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HomeMy WebLinkAbout040-1065-90-210 C) U_! o C-0 0 C 7 r ~+1 3 ~ A n CD V A7 m 3 n O N O O N Z3 Cn , `C • CD 7 O_ CD tD v K CO ICI {A\ C- Z a fA CO 3 1 0 CD O 1 W (D W p 07 p O O C 7 N 'S N CCD 3 NO fv N = ~ O Q CD n p O O ~Ol 3 p ° x 90 C m c (n D A n Sn CD D N W d CD c 0 rn Q rn 3 0 0 C W N p t (0 to :3 CD 0 1" N !V 0 00 (1) O C CD T T ICI .d. !~1 • n ' ' ~ N Z aQ c CA (n U) :Z, v a s o a v ( _ a C (D - N NC CQ ft) N CD O cn J N z O O O Z --I Z N - D p N O > ? g' CD CD N 0 R O CD Cfl CD W CD Q 3 CD E_ Z (D Cp --4 fn p p p Z CD N c A n p A Z O m a ,n 3 0 W 00 rn CL z 3 0 K U ~ m I CD CD X.v ~'CD a 3 oeo~cxF a p - G m a) 9' --4 CD n N O cl) CD D. =r o CD °o v c 0 c~ ~ a Z =N?~ p a a ~ c CD cn o CD rn 3 m m = v CD 7 .F`I CD p S to 3 0 n p a NO CD O i K d O A` O7 j Ox ^ -gyp o p 0 4 CD (n W W O O p j (D Cnp p p n N O N 'a CD CD fn v a A O ?a do oho p to O p * b 00 0. Parcel 040-1065-90-210 01/04/2007 04:51 PM PAGE 1 OF 1 Alt. Parcel 16.28.19.250D 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 - WEAVER, TEDFORD C& MARTHA E TEDFORD C& MARTHA E WEAVER 296 TOWNSVALLEY RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 296 TOWNSVALLEY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 7.530 Plat: 1107-CSM 04/1107 SEC 16 T28N R1 9W & PT SEC 21 T28N R1 9W Block/Condo Bldg: LOT 2 7.53AC LOT 2 OF CSM V 4/1107 REPLATED BY MAP OF SURVEY 1646/71 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 16-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 05/25/2001 646428 1646/69 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 158233 259,400 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.530 85,300 151,300 236,600 NO Totals for 2006: General Property 7.530 85,300 151,300 236,600 Woodland 0.000 0 0 Totals for 2005: General Property 7.530 85,300 151,300 236,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 +Mf ' l 9F\ CIO O H S r } cl- CIZ 19 i~ { a f i .f t r" D j i D G' w t a „ PP t I f. / r~• L~' err... RLPORT OF INSPE:CT19N - INDIVIVUAI_ SIUTAGC SYShM Sani taiiil 1'rrirnl.t Stute Sept~_r„~ Tow n4h4p --St. Cho4 x CoUYI f ^_Secti on Eut M Su diVA.44.01`1 - ! I ANK/~ q(lxlo*A NiAmbeA oA cornpaAtme.nt4 01om. lUe.~.E'. 1i :,r P(I(P,Ij- t* ~ b 4r01')e Hi.ghwate.4 WIN f; ('ItAMBFR gatton4 g#Pp Manu 6a*c tuh.e.n Mode Numb e n QAattona 'Wb nbe& 64 CompaAtmvYit4 r'.,~r~I~4,n Aanr~ Sy4t'e.m r,nre nom, G►eEE _ Bu4',Ediny_._.__. _12% stope__._--- - Hi9hwa.tet b'I'I ION SITE l;r1 Thn~rh Weft rt g < e f o pe. H4 ghwa to A I' l WN 1;111 DI MCNS IONS filth (14 tiench Requ4hc d anea Cl ' ~t I ,ki,Itit oh each t.4ne, --6t Depth 4)4 noch bef'ow t4Pe +n Nnrnholl a 1S line4 Depth o A Toc.h oveA t.i~e t.n ! t.r I' t ePt g.th o6 Eanea t _~t Depth o A ttte be. ow gAade i n 1! , Lance between E,Lne4 " 6t 6 lE4pe o6 i .tne.nch n . Po r 100 .t r , to 1' abA okp.tion akea ^61 Type o A Co vex: Papeic on 4 th aw 1) 1 MI NtiIOI S ` •t v.....i. r~~ t4 - Gnavve aAound pi t4 yea nu r, 4 (1c d(',ameteA ' -6t Depth bef'ow tnf'et tr~P ichnnAption aA.ea fjt i /1•i'irgittihe.CE ~ 6t I't C I 1 1) 6V TI TL E DATE t III DATE 19 K ~ ,N I UI' R1. J1. CTION i ~ State and County State Permit # PLB 67 w Permit Application County Permit # for Private Domestic Sewage Systems County "DENOTES $TATE APPROVAL REQUIRED Date Aiiproval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCAT ON: /4 /a, Section T ' , R* E (or) W„Lot# City Subdivision Name, f nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance No. of Persons Single family ~IZDuplex No. of Bedrooms 4241 D. SEPTIC TANK CAPACITY `2 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement 14- Lift Pump Tank or Siphon Chamber Total gallons P efab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement - A ernate (Specify) Seepage Trench: No. of Lineal Ft. :2 Z G Width- :x Depth" k Tile depth (top) .No. of Trenches Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land/ Distance from critical slope WATER SUPPLY: Private K 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 oil Tester, NAME C.S.T. ##and other information _r - 411 obtained from (owner/builder). Plumber's S i g n a t u r Phone j~ 1~ )pFP/MPR # Plumber's Address 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. E E s i E . m E E Do Not Write in Space Below FOR COUNTY AND STATE DEPjARTMENT USE ONLY Date of Application -a~ Fees Paid: State ,/4~, ©-r✓ C my , Date Permit Issued/Rejeetgd~(.date) - Issuing Agent Name Inspection Yes No State Valid# Date Recd 1. county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 estate (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 OEM_ RK 115 Rev. 9178 REPORT ON SOIL BORINGS AND PERCOLATION TESTS "t WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 co AFCFIVFr LOCATION '/4, '/a, Section ,T_N,R_E (or) W,`Townsh'sp or Municipality Lot No. , Block No. Subdivision Name County Off ~ Owner's/Buyers Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT - / ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET_ NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER,IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- SINCE HOLE HOLE AFTE INTERVAL BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- P- P- P- - P_ 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- 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 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ' r °t i r k 3 a 1 ' J , t F- P F E 3 \ ~ s ~ t A? _4 a a 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. Name (print) - - Certification No.- Address Name of installer if known Copy A -Local Authority CST Signature< A' 3"~' y!! .r ~w"t` ~~°,~d !'yyr 4.'•"~!. t~.. ° r.~ fir.-+4, v~..'"'~° „ ',,r!, ~r A,:..t i 401 • I `a 1 ? 1 31- Pit O 3 .C 46 Fes' V'' ~ j~ } i..[ 7-7 s