HomeMy WebLinkAbout040-1074-20-000 (2)
1
O cn O K -u O
0 v c O
a s a c 3
m CD v
0 m W CD
f
2~ r'j (D E3 co -P'
- Q0 O J O M N
Z rn
n
N °
C7~ O CE) T O CfJ ,
cn (ll o ~ A
N CD = O r, > N
G O O CJ %n r -
C N
o i, m N °
Cil
a y W o ~w
Ln c) %.4
(D T (n ft.A
> CD
Q
N (a O
G
N - O O (D
N J ;u
ci' W O a
z
-A n cnn
cn J
r°r. c
CO 00 cn
a ro
-0 "%a «
O O O - mae
a` CO (n a m o o D
a (T O rn
W
-u 63°
v T
m Q
CD
v
3 o
1
D (D o
2
CD
N
;u ~ n
~ ~ ph
CD CD
CL
jz z o'
n O a
cn
co U N) co
CD D Z
p A 7J
O (Cn
N
Z
O
A
W
CJ-0 IZ
7 CW D
A D n C
co ~ O _3 ~ C
(b ° a _
(JI CJI O O n
° m CD iZ :3
n a
C) CD
~ 10
J (D n
N J e
(n (r N
CD n C1
O O D
Cn D O
CD
~ O
N ~
W
COD
p CO v
W N _
A 7 O
O (COD ZZ
Z
n
t a
> j„J
CD
O
O
Parcel 040-1074-20-000 09/20/2006 11:00 AM
PAGE 1 OF 1
Alt. Parcel 18.28.19.282D 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
VERNON H WILSON O - WILSON, VERNON H
303 S COVE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description * 303 S COVE RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.030 Plat: N/A-NOT AVAILABLE
SEC 18 T28N R1 9W 5.03 AC IN SW SW & Block/Condo Bldg:
EXTENDING WLY 79.71 FT IN SEC 13 T28N
R20W LOT 3 CSM 1/75 REPLACED BY CSM Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
3/609 INCLUDES P579B 18-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page' Type
07/23/1997 724/364
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/20/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.030 71,500 182,500 254,000 NO
I
Totals for 2006:
General Property 5.030 71,500 182,500 254,000
Woodland 0.000 0 0
Totals for 2005:
General Property 5.030 71,500 182,500 254,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 301
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
-Parcel 040-1148-95-000 09/20/2006 10:59 AM
PAGE 1 OF 1
Alt. Parcel 13.28.20.579B 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
VERNON H WILSON O - WILSON, VERNON H
303 S COVE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 13 T28N R20W WLY 97.71 FT OF LOT 3 Block/Condo Bldg:
OF CERT SURVED MAP IN VOL I PAGE 75 &
CORRECTED VOL III PAGE 609 ASSESS WITH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
P282D 13-28N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 724/364
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0 040-1074-20-000
Valuations: Last Changed: 01/13/1986
Description Class Acres Land Improve Total State Reason
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
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
:1 R TOWNSHIP T
/ MN
0. ADDRESS,- SEC. R
11« , ST. CRQIX CO , WISCONSIN.
'3DIVISIO - ~~1/9
LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
' S
f
s
zy_
t
TIC TANKS)_Zk~ riFGR.CONCRETE L'`' STEEL
~Q. of rings on cover Depth DRY WELL
'.NCHES NO. of width length area
no. of lines ' width_ Z length ~ r araa_~~
depth to to of piPe
,jyj
RATE AREA REt UIRED_ , / AREA AS BUILT 4
;claimer: The inspection of this system by St. Croix. County does not imply complete
-pliance with State Administrative Codes. There are other areas that it is not possible j
inspect at this point of construction. St. Croix County assumes no liability for
Lem operation. However, if failure is noted the County will make every effort to
-ermine cause of failure.
:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INS1'ECTQR a
BATED
PLUMBER' ON J
LICENSE NUIMBER
Z.
REPORT OF INSPECTION INDIVIDUAL SELVAGE SYSTEM
San.itatc y PeAm.it-/V/
State Septic''-277l
NAME )r.~ Township St. Croix County
Location'-"% o~,~SC Sec,tionjj TR
SEPTIC TANK z
Y . -
S.ize gattonz. Number o4 Compat tment/s _
Distance FAom: LVetf- it. 120 otc gtceatek 6tope it
Bu.itd.ing it. Wettandls S .
H,ighwatetc it.
DISPOSAL SYSTEM
Distance FAom: Wet it. 12% ot gtceate.n /scope it.
Bu.itd,ing 4t. LVettandts Ft.
Highw ateA it.
FIELD DIMENSIONS:
Width ob ttench it. Depth o6 tcock betow tite_ in.
Length ob each tine it. Depth o6 tcock oven tite in.
Numbetc o6 t.ine/s Depth o6 ti.te below gAade in.
Tota.L .Length o6 Zinez5 it. Stope o6 tAeneh in pets 100 it.
D.i,sLance between tines it. Depth to b edtco ck ~ .
Total absoAbt.ion atcea 6t2 Depth to gAoundwateA
Requited area it 2
PIT DIMENSIONS:
NumbeA of pith f GAavet atcound pits yeas no
Out,side diameteA it. % Depth below intet it.
2
Tota.E abzotcbtion area 6t z
A
Area tLequ.iAed it rn
INSPECTED BY TITLE
APPROVED , SATE 197.
REJECTED DATE 197
EH 11.5-
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: '/4, . Section 0, T-R~71\1, R 20E (or) W, Township or Municipality
GQ No. ~ -t County
Lot No. -3 ,Block
Subdivision Name
Owner's Name: _ Mailing Address: 2-57/ 1~C7~G` 'tl•~ Ple /4,,f P ~ ,yo op
/gym' s' SS// Y
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADQITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS V r 1 7 PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH F SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER O
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_ fj ~dEtif;c~~ ' q/[,,
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)
L
B
-9 -3
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of suitable areas. Indicate number of squat feet of absorption area
needed for building type and occupancy. 6&c~ Ac 1 C-Alck, ~li? 6CIR ACC' Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
l
L L31
I ~,I ► R PQi n j~ I F i N
I V
C'
, \ \I i i ~ y ~ • 1 i I t i ~ i ~ I t
l
i
I 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. _
r I k Certification No. '5 02-4
~
Name (print)
Address R T ' C~' X11 L_ I~ L)~5 ~s to S S~tt~I C~
Name of installer if knowrn
CST Si gn a t u re``--n`
y b t•• A t r. nR g ,F i f f ~..is 5
9
State and County State Permit #
PLB67 Permit Application County Permit-#
r
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:
t
B. LOCATIO '/4 '/4, Section TAN, R E (or) W Lot# City
Subdivisi Name, l nearest road, lake or landmark Blk# Village
Township ..t
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family L/ Duplex No. of Bedrooms I No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES 4--K6 # of Bathrooms--
Automatic Washer YESOther (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement -Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) jTotal Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length/Width j~ Depth , ~z Tile Depth ` z No. of Lines-
Seepage Pit: Inside diameter -Liquid Depth Tile Size
Percent slope of land Distance from critical slope
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
b the Certified -ester,
NAME ~1=fs~J C.S.T. ##y';,<J~'1 nd other information
obtained from (owner/builder).
Plumber's Signature r MP/ PRSW#,/•~ Phone's T
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
lei
Do Not Write in Space Below FOR DEPARTMENT USE ONLY t7
r
Date of Application - Fees Paid: Stateh~ 1 J County - 1i/ Date
Permit Issued/R MMcl (date) Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county ( rte copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
? grate (oink copy) 4 nlijmher ((-anarv rr) '
r
F%arcel 040-1074-20-000 12/29/2009 12:12 PM
PAGE 1 OF 1
Alt. Parcel 18.28.19.282D 040 - TOWN OF TROY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - WILSON, VERNON H
VERNON H WILSON
303 S COVE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ` 303 S COVE RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.030 Plat: N/A-NOT AVAILABLE
SEC 18 T28N R1 9W 5.03 AC IN SW SW & Block/Condo Bldg:
EXTENDING WILY 79.71 FT IN SEC 13 T28N
R20W LOT 3 CSM 1/75 REPLACED BY CSM Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
3/609 INCLUDES P579B 18-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 724/364
2009 SUMMARY Bill Fair Market Value: Assessed with:
32944 262,100
Valuations: Last Changed: 11/09/2009
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.030 85,200 172,100 257,300 NO 10
Totals for 2009:
General Property 5.030 85,200 172,100 257,300
Woodland 0.000 0 0
Totals for 2008:
General Property 5.030 71,500 182,500 254,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 301
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
.Parcel 040-1148-95-000 12/29/2009 12:14 PM
PAGE 1 OF 1
Alt. Parcel 13.28.20.579B 040 - TOWN OF TROY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-ONlrio
O - WILSON, VERNON H
VERNON H WILSON
303 S COVE RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 13 T28N R20W WILY 97.71 FT OF LOT 3 Block/Condo Bldg:
OF CERT SURVED MAP IN VOL I PAGE 75 &
CORRECTED VOL III PAGE 609 ASSESS WITH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
P282D 13-28N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 724/364
2009 SUMMARY Bill Fair Market Value: Assessed with:
0 040-1074-20-000
Valuations: Last Changed: 01/13/1986
Description Class Acres Land Improve Total State Reason
Totals for 2009:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2008:
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