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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 506151 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)J.
Permit Holder's Name: City Village X Township Parcel Tax No:
Sittlow, Jerry Somerset, Town of 032 - 1013 -90 -000
CST BM Elev: linsp. BM Elev: BM Description: Section /Town /Range /Map No:
9 , 719 Q - Z C S j 05.31.19.78
TANK INFORMATION n ELEVATION DATA
TYPE MANUFACTURER WL CAPACITY STATION BS HI FS ELEV.
Septic � � � � 3 � Benchmark
1�•.. /zoo S, � 9r 7
. 8
Dosing ` AS 163, (P BM I
Aeration Bldg. Sewer
Holding St/Ht Inlet �• SS 17
TANK SETBACK INFORMATION SUHt Outlet �p . 9 • 7
TANK TO P/L WELL 5 LD . Vent to Alr Intake ROAD Dt Inlet
Septic ��/ Dt Bottom
y SC .`�
Z� 3
Dosing A Header /Man. 1 7 . 4 y4, • Z.
Aeration o Dist. Pipe 7. 1 9(. • Z
Holding Bot. System
PUMP /SIPHON INFORMATION Final Grade 3 • Z. /
Manufacturer Demand St Cover
to
Model umber ; 1 I 5 Z
TDH Friction Loss ISyste m Ft to C,L
i
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ^Z 143
SETBACK SYSTEM TO P/L BLDG I WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION L (� CHAMBER OR , -���•, o �
T Z O I�SJt2J�r A (/1 . (� UNIT Model Numbe J`
DISTRIBUTION SYSTEM /�J I�V 2 � Z Z Header /Manifold i 1 Distribution i x Hole Size x Hole Spacing Vent to Air take
' Pipe(s) fc
Length Dia Length Dia Spacing w i�
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only ,
Depth Over / Depth Over j xx Depth of j xx Seeded /Sodded _F Mulched
Bed/Trench Center ` Bed /Trench Edges '111_� Topsoil � Yes d No j No
J .
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: ! 25 1o 7 inspection #2: 1 /
Location: 23240th Street Some et, WI 54025 (NW 1/4 SE 1/4 5 T31N 19W) 40 acres Lot Par 1 No: 05.31.19.78
�4�fi �(1a � .'� Z IN.�ICS G1,.,d : ry 1•- C. c.e..s e �.
1.) Alt BM Description = f�5 hO�JRSti
2.) Bldg sewer length = 71g f ! G
- amount of cover = ���^• 3 `7
Plan revision Required? Yes No - -`
Use other side for additional information. !{� O FT
Date Insepct 's Sig ure Cert. No.
SBD -6710 (R.3/97)
4e 2,q`f &3 2 --
cOmrnerce.Wi.gov Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162
i seo n s i n Madison, WI 53707- 62 Sanitary Permit Number (to be filled in by Co.)
� so � s�
Sanitary Permit Application ., State Transaction N umber
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appro to gov ental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -own PO roject Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide may be used fo on Z '�
purpo in accordance with the Privacy Law, s. 1 5.04 I m , Stats.
I. Application Information - Please Print All Information
Property Owner's Name RE Parcel #
�e C,1 � i � p a3a- i6/3— �'o - ago
�
Property Owner's Mailin ddress , l� D R 2 Property Location ( Z_ b 0 `10th ( r Govt. Lot
City, State Zip Code S jq QW y, S � %., Section
S (m� j �o �r circle one
TN; R Eo
' ' /
II. Type of Building (check all that apply) Lot #
r 2 Family Dw lling - Number of Bedrooms Subdivision Name
6 � VP hflu'� Block# /
El Public /Co - Describe Use " N/ ❑ City of
' CSM Number ❑ Village of
❑ State Owned - Describe Use
wn o fl� /nn. O�
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A ' w System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision El Change of Plumber FC]Permit Transfer to New
Before Expiration
IV, jCyp of POWTS S stem/Com oneut/Device: Check all that appl
n- Pressurized In- Ground ❑ Pressurized In- Ground At- Grade ❑ Mound > 24 in. of suits le soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank El Other Dispersal Component (explai catment D vice (exp
V.
Dispersal/Tres ersal/Treatment Area Information:
J r l
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dis c al Qpea l rred (sf) Dis ersal Area Propose lon /
t� ` '.`7 1* C.
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units o e v d y
New Tanks Existing Tanks
tAY a V m y rn w C7 a
Septic or Holding Tank
Dosing Chamber `
VII. Responsibility Statement- I, the undersigned, assn onsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber' ature MP/MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip Code)
II. un /De artment Use Onl
Permit Fee Date Issued Is mg gs tgna
pproved ❑ Disapproved
❑ Owner Given Reason for Denial
IX. Conditions of Approval/Reasons for Disapproval �7 �Q .,. �, . - y,�t�Q/JL (/`i
SYSTEM OWNER: o 1 � ' G� a�
1 Septic tank, effluent filter and Z t'Ol �t-� 1T�-tLt.t . GL
dispersal cell must all be serviced /maintained Q
as per management plan provided by plumber. / 9 OIL( le
2 , pee ans or a system e4o mi n t y on per not less than 8 1/2 x 11 inc es 1n size
as per applicable code /ordinances. C�
SBD -6398 (R. 01/07) Valid thru 01/09
tPFLOT PLAN
PROJECT Jerry Sittlow ADDRESS 2360 Somerset Wi 54025
NW 1/4 SE 1 /4s 5 � W TOWN Somerset COUNTY ST. CROIX
4/21/07 BEDROOM 4
MPRS Shaun Bird 226900 DATE 11
CONVENTIONAL XXX IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 126 61 LIFT TANK SIZE DOSE TAN
HOLDING TANK SIZE LOAD .7 ABSORPTION AREA 911 # of cha ers 45
hL BENCHMARK V.R.P. top of large boulder ASSUME ELEVATION 100'F11terBE Filter /Polylok
❑ BOREHOLE WELL *H.R.P. Same as Benchmark
Well is to meet a'tf'
setbacks required by SYSTEM ELEVATION 93.7/93.5 4.5' below qrade
WDNR
Alternate Benchmark Top of 1/2 pipe c 97.8'
1320' Property Line
to 40th St.
ro
Plans Designed Using Accesso
Conventional Powts uidlin 250'
Manual Version 2.0 GP
Scale is 1" = 40' 1 2
unless otherwise 10'
3s 300'
noted
40'
B -3 2 -3�' X9aLC' ells with
>3' Spacing
� 1
Vent 2% Slope rr►in ►v y� J
>6 „ Quick4 Standard -W B -1B M
of Cover Leaching Chamber Atl.B.M.
with 20.0 ft2 of Area 10 10
12" 5.8ft ^2 /pair of end cap
4' Long 20
34" Ge
ra at System Elevation
20'
ST
Pro 4
Bedroom e"
House
1320' Property Line
i
AT1 LOT PLAN
PROJECT Jerry Sittlow ADDRESS 2360 Somerset Wi 54025
NW 1/4 S E 1/4s 5 //R I' W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 4/21 BEDROOM 4
CONVENTIONAL XXX IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 126 61 LIFT TANK SIZE DOSE TAN
HOLDING TANK SIZE LOAD 7 ABSORPTION AREA 911 # of cha ers 45
IL BENCHMARK V.R.P. top of large boulder ASSUME ELEVATION 100 Filter BE Filter /Polylok
❑
BOREHOLE ( *H,R,p, Same as Benchmark
Well is to meet atf'
setbacks required by SYSTEM ELEVATION 93.7/93.5 4.5' below grade
WDNR
Alternate Benchmark Top of 1/2 pipe @ 97.8'
1320' Property Line
to 40th St.
0
Plans Designed Using Accessory
Conventional Powts Buidling 250'
Manual Version 2.0 0 GPD
Scale is 1" = 40' S B _ 2
unless otherwise 10'
noted 35' 300'
40'
B -3 2_ 3 X 9(L' Cells with
>3' Spacing -�-�
Vent r 1 2% Slope
dr�ih i' ism ! J
> 6„ Quick4 Standard -W B -1 * B M
Leaching Chamber AtI.B.M.
of Cover with 20.0 ft2 of Area 10' 10'
12 „ 5. &ft ^2 /pair of end caps
Lo ng 3471
Grade at System Elevation 20'
20'
ST
Pro 4
Bedroom
House
1320' Property Line
ST. C
ROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer 0f -S f
Mailing Addrewy YO
Property Address
erification required m Plan Zoning Department for new construction.) n & Z 9
City/State Parcel Identification Numbe
LEGAL DESCRIPTION
r Town of
Property Location � /a , � /a ,Sec. T N R ,
Subdivision
� /5� ���� , Lot #
Certified Survey Map # _ , Volume Page #
/ ,
W Deed # ��� ,Volume/ ,Page #
Warrant
Spec house yes Qo Lot lines identifiable no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION /r .ap Yd?.Lae �L .
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site
wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
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 year expiration date.
we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the
property d scribed above, by virtue of a warranty deed recorded in Register of Deeds Office.
�:L ZgJ-!?�
SIGNATURE OF APPLICANT(S) DATE
* * Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08105)
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
g Y q P
en
Plan
it r e alternate area and install new
Option #1 If system fails, determine cause of failure e, use sys em in tested replacement area.
Option #2. Install system at a lower elevation, by removing chambers, removing biomat,
and install new system.
Option#3. No adequate area is suitable for replacement area, and system elevation
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715- 386 -4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
r
Wisconsin Department of Comme SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
r nce Comm 85, Wis. Adm. Code
Attach complete site plan on pa of less than 8 1/2 x inches in size. Plan must County
include, but not limited to: vertical anUTMmWlw4rence point (BM), direction and P I.D. O l _� �
percent slope, scale or dimensions, north arrow, and I n and distance to nearest road. , �
Please print all information. R ewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.D4 (1) (m)).
Property Owner Property Location
J(' r n Govt. Lot / 1/4 �1/4 S T / N R ' �b E (or
Property Owne ailing Address Lot # Block # Subd. Name or CSM#
U'
City State Zip Code Phone Number ❑ city ❑ Village MTown Nearest Ro d
6-New Construction Llse� Residential mberRE t u j E a derived design flow rate �l� GPD
❑ Replacement ❑ Public oypoT rnercial - Describe:
Parent material O G FI Plain elevation if applicable ft.
' General comments r �
and recommendations: � J Ge
ST, CROIX COUNTY y
System Type SlAtern Elevation ! 3 3,
a Boring # pE] Boring
Pit Ground surface elev. ft. Depth to limiting factor �a� in.
Soil Appl ication 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 # 0 Boring q
Yom. pit Ground surface elev. 17' ft. Depth to limiting facto in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
zL
C/ s"
1
i
Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 11 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) lure CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 -- ��— n 7 715 - 246 -4516
Property Page of
Owner _ Parcel ID #
Boring # Boring J r 1
it Ground surface elev. [ v ft. Depth to limiting factor �� in. mil 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) rV_ -
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
C] Borin Boring # Ground surface elev. ft. Depth to limiting factor in.
El pit Soil Application Rate
Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 •Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:E 150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS < 30 mg/L
l i
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.
SOD-s330(RAW)
II I
Soil Test Plot Pla
Project Name Jerry Sittlow S n Bir
Address 2360 40th St.
Somerset Wi 54025 TM #226900
- - - - -- - - - --
Lot Subdivision --- Date 3/18/07
NW 1/4 SE 1/4S 5 T 3 N /R W Township Somerset
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Large Boulder
System Elevation 93.5/93.7 *HRpSameasBenchmark
Alternate Benchmark Top of 1/2 pipe @ 97 .8'
1320' Property Line
to 40th St.
ro
Accessory 250'
Buidling
Scale is 1" = 40' 0 GP
unless otherwise 99' B -2
noted 35' 300'
40'
B -3 3D/
2% Slope
B.M.
B -1 10' 10' �Ad.B.M.
98'
Pro 3/4
Bedroom
House
1320' Property Line
4
I - -
00<_ No. ST k'r 13AR OF WISCONSIN FORM 3 - 1982 T..s as <ce rsESCaYEO roR rECOrso no owTw
QUIT CLAIM DEED _.
-- -- ! dT CRCIX Co., , vVI
Ter D Sittlow, a sin le rson,
--- ------------------------------------------
--............................... - - 1. MAR 1 7 1994
- -- --- - - - - -- - --- - - - - -- - -- . - - - - -- •-- '- •._._. ----- - - - - --
-------------------- - - - - -- - - - - -- �' a ` i 10:15 A. h
quit - claim's to - _Jerry D. Sittlow and Colleen A. C ----------------------
a `I
�__�oint tenants, nts, with rights of survivorshi ,
dot, -- One - Dollar - and . arher valuable consideration,
- -
--- ----• - -' - ----- ' ----- --' --- -- - -- --•-- --------------- ...
the following described real estrte in _..__... ..._S1; rQl$ . .............. County, li..._ ''
State of Wisconsin: �� RF... ro
rl
N� AI Y
Tax Parcel No: ..............................
The SE; of the NEI.;Qthe NI, of the SEA of Section 5, Township 31 North,
Range 19 West, Town of Srxnerset, 3t. Croix County, Wisconsin.
lfi
This 13 ............... homestead property.
<is) riaacx9t4t March
Dated this ...... .. - ...... _. ... ... day of ......_ - .. _...._..._ ................ 19.94...
(
. - ... .- _..._ .... .-- - '- --- ---- --- - "
---- .....- ..(SEAL) �`— - •- r��J -�< - _ (SEAL)
t7er1 Sittlow ..................
....... ' ' . . (SEAL) -' . .................. ...........•-•-• ---...... (SEAL)
_ -
...................... ..'- --......._............__....... _..
AUTHENTICATION ACHNOWY UDGMENT
Signature (s) - _____ _ ..... STATE OF WISCONSIN
ss.
Polk
-
---- ------ -------------- ------- ---- - -County. ,
authenticated this __.__-_.day of ----------- --- -- --•- _.._.. 19 -_____ Personally came before me this - -- --- _day of
March .- -------------------------------- 19_P4___ the above named
Ter - _ D._Sittlow. -. si le - _
............
. .................. •• - - - -- •-- -.-- -- -- -- -------------------------------------- • ------------------------------------------ --------------------------.-------
TITLE- ME.%YBER STATE BAR OF WISCONSIN ----_- ------- ------ ...--•_-----_--_---.(If not, -• ................... ............---" ..........._.........
authorized by § 706.06. Wis. Stats.) to me known to bea- jiq _._._.._...- who executed the
foregoing instru ;it1a .&rid acknowledge the same.
THIS INSTRUMENT WAS DRAFTED HY : t titi i
Bruce P. Anderson, ANDERSON & SCHNEIDER -. --.- --- -'---'--'----------..
Balsam Late, WI 54810 , p,.s,: -- Polk
,.'...
(Si,;natllres mny he authenticated c.r acknowledged. Both �t?ommEssi�i�is not, state expiration
ere n,t nccosarp
R
gU1'r CUA1M DEED tiT%TV fIAll ( ?F' lt'IG('(1 \�1\ ll •.�..;, -:in T -c n! Il:nnk ('n. ln�.
W"' IOn 7 \n. .l — 1,r2 \I •: ro.. w•c.
i
(ill 6 IIII f I�III (I�II l� III III
Uucw ncnr �um 862829 6cr Document KATHLEEN H. WALSH
REGISTER OF DEEDS
St. Croix County ST. CROIX CO., WI
RECEIVED FOR RECORD
Occupancy Affidavit for a single POWTS 10/22/2007 01 :30PH
servicing Two Dwellings via Private Interceptor Main AFFIDAVIT
EXEMPT 11
J y S1 rr L6IN y REC FEE: 11.00
Name — (Owner) Typed. or printed PAGES: 1
being; dull sworn . states. under oath, that:
1. He /she is the owner /co -owner of the following parcel of land
located in St. Croix County, Wisconsin, recorded in Volume I
Page 3 && Document Number 5 St. Croix County Register ,!
of Deeds Office: Recor4ling Area
A arcel of land located in the ``� t t Name and Retur t Ad r ss
p N 1�l /4 of the � /4 of Section � gall► -y�' � ��� t ,✓
T _ N — R ` W, Town of SO k" E RseS r � qd a -s
St. Croix County, Wisconsin, being duly described as follows t i iZS
(inciudc lot number and subdivision /CSM or detailed legal
description): Parcel Identification Nunlber(PIN)
T� e SE t ry of Tr -, 1J� % -4. IJ %z �� �^¢ S E %4 o � Sufi d 5 /
7w.�sllt° 31 5e /c/ W- �aWn o Sorr,Prset� S.�.C,o,,1r Co�.� - A "kV
t
As owner of the above described property, I acknowledge that a Private On -site Wastewater Treatment
System (POWTS) serving the primary residence is sized for _ bedroom(s) with a design wastewater flow
of kW gallons /day. (DWF calculation based on 150 gpd /bedroom @). 2 persons /bedroom). Two dwellings
will be connected to the POWTS via Private Interceptor Main Sewer (PIMS) in compliance with Comm
82.30(12). A maximum of g occupants are permitted. There are currently a total of __ occupants in
these residences, therefore the POWTS can be considered code - compliant at this time. However, I
understand that if the number of occupants exceeds the maximum for POWTS design, the system will be
undersized to accommodate any increased wastewater flows and/or contaminant loads and may be subject to
premature failure. I also acknowledge that I will disclose this information to any parties interested in
purchasing this property in the future.
Dated this _Z day of (�j G 7 Dd7
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
)ss.
St. Croix County. )
authenticated this day of Personally came before me thi day of
'70 7 the above named
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to be the person(s) who executed-Qie fgr%ling
instrument and acknowledge (yesame,
Authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
Sondra }fu u►
je- YY7 ry w
i
r— Notary Public, State of Wisconsin
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Date: �C�n�t r 3/1 �
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Parcel #: 032 - 1013 -90 -000 10/18/2007 08:19 AM
PAGE 1 OF 1
Alt. Parcel #: 5.31.19.78 032 - 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 - SITTLOW, JERRY D, & C CHRISTENSON
JERRY D, & C CHRISTENSON SITTLOW
2360 40TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): ` = Primary
Type Dist # Description
SC 4165 OSCEOLA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: NIA -NOT AVAILABLE
SEC 5 T31 RI 9W 40A NW SE Block/Condo Bldg:
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
05-31N-19W
Notes: Parcel History:
Date Doc # Type
07/23/1997 QC
07/23/1997 69/365 WD
07/23/1997 88
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 40.000 1,700 0 1,700 NO
Totals for 2007:
General Property 40.000 1,700 0 1,700
Woodland 0.000 0 0
Totals for 2006:
General Property 40.000 1,700 0 1,700
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