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HomeMy WebLinkAbout040-1010-20-000 o cn o', 3 -0 o O C 1m O d 2. 0 7 <D N p A ~ ~ d N A Z+ z N) (D m n m o w 0 o co to w a ° ° w g °C CD 3 O c al y :G N O ICI co a W Z CL y O CO ) M ~ C 7 O Co 7 p- O 0 M 0 7 N CD O O -i O o O ^r n O c C) C A N 'r7 v v> Z D a e~ 0 (n CL (D c: W CL C) C) 3 m ? V L O Oo O d O co OD d ~ p C o ~i 7 O O O z O C c Z 3 cn vi o D 1 O CD N - y 7 l R. m (mil 7 ~ Z z N ZW p z o 0: O Dal cr. 7 (D y 1 Z a (o 7. _ Q ~f W - n 3 z (D -4 cn O 7 O A Z M 7 Z O N a A 0 7 O cO W 7 7 77 ;r CL O O 3 O - 7 w Z (D 'v p N D y O A CL C N N x a G C m r I p n _ ~ T fD O' N C O. O Z a C O s CD N N a o C) A v a N y e N (D (D N_ A ~ p~ N A C C O N C O N O O V 7 O ~ A p b A CD 7 b m '69 O o 0o i 01/17/2007 09:11 AM Parcel 040-1010-20-000 PAGE 1 OF 1 Alt. Parcel 03.28.19.40F 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 THORVALD HANSEN O - HANSEN, THORVALD 626 TOWER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 626 TOWER RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 5.537 Plat: N/A-NOT AVAILABLE SEC 3 T28N R19W PT SE NW & NE SW AS DESC Block/Condo Bldg: IN VOL 479 PAGE 81 ORD ALSO DESIGNATED AS #26 ASSESSED WITH 41B-1 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 03-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 601/393 2006 SUMMARY Bill M Fair Market Value: Assessed with: 157773 297,300 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.597 77,000 194,200 271,200 NO Totals for 2006: General Property 6.597 77,000 194,200 271,200 Woodland 0.000 0 0 Totals for 2005: General Property 6.597 77,000 194,200 271,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 310 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 KII'UKI OI IN';I'1CIION INVIVIMIAr tiIWA(,I ;V';IIM 1 F, 1hi! 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('n11 r ('nnf)~ it r it s r S.t 0tcon,~ Lu -t N Subdi v4 A t 1,n G - - - 1 VI It' IANK yaYYone Number oA compan trnevn to it r u f ) 1nrn: Wfe (1,c•ny Yupe H< yhwa to n iMVINt; CIIAMKI R _-_gaIYonA Pump ManuAactuheh Modof Numhen ,I1 VIN(; IANK ;I "V ~gaffonA Numbeh oA Compahtm(,ntA I'll rove 7 Akahm StjA tem t11n1'e Oom.: weYf_- BucPd~ng -12 Af'oC)e Niyhwateh J / (i1) WI' 110 N S I Z E ~ rJ 1t,~)1 Trench ,111rlcc Oom: We.Pf~ Bulxd.i,ng ~.~i f2$ 6 61pe - Nighwate.n ',t1KI'IION SITE DIMENSIONS w111(it tneneh~- - At RegtA4 ivd area (~t INYI1lth (PA each tine 1=-+LAt Veptit 1,A rock I)l'fMAI tIYe Nil fill) t'PI o~j 14ne.6 - VeptIt oA i o c k ok)vi t~Yc in V It)1Y YvvI.gth r)6 YtNee-_~~ i(1 Depth oA Itfe bv6,W glildv V1 t)1r11'I, between e4YIe6 ICO At seope r)I( tnemoil gyn. 1)(111 100 At 1) 44)YI a11va At Type o6 Covell: I'Rf ,eh on Athr1W i t V I MI NS I ONS C N11trill rIt 1, ptitb veI anounif pt to III eA ' Ou tAlt 11e d4 ame teh VeOtbt ht' Pow (nYr t s 1otaY abeohptton ane'a ~ An1,1t ivgt.l41ed /ht Ntil'I C I I V BY TI11_I I'rRnvt u VA1 E r i 111 11 C I I V DATE I Ak,ON I OR RE IECTI0N ~ GC►~~ ~ ~ ~Gk-fa-Cyr-r,° v;_ j b ~r•~ .~sr I J 91 PLB 6 7 State and County State Permit # Permit Application County Permit # County for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY U Mailing Address: k)!5 f B. LOCATION: '/4, Section _3 T~ N, R _ E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village tt~E Township T ~y C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms 2- No. of Persons Z D. SEPTIC TANK CAPACITY 16VV Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete A- Poured-in-Place Steel Fiberglass Other (specify) New Installation 'X Replacement Lift Pump Tank or Siphon Chamber 7~ ~7 Total gallons Prefab concrete k Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate -Total Absorb Area sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Y_Length 2 Width-Depth %92= Tile depth (top)~L6_No. of Lines Seepage Pit: Inside dia eterLiquid Depth No. of Seepage Pits Percent slope of land Z.e-< 5 7 Distance from critical slope Z~ WATER SUPPLY: Private X Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, _ NAME e6bM Ztlbf&ei/ C.S.T. # and other information obtained from 50// jg75r~k' (owner/builder). Plumber's Signature MP/MPRSW# Phone #3~(t' -~~5 Plumber's Address 7L2 f?t ti~yE 5T ~C°G/P Hypso,, Wv_S PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. N 3 5 9 a Are i ~ y",~ y~yrrrE o v;x CA/Eff A ri put P/~5TX'ib - l'►~E L"/ C- ° g ~ ?C, 7fOA,i Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application ~ - o J Fees Paid: State 141 , `u) County Dat -6 Permit Issued/Re4ec4@4 (date) Issuing Agent Name Inspection Yes No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 ER 1,15 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES Ut,~ f 197 P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION Y~ Section 3 T aN,R1 E (or) W, Township or Municipality Lot No. , Block No. 3 A, O.9ee_,--9- County ~f Cl'r Subdivision ame Owner's/Buyers Name: 11OR Olt 3,Z& yU9.s[?ti Mailing Address: TYPE OF OCCUPANCY: Residence X No. of Bedrooms 2- COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW _S_REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS A /Z 16 IRZ PERCOLATION TESTS ~a AMA SOIL MAP SHEET_ NAME OF SOIL MAP UNIT _ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE f!UM- SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- / / 13beg, 7T P- P- 3 o-, P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 7 B- ~C? 100A?E > 22,"L . ,v. 540 B- v /Volute go V ZS 7s " O,P- 44 -,Q.J - c s B- -7 2 New_p 7 '7'2- /f /2.~. LS'. 2s eS '0/ Ye. zip , s B- ,ham > 26 „13A., . Zs 31 s, 26 w,X f. 5k . B- > e V41 ",84) LS /7~AV,/-5; .f' 53 .s o 9~- 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 Inclicate scale or distances. Give horizontal and vertical reference points. Indicate slope. G~aT ur R£~ tiV s lQ/016"s C'ee-)S f t3 7 - PY - f3 e, pp / P~ r p ~ r )9 v~c,P PAS Z> ~Py _ \ x c f E~Pc~ 5%T t DES! //V fe4amp f f s X4~ Y3 ~fio 4j 44 7-, 90 RAJ - ~ccfF ea 7ttGy t - I, 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. Name (print) ' `o&5er Certification No. ~_7 02- Address j 3 0*'A,)zzC tl U~S~7~' ~,G3/s .Name of installer if known Copy A- Local Authority CST Il - EH •dk15Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 r y LOCATION:~~ '/4, '/4, Section -~,T ~ N,R E (or) W, Township or Municipality T'PC~ Lot No. , Block No. 3>t C ~Cf County Subdivision Name Owner's/Buyers Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Z' COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOfIL BORINGS /44 jd /f,?/ PERCOLATION TESTS SOIL MAP SHEET 77 NAME OF SOIL MAP UNIT` PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NIUM DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE MIN/IN BER INCHES THICKNESS IN I NCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- P- Sce P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- B- B-r If B- B- B- 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 p~ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. _ E I e , 'c/c'vR F - 1+A0 141 f ~IX l w " ;-f- y TE~ ~N _ cr IJEk't~ ~z gn ~F Ev. .y eL) 7 - D 13 =L71- t - w _ - ,gl oaE AN { n ~ ae~ 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. L Name (print) Ahg7- f~ lh,&LA7- Certification No. YP2- Address l UDSQ~ I!>~S Name of installer if known Copy A - Local Authority CST Signature tr PC f},~,vs~►,~ 1 q ~ n mss. n f V ~l i ~ !r Yi 46 { M .\;J I / ~ppev~ oFjsE~/~lriov /114 ~oX 35 (n /~UV.Sov` t fioEw~l//S ~vIS . S"~6/(~, I yy - I 3 ~ i. v h i ► V x o ~ 0 64~ r ~ •V ~~,ev4Tio~v or UEi~r/G~tL I.M. G ~EU. p~ ED /30!/O.~J - /Q N ~Q Id GU 0 44 ~~Q~ ~vDSo~(J