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HomeMy WebLinkAbout040-1064-10-110 (2)8 - 19 - 2 4 OWVATE SEWAGE SYSTEM Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION 1—permit Holder's Name: Ej ciiy El Village � Town of: AJ f BM Description: M lev r_- Insp. BM Elev.: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosi ng Aeration Holding TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. Ventto ROAD Air Intake SepticA/ NA/f Dosing NA Aeration NA Holding L- - PUMP/SIPHON INFORMATION Manufacturer Demand Model Number GPM TDH Lift Friction 5ystem Loss Head TDH Ft Forcemain Length Dia. Dist. To Well ELEVATION TlInN DATA A9300291 STATION BS HI FS ELEV. Benchmark ''���y (J %TQ . �v Bldg. Sewer St / Ht Inlet St / Ht Outlet /C� Dt Inlet Dt Bottom Header Man. (gs�� Dist. Pipe Bot. System Final Grade DISTRIBUTION SYSTEM x Hole Size x Hole Spacing Vent To Air Intake Header / Manifold Distribution P1 Length —L Dia Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems only I - Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Depth Over Bed /Trench Center Bed /Trench Edges Topsoil Yes ❑ No ❑ Yes E] No COMMENTS: (include code discrepancies, persons present, etc.) Plan revision required? Yes E] No L/ 5- �/� -`" Use other side for additional information. SBD-6710(R 05191) Date inspector's Signature Cert No- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER r ADDRESS '7!� l 4 Cal �vur �. Z all SUBDIVISION CSMf LOT SECTION_ 12T�1� Z2—N-R W Town of I (o. ZS. Z µUiE ► o ST. CROIX COUNTY, WIS 0%� fN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM `C �. 0 w AM INDICATE NOR114 AP -ROW Prov, de t reverse of ti-lis for m. I setback and el anon ,nf ma ion on re-ve- 0 1-1 r-ov I - de 2 dimenslonc:-) to rite of tank manhole caves ��/ BENCHMARK: tv v ST4,1�(% � I J C�'G / -- ALTERNATE BM.* SEPTIC TANK PUMP CHAMBER HOLDING -.TANK IETFORMATION Manufacturer: W .a.�- Liquid Capaci'ty:_--/6t-6 Setback from: Well House Other Pump: Manufacturerr Modelt Size Float seperation . . .................. Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Wj*-dth: /C.IZ Length Number of Distance & Direction to nearest prop. line : Setback from: well H ouseOther ,.%,�►, ELEVATIONS Building Sewer ST Inlet.- ST outlet /0 PC inlet- PC bottom Pump Off Header/Manifold 5,5140 Bottom of system � --� Existing Grade 31g, I Final grade 571 7 DATE OF INSTALLATION: �7 - PLUMBER ON JOB: 72 LICENSE NUMBER: TNSPECTOR-. 3/9 3 : j t SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code .—Attach complete plans (to the county copy only) for the system, on paper not less than 81/2x 11 inches �n size. , —See reverse side for instructions for completing this application. I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. r% KICO PROPERTY LOCATION r_r11Vr7r_" S T.Zk, N R As BLOCK # r 1 k1 t'-% A r% n LOTH PROPERTY OWN0 ; CITY, STATE ZIP CODE E PHONE NUMBER COUNTY STATE S�N I A Check if revision to p /evious application STATE PLAN I.D. NUMBER r) W Cl Ty y NEAREST ROAD 11. TYPE 6F B61LDING: (Check one) ❑State Owned 0 VILLAGE: 4i_0 3 Q TQWN QF: E]Public 1 or 2 Fam. Dwelling—# of bedrooms. PARCEL TAX NU (Sy 111111. BUILDING USE: (if building type is public, check all that apply) 4,/o A� � �� �`%C, - %�I� y- ��)' � - 1 ❑ Apt/Condo 2 ❑Assembly Hall 6 ❑Medical Facility/Nursing Home 10 ❑Outdoor Recreational Facility 3 ❑Campground 7 ❑Merchandise: Sales/Repairs 11 El Restaurant/Bar/Dining 4 ❑Church/School 8 ❑Mobile Home Park 12 ❑Service Station/Car Wash 5 ❑Hotel/Motel 9 ❑Office/Factory 13 ❑Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) 1,1171 3. El Replacement of A) 1. n New 2. El Replacement System System Tank Only B) El A Sanitary Permit was previously issued. ---Permit # V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution 11 /N Seepage Bed 1 ❑Seepage Trench 13 ❑Seepage Pit 14 ❑System -In -Fill Pressurized Distribution 21 ❑Mound 22 0 in -Ground Pressure 4. ❑Reconnection of Existing System — Date Issued Experimental 30 ❑Specify Type 5. F Repair of an Existing System Other 41 ❑Holding Tank 42 ❑Pit Privy 43 ❑Vault Privy V1. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE G. SYSTEM ELEV. 7. FINAL GRADE REQUIRED sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) I ELEVATION ?OZ a .9:::� - W-? Y%s Feet Feet ws� (00 1 .- I — V11. TANK CAPACITY I Prefab. Site I I Fiber- Exper. in gallons Total # of Manufacturer's Name Concrete Con- Steel glass Plastic App. INFORMATION New xisting Gallons Tanks structed Tanks TanksSe tic Tank or Holding Tank _70 Lift E2.m .2 TankJSiphon Chamber Vill. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plug*er's Name (Pri Plumber's Signat re: Stamp kV/MPRSW No.: Business Phone Number: zz , p� 41� Plumber's Address (Street, City, State, Zip Code): A Ix. AOUNTY/DEPARTMENT USE ONLY nt a o Stamo) S 'tary Permit Fee (includes Groundwater Date Issued issuing A ture CK Disapproved Surcharge Fee) 4 Approved Ej owner Given initial oel Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: /V fy-1 SUBDIVISION NAME OR CSM NUMBER `18 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1 A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration . date, and at the firne of ria3newai any new criteria in the. WisGonsiln Administrative Code will be f-applicable. 3. All i-evisions to this permit must ibe approved �- y 1,,he Pvlf'-'iil issuing autl-t-rity. 4. Changes in ownership or plumber requireta, a S i. (S_ J subl-nitted to the county prior to installation. 5. on,"i'. e sewage sycstem-s rVnu3Kbtprope'l• 't a 7 al, t"(Fe!�ryf"i pumper whenever necessary, usuallyievery 2 io 3 6. If you have questions concerning your'onsite sewage system, contact you r State of Wisconsin, Safety & Buildi.ngs Division, 608-266-3815. To be complete and accurate this sanit.ary,,permit application must include- N I. Property owner's name and mailing address. Provide the legal description and pa b'er(s' of % ­ r(;el tax nL_JM where the system is to be Inst.afled., 11, Type of building being served. Check only one and complete # of bedrooms if -I (.,�r 2 Family 'Dwe;-ing, Ill. Building use. If building type is Public, cheCk all. appropriate boxes that apply, r�r tank replacement, ioconnection, or. IV. Type of permit. Check only one in line A. Complete line B if permit Is f repair. V. Type of system. Check appropriate box depending on system type.. � ? [k.j 1 1. .71, 1 - ", 'r. r I VI, Absorption systerr, ;r1format-on. Provide al! 'n -a 4- I k I ie CZ pac -v (-)I evt?t VIA. T�,:,nk- i; tji-mation. FiH, in tanks and 1R .. r a,, ii'8 k t septic, p.imp'spshcm and 4dng tariks for yst0r Ghec exper.rne-ioa; p-oi. ct frorlr� Dy I L VM RoQpar�cl )Ste z. 11 'o - -1 _It %, 01 bility statement. ti.-A k' NIP, etoc,), addres-.s an,d phonE� 6) 10 M U i,- P I F�.A- 5 E 0° 1 °' {y� } k I.A I X County "Department Use Only, K G"ountyiDeparlm.ert !Jt;e 0, !yi 0 M P e t_)! -a t, CD o rj -a 4 j7, T q C4 r P. hc!dirg P st(ea.fyls ta F) k F t 4 ane', fhe of 1, a:i r � . . f - 'r ';I • k N• : •P'A G' Cimplete Spec 4ica` ons f pun­,.ps, and C 0 1 IL A� i JOS - _ ,a g R pe'r-forMance curve; Pump model and pump manufa,_.G.,rep­, D) (--.loss section of t`je s, o I I a bs o r p 'i o ,_vstern i i -required by e county; ounty; E.) soi-1 test data. on a 115 form; and F) al Cs i z i ng '; n to r rn at i o n. GROUNDWATER 'SDI RCHARGE 1983 Wisconsin Act 410 included the creaotion of '-surchargeF) (fet3- a U m r ��t regi-Oa-led pra"ices which can =,.,f1cC,t 'The mor- es coPectc-.,- se k0 W 0�11 ation ta. n investiq s an (j e-sta is h i v­ n f SBD-6398 (R.11/88) 6 11 '14 MT / A# r, - 146 110 w 4 k �ih $ $ � I \A. %oA PAGE OF o's S e c. A Sy t Fresh Air Infols And Obwvaflon Pipe �-Approvsd Vent Cap Minirnwn 12" Above Final Grade I 20-42 - Above Pipe 4" Cast Iron To Final Grade Vent Pipe 'Marsh Hay Or Synthetic Covering_ Win 2' Aggregate Over Pipe Olisfribullon Pipe 20 -- Too 6" Aggregate #0 Beneath Pipe P*rfOratod Pipe aelow Covoing Twminallng At Bottom Of System Pro ash cl .0, SOIL FILL D15TKI13U-r10k1 PIPE APPROVED S4WTIMETIC COVER C.. 1 0, � - f 2 OF 069 E6AIE o a �"``" fq AT F. R i N- 0 R. 9' t 0 F s R A -r \^/ OR /AAR SW HA,,� 0r t:LF-V OF U 4 11-5 OF Xp - a /Z A G G K r- G AT F- �� ' �. ,. FEET DI-S-t-RIR-1JT1,r3M PIPE T() BE AT LEAST C:;2 IUCHF :-S BELOW ORIGIKJAL &RAIDE AkJU AT LEAST40 110CHES BUT KIO MOKC TRAM 42 IHC14E� ") BELOW FlUAL GRADF- M91MUM DEPTH OF FXCAVAT100 FRoM a � I & W At L 6RAoF- VJ I L L B F- I " c H E: 5 MINIMUM OF-f OF FACAVATI(oo MOM. Olkl[GIWAL GRAPE WILL BE � INCHES SIG"EID L1C,EU5F- KJUMBF-R*. DATE: —Je--,-,--3o DEPARTMENT OF INDUSTRY LABOR AND HUMAN"RELATIONS SAFETY & BUILDINGS DIVISION P.O. BOX 7969 MADISON, W1 53707 REPORT 01`. 301E BORINGS AND PERCOLATION TESTS (115) 0 LH14 83.09(l) & Chapter 145) RATING: S- Site suitable for system U- Site unsuitable for system CQNV P� MOUND; -G . um—&c E., SY —ST E -IN-FILL O 1 17) TANK-:-IIE Ej S D: S au jff--Fi0UN B-SElp SING COMWENDED PYSTEM, (optional) IRS Ou LU I F-1 S Di If Percolation Tests are NOT required ES16N RATE: If any portion of the tested area is In the under:. ILHF 83.09(5)(b), Indicate Floodplain, indicate Floodplain elevation: Ae, PROFILE DESCRIPTIONS PERCOLATION TESTS PLOT PLAN: Show locations of pert zontal and vertical elevation reference of nd slope. SYSTEM tLEVATION �.*Atanoas. Describe what are the horl- I I bo"V s and the direction and percent A4 4 T 0.1 t . 0000 40 Poo! IV J AV xjool N-1 e' 6110toP e A"o, or Aso .OA I)r 1, voe wo 7 jr,? 14 At :A ow vjp 20 N C/' 19'ne cifr41Vt1hat the soil tests r is form were made by me in accord with the proced Administrative Code, and that the data recorded and the location of the tests are correct to the bast of my knowledge and iW0,15 (print): 11AVIC CM&IOW Ell liffiAnN1.3,; -- ITSS—TS I WARE Z�—O? V e. -T ,"nd methods specified in the Wisconsin f 016-1-RIBUTION: Original and one copy to u, r 9 Luca 7 .jILHR-SOD4395 (R, 10183) APPLICATION FOR SANITARY PERMIT 9TC-- 100 phis application form is to be completed in ,Full and signod by the owner(s) of the yroperty being developed. Any inadequacies will only result in delays of the permit Issuance. Should this development be intended for resale by owner/contractor, ("epee house"), there a second forth should be retained and completed When the property is sold and submitted to this office with the appropriate deed recording. � M r .y .+s r ..�► w .... w r r n.. w r w .w w M .+F w a.. !. w .... r ...r w. w r .� ir. ' w ww w r r ` U. w w "• r w Owner of Property Location of propertyjvtl- Ic ME- It, Section T N--R 19 W _..___,., Tmmehip -T72-o v Hailing Address ` Mf?:> (.0 LD T AV), 1-5-0 0 AA I tq C� KI /UN S S � l Address of Site-/71V 0 S 0 A! F iubdi isian llama CSM ,/PP 7 Lot "umber Previous owner of property ��z,r2,MAI &1 Total Blue of parcel-A� ..-Q-- bate Parcel Was Created L/ - Are all corners and lot lines identifiable? x Yes No Is this property being developed for resale (epee house) 1 Yes No goivata q and Page Number recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warianty Deed which includes a Document number, volume and page number, and the Seal of theReitieter of beech. In addition, a certified survey, if available, would be helpful ev as to avoid del®qs of the reviewing process. If the deed description refer - cry o yr� t$iied Survey Hap, the Certified Survey Flap shell also be required. w r r- r - r M - - - w Y w Y w. PROPERTY OWNER CERtIPICATIdN I Oki i e oJtV � y .th ct t O-Q A td temett o oft .thtA O&M cute tAue .to tJt a b" t 06 m hpirwfo_dgo_; V,a,t i (eve j ctrn (alley Vte clulle k 06 the ho eh.t dell •b y �auhf n oln+at. a►t ha 6a", by v�ue 06 a wa-"a►t,ty deed ker-oAde-d�tit yth 06 i ed in �Ce CarrnWIC RegJA tfA v 6 VeedA " VOCumert.t No. e 6 tee o6 rite c.v►t no oa ed � �i n ��� � `� � ; and that Y Wey p n .te ,� n .fire �e<Vnne d.ilS��vh aye em ion � �we1 have ob.�cuned nn t na +o.�+Erut � .t o hurt w.�lt VIP. v. above dP�S b ed pn op ¢lt.tr�, oh the eo ►t.a .thu et,t o n o 6 d ai d a ye&n+, sand AltC bcone hQe been duty heeohded t►n the 61ce o6 .the Count Re is.ten o Ott" , Do No . } y 9 d 8ICM' PURR or ER SIGNATURE RE OF CO --OWNER (IF APPLICABLE) h�Tf t t�t�rh ,i' a her ti. ,r s"' � ,� f •J t h?. '," yF x; t#4 .. p k . Y" � ��c•Zvi - i.-', .'. n ts Ij 446898T. CERTIFxED.. SURT,�,Fx. LOCATED IN THE NEIA OF TRE, NE1/4 ANSI THE SEi 4;:OF* THE 3E1 4 4F SECTION 16, T28N, R19W AND THE SW1 /4 OF THE NW1 /4 OF,., SECTION- : U9W, TOWN OF TROY,. - .ST .. CROIX-COUNTY, _WISC.4NSIN, :. ...r C tiMtt '�11 �'i'C1"tA:tG.;: ��CZ�.,.:!V% T .: �. ..MdW OWN CZ I I U T MM •r :':B 8:� �l-C]V �'L- F L r e `i um b e r 6 `0V eta �z ..1 � a ._ •�v CL'L7!Akioso Ci E `VG `s, Sactiocs 7 -9 �; , R 9 Sc. Croix CauaC7 Sub iv S.s ian L'a c mumber Voro lO tmaeover case gad mai ncanance of your saps :c s�racant could result In ins premac•sra Eallure to handla Tastes. PTvpar MaincEananca con- slses ad pumptag out the sso c#c tank averof cares years or sooner, L! aeedod . by a Y ica:tsed sav a is canic aumne r . What you put La ca Cate syscam tan at =act rho duncc;an n c Gate sepc=a tank • as a creac- nonc stage La cite zaaca ci!Lavosal syscam. St. Cro 3; Caune'T rasidenC3 Mao be 31-4mg1bla to receive a grant �OZ a maxt=uit o z 60Z u r Cho cos c o C realacame c of a Eai.+iag syscam v whtah was ;a aoarrac :an pr`or to lull L. L478. St. araix CaunC.t aameacad tails program La Amscrssc of L4080, wfch the requiram*nC chat owners o a. T ct� SVSCams aRrss to i;aetfl e:te;r syseaats praverl'y csa�.aC3{ wed . .,%' a proper 7 owner agrees to submit Ca St. Crot : CauRC7 zadiaA a =arm... aae;.on Eo ran, sxKned b v Cate ownt*r and by a mas•ear PLumber , journeyman *lumber. r escr tazod plumber or a L :.consed pumper veri- at Cl� tarn vtt-sit E?:,ag cars �jA3C* Tatar d4 aposaL syssaat ;s : La props averae�ag mondiaion and (?) a E':ar ;nsnecc Lon• and pum; Lag•.' (ii` aec- assar7) , mhw se;tic Canic fs Lass than L/ I ItU1 of z1udga and scum Cart :� :c3eiort Eor:a •jUalm bqa sarte anoras .maeaZy 30 days pr ear co three Tear axpirac=on. LI roc. cha andersigned, havre read the above reauizemenCs and agrai ca mai :e3iZ cis pttvaea se*jager discosz! systam Ln accvrdanca •tic: cite standards sec A'P'orc:i; herairt, as sec by Cate 'jisconsi:t Depar :- mane Q c Na c:sral Rasourc es . Ca rd=:La.%c a E o c-a *use be eacao L a c ad artd reC-sraed co cha Sc . Cr o Lx CaunC? Zoniag DE! Lcs •44c:tia 3D' day,t OE Cho chrea rear atpi;sCion data. CAD ZZ PAL S �Crr IALMr `7 IRCL A +fir} j.\� �' s-�`y,dK A;, F.'g •� fi.1'r_Y.�r Py r3 �_' tt •9y � -.; ram° r '�A i ti• � S^ k � I DESCRIPTION A parcel of land located in the NE1/4 Of the NE1/4 and the SE1/4 of the NEI/4 Of Section 16, T28N, R19W and the SW1/4 of the NW1/4 of Section 15, T28N, R19Wr Town of Troy, St, Croix County, Wisconsin, described as) fol'.Ows:-COmrncncing at the NE corner of said""Section. 161 thence SI*58014"W 327.871 along the East line of said NEI/4 Of Section 16 to the paint of beginning; thence S105811411W 1354.00' alonsaid East line; thence S48606434'JE 1496.674i thence N88050'laltw 1g 53.26, along the c;ente-r,- linG Of Glover Road and the E-W 1/4 Secti©n line of said Section 151 thence N48006'3411W 2079*071; thence NI*58'14"E 972.17'; thence S89"00'33"E 600.004 to the point Of beginning. This parcel contains 876,536 Square Feet, more or less, being 20.122 4 Acree I s, moror lessr including 8xisting Glover Road right-of-way and 871,479 Square Feet, more or lessbeing 20.006 Acres, more or less, excluding Glover Road right-of-waf y. Subject to easements of record. I hereby certify that the above description and hamap are correct I and that Ive fully complied with the Provisions of Section 236-34 of the Wisconsin Statutes. Date: January 11, 1989* Francis H. Ogden S-882 Job No. 89-1787 Ogden Engineering, Co. 113 W. Walnut Street River Falls, Wisconsin 54022 100, I's 40 0 L) DOO N OWNER Albert P.J. Hansen jo 1. RIVUZ FALLS, �f• ; 523 CTH FF Hudson, Wisconsin 54016 ;e*•*gDGVftk& GOOD GGk% 0, -,VCR $41141 VOLUHE 7 PACE 2084 09/21/93 15:17 $715 381 4400 SC CO REG/DEED j t !t f �. I� RL 11 DOCUMENT CONTRACT ' haf-i6a" ,14 i, rro sr. CWM Wax {"_T_ a w E o a490349 1 Cojjtrael� by amd —Poserty Exaa—vati it -aalw-r_ whether am ar Due) - vendor sells =d avem to =Vey to ni= tta prolaA P`m�b the :coca ~-ng p=p�g. � w� the , s' . �'armauce of this �tra� hg � ' ants,,profiyts-„ fires g� ather app� '+a�`a taU caned! W. _ lot: ctle NznsPage 208 t L" ' 446898, filed i-a St. gals CO=tY i t � ice r-.j And 3.4, 1989, � I t �. � �� i o heat { E � ( of ) - t Sc t� cif' t k. Qu' ' f i f : ; i . �G._.l'� (i a� t Sc i of: the Nort st � of Na eteen (19) West2 TbM Of `BWfP 1 nnearoUs and amain F� Cam' as vets� .ice �. �' oa ��' 19_ �� i� � t Vol. Thft . is Mt �' Q Z` + to n the �y e� to pay to V � � H CU fbasmrinc CK) ithe Cow- ad W bat merest irvm . 1 .I at the t��nn of � ,� ire` �.T� g� �r .i hereof am the fixes-� tie to ti= at ce=t ftn� a= , S �ML 5a as fanovm • ig Nbv1Er 13,L 3,992 and co the t��h daY Me. ezeb =-A every =nth 7 a of .pa- :ate interezt in the MML=t � 00 said paymants to be ne4e jvintl$ to Chrds: In, and the First Hit of Ever Falls. - the - a � beP*Mis as or hexe th•• 13 , day of rxavthe =Atmdty date)- l � � default i l' LAyment* bt t shin# at Tate of ...—�1-'� per a�� vd the enZ'.�e �t ri &d alt twb=!bL eutU jt wit lmztt %i , del tte�t r ngvn , eraCi4� O= zaa3�tri y, the enter ' si t it to pal x�,nzHy an��. , I ham-, vz3� by V=&r, �� t* PRYt� Y ► ' psted sua=i =ea, speeEA $tents. = ."�' F *ben due. Tothe.exfieat r+xez d bY Yreadgrt { ' tom-, Sack � � by the VWIW fur gatymmt of � I �%dnr. s�� � SPP�+' F�t� t4 these ' • iea su � � or haste a a�t6 b� abzR not hear ia� C ' s taxes, �=ts sact w , requizea bg 11w' f arazn zt$ shah be a7nHed to in� ea the unpsiA � stab* rate sp�ecil�*d and the to pacing . ;F ji P � ===t =ay be -prepai4 Wlth0at Prwni= aP= P=IIdFA st ffi�'' . --,< III in. the *Vest of any preps-y mt, t� s� mot be treem as � �t whb , rest t& �}=ent M 1*= 1 sls the � � is p�� sad (� i:% sacb. L -. t"` IDaatli L+�r mtr sa tereatod � =�a�-1.) ]s less #.�..m the t t� S*.3t3 �'� the mw1zthI3r puy=euty bcwCxi " aka f>st speej&d abave- pzavided tbxt ManiW 7xyment:s be cun#�ned �. the event of credo of any promods qtf ink or• c*Udemn-atim the, aderstteci � bed fbw t333Ude& igref x1m ' is UESW wi& the I.tie *v shams, by the title CTW=m ambu%itted to i dated �7 9o� reewded -T 5, � in gQ f �, l�s 462 3 as =" 4592 • - '� ,s+ agrees M pay the cost of f t 4e . T. t We eti-icita� is in the fo= of sm zbsi� it, ab: day of almdxrg be rettimed by Yeador until the IhU WOE is be enthW to take paspadm of the PtopeztT a i'-Q*+. cyar_ cam. • � � .,,,,..._.,,...�.._.:-- = � E 'Wk !t* tea, lat- A,Cz,.. tnt[s sra,Cs � � rew *Xcot+enrrm DATA #+ d A. OC T 2 219SZ' t v T4 ?eye T _. 11 - � - i - ,• - - .. 1 . � � . - - w - • • .. - . - - _ - i `: q. 416 Bitdvr 40 oil dl. I { - .7 e � � a.; r • � � r�Vali � � �'�ya�7��7,�"i.Ic, � � fL 1+ Nix � Vol Pal av 604 I e4ol pp #1 1 W a kr7 a `arU 4-4 mall 1 a R s } �r1 4 W _ � YY a. � ■ / JJRR Ii■ a fl(i ! _ 1� r it •■ a .,.,-.7r„; 1�.6 - , a • . - . _ * tea♦ --. - 411 �� ■yam i +9 e. Val,,f i Lei 15YF 49 sS .0 v I. I M � 1I �l j a i d•� � M� � � � Id 14 on wg ■q � ■• 1 t A C V r , 9 V" 1+ 4 AL0 �.1 YO f� � lot is, J �} ' n � - �►'�a 00 ! 101 It, cl► � ,� � � � b �,�, �� 1r+O�/ 1F7tS�f I■f� ga l 8 •�'� �;�' •� .� SSS777i �'�a�jj tft - � a r1►-1 air � � � 1�• � . rJ, a J.1 ■ 1 i MA 8 b, b fal '...•+--- - - - - - - - - - - -- — - — --- - - - - --- - - - - -- - — - - - - - - o w s • r r+•r� r r.wnn�. ■ Mom- kr I � ,i _ - - - n . .,..■- .._t.,,,,.... ,,,,.-. -6 ate.- � a,�-„_�f; --�---=a_-'�'t�:�� +'•max -.ads .,"-,•jfF' � ::�.�' � - .. _ _ _, - """ • _ 5 t ATEMENT OF REAVESTATE TAXES FOR C S T CC. ti i'! i •. + L �'+ fi +� Sri ' +_�' � ti t `�� CORRESPONDENCE SHOULD DEFER TO THIS TAX ACCOUNT NUMBER A U n -• : • f • { ! 1-: _ ;-j� SF RIEYERSE SIDE FflRMCiHTAIST tNFOR1NATIQN E _ _ � �COUNTY CIF C R I BILL NO. RE.svEt>�T NO. cl 4 'T= Sart %jr VY 10%eWivSlN '�a+iE55ED VALUE LAND iSS€SSfD'tA! UE F LiNEI:�EKI`5; TOTAL ASS SSEQ vitLUE i AYE. /ITT. RATK? I ESTt1A,ATED FAIR MARlcET VALm- - • : �I�i`. ; R iS T� ' 2, TAXES BEFORE ESTWAIEO ESTIMATED a iTATE ► MS �TAXES AFTEit ESiWAfE6- MAJOR STATE AIDS CAE 0-415 USED TO REDUCE TAXES MAJOR STATE P S I� 541 Tr { } :jy _ i.. ram• s •a.` �' E i •.=ti� F' �.l 0 TR ���' .tea` _ '! _., + ��� • �� 1 5 -3 , 42 is %L_ P", l 1• � i . �_ . _ _• I t � c • i 7$ ` 7 - L-TAX CREDIT If � .-_ t • • 'j1 ! : . f V ■ w=. � 3 - - i � � ti.I • � 4.% r gOPERTY TAX BEFORE LOTTERY CFIEDIT it T HtS TAX BILL IS FOR YOUR PRMIARY FIESIDENCE LOTTERY CREDIT f :: 2. W PROPERTY TAX AFTER IMPORTANT: BE SURE THIS'DESCRiPT*N COVERS YOUR PROPERTY LOTTEFlY CREDIT TOTAL NET TAX RATE ?:OTrE THAT THIS DESCRIPTK3N IS FOR TAX BILL ONLY AND MAY NOT BE A (Don NOT m4tct Ion" _] FULL LEGAL DE5CRiPTIQN. _ • � � I i J L1 i !! + • ; / • , ` i • ei •4 2E .la tw �r • �. � a� i K Ps R L ■1' . 'V� -_ P A U ■• . • r E - _ :. :' iir `.•`ter '. •�'�'_ : '4 NE I f►.:I �{ `-lii E ` -• '_ �.1 :1 �} i� _+. i ; *; 1 i +#■ C. I.i tt _ • :1 t 1 f� f7J ! i _I'� _�' iii• •.K 547-5 t CCti [O V 7m co 0� 0 O-eq3 . . . . . . . . . � S'' S � J � S' SAFETY & BUILDINGS DEPARTMENT OF REPORT ON SOIL BORINGS AND DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (I LH R 83.090) & Chapter 145) LOT NO.: BLK. NO.: SUBDIVISION NAME. LOCATION: SECTION: 0WNSHIP/M4J++fetRALiTY: 1/4 lv�� I I 10 V 7= 1 -P e*4 /4 ' /� J;v, N/R/f E co(oAr I MAILINGADDRESS: COUNTY: OWNERT136PY -_-R-'S-N-AME: DATES OBSERVATIONS MADE USE BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: EpNew Replace X Residence ////Yzt -,, V,,/ Y 9 / RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN -GROUND -PRESSURE SYSTEM-IN-Fl LL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ZS0U I 0SEA DSDU DSCCU EIS DU ;�.-- .,^,��d, If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. I LHR 83-09(5)(b), indicate -.77 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION TO GROUNDWATER -INCH --- F NUMBER DEPTH IN, ELEVATION - ES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH OBSERVED EST. HIGHEST=TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- > B- 2— P /V A,' e- B- Y A)Pe- Pe- > fr B- F7, ems' B- TEST DEPTH WATER IN HOLE TEST TIME NUMBER INCHES AFTERSWELLINGINTERVAL-MIN. P_ - Ir fey_? P- P- P_ I/, 7 P 13 / r/ &.., /17 /, Y '.5 c _C I-'/, � C- �� IF "►,E% PERCOLATION TESTS C_r DROP IN WATER LEVEL -INCHES PERIOD 1_ PERIOD 2 PERIOD 3 RATE MINUTES PER INCH PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or Atances. Describe what are the ho the direction and perce bogs zontal and vertical elevation reference points elevation and and show their location on the plot plan. Show the surface eleva 3> all of end slope. 3 6q SYSTEM tLEVATION 5 e r/ �YPie e 0 0- Pe �2 tN 7� Y, y 116 A .... ... ... //77� .. .. .. . ....... A)NW 0 r I^ v ef Y-/- x e nd methods specified in the Wisconsin in the d method 11,46 undersigned,` hereby certify that the soil tests r is form were made by me accord with proved to the best of my knowledge aXndb j 0. Administrative Code, and that the data recorded and the location of the tests are correct 1 A NAME (print): ITESTS WERE C0MPLETEDQ%N:1 DAVE FOGERTY Pi UMBIN%.* vxl ADDRESS: Maned Perk - tester & Plumi5er CERT11FICATION NUMBER: PFiONI NUMBER (optional): #3233 #3289 He l•- ights Rna - 8ERTS, WISCONSIN 54023 Pttone 749-3656 CST SIGNATURE: TRIBLITION: Original and one copy to Local Authority, Property Owner and Soil Tester. 'R-SBD-6395 (R. 10/83) - OVER - Y.6 1 446898 CERTIFIED SURVEY MAP LOCATED IN THE NE1/4 OF THE NE1/4 AND THE SE114 nF THE MVI IG AV 0VP0rTnu le Parcel #: 040-1064-10-110 0412812005 02:38 PM PAGE 1 4F 1 Alt. Parcel #: 16.28.19.240A10 040 - TOWN OF TROY ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * MYHRE, KARL D & PAULA E KARL D & PAULA E MYHRE 618 GLOVER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description " 618 GLOVER RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 24.600 Plat: NIA -NOT AVAILABLE SEC 16 T28N R19W LOT 1 CSM 7/2084 BEING Block/Condo Bldg: PT OF NE1/4 NE1/4 & SE1/4 NE1/4 SEC 16 & SW 1 /4 NW 1 /4 SEC 15 ALSO A PARCEL DESC AS Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4) BEG NE COR SEC 16; TH N 89 DEG W 600'; 16-28N-19W THS01 DEG W327.94';THS89DEG E 600'; TH N 01 DEG 327.87' TO POB (LSAO) more.. Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1066/485 WD 07/23/1997 1065/44 WD 07/23/1997 976/281 LC 07/23/1997 976/40 LC 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 26628 467,600 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 71,500 362,700 434,200 NO UNDEVELOPED G5 19.600 34,300 0 34,300 NO Totals for 2004: General Property 24.600 105,800 362,700 468,500 Woodland 0.000 0 0 Totals for 2003: General Property 24,600 123,600 371,100 494,700 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 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 V January 26, 1994 Derrick Construction Attn: Mike Stephens P.O. A New Richmond, WI 54017 Dear Mr. Stephens: An inspection of the septic system for the Karl Myhre property in Document No, 490349, Vol. 976 at page 286, located in the NE; of the NE; of Section 12 T28N-R19W, Town of Troy, was conducted on November 15, 1993. At the time of the inspection this septic system was found to be code compliant for a three bedroom home. Should you have any questions please f eel free to contact this office. Sincerely, Thomas C. Nelson zoning Administrator j S