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Parcel 040-1036-10-000 01/03/2006 07:52 AM
PAGE 1 OF 1
Alt. Parcel 8.28.19.115F 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 - DURBIN, JOHN R & SHARON M
JOHN R & SHARON M DURBIN
442 RED BRICK RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 442 RED BRICK RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.214 Plat: N/A-NOT AVAILABLE
SEC 8 T28N R19W 2.214 AC NE NW LOT 3 OF Block/Condo Bldg:
CERT SURVEY MAP VOL III PAGE 659
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
08-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/03/1998 586477 1354/474 WD
07/23/1997 717/359
Bill Fair Market Value: Assessed with:
2005 SUMMARY
102282 225,100
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.200 51,000 165,700 216,700 NO
Totals for 2005:
General Property 2.200 51,000 165,700 216,700
Woodland 0.000 0 0
Totals for 2004:
General Property 2.200 51,000 165,700 216,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 217
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I
` AS BUILT SANITARY SYSTEM REPORT
OWNER ~r 3 h '-e` TOWNSHIP SEC . c, TAN-R
ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION ~~2T LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of 1-163
ROW- EVERYTHING WITHIN 100 FEET OF SYSTE14
ti
IF A
U
- - -7
,y
- - - _ - - - - - I Z- - - - -
c, "I a fir, t 0
SCALE
BENCHMARK: (Permanent reference Point) Describe: 5~' t c~rrrr, CTS P)
Elevation of vertical reference point: 16i0 Slope at site:
SEPTIC TANK: Manufacturer: (ji' SLiquid Capacity: j0cx'D
Number of rings on cover : '2- Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons; total capacity o
distribution lines gallon: size of pump head;
gallon per minute horsepower brand name of pump
and model number ;
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device
SEEPAGE PIT SIZE: Number o pits feet diameter
feet liquid depth seepage pit inlet pipe-elevation
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines width le-agth 3~, the depth s/z'/
SEEPAGE TRENCH: width length
PERCOLATION RATE ,C us 5 AREA REQUIRED L-1:) AREA AS BUILT yg
INSPECTOR
DATED -5- 2-,.~ -S3 PLUMBER ON JOB -
LICENSE NUMBER 3 z
Y- X,3
DEPARTMENT OF.- INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS 3,, IWO DIVISION
P.O. BOX 7A69 BUREAU OF PLUMBING
MADISON, WI 53707
®CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number:
F-1 Holding Tank ❑ In-Ground Pressure 1:1 Mound 11/ assigned)
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Terry Stobber RR#3, Hudson, WI
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF, PT. ELEV.
NE'-4 NW-14, Section 8, T28N-R19W, Troy Township
Name of Plumber: PRSW No.: County: Sanitary Permit Number:
Roger Timm 3224 St. Croix 34784
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING C VER
P OyIDED: PROyVIIDE
Wtv-L . V.,_7.4 )O U.C(I IUU 1Z L~IYES ❑NO 1S" JNO
BEDDING: VVENT MATL.: HIGH WA R NUMBER OF ROAD: PROPERTY WELL: BUILDING: TO FRESH
AIR INLET
ALARM FEET FROM ~I LINE: / ~j IVENT
❑YES ❑YES~❑NO NEAREST '~J y[
DOSING CHAMBER:
MANUFACTURER. 7YIN G LIQUID CAPACITY PUMP MODELPUMP/SIPHON MANUFACTURERWARNIN LABEL LOCKING COVER
PROVIDED: PROVIDED:
ES ❑NO DYE$ ❑NO ❑YES ❑NO
WE L 8UILDING. V NT TO FRESH
GALLONS PER CYCLE: PUMP AND CONTROLS OPERAT ONAL. NUMBER OF ROPERT`r,''
J 1
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) ❑YES ❑N0 NEAREST'
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of pl wing LENGTH r7TER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction' shall cea a until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH. LENGTH ND. OF DISTR. PIPE SPACING. COVER JINSIDEWIA~ S ITS LIQUID
BED/TRENCH TRENCHES MATERIAL: PIT o DEPTH
DIMENSIONS
GRAVEL DEPTH FILL DEPTH IDISTII PIPE DISTR. PIPE ISTR. PIP MATERIAL . NO. DISTR. NUMBER OF PROPERTY.., WELL BUILDING. V NT TO FRESH
BELOW PIP S. ABOVE COVER. ELEV. INLF I ELEV ENU PIPES LINE AIR INLET.
FEET FROM f /
41 ) 9`1.85 7`b 27 k ` NEAREST / . co J
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 t~ make certain that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria f'or medium sand. TIONS MEASURED.
❑YES ❑NO
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS 17
~t
❑YE Y ❑NO ❑YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL,' SODDED SEEDED MULCHED
CENTER. EDGES.
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH NO. OF L TERAL SPACING GRAVEL DEPTH BE,F.OW PIPF LL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES
DIMENSIONS
r
MANIFOLD PUMP MANIFOLD D TR. PIPE rANIfOLD MATE IAL NO U TH UI TR. I DISTHIBUIION PIPE MATERIAL & MARKING Z 1. ELEVATION AND ELEV. ELEV.. DIA `LEV.
PIPES` DI A.:
~
DISTRIBUTION
INFORMATION HOLE SIIP HOLE SP~TM OHILLEU CA),RECILV COVER MATEHI L VERTICAL LIFT CORRESPONDS TO APPROVED
~~,,((.YES PLANS
_ U
COMMENTS: PERMANENAR LJ
KE RS: OBSERVATION WELLS. NUMBER OF PROP ❑EYRTYES WELL: ❑NO
BUILDING.
{ EYES I _ I NO DYES ❑ NO _ NEARESTOM LINE C,A
q.A
9~4
7L9,
(o. 4
Sketch System on - "Retain in county file for audi
Reverse Side.
SIGNATUR FW r' TITLE ,.r
DILHR SBD 6710 (R. 01/82)
DEPARTMENT OF APPLICATION
SAFETY & BUILDINGS
INDUSTRY, FOR SANITARY DIVISION
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PLB 67) MADISON, WI 53707
Attach plans for the system on paper not less than 8% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal
and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master
Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be
included.
Property Owner: Mailin dress: /
Ieri fib &>r
~
4
Property Locat , City, , Village or Townsh County:
4),E% /Uf /aS iT Z N/R (or / L!
Lot Number: Blk No.: Subdivision Name: arest Road ~Lake,pr Landmark: State Plan I.D. Number:
p 1? 6t- (if assigned)
TYPE OF BUILDING
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
1 or 2 Family *State Approval Required. 3
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER
GALLONS OF TANKS CONCRETE PLACE INSTALLATION ME T (Spe ;f )
SEPTIC TANK CAPACITY
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHA BER
MANUFACTURER:
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit
! / ~1 ❑ Alternative (specify) ❑ Seepage Trench
Water Supply: (L Owner's Name as Liste it Test Report (If other than present owner):
A Private ❑ Joint ❑ Public
1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Nam Plumber: Signatu - MP/.WRCW Mo.: Phone Number:
V69 ' ZZY (715 6'
Plumber' ddress: Name of Designer:
COUNTY/DEPARTMENT USE ONLY
Signature f Issuing Agent: Fee: f) Date: APPROVED Sanitary Permit Number:
s ~3 ❑ DISAPPROVED
Reason for Disapproval:
Alternate course(s) of Action Available:
Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in-
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber
DILHR-SBD-6398 (R.07/81)
EH 115 Rev. 9/78 S ! ~ 7/
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES if.
P.O. BOX 309, MADISON, WISCONSIN 53701 ;r,ee) co
LOCATION: '/4, '/4, Section T_N,R_L.E (or) I~l Township or Municipality f _VK Lot No. , Block No. County
ul !~4~ivision z,o~ne
Owner's%Buyers Name:^ S ti ACa~SS Jli~___
Mailing Address:Y- x /30 x ~l y14 d~~0~171} W/ S. -71f-- 2-6P- PS 7 5
TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW "S REPLAC[,E~MENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MAD IL BORINGS Ndo" / I~~O PERCOLATION TESTS Woy• 7
SOIL_ MAP SHEET_ NAME OF SOIL MAP UNIT 12011X4914delt
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P_ ,vd • OAS C*f /1/ ov,s > > ~ >
P- Z. E y
P-
P- 10 E>67
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B- 72- Al PUE > 72- /y`%,Vv L 0,2031j:5 oR,-v .s 3 0"0/P Cs
B- 2- IV I/ A1dA)E 'lop. S'L 301,ev. sv-49•5' 32- 0e. CS
B- 7'2- AJOA)E sL /5- I- I~ 'C3iP S Z " p~ C_
B- N0,06 > Q ~.,/3a 5L / „0~ cs d.,P
B- S~ 2- 1,L 7 ' /3w SL z/ „c/• a. -j. L ',V • o,P- 5. /J0„ y,e.
B- 7 L N O,ve > 7 ' S t / ' 'G f 13 S~ / ~ • caP• s „ CS 2- 0.
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy Co/ 5~ 4'Q• /7* /Cot Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. 3 13 x'A 061-j 110,,/E'
P~
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1, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods
specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my
knowledge and belief. f ~o
Name (print) X~017E1 T Z~'/ 6410117_ Certification No. S g 7
Address /f; r,3 0 ue&- M 0,95-0.v
Name of installer if known -
Copy A - Local Authority CST Signat~fre~/_
` JOB L / lJ O r.
ROHL & TIMM EXCAVATING SHEET NO. / OF Z
310 Arch Street /J ,
HUDSON, WIS. 54016 CALCULATED BY ~'y--TTATE / - 3
(715) 386-8664
CHECKED BY DATE_
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ROHL & TIMM EXCAVATING
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310 Arch Street SHEET NO. OF
HUDSON, WIS. 54016 CALCULATED BY K2 S_eA~- rn'~' DATE 3 7
(715) 386-8664
CHECKED BY DATE_
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