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Home My WebLink About026-1087-40-100 0 to 0 I ic -0 0 d O y C -d. 03 3 A m II ~ m ~ H' 0 3 3 d N A D ` 1\ co d d y O 0 N) N W O N `0 • N) 91 CD O O 0 CD CD O O y p ~ N Cy a a N O CD O r~+ lAl co F= m co N 0 d CO CL J < a a 0C =r al A O -0 CD CD n D 00 _ O w O1 - O K l~~1 3 w w C A O !r d a j v N CD CD (n CD (D N CA K \ 3 d O O o w a ~ m C.5 n D _ N ca. 8 Z CD o o f Z O O O o (~j~~r• = 0 G z ~~q C: f 0 ~3 in in cn~ (s ovv iO. (n (D ~ CD N ~ O .Z1 CD (D c) (c d_ v N d CD W CD a Z N Z (Wz O . D D O O a "44, N CD N O C CD (D CD w N C1 E- ET i z CD (n -1 fn A Z i A O O _ n O A Z O CL F! 0 0 0 CL CD ! z A Z] G z 3 m z (D a N `=N0 - =r g~ 0 CD (D a a v 2 0: N d d - c~oN o m ~ a a !I ~m m-NO_c o o3= o-s~ CD CD aoo'CO C1 d N cn O (D 'O p CD- CD ~3 CL @ o a 3 (D a ,d7rQ a (n CD N CD CO v N CL (n OZ~ (D A [1 O po ti O_ r Cro O O CO ~ O ti H O ((D a O ti Parcel 026-1087-40-100 01/0512007 11:30 AM PAGE 1 OF 1 Alt. Parcel 30.30.18.458H 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 - AICHELE, EUGENE O & CHRISTINA M EUGENE O & CHRISTINA M AICHELE 1346 CTY RD A NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1346 CTY RD A SC 3962 NEW RICHMOND SP 7040 RICHMOND SANITARY DIST 1 SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 9.980 Plat: N/A-NOT AVAILABLE SEC 30 T30N R18W SW NE THAT PART OF LOT Block/Condo Bldg: 1 CSM 7/1835 ASSESS WITH P469F& P464C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 < 782/639 i 2006 SUMMARY Bill Fair Market Value: Assessed with: 177334 Use Value Assessment Valuations: Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.980 59,400 141,100 200,500 NO AGRICULTURAL G4 3.000 400 0 400 NO Totals for 2006: General Property 9.980 59,800 141,100 200,900 Woodland 0.000 0 0 Totals for 2005: General Property 9.980 59,800 141,100 200,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 139 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 026-1089-70-000 01/05/2007 11:29 AMA PAGE 1 OF 1 Alt. Parcel M 30.30.18.469A 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 - AICHELE, EUGENE O & CHRISTINA M EUGENE O & CHRISTINA M AICHELE 1346 CTY RD A NEW RICHMOND WI 54017 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: 0.000 Plat: N/A-NOT AVAILABLE SEC 30 T30N R1 8W PT NW SE W OF HWY A AS Block/Condo Bldg: DESC IN VOL 614/ 531 ACRES ? EXC PART TO CSM 7/1835 ASSESS WITH P458B Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 30-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 840/409 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 026-1068-90-000 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M 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 t, P SEC . T -<< N, R,-> W ADDRESS' , ST. CROIX COUNTY WISCONSIN. SUBDIVISION LOT LOT SIZE 177 72 PLAN VIEW ~ Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM d f y ~a a4e I I di ate ozth;Arrow SCALi:I t-- SEPTIC TANK(S) MFGR. CONCRETE STEEL NOo 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 ri depth to top o pipe " NUMBER OF SEEPAGE PITS -Outside diameter- total pit area AGGREGATE PERK RATE AREA REQUIRED 4. 1 Q I - 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 caus of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH/ HIS SYTEM. INSPECTOR DATED - PLUMBER ON JOB ' LICENSE NUMBER ;`r REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sang tahy P`?,nm. t State. septt,C07 - ' I NAME Ids Townahi p St. CjLoix County Lo ca on Section.3.OLot # SUbd,ivils Lon _ SEPTIC TANK Si z e ! CL, ga - o n6 Numbers o A eo mpantment6 Di6tanee {nom: WeU Buitding 120 5fope Highwaty PUMPING CHAMBER Size gatlon6 Pump ManuAaetut e-& Modet Numbeh HOLDING TANK Size ga fons Number oA CompatLtment~s Pump e," _ A -ahm Sy6tem Di6tanee Ah.om: Wet _ Building 120 slope- - H,i.ghwaten ABSORPTION SITE Bed 2, X ,5 Z,Tne_neh D,i,Atanee Anom: We. f-- Building t2% Istope Htighwaten ABSORPTION SITE DIMENSIONS Width oA trench j /2--, At RequiAed area At Length o o each ~4n.e At Depth oA hock below tite. tin Number o A Ines Depth o6 hock oven. of e in ' 'T~ta.E Length oA eines At Depth oA tiee below g4ade in ,istance between Unea At Scope. oA trench e in.. pen 100 At 3Tota.f ab5onption area At Type oA Coven: Pape)tax btnaw PIT DIMENSIONS NumbeA oA pits Ghave. around pith yep no Out, side diameter At Depth below inlet At Totat absoNpttion area At Area hequiAed At jj INSPECTED BY TITLE G~ APPROVED DATE 198- C REJECTED DATE 198 REASON FOR REJECTION - REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Name, Address, License No. o ns a ing Plumber Time of Inspection (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System (4)BENCHMARK: (Permanent reference Point) 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: # ft to well: (7)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 I 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 ❑ NO; 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; lineal 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 DILHR-SBD-6095 N.05/80 Signature of Inspector: State and County State Permit # yz 0 PLB67 Permit Application County Permit # _fs _o 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: .$L.U '/4 Z % Section 3d', T.~C~N, R_JffE) (or) W Lot# -City Subdivision Name, nearest road, lake or landmark Blk# 'ef- Village "t Township er 4V 'r A-ell C. TYPE OF O(?CUPANCY: Commercial Industrial *Other (specify) *Variance Single family ~plex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher 4- ~ S NO Food Waste Grinder YES LINO # of Bathrooms-/- Automatic Washer LYES NO Other (specify) E. SEPTIC TANK CAPACITY /l~L~Lry Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) . 5- 2) 3) -,Total Absorb Area sq. ft. New Addition Replacement .Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 5 f Width Depth _3G Tile Depth 2 ~f No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size 41 n Percent slope of land V Distance from critical slope 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 Tes r, NAME C.S.T. # /3 and other information obtained from (owner/builder). c G- S Plumber's Signature > P/MPRSW# ~ U :C- °j Phone #;9- Plumber's Address r PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). rI / Do Not Write in Space Below FOR DEPARTMENT ~SUSE ONLY Date of Application - ~S Q Fees Paid: State-3, . Count to 67 Permit Issued/Re}eeteel (date) 9- -S46 -Issuing Agent Nam G Inspection Yes-x- No 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 6/1 /76 AV/s ice. et/ 7- i r 1 c 0 O i C) r r f `J i C~ E H, 415 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,.L'/4, 471- Section L,T~LN,R (or) W, Township or Municipality c- Lot No. , Block No.yrr I/ x /_County S ~1~f~ 1 Y bubdlvlslon ame Owner's/Buyers Name: ~J, s •e' Mailing Address: y• e? mac: / 4 el e-l W Z e2g TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW L/ REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS - ~o PERCOLATION TESTS 7 <l SOIL MAP SHEET NAME OF SOIL MAP UNIT S17G2 S re C;), ih 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- 3 ar - - P-2, 3,4 1 1 ( i C r / r ) P-~ , r 7 r 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- Z 7 21 7 7 L B- 71 7 7 ~ 7 Z_ L) r s B- 22- ~.Z S 3 L yo -S 113- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the loc on and squ Pate t of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy ~ 1~ 3dv Indi scale or distances. Give horizontal and vertical reference points. Indicate slope. ~_So s S fj- 00 L ~"L U f39 - N • f~ r E @ 4 7 3 ~ r E S i ~ i e r I, 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) Cer;ification No. Address L/ /l✓e Name of installer if known Copy A -Local Authority CST Signatur =