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Home My WebLink About040-1201-50-000 n N y O m n O r~ c m O c ~r 0" 3 CD 'a CD d 3 _ K. \ cn 3= 2 N Z N j n o o • ) `C 0) N N O co J = 6) 4. m 3 o m `D o Q j d m o_ a OD L~ N .y C O p w W co N o 0 Q S ] N cn O CD C A N CD O N m 'p y (J N p O Cn (A 0 CD D CD N O v U) G D F' c CD (fl N N CL O W 0 r\v v i < W C (D ' Z CO CO O n O -,j -4 CD C N CO CO Q. O' O ~ .r m -0 o = r3- c z y N a O D vvv~ C CD m s N a N a O W N ~i z Z co Z c D CD O O Q 73 N CAD N N CD w ~a a z (D cn O = O A Z n N c v o A (zj 0 z N rn (D CD m 00 z CL " 0 3 -;l ~ O r. Cn 3 m N Z (D ? A X D 0 a CD m c 3 o a 0 a z _ N 7 N fll N O A S A N O O a A 0 W O_ "ZI CD D0 V O ~ O yo o O y 0 i Parcel 040-1201-50-000 01/13/2006 03:32 PM PAGE 1 OF 1 Alt. Parcel 6.28.19.926 040 - 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 JOSEPH M &EILEEN GRAHAM O - GRAHAM, JOSEPH M & EILEEN 546 NORDIC LA HUDSON WI 54016 I Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 546 NORDIC LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.270 Plat: 2204-NORDIC HEIGHTS ADD SEC 6 T28N R19W 2.27A LOT 5 NORDIC Block/Condo Bldg: LOT 05 HEIGHTS ADD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 103611 229,800 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.200 55,700 165,500 221,200 NO Totals for 2005: General Property 2.200 55,700 165,500 221,200 Woodland 0.000 0 0 Totals for 2004: General Property 2.200 55,700 165,500 221,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 119 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT TOWNSHIP SEC.__L_ T a N R j. ADDRESS r_3 r ST. CROIX CO' ,,TY, WISCONSIN. ' 3DIVISION%~, LOT ) LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i j I I L-LA ell j i i I , I "TIC TAIv'K S rMFGR. - Indicate Nmthv CONCRETE_ STEEL S cad e NO. Cot rings on cover f _ Z Depth dy DRY WELL i_ NCHES NO. of - width length area -.1 no. Of lines! widthlengt v area ✓3 ' depth to top of pipe r" ai.EGATE f may' •.a; ROTE AREA REQUIRED AREA AS BUILT Dy :claimer: The inspection of this system by St. Croix County does not imply complete :t•oliance with State 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 -ermine cause.of failure. ,LASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. '-INSPECTOR DATED / a ! < JIB PLU;tBER ON JOB r~ LICENSE NUtH3ER y' '3 j ;L y r ~r z ' REPORT OF INSPECTION INDIVIDUAL SEWAGE SVSTEAl Sanitary Permit State Septic NAME ; Township S~. Croix County Locat.iox Section SEPTIC TANK Size gattond. Number o6 Compartments j Distance From: Wett 12% on greater stope 6t Bu.itd.ing it. We.ttand.6 H.ighwaten it. DISPOSAL SYSTEM D.ia.tance Fnom: Wett 12% on gtceaten a.Eope Bu.itd.ing 6z. Wettands Ft. • H.ighwater 6t. FIELD DIMENSIONS: Width o tiren ch it. Depth o s no ck b e.2ow t.ite in. Length o6 each tine it. Depth o6 tcock oven .t.i.Ee in. Numbers o j tinez Depth os .t,ite below grade .in. Totat .length o6 tines _6t. Stope o6 .trench in pen 100 it. D.iazance between Zine.6 4x. Depth to bedrock Totat abz onbt.ion anew jt2 Depth to groundwater ~ . ..Requited area it2 Type of Coven: Papetc on Straw PIT DIMENSIONS: Numbers of p.itz Gnave.E around p.it,5 ye.a no Outz ide d,iame.ten it. Depth be.Eow .inZet it. 2 Tota.e abzonb.t.ion anew it A Area nequkted it2 rn INSPECTED BV TITLE APPROVED DATE / 197 REJECTED DATE 197 • 1 EH 115 Rev. 9/78 • REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES V P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: '/4;Sf '/4, Section ' T/ NJJ,R E (or)t~lll, TTo,Jwnship or Municipality Lot No. - ~ , Block No. fI r C e-, 4c" r 5 County S~ ~~1 't X / ub Iy~slon Name Owner's/Buyers Name: C~/!A/-~E'' C «d ')1 -5YC~.~ Z- Mailing Address: ~~14- /V l_~~.~/ 4L-", TYPE OF OCCUPANCY: Residence No. of Bedroom COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEWXREPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET 7-~ NAME OF SOIL MAP UNITe PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTE INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN SC< L K 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- 2- 13- B--- FLA 1, 1 _S7 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 SL'r~ I19ate scale or distances. Give horizontal and vertical reference points. Indicate slope. Q~[_d C/ i a i 77 E / Ae S>~ 1,;7..._ - l~cSkc~ V,. r _ _ ww 1 ; ! t ~ e r r z w c t. /7L~ wl cagr / C A- 414 12, (L 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. / Name (print) A Certitlcation No. S - ~S l J Address `i Z 14 .Name of installer if known c ' Copy A -Local Authority CST Signatur " PLB67 11 State and County State Permit # Per Permit Application County 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: C/ des ~ , ;~c.c~~ % c & Aa.[OIL Jar B. LOCATION: ,15-Y4, Section T A N, R-a k (or)-OLot# City Subdivision Name, nearest road, lake or landmark Blk# Village _ Township _ ~oro/,'- C_ TYPE OF OCCUPANCY: *C mercial *Industrial *Other (specify) *Variance Single family x Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher _ YES NO Food Waste GrinderYES X 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 Addition Replacement P pfab Concrete J( *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ,S 2) s 3) Total Absorb Area ~oZa sq. ft. .c New 1~ Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width _ Depth Tile Depth No. of Trenches Seepage Bed: Length _41(p~ Width / ' Depth Al8„ Tile Depth _ 3b'' No. of Lines _3 Seepage Pit: Inside diameter Liquid Depth Tile Size or Percent slope of land Distance from critical slope _ 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, 10 NAME ~~~YI lS f C e-,/r~3 C.S.T. # ✓~.J _ and other information obtained from ' lei C1 crdc1 (owner/builder). Plumber's Signature-- %kz~c-~,-= _ ~ - MP/MPRSW# s-Phone #:j~j(•-' I 10 Plumber's Address 6 CA C PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). A1o ,jam .r, ~~rr NSI Rd . kA I • proPe5,~4 c- LJe 11 IUorrdly 3L, p s tic ,.q 1 ~ IV /917 _ \ IhOJ e J -1'®_3' _ Do Not Write in Spac Below FOR DEPARTMENT USE ONLY 570 C un y~ `7"- y Date l 79 Date of Application /5 7 Fees Paid: State /0 Permit Issued/R (date) _Issuing Agent Na a a--L4, Inspection Yes X- 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)