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Parcel 040-1087-50-000 12/19/2006 09:06 AM
PAGE 1 OF 1
Alt. Parcel 23.28.19.354A 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 - THOMPSON FAMILY LLC
THOMPSON FAMILY LLC
207 RADIO RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 772 CHAPMAN DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 37.590 Plat: N/A-NOT AVAILABLE
SEC 23 T28N R19W 39.25 AC SW NE EXC.75 Block/Condo Bldg:
AC AS IN VOL 302 P 15 ORD BUT INCLUDING
100 FT STRIP BEING FORMER RR R/W BUT EXC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
PT TO TOWN DOUGLAS N THOMPSON & KATH- 23-28N-19W
LEEN A HALBERG CO-TRUSTEES
Notes: Parcel History:
Date Doc # Vol/Page Type
03/27/2002 674665 1861/444 QC
03/27/2002 674664 1861/443 QC
07/23/1997 811/77
07/23/1997 733/51
2006 SUMMARY Bill M Fair Market Value: Assessed with:
158409 Use Value Assessment
Valuations: Last Changed: 07/22/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 48,400 87,300 135,700 NO
AGRICULTURAL G4 34.000 5,300 0 5,300 NO
UNDEVELOPED G5 1.590 100 0 100 NO
Totals for 2006:
General Property 37.590 53,800 87,300 141,100
Woodland 0.000 0 0
Totals for 2005:
General Property 37.590 53,800 87,300 141,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 308
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Z _
PEPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM 1
San.itaA!/ PeAm.it,
State Septic NAME owns hip S~. CALoix County
Location Section
SEPTIC TANK ~j GvY~ I ~a~
i
Size gatton6. NumbeA o4 CompaAtment6
Diztance FAOm: WeZZ 120 oA gAeateA 6tope it
Buitd.ing it. WetZands 4t.
DISPOSAL SYSTEM HighwateA it.
,
D.iztance Faom: Wett it. .12% oA gAeateA 6tope it.
Bu.iZd.ing it. Wettands Ft.
H.ighwatvL
FIELD DIMENSIONS:
Width o6 tnench it. Depth o6 Ao ck, b etow tit e .in.
Length o6 each Z.ine it. Depth o5 Aock oveA t.ite .in.
NumbeA ob tines Depth o4 t.ite below gtLade .in.
Totat .length of .E.ines it. Slope ob tAench in pen 100 it.
Distance between tines it. Depth to bedrock it.
Totat absmbt.ion aAea 6t2 Depth to gtoundwateA it.
RequiiLed aAea it2 Type of CoveA: PapvL oA StAaw
PIT DIMENSIONS:
NumbeA o6 pits GAaveZ around pitz yes no
Outside d.iameteA it. Depth below .inlet it.
2
Total abzoAbtion aAea it A
AAea Aequi Led it2 rn
INSPECTED BY TITLE
APPROVED DATE 197
_
REJECTED , DATE 197
EH 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
j ~
LOCATION: '/4,h►L='/4, Section 1~- TKtN,R 1 !E-(,&a W, Township on ""ieipa4
r.
Lot No. , Block No. Subdivision Name County
Owner's/Buyers-Name: =s r R
Y y f
7; F
Mailing Address: '130t 41 e1~,
TYPE OF OCCUPANCY: Residence .K No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW '2<
REPLACEMENT ALTERNATE SYSTEM HER
DATES OBSERVATIONS MADE: SOIL BORINGS r~.°. I +Z-1 ! PERCOLATION TESTS!-! 7=
SOIL MAP SHEET '`k7 NAME OF SOIL MAP UNIT S
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE BOLE AFTE INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- lofe~
P- Z C ~t-t rA~, C_ r."~ r--: 31y Q
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- 1 `~'L tic>,.~b "7'L t3 L Z`i'p 15 1 u, av LSQ=~ Z
B- 71 1 '7 z- i-3 o x.; 7 7 2 1Z Z 1 3Y Srr,%,n L I &S
B- '7 Z_ 4 7 -7 L ZZ.' it 11 Z1 ` to 7
B- C -7`L 1vr< 7 7Z f2' i. 3`7 13%~ /S i7►. 5
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 15C` t2" 11A*'J0,1/&1,Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
tvo-rE : EkISl7N(S. LveL 7-00 #
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3"L 1 r1=4C L-V- 1 AS SWZ,1vk-1
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.
S
Name (print)xtI Certification No.
Address tZ~ ~`+"ti- L ~l 171 1•t1/ S NO 1! r _
.Name of installer if known
Copy A -Local Authority CST Signature
PLB 67 State and County State Permit #
- W
Permit Application County Permit #
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:
f i
B. LOCATION: Section TN, R
I I- E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C . TTYPE, O~F~ OCCUPANCY. *Commercial Industrial *Other (specif"Variance
h'ntgle' y)
family s~--O` Duplex No. of Bedrooms - _
No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Z- ` Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Syther (Specify)
- - - -
E. FFLUENT ISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: - No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: ~ Length_ Width Depth 34- Tile depth (top) %12n No. of Lines-_13
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- !~C) Distance from critical slope
WATER SUPPLY: Private ❑ Joint ~4 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 Certifi d Soil Tester,
NAME G: C.S.T. # 0 4> -and other information
obtained from -
(own r/builder).
Plumber's Signature ,gyp/MPRSW# Phone #a ~~C CSI
Plumber's Address c~
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 Spac Below OR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application 1011117 Fees Paid: State,_ Count Date 41-111 Permit Issued7N (date Issuing Agent Name '
Inspection YeState 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