Loading...
HomeMy WebLinkAbout026-1020-70-100 n y O! 9 v n C7 O O m O L1 co d 3 'm v •o c T m m CD 3 owl I ~ O O N vNi O N m N• 0 O C N W (D W FBI Z CL :z c - p N !'.h 7 . O O) p d y N N N a V "S d 0 :3 N " N V O O o CD co m ' o A+ c o! f o 0 7 N v ~ O O C N (n 'C D d S (D cn m (A a :3 (A W (D C: Cn. o , o m 3 c m n a, a-4 C N O c 'j K Q 3 v_ z o <Nz 0 c in in in D m m O O a o p N N f~D N N~1 N N 7 d CL z N o z 03 Z O O D p CL !r CD N N v c CD W a a ~ z CD (6 -1 v, o p Z co cn , ; o n A Z O CL O 0 I Z ~ rn CL A Z G A Z1 O Z w 3 m fp z CD A W ~ I I - D Q o - m -n V N C II OD z a o o m U) N N t Z A A q O N O O V A 0 b i p N o t~ O ac o * a °o a Parcel 026-1020-70-100 01/05/2007 09:12 AM PAGE 1 OF 1 Alt. Parcel 6.30.18.72F-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 - ROETHLE, TERRI L TERRI L ROETHLE 1797 95TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description 1797 95TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.300 Plat: N/A-NOT AVAILABLE SEC 6 T30N R18W NW NE LOT 2 CSM VOL Block/Condo Bldg: 2/519 EXC TO HWY PROJ 1559-08-23 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-30N-18W NW NE Notes: Parcel History: Date Doc # Vol/Page Type 09/18/2000 629991 1543/169 WD 07/23/1997 773/144 07/23/1997 734/105 2006 SUMMARY Bill Fair Market Value: Assessed with: 176748 217,000 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.300 43,200 126,000 169,200 NO Totals for 2006: General Property 2.300 43,200 126,000 169,200 Woodland 0.000 0 0 Totals for 2005: General Property 2.300 43,200 126,000 169,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 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 TOWNSHIP SEC. T. N, R W ADDRESS ST. CROIX CITY WISCONSIN. SUBDIVISION LOT f LOT SIZE PLAN VIEW CSM Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM -r 1,. 1 1 I di, ate 04t-h±FArrroow S CAL : I I i SEPTIC TANK(S) MFGR., CONCRETE STEEL NO. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle _ TRENCHES NO. of wi tai - length area BED NO. of lines width length area dept to top o pipe NUMBER OF SEEPAGE PITS -outside i.ameter total pit area AGGREGATE PERK RATE AREA REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Gtoix 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 SYTEM. INSPECTOR r f DATED PLUMBER ON JOB LICENSE NUMBERj. J. i • AS BUILT SANITARY SYSTEM REPORT 113NER , TOWNSHIP SEC. T N9 1 y1. 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. '3DIVISION LOT LOT SIZE • PLAN VIEW -Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM , i i I I i Y i Indicate North; Arrota ! j SCALD : ~ ~ ! ! ! tPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL ANCHES NO. of width length area no. of lines width length area depth to top of pipe aGREGATE RATE AREA REQUIRED AREA AS BUILT 1►SCiaimer: The inspection of this system by St. Croix County does not imply complete .0pliance 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 13tem operation. However, if failure is noted the County will make every effort to ;jtermine cause of failure. AEASES AND OILS SHOULD NOT BE DISPOSED THROUG11 THIS SYSTEM. `INSPECTOR DATED PLU MER ON JOB LICENSE NUMBER R z . REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San,itatcy Petcm,(-'t State Septic NAME Towns hip St. Ctcoix County Location' % o4 Sectii on 1 T.? N,R W SEPTIC TANK Size gatton4. Numbers o6 Compatctments Distance Ftcom: Wett 6t. 12% otc gkeatetc zZope 4t Bu,itd.ing bt. Wet ands b . H.ighwatetc - 6t. DISPOSAL SYSTEM D.iAtance F)com: Wett 6t. 12% otc gtceateA stope Bu.itd.ing bt. Wettandts Ft. Highwatetc 4t. FIELD DIMENSIONS: Width o6 ttcench ` St. Depth o{y tcock below x.ite ,/.J .in. Length o6 each tine ` bt. Depth o~ tcock oven t.ite in. NumbeA o6 tine/s-- Depth o6 tite below gtcade ` in. L, e q{' Tota.E .length o6 Zi.nes $t. Stope o~ ttc.ench in pet 100 6t. Distance between tines 6t. Depth to bedtcocfi_ bt. Totat ab4onbtion atcea 7 6t2 Depth to gtcoundwaten- At. Requited atcea 6t2 PIT DIMENSIONS: NumbeA o6 pigs GnaveZ atcound pits;eta no Outside diametetc Depth below intet~6t. Totat ab,s otcbtion ata' 6t2 . 7 A Atcea Aequ,itced ~t2. rn a. INSPECTED 1:Y , ;;~r• TITLE APPROVED CJ ,DATE t, 197 _ REJECTED.- , DATE 197. i ~ ~I VA 15~ 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 TEST LOCATION: aYv_/4, O_W4, Section !b, T-'-%N, R -WE (o~&ownship or Municipality Lot No. , Block No. County cry- di n~llame Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT y DATES OBSERVATIONS MADE: SOIL BORINGS tPERCOLATION TESTS SOIL MAP SHEET 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 MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- Li - 3© 3 P-Z a C/ 3 71 2 P 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) rjo ~7L Q- S- 2- S L R - 74 S Z a - F~ - s _ 4- _ S C- c 7-S 2 V S,/ TL - - 2 S' .2 ci SG PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. Z Indicate scale or distances. Give horizontal and vertical reference po nts. Indicate slope. L 4 ~ ~ I ! I a { ~ ~ ~ I I ) PIP- , a r I I _ r I~I t ~ Ifi I T I i I I I f i , I, the undersign , 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 belief. Name (print L t-1 Certification No. Address Name of installer if known CST Signature ~ COPY A - LOCAL AUTHOPA"IT ± 114 I f State and County State Permit # /1J a Permit Application County Permit/ 5 .r ~ . r... for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER F P OPERTY Mailing Address: ~A OA\ B. LOCATION: /a Section T,~L N, R/,S_ E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township"; _ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family, Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY f(l Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete d Poured-in-Place Steel Fiberglass Other (specify) New Installation y_Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 2 , y Total Absorb Area « sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: ZLength `V Width i") Depth 4" Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land ff_- Distance from critical slope ',HATER SUPPLY: Private ~4 Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EN 115 if other than present owner: 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 Cer fied Soil Tesler, NAME r r sn/ ,-r S C.S.T. # , / and other information obtained from (owner/builder). Plumber's Signature' / G Phone # MP/MPRSW# Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. / - l ~7f/.7 s A-- E f1y~ , f . . E E E J E i 1 . Do Not Write in Space Below rFQR COUNTY AND STATE DEPARTMENT USE ONLY r~ Date of Application Fees Paid: State , ,(C County L~ Date Permit Issued/f~se:€d (date) ;Z - / Issuing Agent Name , L. Inspection Yes No State Valid# Date Recd 1. county (wh to 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 7/1/78 State and County State Permit # c- `P L B 6 7 Permit Application County Per, i # for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPER ,5 Address: :H 14 L 11W (ailin 0 V~ e- B. LOCATION: V) '/4 11 (A Section T_ I N, R E (or) Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township ' C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES lqO # of Bathrooms- Automatic Washer YES NO Other (specify) E SEPTIC TANK CAPACITYDep Total gallons No. of tanks 'Holding tank capacity Total gallons No. of tanks "-~w Installation Addition Replacement Prefab Concrete__-~-- Poured in Place Steel Other (specify) - - [ZS -FLUENT DISPOSAL SYSTEM: Percolation Rate 1) 0 2) /5-3) ~C7 Total Absorb Area J sq. "'ws Addition Replacement *Fill System :epage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _ `~eepage Bed: Length 6t //Width (Z Depth 9 Q'( Tile Depth ~ No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Y r ~ ?ercent slope of land Distance from critical slope - the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, ^.Iisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared !y the Certified Soil Test :SAME S ~ j I ~ ~w42r-C C # ~ S 53/-and other information ?istained from oil_der). _ ;amber's Signature / PRS --Phone # 2~ )---L3 Plumber's Address j PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 6,4 OJT 4 *f % 9 Do Not Write i Spa e low FjQR DEPARTMENT U$E ONLY Date Date of Applicat n Fees Paid: State e 0 L' Cou Y/Y Permit Issued/R (date) V.-O/-Issuing Agent Na - Inspection Yes No 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) Revised Date 6/1 /76