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040-1101-90-001
CD I M p Es 0 o~ o C a O o I o N o c eV 3~c I o Ma -D caom r- m o C o y o A N c ~O=a U c €tr- T! O O LL N y~ a~ m -6 cL m L fp N y U y O ~ U f6 C C Z 3 ° ° ~ LL c Ova 3 N~ITc Qwcc cc° ~ I ~ M CL o I co E ~ v ~ E o IL m N H Z C C9 •O II o Z a c d Z a c fA I- c C 'o E I N (D O) N a O N _ a U) L O O N Q ui Z M Z N LL N ~ d CO E om _ d E o C) N H d O ~ o- D D C ~ m }~w Q o 00 mv)v> > m J Z > - a~ •N o aaaa IL m v C-4 04 N J U ca rn rn Z o - ti o o O = o o co d ~ ly/! C ~~Vi RS Q r O LL O 0 c O ( 1 VA > a p o of 0 o ao o ~u°~ M d a"i v ~ N A co O O • ' o N U a o z c z V d R a ac ° a r`~w rCd+ E C C ad. C t A C)a"~ 0 n~ ' Parcel 040-1101-90-001 12/12/2005 10:08 AM PAGE IOF 1 Alt. Parcel 25.28.19.397-0 040 - TOWN OF TROY 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 - CITY OF RIVER FALLS CITY OF RIVER FALLS 123 E ELM ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 25 T28N R1 9W 1.634 AC NW SE LOT 1 OF Block/Condo Bldg: CSM 5/1475 EXC PT TO ST FOR HWY 908/369 ANNEXED #521715 9/26/94 HWY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 25-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1095/532 WD 07/23/1997 908/369 07/23/1997 703/66 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: - -'z Last Changed: 12/21/1994 Description Class Acres Land Improve Total State Reason IgIqc~m 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 Y~ ~i4a+✓ FORM NO. 985-A w Stock No. 26273 521598 CERTIFIED SURVEY MAP NO. 2820 s VOL UME 1 o , PAGE 2820. y 6' PART OF THE SE 1/4 OF THE NW 1/4, THE SW 1/4 OF THE NE 1/4, THE NE 1 /4 OF THE SW 1/4, AND THE NW 1 /4 OF THE SE 1/4, SECTION 25, TOWNSHIP 28 NORTH, RANGE 19 WEST, CITY OF RIVER FALLS, ST. CROIX COUNTY, WISCONSIN SCALE:1 200' N PREPARED FOR : 100' 200' 400' THE CITY OF RIVER FALLS RIVER'FAELMLLS, STREET N 54022 LEGEND o ° GOVERNMENT CORNER (AS NOTED) w J N NORTH 1/4 CORNER O FOUND 3/4" RE-BAR N Q SEC.25, T28N, R19W FND. COUNTY MONUMENT O• FOUND 1" IRON PIPE rn w 0 SET, 3/4"X24" REBAR F \ WEIGHING 1.502 LBS. o N s \ \\~PER LINEAL F00~ oaaffaeeN4, L) c-4 u z L0 LLJ ~ 00 \ * r DONALD M.•.* \ CLARK W to \ \ S-1580 • Z = MENOMONIE, C 7 e z 4w M V) -40 W, y N %92, S 85'39'23" W 20.49 I k~ ~iS`'B. • SE-NW 76'351 y 5~~, pp, ~~CT NE-SW - C~ . SW-NE NW-SE- 82' RAD. lr~ O . 18.00' OUTLOT 1 y0N 85'39' 2' E 11,471 S0. FT. N '00 (0.26±ACRES) LOT 1 \0~ 3 526,804 SQ. FT. if o ~h (12.09±ACRES) a no I W~ pi f~ z z n r a~ N N ~ a • ~ ~L~ ~ I 3 3 ~ Na p "t \ QI N 15.06 Amy (658.99') z v v) 146.37 N 658.93' U f F N 86'48'12" E 971.00' 1 W (N 85'00' E) I V Na N s_ SOUTH 1/4 CORNER SEC.25, T28N, R19W * zp / FND. COUNTY MONUMENT I CEDAR CORPORATION 604 WILSON AVENUE MENOMONIE, W154751 (715) 235.9081 PAGE / ®F--? I 1 , AS BUILT SANITARY SYSTEM REPORT OWNER lot k-t--fiji,11 TOWNSHIP 100 j' SECTION TST N-R-L'Z-W ADDRESS- CROIX COUNTY, WISCONSIN icy /s l ~YO SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I 1 re 00 INDICATE NORTH ARROW BENCHMARK: Elevation and description: f/ob - Alternate benchmark SEPTIC TANK:Manufacturer:, Liquid Cap. Rings used: Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front , Side , Rear Ft. From nearest prop. line:Front , Side , Rear Ft. No. of feet from: Well , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Site Elevation of inlet: Bottom of tank elevation Pump on elev.:______Pump off elev.:_____Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side_, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed• Trench: Seepage Pit: Width: Length 70 Number of Lines: 3 Area Built Exist. Grade Elev. 919. 3 Proposed Final Grade Elev. Fill depth to top of pipe: PV- 361 No. feet from nearest prop. line:Front gj side' , Rear Ft. No. feet from well:-:E/-W No. feet from building- HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front Side. , Rear_Ft. No. feet from: Well , building-., nearest road Alarm Manufacturer: INSPECTOR: DATE: PLUMBER ON JOB: o~ LICENSE NUMBER : 3 r) 3 6/90:cj i LOCATION: TROY 25.28.19.397-0,25, NW,SE, PAULSON RD. Wisiontin Department of Industry, PRIVATE SEWAGE SYSTEM County: 'Safety and La Human Buildings Relations Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 149300 Permit Holder's Name: ❑ City ❑ Villages] Town of: State Plan ID No.: PAULSON PHOEBE NELIA TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 040110190001 TANK INFORMATION ELEVATION DATA 9200 48 0 TYPE MANUFACTURER CAPACITY STATION B5 HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Ventto TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet Septic - (L NA Dt Bottom 116 j p (o~ Dosing NA Header HAw. Aeration NA Dist. Pipe ' Holding Bot. System 7,D, g ' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width , Lengt No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /8 (Xa DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O of 1? CHAMBER Model Number: System: o 145' >,~7/ OR UNIT DISTRIBUTION SYSTEM HeadeL AAaadmW „ Distribution Pipe(s) ~i x Hole Size x Hole Spacing Vent To Air Intake Length 1c Dia. Length _&3 Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes Use other side for additional information. / ?I SBD-6710 (R 05/91) Date 41inspector'sSignatureF Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 7D SANITARY PERMIT APPLICATION iLHR In accord with ILHR 83.05, Wis. Adm. Code CouNTY STATESANIT PERMIT# -Attach complete plans (to the county copy only) for the system, on paper not less than El (NI V 8% x 11 inches in size. check_i( revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION W E, ~ S G Y. S S T N, R E 0 16 PROPERTY OWNER'S M ILING ADDRESS LOT # BLOCK # ITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE : N EST goAD ❑ Public IR11 or 2 Fam. Dwellings of bedrooms P=N RF: ARCEL TAX NUMBEK(b) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo a / (J 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9❑ Off ice/Facto 3 El Other: Specify ice/Factory 1 IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 11.0 New 2. ® Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.E1 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed l F ~X 7 d r 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION l~ v 6 b~'J U Feet ~r Feet CAPACITY VII. TANK Site in alIons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Ct^ J r Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print : Plumb ' gnature: (No S M11111 MP/M RSW Business Phone Number: -710 !3~ ~~s yes-S~s~ P umber's Address (Street, City, Stat Zip Code): , IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial cl/ "'I S- Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS t • 1. A sanitary permit is valid for two O 2 Years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. 111. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending -on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with corrnp'ete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains.'water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. f h-3 r?ponies rcllected throw 111 th`.,se surcharges ai c.lsid for rr,onitoring „~o!tr,iEvater, groG~n(A water contamination investigations and establishnlerrt oi: standards. SBD-6398 (R.11/88) • APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Location of property G11-) 1/4 S_ 1/4, Section C2,~ , T C/ 0 !-R AC4 - Township Mailing address IVA, [I A Address of site Subdivision name ' Lot number Previous owner of property CIA 6; /111 Total size of parcel X 4 3 ( R~ a u Date parcel was created 80-0,0 Are all corners and lot lines identifiable? _Yes No Is this property being developed for resale (spec house)? as o Volume and Page Number ~(o as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, it available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed rded in the Office of the County Register of Deeds as Document No.; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the const uction of said system, and the same has been dul orded in the Office !?71 U Is ~r of Deeds, as Document No. 70 V J. of Co t7 Signature of Owner Signature of Co-Owner (If Applicable) Date E Ognature Date of Signature 3 3Y ! 9t - f k$~. ~ x t~ ~,+~Fy ~ ssk t i OANXXO* ✓f 2 • AMA _ A Ar l rm home ftMtr. r r ~ iaiL M. f~i at ~IMM4~ M~~ M ~IrgMO.. n + ! x,~ ~i SEPTIC TANK MAINTENANCE AGREEMENT rt St. Croix County r W OWNER/BUYER rr O ROUTE/BOX NUMBER ~J~~Ct'i C- Fire Numberd CITY/STATE L4 ZIP PROPERTY LOCATION:. `mss %,.~Z- , Section CD T_2L R i Town of- St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 's'ept'ic tank Rum per.. What you put into the system can affect the function -o the-septic tank as a treat- ment-stage in the waste disposal system. St. Croix Countyy residents may, be eligible to recieve a grant for a maximum of 60% of the cost-of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or.a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Z ping Office w'thin 30,days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUS-riPr, DIVISION L,aOR AND PERCOLATION TESTS (115) MADISON W 7969 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: *WNSH UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: ww1 s1-1/ zs /TzaN/R 19 E (or COUNTY: MAILING ADDRESS: L4 6 PAcUL,SOQ RD , ST• ct~ ~X ~l~oEBE P~~~-soty Rlv fiNu-S wl S~ozZ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: DESCRIPTIONS: 1PERCOLATION TESTS: ®Residence N , Ic'., ❑ New Replace 11 ` l S - 1 I _ Z ca _ u RATING: S= Site suitable for system U= Site unsuitable for system RECOMMENDED SYSTEM: (optional) OfN~VENTIONAL: MO~UND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL 1HOLDINGTAN 5:1 ONV~JT1o►J~}[_ B~ U S ❑U 2 S ❑U L~1 S ❑U ❑ S ®U ❑ S ~ 8'X10' C If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: N ' Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 a3 q1.y No> > 83 s T--.,.,4\C 3 of 3 B- Z G21o 0) 3• S I I cy z. 3 ~t 86 ' 1 B- 3 b C) 13- 13- 13- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P PER INCH P_ 1 L4 (0 IVO 3 p 11/16 11/11- S/ Y6 P_ 2 6 f`lo :113 1 1/t 6 %51!6 ~S/16 3 2 P- 3 L/ r. No 30 l t/t ` 1 1 i 1. I/f~ 2-8 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ~O`1TOlt7 of Pf~\6l~ q ~L L_I,OT S 1 f SYSTEM ELEVATION s a. so of 3 ~,O'' n t~ A IJ 3 I 1.utT5T Hr~~ Z'SO SoQn+ o f N~ c-0lw I 1vI /q I 1 6 _ N E CV) , , r- I t C Z S 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 the location of the tests are correct to the best of my knowledge and belief. NAME print TESTING AND TESTS WERE COMPLETED ON: 11_Z.8-9o _DE.SIGN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): n, WX 74 21 N. MAIN ST, CS'f'Ooe~ 576 -71S-LlZS- COLS RIVER FALLS; Wt 54022 CST SIGNATURE: 715-425-0165 Clo- ZI3 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 1 DILHR-SBD-6395 (R. 10/83) - OVER - G~ ! OF 3 ,r INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 6. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. I ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand < - Less Than '1 - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. _ apt II 1 0 30 310 \ ~~s ~D / ryry / ell 1 \ S ~ l1'11'SLL (~Q~ Q . O S Woc 'TANk - o~TLET ~G N • .Pol~1 101 W ~ -a \ a ~ Et,- o-3 c-PklzfNG(sFusaR W L) IQ Nz %5°06' E 331.01 WEGERER SOIL TESTING AND DESIGN SERVICE P.O. BOX 74 421 N. MAIN ST, RIVER FALLS. WI 54022 715-425-0165 WEGERER SOIL TESTING AND DESIGN SERVICE P.0, BOX 74 421 N, MAIN ST, RIVER FALLS; WI 54022 71.5-4254165 SOIL DESCRIPTION FORM Attach Soil Pro u Location Ma On Su arate Sheet) CLIENT U li~ G' PPNQ LS Q~IV LINEAR LOADING RATE: V3 PURPOSE ELUATLcs FoR C-P L ~~r'I LET SY S~ SLOPE' 3 DESCRIPIION BY* ~}CZTI-}UR. L • Iil~ E-G L:!;2=_2 ASPECT: 1- oR-'T)+ E'R S TffP_ LlY _ DATE. V_'_~XWV • CJ 1 Lq c lo- LAND USE: L I''~wN C0 1 r--1 4FLA COUNTY/STATE S'T X, exV yy I W) VEGETATIVE COVER: 6~l~SS- ~1ZIJ gTv'ZTjL LOT DESCRIPTION "'PT-of mwl//-5L/K S~.ZS,TZ~N~ R19 tTAINAGE CLASS. wCL-L. DRAINeb LOCATION T~ of `~'ROy GALLONS-PER SO• FT. PER DAYt 3 PARENT MATERIAL(s)/DEPIII: SOIL SERIES: P1 LL-OT s 1 I HORIZON DEP111 MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII -BOUNDARY REMARKS in, moist Gr. Sz. Shp COATINGS o )►JG ~ o-~o to~tti ?,lZ - s I 1~p~ )n -~v cs 3 Z7- 5(a to`~1Z 3/(, - S 1) Z rn Ak ►"L'F►~ S 1-Sb - $3 1zI`-IR 3 A S O S h1 , 4ort_l1L)G Z 1 a -E, \ r H'M Z! - S i I Z~ P I N1'~'h g s z 8.. zg to-1R3/Z - s) l~sbk hL 3 ~$-v?. me-1R.3/ - s I l`~sbk mph CS V8-9 1D`1R Y16 - ~S g M 1= lo`i2 sI s vs Bow G 3 2 8-~S ~o R z/ s'I Z-F516k mfr S 3 ~S_3S -tR.:5 - s 1) Z~ s`~ m~~ cS 3S-V7 s) S )0`12 VA S O S5 m OTNER SITE FEATURES/NOIES: n ~~~GD~2, ~`yY~~•~ 11 _ Z8-90 000 576 j'~nb~ 3 of 3 LIMITING FACTORS/OEPTN: Signature Date CST K l 3D3 ) 3 6lgt `ti3 • 030 ' y \ti \11O , V O ~ ~reS t ou !c ^ Cab \~i ~ \t to h ~V, Fu'IVQ~ TZOW . L!N@ \ REPT131 TROY ST. CROIX COUNTY ZONING PAGE 1 05/0 2 16:45 REQUESTS FOR INSPEC'T'ION WORK SHEETS FOR: 5/ 5/92 AREA: JT Activity: A9200148 5/ 5/92 Type: CONVSEPT Status: PENDING Constr: Address: TROY 25.28.19.397-0125, NW,SE, PAULSON RD. Parcel: 040-1101-90-001 Occ: Use: Description: 149300 Applicant: PAULSON, PHOEBE NELIA Phone: Owner: PAULSON, PHOEBE NELIA Phone: Contractor: WANG, TOM Phone: 425-9958 Inspection Request Information..... Requestor: TOM WANG Phone: Req Time: 11:05 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION ' i FILLED w s Of X984 CERTIFIED SURVEY MAP ~P Part of the Northwest 1/4 of the DUE C. PAULSON ~ Southeast 1/4 of Section 25, \ Township 28 North, Range 19 West, ~j Town of Troy, St. Croix County, g 0~' Wisconsin. Q 2g. jS~ U r 00 PAULSO N TR. Y C 5` 9 \ 9 t~ Ae/ r Q~ d0, H.63 c,, ,yO S.T. . 33 LOCATION SKETCH 'D SCALE I"- 4000` _ N I14 COR. SEC. 23, T28N, Rig W,( COUNTY SURVEYOR'S r. for / a 66''/OWN ROAD MON.) N 1. 634 ACRES as W ri , irr so.Fr. APPROVED N 2 O \ OCT 0 51984 H O I ~ ~N W, ~ 2 16L c o (4 z y ST. ROhX COUNTY 0 0 3t 00 ~aeKNO431YE P4KS, PLANNING O N M V ANO ZoN mo CpMhyTTEE • 33 1. 01' 4 g 656.99' 0 W 990.00 W h N83.00'00 E 15 CHAINS y 2 W SCALE 1 100' SCALE IN FEET `t 0 3 N 0 50' 1001 200' 300' W m O N = ~ S 114 COR. SEC. 25,T28N, R 19 W, O 2 ti f COUNTY SURVEYOR'S MON.) UNPLATTED LANDS w ti y N W ~ U 2 W O O Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set. a 4 c W O O j m W j _j z o q J 2 Description: That certain parcel of land located in the Northwest 1/4 of the Southeast 1/4 of Section 25, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, more fully described as follows; Commencing at the North 1/4 corner of said Section 25, thence S 00000'00"E (assumed bearing on the North/South 1/4 line of said Section 25) a distance of 3214.241; thence N 85 0010011E 658.99' to the POINT OF BEGINNING of the parcel to be herein described; thence continue N 85 00 00 E 331.01' to the Westerly R.O.W. of a Town Road; thence N 38030'00"W on said R.O.W. a distance of 412.57'; thence S 51030'00"W 123.811; thence S 0500010011E 275.67' to the POINT OF BEGINNING, containing 1.634 acres, being subject to easements of record. State of Wisconsin) County of Pierce) ' ~~t111N11/ii I, Laurence W. Murphy, Registered Land Surveyor, do hereby ce,'ti~y ~,d b ~y~~ direction of the Owner, Duane C. Paulson, I have surveyed any ed shown hereon in accordance with official records, Chapter *f..-Wisconsin ~ o„ ~e Statutes and the Ordinances of St. Croix County; and that :his TFAS,/- are a true and correct representation thereof. M W MU S a. CITY OF RIVER F LLS •:RIyL• • f Wisc. APPRO VED BY 5-rA 1984 .LAND ca ~681/IIF~IIYE~~~,` , Vol. 5 Page 1475 Certified Survey Maps Laurence W. Murphy Dated 10 August 1984 St. Croix County, Wiscons Registered Land Surveyor ~Y o j a°i °o No a o I h ~ °o o- I N ~ y c ~L I y o ca •o o I U O L A °o I M a) ti CD aNi y a Z L c c ~ LL c 2 v o cc CL (D ~ y w a~ E a~ ~ M a ~ ~ c I Z LO CV z aao I E z g c z Q E N 0 c6 N 0. M~ y a) •Pka d L Z co z O N Y v a C - E a o coa` .0 c, U) U) bap Z ~ E •N LL a a a IL 0 U) N N U) V cc rn 0) Z ~i o0 00 m c 0 4) 2M co v ¢ cn C ~ c.3 v O O fq C p O O N N O L C r \ a v o 0 I~ o€ b ad~ ) d a~iv M~ N 0 ! y Cc 0 • ' N 1= a. 0 Z S Z IL O CL 0 t~• L: a t E c 0 a A co aici Parcel 040-1101-90-001 12/01/2005 04:58 PM PAGE 1 OF 1 Alt. Parcel M 25.28.19.397-0 040 - TOWN OF TROY Current X_I 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 - CITY OF RIVER FALLS CITY OF RIVER FALLS 123 E ELM ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 25 T28N R19W 1.634 AC NW SE LOT 1 OF Block/Condo Bldg: CSM 5/1475 EXC PT TO ST FOR HWY 908/369 ANNEXED #521715 9/26/94 HWY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 25-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1095/532 WD 07/23/1997 908/369 07/23/1997 703/66 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 12/21/1994 Description Class Acres Land Improve Total State Reason 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 EAST PART TROY T248N.-R.19W 15 SEE PAGE 27 + Frederick v 0 F 4 Q I` 6 Lenerf3 eaoi -Hi w p NV0 f u Q 7~ Se . % GOU YE St4AltL 3 ry f-/,- f • V Gty of P, 7RAC.Y iC S. rn°°' Maxine .y 40 a eb~♦ ~c Hudson'~~ 9 is cSch.Ytyan ~~~y Y~} L a • [Pon f o\. 0 P/a 7933 U u~ K~ •44 2G6. 97 eHand/os Z tl V ` b /a ?a:. a i . M,~c : ar:t /oB 3 3p~ 4o II Miain ug s • 3 O vd ~ V III y, see 3S ~e/be t f,ge nie r ~o~don U `h n tt W .FB o /i cS' 9erfiouse .c ott Vc ~y. C o . ,°v ¢0 ¢o Bg. i scn U'. d tl I 5MA t. eo 25898 rs9 C h \ Frederick G o ~5 7 ru`c~s a~~h ~4~j a Bo Lawrenc~e.J. c$o/ ceon ,T n Lenery3 F f S /bey Fam %rs7QivsP f Mor 0 ret LavidC C 2 /05 B6 ,.•.6 D e vi ers f Marlene p f Rebecar. 4a a ff • 49 Roeker \ //y 9/b r s sz • enie [ 0 Rs" S'chruoer M[~r'}/e ..ZJa v~df o^~a 9r~'arty Ffoi[non 0 b b neee- 4tl Hansor7n Mar/ ne ei Af e 191 0~z zr ~U4 2 /SO./b J • ao.i5 ~i P ~rr1~ ` c ~ .Qoeker- I .PC /es s ~ ~U d • y ~2l ~ he~ 9.6T .4 /3117 Frederick Q2 tiara. GOrbe d Tio f R-F' .90 17948 62 o~ 4 s ~ m 40, 3 o q • 9ndin9 gO „ He be t£ rrs sL~ F .l3¢rba ~ R ~:~3~ 300.,x¢ K/e me °f'S /6o R" efa/ i/e 40 ~wsen O Ly/e /u Drvt :Inc. f a a/ • 'Yaro/d O 4'O .s„~ f hn J R'ck Fox r9i'.~o E Mar-won enn f Mor/ha s~rzo :eco eq R'a iRC'. Moe/ter- 'B"-~ Rohl Rodah/~ ST s Bo.B /ZO Tf.H ZO A /3 ~ O 65.¢ • aWr f OVCIp .is S qK f G/ 6yDD. cM Bye .?obe"' sDennis R. KH/d 45~1erstedf 21739 7o e s DO TimP ::.sat: Schutt ,Fa_ Wi/coxson `fief sGhdaL a °l 772.54.3 ryn I ~rooro%d C/orrce f b <~<71 U U Hupp~f (Tu 1/ene tl 0 Kb X40 a < inW b`; (U .ore a .aA6 ~ .By/ander tb 01 W .F "I f, s K r I Dean r 75 R 4f l'°as) ° . sn atriua • Ph //.s M s • 4 O y ores a F//tit i . 76.69 D na/dH( 74 dS -Dona/d f f Law-ence W u s • s 67 Jensetie Nuppert CU Faroe; ar/es non d IT s /573 Bras, Sm. &Z 16/ A D f7/tier} ~iodys 0 2497e 17ona/d Duu°s.;.. T. m ~ C'ho~ ° ulien / faro wn l~ '?ay Ga/ep iYorman • /960/ rK~4, F rrsne V so /(°2. S Ma~,EC ~ J hnson ~'6o sB. s ~ v-~ /9e ~ vwon~ .f et0/ BO Jenvse My 4 ru1D. On/C GS T/AOmaSprn S. Ab'yne p 4" 9ntter- - 4o Lew- ew- SAi /ey G.ere O :nsk/ z. ' ki ui4Sae Pa}tic rb%i es N /63 40 aitn[<r [ar 4O Warren ' < aarwa:: F o . OMa//e y S Lcturyi7e U~ ski a'd 151.1 a to M."5 Reer~s Pau/son aayy 2 K Char/es W Ca /§one 1 hf UnivU /}y 47 PAULSON f .Donna , of'Wsconsin Fa , on~a /ry 228.42 65 PearSO/1 ~ IW. s 114-.9 • Nancy j /594 2 ~ Orin E. s 45/z£a a 24as (hnson~y~ enneh5 • nc, om A/M Y~O er rYlar;}ane 569 , • SM O I Cernoho us TRS O j 194 /40 b J ne 5ro..s F crer:sen[ • f oa Q' 0 etux : ~ EQ I w a zo, 5 i orrice 0 •u WED'S' Y Gera/d n • 7r o Cc °N 2 O` hoes 2 T [4 'soar ' 4 ~ o ~ uh'~ • ~ ~ Ha~ae N eo e o d° e~ °6 L ~Ne/son CO pq~ /033 1 WE R FALLS ~ 3S ° 6 /876 re ^I ©/991 Po for MaoPu6 n P/ERCE COUNTY 500 600 700 5)- c o.x p cW~ty o 800 900 ERICKSON 6ALDWIN 54002 ~ Junction I-94 & Highway 63 Our Sign Will Move You... FREEDOM HUDSON 54016 For Saie 1917 Coulee ee Rood HUDSON 54016 Edina Realty Edina Realty - 219 Second d Street 386-8236 I44C. NEW RICHMOND 54017 Fa+..e..uf;,.Fe.vos.uv.rl.....iC.gmmb.r••o..p. 455 South Knowles Avenue Prescott: 262-3500 New Richmond: 246-5059 St. Croix Falls' 4833--3833833 i 386-8236 'E WANT TO BE YOUR CONVENIENCE STORE t-- TWIN CITIES LINE: 436-7072 • 700 - 2nd STREET, HUDSON r I 3 ~ N t TROY E PLAT E' W E T -28-N • R -19-W "I See Pages 115-116 For Additional Names• ®Farm & Home Publish.,., I td• HUDSON 3£' PAGE 30 1- _I FM HIGH 20 - Nma xMsuet t 4 fs w N rc Ion & !u Mu5 wanaea naCR11 F N C's "2.0 o G~'Sb sl oms e2 MS is 9^ 5 den W Iona s Ma cf a59EE .tt Ic og f 75 ~y ca - s'e * I 5 s 31 196 s66 • t RBa& rbara S W &t + DEERWOOD ~ r x 2 Garbe UDS N. 14 8~31i 43 DR m 40 97 1 ni ea Yarltz x 3 4" a 6 22 a TOWER RD a )4A5f Mule Pa a f0 Ei CP oaos+s x Gordon Helen Knolls wolf i4 x C O.a. n iDa ps we 2 a & Marie Larsen Diane 20 rout 40 40 Knott Family Sklazov F u Sw 4 Z 2 3° U Trust Trust 79 Lenertz r x e 3 Hs 3 3 3 i A, " 147 80 U 80 75 - J !a eo e ° 5` - ra..e ma ~,m a " amen & t David & za Ie as m )fit w.ar `rt-' 4p rxe Ihde le 8 00 Es Z 'o Schreiner 118 E 32' 3 Susan Leo & Q , H n , L LC 1e 0-,- ,V- Anding s ,ucwm a""3iaav Syfko Trust 59 hl yn T-t ss <Jen30 45 j+"t l` 3ohnfon 39 40 73 E mn~ Q ~David Th 36 Q] w l~ ;o-„ Roeker R& 2 2 Reld U Frederick Barbara .8 Garbe 90 tfn, 15 114 j & Ruth O e Anding American ze c: cc r kOP,'di YgPE a I 185 62 j Materials •n 80 , LLC 180 j-4~ m p+ 66 46 -~35 I 35 f - , I,& - R&E D.Nd & 1 - - - Martha L g ''`a $ a zo d I G Moelter A a RH~llsng,fn 63 I Gary & 1 Rohl ~ Family 35 Dev Inc I 90 Carol Trust 102 rq m% Trust a o3~ I Sew f 118 120 I Taut M4ne= same 65 a~ aN~ 3 GLOVER RD `MS s6 aN 3 I« ma an o " \ m 1 3 1 92 0 MnI D&K ID4 ^ i ClDonna air & v 5 Allen & 00 4 L v ."a ,I ..David jc1'IAt« Wllcoxson 133 I sM~aay Christie Davy xa4 ss & Sarah N3,.w 65'Emam°'a ro luvrne I RomV Hanson O Mortw B 160 ° Screaton 42 I yiander 7a 6y .~ta?s u.. A 145 _ T~y80 3 {iI U w . 4 ye i 15 - w a Z - rtathrsn s- W J 1, ov.ae ® H z s~ g 4.. 5 ax...i.w eamna SWtls 'la.sm I6Gu11 BIOS IIIC S aFNWe s9~N y n Tna, a4 z Must Dean & 17 80 35 f+ 218 O 1 CH NNOCK LN e3i3 Phyllis 3 3 ca.2 3 a Albert v I^ B$ M&V B$ Nay HF 1 Ww6rvff 195 I 1 HASH t~ 'yR6 N H 13 1 2 19 2 N 2 I Donald 24 ROLLING Gary & (Daniel & Cll pmm 192 1v1ew MEADOW Marlene 'PeearSUn 66 DR Duclos 76 two.~F' n R&M IO t3t<mtl3 lsv- j Donald Orin & sa alaR la poem xmf.a to v Norman 2 j Br63 9n J NeWorma80 - Iewaaoosm- Z - ss -r' M 20 $ - - - - - - - - - Daniel a & I Carl & Sue ,u3„63 ge Ho.an m aI ~&R r x.l Dalton I Warren Hills ` ~IR j w 40 ao \ 40 75 4 z Killcamey Golf LrR 1 A Isls6 Larry Inc v 2 j E g l Bauer University 150 ALL S •`44- 38 Wiscons L.r in 2 158 10 240 13 z1 65 13 )'°-a BJERSTEDT ! I O - Daniel & ¢ David p j Teradta y & Sarah Patricia O N i®°.a3 35 Pearson zw Screaton ELI w.a3ms.«s wpm Feyereisen i p 159 153 a oma0er 65 43 111 NA ag 1471 57 p. w Mark & Nancy I David & Lynn & vw.+3a Valerie 4 Johnson I ev & 194 a 3 Cheryl Harola T , June Mo1M.- T ~p I Brosi z : Dianna y Cc ohous 160 on- Bek a pd ~r I 80 40 201 sai I 101 1 a e ~,?uT Heelwn ( . n lr Mary I Nelson. 61 Gary 13 Z - 4 RIVER Nelson Scott & FD/ -yA 'r T I~3 try 324: 80 ✓1 Ansu~ s 9p5'S,~ON/y M ester IldS 113 FALLS- ras M a a6 'xo 180 1 M , - - i7LDN AC PIERCE COUNTY Ca Furniture • Appliances • Accessories LEITCH INSURANCE AGENCY, IN • • Sleep Shop, Carpet • Linoleum • Ceramic • Hardwood Floors • Custom Design work 174 E. Pine H ME 'professional Installation wl 54022 River Falls, FURNISHINGWhere You Will Find Name BMW S e M mmored I l 425-0159 I 155 State Rd 35N l' Hours: River Falls, WI 54022 M_F 9.8,30 (715) 425-2782 L www.Leitchlnsurance.com Your One StoP Hofne Sat 9-5 16 DlecoratkV Spec sfist.