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HomeMy WebLinkAbout040-1133-60-000 (2) r fn 0 O 9 v 0 o O o y f c m o m o ~1. CD m CD -0 v m v CD m ,3 33 n 3 - - v o m o w °wD o ti o 0) W 0 cwn ° °C h• 0 0) v 0 0 CCDD 3 Co (P a 0 3 CD iD w F rnN z~ a~ Z~ a Z~ rn v CD o w n N O_ = O O C O O j O o 7 (O o o p 0 -0 o b a) =3 cD 0 VI W 7 N CO 0 C l~ N C CO rn C m cn D o cn D a CD CD U) C CD G N u o CD 7 / N CD r (D cc CL CL O O -4 -4 _ CT) CD }}I 0 co C v CD 00 w w 1', n r N W co 0 N ! O O CD ~ O". Q I°~ ~ v v 0 O o T 0 _ 0 m /yam Cl -4 a= UT i CD Vq (D cn O, 7 N C 0 N (D PO = CD CD Q , 41 to CD y N 3 m N ~ 3 a % oW Z Z m z p y o o D o o 'C' n ~ o. % C m "A • CD CD N CD w CD N 10 CD C C D AD CD _ w m a m a CD Z = Co CD -j cn A Z CD o n o N o 0 0 a a A 0 l i Z -I w oo v CD CD m co " ::t z c. , ~ 0 3 0 3 U U) 3 3 m f/1 CD f/I CD CD CD l - - w 0 / w 0 d v\ CD (aD (D CD' O a CD a- :E CD CD cl C ill 0 C (P ED -n CD \ \ a N C 3 Z =3 N C CD Co CD ~JI v o a o mw~o o a ~3:*0- CD ~o N CT a m o n y FD. a 3 m CD -ID o = cnm' ~ o O O O (h ? C7 n N c 3 ou a s Cs cn CD CLOD- o- TO X Cn CD *0 ? N _ O 41 a) m P(a O O :3 :3 1 CD CD D q ONo Efl 0 0 a (D (D ( (D y 0O a- 0 0- ti Parcel 040-1133-60-000 12/20/2005 11:22 AM PAGE 1 OF 1 Alt. Parcel 35.28.19.556D 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 - KOLASINSKI, GENE A & JULIE B GENE A & JULIE B KOLASINSKI 39 PINE RIDGE TERR 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: 0.530 Plat: N/A-NOT AVAILABLE SEC 35 T28N R19W.53A NE SE S 145 FT OF Block/Condo Bldg: N448FTOFW 160 FT OFE747FTOFNE SE Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 908/106 07/23/1997 877/526 07/23/1997 530/565 2005 SUMMARY Bill Fair Market Value: Assessed with: 103094 184,400 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.532 30,000 147,500 177,500 NO Totals for 2005: General Property 0.532 30,000 147,500 177,500 Woodland 0.000 0 0 Totals for 2004: General Property 0.532 30,000 147,500 177,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 203 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 12/20/2005 11:32 AM Parcel 040-1133-70- 000 PAGE 1 OF 1 Alt. Parcel 35.28. 9.556E 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historica a Map# Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - LARSON, EUGENE O & CAROL EUGENE O & CAROL LARSON 232 CTY RD SS 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 ;e~ff)'v Legal Description: Acres: 0.630 Plat: N/A-NOT AVAILABLE SEC 35 T28N R19W.63 AC IN NE SE W 160 Block/Condo Bldg: FT OFE747FTOFN 173 FT OF NE SE Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 418/379 2005 SUMMARY Bill M Fair Market Value: Assessed with: 103095 198,600 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.500 30,000 161,200 191,200 NO Totals for 2005: General Property 0.500 30,000 161,200 191,200 Woodland 0.000 0 0 Totals for 2004: General Property 0.500 30,000 161,200 191,200 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 Parcel 040-1134-90-000 12/20/2005 11:34 AM PAGE 1 OF 1 Alt. Parcel 35.28.19.556N 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 - LARSON, EUGENE O & CAROL EUGENE O & CAROL LARSON 232 CTY RD SS RIVER FALLS WI 54022 Districts: SC = School SP = Special Ad&ess(es):- Rrimary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.480 Plat: N/A-NOT AVAILABLE SEC 35 T28N R19W.48 IN NE SE FROM NE Block/Condo Bldg: COR GO W 747 FT, TH S 173 FT TO POB: TH S 130 FT, TH E 160 FT TH N 130 FT, TH W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 160 FT TO POB 35-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 476/123 2005 SUMMARY Bill Fair Market Value: Assessed with: 103108 20,800 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.400 20,000 0 20,000 NO Totals for 2005: General Property 0.400 20,000 0 20,000 Woodland 0.000 0 0 Totals for 2004: General Property 0.400 20,000 0 20,000 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 y AS BUILT SANITARY SYSTEM REPORT yam: 3 /nI OWNER ADORES TOWNSHIP SEC. TN, R)41 W ST. CROIX C ISC04 . SUBDIVISION LOT-_t,~ LOT SIZE PLAN VIEW DistancE~~; dimensions to meet- requirements of H62.20 S}tOW F,VF,RYTHING WITHIN 100 FEET OF SYSTEM a i p 'i 1 W-M 6J i i ` u 4 C: L V U 1, L l l ~ !1 1 1 )w ~ SCAL I I C SEPTIC TANK(S) ~Q MFGR. CONCRETE L.--STEEL N0. o? rings on rover . Depth I'rIMPING CHAMBER SI?..E PUMP M -GR. M BF,L NO y GALLONS Per Cycle - ` TRENCHES NO. of wi t lb 41 l ngth area BED NO. of lines width VAJ- 1 engtharea dep_ to top o pipe NJMBER OT AC;E,PITS- Outsi meter total pit area ACGREGATI? t' f R.K RA'TE' RE UT. RE AREA AS BUILT Disclaimer: The inspection 6f this system by St. iCtoix County dopes~ not imply complete compli-ance with State Administrative Codes. There are other areas that it- is not possible to inspect at this point of construction. St. Croix County rissumes no liability for system operation. However, if failure is noted the C'ount:y will make every effort's to determine cause of failure. (;REASES AND OILS SHOULD NOT BE DISPOSED THROU IS SYTEM. INSPECTOR DATED PLUMBER ON JO -.742 LICENSE NUMBER. r REPORT OF INSPECTION - INDIVIDUAL SEWAGE SVSIt-M • San .(*..t a A y Pell m it a ~as, State Sep-tiC 9 ! 33~5' ;AME Township St. CfLo ix County uc_a.t.ion _ I'VE 64 Sec:tion,3_jeoLo-t # Subdivision _ .I PTIC. TANK Si ze. gattone Numbers o6 eompafL tmen-ts 10•tanee 64Om: Wett .5-6 Bu.itding "7 12% 6tope _ Highwa•teA 'LIMPING CHAMBER Size ~750 gatton.d _ Pump Manu6actu&e Mudet Numbe.A 4sv a>''J 1OLDING TANK Size gattono Numb n o ,pa4tments Pumpers A y m )(,s tance 64Om: Wett titding^ 12% a.Lape__ H.ighwateA 1iSORP7ION SITE Bed. Tne.neh <.5tanee 6AOm: Wett~r0 f Building 12$ b Eape H.ighwateA ,IiSORPTION SITE DIMENSIONS Width. o6 tAench U + n ` . ~ ~ L e. n g t h o A each tin e 6t Depth o A Ao e h b e t o w t'ike NumbeA u6 fine4_ _ Depth u6 Aoeh oven tik(, Totat kength u6 t.inee 10 2 6,t Depth u6 .t.ite betow g4ade---_.?8 Oia.tance between tine,b & 6.t Stone o6 tAench l" tin. peA 100 6•t: x X 1 u { u1 aLo u)Lp-tiun a4ea_7(.00 6t Type o6 Co veA: Paper oA. to 1T DIMENSIONS- _ no Number o6 p.i.t,e GAavet around p't5 ye15 Gutaide diameteA 6 Depth betaw intet Totat abeonp.tion aA.e 6-t AAea A:equi4ed tt NS PECTED. Y - TITLE P11 R 0 V E 0 DATE l 19 'E JECTED DATE 19 8 11ASON FOR REJECTION ' E li 1.15 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS 40 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:-~E'/.,!5 Section 06,T_2_-_'_')N,RL E (or(W- ownship r Municipality Lot No.-!!5-, Block No. County ~T C--_AZ ©/X Owner's/Buyers Name:''' Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT-ALTERNATE SYSTEM OTHER PERCOLATION TESTS DATES OBSERVATIONS MADE: SOIL BORINGS -3 CD 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-- its P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- B- / -7 -7 B- 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. G.G-~'✓~/ _f5 A-1 4#1 Oc Cr! E'. ~~z . o7 41-11-1 1- _ I ~►143 ' A, . f 'r i G .,ic" ,.,'~Q~ /G~ •C.7 Q J'; ~ ,cam ~ / C7 4.~ i R Z 1, 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 r knowledge and belief. 6 Name (print)"'~^`~ Certification No:-:! f_` ¢ Address aE"/~' 1 cam/ rvsE .2 .C Name of installer if known Signature- Copy A L.oeal Authority ST w r B 6 7 State and County State Permit # - ■ a 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. OW ER OF PR PERTY Mailing Address: to i.~- P " ka_el~ 3 j B. LOCATION: Al 6 g Section T R E (or) 10 Lot# City _34 GM-M, I j? Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family L.0~ Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY f L 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) _ 7 - f_.. _ E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate, „Total Absorb Area ! sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of L' I Ft. Width lpth Tile depth (top) No. of Tren lies Seepage Bed: Length.- Width Depth Tile depth (top). No. of Lines Seepage Pit: Inside diamete 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 .Lptified Soil Tester, NAME 744~ C.S.T. ~ dp and other information obtained from 1 1000, ( wner/builder). Alt A.9r_ - Q r, Or Ag%a Plumber's Signature MPRSW# I 9 Phon 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. E Do Not Write in Space elo FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application & Fee Paid: State . C ) Cou ty `rZl D to Permit Issued/R-e4 red (date U 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 Dat 7/1/78 REPORT ON INSPECTION OF SANITARY PERMIT # (1),P1am and Ad ss of Permit Holder Person/Persons at site (2 )Date of Inspection Time of Inspection me, Address, License NO. o 'Install' n~ Plumber c273' '2' (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System 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: (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; lineal feet tile; ft to residence; 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? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO ~DTLHR-SBD-6095 N.0.!'80 Signature of Inspector: y± ' 0 CO MAR 1719 ZONINN ~ offla V' w 1,A1 Y 1 1 t 1 ~ a b' .ER 1 1 Rev. 9178 REPORT ON SOIL BORINGS AND PERCOLATION TESTjS, I WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ~P.O. BOX 309, MADISON, WISCONSIN 53701~/y ~3 4 LOCATION ;-_<_-.1'_~_'/4, Section:!T41,Ti;I~N,R~E (or W ownshi r Municipality Lot No., Block No. -7- "Wm6mop Name Owner's/Buyers Name: ~ ~J_(e ,R '4 Syr Mailing Address:A~--C--- J !zf t/. ~`~i G~_►~ , `t//_,f' l TYPE OF OCCUPANCY: Residence Y No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT i ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS-::~;4"1~2' CO'~- 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- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- -%,c i / G P_ P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES ' c6- -5 "I C B O v r., O / I B- r Z101- B- is -7 /`a B- 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. J ~ Tv~ r " r v . ! O JJJ _ 2 3 . f ~ E O t P ..~'i © 1 v_v . I 47- /.o c). 7 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) <:'01< ~ `c- ~ L-` y Certification NoS~~'' ,Address /c 2 el e- / r✓~'/~ Name of installer if known Copy A - Local Authority C T Signature 1 NC~~E~~-3 f r_ - dip A L y 01 'So p ~ Nf'' x' ~ r ~ 17 ~ I Sp►.p w SILO 44 ~4 ! u r> t Vol r7 R 1 r /a F t y I ~ f cl- ~ Y . 4 / M / 04 All 46 IL a d x N s aaw i r i ' i