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261-1216-10-000
Q o ~ ° M 3 0 O cq C c a 0 C N N N E N C O N O Y ,y c c :3 i0 3 v O V -_a h Q O O N N a N t,t S' N N m N Q ~ E QL m N p U N c N E Q cD N CO O QQ O U) I ~ Y ~ C C 3 Co -mm N 2 > U N O Vo nQ C z E N L N 0) 7 m . M O_ C O- LL C C N m m m O - w L rn'~ E a E Ewo o~ 'O N N p N (Q Q d n° L U 3 ° > N > Z N co E LLJ Ft z O E Z N m m M H d co O Z a c U W ; O N N Z U) P r a c E N N _ N ~ N • ~i N Q) N L co - (1) O N LO 00 -6 E C _ M m E r a E CL _ L _N d V7 O o (L E C E Y Z m F es - F F a 2 6 O O O tvti > a a a ~a a a N N ~i ° 3 co Q N J U o rn rn c ~ Y ~ rn Z rn o o D m c '0 g v m Q Z iA :j E 0 N N CC O U O N O N 3 Q t- v Q N m m 4* Z N c m m Lo C - o a~ v N ` -0 -o M E .a0+ 7 O O N CO') U U N Z N Z S O ~ y N V ~ ~ y r E a it a ` Z T E a; t~ C C t A 0 ) a o C 00 NAME OF BUSINESS LOCATION _12, ley high;may or township county OWNER Mailing a d. , + f (.0 ~ ARCHITECT OR ENGINEER Address_ PLUINBER_g Address. 1. Check appropriate building usage(&) and fill in the information requ3sted opposite each usage listed: / E-,eisting building New boil ding f1_ Addition If addition to existing building attach detailed if for Each,---- - ( ) Footw.aran'or dining, room . . . . Seating oap~oi y (10 sq.ft./poroon) uwtol ( ) ii-Lol cottages, Pdu ber of uiiits: F.e_uI. r iI.owve`.;e~ptn_ 2 persons/unit J-"~ 4 porsono/wat TOTAL NUNI'M 01" 1711ITS Der or 000%tail loungo . . . . . Soati_nZ ospaGity (10 uq.ft./pard=on) Nuriin or rotirortut homo . . . h*,ar"or of buds Mobile hog pe.r.. . . . . . . . Nu?abor or units - depends-;,t - nondbpcndent ( Sotvioe elation . . . . . . . . Minbor of ear3 eir°vod (&,A y) Sohool . tTukber of olaesroor-s Meals sowed Yes_...- Ho- Shuaors provided Yes- No- Fiwtory or o£fioo building . . . Ihuaer of poroons (total ell shifts) ( ) riesidenoo • o . • . • e • • • . Num)or of boexvv*:is NX other - s3porify d~~/fiL.e•S.`~}~ 2. Indicate xl-wthor or not the folio,-il)g faoilitics rro aonnectod: Food wa:sto grindor . . . Yes 1Jo t~ Diskriaeher . . . . . . . Yeses No Automatic olothcs va.:;hor YocNo i 3. Fill in the appropriate Info, tiou for the follo•,r.1nZ as L7diontod: Septio fua', casptsoity pia cd r'l ' < Normal scptio U&c eapaoity required SOn :Lnoi-vEzzu for KIG or k-J Total septic t;,,,, oapacii;y required Per+oolation test rotvlts - ATTPOH Y F'°OJ_,AYOJ T SP F.;.~°OFii' Sh rY Seepage trench bottom area ple„3ncd - width linear foot - depth Soop o pit plea n.ad , outside difu?cter depth b©lo`r inlet rdopth Seeprgo trotoh botU.aa ar-az roquirvd _ width linear foot Seep^ge pit required - outside di. ter -depth bolos inlet ..s...~.a. Signature of person completing form: STATE BOARD OF trFALTH, PLUMBING DIVISION P. 0. Box 309, Madison Wisconsin 53701 dress: r : 4 t Approved: d-.Vi' , Date Date ~ S F P ° 5 19 S--3----~~ THIS APMOVAL IS BASED ON STATE PLU'r'D- ING CODE REQUIREMETITS AND DOES Nut EXEmm' THE INSTALLATION FR (P CITY, VIL. LAGE, T0''Vdt1tSHIP Oil CUUNTY F LULL^iliv;~~ OR PEWMI REQUIREf'ENTS, Parcel 261-1216-10-000 08/08/2012 11:05 AM PAGE 1 OF 1 Alt. Parcel 261 - CITY OF NEW RICHMOND Current X'1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - SWINGLE, JOHN W JOHN W SWINGLE C - KELLER, BRIAN J BRIAN J KELLER 1231 N KNOWLES AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1231 N KNOWLES AVE _ SC 3962 SCH DIST NEW RICHMOND (/4/11' SP 8020 UPPER WILLOW REHAB DIST l~ SP 1700 WITC SP 0030 TID #8 NEW RICHMOND Legal Description: Acres: 0.000 Plat: 0038-CSM 01-0038 261-68 OUTLOT 473 ALSO KNOWN AS LOT 1 CSM 1/38 Block/Condo Bldg: EXC PT TO CITY NR DESC 932/548 Tract(s): (Sec-Twn-Rng 401/4 1601/4) Notes: Parcel History: Date Doc # Vol/Page Type 01/02/2003 704290 2097/476 QC 07/23/1997 499031 1009/72 ALC 10/18/1996 551010 1204/290 WD 10/18/1996 551007 1204/287 QC more... 2012 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2010 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.643 168,000 343,200 511,200 NO Totals for 2012: General Property 0.643 168,000 343,200 511,200 Woodland 0.000 0 0 Totals for 2011: General Property 0.643 168,000 343,200 511,200 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 CERTIFIED SURVEY MAP / e 3 s~-' N /•~diCa74es 'x 24"pi~oe Fi 'T 6a. 0 o d 'a r Q\ ° O $Z m ms`s Sao' 294795 83 _r4 / 6 90 FILED) of Des" 4\31, "watt' (C--V / Tr,es~ IVWY4 NE%4- h i 36 T 3//V Rib L✓ / Being same parcel as de- o° scribed in ° / Vol. 446 Page 312 & 313 Register of Deed's office. isd S7 A parcel of land located in the northwest quarter of the ,o northeast quarter of Section 36, T 31 N, R 18 W, further described as follows; from the center of said Section 36, being the southwest corner of said northeast quarter, go east along the quarter line a distance of 137.7 feet, thence North 1° 03' West a distance of 371.5 feet,thence North 28000' Fast a distance of 1233.5 along center- 3 line of railroad right-of-way, thence South 68° 06' East a distance of 50.4 feet to point of beginning for parcel conveyed herein; thence North 28000' Fast along east a railroad right-of-w:ay line a distance of 153.0 feet, thence South 68'061 East a distance of 178.5 feet to Z west right-of-way of S.T.H., th-nce South 29° 49' West ia7.7 along said west right-of-way to point South 68° 06' -ast of point of beginning, thence North 68° 06' `.Jest a dis- Se 3 tanoe of 190.1 feet to point of beginning. SW cot M,E /.qe c. 6 CB-r-fe r of Sec. I certify that the above is a trua and correct map of the parcel surveyed, mapped and described above and that I have fully complied with the provisions of Sec. 236-34 of the Wisconsin Statutes. Surveyed Nov. 1968 for A. H. Carnes, D.V.P:. 9 Carroll A. Grubb Wis. Reg. S-274 Page 38 CF INS CTICA---INDIVIDU,-iL J, r'L G_ DI O_' ~aL Y` r l 711 !.i _AY T ~ __Tivi-ITT consists of Septic tank. Other (Describe) _ PTIC TA?7K: Distance from: " ell_J~Lft. Lot Line e!~( ft, Building , ~ ft. High watermark ft. 1Z or greater slope ft. - etland ft. Cistern ft. No. compartments/_. Lir,uid capacity, gal. _FF1.U ,I\TT DIS-ff iL SYST.h, consists of -Tile field..L_.eepage nit(s). Tile Field:Distance from: `Tell ft. Building ft. Lot line ft. Cistern ft. High watermark of water course ft. Slope 12/1 or greater ft. etland ft. Total length of tile lines ft, lumber of lines Length of each line ft. Distance between lines ft. idth of trench in. Total effective absorption area of trench '-ottom sr. ft.~ Depth of filter material below tile in. Depth of filter material over tile in. Cov,~r over filter material _ Depth cf the below finished grade in. Acne of trench bottom in.• per 100 ft. ninth to bedrock ft. Death to Freund water ft. 'eepage "its:Distance from- ' ell IGLU ft. ?uildingft. Lot line ' ft. Cistern ft. High ?,atermark of water course ft. 'lc-)e 1Z, or greater ft. et 1 -and ft. dumber of -its, Cutside diameter/-~_ft. D nth Belo-,,F inlet ft. Lining material _ Gravel around pit-,-7-Yes. _i~c. Total ')sorption area sq. ft. SQu--.re feet of seepage trench bottom area required Square feet of seep-.ge pit area required re-construction Inspection _ Date of Inspection , 19 Inspected by' L' C - , C- ~n2;,,~ti, 1 Title: Construction r~snectt ion Date ,19 Date ,19 Date ,19~ nnroved .Date21--~ 9 i i ,1 ;,ejected Date 119- XRIBIT NC. 5 10QO County, Toim of t2~CLlil~ Sanitary Permit Anplicat.icn No._~ 5 Owner Sanitary PerTnit 1'do. ,5 roperty _,ddress_~~. Land use Permit No. ..Street or Highway Septic Tan''-- -rmit No. -ubdivision VU - 2-n d st 3 i 3 ~ j 1Z . 2110Yv APPLICATION FOR SANITARY PERMIT for INSTALLnTION OF A SEPTIC TANK ~ (Sec. 144.03, Wis. Stats.) A. OWNER OF PROPERTY Name Address (Street, City,Zip Co ) , B. LOCATION OF PROPERTY WHERE SEPTIC TANK IS TO BE INSTALLED Check 1, _ City addr Co~ty one : 2. _ Village RA ~~~f/t, /'town 3. C.. INSTALLER Give license numYSer-?,e~d• Wisconsin Restricted ensed Sewer P amber _ Services If S w P>/' /"CS Name Arl.dt~e8 lev, D. SPECIFICATIONS OF SEPTIC TANK Size in gallons:(check one) 1. X1,000 gal. 5. _ 4,000 gal, 2. _ 1,500 gal. 6. 5)000 gal, 3• _ 2,000 gal: 7. If over 5:000 gal,) give iapacity. 4. _ 3:000 gal, Materials: 14 Prefab concrete 2. Poured concrete 31! Steel E. TYPE OF OCCUPANCY 1. Single family residence 3. Commercial establishment 2. Multiple family residence 4. Industrial establishment F. APPROXIWETE NUMBER OF PERSONS SERVED DAILY G. PERCOLATION TEST MADE 1. !Yes 2. No Date By whom, (To be completed by County Clerk) Date application is filed and fee paid Permit issued (date) Permit Number County Clerk 1 t L Percolation Rate Minimum Absorption Area in Square Feet per Bedroom Minutes Required Normal With With With Both For Water to Fall Plumbing Garbage Automatic Grinder and One Inch Fixtures Grinder Washer Automatic Washer 2 50 65 75 85 3 60 75 85 100 4 70 85 95 115 5 75 90 105 125 5 - 10 100 120 135 165 10 - 15 115 140 160 190 15 - 30 150 180 205 250 30 - 45 180 215 245 300 45 - 60 200 240 275 330 60 - 90 240 290 325 400 1 CD , 0 F i O y l1, '-7 y Cn Cn ~ ~ O n y 1 I C n n n o r' H c~ 'd o o C'+' , j t r`+ y S E~ k~ f a z' r' y r7 - r t=j $Dl (D W c~+ n -7 A (D (D W d `~7 H C~~tv o y y C^ d (D 0, cn (j) 13 C"I H t (D N• p t y C) U O C7 L t- ^ ¢ 11 N P. H Fl- U) n O ''3' Ica N I-~ ! H I,~ Cn K' y H CI1 TJ n ~l ti O F-b F-4 O C+ r p t O O` N C) H u F 1 G. O O (D * h co 0 CT, CD n c+ _R (~D O CO N N y H C-) CA It (D -j (D It (D n G,, 1 co C+ N a Y N• O ~n L!~ C~ I trJ O M m N (D Q CD ~ lV G O (D Cf H CO C-t- w (D IT-1 Z7, p C) Q, 1-4 n r y H ;z C c0•+ C+ t O C+ Q a C t n¢ z D `7 O O P) c+ -0 (D It 1~ Z:~ F-~ w t~ 11 1~ P) L-'-, r-) -cJ (D (D (1, N• N n , - Cn 1 D D' n H C+ p CC+ O H r-3 Q-• C C} j (n e e c c:j c+ O i H F3 (D Nls ? o ¢(D p b I r (D ~ c+ o d ti c,. (n P O o c+ . H n W O `d n `•r PL) ° co o y ~ -Ti ~ ~ o o H n C) 11 Ft I~ C+ y (D ~:5 O , p 'D .I 3 cn ;C i u b t Ili O e4 R t' U! n ~ Y cC+ p H x.- H ON 11 i Fl- ~n c+ - i CF N 4 t7 (n W co - (D O R m- L JL O 1 N' O C 1 H a ~O cn C+ CD P. 5 co C-t- o t y~ ¢ y H ¢ n O ~ , ' j ¢ fy U, H cr ~"tN w C-' y o n C+ CO o y cU O N H .71 4 ro 13 ID 1-j 0 1-3 p N W 1 ny _ 1y ry. ,.xy h ` o S] J - I F C7' (D 1 O H CO (D U I- r' \ N' co ?C C-~ N p c+ C y r H. (D c+ c4 , , H C+ d d ! 4.\ ° (D i s C+ I v p e• ` (D D I R. R r O y 4U K 1 (D 0 C+ C+ (D 17, o rj j ~H S C+ O n ((D O E y ~.p R co co clf- 4 ct N• H 7°~ u,x W n P tit L Q 0 t~ y I 0 o 3 P. CP 1-3 (D -3 v _ ~ t _ _.e__._._._____.___.______...~._.__..__._.__._ L I r 1 lJs. l i ~ j t i ,i ~4 it l l t 1 i; i~ F t t 1 S i ~ , ~ ~ S ~r ~ i i i r f { lily ~ ° ~ ' f ~ "1 / r., ' .