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Home My WebLink About040-1197-60-000 n cn O c v 0 d c c; "0 3 = CD m 2. -0 1 _ 1 D) (D 1 V~ C m (IJ 0 2 N Z cNO M A cC . su 3 O cn OD o N o N.y :T r- Cn 0 CD CD C)o a Z EL a -I L, 1 N O Q O O CA N m 7 O O 7 O Q o O O 7 CD 0 O Un O 7 N U1 O C N O C !V d A = U) D m (D m m n a (D N C O C_ O O N o (D (D 0 O O 7 (n co CO 7: Q Q 9 m 0 j K ~1• z o O O llii fn V1 fn V7 00 U5 VC~'1f v m 3 -vv0A = ! Q' N O N D O co II w - (D N 7I!, O CD C: a o N O D co a o: :3 CD `D (n 7 N 70 -1 @ c i O N. C (D (D W (D O_ z (D --I N O _ p Z (D U) OC .Z7 Z O v _ A O O O C A co - m N G i z O A O + Z 3 m y CD A A ~ N d O O_ C O O G N -n - Q7 C z a m' 5 m N N CD a v ft y I ~ 0o v x Ut m [v Q o 0 a (OD A N Oft O fa O w p ((D as O s. ti Al Parcel 040-1197-60-000 07i18i2006 08:59 AM PAGE 1 OF 1 Alt. Parcel 4.28.19.900 040 - 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 - NEIDERMIRE, JOHN P & BEVERLY T JOHN P & BEVERLY T NEIDERMIRE 559 HIGH RIDGE DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 559 HIGH RIDGE DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 4.160 Plat: 2081-HIGH RIDGE COURT 1ST ADD SEC 4 T28N R19W 4.16A HIGH RIDGE COURT Block/Condo Bldg: LOT 28 1 ST ADD LOT 28 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 04-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1193/57 WD 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 4.160 84,700 421,200 505,900 NO Totals for 2006: General Property 4.160 84,700 421,200 505,900 Woodland 0.000 0 0 Totals for 2005: General Property 4.160 84,700 421,200 505,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 130 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT M t wti-ER Z t = , TOUTNSHIP s. SEC. T. N R 1+T 0. 5DRE53~i ST. CROIX CGUh Y, WISCONSIN. BDIVISION • ' LOT LOT SIZE . k PLAN VIEW -Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a~ ffi { i I i ~ f i Indicate North,Arrow I ' ! 'SCALE . tPTIC TANK(S)//` MFGR. CONCRETE STEEL NO. of rings 'on cover Depth DRY WELL A:NCHES NO. of width length area PT :,,ono. of lines width length area depth to top of pipe `-L ?W: RATE AREA REQUIFIED AREA AS BUILT liSciaimer: The inspection of this system by St. Croix County does not imply complete .Cppliance with State Administrative Codes. There are other areas that it is not possible ,Q inspect at this point of construction. St. Croix County assumes no liability for IStem operation. However, if failure is noted the County will make every effort to ,etermine cause of failure. ,{EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `INSPECTOR DATED I PLUMBER ON JOB LICENSE NUMBER + ~a r / .I F o .f ~ ,roc Rt:PORT OF INSPECTION - INDIVI"DUAL SLWAGE SYSTIM Sari.(,-(_,zh y P(nm4a /S State SeptA.c_=)~~~-- 1Mt Townshi -St. Cno.i-x County cat-.o n_ ~ Section Lo -t _Subdivi,54.on PTIC TANK Size^-/" _gaktonb Nurnben ob eompan.tmente s tanee fin.um: wed f.-- S tiuied~ ng 1,2% Lode H i g h w a .t e n iMPING CHAMBER .F S<ze_______ _yakk`~' P mp Manu6aetuhe_n T Mode.k Numbers UINu iAN N,<L` t" S4' ze.-_---__- ga.E.Eons Nu~nben ,6 - Compantmen t5 P u m p e n---- - At a n:m , S c €~°t e m 5 tanc.e 64om: We.L.Q_ E' Buif_dting 12% a 2-ape Highwaten ;SORPTION SITE Bed Tweneh a avnce 640m LUe ee-___ Buy ~dting__ __--~_r2 o e~npe . H.Eghwa,ten SORPTION SITE DIMENSIONS Width o { t n e n e h A _ t R e q u 4 n e. d a n e a-- 6 t Leng-tki o6 each tine._ l-_--_(),t Depth oA nock be('_ow ~ik.e, cn Numbers . o 6 Depth 06 hock ove-n. t-l.ke. _-c.n Totak Xen( o{ ~tne.ls _ 6-t Depth o6 ti e below grade ~.~r-------I.n U-iatanee between k.ine.s- to Slope o{ xhench --tn. pe.n 100 At. Totaf abs onpti.on Tyne o{ Coven: Pape. A. on n.aw I DIMENSIONS Numb(' "l o(I P~ t's________--_ Gravel. abound p%t4- yee no Ou-t6 i d c d"i ame Leh Depth below -.nee,t h.t T o t a.t a b s o n p ,t i. o n a ?Ge`a 6t I Area ~SI'tCT= TITLE PROVED DATE 198 i 11 CTED DATE 198 ASON FOR Rt 1ECTION I 1 ov REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Name, Address, License No. o Install Ong Plumber Time of Inspection (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System (4)BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: M DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o ga ons ; construction ; depth to the cover ft; If septic tank is being used are baffles removed? YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depun, lineal feet tile; ft to residence; ft to well; ft to lot oa property line; ft to ordinary high water mark of lake or stream; ft to eag: of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. 12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO 13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80, Signature of Inspector:--wyy~~4 State and County State Permit PLB 67 Permit Application County Permit # 0--,k 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: k-,e Z~Vzutlo B. LOCATION: Section ~ T_ N, R E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village - Township LoQ C. TYPE OF.. OCCUPA CY{ `Commercial "Industrial "Other (specify) 'Variance Single family Duplex No. of Bedrooms ` No. of Persons D. SEPTIC TANK CAPACITY r' ``efdCal gallons No. of tanks HOLDING TANK CAP CITY 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}r~ Total Absorb Area sq. ft- NewY -Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length 7` Width 1 jE Depth -Tile depth (top) =No. of Lines y' Seepage Pit: Inside iameter Liquid Depth No. of Seepage Pits Percent slope of land Z 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 Certi d Soil Te2,ilbi er NAME 5V,-'n-r c C.S.T. # :5~; .ate) 'and other information obtained from )L ^ (owner/builder). Plumber's Signature 16L_1 JVtP/MPRSW# 4 fir Phone ###~7 -~i 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. . 3 E m s-- m - ,..ate 1 , i e s E e ~ 1 F 3 E x , E e P - .~@... f E mJ..e„,,. a _,...em . . _ a 3 Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application & Fees Paid: State°`Ir' County j, Date Permit Issued/Rejee;ed (date) /D -/;5-- C) Issuing Agent Name Inspection Yes 4_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 E~ eec T~~ 2V IA E H 115 Rev. 9/78 f ~~~~~«TE~! REPORT ON SOIL BORINGS AND PERCOLATION TESTS ,64 1 of 'WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES y P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:'/4, Section ,T N,R li E (or) W, Township or Municipality Lot No. Block No. "eC_t C~ f" County xX Subdivision Name Owner's/Buyers Name: ~t>P t z 3 &d-A FLtV"') e) Mailing Address: 1&6- do /GeO% 1f~,1~Q~~/~CC~iRJ TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIO MADE: SOILBORINGS /e' If / 7y PERCOLATION TESTS O(2' 12- /5?7Z ,tom ~j SOIL MAP SHEET NAME OF SOIL MAP UNIT~~"~.__2-___ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN l-EST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTER, INTERVAL RAZE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN - 1 36 14,6U171'CAl 4C A., -to 36 ~I✓ d)~ G ~s' P- 2 Ap /AE.v/ic,tC ~ra Ba /o „ _ 00 2- P_ P_ P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES " ~►s . B- / p 0-ve ' Y6 , _ L 13R„ . C 36 "f. 0, S/ 36, 1~4"Ow, S-0 B- > 9Co : °G : 3 1,e S/ Pam „"CS Cot3. Qs~ ~vj. B- y $t r(OOGy~" -931 s/ c's B- NON r 9 oL /7s:/ 27, 0 1Y. 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 1025- 'Celle AeD Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ~L app T,PE.S,C 13 a ~ L Ar A-, WrY. tN 004,,P 0 i I 11 r M, ,_r- 4r roy-, 01c All eAl No j- gp,/ZOX .fop ?V, @F Cot V4Se4e 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. 41f ~L Name (print)- Certitication No. Address Xj- name of installer if known A0A LJ L //010 F17'0504-` eol-r- Copy A - Local Authority CST Signature 7~' 7K1 ,1'4,j,7__ 9H 11 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:,'L4 '/a,/y ''/o, Section ,T" N,R E (or) W, Township or Municipality Lot No. 24 Block No. ~li ~ 7 County Subdivision Name Owner's/Buyers Name: A f5r4-)c"a f /t+'C~C~i(~'~ //4✓/r<' . 5 ~ ~ - Mailing Address: 1660C TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL - EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER - DATES OBSERVATIONS DE: SOIL BORINGS~~ PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT_ PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES 1 NUM- DEPTH CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL RATE MIw~!/IP BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 1 P- 2 t 6574 'rc- GE' P- o_ P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- / 1-,4;7- 1/1 " of 1 r 7 13R 611,,,,yg7x7r 13- B- B- 1-, f sl 2V'-_f 401? "/acvA ACS 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 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 1fosF A107 ee SST 0 7 . 04~ ev 14, ~N b/ ELF ~i ~j ll%~9 loI 4C , f t 1 /V i € 7 f 3 F ,e-. e. Pew . . e..e. . . a . . . rw ee.a _ e,..... m m } ~ _e S F e I a , s 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. Nance (print) ~t"'h'~~/« 7 Certification No. aka yew Address r"!Sr°~ Name of installer if known fix(. v Copy A - Local Authority CST Signature ~rs A ~ dl ~t '~ni n lax ~f 4/0 f 0 s J-s les 17 VO v 'a a