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St. C}nix Cw.nry Planning and 7 Mg
Parcel 040-1117-50-000 06/20/2006 08:36 AM
PAGE 1 OF 1
Alt. Parcel 30.28.19.478C 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 - JOHNSON, THOMAS D & BARBARA J
THOMAS D & BARBARA J JOHNSON
361 CTY RD MM
RIVER FALLS WI 54022
Districts: SC = School SP =Special Property Address(es): Primary
Type Dist # Description ' 361 CTY RD MM
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 10.868 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R1 9W 2 AC IN SW SE LOT 1 OF Block/Condo Bldg:
CSM IN VOL III PAGE 817 ORD ALSO A PAR
IN THE NW NE SEC 31.28.19 DESC AS COM Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
N1/4 COR SEC 31;TH S89 DEG E 672.96' 30-28N-19W
POB;TH S89 DEG E 642.81';TH S00 DEG E
601';THN89 DEG W 642.81';TH N00 DEG W
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
05/31/2000 623924 1514//613 AF
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 10.868 82,900 189,400 272,300 NO
Totals for 2006:
General Property 10.868 82,900 189,400 272,300
Woodland 0.000 0 0
Totals for 2005:
General Property 10.868 82,900 '189,400 272'300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 140
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
7 7`7
~i ~tl ; . BELT SANITARY YST~M REPORT
k P R
SHTP SEC., TNT
ST. CROIR' CO~iN
s r,
a
SI0 OT 5 IZE '
~ .p `T L
tSION" LOT LOT SIZE
L
PLAN VIEW
b~.snces eanside ``meet `requirements of H52.20
r„
W VE YTH1140 WITHIN 100 FEET OF SYSTEM
L P
? 1 L t i r M. ' ~ 1 R
w a1 r 7 t
~j
Y t.14 ~ ~S 1: ii r
t Y 1)
1
TA > , CONCRETE STEEL
p x~ seE~ . an cex` depth f' DRY WELL
;
~5 r I a~ area
'Pt to
A AREA.' A~B BUILT
t
'olM fmo.r; The inspe titian of thla System by St. Croix County does not imply complete
-i"liant welch State Administrative Codes. There are other areas that it is not possible
inspect st'.this point of construction. St. Croix; County assumes no liability for
°$teu operation. However, if failure -isnoted.the County will make every effort to
tuna cause of failure.
S Al OILS SHOULD NOT BE VTSSPQSEI) THROUGH THIS SYSTEM.
"INSPECTOR
tr IAA fl PLUMBER ON JO a
LICENSE NUMBER w
z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary Pe,,,14t ~
* / r~ .
State Soptic_%~
NAME t- r~~i✓~ t awnbh~p ~L•z-- St. Croy County
L%
Lacatiag 5&) Section
C~
SEPTIC TANK
Size gattons. Number o6 Compartments i
Distance From: WeZf_ 12% arc greaten sZape it
Bu.itd.ing Wettands
H ighwater it.
DISPOSAL SYSTEM
Distance From: WeU it. 12% arc greaten .6tope _ it.
Bu.itd.ing it. W ettands Ft.
H ighwater 6t.
FIELD DIMENSIONS:
Width a6 trench it. Depth o6 rock below t.ite .in.
Length o6 each sine it. Depth o6 rock oven t,ite in.
Numbers ob .sines t Depth o6 t.iZe bet-ow grade .in.
Totat .length of Zines it. Stope o6 ttench in pert 100 it.
Distance between Zines it. Depth to bed,cLock ~t•
Totat abs orbtion area it2 Depth to groundwater
2 Caverc Pa Strcaw
Required area it Type o perr ors
PIT DIMENSIONS:
Numbers a6 pits Grave. around pits yes no
Outside diameter it., Depth below ,in.Let 6t.
2
Totat abs orbt.ion -vAe0 it A
2 ~
Area tequired ~t
INSPECTED By TITLE
APPROVED ,DATE 197`.'.
REJECTED DATE 197
E H 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
LOCATION: '/4, Section 3C`' ,T_r`N,R 1 3 &4sue) W, Township o~y
County
Lot No._,, Block No. ' I wZj-x
Subdivision Name
Owner's/Buyers Name: ~__TVA1Q4jA D. ~'L=t 1lL`~`: t.
Mailing Address: k'-T= 1" 5`~E' ~ L
TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS 7 l f % PERCOLATION TESTS
SOIL MAP SHEET NAME OF SOIL MAP UNIT ~ VS-VlA► t~"I ~►~7T-2(=
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 AFTE INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- Cr
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
~Gi,:= ? l41 1 Z3 t-3 I n % L16TF i< -S
B- %4 T ~fE PT 11 t' T- I 10 J 8 e-~~v J
B- '7 "L J Z
B- -7 r4 ti n 1$' 1 27- ' tin 5~iGK~ fir Y3
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 E~1 FLAI'~ Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
s
d _ 1`` ~•ri __S~ -
RI~'9 ICI aC> Ike Its= -VA VC)
1Q 1 ray
'ba
PLACr EsXCAVAZuyD
i3 _ ~.avEL V X31 f3"' I>~ ' ~ hit A Y oo* Ilium
f• - - -bI
I t Z °/c, Sl~up tMT
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V A~1 2 -3 cwt=t= /T-Ili f}°1t t- z-It, oAVr s
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►F.7 S`i1i L(~ w i L k~ rjbu`" OF livv:+
v
LA K~~
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.
N rn (print' `~L17'~S2yZ L Certification No, 7 6
Address r--g,V'T
Name of installer if known
Copy A - Local Authority CST Sig, atur
State and County State Permit #
B67 Permit Application County Permi
for Private Domestic Sewage Systems County _ U
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. -OWNER OF PROPERTY Mailing Address:
B. LOCATION: '/4 /o, Section T~ N, R E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
~1)~ Township
C. TYPE OF OCCUPANCY- *Commercial *Industrial *Other (specify) *Variance
Single family ( Duplex No. of Bedrooms _n No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES 410 # of Bathrooms
Automatic Washer ES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
:ew Installation C~ Addition Replacement Prefab Concrete
' Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ) T a Absorb Area _ 42 437 sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. ~eet Width Depth Tile Dep~ No. of Trenches
Seepage Bed: Length Width Depth Tile Depth y No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land lie - - Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
'",jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
!)v the Certified So' Tester,
NAME C.S.T. # and other information
obtained from (owner/builder).
;'lumber's Signatur ~C 5) 1)
P/MPRSW# Phone
Plumber's Addre= L -2 % - ~ J ` f L Z
i _
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, intruding well).
I LS2~11®?.~
i
Do Not Write in Sp a Below FOR DEPARTMENT USE ONLY
~
l e-j
,r Date
Date of Application Fees Paid: State t"{j County-2
Permit Issued/Re=10 (date) - Issuing Agent Name !L
Inspection Yes No Valid# Date Recd
1. county (w 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
Parcel 040-1117-50-100 06/20/2006 08:41 AM
PAGE 1 OF 1
Alt. Parcel 30.28.19.478E 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 - WEBB, KIM R & JEAN M
KIM R & JEAN M WEBB
373 CTY RD MM
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 373 CTY RD MM
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.152 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R1 9W 2.15AC SW SE LOT 1 OF Block/Condo Bldg:
CSM 6/1502
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page kA~ T ype
07/23/1997 1100/631 6.1 WD
07/23/1997 1070/48 ~i ' QC
07/23/1997 890/89 - 'J
07/23/1997 705/150
2006 SUMMARY Bill Fair Market Value: As~ed wir
0 P jy c
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.150 52,000 135,900 187,900 NO
Totals for 2006:
General Property 2.150 52,000 135,900 187,900
Woodland 0.000 0 0
Totals for 2005:
General Property 2.150 52,000 135,900 187,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 124
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00