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HomeMy WebLinkAbout040-1180-30-000 0 0 g-0 n d m O 2. m v h` (D c v d ^ A 3 ~ ~ ir \ 1 W CD cn 0 O n 0 rn I, `c . N E . < N ICY (D = N A co y' a z C7 N n c = T O O O Q Na= o s ;W O 00 -0 = O O CO O m , CD cn 3 v 3 C) o N_ co N O Q v '3 O d CD cn C D m a Z7 D O ch N N W G < 7 (D O 3 0 CL CD Q Na 3 L O O CD -4 -4 m-4 m n 0 r- cn C < z v v „ • z O O 0 O v 'O _ W v v o' D m m N cn m CD 1) C) ~ .•~~~7 d fA N ~1 N m Q z _ N z CD z Q1 D (D O v O a = • o' m CD .D N lJ N d O N C (D (D W D a a z (D ~ Cn n O N C A ;o CL A z O m ) Po 0) A CD a z 00 0 3 3 z M N z CD A W a O tL] O N ~ -l - N C z a F Q N (D CD (D a; x o b m ~ x o- cn t N (D CL N O ~n A a b CD I < Oj O A O q O y~ O O O Cl. ti f Parcel 040-1180-30-000 09/23/2005 05:05 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.719 040 - 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 ~I CAROL A PRINCE O - PRINCE, CAROL A 57 OAK RIDGE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 57 RIVERSIDE DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.298 Plat: 1891 -DANATE PARK SEC 36 T28N R1 9W LOT 3 DANATE PARK Block/Condo Bldg: LOT 03 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 12/04/2000 634660 1564/280 QC 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.298 40,000 219,300 259,300 NO Totals for 2005: General Property 0.298 40,000 219,300 259,300 Woodland 0.000 0 0 Totals for 2004: General Property 0.298 40,000 219,300 259,300 Woodland 0.000 0 0 Lottery Credit: # : 134 Claim Count: 1 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 = - TOWNSHIP SEC., TJ, R1W OVo,ER CROIX COUN 17VIS CONS IN P.O. ADD SS SUBDIVISION ; _-LOT LOT SIZE ~ PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100FEET OF SYSTEM 10 1 / CONCRETE c.--''STEEL r SEPTIC- TANK(S) ~,oC~. N0, f rings on cover Depth DRY WELL TRENCHES No. of width engtn area _T F BED no. of lines- widtt ` length , ; - area deptE to top of pipe AGGREGATE PERK RATE AREA REQUIRED L-2) 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 sy~fortoperation. determine~7cause of failure. is effort noted the County will make every GREASES AND OILS SHOULD NOT BE DISPOSED THROUG THIS SYSTEM. INSPECTOR DATED PLUMBER ON JOB-'~~~~ ( L C c__~ d_.. LICENSE J ' REPORT 0" IN.PECTION_INDIVIDUAL SEWAGE SYSTEM Santitany PeAm.i-t9 ' State Sep.t-ie~,1© NAME own6h.ip S CALo ix County Lo a ioa Section SEPTIC TANK Stize3 gatton6. Numb en o4 Comr~aA men 6 Di6tanee Fhom: weU St. 12% oA gAeateA 6tope it Bu.itd,ing Wettands a • H.ighwateA it. DISPOSAL SYSTEM Diztanee FAOm: WeU St. 12% oA g&eateA stope St. Bu.i.-ding it. WetZand3 Ft. H.ighwateA St. FIELD DIMENSIONS: Width o6 ttench St. Depth o5 Aock below tiZe in. Length o4 each tine 5x. Depth o6 Aoch oven tite ~ tn• P ,off. Numb ea o6 .roes Depth o S ,t,iZe b etow gAade in. Totat teng.th o6 Zines it. SZo pe o6 tn.ench in peA 100 it. Distance between 'U"ines St. Depth to bedALock ~ti• Total. ab6mbtion aAea 6t2 Depth to gtoundwate-`t St. RequiAed aAea 6t 2 Type oS CoveA: Pape I It oA StAaw PIT DIMENSIONS: Numb eA o6 pits GAavet vLound pitz yes no Ou;t6ide diametet 4A- Depth below ,inZet St. 2 Total ab6oAbtion aAea it A 2 ~ AAea tequ.iAed_ INSPECTED By TITLE APPROVED ,DATE A _197 " REJECTED DATE 197. I. g LB State and County State Permit # { P 67- U 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. OVVNER OF PROPERTY Mailing Address: B. LOCATION: jje%, SectionT N, R,1'7 E (or) W Lot# _;7 City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF CUPA Y: *Commerci *Industrial Other (specify) *Variance Single family Duplex No. of Bedrooms 't No. of Persons D. SEPTIC TANK CAPACITY L' 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 Prefa concrete Poured-in-Place Other (Specify) E, EFFLUENT DISPOSAL SYSTEM: Percolation Rate otal 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 d Width' Depth Tile depth (top)9't2~!-No. of Lines Seepage Pit: Inside dia etej6 ,_Liquid Depth No. of Seepage Pits Percent slope of land Z4 Distance from critical slope WATER 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 tha~/,31,/9ve • ize f nt disposal system from the EH-115 prepared by the Certified it Tester, NAME I C.S.T. # _V and other information obtained from (owner/builder). / Plumber's Sign aj/e Phone /MPRSW# Plumber's Address a 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. 3 F ~ a a: a e...._. a......,a a I n _ a 3 ~a 3 I E 3 ~ f .d y t E. Do Not Write in Space _Below ~l FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State,~f, L"o C unt _-A Dat -:57 Permit Issued/ teti (date)' ate) _ 1 172 Issuing Agent Name ~CL-1_ x' . Inspection YesNo State Valid# Date Recd 1. county (whi e 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 EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: RAN-%, N~'/4, Section 3(a , TU-N, R-0 &#W) W, Township ep MwRis~ TtZ - Lot No. 3 Block No. ~Y SOizvo 49 VOA Z Py SLZ County S'C. G~2c ►x _ Subdivision Name Owner's Name: ~i-1o wt AS CAe L,1 S4 k Mailing Address: .3~G1 G(LO~'fr ~ '~'S ~'~~'S • 5c~ a Z Z_ TYPE OF OCCUPANCY: Residence No. of Bedrooms 4- Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT - DATES OBSERVATIONS MADE: SOILBORINGSrt- 1/_,l?75/ PERCOLATION TESTS N•t• SOIL MAP SHEET 91 SOI L TYPE ~t 4-LQ T- >i1-7C_ 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 AFTER INTERVAL BER MIN/IN 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 6.2C(-wa eaBSfxu D /-/Q /~~2 ve a>ro X65 s r~u Se. er ars r, rrra•t%tn Y o:, s i Zo .ao it ti t~L r ~r S4 vY c o r r~ Nv Grvv~ w•OZF:u2 ol3f trCV 7 / ~1 C /yJyPs f iv ~i cq 'r ~ rtyL~.K6 1. r ? Y O ~ r, r-7 7s Si T. /p ~~i~i7 ",i IAN f•f(~ri ftoc uc 10 v NQ GKctitrNl~ ev g7we OSS Esi¢r CP 2 W"1 pE ZCD t 4 -r o.v). 8o L ST. A" 4-reO > BO w v y:~ Z 1 ' GS (JSc'' c,~.ASSL Scc ~5 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B 7Z Mom- 7 `7Z Ti; s" I L zo" G AL Nip Nsr > '7 Z`` s s i 7 d 5 L L 5 (~-(o 2 7 Z. 3 7 Z Nb A)6 7 Z. s C1 s rL, 2 c y CI.3,. B 7!e ^)OA)d 7 NO q`• L SL Z.~" • t s 4-1 " 41 -7 to PLAN VIEW (Locate percolation tests,soiI bore holes and suitable soil areas.) Indicate on the plan the location and squar feet of suitable yeas. Indicate number of square feet of ab~,orVon area needed for building type and occupancy. 49WZA O /SCLrr~IOC,~ " 3/5X4= Ulcat'scale or distances. Give horizontal and vertical reference points. Indicate slope. +N 00 ' 17 4 i III i i~ ~ ~ ~ I a I ~ I ~ Z. 5 f {k • ty►~" ~P M i tr 10L" IF-M t N I 1 I $ i ~ ~ ~ f I 4 ~ ~ I i f ($s t I '41 e- 0AN4 ree I I I i 1 l ~ 1/ N f (L~'±fYN~s I i , , y, f Isu. ia-t Ili bfaPA1,1!J FA&L 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 knowledge and belief. Name (print) Amin, ice, M 0RCertification No. SS -SZ.7 Address 1 IDO -LAA aca- r ~1,Jtx2 7- -Z Name of installer if known µ~Rol C ~ CST Signature :Z, ~4 EH.115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES • DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 N 'f.t~-v►S~O j'b • MADISON, WISCONSIN 53701 C.rr LASS t `+a1L5 REPORT ON SOIL BORINGS AND PERCOLATION TESTS loo c'taQ'R LOCATION: NW Section 366 T28N, R 19"rf W, Township p1C1DMj411a1V(1 UROY Lot No. .3, Block No.CERT, SURVEY MAP VOL 2 PG 522 County ST CROIX Subdivision Name Owner's Name: THOMAS CAFLISCH Mailing Address: 309 N. GROVE, RIVER FALLS, WI. 54022 TYPE OF OCCUPANCY: Residence X No. of Bedrooms 4 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS APRIL 11, 1979 PERCOLATION TESTS N.A. SOIL MAP SHEET 91 SOIL TYPE PILLOT SILT LOAM 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 AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- NO GROUND WATER OBSERVED EST NO PERCOLATION TESTS RUN SOIL RINGS B 80 Ts sil 20"• L es 1" >80" VERIFI SANDY OIL CONDITION. P- NO GROUND WATER OBSERVED EST (SOIL PS INDICATE PER ILI OF B 8 80 Ts si 1 26,,; L 10"; es 4411>80" 6.0 20 inch s r ho = 10 to NO GROUND WATER OBSERVED EST minut s per inch percolation.) P- B 80 Ts sil 27; L cs 44" 80" 1 SOIL BORING TESTS IJ~~ C~,IaSS 1 Sole-S TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- 1 72 NONE >72" Ts sil 8"; L 20"; es 44" 2 2 NONE 2" Ts sil SL 19"; ca 46" B_ 3 72 NONE ;;P72" Ts sil 911; SL 20"; es 43" 4 6 NONE > 6" Ts sil ' • L to SL " • " B- 5 76 NONE >7611 Ts si l 10"; L to SL 19"; c s 47" 6 6 NONE 7 6" Ts sil 12"• L 10"• SL c 45" PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and squar feet of s itable arge~es. Indicate number of square feet of absorption area needed for building type and occupancy. AIP-ZA KC:Q /$CD m ZOS X¢ = 8 ZO SQ,Or. Indicate scale or distances. Give horizontal and vertical reference points. ndicate slope. Ago QJp« 15,~p ~p,F1 I ELEV. i t=100 BO = 103.1 - 1011.6 f 1 N ~ r.. 10 •5 10 .7 t3~ Y4_ I I 5 JUM 106.0 4-- - I t f I s I I SO~L N - r RING LOCAT i ~O -ON i , t# 4 ~ i I I 1 t i f I i I i ` I ~ l{ 1 I I I t ~ I Y I ; I I fi- - I II l i s I i I, 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 knowledge and belief. Name (print) JAMES L. MURPHY Certification No. 55--n!527 Address 1003 E. HAZEL RIVER FALLS WI 4 Name of installer if known ir .4 A+ ICSV t a~ CST Signofu