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'Parcel 040-1194-50-000 07/18/2006 04:21 PM
PAGE 1 OF 1
Alt. Parcel 4.28.19.876 040 - 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): 0 = Current Owner, C = Current Co-Owner
O - SCHRODT, MICHAEL E & STARLA
MICHAEL E & STARLA SCHRODT
586 LUNDY LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 586 LUNDY LA
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.790 Plat: 2080-HIGH RIDGE COURT
SEC 4 T28N R19W 1.79A HIGH RIDGE COURT Block/Condo Bldg: LOT 05
LOT 5
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
04-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 546/481
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.800 60,500 167,600 228,100 NO
Totals for 2006:
General Property 1.800 60,500 167,600 228,100
Woodland 0.000 0 0
Totals for 2005:
General Property 1.800 60,500 167,600 228,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNEk iAll r 1 f: , TOWNSHIP SEC. T N, R W
P.O. ADDRESS g v, ST. CROIX COUN , WISCONSIN
r:
SUBD.IVIS ION LOT 67 LOT SIZE ?.'--~`r
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
70
~a wed
k
,
Jr 72 f
f
SEPTIC TANK(S).,MFGR. '4e,~0,gy- CONCRETE STEEL
NO. of rings on cover Depth DRY WELL -
TRENCHES NO. of width - length area ~o
BED no. of lines % width-/s- length areas
dep~~ to top of pipe X' rr
AGGREGATE
PERK RATE ► AREA REQUIRED tf, a" 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 SYSTEM.
INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER ; ~t
RRPOP,T OF IMSPrCTION--INDIJIDTJAL SETIJAGE DISPOSAL SYSTEM
.
Sanitary Permit
' a State Septic
A
T&WNSHIP
%t. Croix County
S; DTIC TA'?1:
S~ze gallons. "umber of Compartments,
Distance From: 11e11 ` ft. 12% or greater slope
Building' ft. Wetlands f:
Highwater ft.
DISPOSAL SYSTL:1 ~_Tile Field or Seepage Pit(s)
Distance From: tlel1 ft. 12% or greater slope ft
Building; ft. Wetlands f
FIELD X ig:hwater - ft.
Total length of lines r "'-ft. !lumber of lines Length of
each line ft. Distance between lines ft. Width of the
trench ~ft. Total absorption area _ sq. ft. Depth
of rock below tile in. Dr-pth of rock over tile in. Cover
over .rock ~ Depth of tile below grade in. Slope of
trench in ner 100 ft. Depth to Bedrock ' ft. Depth to
ground water ft.
PITS
Number of pits OutsVe diameter ft. Depth below inlet
ft. Gravel around pit: yes no. .Total absorption area
sq. ft.
Square feet of seepage trench bottom area required l7
`:quar~ feet of seepage nit area required .
Inspected by: Title':
f
Approved Date 197
Rejected Date 197
E,115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
/Vr REPORT ON SOIL BORINGS AND PERCOLATION TES
LOCATION: '/4, 4'/4, Section, T_IV, R r Eft) W, Township or Municipality
Block No. :_0-_
Lot No. County C • t•c c X
_W1 C; + Subd' slon Name
Owner's Name:
Mailing Address: c v- Zs q^,A-.
TYPE OF OCCUPANCY: Residence y- No. of Bedrooms- Other
EFFLUENT DISPOSAL SYSTEM: NEW v// / ADDITION REPLACEMENT `
DATES OBSERVATIONS MADE: SOIL BORINGS 7c ! PERCOLATION TESTS
:;OIL MAP SHEET SOIL TYPE , C"%'
PERCOLATION TESTS 6) ~ Ix
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
CHARACTER OF SOIL RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
_SER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
noc
i_
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES I
i DUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) j
'!_AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
}=idicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption arec
r tided for building type and occupancy. c, `.6- t ,a Indicate scale
distances. Give horizontal and vertical reference points. Indicate slope.
_
r
.
tN
I E I
jut
-L
- r
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. 7
Name (prI ~fi-~ •t'3 ~y Certification No.,`? C,~'~
Address t J,
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
State and County State Permit #
LB
P Permit Application County Permit # _
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: ~d'lc s-21 7
5A
B. LOCATION: f,'/Section, T N, R ,d (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
~Q Township ~j+Cp
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms - No. of Persons 1Z
D. TYPE OF APPLIANCES: Dishwasher > YES NO Food Waste Grinder YES><,NO # of Bathrooms-/-
Automatic Washer YES NO Other (specify)
E. :SEPTIC TANK CAPACITY (90 Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks
New Installation X Addition Replacement PrE!fab Concrete X
`Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System aau~,`.O,
Seepage Trench: No. Lin,. Feet Width Depth Tile Depth _ No. of Trenches
Seepage Bed: Length Width IJP" Depth _4/q Tile Depth No. of Lines _3
ii
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land %aa 6~ j"aw Distance from critical slope
1, 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 Certifie Soil Tes
DAME 1 a C.S.T. # 3,2znd other information
obtained from A; -A41,&_ ~ owner
Plumber's Signature MP/MPRSW#~
Plumber's Address lzlxf
PLAN VIEW: Provid- sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
~~f~~ Gaul G~
C. 1% F r 1,vPawl klell
V
go Z.-
Toe e F I -r, fo-I 'A,4- 31
/Cl ~ /B'~~ ,`rt 11
Do Not Write in Space Below - FOR DEPARTMENT USE ONLY _ p
Date of Application ' r Fees Paid: State County Da1:e~
Permit Issued/Re}eeted (date) _Issuing Agent Name
Inspection Yes4No 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)
i Revised Date 6/1/76