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HomeMy WebLinkAbout026-1020-10-100 n to p g v n C _ 1 o E* c m o S- :3 I 0 3 r* y H' o M (D C 0 3c 3 0 0) U) 0 a= a m y N:T 3° r- ar m n o o `~q N C CD W 7 ° CO N C n NCD cu Q-4 C) m 3 o D° O CD CD cn o_ o 3 rn <n °O co (D (D u> Z D c io c8 O 7 c CD c Q O N 0 A lot O m Z (D Cn CO (D O S P 0 h. z oooa ry~~ CY 0 O ~ N O N (D N ° Qu 1 d n _ v Q N 3 CD O Q ~ N N z ZCU Z o D CD o ~ Dpi O a ~ o h• CD v N CD d W CD (D s -i cp Z 3 O O A Z CD W o M c v o- A I a I I Z ~ rn oov m° C , CL I Z " 3 C r: Z 3 m w y < (D A W N N a D7 N - a = C)2 O= T Sll C I CD U) N a Oz O (D O O o CL 0 O I-D ~ O <n 7 (D O 0) CD 7 'O ti O n S V O NO C CZ, N N CD CD 3 w N CD d0 aC H O b O O b O a O. ~ Parcel 026-1020-10-100 10/11/2006 02:41 PAGE 1 OF 1 F 1 Alt. Parcel 06.30.18.71A 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 - D O T, STATE OF WISCONSIN STATE OF WISCONSIN D O T C- DISTRICT 6 DISTRICT 6 718 W CLAIREMONT AVE EAU CLAIRE WI 54701-5108 Districts: SC = School SP = Special Property Address(es): Prim Type Dist # Description 993 HWY 64 6 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST Irv SP 1700 WITC Legal Description: Acres: 20.600 Plat: N/A-NOT AVAILABLE SEC 6 T30N R18W PT NE NE THE EAST 678 FT Block/Condo Bldg: 20.6 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 04/05/2000 620698 1500/358 WD 07/23/1997 7272fi 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/26/2000 Description Class Acres Land Improve Total State Reason STATE X2 20.600 0 0 0 NO 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 RICHMOND T. 30 N7 -R. 18 W. 11 K- 64 SEE= PAGE SS I . . 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FILL- BLACK DIRT 4-H PHONE: 715 - 246-4875 PHONE: 246-2391 A HOME: 246-4541 NEW DAY - 1231 NORTH KNOWLES AVENUE NEW RICHMOND NEW RICHMOND, WISCONSIN 54017 WISCONSIN 54017 A NEW WAY Parcel 026-1020-10-050 10/11/2006 02:39 PM PAGE 1 OF 1 Alt. Parcel 6.30.18.71 026 - 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 - KOWALCZYK, EUGENE & JEANNA EUGENE & JEANNA KOWALCZYK 971 HWY 64 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: 22.240 Plat: N/A-NOT AVAILABLE SEC 6 T30N R18W NE NE EXC THE EAST 678 _ Block/Condo Bldg: FT EXC TO ST DoTTN7 59-08-23 1578/270 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/20/2004 777573 2679/478 WD 01/24/2001 637288 1578/270 AD 06/20/2000 625101 1520/325 TI 07/23/1997 872/236 2006 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/20/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 17.240 2,400 0 2,400 NO UNDEVELOPED G5 5.000 6,000 0 6,000 NO Totals for 2006: General Property 22.240 8,400 0 8,400 Woodland 0.000 0 0 Totals for 2005: General Property 22.240 8,400 0 8,400 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 Parcel 026-1020-20-100 10/11/2006 02:40 PM PAGE 1 OF 1 Alt. Parcel 6.30.18.72A-10 026 - 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 - KOWALCZYK, EUGENE & JEANNA EUGENE & JEANNA KOWALCZYK 964 179TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 964 179TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST C~ SP 1700 WITC Legal Description: Acres: 12.360 Plat: N/A-NOT AVAILABLE SEC 6 T30N R18W THAT PT OF NW NE LYING E Block/Condo Bldg: OF A LN COM N 1/4 COR TH S1 DEG E 65.03' E 33.43' TO NW COR CSM 2/519 N ALG N LN Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) CSM TO NE COR & POB S5DEG E 898.36'N 06-30N-18W 88DEG E 276.7' TH S5DEG E 429.76' TO S LN & THERE ENDING EXC TO ST DOT HWY PROJ more... Notes: Parcel History: Date Doc # Vol/Page Type 10/20/2004 777573 2679/478 WD 01/24/2001 637288 1578/270 AD 06/20/2000 625101 1520/325 TI 314954 495/224 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: --Last Changed: 06/30/2004 Description Class Acres Land tl rove Total State Reason RESIDENTIAL G1 12.360 65,400 ,70 0 196,100 NO Totals for 2006: General Property 12.360 65,400 130,700 196,100 Woodland 0.000 0 0 Totals for 2005: General Property 12.360 65,400 130,700 196,100 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 Wi«cvnfjin Dep artmtnt of Health end Sooial SL:vicos P"* JJ67 3/70 Divisi=, o? Health SEPTIC TANK PERMIT APPLICATION TYPE or USE BLACK INK A. C,INER OF PROPERTY Namo ( ; ;Lc t Address (Street, City, Zip Coes) y•rti-1 . . B. LOCATION OF PROPERTY WHERE SYSTEM WILL BF CONSTRUCTED, ALTERED OR EXTETMED COUNTY Check One: CITY VILLAGE LEGAL DESCRIPTION - - TOWNSHIP' C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? J ~ YES NO PERMIT NUMBER D. SEPTIC TANK CAPACITY r Gallons NEW INSTALLATION FXPLACEISNT ADDITION MATERIALS: Prefab Concrete Poured in Place Steel Other NUMBER OF TANKS TO BE INSTALLED: E. TYPE OF OCCUPANCY Cheek One: One or Two Family Residence ~ Commercial Industrial other Number of Persons to be Accommodated Specify) Number of Bedrooms F. APPLIANCES, ETC: Food Waste Grinder YES NO Automatic Clothes Flasher yT YES_ NO Dishwasher YES NO Automatic potato peeler YES ,,NO Other (Specify) G. MASTER PLUMR MAKING INSTALLATION Name: Address: License Number: Signature of Applicant: i MP RSW % S C Address:~.. H. (To be Completed by Issuing Agent) Date of Application - .,2 % G Fee Paid ; Permit Issued (date) Permit F=ber Agent (Name) ~ ~ G --"i , For: it Town, Village, City, County, etc. (Specify) Note: The application cannot be considered for filing, until all of t,- ^.!ove quPstiors are answered and the fee paid. Agents will forward application, the fee of $1.00 for each septic taTLK and the third copy of the permit (canary) to the Division of Health. Checks ar' money orders should be made payable to the Division of Heai,th. Do not write in space below - FOR DEPARTMENT USE ONLY I. DATE RECEIVED ACCEPTED BY RETURNED _ / - (Initials) q 2- (Date) e(See Corrns. FEE RECEIVED VALID. No. PERMIT NO. ~~X t Yes or No REVIEWED BY APPROVED DATE (Initials) (Yes or No COMPLETE MER. SIDE I SEPTIC TANK PEI MIT NO. R k P 0 R T O N S O I L P Y R C 0 L A T I 0 N T E S T A N D S O I L B 0 R I N G S TO DIVISION OF RZALTH - PLG^IDING SECTI63 " P.O.Box 309, Madison, Wis. 53701 Pursuant to II 62.20, Wis. Administrative Coda P E R C O L A T I O N T T S T , Test Depth Charaotor of Soil Hours Water Tert Time Drop in Water Level Inches utos Number Inohes Thialmess in Inohos Sinca Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overlni ht in Minuto:s Last Poriod Last Period Period ano! Inch Example P - 0 3611 Top Soil 10'x, Clay 2611 25 Yes or No 30 1/2 1/2 1~ _60 i/ - RECORD DATA FROM MIN II UM OF 3 TEST HOLES Compute size of absorption area in accord with H 62.20 Wis. A&ainistrative Code. S O I L B O R I N G S- Minimum 3611 Belau Proposed Absorption SYstere Boring Total Depth De- pth to Ground Water Do th to Bedroci. Number Inches Cbserved Ttim. ed Observed Estieated Character of Soil with Thiosness in Inches ?xazaple B - 0 7211 7211 Black To Soil 12111 Clay 1811; Sand 181. Gravel 2411 7> t ► a / ell,y _7;1 RECORD DATA FROM MINL`UM OF 3 BORE HOLES TYPE OF OCCUPANCY: RESIDENCE: Number of Bodrocros OTHERS (Specify) Number of Persons FOOD WASTE GRINDERS Yes No L Dishwashers Yes Nol Automatic Clothes Washers Yes No FFLUENT DISPOSAL SYSTEM: NEW Y EXTENSION ADDITION REPLACEMENT Tile Size r-' No.Lin.Feet Trench Width Depth Number of Lines 1 i Seepage Bed: Length Width 'Depth ~ Tile Size No. Lines Seepage Pits Inside Diaaeter Liquid Depth I, the undersigned, hereby certify that the percolation tests reported on this force were made by me or under r,y super- vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and that the data recorded and location of test holes are oorrect to the best of my knowledge and belief. NAME / ' TITLE TT7~e or Print REGISTRATION NO /l or MASTER PLUMBER LICENSE NO. _J ADDRESS DATE / SIGNATURE