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Home My WebLink About040-1042-50-000 o cn o K m o d CD lz (D F 2. ,g v v' Xk C3 n 1 3 .-t F+ co v o N p Np o a co pA `C • 3 u m ° C(D 7 (D CD CT T, W i1. Z C) N A CD -1 p r-h C o A n O CL 3 j _ ' A O O n o O ul c CD a D p w 3 ur .4. Lrl O O• lV N C A CD cn G D a m `D 0 a U) W ~ C: CD A CD O O O Cl) < O O n o I f/) 1 CD W o cn 0 = lr N v T ~ \ I, z o o • T ZA N -1-1 V ~.Q ~vv~ iv O ::T (D CO N 7 ~M (D D 3 d cn N < - A Z O ZWo D w O a a' CD m • I = N l►1 N CD N C C CD CND W CD CL O D p ? Z Cl) 0 a A 0 7 I Z N co 03 W- mo, z C cn ° m ~C N Z < CD A co I D d Q C p G ~ T N = z a o o N :F A a. i y A b ~ I O ti. •A N O i O I ~ A CD 40 O Efi O A„ ° Q ° bb O S. ` y 12/14/2005 04:16 PM Parcel 040-1042-50-000 PAGE 1 OF 1 Alt. Parcel 09.28.19.140A 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 - ROEKER, DAVID C DAVID C ROEKER 454 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 454 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 39.170 Plat: N/A-NOT AVAILABLE SEC 9 T28N R19W NE SE EXC.25AC IN NE Block/Condo Bldg: COR AS IN 302/18 & EXC PT TO HWY PROJECT 7200-04-21 HWY 35 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 09-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1148/251 WD 11/10/1995 536171 1148/514 QC 2005 SUMMARY Bill Fair Market Value: Assessed with: 102340 Use Value Assessment Valuations: Last Changed: 08/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 50,800 178,400 229,200 NO AGRICULTURAL G4 37.170 4,300 0 4,300 NO Totals for 2005: General Property 39.170 55,100 178,400 233,500 Woodland 0.000 0 0 Totals for 2004: General Property 39.170 55,100 178,400 233,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 EH, 115 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:, '/4, '/4, Section ,T_N,R_E (or) W, Township or Municipality Lot No. - , Block No. County Subdivision Name \~'i I~ r Kr=? Owner's/Buyers Name: Mailing Address: tom' ` TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW A REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS Z PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT--- PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- C -C rv c•^ i~ f c, (t i t~ I V = > _ E I L i T P- Z_ C- f I i C C_ C, , = T 1~ n f~ c ? -c rF L c- i - 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 V-c B- = 'C B- r7~ L~%~ > L i✓ 7~s B- r C 'l - 77- !s ti L T: .57L 5 Ems, ll~ 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 Fr-- 466~,.Indicate scale or distances. Give hor' ontal and vertical reference points. Indicate slope. j _ ` I t n v /4 c . 1 r _ V ":77 4- X4_.4? e_10AVI- E Tot-1= t~ 0 3 s ~ ; FFT- '50, 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. -\M~``, CertifIC lion No.---' /V, VAC / sy 7 f--7Z S , ti r~k' L S `7f -a filler if known - Local Authority CST Signature State and County State Permit # 67-0 County Per it # PLB Al `Permit Application for Private Domestic Sewage Systems County-2.- 1G *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: r,~!`~[`' ~JG R73 /sit l Cry c''-i, B. LOCATION: NLf % ,~=Y4, Section Tit N, R fj E (or) 0 Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial `Other (specify) *Variance / Single family Duplex No. of Bedrooms _3 No. of Persons D. SEPTIC TANK CAPACITY ~f4C Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation X Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E . ~ s EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area q. ft. New -X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width I Depth~Tile depth (top) "No. of Trenches Seepage Bed: x' Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land--01, Pt Z4 ✓ e 4? c` Distance from critical slope AK IL= WATER SUPPLY: Private 9 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. # _7.5-ma6lirjF- and other information obtained from _ owner builder). Plumber's Signature 1`MPRSW# .2 Phone # -7 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. 'oe r t r , I sorr" S~~P eio . ~a e 71- ICE E t .y Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY _ Date of Application -A 0 Fees Paid: State 06 County Z l Date Permit Issued/Red (date) Issuing Agent Name 1 Inspection Yes XN0 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 I x AS BUILT SANITARY SYSTEM REPORT TOWN S H I P ADDRESS----- . T N, R W ST. CROIXX SEC WISCONSIN. LOT LOT SIZE Distances & dimensions to meet requirementsWof H62.20 S HOW EVERYTHING WITHIN 100 FEET OF SYSTEM TfT e o r- .tea ro ' AL 1 X ~ I di a e oath Arrow i SCAL: :t%I i SEPTIC TANK (S) lCi MFGR.~, CONCRETE X' STEEL N-07767 rings on cover ~~-~-Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of line width 1, r length de area P t to top o pipe---- NUMBER OF SEEPAGE PITS Outse ameter total pit area AGGREGATE PERK RATE -j J -/-1 AREA REQUIRED AREA AS BUILT 61 S~ Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas thn 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 of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED - PLUMBER ON JOB LICENSE NUMBER 7-2 o5-- z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sani•taAy Pen.mi t • State Septic/ ~w -'r NAME rownsh.ip S$. Cn.o.ix County L o c a t"i o rc Section SEPTIC TANK S.izy gattonz . Numb en o6 Compan tmen tz D.ia.tanee Fnom: Wett 12% ot gnea"te,% stope 4"t Bu•itd"ing it. WetZandd Highwa.ten it. DISPOSAL SYSTEM D"ia"tance Fn.om: We.tt gt. .12% on greaten. Mope It. Bu"ild"ing it. W ettands Ft. • H.i.ghwaten it. FIELD DIMENSIONS: Width oS. tn.ench it. Depth oS nock below t.ite ~--.in. Length o j each tine 5 S.t. Depth o6 n.ock oven .t.ite in. Numb en. o6 tin es 1 Depth o6 .t.ite b eZow grade Z 2-in. Totat .length o j tines e-:77 2 it. Stope o j tneneh in pen. 100 it. D"i.atanee between Zine.6 Depth to bedrock ~ . Totat abz o&btion anea_ 2 Depth .to gn,oundwaten Requiaed area 6t2 Type of Coven: Paper. o thaw PIT DIMENSIONS: Number, o6 pit.6 Gnasiet and pity ye.e no Ou.ta•ide d.iameten. ~t D h be "ntet it. Totat abzonb.t.ion a a it . Area %ecyct~---- 2 rn TIT r7 APPROVED DATE l / 1 REJECTED , DATE 197 " 01 1 PLB 67 State and County State Permit # 5 v Permit Application County Permit #*ZC7 - 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: 7 B. LOCATION: 5't '/4 Section T.;JL N, R_iL E (or) (0 Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township %C1 Y C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _X Duplex No. of Bedrooms S No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify) New Installation X Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate l"~ Total Absorb Area 6j-'2 sq. ft. New -X -Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth '(~tojIp) No. of Trenches Seepage Bed: X_Length S 2 Width~_Depth _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. # and other information obtained from DA L, J1 2 C1. /C" wner uilder). /ice Plumber's Signature r MP/MPRSW# 7 LGl,°; Phone #7 Plumber's Address_ A i.-, =p5L'-- /Z/,' 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 ~ - r , t i , E , , Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State County ate- 3 Permit Issued/Rejected (date) 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 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, c cc DIVISION BOX 796 HUMAN RL'LATIONS PERCOLATION TESTS (11J) MADISON WI 53707 LOCATI SE TION: TOWNSHIPlM4;0XC:F;Vt+'F1Y: L T NO.: BLK. NO.: SUBDIVISION NAME: COUNTY- OWNER'S BUYER S,NAME - MAIL, NG ADDRESS: t - USE_ _ DATES BSERVATIONS MADE NO.BEDRMS.: COMMERC!ALDES'RI TION: PROF 117D-77TT151°iZ5N5: pERCOL TION TS: Residence New ❑Re lace * - , C'T f= : 'j~;j C1z°~ L. 7_0 RATING: S Site suitable for system U= Site unsuitable for system -PWA ('C)-N-x~FF4-Tl-or4AC `iMOUND: IfJ-GROUND-PRESSURE: SYST'h-FI LHOLDING TANK: RECOMMENDED SYSTEM: (optional) U r" It Percolation Tests are NOT required DESIGN RATE- 54, TEM T"1-- - If any portion of the lot is in the 'i ( unde x Hfi 3 OgfS)lh), indicate: L i i odpla'ln, ~.~d;sate Eloodplain elevation: ROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMP'R DEPTH IN, EL-VATION OBSERVED F5T I( HEST TO BEDROCK IF OBSERVED (SEE ABRRV.ON BACK.) T 41 U/ B- I+Af - t t.'~ }mot Mc? s > PERCOLATION TESTS r t t..- TEST i WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NIJMRER I -S AFTER SWELLING INTERVAL-Ml N. PERIOD PERIOD 2 PER INICH Y .rr I P P- - PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale, or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slop. Tr.:> 44,-Q _-f " 3 .a tr SYSTE ELEVATION 94 ~TA C P. I K-7 /jkjAL_ PS i J ~ti rr i rt Q."'..;_ c : IAA T t C7 A,' Mc~ ;M z ~,IuT r Cr ti a ha' lti lv'C t; '~1. , IC+~ l a 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief, NAME (print): TESTS WERE COMPLETED ON: e, .`~I••~ J-_ rcSC I _ t 3 , ADDRESS: J , s} / CERTIFICATION NUMBER: t~7~ON BE f ? pti nal): ,...7 S:'~ - P 1 - - T Si NATURE: - l - I DISTRIBUTION: Original-t_ocal Authority, 2nd page-Bureau of Plumbing, 3rd page-Propwrty Owner, 64i-r page-Soil Tester. P DIl_HR-SBD-6395 (N. 03 !81) . i i i i i;L : 7 Z z' DEPARTMENT OF REPORT ON SOIL BORINGS A \ SA & BUILDINGS IND.UST~Y, Dr{►t~ DIVISION LABOR AND RICE . BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) OCT 8 19w N, WI 53707 i.- OCATI ,N: SECTION: TOWNSHIP/~': LOT NO.•B . 0.: SUBdtyjdON NAD !SE COUNTY: OWNER'S BUYER'S NAME: AILING AD RESS: USE DATES BSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: LEPESCRIPTIONS: ER A ON TESTS: Residence New ❑Replace r0 e f `0 Q c ff ~4 nl~-~ a47T/~ o ~~/L/ cJ/=C)IZ~I Ca fPE = -77~~ j 7-b RING: S= Site suitable for system U= Site unsuitable for system A, LZI_ L= CRs ENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM- N-FI LHOLDING TANK: RECOMMENDED SYSTEM: (optional) F] s au s ou a s au ❑ s ❑u a= 1.•t-T- 1 C P jA. L_ If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. If any portion of the lot is in the under s.H63.09(5)(b), Indic te: + ~4 4 Floodplain, indicate Floodplain elevation: OFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, EL VAT ION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK. B- I 60 4.~ KkoN C >6 a B- Z 6Q 6)4.3 ►KIoMF ~o i, 16 , ibm 5,V16,- erm 19j 8n 1.5 d w r B- r`0 ~7• ~0A4IF 7~ O ~ r Gc B B Tt> t'om' S l~ I,t,ICs s t L~Vi4~t(14 PERCOLATION TESTS D~IF t 71_14-C- TEST WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER I S AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH e ":3 P- ,f? l~lC. Y :Y4- I ~s ~I P- V NOME 3 a 5/k e- Y/ P P- P- PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slop. i, - 3 z NORTH SYSTE ELEVATION 94,o o P_ 16 /&j -L_ EST_=nq nA°P-K L._tOp0. LEGENi, p, 0 P Trc fry-'. - O r AN I:b COTEO 1 G-r l~k C C t,,l. tfl~>ArM~L' t tL.. Ice. _ i, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (printl: TESTS WERE COMPLETED ON: _v c +j io 3 / ADDRESS: CERTIFICATION NUMBER: HON ~y BE pti nal): T SI NATURE: _ L DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page Property Owner, page Soil Tester. DILHR-SBD-6395 (N. 03/81)