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AS BUILT SANITARY SYSTEM REPORT
OWNER /<0_ -TOWNSHIP AlLxrol
SECTION T_2~y_N-R_~W
ADDRESS J70 V C ~✓(~~/7M E2 092TVE ST. CROIX COUNTY, WISCONSIN
SUBDIVISION Sz ~i1v7u o~,-.~o~ Ontzk_ LOT LOT SIZE Z24 <P60`jr~A7
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
: - G` ~ln/tTN~*vPr.Pty~ivE R~-
Jevr
~ BF MM h
~ ~ TAP F / '~/~u.v
6,~',~, y3 O~ot Ar,AI- 4--
~rPoG~~
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Sour,-l y L..vc
INDICATE NORTH ARROW
A/o E
BENCHMARK: Elevation and description: ~ C);7/"-_,'
c~c)
Alternate benchmark A "E-1 g;v. /o0.w' o? 90~. 3g'
SEPTIC TANK: Manufacturer: Liquid Cap.
Rings used: I-Manhole cover elev:! S y?Final grade elev: /oG iSTank inlet elev.:/0/ ~9 Tank outlet elev.: /d/-40
No. of feet from nearest road:Front , Side Rear Ft.
From nearest prop. line:Front , Side ' F Rear Ft.
No. of feet from: Well a4_1y, Building:
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
y
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufact. Pump Size
Elevation of inlet: Bottom of tank elevation
Pump on elev.: Pump off elev.: Gallons/cycle:
Alarm: Man.: Switch Type: Location
Distance from nearest prop. line: Front._, Side._, Rear-Ft.
Distance from: Well Building
SOIL ABSORPTION SYSTEM
Bed: &?'Trench: Seepage Pit:
Width: Length S/3' Number of Lines:-7-/ Area Built/03-~sQXr,
Exist. Grade Elev. /DS-. 7C Proposed Final Grade Elev. Zoi/-91,
Fill depth to top of pipe:- Vol'
No. feet from nearest prop. line:Front , Side Rear-Ft.-(-
No. feet from well: S/ No. feet from building alp
-aP HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front , Side , Rear Ft.
No. feet from: Well building , nearest road
Alarm Manufacturer:
INSPECTOR:
DATE: PLUMBER ON JOB:
LICENSE NUMBER:,~,~CS -?3'9S
6/90:cj
L~.CATIgN• HUSflT 21.29.19.198A NE NE SCHOMMER DR.
iscons:A epartmen o In ustry, PRIVATVSEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION 171468
Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.:
ST CROIX VENTURES % DONALD L AHUDSON
CST BM Elev.: Insp BM Elev : BM Description: Parcel Tax No.:
020-1053-90-000
TANK INFORMATION ELEVATION DATA A9200233'~
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 69 ,e
Do
Aeration Bldg. Sewer
1 , 0,4 S, /02.27
Holding St/F Onlet
1q, -ql
TANK SETBACK INFORMATION St/}Outlet ,sJ'
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
p NA Header Bart-.-
Aeration NA Dist. Pipe L
r
Holding Bot. System /0, W' Ile), Z
PUMP/ SIPHON INFORMATION Final Grade
~ T
Manufacturer Demand'
Model Number GPM
TDH Lift Friction stem TDH Ft
Forcemain Length Dia. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS c DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM
INFORMATION ypCn - l ~t as/ r OR UNIT CHAMBER Mode Number:
System: y _ ck o,
DISTRIBUTION SYSTEM
Header/Manifold G DistributionPipe (s)~ , x Hole Size x Hole Spacing Vent //ToyAi Intake
Length _Zk Dia Length ~_/o Dia. -,Z- Spacing-&-- Cv~
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over L N Depth Over ! xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center 2, Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
c~ Cr1i~
C'
Plan revision required? ❑ Yes No
Use other side for additional information. 17,k (L2~
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH ,
SANITARY PERMIT NUMBER:
I
F. -
ITUILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
..a. SV - C co IV
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 1-9151669
8% x 11 inches in size. Check If revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S 2 - O y Q'2
PROPERTY OWNER PROPERTY LOCATION
C'/a '/4,S To29,N,R / E(or W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
_ 9
CITY, STATE ZIP /.CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
lv~IA to ^1 J D D
LJ ITY J
VILLAGE : NEAREST ROAD
II. TYPE OF BUILDING: (Check one) ❑ State Owned
Pa =N OF: 0/y Pcv a -6&
Z Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms - PARCEI TAX NUMBER(5)
111. BUILDING USE: (if building type is public, check all that apply) OAh -)&S2 -)o
1 ❑ Apt/Condo
I
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ® Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. Z New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 7ELEVATION
A , j> , e Feet /c..~/ Feet
VII. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
3~0 o S" - (PTO
Plumber's Address (Street, City, State, Zip Code):
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved itary Permit Fee (Includes Groundwater P aIssued Issuing Agent Signature (No Stamps)
Approved ❑ Owner Given Initial I y <-00 Surcharge Fee)
Adverse Determination `y ' ~J
X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of rer!E'wal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SE-0 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to tte county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, locatio 1 of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wails; water mai;,s'water service;
streams and lakes; pump or siphon tanks; distribution boxes; coil absorption systems; re placement system
areas; and the Ic=ation of rare building served; B) horizontai and vertical elevation reference points,
C complete specifications for pumps and controls; dose volume; elevation differences, friction loss; pump
performance curve; pump model and pump manufacturer, D) doss section of the soi' absor,)tion system if
required by the county; E) soil test data on a 115 form; and F) ail sizing information.
- - - - - - - -
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a numbc.,r of
regulated practices which can effect groundwater.
The rnonies col cted through these surcharges are used for monitoring groundwater, grow,d-
water containinadion invQ >tigations and establishment of standards.
SBD-6398 (R.11/88)
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SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER, CXDl< VJQ,,-VQxv-
ADDRESS : 71 _ h FIRE NO:
' _t1_ RA
J~~ t Q
LOCATION: N C 1/4, Pe 1/4, SEC. T 2-r( N-R CA, W1
TOWN OF: ST. CROIX COUNTY
SUBDIVISION: _S~, C~(b LOT NO.
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 septic tank pumper. What you
put into the system can affect the function of the septic tank as
a treatment stage in the waste disposal system:
St. Croix County residents may be eligible to receive a grant to
help with the cost of the replacement of a failing system, which
was in operation prior to July 1, 1978. St Croix County accepted
this program in August of 1980, with the requirement that owners
of all new systems agree to keep their system properly
maintained.
The property owner agrees to submit to the St. Croix County
Zoning 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 (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of
sludge and scum. Certification from will be sent approximately
30 days prior to three year expiration.
I/WE, the undersigned have read the above requirements and agree
to maintain the private sewage disposal system-in accordance with
the standards set forth, herein, as set by the Wisconsin DNR.
Certification form must be completed and returned to the St.
Croix County Zoning Officer within 30 days of the three year
expiration date.
SIGNED: / nowt
DATE :
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
STC-100
This application form is to be Completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
will only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor,(spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property ` \jo--Vir-c S
Location of property_.O-_1/4 x_1/4, Section TAN-R_!2_W
Township n"N
Mailing address
Address of site .~~Gj ~ ,D
Subdivision name_ , C~nx Y,
Lot no.
Other homes on property? yes- _No
Previous owner of property
Total size of parcel `L g3
Date parcel was created U2 ?
Are all corners and lot lines identifiable?
Yes No
Is this property being developed for (spec house)?---Yes NO
volume land page Number 3i_ _ as recorded. with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRMITY DEED which includes a DOCUMENT NUIWER, VOLUME AND PAGE,
NUMBER & THE SEAL OF THE. REGISTER OF DEEDS.
certified survey, if available; ;would be helpful I o asdtoi avoid
delays of the reviewing process. If the deed description
references to u Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I(wa) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of
the property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document Ho. ~v~9'(li2L
oand wn the proposed site for the sewage disposal t sI (we ystem) rr es e(we)
obtained an easement, to run the above described property, for
the construction of said system, and the same has been duly
recorded in the office of County Register of deeds as Document
No.
~-v
sign tur f ap~ cant~ Co-appl cant
i
Date of ~a3 nature
bate of S gnature
SPAG9
ST. CROIX CO., WI&
` r r b i i , u 1 c Recd. for Reaord Nis
doy of Ja_~_, n ,~~Aa ]6
at 4:30 P
gMtee.»s of
for. the sam of ' . _
yy
~^9"" • •.i _ _ _ _ RCTYRN TO ..T S,.
LaK
41
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r ~ Al]. that paint, of the N of NE 1/4 of section 21, T29N, R19W lyiryg 11C MX
o 'Right,cf ` a „ go, St. Paul, Minneapolis & QmWha Railway Carpat>
Lot 1 of certified survey map filed
eyampt west 4 ac +es thereof «and except
Oftd)er 2, 1978in' Volume "3", page 715.
r
TRANSFER
FEE ;
4
'
1A
r ~7
- i
I¢ F4aeft W Ofs thpsai grtntor.... ha .A- . hereunto set...... hand...... and seal-..... this
. day of-.-..- j A M S& A r7 A. D., 19 7%-
. . (SEAL)
WON= AND SiALZD IN PRNSiNCB OF
Fdna_ G. SnAth -
tiGNL)
...(:SAL)
r
' State of Wisconsin, 1
......St-...(Yaix .................County. Personally came before me, this. _ (P.)N day of ~ !IUAYYV , A. D., 1979-
the above named 1Ad .G -.W.fib _
same.
to me known to be the person...... who,,eki:iuted the foregoing stru •n and ac edg 0A.
'u
THIS INSTRUMENT WAS. DRAFTED RY T•~ f~ 'A"r i-...._-
~,~,y tWYCAIe~' u Notary Public..........S.7 .C'C o r.X (.ourty. Wi>.
Olt
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SERCO Laboratories b _
oz
1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178
LABORATORY ANALYSIS REPORT NO: 22994 PAGE 1
09/08/92
St. Croix County Zoning DATE COLLECTED: 08/27/92
911 4th Street DATE RECEIVED: 08/31/92
Hudson, WI 54016 COLLECTED BY : CLIENT
DELIVERED BY : CLIENT
SAMPLE TYPE DRINKING WATER
Attn: Mary J. Jenkins
SERCO SAMPLE NO: 79082
SAMPLE DESCRIPTION: Safeway
08/27/92 ~~a a
ANALYSIS:
Bromodichloromethane, ug/L <0.2
Bromoform, ug/L <0.5
Bromomethane, ug/L (Methyl bromide) <1.0
Carbon tetrachloride, ug/L <0.2
Chlorobenzene, ug/L <1.0
Chloroethane, ug/L (Ethyl chloride) <0.4
2-Chloroethylvinyl ether, ug/L <0.4
Chloroform, ug/L <0.5
Chloromethane, ug/L (Methyl chloride) <0.6
Dibromochloromethane, ug/L <0.4
(Chlorodibromomethane)
1,2-Dichlorobenzene, ug/L <1.0 9 1~
(o-Dichlorobenzene)
1,3-Dichlorobenzene, ug/L <1.0 0
(m-Dichlorobenzene)
1,4-Dichlorobenzene, ug/L <1.0
(p-Dichlorobenzene) G
Dichlorodifluoromethane, ug/L (Freon 12) <0.5 c2 A
1,1-Dichloroethane, ug/L 1.0 tD Qoy o
1,2-Dichloroethane, ug/L <0.2
(Ethylene dichloride)
1,1-Dichloroethene, ug/L 30
trans-1,2-Dichloroethene, ug/L 0.3
1,2-Dichloropropane, ug/L <0.1
cis-1,3-Dichloropropene, ug/L <1.5
trans-1,3-Dichloropropene, ug/L <0.9
< means "not detected at this level". 1 mg = 1000 ug.
MEMBER
SERCO Laboratories
1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178
LABORATORY ANALYSIS REPORT NO: 22994 PAGE 2
09/08/92
SERCO SAMPLE NO: 79082
SAMPLE DESCRIPTION: Safeway
08/27/92
ANALYSIS:
Methylene chloride, ug/L <5.0
(Dichloromethane)
1,1,2,2-Tetrachloroethane, ug/L <0.2
Tetrachloroethene, ug/L 9.5
1,1,1-Trichloroethane, ug/L 270
1,1,2-Trichloroethane, ug/L 0.3
Trichlorofluoromethane, ug/L (Freon 11) <0.7
Vinyl chloride, ug/L <1.0 ,
Benzene, ug/L <1.0
Ethylbenzene, ug/L <1.0
Toluene, ug/L <1.0
Trichloroethene, ug/L 160
This sample's analytical results / are not below the U.S. EPA's
SDWA Maximum Contaminant level of 01/30/91 or those required
compounds which are also on the SDWA MCL list.
< means "not detected at this level",
1 mg = 1000 u
g
MEMBER
i
7 SERCO Laboratories
1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7176
LABORATORY ANALYSIS REPORT NO: 22994 PAGE 3
09/08/92
All analyses were performed using EPA or other accepted methodologies.
Samples that may be of an environmentally hazardous nature will be
returned to you. Other samples will be stored for 30 days from the
date of this report, then disposed of by SERCO Laboratories. Please
contact me if other arrangements are needed. This report may not be
reproduced, except in its entirety, without prior written approval
from SERCO Laboratories.
Report submitted by,
Diane J. A erson
Project Manager
< means "not detected at this level". 1 mg = 1000 ug. a«.,
MEMBER
s .
.y ST. CROIX COUNTY ZONING OFFICE
0~ St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
Telephone - (715)386-4680
The St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Completion of this form ig essential = that tag property can be
located.
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning Office, and mail,
along with form to the above address. Testing will be done as
soon as possible after fee and form are received..
WATER TESTING----------------------------FEE: $ 35.00
(For nitrates and coliform bacteria)
WATER TESTING FEE: $185.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at.time of
inspection)
PROPERTY OWNER'S NAME: Co
PROP. ADDRESS: =~9 L? CITY
Legal Description _E. 1/4 of the JG 1/4 of Section ELI , TAN-R_~~
Town of a1~;rlSo Lot Number subdivision:
FIRE DER LOCK BOX NUMBER
Color of house Realty sign by house? If so, list firm:
PLEASE INCLUDE, IF AT ALL POSSIBLE, A KAP,i.e,COPY OF PLAT BOOK,
WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
Testing of residential water requires a sample that is fresh. If
the home is vacant, and has been so for some time, the water line
must be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary. If
this is the case, please make proper arrangements with this
office to ensure time when entry may be gained.
Firm or individ a requesting_services: ~ 'I - y15~~~1c.-~lG~~
Telephone Numbed/~
REPORT TO BE SENT TO: C --o S~-
CLOSING 'TE
Signature
13
845349
VOL 22 PAGE 5361
KATKM N. YALSH
REGISTER OF DEEDS
I ST. CROIR CO. WI
O D,o z D r D W v RECEIVED FOR WORD
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< REFERENCED TO THE ST. CROIX
c 0 COUNTY COORDINATE SYSTEM.
SHEET 1 OF 2 SHEETS
Vol. 22 Page 5361
Parcel 020-1286-00-010 10/20/2009 11:59 AM
' PAGE 10F1
Alt. Parcel 21.29.19.1387A 020 - TOWN OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
02/23/2007 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - SAFE-WAY BUS COMPANY
SAFE-WAY BUS COMPANY
596 SCHOMMER DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 596 SCHOMMER DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.350 Plat: 5361-CSM 22-5361 020-07
SEC 21 T29N R19W PT NE NE FKA LOT 9 & PT Block/Condo Bldg: LOT 01
LOT 10 ST CROIX INDUSTRIAL PK BEING CSM
22-5361 LOT 1 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
21-29N-19W NE
Notes: Parcel History:
Date Doc # Vol/Page Type
02/23/2007 845349 22/5361 CSM
07/23/1997 963/200
2009 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/07/2008
Description Class Acres Land Improve Total State Reason
COMMERCIAL G2 3.350 113,500 922,400 1,035,900 NO
Totals for 2009:
General Property 3.350 113,500 922,400 1,035,900
Woodland 0.000 0 0
Totals for 2008:
General Property 3.350 113,500 922,400 1,035,900
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