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Parcel 026-1045-70-000 01/23/2007 01:29 PM
PAGE 1 OF 1
w Alt. Parcel 15.30.18.227C 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
GEORGE W KTSANES O - KTSANES, GEORGE W
1923 60TH AVE
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1548 HWY 65
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 0927-CSM 04/0927
SEC 15 T30N R1 8W 7.11A IN NE SE LOT 1 OF Block/Condo Bldg: LOT 1
CSM VOL 4/927 EXC CSM 13/3769 (RD)
ASSESSED BY DEPT OF REV-MFG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
15-30N-18W NE SE
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1238/407 WD
07/23/1997 852/550
2006 SUMMARY Bill Fair Market Value: Assessed with:
176946 193,400
Valuations: Last Changed: 10/18/2006
Description Class Acres Land Improve Total State Reason
MANUFACTURING G3 7.110 36,600 114,200 150,800 YES
Totals for 2006:
General Property 7.110 36,600 114,200 150,800
Woodland 0.000 0 0
Totals for 2005:
General Property 7.110 38,400 124,700 163,100
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
AS BUILT SANITARY SYSTEM REPORT
NER rs TOWNSHIP r r
ADDRESS a - r
NQ ST. CROIX COUNTY, WISCONSIN. fj~~~
_ 3DIVISION LOT LOT SIZE " t_`561
Vj
(~C
PLAN VIEW o & 7,3 -Vo-~
J S~
Distances & dimensions to meet requirements of H62.20 6,3b
kj, t7 u
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM C'SI~
_-TTC TAN:C(S) /w' MFGR. !,a/, c , ' CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
INCHES NO. of~ _ width length area
t no. of lines width length area
depth to top of pipe
REGATE
:;K RATE AREA REQUIRED t / AREA AS BUILT
sciaimer: The inspection of this system by St. Croix County does not imply complete
_pliance 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
item operation. However, if failure is noted the County will make every effort to
-ermine cause of failure.
-JASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SY EM.
"INSPECTOR
A 114 A >1'
DATED PLUMBER ON JOB
LICENSE NUMBER
z .p►REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary Pen nit
State SPp.tic.Z
AM E,,,~ Township / r.. ~ S~C. CTo ix County
i Locat.ioit 1, Section j -
SEPTIC TANK
/ i
Size U' ga.e..2on4. Numb en ob Compan.tmen.tb < I
Distance Fnom: Wet ~ it. 12% on greaten 4.Zope -'fit
i
Bu,itd.ing it. Wettand.6
HighwaZen
DISPOSAL SYSTEM Distance Fnom: Wet it. 12% on greaten 4.2ope
Bu.i td.ing it. Wettand.6 Ft.
H ighwaten 6 .
FIELD DIMENSIONS:
w.iRh ob trench it. Depth o6 rock below t.ite :E~-.in.
Length os each tine~2 it. Depth o6 rock oven .t.ite .in.
Numb en o6 Zineb Depth of .t,ite below grade .in.
Toxat. teng,tn o6 tines .406t. Slope o j ,trench ~ in pen 100 it.
~alwq I
4 Distance becueen Zineb c~ Depth to bednoch_~,~_~•
J Jt2 Depth to gtoundwaten~it.
Tata.i abb onbt.ion an.eaZ
2 Type o Coven: a en o Straw
' Requited area ~t
PIT DIMENSIONS:
Numbers of pit4 Gnavet around pitz yes no
Outside d.iame-ten it. Depth below .inZe.t it.
2
z
Toza., bzonbxion area it
A
Area requited St2 .
INSPECTED B _.,/tITLE
APPROVED DATE 19t
REJECTED DATE 197.
01
a =
is State and County State Permit # /
PL 67 Permit Application County Per 't # -o
u ~
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. ZWNER OF PROPERTY Mailing Address:
B. LOCATIONr1C /4 S '/4, Section LE, T - N, R E (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 Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY 6 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-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate - Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lin al Ft. Width Depth Tile depth (top) No. of Trench s
Seepage Bed: _Length -5 dth:24-Depth 3Z Tile depth (top)----2!~Z- No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private 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 Certif I°d Soil Tester,
NAME C.S.T. # Ir/ and other information
obtained rom (,LC (owner/builder).
Plumber's Si natur
g e~ MP/MPRSW# Phone #tr!v~-9 - -T~ ~
Plumber's Address ,f'- ~Le
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 County. `Date -
Permit Issued/R (date) - ^1.,~ Issuing Agent Name ,C i _lq -rtion Yes XNo State Valid# Date Recd
(white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
(pink copy) 4. plumber (canary copy) Revised Date 7/1/78
EH-115
'WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
I~ REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: 1VL'/4, Section , TWN, R a Mor) W, Township or Municipality K16HMON P
Lot No. , Block No. County
Owner' `JT LKDIX
~F~OWN 5_40I PMENT Subdivision Name
s Name: ~p
Mailing Address: ~1~W KI(1NMONL24 W1 r--24PI~7
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other ~4cKM J5dUl~ fMf!%-C
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 12'x' ~q P,,EIIRCOLATION TESTS I Z-4 - 1 q
SOIL MAP SHEET No. ~ co SOIL TYPE \J V 5W~TT
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- Z1,21' J I r, -j0 ~r , 8 Nof ~ o I n III I n I D
P 1~370 'I SAN N o, I It 10
P-3 to Io
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES (DEPTH TO BEDROCK IF 0 E1[ JR
,E D_
OBSERVED ESTIMATED HIGHEST
_ - I' 'rh, hA NP G iz v'E!~
SAN 17
I is
,E 1-2.
I' T-~, 11
j2 IF Y"
IV, Nic
(o Fed„ No ntF_ I~ T,/5. II
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand 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.
- I10610
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~ I y I ~ I I j a I t I f t ? ~ I I ~ {{f 1
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! I ! ; 1 ! 33? Iro ! j i ! I I
q, n i ~i4,5 I 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.
Stephen L. Aabv Certification No. 1406
Name (print)
Address BOX 254+ Woodville. Wi
Name of installer if known
CST Signature
€-OPY A -LOCAL AUTHOR' ;
i
February 21, 1980
Cedar Corporation
604 Wilson Avenue
Menomonle, W1 54751
Plan Identification No. 80-00287
Gentlemen:
Re; Brown Equipment
Sewage Disposal
NE 1/4, SE 1/4, section 15, T30N, R18W
Town of Richmond, St. Croix County, Wisconsin
Examination of plumbing plans and specifications for the above-mentioned
project has been completed.
in accord with Chapter 145, Wisconsin Statutes, and Chapter H 62, Wisconsin
Administrative Code, the plumbing plans and specifications are approved
contingent upon compliance with the stipulations indicated on the plans and
the following code sections. Please review your code for the requirements
of each code section noted.
1. H 62.20 (5)(f). Sizing - public buildings.
2. H 62.20 (5)(9) 2. Trench pipe and headers - width, length S separation.
3. The architect, professional engineer, registered designer, owner or
plumbing contractor shall keep at the construction site one set of plans
bearing the stamp of approval of the department.
4. In the event Installation of the plumbing improvements or system has
not cony enced within two years from this date, this approval shall become
void and new application shall be made for approval of these plans before
work may commence.
e
Cedar Corporation
Page 2
February 21, 1980
In granting this approval, the Division of Health does not hold itself
liable for any defects in plans or specifications, plan omissions,
examination oversight, construction or any damage that may result in
or after installation and reserves the right to order changes or additions
should conditions arise making this necessary.
This approval is based on Chapter H 62, Wisconsin Administrative Code,
requirements. It shall be necessary to obtain and fulfill the permit
requirements of the city, village, township or county in which this
installation is to be constructed. Failure to obtain local permits will
automatically void this acceptance.
Approved/issued By The Department
of Health and Social Services
Division of Health
lay :
James A. Sargent, Chief
Section of Plumbing and
Fire Protection Systems
JAS:JQ:bah
Enclosures
cc: M . Leroy Jansky, OWS - District 6 - Eau Claire
. Harold C. Barber, Zoning Administrator, St. Croix County
r
.
r
AFFIDAVIT
STATE OF WISCONSIN )
)ss
ST. CROIX COUNTY )
PATRICK J. BROWN, being first duly sworn on oath, deposes
and says:
1. That he is an adult resident of New Richmond, St. Croix
County, Wisconsin.
2. That he has purchased property under a land contract,
located in the Town of Richmond, St. Croix County, Wisconsin,
and described as follows:
Part of the North Half of the Southeast Quarter
(N2 of SE4), Section Fifteen (15), Township
Thirty (_30) North, Range Eighteen (18) West,
described as follows: Commencing at the point
where the North line of said North Half of
Southeast Quarter (N1-2 of SE 4) intersects with
the West right-of-way line of State Trunk High-
way "65"; thence South along said West right-of-
way line of State Trunk Highway "65" a distance
of 430 feet; thence West parallel with the North
line of said North Half of Southeast Quarter
(N1-2 of SE4) a distance of 2076.5 feet; thence
North parallel with the West right-of-way line
of State Trunk Highway "65" a distance of 430
feet to the North line of said North Half of South-
east Quarter (N2 of SE4); thence East along said
North line a distance of 2076.5 feet to the Point
of Beginning.
3. That this affiant statesthat the building to be
constructed on the above described property will not be
occupied, or put into use, prior to April 1, 1980.
Dated at New Richmond, Wisconsin, this 28th day of
February, 1980.
Patrick J" rown
Subscribed and sworn to before me
this 28th day of February, 1980.
Tany L. laser, Notary Public
St. Croix County, Wisconsin
MY Commission Expires 4-10-83.
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