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Home My WebLink About040-1029-30-000 o d CD 0, M v v fD ~ ~ \ 1 z n=i D=i ~n o 0) 00 o o `C • 00 PO o Z. (D 10 O d f9 d Q co p O (D 7 - C 1 N CL co m N O N W "l (.0 N CD n (Q. n o o O C(D 0 IS, O - O V W O 0 N (n y (V cn D a o (D (a m CD a E = c W `D O CD N 3 CD- O o 0 0 o v. CD N N _ (D OD ~ N O O (n O C ;t M J Z CL v T 0 T T• Z 0 0 0 'il 0 0 N N N c CL - a D `may _(<D ~ v v v o 0 m m y ? cQ -n CD W N CD N 0 0 p N Z z o z co CD 0 o' m CD • n ~v (D (D N C N (D (D W D Q (D C6 zt Z Z N O (=3 Z O nOi O_ m N (°D° (D m m 00 1 ' z O Ej A x r. (n O 0 m CD CD w v n (D < •NOa a O Dl x o a a Co N CD O (D M (D 1 T a. = - L C CD O Z p 0 O 7 O (D G.70 N So 3 a w CD a~ w N ~ (D O 00 a cc V A m N O ((D A (D (n n3 - O n 8 s m x -4 0) " 3 o Q ~ I a (D A O 0 O o_ (D 6Q V ea O Oo O ti Parcel 040-1029-30-000 01/17/2006 07:24 PM PAGE 1 OF 1 Alt. Parcel 06.28.19.94C 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 SUZANNE M VAN M O - VAN MELE, SUZANNE M ELE 393 COULEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 393 COULEE TRL SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 6 T28N R19W PT SE SE LOT 1 OF CSM Block/Condo Bldg: 2/324 ALSO COM SE COR SEC 6; TH N 01 DEG E 1318.01'; TH S 89 DEG W 435.41' POB; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TH S 89 DEG W 164.53'; TH N 11 DEG E 06-28N-19W 110.18'; TH S 53 DEG E 176.88' TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1072/308 TD 07/23/1997 06 WD 07/23/1997 538 hl /1-77 2005 SUMMARY Bill Fair Market Value: Assessed with: 102212 188,200 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 48,400 132,700 181,100 NO Totals for 2005: General Property 2.000 48,400 132,700 181,100 Woodland 0.000 0 0 Totals for 2004: General Property 2.000 48,400 132,700 181,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 040-1029-40-000 01/17/2006 07:25 PM PAGE 1 OF 1 Alt. Parcel 06.28.19.94D 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 - JOHNSON, VIRGIL S FAM TR% EMOGENE VIRGIL S FAM TR% EMOGENE JOHNSON 629 N MAIN ST RIVER FALLS WI 54022 Districts: SC = School SP = Special PropertyA dre s es): ' =Primary Type Dist # Description -,6 9 N MAIN ST SC 2611 SCH D OF HUDSON SP 1700 WITC 3 Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 6 T28N R19W 2 AC PT OF SE SE LOT 1 Block/Condo Bldg: OF CSM V 4/1150 INC 040-1028-85 (91 C) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 747/38 2005 SUMMARY Bill Fair Market Value: Assessed with: 102213 68,600 Valuations: Last Changed: 07/19/2004 Description Class Acres Land 'Improve' Total State Reason RESIDENTIAL G1 2.000 48,400 ° 17,600 66,000 NO Y'' Z~ Yea Totals for 2005: General Property 2.000 48,400 17,600 66,000 Woodland 0.000 0 0 Totals for 2004: General Property 2.000 48,400 17,600 66,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST CROIX COUNTY SURVEYOR'S RECORD CERTIFIED SURVEY MAP ROVED APPROVAL SU"DIVISION Nov 18 1976 DOES NOT 1~~~~A►~ f FOR SEPTIC SYSTEM. REFER T' 452.20 ST. CRLG, Y COIRI'R6HENSNAft ZoI~ NORTH LINE OF SE 1/4 OF SE 1/4 i N 89°10 30"E 164.51' S ' S 89010'30"W •435.41' Sao Z OD o \ /2533 / \ o w o Jy h LLI %t✓ M 2 F- \Zo\~` O w LOT I s 1° 1f M 2.000 ACRES ~~LE.*-D NOV 181976 am a CONNELL rr N C.S.M. AT S.E. CORNER w (D NOMW of o.sa• SEC. 6 -28-19 crdz County, 3 WbccQw&ft C\i a O c\1 Z N ORTH co O 1" X 24" IRON PIPE WEIGHING 1920 1.13 LBS. /LINEAL FOOT ~ SCALE IN FEET !"=60' a1 S 89° 10'30" W 266.96 1 100 50 0 50 n ` 0 11111111111111111 Volume 2 Page 32l W I~ AS BUILT SANITARY SYSTEM REPORT OWNER /-/l TOWNSHIP ADDRESS --tom SEC. Tc.1V, R~/W - ST. CROIX C Y WISCONSIN. SUBDIVISION - LOT LOT SIZE CO/k 2/3 Distances & dimensions to meet requirementsWof H62.20 SHOW EttRYTHING WITHIN 100 FEET OF SYSTEM i X di a e oath Arrow SCAU: i r SEPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover / Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of wi tcT`Ti` length area BED NO. of lines width j length area r'` depth to top o pipe f NUMBER OF SEEPAGE PITS Outsi e diameter total pit area AGGREGATE PERK RATE RE REQUIRED 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 tha it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause o failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH TH S SY INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER , h;-,, REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM S ani tan y P E_h rn,i t 7 State Sept.i.e NAME Town,Ship St. Cno-ix County I.ocati.on_ Section Lot Sub via ian SEPTIC TANK , Size c G C 9att ona NurnbeA o6 eompantmenta, lli,5tance finorn: Weft Buitd.ing 1.2% atope__--r H.ighwaten VUMPING CHAMBER S~ ze gattona Pump Manu6aetu&e4 Mode. Numbe.n I101-UIN(i TANK S~Ze •Numbe.A o6 Compantmenta Purnpen~ A-ean.m System D-in-tance. 6Aom: Wek.E Bu.itd.ing 120 agape H.ighwaten A[iSORPTION SITE t,e.d5- Trench Uihtanee {nom: WeZZ ~9 L Building 12o mope H-ighwaten AI_iSORPTION SITE DIMENSIONS W-("dth o4 trench 6t Req uiked area -I Z • Leny-th oA each tine 6t Depth o4 rock beXow tcXe s J 7 N rnb(,~r. o6 fines Depth o6 noeh oven t.i e 1.n Totak Length o6 tines ( 6t Depth o6 tite below grade z%l ~n 1) A takrten. be.-tween einels t Sto e o trench in. pen 100 At I o tae abs o,,Lption area 6t Type o A Coven: Papers on 6-thaw Vii DIMENS104S Nurnben 06 p.i.ta. G&avef around pits yea Outa~.de diame.te.n.6t Depth below .intet ---_~6t To ta.e aba onpt-i.or~- area 6t A~cea ~zequti~~ed 7 6t I N I'1 CTt 0 BY TITLE A I' P R O V E D I:i JECTED DATE 198 I:I ASON FOR REJECTION REPORT ON INSPECTION OF SANITARY PERMIT # Z }o -P (1) Name and Address of. Permit Holder Person/Persons at Site (2 )Date of Inspection 2~m_4~6 I a r s, License o. o ns a ing plumber Time of Inspection , Ada .t 2 (3)INSTALLATION CONSISTS OF: A Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit Seepage Bed ❑ Holding Tank ❑ Fill System BENCHMARK: (Permanent re erenc Point) escri e: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: W SEPTIC TANK: Manufacturer: Liquid Capacity: 7_i '72 Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)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 gallons 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 ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; ,'ivO 1 i.neal feet tile; ft to residence; j*Z)'I` ft to well; ft to lot or property line; 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 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? DYES ❑ NO (13) Has system been installed in floodway? ❑ YES NO Floodplain? ❑ YES NO DILHR-SBD-6095 N.05/80 :.~r-~ Signature of Inspector . "If You Like Our Service, Tell Your Friends" BIRCHWOOD PLUMBING AND HEATING E. F. GROVE, OWNER PHONE 425-5824 ROUTE THREE RIVER FALLS, WISCONSIN 54022 h i+l 5 L ~tl .w~ pJAZY, ! 'Tv? ot~ Box .d zZ f=~ p e i 2- % cN i PLB 67 State and County State Permit # ~ f Permit Application County Perm t # 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: V/ /LVdA_ IL Ov kN se/r CT y rx~~ B. LOCATION:-'/a Section, TN, R_,~Y (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township 7X- e,'/ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ✓ Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPA~ ,OY Total gallons/74"c No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete j/. Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement X Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate '/Ari Total 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 R~ Width Z2 Depths ~j Tile depth (top) No. of Lines Seepage Pit: Inside iameter Liquid Depth No. of Seepage Pits Percent slope of land L V., 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. 25rl/ and other information obtained from (owner/builder). Plumber's Signature MP Phone # .ice etIZZ 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. I E -4- _ s E E Do Not Write in Space Below FOR COUNTY AND STATE DEP~4RTMENT USE ONLY 1 1 -4V Date of Application Fees Paid: State,,?d `'0- County Date Permit Issued/Rejected (date) le7- ~41-Y2 Issuing Agent Name dAA~l ' 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 EH 1-15 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: Section , T-2SN, Rd$4orCTownship or Municipality Lot No. , Block No. County Subdivision Name Owner's Name: `S,y N - ;f Mailing Address: Ff- YA1)5evy 110150 116i/V TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT-- DATES OBSERVATIONS MADE: SOIL BORINGS__ ~~1 zGI ,SSG' PERCOLATION TESTS ~4 rt 2 SOIL MAP SHEET SOIL TYPE 13Q-, 9,0 777 PERCOLATION TESTS TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER tINMINUT~ES AMIN/IN BER 1ST WETTED SWELLING PERIOD 1 PERIOD 2 PERIOD 3 P- ~ P- 14&-4 5_5 A 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) r S0 ,C7 2 i /i lE, n 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 numbgr of square feet of absorption area needed for building type and occupancy. /1 Cot-0 IS -A ill' Z-5w, W 04 bfllL.4R,4E Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I __44 - -X, 1A 4 ` Iel 3~ 3 4 ,~E«~ tN F 1 J-1 ; I I I b4P 47, JED r I 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) Z74r',ZN,E7 /"f.,Certification No. Address %a;7 -),p 15V. FZ 16 y r 91 L, Ii Ph , W 1'SC - Name of installer if known k ' ?1 L C ~r ` CST Signature ~y~a ~~1!,pp I~y "If You Like Our Service, Tell Your Friends" BIRCHWOOn PI A A!•~nlw A-T:w10- a V.~•~•. vv .v E. F. GROVE, OWNER PHONE 425-5824 ROUTE THREE RIVER FALLS, WISCONSIN 54022 /y 1 fu 0 pKIVF v1 r1ek 13 `To? pt aICIGkZ.. `r4 j' r ~ 7r,D a,T: 4; 'I,Cv ~ D~ yam-' ti f4 p I I 4 Y ISM AIdG Air 0,) Aqu. z