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HomeMy WebLinkAbout030-1096-10-080 Wisco jsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sa itary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 53368 Permit Holder's Name: ❑ City ❑ Village ❑ x own of: State P ID No.: hi St. Joseph Towns ev.; Insp. BM Elev.: BM Description: Parcel T l W l ESL. TANK INFORMATION ELEVATION DATA % TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / ") ZC 7 Benchmark �,�� �Q'. ��co Dosing Alt. BM Aeration Bldg. Sewer 7�. (QO O (• Z.O Holding St /Ht Inlet - 7 8_ p TANK SETBACK INFORMATION St/ Ht Outle A - I n O � TANK TO P/ L WELL BLDG. Airl to ntake ROAD Dt Inlet irl Septic iOV > 15 ' NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe p S Ifl. 4 0.a ZO Holding Bot. System 12° !(,Q.S0 PUMP/ SIPHON INFORMATION Final Grade act all vm Manufactu nd , To I D 3. 0 Model Number GPM TDH Lift Fri System TDH Ft Force in Length Dia. H Dist. To Well SOIL AB RPTION SYSTEM I S c BED T Width f Length No. Of renches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING of c rern s` _ r INFORMATION TypeO �! Mod Number System: J. S � � ( 3O � �f�r CHAMBER OR UNIT czu DISTRIBUTION SYSTEM *ei - Header / anifold &A Distribution Pipe(s) x Ho;Size x p acing Vent To Air Intake >I r Lengt �/ Dia. Lengt Spacing 9� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1. 0/2 #2: r7 — _ 7 _ __ Location: 1218 Trout Broo %e�Road N, Hudson, WI 54016 (SW 1/4 SW 1/4 32 T30N R19W) - 32.30 1.) Alt BM Description= �°'"" �,. 2.) Bldg sewer length - amount of cover = -3(, " 4- Gclx/' 3) Aso `Pw v j VYL Plan revision required? ❑ Yes­fi o se other si a or a ltio orm ation.b C� " r Date nspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH i SANITARY PERMIT NUMBER: i a a 3 e Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue Ais P 0 Box 7162 Department of Commerce In accord with Comm 83.0 d � � Madison, WI 53707 -7162 ISM A _ �' • Attach complete plans (to the county copy only) for the system, on p,r not'Ifs County than 8 1/2 x 11 inches in size. ` • See reverse side for instructions for completing this application to Sanitary Permit Number 353 3& 8 Personal information you provide may be used for secondary purposes e > Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. t . Vate Plan Review Transaction Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF Property Owner Nam r SGI P�ropert s y Locati ��( 1/4 ,S T 30, N, or Property Owner's Mailing Add ss of Nulmb �__ Block Number a c City, S ate I , , � Zip C gu / Phone Number Subdivisio Name o r CSM Number STT 16 4 O 5" - 4 II. TYPE OF B ILDING: (check one) ❑ State Owned it �- Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms Town OF -5 T �k� III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ;2,. 3 1 5aA 1 [] Apartment/Condo Q O /0 ! q (� ' (9 — 4 0 ©d 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1, ❑ New 2. k Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System ________ System_____________ Tank Onl�f______________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 M Seepage Trench 'f 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 5 43 ❑ Vault Privy 14 ❑ System -In -Fill — 2 jaka VI. ABSORPTION SYSTEM INFORMATION: g( $D Slz 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. ys em ev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/d�( /sq. ft.) (Min. /inch) Elevation 3� v C� — et Feet If VII' Capacit YA in llon Total # Of r Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in strutted Tanks Tanks Septic Tank or Holding Tank 1r2,80 Q Q ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I I I I I ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's a e: Pri ) Plu Si ature P PRSW No.: I Business Phone Number: Ele Vy o a - s Plum er s dress (Stree4t, j Ity, State, i Cod ): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S 'tary Permit Fee (Includes Groundwater ate I ssued Issuing Agent Signatur (No Stamps) � / Approved [ Given Initial Surcharge Fee) s Z� ( Adverse Determination X. S CONDITI NS OF A� OV v X S FOR QISAP 4Z - ZAP — � O �� an� T • d� - cam __17 rY1 �KL� ( O tto c�kaCry� s � t ctl� 1 S -6398 (R.12/99) t`J DISTRIBUTION: Origins to County, One copy To: Safety &Buildings Division, Owner, Plumber INSTRUCTIONS A 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systerrls must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151; To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through T.' VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber isto fill in name, license number with appropriate prefix (e.g. IVIP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers, wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and tl�e location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE, 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which ca i . effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , Janet Dilts SWkSW4 S32- T32N -R19W town of St. Joseph ✓ v1" =40' .= Nail in pine tree @ el. 100.00' Alt. BM.= nail in pine tree 0 el. 101.20' Al � l aa° a �- Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 ` Labor and Human Relations Division of S,7fety & Buildings in accord with ILHR 83.05, Wis. Adm. Code - r COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to e�sr' `n 030- 1096 -10 -000 � � APPLICANT INFORMATION- PLEASE PRINT 41L fORMATfON , ... REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION d! Janet Dilts GOVT. LOT SW 1/4 SW 1/4,S32 T 30 N,R 19 Wor) W PROPERTY OWNERS MAILING ADDRESS � *,:,�, LOT # I BLOCK # SUBD. NAME OR CSM # 1218 Trout Brook Rd. N. na na na CITY, STATE ZIP CODE ' NUM ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD Hudson, WI. 54016 (715) St . Joseph Trout Brook Rd. N. [ j New Construction Use [x] Residential / Num6*'bf bed roorr(s `' [ ] Addition to existing building 14 Replacement [ J Public or commercial des Code derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd/ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate _.7 bed, gpd /ft — .a— trench, gpd /ft Recommended infiltration surface elevation(s) 97.40 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ii ❑U MS ❑U [2S ❑U ERS ❑U LRS ❑U ❑S r SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>dary Roots GPD /ft ................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTmnch 1 0 -10 10yr3 /3 none 1 2msbk mfr cs 2c .5 .6 1.`:.:. 2 10 -36 10yr4 /4 none sil 2msbk mfr yw lc .5 .6 Ground 3 36 7.5yr4/4 none ms Osg mvfr na na .7 .8 elev. + 1 is Ot. Depth to limiting f +l Remarks: Boring # 1 -5 10yr3 /3 none 1 2msbk mfr cs 2c .5 .6 U 2 5 -43 0yr5 /4 none sil 2msbk mfr gw 1C .5 .6 3 3 -60 7.5yr4/4 none lfs Osg mvfr 9W na .5 i .6 Ground ev, 4 60-100 7.5yr4/4 none co s Osg ml na na .7 .8 10 ft. Depth to limiting a Qb factor +100 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Av New Richmond I 54017 Signature: Date: 9 -23 -99 CST Number: m02298 PROPERTY OWNER Janet Dilts SOIL DESCRIPTION REPORT p 2 3 Page of PARCEL I.D. # 030 - 1096 -10 -000 • ti Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary Roots GPD /ft ................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .................. 1 0 -10 10yr3/3 none ms k m r cs c ................. 2 10 -36 10yr4 /4 none sil 2msbk mfr gw lc .5 .6 Ground 3 36-100 7.5yr4/4 none co s Osg ml na na .7 .8 elev. 10 ft. Depth to limiting factor o 8 +100" Remarks: Boring # Ground elev. ft. — Depth to - limiting factor — Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) s s STEEL'S SOIL SERVICE Gary L. Steel Janet Dilts 1554 200th Ave. CSTM2298 WIWI S32 T32N - R19W New Richmond, WI 54017 MPRSW -3254 town of St. Joseph (715) 246 -6200 �N 1 " =40' 'BM.= Nail in pine tree C el. 100.00 i Alt. BM.= nail in pine tree C el. 101.20' 3lo , t � l 2 r r "y'O Df-< 4 Gary L. Steel 9 -23 -99 I ST CROIX COUNTY SEPTIC TANK. MAINTENANCE AGREEMENT AND � Y1 WNERSHIP CERTIFICATION FORM e.f7"� T % L 7S Om erBu}e A / Mai .ing A(idri ss �� / � t? E1 � el K Aim A 4; 601 Pro erty A:1+ Lr ;ss (Verification required from Planning Department for new construction) Cit) 'State .A4 S6A) , U- Parcel Identification Number 030 1d QUO —10 - O0C) LE CA D I $ i " RIPTIO 'v �- Property a on .SIU 1 A, SW Y,, Sec. �2 , T �Z N -R / L�u, W, Town of Sul"ch"risiot Lot # Cer aided Su trvey Map # - , Volume , Page # 'Varna rtanty 0 cal # l L , Volume Page # Spre liouse 10 ;yes ! _,nc _ of lines identifiabte 0 yes no W. UM ' MA tNMN& dCE Imprnper we and ma-ritenance of your septic system could result in its premature failure to handle wastes. Proper n:Qwenance consists of pttping out the s<,ptic tank every three ytars or sooner, if needed by a licensed pumper. What you putt into te system caa cffrct the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification forms, signed by the owned and by a master plumber journeyman p ;umber, rest ctedplumber or a licensedpumper verifying that (1) the ou -site wastewaterdlispcjA system is in proper o perating conditica and/or (2) after inspection and pumping (if necessary), the •septic tank is less than 1/3 full of sludge. i/wr, the undcr*ed have rea A the above requirements and agree to maintain the private sewage disposal system with flies4anduds set fw. lx, hereiri , as sat by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.. Cprftficatior. stag ilat youe -5cptiesystem has been maintained rrAust be completed and returned to the St. Croix County Zoning Offter within 30 of the three year expirat on date. I A'TURI OF APPLICM T DATE O V4 JPR Ct f TI CAT I (wo) certify that all staternents on this form are true to the best of my (our) knowledge. I (we) am (are) the curuer(s j of the perty do ibed above, by virtue of a warranty deed recorded in ; Register. of Deeds Offce. t A`itml af` .APPLICAI`'T DATE Any i*Wmation that is mis- represented may result in the sanitary permit being revolted by the Zoning Departme ; Frdude %4h -his applica ion: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed iy yoi.1495PAGE327 ' CE3. i. 9s'!91a STATE BAR OF WISCONSIN FORM 1 -1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Jeanette H. Dilts. as survivin¢ and sole RECEIVED FOR RECORD trustee of the Claire H. and Jeanette H. Dilts Revocable Trust dated February 2D, 1997 Grantor, and none -half interest to Jeanette H Dills or 03 -13 -2000 9:15 RM Di lts successor trustee, as hMtjj of the i Trust funded 1 1999 WARRANTY DEED and a one -half intemt to Jeanette H Dilts or successor trus as trustee EXEMPT 1 16 of the Jeanette H. Dilts Survivor's Trust funded July 29 1992: hgth such CERT COPY FEE: trusts have been created under thg Claire H. and Jeanette H. Dilts COPT FEE: 20. 1997: the two half interests shall be TRANSFER FEE: Revocable Trust dated Febru � RECORDIID FEE: 12.00 held as tenants in common Grantee. PAGES: 2 Grantor, for &valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (he "Property"): Recording Area N am and eturn Address Lois A. Murray 304 Locust Street Hudson. WI 54016 01 8-70-3qO; 030-1()96-10- 00 030- 1096-2 - Penal ldenti5cadon Number (PIN) This b homeatead property. Os) SEE ATTACHED Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, reservations, if any, of record. Dated this lL day of * *Jealke H. Dills, surviving and sole trustee of the Claire H. and Jeanette H. Dills Revocable Trust dated February 20, 1997 * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss_ suthen:ic2L - d thip _ day of St• Croix County ) h Personally came before day of - Q 13 r I0 the a' . doanette H. Dilts, as sury ' e and wale t th C13ire 11. an * Jeanette H Dills • 2$ - 1 TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s)', the faligoing (If not, instrument an eknowledge the sti y, authorized by D 706.06, Wis. State.) THIS INSTRUMENT WAS DRAFrED BY Lois A. Murray, Zilz, Estreen & Ogland, LLP * u 304 Locust Street Hudson, WI 54016 Notary Public, State bf Wisco ' (Signatures may be authenticated or acknowledged. Both arc not My Commission is permanent. Of not, state expiration date: O— awry.) _ ) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DaRD STATE BAR OF WISCOMN FORM tb. 1'ta,a INFORMATION PROFESSIONALS COMPANY FOND 0 U LAC, W 8041166.2021 Vol.1495PAGE328 The South Half of the Southwest Quarter (S 1/2 of SW 1/4) of Section Thirty -two (32), Township Thirty (30) North, Range Nineteen (19) Wed EXCEPT a parcel located in part of the SW 1/4 of the SW 1/4 of Sec. 32, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin, described as lot 1 of CSM filed September 24, 1996 as Document X549929 in Vol. 11 of Certified Survey Map, page 3162, in the St. Croix County Register of Deed's office. Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 114) of Section Five (5), Township Twenty Nine (29) North, Range Nineteen (19) West EXCEPT Lot 1 of Certified Survey Map recorded in the office of the register of deeds for St. Croix County, Wisconsin on August 29, 1979, in Volume "3 ", page 846, as Document #359215 and EXCEPT Lot 2 of the Certified Survey Map filed in the office of the register of deeds for St, Croix County, Wisconsin on April 1, 1983, in Volume "5 ", page 1267 as Document #383620 and EXCEPT that property described in a land contract recorded in Vol. 693, page 257 as Document #395138 and more specifically described as follows: Commencing at the Northwest comer of said Section 5; thence South 001117" West (assumed bearing) along the West line of the Northwest Quarter (NW 1/4), 919.05 feet to the point of beginning of this description; thence South SV41'45" East, 657.89 feet thence South 003745" West, 210.00 feet; thence North 89 West 657.50 feet to said West line of the Northwest Quarter (NW 1/4); thence North 00 East along said West line of the Northwest Quarter (NW 1/4) 210.00 feet to the point of beginning. Above described parcel contains 3.17 acres and subject to all easements of record. and EXCEPT Lot 4 of a Certified Survey Map filed in the office of the register of deeds for St. Croix County, Wisconsin in Volume "5 ", page 1441 as Document #394691 provided, however, that said exception does not include the North 50 fed of said Lot 4 of said oottified survey nap described as follows: Commencing at the Northwest comer of said Lot 4, said Northwest comer is also the point of beginning of this description; thence S 89 41'45" E, along the North line of said Lot 4, 657.99 feet; thence S 00 W. along the East line of said Lot 4, 50.00 fed; thence N 81741'45" W. 657.80 fed; thence N 00 37'45" E. along the West line of said Lot 4, 50.00 feet to the point of beginning; this exception containing .75 acres subject to a town road easement along the east boundary line. Said North 50 fed of said lot being currently owned by grantors. and EXCEPT that part of the NW 1/4 of NW 114 of Section 5, T29N, R19W, described as follows: Lot 6 of Certifned Survey Map recorded in Vol. 12 of Certified Survey Maps, page 3391 as Document #569190. and EXCEPT a parcel located in part of the NW 1/4 of NW 1/4 of Section 5, 729N, R19W, described as Lot 7 of CSM filed December 1, 1997 as Document #569190 in Vol. 12 of Certified Survey Map, page 3391 in the Office of the Register of Deeds for St. Croix County, Wisconsin. and EXCEPT a parcel of land located in part of the NW 114 of the NW 1/4 of Section 5, T29N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; being part of Lot 8 of Certified Survey Map recorded in Volume 12, page 3391 in the St. Croix County Register of Deeds Office; further described as follows: Commencing at the Northwest corner of said Section 5; thence 50091'17 "W, along the west line of the NW 1/4 of said section, 669.05 fed to the point of beginning; thrice continuing 5011 "W, along said west line, 38.00 feet to the south line of said lot 8; thence S89"41'45 "E, along said south line, 658.29 feet to the west line of Lot 6 of said Certified Survey Map; thence N0037'45"E along said west line, 38.00 bed; thence N89 1 W, 658.36 fed to the point of beginning. Parcel contains 0.574 sera (25,016 sq. S.). and EXCEPT it parcel located in part of the SW 114 of SW 114 of Section 32, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin, described u follows: lot 2 of CSM filed September 24, 1996 as Document #549929 in Vol. 11 of Certified Survey Map, page 3162 in the office of the rooter of deeds for St. Croix County, Wisconsin. and EXCEPT a parcel located in part of the NW 1/4 of NW 1/4 of Section 5, T29N, R19W, described as Lot 5 of CSM filed December 1, 1997 as Document #569190 in Vol. 12 of Certified Survey Map, page 3391 in the Office of the Register of Deeds for SL Croix County, Wisconsin. and EXCEPT Lot 3 of Certified Survey Map filed January 5, 2000 as Document #616537 in Vol. 14, page 3785 in the Office of the Register of Deeds for St. Croix County, Wisconsin. and all subject, however, to the right -of -way granted to the Wisconsin - Minnesota Light and Power Company by deed dated January 1, 1916 and recorded in the office of the register of deeds for St. Croix County, Wisconsin in Vol. 149, page 526. n m o ■-0 n c k ( 7 . \ ¢ ) / T " 2 g - � § ® 7\ 0 m R S (D M [ o E > / ) \ ' E ( Q ° E ¥ m ° - . ® E a ( § f § $ 0, - (T @ § c } 2 \ \ . ° 3 U) § % ¥ E E F § = o ; \ m � / R ® = E §_ \ /p § g f 2 2 Co @ z \ 7 & . cl 5 ; f / \ \ �, § 0 7 z . c % CL z 0 0 o { �- ` CO) U) % / _ < z � ƒ c: — 0 $ _ o v —, co ��) \�_ / 4 & & CL z > k 0 � / / / / �- 0 } m %f ° \ { 2 5 0 CD 0. � k Z M . = 0 ® » § e & 0 ¥ z 0 CL P 2 . ƒ \ M \ -4 § 0 $ m CD V /2 /\ } K CD 0 C:o - ;7 §a 222m_ ®c n � c 7 §� ,°gE /k& % . mai2(0E2\/ ƒ /E { { {[ } �, . CD CD w � ; ]�o�k$sE[ � &EA /oƒ ■ ƒ k a - w F),c @ o ) . ;egg -0 : CL § f §25 =E D 0 ;7 CD / § � \ ƒ�CD 0 C :CD 2 Eh "E_a�,� > : � \ � CA 0 ¥ ■ . o � . G § 7/ �§ , _ @� �k Parcel #: 030 - 1096 -10 -400 03/01/2005 10:25 AM PAGE 1 OF 1 Alt. Parcel M 32.30.19.350E 030 - TOWN OF SAINT JOSEPH Current X; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * JEANETTE H TRUSTS DILTS DILTS, JEANETTE H TRUSTS 1218 TROUT BROOK RD N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.528 Plat: 1090 -CSM 14/3902 SEC 32 T30N R1 9W SW SW BEING LOT 4 CSM Block/Condo Bldg: LOT 4 14/3902 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 30N -19W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 03/13/2000 619592 1495//327 WD 07/23/1997 1230/193 QC 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5617 89,000 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.530 87,600 0 87,600 NO Totals for 2004: General Property 3.530 87,600 0 87,600 Woodland 0.000 0 0 Totals for 2003: General Property 3.530 51,500 0 51,500 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 Parcel #: 030 - 1096 -10 -080 03/01/2005 08:02 AM PAGE 1 OF 1 Alt. Parcel M 32.30.19.350A -35 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * JEANETTE H TRUSTS DILTS DILTS, JEANETTE H TRUSTS 1218 TROUT BROOK RD N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1218 TROUT BROOK RD N SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 18.060 Plat: N/A -NOT AVAILABLE SEC 32 T30N R1 9W SW SW EXC PT TO Q Block/Condo Bldg: 11/3162 EXC PT T O CSM 14/3785 EXC PT TO 'x /3902 EXC PT 10 USVF 232 EXC AS Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) DE 1909/647 32- 30N -19W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 06/13/2002 681673 1909/647 LC 07/23/1997 1230/193 QC 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5613 278,100 Valuations: Last Changed: 09/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 56,000 113,500 169,500 NO PRODUCTIVE FORST LANC G6 14.060 104,100 0 104,100 NO Totals for 2004: General Property 18.060 160,100 113,500 273,600 Woodland 0.000 0 0 Totals for 2003: General Property 18.060 76,700 91,700 168,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00