Loading...
HomeMy WebLinkAbout040-1189-10-000 n cn O 3 v 0 r- C7 `~1 o d F c o rb > > 3 r* m jj' CD a m 3 ~ ~ y 3 O n, CD 0 Vl CO p~ N) O rr CD = O CD (D CO a Q m Cl. w 7 0 03 C _ CD Z) c w c 07 o cD N Q C 00 CD = O N (J~ ° O O CD Q H y ° p v, 61 m cn C D C a s m N a m v c 3 0_ o o O o o m i N C cc o 0 r- (n N CD CC) C m fn O c -u _0 'D 01. h • o n r v n L N O " v a ° Q ID - o co m ° m Z n ~ N N D co OZ O O a = s CD CD N D N v = (D (D co m a a s z o O C p CD U. n = A N O Z O G 7 O CD M M N co m z a 3 a z z F A W N ° D ° Ln. cc o O_ N Z) 71 CD - N c z o ~ m O C (ND (D N CD N (D C ~ C) CL x a m w CL N O p = p A O N pp N N < ft v> O v ° o m v 0 i iv Parcel 040-1189-10-000 09/23/2005 04:46 PM PAGE 1 OF 1 Alt. Parcel 36.28.19.832 040 - 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 - BUSS, MICHAEL T & JILL C MICHAEL T & JILL C BUSS 64 E WOODRIDGE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: 2237-OAK RIDGE ACRES SEC 36 T28N R19W LOT 79 OAK RIDGE ACRES Block/Condo Bldg: LOT 79 ALSO PT OF LOT 80 DESC AS COM NW COR LOT 80-POB TH N 89 DEG E 199.41'; TH S 84 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) DEG W 200.27'; TH N 00 DEG E 18' TO POB 36-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1131/101 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 0.000 35,000 182,800 217,800 NO Totals for 2005: General Property 0.000 35,000 182,800 217,800 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 35,000 182,800 217,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT WNSHIP /C SEC T_~a 707_". R_Lw A S R0 (.61 1, 7, WIM, 1,31#IVTS ION , SLOT 7-1,0 iT ",T ZI,_.__ PLAN VIEW Distances b dimensions to meet requirements of 1162.20 S1101WI EVERYTIUNG WITHIN 100 1 I E'r 0h' SYSTEM I~ N,. /lop ~W oil r,4 2(7__ ~-1 'TIC TANK (S)_LJWMFGR.____ L&_ ._...__CONCRETE _ STEEL NO. of rings on cover Depth_14 T~ DRY WELL '.NCHES NO. of width length area i no. of roes width °"rl ngtharea dept to to of i. ) Le "X RATE REA REQUIRED AREA AS BUILT ~ -claimer: The inspection of this system by St. Croix Cc,unt:y does not Ir ply complete oliance with State Administrative Codes. There art.,,, oth,,,r areas that. it. iiot po5ti ible inspect at this point of construction. St. Croix Country as;~nmuls lio I. ahii i.t:y for Gem operation. However, if failure is noted the County wi11 mike every erfor.t to ermine cause of failure. "ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. 'INSPECTOR DATED PLUMBER ON JO _ LICENSE NUMBER __-!y z Dq-°-tl?I REPORT OF~INSPECTION-INDIVIDUAL SEWAGE SYSTEM • San.itaty Penrn.it---'fs State Septic NAME____ Fowns hip S~. Cnoix County Location /S Section SEPTIC TANK Size gattons. Numbers o6 Compantments j Vistance Fnom: We.et 6t. 12% on gn.eateh Atope it Bu.itd.ing it. Wettands ~ . DISPOSAL SYSTEM Highwa:ten - it. . Distance Fnom: Wett it. 12% on gteatet z ope it. Bu.itd.ing it. Wettands Ft. • H.ighwaten 6t. FIELD DIMENSIONS: Width o5 trench it. Depth o6 rock below t.ite .in. Length o6 each tine it. Depth o6 rock oven t.ite .in. Numbers o6 Zines Depth of tite below grade -.in. Totat .length o j Z ines 6t. S.to pe o j trench in pen 100 it. Di4tance between Zines 5t. Depth to bedrock it. Totat ab,sonbt.ion area 6t2 Depth to gnoundwaten it. Requited area it2 Type of Coven: Pap2n on Sttaw PTT DIMENSIONS: Numb en of pits ; G&aveZ around pits yeA no Outside d.iametet it. Depth below inlet it. 2 TotaQ abz-onb,t.ion area it A 2 3Z Area aequ.ined it R+ INSPECTED By TITLE APPROVED ,DATE 197 REJECTED DATE 197 EH 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS". ' WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVI(S P.O. BOX 309, MADISON, WISCONSIN 53701 h - X LOCAL ION:~%,ii V✓%, Section.5b ,TZ6 _i2E (or ownship r Municipality Lot No. Block No. County Owner's/Buyers Name: 41/ ubdivi ion afneN~O i J Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW___ -REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 22 _'S-4 PERCOLATION TESTS,-/C-37_ SOIL MAP SHEET- _ NAME OF SOIL MAP UNIT et-E-~/L_ L UT S-./ i ,L~~fl } PERCOLATION TESTS TEST DEPTH CHARACTER HOURS WATER IN TEST TIME I( NUM- OF SOIL DROP IN WATER LEVEL, INCHES INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL RA 1 B ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MI":/' P- v / •tij.Q r / .a Z (_2 L2. C 65- 4D 0 P- P- % S'Tyr GL. f' yam' TE /h' A 7` SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES OBSERVED ESTIMATED HIGHEST TEXTURE, MOTTLING AND DEPTH TO BEDROCK IF OBSERVED IN INCHES B- CJ r i O N 7 ? " Q -jr- Z A N L-> 131-4. -7" 8- 6-7 0 A,-7 B- 4L U /~rG~ rv ? V e9 fi'/ .27 " B- J 47 _'5 4. B- 7 " rvp~/ E' G °i PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plant 4~jpcation~,lfl~, F~~~ _ _ Give horizontal and vertical reference points. Indicate Slope. GL~ 7-0 rtr0 T f. cJ F V K, G c~ 2 raga ,r2 < L ~ _ 2"r2 0 N f~ / AA E v G~~ O CCU . a at~~Rl14 G Z c7LJ. U ' 2 ~ r 1~~ 9~.3 m 41 4 I' / _ a /..?Ea • 2p~6 4cp ° A I , Uj d r. r `7 v rl \ a F T, fc J T A Alt "fit ~ Pr~~t.s7k Sp 3 _ S~j'~ H w ya. d met 1, the undersigend, hereby certify that the soil tests reported on this form awere nd made bn mein accord with the p toced es ano my hods specified in the Wisconsin Administrative Code, and that the data recorded of test holes are corre the best knowledge and belief. Certification No. Name (print) Address Ndme of irtstslier if known C--lkw/ CST S"4ynature Copy A -Local Authority PLB ~6~~ State and County State Permit # ~ , Permit Application County Perm # 1 for Private Domestic Sewage Systems County *DENOCES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: µf u't , B. LOCATION: L%, Section ' T R AV E (or) Id' Lot# City Subdivision Name„ nearest road, lake or landmark Blk# Village Township C. PE OF OCCUPA Y: 'Commercial *Industrial *Other (specify) *Variance Single family J~" Duplex No. of Bedrooms No. of Persons _ D. SEPTIC TANK CAPACITY ' Z Total gallons No. of tanks HOLDING TANK C~TY 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 ther (Specify) - - - E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New i Replacement Alternate (Specify) Seepage Trench: -No. of L llealIFt. Width Depth Tile depth (top,) No. of Trenches Seepage Bed: Length Width 1 1 ' Dept 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: 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 - C.S.T. # < <~J - L11 11nd other information obtained from (owner/builder). Plumber's Signature . M¢/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. , A , F . m ~ _ e m e , 4 Do Not Write in Space elow OR COUNTY *D ST TE S(,,E~~P,.y RT E T S ON Y Date of Application F Paid: State_ 1; ~ C un y f 0 Date Permit Issued/f// ( ate) 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, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 Ro, ct`114 State and County r State Permit # PLB 67 Count Permit #3 u' Permit Application County CRO 1-,4. for Private Domestic Sewage Systems County r *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY / Mailing Address: ~ KiAwic CoA tT-,-( C~ 'Bu t S D q w P. 6/V c G-- Jo rA 1V,5o~ A VEk F LLS l/GIS B. LOCATION: - N '/4, Section _6, T4~L N, R E (or) 45 Lot# City -Lq Subdivision Name, nearest road, lake or landmark Blk# Village OAK- -PC ©6 c Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ~L Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY `0b0 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 X~ Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: )4- Length Ste' Width I a' Depth (~_Tile depth (top) No. of Lines G2 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 7n Distance from critical slope WATER SUPPLY: Private IXJoint ❑ 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 Lanz RpNC.e / TvRPt4q C.S.T. # J' 5 -a- iq,5-and other information obtained from WRE13C>~ -V-0 i~lN~f~nl (owner/ uilder Plumber's Signature MP/MPRSW# Phone # 7T -gar- 3o g 9' 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. d~ -77 ~ A ( . 2 P C -79 t6 ! e P w 1- 1C --7 :2. o Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY ate of Application Fees Paid: State County Date ermit Issued/Rejected (date) Issuing Agent Name spection Yes No State Valid# Date Recd county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 t r ~ / / fl Ll , &VIC 7V i r'