HomeMy WebLinkAbout040-1003-40-000 Wisconsin Dephriment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitar Permit No:
420604
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) A
Permit Holder's Name: City Village X Township Parcel Tax No
Larsen, Jack c/o Helen Troy Township 040 - 1003 -40 -000
CST BM Elev: Insp. BM Elev: BM Description:
/DD C) I /UO, v T,
TANK INFORMATION V ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM 'To �.
,� u/ a, 1, Si " Nl --
Aeration - -- -- BI . ewer q -f
Holding — St/ t Inlet
0 S
TANK SETBACK INFORMATION SUHt Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic _ i s Dt Bottom
>2 cv Dosing Z � Head /Ma
Aeration Dist. Pipe S
To o ti �l 33
Holding Bot. Syst
- -- - • I
IC
Final G
PUMP /SIPHON INFORMATION t' 4
Manufacturer Dema t Cover 3 r0 l 7
Model Number
/ 5 Z1
TDH `i!t c Friction L s System H 1 T DH / Ft
Forcemain Le thy ,- / Dia / Dist. to W Well � ZOO S
SOIL ABSORPTION SYSTEM - 36
BEDITRENCH Width / + Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 2 Z
SETBACK SYSTEM TO P/ BLDG IWELL LAKE /STREAM LEACHING Man cITr:
INFORMATION Typ Of System: CHAMBER OR D
_ 61q • /I ���L 1 3 0-1 > UNIT Model Number:
DISTRIBUTION SYSTEM W/
Header /Manif q Distribution TH, le Size x Hole Spacing Vent Air Intake
g
Pipe(s) t!/
Length Dia Length & Z� Dia pacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 0'n4 eV
Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched r
Bed /Trench Center L � �/— , d Bed/Trench Edges Topsoil 0 Yes E] No 0 Yes D No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: h ° l / / Inspection #2: // /10 3
Location: 579 Brummel Rd Hudson WI 54016 Unknown 2 T28N R19W NA Lot PQ Parcel No: 02.28.19.18 '
1. Description P Alt BM Descri - /tii ) 7 � d �" S�
- ���I Z771Y�r1 / �0� o.
2.) Bldg sewer length = /(J SCE yO 1�17,�yiD -cad ui talj� r�lX �GLvr
- amount of cover
"t 5N' `w fi�t`�/ ��• Cl.il -a� (/y �A�-�� ��CCsIQ36D�
Plan revision Yes Required? r- '5y —' 1
Q l:fl / No
Use other side for additional information
SBD -6710 (R.3/97) Date Insepcto ignature Cert. No.
Safety and Buildings Division
201 W. Washington Ave., P.O. Box 7162
Visconsin Madison, Wl 53707 - 7162 Site Address
Department of Commerce / -O 'Z 3 K D 35 5 - 7" 1 el/
Sanitary Permit Application s"nku'' Permit Number
In accord with Comm 8321, Wis. Adm. Code. personal information you prov nChwk W Win l d 0 �DO�
may be used for secondary purposes Privacy Law, s15. 1 m
L Application Information - Pkase Print All Information I.D. Number ,
Property owner's Name DEC 0 �d — /0�3 - S`a - COZ,
Property Owner's Mathes Address ST CRU X Q�Igdlt Off-, Z
S- ZONING FFIC n
li S TO( N, R !9
City, s Zip Code Phone Number Lot Number Biocic Number
Subdivision Name CSM Number
Sod 1 b aa� + - SO
IIL,Type of Building (che& an that apply) 3 0City s
or 2 Family Dwelling - Number of Bedrooms
❑ PWAWCommer W - Describe Use
[] site O MRoad
III. Type of Permfd: ( only one boot on One A (numbering scheme for internal use). Complete line B if applicable)
A ' New 2 System 1 3 O Replacement of 6 O Additimi to pna Conaty use
Tank Only I Exisft System
B. O Check if Sanitary Permit Pceviousiy issued Permit Number T�ft Issued
F' Oftw a of Permit: (Check all that apply)(numbering scheme is for internal use)
presauizcd In Ground 210 Mound 47 O Sand Filter 50 O Constructed wedand
h� Grotmd 41 0 Holding Tank 48 0 Single Pass 51 Drip Line
45 0 AW=de 46 O Aerobic Treatment unit 49 O RwAcolaft 30 0 other
V. Area Information:
Demon Flow Wd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade
Required Proposed Rate(GaL4./DaysJSq.Ft.) (Min/Inch) �y, ` 7 / � / Elevation ^
-S
VL Tank Info Capacity in Total Number Maranccturer Prefab Site 96d Fiber Plastic
Gallons Gallons of Tacks Concrete Constructed Glass
New F
Tasks Tanks
Septic or HoMint Tara
VII, .espowibi ity Statement- I, the a mmae responspMy for its Mmi of the POWTS shown on the attached plans.
s Nam (Print) Phmrbe lure MPIN PRS Number I Business Phone Number
\-C-I
Phnmbees Address (Street, CRY. Sate, )
(9�� �q �� '�-�/Z 1 ��
VIII, /De ent Use Only
ved ❑Disapproved Sanitary Permit Fee (mchrdes Groundwater Date Issued em Signature (No Sumps) SorcJ7 3Fee)
❑Owner Given Initial Adverse ^ � � / " D �2, +
Detetnrmatton
I%. conditions of Approval/Re f Dtsapprovel , C -{� � is cam- r,� y ✓�� t vnd • d 1'S
„teach a plaoa BO toe CoOq tur a,atem ea paper k o its an th tiW x U locks In dme
/�2� St�'1�Gtcho Gy�� o->t ` a" �;P,+`- G -►�.. !'3. �13� /
SBD -6398 (R. 05101)
r
r' p4C V
SEPTIC
TANK PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
4 Cl. VENT PIPE 12" MIN. ABOVE GRADE F, WEATHERPROOF
t 2S' FROM DOOR, wINDOW OR JUNCTION BOX APPROVED
FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER
W1 PADLOCK &
FINISHED GRADE 7 WARNING LABEL
+ din. - 4++ MIN.
2•l a
I8" IN. f►tS' . pRw►tioh! I• s .D.
• +� t8 �M{►I.
INLET
'
WATER TIGHT SEALS GAS -
AT£ 'T' TIGHT �IPPROVED
A SEAL ' JOINTS WITH
FILTER ALM APPROVED PIPE
APPROVED B + 3' ONTO
PIPE 3+ "� + ON SOLID SOIL
ONTO SOLID /� c r +
SOIL PUMP OFF ELEV • , 0 • OFF
D
3" APPROVED BEDDING UNDER TANK
CONCRETE PAD
SPECIFICATIONS
SEPTIC f DOSE NUMBER DOSES PER DA
TANK MANUFACTURER:
NU
TANK SXZES SEPTIC lL GA L. DOSE VOLUME INCLUDING
DOSE s�.z �--- -- GAL • F LOwBAC K : GAL.
ALARM MANUFACTURER: SL CAPACITIES: A = c, CIN CHES = GAL.
MODEL NUMBER: B = 2 INCHES = GAL•
SWITCH TYPE: �5 �'�
PUMP MANUFACTURER: ��
C = � INCHES = GAL.
-� MODEL NUMBER: D _ � INCHES = q6 -GAL.
SWITCH TYPE: •!�, �/�
REQUIRED DISCHARGE RAT£ O GPM PUMP 8 ALARM WIRING AS PER ILHR 14.23 WAC-IuAcl
0 PIPE /d FEET,�
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION P FEET 5
+ MINIMUM NETWORK SUPPLY PRESSURE _ •FEET
+ FEET pORCEMAIN X �o FT /100 FTOTALIDYNAMICAHEAD i FEET
K6
INTERN L DIMENSIONS OF PU P TANK: LENGTH : IDS} DIAMETER
...:
LIQ
SIGNED:
� LICENSE NUMBER: 6 ' (/ DATE : �c
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4 28 � R T PLAN
PROJECT Helen Larsen ADDRESS 579 Brummel Rd. Hudson Wi 54016
NW 1/4 NE 1 /4S 2 / 19 TOWN Troy COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 12/2/02 BEDROOM 3
CONVENTIONAL IN -G OU PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 gallon
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
i
BENCHMARK V.R.P. To of Sidewalk
Top ASSUME ELEVATION 100 Filter Zabel A -100
❑ BOREHOLE O WELL - H.R.P. Same as Benchmark
SYSTEM ELEVATION 94.2/94.1/94.0
Alt. BM Bottom of Siding @ too)— 0 L kouS� Plans Designed Using
�Conventional Powts
Vent Manual Version 2.0
ALo Standard Biodiffuser
Leaching Chamber
with 31.1 ft2 of Area
, "
4 „ Grade at System Elevation
above ground Old System is to be
B _ effluent found pumped ed and buried
5'
15' ST 10'
D W 5'
Failed 25' 3 Bedroom
a Combo Tank House
... 15' F B.M. 3-3'X 63'
50' �� Cells with >3'
20 � .1VI. Spacing
80' B -1 65' B -2
V i? 0"
25 f
00
Vents 30' B -3 200' Well
Tested area is to be cut, inorder to
level yard, tested area will become
flat, and contours will not
remain
IL 40 Line /660' Lot Line
P T PLAN
PROJECT Helen Larsen ADDRESS 579 Brummel Rd. Hudson Wi 54016
NW 1/4 NE 1/4s 2 /T 28 R 19 TOWN Troy COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 12/2/02 BEDROOM 3
CONVENTIONAL IN -G OU PRESSURE CONVENTIONAL LIFT )00< HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 gallon
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30
BENCHMARK V.R.P. Top of Sidewalk ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 94.2/94.1/94.0
Al� BBottOM �Siding@ 100 . Plans Designed Using
-- Conventional Powts
Vent Manual Version 2.0
>6 » Standard Biodiffuser
of Cover Leaching Chamber
with 31.1 ft2 of Area
6 Long 11 "
3 4" Grade at System Elevation
B _ above ground Old System is to be
effluent found pumped and buried
5 '
15' ST 10'
DW 5'
Failed 25' 3 Bedroom
House
Combo Tank 15' 50' B.M. 3-3'X 63'
Alt, Cells with >3'
20 M Spacing
B -1
80' 65' B - 2
Vents
25'
00'
Vents 30' B 3 200' Well
Tested area is to be cut, inorder to
level yard, tested area will become
flat, and contours will not
remain
40 Line /660' Lot Line
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent fitter is to be cleaned once a year. Please note. a larger fitter is being installed in
order to extend the maintenance interval of the fifter.
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
Contingency Plan
1. If system fails, determine cause of failure, use alternate area and install new system or
install system at a lower elevation.
2. 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\
ST CROIX COUNTY
SEPTIC TANK MAMMANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
i
Owner/Buyer %� ®,t ,�.��•��'
Mailing Address
Property Address
(Verification required from Planning Department for new construction) 5
City /State �- Parcel Identification Number
4A - 0 ae44a/
LEGAL DESCRIPTION , 0 2. Zb: i 1. 18
cation , /� / <, �� ' /•, Sec. o�, � L Town of 7 r- 9- -� 9 =
Property LO • �L
�.— �•
Subdivision Lot #
Certified Survey Map # , Volume Page # . _ A 4"6a
n Deed #
S Volume Page # zG� ?' /� 7 //q 4d
Warm ty
Spec house 0 76!m Lot lines identifiable 0 no
SYSTEM MAINTENANCE tore failure to handlewastes. Propernn�
by a You Improper use and nuiintenanaof Y e system could result is its What into the system
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. Y P
can affect the f of the septic tank as a treatment stage in the waste disposal system-
a certification form, signed by the owner and by a
The property owner agrees to submit to St. Croix Zoning Department
masterplumber, journeyman plumber, restrictedphunber or a licensed pumper 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
t of Commerce and the Department of Natural Resources, State of Wisconsin, Certification
set forth, herein, se set sy the Department Croix County Zoning Office within 30
stating that your septic system has been maintained must be comp leted and returned to the St-
days of the three year expiration date.
DATE
St A"i'URE OF APPLICANT
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
deed recorded in Register of Deeds Office.
the roperty described above, by wine of a warranty deed
G DATE
ATtJRE
OF APPLICANT
* * * * ** 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 deed
a copy of the certified survey map if reference's made in the warranty
Wisc ormn Department of Commerce SOIL EVALUATION REPORT Page of 3
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 Cp r
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest ro d. ;�� µ�
Please print all information. / Z Review Y Date
" I !D 6
Penonat iMamation you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) ( )). e 4 '
Property Owner Property L ton
Govt. Lot Z1/� T Y N R E (or W
Property Owner's Mailing Address Lot # I Block #
City
StateF Zap Code Phone Number ❑ City ❑ Village Town Nearest Road
❑ New Construction Use' Residential J Number of bedroom Code derived design flow rate -, 7' C) GPD
eplacement ❑ Public or merclai - Describe:
Parent material �� C�Z`2 r� _ Flood Plain ele on if
General and recur ends ions: -y 5,/" e, � x1 SC aJ<,a,
e , "k
Boring # Epit Boring
a Ground surface elev. & Depth to limiting factor in.
Sal ication Rate
Horimn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQ ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
o -
//)-y , 3 ,
2 k
f e0 s saga'
E21 10 ling # ❑ Boring
pit Ground surface ele 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
1
6 7-
it
• Effluent #1 = BOD > 30 1 220 mg1L and T < 150 mgA- ' Effluent #2 = BOD 1 30 mg/- and TSS < 30 mg1L
CST (Please Print) �� � � Signature
J
Address ate Evaluation gonducted Telephone Number
6/,
I 1
Property -� �- Parcel ID # Page Z of 7
Boring # ❑ Boring
Pit Ground surface elev. 121 ft. Depth to limiting factor �0 in. Sod lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
t in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. �! 'Eff#1 'Eff#2
)/ h
Boring #
O Pit Ground surface elev. o ' C/ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cant Color Gr. Sz. Sh. 4'Effff •Eff#2
i
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 TIM
i
Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 1150 mgA- • Effluent #2 = BOD, 130 mg/L and TSS 130 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.
3 3
Soil Test Plot Plan
Project Name Helen Larsen Shaun
Address 579 Brummel Rd.
Hudson Wi 54016 F #226900
Lot ------ Subdivision -- ----- Date 11/2/02
NW 1/4 NE 1/4S 2 T 28 N /R W Township Troy
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Sidewalk
System Elevation 94.2/94.1/94.0 * H R pSame as Benchmark
Alt. BM Bottom of Siding @ 100.2'
�'V ' � ' Pq
B -4
5'
15' ST 10
W
.� Failed 25' 3 Bedroom
o above ground House
effluent found 15' B.M.
20' � Alt
. M.
B -1
80' 65' B -2
25'
00'
30' B -3 200'
Well
Tested area is to be cut, inorder to
level yard, tested area will become
flat, and contours will not
remain
40 Line /660' Lot Line
DOCUMENT No. STATE BAR OF WISCONSIN FORM 3 -1989 THIS SPACE REsERYEO FOR RECOROINO DATA
.
QUIT CLAIM DEED
456190 �� '! S 64FA44U 'i
-- _ REGISTERS OFFICE
ST. CROIX CO., WI
Helen Larsen, a /k /a Helen F. Larsen Recd for Record
!� .........................•---•---.......---...................._...._............. ............................... FEB 2 7 1 J 3 0
John T. Larsen and Mar D Larsen A. M
II quit - claims to .... t ..... .....................-- ......._ •: - .�!..._......- .-- .- .......J-- ........
11 ~45
as tenants in common an undivid ed one ..half a ...................................................... &WAA
interest each . I - ��
••- •• ............ .••--•-••----•-•--........-:-- ........................•..... !
i, the following described real estate in ....... St. C roix C
!
State of W,sconsin: I RETURN TO II
Tax Parcel No:.........
H The West Half of the Southeast Quarter (W 1/2 of SE 1/4), and the
t N
East Half of the West Half of the Northeast Q uarter (E 1,2 of W 1/2
I' Q if
of NE 1/4), all in Section Two (2), Township Twenty -Eight (28) North, j
Range Nineteen (19) West.
Subject to all improvements thereon and all rights, easements and
appurtenances thereunto belonging, and together with all water rights
and water stock appertaining thereto; Subject to highway easement
granted Town of Troy and transmission line easement granted St. Croix
County Electric Cooperative by said The Northwestern Mutual Life
Insurance Company through instruments dated April 22, 1941 and
October 12, 1939 respectively; Subject to the rights of way of public
roads over those portions of said property embraced therein and to
easements and restrictions, if any, of record.
St. Croix County, Wisconsin.
I
iI
;. This _... 13 ................... homestead property.
!� (is) nK7fdE)c
31s December
". Dated this .. ..... ....... .. ......... ....... ...._...... -. day of ........ -. --- --. 19 ... 8 -9..
•... -- - -• .................. . .. ...(SEAL) ....... . . .......... .. --..........(SEAL)
.Helen Larsen, alk /a . Iielen - - , Larsen
II
• . ................. . (SEAL) -- .... -- - -- -..... -- • .... . ---- . •..............- .(SE
I
l - - - -- ---- ---- ------ ------ -- - -.----
J
ii AUTHENTICATION ACKNOWLEDGMENT
of Helen Larsen, a /k /a STATE OF WISCONSIN
I Signature(s) .......... 1
�l len F. Larsen 1 Siff. i, ....- • -• - -• ------------- ---------------- •--- ...........
I . ............. .. .. ......_..._..._....County.
if t cat this 31s of D cember , 19.8 Personally came before me this ............. ..day of
......................................... ., 19 ... .
-._.. the above named
•. -- . ...
......... ..............................................................
........................
a Leo A. Beskar
_.. -- ----•---------------- ------- •---- •--- - - - - -- ....... ........................................................... - .............
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not ........................... ......- --•- -............ - ---• !; J -- ------- -- ----- ------------- -- ---- ---- - ---•---- ------ -•-- -- -- -- -- -- --
-•----
authorized by � ?06.06, Wis. Stats to me known to be the person ............ who executed the
! t foregoing instrument and acknowledge the same.
jj THIS INSTRUMENT WAS DRAFTED BY
................. ......... •--•-•-- ._..........................................
L.eo_.A* .. BeS.%4x,...At.torney - -• -- -------- ------
li RODLI, BESKAR & BOLES, S.C. ' ----- ------ - - - - -- - - - - -- - - - - -- ............... ........................
.219..Hor.th.. Main.-. St-reet .. ..... .... .................. Notary Public ...-- ..... .. -- . -_. County, Wis.
1� 19 x?#Frref flW ffbrauKnticat5d Bott. My Commission is permanent. i If not, state expiration
are not necessary.) date: ...... . ....... ...... ... ...... ......... _ 19 ------
...)
Names of persons signing in any capacity should be typed or printed below their signatures.
�F�R�sI STATF. DAR OF WfSf'ONSfN -
FORM No. 7 — 1989
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Parcel #: 040 - 1003 -40 -000 11111/2004 0 :54 AM
PAGE 1 OF 1
Alt. Parcel M 02.28.19.18 040 - TOWN OF TROY
Current XI ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): * = Current Owner
* LARSEN, HELEN F FAM TR %JOHN T
HELEN F FAM TR %JOHN T LARSEN
579 BRUMMEL RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 579 BRUMMEL RD
SC 2611 SCH D OF HUDSON
SP 1700 W ITC
Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE
SEC 2 T28N R1 9W 40 AC E1 /2 OF W 1/2 Block/Condo Bldg:
NE1 /4
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
02- 28N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/23/1997 869/29
07/23/1997 864/240
07123/1997 802/323
2004 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/15/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 37.000 5,600 0 5,600 NO
UNDEVELOPED G5 2.000 100 0 100 NO
OTHER G7 1.000 10,000 80,600 90,600 NO
Totals for 2004:
General Property 40.000 15,700 80,600 96,300
Woodland 0.000 0 0
Totals for 2003:
General Property 40.000 15,600 75,900 91,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 121
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00