HomeMy WebLinkAbout040-1114-10-000
oc,0'Im-0 o C7
o d F c o
CD ' m 1
CD
O
C7 Al O N N O Un (D CD CD 4
W C O
\ CD 3 CD '0
Cb `,S l^\
a Z a N 0 j
W o co O
N CL C O
CD -U =1 @ CD CD CD cCD o C 0 Q
W °
3 VI O C
.r N Cn
CD
m co D a c
E' CD N W °
m :
3 a w 4 m
O z
CD 4 m -(D 0
CD
4 N O c
co co
i Q
z 0 0 0 •
N
O * :E :E
z
n n rr o CD D D~ N
.7 ~ CD O
= lD N ' Q
C = M N a' Z
N
Q
Q
z
N N
z co zoy
v O D a N
lV •
o CD CD
n
CD N ~
C(] C CD N
CD
w o.
a 3
z :3 p Z m
a A z
a.
Iv CD
M y
W CD
Z
g a
Z m
y z
CD A
D
a
I CL
o -
~ m c
z d
O
m
A
CJ
n
m
Q,
m
t
N
N
N
O
O
a
A
~ b A
•
CD
DAO O
,C,9 O
O *
0
L ti
00'0 00'0 00'0 lelol
sa6jeya;uenbullaa sa6jeya leloadg s;uawssessy leloadg
;unowy Ajo6a;ea opoa leloadg lash
:slelaadS
143;e8 :a;ea uol;eolirpeo 0 :;unoa wlela :;lpaao Aiall01
0 0 000'0 puelpooM
006'96 006'£Z 000'ZL LL V9 A:padoJd leJauaE)
:SOOZ ao; sle;ol
0 0 000'0 puelpooM
006'96 006'£Z 000'ZL LL L'S A:padoJd leJaua0
:9002 Jo; sle;ol
ON 006'96 006'£Z 000'ZL LLL'9 LO -IVUN3aISMJ
uoseau a;e;g le;ol ano.idwl pue-1 sajoy ssela uol;dlaosea
t00Z/LZ/LO :pa6uey3 ;se-1 :suOilenlen
00 L'90 L £ L989 L
:y;lnn passassy :enleA;a3lJeW ales Me Aadwwn$ 9002
Ol £L/ LBZ L L66 L/£Z/LO
aM 8L199£ L 96L989 866 L/60/60
am 8LZ/OL8Z 19096L 90OZ/LZ/90
adA.L abed/10A # ooa a;ea
:tio;s'H laoaed :sa;oN
M6L-N8Z-0£ (iNOWN3l0 Ot£-aad dO2Jd)
(t/L 09[ t/L Ot 6u~I-uMl-00S) :(s);oeal 80d Ol ,09Z M Hl ,t9'L88 S Hl ,09Z 8
Hl ,08'998 N )3Od 01,099 d Hl MS AN d0
:6p18 opuoap13018 ZI00 MS WOO MS AN VLW9 M6121 N8Zl 0£ DDS
EI18VIlVAV lON-V/N :Ield LL L'9 :sa.ioy :uol;dlaosaa Ie6a-j
H0310A ABllVA dIHO 00W dS
SllV=l ~J8AI2l £68t OS
uol;dliosea #;sla edAl
AXWlid = :(se)ssa.ippy Aljadoad le!oedS = dS Ioo4oS = OS :s;o!j;sla
Zt099 NW OW13 3)Idl
N 1S Hl9 L 99Z6
W NVIllll '213GNll - O z190W W Ndlllll
jaunn0-o0;uaiino = O 'aaunn0 juaaano = 0 :(s)ieunn0 :ssei
ppy Xe1
0 00
adAl;lwaad #;!waad # uol;eollddy easy seleg # deW a;ea Ieolao;sIH a;ea uol;eaja
NISNOOSIM '.l1Nnoo XI02i0 '1S X ;uennO
AO2li d0 NMOl - OtO HZLt'6 V9Z'0£ laoaed 'IIV
6 30 L 30Vd
Ad L£:£o 90OZ/ZZ/ZL 000-5£-5 L L L-0170 laaaed
Parcel 040-1114-10-000 12/22/2006 03:54 PM
PAGE 1 OF 1
Alt. Parcel 30.28.19.470B 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 - ERICKSON, BRADLEY C & COLLEEN A
BRADLEY C & COLLEEN A ERICKSON
159 SKYLINE DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 159 SKYLINE DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 5.090 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R1 9W 5.09 AC W 168 FT OF E Block/Condo Bldg:
1008 FT OF SW NW
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
567491 1272/522 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
158600 295,100
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 71,500 197,700 269,200 NO
Totals for 2006:
General Property 5.000 71,500 197,700 269,200
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 71,500 197,700 269,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 313
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 040-1114-95-000 12/22/2006 03:29 PM
PAGE 1 OF 1
Alt. Parcel 30.28.19.472D 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 - LINDER, LILLIAN M
LILLIAN M LINDER
9255 15TH ST N
LAKE ELMO MN 55042
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 340 GLENMONT RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH i U
L
Legal Description: Acres: 5.122 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R19W 5.122 AC IN NE SW COM Block/Condo Bldg:
SW COR NE SW, TH E 820 FT TO POB: N
857.64 FT, E 260 FT, TH S 858.48 FT, TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
W 260 FT TO POB 30-28N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/27/2005 796061 2810/218 WD
09/09/1998 586795 1356/78 WD
07/23/1997 1231/73 LC
2006 SUMMARY Bill M Fair Market Value: Assessed with:
158609 357,500
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 71,500 254,600 326,100 NO
Totals for 2006:
General Property 5.000 71,500 254,600 326,100
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 71,500 254,600 326,100
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
r i
Y
TOWNSHIP Le_ a SEC. Tj., N, R
NER •r r c c ST. CROIX
,0. ADDRESS., OUNTj-; WISCONSIN.
_3DIVISION , LOT LOT SIZE _
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
1
.?TIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth -W " DRY WELL
,TENCHES NO. of width length area
no. of line width length area ,
depth to top of pipe
.
i ?.EGATE
,K RATE AREA REQUIRED AREA AS BUILT dY
.;claimer: The inspection of this system by St. Croix County does not imply complete
_apliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
:item operation. However, if failure is noted the County will make every effort to
termine cause of failure.
'EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
--INSPECTOR
DATED a PLUMBER ON JOB-
LICENSE NUMBER
r
REPORT OF ITISPECTIO'.1--INDIVIDUAL SEMCE DISPOSAL SYSTEM
Sanitary Porn, it
State Septic '
IE L,k
Croix County
SEPTIC TA .71;
Size _ Zc9Zy'Z~ gallons. `umber of Compartments /
Distance From: Tle11 ft, 12% or greater slope
Building Wetlands f_
Itighwater ,{eft.
DISPOSALS VS42
Tile Field or Seepage Pit(s)
Distance From: Well _4&~ ft. 12% or greater slope -
Building ~ft. Wetlands f .
FIELD g Hiphwater _f-t.
Total length of lines ft. !lumber of lines Length of
each line eft. Distance between lines ft. Width of the
trench Total absorption area ?02--: sq. ft. Depth
of rock below the Z'2-in. Dp-pth of rock over the 2 - in. Cover
over . rock Depth of tile below grade ~ in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water r" ft.
PITS
Number of pits Out4'e `di~frie er _ ft. Depth below inlet
y
ft. Gravel around Ai Yes no. .Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
`'.quare feet of seepEq., nit ar a required
Inspected by~- Title '
Approved
Date 197(6.
Rejected Date 197.
State and County State Permit # 5~ f
PLB67 .
Permit Application County Permit - S~ ! J
U[ n
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:
B. LOCATION: '/4 4 Section T rN, R "E "E (or)W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township _
- . M PE OF O _-CCU U -
PANCY: *Commerci-al - -
- *Industrial Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons, 13 D. TYPE OF APPLIANCES: Dishwasher YES i---- NO Food Waste Grinder YES J--' O
# of Bathrooms--..:.-
Automatic Washer ~ NO Other (specify)
E. SEPTIC TANK CAPACITY-/49~Vl Total gallons No. of tanks
`Holding tank capacity Total gallons No. of tanks
New Installation L/ Addition- Replacement- Prefab Concrete l-~
'Poured in Place Steel Other (specify)
EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area
sq. ft.
,Nlew_Aof!~~Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet _ Width Depth Tile Depth No. of Trenches
Seepage Bed: Length,~""Width JtV' Depth !~;4.;q'jTile Depth No. of Lines _
Seepage Pit: Inside diameter Liquid Depth Tile Size .gf C-
Percent slope of land _ "y Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
!,,'Jisconsin Administrative Code, and that I have sized the effluent disposal syste f ;rr the E_,, 115 prepared
by the Certified Soil Tester,
_
NAME C.S.T. # ~ - and other information
obtained from wner/builder).
Plumber 's Signature /MPR # Phone
Plumber's Address .
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
2./4.
N ,
{
A7 I
Do Not Write in Space Bel w FOR DEPARTMENT USE Q,
C~L Y O
Date of Application j Fee Paid: State / County Date ✓ _
Permit Issued/Rejected (date) Issuing Agent Name ` ell
A
Inspection Yes__A_No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2 state (pink coov) 4. plumber (canary copy)
Revised Date 6/1 /76
EH 11,5
t. 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: ~SW%, Section , fl_-t"N, R L' &4Ew) W, Township r~_~
Lot No. , Block No. County - -
~ Subdivision Name
Owner's Name:
Mailing Address: ~c> > ~~y1~>~1 10 j ~~•1 V ~/~L-I-~,Gv) y
TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 Other -
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET All SOIL TYPE~`~`--
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
3,1V ,1y 31,1 Ll
~P- s - 3
3(C= 11 ~ . ~
r-
- - 3 3/y 3%y 3/y ~l
61
P-'~ 3 LTA, ;3h s i i.~~;h I~,, ►3h
IP yZ L iS,~~ t3~~s~(,z ; F3►, cE - - t/~/~l~ Sly"
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)
I_.
r
~S C c 12; 52
L
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
;dicate on the pan the location andsquare feet of suitable areas. Indicate numbei.ef square feet of absort-•t.inn area
„eeded for building type and occupancy. 4-9 r/ES 6 ►C, ~1 Cat=sue Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. ~6 N t76fl 1`~7 1'ti
4-
C,
~i l 5 u P1
L 1 t
kL DZ,"L~ N
Z c~ L S ► 4I i= art lI
~ CY 4
LC nl -b 13 ""T_406 S %3(j701?(- t S'1Ac A7 Nas c~
1, the undersigned, hereby certify that the soil tests reported on this form were made by Pin ac9" wit" *Wro4' es
and methods specified in the Wisconsin Administrative Code, and that the data recorded d loca 4bh holes aI` rrect
to the best of my knowledge and belief. !
Name (print) Certification No.
Address
Name of installer if known _
CST Signature
COPY A - I.OCAL At;T !0!'; T Y