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Parcel 040-1113-90-200 12/19/2006 12:44 PM
PAGE 1 OF 1
Alt. Parcel M 30.28.19.469C 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
LYLE MCGEE O - MCGEE, LYLE
321 PLAINVIEW DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 321 PLAINVIEW DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 9.699 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R19W PT NW NW BEING LOT 3 Block/Condo Bldg:
CSM 12/3264 9.699 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
03/30/1998 575966 1309/559 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
158598 428,500
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 9.699 97,300 293,600 390,900 NO
Totals for 2006:
General Property 9.699 97,300 293,600 390,900
Woodland 0.000 0 0
Totals for 2005:
General Property 9.699 97,300 293,600 390,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 215
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
l
Parcel 040-1113-90-000 12/19/2006 12:45 PM
PAGE 1 OF 1
Alt. Parcel 30.28.19.469A 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 - MCGEE, LYLE
LYLE MCGEE
321 PLAINVIEW DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 313 PLAINVIEW DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.678 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R19W PT NW NW BEING LOT 1 Block/Condo Bldg:
CSM 12/3264 2.678 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
03/30/1998 575966 1309/559 WD
07/23/1997 787/496
07/23/1997 783/498
2006 SUMMARY Bill Fair Market Value: Assessed with:
158596 61,400
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.678 56,000 0 56,000 NO
Totals for 2006:
General Property 2.678 56,000 0 56,000
Woodland 0.000 0 0
Totals for 2005:
General Property 2.678 56,000 0 56,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Z
R JRT OF INSPECTION INDIVIDUAL S€~G1AGE SYSTEM
-
San.i-taty Permit
State S (,p,tic___
---i own.bhip ST. Croix County
l Section
Locatiow S1'PTIC TANK
Size gattong. Numbers o6 CompaAtmen.t4 i
Diztanee Fxom: Weft it. 120 oA gxeatex 4tope it
Bu.itd.ing it. GIetZands
H i.ghwatex it.
DISPOSAL SYSTEM
D.i ranee FAom: Wett it. 12% ox gAea,teA z t ope ~ •
Bu.itding it. Wettand6 Ft.
H.ighwatex it.
FIELD DIMENSIONS:
WiRh o4 txench it. Depth o6 xock below tite .in.
Length o6 each tine it. Depth ob tock over tite .in.
Numbex os tines Depth of tite betow grade in.
it. Stope o j txeneh in pvL 100 /t.
To a2 length ob 2ine,6
Distance between Zine.a it. Depth to bedxock it.
Totat absotbtion axea ~t2 Depth to gxoundwatet it.
2
Requited axea it Type oi Covet: Paper ox Sttaw
-
PIT DIMENSIONS:
Numbex ob pits GAavet around pitz yes no
Out,side d.iametet it. Depth below ,i.nZet it.
2
Totat absotbtion atea~ 6t A
2
Axea Aequiked it INSPECTED BY TITLE
APPROVED , DATE 197.
REJECTED , DATE 197.
r
~~g r 5~f o -7 -1 WD
2 7
~7 - 2,TO/
2 y z ~
EH 115 Rev. 9/78
f REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION: N~% ti' \ "/a, Section N,R 1 1 E (or) W, Township` r Municipality
Lot No. , Block No. County G _1 X
ubdivision Name
Owner's uyers Name: v X42- i= j!::4 4s
Mailing Address:. 27, sX 12 8 1= 1`76`7L. S
TYPE OF OCCUPANCY: Residence - No. of Bedrooms _~3 COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS A, t ~-7 PERCOLATION TESTS
SOIL MAP SHEET---,-- ~
NAME OF SOIL MAP UNIT K D Z•
PERCOLATION TESTS
TEST - - - HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHE
DEPTH CHARACTER OF SOIL RATE
NUM INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MtN/IPJ+
P- Z~'' 1
P-~ S A L 'I ~ )t ICI c nn~
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- I ii i yam.
Z ~ / C ~ C `:JO S
B- c 77 Z
SI
B- -7 Z
B- ..r. _s 1-- ~ <Z) S
B- 7 Z r "-r I s t ` S
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and et o areas.
Indicate number of square feet of absorption area needed for building type and occupancy Sidi sc or ces.
Give horizontal and vertical reference points. Indicate slope. f x
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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. S t m
Address E Ci a L' ( T..t Cl_e_~C= W1 ['I S q C l Y
Name of installer if known
CST Signature_ h~' ~ 0t!- C~ •'r~, ;
Copy A -Local Authority
State Permit # "
PLB 6 7 State and County
Permit Application County P ~ t
u
i for Private Domestic Sewage Systems Count
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: -1 1!'/4 i "/4, Section T ;I? N, R r E (or) Q~Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~r~ sue'
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance s
Single family- Duplex No. of Bedrooms _j No. of Persons
D. SEPTIC TANK CAPACITY J`l, Total gallons No. of tanks f
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb) rea sq. ft.
New X Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: -Length 'f L Width_;_ Depth-f, j` 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 [;R 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 Certified Soil Tester, _
NAME Ll r= i,~ /f-rrr C.S.T. # L and other information
obtained from A', 1 (owne uilder~
Plumber's Signature MP/MPRSW# Phone #
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.
W/y, _
a:
"
.
46114
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F r~
r
Do Not Write in Spac Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY q
Date of Application i1 Fees Paid: State C u ty 4 4or Date
Permit Issued/R (date) Issuing Agent Na 4J
Inspection Ye No State Valid# Date Recd
1. county ( hite 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