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~ AS BUILT SANITARY SYSTEM REPORT Form - S T C 104
OWNER TOWNSHIP 7~. „ SEC. T NR W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of 11HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: A(- Proposed slope at site: ~M
SEPTIC TANK: Manufacturer : Liquid Capacity: Number of rings used: Tank manhole cover elevation: f `
"1
Tank Inlet Elevation: r} Tank Outlet Elevation:
Number of feet from nearest Road: Front ,Q Side,Q Rear, O C feet
From nearest property line Front,0 Side,0 Rear, O (y feet
Number of feet from: well building: t
(Include this information of the above plot plan)( 2 reference dimensiE SIDE septic tank)
SEE REVERS
PUMP CHAMBER
t
Manufacturer: Liquid Capacity:
c^ d e-.
Pump Model:
'
Pump/Siphon Manufacturer:
~U- ~ c` Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: rc Alarm Switch Type: 1IL:
-~7-
Number of feet from nearest property line: Front, O Side , Rear , Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: Length: ?-2 ( Number of Lines: Area Built:
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, O Rear,0 Pt. /r
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, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector: (r/"/CZ ho~l J, t
y ~
Dated: j Plumber on job:
`License Number:
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR
LABOR & HUMAN RELATIONS SAFETY & BUILDINGS
P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION
MADISON, WI 53707 BUREAU OF PLUMBING
LXT-cONVENTIONAL ❑ ALTERNATIVE sHolding Tank In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER:
INSPECTIO DAT
Marvin Boucher R. R. 2, New Richmond, WI
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN
t
REF. PT. ELEV. : JCST REF. PT. ELEV
SE NE, Section 26, T31N-R18W, Town of Star Prairie
NarTr. of Plumber
MP/MPRSW Nrr n my Sanitary Perm.; Number.
Cal Powers 1563 St. Croix 74994
SEPTIC TANK/HOLDING TANK: f -
MANUFACTURE
/ LIQUID CAPACITY TANK INLET EL EV. TANK OUTLET ELEV WARNING LABEL LOCKING COVER
~ ; PROVIDED PROVIDED
BEDDING'✓~ % LJYES LINO ❑YES LINO
VENT DIA.. - VENT MATT HIGH WATER NUMBER OF ROAD. PROPER TV WELL BUILDING. VENT TO FRESH
ALARM IAIR I!yCE
LIN O FEETFROM "E
YE S T~
❑YES LJNO NEAREST__ //n✓ t l/ ~J
DOSING CHAMBER:
MA, TURFR BEDDING LIQUID CAPACI Tv PUMP M111)f I Pl1 MP Slf 1 ( AN
~ r-ILHF H WAHNiNG LABEL. LOCKING COVER
YES LINO • ~A PROVIDED PROVIDED.
YES LINO ❑YES LINO
GALLONS PER CY L'^E: PUMP AND CONTROLS OPERATIONAL NUMBER OF I'I90PEHTV wELI BUILDING VENT TO ESH
(DIFFERENCE BETWEEN FEET FROM "E L✓I AIR IN
PUMP ON AND OFF) III YES L_'INO NEAREST-- Oil
SOIL ABSORPTION SYSTEM. Check the soilmoistureatthe epthofplowing FORCE i "'A'1''fII AT1Hln n DMARKIN(; 09 or excavation. (If soil can be rolled into a wire, constr
coon shall cease until
the soil is dry enough to continue.) MAINS f Al CONVENTIONAL SYSTEM:
WIDTH LE H
NGT NO OF DISTR PIF ACINt. OVF
BED /TRENCH ~ ~ THENC:I~~ w1-E t)In - :v~r~ uoulo
DIMENSIONS P IT
DEPTH
GRAVEL DEPTH FILL D PTH UISTI7 PIP[ UISTH PIPE DISTR-P E MATERIAL N I'll iBFLOW PIP S ABOVE OVER EI L IN[ I I FIE END NUMBER OF PROPERTY I FEET FROM
LINE AIR INLET
TO FRESH
=VENT TO F
NEAREST--►-
MOUND SYSTEM: x ,
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEMM~
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
❑YES LI NO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TExn)RE - TMANINrMniiKF<)s OItSEHVATIfINAOLLS
LJYES LINO ❑YES LINO
DFPTH OVER TRENCH BED DEPTH OVER TRENCH RED DEPTH OF TOPSr IIL 5/){)Df I)
CFNTFH EDGES SEE DFI) MULCHED
❑YES LINO ❑YES LINO ❑YES LINO
~PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH wIDTH Le 6TH NO of LATeHA~sancwG GRavEL DEPTH BI L)w PIPI - FILL DerrH ABOVE covEH
TRENCHES
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATE HIAL NO DISTR DISTR PIPE DIS
ELEVATION AND THIHV TION PIPE MATERIAL $ MARKING
II EV- ELEV. CIA ELEV. PIPES DIA
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DHIEDEDCOHHFCII V COVER MATERIAL VFRTICAI LIFT CORRESPONDS TO APPHOV ED
PLAA1S
❑YES LINO _ ❑YES LINO
COMMENTS; PERMANENT MARKERS. OBSERVATION WELLS. NUMBER OF PROPER TV WELL. BUILDING.
r FEET FROM LINE
❑YES NO ❑YES - NO _ NEAREST----
NIA
V
o
Sketch System on Retain in county file for audit.
Reverse Side.
S ;NAT HE / TITI
n
DILHR SBD 6710 (R. 01/82)
v ~
Wisconsin APPLICATION FOR SANITARY PERMIT
DILHR
COUNTY -.)4A - OEPRRT11'EnTOF (PLB 67)
- IFIOUSTRV,LRBOR&HUMRnRELRTIOnS UNIFORM SANITARY PERMIT #
12y99 41
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'hx 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER
J %L G AD E S
PRO TY LOCATION
voF1/4;7;/' 1/4, N, R E' (or) TOWN NUMBER BLOCK EU7BERTSUB DIVI SIOI~LNAME
NEAREST ROAD, LADE OR LANDMARK STATE PLAN I.D. NUMBER
22 Z2
TYPE OF BUILDING OR USE SERVED
LZ 1 or 2 Family Number of Bedrooms: ❑ Public (Specify):
THIS PERMIT IS FOR A:
❑ New System [A Tank Replacement ❑ Repair
f' Replacement Soil Absorption System ❑ Revision
❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
0 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
Gallons Tanks Concrete Constructed Steel Fiberglass Plastic
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
Gallons Tanks Concrete Constructed Steel Fiberglass Plastic
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): WATER SUPPLY:
o
✓ 1 i Z Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of t e rivatq sewage system shown on the attached plans.
Name of Plumber (Printj: Signature: ,r MP/MPRSW No.: Phone Number:
tuber's Address: f Name of Designer:
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date:
k~ ` ❑ Disapproved
G ~J ❑ Approved Owner Given Initial
Reason for Disapproval
Adverse Determination
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.
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
Location of Property Section N-R W
Township
Mailing Address f
- ~T
Address of Site
Subdivision Name
Lot Number
a
Previous Owner of Property
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 No
Volume and Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warrant 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) ceAtiby that aU statement6 on this boAm oAe ttue to the best ob my (oulc)
knowtedge; that I (we) am (ahe) the ownett(,s) ob the pnapenty de,scAibed in this
inbohmation bolcm, by virtue ob a wauantry deed AecoAded in the Obb.ice ab the
County Registeh ob Deed as Document Na., ~ " ' K and that I (We) pne/sentty 'em
own the pnapased ~s ire bah the sewage 'pa~5 (arc. 1 (we) have obtained an
easement, to nun with the above descAibed pnapWil, box the cohst)tucttion ob said
zy,stem, and the Same hays been duty %ecotded in the Obb,ice ob the County Regaten ob
Deeds, as Document No. )
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED y'
H
z
CIO
y
STC - 105 r
E3
. . SEPTIC TANK MAINTENANCE AGREEMENT H
St. Croix County
z
d
OWNER/BUYER a
[=f
ROUTE/BOX NUMBER_ Fire Number
CITY/STATE -
44 lr' ZIP
PROPERTY LOCATION:.` 14, !4, Section T N, R `A-- W
Town ofSt . 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
O
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- y
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.
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DEPARTMENT OF SAF ETY & BU I LID I NGS
INDUSTRY,
REPORT ON SOIL BORINGS AND
LABOR HUMAN D P.O. BOX 7969
RELATIONS PERCOLATION TESTS 115l DIVISION
/
(H63.09(1) & Chapter 145.045) / MADISON, WI 53707
LOCATION SECTION: TOWNSHIP/MUPdtC
tPtirY: LOT NO.: BILK. NO.: SUBDIVISION NAME:
11/4
/4 (or
COUNTY,. OWNER'S/BUYER'S NAME: ' /f.
AILING ADDRESS:
USE Z
~I NO. BEDRMS.: COMMERCIAL 9ESCRIPTION: DATES OBSERVATIONS MADE//
L4 Residence ❑New PROFILE DESCRIPTIONS: PERCOLATION TESTS:
7
Replace Z-_
1
RATING: S= Site suitable for system U= Site unsuitable for system
nCO,NTV:Ef:N~TnlONA~L: MOUNEs ~11
D: IN-GROUNN(D-PRESSURE: SYSTE~~++M-IN-FILL LDII(NG T 1\1 1: RECOMMENDED SYSTEM: (optional)
If Percolation Tests are NOT required DESIGN RATE:
under s.H63.09(5)(b), indicate: _ If any portion of the tested area is in the
C Floodplain, indicate Floodplain elevation:
,rfr PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH rAJ, ELEVATION OBSERVED EST. HIGHEST T n BEDOCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
J , .f f
J ~ v ,a
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME
NUMBER P4C-H S AFTERSWELLING INTERVAL-MIN. DROP IN WATER LEVEL-INCHES RATE MINUTES
PERIOD 1 PERIOD 2 HE RIO.D 3 PER INCH
P- 4"
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
E
&I.- lee
i
- P.__._.
r
j L'
.
r
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.
NAM~,)(priny):
' TESTS WERE COMPLETED ON:
ADDRESS: Q
CEf~TIFICATION NUMBER: PHONE NUMBER(optional):
CSC S},IG~TURE: 7
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
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PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VENT CAP
y C. 1. VENT PIPE
WEATHER PROOF APPROVED LOCKING
25' FROM DOpR, JUNCTION BOX MANHOLE COVER
WINDOW OR FRESH I2"MIU.
AIR INTAKE I
GRADE
I
I 4° MIAJ.
L - _ 18" M I IJ.
Id"MIN, CONDUIT .
11~ -
fAJi_.F;T' PROVIDE I
~T AIRTIGHT SEAL
I I i
APPROVED JOINT
A I III APPROVED „pNT5
W/C.I. PIPE.
CXTENDIt\)C. 3' I I I I W/C.=. PIPE
ONTO SOLID S' I II ALARM EXTENDIUG 3'
r; B I I ONTO SOLID SOIL
1
C I I ON
I I
I
D
1 PUMP
OFF
CONCRETE BLOCK
RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL
SPEC,IFICATIOKIS
SEPTIC AND )
DOSE TANKS MANUFACTURER: ~tolix°i (tlv.. Iit ►JUMBER OF DOSES:
PER DA-4
TANK SIZE: GALLONS DOSE VOLUME
INCLUQ
ALARM MAAIUFACTUR6R: L W: ZS ~f GALLONS
MODEL IJUMBER; CAPACITIES: A_ r
'-~_INCHES OR GALLOWS
SWITCH TyP[:~~%~~:,/~~--,=.,~.:'
B= INCHES OR GALLOWS
PUMP MANUFACTURER;
C. _ IA)LHES OR l-! .X GALLONS
MODEL NUMBER: ' i!/,' ~ ~ "
D. Z INCHES OR % GALLONS
SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE
PUMP DISCHARVE RATE -j~, c- GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFEKEAJCC Bk9*WGEAI PUMP OFF AND DISTRIBUTION PIPE.. FEET
+ MINIMUM NETWORK SUPPLY PRESSURE , , 2.5 FEET
+ FEET OF FORCE MAIN X ='a-'I'`/ F7
/0FLFRICTION FACTOR..' FEET
TOTAL DYNAMIC HEAD = FEET
INTERMAL RIMEWSIOMS ll TANK: LEAIGTH -
;WIDTH ;LIQUID DEPTH "SIG NE LICEWSE NUMBER:
DATE:1
-117-
Model 3870 Submersible Effluent Pumps
140
•
120
L
3 100
0
v 80
a,
EE
O ~Yp 7 ~ i
O
60 /y
0 '
I typ
0
1 a
1
_ I '
- .yh
Aa - I
WP 03,/, HIP. - -
20 W 3: Y. H.P .
20 40 60 r 80 100 120
Capacity - Gallons Pe Minute
M.P. Order No. Vo1b Phi Max. WL
A+"W RPM Sda. (IDs.)
W P0317 E
WPMt0311F 115 9.4
Y~
WP0372E 1750 56
WPM0312E 230 10 4.7
WPHO511E 115
WPH0512E 230
8.0
- WPHOS32E 208/230 3.4 60
WPHO534E 460 30 1.7
WPH0712E 230 10 9.0
WPHO732E 208/230 5.4 30 WPH0734E 460
2.7
WPH1012E 230 10 11.6 3450 70
I WPH1032E 208/230 64 30 Q WPH1E 460 10
3.2
WPH151212E 230 14r 13.3
WPH1532E 208/230 92 30 1'h WPH1534E 460 4.6
WPHH1512E 80
230 tm 13.3
WPHH1532E 206/230 9.2
1 WPHHIS34E 460 46
SPECIFICATIONS ARE SUBJECT I u CHANGE WITHOUT NOTICE.
3
PAGE OF
Crc)SS `JZC~I(jt, o-~ 13r~~ S~
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Fresh Air Inlets And Obeervotlon Pipe
Approved Vent Cap
Minimum 12" Above
Flnul Grude
:u -42"Above Pipe .4 Cost iron
To Final urode Vent Pipe
Marsh Nay Or Synthetic Covsring
win 2" Aggregate'
Over Pipe
Olsulbullon
Plp• 0 0 0 0 0 - Tee
6" Aggregote
Beneath Pipe o Perforated Pipe Below
o -'Coupling Terminating At
Bottom Of System
Pru O5N D T1n C1{
41,
SOIL FILL
DISTRIE3LITiOFI PIPE
APPROVED S4NTNETIC COVEP
21101' g6GRE GATE ~~--MATEItII~t or". OF STRAW
OR MARSU HA'~
ELEV. OFD nF'2AGGREGATE
FEET-.-
e
DISTRif~'JTI(D" PIPE TO BE AT LEAS r i_~~
IJCHES BELOW ORIGIIJAL GRADE
AQU AT LEAST20 INCHES BUT KIO MORE THAI) tit II`ICHES E]ELOW FiINJAL GP.ADE
MAXIMUM MN OF F-)(WAT100 FKoM OKit4ita bkADF- WILL BE ~ ~ i1JCHES
MINIMUM OC " OF FACAVATIOM FKOM o 16114AL GRAPE WILL E,E INCHES
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Parcel 038-1105-70-000
Alt. Parcel 26.31.18.440D 01/25-- 04:22 PM
PAGE 1 OF 1
Current X 038 - TOWN OF STAR PRAIRIE
ST. IX ,
Creation Date Historical Date Map # Sales Area Application # Permit #
C perm tOType Y WISCONSIN
00 0
Tax Address:
Owner(s): O = Current Owner, C = Current Co-Owner
LORI A VON RUDEN O - VON RUDEN, LORI A
1954 CTY RD CC
NEW RICHMOND WI 54017-6032
Districts: SC =School SP =Special
Type Dist # Description Property Address(es): * =Prima
* 1954 CTY RD CC Primary
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: SEC 26 T31N R1 8W .99A IN SE NE N 144 FT Block/Condo Bld 0.990 Plat: N/A-NOT Bld AVAILABLE
OF S 300 FT OF E 300 FT OF SE NE g:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
26-31N-18W
Notes:
Parcel History:
Date Doc # Vol/Page Type
01/05/1999 595050 1392/576 WD
07/23/1997 845/379 WD
07/23/1997 784/485
07/23/1997 522/228
2006 SUMMARY Bill
Fair Market Value: Assessed with:
175549 161,300
Valuations:
Description Last Changed: 10/14/2004
Class Acres Land
RESIDENTIAL G1 Improve Total State Reason
0.990 35,600 107,000 142,600 NO
Totals for 2006:
General Property 0.990 35,600
Woodland 0.000 107,000 142,600
0 0
Totals for 2005:
General Property 0.990 35,600
Woodland 0.000 107,000 142,600
0 0
Lottery Credit: Claim Count: 1
Certification Date: Batch 140
Specials:
User Special Code
Category Amount
Special Assessments
Total 0.00 Special Charges Delinquent Charges
0.00 0.00