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HomeMy WebLinkAbout040-1078-10-100 O N 0 CD M O ° m ON o N ti � I m 'a I 0 O I I � I � T ti Z C O 'O it N p C Z C {L c E O j 3 � 2 M d' a3i I Z N E O mod' E � CX) d d d m O O Z , c •V � r 07 � •- d Z O C p z O N co N N O^/d1 N C N N N cn a •� d � C O 0 @ O O N Qw N Z m Z 16 Z N LO a. co N G m CD roroIL E y g Z N > •N r i (6000 z m IL LL 3 �y O W > rn o m -j U rn Z fl- p to w co p O 3 0 0 -o N m C d > M N C7 Q } in cm d H H I ,O CD M N C LO cl M O r p U N o O m a c c u w co 3p w w c °' co M O N =3 o ~ n H Z Z ,d o ie F••1 N T T N o C D E E. c O p p •O O H e;- O Z N H H 3: �L Cn i. RS M € a a L: IL • CL d .V 0 d c Q V d O V 0 � 'r DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BQ*7969 BUREAU OF PLUMBING MADISON,WI 63707 SEA,SW4jS19,T28N—R19W RACONVENTIONAL ❑ALTERNATIVE Sims Plan I.D.Number: Town of Troy ❑Holding Tank ❑In-Ground Pressure ❑Mound Ill wound) Lot 2 Plainview Drive I NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: I Mark C. Wo ak 421 North Grove street River Falls WI 4022 l BENCH MARK Warmanam nlaranca point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV: CST REF.PT.ELEV. P +Nama of Plumber MP/MPRSW No.: County: nitpV rmit Number. Carl P. Heise 3378 St. Croix 112673 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY; TANK INLET ELEV.- TANK OUTLET ELEV.'. ARNIN LA LOCKING COVER PROVIDED: PROV ED: DYES ONO DYES ❑NO BEDDING: VENT DIA.: VENT MATL.: HI H NUMBER OF ROAD: _ ROPERTY WELL: UILDING: VENT TO FR M ALARM. FEET FROM LINE: AIR INLET: OYES -]NO DYES ONO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIOED: - YES ONO ❑YES ❑NO DYE S ❑NO GALLONS PER CYCLE: vuM P AND CONTROLS HA ZONAL: NUMBER OF PROPERTY WELL BUILDING V N (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) OYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE LENGTH IAME TEN IMATIRIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) C NVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES DISTR.PIPE SPACING. MATEHIAL: JINSIDEDI *PITS LIQUID DIMENSIONS PIT DEPTH L H fILL DEPTH UI 1 I DI i PIPE 1 I MATERIAL No.DIS R. NUMBER OF WELL: BUILDING: V NT TO FRESH t BELOW PIPES. .I'VE COVER ELEV INLET ELEV.END PIPES FEET FROM LINE AIRINLET. NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES NO meets the criteria for medium sand. TIONS MEASURED. SOIL ❑ OVER TEXTURE PERMANENT MAHKE S OBSERVATION WELLS DYES ONO DYES ❑NO ,DEPTH OVER TRENCH/BED OEPTH OVER TAENCHJBED 73f TOPSOIL SODDED SEEDED MULCHED CENTER EDGES I [DYES ONO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO OF LATE RAL SPACING GHAVEL DEPTH BELOWPIPF LL DEPTH ABOVE COVER TRENCHES. i DIMENSIONS MANIFOLD pump MANIFOLD DISTR.PIPE IMANI`OLD MATE HIAL NODISTH DISTR.PIPE DISTHIBUT ION PIPE MATEHIAL&MARKING ELEV ELEV. DIA ELEV. PIPES DIA.: ELEVATION AND DISTRIBUTION I INFORMATION HOLE SILF 14OLE SPACING HILLEO OHHFCILY 1COVFH MATEHIAL VERTICAL LIFT CORRESPONDS TO APPROVED + PLAN$ I FIND DYES 1:1 NO COMMENTS: PCOMANENT MANXERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: JOUILDING: FEET FROM LINE DYES LINO DYES DNO _ NEAREST sketch System on Retain in coup file t�everse Side. county fl a for audit. SIGNATUHF TITLE )iLHR SOD 6710 IR.01/82) Zoning AdministrStor 1 SANITARY PERMIT APPLICATION COU"TM , [-7131L R In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# ,ia & x? -Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. -See reverse side for instructions for completing this application. PETITION I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ® NO PROPERTY OWNER PROPERTY LOCATION MQ,r 5 L % 5i4/ '/4,S I Q T a®, N, R 1 E(or) PROPERTY OWNER'S MAILI G ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 4VI N , Grout ST — CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK r✓ FCt Ik3 'S 54027- ❑ VILLAGE: "© h' 0., II. TYPE OF BUILDING OR USE SERVED: " t' Number of Bedrooms if 1 or 2 Family 113jrrn 5 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a.;RNew b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. ENCOnventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d.❑ Vault Privy e.❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b.jX Seepage Trench c. ❑SeeDacie Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): Q 9 © Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION Manufacturer's Name Con- Steel Plastic New xisting Gallons Tanks Concrete glass App. Tanks I Tanks structed Septic Tank or Holding Tank ❑ Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP PRSW Business Phone Number: M � r� 1�/ p//S '425-217 Plumber's Address(Street,City,State,Zip Code): Nape of Designer: D92 Ir 1 S Z Z `-1 P r, 4 t 1-- s f VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# f of i s z CST's ADDRESS(Street,City,State,Zip Code) Phone Number: o' i - 7f 3 IX. COUNTY/DEPARTMENT USE ONLY F-1 Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature(No Stamps) Approved Owner Given Initial Slycharge Fee Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: _ I �rouj 6,� h, SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR-COMPLETING A SANITARY PERMIT, ,- , APPLICATION ' TO THE APPLICANT: 1. This sanitary permit is valid for two (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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained:The septic tank(s)should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment,30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair, IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval o[tly if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable Vlll. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'h x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; 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. ----------------------------------r-----------------------------------------------------------------------'-------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwate protection law. This change in statutes was the result of over 2 years of steady negot,ation and public debate. The groundwater b?l Ground Ater included the creation, of surcharges (lees) for a number of regulated practices %h;ch Wiscorr ims can effect groundwater. The surchar took effect or. ,,luny 1 1984 Al! of the water '^,a .1 a buri� �t'e asure is used in your huild!ng is refurned he groumdw ,. *l" :a :-: ,ot i soil abso;, ti /o f system or the d silo.sa: .r8 wed by nor hoicing The nlof tered by xs _ _ Lii. a s worth protecting. ,Di,-o398(H.03/e6) 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 M p,-LIL C. V j0\jAje_ ' U(.A G. SOV-0L -Q0YA1V_. Par� o- G'/z- o47 'f -FF Location of Propert SE k o� SW 14, Section Z$ N-R Iq W Township _(z0� Mailing Address gZ Q)g-.011 Sri 1?\ky°Erz_ T-AL-S , WT_ 64c7ZZ Address of Site _PLA )N V I L W I.>121)/S, 1_\Q TAB-�-5� U31 S�-Fozz Subdivision Name Lot Number L U T 0e,r4-1 G ed S 1°►£S b ,, ++ 1 Previous Owner of Property t�16 VE C . MQ_ 1-120 T Total Size of Parcel 4p• O Co Ac re5 Date Parcel was Created Wa-yo 6 O (p Are all corners and lot lines identifiable? _w Yes No Is this property being developed for resale (spec house) ? Yes No Volume jp and Page Number 16L-7 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, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPFRTV OWNER CERTIFICATION I (We) eentiby that att btatemen .6 on thtis bovn ane t ue to the best ob my (oun) knowledge; that I (we) am (a&e) the owner(.$) ob the pnapeaty descAibed in thus inbo,tmation bonm, by viAtue ob a waAAanty deed neconded in the 066-i.ee ob the County Reg.i,bten ob Deedd as Document No. 4-361-75 and that I (We) pnesentty own the pnaposed site bon the 6ewage dvspo�s ; fan I (we) have obtained an easement, to nun with the above de6cAibed pnopenty, ban the con.sticuction ob said .system, and the dame has been duty neconded in the Obb.ice ob the County Reg.usten ob Deeds, as Document No. ) . L"C lje�-e�ZZ SIGNATURE OF OWNER 7 SIGNATURE -OWNER (IF APP I ABLE) Z Z LIZ DATE S GNE DATE SI NED '� DOCUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 4367 _ -8 _ REGISTER'S OFFICE ST. CROIX CO., WI Hugh C. McElroy_.___a single__person, Recd for Record ----- --•••--•-•----•-•--•----•--------•••-----•---•----•---•---••......---•_------•---•--••• -----•--••--•••- .__---------•--• MAY Z 19$$ ......................... ------------------------------------------......------•-------------------•--....__.._. at 2:30 W conveys and warrants to _Mark..C.._-.Woyyak..and---------------------------------- _ Nola_;G._ Sokol-Woyak_,___husband__and wife_,_________________ survivorship marital_ property_, ...... ........ ___ _ Register of Deeds -----------------............................................................................_................... RETURN TO ......................._.•-----............._...._..._..............._...._..............._...._....._........... I� ----------- ----------------------------------------------------------------------------------------------------- -...�_._.__....._._._.�.� the following described real estate in ........ ...................County, State of Wisconsin: Tax Parcel No: .............................. Part of S-� of SE4 of SW4 of Section 19-28-19 described as follows: Lot 2 of Certified Survey Map filed February 5, 1986 in Volume "6", Page 1627. IRANSFER �. .40's EED This .....i.5_.X1Qt........ homestead property. (is) (is not) Exception to warranties: Subject to easements, reservations and restrictions of record. Datedthis ---------------•------------------ G ... day of -•------- ---------Ap..r1... ---------------------------------- 19. 8.... --•---------•----- ------- --_-----------(SEAL) �� � /.!.!G -----------(SEAL)9* HUGH C. McELRO ......................................................... ...........(SEAL) .--------_------ ............-.....................................(SEAL) AUTHENTICATION ACHNOWI EDGMENT Signature(a) -------------- STATE OF WISCONSIN � ss. -- - St Croix ------ County. Q�•y9�� j authenticated this --------day of________________ __________ 19...... Personally came before me this ....sx`[ _day of April__________________________ 1988--- the above named -------------------------------------------------------------------------------- .r ` --------------•----------------------------------------- F.;. i TITLE: MEMBER STATE BAR OF WISCONSIN (If not- ---------------------------------------•--------•---------- authorized by § 706.06, Wis. Stats.) �' II to me known to be the person _____;_...__ wl�o,,exe�tlted.the foregoing instrument and acknowledge�thOaiyL `1 : <` THIS INSTRUMEN'r WAS DRAFTED BY "` ._l ": � M . Sr'"... `��_.�:. 1 .....D. vim' �-�-� m Ko-----------------------------------------------;........-- -------------HLlS� C2i7.r... ].D�QSxS�xl-------------------------- Notary Public ..........St._..CrOX----------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) date: -------•----- ------------V)ACLICH •- -- I ...... -Names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN KQMiIISrC-'-M f FORM No. 2— 1982 Stock No. 13002 rar.....,wh....M 65 0. g�6 j Fes. 5owo „ perch � w N 4 I rn rOl2B 634.30' NOO°-20-38"E 625.62' FENCE LINE 1 O 33' 33' O D . O W I I N (q N N Q co cog O z hb I� .o m o a r ° N O w �rn rn z _ D rn = n n (D Ryj T hc° \a rn • L� o � y CD �.�o - 0 32.91' 653,79' A n 620. B8 cn ::E �1 1a PP?OVIED �' m o T c r FEB p 51986 ti � w � IC1 � St. CROIX CQl1 e�A',aNtNO 13 l 0 I CQMPREH OSiVE , COMMITTEE r I� WING .� rn o m m "n rrl •;i rn - o I v _ O 2 _ 2 k ' a I Ov, � ryl ?� 616.41' a I S00¢26'- 42P"E Im 653.31' I O m l o �y I I _ E I c o° m x '°�° �Im Z 2 : ^'i �O IW cl V C IC) I mczi I rcv � w2lS S 2 p m ~rn o SEAR;NG REFERENCED TO 'Il c z O THE EAST LINE OF THE O 3 r)rT, SW 114. ASSUMED TO BEAR CD ~ Z N 00°•CO'•08 E a) pl fJ a x Z Vol. 6 Pa 1627 H z H a ST C - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St . Croix County z a MO-V- \\ rr a OWNER/BUYER MO-V- 0- VJO� A ki A WJ AAA ROUTE/BOX NUMBER VE ST Fire Number CITY/STATE TIE-i2 [--ALL-5, W-1 ZIP Sg02-Z pGLr-� O-�- 5;/2. O'�: V PROPERTY LOCATION: 5E k, SV� Section 1q , T 2S N, R ,cl W, Town of Tiz_02� , St . Croix County, Subdivision , Lot number Z- a F C �iF�e� Sv.r.�ey Ma_� �(-';1ed Fe-h 5, 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 septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive 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 systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master 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. 0 E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- ►d ment of Natural Resources . Certification form must be completed and returned to the St . Croix County on Offic within 30 days of the three year expiration date . SIGNED DATE St . Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFLTY & BUILUINUb INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS [IiGluu(l) So Citalitur '14t).045) MADISON,WI 53707 31 K.NO.: SUBDIVISION NAME: LOCATION: I U ov N_1�I I I P/WIN It]?'A-1 I I I NO.:131 J� N­d 1/4 1/4 T j. N R-17 E (u I p4o Y, toes-r A"4 r 2- C�)U TY: WNER'SJf+b*&H'S NAME MAILING A D D I't LSS: Lh�v' 3 113f:*( USE UATES OBSERVATIONS MADE BEDAMS. -rbMMEAC-1,0VE DE-S-cf-ilp-r-16NA, P11..0.P i_Le'DEWA_1PTI- NS: -LAT110N TESTS: Residence 0�9�11 I New Lhiuplacu -2z_0 13'q A I 1 (0 14� . I ------- /4p, /,?,P t4L 4'Q I-A,'A.0)0" Aj o xjeo r7' 3 V 0 RATING:S-Site suitable for system U�Site unsuitable for system (av 49 t rl .0 Io"= ff_0_NV' E_NT161q_A1 HECOMMENDEOSYST EM:(optional) OS [JU [KS DU R]S EJU I [ tJ ]S r,_�uT'n s Ed U I-A��c 4 es , 0'e Z ov'f A'�"'o It Percolation Tests are NOT required DESIGN RATE: If any pul , it of the tested area is in the Fluridplaiii, indicate Floodplain elevation: under s.H63.09(5)(b),indicate: PROFILE DESCRIPTIONS BORING TOTAL L�U)TH TO (-,ROUNIi1iA7 Fit INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION --OBSERVED EST. HIGHEST- 10 LL.)F�qCK IF oasiznVED f$EE ABBRV.ON BACK.) ^t-0 s 1 l 17 71f, > 7el c.3.�' S . .4) 'r IT /67 -f > fro 'PAl- 03'). s- ' ay. sl //7 • 0,f, 4r&-%-it Si B- 0' .1Y30 smwlt f *"' 79 1 o4- %,ej. S '5-Z. A 0 .6fie'lIfy-8'U B-3 9. 3 2,' 6. 3 f -f a, S/(Sol"lli .A 2, ?2, ,71' (709o ) C•fy. SY /0'0 0'r. %efol-k 0 41 1 0 (.5 0 19. A.Q 141y B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TwE DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING I INTERVAL-MIN.. Pi=RInD t PERion I PER INCH P- P-. oY3 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. 'Fo7o of 190. 0 17� SYSTEM ELEVATION PiAi E- r&C3 99.30 66F 107' //0 3Z Aa,-e c- A w1i>as . A-&r o A I-TCR41 E- qI.3 Z • 0 Z33 13'32 '.. ;. _ ., 11; is # P)Qe:4 / of q4,�S .131 8411 r ? slephra• : /t0000 6 1, the untlersivitad, hereby certify that the soil tests I epol left Ulf lhis #,)1411 well, Illado by life in acefild with the procedures and methods specified in the Wisconsin Administrative Code,and that the data tiecorded and lilt.,IoLatioll of the lds"dill CUtIOLI it) tilt-best of my kiwwledge and belief. NAME(print): 'r 1 TESTS WERE COMPLETED ON- 6"l. A';Jot I, If, lit1w-,wk 1"I" rut.' H clb-CIFICATION NUMBER: 1PHONE NUMBER loptionall): ADORESS: if if 11 limit!If :It, r.0 YdCL-- 13Y 4 J01<U cr.'r 'I a NA rUH E DISTRIBUTION: Original and one copy to Local Authority,Pi upej IV Owner wid Suit TLstul. DII-HA SBD-6395 (R.02/82) O\JEII APPROVED YF�NT CAP SARK C WOYAK- _ t 421-N GROVE S% -- - RIVER FAIL9 WjS MAX. 92 OVER VR-P TOP PNONIE PEDO223.101 APPROVED 5YNTNF77C FAC3R1 AS.9 UME FL_ /00.0 _ I30T-D M TR E AICY EL 70.0 MkN a'* acs 4" prizr-olZATev PIPE DESIGN ED_ BY CARLP. I)EISE Wks 3378 -c•��G'�[Q,vu 111W 6_ AG6. -- LOT 2 6. 0G AC . o PRO POSED PRbP05f D W ELL NOUSE N P1WE TRE_ S 20 1250 GAL SSMC i 1 W z A iTE R14ATF, — AREA 4 5° W lei � � vErrs t � IQ t � 6 !• 6 � s'G S'G'3 6'5 67/ dG' VIP Top PHONE FW2_23,101_E1.160.0, RAIN VIC-Wll OPINE • APPROVED YFN T CAP --�, WK K C. \n/O YA K 42! N. (;1:;0VE S J RIVET FALL s W►S MA X. 42 COVER vRP TOP PNONIE PFD�223.101 APPROVED 5YNTNE77C FA13R1 ; 4 f 00`7 0 M TR F-NC9 F1. 70.0 MIN a" act i --- OE SIGN Fp SY CARL P. NE/SE .4 ' PEF FOR A'rfo PIPE ...._.w�.�m.-_ - - f i WAS 3,378 MIN 6� AGO EL 40.0 , LOT 2 6. 0r AC . o PRO POSFP I PROPOSED WELL NouSE N P)at TRE£5 20 c 0 1250 GAL 5EPn gf _. 55 _� • BZ wi A IrF R NA7E z - AREA o~cf w vrwrs 1 � .s,G,s,�,s•�,5 i i l0'1 bG' URP TOP PHONE FED"223,1Di EL.100 0, PLAIN viCw ORiVE Parcel #: 040-1078-10-100 10i18i2006 09:00 AM PAGE 1 OF 1 Alt.Parcel#: 19.28.19.299H 040-TOWN OF TROY Current Xl, 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 0-WOYAK, MARK C&NOLA G SOKOL MARK C&NOLA G SOKOL WOYAK 338 PLAINVIEW DR RIVER FALLS WI 54022 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description 338 PLAINVIEW DR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 6.060 Plat: N/A-NOT AVAILABLE SEC 19 T28N R19W SE SW 6.06 ACRES THAT Block/Condo Bldg: PART OF LOT 2 OF CSM 3/870 NOW KNOWN AS Tracts Sec-Twn-Rn 40 1/4 160 1/4) LOT 2 OF CSM 6/1627 : ( 9 19-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 809/434 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.060 77,000 231,100 308,100 NO Totals for 2006: General Property 6.060 77,000 231,100 308,100 Woodland 0.000 0 Totals for 2005: General Property 6.060 77,000 231,100 308,100 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 116 Specials: User Special Code Category Amount Special Assessments Special Cha 0 00 Delinquent Cha 0 00 Total 0.00