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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! (uWn111(p S.t. ('n11 r ('nnf)~
it r it s r S.t 0tcon,~ Lu -t N Subdi v4 A t 1,n
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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.
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CA/Eff A ri put P/~5TX'ib - l'►~E L"/ C- °
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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!
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4j 44 7-, 90
RAJ
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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.
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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. 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
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