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HomeMy WebLinkAbout040-1188-60-000 0 en O d o c' f ° 'o ° m (D CD CD m v 7! o at c .r 3 d 3 r: ~ O co 0 0 --1 ET z ° ° ° o p E N" co 0 0 0 (D 3' Z m m A CO CC) -4 CD a i~ 6i 5~ 0 CO W N ° w O -u N O O 7 ~ O n O O O O O C (D _ ~ O K O 0 C6 CD 7 y CD SO C !V 07 N m cn G fD P- W (D N o a En W 3 a c A b (D O O O Ln N) CL co (o -4 'Q n O co (o U) (Jo Co CD cn a a v N !r. z O O O A_ O G o in CA N - °O v (D6 v v v v o' m m m n C (D (D 01 y n N - ~ A U) N N N Z N z co z O D ° O 0 a (D CD D N O O C C (D ((D W CD O" a 3 7 z N O l0 A Z =3 Z O N O_ A 3 O " C < CC) m W CD a z C z m z O A W ~ x D co 0- rno0 ° Co- m o' C w T N C m. Z a a m co ~ N CD O A v O a v ~ a c ° U) t O N N W ~ N O O O v, Oo A O H 0 O N o O a O i V o Parcel 040-1188-60-000 09/23/2005 05:00 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.809 040 - 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 RANDAL W & MICHELLE L PIERSON O - PIERSON, RANDAL W & MICHELLE L 63 W WOODRIDGE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 63 W WOODRIDGE DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.400 Plat: 2237-OAK RIDGE ACRES SEC 36 T28N R19W LOT 56 OAK RIDGE ACRES Block/Condo Bldg: LOT 56 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/18/2001 643103 1620/521 WD 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 0.400 35,000 175,700 210,700 NO Totals for 2005: General Property 0.400 35,000 175,700 210,700 Woodland 0.000 0 0 Totals for 2004: General Property 0.400 35,000 175,700 210,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 203 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • A S B U I L T S A N I T A R Y P O R T 1 ; Township y, . Sec.-Tn. 21, R W. P.O. ADDRESS : County, Wisconsin a 1{ Subdivision Lot , Lot size PUN =-I Distances & dimensions to meet requirements of Sec. H62.20 y ' t s~ r asv 7' ion 17 9 Yf 7 9 S Septic tank(s)(' 5c>Ilfgr. ~'a~Lid1 'u: No rings Dept to cover 11 Dr;- well size _ Type of Aggregate / vte""t4 Covered with / Depth of seepage system 2 ~ Vent caps in place number used % Bh- r DISCLAII:FR: The inspection of this system by Pierce County does not imply complete conliance with State Administrative Codes. There are other areas that it is impossible to inspect at this point of construction. Pierce County assumes no liability for system operation. PLUMBER 0N? JOB:- DATED: LACEIISE I:'UIM p : ' s . XrPO]%T OF I?lSI'I;C;TI0:1--IiIDIJIDIJAL SNOIAGE DISPOSAL SYS TE11 Srtnitary Permit r State Septic •A! TOl•Jh'SHIP t. Croix Courity M.t'TIC TA'?l: SAZe gallons. 'lumber of Compartments Distance From: Tell ft. 12% or greater slope ft. Building` ft. Wetlands ft Highwater ft, DISPOSAL SYSTL:1 -Tile Field or Seepage Pit(s) Distance From: Well --ft. 12% or greater slope ft Building ft. Wetlands FIELD "Highwater _f t. Total length of lines ft. dumber of lines Length of each line ft. Distance between lines ft. Width of the trench ~ft. Total absorption area sq. ft-. Dept1l of rock below the in. niepth of rock over tile in. Cover over . ioclc,, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to Around water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: `yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Oquare feet of seepafr.e nit area required Inspected by: Title':" Approved Date 197 Rejected Date 197. EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ! 1~ DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 R\T' REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: S1!u '/4, hi_W%, Section3~, TZS N, R E`? W, Township opmll*po TR low ~lo FZ lZ c~ F Lot No. Block No. OAt, I Vr. Ur _County ST Subdivision Name < Owner's Name: QVAr_ -r -e 5 c7t~.Ut3R,~, Mailing Address: Z35 %L1"&L<<, \(.t1VAdiL a ~ULL- TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION _ REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 3 Ir' 79 PERCOLATION TESTS N' SOIL MAP SHEET SOI L TYPE PI t (off- S► l--~G-►~ 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- ~3o 9ir24,c.)#_A-r tool T s t 5 2 N r NeJ ♦ O l G P-% p/ T J tJ Gl.i d=I P- 5.c"V ~ 1NlsS . lr~ AetLl Y z4't t!o• .v itiCkN.K i.~IZ P- -reUvn.. 3 -ro to fL~ ~eSS~i ~u PM MG-A6"_ rJ Z+C. iJ 5(1T0 l O `tot M/j"v►4 Q4Tl;r 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) .77 hs©ivc: 7 7 Z gl -n; "7 Si `4 Ig.° GS Gr '6 B- 1 L -7L WD~J~ 7-. '7Z 61 T5 B`° Si l3'° LS (rr 4-i" h)ca~r~s' 7 L ~1 'ts 5©" ci Ur 3.. B _7 Z. 1 ~ 4 Z NOtJV > "7Z ih lS 9° ° 4i~ Z~" GS 7>G.. B_ 5 .7Z. NCj,; 7 '7L B► Ts 7' g;1 ZS° c> <60 4o '7-Z N4ts r -72-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. 3aPYµts X LUS InI S SCZ. i P Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ~ I - A i t - - I - t - - - - - - a l i I I I_ i l I i I N A r4A__I ! 3 3 to S4 je ~ I ,R. i t I I E ! j s ! I - - j~ ¢ ~tsi-a.... ~t Z ` ._l_~ ► I ; 1 Gil . 6 `7 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. f~ JAMQst; ~V1yiZP► C Certification No. 55 "5Z7 Name (print) Address 100!` 50 4'Z. Name of installer if known CST Signature 7' COPY A -LOCAL AUTHORITY i 11.1/ State and County State Permit # PLB67~ Permit Application ! County Permi # for Private Domestic Sewage Systems County 0 ' ' *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required _ State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 1 _ %i7lucle B. LOCATION: `3ZS,W /yam Section TaA~ N, RL~ W Lot# City _ Subdivision Name, ,1 nearest road, lake or landmark Blk# Village j~ll~Co crze--5 Township A C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ✓ Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES ✓NO Food Waste GrinderYES ;~IV6 # of Bathrooms-Z- Automatic Washer /YES NO Other (specify) E. SEPTIC TANK CAPACITY j oGa Total gallons No. of tanks - *Holding tank capacity Total gallons No. of tanks New Installation Addition- Replacement- Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) otal Absorb Area /i~;_ sq. ft. New 1,1"" Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length y Width 18 Depth 3 6 Tile Depth No. of Lines 3 Seepage Pit: Inside diameter Liquid Depth _ Tile Size 7Z Percent slope of land / t- ' c 3~= Distance from critical slope 4Yex 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 Certifi d Soil Tester, NAME. C.S.T. # 4 = 1j'Z and other information obtained from ,s (e4uaa4builder). Plumber's Signature`] # ~ MP/MPRSW# Phone ~y Plumber's Address i T> rq ~r Fib A 4015e :i~ ,xz- PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 1;, ~MQ9Ci t;es E 1 y Aa e iaeu 6dL E Do Not Write in Space Below R DEPARTMENT USE ONLY Date of Application - Fees Paid: State ; ount x Date - Permit Issued/RajC (date) -Issuing Agent Nam _ ~ L Inspection Yes No Valid# Date Recd 1. county (whit's 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