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Home My WebLink About032-2172-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division # INSPECTION REPORT Sanitary Permit No: 488120 0 GENERAL INFORMATION (ATTACH TO PERMIT) 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: Palmer, Brad I Somerset, Town of 032 - 2172 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: 93. s 1 G -3 18.30.19.1450 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (3 -3 -�� 5 /b I `)3 • S l,1ee,�S Q. 5 ?two ppsiwg Alt. BM z 3 . -- Aeration Bldg. Sewer Holding St /Ht Inlet q3 7. a5 O utl et 93 TANK SETBACK INFORMATION 7 3 TANK TO P/L WELL 6LDG. Vent o Air Intake ROAD Dt I epic NA- '5 y /L-0 _ B ott om 9a osing Header/Man. A eration Dist. Pipe o ing Bot. System S �\ 13, ina ra e P � PUMP /SIPHON INFORMATION I 5 9 5 m anufacturer Demancl St Cover GPM m odel u er I UN IL ITT Friction LOSS yS em Jim 'F or c e main Lenc Sol SORPTIL]IN 5YS I hM DIMENSIONS �. 3 4'2 INFORMATION 1 C /� �Q� CHAMBER OR �f, d Q e J 7Z, / V 1 y �+ UNIT J G� L)15 I KIBUTIUN 5 Y 5 d-- 23 r 43 ftTtdK Length Dia T Length Dia \ Spacing Td C SOIL 1L;0VhK x Pressure Systems Only xx Mound Or At - Grade Systems Only Bed/Trench Center Bed/Trench Edges Topsoil \ Yes No Yes No L.e COMM NTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 355 153rd Avenue Somerset, WI 54025 (NW 1/4 SE 1/4 18 T30N R19W) St. Croix National Southern Estates Parcel No: 18.30.19.1450 1.) Alt BM Description = t / e�c� C OJ eye, C- Z Co Je S S 2.) Bldg sewer length = (p - amount of cover 7 _r Plan revision Required? Yes No I U co se other side for additional information. -]- Date -1 -- - 1. In gnat -- ;wrt No. SBD -6710 (R.3/97) . Saf r(608) - 315 , Buildings Division County l V isconsin 201 W. M p Sanitary Permit Number (to be filled in by Co Department of Commerce 266 1 2006 State Plan L Sanitary Per do D. Number 4)4 In accord with Comm 83.2 1, Wis. Adm. n rmi�l1w vide may be used for secondary purposes Pn sI5.Q O 1X COUNTY Project Address (if different than mailing address) I. Application Information - Please Print All Information A 1 ,5 3 r� ��- Property Owner's Name Parcel # Lot # Block # 4,0 Vvzz 11 - -_91 7-2 ZZ" et Property Owner's Marlin Address Property Location ,� l ' /. Section City, State Zip Code Phone Number circle qpe) / i / 5v T N; R E or� II. ype of Building (check all that apply) C) j ;(5 Subdivision Name � 1 or 2 Family Dwelling - Number of Bedrooms ��/ "(& I ❑ Public/Commercial -Describe Use t -01 El State Owned - Describe Use Z b� l� 4 G e CS ❑City ❑Vil aownship of III. Type of Permit: (Check only one box on line A. Complete fine B if applicable) A. New Sy ❑ Replacement System ❑ Treatment/Hoiding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal El Permit Revision El Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a 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 01,eaching Chamber p. p Gravel -less Pipe ❑Other (ex Lain) V. DisversaVrf reatment Area Information: i s' Design Flow (gpd) Design Soil Application te(gpd fj Disp� Area iced (st) Dispersal Area Proposed ksf) Syst�n Elevation , ✓/ �// VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit S25 r l Dosing Chamber 6 VII. Respposibility Statement - 1, the undersigned assume responsibility for installation of the POWTS shown on the attached plans. Plum a (Print) / Plum 's S' MP/MPRS Number Business Phone Number Plumber's Address (Street, City, S te, Zip Code VIII. Court /De artment Use Onl A roved ❑ reaffivee: Sanitary Permit Fee (includes Groundwater Da Is Issu' gent Si Pp Surcharge Fee) c ( ' n ❑ Denial 1 IX. Conditions of Approval/Reasons for Disapproval�� SYSTEM OWNER: 3� alp C�e0.- Vie' t. Septic tank, effluent filter and dispersal cell must all be. services / maintained n per management plan provided by plumber. Z AN eelbtck requiremer is must be mainWned NR pK epic" cods / ordUttnoes. Attach complete plans (to the county only) for the system on paper not less t 81/2 x 11 inches in size CRTI_FZQR fR n m1) Q q � C �41 - 411 M M I `j � � v ,3 -a r t 1457 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service Inc. 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 and percent slope, scale or dirnemsions, north arrow, and location and distance to nearest road. Parcel I.D. Pe ding Please print flh4n1QjV"a#en • ° ° --1 Revie By Dat Personal information you provide may be u for secu >4gc urpoce3rF.", s. 15P4 (1) (m)). ' Property Owner P ,operty Location Residential Development, lnc6PAj ' U € 6 Z004 vt• Lot na NW 1 /4 /4 SE S 18 T 30 N R 19 W Property Owner's Mailing Address L t# Block # Subd. Name or CSM# 8929 Aztec Dr. 10 na St. Croix National Southern Estates City State Zi - j City _j Village 0 Town Nearest Road Eden Prairie I MN 1 55347 952 - 9346238 1 Somerset I Cty Rd V 11 New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Knolls of pitted outwash Flood plain elevation, if applicable na General comments and recommendations: Conventi system, system elevation 92.75ft. Trenches spaced and depth to code 5 below grade. Boring # I Boring 16 Pit Ground Surface elev. 98.10 ft. Depth to limiting factor 115 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/1 none sl 2msbk mfr cs 1f .6 1.0 2 12 -34 10yr4/4 none slAs 2msbk mfr cs lvf .6 1.0 3 [ 34 -52 7.5yr4/4 none Is osg mvfr gw na .7 1.6 4 52 -115 7.5yr4/6 none cos osg ml na na .7 1.6 �l .r a Boring # Boring 16 Pit Ground Surface elev. 98.10 ft. Depth to limiting factor 115 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 1 0 -8 10yr3/2 none sit 2msbk mfr cs 1f .6 1.0 2 8 -32 10yr4/4 none scl 2msbk mfr cs na .4 .6 3 32-49 7.5yr4/4 none slAs 2msbk mfr cs na .6 1.0 4 49 -115 7.5yr4/6 none cos osg ml na na .7 1.6 of * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < mg/L and TSS S mg/L CST Name (Please Print) ature: CST Number David J. Steel 248956 Address Steel's Soil Service Inc. Date Evaluation Conducted Telephone_ Number `f /- lam Z 7/14/2004 715 - r Property Owner Residential Development, Inc. Parcel ID # Pending Page 2 of 3 3] Boring # J Boring ✓� L5 �� V1 Pit Ground Surface elev. 93.50 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 P *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -10 10yr3/1 none sil 2msbk mfr CS if .6 1.0 2 10 -30 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 30-47 7.5yr4/4 none sl 2msbk mfr cs na .6 1.0 4 47 -55 5yr4/4 none scl 2msbk mfr CS na .4 .6 5 55-120 7.5yr4/6 none 1 cos osg ml na na .7 1.6 ❑Boring # J 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # _j Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sol 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 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD -s mg /L and TSS -S 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. f Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200 St. CST- POWTSM Residential Development, Inc. Baldwin, WI 54002 Lic. #248956 NWl /4,SE1 /4,S18,T30N,RlRW Bus.(715) 684 -5680 Town of Somerset, St. Croix Co. Fax.(715) 684 -3449 St. Croix National Southern Estates, Lot 10 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1 = 40' ♦ =Benchmark Ele. 100.00Ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.60Ft Top of 3/4" pvc pipe = Borings Boring Elevations t �f3, sa� B 1 = 98. l OFt B2 = 98.1 B3 = 93.50Ft B4 = OO.00Ft 3 e�2�o 3 12, n i� I—I y e r � A. .Av. .,y .. � ��, �►� �- .a�o,� ti A Bowl PR 71 TM MOMaWN o O W N T 4 l ♦ i . -- �, IVA ST. CROIX COUNTY .SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer _ �) (-'"r_' Mailing Address 6316 50 ,"64s 1 - � bclLl y OZ� L-o� Property Address �a A (Vrril'icatiun required from 1'IanuiuE, & Zoning Department for new consu action.) City /State 5owt-e+zaeT Parcel Identification Number _ 032 21"12 ` 000 LEGAL DESCRIPTION Property Location _N / 55_ ! / , See, _Z8 , T . 3 • N RI_W, Town of _50M6 l Subdivision fl' SO - �NE,�i� �S�IA ►�s , Lot # . T . L� X 1�4ta��o �L.., _�. • Certified Survey Map # , Volume , Page # _ Warranty Deed # r 16—eg Voltune�� T , Page It Spec house yes no Lot lines identifiable yc uo 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 tluee years or sooner, if needed, by a licensed pumper. What you put intu 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. I /we, 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 your expiration date, 1 /wc certify that all slitivn eats on this lurni are tree to the best ol'rny /our knowledge. 1 /we am/arc the owner(s) of' the property described above, by virtue of a warranty deed recurded in Register of Deeds Office. Number of bedrooms 3 / Zri / ob SIGNATURE OF APPLICANTS) 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) POWTS OWNER'S MANUAL & MANAGEMENT PLAN _Page_ of r-2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner : Septio`Tank Capacity ga l Q . / Permit # Septic Tank Manufacture ,; �, ,, �� ,•:❑ Nk DESIGN PARAMETERS Effluent Filter Manufacturer D Nk Number of Bedrooms ❑ NA Effluent Filter Model ❑ Nk Number of Public Facility Units NA Pump Tank Capacity al dN/ Estimated flow (average) al /da Pump Tank Manufacturer eTi�l< Design flow (peak), (Estimated x 1.5) g al/day Pump. Manufacturer - 2 NA Soil Application Rate J 7 al /day /ft2 Pump Model ZI N/- Standard Influent /Effluent Quality Monthly average' Pretreatment. Unit 0 Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODO 5220 mg /L ❑ NA ❑ Mechanical Aeration 13 Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) _ _ ...❑ N/ Biochemical Oxygen Demand (BOD,) 530 mg /L yj I In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L XNA ❑ At - Grado ❑ Mound Fecal Coliform (geometric mean) 510" cfu /100,111 ❑ Drip - Line ❑ Other: Maximum Effluent Particle Size Y in dia. �❑ NA Other; ❑ Ni- Other: ❑ NA Other; ❑ Ni- Other: . *Values typical for domestic wastewater and septic tank effluent. � ❑ Ni- MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of-tank(s) At least once every: —?: month(q) ear s) m (Maximu 3 years) ❑ NP { 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 1:1 month(s) Vyear(s) (Maximum 3 years) El NI-- Clean effluent filter At least once every: month(s) ❑ NP year(s) Inspect pump, pump controls & alarm At least once every; ❑ month(s) ❑ jNA year(s) i Flush laterals and pressure test At least once every: ❑ month(s) ANA _ ❑ year(s) Othe: ❑ month(s) At least once every: ❑ year(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 certification Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tan inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leak 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 pondin of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and,`requires th 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 entir contents of the tank shall be removed by a Septage Servicing Operator and °disposed °of° in- accordance with chapter NR 11: 1 Wisconsin Administrative Code,, ;. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components pretreatmer, units, and any servicing at intervals of 512 montns, shail be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory autnuoty within 10 days of completion of any service event. Page or START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) 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 Nill 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 calls. 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: • AN 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 situ evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tangy . 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 INSTAL R r POWTS MAINTAINER Name ,' Name Phone _ Phone r , SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone — a117 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.640), (2) & ( 3), Wisconsin Administrative Code. e 1 4728 l` ` U .i 2 9 4 7 P FJ 2 2 `f KATAI - H. VALSH REGISTER OF DEEDS ST. CROIX CO., VI RECEIVED FOR RECORD STATE BAR OF WISCONSIN FORM Z- 2000 12/21/2005 10:30AN WARRANTY DEED VARRANTY DEED Document Number I EXEMPT # THIS DEED, made between Residential Development, Inc., a REC FEE: 11.00 TRAKS FEE: 420.30 Minnesota Corporation, Grantor, and Brad P. Palmer, a single person, and COPY FEE: Charity L. Helman, a single person, as joint tenants, Grantee. CC FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee PAGES: 1 the following described real estate in St. Croix County, State of Wisconsin: Lot 10, Saint Croix National Southern Estates, Town of Somerset, St. Croix County, Wisconsin Recording Area N and Return Address: F.dinRealty Title, Inc. 6a-,, 400 S. ad St. — Suite 115 n 0 Exceptions to warranties: Hudson 54016 T Easements, restrictions and rights -of -way of record, if any. 488795 b 5ce c14. Ld l S�OIO 032- 2172 - 10-000 Parcel identification Number (PIN) This is not homestead property. D ed this 7 of e "Corporation R siden evelopmen Inc B Ric D. Murry President • s AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF 1 M l; S o l ) C COUNTY. ) ss. authenticated this 7th day of December, 2005 Personally came before me this 7th day of December, * 2005, the above named Rick D. Murray, President of Residential Development, Inc., it Minnesota Corporation, to me TITLE: MEMBER STATE BAR OF WISCONSIN known be the person(s) who executed the foregoing (If not, and ledged th same. authorized by § 706.06, Wis. Stats.) O THIS INSTRUMENT WAS DRAFTED BY s Peterson, Fram & Bergman — Steven H. Bnms 1ic, S of 0 50 East Fifth Street, St. Paul, MN 55101 My commission is permanent. (If not, state expiration date: ) (SigtuiWros may be authenticated or acknowledged. Both are not necessary.) J Pk 'J') 31 ,)o 10 'Names of persons signing in any capacity must be typed or printed below their sigoawre DAWN D. PISTULKA NOTARY Kmc- ilArlESM My Comm. Exp. Jan. 91.2410 WARRANTYDEED STATE BAR OF WISCON at A 0 0 J t Y � ` J CA in M -4 D ''� g o y •' u r a W' `~', `CJ`, o c co � C7 I j m t Ln LA i 1 c �; 1e rr a s cn m Ln N F i I z s - [d dbp O rn g o 0 c— i Q e x' 0 n � '.4 Z N Q O ti ,,Q Cam] p r--1 0 w on° � � N � zo O mP En z Parcel #: 032-2172-10-000 04107/20P 3 AGE 10F Alt. Parcel #: 18.30.19.1450 032 - TOWN OF SOMERSET Current [X_1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/29/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - PALMER, BRAD P BRAD P PALMER C - HELMAN, CHARITY L CHARITY L HELMAN 836 PLUM TREE LN SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 355 153RD AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 5.481 Plat: 10/32 -ST CROIX NATIONAL SOUTHERN ESTATES SEC 18 T30N R1 9W PT NW SE ST CROIX Block/Condo Bldg: LOT 10 NATIONAL SOUTHERN ESTATES LOT 10 (5.481AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 18- 30N -19W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 12/21/2005 814728 2947/224 WD 09/29/2004 775659 10/32 PLAT 06/23/2004 766745 2602/04 WD 01/03/2002 667040 1805/630 WD more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.481 99,700 0 99,700 NO Totals for 2006: General Property 5.481 99,700 0 99,700 Woodland 0.000 0 0 Totals for 2005: General Property 5.481 99,700 0 99,700 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