HomeMy WebLinkAbout261-1283-00-000
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Parcel 026-1005-10-000 04/03/2006 09:48 AM
PAGE 1 OF 1
Alt. Parcel 2.30.18.17A 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: ~Qler(s): O = Current Owner, C = Current Co-Owner
ANNEXED * 01/28/03 WESLEY INVESTMENTS INC C-17 Y- WESLEY INVESTMENTS INC, ANNEXED * 01/28/03
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: 31.860 Plat: N/A-NOT AVAILABLE
SEC 2 T30N R18W 31.86A NE NE EXC N 42 Block/Condo Bldg:
RIDS OF W 16 RIDS & EXC PT N OF WILLOW
RIVER & EXC P17B & EXC S300' OF E 600' Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
EZ-U-121 A * 0 8/03
2122/41 02-30N-18W NE NE
NKA 261-1283-00-000
Notes: Parcel History:
Date Doc # Vol/Page Type
09/02/2003 738349 2396/349 WD
09/02/2003 738347 2396/347 PR
09/02/2003 738346 2396/344 LC
09/02/2003 738345 2396/342 DM LT
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/11/2004
Description Class Acres Land Improve Total State Reason
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 0 0 0
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
AS BUILT SANITARY SYSTEM REPORT
OW,#,R , TOWNSHIP'' SEC.. T - N, R W
P.O. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW 7~ eOR
Distances & dimensions to meet requirements of H62.20
~,tC. A-. 26i- 1283-oo-crov
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
F1 LC w~ PE--" ~7`
V
SEPTIC TANK(S) MFGR.. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
TRENCHES NO. of width length area
BED no. of lines width length area
depth to top of pipe
AGGREGATE
PERK RATE AREA REQUIRED AREA AS BUILT
Disciaimer: 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 cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
DATED PLUMBER ON JOB ,
LICENSE NUMBER
REPORT OF ITTSPECTIO'_a--I DIV7_DUAL SErJAGE DISPOSAL SYSTEN
Sanitary Permit
State Septic "Al 1E TOWNSHIP
t. Croix County
SEPTIC TA11:
Size gallons. `umber of Compartments ,
Distance From: 'Jell ft. 12% or greater slope fi.
Building' ft. Wetlands f
Highwater ft,
DISPOSAL SYSTE:2 Tile Field or Seepage Pit(s)
Distance From: i•Te11 ft. 12% or greater slope ft
Building ft. Wetlands f.,
FIELD ~lig;hwater, ft,
Total length of lines ft. Number of lines Length of
each line _ft. Distance between lines ft. Width of the
trench ft. Total absorption area sq, ft. Depth
of rock below the in. DP_pth of rock over the in. Cover
over.rock, Depth of tile below grade in. Slope of
trench in per 100 ft. Depth t,o Bedrock ft. Depth to
around water ft.
PITS
"lumber of pits _ Outside diameter ft. Depth below inlet
ft. Gravel around nit: ____yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
`square feet of seepage pit area required
Inspected by:~ Title: ~O
Approved Date 197
Rejected - Date 197
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
t REPORT ON S IL BORINGS AND PERCOLATION TES Cl)
/4, Section TA, R) E (or) W, Township or Municipality "tovtl
Lot No. Block No. County
Subdivi on Name
Owner's Name:
(01-A
45ax
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms- Other
EFFLUENT DISPOSAL SYSTEM: NEW 1 ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCO ATIO~ TES lr i9',Z?
r t i-~ - Iz~t y
SOIL MAP SHEET =3 1--~ - SOIL TYPE`'i - -
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
Z Z
P_ L
C' Z s
P2
J L/
E_
It _3
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
/J ail 6•- ' TS 1 L L S S S y d
~b 11;17 010r~ 2 I-S 1 i- L j 2 5"- SE S
t_
I / l O%J i--~ G^ / 2. 1'S r -L - Z j Z -`jam $
'AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. 0,$ ..0 eet Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. ~ " gC)
- ~j
i
i
t N
i_
10,
I, the undersigned, hereby certify that the soil tests reported on thikform were made by me in accord with the procedures
and methods specified in the Wisco Administrative Code, and that the data recorded and location of test holes are correct
to the best of my wledge and belief.
Name (print) ko U1 Certification No.
Address
Name of installer if known tat✓"~`~'O7
CST Signature
COPY A - LOCAL AUT!-IO °TY
PLB67 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'
B. LOCATION: Y4, Section 2 T N, R E (or) e~ Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township's
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 3 No. of Persons Ily
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES_A- NO # of Bathrooms
Automatic Washer-A-- YES NO Other (specify)
E. SEPTIC TANK CAPACITY 1006 Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks
New Installation X Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) S2) 3) Total Absorb Area / S - sq. ft
New-k Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length 1~72' Width / t ~ Depth L Tile Depth 3,e- " No. of Lines 1.
Seepage Pit: Inside diameter Liquid Depth Tile Size 4I'
Percent slope of land ) Z 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 Tester, _
NAME L r r. rocvr,^ S C.S.T. # 5 f and other information
obtained from O (owner/builder).
Plumber's Signature MP/MPRSW# /S 3 Phone #L Y6 - Sr 35-
Plumber's Address r3 c i ;
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
IQ
Or^ t u e
5Lr
do
Do Not Write in SP e el w' FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State County' Date 4
'c 0 ` f
Permit Issued/ (date) ly _Issuing Agent Name
Inspection Yes,~ No Valid# Date Recd
1. county (4i le 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