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Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC. TN-R -W
L -7
ADDRESS ST. CROIX COUNTY, WISCONSIN
WI NEC~
ago
SUBDIVISION LOT LOT SIZE %
OFFICE
PLAN VIEW
Distances and dimensions to meet requirements of I.IHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
6 W
X35
0
I:
S3 5
L
9s.T
8~ .mo ~ ' ~ws;~r y
.~1ca~cr S'~°'sz
SW Vr. Y2
U
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used ow/ ellpc
Elevation of vertical reference point: l~o,p r Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity: 4101 9
r
Number of rings used: - S" Tank manhole cover elevation:
Tank let Elevation: Tank Outlet Elevation: 9q
/00.34 ~
Number of feet from nearest Road: Front 10 Side,Q Rear, > $~j r feet
i
.From nearest property line Front,&Side 10 Rear, O > feet
Number of feet from: well >s-r, , building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
i~ 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: / 2 Lenth: Number of Lines: Z Area Built:
Fill depth to top of pipe: y2
Number of feet from nearest property line: Front, O Side, O Rear, 0irt. > S 0~
Number of feet from well: >
Number of feet from building: /j~
(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, ~Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
s
Inspector: zznll
Dated: tr~8 Plumber on job:
License Number :
3/84:mj
I
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR &
411, HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
•P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI 53707
RkCONVENTIONAL ❑ALTERNATIVE State Planl.D.Number:
(If assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
John H. Reinhart Rt. 3, Box 110, River Falls WI 54022 g-&
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. EL
SE SE, Section 26, T28N-R20W, Town of Troy
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Dave Fogerty 3289 St. Croix 88401
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: ` , ILIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
\W\ l ~J ~1 PROVIDED: PROVIDED:
1000 / 7 OYES ONO OYES NO
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL:Q BUILDING'. IVENTTO FRESH
JALARM. FEET FROM ~~j~ LI AIR INLET`.
DYES ONO DYES ONO NEAREST
DOSING CHAMBER:
MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/S:IP:H:0NM ANUFA CTURER. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
OYES ONO DYES ONO OYES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL- BUILDING. VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) OYES ONO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH: DIAMETER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH: LENGTH: NO. OF DISTR. PIPE SP,)CING'. COVER JINIIDE DIA. #PITS LIDUID
BED/TRENCH /~C n TRENCHES: / MAT IAL: PIT DEPTH
DIMENSIONS
GRAVEL DEPTH DISTR. PIPE DISTRE
. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING: V N7 TO FRESH
COVER: ELE V[.tINLEpT ELEV ND'. q PIPES'. LINF, c-~ AIR IpIL
/ Ir FEET 11 c /U 4/ 9L•. 27~ / NEAREST O-~ J 0f .Jit7f QS/()
41 MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
OYES ONO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
DYES NO DYES ONO
DEPTH OVER TRENCH/BED JDEPTH OVER TRENCH/BED DEPTH OF TOPSOIL: SODDED. SEEDED MULCHED
CENTER'. EDGES:
OYES ONO OYES ONO DYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE
ELEVATION AND DISTRIBUTION PIPE MATERIAL & MARKING
ELEV.'. ELEV.: DIA.' ELEV.: PIPES DIA.'.
'
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
OYES ONO DYES ONO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS NUMBER OF PROPERTY WELL: IaUILDING:
FEET FROM LINE
DYES ONO OYES ONO NEAREST
Sketch System on
Reverse Side. R at' n county file for audit.
.
SIGNAT TITLE
DILHR SBD 6710 (R. 01/82)
DILHR SANITARY PERMIT APPLICATION COU Y
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. C)
Sb~3 - P
-See reverse side for instructions for completing this application.
PETITION
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE CR/YES ❑ NO
PROPERTY OWNER PROPERTY LOCATION
SE '/a Ste'/a, S ~6 TV, N, R .to E (o W
PR ERTY OWNER'S MAIL-IN ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
Ar Ile
CITY, STATE ZIP CODE PHONE NUMBER 77 CITY NEAREST ROAD, LAKE O
'Z• L O ILLAGE :
TOWN OF7
t
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify):
III. PURPOSE OF APPLICAAT~IOON: (Check only one in ##1. Check 2, 3 or 4, if applicable)
1. a. ❑ New b. L-'J 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.L-J, 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. L''f See a e Bed b. ❑ 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) :
S ,S Feet Private ❑Joint' ❑ Public
VI. TANK CAPACITY 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 Holding Tank ❑ ❑ ❑ ❑
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.
lumber's Name (Print): Plumber's Signature: (No Stamps) +AP/MPRSW No.: Business Phone Number:
17 ~1~
518 S
ev_p 1-tJ 1A 7yg
-
m er's Address (Street, City, te, Zip ode): e o
it -I- r
< j,
VIII. OIL T ST IN ORMATIO
Certified Soil Tester (CST) Name CST
m c -
CST's ADDRESS (Street, City, State, Zip Code) Phone Number:
IX. COUNTY/DEPARTMENT USE ONLY
X❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps)
A roved f~!/60 Su har e ee /6
pp ❑ Owner Given Initial ~D
Adverse Determination Q_I
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 revisious.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
pump-e-r whenever necessary,, usually every 2 -to 3 years;
6. If you have questions concerning your private sewag 'syster;i, 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;
ll. 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 ##11-6;
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'/2 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 T
result of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater
included the creation of surcharges (fees) for a number of regulated practices which Wiscorisin's
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried Ire-asure
is used in your building is returned tc the groundwater through your soil absorption o - r
system or the disposal site used by your holding tank pumper.
The r-nonies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground- t
water, groundwater contamination investigations and establishment of standards. Croundoiater,
it's worth protecting.
SBD-6398(R.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 /13 ~ W, 2 cjv_~/" ~ "A Ael L~~/
Location of Property 54F 14 S ;4, Section G , T_0 N-R~ W
Township
`
2C7Fro L./.1.,
OF Z
Mailing Address 7
Address of Site
Subdivision Name p
Lot Number
Previous Owner of property !7
Total Size of parcel ~Ga?•~'~S
Date Parcel was Created S 9/3
Are all corners and lot lines identifiable? Yes No
Is this prroR rty being developed for resale (spec house) ? Yes No
Volume -~O and Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A'Warranty Deed which includes a Document number, volume and pa&e 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) centisy that a t Statements on th.i,s 6onm au t ue to the best o6 my (ouA)
knowledge; that I (we) am ( cute) the owner (,s) o j the paopetty des ch ibed in this
.in4onmati.on 6ohm, by viAtue ob a warvcanty deed recorded in the 046ice o6 the
County Reg"teh o4 Deeds as Document No. _Zl 77 ; and that I (We) pne~sentCy
own the pnopos ed site Ooh the sewage dos potsae system (0& I (we) have obtained an
easement, to nun with the above desenibed pupeAty, bon the covustnuction ob said
.system, and the .same has been du.2y necohded in the 04jice o6 the County Reg.usten o4
Deeds, as Document No.
S anATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DAT S GNED DATE SIGNED
State of Wisconsin ` Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
September 24, 1986
Bureau of Plumbing
201 East Washington Avenue
P.O. Box 7969
Madison, WI 53707
Mr. John Reinart
Route 3, Box 110
River Falls, WI 54022
Petition No. 86-05643-P
Dear Mr. Reinart:
Re: John Reinart - Residence
Private Sewage System-
SE,SE,23,28,20W
Town of Troy, St. Croix County, WI
The petition for a variance requested to section ILHR 83.10 (1) of the
Wisconsin Administrative Code was considered on September 15, 1986. The
petition has been approved.
The rule requires that a soil absorption system be located not less than 25
feet from the below grade foundation of any occupied or habitable building.
The variance requested was to install a soil absorption system why one end
of a rectangular shaped soil absorption system will come to withi" fe~t of
a below grade foundation. ~
All of the data and statements submitted on behalf of the petitioner were
considered. This variance is specific to the subject petition and cannot be
used for any additional modifications.
Sincerely,
Ie l ie H. Peterson, Acting Chief
ction of Private Sewage
JHP:EMD:5887t
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls
Harold C. Barber, Zoning Administrator - St. Croix County
Fogerty Excavating
DILHR-SBD-6423 (N. 04/81)
State of Wisconsin ` Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
yt. r'. i 1 ~•dt- T..f
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33
tai r a 1~~4 1.f_ ~~Sk~ t~, 1.1 Ay,~fa l.! T! !^~~~tl It i~t }~t~ &?1'.I '.i(Y 1{1 k' yrr ~y.,
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DI LHR SRD-6473 (N.04/8'1)
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STC - 105 r
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SEPTIC TANK MAINTENANCE AGREEMENT F-+
St. Croix County z
OWNER/BUYER / &7//-A/Ae N~ h~~ ~G• 't %'~X~
ROUTE/BOX NUMBER 61)// ~j Fire Number?
.CITY/ STATE Z I P
PROPERTY LOCATION:, 'k, 51g k, Section, T / N, R-;7.Z7 W,
Town of~ V~ 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 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
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.
r
SIGNE
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.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INbUSTRY, CC DIVISION IAN&D
BOX HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON WI 53707
(H63.090) & Chapter 145.045)
LOCATION:S SECTION: vOWNS H I P/+ +G+P,4tFTY: OT NO.:BLK. NO.: SUBDIVISION NAME:
1/4 4
COU TY: OWNER'ShRUXE-- NAME: MAILING ADDRESS:
RT 3 0
Qr-
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: JPERCOLATION TESTS:
I L~Residence p ❑New L~Replace 7 >
RATING: S= Site suitable for system U= Site unsuitable for system
rOLNV~NTIONAL: MOUNJI: IN-GR_OIS Q URE: SYSTEM-IN-FILLHOG T❑ANK: RECOMMENDED SYSTEM: (optional)
If Percolation Tests are NOT required DESIGN RATE: A If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, CO OR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
3. b' !~o ry J.
105-
B-
V 7
B- Jn Ke S . 2- 4~
S' r/ w 3goes - 7 av l
B-
B- 3 i-? k 1 ,t s S1 w r i 7 Cs
B_
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P-
/ i
P-
P- Z iv 3 > > 6 >
P-_
P- 3 3 > > >
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 E ION
- - - ° 4 . _ mm
= a _ , t €
C=-(~'~ ~ .5..3!x. ~ -e I ,..,_.f t
SJ / a
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t
I ~"-4op ` € f 1 € i i
i
14 I
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rrr - TN
41v /W/
tt I
i 3 l F ~ ~ € E I
3 a
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I, 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
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
E (print): TESTS WERE COMPLETED ON:
-41
-6 !g U I C~ sel= L
ESS: CERTI CA ON NUMBER: PHONE NUMBER (optional):
.>-31 2
SI
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
iL
T I F(,:-Vi 115 - SBD - 6395
To be. cart mus
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Parcel 040-1165-10-000 02/07i2007 11:27 AM
PAGE 1 OF 1
Alt. Parcel 26.28.20.637A 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): O = Current Owner, C = Current Co-Owner
O - ENTENZA, MATTHEW K
MATTHEW K ENTENZA C - QUAM, LOIS E
LOIS E QUAM
1647 PORTLAND AVE
ST PAUL MN 55104
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 187 GLENMONT RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 7.400 Plat: N/A-NOT AVAILABLE
SEC 26 T28N R20W G. L. 1 EXC P637C AS IN Block/Condo Bldg:
VOL 420 PAGE 56 & EXC AS IN VOL 440/366
EXC P637E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
26-28N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
12/21/2004 783131 2719/464 WD
07/23/1997 1145/176 WD
07/23/1997 709/602
06/16/1997 1246/67 QC
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/23/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 7.400 682,400 393,800 1,076,200 NO
i
Totals for 2007:
General Property 7.400 682,400 393,800 1,076,200
Woodland 0.000 0 0
Totals for 2006:
General Property 7.400 682,400 393,800 1,076,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Total Special Assessments Special Charges Delinquent Charges
0.00 0.00 0.00
111161