2e beEow grade _ z A Di/stance between Zine. `6t S.Eope o6 .tteneh - in. pi,lr. P u% rn Total ab6oAption aAea Type o6 Covet: (PapeA t 6vt(m, PIT DIMENSIONS NumbeA o6 pits GAavet around pith ye,5 Out/s4.de dt'ameteA Depth betow in.2.et Tout ablsoAption aAea 6t AA".a Aequc.Aed b;t !NSPECTED• TITLE APPROVED DATE REJECTED DATE REASON FOR REJECTION REPORT ON INSPECTION OF SANITARY PERMIT # 013,.5 y (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection r. h1l Time of Inspection ame, res License NO. OT ns a ing Plumber (3)INSTALLATION CONSISTS OF: Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent re er ce oint Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: I7 # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle a ions; total capactiy of distribution lines gallon; size of mp head; gallon per minute ; horsepower brand name pump nd model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑YES ❑ NO ; 8 HOLDING TANK: Manufacturer o gallons construction / ;/,,depth to the cover ft; If septic tank is being used are baffles removed? ES ❑ NO; ft from residence; ft from well; /f r perty line. Type of warning device Is the warning device installed? YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? n1 S NO; Diameter of vent and material Distance from building to vent (9) SEEP E PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft we ft to property line; ft to ordinary high water k f e or stream; ft to edge of slopes greater than seep a p' nl t pipe-elevation ft; bottom of seepage pit elevation t. (10) SEEPAGE BED SIZE: ft width; ; y ft length; tile depth ~Yi.neal feet tile; r, ft to residence; ? ft to well; ft to lot o property line; ft to ordinary high water mark of lake or stream; - ft to of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length Pel trench ft; width ft; t he depth ft; ft to ordinary high water mark of lake or stream; ft to greater than 20% falling away toward lakes, water courses or drainage ditcio of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: PLB 67 State and County State Permit # 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 Mailing Address: S' B. LOCATION: _'/4 AfAJ_%, Section [ T N, R (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ICJ&I aW C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _A_ Duplex No. of Bedrooms No. of Persons_ D. SEPTIC TANK CAPACITY 10lIr 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 X Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: P rcolation Rate Total Absorb Area sq. ft. New Replacement_~_Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) 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- 9 Distance from critical slope WATER SUPPLY: Private 9 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. #-and other information obtained from fy,!,j t%,[' (owner/builder). Plumber's Signature MP/JVIPRSW# Phone #,04 -;yjis_ Plumber's Address ~,/l 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. SCt.E / lDO P4~dc~ c~Ati K' e ♦ AA 9T 144,0 A ago BSc E a , Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY t~ Date of Application `(YU Fees Paid: State, t County [late - ~-Jp Permit Issued/R tmTed (date) 7A; V ' Issuing Agent Name fu 2r ~,iy Inspection Yesk_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 i - E H 115 Rev. 9178 ` REPORT ON SOIL BORINGS AND PERCOLATION TESTS F r WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 ti LOCATION: Section_4~_,T N,R_jkV (or) W, Townsh'sp or Municipality County Lot No. , Block No. u ivision ame Owner's/Buyers Name: Sri ~ 44 ; Mailing Address:/ Id1~~/~rr► iL) £ TYPE OF OCCUPANCY: Residence No. of Bedrooms _S COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW -REPLACEMENT. ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS fit PERCOLATION TESTS 7- 7-9 SOIL MAP SHEET NAME OF SOIL MAP UNIT <<~.4~x'r' .S,'Ir d~.4hr PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- f 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 B- } n B- y C B- 7 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 Aye Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. Zoo A64 *7 I'mp' ,4.-,k rr yy~~ A~ G"JGIi9TrG y X d4"l/Erl°a ?UC, wefS 1,4,11- 414 ,5' 98 n A ~1. L a eta i A E , a' E E -7111-1,1- - N PIS, e [ w n SIT, 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. t' Name (print) Certification No. SLS Address .Name of installer if known ' Copy A -Local Authority CST Signature