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Form - S T C 104
AS BUILT SANITARY SYSTEM REPORT
OWNER tJ 4 rv} e.5 CJ GC u to r~ TOWNSHIP e f,, (IV Zl~ SEC. I T N-R t b`W
ADDRESS tt1 `Sun W_ 4 S ST. CROIX COUNTY, WISCONSIN
rC r s ?
SUBDIVISION N 4 LOT ti ~ LOT SIZE 0j N n
PLAN VIEW
i
Distances and dimensions to meet requirements of IL-HR, 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used Gst~cn dtT 16o
Elevation of vertical reference point: 160 ~ Proposed slope at site: _10 7
SEPTIC TANK: Manufacturer: We,~ e -!!C Liquid Capacity: 1 (J D V Z e,
Number of rings used: ITank manhole cover elevation:
Tank Inlet Elevation: /00, 5-9 Tank Outlet Elevation: 10U , ?b
Number of feet from nearest Road: Front
,O Side Rear, O ?vu feet
From nearest property line Front 10 Side,O Rear, O feet
Number of feet from: well 3-r' building: 6 ~/o t
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
J
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, OSide, 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: Length: U V Number of Lines: Area Built: 5-o u,4
Fill depth to top of pipe:
Number of feet from nearest property -ine: Front, O Side, &Rear,O Ft. 3
Number of feet from well: 2 (~U
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 syteis? (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:
Inspector:
Dated: Plumber on job:
License Number :
3/84:mj
mnmwm~ wiscor Sin APPLICATION FOR SANITARY PERMIT '
ILHR OUNTY
® (PLB 67) UNIFORM/ 9SANITARY PERMIT #
- EPiS;R Er1T OF
-.r1DUTRV, LFIBOQ 6 NUTFfI RELFiTlOr75 ~ y 6
ete lans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than j 11O inches - es in size.
Attach comp) p
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
J-/ " Inc 6 6 S.0 O h, fit/ 1 y!J JI,
7 -57 PROPERTY LOCATION EwT
1145,E 1/4, S . NR Of (or Tow oF: VuGt SJL r 1 a ~RLGr- 1~ f I~~d Clsd
LOT NUMBER BLOCK NUMBER SUBDIVISIIOON NAME NEAREST ROAD, LACKS OR LA ND MAR K STATE PLAN I.D. NUMBS
TYPE OF BUILDING OR USE SERVED V~ lU7U_~~/~~
1 or 2 Family Number of Bedrooms: Public (Specify): ~A.
THIS PERMIT IS FOR A:
El New System El Tank Replacement ❑ Repair
❑ Privy
9 Replacement Soil Absorption System El Revision
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepage Bed Seepage Trench ❑ Seepage Pit El Holding Tank
❑
System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy Pit Privy
issued
❑ Existing, For Which A Previous Permit Is On File, Permit #
❑ 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 G
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
V
Manufacturer: / S A rs C.0 N G ~I 71k P/Z
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):
S L/ .Private El Joint ❑ Public
All
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Signature: MP404NOW No.: Phone Number:
TE r L si (7iS' ►69'~ ayo
'5 V
Plumber's ddress: Name of Designer:
dj }tih S~T E1ox.9
COUNTY/DEPARTMENT USE ONLY
--7
Signature of Issuing Agent: Fee: Date: ❑ Disapproved
a D O El Owner Given Initial
a / Approved Adverse Determination
i
Reason for Disapproval:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
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;
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.
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.
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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
)D. Number
99CONVENTIONAL ❑ALTERNATIVE I If as Plssignne ed)
a
El Holding Tank ❑ In-Ground Pressure El Mound Is"at
1
a
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Jim Jacobson Wilson, WI 54027 fe-/S$5 0
i BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: Ouse in Eau a. e, REF. PT. ELEV.: CST REF. PT. ELEV..
NE SE, Section 19, T28N-R15W, Town of Eau Galle Drainfield in Cady)
Name of Plumber: IMP/MPRSW No.. County: Sanitary Permit Number:
Steve Aaby 5184 St. Croix 69694
SEPTIC TANK/HOLDING TANK:
MANUFACTURER . LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
/ P V WARNING ED: PROVIDED
YES ❑NO ❑YES O
BEDDING. VENT DIA.: VENT MATL. HIGH WAT R NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH
ALARM' FEET FROM LINE: / AIR/1 LET:
❑YES NO ❑YES ❑NO NEAREST f u~r /
DOSING CHAMBER:
MANUFACTURER: BEDDING. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING qLABELLOCKING COVER
PROVIDEPROVDED:
❑YE❑YES ❑NO
❑YES ❑NO 1 ] TO
FRESH
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WEILDING: I VENT INLET:
FEET FROM LINE AIR INLET:
(DIFFERENCE BETWEEN
PUMP ON AND OFF) ❑YES ❑NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing - ILL ILr,Tll 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. INOEOF DISTR. PIPE SPACINGCOVER INSIUE IA#PITSLIQUID
BED/TRENCH A~ TRN7S MATZR+AL: PIT DEPTH:
DIMENSIONS
GK.;. LL UEYI H FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE, MATERIAL: NO. STR. NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH
BELOW PIPES. ABOVE COVER: ELEV. INLET ELeE~V! END- / PIPE FEET FROM , LINES / AIR INLET:
t AL} f/5p Z- L NEAREST--r J\J 1P
-oc
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.
❑YES ❑NO
SOIL COVER TEXTURE PERMANENT MARKERS: JOBSERVATION WELLS
❑YES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED: SEEDED. MULCHED.
CENTER. EDGES:
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WI DTH. LENGTH: NO.OF LATERAL SPACING. JG ELOW PIPE: FILL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
ELEV.: ELEV.: DIA.'. ELEV.: PIPES: DIA.:
ELEVATION AND
DISTRIBUTION
HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION PLANS.
❑YES ❑NO ❑YES ❑NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
FEET FROM LINE:
0.81 1 ❑YES ❑NO ❑YES ❑NO NEAREST
Sketch System on Ret ' in county file for audit.
Reverse Side.
SIG TITLE:
DILHR SBD 6710 (R. 01/82) l~
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/contracrQ-c,("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 ))Ie-S 3-eAct4
Location of Property .,A] ) '-%i It, Section A y , T N- R W
Township &a k Gcr~f
Mailing Address o0i -75 91'ver ~cl
W 1,~SGYj GIJ J L/G~-~
Subdivision Name ✓ V j
Lot Number
Previous Owner of Property 2±4-C) d 4- k, 1^-
Total Size of Parcel l 6 S-
Date Parcel was Created A C J 01 --Z !Z 0
Are all corners and lot lines identifiable? X Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume y G C/ and Page Number &;t'7 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.
PROPFRTV OWNER CERTIFICATION
I (We) eeAt Ay that aU 6tatement6 on thiz 4oxm axe tAue to the but of my (out)
knowledge; that I (we) am (ate) the ownet.(.a) of the pxopexty debcA bed in thi.6
knAoxmation 6oxm, by vi tu.e o~ a wantanty deed xecoxded in the 06~i.ce ob the
County Reg.i.6teh o~ Deed6 " Document No. ?-76-1 ; and that I (we)
pAuentty own the pxopobed .bite box the ball pod .6y6tem (ox I (we) have
obtained an e" ement, to tun with the above du c& bed pxopexty, box the
con6ttuc ion o4 said zyetem, and the same ha6 been duty xecoxded in the 066ice
o~ the County Regiztet o~ Deeds, a6 Document No. ) .
FIGNATURE OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
C5' C'7 9 19 C3~ r~` 9, /9 85-
DATE SIGNED DATE SIGNED
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SEPTIC TANK MAINTENANCE AGREEMENT
0
St. Croix County z
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OWNER/ J11 k» N 3 ` Al TA C_c 4'3o 0 c~
ROUTE/BOX NUMBER k"r ! &>e,25 Fire Number 332
CITY/STATE I, /.s, . LL'I ZIP Sye_a
PROPERTY LOCATION: , Section/ T _1~( N, R J& W,
Town of Eacu 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 (f
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
.B/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
H
the standards set forth, herein, as set by the Wisconsin Depart- Fv
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. a
fi
SIGNED '
DATE C. ~9
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.
ELY 1 5
S
83
Anna M. Johnson, a woman; Warranty Deed.
Harvey J. Johnson, a single man; Con. $6,500.
Alice Gunderson, a woman; Dated June 24, 1964.
Mae Burnquist, a woman; and Ack. June 24, 1964.
Clinton H. Johnson and Agnes Rec. Dec. 31, 1964.
Johnson, his wife, each as their In "409", page 627, #278751.
interest may appear,
-to- 4 of SBk of Sectiont24=48°-1
Also other land.- : ( R A4
James Jacobson and Marilyn nue Stamp cancelled "
4~.
Jacobson, husband and wife as r
joint tenants
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•er Oct'
9s 1964-
Rea Oct. 9, 1964.
In 11407", page 526,#277845•
Recites: On reading and filing the agreement by and between
Harvey' J. Johnson, Guardian of the above named Luella H. Johnson, In-
competent, and James Jacobson and Marilyn Jacobson, husband and wife
as Joint tenants, made pursuant to the order herein, dated the 9th
day of October, 1964, for the sale of the real estate of said Luella
H. Johnson, Incompetent, upon the terms and conditions therein spec-
ified; On motion of Robert R. Gavic, attorney for the petitioner in
the above entitled matter, IT IS ORDERED That said agreement be and
is hereby ratified and in all things confirmed. IT IS FURTHER ORDE
that the said Harvey J. Johnson, as guardian, shall duly execute, ac -
Inowledge and deliver to the said James Jacobson and Marilyn Jacobson
husband and wife, a good and sufficient deed of conveyance of all th
right, title and interest of thegmaid Luella H. Johnson, Incompetent,
iand to the said real estate a"'sold upon said Harvey J. Johnson
complying with the terms and conditions of said agreement. That out
of the proceeds arising therefrom, the said guardian pay the necessary
costs and expenses of this proceeding, itemized as follows: Attorney
fees for guardianship and sale of real estate $100.00. Abstract $15.00
Recording Fee $4.50 Guardian's bond $8.00 Filing fee $3.00 Cert-
ified Copy $3.00 Total $143.50. IT IS FURTHER ORDERED that the
residue of said proceeds be deposited as follows:
2
Harvey J. Johnson, as General Guardian's Deed.
Guardian of Luella H. Con. $866.66.
'Johnson, Incompetent, Dated Oct. 14, 1964.
Ack. Oct. 14, 1964.
-to- Rec. Dec. 31, 1964.
In 1140911, page 625,#278750•
Jacobson and Marilyn
!Jacobson., IJames Jacob husband and wife Pursuant to Order of the Court
`land as joint tenants. for Sale of said real estate
dated September 1964 co~-
veys: An undivided 2/15 interest in SEI of SEk of Section 24-28-16;
N1 of SEu of Section 24-28-16• and all that
i , part of Wj of SWk of Sec
!tion 19-28-15 lying N and W of the Eau Galle River.
!($1.10 Revenue Stamp cancelled). #
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a
INGS
DEPARTMENT OF REPORT ON SOITORIINGS AND SAFETY & B DI VISION
INDUSTRY, G
P.O. BOX 76
LABOR AIWA PERCOLATION TESTS (115) MADISON WI 53707
HUNAN RELATIONS
~ °(H63.09(1) & Chapter 145.045)
TOWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
LOCATION: SECTION: uu p
_a I Al q
COUNTY,/ OWNER'/~ YER~ NAME: (or C F1 IMIAVr]LINU ADDRESS: /
TG oI wtFS 0coLsov~ iLSG I Syoa
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
Residence Z ~ q. ❑New Replace 0.~ _ s
RATING: S= Site suitable for system U= Site unsuitable for system ROUND-PRESSU rNQNVENsTIou ONAL: MMs, au IN G~~ EJ~ RE: SYSTEM-IN-FILLHOLDING~NK: RECOMMENDED SYSTENI~Igptional)
S a S U V Fbf. / G h L
If Percolation Tests are NOT required DESIGN RATE: I 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, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- / .-4/ 17 3.7' /I/o Al k / a. o , o' L, sL _ ol c ela ga. S, 4-, ,1 ,
B- /•6' n-. 9,
w le e, -IV B- 'I' v. G' A o ,tic. sc. s1. F/L
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH
.2 It-
P_ 3. 6' Na -7 1 2 " ~
P_ a./~ o T r" i ay
P__
FPP:~_
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 plIn. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 4 o
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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.
NAME (print): TESTS WERE COMPLETED ON:
5Tk A.0 o-P-00 S
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST SIG U
01
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DI LHR-SBD-6395 (R. 02/82) - OVER -
INSTR CTIOW --R COMPLETING F- 1115 - SBD - 6395
T a :ompiete and accurate ur report
1. )al description;
ion mt t cl ly indicate w" z 'ier this cornmerci<al project;
n of r -cial use pi
A E IS SUIT nINIP -rANI< ONLY I ALL
OUT BASED ON SOIL
6. F* shown }sere for writing 3 the plot plan;
accurate) lot rg ` s preferred. A
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J?.GOBSON, JIM 70 -pU =_NESE Sectio 19
Wilson, WI 54027 T28N-R15W, Town of Eau
Galle (House in Eau Galle,
Drainfield in Cady)
San.Permit#69694 10-14-85 S. Aaby
Conventional, Replacement Ap
INSTALLED - 10-15-85 ,v
Dues
~f 6az/ir~ 9477 a~✓ P~--
~(11,UA,
Parcel 008-1070-70-000 01/11/2007 10:41
PAGE 1 OF I
F
Alt. Parcel 24.28.16.365 008 - TOWN OF EAU GALLE
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 - JACOBSON, JAMES & MARILYN
JAMES & MARILYN JACOBSON
244 270TH ST
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 244 270TH ST
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 24 T28N R16W 40A NE SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-28N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
171273 Use Value Assessment
Valuations: Last Changed: 07/19/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 38.000 2,300 0 2,300 NO
OTHER G7 2.000 34,000 105,500 139,500 NO
Totals for 2006:
General Property 40.000 36,300 105,500 141,800
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 36,300 105,500 141,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch M 513
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 192.00
i
Special Assessments Special Charges Delinquent Charges
Total 192.00 0.00 0.00
Parcel 008-1069-50-000 01/11/2007 10:41 AM, .
PAGE 1 OF 1
Alt. Parcel 24.28.16.356 008 - TOWN OF EAU GALLE
Current LX 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 - JACOBSON, JAMES & MARILYN
JAMES & MARILYN JACOBSON
244 270TH ST
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): • = Primary
Type Dist # Description * 244 270TH ST
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 24 T28N R1 6W 40A SE NE EZ-U-1515/444 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-28N-16W SE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 494/465
2006 SUMMARY Bill M Fair Market Value: Assessed with:
171260 Use Value Assessment
Valuations: Last Changed: 08/04/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 34.500 2,900 0 2,900 NO
UNDEVELOPED G5 1.000 100 0 100 NO
AGRICULTURAL FOREST G5M 2.500 900 0 900 NO
OTHER G7 2.000 6,000 81,500 87,500 NO
Totals for 2006:
General Property 40.000 9,900 81,500 91,400
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 9,900 81,500 91,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch M PRGRM
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 192.00
Special Assessments Special Charges Delinquent Charges
Total 192.00 0.00 0.00