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HomeMy WebLinkAbout040-1018-60-000 n N O m -u M n a m F c o m L n o m 4t v ~ m fo ~ (,3 F, \ r. O Cn 2 S cn VO O A A ~C • CD n n N Cw~n SD' o h n C'D -CD :E co md N 'M No a C=7 Q Q ro Ui p N O . CD O L° 3 CD o m o !r p !a H O D CD m CD Q ` m a N W r' a (D a . ~ ro c 3 i c o o cf"'n 73 0 f ` CD 0 co n r C/) CD 00 00 ! U) o o c ! h o c Q N 9 f z O O O \J C N D `L 0 N O O O from :3 G) (D po 1 4 N lD _ ro fS !r .di N O 3 m i = ro - n Z N N p z co Z O D a :3 o h • m ~r 3 } CD ev m (o N M~ CD CD ro CL N 1 - Z CD a ' -I cn O O p z N A Z W N A W m Qo roa N z 0 3 C/) 3 m ro I a o d CD N o v TI ~ m Z p, C) _ p ro ~ !n N N ~ X N V N = ;..lti. CD C n N ro A A CL (D zt X 7 \ O a 0 N N O~ A p ~ O q v ro D0 N O . p Sc V O ` O y~ Parcel 040-1018-60-000 01/24/2006 04:04 PM PAGE 1 OF 1 Alt. Parcel M 04.28.19.621&63A 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 KENNETH & JOAN CLOSE O - CLOSE, KENNETH & JOAN 521 OLD HWY 35 S HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 521 OLD HWY 35 S SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 7.500 Plat: N/A-NOT AVAILABLE SEC 4 T28N R19W 7.5AC IN W1/2 OF SE1/4 Block/Condo Bldg: COM 1151.4 FT N OF SE COR OF W 1/2 SE 1/4 TH W 1214.4 FT TO HWY 35 R/W NWLY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 271.5 FT TH E 1245 FT TO E LN, TH S 270 04-28N-19W FT TO POB V 599 P 166 Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 ( 599/166 Wl c~ c~-v M 2005 SUMMARY Bill M Fair Market Value: Assessed with: 102147 287,000 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.500 85,000 191,200 276,200 NO Totals for 2005: General Property 7.500 85,000 191,200 276,200 Woodland 0.000 0 0 Totals for 2004: General Property 7.500 85,000 191,200 276,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 221 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 040-1018-60-000 06/23/2006 05:27 PM PAGE 1 OF 1 Alt. Parcel 04.28.19.621&63A 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 - CLOSE, KENNETH & JOAN KENNETH & JOAN CLOSE 521 OLD HWY 35 S HUDSON WI 54016 Districts: SC = School P = * = S Special Property Address(es): Primary Type Dist # Description ' 521 OLD HWY 35 S SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: C:!0~Iat: N/A-NOT AVAILABLE SEC 4 T28N R19W 7.5AC IN W1/2 OF SE1/4 Block/Condo Bldg: COM 1151.4 FT N OF SE COR OF W 1/2 SE 1/4 TH W 1214.4 FT TO HWY 35 R/W NWLY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 271.5 FT TH E 1245 FT TO E LN, TH S 270 04-28N-19W FT TO POB V 599 P 166 Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 599/166 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.500 85,000 191,200 276,200 NO Totals for 2006: General Property 7.500 85,000 191,200 276,200 Woodland 0.000 0 0 Totals for 2005: General Property 7.500 85,000 191,200 276,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 221 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 G. ST. CROIX COUNTY, M N (Joins sheet 66) XD2 VR SIB 2 0-i PIA HuA r SII' O 35 t. BxD2 ! t BxC2 M. ry ins < ~ ~ RP@nt Rf Ptt~ OntC2 PIA BkD2~ Da 9 Q1P P.IA 4 DaA Dc 2/ xC2 FfUA` ` ado-' BXC2 }O~ BxC2 1 DcC? x Bx€}2 JeC2 Q x6 rt titA " DaA ~r. ~w~~ t 0 ~ -BxC2' DkB SIB' d ~~q~ * a r E AMD2 r s{. g < l _a. BXC2 r Bic DZ A Eti f v flab` 1 d j# f z I f*2 SIB r 4 + S$ Rn itx p c A . rUd p O ~ } #~zs ~ NnD2 _ Y BxC2z LO A gel BxB x SIB , F? ShC2 HuA f1tR " N a` DCC2 DB IEM TScC2 D xn v ((,y J PIA DaB Fe-. i BxC2 BxB PIA- H uA ( h 4 xC2 A a ~iuA PIA SIA oe BxC2 o BxC2 3 r N $ B~e2( NuAr.` x SIB SIB v fop PIA DaBN E-i o ~ D P>f~ Bxl)zk mE o° a #r' BXC2 a~ Y+ ',.~xB C r w e. m BxD2 PIA 0 C 4+ PIA Pmb BxD2 . BxC4 SIB 2 BXC • BzD - n xq2 SIB s s" r Bx8 a;~ o BxC2 1. DcC_2 ShC2 HuA s ~z Bx£2 ` ti NuA Dab a P*f1 Bx02a4x c-r n s~. # ~a+G~ ABxD2 o 1 Fe - `X p 300 00o r E Fr BxD2 0 (Joins sheet 82) AS BUILT SANITARY SYSTEM REPORT ' C , TOWNSHIP D SEC. _ T N, R~W A DRESS ST. CROZX CuJP.TY, WISCONIN. _3DIVISION , LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM f, -T ! I ~ ~ ~ I E ndi ate Mort Arrota I I S CALF ';,'TIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL NCHES NO. of width length area no. of lines `Z T width J2/ length= area=_ depth to top of pipe ~Gr GATE (~~aL UJ ASH 'f, RATE 15 AREA REQUIRED S' AREA AS BUILT 4 D iwlaimer: The inspection of this system by St. Croix County does not imply complete capliance with State Administrative Codes. There are other areas that it is not possible ainspect at this point of construction. St. Croix County assumes no liability for yStem operation. However, if failure is noted the County will make every effort to ~$errune cause of failure. sSASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. -'INSPECTOR ' G- DATED PLMIBER ON JOB k - LICENSE NUMBER -c T ~ . REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itaty Petm.i.t • State Septic-" NAME rownsh.ip S$. Cto.ix County LocatioK., Section SEPTIC TANK /r1 j7 "L t Size gattbn.y.- NLumbe c os Compantments lL Durance Ftom: Wett 6t.121 on gteate .6tope 6t Bu.i.Ld.ing _6 to' Wettands' ~t• H.i.ghwateA a DISPOSAL SYSTEM Disxance FAOm: We~2 12% on gteatet scope it. Bu.itd.ing 6t. W et.Eands Ft. H.ighwatet FIELD DIMENSIONS: Width o6 tAench it. Depth o6 rock below .tile - .in. Length o5 each tine it. Depth o6 tock oven .t.ite .in. Numb et o6 tines Depth o6 .t.ite be.Cow grade ~ .in. Totat. teng.th o6 tines6t. Stope o6 ttench in pet 100 jt. v Distance between tines Depth to bedrock Ta.tat abs otbion aAea 6t2 Depth to gtoundwaeA Requited area it2 Type of Covet: Papers of S.ttaw PIT DIMENSIONS: . NumbeA o6 p.i.tz GAavet around pits yes no Outside d.iametet it. Depth below .inter 5t• 2 To.tat absotbtion aAea it A AAea AequiAed ~t2 m INSPECTED BY r # 5 TITLE APPROVED.. , DATE 19 7_' . REJECTED DATE 197. ~ t Ei4S 7- r,o of %EST uv ,(mot vi rt • ~c,Pe4Pi NeT ; /,C- aeil 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS -0r f el A,6- - WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ~I~ P.O. BOX 309, MADISON, WISCONSIN 53701 C LOCATIONAW%, 5;E'/4, Section T2N,RAE (or)(9, Township or Municipality S 7t Y Lot No. ,Block No. ub ivlslon ame Count Owner's/Buyers Name: 61os5~ Mailing Address: 2217 ~e? HC~ TYPE OF OCCUPANCY: Residence x No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT- ALTERNATE SYSTEM OTHER MA PERCOLATION TESTS J/' 3 &.,Q TAJ• y gec) DATES OBSERVATIONS MADE: ~,SOIL BORINGS d SOIL MAP SHEET .SCE NY) NAME OF SOIL MAP UNIT ~'`'lt~y SAT -JA PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL MIN/IN NUM INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 BER n 1ST WETTED SWELLING IN MINUTES P- COCA It"~^l.Si~ 9' J3A/.L04A P- P_ Pekc st- iw s vE 13ozer Piz P- 3 2 Mr_Vr1?,tL ,u O'& 3 / S> O 30 ~r''~et s.r~- i.vs~vE 3 p•r 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- /2S NDA.jE 1 /Z /D'D,t''x',VS',/, f''Aw 404AI /630 „ h,tv. S. B_ 6 s/ . / OLY B- Z Na,UC 1> 0 7 1 ~~..5~ QN Ldrt ti B- B- 3 Ive,IVZ- > ~ /7''1~if' ~i,/ l3S;/ 5c/ 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 94'S Y*9 13ED Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I _ ~ R VcRr- 131Y 4c'4 C VE IS• ~.UTEi~E' v " ~T poiwT GV,0M 5G/~Ti c Vt vg a gF~ . r3~ /0 ~v R = 9y i► y O 50pr / = 94) Alt, SE~TiG . /©z Se L; r 19 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. - Name (print) l d b, xr "11he1 eA/ Certification No.~~ 713 Address eT. /7`Ul~St,'v LC7/S ' S^ (J/4, Name of installer if known Z S • 7 O . Nc)• Uf~SC7~ ~~s CST Signature i~~:~~`''"►/ ~!°CJL-~/ ~~J Copy A - Local Authority State Permit # PState B 6 7 and County " ° DOS Permit Application County Perm" for Private Domestic Sewage Systems County vL c *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: BEN 41 R/ B. LOCATION: '/4, Section T L N, R_,~f E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village 3i7 Township 77RO)l C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Y Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY /e,7Z= 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 :;"C. Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) Total Absorb Area sq. ft. E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate -~-~yf New Replacement 7t Alternate (Specify) ~ ,01 r/ e) A-, Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: X Length 7Width Z Z Depth Z>r Tile depth (top) No. of Lines L. Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits _ Percent slope of land V-/o /9n Distance from critical slope -*0,4V E WATER SUPPLY: Private le 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 A9&b,-,?F 7VIbifleAF C.S.T. # ✓S~~~y~~- and other information obtained from SD%l . ~ (owner/builder). / Plumber's Signature MP/MPRSW# Phone # A'- Plumber's Address 2,403,0615 E k? ► . - /ls IV Vv c% ~ Gtt/ 5 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. y, 4T rczial7' 4 ~ k n E ' - 115 v4l/oa/ Of E E i .r Do Not Write in Space Below FOR COUN Y AND STATE DEPARTMENT USE ONLY ) Date of Application / Fees Paid: State Coun y,;=? Date - CJ Permit Issued/Rejected (date) /e Issuing Agent Names' t-t-c w' 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