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HomeMy WebLinkAbout040-1011-60-000 0 N 0 0 v1 O~ 3 y 0 d r- ED * (D (D ID 'a ID ID ID ID i \ 1 w z 2 v, Z W W 2 Z -P~\- co m o o • 0 O W In O N ~l C O N cn O 10 C W A `C PL 0, w " m a 3(D m N 3 o m ro 4 W I PD :E n~ m - \ n m Q co Z fl 1 iJ -i o h 1 _ m 0 = :z z C - m - m d m m N m m m n 2~o -t n 0) 0 (D o 0 0 rn m O CD n CD (D o D COD CD (D N v' 3 n o rn o 0) °O ffi C ` y" C N O cn z D a 1 u~ D ` a f CD O (n G (D (n ` a N W 75 CD O W d 3 - N d - OV N CD O W d O 0) (D cn (o 0 CD CD 0 r- cn P CD 00 !T ty oz 00011 000 ~r a, <Wz a 3 U) ti c a 3 ti cn c a D a v 0 s v v q o h O -u N fD N N .'O. W N 41 l~~i1 J O N fl1 D D li lV (D (D C N O A z N z w z z w z O D (D O D m o CL =3 CL tri o CD m ID m C oo y CD -1 en I m v=3 I m m c N CD C. N C W O. n a 3 5 3 z (D (D -4 cn o > v a a A z j G1 o Z -I W 0o D ao v * Nj CL " I a - - z 0 3 0- a A B z z CD CD 4~ w 1 41 f I ° w a o -00 o~ _ s a C o f C O ~.N G O . N F 0 fD fn O a co 0 r ~t~ C O' O N C 7v Zi W "00 p T--- CL N O p p 2 O G 0 ~i OS N 0 ;1 3 o m C (D (D O Q (n 0 O O O 'O m cn a Z) (D ~d3 y 7 - y S CD CD m CL N co 'i 3 0 l :3 ° 1 3 aN 4 t O O O= <n (Q o CD LSD o n v S CD A O co fD (D O O CO k-j 7 (D V O O `G 3 co a O O , O O O O O DA p A EA 0 S9 O ti N O c) CD Parcel 040-1011-60-000 07/24/2006 09:44 AM PAGE 1OF1 Alt. Parcel 03.28.19.46D 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 - BURT, MICKEY A MICKEY A BURT 672 TOWER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2611 HUDSON i ( 1 SP 1700 WITC r Legal Description: Acres: 3.900 Plat: N/A-NOT AVAILABLE SEC 3 T28N R19W 3.9AC IN NW SE LOT 3 OF Block/Condo Bldg: CSM 3/748 REPLATTED IN 4/904 LOT 3 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 03-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 05/14/2002 678933 1890/196 EZ 07/23/1997 1041/624 QC 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/15/2004 Description Class Acres Land ( Improve Total State Reason RESIDENTIAL G1 3.900 66,000 203,000 p 269,000 NO r Totals for 2006: General Property 3.900 66,000 203,000 269,000 Woodland 0.000 0 0 Totals for 2005: General Property 3.900 66,000 203,000 269,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 120 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT VA ji~ TO~JNSHIP SEC. N, R W r tKAW 4NE RAjSS .C}. "_'1-1 ; Z! '11, T. CROIX COUNT , WISCONSIN. tITBDIVISION LOT LOT SI PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM PTIC TANK (SdMFGR. F _CONCRETESTEEL NO. of rings on cover Depth DRY WELL :ENCHES NO.'of9 width ten th area ! no. of .line§~r,width length area depth to top of pipe GREGATE .'"RK. RATE AREA REQUIRED AREA AS BUILT .sclaimex: The inspection of this system by St. Croix County does not imply complete _pl ance with Sate Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for 'stem operation. However, if failure is noted the County will make every effort to termine cause of failure. 'BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. "INSPECTOR /PLUMBER ON 30B DATED LICENSE NUMBER sa..;-rte..,.:: ..~.....,,;:.:..,....,.........:y,,.... ...:.....v w _ _ :.'rw+'aF~.rp.'f'k°i`L~.Sff•7+ 1 t Y Jk `RFPOP,T O1, I11SPECTION--INDIVIDUAL SE?,1AGE DISPOSAL SYSTF-21 Sanitary Permit:' .3 ate Sept i c 1O D Al~ A-1 T&WNSHIP • t. C;roli: COL1Ihty SEPTIC TA'11; r,, r AZe gallons. `umber of Compartments , Distance From: We 11 ft. 12% or greater slope ft. Building' A ft. Wetlands ft l~ighwater ft. DISPOSAL SYST17:1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building / ft Wetlands f: FIELD Nighwater ft. Total length of lines ft. Number of lines Length of each line ft. Distance between lines ft. Width of the trench ft. Total absorption area sq. ft. Depth of rock below the in. DP_pth of rock over tile in. Cover aver.rock,, Depth of tile below grade i.n. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ,round water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: `yes no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required `square feet of seepage nit area required Inspected by: Title:. . Approved Date 197. Rejected Date _197-. EH 115 11(o : ;'t}+S w,M i_=~.~~.c iL !4 7~ 8~4us~~ y}FE r-E G fzT'i F~ ~a ,~e_vcy /K/4 t+AD Nor Bc= ,C-W hVPgcvaD WISCONSIN DEPARTMENT Of HEALTH AND SOCIAL SERVICES 1JN'J'14_ m/ -i SG F7 DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS pa Lty op 1446lp*~i ~~~Y LOCATION:/4,~'%Section, T1, R L'9_ C W, Township Lot No. _ Block No. T1F+a4 Su►~✓~:y 114 44Z_:- County i - ca ix Subdivision Name r Owner's Name: ~~L pC)cVE POP- ~~•il~ 1~v -T , _10 Mailing Address: l2 i ^ 1n/e',P- PIVAC> S TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW IK ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGSOr,'r. Z-9 .197 PERCOLATION TESTS 05-7' _ 1978 SOIL MAP SHEET SOIL TYPE W µ14Z-~I /J ! nt~rE : rI++S yS Ator .4aP.u~7-e) PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P-7 it P-5 3C -Z 1)1&Ve .3 -3 t SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B_ 1 9 7 4- 94, d^IL' 9 ~ -~M , z~ S car-, c"Ve > M /c- ' 671C 7 g B_941 Jl~ai.1~ >aj 4; 7p, PLAN VIEW (Locate percolation tests,soi I 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. &(7 SxR r=1`, e-0QV c1ZD Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I t ~ S 7~ f ~ i $ ~ 3 O ~ r ~~_4 ~ M If I ~Vv ~i 11 ii L I , I I; I I" L4 7ri i 17 N I 1 € i I I ? I _ € 1 A ft € f tt(t , i , 14- P_ II t i , OWA.1 { , 14.4P fC,3C G.~ r- 4> at, 0V ,o',ri'` ~y~ ! zNcc rig L~Jr I I ~ ~ I I I, the undersigned, 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 5 ? to the best of my knowledge and belief. \y~ A 1!' T, Name (print) `AME5 E. P-JSCW Certification No. 55'_5_& Address i -,40 ZZ fl Name of installer if known COPY A -LOCAL AUTHORa' CST Signature PLB.~ ~ State and County State Permit # Permit Application County Pe mit ~zJ for Private Domestic Sewage Systems County !'~L *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER F PROPERTY Mailing ddress~(~//~]/ B. LOCATION: Section T4gff R-/7 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPAIyCY: 'Commercial *Industrial ``Other (specify) *Variance Single family { Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES A-NO # of Bathrooms Automatic Washer ~ YES __NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks 'Holding tank capacity _ Total gallons No. of tanks New Installation k-'----Addition Replacement Prefab Concrete 'Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) ~3) Total Absorb Area SOONdo sq. ft. New 1/Addition _ Replacement *Fill System Seepage Trench: No. Li Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width 1 Depth Tile Depth_ Z No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope 1, 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 S it Tester, NAME C.S.T. and other information obtained from (owner/builder). :P 4 Plumber's Signature _ hWMPR Phone # Plumber's Address 49 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). n 7 ~l ~O'x Do Not Write in Space Below FQR DEPARTMENT USE ONLY Date of Application i'% Fees Paid: State/( f; County:Date f~ Permit Issued/R jaoted (date) / i~t Issuing Agent Name Inspection Yes No 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 6/1 /76 REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM a • Sanitaxy Penm.i-t State Septic ~ NAMES township _ St. Cxoxx County Location Section SEPTIC TANK 'I Size ga.ttonA. Numbers o6 Compax.tmen-tz j D.iztance Fxom: Wett 6t. 12$ on gxeatex Atope 6t Bu.i.td.ing 6t. We.ttand6 H.ighwatex - St. DISPOSAL SYSTEM • Vi4tance Fxom: WeZZ S#. 12% ox gxeatex zZope 6t. Bu.itd.ing 6t. Wettandz Ft. H.ighwatex St. FIELD DIMENSIONS: Width ob' txench 6t. Depth of xock below tiZe .in. Length o6 each Zine 6t. Depth o6 xock oven tiZe in. Number P6 Zines Depth o6 tiZe beQow gxade .in. Totat Zeng.th o6 Z ines 6.t. Stope o6 txench in pen 100 6.t. D.iA Lance between Zines t. Depth to bedxock 6.t. Totat abz oxbt.ion axea 6t2 Depth to gxoundwatex 6t. Requited axea 6t2 Type o6 Covet: Papers ox Stxaw PIT DIMENSIONS: Numbex o6 pits GxaveZ axound pits ye.a no Ou.t4 ide d.iametex 6t. Depth b eZow .inlet 6t. 2 Total abzoxbt.ion axea 6t A Axea %equited bt2 rn INSPECTED BY TITLE J APPROVED ,DATE 197 r REJECTED DATE 197. EH 9/78 7W I2 G. S . M. /(O'r A-P pg-C V C~_n 7 6 REPORT ON SOIL BORINGS AND PERCOLATION TESTS r =T WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION! • f ' '/4, = ~ /4, Section T ~N,R ~Ew6=) W, Township e. Mtj +flalit~{ y Lot No. Block No. L~TI or- Imp S U rZ-'✓ ` `A'te County Subdivision Name Owner's/Buyers Name: tt 1~ t> v aZe` Mailing Address: r- ZV*0 ^V LA,®/. TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEWXREPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGSOCT Z5;;~ 15 .,76 PERCOLATION TESTS Oc,-- SOIL MAP SHEET 74- NAME OF SOIL MAP UNITW4 l-A/V C S is P 9_ ,r rr-.> /Z- -771-5 S t r r PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTE INTERVAL BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- %Z_ l cnrc 3 3 3 3 i P- v 3k y~_ 3 3 3 P- 4Z Al ,i 11 It %7/ C i= 3 % 3 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- Al cnl = > 11111111110 LcA wt zo, S 7 B- Z s 7 AM- ?,v ° S 1 7 6 B- 3 i, CA1 ";-4011111111P 9 C- Lc A- AI /I- S G rz 7 6 B- Am 9P c - -7mm C. Lcgo S ~ z PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the to ation and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy 4-15 5f 315ff_P_- 116dicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 14O'Tm, -7 A L4_CV4 ,Z01 SCI-A-1-IF fi= n T,2r;- 027-,1A) 4_ ~1fST ~t Q c. NOT FtT- W 7If1= v✓~A-~ ; T*c S,E EV-WC t4 MAK_K_--MP Cr= GC9-Nj-_ W.( 1-rte 50= 't 9 c ! F R~rv1 (zc W. plpg - "TABi._ o F -WJS:7 /N§r t C, Y. Z_ i C) Z_ FV 0,/ . 6° ~¢t 103 4- 5--Z- ~z J3.' IoZ f'~ N a' U T 9 ' - 1511, F AUG 1 1 ._w ,o IU Yc~ CL`S PI= MCI ~ l i 6 PE~c_c. c~Tl Q /J T~Si' j i l7 ©n~` E" Tz 5~-~ s _ C-c' 1, form ~ e TIf~T ~G7 j L~c~ p 1 ~the I~ersigend, 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)sJAM&ES G, P-LJS C4 Certification No. SS ' Address 1 W( N TM-k- S77 P, I V CTS F_ -L- S I 6 0 ZZ_ Name of installer if known Copy A -Local Authority CST Signature State and County State Permit # ✓07 / Pf 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 Mailing Address: B. LOCATION: Section T "N, R4 E (or) of# _cityy Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPAN Y: *Co ercial *Industr *Other (specify) *Variance Single family _ Duplex No. of Bedroo No. of Persons D. SEPTIC TANK CAPACITY /ZdC7g2,C./ Total gallons No. of tanks HOLDING TANK CAPAC Total gallons No. of tanks Prefab concrete Alf Poured-in-Place Steel Fiberglass Other (specify) New Installation 4/ Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-PlaceOther (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth top)T-No. of Trer~chps Seepage Bed: Length y'La`~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, 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 sy4% Mn the EH-115 prepared by the Certif Soil Tester, ham'' NAME .S.T. # and other information obtained fro -r/builder). P~ Plumber's S ~"awre' VF RS # Phone; J-I 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 t i { , i ,e sn .m ,U q ,n>._. ...y._. t E 3 r Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application - - Fees Paid: State J_`a r o Cou t _ CC, Dale Permit Issued/ eted (date) - - Issuing Agent Nar L CL 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