HomeMy WebLinkAbout040-1197-70-000 (2)
c' aai C)O
O (a
o ~ III
a a 0
~ I a~ I
O O O
N ~
d _a
O ~ N
L L
y U
-m
m m
(D O
C E C (OO
y O = O
a. U 3 Q
Z >,-9 we
Fr m m L
m O
~ 7
a`) °o U CU
Z m
3 O 7 a
LL c O (6 m
O U C
a.U)
N
a
a`>
Q n
N
Z 00
Fr E
z v
00 CD
v N a ~
c C9 a
° z a c
3 N
N Z O c
C
a a> I
m a, D
CST /N1 O
C Q)
m
N CL ~ I
• O N
O d ~ L
a
O
O Q Z co z
N
N
°
C) y
m - m 75
a t° a m
.r- E
LM U) 0) U) -0
T- N ~i, 0 0 0
• a a a
N y
3
CL a
N o = rn rn
°
J U
rn rn Z
M O _M
0 0 0 0
w (D
V O N N O O O O O 11 N N
m E N N
a 0 0 a M
3
L D O c N
CD L d \
(D Q Z U) Q
O tin C
0 C ° j lA m N v (O
O or 0) a~ -0 c° u a °o °O o 0 0
CD
CIO:: ~ C CO ~ C (L> O r- (tD M
F- 3 N
C r eD m p y a~ O Z C N
F0 O' N ` 7 M N m E L
O O F- 2 Lo z N 2 H
wryy YCG
\ N y L
V
3 L: a
c S ~
r A U a 2 O to U
Parcel 040-1197-70-000 07/18/2006 11:08 AM
PAGE 1 OF 1
Alt. Parcel 4.28.19.901 040 - 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 - KAISERSATT, MARK R & DEBRA L
MARK R & DEBRA L KAISERSATT
561 HIGH RIDGE DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 561 HIGH RIDGE DR
SC 2611 HUDSON
SP 1700 WITC
i
Legal Description: Acres: 3.590 Plat: 2081-HIGH RIDGE COURT 1ST ADD
SEC 4 T28N R19W 3.59A HIGH RIDGE COURT Block/Condo Bldg: LOT 29
1 ST ADD LOT 29
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
04-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 869/258
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.500 72,600 237,400 310,000 NO
it
Totals for 2006:
General Property 3.500 72,600 237,400 310,000
Woodland 0.000 0 0
Totals for 2005:
General Property 3.500 72,600 237,400 310,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 210
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
R
i
RfiPQJ;T OF IJ1SP1 C1'IQ?7--IN' IJIDUAL SL1,1AGE DISPQSAI, SYSTE'll
Sanitary Permit
r State Septic C
.,I
T&INSHIP
St. Croi;; Couiity
ME P T I C TA'?3:
Size gallons. 'lumber of Compartment:
Distance From: 'Nell ft. 12% or greater slope ft.
Building ft. Wetlands f
liighwater ft.
DISPOSAL SYST;:i Tile field or Seepage Pit(s)
Distance From: well ft. 12° or greater slope ft
Building ft. Wetlands f„
FIELD "ighwater ft.
Total length of lines ft. Number of lines. Length of
each line ft. Distance between lines ft. Width of the
trench eft. Total absorption area ~sq. ft. Dept::
of rock below tile in. Dp-pth of rock over tile in. Cover
-aver. rock., Depth of tile below grade_;:, in. "lope of
trench --in our 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
"lumber 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 .
66 6'
State and County State Permit #
PLB67 ~ Permit Application County Per
for Private Domestic Sewage Systems County 1' -
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTYL iL ailing ddress:
i
B. FL ATION: /4 Y4, Section T VN, R)1!7 E (or) ot# 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. TYPE OF APPLIANCES:. Dishwasher YES NO Food Waste Grinder YES /%110 # of Bathrooms
Automatic Washer L,4ES NO Other (specify)
L. SEPTIC TANK CAPACITY Total gallons No. of tanks _
*Holding tank capacity Total gallons No. of tanks---
\Jew Installation Addition Replacement- Prefab Concrete
Poured in Place Steel Other (specify) _
FFLUEN DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. tt.
Newdition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth T e Depth No. of, Trenches
Seepage Bed: Length / Width Depth rpt Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Tile Size
Percent slope of land- Ca, Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
",lisconsin Administrative Code and that I have sized the effluent disposal system from the EH-1'S p,,epared
try the erti ie S ' Tes
i-1-4
`:''AME Y C.S.T. # 5 5 J and other information
" i~
; une
frignatu ? (owner/builder).
CV)
:ummber's rMP/MPR # Phone 1~0 5~_7_
Plumber's Address
j PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).,
Do Not Write in Spac eybw F R DEPARTMENT USE ONLY j C1 C}
Fees Paid: C C o y,. '
Date of Application State
D
Permit Issued/. (date) } N Issuing Agent Nam
Inspection Yes No Valid# Date Recd
opy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
1. county (w ite c(
2. state (pink copy) 4. plumber (canary copy)
EH -115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
-~M► DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: '/4, Section T _V N, R W, Township or Mvrticipali y
Lot No. Block No. ~c~\~- p~ ~►1~c'd= i County 0"~'r `)X
Subdivision Name
Owner's Name: \Af\k-`~ p' -
Mailing Address:
TYPE OF OCCUPANCY: Residence i' No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION -REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS "3l 4~ 17): PERCOLATION TESTS W
SOIL MAP SHEET 7 ~ SOI L TYPE _
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WA i ER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
L I Al Eh! -1 1'~
P_
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) -7 L 71_
B- J Z_
xj)
B- Nin"
, lccj
B- `__3
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. _ i ;~N C 11 " T-iI Y~ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
1 t
i i
f
' ' IJ ! I i i
h
i
4q. t - 1 r I 1_ a k 1t i
T~.. 5 t I I f-G t + y V i
I 1~ ~ I y f v ' iff f 4 I i ! M I I
f .w I 1 1
1 t I i I I( ! \ ~ I 7y ; I f
411 t N
41 >
T
Pi 13uE ' o 14
k ~
f I I I f
.__.__I I IO tl ) Iip-
- l ~ EI
1 1 v Z
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
to the best of my knowledge and belief. `
Name (print) f:~jz i 1( k__ ~ J., Certification No.
Address L-LL` lL < iZ11 LL
Name of installer if known
i~
CST Signature
IFJOSCNL ALIT"
EH .115
WISCONSIN DEPAR 7 MENT OF HEALTH AND SOCIAL SERVICES
L DIVISION OF.''1SALAi., BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: _'/4, Section _f_, T, kLN, RA E (orfiV, Township or Municipality I I
-r- C.. -
> ~
Lot No. Block No. , -Hit~i n t-E 1~ County
~Su division Name
Owner's Name:~~Z
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFIL bI' 69A1L SYSTEM: NEW ADDITION REPLACEMENT
DA S ER TIONS MADE: SOIL BORINGS PERCOLATION TESTS Al )t,~;-,
S Z' AP SI 1CEJ SOIL TYPE rR t~
- PERCOLATION TESTS
71
kElks DEPTy, iICE C`HA ACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
SINCE HOLE HOLE AFTER INTERVAL
N INCHES KNESS IN INCHES
B 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
ell -yq
l / Y
3 I&
P-3"
)q o 3c) /
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)
by.
4.j
_It
LA KI t" .4 LES
•rtity
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square fe of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. a f Indicate scale
or distances. Give horizontal and vertical re erence p nls. Indicate slope.
I
1
i
7N
I R ~ ~ !
4
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 "a
to the best of my knowledge and belief.
Name (print) Certification No.
Address 1 y l '
Name of installer if known
CST Signatu e
COPY A -LOCAL AUTHORITY