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Parcel 026-1055-40-000 06/26/2006 12:45 PM
PAGE 1 OF 1
Alt. Parcel 19.30.18.280C 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
GLORIA R BASEL O - BASEL, GLORIA R
1479 95TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1479 95TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 3.250 Plat: N/A-NOT AVAILABLE
SEC 19 T30N R18W 3.25A IN NW NE & NE NW Block/Condo Bldg:
LOT 1 OF CSM VOL4 P 986 ALSO STRIP
EXTENDING S FROM SD LOT TO S LN SD 40S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
19-30N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 2j TI
07/23/1997 908/45
07/23/1997 176 t-SJ~
07/23/1997 619/28
2006 SUMMARY Bill M Fair Market Value: Assessed with: -
0
Valuations: Last Changed: 06/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.250 46,400 109,400 155,800 NO
Totals for 2006:
General Property 3.250 46,400 109,400 155,800
Woodland 0.000 0 0
Totals for 2005:
General Property 3.250 46,400 109,400 155,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 547
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
1
CERTIFIED SURVEY MAP
CURVE DATA TABLE LEGEND
CURVE RADIUS CENTRAL CHORD CHORD
NO. ANGLE LENGTH BEARING SECTION CORNER
1-2 700.00' 18030'00" 225.041 S 9053'06"W 0 3/411 X 24" STEEL REINFORCING BAR
3-5 733.001 18030'0011 235.651 S 9053'0611W, WEIGHING 1.502 LBS'./LIN. FT. SET
3-4 733.00' 17015'28" 219.95' S 9015150"W FENCE LINE
4-5 733.Od 1014'32" 15.8 9' S 18030'50"W
N 1/4 CORNER
SECTION 19,
T30N, R18W
? P.K. NAIL FOUND
v1 1 0
n SCALE IN FEET I"= 100'
x f 0 IOd1 20d 300,
1 (n W I
o I 1 -UNPLATTED _LANDS
1 z o I
~ I 1
POINT OF i m IS89°3911d1W 172.051
BEGINNING
O0 33.011 900 139.04' ti~
t 2
I N 1 f" ~B' ohs ~
I aD .A S O ~o
I O Q
18901,5'06" 0
1 I 1
IZ 1 it EASTERLY RIGHT- 'C in ca _
1-0 1 N'I OF-WAY LINE :z m m
D I r I 3~ `~g ~ r- i m
~Ao I D Z czi
I~ 1 f, I 1~ (n
Im / 1 1
I z
1 1 0 ~
3.252 ACRES Z ; m m
2.853 ACRES TO THE o (n m
~Z RIGHT-OF-WAY LINE O C-)
I Z 00 ° a o
1
1(n tq~
/ 4 Ir m
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~IeI8901510011 m I z
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1111 1... I l`1 i~~r / 'O_ / 1 1 11111 ~'.j r
1 1 ~ / `qJ 1 V l~
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9S
/
35.0d' 73.'"-'___ 243.91' N89039' 1011E 352.701 o
a/ S -UNPLATTED LANDS
SI/4 CORNER
SECTION 19, THIS INSTRUMENT DRAFTE BY
r 400-216 T30N, R18W
1'~-- -11 V_llklI
Parcel 026-1055-40-000 07/11/2005 03:27 PM
PAGE 1 OF 1
Alt. Parcel 19.30.18.280C 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): * = Current Owner
GLORIA R BASEL * BASEL, GLORIA R
1479 95TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1479 95TH ST
SC 3962 NEW RICHMOND /
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 3.250 Plat: N/A-NOT AVAILABLE
SEC 19 T30N R18W 3.25A IN NW NE & NE NW Block/Condo Bldg:
LOT 1 OF CSM VOL4 P 986 ALSO STRIP
EXTENDING S FROM SD LOT TO S LN SD 40S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
19-30N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1212/031 TI
07/23/1997 908/45
07/23/1997 619/176
07/23/1997 619/28
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.250 46,400 109,400 155,800 NO
Totals for 2005:
General Property 3.250 46,400 109,400 155,800
Woodland 0.000 0 0
Totals for 2004:
General Property 3.250 46,400 109,400 155,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 547
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
100
CERTIFIED SURVEY MAP
CURVE DATA TABLE LEGEND
CURVE RADIUS CENTRAL CHORD CHORD
NO. ANGLE LENGTH BEARING SECTION CORNER
1-2 700.00' 18°3000" 225.04 S 9°5306"W 0 3/4" X 24° STEEL REINFORCING BAR
3-5 733.00 18030'Od' 235.65' S 905306°W WEIGHING 1.502 LBS /LIN. FT. SET
3-4 733.00' 17°15'28 it 219.95' S 9°1550"W - FENCE LINE
4-5 733.Od 1° 14'32~' 15.89' S 18°3050°W
N 1/4 CORNER
SECTION 19,
T30N, R18W
? cn P.K. NAIL FOUND
cn 1 0
D 0
SCALE IN FEET I"= 100'
A~ 09 1
X 0 IOdr 20d 300,
cn -4 1
I
a I cn i UNPLATTED _LANDS
z o I
r ~
POINT OF I z IS89039'Id'W 172.05'
BEGINNING I m
1 33.011 900 139.04' ti~
1 2
1 ~ N I ! S9 1 °~0 Uti
OD - 1%
O
07 ~I ® 6~ t9,
189°15,00"
_
lz ' rEASTERLY RIGHT- rO 1n co
OF-WAY LINE lz m m
-4 I n D
0 z
ID Z G)
~rn 1 ' I II I rr r
1 1 ,m z m
I ' 1 3.252 ACRES "a z iO n
iD ~1 J 2.853 ACRES TO THE o N Z
:Z RIGHT-OF-WAY LINE O (n c.)
(n ; O 1
i t m -1
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m iz z i
11 / 9 15 p0 ; p o z
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ct)
r Cb r o.5~ OAr
9
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~r 35.0 d 73.243.91'
r~ N89°39~ 10"E 352.70' o
_UNPLATTED_ _LANDS_
r °f N SI/4 CORNER
/ r SECTION 19, THIS INSTRUMENT DRAFTE BY
400-216 T30N, R18W~~ a
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHI W
SEC
. 'l~R
ADDRESS 3~ ~L
ST. CROIX C UNTY WISCONSIN.
r
SUBDIVIST N _ LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62,20
SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM
I
1
2 7'
1I di a e oath Arrow
SC L,
SEPTIC TANK(S) MFGR. °S ,,fs CONCRETE X STEEL
N0. o rings on cover Depth "
PUMPING CHAMBER SIZE PUMP MFGR. DEL NO.
GALLONS Per Cycle
TRENCHES NO. of -width ~ length area.
BED NO. of lines , widths length ' area _~7
depth to top of pipe
NUMBER OF SF PAG PITS Outside diameter total pit area
AGGREGATE
PERK RA'T'E 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 thn
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 TVIS SYTEM.
INSPECTOR
DATED_ _ - PLUMBER ON JOB
LICENSE NUMBER /s•~_
` REPORT OF INSPECTION.- INDIVIDUAL SEWAGE SYSTEM
Sanitagy PFnmit
S ,t a It e S e. p-t,c. c.
NAMI `%G.~. 7`... Town,Ship __Ga LL St. C. uvix County
l.oca.tt_on SectioI Lot # Subdivi,6ion
SI 111-IC TANK
Size ; i 4 L,7 ga~.tons Numbers o6 companLtment4
P( tan ec {nom: Wert BuiP-ding z ~ 1.2% stope
-
H.Eghwa,ten
PUMPING CHAMBER
Stize gatton4 _ Pump Manu6ac.tureen Modet Nu.mben
IIJI_UINo TANK
S i z e a F. 2 0 n4 .Numbers a-6 C o m p a n -tm e n -t4
Pumpers Atanm Sy4tem
U<h tance (nom: Wear Building 120 4.Eope_
Ilighwa,ten
AI.iSORI'TION SITE
Tnench
iii , trin e {nom: Welt ~ But'tding r t2a 4tope.
Highwa-ten
Ai,,:ORPI [ON SITE DIMENSIONS
w< <I th o tne.nch -2, 6-t Requ,i.ned area 4:--.'` _ t
I_eki.Ith o6 each tine. 4 6t Depth o6 hock beEow .tixe -ivi
Numbv,i oA Y4'-'e4 Depth o6. hock oven. tifc in
to tai' X(ng-th o6 tine's ~ 6.t Depth o6 tite below gnade 2 ` _4-n
Ut ranee be.rtween tine4 It Slope o6 --tneneh in. pen 100 6t
- y
l o t<(l' ab4 onp.t.i.on an.ea a, 4V' 6x Type oA Coven: Paper oA 6 -thaw
ri l VIMLNSIONS
Nwill)c1( oA pi-ts / Gnavell abound pits yes n0
oll to (d(, d4 ameten 6t Depth be.Eow tin~.et fi t
Lo ta.e ab4onp.t-i.on ane.a ~.t
A '1 o
TITLE
1 N I 1 1-
A PP►k'OVI U DATE / - ~ 1980
h'I ►I CH V D DATE 19 8
ct A ON 1 OR REJECTION--- - f
i
REPORT ON INSPECTION OF SANITARY PERMIT #
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
T i w+n --P T n
c n r i- ~ r~ n
ame, re icense o. o installing Plumber
13 )INSTALLATION CONSISTS OF%
❑ Septic Tank ❑ Seepage Trench LJ y
❑ Seepage Pit ❑ Seepage Bed Ho' J i n 7 Tn n r1 Ci 11 Sirs ter
(4) BENCHMARK: (Permanent reference Point) Des cri-Fe
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: # ft to well:
M DOSING TANK: Manufacturer: # of gallons:
# of gallon pump set for a cycle gallons; total capactiy of distribution
lines gallon; size of pump head; gallon per minute ;
horsepower ; brand name of pump and 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? ❑ YES ❑ NO; ft from residence;
ft from well; ft from property line. Type of warning device
Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO;
Locking device on cover? ❑ YES ❑ N0; Diameter of vent and material
Distance from building to vent
(9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth;
ft to residence; ft to well; ft to property line;
ft to ordinary high water mark of lake or stream; ft to edge of slopes
greater than seepage pit inlet pipe-elevation ft; bottom of
seepage pit elevation ft.
(10) SEEPAGE BED SIZE: ft width; ft length; tile depth;
li.neal feet tile; ft to residence; ft to well; ft to lot or
property line; ft to ordinary high water mark of lake or stream; ft to edge
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 of seepage trench ft; width ft;
tile depth ft; ft to well; ft to ordinary high water mark of
lake or stream; ft to edge of slopes greater than 20% falling away toward lakes,
water courses or drainage ditches; elevation 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
yDlk..HR-SBD-6095~v 05/0
Signature of Inspector:
- ~-.ate
PLB 67- State and County State Permit #
y 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:
B. LOCATION: Section T N, R fF (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township J~
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family 4 Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks {
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify)
New Installation ,Y 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 L- sq. ft.
New ! Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: r Length L i~' Width i Depth Tile depth (top) " No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope '
1NATER SUPPLY: Private W 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 i C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature ( MP/MPRSW# L - Phone
Plumber's Address
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.
3
E
3
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application 41 ' Fees Paid: State /4/." County Date
Permit Issued/Rejeetred (date) ? Issuing Agent Name t-'Lu~et,
Inspection YesXNo 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
aH -115 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
' WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION:'/4,~'/4, Section ~,T~N,RLV (or) W, Township or Municipality
Lot No. , Block No. County%-
Subdivision Name
Owner's/Buyers Name:
Oau
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 -COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW_REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS 17- 90 PERCOLATION TESTS S^ZT --20
SOIL MAP SHEET _-S K, NAME OF SOIL MAP UNIT &94~ &.MQ
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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- I - 1 /0 1 y c
P
/An
P_ i
r tt
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- ?
B- ? x Z/ e-9 - 3
B- 3 7 - 7 A-5.1
dB- < S
B- " _ _
2" -G- 1 i - 9x S c~
B- .,4 r" - s
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the pl the Jgcation and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy (s Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
17
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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.
Name (print) Certification No.
j add ress +
Name of installer if known )
Copy A -Local Authority CST Signature
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