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Wiscor±~in Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: I ^ City ^ Village ^ wn of:
Vrieze Farms Hammond Township
nsp. BM Elev.: IBM Description:
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic ~ ~ ~ v
'n
Aeration, ~~
H~ing
TANK SETBACK INFORMATION
.~
TANK TO P/ L WELL BLDG. .vent toe ROAD
Septic ~ ~~ ~ ~ ~r NA
D
ation NA
Holding
PUMP /SIPHON INFORMATION
Manua rer _,___.,_.-~------ nd
Model Number GP
TDH Li#''~ Lriction S stem TDH t
Fo~r~main Length Dia_ Di
'SOIL ABSORPTION SYSTEM
EVATION DATA
county:
St. Croix
Sanitary Permit No-:
353381
State Plan ID No.:
Parcel Tax No.:
018-1025-50-000
STATION BS HI FS ELEV.
Benchmark -. d lv
Alt. BM Z. ,~ ~ Z I
Bldg. Sewer c,
St Ht Inlet
t Ht Outlet . ~d ~~ p
Dt
Header /Man.
Dist. Pipe Y'
L 5.~~~, ~, z.
Bot. System T ~
T
Z
Final Grade ~ 3' y
3. L ~ ~o~. 30
o LS
St cover
3.
a _ o~
BED / ENC Width Length No. Of Tre ches P No. Of Pits Inside Dia. iqui th
DIME / ~ Z DIME
SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEA nufacturer:
SETBACK
CHA~ M
INFORMATION Type O I
~
0
M
~'
OR UNIT oe r:
System: C J d N,
DISTRIBUTION SYSTEM
Header /Manifold
~ Distribution Pipe(s)
I x Hole Size x Hole Spacing Vent To Air Intake
Length ~ ~ Dia- ~ Dia. ~ Spacing ~
Length _~ ~~ z ~ Z~j Z 7 ~ ~
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No
COMMENTS: (Include code discrepancies,~p~ersonspresent, etc.) Ins ection # / ( / O~Inspection #2: / /
Location: 2038 County Road E, Baldwin, WI 54002 (SE 1/4 S 1///4 12 T29N R17W) - 12.29.17.188 ,6 3 ~ ~/, 9
1.) Alt BM Description = ~ G ~ 5~ ~~_ _ ~0~ `tr~Lrr__~„~.s~~~s'r-~,~ S sf~
2.) Bldg sewer length = I ~ ~ ~ - - - -~-- ` - -~ ~ - Y
-amount of cover` wt w 5~ ~ r ~rro~r! ~ ~ ' ~ / r ~ , ~ ~ S< < N~c 5_ o~ ~JaG IL j _ 1
f / §~~-- ~Gri.,Sror..P` ~d~ c ~~a-:I~~. rar'l~r rv.x~,(~ kau~ ~ rrF ~..~1
y~ 'f'rK~ I« G/a S ~ S c~~ /~~ TeiM ~ 6~ ~K ~C-1f7~ -~i arak ^i-~ _ - '
~~ t~D, Cv~~~ ~ rn~~ at` ra.~~C~lc~- ~`. UCrI :~ ~ / o~ t~cl/GtrPS~
PI n revision require ~] Yes ^ No
Use other side for additional information.
SBD-6710 (R.3/97) ~ Date Inspector's Signature __„_ Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
p
Za38
,, ``,~~-- ~.
~~isconsin
Department of Commerce
~?-ff
SANITARY PER , F TION
d' t..n.=~.~.,
In accord with Go~ 1»~,3,i15; Wis. A' o~~ .
. ,~ ~~,
Safety and Buildings Division
201 W. Washington Avenue
P O Box 7302
Madison, WI 53707-7302
• Attach complete plans (to the county copy only) f~x,tM~ sys
~a4'~~~per r"`rgf ls5s
~, county
^
~,
than 8 vz x 11 inches in size. ~~ ~...` f ~ `
• See reverse side for instructions for completing this appli~~r~m ~ °,~F~3~'I { `' i State Sanitary Permit Number
Personal information you provide may be used for secondary purdo§eg " ~ "'
t1~
- ~
'
`
' ~
• Q Check if revision to previous application
~xt
~
~... -.
~
/
[Privacy Law, s. 15.04 (1) (m)].
`~
~~ 1~e~ .'; State Plan I.D. Number
r *a~R~Cz
I. APPLI ATI N INF RMATION -PLEASE PRI ~ ~C •L ~ RM T`IO ` ~~~
Property Owner Name , ;
` ", Propety Location
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(or
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Property Owner's Mailing Address Lot Number Block Number
a o 3 ~ ~- ~- ._s--
City, State Zip Code Phone Number Subdivision Name or CSM Number
11. PE F B ILDING: (check one) ^ State Owned a Ity
~ village Near st Road
Public 1 or 2 Famil Dwellin - No. of bedrooms Town OF
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 12 _ z°~. ~ ~ ~ ~~
1 ^ Apartment /Condo ~'- ~ZS - ~ ~ (J~~D
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
1V. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable)
A) 1 _ ®New 2_ ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an
-_____S~stem -_______System _____________ TankOnly_____--_______ Existing System ________ Existing System
B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 ^ Mound 0 ^ Specify Type 41 ^ Holding Tank
12 ^ Seepage Trench 22 ^ In-Ground Pressure t / 42 ^ Pit Privy
~ ~
13 ^ Seepage Pit z.
43 ^ Vault Privy
14 ^ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION: ~` . ~p
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation
~S~ d O r CL- ~~ Feet jOl~ O Feet
VII. TANK
INFORMATION Ca acct
in alto s
g
Total
# of
r
Manufacturer s Name
Prefab.
Site
COn-
l
Fiber-
Plastic
Exper.
N
E
i
i Gallons Tanks concrete Stee glass App
ew x
n
st strutted
T nks Tanks
Septic Tank or Holding Tank }(, r 7`- `,~ ^ ^ ^ ^ ^
Lift Pump Tank/Siphon 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: ( Stamps) P/ PRSW No.: Business Phone Number:
~/' `~~ ~ ~~4c~ - - r~~
Plumber's Address (Street, City, State, Zip Code): t
~7~ G~ O~ 1-J
IX. COUNTY /DEPARTMENT USE ONLY
^Disapproved S itaryPermitFee (includes Groundwater ate slue ntSignat re (No Stamps)
Issu
i
n
gA
ge
Approved ^ Owner Given Initial Surcharge Fee)
~ ~S!~ ~D D Z~
~ ~
~
~
~
~
~
Adverse Determination
T `*'v -' "
X. CONDITI NS OF APPRO L /REASONS 0 DISAPPROVAL:
L'l ~ r.~. L ~ ~~ ` u.,w,n°'~~Q~~re~ ~t ~ ~ ~ , ~:t~~ , ~ D~uS Q,.i~~ oaf r,~~~ 1
(R. 4/99) ~ DISTRIBUTION: Original to Cotr~ty, One copy To: Safety & Bui4liogdDivis~, Owner, Plumber
INSTRUCTIONS
.c ~ ~~..
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal 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 (SBD-6399) to be submitted to the
county prior to installation
S. Onsite sewage systems"must be pfoperly maintained'. -The septic farik(s) must be pumped by a licerised 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 and Buildings•Di•vision, 608-266-3151. • • - ~ ~• - • ~ - - •• -••--
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed. ~ '
I1. 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 ail appropriate boxes that apply.
IV. Tycpe of permit. Check only one online 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 atl information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every newior existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for aN 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 applicatr'on form.
IX. County /Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must. be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale o'r with complete i3~mensions, locatio`n'of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performancie curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E} soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
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~ Wisconsin Department of Commerce $OIL AND SITE EVALUATION
,Division pf,Safety and Buildings of 3
Bursau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Co ~ ,~, ~Q _ ?
Attach complete site plan on paper not less than 8 1!2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and S ~~ t~v ~~ i'(.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. #
APPLICANT INFORMATION -Please print all information. Rev wed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1} (m)). '( ~I/`2c~7
Property Owner Property Location
' `C G9 c'LV" ' ~ ~ o -U r 'C.~ c Govt. Lot S'~" 1/4SG~ 1/4,S 1 ~ To7~l ,N,R l7 E (or,~;,'
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
~3 ~ ~` ~ ati 3v ''~ ~~ ,~~ ~~-~ i
City tate Zip Code Phone Number ty ^ Village [~ Town Nearest Road
^ Ci
1 r /cam yJ
(~ New Construction Use: ~ Residential /Number of bedrooms ~_1_-__ Addition to existing building
^ Replacement ^ Public or commercial -Describe:
Code derived daily flow ~ gpd Recommended design loading rate t J bed, gpd/ft2 • ~ trench, gpd/ft2
Absorption area required bed, ft~ 7~~ trench, ft2 _ aximum design loading rate + ~ bed, gpd/ft2~trench, gpd/ft2
Recommended infiltration surface elevation(s) ~*e : ` ruts v ~ ,6T J. O ft (as referred to site plan benchma_ruk_)
Additional design/site considerations ~~ '~ u-~ ~ `~ Z
Parent material G~C~c,` ( d a.7`~~>,4s~ Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound ln-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ®S ^ U ®S ^ U ®S ^ U ~ S ^ U ^ S ®U ^ S ~ U
SOIL DESCRIPTION REPORT
Boring #
l
Ground
elev.
~A~~ft.
Depth to
limiting
factor
~_in.
Boring #
a
Ground
elev.
/G10.'' ft.
Depth to
limiting
for
in.
Horizon Depth Dominant Color Mottles T
t Structure sist
C Bo
d Roots GPD/ftZ
in. Munsell Qu. Sz. Cont. Color ure
ex Gr. Sz. Sh. ence
on un
ary Bed ,Trench
-~ ~` ~ ~ ~ Fs v s r .~ ,--- , ~
S• fc (v '
d' ~ ,
Remarks:
~~ p
G~ ~-'.'.-. ~ S ~ J ..~- r . ~ c ~G~
~ ,
~ G , f3 SZ. ~
G.?= `~ L
Remarks:
SST Name (Please Print) Signature Telephone No.
Lfi~+ ~~rl~ ~LC 6J'i ~C ~ lc 11~7,ci ~i ~'/ ~~/~Gf~~»~Gf 7~ 5~' G - /';2
Address Date CST Number
r
SOIL DESCRIPTION REPORT
PROPERTY OWNER ~"~ r ~ Z ~ Page ~ ~f _,~ _.
PARCEL I.D.#
Boring #
3
Ground
elev.
/61~ /d ft.
Depth to
limiting
factor
~in.
Boring #
Ground
elev.
/'~/~_ft.
Depth to
limiting
factor
~_~in.
Boring #
Ground
elev.
161~ft.
Depth to
limiting
factor
~in.
Boring #
Ground
elev.
ft.
Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench
sJ f(O -'~~ ~~ ~ r n S r L Z ~ ~.
l ~S S -- ~5 ~ r~
Remarks:
~l / ~ ~ ~ rn~~ ~ ~ ~ C~ r~!
3 ~ S as ~- ~S ~ ,
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench
.~ ~ ~ 6s - ,~~ ~
Z.~ .~
S ~z
Remarks:
Depth to L~
limiting
factor
in.
Remarks:
SBD-8330 (R. 07/96)
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CLRTIFICATION FORM
Owncr/B uyer ,% .r ~ ~, ~y' : 'G ~ {
Mailing Address
Property Address
~O
~~~~~.~
(Verification required Pram Planning Departracnt for~acw
City/State
Z.EGAL DESCRIPTION
Parcel Idea6ficatioa Number o (~--) o2r~ _ S o -gyp
Property Location ,~~ %, l~ /, Sec. l 2 . T~,N-R~W, Town of „~~. ~ ~ >~ ~y~
Subdivision _ .? ~ ~ ~e ~' e S~ Lot #
~.
Certified Snrvey MaP # . Voltune _ .Page # _ -
Watrraaty Deed # _ 3~~ ~ Volumes ~ Page # ~2
Spec Douse ^ yes ~ no
Lot lines identifiable ^ yes J~1. no
SYS„~EM, MATNT~~TAN~
~~d~y'~s~~iC:~emooaldt~sultiaitspc~tto~fa~aceto)~e~vasEes.ProPer
eonsistc of ps~piag oat ffi~e tt~c tank cvay tlir+ce years ar if n~eoded by a Iiaa.9ed puaiQcr. What Yost gut iaoo tha tyt0em
aa:ffat-tfre Eimetioa of the taalrss: ~atmeat tdge is Bas ~ ~.
T~ y o~vaa tp ts~mit to sz Ceoix Zaaiag Deparmnmt a certifia~ioa f~i„ by the owner sad ~r a
•~P~JP~mbtt,z~acOedplvmberotalio~sodpttmpprvetifyingQsat(i) Q~e oa~ibea~disposaisystem
~ ih Pt'oPa' opatstiag condition sad/oc (2) slier inspection sad pampiag,(tf aY}, du septlc~taaic is kss thaia U3 ~fu11 of sludge.
~ ~ uade~nod Iisve read the above requirements tad tgnx to aoaiangdn the private sewage disposal systan with the stauadards
cct fot$i, hettia, as set by the Depattmte~at of Coarareroo tad tine Departmpit of Natural Resomooes; Stag of Wisoonsia Certif~atioa
~~ ~ Y~ uPde ~~ has baea maiatsiaod aunt be oompiet~od sad r~iod to tfu St. Croix Coemty Zoning Offix within 30
days of the throe year expiration date.
~- ~A,
TURB OF kI~PLICANT ,1 / ~ / G; r
DATE
OWNER CER1TIt'I~ TIO~T
I {we} octtify that all strttamcnL~ on this form ace floc to the best of my (our} hooa-Iadge. I (arc) am (aro} the owner(s) of
~ i~l~Y descdbod above. by virtue of a wanaaty decd accorded im register of Deeds Office.
GNATURB APPI:ICANT y / 7 / `~ ~'
DATE
•.•.«« ,may information that is mis-reptrseatod a~sy rrsult in the tsaltnry gem3it bchtg ttvokcd by the Zoaittg Depattmeat.'`"•s'•
•' Include with this appllc~tioa: a stamped virairanty deed fmm the Registcc of Deeds office
a copy of the certified survey map if ccfercace is wade in the warranty deed
.~~.;...
OOGUA1d<!IT 1~.
.3323'78
wY , .
~ rr~~ >rTATB HAit o! M~olatlw-r~t~r 3- .
Y4l ~•]c~ PRaE~~4 ant d.~-wl o1EEh
lNt$ S-ACE RESERVED /tNt RECORDIttiCx UA,X
6Y THI8 QLED, 17B Mfealt3v Yrieae_g~„~~ene Yrieze. _
sad Jeer Vrfaze, 5usband and ~+ite s3 ioiret tenants. and NIrC~STER~ OFFICE
each irl their own right _ laT. CRd!IX CO.. Wt>~.
_..._ Grantor_._,..
yu;t-claim. to _ `. Yrieae Far+ns. Ina. RAGrd for Rt~a6 t1-ts__~3'd
cr of3-e~, for valuable constdentlon 3iaty-Four Thousand and no 200 ~it~•- ~•
~~b4,00t'.QO Dollars
the to:2cvin` described rest estate to st. Croi z County, State of wiscons;a: d~ieM _
PARCQ, WO It The North Ralf N ~ o! the Northwest Quarter RETUR o
N1~ of 3ectioa ~ Township 29 North Range 17 West,
ezcepting therefrom parcel ntlmbAr one the following des- '
cribed parcel; _._..
Comm+~ncing at a point 630 feet East of the Northwest corner T.:Ke•e _
of the North Halt of the Northwest Quarter Section !~, Township Th;s ;: homestead property.
29 North Range 17 blest; thence South 494 feet; thence East 380 feet; thence Nertli~--*
490 feet; thence West 380 feet to place ui beginning.
PAN.CEL N0, 2s The Sou*„9 H~tli (Ss) of the North Halt (~z) of the Southwest Quarter (SW})
of Section 22, Township 29 North Range 17 West, a:ceptfng from said parcel ntu®ber two the
following. described parcels
Cof;anencillg 1405.35 feet North of the Southwest corner of said Section 12-39-27, thence
East 449 feet parcel with the South line of said section 12, thence North 230 feet,
parcel with the West line of said Section 12, thence West 449 feet, thence South 230
feet, on the West line of said Section t2 to paint of begitming. ~
PAi;f',EC, N0.3s The South Halt (3z) of the Southwest Quarter (SW4) oe Section 12~ Township
29 North Range 17 Wast. I
All of the above and foregoing property being subject to right-of-way artd road and. '
utility easetf~ats of rNcord.
F f
,_~ ~
ExF~.~
E:ecuted rt Spring Valley, Wisconsin ,,,;_
SIGNER AND SEALED IN PRESE:'CE OF
30th ~.,, ~r January ,a 76
(SEAL)
Signatures of
authenticated this- _ day of
19,.
Title; Member State Bar of Misconsi~ or Other Party
Authorized under Sec. 706.06 •is. .
STATE OF WISCONSIN
p7.0?i :2-__ County. ~ as.
Personally came before me. this 30th day o[ Janilnry 19 7~ ,
the above names __ Eti~r'ine Weslay Vrieae and Jean YriPZe
to me known to t,e ins Pr.~on_g who executed the foregoing instrument and ack e s g-~ «
Th+s instrument was 'rafted by ~ er~• J giCll~~1t'~ ~'~~~~~oµ
- ~, i-
Gt~V7[C, RIt;EAl2n~0`l ~~ Sti{(3h~ _ Piet}v° ~ ~`.< ~r ~.
nvta~« Pubtic ~ or,{r':~. Wia_
04-03-2000 08~40AM
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FROM GUINN SWIGGUM & GILLE
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TO 3864686 P.01
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April 13, 2000
Vrieze Farms
C/o John Vrieze
987 200'h Street
Baldwin, WI 54002
RE: Address Change
Dear Mr. Vrieze:
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, Wt 54016-7710
(715) 386-4680 Fax (715) 386-4686
On 4/10/00 our office issued a sanitary permit for the trailer home that will be
located on your property in Section 12 of Hammond Township. The address that
was given at the time the permit was issued was 2038 County Road E. This
address has been changed to 2050 County Road E. Please make this change
accordingly and forward to the Town of Hammond so they can purchase the
correct sign for the fire number.
was also asked to mail you a copy of the enclosed affidavit.
If you have any questions, please contact our office at the above number.
Si rely,
Shawna Moe
Secretary
Enclosure
Parcel #: 018-1025-50-000
04/09/2007 09:38 AM
PAGE 1 OF 1
Alt. Parcel #: 12.29.17.188 018 -TOWN OF HAMMOND
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 -VRIEZE FARMS INC
VRIEZE FARMS INC
2036 CTY RD E
BALDWIN WI 54002
Districts: SC =School SP =Special Property Address(es): " =Primary
Type Dist # Description
SC 0231 BALDWIN-WOODVILLE AREA /)
SP 1700 WITC OlD~
Legal Description: Acres: 28.546 Plat: N/A-NOT AVAILABLE
SEC 12 T29N R17W SE SW EXC CSM 11/3214 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-29N-17W
Notes: Parcel History:
Date Doc # VollPage Type
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/13/2004
Description Class Acres Land Im ov Total State Reason
AGRICULTURAL G4 24.546 2,700 0 2,700 NO
OTHER G7 4.000 19,000 111,300 130,300 NO
Totals for 2007:
Gene ral Property 2$.546 21,700 111,300 133,000
Woodland 0.000 0 0
Totals for 2006:
Gene ral Property 28.546 21,700 111,300 133,000
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