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Parcel 026-1102-80-100 03/30/2006 03:20 PM
PAGE 1 OF 1
Alt. Parcel 36.30.18.566B 026 - TOWN OF RICHMOND
ST. CROIX COUNTY, WISCONSIN
Current X
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 - TRUDEAU, AMY L
AMY L TRUDEAU
1452 CTY RD E
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1452 CTY RD E
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 5.120 Plat: N/A-NOT AVAILABLE
SEC 36 T30N R18W SW SE 5.120 ACRES LOT 1 Block/Condo Bldg:
CSM 7/1860 LOT 1 CSM 7/1860 REPLACED BY
CSM 7/1928 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
36-30N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
08/07/2001 653211 1695/290 WD
08/07/2001 653210 1695/287 TI
12/15/1988 443847 829/411 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
96196 159,300
Valuations: Last Changed: 06/20/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.120 54,500 82,100 136,600 NO
Totals for 2005:
General Property 5.120 54,500 82,100 136,600
Woodland 0.000 0 0
Totals for 2004:
General Property 5.120 54,500 82,100 136,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 524
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
;.ER , TOWNSHIP h-.,,.-.-(/' ' SEC. T : N, R W
ADDRESS , , ST. CROIX(COUNTY, WISCONSIN.
3DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s
i
3 ,
"TIC TANK(S) ~ MFGR. CONCRETE ~ STEEL
NO. of rings on cover Depth DRY WELL
'NCHES NO. of width length area
no. of lines, width 9 'length area f:
depth to top of pipe
REGATE '
.d: RATE AREA REQUIRED ` AREA AS BUILT id
-;-iaimer: The inspection of this system by St. Croix County does not imply complete
;~liance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
tem operation. However, if failure is noted the County will make every effort to
:ermine cause of failure.
'ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPKfA, R
DATED PLUMBER ON JOB
LICENSE NUMBER '
f
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary PeAmit
State Septic,
NAME Township St. Croix County
Location _.1-4 o Section T N,R W
SEPTIC TANK
Size f01~O gattonz. Numbers o~ CompaA,tment~s
Distance From: Wetf f Ut. 12% oA grea,teA 6tope 6t
l a Buit ding_ 6t. W ettands - 6t.
Hi ghwaeA 6t.
DISPOSAL SYSTEM
D.L.atance From: Wet {1, 6z, 12% oA greater ztope
Building 5' J 6t. Wettands Ft.
H.Lghwate ji"----6t.
FIELD DIMENSIONS:
1 Width o6 tken ch 1 .2, 6t. Depth o6 Ao ck b etow tite /Z in.
Length o6 each tine 6t. Depth o6 Aock over tit e 2- in.
Number o6 tines Depth ob tite below grade "-tin.
TotaZ .length o6 tinezs /&V 4t. Stope o4 tAench in pen 100 bt.
Di,s lance between tine~s__Co ~t. Depth to b edAO ch. St.
Totat abzorbtion area C~ 6t2 Depth to groundwateA 6t.
Requited area (,V( 6t2
S
PIT DIMENSIONS:
Number o6 pits GAavet around pit,5 yeas no
Outside diametvL Depth below intet bt.
Totat abzorbtion aAea 6t2, z
Area tequi&ed 6t2 m
INSPECTED B TITLE /
ate'
APPROVED ,'9ATE OL 19.
REJECTED DATE 197
PLB67 State and County State Permit #
Permit Application County Permit # f
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 ~p Mailing Address:
B. LOCA ION: Section
, T-So N, R (or) W Lot# City _
, if
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 .J No. of Persons
D. TYPE OF APPLIANCES: Dishwasher __x_ YES NO Food Waste Grinder YES NO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY 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) ts- 2)_,_r_3) _,_4__Total Absorb Area sq. ft.
New Addition Replacement_ x *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Lengths , Width Depth jX2'** Tile Depth _,z~, No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land e~ to Sri/ 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 Cer ied Soil
_ I ~rTe_ NAME UAW-5 C.S.T. # and other information
obtained from PZ__ (owner/builder). /
Plumber's Signature a q4215, MP/MPRSW# Phone L
Plumber's Address (.u
7114zi ;Y0 14
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
.86,<d AlA4< (ZeZ.
e _
I~ ~ r
IV& A.
~C ion /
AL,
r
N11J _
e _ ~ ~ _ e e
ESC ~ /i y~
o \
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application - 2P3 Fees Paid: State ht o"!' County L oO Date 7-(f ~7E
Permit Issued/Rejected (date) 7-G `78 Issuing Agent Name
Inspection Yes__,Y No 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
.EH-~ 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 TE TS
LOCATION: Section, , RS L (or) W, Township or Municipality ~ llar.0
Lot No. , Block No. County r1/" 7QOlyl✓
Subdivision Name
Owner's Name: f&AJ&
Mailing Address: P-e *2 d,40
TYPE OF OCCUPANCY: ResidenceNo. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ~yADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
'TTFit~
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHAR
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
- G r~ t l ~S 3 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)
B- ?6 0A
B- N)o S; 30
B-~ JI ^
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of sui`ta ~IVareas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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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 wledge and eli f.
awe SS _S~
Name (print) r Certification No.
Address
Name of installer if known
CST Signature -
COPY A -LOCAL AUTHORITY