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Home My WebLink About040-1119-80-000 0 to p ic '9 n ~ v1 O 3 ~ <p n W 'p p'J d C m 3 = a~ n N N 0 O N O N! ~ j A ~ 7 O O CD O N N ~ 'i Q7 fZ. d d N O` O "h N C CD 03 :3 N CL fv N fv N 3 F A 00 N CAD n co W O O 0 0 ° 3 C 7 N CO O C U) D F F• I CD (D O N d O N co U c a O a 3 O o i iz - 1" CD CO (O -n n r to N jo Cj O N o c z 000 tv o a4 o 3 N N (A N O w :3 ~ CY Tvv cQ m N CD m 90 3 (D c rs 0 N C d N 3 C z N N z o co D CD 0 O . v o" ~ • CD N N /n C (D CD z N 1 ui Z :3 m 2 A O A N C s ~ „n z 70, 0 d A ~ 7 Q. (n co CD CD 0 CL z 3 FF (n N z CD w g ~i i :i (Sn o n 7 Q O a: (D - ~ D Z Q ~ aa Cn m o a~ OD N C N O i c a' (D°w 3 ~3-0 O O 0 A O :3 3 (n Cr N CD O (n v N C N O O N C v CD ' a x o O 00 CD FF A 69 0 T C) ` a ti Parcel 040-1119-80-000 01/05/2007 08:34 AM PAGE 1 OF 1 Alt. Parcel 31.28.19.490B 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 - JANSA, THOMAS J & SUSAN E THOMAS J & SUSAN E JANSA 309 ILWACO RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 309 ILWACO RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 31 T28N R19W PT SW SW COM SW COR SEC Block/Condo Bldg: 31 TH N 1316.71 FT TO NW COR SW 1/4 OF SW 1/4 TH S 88 DEG E 340.16 FT TO POB: Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TH S 88 DEG E 274 FT TH S 352 FT TH N 88 31-28N-19W DEG W 274 FT TH N 352' TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1173/392 TD 07/23/1997 823/368 07/23/1997 779/81 07/23/1997 651/04 2006 SUMMARY Bill Fair Market Value: Assessed with: 158670 208,800 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 48,400 142,100 190,500 NO Totals for 2006: General Property 2.000 48,400 142,100 190,500 Woodland 0.000 0 0 Totals for 2005: General Property 2.000 48,400 142,100 190,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 138 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 St. CnA, County Planning and 7 i,,g AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T N-R W ADDR[: S-wv~LXJCA- 4,~~ ` ST. CROIX COUNTY, WISCONSIN. - - 11 - 4e~ SUBDIVISION LOT LOT SIZE C~/IiVi✓~~ _ PLAIN VIEW Distances and dimensions to meet requirements of H63 HOW-EVERYTHING WITHIN 100 FEET OF SYSTEM I 1A I di.a e n th Arrow J BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SP.'PTIC TANK: Manufacturer: ~jtf1~ Liquid. Capacity: 660 _ Number of rings on cover ~ ---Tanck-manhole cover elevation:---- Tank Inlet Elevation: Tank Outlet Elevation: PUMP CIIAMBER Manufacturer: Number of gallons Number of gal. pump set or as cycle gallons; total capaci.ty~- 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 Ilevation of manhole cover 'H'ype of warning device SEEPAGE PIT SIZE: um. e-h o~ pits te67t diameter feet liquid depth seepage pit inlet pipe-elevation- _ bottom of seepage pit elevation feet. SL:EPYWl'BED SIZE: number of lines--,'J) i :Ijff th_ le-ogth `1-tile depth SEEPAGE TRENCH: width length PERCOLATION RATE _ AREA REQUIRED ~ AR VA AS BUITT~,-_ INSPECTOR DA`.CI:D--_ PLUMBER ON JO - i _ - LICENSE NUMBER [ h J 1,,'1:1'ORT OF INSPECTION - INDIVIOCIAI_ SI-WAGE SYSfI- M ~ S a V~ ( t a it y P e rri 4, T AM I TownA h 4 p ----_-__St. CAo.(' x Counhl ra <un Se.ct-i.on Lot -Su7b4- c- an 11'T I C TANK Si rc_..`-C.L gale onb NumbeA ah eompar.tmen to A tunr( ra ( m: weP ~ Bui_2di.ng 12% .6fo.pe Htghwa.t.eA i'11M1'ING CHAMBER ga.QQon4 Pump Manuha'c..tui.er Modek. Number 1 1) 1 NG TANK r ri' gax.tans Numb en o6 Co mpar.tments l',,,rnf:rer Atanm Syeteen , f,tnce (nom: wete-- Bui. ding___- 120 slope. H.ighwa.te tt I'I ION SITE Trench 1 I(GncrKAOm: ' we.tt Bti .tdin g~.3 ~12~ 5kope Highwa.te)t i:,,'oRPTION SITE DIMENSIONS Width o6 tne.nch , ~ At Re q.u c d a r, e a---- i h,nrlth o6 each 'ti.ne., c' ~ At Depth o6 r.ock be.kow t.ife N,rimber oA tineb Depth oA melt ove.A. tife. I h,tal kength o{ tines / j fit Depth oh tite below gn.ade rr U+htanee between ..tined 6t ~Zope. o4 vtench. ~ _.En. pear 100 At F l frrf' ubAaA.pt-i-an aAea- I: t~_--At Type oA Cove.k: Pape h oA b trcaw l 111 Ml.NS IONS o6 pit-6 G4avef around p.~ tb _ye. - no O(1 fA ("de. d.i<amete,%-- - At Depth be.. ow .inee.t_-~_~_ ~.t t o to e abd orption. area l dC 6 t. A'rva required At s `7 I' I (111 1) 6 y T I T I_ E 47 rl; ()VI I) DATE 19 8/ i t CI 11) DATE_ 198 - Atii)N f OR REJECTION ~ I State and County State Permit # 0L*B' 67 County Permit # Permit Application Y , -F 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 Mailing Address: 0,v s c"~ 3 Cote F11S lei's B. LOCATION: 5r W '/4 S '/4, Section, TPff N, R E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _X Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY 000 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete l Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) - - - E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate __7'<10-Total Absorb Are sq. ft. New X_Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: X Length .1S1! Width 1001 Depth 146 0 Tile depth (top) lFff No. of Lines 31 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits f Percent slope of land Distance from critical slope u94~ T_ WATER SUPPLY: Private 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 Certif d Soil Tester, NAME _ 7~lo;se. Zt.letn9 C.S.T. # V'6~s a~`~'/) and other information obtained from d r (owner/builder). Plumber's Signature MP./MPRSW# sa3~ Phone #s' Plumber's Address !a-0 ' 4,) 744(o 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. i 3 i ~ e e< ra. a „ . i t E c I r 3 , 1 Do Not Write in Spac„g_ Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State /4,1/,a_'C) Cou Da e Z - Permit Issued/Rejected (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 f r 3- 'r , 33ev. 908~?V i { REPORT ON SOIL BORINGS AND PERCOLATION TESTS V n WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ^w ~I~atJ 8J P.O. BOX 309, MADISON, WISCONSIN 53701y LO' ' I , /4, Section :5 1 T 2yN,RkE (o,)6) Township or Municipality Lot No. , Block No. County 3 j- ubdivision Name Owner's%Buyers Name: d K -J GEC N s Ci 4• Mailing Address:_ ST N i r411S TYPE OF OCCUPANCY: Residence / No. of Bedrooms & COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW .-REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: IL BORINGS S PERCOLATION ST 57/Y I SOIL MAP SHEET-__-_ ~ S L NAME OF SOIL MAP UNIT PERCOLATION TESTS ST HOURS WATER IN TEST ~ DEPTH CHARACTER OF SOIL TIME- DROP IN WATER LEVEL, INCHES RATE- NUM- INCHES THICKNESS IN INCHES SINCE HOLE BOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 F_ c W efirs sh V, P / ~ a 0' r 6-9.01' 6 F ~ev o S P_ # 1 41 v ;1 P _ ~I t P - L_ 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 r B- It B v , i' rr t7 ~L S ~r _5 4r/mil" B. 7 `its it /0 ~l 6 L j L. ~ S ~i C, r B- 0 w l is 51. a S4Gr B- L1 3i, 113- 'Sh '5 y 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 JOW 6 Ca .Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ii f i1 E'/5 fid w ~t- ~ u ~eA < ~laC eT tOp j , , x~ si' mow~ /CL` S P3; a , fl m X _y )V;' 251 I b E et Sed '6 J mn 7= lei. 6_ `7 N _ 3. ~ N E O a f ~~C F Y. )k A= re10, e tree Ira4vk ~.~1; e-1 S:t4 rev, 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. ~j Name (print) Th0 Certification No. S5 Address F i I, e y` F4 8S Lois. .Name of installer if known Copy A -Local Authority CST Signature ~i Eft 115 -Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: '/4, "y'/4, Section ,T_N,R_E (or) W, Township or Municipality Lot No. , Block No. County Subdivision Name 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 HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE MIN/!N BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- P- 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- 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. s E I g , } e r i r T 7_ 3 tE I , e~ N - -M -4-41 a @ e c i _ , - . a Ma _y~... F ~ - 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 C -Property Owner CST Signature X 1`D~ps ~OdG /S t.s er t+t ~ ~C w o oir3aril X All IvDo ~ yC aCAA xX kir Xknx yz~ t w e e~F Flew, 94,se Strud e tree