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034-1085-10-000
Parcel #: 034 - 1084 -40 -025 12/18/2009 04:51 PM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.556B -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O- JOHNSON, CANDACE LOU CANDACE LOU JOHNSON 2932 73RD AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ' 2932 73RD AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: 01 -055-HERSEY VILLAGE & LANDING LOTS 034 -188 SEC 28 T29N R15W W 1/2 BLK 9 VIL HERSEY Block /Condo Bldg: ALSO PT OF ABANDONED 74TH AVE Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 05/01/2009 894559 WD 12/12/2008 885406 JDGMNT 06/23/2008 877211 TI 10/15/2003 743686 2435/581 MISC more... 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 6218 22,600 Valuations: Last Changed: 08/31/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 7,200 17,100 24,300 NO 00 Totals for 2009: General Property 0.000 7,200 17,100 24,300 Woodland 0.000 0 0 Totals for 2008: General Property 0.000 8,000 17,050 25,050 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 112 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n ■ o c m 0 e . k A � 7 Cw) ® ƒ £ ƒ ° A 2 £ § 7 / E f / £ q - 9 ■ � E [ Q \ � t § /§§ c °® E E f ! o U E g § x a © / ® §f CL 3 5 = \ \ 2 q � CD 4 G K. / § § § E C § ' Z ;x ic V { o o o \- ` $ § ) § § j / I � / 2 � f <D \ � / > > o o � \ / C � \ � / ^ 7 _ ■ k z . cn z : Q e 0 ca � ) d m 0 ] ` _f k 2 CA . �% � / § n F R i / \ } 2 � ¥ � ■ � 2 % . A : G § § \ \� �4 Parcel #: 034 - 1085 -10 -025 06/24/2005 11:40 AM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.559A -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner WESTLEY & MAXINE JOHNSON ' JOHNSON, WESTLEY & MAXINE 2934 73RD AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2934 73RD AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N RI 5W LOTS 1,2,3, & 4 OF BLK Block/Condo Bldg: 12 VIL HERSEY ALSO PT OF ABANDONED UNION ST & 73RD AVE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 10/15/2003 743686 2435/581 MISC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07109/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 3,950 14,750 18,700 NO Totals for 2005: General Property 0.000 3,950 14,750 18,700 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 3,950 14,750 18,700 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 0 Vl p 3 m n u n a t CD --4 t2 Vi N O . j l�l • CZ 3 N (n �)• (b M. N _ ►r O a z d N .,. W N L] O r N `- O �. C) N CO 0 N U� O C N m W N A TID p o cn c( o D N CD rn c _ o c O 0) O W lo t �� j o D a"r 0 m a� O y o o N `v_ e. v v "0 o N N N IV CD ro m ° 00 CD q h a m v J x o m ' 0 CD N• N 3 CD D co o a m ( (D �� CD 7D cf) CD fll C �tA C CD V D CL 3 CD -' i N O A z A ;o a F ' Z 0 Z N CO 00 CD m co C � z 3 A o C/) o o .. 3 � � N � CD A W p') N O (A _{ CD N N 2 CD C CD O C 3 0 . C/) FD' CD v c v o C/) a CD a ?� N 0 O W j =r ^7 A 77 C: 5'6 N 77 Ln 7 N q d S 47 cr (Q b, CD CD (n (D Co N CD N N O _A 0 O N p n .p CD yj iv 69 Y O b CD O (D � - T Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division . a INSPECTION REPORT Sanitary Permit No: 408244 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s. 4 (1)(m)]. 6 ��. Permit Holder's Name: City (LIl_aqO X Town i Parcel Tax No: Johnson, Westle H. 034. 1085 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �'� [ J _ / Benchmark VS. o Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > t (�� Z to f `J Dt Bottom Dosing t Header /Man. > 5a Aeration \ Dist. Pipe O 3c' Holding Bot. System 3.10 99 s- Final Grade I fiG PUMP /SIPHON INFORMATION Manufacturer , ^ Demand St Cover t �lJ�✓ GPM Ea Model Number _ 'o TDH Lift Friction Loss System Head �+ f TD ;�� Ft ,Cja Forcemain Lengtp t Dia. u Dist. to Well ID 1 2 SOIL ABSORPTION SYSTEM .� BEDITRENCH Width r Length 1 No. Of Tr PIT DIMENSIONS No. Of Pits Inside Dia. Li DIMENSIONS G ( �� SETBACK SYSTEM TO P/L JBLDG IWELL ?LAKE /STREAM LEACHIN Ma cturer: INFORMATION CHAMBER O Type Of System: 1 i UNIT + l g ` 1 DISTRIBUTION SYSTEM Header /Manifold N Distribution t �� x Hole Size t f x Hole Spacing Vent to Air Intake Length I' b Dia 2 Length Z .SD DiaJ� Spacing ___ _ 6 3 11 e , J " " 20' ::1 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of 1 xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil t C Yes EX] No Do Yes LJ No COMMENTS: (Include d encies, persons present, etc.) Inspection #1: 1 2- Inspection #2: Loca on: 729 294th Street Wilson, WI 54027 (Unknown 28 T29N R15W) Unknown Lot 1 & 2 L Palgelt 28.29.15.559A 1.) Alt SM Description , S•T, N^"'�°�''- c..,., } �, Et�l�' $ � �� ` o r d'f' 2.) Bldg sewer length= - amount of cover = nA 3.) Contour = �s•$0 a / Pi� S� I n revision Required? dal Yes I No 2/ Use other side for additional informatrSn. � � _ ;_ _ 7 _— SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 N viicohsin Madison, WI 53707 - 7162 Site Address C Department of Commerce 7 - O 3 S3` A S_{ Sanitary Permit Application S anitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for second privacy Law, s15. 1)(m) C1 ' Check Revt ioa I. Application Information - Please Print All Information State Plan I.D. Number 2 Property Ow is Name H Parcel Number J ft-k . : a Property Owner's Mailing A ress Property Location 1- , City, State o Sf ; S TA N, R IS ty• Zip Code Phone Number Lot u;nber 'Block N ben Subdivision Name CSM Ntunber so y\ t l) 5 4 15 - 17), - II. Type of Building (checl4all that apply) ❑€w X 1 or 2 Family Dwelling - Number of Bedrooms _ -1 Village r ❑ Public /Commercial - Describe Use ---- ❑ State Owned Nearest Road . , M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. I ❑New 2 Replacement System 3 ❑ Replacement of FEng dition to For County use S stem Tank ON System B• ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that ay)(numbering scheme is for internal use) 44 ❑ Non - Pressurized In -Ground 2 Mound �(� �)c 5 47 ❑ Said Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Pis ersal/Treatment Area Information: " 33 Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min./Inch) Elevation • x.75 % VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or H Dosing Chamber X f 4 VII. Responsibility Statement- I, the and geed, assume ponsibility R InstgWon of the POWTS shown on the attached plans. Plumber's Name (Print) 's Signature MP P Number Business Phone Number Plumber's Address (Street, City, Sta , Zi ) 7 Is MIS 5 /sSYOg VIII. Count /De artment Us Ottl Approved ❑ Disappro Sanitary Permit Fee (includes Groun ate Date Issued Issuin gent Signature (No Stamps) Surcharge Fee) ❑Owner Given Initial Adverse , -se- � Z-3 0 Z Determination .fY y � IX Conditions of Approval/Reasons for Disapproval 1. The setback to the private water main shall be maintained consistent with table 83.43 -1 (10 ft. to all portions of septic system). S acks to tl ie mound shall be measured from the toe on the downslope side and from the rock cell on the upslope and sideslopes. 2. Effluent filter to be maintained per manufacturer's recommendations. Attach complete plan (to the County only) for the system on paper not less than $1/2 x 11 inches In size SBD -6398 (R. 05101) _ t i ; t f � , t ., ? I 66 t4 9 LA 7 t ; y i _... �..;_ � r��. �.-._ ._ .� ` � -"--•_ - i tom'-- C.i.___. _._._.. _.......+- ...... �._1.........._i._.._... -� i � ' ^_`. #—.._. �?. ".�.. # o C 4 E — E — Ea _ i , SE = C ORRE POT NC I i t t f 77 i ? t , Clarence Glotfelty s Enviro -Tech Systems Services t ANJ M ki All J ._—:.,..} — N4955 Sunny Hill Road Weyerhaeuser 49 haeuser WI 5 8 _ 5 i MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project �l1 ASto in �OWT Owner (Qp � p Address / SO h C.e� y0 15 - 7 7 -?- - S/ 7/0 Legal Description (�� p 2 $ T2! � �� S County S— , rp t X Subdivision Name _ Lot No. Parcel ID Number Plan Transaction Number P.O.W.T.S. Conditionally Index and title sheet Page 1 � P P V � � Mound calculations Page 2 0 Mound drawings Page 3 DEPARTMENT OF COMMERCE Pres. dist. calcs. and laterals Page 4 DIVISION OF SAFETY A 61BUILDINGS TDH and pump tank drawing Page 5 Pump specifications Page 6 4E CORRESPONDENCE Site plan Page 7 � Turn -up detail Page 8 ��6 Management plan Page 9 Designer Clarence Glotfelt n License Number 220728 Signature Phone No. (715) 868 -5831 Date Q,p c (c7�nn � e. Io 7D Page 1 of 9 RECEIVED J U' L 1 2002 DIV, MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximum design flow. Residential or commercial? (—,� �(r or c) Slope �—= Design flow rate Depth to limiting factor gpd M 2- 31 in PQ� g In situ soil infiltration rate a. j gpd/ft Contour line elevation ft Use standard fill depths? OR Design depth? Place X in box to use standard depths (24 and A +4 inclusive) OR specify design Center or end manifold Orifice density '1,7 Orifices per ft` C'i (c or e) Orifice diameter i in 0.125.0 156 0.188. 0.219. 0z5. Lateral spacing ft Use 0 lateral spacing for trenches. 0.281. or 0.313 inch only. Number of laterals Estimated orifice space .3 ft Not a final calculation. Pump tank elevation Forcemain length ft Outside bottom of tank. 0 ft Forcemain diameter in 1.5, 2, 3 or 4 inch only. ,:n Actual I.D. DIAMETER CONVERSIONS SYSTEM SOLUTIONS 1/8 = 0.125 1/4 = 0.250 Design flow rate 5/32=0.156 9/32=0.281 ®gpd 3 / 1 6=0.188 5/16= 0.313 Absorption cell 7/32 = 0.219 Application rate & area 1.0 gpd /ft2 3i� ft` Linear loading rate (LLR) Design width (A) gpd /ft Cell length (B) ft Depth of cell (F) ft Sand filter O in Upslope fill depth (D) Downslope fill depth (E) in wired in Basal area required (gpd /infiltration rate) ft l0 50 Iri P r-o iFose-c— Supporting components Topsoil depth Subsoil depth at center 3.0 in Subsoil depth at cell wall 9 . 0 in End slope toe length (K) 3 0 f Up slope toe length (J) g� ft Down slope toe length (1) S ft Total mound length (L) ° ft Basal adjustment made. Total mound width (W) _ ft ft Project: Transaction Number: PagE ;� of 1 MOUND PLAN VIEW observation pipes (typical) 1/66 — .6 ft A= C o ft c....:::::::::: ::::::::::::::::::::::::::::::: A� B = ,0 ft • :.'.'. W M J = S fit f - I B I = $ ft K = ft 1/613 = .3 ft L It typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AYB) J = up slope dimension = plowed area (LxW) K = end slope dimension 6 1. MOUND CROSS SECTION lateral topsoil G H subsoil cap D = in 3 ft E = 3 in invert C= - - - - -- - -- - - - - -- = – to F � elev. � :�::��::::::: JIF G = 6.0 in p �ASTM C33 H = 12.0 in — �- Sand Fill — E Sys. .7J ft a y elev. E 3,Q ft contour slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextite fabric. !7!g notes: c V Q n A o — h. d C' S b -I C, 3 e he, so a,r e n O S Project: Transaction Number: Pagejcfi , i Ic, abed :jagwnN uogoesuejl :}oalad ut ja;awetp utewaojod ut J I jajawetp iejale ul , - la;awetp aog!jo Ij O°£ 4l6ual Ploj!ueW ul " bl (X) 6utoeds eogpo l (g) 6utoeds leas ;e - 1 (d) 4j6u91 iejaje lejalel a4i jo wonoq a4i uo pollyp saloH S algel WWOOjad Bnld ;noueela 04 4 OAd io ulew aoioJ 3q sleiajel I+ v. Z1x�lE— X A Jo enlsn 116gXA do -wn1 = O S • d I leolwapl aie sleme 7ulod fiue ie plopuew of ssoio jo aai eln uohoauuoo utew a0j0 - ease s1gl olu1 wea6etp eqj 6ut66eip pue jy6ta le s6urMejp 9y1 jo auo ur 6up{otio Aq wei6etp iejejel }oalloo aoeld N011.03NNOD 2131N30 - Wt/NOVI0 "IVIGIVI (s)lejam b :suteiuoo welsAs uogngl.qsrd x U1 q x u! £ Jejewelp x u1 Z - papinoid uasoyo jo xoq x u1 M < suggdo eqj wojj pa.l ui X eoeldi I x u1 vii c ao►oyo auo „X„ x U1 L geae eoppuftao suo6doufteo jejewelPad!d Ja ;awElp P10jlU x Ul £ x UT Z paprno�d - jejewelp x x U1 M < suQgdo ay; woaj uasoyo jo xoq x U1 vn. � ao►oyo auo „X„ Pei ul X aoeld x ur L ;snwjeu6/sap aoroqp u6rsao suogdo u6rsaa jejewerp ad!d la ;awetp I EJa ;e� U1 - (X) 6utoeds aogpo wd6 C° ejej - sip - sAS wd6 19 -sip - lei ut Jejewelp 90111Jo 14 - (d) yI6u91 leJale saloy leaa>.ei /90gpo sle.lajel .lagwnN suotleotltoeds 1wele 141 (8) 436ua U1 VIP (d) 43P!M llao les ladsto SNouv O_IVa NounewiLsia mmSS31:id 4" /�yG VENT PZPF., 12" MIN. ABOVE GRADE. E WEATHER PROOF >_" .l0' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED i-1-4 FRESH AIR INTAKE —WITH CONDUIT MANHOLE COV W/ PADLGCK FINISHED GRADE ` �--- WARNING LAB .. MIN. pw INLET 1' WATER TIGHT T GAS- , I TIGfiT � , 4" P (o51�C < Z- -13APr - t= ZAB L A SEAL APPROVED �4 PIPE EFF- I_uc -NT -L- ALM JOINTS W /plot: Fl L l CER - B 1 V ON PIPE 3' ONTi - SOLID SOIL C 1 ��. RISER EX' D -- PERMITTED Ol IF TANK MANU FAC TUR EI HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECI SCf G% JOSE /a x � TANK MANUFACTURER: yt�, NUMBER DOSES PER DAY: qp 2(. l 6 , 9 4-- 85 8 TANK SIZES SEPTIC I GAL. n SF V0l,UML: INCLUDING DOSE �_ GAL. >� FLOWBACK: GAL. Y03, ► f ALARM MANUFACTURER: 5,-.S,. �,�� -,�, CAPACITIES: A = INCHES =�AI MODEL NUMBER: Ic(,g3 SWITCH TYPE: / B = 2 INCHES = AI PUMP MANUFACTURER: I C INCHES = •� GAI MODEL NUMBER: /�` SWITCH TYPE: , c, .11� �1+ D = (a INCHES = 95. ? GAI REQUIRED DISCHARGE RAPE 7.j GPt1 PUMP ALARM WIRING AS PER ILHR 16. 23 WP VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET + MINIMUM NETWORK SUPPLY PRESSURE 5.5 FEET + FEET FORCEMAIN X /100 FT. FRICTION FACTOR . / EET TOTAL DYNAMIC HEAD = FEET 1! INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ��j WIDTH; D / LIQUID DEPT SIGNED: - L.ICENSE NUMBER: DATE - 1/88 c� +� Mc•YLl (zoS)XYd ELS/ ���;5' �� d drvnd sze (onQl l • t czz ou (zos) OJ atl A:1 : 361 -J IM- ; Pso . 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O . i BaF , i r :.. _ _..... n. _..,...... _. i % i f i % ! ! ! ! f i— ......:.... CORRECTION NEEDED; F . ! i i E : i : E ; C 0RRE ..R ; _�__�.._O�VD�NC� : i ! i y : ' y i , i j 1 p i _.. i ! i i i ! ; p ; r A i i i z .............i._......,. i ; ! i : : f i i i IO0n i$ VA iaH Clarence Glotfelty ,_... »_. Enviro-Tech Systems & Services N4955 Sunny Hill Road Weyerhaeuser, WI 54895 1 IEJa�e u01 Inqu 4sid 1 0; sPU98 > 5ti omi JO [ < < f 06 deamS 6uo <<i(( <�< leua;eWllos ( < t < [ < < t < c < t [ [ [ < 3 3 > > > > a > > > > a s > > > Inoueelo Y 3 Y Y 3> Y! E IJ a ; W ! I OS > > >` > X08 aAlen <<<< 3 > > > > apeJE) payslul- I HeIG(I u0439S ssoaZ) do -ujn I le0idA I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. if an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution system No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBO- 19572 -P (R. 6/99)) and local or state rules pertaining to system maintence and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenc this system should be directed to your county zoning or health inspector. �lNtf( Zor�� 71S — •ci 3C,41 - VG �D e - Y��.1516PAr, 517 -TERMINATION OF DECEDENT'S 62431 1 PROPERTY INTEREST KATHLEEN H WALSH REGISTER OF DEEDS DECEDENT'S NAME ST, CROIX CO., WI MAXINE A. JOHNSON A /K /A MAXINE JOHNSON RECEIM FOR RECORD ADDRESS OF DECEDENT AT DATE OF DEATH CITY STATE ZIP 06-06 -2000 11:15 AM 2934 73RD AVENUE WILSON WI 54027 DATE OF DEATH SOCIAL SECURITY NUMBER TERM OF DECEDENT PRO EXEMPT II MAY 29 1989 395 -46 -9034 CERT COPY FEE: COPY FEE: PRESENTATION OF DEATH CERTIFICATE TRANSFER FEE: I certify that I have viewed a certified copy of the decedent's death certificate. RECORDING FEE: 25.00 PAGES: 7 REGISTER OF DEEDS SIGNATURE DATE Interest in property is terminated under (please check appropriate statute): Recording area Name and return address: X X s. 867.045 which pertains to property in which the decedent was a joint tenant,' WESTLEY H. JOHNSON had a vendor's or mortgagee's interest, or had a fife estate. '(You must provide a copy 2934 73RD AVENUE of the document establishing joint tenancy or life estate.) WILSON WI 54027 s. 867.046 which pertains to (1) property of a decedent specified in a marital property agreement, and also to (2) survivorship marital property. (You must provide a copy of the document establishing survivorship marital property.) Presentation of recorded document establishing joint tenancy, life estate, 034- 1084 -30 -000; 034 - 1084 -60 -000; survivorship marital property, vendor Interest, or mortgagee Interest in real estate. n PARCEL �ENTTFIC11T10N NUMBER This document number is 349999 volume 577 , page o� c &I on one) e�rds XX Deeds 321474 510 124 Description of the real estate. Include only the extent of ownership !or vendor or mortqgaee s interest) in land at the time of the decedents death. N the extent of land is exactly the same as on the document, a copy of that document may be attached to describe the real estate. The legal description of the property and the persons receiving the property are as follows: (If more space is needed, attach pages.) SEE ATTACHED Description of personal property (if any) being transferred. You may list savings accounts, checking accounts and securities on attached pages. Indicate person(s) receiving property. DECLARATION: I, we declare that this document is, to the best of my (our) knowledge and belief, true, correct and complete and is in confor- mity with the provisions and limitations of the Wisconsin Statutes. (If more space is needed, attach pages.) Name and Address of Person Receiving Property Relationship to Decedent Signature (Notarized) Date WESTLEY H. JOHNSON 2934 73RD AVENUE SPOUSE WILSON WI 54027 - - L STATE OF WISCONSIN, County of ST Climy This document was drafted by: �� , . , • • , . ' (print or type name below) !, • S1gned and swom to before me on 6/6/2000 by the above named person(s). Signat a ' t1giry or other person WESTLEY H. JOHNSON xauth fo aidfiinister an oath 70ti 8, 706.07) NOTE: SEE DIRECTIONS ON REVERSE SIDE.�.j, $int or type name PAULETTE ORF /A ' Wisconsin Registerd & Association Form HT 1101tv96) Title DMITY Date commission expires T / 9nnl 21516 (11/96) b 2 X474 Boor. �A�E 3 l� Me Indenture, grade two day of • �J��M , A, D.. 1l74 between Clarence C. Johnson and Edna Johnson, Husband and Wife,. s Joint Tenants, • and each in his or her own right partiesof the first part, and Wsstlsy Johnson and Maxine achnson, Husband and Wife • part ieof the second part. Wftntooetb: That the said part ies of the first part, for and in consideration of the saw of . **One Hundred and ncAOO ($100.00) Dollars** . l to them in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, he given, granted, bargained, sold, remisid, released, aliened, conveyed i and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and f' confirm unto the said parties of the second part,' their heirs and assigns forever, the following described real estate, situated in the county of St. Croix r and State of Wisconsin, to -wit: Lots 1, 2, 3 and 4 of Block 12 of the Original Plat bhereof of the Village of Hersey E !� NTT i Statt of Oidconoin, ss St. Croix County. Personally came before me, this day of JKT" — r Joseph Mentor, Treasurert Ines Dorholt, Clerk; and Richard Q. Hippauf, Trustee 7i870� �xxa�igcx of the above named Corporation, to me known to be the persons who executed the foregoing instrument, Treaaurer,_Clerk and Trustee ._ and to me known ,to be sac Yf said Corporation, and acknowledged that they executed the foregoing instrument as such oSvers as the de of said Corporation, by -its authority. John G. Nest `zi Notary Public, Pierce fir► Wis . My commissionmup* 1 a permanent, Ax&PWxxx . Drafted by John a. Nestinsen, Baldwin. W iggoneia_ Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filler cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintence and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tang. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shalt be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or removing biologically dogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your county zoning or health inspector. Zar�r� 715 - Gr °rx y 3 - G80 ! I — A } i � ' Il i i ! � � � • �-•-+- i — .• -- - �: — ! , E { ! f j l i f , i { i . »..F._w I ' ! ~t� • • 3 \ \ \��� \\ \III "' a ! + i i : , I ! ! ! dv IL 3 CC RR CTI { N IVEEpE f i �. EE ECaRRE�PO f I i ' f ! I i I t i I i 1 i f ` : i I I ; ! r , u3ne,�'s . ..... " Clarence Glotfelty Enviro -Tech Systems & Services N4955 Sunny Hill Road I Weyerhaeuser, WI 54895 - - I , Safety and Buildings -- --° t l r p 1340 E GREEN BAY ST STE 300 E • k ` i SHAWANO WI 54166 s TDD #: (608) 264 -8777 isconsin 2Q02 www•commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor L �� ��_� Philip Edw. Albert, Secretary July 11, 2002 CUST ID No.220728 ATTN: POWTS Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO -TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/11/2004 Identification Numbers Transaction ID No. 766703 SITE: Sit ID No. 64756 Westley Johnson Please refer to both identification 729 294TH St numbers, above, in all Town of Springfield correspondence with the agency.' St Croix County S28, T29N, R15W FOR: Description: Mound System for Westley Johnson Object Type: POWT System Regulated Object ID No.: 860483 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following condition shall apply to this approval: • The soil that is below the mound's basal area shall not be compacted. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. CLARENCE L GLOTFELTY Page 2 7/11/02 The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Keith A Wilkinson POWTS Plan Reviewer, Integrated Services (715) 524 -3630, Fax: (715) 524-3633, M -F 7 am - 3:45 WiSMART code: 7633 pm kwilkinson @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist (715) 726 -2544 'Wisconsin Department of Commerce SOIL EVALUATION REPORT Page L of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must i include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Q percent slope, scale or dimensions, north arrow, and location and distance to nearest road. g c �' v s i Please print all information R . wed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z I Property Owner Property Location I ) u4:H 1 - 'Z6 S n 14 au*- be 1/4 114 S T N R 5= W Property Owner's Mailing ddress 441 Lot # Block # Subd. Name or CSM# 1a- City , State Zip Code Phone Number ❑ City Village ❑ Town Nearest Road l %. 2 ( 1s) a -y7io 1-1 5 Q ❑ New Construction Use: Residential / Number of bedrooms t uC 4 e esign flow rate �, OD GPD Replacement ❑ Pub is or commercial - Describe: r Parent material C I C& FI aiyvatio ' livable / \� . .� ft. General comments / L )��[[�U and recommendations: CAUL AtYy f `s h, Boring # Boring o P \V `' F D9 Pit Ground surface elev. 95a 3 ft. �qth tq li�ni for ' o� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color ` Gr. Sz. Sh. *Eff#1 *EfffQf#2 r� �r �� 3 3 < - - , ' I C., r V r CC S oS 00 r a t.J 0 O o l -V "n Z m S ✓ hA V 0 R I 5 fv►d , o ✓ s I too SUM Boring # ❑Boring 19 Pit Ground surface elev. 7j ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 u SQL, 2e v r 1C L o s 0-0 in 3 ✓ i 11 l S — r A i - F 0 1 ' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L ' Effluent #2 = BOD < 0 mg /L and TSS < 30 mg /L CS a e (Please Print) SiqKa CST Number tl V Q�L� I Address Date Evaluation Con cted Telephone Number S4AY\VX �J; I I �a 1 0 01 IAIA 01"-s ';t/1102 7 SBD -8330 (R07 /00) Property Owner AVM Q Parcel ID # a4. 15 • 'Ss? A Page D�— of '3 Boring # j��_ ® Boring E] 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'E „ .1 8 o � C L.S 6 F-1 Boring # E] 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ❑ Boring F ❑ 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 /ftz 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 < 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 -8330 (R.07 /00) I r } ..._.. . ..... ... .. ... ... ........... ... ( is 3. ,. .....:......:.. . .... ....... .............. . '. . ................... p- -°-�.. .. .... .............. . ... .. ...... .. ... . ....... ...... .:........ ...... 6 .. ....... .. ..... ._. ..; _ . .._... ....;. ... G ......... .... :... .., .. .. .._. „ .. _ _ .. ( �) .. .. .. ...... ... ... . t ^ '........ _ ... v' Q..... �o La�2 + d u1 C .x.. . . ...... _. c�,s ..... _ .. ... ... ..... .. � � _ _. Ala. c . _ ... .. .. . . ...... ti, .. ...... .. .... I,� .�0.4 -� a� OL .......... ..... 03.3_ 917_ ... .... .. ...1..r�s-�_� ifo� .. T`—"�; _. �� (e� __ 3+ ..... ..... _...- % .... © _... ..._ _ ............. ...... r.. Q Uxr -------- ,._. _ .................... .Y, �... Q .... _ .....:. .. .... _ .... ........ _ r_..:. ..................:..._....._._ _.r _.. _..._ ' 8M _.... ence o e 4 5 a OX E ro-TTech Systems & Secvi s VIN N4955 Sunny Hill Road I S — - 7 7 2- x/71 - / D Weyerhaeuser, WI 54895 I 04ner:• Johnson, Wes Computer 034 - 1085 -10 -000 • Address: 2934 73rd Ave. Parcel 28.29.15.5596 Wilson, WI 54027 Municipality Springfield Township I Address: 729 294th St. Wilson, WI 54027 r w, Jon Sonnenfag A soil on -site was completed with Leroy Jansky and Clarence Glotfelty. It was determined that mottles were present approximately 42 inches below grade on both sides of boring 2 (Glotfelty report - 2/1/02). The mottles were primarily distinct and should have been reported by the soil- tester. An area immediately south of the trailer was determined to be a suitable site for an at -grade or mound system. However, an existing water line . _ . ............ ........ ....: ...... ... _ ; ....._ . .... Y�' 1'1 .:1 �...., - _� �.Sro?5... ._ . Lo ..._. _ yZi a ...:... _.. x �....., ya Vic.. _.. ;kq _ ..... ............ .._. j _.. .. ...... .._... A U U._--- -. 17.�s..� 4.. 'b .. ... i .._ .. �r' i .:�R..!. !_ _ . _ .... -` .... -_ ..__ ._..- — ..._ _... -- ;. �.... _.... l X�. ..- -._.. ---- ._ YhL i......_.. _ ._.. JUJ N _..... _ [ -- aT �. - _............r - -...- --- ...:.._.... - — _.. :.............__........:_. x ..__:....... ...... .... ..._ ........_.._. .... ..__._......__ _ : --- -.�ti.. - - - - _. _ I r kn r i µre _ .. Oho �G -- ... Ot Y o7t —� GfTey`�hc - �.. _...:_..._ ...1. l-.... __.�_�.__.. _4..._... _ ._. .... _ __.. q:T- - - - - — -- ._............_.._ �_._....�_ .. _._..._ tiV..._.... - - C. & 6 l ence o e �► S c 00 Systems & Servi ` _ 77 Z y7/ O N4955 Sunny Hill Road I� O� ,. i A — - Weyerhaeuser, WI 54895 n� Set S T 5 -- -- -t . ST CROIX COUNTY » SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 0 ' Mailing Address � � " 4 \ ' ' S 0 Property Address y 4h S+, SO XA Y0;:7 (Verification required from Planning Department for new construction) �-S s. 1 :> City /State ) 'V 1 S�\ 4 Parcel Identification Number _ �9 r i LEGAL DESCRIPTION Vi 11aJ ot e/fS2- property Location -V4 V4, Sec. �. T N -R /5 W, Town of Subdivision . Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume _ , Page # Spec house ❑ yes M no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterpiumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal 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. Uwe, 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 Zoning Office within 30 days of the three year expiration date. SIGNATURE LICANT DATE OVMR CERTIFICATION knowled e g . 1 ( ) am (are) the owner(s) o f I (we) certify that all statements on this form are true to the best of m y (our) we the property desemn[b above, by virtue of a warranty deed recorded in Register of Deeds Office. 3 / tr lC� SIGNATURE Ok,14ICANT DATE « * * * «« Any information that is mis- represented 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 0 ca 0 r. - 0 0 tv o 43 0 m 3 CD ft 0 1 ea S-L U) 0 0 OD (D @ In 9 T 0 CL 0. CL CA 0 -0 n 0) ul 0 C: CD W CA st > �3 df CD CD Cil U) r ID 9t z > 0 CD > (.1 M CD 3 CL 0 Z CIO CD N 0. SL i F3 > 0 o r ca CO) V n T T T z 0 0 0 0 0 6 ca ca CO) C 3 - 0 CD 0 0 q m V 0 CD CD - 4 CD z z > > o CL 0 CD ca =3 0 z 0 G) 0 Z w V K) CO co z o r! Lrl > w CL CD 3 0 0 0 3 CD CD CL zt 0 :3 CD < 69 0 CD .s Parcel #: 034 - 1084 -30 -025 0110412006 09:05 AM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.556A -10 034 - TOWN OF SPRINGFIELD 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 WESTLEY H JOHNSON O - JOHNSON, WESTLEY H 2934 73RD AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2934 73RD AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N R15W E C94LNDPENDENCEST 9 TS 1,2,7, Block/Condo Bldg: & 8 VIL HERSEY ALS OF ABANDONED 74TH AV Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 10/15/2003 743686 2435/581 MISC 06/06/2000 624311 1516/517 TI 07/07/1978 349999 577/245 WD 04/25/1974 321474 510/124 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 82569 74,300 Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 4,200 60,000 64,200 NO Totals for 2005: General Property 0.000 4,200 60,000 64,200 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 4,200 60,000 64,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 +� Parcel #: 034 - 1085 -10 -025 01/04/2006 09:06 AM PAGE 1 OF 1 Alt. Parcel M 28.29.15.559A -10 034 - TOWN OF SPRINGFIELD 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 WESTLEY & MAXINE JOHNSON O - JOHNSON, WESTLEY & MAXINE 2934 73RD AVE WILSON Wl 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 2934 73RD AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 28 T29N R1 5W LOTS 1,2,3, & 4 OF BLK Block/Condo Bldg: 12 VIL HERSEY ALSO PT OF ABANDONED UNION ST & 73RD AVE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 28- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 1011512003 743686 2435/581 MISC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 82577 21,600 Valuations Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 3,950 14,750 18,700 NO Totals for 2005: General Property 0.000 3,950 14,750 18,700 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 3,950 14,750 18,700 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 • ST. CROIX COUNTY tom: WISCONSIN ZONING OFFICE rrrrM4 9 r■ — 0 Rod ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road WI Hudson 540 16 -7710 (715) 386 -4680 • Fax (715) 386 -4686 October 16, 2003 Westley Johnson 729294 1h Street Wilson, WI 54027 RE: Wisconsin Fund Grant Award Dear Mr. Johnson: On October 18, 2002 we received your application for the Wisconsin Fund Grant program. The fund has paid all Class 1 categories. Due to budget shortfalls at the state level, the award was reduced by 3 %. Your grant check is enclosed and is in the amount of $4050. If you have questions or concerns regarding this grant award, please feel free to call this office. Sincerely, `t-irnr Jane Hansen Zoning Administrative Assistant Enc. Cc: File County of St Croix Finance Department Check No. Vendor No. Vendor: Westley Johnson 729 294th Street Wilson, WI 54027 Check Date Approved: File Date: n 7l (7 3 Total Check Amount: $4,050.00 Invoice No. Inv. Date Inv. Amount Description Acct. Number Amount 10/17/03 4,050.00 Wisconsin Fund Grant Award 08027900 4,050.00 i Total Check $4,050.00 ST. CROIX COUNTY WISCONSIN ZONING OFFICE — ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 715 386 -4680 • Fax 715 386 -4686 December 23, 2002 Mr. Westley Johnson 729 294`" Street Wilson, WI 54027 Dear Mr. Johnson: Your application for your Wisconsin Fund Sanitary Replacement reimbursement was received by this office. I have enclosed an Affadavit for Low Income Residents form for you to complete and return in the self - addressed envelope. Please submit the necessary information before January 5, 2003. Enclosed is a copy of the Wisconsin Fund brochure for your information. Should you have further questions, please call me at (715) 386 -4680. Sincerely, Judy Olson Zoning Secretary Encl.