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Home My WebLink About040-1132-60-100 I n y O K v 0 0_~ CD w (.n CJ (31 4' ~n O N to O O W U, N X (J1 D O p U1 v, CO c l c O ro W O) O O W Co CD N 0 m b C l 1 N a O C v O C Q (L` N N m O CD C O N O I V ~ C7 I 7 N O O p j N d (D (D S cn Q Ul 7 ~ N 7F D ~ W a ( QO (0 z7 r fA 00 O N cn O CO q T Ff" z o O O ` a cn cn <n ° D ca a is ~ D ~ a o ''',...J C C ~ fD N c <p O . N o ~q n z Co Z AJ c ro v N ro C p 7 -i co f p .P Z C n Z O m CL Cl~ FD' I r oo~ m00~ fD CD z ~ A v o V V~ ( A W (pD O W O NO D m (D CL 0 -n 0 < 0= C p ~ a n N ccoo y r r, 0 CD _ wo° O @J o - m ? (D o o m Z?' 11 o V ~ m m~-oo o° (D N' _ 'a C~ CD N x r is o a~ 0 q.0 0 c_novn r~ d `~1 v O (D " (D c A~ 3 X m # \ 1 9 - (n m N o O N D 7 Z! cNn v o cW C) `C O 7 O• :y 7 N ccnD C 3 CD O. 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Parcel 3528.19.552C-10 040 - 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 - PAULSON, MAUREEN H MAUREEN H PAULSON 14 DRY RUN RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description 14 DRY RUN RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.180 Plat: 0640-CSM 03-0640 040-78 SEC 35 T28N R19W PT SE SW CSM 3/640 LOT Block/Condo Bldg: LOT 01 1 (2.180AC) Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 35-28N-19W SE SW Notes: Parcel History: Date Doc # Vol/Page Type 04/14/2003 717135 2204/520 QC 03/17/2003 713340 2172/268 QC 3ky 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.180 80,000 314,800 394,800 NO Totals for 2007: General Property 2.180 80,000 314,800 394,800 Woodland 0.000 0 0 Totals for 2006: General Property 2.180 80,000 314,800 394,800 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 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC- TN R W nnDR}~.s.} ~ , ST. CROIX C TY WISC NSIN. SUBDIVISION"✓ LOTLOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62,20 S110W EVERYTHING WITHIN 100 FEET OF SYSTEM GY 47 'A" / IQ, ~z I di atte oath Arrow SCAL ( i C ww~ SEPTIC TANK(S) /MFGR._~ CONCRETE STEEL NO. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS er Cycle TRENCHES NO. of width length area BED NO, of lines width length 3 area depth to top o pipe NUMBER OF SEEPAGE PITS Outside diameter- total pit area AGGREGATE _ PERK RA'T1 RE REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the Country will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED "THROUGH THIS EM. INSPECTOR DATED PLUMBER ON JO 1 LICENSE NUMBER- REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM ' Sani taAy PeAm.i.-t : ' ' State Septic NAME ownship S~. Cko ix County Location Section SEPTIC TANK /sj,(~ S.izeZG.9Ti'"7.+ gattonA. Numbe.A ob CompaAtmentz Distance FAOm: WeZtA 0 qjL 6t. 120 oA gAeateA scope it Bu.itd.ing it. We.ttands 6t. H.ighwateA it. DISPOSAL SYSTEM Distance FAOm: Wett - .12% oA gneateA scope it. Bu.iZding"7 it. Wettands Ft. • H.ighwateA it. FIELD DIMENSIONS: Width o6 ttench ,L it. Depth o6 Aocis below tiZe C .in. Length o6 each tine it. Depth o6 Aock oveA .t.ite ~ in. NumbeA o6 tines ~ Depth o6 tite below gAade ZG .in. Totat length o6 tines/!51._6t. Slope o6 VAench in pen 100 it. Distance between Zines ~i it. Depth to bedrock. S~. Totat abz mbt.ion area S 6t2 Depth to grcoundwatvL St. RequiAed aAea 6t2 Type o6 Cove: Pa pen oA S aw - ~ PIT DIMENSIONS: NumbeA o6 pits GAavet akound pits ye/s no Outside dia e Depth be.2ow inlet it. 2 Totat abz Abt on arse it z A AAea AequkAed 6t2 rn INSPECTED TITLE APP ED , DATE "z~ 1986 . REJECTED DATE 197. I I L EHA 1 5 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES a' DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 + REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: '/4,. ~ 1/4, Section T ~ N, R A E (or) W, Township or Municipality Lot No. Block No. h..~''f 1 a!:/c County - - Subdivision Name ~'C `JqL% Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence Jt No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS f~ PERCOLATION TESTS - t_ . = - SO I L MAP S H E E T SO I L PE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, !NCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN -BER1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 N4, f. SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES ;DUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 01 77 L'3F,"h A; 9. Z 2 1" f' l 4 74 t i •4 14"t. 6"t 7,5_ D!-.AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) __Iicate on the plan the location and square feet of suitable areas. Indicate niu-hoer o~ sgL,are feet ~A ab:()', ption area needed for building type and occupancy. Indicate scale or distances. Give horizontal and vertical reference points. rI sate slope. 1 - 5 T L:1 ~H ct At Hw 1, 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 kn wledge and lief..: Name (print) ~a. rtification No. 1( 0 _ Address Name of installer if known r t 4 ' CST Signatur, - - ' State and County State Permit # PL B67 Permit Application County Permit # g ~ - l= 1~ 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: )t B. LOCATION: Section N, R ~f E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village - - !I: Township 'OX C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) _*Variance Single family _ cr Duplex No. of Bedrooms No. of Persons :3 D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder " YES 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 I>e---- -Addition _ Replacement _ Prefab Concrete *Poured in 'Place Steel Other (specify) F. EFFLUE DISPOSAL SYSTEM: Percolation Rate 1) e2L 2)3) Total Absorb Area ft. ,XT New Addition Replacement *Fill System / Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines ; Seepage Pit: Inside di meter Liquid Depth _ Tile Size Percent slope of land S--yr. 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, _ NAME Jc ti- 0. C.S.T. # and other information obtained fr n w, (owner/builder).- Plumber Signature ! A/FP/MPRSW# Phone # /r~. Plumber's Address F tv ` `r PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 0 $ex Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application ? Fees Paid: State /C C) cl% o~ ty Date 3 7~ Permit Issued/ (date)_17 Issuing Agent Na c "tea cf . Inspection Yes / 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) State and County State Permit # L PL8 67 a~ Permit Application County Permit # X~ . for Private Domestic Sewage Systems County (?A-r'?4 *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. O R OF PROPE Y Mailing Address: LOCATION: - _L _ 11/ '/4, Section , T=N, R~ E (or) W Lot# 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 -174 v D. SEPTIC TANK CAPACITY lees Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation / /Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area s ft. New. 'R'te Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width -Depth Tile depth (top) No. of Trenches Seepage Bed: Length- Width-/V' Depth Tile depth (top) rNo. of Lines Seepage Pit: Inside dia ter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope 'v'°VATER SUPPLY: Private ❑ 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 Certi Soi ester nd other information NAME C.S.T. # a 0, ~i~ obtained fro (owner/builder). L/ Plumber's gnatu /MPRSW# Phone # Plumber's Address -cam 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. i i 3 r E i w . ' 3 r .,.-.d„ ~.,m ...,e- m ~ e e e E ~ .m. fin.-.. j 7 _.im _ a e- a ~ . _ e- ~ _ w. e a _ F _t k 3 i 3 Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State --County Date _ T- Permit Issued/Rejected (date) " 79 Issuing Agent Name 5 U ~C'it Inspection Yes No State Valid# Date Recd 1. county (whit 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 i ~o®o V LB 6 7 _ State and County State Permit # P 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: B. LOCATION: '/4 '/4, Section T_ N, R_ E (or) W Lot# 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- SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL 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 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 ❑ Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 1, 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 C.S.T. # and other information obtained from (owner/builder). 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. i ( 1 _e s. «~.S s -4++»... 33 ~ jjI i ' { 5t E F t 7 3 .mm,. .mom. ~ + mm m a e., .mom s. y.. ~ m e« ..,..F <.g ma a 3 3 E E t 3 € t p } 1 { t ~ ~ I t E 3 a s i ( i I ~ E ~ 3 € E . .n....._n _~_a..._ t,.e a:-..._ _ ..w.m.. m. e,m.... _ ~..e ..n mt.. _~e y......... e-.. . a .m _ ~,»~....<-._.m ~ _ ~ _.m...,..n .....t Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State County Date Permit Issued/Rejected (date) Issuing Agent Name Inspection Yes No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, 153701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 t -cl i 1 , i r b T t r, . : • 2/ e 9 ~ 1 I ` I t _ I Gc~- f -O I t ' _ SS I / ~ 1 1 .~~6~ _ t I y t I ,t t acs }Z r~s . its'