Loading...
HomeMy WebLinkAbout032-2130-10-000 County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506236 0 ATTACH TO PERMIT) 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: Boardman, Barry Somerset, Town of 032 - 2130 -10 -000 �CST BM Elev: Insp. BM Elev: BM Descriptio Section /Town /Range /Map No 13.30.19.1 162' TANK INFORMATION *r, S ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. i. i.5 Septic / e,c / Z/ a Benchmark 3,5 9S ptail9ft Alt. BM ,Aeration Bldg. Sewer /�• CC ( Holding _7 St /Ht Inlet SUHt Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic y 56 7 Z5 / g 7 24 --- Dt Bottom Dosing Header /Man. ' . Aeration Dist. Pipe `J T Holding Bot. System J 7 - ,26 -7 !. ` Final Grade �3� � v CTl� PUMP /SIPHON INFORMATION o7 Manufacturer Demand St o e Model Nu er TDH ift Friction Loss is ead TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDlTRENCH Width Length I I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 160 Z_ SETBACK SYSTEM TO P/L BLDGe ^+�.cW.aELL _ LAKE /STREAM LEACHING Manufacture ;, INFORMATION CHAMBER OR W� I Type Of System: p , 7 ZS 7— `+ 7 5d A 1 UNIT Model Num DISTRIBUTION SYSTEM ZS j-ZS Header /Manifo�d 1 Dist ibutio x Hole Size x Hole Spacing °Vent to Air tru;e jj Pipe(s) 4 Lenyth� Dia L' Length Dia \` Spacing \� ` . SOIL COVER x Pressure Systems Only xx Mound Or At - Grade System Only Depth Over Depth Over xx Depth of � xx Seeded /Sodded xx Mulched Bed /Trench Center /_ , �� Bed /Trench Edges �� Topsoil N Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / ' ` Inspection #2: / Location: 1590 89th Street S tners 1h 54025 (NE 1/4 SE 1/4 13 T30N R1 9W) Doardman Estates .,Lot �15 Parcel No: 13.30.19.1162 1.) Alt BM Description = F= I v �`7 k.,-- �" 2.) Bldg sewer length =�' - amount of cover 1 tUwp bC, Plan revision Required? Yes No Use other side for additional information. Date Insepctor Siynatur Cert. No. SBD -6710 (R.3/97) commerce.wl.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 i scon s i n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce - 2 �10 Sanitary Permit Application State Trans ac tion �Numb er In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary "/ p urposes in accordance with the Privacy Law, s. 15.04 1 (m ), Stats. T �9 I. Application Information - Please Pri Infor Property O er's Name / Parcel # a 3z- - Co - Property 0 wner' Address J Property Location / 2 -.5- t��' (rte Govt Lot City, e Zip C e a umber t / y. Section (circle on !� S T N; R 9 E I. Type o Building (check all that apply) pk Lot # Subdivision or 2 Family Dwelling - Number of Bedrooms GAD N ame jyy� , 5V60&;4 of Block # ❑ Public /Commercial - Describe Use �la`~ ❑ City of ❑ ❑State Owned - Describe Use CSM Number Village of Town of Z A • 6� &}L w Z C or III. Type of Permit: (Check only one box online A. Complete line B if app icable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal El Permit Revision El Change of Plumber List Previous Perin Number and Date Issued ❑ Permit Transfer to New Before Expiration Owner ln�t.r erg_ IV. Type of POWTS S stem /Corn onent/Device: Check all that appl LC_ JJ X Non - Pressurized In- Ground El Pressurized In- Ground El At-Grade El Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil G 4A El Holding Tank El Other Dispersal Component (explain) ❑ Pretreatment Device (explain) _ &® V. Dispersal/Treatment Area Information: Design Flow (gpd) / Design Soil Applicatiorl/Rate(gpdsf) Dispersal Area Required ((s Dispersal Area Proposed,(sf) System Elevano / V1. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units Ci U y m New Tanks Existing Tanks A i✓ � �-- � � a. v m H A w C7 A. Septic or Holding Tank Dosing Chamber VII. ResponAility Statement- I, the undersigned, assume respon ' ility for installati of the POWTS shown on the attached plans. Plumb- ' am c ri Plumber' Sign c MP /MFRS Number Business Phone Number ' C Plu ber s Address (Street. City, Statc Zip Code VII . Coun j /De artment Use Onl Approved Disapproved Permit Fee Date Issued 2 uing Agent S' e ❑ Owner Given Reason for Denial $ �� ✓' G Z� / ss b T IX. Conditions of A pp roval/Reasons for Disapproval SYSTEM OWNER: P-0 o2UO CJ' r�/1/ (�� �I W �► �a! 2(� 1. Septic tank, effluent finer and d4ersal cell must all be sewioes / makdallod ag Gr per WA pkM provided by pkNNNr. �� /y���ir�CQ— /mil % • �/ 2. A111 111116adt must be rralNllfkwid he system and submit to the County only on paper not less th n 8 1/2 x 11 inch ;s i - 4�C/C_�1/ (�v� 5 SBD 6398 (R. 01/07) Valid thru 01/09 �ZW 7elyb d i .Kc .U#�iuEv l Pia • a 17 I /V6W .�i/yy� GUr S�G��' /A[SG d i a A �t"S --� ��� - Wisconsin Department of Commerce SOIL EVA T N P T Page of Division of Safety and Buildings in accordance with Comm 85, is. Couniy Attach complete site plan on paper not less than 8 112 x 11 inches in size. include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Z percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. y Date —f Personal information you provide may be use fors Law, . 15.04 (1) (m)). Property Owner Z perty Location 2007 vt. Lot 1/4 1/4 S �' T N R E (or)� Property Own s Mailing Address t # Blodc Subd. Name or CSM# 11:5 A 15 ST. CROIX COUNT city/ Sta Zip Code Phone Number City Village ® Town Nearest Road / _ New Construction Use: [Z Residential / Number of bedrooms Code derived design flow rate Z41) GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material t Flood Plain elevation if applicable ft. General comments and recommendations: goring # I ❑� Boring �,S` -� 4�1 pit Ground surface elev. ft. Depth to limiting factor > /_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 Al c s 8 q 9 y , �r Boring # Boring Pit Ground surface elev. Depth to limiting factor > > —,;?. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Al G i s 4 n * EfflueA #1 = BOD > 30 220 mg/L and TSS >30 _ 150 mg/L vent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Na P ) Signature CST Number Address Date Evaluation Con ucted Telephone Number vC43 S �- l Property Owner ".' 'ParcellD# Page 4� of E] Boring # ❑ oring Pit Ground surface elev.., ft. Depth to limiting factor in. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture .Structure Consistence Boundary Roots GPDM in. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 e Al a � F Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD 5 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 -9330 (R07/00) ,��,P� ��� HF� sr / SEC �.3 - 7'.��i✓- st`' s'� � I 9 8 a �, Wisconsin Department of Commerce SOIL AND SITE EVALUATION DKision of Safety and Buildings Page ' of 3 Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S/, C/0 "t percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # C) to- APPLICANT INFORMATION - Pleaso prkV all ihforrrWion. Re ewes Da Personal information you provide may be used for,r;ecorlrJaty purpos s (Privacy , w, i . 15.04 (1) (m)). Prope Owner r� Property Location A a er �Ofc /Ql /'1'l Qv� Govt. Lot *16F 1/4 s� 1/4,S � 7 T CF, R �9 * (or) Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# C� V ea l St ate Zip Code Phone Num ❑ City ❑ Village � ber Town Nearest Road (,�chm � 1�l Ss�o% c �r z � -37 /do, -14 [� New Construction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 00 gpd Recommended design loading rate 0 _bed, gpd /fi • 6 trench, gpd /ft Absorption area required 1 p� 40 0 bed, ft2 _J4 ttrench,, /ft2 Maximum design loading rate o bed, gpd /ft -' E trench, gpd/ft Recommended infiltration surface elevation(s) U �° T ft (as referred to site plan benphmark i Additional design /site considte�rations n n/ / S y O. Parent material Y 2 3S �i +°NOwfk urn / IuPr•4I Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system cgs ❑ U [as ❑ U © S ❑ U I 2s ❑ U ❑ S ©U ❑ S 2u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 1 1 D - /D z Ni SL �O5 * /n ur , 2 S -zz /0YX % I A - -S/- sb�r � f' c �-' �e � S 0 6 Ground 22 -36 /0 f�'c ' 6 /� ,� 2 hnJ,6 />` ih ut'� C 207 , 5 - ' . . 6 lev. ft. y 36 7s f 6 A14 1-5 b k Depth to S T Y- be 7 sr� 6 1y Ph S 0,a7S M 1,�1 j limiting factor Remarks: Boring # / 1.�, p , 0_/0 /0j,P - AIX L. S �'1'isb t ri 2 C' w _3 Z 2 0 s'6 /oYR �� S L �/Yl S6 M/h - C t- -36 36_sy AeA L _S /M- A ai� - C w 2 •7 .8 . _ Ground Y- x `7, S 1 / A A S M L 400 7 elev. �ft• Depth to limiting � yr in. Remarks: CST Name (Please Print / Signature Telephone No. Fri CtiAe // Vii �� ' 711"Zl17 — Z2 0 Address � !}� _ /p� � V C � p � Date CST Number 7 7 - 7- Z 5/-00 2-3 /Yj , F l 4A 685 QET, a � J / r. I _ - 2A 5' 1�8 9 1I? Fu � ��y;i�1� �� CRS ����� Q,FT) 0 r 1 5 , -=T 30 g$ _ - - - r Q 'RAP RAP � Y { � // / SAC i 1 j�(:� � �, ��-- ���_: 0 / 1 , 9 59 , , 5$ !.21 2c48 SQ,F".T', ACRES lT, - O BE R� NED ; BY OWNER . J. Shpl`\[ TANK KJALNT£NANCE AG&E LNI l'-N] AND FORM (}VY�[El�S��}P(�ER]�LF1C/�1lL {}\vuedBuyex ____- ---- � Mailing Address Property Address Z:f::M _3_ LEGAL DESCRIPTI Property Location /- \� �� ' Suu. I ` Town of' �ot# . � _- -`�~+-- 6ubd�'�m�ou � _____________�__________ _________ Volume �u��� ��erti�edSurvey �Iuy# a_'�' �� l/o�uu�n ' ^� -/ p- �ugo# Warranty Deed �_�u _ ` " Spec house �~ Lot |111 m �siduiflut)4c /yx1' uv Improper use and maixte o ouuo*u[yo�uopbcxyoumcoo|dreao|!iuitspomxtoo6ikmmhaudluwuutes'p/opmr into | muiu{zox»�»o�po/upiu�ou� the \�bm you put u^» ^"^=` \ stage iu(6owuu\u disposal uyu\uo� 0wuu�onu�o1�uuoo� �euygoncouuUeot the Cuuciiounf�eseptic uukum»�e»1meoi� ' o m Q«t ��uixCnuu`yGxuiuryO/d�/mu:c. mmyouuibUiduv are opcci6ud iu§Couoo. 8l52(l) a nd mcuupmr � ~ �� Zoning Deyorm` u,oeodl udouf�o4e�n*d6y�e �uc�rupo`y»*'�' " to St. Croix County Planning ubcuu»�dpuo�o verifying that (l)��«o-�� � owner and hyuuo��ry|«mbe� »obo/ «��d inspection and p="y^^~ iu�(i�nuoo '` og�tbnouod«�o��m wastewater d�poou}uyotcooiyiuprop*ropemuugnouuu/ouuumv,\2/^ftv r ^.p . _ less than 1/3 full o{sludge. L/wu \bouudozo��nodbuve rxod the uburrrngoouuuo�uudngnetounuiu,uio the pdvxcosewage disposal eyatonovvdo ` b d l/ �o/��o^ u � ^�u],uo�upuum�u�o��x�`u�sI ux�oaruo^' 6mzu ofVY'auouuu� 6tb u�uodundsx�cb*obb�zu..x�^�� Y »n cpu«u�uu '��^^" d ���\(`rnuCouu�'��nz�og�� ` b u maintained m _ C��d�cu|ioua�du�t�u your o�puc ayo��ou ux �ou �u - -_ Zoning Department within _�U days oi the douvyturuxponuuouu`Q. bi �� � �oduobco�nfog�ourboow|�d&u I/vcuo�uru the ommoz(o)of �e Dvvo oo�i6/t6uzol} o(u,���oto oot x rnouro true ' property described above, by virtue oCu wuouuty deed recorded ill Register o[ Deeds Office. Nu00berWf bedrooms _ ' DATE SIGNATU ***Any information that is ii niay result in the sanitary pern-lit being revoked by tbcPlumuug & Zoning Department. **~ � � incbudowith this ccunrdedv°^zmuydecdbulu tile 8cglyuroj'j)ecu� Office aouuxuA/ oi'1bwCecuucuxuzvoymapd reference mmade in the `v"oumy deed. (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of FILE INFORMATION SYSTEM SPECIFICATIONS Owner n Septic Tank Capacity ga l ❑ NA Permit # . 23L ., Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units P� NA Pump Tank Capacity a l I( NA Estimated flow (average) gal /day Pump Tank Manufacturer J3 NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer ,i, NA Soil Application Rate Z gal/day/ft' Pump Model ,Z NA Standard Influent /Effluent Quality Monthly average` Pretreatment Unit _ONA 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) ❑ N.A. Biochemical Oxygen Demand (BOD 530 mg /L ,1'XIn- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L - E� NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) < 4 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in die ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve month(s) (Maximum 3 ears) ❑ NA ry' ear(s) y Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 12f year(s) Clean effluent filter 7 �e__D At least once ever l _% year(s) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ANA ❑ year(s) 'aterals and pressure test At least once every: ❑ month(s) L&NA ❑ year(s) - At least once every: ❑ m ) ❑ yeaarr(( s) s) ❑ NA_ Other: ❑ 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) shall 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 the 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, Wisconsir Administrative Code. All other services- including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units. and ary servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service re,.c~ s~a" be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION Page of IZZ 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 cell(s) in one large dose, overloading the cell(s) 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 prior 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; meat scraps; 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 system 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 sealed. • 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. ❑ 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. ❑ 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. ❑ 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 POWTS INSTALLER POWTS MAINTAINER Name Name Phone _ Phone - _ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 5- Cr. rr C o ✓r- j Phone Phone ') / � .. 3�L — �( g' document was draf; '- c':ance with chapter Comm 83.22(2)(b)(i)(d) &(f) and 83.54(7), (2) & (3), Wisconsin Administrative Code. Parcel #: 032 - 2130 -10 -000 06/25/2007 08:19 AM PAGE 1 OF 1 Alt. Parcel #: 13.30.19.1162 032 - TOWN OF SOMERSET 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 - BOARDMAN,BARRY BARRY BOARDMAN 1589 89TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1590 89TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 3.010 Plat: 0115 - BOARDMAN ESTATES LOTS 5/15'00 SEC 13 T30N R19W NE NE LOT 15 BOARDMAN Block/Condo Bldg: LOT 15 ESTATES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 30N -19W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.010 51,000 0 51,000 NO Totals for 2007: General Property 3.010 51,000 0 51,000 Woodland 0.000 0 0 Totals for 2006: General Property 3.010 51,000 0 51,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032 - 2130 -10 -000 Parcel Number 13.30.19.1162 OWNER NAME: First BARRY Last BOARDMAN PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1590 89TH ST SECTION 13 TOWN 30N RANGE 19W'/160 NE 1 /440 NE Line Description Line Description TOTAL ACREAGE 3.010 PLAT BOARDMAN ESTATES LOTS 5/15'00 LOT 15 BLK 01 SEC 13 T30N R19W NE NE 15 02 LOT 15 BOARDMAN ESTATES 16 03 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General F4 -Prev. Parcel F5 -Next Parcel F7- Valuations F8-History, F10 -Exit -- VOL � ���� �� �96 584�����( �,aze PAR OF WISCONSIN po�v »- x"82 - QUIT CLAIM Desw DOCUMs^n1'4o� _frank Fe��vth Boardman_alk/a F. Keiti Boardman- a single- ST. CR CO., W! peraon AUG 0 6 L998 -_-_-__-_--_---__ __- q*to 9:30 A a= followin d,=nbta real estate ."-_ St. Croix cm"" Swe ofll-'iscom"". .=is SPACE °°°sWED,"=ezxr=°°GDATA � NE 1/4 of Ss /xa, sc 1/4 of ws 1/4, and the wn 1/4 of =^^s°°"°=UrN1~DDA="= NE 1y4 EXCEPT Lots 1 z and s of Certified Survey *=r � filed July r, 19*7 in Vol. ''12^', p=--e 3295 as m»c"=enc VAN mrm^ m^aCY a mILEn. F.C. � No. 561*69, all in Section 13-3e-19' Post orct=e m°n 127 New mi=h=pua' xz 54017 032-2047-80-000 032-2046-50-000, and 032-2046-10-000 � This _---homestead property Dated this da vi __--__'-_- __�^m. 19a$�­ p-^u es^u Frank Keith Boardman � (Ss^u --__ vscao -------' ------- -------'------ - aoreEwTxCaT»Om ACswmvvLEmGxaEmr Frank "�vv�"��o,/= ' �." um"^, p authenticrp this 30th �� Personal came before me this a"r"/ � ------.'v�-_-..h~.b"e"^="a � , W. Dyk I _ ----_'-__--- _-- TITLE: MEMBER ST%TE BAR orWISCONSIN v/°". authorized b = inc known ",b~ t person ----_ who executed the fore instrument and acknowledge the same. THIS INSTRUMEN WAS DRAIFTED BY liendrik W. Van Dyk VA BOYLE SILER, S.C. New Richmond!",lisc.n.in 54017 m^""rr"u.".__ '---__-_'c"""x^v"is. (»` ma b~ authenticated ",acknowledged Both are not w ""mm,"°"" is n ,""=^"^ o/ »=. *=" =n'='m" u".". � ""==wn`> --------- ------�--/»-----� bc QUIT c�"." DEED °~�"~^~"������� �0 Z /"`ice W iw m 561 V ,12, P 32 m N c' OL6 r n � V / / oy6 ° A � O 7 O Q �O . C S . '091 'W' 731,4 � g4R oke W RIO- m a " �'• ��; �..='"`•�.,,�,.�`�`�.•. a„. w. � ,,,.r�r'.�.-