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HomeMy WebLinkAbout026-1016-30-000 n cn O 3 v n d ` r~ O D) O r1 (D ey (D o co o A~ • m 7! (D (D a) co fD • o v 0 o Co Co CD ;o 0 o pN 1 o m ° Co s w r- z d N N N 3 P p '`3 U) W ~ 7 cy) = cn w aD° O ;L :3 CD Z (p (n 0 C/) Z D F a m n O m a W o a O o D rto (D z (D n 3 a' v v 0 O O O 3 °o a N to C/) - 2 N D Q TN1 ' a _N lD 1 p ~ N N 3 ~ v W n co N z m z O D CD 0 O n =3 ~y m ( ~N~y • CD CD N N N CD m N ryr~ C CD N (D n 1 y p Z CD A Z O Z CTl a) C 0 r z 0 A 17 O ' Z o0 3 m (D co E n (D Q 3 a CD o - z a a CD N IF A n W ti N O O a I A I p < 6p A CD ` a Parcel 026-1016-30-000 03/31/2006 09:00 AM PAGE 1 OF 1 Alt. Parcel 05.30.18.56A 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): 0 = Current Owner, C = Current Co-Owner O - STATE OF WISCONSIN, D O T D O T STATE OF WISCONSIN 718 W CLAIREMONT AVE EAU CLAIRE WI 54701 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1059 180TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 6.270 Plat: N/A-NOT AVAILABLE SEC 5 T30N R1 8W PT NW NE BEING LOT 2 OF Block/Condo Bldg: CSM 10/2838 6.27 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 05/08/1998 578825 1322/174 WD 07/23/1997 1101/36 WD 07/23/1997 1100/443 AF 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/19/1999 Description Class Acres Land Improve Total State Reason STATE X2 6.270 0 0 0 NO 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 c REPORT OF ITTSPECTION -17,1DIVIDUAL '0,11tGE 1)"'POSiV, SYSTEM Sanitary Permit 7 State -Jentic .W1 1E TOWNSHIP t. /Croix Countyy SF°~'IC TA'?}~ Size _ . gallons. `umber of Compartments Distance From: 'dell ft. 12% or greater slope ft. Building' ft. Wetlands f L.,~.,,. ;ghw, ter ft. DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s) Distance From: Tlel1 ft. 12% or greater slope °-ft Building; _ ft. Wet-la-nds f:. FIELD ;ighwater /~J 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. Dept:: of rock below the in. Dp-pt,l of rock over tile in. Cover ever. rock r'; r Depth of file below grade' • E in. Slope of trench in pe-r 100 ft. Depth to Bedrock ft. Depth to around water 4-1 ft. PITS "Dumber of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: yes no. Total absorption area s q. f t . Square feet of seepage trench bottom area required `'.quars feet of seepage nit area required Inspected by: Title: ' Approved Date 197`. r~ 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 TE~TS LOCATION: IV kJ_&_'/4, Section TLkh, RE E-(or) W, Township or"M"ntutpMy I ►'r` Lot No. , Block N County Subdiyision Name Owner's Name: 06, Mailing Address: a. TYPE OF OCCUPANCY: Residence ~-i No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ~~A//DDITION REPLACEMENT ~Lff~ DATES OBSERVATIONS MADE: SOIL BORINGS Z` ' 27 PER OLATION TESTS & SOIL MAP SHEET - 1(2 SOIL TYPE 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 P_ Z- 2-~~ - P~ 6 -3 - I 5 , u /Vo 3_37-- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) NUMBER INCHES OBSERVED B- ;7 go " -Z W 6 B- Sod PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) ".,_iicate on the plan the location and square feet of table areas. Indicate number of square feet of absorption area needed for building type and occupancy. G'/ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. . 7 r i ~ - i ,E 4:H- a I N { i I I f y ; i I A 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 k owledge and belief. Name (print) Ce tification No. Address Nerve of installer if known.` CST Signature - COPY A - LOCAL AUTHORITY J State and County State Permit # XO Permit Application County Permit - PLB67 for Private Domestic Sewage Systems County -DENOTES -STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER. OF PROPEY Mailing Addre B. LOCATION:'/4 Section T,N, R' ~r (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# - _ Village Township /i - - - C. TYPE OF OCCUPANCY: -Commercial -Industrial "-Other-(-specify) -Variance Single family L----Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher 4.~S NO Food Waste Grinder YES O # of Bathrooms Automatic Washer `"'AYES NO Other (specify) E. SEPTIC TANK CAPACITY 4TtI ns No. ~fa nks ' Holding tank capacity tal ns No. nks _ ,Jew Installation Addition - eplacement Prefab Concrete __J-_ 'Poured in Place St Other (specify) _ _FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) j 2)4,'x_3) -/Total Absorb Area him sq. ft. dew Addition _ Replacement-,~- -Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length JfZ"Width / Z Depth 36--' Tile Depth 1' No. of Lines -r- Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Q - Z d7n 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 Certifiejd Soil Tester, NAME C-, r L C.S.T. # o~ and other information obtained from _ (owner/builder). Plumber's Signature MP/MPRSW#~--Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). s f i r v Do Not Write in Space Be ow FOR DEPARTMENT USE ONLY / J Date of Application Fees Paid: State 00 Co t Q © Date Permit Issued/B i4eetetf (date) r L Issuing Agent Name - Inspection Yes VNo Valid# Date Recd 1. county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy)