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HomeMy WebLinkAbout040-1101-40-000 • n y O 3-0 n CJ r1 j O Ct f c o 3 CD C (D .2 v c C; 1 0) !t~ ID o m v p o w W p cNn `C • 00 Z a N 0) Nay 0 0 G) :3 cr (D ono o 7 Vl CL 0 C l~~1 C N A co (n z D a I co o N a 73 W n, O_ o o m O m co m lot 8 3 ° t~ o cD co n r cn 00 OD D N o c m Q ~r CL 3 Ntoln~ m `~~l CL m Q G O o N N l 90 ~M C fD !V fD O Q y O m m ~ Q. CD m d N N Zv, e- > CD O T !N1• N Cn mil m 0 c m CL (D -I C/) 7 O A Z ~ N C A Z O CL z N) W CL Z 0 9 A 0 co 3 Imp N CD I a ~ W ~ D 3 c n m = Q ~ r. 61 0 - N Z) T (D N C CL - Q Z a p m O N I ~ A I p co C7 I o V p G7 N O ~ O a A 0 N O a0 n O I E» O ~ e OO i • Parcel 040-1101-40-000 12/22/2006 02:51 PM PAGE 1 OF 1 Alt. Parcel M 25.28.19.3971 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 - STATE: OF WISCONSIN, D O T D O T STATE OF WISCONSIN 718 W CLAIREMONT AVE EAU CLAIRE WI 54701 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.250 Plat: N/A-NOT AVAILABLE SEC 25 T28N R19W PT NW SE BEGIN CEN SEC Block/Condo Bldg: 25, TH S 570 FT, ELY 990 FT S 31 DEG E ALG RD 458 FT TO POB: S71 DEG W 120 FT, Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) S 31 DEG E 120 FT, N 71 DEG E 120 FT, TH 25-28N-19W N 31 DEG W ALG RD 120 FT TO POB ANNEXED RF #521715 9/26/94 Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 15 9/26/ 07/23/1997 907/581 07/23/1997 449/153 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/14/2006 Description Class Acres Land Improve Total State Reason STATE X2 0.250 0 0 0 NO 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 M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 040-1213-10-000 12/22/2006 02:37 PM PAGE 1 OF 1 Alt. Parcel 08.28.19.1017 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 GERALD A & ERLENE L BARRIAULT O - BARRIAULT, GERALD A & ERLENE L 464 TOWNSVALLEY RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 464 TOWNSVALLEY RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.137 Plat: 2365-RED BRICK ADDITION SEC 08 T28N R19W LOT 5 RED BRICK Block/Condo Bldg: LOT 05 ADDITION N/K/A LOT 5 OF CSM 10/2795 2.137 ACRES Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) J 08-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 12/03/1997 569340 1280/344 WD 07/23/1997 911/58 07/23/1997 856/87 07/23/1997 786/400 2006 SUMMARY Bill Fair Market Value: Assessed with: 159386 250,800 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.137 50,800 178,000 228,800 NO Totals for 2006: General Property 2.137 50,800 178,000 228,800 Woodland 0.000 0 0 Totals for 2005: General Property 2.137 50,800 178,000 228,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 220 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 z REPORT OF INSPECTION INDIVIDUAL SELVAGE SYSTEM Sanitatcy Petcm.it--) 06- State Septic -L NAME / Township St. Croix County r Loca ion/ o6 Section L T)N, R j W SEPTIC TANK Size gattons. Numbers of Compatctmentts D.ihtance Fttom: Weft 6t. 12% on gteatetc stope 6t Bu.itd-ing it. W e,ttand/s it. H.ighwatetc it. DISPOSAL SYSTEM Distance Ftcom: Wett 12% otc gteatetc 6tope it. Buitding it. Wet andts Ft. H,ighwatetc it. FIELD DIMENSIONS: Width o6 ttcench it. Depth of tcock below t.ite in. Length of each tine it. Depth of tcock oven tite in. Numbetc ob tine/s Depth v6 tiZe betow grade in. Totat .length o6 .e he/s it. Stope o6 ttcench in pen 100 it. D,i/stance between/t inets it. Depth to bedeck ~ . Tota.2 ab,s otcbtion atcea 6t2 Depth to gtcuandwatetc b . Requitced atcea it2 PIT DIMENSIONS: Numbetc o4 pit,s Gttavet attascnd p.itt5 yeas no Out/side d,iametett it. Depth below .intet it. Tvtat ab,sotcbtion attea it2. z Atcea ttequitced it2 rn INSPECTED BY TITLE { APPROVED DATE- 197 41 REJECTED DATE 197 i y a I~ L4 g2 -4123 S EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 c((~ REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: '/4,,,[6'/4, Section 'I'<, TON, R)E r) W, Township or Municipality 0 Lot No. , Block No. County 7c Subdivision Name Owner's Name: Mailing Address: A TYPE OF OCCUPANCY: Residence 7- No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION - REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SO ILMAP SHEET SOILTYPE D✓ PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL NUM- INCHES THICKNESS IN INCHES MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 yo 36 P-/ ao P toy S, hC~ r1 ~r ,P..s.<~ l P3 0 lo- jx 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) B_ q ED For,-:5~ '51511154. 49"i-1) Prpz /laNe -r ey Lt~ T C/o A)'Z)A3 T L nltc ;069?- IO<`TS~":5.~//~/ j jd~„L. S, ~L,oa ~c B- PLAN VIEW, (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on tlfe plan the locationand 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. k / 1W - t j I j 1{ ! t I ! r, s I ~ ~ t ~ ~ I ~ f ~ 5 San IV f f I 1 by t ;2 ( i 1 i f t t I I 1 t, i f ( i t i I i I I 1_4".. I ! I i i I y t 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 kn wledge and ief. Name (print) Certification No. Address © w Name of installer if known S 44& - l'OPY A - LOCAL AUTHORITY CST Signatur ` State and County State Permi # PLB67 Permit Application County Pe # - ~ for Private Domestic Sewage Systems County 6 *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: GERALD P` i L #~B l' B. LOCA ION:'/4 Section 5-1 T N, R (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township - - - - - - - - - _ - - - C. TYP-E OF OCCUPANCY:-*Commercial *Industrial _ *Other (specify) *Variance Single family _ Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder_dL YE' ;y Automatic Washer ,L_YES NO Other (specify) SEPTIC TANK CAPACITY 10n(? -Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks_ Ne Ins ation Addition_ Replacement _ Prefab Concrete (y,kAxlled in lace Steel Other (specify) F: EFFLUENT ISPOSAL SYSTEM: Percolation Rate 1) 7:5 2),,q_3) _,~5__Total Absorb Area ,~jZ► sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pi Inside diameter Liquid Depth_,.. Oi Tile Size 04 7- Percent slope of land Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, '"jlisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tesler, NAME w~ l~ UQn C.S.T. # and other information obtained from fjC (owner/builder). s~ s'lumber's Signature r J*f-/MPRSW# Phone # 7~~ ct~~~ Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). s \ 1AE Do Not Write in Spa Belo OR DEPARTMENT USE ONLY , Date of Application - - ~ Fee_s Paid: State /CC%C County Date Permit Issued/R (date) - / Zssuing Agent Name _ f Inspection Yes No Valid# Dafe Recd 1. county (whi 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 6/1 /76 L