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Parcel 026-1018-95-000 03/31/2006 11:18 AM
PAGE 1 OF 1
Alt. Parcel 5.30.18.68C 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 - KNUTSON, RODNEY J
RODNEY J KNUTSON
1727 105TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1725 105TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 5 T30N R18W 9.99A NW SE CSM IN VOL Block/Condo Bldg:
2/536 ALSO COM SE COR CSM 2/563 TH E 120
FT N 240 FT,W 120 FT,S 240 FT TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
ALSO THAT PART OF NW SE AS DESC IN 05-30N-18W
728/136 ASSESS WITH P69B
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 739/452
07/23/1997 728/136
07/23/1997 696/33
2005 SUMMARY Bill Fair Market Value: Assessed with:
95437 Use Value Assessment
Valuations: Last Changed: 06/30/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 47,300 116,200 163,500 NO
AGRICULTURAL G4 8.000 1,400 0 1,400 NO
Totals for 2005:
General Property 10.000 48,700 116,200 164,900
Woodland 0.000 0 0
Totals for 2004:
General Property 10.000 48,700 116,200 164,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 316
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER - TOWN SHIP;(,,-- SEC. R~ /.-VW
P.O. ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
'I
X1:4 ' L - -
SEPTIC TANK(S)Z_ MFGR.~~~., CONCRETV STEEL
NO. of rings on cover Depth DRY WELL
TRENCHES NO. of width length area
BED no. of lines 7 width lengthy area
,depth top of pipe ? > '
AGGREGATE
PERK RATE AREA REQUIRED AREA AS BUILT
Disclaimer: 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.
,....•.......a ' 'a• / C Jam..
'INSPECTOR
DATED- PLUMBER ON JOB~~i
LICENSE NUMBER /'7(
REPORT OF IIISPECT1011--I' , IDIVIDUAL SE?•JAGE DISPOSAL SYSTEM
f~ -
Sanitary Permit
State Septic
iE
TO1 S IP
• t. Croix County
SEPTIC TA71 1I"
Size gallons. `umber of- Compartments
Distance Front: rlell i ft. 12% or greater slope I €1.
Building 1, ft. Wetlands ~ ft
Righwater ft.
DISPOSAL•SYST7-1 Tile Field or Seepage Pit(s)
Distance From: Tell ft. 12% or greater slope fJOL.ft
Building, ~ `ft. Wetlands f.,
FIP•,Ln i;ighwaterft.
Total length of lines ft. !lumber of lines 1.. Length of
each line `ft. Distance between lines ft. Width of the
trench eft. Total absorption area j sq. ft. Dept::
of rock below tile ~ in. Dp-pth of rock over tile in. Cover
over. rock,-, Depth of tile below grade in. Slopo of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water £t.
'lumber of nits 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 see pa. t urea required ,
Inspected by: ' Title:
Approved Date 197
Rejected Date 197.
ti
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 TEtTS y
LOCATION: W'/4,5t-_'/4, Section , T-34I, R $For) W, Township or Municipality
Lot No. , Block No. County
' Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
- l
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIt_MAP SHEET l( SOIL TYPE /
PERCOLATION TESTS _
-
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
I CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
j '!UM_ INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
/G
~ 4, / tia 5 5 S
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)
i -30
tB_ l -rte i a. S<
d' D T. S 6 Y~ S~
3_ S -S/ Si 4_6 G
ILAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
W,dicate on the plan the location and square feet of su_ita a areas. Indicate number of squar feet of ab o! . ion ar.-a
n,eded for building type and occupancy. rJ ?-G+ Indicate scale
of distances. Give horizontal and vertical reference p Ints. Indi to slope. o(t
i 6
I L
1 1 j j N
f' f
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 'ef.
Name (print V ( Certification No. S "'-'3 /
Address
Name of installer if known
CST Signature
State and County State Permit #
PLB67- 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:
Lo k.L V- VY-11-V YN WLZ) P411&~ J
B. LOCATION: % Section T3 U N, R_& 10 (or) W Lot# City _ _NW Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance _
Single family X Duplex No. of Bedrooms No. of Persons_
D. TYPE OF APPLIANCES: Dishwasher __Ix_ YES NO Food Waste Grinder-YES4NO # of BathroomsK
Automatic Washer YES NO Other (specify) 77
E. SEPTIC TANK CAPACITY /&&-0 Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement- Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) L 2) .S" 3) OTotal Absorb Area sq. ft.
NewA Addition Replacement *Fill System
Seepage Trench: No. Lin, Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length ST,11 Width Depth Tile Depth QONo. of Lines s;• i,
Seepage Pit: Inside diameter Liquid Depth Tile Size 'Y
Percent slope of land 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 Ce ied Soil Jester
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature LC~fis1 MP/MPRSW# L5_4 3Z 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).
I
a
y ~
1
_ e
Do Not Write i Space Below FOR DEPARTMENT USE ONLY
Date of Application 4 ~ ,V Fees Paid: State C~-' County Date
-Issuing Agent Name
Permit Issued/Rejected (date) 121Z
Inspection Yes_.LNo 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