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HomeMy WebLinkAbout040-1205-70-000 0 Ch 0 cc -.u 00 r 0 0 o N coil o o W m j o rn~ °C m 3 o m o 0 3 < K) 00 tD~ o m o No ^ CD (D o ° 0 3 ° tin o p ~ U) <D C a3 CL C y CD a c o 3 = co n L j = co CD O N Ari r OZ CL O G c OD 00 ~ I 3 r! rr n t N. rt " T T- cll. O 0001 ,~~i Fl. F- (D z 0 Fl C4 O -4 G) 000 n 99 N 3 (y < w Hoc z m N `O° z o" N i1 CD m (D E-r- nC-4 I 3 m O (D N CL r Z o Q z ~i O D a CD 0 U1 D c L~7 o N' ' ~f d i rHZ~`~ I w ~ CD n rn at 3 r 000 0 CD -q CA z (6 I A Z O_ N fD = G7 00 0. 0 ON co N CD N• N <D Z O ~n b O ! Z co ((D W o rna y m r * ,f A 0 w I ~°c I v a o o 3 v c 'o o a N ~ I a I y I a I ~ I ~ I I o I I I 0 o 0 A En O ° I ~ Fo rm - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Up_et4m L_ KERNEQ JQ.. TOWNSHIP xf~p SEC. I(p T N-R I`1 W ADDRESS 2-16 VjpieVC31.2a~E ST. CROIX COUNTY, WISCONSIN SUBDIVISION e-"VC9 5-TA730IJ LOT 7 LOT SIZE 2.11. AGz.S, R • PLAN VIEW Distances and dimensions to meet requirements of: H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r We u_ ~E ern 1 T ~ 4i -b'' 5 r au i J > i Dwwo N -INDICATE N RTH ARROW BENCHMARK: Describe the vertical reference point used 17,&J I'7-9C-- Degl fIO--Lb Elevation of vertical reference point: ICO.00 Proposed slope at site: jto°1o SEPTIC TANK; Manufacturer Wf^ISE_ Liquid Capacity: 1250 C~av ~~1 Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: CR.$Z Tank Outlet Elevation: q`[.640 a5~ Number' of feet from nearest Road: Front Side C Rear 9 , a Ch1EQ I t~U~O'' feet ~I~wtigc-n~n~cu.A..~tL Feu 51.M PUMP CHAMBER Manufacturer: _ Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pumpf.f switch elevation: _ Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front,0Side, O Rear , Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION, SYSTEM Bed: Trench: . Width:. Length: Number of Lines: Area Built: i' Fill depth to top of pipe: X17-~~ Number of feet from nearest,property line: Front, O Side, Rear, O Ft Number of feet from well: ~~fccz, dC:r, 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 been used on any of the above soil 0 ahsorbtion 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, Side, n Rear, n Number of feat from well: ~J J Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector:- Dated: Plumber on job: License Number : j, 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR 9E HUMAN RELATIONS P.O.O. . BO BOX 7988 PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING .UADISON, WI 63707 XKI CONVENTIONAL ❑ALTERNATIVE StetePlan 10.Numb er. (lf ssligned) Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER INSPECTION DATE: Urban L. Kerner, Jr. 216 Waterbury Circle, Lake Villa, Ill ,/%'00 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF, PT. ELEV NW NE, Section 16, T28N-R19W, Town of Troy, Lot 7, Glover Station Name of Plumber IMPIMPRSW No Cnunry Sanitary Permt Number: Eugene Grove 5569 St. Croix 83864 SEPTIC TANK/HOLDING TANK: d~ MANUFACTURER. LIQUID CAPACITY TANK INLET ELEV. TANK OUT LE E E WARNING LABEL LOCKING COVER 50 © ~7 ^ PROVIDED. PROVIDED. '10 1 dlv YY YES ❑NO [:]YES ❑NO BEDDING: IV E O A.. VENT MATT JHIGH WATER NUMBE R.OF ROAO: PROPERtV WELL BUILDING VENT TO FRESH LJ : ALARM FEET FROM LINE AIR INLET. YES ❑NO J v p/ ❑YES ❑NO NEAREST DL? 7 OSING CHAMBER: MANUFACTURER BEDDING. LIOUIOCAPACITY PUMP WIDEL jPUMP,S1PH11N MANUI AC11111EH WARNING LABEL LOCKING COVER PROVIDED PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF. PROPERTY WELL BUILDING IVENTTOFWE-SH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE I f Nt,TF+ IDIANIF TE l+ MATT RIAt AND MAHKING Or excavation, (If soil can be rolled into a wire, construction shall cease until the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OT UISTH PIPE SPArINI, COVFFI INSI UL DIA -PITS LIQUID ~T / THF. NC11 P'_"FEETEAR D EPTH DIMENSIONS O/~ 4 G AVEL DEPTH FILL DEUISTH PIPF UISTH PIPE DISTRPIPE MATERIAL UMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE VER FIE ELEV NU LINE AIR INLET~' ESTO-~ * MOUND SYSTEM: Mound site plowed perpendi ular 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 ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL CO_ TEXTURE .'fHh1ANfNIMAHKEHS JOBSERVATIONWELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH HED OF PTH OF TOPSOIL SOUOF U 5F E L7F 1) MULCHED CENTER EDGES ❑YES. ❑NO ❑YES ONO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIOTH LENGTH NO OF LATERAL SPACING GHAVEL DEPTH HE LOW PIPF FILL DEPTH ABOVE COVER TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO UISTH 1"' STH PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATfON AND ELEV. ELEV. DIA ELEV. PIPES DIA DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT I Y JCOVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS. OBSERVATION WELLS. NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE ❑YES ❑NO ❑YES C_INO_ NEAREST D Q a,,_t3Z ` '(75 $ '35 2 13. a / Sketch System on . Q S - 1 county file for audit. Reverse Side. SIGN DILHR SBD 6710 (R. 01/82) SANITARY PERMIT APPLICATION COUN Y ~ DILHR In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER 8% 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 PROPERTY OWNER PROPERTY LOCATION W'v % Alhr T,) N,R % E(or PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME y _17-1 CITY CITY, STATE ZIP CODE PHONE NUMBER ❑ VILLAGE : NEAREST ROAD, LAKE OR LANDMARK G + II. TYPE OF BUILDING OR USE SERVED: Q~Q - /o?Oc~= 7CJ Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): Ill. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. [SENew 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. 2Conventional b. ❑ Alternative C. ❑ Experimental N,42. a. ❑ System- b. E1 Holding c. ❑ Pit Privy d. E1 Vault Privy e. E:1 Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b. L'J Seepage Trench c. ❑ See a e 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): 90.5" 3 32e d' 1AL 1916, 3' Feet Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in allons Total # of Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete structed glass App Tanks Tanks Septic Tank or Holding Tank /Z D v 64, El ❑ ❑ 1:1 ❑ El I El ❑ Lift Pump Tank/Si hon Chamber VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. 111 ' e, No Stamps) P MPRSW No.: Business Phone Number: Plumber's Name (Print): Plumber's Sign Plumber's Address (Street, City, State, Zip Code).,®Z Name of Designer: > Q VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST # Z , M, Al A it, F9 CST's ADDRESS (Street, City, State, Zip Code) Phone Number: /Vfv k- da IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature (No Stamps) + KApproved ❑ Owner Given Initial S rcharge Fee /00 A~ 4 ?-11-004 Adverse Determination L!~ 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 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 to 1years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. 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; Ill. 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 a// 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 forma 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'/ 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 1. result of over 2 years of steady negotiation and public debate. The groundwater bill ;roundwater included the creation of surcharges (fees) for a number of regulated practices which Wisconsin's ~ can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried treasure $ -is used in your building is returned,.to the groundwaterthrough your soil absorption o system or the dispo&al site used by your holding tank pumper. The monies collected through these surcharges are credited to the groan.-. water fund adminis- tered by the Department of Natural P -sources. These funds are used for rnon rori g around- t water, groundwater contamination iwvostigations and establishment of standards. ro:gin ?sat r, s worth protecting. SBD-6398 (9.03/86) r APPLICATION FOR SANITARY PERMIT S T C - 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 Location of Property, Section T 31 N - R W Township TP 0 r Mailing Address &T3 06X5 y6 J So Subdivision Name CnLo vet Lot Number 2 Previous Owner of Property J~ ,S~Q UL7 p~ ✓e2 rY Total Size of Parcel Date Parcel was Created Are all corners and lot _lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes J No Volume 'J.53 and Page Number Yy / as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTy OWNER CERTIFICATION I (We) eeAti6y that aU statement/s on this 4otm aAe tAue to the best o4 my (ouA) k.nowtedge; that 1 (we) am (aAe) the owneltW ob the pnopwy deAc& bed in this in4ottmation 4onm, by vi tue o4 a walAta.nty deed necoAded in the 044i.ce ob the County RegZAteA o¢ Deeds as Document No. g ; and that I (we) pAmentXy own the pAoposed /site ion the.6ewage dizposat /system (on I (we) have obtained an ecusement, to nun with the above de~scAibed pupeAty, Koh the convstAuetion o6 said byAtem, and the same has been du,2y neeonded in the O~6iee o{ the County Register o4 Deeds, ad Document No. -1j4/' f4 ) . o 14 SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED l z to H a STC - 105 r' r a SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z a a OWNER/BUYER ROUTE/BOX NUMBER ko'i _1774- 010) Fire Number CITY/STATE ZIP `~Ol PROPERTY LOCATION: 14, AIZ!4, Section T2_N, R j W, Town of MO X St. Croix County, Subdivision G)-oou &r~4ra/L) 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 put 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. H 0 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- v 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 DATE St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPAnITMENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS 'IN(*Affetf, I: DIVISION LA13AND, : PERCOLATION TESTS (1151 P.O. BOX 7969 hLQAN RELATIONS 1 / MADISON, WI 53707 (H63.090) & Chapter 145.045) KL N 76 / 26 N/R/9 E(o W TOWNST~POMUNICIPALITY, O;NO.:BLK.NO~ SUBDIV tISI NA oON STAT/ON CO"±iT. AM : MAILING ADDRESS: $ T'CRO/X UPS KfRNER 216WArERBURY CIRCLE, LAKE VILLA, ILLINOIS 60046 6 CO RI TON: DATES OBSERVATIONS MADE NO. Ritience O TESTS: 4 N/A New ❑Replace B- 27 - 86 B - 27 - 86 RAi1N' Qi D- Skr:tWta6►is for system U- Site unsuitable for system .(n U S U IN-GeV 0U MR l tUL ~VGoTAN U RECCONnVfNDTIOSNALE 2'X69r'aNED If Pr,rcoletion Tests are NOT required DESIGN RATE: If any portion of the tested area is in the undei's.H63.09($)(b), indicate: CL ASS / Floodplain, indicate Floodplain elevation: M. A. PROFILE DESCRIPTIONS BOA N. ELEVATION R U D "TER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH S V D TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) !-f7 99.21 NONE t 9./ Bet/ /l.5'1 Bnt/ and of //•5'1BnS and _ or B- t !.t 99.2' 9.2' sit/ t2.0'1 an I/ / /.O 1 Ba r / 6.?'/ d 7.l 94.5' 7.9' Bnl ( /-0'1 Bw,/ awd"1r /2.OJ onr /4.911 4 94. 1' T 8•0 On sl /l. 4'1 Bw r/ gird yr 5') Bw r /5./'1 S 95.91 „ y 9,0' 0x / ( 2.6') Bw r/ awd r / 0'1 _ sir t ewd 93.y 7.6' Sw/ (2.611 see awd /r f 5.0'1 - _81 8-7 ~7.e' !w1 (0.99 Swe/ awl rft.0'J Sas end 0.09"." 1.1 / f 1 Iw rr///.6 / 08 rr// / 2, 7'1 0n r// w//// q mer//.2'/ ! •7.71 3. 2 ' B n I / 1. 29 Bw r/// 4.0'1 PERCOLATION TESTS so1L SNfE 7 IJ 9UgKNAR 07 SA f 7RE OE A R IN HOLE TEST TIME COAT P L X NUMBER IN H . 'AFTER SW LLIN INTERVAL MIN. DROP IN WATER LEVEL-INCHES PERIOD A PER INCH ES l J SANG rrsr N TE 6" OF WATER SEE S AWAY IN ! lNU7ES OR LESS T P- P. 2 S. 4 + 11 P- LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- ,ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. INITIAL 90.5' SY$ 'EM f1.E1/ATION REPLACEMENT 93.3' r-- - , ME COR. LOT 7 C a ` 40 SOME ~RA /N6~WILf Bi NE~ES AR 1r FO( M. X. J + Ak_ - - t I E SUITABL AAEA'30"x 79.71. ® IE C.; OC / ~_(.2jJ9S F J t 84 ~ - ~o \ ASSUM fO 400' N I p ~^y q I ~b 411 B? 6S'STEEL /ENCE -as raN .l j i I APPROX. LPT LINE i i i I 1 I ) t n I 1.__... t j v ~ SE QOR. LOT 7 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Adror4strotive Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. print : TESTS WERE COMPLETED ON: LAURENCE W. MURPHY B - 2B - 66 ADOREW: CERTIFICATION NUMBER: PHONE NUMBER (optional): R/ ROX36 A RIVER FALLS, W/ 54022 55-2443 4?5 - 9032 CST SIG ATURE: DISTRIBUTIONt Original and one copy to Local Authority, Property Owner and Soil TesILHR-86D-SM IR. 02182) - OVER - Cr J R a • -4" L•R Or EV2 ar MW i/4 MATTE.Q A I'N 4AND§ wTw- tU100' -r-14000 '--i r--2zooo-- }sl.w' To' an, 6Z I a r v Q ~ S E M~ _ k7 iO R 4 _ E S Nrls'a'E Jza 27' W 1 4 • ^ HH 1l ~ -•1 P-=e y 11~ yy~ gR 1. T6' 220.00' t2t OD' 6. I • F• P b•• J x• _ 9f. i! _ 2 t27.02' MM700•~ M C' Q +a• 'i il k s N' RMD a~ Nra'os•[ )noi d 13 J, a 40007 S4~ 11T~~d,/' I * O 8 p~ R aao ad leo oz' w I r Ri N a ' s 8~ 13; b~ ~w~ f ••.••f Y~{~ / 40000 } * 4QOOZ' ~ oil ~b t' qN IV i V ~e~~~°'~ Yfj~ I I i1. g_ ~ 'r •°4••f,••'~ ~ NI.7~aF t 4woo 4'S sl•sdr 1■q p ii V `714 Y. L tl a iQ_ ■■a t<~~4r~~ Ir••j y~~' ~ oQy t' J~J 4u gIn ~~a •jt f' V ! ' f I 'aaYay I ~c i! A r ~//777.~i ~ t S fill, ~ C ) h,G V7 r 1r b'1 / Vf.' hJJ.• .~p r F~ t ~'0"' ' Jt1r Jd°f L ) Y r RS 7 :.pE r a! N tL t h. t4,R 64 J, 4 l F~~ A 1~1P~eut=PeAP s ttTN F, /f 16 No so+a~rr -,qs ~o~~A IAA r 96, ,5 5 Y:6 -/A F~. 447- 93 • ~ ~ > 7a' ~'z~ s~s~~~►~o ~I~s,~ ~ z s Iy~E -3 g >26 way a PA IjSSL4 i bo 6a D az 2L~ ALT A ~?r~ D 13s~L~ / 9Rz~o ~/N,n~L3O 5 2 yq" z.' ~83~ T 3 9til.s' G qa.l 2,14 AcR,&'s ~ ~c~JV LaT ~ • t~77 Parcel 040-1205-70-000 02/07/2007 10:13 AM PAGE 1 OF 1 Alt. Parcel 16.28.19.961 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner O - KERNER, URBAN L & PATRICIA A URBAN L & PATRICIA A KERNER 550 OMAHA RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 550 OMAHA RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.160 Plat: 1993-GLOVER STATION SEC 16 T28N R19W 2.16A GLOVER STATION Block/Condo Bldg: LOT 07 LOT 7 (EZ-I-1128/17) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 753/87 07/23/1997 742/146 07/23/1997 589/147 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.160 90,000 362,700 452,700 NO Totals for 2007: General Property 2.160 90,000 362,700 452,700 Woodland 0.000 0 0 Totals for 2006: General Property 2.160 90,000 362,700 452,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00