HomeMy WebLinkAbout032-2044-30-050 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No 463370 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No.
Personal information you ie ay b use for seconds urposes [Privacy Law, s.15.04 (i)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Hedin, David Somerset, Town of 032 - 2044 -30 -050
CST BM Elev: Insp. B Elev: BM Description: Section/Town /Range /Map No:
12.30.19.648A10
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
H .
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P!L WELL BLD Vent to Air Intake ROAD rlet
Septic Dt Botto
Dosing eader/ an.
Aeration DisIle
Holding . System
al Grade
PUMP /SIPHAINFOR ATI
Manufacturer XDemand St over
Model Number
TDH Lift Friction Lo System Head Ft
Forcemain Length ia. Dist. to we
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System:
Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hoie Size x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
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 discrepencies, persons present, etc.) Inspection #1; / / Inspection #2:
Location: 1649 85th Street Somerset, WI 54025 (NW 1/4 SE 1/4 12 T30N R19W) NA Lot 2 Parcel No: 12.30.19.648A10
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan — _ -- -
revision Required? No
Use other side for additional information. J L
Date Insepctor's Signature Cert. No.
SBD -6710 (R.3/97)
Safety and Buildings Division Coun�"
m 201 W. Washington Av e., P.O. Box 7162 Madison, Wl 53707 — 7162 Sanito a filled in by Co.)
,scOns,n
Department of Commerce (608) 266 -3151 (03 3 � O
Sanitary Permit Applicatio l State Plan I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, personal information you pr Q
may be used for secondary purposes Privacy Law, s15.04(I)(m) Project Address (if different than mailing address)
I. Application Information — Pease PrsntAl ion KtGEIVE I'
Property Owner's Name � 0 , Parcel # Lo!! Block #
APR 0 1 2005
l-
Property Owner's Mailing Address ST. CROIX COUNTY Property Location
ZONING OFFICE
City, State Zip Code Phone Number
V., y 1 V ., Section /.
circle
I1. Type of Building (check all that apply) , T N; R E o
J 1 or 2 Family Dwelling — Number of Bedrooms II W ,� { SM er
❑ Public /Commercial —Describe Use
❑ State Owned — Describe Use ❑City ❑Villages ship of
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A ' New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
B List Previous Permit Number and Date Issued
❑ Permit Renewal 11 Permit Revision El Change of ❑Permit Transfer to New
Before Expiration Plumber Owner
IV. Type of POWTS System: Check all that a pply)
P Non— Pressurized In- Ground ❑ Mound> 24 in. of suitable soil ❑ Mound <24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter 04Aaching Chamber ❑ Drip Line ❑ Gravel - less Pipe ❑ Other (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
VI. ank Info Capacity in Total Number Manufacturer Prefab
Prefab Site Steel Fiber Plastic Gallons Gallons of Units W) �., p, _ n _ (�''Y� Concrete Constructed Glass
New Existing �
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit
Dosing Chamber
VII. Res risibility Statement- 1 , the undersigned, ap4me responsi . 'ty for installation of the POWTS shown on the attached plans.
7 Plum'N ( ) Pltun is S AK, e n MP/MPRS Number Business Phone Number
1 ber s Address (Street, City, S Zip ode)
VIII. Coun /De artment Use On
Approved ❑ Disap Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature o Stamps)
Surcharge Fee) J �� _ 0 \
El owner Gwen Reason for Denial s
IX. Conditions o Approve
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach complete plans (to the County only) for the system on paper not has than 81/2 x 11 inches in size
SBD -6398 (R. 01/03)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction ��
percent slope, scale or dimensions, north arrow, and location and distance to rhea Parcel I.D.
Please pinat alfanieen:
Personal information you provide maybe used " y Laws s. 15.04 ( (m))• B 1 Date
V `ka S
Property Owner Property Location
Hedin, David it a L Govt. Lot NW 19 SE 19 S 12 T 30 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
8223 N. 89thSt. 2 CSM Pending Approval
City Stet -Zip COrie. "PllCiae.6Auabat - -.- -.) j City ) Village 16 Town Nearest Road
Saint Paul MN 55115 651- 429 -4685 Somerset 85Th St.
New Construction Use: M Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement J Public or commercial - Describe:
Parent material OutAmh Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is
high trench 90.0', low trench 89.0'.
Boring # Boring
V1 Pit Ground Surface elev. 93.65 ft. Depth to limiting factor 98+ in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
'Eff#1 'Eff#2
1 0 -7 10yr3/3 none I 2mgr mvfr as 2f .6 .8
2 7 -15 10yr4/4 none sl 2fsbk mfr gw 2f .6 1.0
3 15-24 7.5yr4/4 none sl 2msbk mfr gw if .6 1.0
4 24 -98 1Oyr5 /4 none grs Osg ml — .7 1.6
o /
o�'g"1•
a Bing # Boring
1m Pit Ground Surface elev. 93.65 ft. Depth to limiting factor 96+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
'Eff#1 'Eff#2
1 0 -9 10yr3/4 none I 2mgr mfr as 2f .6 .8
2 9 -17 10yr414 none sl 2fsbk mfr gs 1f .6 1.0
3 17 -29 10yr4/6 none sl 2msbk mfr gw — .6 1.0
4 29-96 10yr5/6 none s Osg ml — .7 1.6
' Effluent #1 = SOD ? 30 < 220 mg& and TSS >30 < 50 mgtL ' Effluent #2 = BOD <_30 mgtL and TSS < W mgtL
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt �� r 1 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, W1 54017 6/19104 715- 247 -2941
Property Owner Hedin, David Parcel ID # Page 2 of 3
• ] goring # Boring IM Pit Ground Surface elev. 90.68 ft. Depth to limiting factor 97+ in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
'Eff#1 'Eff#2
1 0-10 1Oyr3 /4 none I 2fsbk mfr as I 2f .6 .8
2 10-18 1Oyr4/4 none scl 2fsbk mfr 9w if �hQ
3 18 -32 10yr4/6 none sl 2msbk mfr 9w if 6 1.0
4 32-60 10yr5/6 none s Os9 ml — — .7 1.6
5 60 -97 1Oyr5/4 none grs Osg ml — .7 1.6
F—I Boring # I Pit
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
'Eff #1 'Eff#2
Boring # Boring
_J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
•Eff#1 'Eff#2
Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS < 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.
. Page 3 of 3
Conducted by: Conducted For: p
Schmitt Soil and Site Evaluations Name: David Hedin /� e
Thomas L Schmitt, CST 227429 Address: 8223 N. 89 th St.
1595 72nd St. City, State, Zip: Mahtomedi, MN. 55115
New Richmond, W1.54017
Phone: 715- 247 -2941 Subd.Name:
Lot No.. 2
Legal Description: NWl /4 SE1 /4 S12 T30N R19W
Township of Somerset
Bench Mar EL ION Top of 2" pvc pipe
Alternate nch k L 9 5.76' Top of 2" pvc pipe
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VOL18 PAGE 4802
KAT9MW H. VALSR ---
REGISTER OF DEEDS
ST. CROIX CO. MI
RECEIVED FOR (tECORD
v era 'p 08/03/2064 02 %40PM
Ln
ti n m CERTIFIED SURVEY MAP
c z Isc REC FEE % 15.80
N BEARINGS ARE REFERENCED TO THE COPY FEE
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it I
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NORTH -SOUThI 1/4 LINE •9� 9
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2098 72' j _ N a t 2e&91'4 298.05 _ 68.01 `. 2568.13
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SHEET 1 OF 3 SHEETS
Vol 18 Page 4802
1
i
POWTS OWNER'S MANUAL & MANAGEMENT PLAN,,,,, pageL of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner ) Septic Tank Capacity al O Ni
Permit ri b 3 3 V Septic Tank Manufacturer C N;
Effluent Filter Manufacturer L ❑ NA
DESIGN PARAMETERS t
Number of Bedrooms 3 ❑ NA Effluent Filter Model ❑ N/
Number of Public Facility Units - Pump Tank Capacity oal Zfh A
Estimated flow (average) Pump Tank Manufacturer PdA
a al /da
Design flow (peak), (Estimated x 1.5) ��� gal/day Pump Manufacturer ETNA
Soil Application Rate z Pump Model
al /da Ift r,(
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit j N
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA 1
Biochemical Oxygen Demand (BOD 530 mg /L P'In Ground (gravity) O In Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L ,6 NA ❑ At -Grade 0 Mound
Fecal Conform (geometric mean) 510' cfu /1001111 Q Drip -Lino 0 Other:
^ Maximum Effluent Particle Size Y in dia, C3 NA Other; ❑ Ni
Other, 0 NA Other: ❑ NA
*Values typical for domestic wastewater and septic tank affluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
D month($)
Inspect condition of tank(s) At least once every: earls) „ f ( Ma4mum 3 years) ❑ NA
Pump out contents of tank(s) When combined sludge and scum equals one -third .(Y of tank volume ❑ NA
ont
Inspect dispersal cell(s) At least once every: �' �yearl . , (Maeutimum 3 years) ❑ NA
❑ : 3 month(s) [3 Nt. {
Clean effluent filter At least once every: year($)
❑ month(s) �NF.
Inspect pump, pump controls & alarm At least once every: ❑ ear(s)
❑ month(s) ,•, , ;;, ANA
Flush laterals and pressure test At least once every: ❑ ear(s)
❑ month(ii) ANA
Other: At least once every* Q ear(a)
Other: Q NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfacE:.
The dispersal cell(s) shalt be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires tho
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.'
All other services, Including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer,
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
QMW (ai0 t
1le� c. Page
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or, other chemicals
that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cells) In one large dose, overloading the ceills) and may result in•the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator pdor:to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually - operating the pump' controls to
restore normal levels within the pump tank,
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides;,.Meayscraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the systern is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
+ All piping to tanks and pits shall be disconnected and the abandoned pipe openings Healed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage .Servicing Operator.
•
After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide, a.code compliant
replacement system: _ ,, ,
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance. and compaction and should not be Infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
13 A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.—
0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< < WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. , DEATH MAY RESULT, RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
-M , `sn sins sl� „� •'.± r,YPi'rrrr .. ;;
POWTS INSTAL E POWTS MAINTAINER
F
Name , / Name
Phone - _ Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name ”
Phone Phone ;_
'his document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3) Wisconsin Administrative Code
03/23/2005 10:39 FAX 1 715 247 3038 BELISLE EXCAVATING Q004
ST CROIX COUNTY
SEPTIC; 'TANK MAINTENANCE AGREEMENT
AND
OWNCR��SHHIP CERTIFICATION FORM
Owner /Buyer `
Mailing Address T ' 'i � _ P-I G I Af r
Propeny Address
(V lanning Department for n
City /State f
��il Parcel Identification Number
G LGAL DESC
Property Location )VQ t /,, -IL y Sec. _f-, T—,�ji N -R W, Town of
Subdivision , Lot
Certified Survey Map # '7 "� �L �� -� , Volume , Page #
Warranty Deed # _ _ U �7 - j -7 h' � � � , Volume , Page #
Spec house ❑ ye.s 110 Lot lines identifiable 9, yes 0 no
USTEM MAI TE ANCE
Improper use and ntainrenanceoryour septic system could result in its pretnamre failure to handle wastes, Proper maintenance
consists of pumpit,s vut the septic tank every three years or sooner, if needed by a licensed pumper, Whut you put into the system
can affect 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 form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper nNerating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
1/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, hertut, as set by the Dcparnnent of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained ,lust be completed and returned to the St. Croix County Zoning Office within 30
days of three ye;4 on date.
SIGNATUR.I? OF A CANT � Z /
DATE
OWNER CERT. 1E ATION
(we) ctnify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the pro c describ o e, y virtue of a warranty deed recorded in Register of Deeds Office.
3 / z9/ �.
SIGNA T R£ OF APPLI ANT DATE
Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ••••••
•* Include with this application: 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
f' r
U. 2732P 597 -7852iE!Ia
State Bar of Wisconsin Form 3 -2003 XATHLEEH H. MALSH
QUIT CLAIM DEED REGISTER OF DEEDS
ST. CROIX CO., KI
Document Number Document Name RECEIVED FOR RECORD
01/1812005 04:30PH
QUIT CLAIM DEED
THIS DEED, made between Cynthia A. Breault, a married person EXEMPT It
REC FEE: 11.00
( "Grantor," whether one or more), TRANS FEE: 90.00
and Barbara L. Hedin, a married person COPY FEE: CC FEE:
PAGES: 1
("Grantee," whether one or more).
Recording Area
Grantor quit claims to Grantee the following described real estate, together with the rents,
profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin Name and Re Address
Ra2cument perty ") (if more space is needed, please attach addendum):
f Certified Survey Map recorded August 3, 2004 in Volume 1 8, page 4802
Number 770591 located in part of the SW 114 of the NE 1/4 and part
of the NW 1/4 oft a SE 1/4 of Section 12, T30N, R19 W, Town of Somerset.
Together With a 66' wide access easement as depicted on Lot 4 of Certified Survey &I
Map recorded August 3, 2004 in Volume 18, page 4802 as Document Number
770591.
Parcel Identification Number (PIN)
,
This is not homestead property.
(is) (is not)
Dated ' d
(SEAL) 'e SEAL)
*
*CynthrA. Breault
(SEAL) (SEAL)
* *
BRENDA K. FORREST
Notary Public
AUTHENTICATION ACKNOWLEDGMENT State of Wisconsin
Signature(s) "
authenticated on STATE OF Ly /5Cd77 S ✓J )
*
COUNTY >
TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before we on T ,h
(If not, the above -named Cynthia A. Breau% a married person
authorized by Wis. Stat. § 706.06)
to me known to be the person(s) who executed the foregoing
THIS INSTRUMENT DRAFTED BY: instrument and acknowledged the same.
Attorney Kristina Oeland
Hudson, WI 54016
Notary Public, State of l
My Commission (is permanent) (expires:
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
QUIT CLAIM DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003
* Type name below signatures. INFO -PROTM Legal Forms 800 - 655 -2021 www.infoproforms.com
VOL18 PAGE 4802
KATHEM N. I ALSH "--
REGISTER OF DEEDS
ST. CROIX CO. MI
RECEIVED FOR hECORD
08/03/2004 02s40PK
CERTIFIED SURVEY RAP
o z o - Z REC FEE s 15.00
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4 4 SHEET 1 OF 3 SHEETS
Vol 18 Page 4802
I
Parcel #: 032 - 2044 -30 -070 05/29/2007 09:03 AM
P AGE 1 OF 1
Alt. Parcel #: 12.30.19.648A -30 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
08/03/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - HEDIN, BARBARA L
BARBARA L HEDIN
8223 89TH ST N
MAHTOMEDI MN 55115
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description ' 1649 85TH ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.200 Plat: 4802 -CSM 18 -4802 032 -04
SEC 12 T30N R19W PT NW SE CSM 18 -4802 Block/Condo Bldg: LOT 02
LOT 2 (3.2 AC)
Tract(s): (Sec- Twn -Rng 401/4 160 114)
12- 30N -19W NW SE
Notes: Parcel History:
Date Doc # Vol /Page Type
01/18/2005 785220 2732/597 QC
08/23/2004 772309 2642/35 QC
08/03/2004 770591 18/4802 CSM
02/05/2003 708342 2131/394 q
mor ..
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.200 49,000 0 49,000 NO
Totals for 2007:
General Property 3.200 49,000 0 49,000
Woodland 0.000 0 0
Totals for 2006:
General Property 3.200 49,000 0 49,000
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