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Home My WebLink About276-1043-35-116 o cn o 3 'v n d r_ 0 d a 0 0 CD v1 a 3 \ 1 p N OZ fD N C 11 C7 N • m co CD W 0 0 oo ~J• lAl z 0 N co C) tli A ° w O CD o < K N N Cwlt ~O1 CD TI 7 N N 7 N CP O CD p CD N a a N W z 'I p m j "ftm, CD CD o W0 Cnn o c ° ° r! cr O O O /y,~• D ( ~1 ~ ~ c Cn In cn (n 3 O li N 90 3 D _ ~ tT w N N C N a A N N z co z o D 0. 0 CD h• CD N C CD N N " N C CD CD CD C1 3 S CD Cp -i fn O A Z M N C » d A C (n W co v m N) ° CL ~ z o 3 a X m ° z 3 I N ~ ~ < CD W N ( (D 7" S d 3 n N Fn- CD Xk `G 0 'T7 N ? S O °y CL3 z a N o C3 O W , - N (a CD CC] OM) S O ~.Q R CDCJ Z 7 C rl- a IZ, j m Wpm b 2CD FCD I n -c I 0 X N p m n. N 7 j Z 00 CD Z) CD N O it O CZ) O ~ A I p II DO A w v b o (D p Parcel 276-1043-35-116 12/15/2005 11:20 AM PAGE 1 OF 1 Alt. Parcel 36.28.19.322G-16 276 - CITY OF RIVER FALLS 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 ROY'L OAKS PROPERTIES O - ROY'L OAKS PROPERTIES N8096 950TH ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1010 N MAIN ST SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH I Legal Description: Acres: 0.410 Plat: N/A-NOT AVAILABLE SEC 36 T28N R19W PT E1/2 SE NE COM INT S Block/Condo Bldg: LN SE NE & E LN HWY 35, TH E 150', TH N 120', TH W 150', TH S 120' TO POB EXC N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 14' FORMERLY 040-1139-30 (563H) 36-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 08/22/2003 737028 2386/037 QC 07/23/1997 1085/120 WD 07/23/1997 687/452 07/23/1997 600/392 i 2005 SUMMARY Bill Fair Market Value: Assessed with: 133107 178,200 Valuations: Last Changed: 10/30/2001 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.000 22,000 119,400 141,400 NO Totals for 2005: General Property 0.000 22,000 119,400 141,400 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 22,000 119,400 141,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 013-SEWER&WATER SPECIAL ASSESSMENT 1,382.87 Special Assessments Special Charges Delinquent Charges Total 1,382.87 0.00 0.00 Parcel 040-1139-30-000 12/15/2005 11:19 AM PAGE 1 OF 1 Alt. Parcel 36.28.19.563H 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 ELLROY J & THORA P LUND O - LUND, ELLROY J & THORA P ANNEXED 95 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: 0.410 Plat: N/A-NOT AVAILABLE SEC 36 T28N R19W PT E1/2 SE NE COM Block/Condo Bldg: INTER. S LN SE NE & E LN HWY 35 E 150 FT N 120 FT W 150 FT S 120 FT TO POB EXC N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 14 FT ANNEXED RF '95 #526829 36-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1085/120 WD 07/23/1997 687/452 07/23/1997 600/392 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/07/1995 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 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 AS BUILT SANITARY SYSTEM REPORT ~l r OWNER j --L.. s=t TOWNS_ PI %L I 4EC.~ TA N, R 11W ADDRESS ST. CROIX COUNTY WISCO~y N. txv SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHN EVERYTHING WITHIN 160 FEET OF SYSTEM _ 6% V i • s Y. I di a e v th Arrow SCAL : I i -F -rT 1 J-I SEPTIC TANK(S) l~MFGR. CONCRETE STEEL NO. of in96 on cove rDepth PUMPING CHAMBER SIZE PUM-2 MFGR. R MODEL NO. .GALLONS Per Cycle-at( TRENCHES NO. of width length area BED NO. of lines _ + C width l ' , length area 7- T , dept to top of pipe V NUMBER OF SE PA RITS outside diameter total it area p AGGREGATE 1,( PERK RATE AREA 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 that 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 C L DATED PLUMBER ON JOB U L LICENSE NUMBER REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sani,tan.y Penmitt 6 State Sep-tie 'VAME 1 Town,6hip _Si. Croix County ~a~ - - Location-TIE Sectionl~ Lo-t # Sub divieian SEPTIC TANK A- 1 Size y0F'"`"~'I / attona Numbers a eom an.tm TT 9 ~ p enfi6 046 tance {nom: Wett Buitding 1.2% .6tope Highwa-ten PUMPING CHAMBER Siz.e gattona :Pump Mana ,''en Mode. Number +(OLDING TANK t Size gatton,6 Number o6 Campa tment,6 Pumpers Atanm S em ///J- Oi6tance 6kom : Wett t o ing 12% .6 tope_ Highwa.ten ABSORPTION SITE Bed Trench 04'6 tanee AlLom: Wett Sd Bui.tding 12% .d.Eope - Highwa.ten ABSORPTION SITE DIMENSIONS/ Width o b -trench 2 '7 6i Requi ed area Length o6 each tine •2 6i ,6t Vep.th o6 %ock below xite~~ e-in Numbeh o6 dines Depth o6 rock oven tike z- ~in To.tat .Eeng.th o6 tines 6.t Depth o6 -tif-e below grade in D.i6tance between tine.6__~.16t Stope o6 tne.nchin. pen 100 6t Lo,cu,l auo u&p tion area 6t Type o6 Coven: open n 6 tA aw PH T DIMENSIONS Number o6 pits ~ , Gnavet around pits yep no Ou.t,5ide d.i.ameien Depth below intei 6-t To-tai abaonp.tion area 6i. j Area sequined 6t INSPECTED 8 TITLE r APPROVED / C7 DATE 198 REJECTED DATE 198 REASON FOR REJECTION REPORT ON INSPECTION OF SANITARY PERMIT # ~9SY (1) Name an Ad ress` f Permit Holder Person/Persons at Site (2 )Date of Inspection ame, ress, License o.o ns a ing Plumber Time of Inspection (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent 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 ❑ N0; 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 DILHR-SBD-6095 N.05/80 Signature of Inspector: ;o State and County State Permit # 51,3O PLB 67 v. J Permit Application County Per it # 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 (1 ~A-) a I o ) ff-" N 6 L) J, ti~ I ~Ov,). jo 14 B. LOCATION: ~%Section , TL,9Z N, R!~4' E (or)CV1 Lot# City r Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial `Other (specify) *Variance Single family ~S. Duplex No. of Bedrooms -3 No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place teel Fiberglass Other (specify) _ New Installation Re lacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete k Poured-in-Place Other (Specify) - . - - - - E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of pineal Ft. Width Tile depth (top) No. of Trenches Seepage Bed: --Length_Width Depth.-&Tile depth (top)---obi?-No. of Lines Z Seepage Pit: Inside dia eter Liquid Depth No. of Seepage Pits Percent slope of land J15, , Distance from critical slope No `vVATER SUPPLY: Private 2 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 1-162.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Cert+fi d Soil Test/e NAME ~~~~<< $ !I K.~~~`) C.S.T. ~~L) and other information obtained from 5 e- r (owner/builder). j Plumber's Signature %,T 3= ( MP/MPRSW# Phone Plumber's Address let, 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. r i E I s i r ! s ^ „m v+, m ^ .d . ® a - a « ~ as ma <^«e. a j e t ^ r 3 Do Not Write in Spaces ~Beloww FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 7" /-o 6) Fees Paid: State, ~"d-C) County o7~ . e-d D Permit Issued/Rejected (date) Issuing Agent Name Inspection Yes_X___No State Valid# Date Ree'd 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 H 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:-} P '/4, 7%, Sectio N,R ~~"E (or W Township or Municipality l ' /L s' Lot No. , Block Nam County 377 QLe ub„ ivi i n ame Owner's/Buyers Name: ..Jr.1 ~ r. Mailing Address: e TYPE OF OCCUPANCY: Residence- No. of Bedrooms COMMERCIAL- EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT~ALTERNATE SYSTEM _ OTHEI14d CGS! DATES OBSERVATIONS MADE: SOIL BORINGS 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- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN BERq 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 3 12c" t-9(l ^ 4! P- J P- S, 611 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 B- `1 r F j B- J B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan tpe loc ion and quare 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. I IT - cJL►'o~~'Z Uri L.)ell-l 9 ~tT i (l t~ N fvjrf~ . Za - ei 7 E 3 r I m ; . w , f n E a t b , I/ x 39 ' d 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. ,J J Name (~3rint) 0 ' vi Certification No. ~ c, I 9 Address G L. W J lx,..1'2 i Name of installer if known rr I Copy A -Local Authority CST 4 Pee's rf IT C, Z, II L+- e 1 l r- v~ e t oa Tre e