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HomeMy WebLinkAbout030-1069-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515014 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Hollinshead, Robert I St. Joseph, Town of 030 - 1069 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 26.30.19.252F TANK INFORMATION j ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,_ ... G Benchmark lj "�, h'", � t � � �-� �, �, ,�• .4 Alt. BM x Aeration Bldg. Sewer A5i � 2 , a o Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION Jr �* +} 5 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic - � � i Dt Bottom fc j Dosing Header /Man. Aeration y, Dist. Pipe f r r Holding Bot. System . ca W Final Grade PUMP /SIPHON INFORMATION :. r�Ra•.... "l •� Manufacturer Demand St Coyer i q d GPM tr , • t +rs�r._ -. a • Z.3 Model Number t. TDH Lift Friction Loss System Head TPH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width 0 Lengt 1 No. O f Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .� 'e:' "'w y" �Fa*. +: �•,,�::,,.�:� - - - - SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION 0 CHAMBER OR'..1,1 -r t a 1cJd' '�Tt Type Of System: s , y �F UNIT Model Number: + � e'L ...'�. k' •,�L ':'. f ..E:.*, . /"� /r,.4. �" - � y; �.. >y.yJ 1 L..+(Cr DISTRIBUTION SYSTEM •> °- ra 4- J6 =' 1745 �- Header/Manifold q Distribution x Hole Size x Hole Spacing Tent to it Int Pipe(s) ° _ G-` - Length Dia Length Dia Spacing e, SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulch d Bed /Trench Center ( Bed/Trench Edges Topsoil Yes No Yes 0 No (t< COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 787 AushegunT Hudson, WI 54016 (Unknown 26 T30N R19W) NA Lot GL3 {j _ / .i Parcel No: 26.30.19.252F •� t. 1.) Alt BM Description �•a'�+,. • ... • �..,1:,.� Z+ \....� �t.t:# . '.;r _.. .. ✓..�w ' >:;7Y'.z•^�,tjGfr, �;.s� ; �°� G.L'+C�s, = 2. Bldg sewer length - amount of cover Plan revision Required Yes No� III Use other side for additional informati6n. Date Insepctor'sSig' ture ,✓ Cert. No. SBD -6710 (R.3/97) Safe and Buil Division County commerce.wi.gov Saf g 201 W. Washington Ave., P.O. Box 7162 St. Croix i sco n s i n Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 5i56 � y Sanitary Permit Application State Transaction her In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the app ate Mm ject Address (1f different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state -own e submitted to the Department of Commerce. Personal information you provide may 4 for secondary p urposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. I. Application Information — Please Print All Information/ 87 Aushegun Trail Property Owner's Name Parcel # Bass Lake Assn. C/O Jane Kil riff, Treasurer (R Bert 1Goadp 030 - 1069 -70 -000 Property Owner's Mailing Address , Property Location 1312 89' Street OCT 1 6 a 008 Govt. Lot 3 City, State Zip Code Phone Number y,, 1 /4, Section 26 ST. CROIX COUNTY New Richmond, W I 54017 (circle one) T 30 N; R 19 w II. Type of Building (check all that apply) Lot # El or 2 Family Dwelling — Number of Bedrooms 3 Na Subdivision Name Block # El Public /Commercial — Describe Use ❑ cit of Na ❑ State Owned — Describe Use CSM Number ❑ V dii e of 3 4- 15 q t( own of St. Joseph GIB 5 III. Type of Permit: (Check onl e b x on line A. Complete line B if applicable) A. ❑ New System D<eplacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal El Permit Revision El Change of Plumber ❑ List Previous Permit Number and Date Issued Permit Transfer to New ^r t �� Before Expiration Owner (� IV. T e of POWTS System/Component/Device: Check all that apply) f Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other�Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: 45 Infiltrator "Q -4 W ' chambers @ 20.0 sq.ft EISA / chamber + 3pair end caps 5.8 EISA = 917.40 sq. R. Design Flow (gpd) Design Soil Application Rate(gpdsj� Dispersal Area Required (sf) Dispersal Area Proposed (sv System Elevation 450 gpd 0.5 in -situ soil ✓ 900.00 sq. ft. 917.40 sq. ft. ✓ 91.00', 88.50', 86.00' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o v New Tanks Existing Tanks / c Y v -2 d a aU v, u. c7 a Septic or Holding Tank 1,000 Unknown - To 1,000 1 Wie er Concrete X b ano d Dosing Chamber VII. Responsibility Statement- I, the unde signed, assum responsibility forlpottlAtion of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' ignature MP/MPRS Number Business Phone Number James K. Thompson . � 1 30021 (715) 248 -7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola WI 54020 -5413 VII oun /De artment Use Onl Permit Fee Date sued Issuing Vht Signa e Approved ❑ d $ � , OO /a /� 6W El ner n Reas Denial IX. Condi i-of MwAyreasons for Disapproval 3, I F 5� � ' 1. Septic tank, of Lint filter and / f I eej dispersal cell must all be servlces / maintained , as per management plan provided by plumber. I _ 2. All setback requireltlents musk be maintained `� aj +S l0�- a app licable code / ordinadces. l Attach to complete plans for tpe system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 • 5e;/ eda /uawbl? P% ♦ � COCA -5ca le, Aus4 1 -44. pr o. 4 0i /ji R7Yj EAl cr& f10 / /insh eady�rop� /�y 787 Atohaj kn Trai! '�S P C��db out. /of3 5¢c,2G, Jasto k, \ o O l Y C' ., c.'.)/ P A30 •1069 71) -- Pro o�Wresei /\ EXisf'n ,Scp6 6-, /i�W. 54 6-e- / / tv bek4"do,Cd / oz - S�S� /uM / / / �/ u7fe5ce Cc»cr e a s / o�.- code. � a- to�.ty � / / � � °z �- / d�sbw�:pr b // / / � �5. Q' er,w �%�r7►t 3o3d / / / / /� 94 o e ley lrK. lC1i Sc / / i / �/ A57 303 ,' / / / �• ef{[uartt iKL i ` � // 0 to El !O� yQ�. / /� / /19 Ltd -7 / O 10 / at 3:r 6,z', r , / X� �e �/ !n o. � � �l. ,t3.as •4f ] So;/ eda /ua6bi7 P;6 Aex S 6 * 7 r cle ¢ l4vA 47eJ �- ` at A94 an 4.,4.6. Pry. �fi"',j /• to A�' � //-0 / /inshead/�roPa�ty P �� ski �^ 787AtshR9��TraNl te,k i °a�. /of .3 5ec.24, pPli �`1 c 3 04, Q. /yca,, r. 'Ce. i ,e9° �'sdseoA, D a7Y /. A 70 D / lac c1t h�I : •�o ,�/ ,� qA' � / 9 ,� 0 i \ D Pro pow Uorese fCrnc. Scpb c. {r., l m0 qo�- S e,, wreS a / Ccncr� P code. 4Vi1s� - nc i c ! i As rl� 303 ,/ ° S/O 0 me ° Alta to EX i S•fi n / i / i � '" i Propose d cl TS rrenC4 e /cu'r��ivhs / / / / • � r ' � � J �j� /p c,� E'ras�i � 64a � ti /aa' Post's �,'s pers../ be l/ dD o. Q Talc O. � t,J l►1. �o-ss �e. 2151 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance wit mm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8%: x 11 inches i P ust St. Croix include, but not limited to: vertical and horizontal reference point (BM), di Parcel I.D. percent slope, scale or dimensions, north arrow, and location arW,djs nce to nearest roa . 030 - 1069 -70 -000 Please print all information. Revi d By Date Personal information you provide may be i sed for SR M 13 ey 161 1 71 .6 19 Law, s. 5.04 (1) (m)). Property Owner roperty Location Allyn Aushegun, LLC 3ovt. Lot 3 1/4 1 S 26 T 30 N R 19 Property Owner's Mailing Address 0 6 T i of # Block # Subd. Name or CSM# 693 Goodrich Ave. City State 4ip Co e L ' City J Village A Town Nearest Road Saint Paul MN 5 5� ( - St.Joseph 787 Aushegun Trail _f New Construction Use: V Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD V' Replacement I Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conv. POWTS using 0.5 gpd /sq.ft. soil application rate. Recommended system infiltrative surface at 54" below grade, elev's = 91.00', 88.50'& 86.00'. Boring # I Boring Pit Ground Surface elev. 95.50 ft. >98" in. Soil Application Rate Depth to limiting factor pp Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#1 I "Eff#2 1 0 -8 1Oyr3/2 none sit 2fsbk ds cs 3fmc 0.6 0.8 2 8 -22 1 Oyr4 /4 none sit 2fsbk dsh cs 2fm,1 c 0.6 0.8 3 22-43 1Oyr4/4 none sicl 2msbk dh cw 1fm 0.4 0.6 4 43-47 7.5yr4/6 none Is Osg d1 cvv - 0.7 1.6 5 47 -74 1Oyr4/6 none s Osg dl gw - 0.5 1.0 6 74 -98 1 Oyr5 /6 none gr s Osg dl - - 0.7 1.6 H# 5 contains 1/8" - 2" bands of 10yr4 /41fs spaced at 2" - 6 ". Loading rate adjusted to reflect reduced permiability of horizon associated with Ifs. t fl Boring # I Boring 5y ' qO V1 Pit Ground Surface elev. 9 25 ft. Depth to limiting factor > 106 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Murrell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -9 1Oyr3/2 none sit 2fsbk ds cs 2fmc 0.6 0.8 2 9 -20 1 Oyr4 /6 none Ifs 0 sg dl cs 3fmc 0.5 1.0 3 20 -32 7.5yr4/6 none Ifs 0 sg dl cw URI 0.5 1.0 4 32 -48 1Oyr4/6 none s Osg dl cw - 0.7 1.6 5 48 -75 1Oyr6/4 none s Osg dl gw - 0.7 1.6 6 75 -106 1 Oyr5/6 none gr s Osg dl - - 0.7 1.6 1 Effluent #1 = BOD 30 < 220 mg /L a TSS >30 < 15 -61 'Effluent #2 = BOD <30 mg /L and TSS _30 mg /L CST Name (Please Print) Signature CST Number James K. Thompson '3e : 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 10/4/2008 715 -248 -7767 'i Property Owner Allyn Aushegun, LLC Parcel ID # 030 - 1069 -70 -000 Page 2 of 3 1 Boring # Boring Pit Ground Surface elev. 90.85 ft. Depth to limiting factor >103" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 10yr3/2 none sil 2fsbk ds cs 2fmc 0.6 0.8 2 5-22 10yr4/4 none sil 2fsbk dsh cs 2fm,1c 0.6 0.8 3 22-40 10yr4/6 none Sid 2msbk ds cw 1fm 0.4 0.6 4 40 -45 7.5yr4/6 none Is Osg dl cw - 0.7 1.6 5 45 -79 10yr4/6 none s Osg dl gw - 0.5 1.0 6 79 -103 10yr5/6 none gr s Osg dl - - 0.7 1.6 H# 5 contains 1/8" - 1/2" bands of 10yr4 /41fs spaced at 2" - 6 ". LoIding rate adjusted to reflect reduced permiability of horizon associated with Ifs. d f1 Boring f "t F Pit Ground Surface elev. Boring # qj fl. Depth to limiting factor in. p g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eif#1 *Eff#2 F-1 Boring # - I Boring J Pit Ground Surface elev. fl. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EH#1 *Eff#2 I I I I I F I — I _J * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <_30 mg /L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (8.07100) A.C.E. Soil & Site Evaluations ♦E?G'S>`r7 ecle elE✓ k p �° i pw ar s kw � 787 ALOhk9 I Tea.! 6. 1 ,D cL3o -ieb9- 7C -a�' / ' / r �U b C , 74 &0. u f G/ / g� de. / / / ' T 6 P /o2.Ts ♦ / , / ! , ,� qu o P�:�e�s /o tTpw, / ! , , • �� 900 t. 6c I-e •..ems �{CA / / ! r i , , cN d, a �! Flur: � r o ol ol lo, i Z VI- O l o s X. Cc!/ &ss .Csf�c > w i z A ry`r ! ���� > Q. I � T .,....q� L1J cl Odra ■ C was � Its u � � P z C LJ N Al a w a/mss -u a � Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 5 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 113 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October- March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 386 -4680. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND /// WNERS //HI--P CERTIFICATION FORM Owner Id �� 6(a� Mailing Address �� �� //�CcCP� l aet ::S , /71 /?. Property Address 787 a u 7�i (Verification req ued from Planning & Zoning Department for new construction.) City /State Parcel Identification Number © 30 /d X09 " 7 LEGAL DESCRIPTION C, Ov ;_ Lr �_3 Property Location Sec. T 3 N R /9 W, Town of SS�� Subdivision Lot # Aq_. Certified Survey Map # , Volume Page # I1-et- • Warranty Deed # VYV 9 , Volume 9 , Page # -� Spec house no Lot lines identifiable es SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numb of e SIGNATURE OF PLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) DOCUMENT NQ STATE RAIi QIT'WiSCl7NSt14 NOli .�-- 1!168 j r..�a crzrc n csaar :o fiw� acl%. r QUIT"CLAAM PEEP { REC,1S COFF E William a. Uollxncharid and friary W. (iollinahaa(d, ! �} txtlFt Ind and isira 1 ST. rMit V -, l am a Ltot l i an an Li Ual t naho 'o Gci:. - C 3tma to w111f ---••._ .� w ..'.' c • 1 Vnii L hut3band and !,rife ar, .]oiTl� �SFlafl� not s3� ;t orya } }tia '$ 8: SS A. M ......... , ..... i � �� 6` l _ r ;. State of Wisconsin: � Rsrvw. ro f tF Government Lot `Three (3) in Section Twenty -r , 6.4 - (26), Township Thirty (30) North of Runge Nincteczl (19) west, cxcapt tae Emi icti (10 r:,dA, ar.d N::o the South tour (4) roux of the Fist test (14) rods of said 00W'- ment List `I hree (3), in Section Twenty -six (25), Township Thirty (30) Norm of Lange Ninetcan (19) West, and the South €ejur (4) rods of the Southwest Quarter of Northwest Quarter ('SW $ of NW h) of Section Twenty -rive (25), Township Thirty (30) North of Runge Nineteen (19) West. «3 F This .....A..I?f�i.,....._... iula stood property. (is) .. not) -`2""' �Cl �iit/"�• HG+61XYS� ........... ..... .. . . ... ......................... (v >; a L> wi111tinl it. iiollinolacad ....... . ............ ............................... ....... (SEAL) : .F -�✓... �.Y?t � rLL) Mary Mry ia. io linahoa . ................................ ............................... • ._ ................... ......... .. ........... .................... 4 A crTirr2VTICATI0N A0XNOWLDDC)idiL.Yv•T: �« o $tgtlatl: ^o(a) ........ .................... ..........._..._............... STATU OF W*F)GQ W" .................. .... ........ .............................................. .ft/l!tSE'1........_.._.County. ns, r:ut:nonticated this ........day of ........................... 19...... Pcrsonciiy cams before me .:.. day of i • 2 fl.I i .. the airova namod ................................................ ............................... , ..f?i�•�i.>aQ: . ! ...��4�.�.3.tiaitslwS:..ilA4� .t1AS3f..H........... • ......, tt4l list► uttonrJj:...{ I4lt;?? tsSlf� ..§1F14�..Iii�)'.R .............. TITLE: M &5BER STATE BAR OP WISC ^_)+fSIN .................................... I ......... Of not. ................. .. ......... 7 .... nutltarizcd by 4 706.0u, tivis. Stats.) to mo known to bo the Person .'L- ....... who executed the i foregoing hlatrument and ackno%vladao thtt same. i r Ytrtt. INSTRt1 tdCNT ♦YAti ORAF"rR0 Uv t ............. .- w _-..... ........ ............................... C.ri .�: ?,(E�. P.A /w - 2200 Fs> st Nan LT al an7s Dldq . - ......4r.M. . v. o.......................... / � � .. .................. . MI1.. 5510L....................................... Notary Public ......................... , ................ County. Wt;. (Si,rn ca may be authQaticated or acknowledned. Both My Commisoion Ia racmananC. (tf not, *tat* nxpltt►tton are not nceasanry') date: .....'LiA `f ...�.�t ........................ 10.IR. ... ) �rfr T1aU: ' QUIT Ct.AINS OSFD STKrt: 1tAll OF WI IR, CiKtt�Y�. V t3cawl C•. L... POI! At N.. 3 — tV H. ' Parcel #: 030 - 1069 -20 -000 � � 10/17/2008 02:16 PM a PAGE 1 OF 1 Alt. Parcel #: 26.30.19.252A 030 - TOWN OF SAINT JOSEPH Current X U 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 %ANNIE BROSE 0 - BASS LAKE ASSN, %JANE M KILGRIFF, TREAS %JANE M KILGRIFF, TREAS BASS LAKE ASSN C - ALLYN AUSHEGUN LLC ET AL 1312 89TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description c SC 3962 NEW RICHMOND SP 8040 BASS LAKE REHAB DIST SP 1700 WITC O 30 - 10( - 70 - 6( > Legal Description: Acres: 25.850 Plat: N/A -NOT AVAILABLE ZS SEC 26 T30N R19W GL 3 EXC E 10 RDS N OF Block/Condo Bldg: S 4 RDS (ADD - L HIST 744/321,939/310, 939/313) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 26- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 03/07/2008 870279 QC 07/23/1997 1134/147 PR 07/20/1994 519278 1087/589 PR 07/20/1994 519277 1087/587 CSC mor .. 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 09/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 25.850 940,800 0 940,800 NO Totals for 2008: General Property 25.850 940,800 0 940,800 Woodland 0.000 0 0 Totals for 2007: General Property 25.850 940,800 0 940,800 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