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016.MERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730 C Aw
715-962-3121
800 - 962 - 5227
qLvIr-
7. CROIX COUN! Y REF%T DA i E -3/26/91
COURTHOUSE DATE RECEIVED. 3/25/91
't1DS0~t. WI 54010
2
_ :gip sak
"CE OF SAMPLE: Utiii
`.FORMS D /10~.
NTERPRETATION! Racter i o : _
2 ppm
4ibove 10 ppm exceeds the recommended F'ubLis
Dr i i nq Water Standard.
A;.NDEGEy~F
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L "t2C:"t 5i Le Level Hppl-U'ved by
dg 4'+
PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY ZONING OFF]CE
St. CrOiX County COUrthouse
911 4th Street
Hudson, WI 5,1016
`I'eleplione - (7,15)386-4680
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form is essential so that the_pro")rrty can be
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning Office, and mail,
along with form to the above address. Testing will be done as
soon as possible after fee and form!are received.
ki
- 1 .
EATER TESTING-------------------- - FEE: $ 25.00 X
(For nitrates and coliforn bacteria)
WATER TESTING FEE: $175.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION---------- -----FEE: $25.00 X
(Determines if system is properly functiorning at time of
inspection)
Property owner's name SCOTT SP'ISAK,!.'.
Property owner's address RT.3 #308 'TdWNSVALLEY RD. RIVER FALLS, W1. 54022
Legal Description 1/4 of the 1/4 of Section T N-R
To,an of Lot Number Subdivision Jame
FIRE NUMBER 308 LOCK BOX INUMBFIZ HOT
Color of house` GREEN Realty sign by house? X_If so, list f irm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK,
WITH LOCATIO14 SHOWN, AND A COPY OF THE LISTING SHEET.
Testing of residential v:ater requires a sample that is fresh. If
the home is vacant, and has been so for Some time, the %,;ater line
must be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many time.: rater lines are turned off, or sill
cocks are turned off, makincl access to the home necessary. If
this is the case, please make proper arrangement,: with this
office to ensure time c.:hen entry may be gained. I ,
Firm or individual requesting Services: FDINA _r'INANCIAL 4d
Telephone Number 436-7072
REPORT TO BE SENT TO: OWNER & _ DEBBIE DELWICHE (EDINA FINANCIAL)
ADDRESS ABOVE _ 700 SECOND ST._H_U_DSON, WI. 54016
Closing date APRIL 1,1991
Signature C-~ -
ST. CROIX COUNTY
RT
WISCONSIN
ZONING OFFICE
' ST. CROIX COUNTY COURTHOUSE
_ 911 FOURTH STREET • HUDSON, W154016
' (715) 386-4680
Mar. 26, 1991
Kate McGuire
Edina Realty
1050 Grand Ave.
St. Paul, MN 55105
Dear Ms. McGuire:
An inspection of the septic system on the property
of Scott Spisak, located at 308 Townsvalley Rd., River Falls, WI
was conducted on March 25, 1991. At the same time a water sample
was obtained for testing. The results of that testing will be
sent to you as soon as we receive them back from the laboratory.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This does not in any
way warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system may be dependent upon proper
maintenance of the system.
Since y,
James K.
Assist Zoning Adffinittr o
cj
Parcel 040-1079-20-000 01/04/2007 04:34 PM
PAGE 1 OF 1
Alt. Parcel 20.28.19.304B 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
PETER J NYGAARD O - NYGAARD, PETER J
308 TOWNSVALLEY RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 308 TOWNSVALLEY RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 16.000 Plat: N/A-NOT AVAILABLE
SEC 20 T28N R19W 16 AC N 32 RIDS OF NE NE Block/Condo Bldg:
EZ-UT-1213/12
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
03/04/1999 598824 1408/218 QC
07/23/1997 897/249
07/23/1997 794/377
2006 SUMMARY Bill M Fair Market Value: Assessed with:
158334 349,700
Valuations: Last Changed: 07/20/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 71,500 189,700 261,200 NO
PRODUCTIVE FORST LANDS G6 11.000 57,800 0 57,800 NO
Totals for 2006:
General Property 16.000 129,300 189,700 319,000
Woodland 0.000 0 0
Totals for 2005:
General Property 16.000 129,300 189,700 319,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 102
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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AS BUILT SANITARY SYSTEM REPORT 0l7/a D7 ~
~ e.~ ~ ~ ~ o?o -cry
OWNER TOWNSHIP TiAa,A SEC 20 T ';PV-RL90
---v
ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE oLG ac uc
PLAN VIEW
Distances and dimensions to meet requirements of H63
-W_ VERYTHING WITHIN 100 FEET OF SYSTEM
I di a 4e No th Arrow
SC - ~
. BENCHMARK: (Permanent reference Point) Describe: "Yl r<j-~~'^ ► ~ ~
Elevation of. vertical reference point: /0 tea ' Slope at site: ~Yli?
SEPTIC TANK: Manufacturer: cx) Liquid Capacity: /o o o
Number of rings on cover Tank manhole cover elevation:ioRo-
Tank Inlet Elevation: /0.7 "7 3l Tank Outlet Elevation: lo-7,4-9 /p..
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 ran 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 dept seepage pit in eft pipe-elevation
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines _wi thle~lgth~o the depth
SEEPAGE TRENCH: width length
PERCOLATION RATE q o - - REA REQUIRED /!qs REA AS BUILT lAco
INSPECTOR
DATED PLUMBER ON JOB- 6FO-7~
LICENSE NUMBER 3 3 5
1 I
K'l PORT 01 INS Ill CT ION IN0IVIOUAI_ SI.WAGL SySIt M
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tiani torl1I ('1'1Imi t
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tat:St'I-rt+c 16 to 0 8a2
^Afl 1 - Tuwn~Gla p S.t. C~to i x Couvl t y
sec ti onC;4 Lot b Su1)di v4i 4,6 i (I Y1
IANK
goYIA Nurnbt»i uh companitme.nta
l ,Ill C I (Im: W e Ef Bu i_ed.i ng
12 o b.('ap e
-
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1'INCI(AM(itR
gaeeov14 Purrlp ManuAar.tunen Mtrdel Numbt~l
fh 11)1NG IAN K
SI re gaefovlh Nambcit o~ CampaAtmentb
Po mpe't.- keanm Sys t e m
P(titanev (14om: We ef Buied. n.g- 12o ekope._
H~ gitwaten_ -
~ ;ORI'7ION SITE
6c(I T~rentdl G
C, 19 m rcc5
1 t.1tvtrt' atom: We('e ✓
- - B IA (k d (Vl y E' . 2 b b (1 p e
I1 i'(1hwa test
~1,,:01;PT1ON SITE DIM[NSIONS
wr It 11 o trench'
A --2 h .t R t q u tr t d a ~t E a
!i~lll nA vach einto
~fi Deptdr oh ~rocFt bt'Pr1w ti('e ~ ~ - t vl
NiiYnbch n( ('xne6 Uepth o1,; no cki (Iveit ti c 2 tvr
Itae ('ongth u6 ('.i.neb ~t Depth oo t"Lee bveow q~tade rv1
Ut 6-tanre be -tween P-<neh ~ At S~I'ope ~,>S ,tneneGt <vl. peer IOQ
-
Ir,(a4' aL) Suit pti_on ahea - ft Type oA Ctlvefc: Papl~n c 1 6t~taw
I1 UIMINSIoNti
N14mbvh n6 p-ith Gravee ahound pifi4 yen nu
Outsidr diamP•teiit --~jt Depth 1)cfow ineot (t
I trrP abboApti-on a 11ca ~t
A'11'rr htyui red
INIII CI a TITLE
1I ROV I U - L - OAT[.--
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I;r C I I D VAR 19
I,'I AtiON 1 OR RI .11Cf ION
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State and County State Permit # ~vv
-PL-B 6 7 w
Permit Application County Permi
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY G. & -Sp,SiQ~ ct.ti Mailing Address: r
.Tc` N N ~ 6 ~®SS t
B. LOCATION: 1YE '/4 A/- '/4, Section T:2 N, R E (or) OWE`` Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial "Other (specify) *Variance
Single family Duplex No. of Bedrooms -No. of Persons
D. SEPTIC TANK CAPACITY /000 Total gallons No. of tanks
HOLDING TANK CAPACITY AIX Total gallons No. of tanks-A~Z
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation A- Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT J~ISPOSAL SYSTEM: Percolation Rate *T~~^^ Total Absorb Area f/ 2- S sq. ft.
New ~ Replacement Alternate (Specify)
Seepage Trench:-11-No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: V Length 4Width.Depth 3 6 Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- 6 - Distance from critical slop
e_-_-
WATER SUPPLY: Private ®'7Joint ❑ 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 / '157 C.S.T. # S S - 3 /Sy and other information
obtained from 1 - caner builder).
Plumber's Signatur MP/MPRSVy# `/83 Phone #715-3 10-3(023
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.
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Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application to °3-~f Fees Paid: State /y Co my 0"o Date -
Permit Issued/Rejected (date) J 41 Issuing Agent Name i
Inspection Yes A_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
1
EH 115 Rev. 9178
S REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701 40
7/
r F~
40 X98
N,R E (or) Township or Municipality C'
LOCATION: N6'/4, (yL%, Section t~,T_2
b 12
• rIZ
Lot No. ;Block No. ubdlvls~i~n Name County i C I~` / I i ~
Owner's uyers~, Name:
Mailing Address: 2-L'i S• Lrv . T-1 \u Crf':_ r ZL~ LJ 1 ~ ~."Z
TYPE OF OCCUPANCY: Residence °i
No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS NOV, L57~ !°It PERCOLATION TESTS Nub IL I `)G"~'
SOIL MAP SHEET v NAME OF SOIL MAP UNIT ~1L' j-
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- SINCE HOLE HOLE AFTE INTERVAL RATE
BER INCHES CHARACTER OF SOIL THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- 7A J
P- ) 3~5,& f~,, ~ 3 ~ ~y N I ~iL
P- ~a N 2 Y6~
P- 5`,s Z IL) N v y 3 %A Z'/Y 10..
SOIL BORING TESTS *.x stvrj +'I%sf v> v
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- ES IS
B- ~5
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the I_oc tion and square feet f sui ablfareas.
Indicate number of square feet of absorption area nee d for building type and occupancy + ZJ .Indicate scale or distances.
Give horizontal and vertical reference points. Indicat slo'
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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.
~CN>a1~ 5-5-- 3r~
Name (print) Certification No.
Address ZILI _ W J~rSJ L, L
Name of installer if known 0T_ I,i.0N
Copy A -Local Authority CST Signature
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