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Parcel 026-1081-40-000 01/05/2007 10:56 AM
PAGE 1 OF 1
Alt. Parcel M 28.30.18.424D 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
GREGORY M & KAREN H YE O - YE, GREGORY M & KAREN H
1182 140TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es)~_ Primary
Type Dist # Description * 1182 140TH AVE )
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 20.230 Plat: N/A-NOT AVAILABLE
SEC 28 T30N R18W NE NE COM NE COR S 89 Block/Condo Bldg:
DEG W 985' -POB S 905.62' TO CEN LINE TN
RD N 85 DEG W 225.46'S 64 DEG W ALG CEN Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
LINE 296.78'N 87 DEG W 180.51'N 73 DEG 28-30N-18W
W 105.77'N 58 DEG W 101.23'N 47 DEG W
87.04'N 868.59' TO N LINE NE1/4 N 89
more...
Notes: Parcel History:
Date Doc # Vol/Page ~~TyPe
RAF R
07/23/1997
613/47 U y
07/23/1997
2006 SUMMARY Bill Fair Market Value: Assessed with:
177285 285,900
Valuations: Last Changed: 06/20/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 40,500 134,700 175,200 NO
PRODUCTIVE FORST LANDS G6 18.230 47,700 0 47,700 NO
Totals for 2006:
General Property 20.230 88,200 134,700 222,900
Woodland 0.000 0 0
Totals for 2005:
General Property 20.230 88,200 134,700 222,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 315
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
ADDRESS TOWNSHIP" , SEC TN, RW
- ST. CROIX COUNTY WTSCONSIN.
S UR DI VI S I N
- LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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' I di a e oath Arrow
SCALE:
SEPTIC TANK(S) J_____MFGR. _ 'CONCRETE~~_STEEL
NO. of rings on cover Depth
PUMPING CHAMBER SIZE PUMP MFGR. MIL NO.
GALLONS Per Cycle
TRENCHES NO. of wiath~ length area
BED NO. of lines width length r area
dept - to top o pipe i
NUMBER OF SE PAGE PITS Outside a"ia eter total pit area
AGGREGATE 3
PERK RATE ARE 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
T~IS SYTEM
" .
INSPECTOR
DATED - PLUMBER ON JOB/
,,.J l Ctlti fS . J SC~_
LICENSE NUMBER
REPORT OF INSPECTION-INDIVIDUAL SEWAGE SVSTChi 1
Sani taay Pen►nitt O :2
` State SP p.ticd
NAME 41 r Wj:JS rown4hip_ , c AA?_,Qnz S.. C40ix County
Loca•tiog NW A/& seat-
ion-SEPTIC TANK
Si ze< " gatton4. Number 96 Compa4tmen.t4
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EH 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:: j! Lr Y4, Section jlL N,R or) W, Township or Municipality, r1 N ►~I( t' T~
Lot No., Block NQ
{ O Subdivision Name County
Owner's/Buyers Name: " v .
Mailing Address: 1Z iiZ
'-Li h`'t S
TYPE OF OCCUPANCY: Residence--ff,--_No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT_ ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS =~2
SOIL MAP SHEET NAME OF SOIL MAP UNIT S W
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME
DEPTH CHARACTER OF SOIL DROP IN WATER LEVEL, INCHES
NUM- SINCE HOLE HOLE AFTER INTERVAL RA
MIN/IN
°
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
'7 A
P_ L
46 A
le
ff
P-
P-
P-
J
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- % ~ y _ • ~~~1 4P4 y z
_
B_ -57 -71,
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) ndica on the plan the ltign and 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.
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I, the undersigend, he eby 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) 6_1 /L4' / rr P/4 rJ -c Certification No. -sf
'
Address f`
Name of insta:'er if known
Copy A -Local Authority CST Signature
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:
Xoe
B. LOCATION: /a '/4, Section , f 3CI N, R Ej (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 T No. of Persons
D. SEPTIC TANK CAPACITY Ze6 Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation x 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 1~ Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: XLength S7-2' Width_ IJ Depth;YQ J# Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land (/1 Distance from critical slope
°JATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
i
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 ~q/L-j~• ~ XO C.S.T. # .S^S 'S I and other information
obtained from (owner/builder). _
Plumber's Signature MP/MPRSW# Phone #2 -,S-13S
a
Plumber's Address 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.
` ~ E 3 E 1 ~2' ` f I
Alto
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Do Not Write in Space„ Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State' ° -J County 11, Date 6: t
Permit Issued/Re}eeted (date) ` Issuing Agent Name
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