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HomeMy WebLinkAbout016-1026-20-100Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Rosenow, Mick & Shari Glenwood, Town of ;ST BM Elev: Insp. BM Elev: BM Description: ~ r~. Gam, TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic r Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~~ ~ ~ ~~ ~ ~ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System H Ft Forcemain Length Dist. to well SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 463455 0 State Plan ID No: Parcel Tax No: 016-1026-20-100 Section/Town/Range/Map No: 12.30.15.198A ELEVAIIVN UAIA STATION BS HI FS ELEV. Benchmark . S Ioz~4 J~ Alt. B ~ ~ , Z, 9'(p , Z~ Bldg. Sewer ~,(, 9~~ S SUHt Inlet ~ 1 G~ a .3 SUHt Outlet ~S ~`~ 3. Dt Inlet i `\ Dt Bottom \ ~` Header/Man. ~'• ~~ - Dist. Pipe Bot. System 17`_ ~ ,9 Final Grade St Cover ~ . ~ ~ C 1 BED/TRENCH DIMENSIONS Width , Length . No. Of Trenches PIT DIMENSIONS ~ No. Of Pits ~ Inside Dia. '~ Liquid Depth ~ ~~ Z ;`ems ~ _ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ,~~ ~ 1 ~ INFORMATION CHAMBER OR ~-~.~ ~~"+ r+ Type f System `+ ~1 ` ~ ^ /~ UNIT Model Number: ~~11 ~ DISTRIBUTION SYSTEM Z d-Z~1- ~- ~ / Ida Header/Manifold ~~ Distribution x HolP~i`ze x Hole Spacing Vent to Airjl,,n.,tak~ r ~ /\ ~ ©/ Pipe(s) \ ` ` ` 8-~v+L.C7 Length i Dia Length Spacing Dia SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~ Depth Over Bed/Trench Center ~ ~ Depth Over Bed/Trench Edges xx Depth Topsoil xx Seeded/Sodded xx Mu hed ~ '1 No 'Y G,~ J ~ . y ` Yes ; , i No es Q~ ~! COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 3219 165th Avenue Glenwood CityLWI 54013 (NW 1/4 SW 1/4 12 T30NLR~1,5W) NA Lot 1 "" Parcel No: 12.30.15.198A 1.) Alt BM Description = ~~`'~~ ®J" ~""-"`~"s ~ ~U" 2.) Bldg sewer length = ! N~ ~~ ~ r ~~u~Z~ - amount of cover = ~ •r ~ ',/ ~ I sC1~ `5 ___ __. Plan revision Required? ~' Yes No ~ ~G~ OS /_ ~ ~'~~L Use other side for additional information. ` - ---- -- -= -- -- - Date Insepctor's Sig ture Cert. No. SBD-6710 (R.3/97) /U) S ry ldi County _ - ~ ~ 201 W. Was .S~ ~~~/ ~ i ~~~O~~I~ - Madison, 62 (,,,~ i Sa ry Permit Number (to be filled in by Co i (~ 266- ~ ~~ ~~~ De artment of Commerce Sanitary Permit Applic io T.cRO,k 0$ to Plan I.D. Numbcyr^~ ~ Q . I In accord with Comm 83.21, Wis. Adm. Code, rsonal infotman d~ r 1 P a F ~~r~" dd ) h ili iff t cy law, s15.04(1)(m) ' may be used for secondary purposes Pr ~ ng a ress erent t an ma Project Address (i d I I. Application Information -Please Print All Information i 1 q ~., y~ ,~Z' 1 ~~`~j d-~, '""`-" ty Owner's Na me / Prope Parcel p t p Block X r Property Owner's M ailing Address I Property Location ~ ~''~ ~[.G ~ /~(it~ ~,i Section $ GJ '~ , . ip Code P Number Z h one City, State aa ~~/•- ` / '/ . / C ~4.aQ~J#7~ <.tT ! fiC,) ~ 5~Q ~,~ 7~/ r2~5~~.3G4 (circle one) ~ T ~~ N; R~i?"'t)~ //Type of Btvhiing (check all that apply) a I I Nu m ber v ision Nam e 3 Subdi ,, ,~ , lal or 2 Family Dwelling -Number of Bedrooms ~ t~j / n [ ~ ~ ~ ~~ / /~ o~ J ~ ^ Public/Commercial -Describe Use /'' G~ " '* ~ ~~CRy_^village Q~Township of ~ ^ State Owned -Describe Use ` d'-' G(~.~ILv,~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Q ~ - ~bz CO - ~ A l~..talcw System ^ Replacemcrn System ^ Treatment/Holdin Tank Re lacement Onl ^ Other Modification to Existm S stem g p y i B Y j B. ^ Permit Renewal ~ ^ Permit Revision ^ Change of ^ Permit Tratufer to New ', List Previous Permit Number and Date Issued Before Expiration ~ Plumber Owner IV. T of POWTS S stem: (Check all,that a I) /~ ,Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ~ Single Pazs Sand Filter i _~ Corutructed Wetland ~'' Pressunzed In-Ground ^ Holding Tank ^ Peat Filter ~ Aerobic Treatment lJnit ~.' Recirculating Sand Filter Recirculating Synthetic Media Filter `i Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ~ Other (explain) I V. Dis ersal/Treatment Area In ail - i Design Flow (gpd) Design Soil ppli Lion te{gpdsO Dispersal Area Required (sf) Dispersal Area Proposed (sf) ~ System Elevatio ~- d~ c~ ySu . S Q as a, yes g. / 42.9/ VI. Tank Info j Capac in Total Number Manufacturer Prefab Site Steel Fiber PIasUC ' Gall Galloru of Units Concrete Corutructed I I Glass ~ Ncw ~ Existing i Tanks Tanks ' __ -~ ~ _ ___ ---- - Septic or Holding Tank o-t~0 ~ C~ ~ ~ lit/ DES' /~ .~/C/C~'T~' 1L -- -, Aerobic Treatment Unii ~ } ~~ Dosing Chamber I i ' VII. Responsibility Statement- [, the undersigned, assume responsibility for installation o! the POw'TS shown on the attached plans. Plumber's Na me iPrinU Plum is S' gnature MP/MPRS Number Business Phone Number i ~~ J ~Yc~ ~ #2 /~ I his-~~3-- 25zo Plumber's Addre ss Street, City, State, p C ~/d .co' c E r R G~ d i VIII. Count /De artment Use Onl __ Sanitary Permit Fee (includes Groundwater ~ Date Issued j Issuing nt Signatu (N , tamp Approved ._; ^ Own• Given on Denial Surcharge Fee) d~ ~ j ~ ~ ~ ~d Q IX. Conditions of Approval/Reasons for Disapproval A n sve~eu ~sue~. ~ : , ~iptlc amt. e111ueM t1Ner and ~,,,,..,.. ~ , dispersal cell [Host sN ke services / trtstrtaM~d as per management plat[ provided by pktntbu. ..~-.~, ~ t~ r 2. Alf regWr m mtt,sd as per applk~ble code /ordinances. Attach complete puns (lo the Count? otil7) for the system on paper not less than 81/2 z 11 inches in sire /~ SBD-6398 (R. 01/03) V ~" C~ ~ Z ~ a ~ ~w e ~ ~ ~ Z ~ `~ x ~ ~ ~ ~ ~1 M `~ I+ .. "1 . ~ ~~ ~N ~ ~ v ~ a~ o ~ ate`. ~ °0 M ~ ~, ~ ~ ~ -r ~ ~, ~ -r It ~~ 1- Q d~ l _i ei Q~, N ~ ~ v ~' C~ ~ ~ ~ a ~ ~ N 'Z~ ~.j ~' J `~ x p ~' wQ., ~ 9 C I+ .~1 cn M ~ ~~ o~ 0 0 _` ~ ~n N Z .~ o ~ 4 I, U C~ ~ M ci ~~ l~ Q ~-~ ~o a 9 ~, ~~'` N ~ ~ Chi ambers Page 1 of 5 Cover Page Project Name: Owner's Name Owners Address Rosenow-Conventional Mick & Shari Rosenow 774 1st Street Glenwood City,Wl 715-265-7326 Legal Description Nw ~ '/., sw ~ '/. Sec 12 T 30 N, R 15 ~^! ~ Township Glenwood County Saint Croix ~ ~ Subdivision Lot# Parcel I D# " Table of Contents Pg• 1 Cover page 2 Calculations and Drawings 3 Management and Contingency Plan 4 Plot Map 5 Lift Station total # of pages: 5 Designer Name: License #: Date: Ph. #: Signature: Design Methods Used "IN-GROUND SOIL ABSORPTION COMPONENT MANUAL fOR PRN Lyle J. Myers 224617 3/30/05 715-643-2520 4TE ONSITE WASTEWATER TREATMENT SYSTEMS" Narsion 1.0) SBD-10705-P (R.6199) Spreadsheet provided t>y: 3bAdvisement Nt2488 220th St, Boyceville, WI 54725 Ph: 715-843-8088 email: 3ba(~3badvisementcom I Calculations and Drawings Site Conditions Infiltration Elevations Site Type: Private ~ Trench #1 Trench #2 Trench #3 %Slope 11 % Contour Elev: # of Bedrooms 3 Infiltration Elev: 92.91 92.83 0.00 89.91 89.91 0.00 Ft I Ft Depth to limiting factor 84 in Limiting Factor Elev: 85.91 85.83 N/A Soil Application Rate: 0.5 gal/ft^2/day Treatment and Dispersal Zone: 4.00 4.08 N/A Effluent Quality eff #i ~ Cover Material Required: 0 0 N/A In ~ Design Flow: 450 gal/day Finished Grade Over Cell: 92.91 92.83 N/A Max BOD 220 mg/I Max TSS 150 mg/I Distribution Cell Septic Tank Choose chamber type: Septic Tank Manufacturer: Wieser Concrete Infiltrator ~ Qvcc.(~ ~¢`S ~ Septic Volume Chosen: 1000 Laying Length: ~ -f Ott Effluent Filter Selected: Zabel A100 EISA Determined Area: 30.8 Ft2 Note: Access opening of sufficient size to be provided to allow removal oifilter. Opening Open Bottom Area: /p '}~ to terminate at or above grade. Chamber Height: Re uired I filtrative Area: 12 Inches 900 0 Ft2 ~ ~D ~` U /~ ~ s ~~~ ~~~~ ~~ q n . ~ /~ ~ C ~ ~s Total # of Chambers: ~ ~ Total Cell Length: /~~ ~t Cross Section of Septic Tank / Cross Section of Cell 12" Min Grade Cover Material Observation Pipe 18" Min (if required) _ _ -: - Final Grade ~'~~~ Ground ~ '` ~ Alljointsto Contour be water tight D3034 or ~ Sch40 Leaching System Chamber EFiftert Pipe Elevation 3" Bedding Under Tank Plan View of Typical Cell p 0 fh I .eng L 6 L/ 6 O O A51'M'SO'S~Y Observation Observation Wld~, ~~ or Sch 40 4 p e ~' pipe pVC pipe r y Page 3 of 5 In-Ground System Management Plan pursuant to Comm 83.54 W. A. C. Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required.to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1 /3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Absorbtion Cell The absorbtion component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank or other components therein (including floats, alarms, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the absorbtion component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by removing the clogged bacterial mat, aggregateAeaching chamber cell, and distribution piping within the cell and replacing failing components in order to return system to proper working order as required. If repair is riot feasible, a new system is to be constructed in a designated replacement area ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer 0 r~ `~ K (' ~5 EIS is c.y Mailing Address ~~'¢- /~ S7 ri e.E~ft~oe~~ ~T y w / Sao /3 Property Address ~ d (Verification required from Pianaing Department for new City/State Parcel Identification Number 6 ~ ~ ' l a Z!v - Zo - /oa LEGAL DESCRIPTION . ~9~~1- } Property Location ~w ~/., Sw `/., Sec. ~2 , T 3V N-R /5 W, own of Gc~',~(/,c~ao5j . Subdivision ~ .Lot # Certified Survey Map # _ ~~ 3~b ~ ,Volume ~ `7 .Page # ~d Z Z- . Warranty Deed # ~0 ~ ~ 0 ?~Z ,Volume ~ ~ 35 ,Page # J ~' Spec house ^ yes ~ no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE . Improper use and maintenance caf your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owrfer and by a mastcrplumbcr, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ~° s x ~ ~3~ ~ b~ SIGNA OF APPLICANT DATE 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 the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed /a STATE BAR OF WISCONSIN FORM 2 - 1998 WARR((l'AN!T~Y DEED~/y~ Document Number Vii 1v3vPp<<~`-+`-~ This Deed, made between Wesley C . Nichols ..and Phyllis E. Nichols,, husband and_wife as_joint tenants _ _ _ __- - Grantor, and Mickey H._Rosenow and Sharon L_. Rosenow, _husband and wife as survivorship marital _-- ~_ropert}r _. - - ._ - __ Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in S t . Cro 1 X .,_- County, State of Wisconsin: Part of the Northwest Quarter (NW's) of the Southwest Quarter (SW1~), Section Twelve (12), Township Thirty (30) North, Range Fifteen (15) West, more particularly described as follows: Lot Number One (i), Certified Survey Map, Recorded in Volume 14 of Maps, Page 4022, Document Number 637206, Office of the Register of Deeds for St. Croix County, Wisconsin. 6.4 SO22 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CRdIX Cd., WI RECEIVED FOR RECORD 05-09-2001 8:30 AM EI~T N DEED CERT COPY FEE: COPT FEE: TRANSFER FEE: 150.00 SING FEE: 1 .00 r,, . ~ . ., Name arW Return Address ~1 ~ ,. /.fir ~ ~R,,~~ ` F a cis X. R(tt(...iyard~~fir• r"..z. R V RD LAW OFFICE P. Box 468 2 3 Schneider Avenue e omonie, WI 54751 Gov 016-1026-20-9~'F1' Parcel Identification Number (PIN) This 1 S hgmestead property. (is) {3f ~sartX Exceptions to warranties: Subject to easements and rights-of-way of record, if any; municipal and county zoning ordinances. Dated this 3~i~ day of Anr:~ 2001 AUTHENTICATION Signature (s) {SEAL) l~(/___~~-~",~~~'r6~1~ / (S£AL) Wesley C. Nichols~~J (SEAL) ~ / L•~%C=._ (SEAL) Phyllis E. Nichols _ ACKNOWLEDGMENT authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §70fi.06. Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Francis X. Rivard _ Menomonie, Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary) State of Wisconsin, ss. ~'- CsclA County. Personally came before me this _ ~' OF day of An ~ •~ O~ 0 ~^, the above named Wow C 13 t~1 r ~~ ~ --.- to me known to be the person ~ who executed the foregoing instrument and acknowled the same. Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: ---- O c~c.~c_- - - - ~ y __ ... ~~ .) Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Stank Co., tnc. WARRANTY DEED FORM No. 2 - 1898 Mtlwaukee, Wis. a Wisconsin Department of Commerce Division of Safety and Buildings SOI R~'I~JR~TI - ,REPORT Page ~ of m accorcance nnz om~r ao, vvis.~am. ~.arrr , y ~ - lete site lan on a er not less than 8 1/2 x ~ es in s'~ t ~~' Att h County ~^~ ~ J a p p p . ac comp M cf~ ), dire include, but not limited to: vertical and horizontal referen nt (B and ~~ence to nearest road ~ percent slope, scale or dimensions, north arrow, and I arcel I.D. / ~ ~ ~6 ~ / 6 ~ Q ~~00 _ 't ~ ~ ~~C~ ~ ~_ ~" " ' ' ` eview b Date Please print all inform~tlor~ (- y Personal information you provide may be used for secondary p~po~ (Privacy L~~J~ (1) (m)). ~ F ~j ~d ~s party Owner ~ -~ ~-,~ ti ZON t Pro ~t~El~o 'oA . // ~!l ~~ 6 ~~. ~%~- ,. Govt ~ 1/4s(ti/1/4 S~o2 T.~O N R ~~~W Property Owner's M fling Address '~ `~ ' C ock # Subd. Name or CSM# City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road New Construction Use: ® Residential /Number of bedrooms ~_ Code derived design flow rate ~J 0 GPD ^ Replacement /l^ Public or commeraal -Describe: -__-_~-_._ .__._ -- Parent material ~ `~ C ~ /~~ ~/LG Flood Plain elevation if applicable ~ ~ ~ ft. General comments and recemmendations: S ~ S~`e M 9/. o Boring # ~ Boring a Pit Ground surface elev. 7 ~ ft. Depth to limiting factor? in. Sal lication Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP D/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 .. /a -- M --- -- ,, a Boring # ^ Boring ~~~.~ ,,, . ® Pit Ground surface elev. ~ i ft. Depth to limiting factor 7 ~~ in. Soil lication Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GP Dfft'- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 o -/o /o ~ fl S 2 ~ - 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mgll_ - tmuent ~~ = rs~u ~ su mgiu anc i ~s ~ su mgn_ CST Name (Please Print)~~ ,, Si a e , CST Number Address Date Evaluation Conducted Telephone mbar ~ ~~ f r/o ~'~eN Gted~ ~ ~ o /o r/2 - o0 7,C~= ~~`= ~,~8 /' . Property Owner ~/Q~~,/ N ~~//~f-J Parcel ID # D~b ' %vZ~- 2d~00Q Page ~ of 3 Boring # ^ Boring ~~ q ®Pit Ground surface elev. rZ~ ft. Depth to limiting factor ~ o ~ in. ~i icaUon Rate Horizon Depth Dominant Color Redox Description Texture Stn~cture Consistence Boundary Roots GP D/Ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 o- s~. s ~ LS /' ~S" v~ .~ Boris # ^ Boring pit Ground surface elev. 9/, 39 ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 D- ~ ~D ---- ~6 r- ~ ,s ~w ._ ~ , Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Desrxiption. Texture StnxKure Consistence Boundary Roots GP D/fg in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2 'Effluent #1 =BODE > 30 < 220 mglL and TSS >30 < 150 mglL • Effluent ft'L =BODE < 30 mglL and TSS < 30 mglL 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 608-2f,4-8777. seo-sago ~e.aroo> ~ `' ~ ~ r ~ ~ .~ o _ _ o _j ___~ _ _ ___~ - --~ - -~ -- ~-, -- - -- --- - - ---I - - , _ - ~ - ~ - - - - .__ ~ ~ 1 ~ i - -- 1 - ~ ~ - ---- _ - - i - -- - - ~ - - -- _ __ _ __ ~ ~~~ ~ -- E _- -- - - - -- -- --- --_ -, _- -- -- -- _ ~ ~. 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R 1935.90 \ N 00°10'S8'E 616.38' fo A 2 w w O b ~ ... o ................................................... 70 ~ p • - ~n - N ~ m ~^ r nA ~ D - ,o N m z v n ° ~ v N z V ,o a ~ ~ a Vt n C :Z W ~ ~ :~ < m ;r .n w - n ~ v = m :m o - O r :O N cn m : r - - V Z N (7 : ~ w cn A n ~ N - ~': o m w m n ~,; n ~.. N A ~, z c~ m z _..i n o z o y vi ao ao O V -V N- ~ O ~ N tnw oo O w.A 00 D ~n D [n ""3 (7 T () TI .'v X ~ A ~~ G~ r = C ~v ~~ T(Z.') T~ f~ no ~n° ~v v o° Vf m m _ --~ C W - cni o 7c - Z `~ G] 33 m w 244.53' _ .................... . o ~ ~ SOO°03' 14'E S89°56"46"W °- N Z o 50.00 422.10' F F'1LED JAN ~ ~Opl - " Z * ~e- woe i ~' ~t 00. 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O Z fn --1 m ~ Of N m --i o rn w 0 0 o~m tn~ D ww '~ -., -~~ o m o m ~ m N m' °~`Z rx c~ o a ~ ~ C7 ao m - mmm ~N z m• N~ O ~~. r = Z ~ ~ y T G ~',. ~ m Z oo ~o .~~~~' ~ "~~,. °: °i~ ••~ ti G ~ `~` Vot.14 Page 4022 ~ya Z ~ C~ ~ ~ ~ p , O Cp X IV ~Q Q G ~ 2 t'~'S ~- Parcel #: 016-1026-20-100 05/1012005 09:03 AM PAGE 1 OF 1 Alt. Parcel #: 12.30.15.198A 016 -TOWN OF GLENWOOD Current ' X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner ` ROSENOW, MICKEY H & SHARON L MICKEY H & SHARON L ROSENOW 774 1ST ST GLENWOOD CITY V~ll 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 20.000 Plat: 1204-CSM 14/4022 016/01 SEC 12 T30N R15W PT NW SW CSM 14/4022 Block/Condo Bldg: LOT 1 LOT 1 20.000AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-30N-15W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/06/2003 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANC G6 20.000 50,000 0 50,000 NO Totals for 2005: General Property 20.000 50,000 0 50,000 Woodland 0.000 0 0 Totals for 2004: General Property 20.000 50,000 0 50,000 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