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HomeMy WebLinkAbout042-1052-90-100 p AA) o d r1 .0 11 . M ~ n ce 0 • M 7! CD C O O w O O O N N O O O N 9 -4 O O 7 CD (D go C7 O ^ c t Cn p 1 O N a 7 O O O O O co fD CO 7 6 O A7 7 N O p d i p 0 C 0 C) m cn D P- W F M D CD I n v~ x0 CL I rn rn A V 0 P) Z:) 0 CD Q o o tr1 rn rn co (D rt IQ ::z 8 'o W O .Or. C fY h'1 O O O • ol "a M 'a (D (D 0 rt (n Oro - < z N. (n ~ to N N o D D 1 o m 0 3 ( r m gD ego v I go N Ui N ~ Ot j Q N z 3 o z OD z O CD 0 0 :3 Oll O D a I CD 'a I I :3 m c • CD 3 01) (D :3 a` !J c m t° U) I H H cn W m 2 m o~ -1 to Z o c a z ^z 1. 1 0 cn j s ^n_' 00 N Cn O z -i n W A W (D rt O. z i, z o °o cn rt ip y z 1o w f D =r 0 Q v o 'o CD o En a CD E "y N ~ A I ~ ~r I ~ a N O H A O ~ W O 69 0 v w ° CL . ti II 1.~~~ , DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.U. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE State Plan l.D.Number: I I I assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound n PERMIT NAME vOVeTER: rDDRESS O~;ER RO UertS, WL 54023 INSCFION~ATE. V J. it J Rt. 8 BEJW MAFW(Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. SW JSW Section 19, T29N-R18W, Town of Warren Name of Plumber: IMP/MPRSW No. County Sanitary Permit Number: William Schumaker 6382 St. Croix 79175 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIO ID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO DYES ONO BEDDING VENT DIA.: I J VENT MATT HIGH WATER =NON MBER OF ROAD. PROPERTY JWELLEIUILDINU. J VENT TO FRESH ALARM ET FROM LINE. AIR INLET: DYES ONO DYES AREST DOSING CHAMBER: MANUFACTURER. JBFDDING. 11-1111-111 CAPACI7V PUMP MODEL PUMP; SIPHON MANUF ACTIIRER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO DYES ONO DYES 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) DYES ONO _ NEAREST- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 1l Ii - 11,1AMI TEEI IMATIHIAL 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. JLENGTH NO. OF UISTH PIPE SPACING COVER JINSIDE 111A SPITS LIQUID BED/TRENCH d THE NCHFS MATERIAL: PIT DEPTH. DIMENSIONS v hA',LLDLPTII FILC DEPTH UIST H. PIPF UISTH PIPE DISTR. PIPE MATERIAL NO DISTH NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH BELOW PIPES ABOVE COVER ELEV. INLET ELEV. END PIPES _ LINE AIR INLET. FEET FROM NEARESTs 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- meets the criteria for medium sand. TIONS MEASURED. DYES NO SOIL .`OVER TEXTURE PFRMANENT MARKERS OBSERVATION WELLS DYES ONO OYES ONO DEPTH OVER TRENCH BED DEPTH OVER TRENCH BEU = 1 OF TOPSOIL BODGED [SEED11 MULCHED CENTER EDGES DYES. ONO DYES NO DYES NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH UISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV. CIA. ELEV. PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING GRILLED CORRECTLY COVER MATERIAL PL AR TSCAL LIFT CORRESPONDS TO APPROVED OYES ONO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBEROF PROPERTY WELL. BUILDING: FEET FROM LINE: r DYES ONO OYES ONO t_ r 4 C l,t ~ } J Sketch System on Retain in county file for audit. ' Reverse Side. SIGNATURE: TITLE' DILHR SBD 6710 (R. 01/82) 77 1 Wisconsin - APPLICATION FOR SANITARY PERMIT DILHRCOUNTY E (PLB 67) UNIFORM SANITARY PERMIT # InOUSTRY, IRBOR 6 HUTRn REIRTIOnS 7?/q_51 IIIIN -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PRQQ~RTY OWNER MAILING ADDRESS /OJ// y 2 7r P' V-4 LOOATION V CITY: 1/401/4, S , T`,L-,, N, R FE (or W 1 R. OWN o o-Y LOT NUMBER BSUBDIVISION NAME AREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER nekz- T TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: X New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. .Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 9 41111~6_ K Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signatur P MPRSW No.: Phone Number: P umber's Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved '00 1- J ~(jlt El Owner Given Initial r J C ~ Approved Adverse Determination Reaso for sap ov . Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber j INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; I 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. ~I TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. 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/contractov,("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 t.- Location of Property_~ Section l , T 0 N - R W Township V\ _ Mailing Address 5 Subdivision Name Lot Number ONE J~ Previous Owner of Property QV ✓ T Total Size of Parcel J . AC egs Date Parcel was Created ~U 19'? Arc all corners and lot lines zder_t i.f. i ab? e? Yes No Is this property being developed for resale (spec house) ? Yes -f~- No Volume and Page Number s 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 1 (We) eeAti 6 y that a.Q Q 6 to tement6 on .th i a 6o4m aAe t.ue to the but o6 my (ouA ) hnowtedge; that 1 (we) am (aAe) the owneA(a) o6 the pnopeAty d" Aibed in th,ia in6onmation 6o4m, by vi tue o6 a wavunty deed neconded in the 066.iee o6 the County Regi4 teA o6 Deeda a6 Document No. QZ ; and that I (we) p4e6 eWy own the pnopoa ed .6 to Ooh the a ewage dLiFoaaa.~d yb.tem (o& 1 (we) have obtained an easement, to Aun w:Lth the above dmeAi.bed pnopeAty, 6o& the conatAuct%on o6 chid 6y6tem, and the aame has been duty neconded in the 066.ice ) . o6 the County Regi6t. eA os Deeds, as Documen=t No. aa~g SIG URE E 0 ER SIGNATURE OF CO-OWNE (IF APPLICABLE) DA SIGNED DA E SIGNED - H Y STC - 105 r Y H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County a J CTI OWNER/BUYER VQ, r it0UTE/B0X NUMBER Ai Fire Number-- C 1 `I' Y / STATE SC0l~ . 1' Z 1 Y PRMIERTY LUCAT I ON : 'u, Sec L ion `i' 69"? N R IF W Town cal ~Cc!/r1e~ St. Croix COUnLy, Subdiv Lsiuu Lot n•umber__ Improper use and waintena,►ce of your septic system could result in iLS premature ''lail tire to handle wastes. Proper maintenance co11- sist5 of pumping Out the sel)tic tank every Lhree years or sooner, if needed, by a licensed septic tank puwler. What you put into Lite system can affect the function of the septic tank as a treat- we_lit stage Ln the waste disposal system. St.Gruix County residents way be eligible CO receive a grant for it maximum of. 60% of Lite Cost_ Of replacement of a iilline, Syst es, which was ill operation prior to July 1, 1978. St. Croix County accepted this program ill August Of 1980, with the requirewenL that Owners of all new stews 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) tt►e on-bite 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 T/WH, the undersigned, have read the above requirements and agree Gn to maintain tl►e private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- nr meat 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. S I C N E 0 ATE St. C.'oix County Zoning 'Office N.O. ciox 95, Hammo'lad, WI 54015 715-7 16-2231 or 715-425-8363 Sign, date and return to above address. G y r m x ~ ` x m ago f ~y CD wn wn iv3 p CD CD A- O A A CD j d tQ =r w 2. 3 c o > wD wn am 0 r. w N o O a 0 n w 00 Cp goo mfmww~ w.. t7 CD CD wn awn 0 3 0. O n« O D CD W O w O c0 0 CD j j (CC woo ,<Ccw2N 13: o -3 ° Z? c< cr 0 SD ro c =r CD 0 0 0, CD w OD -QCD D < ~N .9,'- CD O " c Ca w _ ► i, ~oDc m-ci. 7l~ _w.-. A O O a m w 0 C': a O 0 W N CD -9 q C Ll m m -i CA ° 0 CD :E T. Z D ' CD CD C' ° C =r CD _Z aCDD o 3'-, CD CD y a D vOi c ° FFf° o m a a w ? CO phi ° QN c~ C N 0 > > w CA 0 (A ?CD o N CA w w C fl1 ~m ~c5 0a (D. g = t O CD CA fD N n OL CD CD > `<CD=c ON 3 CD O CO a c w ao~ CA ~awo fT1 w3w wD -~CDCAM a gCD CL g a~ N c acn ID = CD 0 o CD CD 3 WIA d O 0 C G) (a O wo a c CD -1 (DD C CD a o 0. w .«n 3 0= % m o° a CD o a ~m DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS 'i'dI111~,Tf~Y, DIVISION LABOR AND PERCOLATION TESTS 1115) P.O. BOX 7969 HUMAN RELATIONS l 1 MADISON, WI 53707 BNB (1) & Chapter 145.045) LOW TIO : NICIPALITY: AM OT NO..jBLK. NO.: SUBDIVISION NE: sw 74 4 :rZ° ~R! ►w W A/ Jup..V. COUNTY:: , MA-P C~ l c) L 8 v ~-r o e r.-r USE DATES OBSERVATIONS MADE LE DESCRIPTIONS: Residence 4New ❑Reptace ~173)x So rt eaotL Q $aj S©/L-S; j5KCz - 5vP_W_►4,4IUD7- RATING: So Site sukable for systam U- Sitsi unsuk/ble for system '51 a - eJ A rTCA iM,-IN-FILWOLDING TANK: RECOMMENDED SYSTEM: (optional) M -mew-RE- r YSI, I 1 L44 4-1 MS ❑U S DU S DU S DU D S U Cam V, 2 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.1i63.09(5)(b), indicate: Q ~-ASS [Floodplain, indicate Floodplain elevation: , et#A* _ PROFILE DESCRIPTIONS BORING TOTAL DECId IQ AriBOUNDWATER-INCHES CHARACTER F OIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER EPTH ELEVATION B TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / , 0, 60' 8 L L. TS 1 1, 50 L w1& R. P-W c. 7,vv ~3~Gs/ ~lo/~i~ >700 46R. cn,ro'S"-TrocPeTS•a,IC`8.,,MepnkS•I,IS"LT.daWIso B- 2 7.70' 9¢'2. tj r- y770 o,&S' 131, L T5; oo Y r3,j S:; 00, A-1 5,Z-0 ' D.I "Aai S b eisiL BLGre BL S: ~Zr=STS' /,65' n1 !'kW S 705" 0.40' 91. 1. T ; 1. S 8N 5 0.35-'8,.1 L-S w"G ALA P. 6N KI LL $ T'i7 C., 'S w/C-+Q dog a7S bi-S L Ts' • l,no' I-r. SN SL w1i 4,99' #t4 00 7, ¢-s Nor! w deR Co(i O, Z_/ N 5%~►ff rr.ri / P9 LT, 134- 5 • so' 15 rs j 0. $0' B N S', t. 61 8; 1 Ki S B'S r 7/Z.oG p~►~s 6 S'd c.z!' ~o 5% f F P. we Z o S D 1, L PERCOLATION TESTS FEET DEPTH TER I HOLE TEST TI RAT MINUTES NUMBER HNNAS' AFTERSWELLING INTERVAL-MIN. PER INCH P- I S, NO.45 93. V9 2 P- b 33 etiw o Z G 'S P. 5'0 2 a o y P- P- t.. V 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 69,70 i T- Sle- } I;-', /r r, CuV frvr„ o~ . , c , /..a v, nu~o It r/ . I'll snA... C /1.%.'', kACT / Y.5 SB 1 k, X 3 y z+a.af It{{ TT1II dtl d It 1 f 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 Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print 'JA i. PLjs(,~ T STS ER CO~MiP~►E~jTErD ON: ADDRES CERTIFICATION NUMBER: PHONE NUMBER(optional): 4c~'7 Z Al 0T- s oN.J 1 ' ~-c~~ 6 5~6 16&- 40 o " NATURE: a. DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. G/ DILHR-SBD-6395 IR. 02/82) - OVER - CERTIFIED SURVEY MAP IV 1/4 CONNER Located in the NW 1/4 of the SW 1 /4 and the SW 1/4 of ` SECTION 1 F the SW 1 /4 of Section 19, T29N, R 18W, Town of Warren » w T. 29 N. N1•`r. St. Croix County, Wisconsin .i ; t Surveyed for: Guy Wilbur • « Rt. 1, Roberts, WI 54023 s • ~ g u a 1 SCALE IN FEET) °r L, 6 . `t dam, 50' 100' 200' 300' i- SECTION CORNER MONUMENT N . A ~~r4•~ ~A .+lq~0 o • 1" PIPE FOUND O I"%!4" ROUND IRON PIPE WEIEIONQ LOS Ld8./LIN. FT. d~''6, 2 SET. '•,',sr•~ 3''ta• %%Z~ •i DESCRIPTION .1080 400 A parcel of land located in 'e' N°a f O°• oa f ? o the NW 1/4 of the SW 1 /4 and st'r N the SW 1/4 of the SW 1 /4 of '4 ts! Section 19, T29N, R 18W, Q~1'r &004:~ Town of Warren, St. Croix POINT OF 8E6INNIN4 to, it County, Wisconsin, described ft'r. j• ~ as follows: Commencing at the V T/4 corner of said Section 19; thence S0025141"E(assumed bearing referenced to REMCtI ti)ARX Y SPIKE /N the West line of said SW 1/4, bearing OAK ON WE557" PR0Pe!R7_Y S0025141 "E as recorded on that Certified rtN€ . 1=LE . = 100.00 Survey Map recorded in Volume 5, page 784) °y 736.34' along said West line to the point of N beginning; thence continuing SO°25141"E 829.77' along said West line; thence LOT ( N89°34' 19"E 300.001-, thence N0025141 "W 226.874 $0. FT. 684' to the centerline of existing Badlands 4 INCLUDES RIGHT-OF-WAY Road (80th Avenue); thence Northwesterly 5.206 ACRES 9-8.681 along the centerline of said road on -i M 215,STG SQ. FT. the arc of a 2500.00' radius curve concave ' EXCLUDING RIGHT-rOF-WAY ; _ Northeasterly whood chord bears N65o22148 W 4.956 ACRES 98 • 234.68' along said centerline to,the point of W °o 4s~ IN ' beginning, containing 226,874 square feet » s`, (5.208 acres), more or less, and being 'subject to a roadway easement across the N . w o ap V'~A ortheasterly 331 thereof, and also subject ! N 0 e 75 to all easements, restrictions and covenants ems' a of record. I, James E. Rusch, registered Wisconsin o Land Surveyor, do hereby certify that I have x surveyed and mapped the above described property; that such plat is a true and correct EG~iVD representation of the exterior boundaries of p _ BORE HOLE TEST the land surveyed; and that I have fully com- 0 PERCOLAT/UN TEST plied with the provisions of Chapter 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision Ordinance, and the Town of Warren Subdivision Ordinance to the best of my professiona knowledge, understanding and b ' of . lliu`pitt ~ ames.E. Busch .~~~'Go 5•~~^~.n Professional Land Survey * Rusch Surveying, Inc. JAMES E. Ntt• 314' I•"t 300.00' 407 Second. Street a RUSCH w Hudson, WI 54016 a S-1376 lina~on, i al a• Zf ..K Pl.9I P_ _ _ _ !.8! p o c This map is hereby approved by the Town BoaxddI„*'9~ p6'~ m,r40 SW C.ORNEit ILCTI ON 19 - - w - ONAPT Nd By 4-W- 0t, 0 , ' T i9 , s ele d Q, Cl d ~ rJ~yPa ~ ~ ~ o bt y~ -7 Parcel 042-1052-90-100 06/16/2005 03:30 PM PAGE 1 OF 1 Alt. Parcel 19.29.18.2988 042 - TOWN OF WARREN 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 * HOYER, GRACE M & GARY J GRACE M & GARY J HOYER 901 80TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 901 80TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.208 Plat: 0350-CSM 06/1649 SEC 19 T29N R18W PT NW SW & SW NW BEING Block/Condo Bldg: LOT 1 CSM 6/1649 LOT 1 (5.208AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-29N-18W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 12/21/2001 666075 1797/604 QC 12/21/2001 666075 1797/604 QC 07/23/1997 1128/47 LC 07/23/1997 1127/107 TI 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.208 49,100 208,600 257,700 NO Totals for 2005: General Property 5.208 49,100 208,600 257,700 Woodland 0.000 0 0 Totals for 2004: General Property 5.208 49,100 208,600 257,700 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