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HomeMy WebLinkAbout040-1206-90-000 I C I CD CD i W # CD \ 1 3 Cl) -I 2 m z O ° O• D 3 0 n00 (A > ° Q. z d ` N co CD ~ N 00 c ° o A :3 CF) N) CL 0 CD 0 :3 -4 CD 0 =3 CD (D M. 0 CD 0 - co m O N N W o O fc) -4 O m (n > a 3 (D (o N N a _0 Z) c C W m 3 o a N A p_ v°i a ao a C.0 2 O .r. N a o ~ 0 r y o o (D 'o v v rn m CD dv v> .e N N 3 ~ ~ (D 7 N I z zco z O D ° ° O d ° ~r o h~ N Z ((DD N N O N I C CD CD W a z N (D N ° z n ° a z o m a 47 ° 0 cp --j W -0 t rn a z 3 A o " z cn 3 m N z \ CD a CL o - I m c z a O (D N ti I fi a I A R 4 lv p V ~ A 0 A CD O-Q Ea N O o (D o CL ti • Parcel 040-1206-90-000 01/04/2007 04:12 PM PAGE 1 OF 1 Alt. Parcel 16.28.19.973 040 - 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 DAVID H STROM O - STROM, DAVID H C - GANGL DIANE M GANGL DIANE M 537 OMAHA RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 537 OMAHA RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.160 Plat: 1993-GLOVER STATION SEC 16 T28N R19W 2.16A GLOVER STATION Block/Condo Bldg: LOT 19 LOT 19 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 03/09/1999 599080 1409/265 WD 08/11/1998 584834 1347/492 TI 07/23/1997 845/488 07/23/1997 745/401 2006 SUMMARY Bill Fair Market Value: Assessed with: 159347 373,200 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.160 90,000 250,400 340,400 NO Totals for 2006: General Property 2.160 90,000 250,400 340,400 Woodland 0.000 0 0 Totals for 2005: General Property 2.160 90,000 250,400 340,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ,ice . _.M • AS BUILT SANITARY SYSTEM REPORT IER TOWNSHIP 7A SEC.!=-- T_N, R~W J. ADDRESS 1) ST. CROIX COUNTY, WISCONSIN. 3DIVISION LOT LOT SIZE .1.Ni/ /L7 PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1f 4S OF H--3-W' 34L - ; s= n 'K, M. 1 cc.cc , 1 :TIC TANK(S) / MFGR. CONCRETE N STEEL NO. of rings on cover ~2. Depth DRY WELL 'NCHES NO. of width length area j no. of lines__ _ width /I length _ area depth to top of pipe GATE e. _JK RATE - l L ~n AREA REQUIRED `Jy' i h AREA AS BUILT 1t r :claimer: The inspection of this system by St. Croix County does not imply complete % pliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for tem operation. However, if failure is noted the County will make every effort to .-ermine cause of failure. .*ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. "INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER ~m i7 7177< el f REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Permit State Sept NAME~~~_ 'T'OWNSHIP St. Croix (County LOCATION Section Lot # 30 Subdivision tr Slti" SEPTIC 'T'ANK Size,, gallons Number of compartpments Distance from: Well Building / 12% slope Highwater PUMPING CHAMBER Size gallons Pump Manufacturer __---Model Number___ HOLDING TANK Size gallons Number of Compartments Pumpe.r_ _ Alarm System Distance from: Well Building- _ 12% slope Highwater ABSORPTION SITE Bed Trench Distance from: Well Building 12% slope Highwater ABSORPTION SITE DIMENSIONS Width of trench ft Ru~red area ft. Length of each line S f~-- ft Depth of rock below tile- in. Number of lines Depth of rock over tile ` in. Total length of lines ft Depth of tile below grade Distance between lines ' ft Slope of trench in. er 100 it. Total absortption area __Yl ft Type of Cover: ~2' PIT DIMENSIONS f Number of pits Gravel around pits yes no Outs de diameter ftDepth below inlet ft i V Total absorption area c 'ft Area required INSPECTED BY_%" TITLE' VI APPROVED DATE 198 REJECTED DATE 198 REASON FOR RT.JEC'L'ION 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. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailing Address: TIFANr6 Dus,-K 3 2C v,-R PAJU6 (.l ~c, Property Location: City, Village or Township: County: 3 to '/a NY '/4S 16 /T -2ca N/R l? E (or W © 5~7- . 4Q z( Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I. D. Number: 30 CLVvr ~X 64ovmiK D (If assigned) TYPE OF BUILDING 119 Number of ❑~P~ublic* ❑ Variance* ❑ Other (specify)* Bedrooms: li',1 or 2 Family *State Approval Required. 5 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): LEr New ❑ Replacement ❑ Experimental ?Seepage Bed ❑ Seepage Pit Igor 9 n. ❑ Alternative (specify) ❑ Seepage Trench 01 Water Su ply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public :41&0. I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature: 1 MPFAhPReVi-No.: Phone Number: Plumber's Address: Name of Designer: a 3 T I= COUNTY/DEPARTMENT USE ONLY Signa re of Issuin Age Fee: Date: E. APPROVED Sanitary Permit Number: ~O`~ dI ❑ DISAPPROVED l1 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 (N.03/81) DEPARTMENT OF I SAFETY & BUILDINGS INDUSTRY, REPORT ON SOIL BO DIVISION LABOR AND PERCOLATION TE P.O. BOX 7969 HUMAN RELATIONS \ MADISON, WI 53707 LCFC,CTION: SECTION: OWNSHIP MUNICIPALITY: NO.,c BDIVISION NAME: f _jf COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: i i MADE USE T S NO. BEDRMS.: COMMERCIAL DESCRIPTION: ~r I ROFILE DESCRIPTIONS: E esidence XNew ❑Replace p, ~p~ .mod ~ow.cvG" _ G J RATING: S= Site suitable for sys m U= Site unsuitable for system 2,Q, R CONVENTIONAL: M011N IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) [®S❑U gS❑U ©S❑U ❑SQ ©SEl U L.<_~ If Pe e/ti~tn-Tel required DESIGN RATE: STEM EL V. If any portion of the lot is in the un 63.0 I(b); in (is J J « " Floodplain, indicate Floodplain elevation: ~'~,j RfG~jVE P FILE DESCRIPTIONS B_0'RIN p~y4 D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NWIiJIBE TpTFi L Al I OBSERVED EST. HIGHEST- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) f0l.~ 4t 7 B- -7 8 8 r .t. v 8 /_r /0 -s 4EKIn led- Z.- 145r'n _r PERCOLATION TESTS Z 4UvL~. NEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- V T/ Tyr JC . T Q V T C7 P- P- P- PLAN VIEW: Show locations of percolation tests, sg11 ngs and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points-en-d show thei location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slop. - SYSTEM ELEVATION( T a 7-1J 5 I, the undersigned, hereby certify that the soil tests reported on Ri / w made by me in accord with the procedu methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of he tes re correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ~ON: LADD ESS: CER TIFICATION NUMBER: PHONE NUMBER optional): `CST SI ATURE: BUTION: Original-Local Authority, 2nd page Bureau of Plumbing, 3rd page Property ner th page-Soil Tester. 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