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Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
Aff4NER ~~ZS, f cl j C"J r TOWNSHIP SEC . T ~N-RW
ADDRESS ST. CROIX COUNTY, WISCONSIN
T&"-7$ -
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
k
3►
1
I
a,
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity:
Number of rings used:_ Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road.: Front, , O
O SideRear, feet
From nearest"property line Front,O Side,® Rear,, O
feet.
~ o -
Number of feet from: well ~l~j~ , building
:
(Include this information of theme a`bovve plot plan)( 2 reference dimensions to septic
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: -Trench:
Width: Len the ~ Number of Lines:__ Area Built:Z2--
r
Fill depth to top of pipe 31~
Number of feet from nearest property line: Front, O Side, O Rear, Ft`
Number of feet from well: `
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, Q Ft.
Number of feet from well: ~.J
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
.Inspector: _
Dated: Plumber on job: License Number:
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI 53707
CONVENTIONAL ❑ALTERNATIVE StIale It,, l).D. Number.
~ II
❑ Holding Tank ❑ In-Ground Pressure 1:1 Mound assigned MIT HOLDER
MIT HOLDER NJoseph Rivard ADDRtS.OF1, Somerset, WI 54025 NS,~D-Z /~30
BENCH MARK IPermanem reference Pmntl DESCRIBE IF DIFFERENT FROLL~`M PLAN:l REF. PT. ELEV.. ICST1111. PT. ELEV
SW SW, Section 31, T31N-R18W, Town of Star Prairie
Namr of Plumber, IMP/MPRSW No_ County Sanitary Permit Number-
Cal Powers 1563 St. Croix 83804
SEPTIC TANK/HOLDING T A#4<:
MANUFACTURER. LIQUID CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER
J~ sQ P, I D E D PROVIDED
I'✓ 8 10~2-2_(- YES LINO ❑YES LINO
BEDDING. VENT DIA. V T M L.. HWATER NUMBER OF ROAD'. JPROPERTY WELL BUILDING. IVENTRESH
ALARM FEET FROM / D LINE AIR LE
❑YES NO ❑YES NO NEAREST
DOSING CHA BER:
MANUFACTURER JBEDDING JLIQUID CAPACITY PUMP MODEL JPUMI SIPHON MAN UHEH WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED.
❑YES LINO ❑YES LINO ❑YES LINO
GALLONS PER CYCLE: 77ND CONTROLS OPERATIONAL. NU B P Pf RT FLL IIIIIIIIIINI, I VENT TO 1111511
(DIFFERENCE BETWEEN F ROM E AIR INLET
PUMP ON AND OFF) ❑YES LINO REST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing L N/1AMF TE IF IMATIHIAt AND MAHKLN({
or excavation. (If soil can be rolled into a wire, construction shall cease until F CE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH LE GTH NO. OF DISTR. PIPE SPACING COVER OI A =PI IS OUIO
BED/TRENCH TRENCHES ERII L :ElIDF
DEPTH
DIMENSIONS A-
GRAVEL DEPTH FILL DEPTH IIIIIIII PIPE UISTH. PIPE DISTR. PIPE ATERIAL NO ISTH NUMBER OF PROPERTY WELL BUILDING A.4;. VENT TLOETFHF SH
1111 LOW PIPES A V COVER f F V INI.F I ELEV ENU P,72- PIP S I LIN IN
/0r! 0 / /dU, 3►--- FEET FROM n
l~ FEET FROM C.r
MOUND SYSTEM: _
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
❑YES LINO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TFxIORF PFEIMANE NT MAHKIHS bsf HvnI l(IN wf I I S
❑YES LINO ❑YES _ LINO
DEPTH OVER THE NCI{ BED DEPTH OVER TRENCH BEU 11111TH OF TOPSOIL IS111111f U SEF UFU JMIILI.HI U
CENTER EOGES
❑YES LINO ❑YES LINO ❑YES LINO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH LENGTH TRENCHES. LATERAL SPACING (;NAVEL DEPTH BE LOW PIPE F I I L DEPTH ABOVE COVE H
DIMENSIONS
MANIFOLD PUMP MAN IF OLO DISTR. PIPE MANIFOLD MATERIAL NO UISTH LASER PIPE Di5T1iIHllll()N 1'IPL MA1f 1tIAf 731 MAHKIN(,
ELEVATION AND ELEV. ELEV. DIA ELEV. PIPES DII A..
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED COHHF CI I.Y COVFR MATERIAL VFHTICAt I IF T CORRESPOND
PLANS
❑YES LINO ❑YES LINO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING
FEET FROM LINE
0 10 ❑YES LINO ❑YES LINO NEAREST
- -
Sketch System on / , tain in co ty file for audit.
Reverse Side.
SIGNA TITLE
DILHR SBD 6710 (R. 01/82)
=Zm! R SANITARY PERMIT APPLICATION COUNTY ,
In accord with ILHR 83.05, Wis. Adm. Code 1
STATE SANITARY PERMIT #
-Attach collhplete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER
81A x 11 inches in size.
-See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ NO
PROPS TY OWNER PROPERTY LOCATION 2e '/4,S T. N,R ,o E(or
PRO RTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK UMBER SUBDIVIS N NAME
C TY, STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, E OR ANDMARK
VILLAGE
TOWN OF
c
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify):
III. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable)
1. a. lenq New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2)
1. a. 9 Conventional b. ❑ Alternative C. ❑ Experimental
2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. Seepage Bed b. E1 Seepage Trench c. ❑ Seepage Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
Feet Private ❑Joint ❑ Public
CAPACITY
VI. TANK Site
in gallons Total of Prefab. Fiber- Exper.
INFORMATION New xisting 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 ❑ ❑ ❑ ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation f t rivate sewage system shown on the attached plans.
Plu er' Name (P intPlu is i na ure: (No am ) MP/MPRSW No.: Business Phone Number:
_
Plu er's AddresZ(Str et, City, Stat Zip Code): Name of Design :
j
VII . SOIL TEST INFORMATION
Certi 'ed oil ester( T) Name CST #
CST' ADDRESS (S re-et, City, S We, Zip Code) t Phone Number:
~ / s
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater [;ate Issuing Agent Signature (No Stamps) -
/~/~j S harge Fee
Approved F-1 Owner Given Initial
Adverse Determination~v v
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
1
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY` PERMIT
APPLICATION
TO THE APPLICANT:
1. This sanitary permit is valid for two (2) years;
2. Your sanitary permit may be renewed before the expiration date, and at the 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. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed=
rooms, etc.), depth of system, or type of system;
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation;
5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper.whenever,necessary, usually every 2`4o 3 years;
6. If you have questions concerning your private §ewage syster7, contact your ;oval code administrator or the j
State of Wisconsin, Bureau of Plumbing, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
I. Property owners name and mailing address. Provide the legal description where the system is to be
installed;
It. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in ##1-6;
Vi. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from DILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
Complete plans and specifications not smaller than 8'h x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; dosing or pumping chambers; 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
performance 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.
GROUNDWATER SURCHARGE
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the r~
result of over 2 years of steady negotiation and public debate. The groundwater bill Ground a`ater
included the creation of surcharges (fees) for a number of regulated practices which Wisconsin's a
-can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure
is used in your building is returned, to the groundwater--through your soil absorption
system or the disposal site used by your holding tank pumper.
The monies collected through these surcharges are credited to the groundwater fund adminis:
tered. by he Department of Natural Resources. These funds are used for rrronitoring ground- t
water, gr our,dwater contamination investigations and establishment of standards. vroundwater,
it's worth protecting.
SBD-6398 (8.03/86)
APPLICATION FOR SANITARY PERMIT
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 224e_4
Location of Property ,y ;4, Section , T 3~[ N-R~ W
Township
Mailing Address
Address of Site
Subdivision Name
Lot Number
Previous Owner of Property
Total Size of Parcel
Date Parcel was Created
Are all corners and lot lines identifiable? Ikol-
Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume and Page Number
212 as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Register of Deeds. In addition, a certified survey, if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (we) ce ti.6 y that att statements on this b onm ane th.ue to the best o6 my (oun )
knowledge; that I (we) am (are) the owner (,s) o6 the pnopeh ty de s ch ibed in this
inbo.tmation bonm, by viAtue ob a wa Aanty deed neconded in the Obbice ob the
County Reg-usteA ob Deeds as Document No. S ( . :Z, and that I (we) pne~sentty
own the pnopoz ed site bon the sewage di,s pod ~s system • (on I (we) have obtained an
easement, to nun with the above desnibed pnopenty, bon the construction ob ~said
eystem, and the same has been duty recorded in the O*bb.ice ob the County Register ob
Deeds, as Document No.
S TURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
H
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ST C- 105 r'
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SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County z
d
a
OWNER/BUYER
ROUTE/BOX NUMBER f Fire Number
.CITY/STATE ZIP--=S s--
PROPERTY LOCATION:,~,)_j4, , Section , T__~3/_N, R / W,
Town of~~~~,P~ , St. Croix County,
Subdivision Lot number.
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,.
if needed, by a licensed septic tank pumper. What you pdt into
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix.County residents may _ be eligible to receive a grant for
a maximum of 60% of the cost of 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 systems properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic 'tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration.
0
E
I/WE, the undersigned, have read the above requirements and agree z
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- b
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED
v v
DATE St. Croix County Zoning Office
P.O. Box 98a
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INaUSTR,Y; DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 P.O. BOX 76
HUMAN RELATIONS
(H63.090) & Chapter 145.045)
LOQATION:SECTION: TOWNSHIP/MUTIrCIPALITY: LOT NO.:BLK. O.: SUBDIVI ON NAME:
/T N/R . t L (or )
114
COUNTY: O WIN R'S BU ER'S NAME: MAIL[ NG ADDRESS:
"4 40 r
r
22A,-x;W oevz~z /1~
USE DATES OBSERVATIONS MADE
X Residence BEDRMS,: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER OLATION TESTS:
XResidence ®New ❑Replace
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTE -IN FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
s ❑u Ems au ; ►s ❑u as Mu as u
[under Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the
s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PJf, 57- PROfILE DESCRIPTIONS
BORING TO L ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTT H M, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
iP.t:,O
< r d y~1 !l
~ar /7x3
B-
r
=2 _A42iZ
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER D 3 PER I CH
P ~ /
s-
P
~H y A~
P- S`
P-_
P_
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
J2 ..~~Or~i.~ 7cE` ✓s
x
GY- ~jT~OrV - 67P ~S/fG t JJJu1~
l d _ S
f
E ,
i
i
t- _
3
31
z: 11
I
= _
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me i ccord with the procedures and methods spec in the W' consin
Administrative Code, and that the data recorded and the location of the tests are correct to t est of my knowledge and belief. /
NAM pri tTESTS WERE COMPLETED ON:
CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST NATURE
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
INSTRUCTIONS FOR COMPLETING FORM 115 - D - 6335
To he corrnIpte and accurate sail test, your report must include,
1. c-ription;
2. List clearly indicate %A' e c is is a residence or corm ~E at;
3, MA A Iz= } -r ~ planned;
4. Is
5. ql "TARr_ -`)P A WOLFING TANK ONLY IF ALL
SO C 1711- ~S;
6. Pi :he abbr { complet' C 1;
7, L OIBL.E 4 a ;:s scale is ad, A
A are permanent;
to dates, r 'I test exemp-
10, (such as flood plaint, e' t )x;
C-, your current
1 distribute ~ - ~ T` P - THE
1 F IIN 30 DAl 3
'IA 'IC:' I ` IR CERTIFIED SOIL IBS
,I
I
rued
~n
IF
s t.;y
Y
pan, R
M n,)ot
W1
fff
CC
p; runt
n, d
p _
HWL
su ,~~e
TO THE C
nest
lw i ate
to
JJ
llar
VIA) /rare ~b iF5 r1.
c O -_f
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PAGE OF
R i
• CroSS SeeTlon O~ A beo S Jern
Fresh Air Inlets And Observation Pipe
7~.Approved Vent Cap
Mlnlmum 12" Above
Final Grade
t
20- 42" Above Pipe _ 4" Cast Iron
To Final Grade Vent Pipe
j
Haab Hay Or Synthetic Covering
Min. 2" Aggregate
1 over Pipe -
!J Distribution I
Pipe _f 0 0 0 0 0 - Too
{ 6" Aggregate
Beneath Plpe ° Pertoreled Pips Below i
j Coupling Terminating At
Bottom Of System
ze/
/
I PpuPOSC1iVinci grkclt
to•LT ton t
SOIL FILL
DISTRIBU•TIOM PIPE
APPROVEO S49NETIC COVER
° '-MATERI^I- OR 9" OF STRAW
2p OFA6GREGAlE OR MARSH HAy
IoOF%2-2112 AGGREGATE lip, ALEV.OF; FEET,
DIS-I'RIg1JTION PIPE TO BE AT LEA57 2INCHES BELOW ORIGINAL GRADE
A►JU AT LEAST?-0 INCHES BUT L10 MORE THAN HZ INCHES BELOW FINAL GRADE
MAXIMUM DEPTH OF EXCAVATIO0 FROM ORI&INAL 6RAIDE WILL BE 3LI, _ INCHES
MINIMUM OFT" OF EXCAVATION FROM 0~114IMAL GR49€ WILL BE INCHES
w
I
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f
SIGNED:
i
LICENSE NUMBER: J~ f
DATE:
Parcel 038-1129-20-050 02/07/2007 09:06 AM
PAGE 1 OF 1
:Alt. Parcel 31.31.18.525B-10 038 - TOWN OF STAR PRAIRIE
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 - RIVARD, JOSEPH S & MARY
JOSEPH S & MARY RIVARD
1820 CTY RD C
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1820 CTY RD C
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 15.790 Plat: N/A-NOT AVAILABLE
SEC 31 T31 N R1 8W THAT PT OF SW SW LYING Block/Condo Bldg:
W OF HWY "C EXC PART TO CO HWY AS IN
771/526 & 783/203 & EXC PT TO TOWN AS IN Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
814/420 EXC.46 AC TO HWY PROJ 31-31N-18W
1559-08-22
Notes: Parcel History:
Date Doc # Vol/Page Type
09/23/2002 691401 1986/162 EZ
09/04/2001 655569 1712/185 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/15/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 25,000 150,900 175,900 NO
AGRICULTURAL G4 13.790 600 0 600 NO
UNDEVELOPED G5 1.000 1,000 0 1,000 NO
Totals for 2007:
General Property 15.790 26,600 150,900 177,500
Woodland 0.000 0 0
Totals for 2006:
General Property 15.790 26,600 150,900 177,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00