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HomeMy WebLinkAbout040-1076-10-000 0 ~0. O 9 v n C7 ~1 d f m o II r~1 CD m 3 m m n 3 v O N C O (oco CO ~ p O H CD 3 00 N Q ~~=~W~ CD n N CL O N 7 N L "S O n 7 Q CD L O co O O CD - I C) C N - o N O N y CD 00 O• C1 N D A ° cJn ~.`;t n m fl cn ° n Cl\ O C)- "ftwA 1y frt f C A - L^ w r- z (0 cc 0 r- En c cODn con C c 0 z O O O .°"o o (rni~ ° v W fA fn V7 A U H C 3 v °v o° o Z :D a d m V? cn n O A_ W N N \ d o O z m z p i s O D a 0 cl, (D CD Q-t CD (A Z N rn ~w F vti o N olq 0 N C D Q Z Q co G\ 7 :t --4 cp O N C Z Z p `1nT O_ ? z O 7 Oo 'U m N m IV .o m m z 3 m CD Q -p ~ (.J N CD (D O 61 OD- (D O n y ~ O I7 p ~o (D 0 CL O O ~ I n O S t N O O a A 0 b O (D (D O ~ ~ O O p O Cl- i., Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT SEC . T - N-R W OWNER ~~5 TOWNSHIP ADDRESS f(jJZ2_h ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE Z" 1 PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i 9 1 I~ ~NDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ~j Elevation of vertical reference point: /vv Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: e~ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side, Rear, O c'7J feet --a- - .From nearest property line Front 10 Side,O Rear, 0 feet a 'v building: j~✓ Number of feet from: well ,%,ey SEE REVERSE SIDE septic tank (Include this information of the above plot plan) ( 2 reference PUMP CHAMBER ~J Manufacturer: U Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: s Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: /~5~ Leng`th: L1,; Number of Lines: r Area Built: c~ Fill depth to top of pipe:% i/ Number of feet from nearest property line: Front vt'r ram O Side, O Rear, Op't , Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: ~F! Has either a drop box O or distribution box been used on any of the above soil absorbtion sytems? (Check one). O HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, Ft. O Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: r Dated: Plumber on job: 'r License Number : 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 , BUREAU OF PLUMBING MADISON,; VI 63707 CONVENTIONAL ❑ALTERNATIVE Sta. PI- ID N.-b.n • uI ,.~IOt,wl ❑ Holding Tank D In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDEN. INSPEC ON D E: James Ruemmete R. R. 3, Hudson, W1 54016 I < A, BENCH MARK IP.rm -t t0-- P-,d DESCRIBE IF DIFFERENT FROM PLAN. R . PT. E EV.: CST REF. PT. ELEV ! NE% o~ Section 19 6 N(U2 of Section 20,T28N-R19W, Town o4 Tnoy 'Name oI Plumber: MP/MPRSW N... County: S-wV Patent N..b- Rogeh Timm 3224 St. Croix 58931 SEPTIC TANK/HOLDING TANK: 'MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV. TANKOUTLETELEV.. IWARNINGLA LOCKINGC VIER PR DED: PROVIDE YES ONO Dye ONo I BEDDING VENT DIA. VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERT WELL: BUILDING. VENT TO FRESH ALARM LINE: AIR INLET FEET FR DYES ❑NO% DYES ❑NO INEARESOM DOSING CHAMBER: MANUFACTURER JBEDDING LIQUID CAPACITY PUMP MODE 1. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO DYES ONO DYES ONO GALLONS PER CYCLE: PUMP AN CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING V N TO RE. (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET ,PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAME TER MATERIAL AND MARKING Or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LEN TH N DISTR VIP_C SPACING JIN1.JD1 DI LIQUID J --7 TRENCHES MATT~}iIAL'2_ PIT DEPTH DIMENSIONS i yl GRAVEL DEPTH FILL DEPT EI DISTII I F DISTR PIPE IS IP MA IAL NO D R NUMBER OF R Y WELL BUILDING IV NT TO FRESH HE LOW PIPE ABOVE COVER ELkV INLE I ELEV END PIPES LINE AIR INLET FEET FR EARESTOM"t'1') ; N MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVE SE SIDE. SHOW ELEVA- D YES ❑ meets the criteria for medium sand. TIONS ASUIRED. _ NO SOIL COVER TExTURF PERMANENT MARKERS OBSERVATION WELLS A DYES ❑ O DYES ❑NO (UFPTH OVER TRENCH;BEO DEPTH OVER TR N H/BED DEPTH OF TOPSOIL S )ODED SEEDE IMULCHEO 'CENTEH EDGES _ DYES ❑NO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO. OF LATEHAL PACIN(l HAVFj DEPTH,a ELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES J DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MJ"I" i,LD EHIAL INODIST DIS H. I UISTHIBUI ION PIPE MATERIAL & MARKING ELEV ELEV DIA ELEV PIPES / DIA ELEVATION AND J( DISTRIBUTION INFORMATION HOLE SI/E I/OLE SPACING DIII LLE O COHHE C I I Y COVFH MATE HI L VERTICAL LIFT CORRESPONDS TO APPROVED PLANS Y LJNO DYES ONO COMMENTS: IEFf1M-ANtNTMAhKCA9W OBSERVATION WELLS NUMBER OF PROPE PITY WELL. BUILDING FEET FROM LINE DYES I-INO _ DYES UNO _ NEAREST- ~ iketch System on Retain in county file for audit. Reverse Side. SIGNATURE 1 LE f y )ILHR SBD 6710 (R. 01/82) FInDU colsin APPLI CATION FOR SANITARY PERMIT DILHR COUNTY (PLB 67) UNIFORM SANITARY PERMIT # srav, Laeoa G Human aELanons rj ry -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILLNG ADDRESS PROPERTY, L CATION J4 y; 1 /4&&) 4, q Tom? N, R j ' (or) -T`ower' Q LOT NUMBER LOCK NUMBER SUBDIVISION NAME NEAREST.RCA.D, LA OR LANDMARK STATE PLAN I.D. NUMBER A4Z Zh' TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms. ❑ Public (Specify): j/- THIS PERMIT IS FOR A: ❑ New System Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System L ] Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity's Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): /5 f-, I/ X Private ❑ Joint ❑ Public 1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature] MP/MPR1Wi No.: Phone Number: Plumber Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: Disapproved ❑ Owner Given Initial n (Iy c~LZIA- j J Approved Adverse Determination JILU V/-/ Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary (permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATLON FOR SANITARY PERMIT I S 'I' C 100 Hti appl i_Cat i ou i orui P, Lo he cunipl et,~d in lull and by the owner (s) of the property being; developed. Any inadEequacics will only result in delays of the permit ';nuance. Should this d(!velol.)ment be intended for resale by owner/contractor,("spec house"), then a second I`orm should be retained and completed when thy, prOpcrLy is :old and submitted to this office with the appropriate decd recordi_ni;. Owner of Property A- r*e.S Location of Property a ~ ~ 14j Section Z_ T > N - R _ W f1a i I iiig Address Subd i.vision Name Lot Number Previous Owner of Property _ TCcAk Total Size of Parcel Date Parcel was Created lZI Are all corners and :Lot :lines identifiable? Yes No Is this property being developed For r(-sa_lc (spec house) ? Yes No volume and Page Number &e) as recorded with the Register ul Dueds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING. t. Warranty Deed Land Contract 3. Other r.ecordirng"; tiled with t1w Register of I)ecd~ _ U1 lice Ln addition, a certified survey, if available, would be helpful so as to avoid delays old the reviewing process. If the deed description references to a Certified Survev Map, the the Certil i-ed Survey Map shall also bc>. required. PROPERTY/ OWNER CERTIFICATION I (w(',) eenutc,6y tGtu.( aff statenten,t~s on tkis ~o><m ane .ticue to the be,-t o' my (otvt) f:nowtedge; that I (we) am (ahe) the owne (s) o{y the prtope.nty dezceLi.bed -in Moe (_Vl~o,,Lmatcon 6v,-,m, u-j v-4/L,t-u a "4 necon.ded ,eve tl„ z_~iLCe 0~ 0w Cutai.ty Reg%sve oA Deed,6 a Docurrte.n.t No._ and that I (we) pte eatey own the proposed site 6ort the sewage cizpo~,aa~P.'Sy/stem (on I (we.) ilave obtained an e.ase.me.n,t, to nun w4tit. th-e_ above de,5mibed preopmty, {yore the cons tnuct, ,on o6 said ~ y6 tevi, and ,the same. ha/s been duty rt-eeonded in the O ({y ice o~ the County Regi,5te4 oA "Deets, as vocument No. SIGNATURE 01' OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) IM'1' ? SIGNED DATE SIGNED a- STC - 105 r ti SEPTIC TANK MAINTENANCE AGREEMLN'1' o St. Croix County 0 OWNER/BUYER /~!!1 xf ` ROUTE/Fire Number BOX NUMBERfizt-~~ , CITY/STATE ZIP ;_-2 PROPERTY LOCATION:;, Section T2 N, R /y W, 'town of /rc!&J. St. Croix County, Subdivision r VLot number- /~//7z Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out Elie septic tank every three years or sooner, it needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- went stage in the waste disposal system. St. Croix County residents may be elibi:..e to receive a grunt for a inaximum 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 uwners 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 piumber, 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), Elie 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. o I/WE, the undersigned, have read the above requirements and agree Lo to maintain Elie private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- a went of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiratiou date. S I C N L U D AT E } St. Croix (ounty Zoning Office P.O. Box 911 Hammojid, W1 54015 715-7)6-2239 or 715-425-8363 Sign, date and return to above address. v r v x x m cncDCpm ~m=0 c 6 9 00-03 cn i c cD 00 ~=w ~ -Cc -1 -1 cn c~~ c IG O h m -0 m m p ? N c (D N m cn N f 00 0 _2Z ` 0* m s ~ m - m w w A w' m m e < m- Q cn a o M O l=D m~ j j S ~ O w 0 C W ? > > = 0 C 3 o c C C ' A FD' Z fQ C Q. ~ a 0 w S cn O CCD w w cn m w m o o a m 3 cn = co cD w ~D~ D 0 < m C w o 0 y o c o A C) C b y 0 c ~ ~ _ w a o O ~a wm o= w 3m ohm o~-va) N C y N CD w N N m m 4) (n 0 c) cop C _Z am D D 0 3 m m m ?a D -1 CD m o w co (n 3 D aa swv'cwo m QN a CD N =or aM w w' w a c ~m f N \ 0 3 CD o N CD N W W m C m _ 3 m m e o a 0 m M M m (D CD 0 1• 0 a~ n~ o m vw S -.oo cn0- cam D 4~~ m~vwiv, M ao~ aicc0c0 ' m wow m -~awo m o- U) r C `G co 3 m N FD 00z (p O O O m o M 0 0 O a0o 0coa c1 ~a jow ~mcm C a c w" o 4W CL 0 -3 o 1 ~3 ~°3 am O a u, 0 a w cp ° c`D o O 1 \ Q • 1 DEPARTMENT OF REPORT ON SOIL BORINGS J~ ND SAFETY & BUILDINGS I N O U1'1 DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 HUMAN RELATIONS MADISON, WI 53707 (H63.09(1) & Chapter 145.045) _ r LOCATION: SECTION: r- TOWNSHIP UNICIPALITY: LOT 0O : BLK. N : SUBDItlISION NAME: r(C I/_K /4 Tz8N/R/9 E (or, .o ►J . COUNTY: -i QW ER' BUYER'S NAME: MAILING ADDRESS: "jT, USE DAT SSE RVATIONS. MADE S RIPTIU S': 1FERCqLAT1,PN TESTS: NO. BEDRMS.]COMMERCIAL DESCRIPTION: K Replace ly'Residence ❑New IDIReplace S,C) I L 13od ic- P, S! S© I L_ S, C I A I t lr L- o r RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GRO ND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ®s ❑U T~ S oU M S ❑u S ❑U1 ❑ S ~u 01,JVEj4rl L SaM - 13'X• o' _ _ TIESTG(~ jolt. ice" X 4Z' 73~' [.nP1,,c erolation Tests T NOT re wired DESIGN RATE: Q If any portion of the tested area is in the s.H6 3.09(5)(b), indicate: IVY Floodplain, indicate Floodplain elevation: ~EGf1 i PROFILE DESCRIPTIONS al BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEf'fHl% ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 2S ` F3 L ~ ~ / . 4Z ~ B N S ,'L; 0. Z O Bn/ Ly S, Jd)' L7- BA/ B 7 q(, .~8 XJ, , i C_: ~ / Me-Z> CA ca c. I g o,lt ~ 4'9(,S-* SALLS ;1 1 1./U `t5 t- 0.5s•5"1$Z Or B/V L "Vewe_ 9•SU14 TX3/V B-2 1Z_ AAeM S w 5GAT7m,2ED B'`f,-~$ /2_5'$c 5; L; /-*Z' 5,1 6,'L; 0,7$'BNS w Aj0,5-S 'g,"M60S B A1101/r:- y /0.67 " 0,4-0' Z,6,BAJ Men S-,, 4")0, L7 6A/ AAE-P S Y,4rAL < %f ~ S/~T BAILS B- B- B- PERCOLATION TESTS NZ 6E . T EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER S AFTER SWELLING INTERVAL-MIN. PERIOD t PERIOD 2 P R D PER INCH P- ¢ 97' o~A 2 > eo 3 PZZ Owe P- P_ LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hors ontal 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 f land slope. Z. SYSTEM ELEVATION 79 - 4? - L_ la G f r i ' OBCE wo L-S °T~ T 0 r O t"'E.M-C-OL_ flTI a'-J '(TG tST ` _ f ! P- 3 I - j Nor-Tv i 011 -rfon/K7~N GT N "F" 5 t rE i w ~Qy 167 /,go . 11ZY"""` ~ I I / ltww k Ua ob fV. '3 r I l.. +V R~ ..,.ne% 3 z ~LNCiA l+/1iAfO i, • .6n.6a~a. /Bo i b4efei L 50 7-'rohl OF VVOD ~ RfK •b Hw:n C. I i o rVtA~ N So 0• 'v/ton ~/a 6yock, I..... 1 ~ 5 ED ~ h Mss. , e~s~ . 3 Artc A 01' 1, the undersigned, hereby certify that the soil tests reported on4*FPPfo rr' tai wa1T)i de by mein 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): TESTS WERE COMPLETED ON: DDRESS: CERTIFICATION NUMBER: PION E, NUMBER (optional): -o L-> zc! 3~.J1, oaks s~'~ ?is.l 3 ~Fv 7- f J6 H C-), M Lot DISTRIBUTION: 0 iginal and one copy to Local Authority, Property Owner and SW Tester. DIL`af; S13 D43396 IR.02!S?) --OVEF3 PAGE OF L C r o C) Ia 13 c S y s~ e n-l Fr*6h Ali In1*16 And Obwvollon Pipe Approved Venl Cape Mlnlmwn 12" ADove Final Grade 20- 42" Above Pipe _ 4" Cost iron To Flnol Grada Ve^I PIP• y fAtweD Mly or SyntMtk Covering Mla 2" Aggregate - Over Pipe Oletrlbutlon Pipe 0 0 0 0 Tea fi" Aggregate Beneath Plp• ° Perforated Plp• Below o - Corpling Terminating At 1110,10M Of Syboom ~~tJwT lor) SOIL FILL DISTIZIBUTIO►.1 PIPE APPROVED S4WTNETIC COVI 2"OFN6GREGAlE fir -/~ATERII~t OR 9" OF 57RA , \~\~1OR MARSU HAy A~ - (o OF%Z-ZI/ZAGGREGATE °'t? ILLEV, QF"J'FEIET-.. DISTRIpyUTION PIPE T() BE AT LEAST WCHES BELOW ORIGIUAL GRADE AQU AT LEASTZO 11JCHES BUT AIO MORE THAtJ 42 IAICHES BELOW FIAIAL GRADE MAXIMUM DEPTH OF EXe-AVAT100 FKOM 0KI&W AI UAK WILL BE INCHES PV141MUM 9EM11 of EXCAVATIOM FK0^ 11*161WAL GRgp€ WILL BE INCHES SIGHED: F` LICEUSE DUMBER: DATE: _,~2 1 r~5r ROHL & TIMM EXCAVATING JOB SHEET NO. OF / 310 Arch Street HUDSON, WIS. 54016 CALCULATED BY DATE ? n y b 5( (715) 386-8664 J/ C CHECKED BY pAT'C--.mil/~j~.5 SCALE Bar IT' ! . U7 v r L , 141 t 9 .f_ . I t I -c' ~t31 f ! 33Z' -~PLGY4 ~ 3. V y f f~auSp f x e s ~in9 w s ! rc -fCc vtJ ` \'a CIO de L f J0O ~ ;.tuft: Oz"~x't ~°~t_ ~ _ .w. - i~ PRODUCT 204-1 ~E Inc GIM, Mass. 01471. v Parcel 040-1076-10-000 10/18/2006 09:34 AM PAGE 1 OF 1 Alt. Parcel 19.28.19.288 040 - 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 JAMES A & COLETTE M RUEMMELE O -RUEMMELE, JAMES A & COLETTE M 275 CTY RD F HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 275 CTY RD F SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 39.700 Plat: N/A-NOT AVAILABLE SEC 19 T28N R19W NE NE EXC PT TO CSM Block/Condo Bldg: 10/2808 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1083/16 WD 07/23/1997 1083/15 TI 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.700 5,400 0 5,400 NO OTHER G7 1.000 10,000 196,800 206,800 NO Totals for 2006: General Property 39.700 15,400 196,800 212,200 Woodland 0.000 0 0 Totals for 2005: General Property 39.700 15,400 196,800 212,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00