HomeMy WebLinkAbout042-1086-90-220
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
552304 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:
Peterson, Craig W Warren, Town of 042-1086-90-220
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
/01>1 0 (OD ` 0 91 31.29.18.485A22
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / Benchmark
12- 21.1 q9-j
Dosing / Alt. BM
Aeration B~ig_ Sewer
q
- Vl
7. q
Holding SUHt Inlet
- v V,
TANK SETBACK INFORMATION St/Ht Outlet /
TANK TO P/L WELL BLDG. Vent to Air Intake. ROAD Dt Inlet
Septic D / / W Dt Bottom
7' ll~ ys 3 0 - 9
Dosing 75 / S~~ / Hea e 0
Aeration pe ~6Y
Holding Bot. Syste ~it~ ,fit ( 9 q
3 Stl
ark
Final Grade
PUMP/SIPHON INFORMATION 0- J • k /mil 4A' ,X+11( , / 13
Manufacturer Demand St C R
J" GPM I~QjYI I
M del Number
MD ~ 'm 5 3 20--
0
TDH Lift Fricti n Loss SysteWact TDH Ft
Zj)n L
~rjj((~~ D).ko II
1~1 n~
SOIL ABSORPTION SYSTEM
BED/TRENCH Width I Length f r, No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO o P/L BLDG WELL LAKE/STREAM LEACHG Manufactur~G y /
INFORMATION Ty e Of System: 0 CHAMBERIN Sh (j j!N
>-56 / O r jr-J Model Number:
i
DISTRIBUTION SYSTEM 6Ltk Ave.
He der/f~~ fn.h, Distribution r+ x Hole Size x Hole Spacing Vent t Air Intake
Yhnm1~Rd YY~ Pipe(s) u~h I
Length Dia Length Dia Spacing G 0 &e~ .
SOIL COVER ~b x P essure Systems Only xx Mound Or At-Grade Systems Only
Depth Over pth Over xx Depth of Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil T El Yes 0 No E] Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:'3 12 7-1D Inspection #2:
Location: 640 93rd Street Roberts, WI 54023 (NW 1/4 SW 1/4 31 T30N 18W!) NA Lot 13 ~Parcel No: 31.29.18.485A22
1.) Alt BM Description = ~P 0- rn Z J kaq Y?~M •~•y~d7 /l~G~`f7h a SQi / Rt
2.) Bldg sewer length 30/ 4, qSb- j_k t,h'e _ t"'I le-}> kohyh - (oadt,:,,
amount of cover = ~.)U
Plan revision Required? Nfl Yes o , I Z ?
vc
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No.
RECEIVEID A
t oensnem wLgow Division t- ~1 P.O. Box "7 Ma7-7162 Sanitary Permit Number (m be filbd in by Co.)
Salutary P r't ca on Side Transaction
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, sublWasion of this form to the appropriate governmental / V Ar
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
purpokes in accordance with the Privacy Law, s. 15.04(1)(m
Stets. lQ 6 V J
1. Applicadon Internudon -Florae Print All Informadoa tFJ D lJ
Property Owner's Name Parcel #
Cro- t. C; aj~ IF (7-
Property Owner's Mailing tpnWs Pmpetty Location
A - ZL
L 2 clout t
Cit/y,%State / Zip Code Phone Number / y's~ y, Section
H. Type of Building (check all that apply) Lot -
Subdivision Name
or 2 Family Dwelling - Number of Bodroo
~Block
❑ Public/Commescial - Describe Use O}C &A A ❑ City of
❑ State Owned- Describe Use CSM Number ❑ Village of41?
v, 041% Z. Town of f t~i✓
3 A-'4 L&5 ijj Z -r + ~t,► z 9 541
M. Type of Permit: (Check o4ty one box on Hue A. Complete Mae B if applicable
A. ew System ❑ Replacement System ❑ Treatment/Hotding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Ust Previous Peanut Number and Date Issued
Before Expiration Owner
err
IV. TWO of POWTS S stem/Com onent/Device: Check all that a
on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound?: 24 in. of suitable soil ❑ Mound < 24 in of suitable soil p
❑ Holding Tank ❑ Other Disperse! Componcut (explain) ❑ Pretreatment Device (explain) /
V. Dis Tree t Moo Wormstion:
Design Flow (gpd) ign Soil Application jtlta(gpds fl Dispersal Area Required (oft Dispersal Area Proposed (sf) System Stevation
X36
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
New Tanks Existing Tanks
Saptic or Holding Tank x a~~
Dosing Chamber s Y_I
VII. Responsibility Statement- I, the undersillneil, assn usability for installation of the FOWTB shown on die attached plans.
Plumber's Name (Print) Plumbu' MP/MPRS Number Business Phone Number
ZLI-
Plumber's Address (Street, City, State, Zip Code)
VIII our /De partment use Only
A roved Permit Fee Date Issued Issuin t Signature
Pp S A175,
m 18 Z 17-
ven Reason for enial /
IX. CoAdIOM-9 p easoW for Disapproval 3l /Vv Pa« o~ 7 6V
1. Septic tank, effluent filter and ✓ r .ti,
dispersal cell must all be services I mall
rttainod as per management plan provided by plumber.
2. Alt.setback requirements must bR: maintained'
b swan • system and submit to the County only on paper not less than a Ira x t l Isehss In stm
SBD-6398 (R. 01/07) Valid thm 01/09
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715-246-4516
Date: 2/7/12
Owner: Craig Peterson
Location: NW1/4 SW1/4 S31 T29 N,R18W Lot 13 93rd st. Warren
System type: In-ground absorbtion system (conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Pressure Distribution Manual (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-5. Maintanance and Contingency Plan
6. Filter Specifications Sheet
7. Dose Tank Cross Section
8. Pump Curve
Signature
License numb r 1226900
PLOT PLAN
PROJECT Craia Peterson ADDRESS 1909 Center ST. Centerville Mn 55038
NW 1/4 SW 1/4S 31 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 2/7/12 BEDROOM 4
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1230 # of chambers 60
BENCHMARK V.R.P. Top of wood corner post ASSUME ELEVATION 1001 Filter BEST Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 91-1/90-1/89.1
93rd St.
Well is to meet all
setbacks required by Vent
WDNR Scale is 1" = 40' >6„ Quick4 Standard
Plans Designed Using unless otherwise of Cover Leaching Chamber
Conventional Powts noted with 20.0 ft2 of Area
Manual Version 2.0 1271 10.2ft^2/pair of end caps
4' Long
34" Grade at System Elevation
Pro 4 Bedroom
Property Line 50 House
95' 3 Huffcutt Combo Tank
40' 91'
40'
B-2
3-3' X 82' Cells
with >3' spacing
45' 85'
B-3 13% Slope
~ y
B.M.* B-1
60' Vents 5'
Property Line
PLOT PLAN
PROJECT Craia Peterson ADDRESS 1909 Center ST. Centerville Mn 55038
NW 1/4 SW 1/4S 31 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 2/7/12 BEDROOM 4
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1230 # of chambers 60
BENCHMARK V.R.P. Top of wood corner post ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
SYSTEM ELEVATION 91-1/90-1/89.1
93rd St.
Well is to meet all
setbacks required by Vent
WDNR Scale is 1" = 40'
>6„ Quick4 Standard
Plans Designed Using unless otherwise of Cover Leaching Chamber
Conventional Powts noted with 20.0 ft2 of Area
Manual Version 2.0 12„ 10.2ft^2/pair of end caps
Long
Grade at System Elevation
34"
Pro 4 Bedroom
Property Line 50 House
95/40' '~~Hulffcutt Combo Tank
91
40B-2
3-3' X 82' Cells
with >3' spacing
45' 85'
13% Slope
B-3
B.M.* B-1
5'
60' Vents Property Line
Cross Section of Quick 4 Standard Leaching Chamber
Typical cross section for 2 of 3 cells
Quick 4 Standard
Leaching Chamber with
20.0 ft2 of Area per
Chamber 10.1ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation A(I 96.0
Vent Grade Vent
4' 4" 4'
X30/34 Septic Tank
4' Long 119 5' 4' Long 119
34" Grade at System Elevation 34" Grade at System Elevation
Spacing 5'
3-3' X 82' Cells
Observation tubeNent
Same on other end To be located on end of Cells
A
B
System elevations: C
A-91.1
B 90.1 20 chambers per cell
0_89.1
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. gin e into system is not exceed those required as per Comm. 83
cy Plan
OIf system fails, determine cause of failure, use alternate area and install new
sted replacement area.*
Option #2. Install system at a lowaf 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.
>1
3. Replace any other failing compondnts as needed.
Plumber: Shaun Bird 715-246-4516
St. Croix County Zoning 715-386-4680,
Pumper Tom Mondor 715-246-5148
Shaun Bird #226900
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Septic-Dose Tank Cross Section And Pump Performance Specifications
Tank Manufacturer w~ Pump Manufacturer
Tank Model Number i Pump Model Number
Total Tank Capacity 1,9~SVJ (o) Alarm Manufacturer j1e C
Max. Bury Depth Alarm Model Number 'D c„ z/
_ T_ Switch Type
Filter Manufacturer Total Dynamic Bead (TDH) Feet _
Filter Model Number - - Elevation Head -
Distal Pressure
_ Network Lass
- Minimum Pump Performance Required Force Main Loss ~ ~ -
0 GPM. Q . 1 Ft TDH Total _
Outlet Manhole Min. 4" Above Grade With
Looking Device. Inlet Manhole Manhole Min. 4" Above Grade
< 6" Below Grade Sealed Watertight Securely Mounted With Locking Device
Weather-proof
Junction Box.
r err Finished Grade aver .w an r wr YrL enr
Vent Min. 12" Disconnect
, Above Grade Means
With Vent Cap
`I Y 1•::Y`: Y :1•:r•t~:Y • :e •t~l•1 1 l {•1 t I i 1 1 s <•l t•. < 1< :<•I I t<
Y, 1 Y Y 1 > I L 1 Y I Y > Y Y~>
L )
Outlet Filter
inlet Not Baffle
•rt
t,t, Y~1
'Y`L 1 e > L
A
15witeh Settings and Reserve Capacity Y4"
Tank Volume GPI Weep
Dimension; Inches Volume Gal. H Hole
06
(reserve) A,
(alarm) B : 2 Off Elevation C
e o Y : L
(dose) c:- S ~a l Ft -
Bottom
(dead) D'
D Elevation aftion
X": / V L~'~` LIY D' Ft
-r~rrc-Yrt-v;rrc-c ,sus-c
1•: I t { { { Y :>i`Y > :)`a::,1, /,1)e,t•t / 1Y1>t,t, ~I~.~i r~'I~.Y t)1Y SY `~•~IY•Y•la~ Y{y<Y IY {Y~Y IY•Y`Y{1 1.1{Y ~ :YIY'aIYIL{:Y`a` 'I YY`L`: Y: >'L `Y`lY'L'.
IYI 1`1•t•t':1 t• •Y e, l l i lit 1< t 1/ 1 1, t e t 4 t>1•e l e t { I I i 1 1/,. 1 1 1{ / t/ i t 1 1 I t t e t 1.3 I l i{( t, 1 1 1)t 1 1{ 1/{ s l s s l l
GENERAL INSTALLATION: The septic/dow tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not
be exceeded without prior approval. Manhole covers exposed to grade have an effective looking device (padlock)
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and
laid on stable soil to prevent settling or sagging. The force main is sleeved with 416 Sch. 40 PVC to bridge the tank
excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.23.
02/05 U Page of,____
U)
HEAD CAPACITY CURVE TOTAL DYNAN1iC H_.AL`/,.APAGITY
MODELS 53/55/57/59 PER ~IrIUTE
25 E`FLUENT ANI 1FINArER!NG
- ! hl~odel ~ 3 55 57 /5^ 6- 20- _ / / 9
rt. hAe*.ers Gol. - ~Ltrs, _
15 4~ 63
-
} 4 lU 3.1 34 29
15 4.6 19
7L.
10 - - - - -J - - -
Snot-off Head! 19.2: ft. (5.9mj
2 I
5
0 - I 11FT
U.S. CAI_LCNS j 110 20 30 40 50 LITERS t T
0 80 160 I ~~ti tsjls
FLOW PER MINUTE -
009e97
1~\ ~r /11
Variable level float switches available.
Variable level long cycle systems available.
Available with special cord lengths of 15', 25', 35' and 50'.~
u Alarm systems available. i-"
Duplex systems available. 1 ° °
3/32
6K85e
Single Seal Control Selection - Listings
Model Its Phase Mode Amps Simple- Duplex CSA ULL 1. Integral float operated mechanical switch no external control rujuired.
M53/55 --&M57/59 115 1 Aute_ . 9.7 1 Y Y 2. Sin le i back=variable level float switch or double t back variable level
_N53/55 & N57/59 115 1 Non 9.7 2 3 or 4-5- Y Y t p ch. P 9fdY
BN53 _ 115 1 Auto 9.7 Y Y float switch. Refer to FM0477.
8N57 115 1 Auto 9.7 N Y 3. Mechanical alternator "M-Pak" 10.0072 or 10-0075.
BE53/5 _ 230 1 Auto 4.6 Y Y 4. See FMO712 for correct model of Electrical Alternator.
D53l55 & D57159 230 1 Auto 4.8 1 Y Y 5. Variable level control switch 10-0225 used as a control activator, with Electrical
E53/55 & E57/59 230 1 Non 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system.
Single piggyback switch included.
Forinformation on additional Zoeller products reterto catalog on Piggyback Variable Level Float Switches, FM0477; o CAUTION
Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sum t
p/Sewaga Basins, FM0487; and Single Phase
Simplex Pump ContraVAlarm Systems, FM0732. -oe
S FR W P(AV PEA y
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL 10: P.O. BOA rya+~ _ -
Loulsvdle, KY 40250-v
Manufacturers of . .
O - SHIP
T0: 3849 Cane Run Road
Louisville, KY 40211-1961
® ® (502) 778 2731-1(800) 928 PUMP ~7arPaMps J,NCE I~~9
httpJ1Www.z0e1ler.c0m PUMP !O_ FAX (502) 774-3624
- _ - - -
0 Copyright 2002 Zoeller Co. All rights reserved.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer r a 'Mailing Address 7
Property Address ~O lit/
(Verification required from Planning & Zoning Department for new construction.)
City/State D Q✓f5 / Parcel Identification Number -Z 6 - 90
LEGAL DESCRIPTION
Property Location /(~U) , %4 , Sec. 3/ , T ;'~N RI W, Town of ~'r)arye'A-\_
Subdivision Plat: , Lot # 13.
Certified Survey Map # / Volume , Page #
Warranty Deed # (before 2007)Volume Page #
Spec house yes no Lot lines identifiable _l 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 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 113 full of sludge.
1/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.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we arn/are the owner(s) of the
property described above, by virtue of a war anty deed recorded in Register of Deeds Office.
G/
Number of bed oms
IGNATURE 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. 08/05)
II I III~II III IIIII~ fli Ill
8033559
Tx:4024212
STATE BAR OF WISCONSIN FORM 1 - 2000 939380.
WARRANTY DEED BETH PABST
Document Number REGISTER OF DEEDS
ST. CROIX CO., WI
THIS DEED, made between Harvey N. Hielkema, a single person, 07/27/2011 2:39 PM
Grantor, and Craig W. Peterson and Erin Conrad, EXEMPT#: NA
-single c-nnl pr ,Sa Qint tE+nant
Grantee. REC FEE: 30.00
Grantor, for a valuable consideration, conveys to Grantee the following TRANS FEE: 75.00
described real estate in St. Croix County, State of Wisconsin (the PAGES: 2
"Property"):
SEE ATTACHED EXHIBIT A
Recording Area
Name and Return Address: ;t
Land Title, Inc.
2200 West County Road C, Suite 42205
Roseville, MN 551 13
~.~za3a
Together with all appurtenant rights, title and interests. 042-1086-90-220
Parcel Identification Number (PIN)
This is not homestead property.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Roadways, Easements, Restrictions, and Rights of Way of record
Dated this 14th day of July, 2011.
* Harvey -N. Hielkema
*
AUTHENTICATION J ''`s~
~~li.• OTAR •:b ACKNOWLEDGMENT
Signature(s) f' STATE OF WISCONSIN )
ST. CROIX COUNTY. ) ss.
authenticated this 15th day of July, 2011 ~pv `G ::2 Personally came before me this 14th day of July, 2011 the
>9'•. BL' above named, Harvey N. Hielkema, a single person, to me
* OF W1 known to be the person(s) who executed the foregoing
TITLE: MEMBER STATE BAR OF WISCONSI instrument and ackn e g the me.
(If not, "
authorized by § 706.06, Wis. Stats.) *Kell J. Nelson
THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of W' consl
My commission is perma nt. (If t, state expiration date:
Larry S. Mountain - Attorney At Law 4/13/2014 )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
'Names of persons signing in any capacity must be typed or printed below their signature
1 of 2 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000
EXHIBIT A
Lot 13 of Certified Survey Map recorded November 16, 2007 in Vol. 23. Page 548 1,
Document Number 860282, located in the
Nor frwe i % of the Southwest of Section 31, T 29 N R 18 W Town of Warren
, St. Croix County, Wisconsin, being Lot 9 of that
Certified Survey Map recorded in Volume 15 of St. Croix County Certified Survey Maps, Page 4169.
2 of 2
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@@ EE99 m
Wisconsin Depa nt of Commerce SOIL EVALUAT Page t of
Division of Safety a Build in s '
In ad4dr~+ ' h Comm 85, Wis. Adm. Code
County r
C
Attach complete site Ian ong}aper iiot tb41/2 x 11 inches in size. Plan must i
include, but not limit to: v l~cfllzontal reference point (BM), direction and Parcel I.D. yL
percent slope, scale o s, north arrow, and location and distance to nearest road. Q c~ 0
Please print all information. view Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 4 3 ZQI
Property Owner Property Location
7
a 4 1/4 S T N R E o
Govt. Lot' 1 /
.S G1 J p~
C. CL-
i C-4
Property Own aili ddress Lot # Block # Subd. Name or CSM#
City State Zip Code Phone Number ❑ City ❑ Village own Nearest Road
JR~New Construction Use:Residential I Number of bedrooms Code derived design flow rate 4610 GPD
❑ Replacement ` Pub' or commercial - Describe: S~ 1~r
Parent material ~ Z QQ ~Flooodd,P~ain bon if applicable ~~~0~/7` ft.
General comments `V
and recommendations:
System Type l~~~P, ~i.,a rr~Z ZL'/_ System Elevation
Boring # El Boring
171 Pit Ground surface elev. ~ ft. Depth to limiting factor //Y in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence EBoundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
31
' -
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 ' / 31 L- - 16,2
Z 42-Y C c i
Effluent #1 = BOD > 30 < 220 rng/L and TSS >30 < ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ignature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715-246-4516
Property Owner _ Parcel ID # Page of
Boring #
1-76-1 Z7r ❑ Boring Gt _
pit Ground surface elev. t 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
O- D
1_9S1- 441 /All J4 4 ~ J /e v
❑ 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
Boring I'
❑ Boring # E] Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 -Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L - Effluent #2 = BODS < 30 mg/_ 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.
SB68330 (RAM)
Property Owner _ Parcel ID # Page of
T Boring # Boring
Pit Ground surface elev. t ft. Depth to limiting factor- in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDflf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -,r^ 'Eff#1 •Eff#2
5r.~ / 3
~l
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in Soil lication 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
F Boring # Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication Rate
Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2
Effluent #1 = BODS > 30 1220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 130 mgA- and TSS < 30 mg1L
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 (Rb/00)
Soil Test Plot Plan A
Project Name Craig Peterson Shau ' B d
Address 1909 Center St.
Centerville Mn 55038 C #226900
Lot 13 Subdivision Date 2/10/11
N W 1/4 S W 1/4S 31 T 29 N/R 18 W Township Warren
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Wood Corner Post
System Elevation 91.1/90.1/89.1 *HRPSame as Benchmark
93rd St.
Scale is 1" = 40'
unless otherwise
noted
Pro 4 Bedroom
Property Line House
- 95' 93'
0
-7 91'
M
N 40'
B-2
45' 85'
B-3 13% Slope
vs
B. M. B-1
60 5' Pro e Line
Page 1 of 3
Wismnsin Department of Commerce SOIL EVALUATION REPORT
Division of safety and Buildings
in accordance with Comm 85, Wis. Adm. Code CQYQty St. Croix
Atta :h complete site plan on paper not less than 81/2 x 11 inches in size. Plan mu~
include, but not limited to: vertical and horizontal reference point (BM), directi~n n a7ceI I.D. 042-1086-90-2&6 2 Z p
percent slope, scale or dimensions, north arrow, and location and distance to rest road. Reviewed `k~y Date
Please print all information. +
Personal information you provide may be used for sec w, s. 15.04 (1) (m)). ! 1~t.
®r®
Property Owner Property Location •
Harvey Hie ema Govt. Lot NW 1/4 SW 1/4 S 31 T 29 N R 18
Lot # Block # Subd. Name or CSM#
Property Owners Mailing Address 1 3 fr~esed CSM tjf
540 Summit ircle 13 NA
i Village Town Nearest Road
City State Zip Co PLAN E & G FFIDE ty 93rd Street
Baldwin WI 5400 Warren
Unknown Unknown GPD
New Construction Use E) Residential / Number of bedrooms Code derived design flow rate
Replacement Public or commercial - Describe: NA ft.
Glacial outwash Flood Plain elevation if applicable
F _
Parent material
i
G 61
General comments
and recommendations:
ley;"U~ r~:.<'~•~. Eac"~. ~ 'a<.~ ~ aVY~~-
r
Boring
B13A Boring # Depth to limiting factor in. Soil A lication Rate
Pit Ground surface elev. 1047.1 ft. 42
■
GPD/ft?
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2
.
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh mvfr cs 3vf-co 0.6 0.8
1 0-6 lOYR 3/4 - sil 2mgr
sic 3fabk mfi gs 2vf-f 0.2 0.3
2 6-17 lOYR 5/6
3 17-42 2vf /0.2 0.5
SYR 4/6 SGVrt>L - - grfsl 0 mfr cs
fl. d5YR /8 sl Om mfr cw 2vf 0.2 0.5
4 42-43 SYR 4/6 0.7 1.6
5 43 96 l OYR 7/4 s Osg ml lvf Lj, Boring >96
B13B Boring # 1045.2 ft Depth to limiting factor in. Soil lication Rate
pit Ground surface elev. GPD/fg
Horizon Depth Dominant Color Redox Description Texture Structure Sh. Consistence Boundary Roots *E 1 *Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. mvfr gs 3vf-co 0.6 O•g
1 0_7 10YR 3/3 - sil 2mgr < mvfr gr'i' 2vf-m 0.0 0.2
2 7-20 10YR3/3 sil ( 2mp1
mfr gs 2f 0.4 0.6
3 20-29 IOYR 4/6 0i lmabk
2mabk mfi gw 1 f
29-46 10YR 5/6 sc
4 0
5 46-57 ~ l OYR 6/2 t7 scl lmabk mfi gs if V. 2 .3
. '-,'Om mfr 1 f 0.2 0.5
57-96 10YR 5/8 fsl
6
* Effluent #2 = BOD < 30 mglL and TSS 30 mglL
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:< 150 mg/L CST Number
Signature 250693
CST Name (Please Print)
Daniel P. Ku el Date Evaluation Con cted Telephone Number
Address Ogden Engineering Company May 9, 2007 (715) 425-7631
1234 S. Wasson Lane, River Falls, WI 54022 T, 5-7 , ,
I IIIIlI lilt
y o I Illllllpllllilillillllillllllll
T U U 4 L U L al
864282
KATHLEEN N. 14ALSH
REGISTER OF DEEDS'
JT. CROIX CO., NI
RECLIVED FOR RECORD
11/16/200' 04:3OPM
CERTIFIED SURVEY MAP
VOL: 23 PAGE: 5481
REC FEE: 15.00
CERTIFIED SURVEY MAP COPY FEE: 4.00
PAGES: %13
JJ
- Harvey Hielkema
Located in the Northwest'/4 of the Southwest'/4 of Section 31,
T 29 N, R 18 W, Town of Warren, St. Croix County, Wisconsin,
being Lot 9 of that Certified Survey Map recorded in Volume 15
of St. Croix County Certified Survey Maps, Page 4169
CEFRFffD SURVEY YAP
YQMM 6, PAGE 15$9_
LOU I LOT 2 I LQ~~ ~
J~
PRIVATE ROAD
- - -
S 89°00'03"E
45o.66' 253.40' ,
o APPR CON 1 (too YR,OXIMATEtog1111gh .~g 273.08'♦
o
Water Elevation) - See Not $ Sb~
BUILDINGSETBrCKLINEa °-6 33 33'
LOT 12 • C4
6.1 3.585~~ 111 -4 LOTt 13 ~Ioo' 4
' O! 0 156,170 SQ. FT J ~c~yr~'C w 2.161~ES n Wei ~I
n
BENCHMARK 30 ♦ ' ,Q~ ~a~ c 94,123 FT
1. 2.001 ~14E5 , t W I
Top t"Iron Pipe
Ito =1051.3t' ♦ LOT 9 $ 8M 4 9~ff
1
32.5 581.30' 72.94 W Wt
I --a
rY 4+ti R q~ 270.39' V. i N y
690?~~ .589°2 'S4n 602391 132.00 M g
$ ,M . v
LOT 11-5
♦ LOT 14 - >,N a
'2500SQ, F7.
a ~N a5°~," E 2.0 S l/ i 91.001 DES N
ryry / , ' 50.p0 90,546 SQ. F1' OR
BUILDING 87164 ) o
♦
SE7BAEKLINE
C y7
lut
LET / 100'
st ~&1 535.49' - - 331.99 Z!IJNE
d' w, `~r6' jy i 22 . .709- ♦ - WEST /2 - SW 1/4
74
66.oo' fide
Joint Driveway BENCHMARK S 89°2 '54" w 557.74'
Easement ~a p 1"I ron Pipe
To
(Lots 12 & 14) / LQT ~n Elevation =1038.57' CERTIFIED SURVEY MAP
SL 1L ` YOME 1Q, PEE -222 3
00$
o
2
!The 100 Year hi water elevation SOUTHWEST CORNER " (R =1311.59')
SECTION 1, T 29 N R 18 W (R -1349.0 $ 1313 38,
1 as proposed by Ogden Engineering Co. (Found 2"I n Pie) 47'
is 1037.73 • The Lowest Building Opening ;
Elevation for theses lots is 1o39.73 . SOUTH LINESW 1/4
N88°42'04"E 2664.85.
(R = N 88°54'52"E 2661.21')
S0ITrFT nTTARTFR MR1VFR
Harvey Hielkema Parcel ID # 042-1086-90-200 Page 2 of 3
Property Owner
B13C Boring # Boring E] Pit Ground surface elev. 1045.1 ft . Depth to limiting factor 70 in Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-5 10YR 3/2 sil 2mgr mvfr gs 3vf-m 0.6 0.8
2 5-1 IQYR 3/2 1 lmabk mvfr gs 2vf-m 0.4 0.6
3 12-26 10YR 4/6 scl 1cabk mfi gs 2f 0.2 ' 0.3
fsl 1 cabk mfr gs 1 f 0.2 0.6
4 26-70 l OYR 4/6
0-96 10YR 5/8 fld 7.5YR 6/8 ('-'s Osg ml 0.7 1.6
5
,v
r) T
❑ Boring # Boring
D Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPD/ftlEff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
i Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPD/fgEff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
* Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 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.
M-8330Test(R.07/00)
Property Owner Harvey Hielkema Parcel ID # 042-1086-90-200 Page 3 of 3
SITE PLAN
PRIVATE ROAD 64th AVENUE '
- - - - - - - - - - - - - - - - - - - - - -
BENCH MARK: - - - - - -I
TOP OF 1" o.d. IRON PIPE ,
ELEVATION=1046.65 ( I
~ I
1048
1048 I '
B13A I~
~
1046 ®B13B \ I
I 1 I
1044 \
B13C
N SCALE IN FEET Ir.
O
J 0 25 50 100 ,
W CONTOUR INTERVAL=2'
0 PROPOSED LOT 13, C.S.M. I '
UJI
COI
63
I
BENCH MARK:
TOP OF 1" o.d. IRON PIPE
ELEVATION=1043.32
r PROPOSED LOT 15, C.S.M.
OGDEN ENGINEERING CO.
DANIEL P. KUGEL CST #250693 Civil Engineering & Land Surveying
1234 S. Wasson Lane, River Falls, WI 54022
DATE: L22a ~1,®~ (715) 425-7631
R RECEIVED 1111111 Illi!' ~''ll fllllpllll! IIII 1111111111 IIII
V V •1 L 3 2 3
N,O v 2 6 2007 864282
KATHLEEN H. WALSH
REGISTER OF DEEDS
. CROIX COUN1y ST . CROIX Co., WI
SURVCE YOR 8 RECORQ RECEIVED FOR RECORD
11/16/2007 C4:30PH
CERTIF. ED SURVEY MAP
VOL: 23 PAGE: 5481
CERTIFIED SURVEY MAP COPY REP FEFE: 1 Q0
E E; 4.00
Harvey Hielkema PAGES: 3
Located in the Northwest '/4 of the Southwest '/40f Section 31,
T 29 N, R 18 W, Town of Warren, St. Croix County, Wisconsin,
being Lot 9 of that Certified Survey Map recorded in Volume 15
Of St. Croix County Certified Survey Maps, Page 4169
CUUM) 50ITY hut!
LOT-1 _ Q-Lf!IE6, 85AG 150_
LOT 2
1
PRIVATE RQAD - I
- - 3 89°00'0$"8 (
450.66'
'
g A00 37.7133' 15-40' Co UR (1 Wt.
Water Slevetion) - SW Ao
• q'
,BUILDING _ - -
SETB~CXLINBU 9"---° o~ - 33` 33'
e4r3 / l
LOT 12
L' w 3.585AA0WS LOTS ioo'
156,170 SQ. F7:1 (~Sro~ w 2161
BENCHMARK ,p~~~~C~` 94,123 G/i.°r~
`E ns 054.31' A 61k. $ 2.A01 1 r ~~1
/v~~ LOT 9
cn 871
14 a. ~ ' g~g w^ ~ta~..
rw \ - - - Ls i 3 to to-al
32 V5, 581.30' 1-14
E
27e•39' 10.91 vvv'~ ao 3 ;
qcc~p.~ S89 V~.Sq"- 602.39'- - - 32.00
'It
op ri n~~ LOT S S 8 ' 8 51
2.1
A or 14 A Z079AOWS gI~ 3 / 93,250 Q fT ~a~
z " 90,546SQ FT 2~OR o$
BUILDING pp~~
/c7~~~•~T3 SE7BACSLINE / /J B~IXQ{Y I~
N j Sm. s --535-49 " - - 1 0 EAST LINE
66.oo' Hide Tv j'yy' ~v ~v/ 33 .99`
22 WEST
Joint Dr iveeuay 1/2 - SW 114
Easement BENCHMARK S 89°2 'gq"W 557-74'
x!
(Lots 12 & 14) % r QT 12 ITop o~':110336.ar CERWLED SUmwy 1YIt1P_ pips
YAL E IQ, ME X Z 3 M
8
7 NOTE - •
' The 100 Year ' water elevation
Ias P
11, li 11 ,
Co. t SEA ONX~ N, R 8 W (R =13gg.62) $a 131338'597
7.73• i ne Lowest u 1G (Found 2"Iron Pipe) 47'
IElevation for theses lots is 1039.73 SoUrHLINESWI/q 11
N88
q2 og" E 266q
N (R = N 88°5q 52"E 2661.217
SOUTH QUARTER CORNER
LEGEND SECI70N31, T 29 N, R 18 W
(FoundBernts.Alumm Monument)
E O Indicates i"O.D. x 18" Iron Pipe Set
(Min. Wt. - 1.13 lbs./fin. ft.)
oN ~ -
• Found i" Iron Pipe .'0
0 Section Corner Monument
(as noted) cg
Saute in Feet 5 Erv
1 " a 1 0' (R = ) Recorded As -7-3 . JAN
ELDBNVILLE
150 75 0 150 wt.
Bearings ore referenced to the South fine of the Proposed Driveway Location
SW114 of Section 31, assumed bearing N88°ga'oq"E. •••••••.SQ`'
A Indicates Soil Boring Location Dated -
This Instrument Drafted by Mark W. Peavey October 19, 20o6
vol. 23 Page 54£31 SePteX4,2007 SHEET 1 OV
CERTIFIED SURVEY MAP
Harvey Hielkema
Located in the Northwest'/4 of the Southwest '/4 of Section 31,
T 29 N, R 18 W, Town of Warren, St. Croix County, Wisconsin, being Lot 9 of that Certified
Survey Map recorded in Volume 15 of St. Croix County Certified Survey Maps, Page 4169
CURVE TABLE
Curve Are Central Chord Bearing Chord Tangent Bearing Tangent Bearing
No. Radius Length Angle
1-3 80.00' 77.62' 55. 35121" N 36'14'27.5"w 74.61' N 08' 26' 47"W N 64'02' 08"W
1-2 80.00' 43.61' 31. 13'S6" N 24.03' 45"W 43.07' N 08' 26' 47"W N 39'40143"W
2-3 80.00' 34.01' 24. 21125" N 51'51' 25.5"W 33.75' N 39. 40' 43"W N 64.02' 08"W
DESCRIPTION:
That certain parcel of land located in the Northwest %of the Southwest '/4 of Section 31, T 29 N, R 18 W. Town of
Warren, St. Croix County, Wisconsin, being Lot 9 of that Certified Survey Map recorded in Volume 15 of St. Croix
County Certified Survey Maps, Page 4169, more fully described as follows: Commencing at the Southwest corner of said
Section 31; thence N 88°42'04" E (assumed bearing on the South line of the Southwest'/4 of said Section 31, recorded as
N 88°54'52" E) a distance of 1351.47' (recorded as 1349.62') to the Southeast comer of the West %s of said Southwest
1/4; thence, along the East line of said West Y2 of the Southwest V4, N 00°53'08" W (recorded as N 00051'28" W),
1604.17' to the Southeast comer of said Lot 9 and the Point of Beginning of the parcel to be herein described; thence,
along the Southerly line of said Lot 9, S 89°28'54" W, 557.74`; thence, continuing along said Southerly line,
N 56050'26" W, 168.15`; thence, continuing along said Southerly line, S 25°57'52" W, 68.89' to a point on the
Northeasterly line of 91 a Street; thence, Northwesterly along said Southerly line of Lot 9 and said Northeasterly line of
91" Street, a curved line, concave to the Southwest, having a radius of 80.00', whose chord bears N 36°14'27.5" W,
74.611 to the Southwest corner of said Lot 9; thence, along the Westerly line of said Lot 9, N 25057152" E, 281.71';
thence, continuing along said Westerly line, N 15°48'06" W, 307.87' to the Northwest corner of said Lot 9; thence, along
the North line of said Lot 9, S 89°00'03" E, 723.74' to the Northeast corner of said Lot 9; thence, along the East line of
said Lot 9, S 00053'08" E (recorded as S 00°51'28" E), 622.13' to the Point of Beginning, containing 9.965 acres or
434,089 square feet, being subject to an easement for Town Road purposes over Easterly portions thereof, as shown on
this map, a 66.00' wide joint driveway easement, as shown on this map, and to any other easements, covenants and
restrictions of record.
GENERAL NOTICE STATEMENT:
Note: Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands,
minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning
Office and the Town of Warren.
State of Wisconsin)
County of Pierce)
1, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Harvey Hielkema, 1
have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of Wisconsin
Statutes and the Ordinances of St. Croix County andtt: *tft1gd description are a true and correct representation
thereof. A~''P11'"'CC1J yCLL77
Dated : October 19, 2006. rkhN 0 za"lnpOCKOM Y
Revised : September 4, 2007
STATE OF WISCONSIN) NOV 1 6 2007
ST. CROIX COUNTY) SS
H not recorded within 30 drgre of
approval wvxE
•
approval l be L vv
I, Cheryl Slind, being the duly elected, qualified an dac and void
treasurer of the county of St. Croix, do hereby certify that the * = M ~7
records in my office show no unredeemed tax sales and no unpaid ErrviLLE : a
taxes or special assessments as of J X ,200(0 affecting the lands included ' this Certified urvey Map.
! i ! tP • 0', • LgTTr>
Date Treasurer
This Instrument Drafted by Mark W. Peavey
3 of 3 Vol. 23 Page 5481 SHEET 3 OF 3
Page 1 of 1
Pam Quinn
From: Karen Benysek [sunshine01@baldwin-telecom.net]
Sent: Monday, November 01, 2010 3:15 PM
To: Pam Quinn
Subject: RE: Perk Test
I don't have a fax at my home at this time, but I will pass this information on to my husband. We are
looking into purchasing that land and before we found a realtor, I decided to try to determine the septic
system. In that area, there are some houses that have mound and some have conventional so it's hard
to tell by driving by. If we purchase the land, we may have to do another test, from what I am assuming.
Thank you for the information!
Karen
From: Pam Quinn [mailto:PamQ@CO.Saint-Croix.WI US]
Sent: Monday, November 01, 2010 2:40 PM
To: Karen Benysek
Subject: RE: Perk Test
Karen,
Those soil and site evaluation reports (formerly known as percolation tests) aren't scanned into our
database; we have original copies on file here when the soil testers submit them with a review fee. This
lot is #13 of Certified Survey Map Vol. 23/ Pg. 5481 and the report was completed in 2007. An at-grade
or mound system appears to be necessary due to limiting soil conditions starting at 42" below surface
grade. An additional test pit is recommended so that the system can be installed along a contour in the
Northwest portion of the lot. I can fax a copy to you if you provide the number.
Pamela Quinn, Zoning SpeciaCist (POW73)
St. Croix County Planning & Zoning Dept.
not CarmichaeCPoad
Hudson, WI 54o16
715-386-4680
12amq(a7co. saint-Croix. wi. us
From: Karen Benysek [mailto:sunshineO1@baldwin-telecom.net]
Sent: Monday, November 01, 2010 2:29 PM
To: Pam Quinn
Subject: Perk Test
Pam,
I was online on the county website trying to determine what the perk test came out to be for a specific
parcel of land my husband and I are interested in buying.
The address is 640 93rd in Warren Township. Where would I find that information?
Thank you
Karen Benysek
11/1/2010
Parcel 042-1b86-'90-220 07/14/2008 09:12 AM
PAGE 1 OF 1
,Alt. Parcel 31.29.18.485A-22 042 - TOWN OF WARREN
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
11/16/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
HARVEY N HIELKEMA O - HIELKEMA, HARVEY N
2150 55TH AVE
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 640 93RD ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 2.161 Plat: 5481-CSM 23-5481 042-07
SEC 31 T29N R18W PT NW SW BEING PT LOT 4 Block/Condo Bldg: LOT 13
CSM 10/2924 THEN PT LOT 9 CSM 15/4169
BEING NKA LOT 13 CSM 23-5481 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
31-29N-18W NW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
11/16/2007 864283 EZ
11/16/2007 864282 23/5481 CSM
11/21/1996 552473 1210/117 WD
03/17/1995 526823 1114/415 WD
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/30/2008
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.161 38,000 0 38,000 NO
Totals for 2008:
General Property 2.161 38,000 0 38,000
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