HomeMy WebLinkAbout026-1126-01-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 538791 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:
Brushy Mound Partnership LLP, c.o Michael R. I Richmond, Town of 026- 1126 -01 -000
CST BM Elev: Insp. B Flew BM Description: ' Section/Town /Range /Map No
T 12.30.18.762
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER 0 A j CAPACITY STATION BS HI FS ELEV.
Septic • S' Z � Benchmark � � /� �
p rn ' Alt. BM • • Z 9
Aeration Bldg. Sewer 48 .3
Holding St /Ht Inlet Q + cy �.
SUHt Outlet 7. W 1 W. 1 a
TANK SETBACK INFORMATION v U
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet `
Septic A Dt Bottom
Dosing /� Header /Man.
Aeration Dist. Pipe
- T 4 • a
Holding Bot. System
a d/E
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St �ver
GPM �J Q • 3
� I v
Model Num
TDH Lift Friction Loss System H TDH Ft
Forcemain Dist. to well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO � P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION Type f System: 7J CHA OR Model Number
DISTRIBUTION SYSTEM Lo = /8
Header /Manifold / */I Distribution x Hole Size x Hole Spacing Vent to Air Intake
'� Pipe(s) ` ' �� �� /
Length /`' 6 ' Dia� Length ` Dia ` Spacing ''� S
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over 4- Depth O ver xx Depth of xx Seeded /Sodded 1 xx ched
Bed/Trench Center Bed /Trench Edges Topsoil ` yes No yes
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1669 Waters Edge Drive New Ri hmond, WI 54017 (SE 1/4 NW 1/4 12 T30N R1 8W) Water's Edge Lot 1 Parcel No: 12.30.18.762
1.) Alt BM Description = Fo'L j �� r —• 4 N'S +— La< s 6, 1
2.) Bldg sewer length = ZZ W��r�
- amount of cover = If
J 8 0 ( ✓�» f•�. 1
Plan revision Required? ❑ Yes FW1 No ���•/� �' _ ____ / ��
Use other side for additional information.
Date Insepctor' Signat Cert No
SBD -6710 (R.3/97)
RECEIVED
commerce,wi.g o Sa ty and Buildings Div ounty
KN 1 Q ��1 W. ashington Ave. � St. Croix .,
' O , adison, WI 537 I itary Permit Number (to be filled to Co.)
i ROIX COUNTY /
Department of TMRNG & Z NING OFFICE
State Transaction Number
Sanitary Permit Application N/A
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary 1669 Waters Edge Drive
p urposes in accordance with the Privacy Law, s. 15.04(1 )(m , Slats. New Richmond, WI 54017
I. Application Information - Please Print All Information
Property Owner's Name Parcel #
Brushy Mound Partners /Michael R. Stevens 026- 1126 -01 -000
Property Owner's Mailing Address Property Location .7
)
P.O. BOX 445 Govt. Lot
City, State Zip Code Phone Number SE ' /., NW '/. Section 12
New Richmond, WI 540 (circle on
T 17 715- 246 -2320 30 N; R 18 Eo
II. Type of Building (check all that apply) Lot #
1 Subdivision Name
® I or 2 Family Dwelling - Number of Bedrooms
dock Waters Edge
❑ Public /Commercial - Describe Use d '� r ❑ City of
CSM Number ❑ Village of
❑ State Owned - Describe Use Town of Richmond
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. IN New System ❑ Replacement System p y ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. El Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑Permit Transfer to New
List Previous Permit Number and Dale I ssued
Owner
Before Expiration �
e of POWTS S stem /Corn onent/Device: Check all that appl
IV. �
® Non - Pressurized In- Ground El Pressurized In- Group i e ., , /❑ Mound > 24 'n. o unable soil El mound < 34 in. of uitabl i
El Holding Tank ❑ Other Dispersal Component (expl #ut) t�(1 !/�/ re reatment ) J
V. Dis ersal/Trea ent Area Information:
Design F10 w (gpd Design Soil Application Rat gpdsf) Dispersal Area Required Dispersal Area Propose sf) Syste evation
600 .7 857 900 100 a� _
VI. Tank Info Capacity in Total # of Manufacturer o
Gallons Gallons Units � a v
New Tanks Existing Tanks
i Zi � o
5� a. U in � rn w
Septic or Holding Tank 00 2a 1000 Weiser Po 1 c 2
Dosing Chamber 1J
VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number
Tim De young 7 , 664713 715- 246 -2660
Plumber's Address (Street, City, State, Zip Code)
321 Wisconsin Drive, New Richmond, WI 54017 eel/
VIII oun /De artment Use Onl
Permit Fee Date Issued Issu' g Agent gnatu �•
Approved ❑ Disapproved $ '/ J��/ � J�
Reason for Denial '' � oZ ! g6
IX. Condit' " - nisapproval 3 r , 4 ,, —
i f" aine /-� � � `� �y
G L plumber. (� ? Su�YW (N/ > 35 0 �
eintained 2
the system and submit to the Coun only on pape not less than 8 la x 11 in insi
SBD 6398 (R. 02/09) (/v/
t
Q
,
\\ _
r � M ro M ON r� ON 34 m w 00 W ,
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Brushy Mound Partners
Owner's Name: Michael R. Stevens
Owner's Address: P.O. Box 445
New Richmond, WI 54017
Legal Description: SE 1/4, NW 1/4, Section 12 T 30 N: R 18 W
Township: Richmond
County: St. Croix
Subdivision Name: Waters Edge
Lot Number: 1
Parcel ID Number: 026- 1126 -01 -000
Pagel Index and title
Page 2 Plot Plan
Page 3 System Sizing & Cross - Section
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenanc Form
Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer /Plumber: Tim De Young License Number: 664713
Date: 6/13/2011 Phone Number 715- 246 -2660
Signature
Designed pursuant to the In- Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD- 10705 -P (N.01 /01).
Page 1
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ov.
• 7. 1 " 1/2 C,irc. =18.84"
vvv -vso
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VVV
V - V.vvi r. v�7v�►oy vr� vo7v.V
7vvo7ov 77 �►a.v7.tF7v77 v.vo
:oov�v.' - VSSO V`V V•
-
e >3o
12 -1/2" DIA.
�A� 111z]Q�k �aF4
Void CoefFicient iR Aggmgate given at 57.4%. Sidetvall (2 - Sidmags) 2 , t 18B4in
12in - 3.14
O-D. of 4" pipe - 4.625 inches lit
" 8otiottl 2410
Void volume per linear ft = 3.14 • ( L3125ir )
t.t2ia /R •
O.D. of came cynader- T2.5 inches ( Tots! Soil Interface ace Ares S.14 SQ.
Void volume ina teofeenwcylinda-(3.t41 - ?. m -3.14.• 2JI251 " )II.37e= -.422 Rs
O.D. ofoa dde cylinders- 12 inelm l Projected Trenc(t Area
Vow volume is outside eyKnders - 2.3.1 / 61, .374 -.901 fe Sid —all Height - 1.2 in. 0 2 - 2.00 Sq.FL
`t2iallt� •
[ ( 7 2ti — lft Bottom 36 in. - 3.00 Sq.FL
Void v olume at bouom between eyliaders -( I4(� !! 3 l .215 tP Projected T -feos6 Ara SAIL S t2inlA `12iat - 0
R� JJ q.FL
Void volume at outside bottom comets (112 of void volume between cylinders) 0,21512 = 0.106 re
Total void volume-0.1 17 +0.422 + 0.90[ -1- 0-215 •► 0. t08 =1.7.63 cubic ft/ ft.
Gallons per ft = 1.763 X 7.48 = 133 ealima n_: Itngar Et '` s6
N
.EPS Ag- gregate =
Trench S
EZi 23H Ow
ith"' dusbial Grou "
65 16duskial Park Rd.
SdILE ME AAMb JZt'�Oli1 -vat . St�Eh t d t ri- -27
,! INSTALLATION INSTRUCTIONS
IM
"' °afSinPre`as`'arainage Aaxno:. °ayiakFrc. PL- 525 /PL -625 FILTER
6 Wasrewa!er P!oGus:`s
PL- 525/PL -625 FEATURES & BENEFITS
Features & Benefits:
e Rated for 10,000 GPD
e PL -525 = 525 Linear Feet of 1/18" Filtration
PL -625 = 625 Linear Feet of 1/32" Filtration
PL -525 PL -625 *Accepts 4" and 6" SCHD. 40 pipe
The PL- 525/625 Effluent Filter should operate efficiently
e Built in Gas Deflector
for several years under normal conditions before :Automatic Shut -Off Ball when Filter is Removed
requiring cleaning. It is recommended that the filter be
cleaned every time the tank is pumped or at least every a Alarm Accessibility
three years. If the installed filter contains an optional
alarm, the owner will be notified by an alarm when the *Accepts PVC Extension Handle
filter needs servicing. Servicing should be done by a
certified septic tank pumper or installer.
RECOMMENDED PRODUCTS
Polylok PVC Filter
Extension Handle
Riser Safety Screens Filter Alarm Panel and
Risers &Riser Covers Extend & LokTM y SmartFitterTM Control
Polylok risers bring your Polylok Extend & Lok Polylok safety screens Switch
septic tank cover to grade. is a simple, easy to use prevent tragic accidents
This allows locating and solution that can extend. from happening by children Polylok filter alarm panels
servicing your filter easier the inlet or outlet pipe and and pets falling into open and switchs provid a visual
and time saving by elimi- make filter and /or baffle septic tank entrances. and audible notification of
impending filter and tank
Hating digging to find tank installation a snap. servicing.
entrance. Fits 3" and 4" pipe.
For a full list of Polylok products please visit our web site at: www.polylok.com
Wis -onsin Department 0 Industry SOIL AND SITE E V A L U AT I O dr�EP� R R T Page 1 of 3
Labor and Human Relations ���� gg ��� ;;
Division df Safetp & Buildings in accord with ILHR 83.05 I �,(�lr 'E✓fD(tg. ` .
t '' LINTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. mus St . CRo ix
not limited to vertical and horizontal reference point (BM), direction and 0 ope, s
tF � EL I.D. # O?
dimensioned, north arrow, and location and distance to nearest road.�a f/
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATI N. �11�. } �W DBY DAT
PROPERTY OWNER: r ERTY T4 i
Derrick Const, Inc. m rpvx� TZ SE 1 1 V/4 ,S 12 T N,R 18 (or) W
PROPERTY OWNER':S MAILING ADDRESS LO I :# $U NAME OR CSM N�
1505 Hy. #65 1 `-a --t `
te b alke
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD
New Richmond, wI. 54017 (715 246 -2320 Richmond 140th. St.
[x] New Construction Use [ Residential / Number of bedrooms 4 ] Addition existing building
[ ] Replacement [ J Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft
Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft - 8 trench, gpd /ft
Recommended infiltration surface elevation(s) 100.50 ft (as referred to site plan benchmark)
Additional design/ site considerations trenches spaced to code 4.00' below grade
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem El S 1:1 U ® S El U RI S ❑ U IN S ❑ U ® S ❑ U El S [3U
SOIL DESCRIPTION REPORT &6,.) c..&2 cw '� °IT`S �2aoD
Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft
CIA
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twich
1 0 -10 i0y r 4/3 none sl 2m r mvfr gw 2f
1 «<
2 10 -30 7.5 r 4/4 none scl 2msbk mvfr 9W if .4 .5
Ground 3 30- .5 r 4/4 none is OSQ mvfr na na .7 .8
elev.
1 f b /boor 1 5 1 p e., 7
Depth to `� r w
limiting �� —� p b0"
+ r
A JA Remarks:
Bo ring #
1 0 -8 10 r4 3 none sl 2m r mvfr 2f .5 .6 .1
2 1 8-48 7.5 r4 4 none scl 2msbk mfr if .4 .5
Ground �2
3 4 4/4 none cos os ml na na .7i .8
elev.
1
Depth to
limiting QK '>
factor
+96"
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200th. New Richmon9p, WI 540
Signature: Date: 5 -30 -2000 CST Number: m02298
PROPERTYOWNER Derrick Constructio SOIL DESCRIPTION REPORT Page 2 .of 3
PARCEL I.D. # pending
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh, Bed Trends
3 0 -9 10 r none 1 2msbk mvfr gw 2f .5 .6
2 9 -4 7.5 r4 4 none is os mvfr gw if .71 .8
Ground 3 45 -96 � .5vr 4/6 none co s osq ml na na .8 .
elev. i
(. ._Z ft.
Depth to
limiting Il
factor rl —�• 2
+96
Remarks:
Boring #
rZ2 0 -11 10 r 3 3 none sl 2msbk mvfr 2f .5 .6 �
... 4 <> . 4 .5 .
................
11 - 29 7.5 r 4/4 none scl 2msbk mfr if
Ground 3 29 -84 7.5 r 4/4 none is osg mvfr na na .7 .8
elev.
LOQ A ft. a l
Depth to 1 �
limiting
factor
+
Remarks:
Boring #
1 0 -10 10 r 4 3 none sl 2mcir mvfr aw 2f .5 .6 �
5 2 10 -23 7.5 r 4/4 none sl 2msbk mvfr c1W if .5 .6 `
................
Ground 3 23 -86 7.5 r 4/4 none cos osg mvfr na na .7 .8
elev.
J 0.9 ft.
Depth to
limiting
factor
+86"
Remarks:
Boring #
Ground
elev. 1
ft.
Depth to
limiting
factor
Remarks:
F
STEEL'S SOIL SERVICE
Gary L. Steel Derrick Construction, Inc. 1554 200th Ave.
CSTM2298 SE NWj S12- T30N -R18w New Richmond, WI 54017
MPRSW -3254 town of Richmond (715) 246 -6200
lot #1- Brushy Mound Lake
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established at the time the test was conducted.
--N
1 " =40'
top of 1 pvc pipe C el. 10_ 0.00
/\� = top of 1 pvc pipe @ el. 9 9.00 '
' �a
/7 1�
t t ; C
o-
Gard L. Steel
5 -30 -2000
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer M du V•Lb — r.\ 3> Z t LJ 44 �, S
Mailing Address �0 `' �"� , �cyv HM ► �p,r f �i 4 01
Property Address t k�o ko 9 "+Ctr_ -S ;Eb "t D✓ l A
(Verification required from Planning & Zoning Department for new construction.)
Pia: V1t44 M-CN1-1JD � Z,� -� l 1 �to -
City /State \a% ` Parcel Identification Number o
LEGAL DESCRIPTION
c �j
Property Location 7 C '/a , "V4 '/4 , Sec. l� , T 1 O N R W, Town of lit � M o --
Subdivision \ �- , Lot # ,
Certified Survey Map # , Volume , Page #
Warranty Deed # <3 4-ZP7 , Volume Page #
Spec house ye no Lot lines identifi a yes no
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 nf 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.
Uwe 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number a ro l/
G ATiJRE OF P ANT(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. 08/05)
Asa ����; �w` `♦� \M► � \I . • A
1.93 ACRES
31 71,893 SO. FT. 1.65 ACRES
low
hNX IA,. 1.81 ACRES
ACRES
36 52.451 SO. FT. 1.20 ACRES
• 46 SQ
•,,� �� 39 43 SQ FT 1 ACRES
t\ i� • 44 S FT 1 . 0 2
• • �`,, �. 42 45 A FT 1 ACRES
43 45,081 SQ. iT. 1.03 ACRES
44 68,413 SO. FT. 1.57 ACRES
p • i 45 58,9
I►. •, A FT 1
'� • •• ai11� ' • A M Mf w •
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Parcel #: 026- 1126 -01 -000 03/07/2008 07:54 AM
PAGE 1 OF 1
Alt. Parcel #: 12.30.18.762 026 - TOWN OF RICHMOND
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 - BRUSHY MOUND PARTNERS
BRUSHY MOUND PARTNERS C - LLP
LLP
PO BOX 445
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description " 1669 WATERS EDGE DR
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.360 Plat: 08- 013 - WATERS EDGE LOTS 1/49 2000
SEC 12 T30N R18W PT SW SE & SE NW WATERS Block/Condo Bldg: LOT 01
EDGE LOT 1 2.360AC
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
12- 30N -18W SW SE
Notes: Parcel History:
Date Doc # Vol /Page Type
09/29/2000 630775 8/13 PLAT
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/20/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.360 57,700 0 57,700 NO
Totals for 2008:
General Property 2.360 57,700 0 57,700
Woodland 0.000 0 0
Totals for 2007:
General Property 2.360 57,700 0 57,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
.:..1 4t31Pw169 604���
STATE BAR OF WISCONSIN FORM 1.1998 KATHLEEN H. WALSH
REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed, trade between David L. Naser, Grantor, and Brushy
Mound Partners, LLP, a Wisconsin limited liability partnership, Grantee, RECEIVED FOR RECORD
Grantor, for a valuable consideration, conveys and warrants to Grantee 06-03-1999 9:30 AM
the following described real estate in St. Croix County, State of Wisconsin (The WARRANTY DEED
"Property"): EXEMPT M
CERT COPY FEE:
See attached Exhibit "A" COPY FEEL
TRANSFER FEE: 1047.60
RECORDING FEE: 12.00
PAGES: 2
Recordin Area
Name and -Reaun Address
Hendrick W. Van Dyk
VAN DYE, O'BOYLE dr SILER, S.C.
Post Office Box 127
New Richmond, WI 54017
Pmt of 026.1637.30.Oft 026.1037.95.000
and 026.1038.10,000
Parcel Identification Number (PIN)
This Is not homestead property.
i
v.
Exceptions to warranties: Subject to all easements, restrictions and covenants of record.
Dated this 28th day of May 1999.
i
1 *David L. Naser
I
*
AUTHENTICATION ACKNOWLEDGMENT
Signatures) David L. Naser STATE OF WISCONSIN. )
) as, -- - - - -- - -
_ - County.
autheacieat d this28 hday of IKe 1999, Personally came before me this day of
, 19_ the above named
� to me known to be the persons) who executed the foregoing
* Hendrik W. Van Dyk instrument and acknowledge the same,
i TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
► authorized by § 706.06, Wis. Stan,)
THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin
Hendrik W. Vaa Dyk My Commission is permanent.
VAN DXK, O'BOYLE & SILER, S.C. (If not, state expiration date:
Post Office Box 127
New Richmond. WI 54017
(Signatures may be authenticated or acknowledged. Both are not
nccasary.)
:
STATE OF WISCONSIN BILL NUMBER: 74704 BRUSHY MOUND PARTNERS
REAL ESTATE PROPERTY TAX BILL FOR 2010 IMPORTANT: Correspondence should refer to Parcel number.
See reverse side for Important information.
TOWN OF RICHMOND Be sure this description covers your property. This description is for property
tax bill only and may not be a full legal description.
ST. CROIX COUNTY 8/13 ACRES: 2.360
BRUSHY MOUND PARTNERS SEC 12, T 30 N, R 18 W, SW of SEA
LLP SEC 12 T30N R18W PT SW SE & SE NW WATERS
PO BOX 445 EDGE LOT 1 2.360AC
NEW RICHMOND WI 54017
Parcel #: 026- 1126 -01 -000
Property Address: 1669 WATERS EDGE DR Alt. Parcel #: 12.30.18.762
Assessed Value Lad Ass'd. Value Improvements Total Assessed Value Ave. Assmt. Ratio
77,9;0 7 7, 9 0 0 1.1116 (Doe A ssessed rct credittss) to 0.014720811
Est Fair Mkt Land Est Fair Mkt Improvements Total Est Fair Mkt A Star In this box School taxes reduced b
70,100 7 0'100 means Unpaid Prior Y
_ Year Taxes___ school levy tax credit $ 125.77
2009. 2010 2009 2010 % Tax
Taxing Jurisdiction Est State Aids Est State Aids Net Tax Net Tax Change
Allocated Tax Dist Allocated Tax Dist
STATE 13.05 11.96 —8.3%
COUNTY 81,600 85,229 273.06 273.12
TOWN OF RICHMOND 169,402 174,426 80.11 82.11 2.5% -
SCH DIST NEW RICHMOND 3,904,206 4,218,432 672.37 699.19 4.0%
WITC 32,658 32,196 81.21 80.37 —0.9%
Total 4,187,866 4,510,283 1,119.80 1,146.75 2.4%
First Dollar Credit
Lottery & Gaming Credit
Net Property Tax _�._ -
P rty 1 119.80 1,146.75 2.4%
Make Check Payable to: Full Payment Due on or Before January 31, 2011 Net Property Tax 1,146.75
ST. CROIX COUNTY TREASURER $1, 146.75
ATTN: LAURIE A. NOBLE
1101 CARMICHAEL ROAD Or First Installment Due On or Before January 31, 2011
HUDSON WI 54016 $573.38
715 - 386 -4645
And Second Installment Payment Payable To
ST. CROIX COUNTY TREASURER And Second Installment Due On or Before July 31, 2011
ATTN: LAURIE A. NOBLE $573.37
1101 CARMICHAEL ROAD'
HUDSON WI 54016
FOR TREASURERS USE ONLY U Uf2R . 9 1 1 a FOR FULL PAYMENT
PAYMENT Pay By January 31, 2011
► $ 1, 146.75
BALANCE blaming: If not paid by due dates, installment option is lost
PLEASE RETURN LOWER and total tax is delinquent subject to interest and, if applicable,
V PORTION WITH REMITTANCE T DATE penalty. Failure to pay on time. See reverse.
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