HomeMy WebLinkAbout026-1013-70-000
o ~0 o -0 o r_
O G d O v~
7 ~ fD ~j fD 'p A7
(D i Li fD l^l
3 Z"
O
CD 3 o m m N n s w
CL z a z N T 3° o
~ N N of _ a A ~ `
1
:3 0 U CC) -4
(O n Q (D N O O
w m 3 0 00 0
3 O O
7 f/1 v I~ O 0
CO
cn G D
o N
CD (n
73 m
C
3 a o o cn
C-TI
CD O cn N 0
CD (o (o cn r- cn
y C. w 0 G !r
Q
3 '0
~ ft N.
z 0 0 0 - N
~ ccnn cn cn D
:0
v v A O
o' n m I m N O n>
:3 CD
q m J
=
v Cl)
N
N CD W
N
a
z co z Q
D (D o
O a
!r •
o m m (D
m
Cl)
CD a)
i
(p N.
C (D C
w a
a 3
oz ~ _ E A Z n
n c - ;o
w n A a
a.
S
Z ~ A
W A o
a z
0 3
3 " cCn
3 < <
Z
CD
w ~
Q
O T
~ G
o a
N
A
I
A
t
r I
I ' W
N
O
i p
a
A
N
O_
b0
f W
O ti
O s.
ti
Parcel 026-1013-70-000 03/31/2006 11:42 AM
PAGE 1 OF 1
Alt. Parcel 04.30.18.48B 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 - STOCK, WILLIAM & ROXANNE D
WILLIAM & ROXANNE D STOCK
1748 112TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1748 112TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 3.060 Plat: N/A-NOT AVAILABLE
SEC 4 T30N R18W PT NW SW LOT 1 CSM 2/518 Block/Condo Bldg:
5 AC EXC PT TO CSM 11/3204 & EXC PT TO
WEST SIDE WINDING TRAIL ESTATES Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
04-30N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill M Fair Market Value: Assessed with:
95379 178,400
Valuations: Last Changed: 06/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.060 32,000 121,000 153,000 NO
Totals for 2005:
General Property 3.060 32,000 121,000 153,000
Woodland 0.000 0 0
Totals for 2004:
General Property 3.060 32,000 121,000 153,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i
AS BUILT SANITARY SYSTEM REPORT
' i
1
OWNER l , - " , TOWNSHIP f'a/j'-_",,,,1 SEC. T5( N, R~W
P.O. ADDRESS ST. CROIX COUNTY, WISCON IN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
77
i
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 r -T T
de th , to top of pipe
AGGREGATE ?Ly 4
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 2 r'f PLUMBER ON JOB
LICENSE NUMBER
RrAPOPT OF I1ISPECTI011--UNDIJIDUAL SE JAGE DISPOSAL SYSTE1.1
Sanitary Permit
State Septic 77,77
l l• T6•II1SHIP
• t. Croix. County
. Si,?'TIC TA'?I;
Size
gallons • `lumber of Compartments
Distance From: lle11 ft. 12% or greater slope ~1 ~k fi.
Building ft. Wetlands n f*
Ixighwater ft.
DISPOSAL SYSTE-.-I Tile Field or Seepage Pit(s)
Distance From: Tlell ft. 12% or greater slope ha, ft
Building ft, Wetlands Yl c', f.,
FIELD Mphwater nG1 ft.
Total length of lines Nt. Number of lines Length of
each line !j41 ft, Distance between lines ft. Width of the
trench i ft. Total absorption area ((28 sq. ft. Dept::
of rock, below tile (2 in. Dp-pth of rock over tile 'Z- in. Cover
over. rock,
. Depth of tile below grade IL in. Slope of
trench min per 100 ft. Depth to Bedrock nft. Depth to
Around water d1 " ft.
PITS
Number of pits Outside diameter ft. Depth below inlet
ft. Gravel around pit: __yes no. -Total absorption area
sq. ft.
.Square feet of seepage trench bottom area required
%,quare feet of seepage pit area required
Suspected by Title •
Approved Date 197
Rejected Date 197.
EH ,115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section y , TAN, R 19 E (or(2Township or Municipality--n t rrj ~ •
Lot No. , Block No. County 5 T C k' k
ubdivision Name
Owner's Name: L 1 t)
Mailing Address: If-tal *iV7
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW k ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS t Z-- - ? 7 PERCOLATION TESTS - 7
L
SOIL MAP SHEET SOI L TYPE S/9/7 T 1,~4 E> O S , L 7-
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
if
YO 3d
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)
77
ly 6-10 13 T- A?
PLAN 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." f Indicate scale
or distances. Give horizontal and vertical referenpoints. Indicate icate slpe. I G'O'
TJ
t g -
_ z
I I
i
I- I ~N
i
L4
I, the undersigned, 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 beli!#,,1)
i ~
Name (print), `vim 5 Certification No. ~y
Address
Name of installer if known
r
CST Signature
i COPY A - LOCAL AUTHORITY
State and County State Permit # d
PLB67 Permit Application County Per it #
• for Private Domestic Sewage Systems County. ~ 1
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: IVw '/4 3 4+ Section V1 T 30 N, R_L3 E (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
s - Township
A-L
C. Y E OF OC UPA CY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher k YES NO Food Waste Grinder YES V NO # of Bathrooms--
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY /00 0 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation k' Addition Replacement _ Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) O 2)_3_0 3) 2GTotal Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length 99' Width t Z~ Depth 4/0"/ Tile Depth 'Z y No. of Lines 2_
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land -7~1 5C 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 Testt
NAME o~-qtr, C.S.T. # S`5 5-3 7 and other information
obtained from L,-,, rse (owner/builder).
1' Plumber's Signature MP/MPRSW# 5 6 Phone # x `14 - ~ 13 S
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). -:X-1qLC 00
1 _
o ~
t 2~
Do Not Write in Space, Below FOR DEPARTMENT USE ONLY g
Date of Application _Fees Paid: State County Date
Permit Issued/R8#ecad (date) a Issuing Agent Name
Inspection Yes.ANo 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
i