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HomeMy WebLinkAbout040-1136-40-000 o N O d C c CD x~ C 3 00 I p o ~con ~ o o `c Z a m 0 1W r p,j 2 v y n~i can m o w n n C/) ;d J (D o 0 0 0 lb Pd tr~ 9, r. (D N v i O 'I C (D 1"d (D V Y T I d N W ~ N `~~''C]iy ee~ I 7 y W a 7 I O W 1- go ~ d Q C N 03 4~, CA 170 u, co z m H 1O :E~ 7y o co co I n r zi In H p! w w N (D SW cn cn y 0 t 'q R I O C ny 000! N• trrJ c v f D ry~~ (D vcnto~i 3 ~y Sr CD O = 1D G CD u~ o ~ 1 ° F-J CD C 00 Ln co I ~ Cl O D OZ - ~ O N LzJ . -0 Ct) I CrJ D N x z z [ID 0 Pd ci Fry ti (D 0. ~ (D H p A Z (D Fl O 0 r rat O' ' a A (Z W -I w fa' Z CL (D m O rn C 3 ! z O 3 m co C A I w N a ~ v m ° m m a I f N O O 3 N .a 7 Z 7 I C w `CD a cn a ~O 7 y C N 7 ) G JL 7 A CL I l O ti (7 ti I `G O O I 0 i Q I O h ° O e p N ~ O~ O CL `O ti l► Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT . OWNER It TOWNSHIP 1/e~z SEC. J T N-R~W ADDRESS ST. CROIX COUNTY, WISCONSIN R SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I-LUR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /f ov 7' 6,0 z ~rNNr aK r gyp/ yy 'M'4 Ax {ow o ~ X15 6 G ~ ~Co _ ~e or^ r S r ~y r /v n• ~~poCk riF J, eve. ~ y6 ' w e (t / INDICATE NORTH ARROW ~,G,, So~L TEST - - o p ~j cvooD 80k BENCHMARK: Describe the vertical reference point used Coo" OOe N y 1t)6/t/ C&jA) C,- T, Elevation of vertical reference point: Proposed slope at site: l~ '9o SEPTIC TANK: Manufacturer: ~FE~S ' 0006e Liquid Capacity: /a7,v Number of rings used: /U Tank manhole cover elevation: /00//7 Tank Inlet Elevation: 770 ' S Tank Outlet Elevation: 16- X7 ' Number of feet from nearest Road: Front,Q Side Rear, O > J feet From nearest property line Front, 0Side 0Rear, 0 feet Number of feet from: well GU F building: 1-77. (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE « r ~ PUMP CHAMBER t~ Manufactur Liquid C ty: Pump Model: Pump/Si n Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off sw c elevation: Gallons per cycle: A Manufacturer: Alarm witch Type: Number of feet from nearest property line: Front, Side, O Rear, Q Ft. . Number of feet from well: _ Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM DD Bed: Trench: ~3 Width: l1( Length: 3 6 Number of Lines: 3 Area Built: 7 c,4- Fill depth to top of pipe: O O Number of feet from nearest property line: Front, Side, Rear, Vt./ Number of feet from well: S2_ ~O Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: umber of pits: Diameter: - Liquid depth: Bottom o e pit elevation: Area t: 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: of tank: Elevation of ' et: Numbex-'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: / f7( Inspector: Dated: Plumber on job: _4 License Number : ITE SEPTIC PLUMBING CO. RT. 3 O'NEIL RD., ROBERT ULBRICHT WIS. MASTER PLUMBER LIC. NO. 3307 VA.& IANN. INSTALLER & DESIGNER LIC• N0.00663 3/84:mj ,DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS P.O. BOX & 7969HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION w,O BO MADII SON, WI 53707 BUREAU OF PLUMBING ffCONVENTIONAL ❑ALTERNATIVE state Ptan 1. o. Numboc Uf aeapnwl - ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound I NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECT Geor e Jack RR#2, Quarry Road, River Falls, WI BENCH MARK Me-a-ent m4rence pmm) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. E EV.: CST REF. PT. ELEV. NE4 NE4, Section 36, T28N-R19W, Town of Troy Name of Plumber. MP/MPRSW No.. County: Sanitary emit NumMc Robert Ulbricht 3307 St. Croix 58954 SEPTIC TANK/HOLDING TANK: MANUFACTURER: ' JIGUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING OVE _ n p 6 Q PROVIDED: PROVID C3U ~7. fl~ (O.S INEYYES [-NO NO BEDDING: VENT DIA.: VENT MATL HI H w NUMBER OF ROAD: ROPERTY WELL: BUILDING: V TO FRESH ALARM. FEET FROM /7 LINE AIR 1 LET. ❑YES NO ❑ NO NEAREST S DOSING C MBM (MANUFACTURER-. BEDDING LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER. A WARNIN A EL KING COVER PROM D: PROVI)ED: ❑YES ❑NO ❑ NO ❑YES ❑NO ;,GALLONS PER CYCLE: PUMP AN CONTROLS OPERATIONAL: NUMBER OF PR P 1/1 W I BUILDING: V N ;(DIFFERENCE BETWEEN FEET FROM u E AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENr.TH UI E TE MAT L ANO MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until the soil is dry enough to continue.) MAIN C VENTIONAL SYSTEM. NO 0 DISTR. PIPE SPACING- BED/TRENCH 1 LENGTH TRENCHES INSIU IA SPITS LIQUID DIMENSIONS l / MAT I• PIT DEPTH GRAVELDEP H FILL zI -7 D H UI H I DISTR. PIPE JOISTR. 1 MA ERIAL: P1pESlsT FEET BFROM LIN WELL LDI G: V N FRESH .i BELOW PIPES ABOVE COVER ELEV. INLET ELEV. END ®!•,/q AIR INLET . NEAREST MOUND S STEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM z and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- 1 meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SDI COVER TEXTURE PERMANENT MARKE S: OBSERVATION WELLS NO DEPTH OVER TRENCHIBED DEPTH OV R H/ ED DEPTH OF TOPSOIL SODDED ❑YES SEEDED NO [DYES G IMULCHEDEl ENTER EDGES ' ❑YES DNO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIF OLU PU MANIFOLD DISTR. PIPE MAN( 'OLD MA EHIAL NO DISTN T211A 1 DI STHIBUIION 141PE MATERIAL MARKING ELEVATION AND ELEV ELEV DIA ELEV. PIPES DISTRIBUTION INFORMATION WOLFS'" 7`" -SPACING OIIILLEU OHHECILY CUVFH MATERIAL VERTICAL LIFT CORRESPONDS T0 APPROVED _ PLANS Y L JNO ❑YES ❑NO COMMENTS: FHMANNTI.1 OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE DYES LINO DYES 1-1 NO INEAREST---IP4 sketch System on etain in count file for audit. Reverse Side. Y sl TITLE 'ALHR SBD 6710 (R. 01/82) wls`Dneln APPLICATION FOR SANITARY PERMIT BOUNTY - DEPFiRTTEnT OF MF~ ILHR (PLB 67) UNIFORM SANITARY PERMIT # InOUSTRV, LRBOR 6 HUmRn RELRTIOr15 !59f-511 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS 111n ' 7h,~ S.°~' ~7 2- Uil ,f9. PROPERTY LOCATION C1Tr: Vt: W OF 7~~/ /V6 114 N~1/4, S 36 , T~N, R 17E (or W TOO LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE EIR K ]STATE PLAN I.D. NUMBER ,4 Q0 P~ /Pp. TYPE OF BUILDING OR USE SERVED YS, 1 or 2 Family Number of Bedrooms: Z- ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ 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 r' System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued - 0 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 A /j Holding Tank capacity Manufacturer: ALUC OA16 p o /€SE .UGcQ 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 Cap~ity Lift Pump Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED (Square Feet):, I YZQ- Private ❑ Joint ❑ Public I, the undersigned, hereby a ime responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): i OMESITE SEPTIC Pt %WWMPRSW No.: Phone Number: All. 30'NEII RD., HUD , MS. 54016 33C) 7 (7/S 13 P( P/ Plumber's Address: VWS MASTER PLUMBER LIC. NO. 3307 M.P.RS Name of Designer: IVANN: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved C, zltij~ 9F O~ (/v C ❑ Owner Given Initial Approved Adverse Determination 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 z 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/contractolz,("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 n _ Location of Property Ali 34, Section 3( , T Zd" N - R ~ W Township Mailing Address .~T• -,2L Subdivision Name Lot Number 2 Previous Owner of Property 2 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 /V No Volume and Page Number Nd 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 1 (We) centi.6y that aP.e statements on this jonm aAe true to the but o6 my (oun) k.nowtedge; that I (we) am (a&e) the owner(s) o6 the pnopehty descAbed in thus in6o4mation Sonm, by viAtue o6 a waA&an.ty deed recorded in the 066ice of the County Regidten o6 Deeds as Document No. d;2, ; and that I (we) pnesentey own the proposed .site bon the sewage pas system (on I (we) have obtained an eadement, to nun with the above deschi.bed properrty, 4on the eons.thuctc.on of said system, and the same has been duty recorded in the 0jjice o j the County Reg"ten o6 Deeds, cis Document No. 27 70 SIGNATURE OF OWNER SIGN URE OF CO- E IF APPLICABLE) DATE SIGNED D SIGNED H H a • ST C- 105 r r a SEPTIC TANK MAINTENANCE AGREEMENT ry+ 0 St. Croix County z d 0 W N E R / &949 R /6-40-, ROUTE/BOX NUMBER Fire Number C I T Y / -AT E /P / UA, !~/~S 1 70Z I P > y?J Z PROPERTY LOCATION: Section 36 T Ld N, R_W, Town of St. Croix County, Subdivision Lot number Improper use dnd 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 601 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 E I/WE, the undersigned, have read the above requirements and agree '4 to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- a menp 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. v y x a x x 1;~Col v r =r ;r 00m:o vo cc to 3 cco~ p ° X, l< Z co cyD •a y o to cDa cD cD O ~ o ° cp ~ ~ CO 11131 a =a 0 .0 CD =r CD r r o 3 a n 6cQ~ _t0 a° w= 5 ~ p o c 'o 3 -a 3 c) w w - w w fD CC w ODA c O A o m N o Q Dc Qw G) ~p c ? 0 G. N n w C O a Q 7 W 0 . CD y y y y w (p w y Z 7 y =r y m ID A it ID O a CD A 3 W~ C N a M CD C 0 S* r*~ A , m a s =r w o A A Q1 Q to cD vi w a 7 G. C A O C m CD y w .w► j O m 7 "t DO cpN~ 0C'. ; 0 ~ (D ca r CL 0 -4 ID iF G y ,A. , t0 O Z yo 'y0 A' y w m CD C y G) r` G 1 m ao Q~ f acv; cr G) P M. l< ID 3 0a ~ccc. CN~(DN~ ao O oco C ~N c o CL Boa =~?w..A c C CD o y !1!F':. a a m o w - • DEPARTMENT OF REPORT ON S INDUSTRY ,r ` GS AN s Y & BUILDINGS LABOR ANfl PE1I~ZpCOL/`'~ T ~ DIVISION HUMAN RELATIONS ' 15~ I-- ~77__ P.O. BOX 7969 (H63.09 Chapter'A 515) iIADIS~N, WI 53707 (H63.09 Chapter'A 5 N 1VIADIS( N, WI 53707 LOCATION: SECTION: N~ ~/a V Y /T 'N/R// f (or TOWNSHIP' i y,.tf NO.: -tiNO.: BSI I AME: _ COUNTY: OWNER'S 'S NAME: M Lid NG ADDRE O USE D NO. BEDRMS : COMMERCIAL DESCRIPTION: ATES OBSER Z L4 Residence - PROFILE /D SCRIpP© PER 5LATION TESTS: .Z /,9'. El New Replace 4/ * ygyj RATING: S= Site suitable for system U= Site unsuitable for system 'Z4T 0T.+ SO/ 1s W/ -94vDy svQS7,P/~r,/'~ s CONVENTIONAL: MOUND IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) ®s ❑u 2s au ; ®s ❑u as ©u os au ~oti~~-~T,o~,SGe . If Percolation Tests are NOT required DESIGN RATE: under s.H63.09( s 5) (b ts indicate: If any portion of the tested area is in the Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS iAJ' ~2CiMAi. FT, BORING TOTAL DEPTH TO GROUNDWATER NUMBER DEPTH ELEVATION _ CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) q p -7 e B- /'0.Oi /4./a' ~~D.~ / ~./7'-D.~I.3N. S /,S~'L~/•IdJ-Gy s- 3~ B- No fs S8 Ole, c S . ~ Fov~vv N uJFsT, si w~//• ?3 B- 32 B- ? N c s . B- &_10C /oc grdN t -(//f Tavf R, PERCOLATION TESTS REPTI-l WATER IN HOLE TEST TIME AFTER SWELLING INTERVAL-MIN. DROP IN WATER LEVEL-INCHES RATE MINUTES tl Z PERIOD 1 PERIOPERI D PER INCH C9 11 a F EST - 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 pl n. Show the surface elevation at all borings and the direction and of land slope. percent ~\j- SYSTEM ELEVATION ~y~ FT k%tiN k-N~ 3 ~ _ F y i gRtak w c_xt'Tr X11 /~Tn 04 WAI► L ~C 74" • WD `uvd A ` (QQ, `f8 ' ~~i /Z !90 Sl p l r OX _ d J N pelf I d F E DoT A~ 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. DAME (print): . RT. 3 O'NEIL RO., HUDSON, WIS, 54016 TESTS WERE COMPLETED ON: D ADDRESS: ~J~"t 3~ ~QQ WIS. MASTER PLUMBER CIC. N0. 3307 M.P.R.S CERTIFICATION UMBER: P NE NUMBER (optional): IYt,NN. IN3TAllER & DESIGNER IIC. N0.00663 ~jr- y y~,Z~ ~~J~ , ~i~ CST SIGNATUR ISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. ILHR-SBD-6395 (R. 02/82) -OVER - r ~ rRUCT 3N FOR COMPLETING OR 115 - 56D - 6395 Tr ar ' a( ail test, your report roost inclu(ie: 1. a 1 project; u a' "A '~_E FOR A I C'-DING "ANN ONLY IF ALL 'L CON IT ' it profile rl s and con l the plot plan; y r test lo( awing to w_. preferred. A hown, and are permanent; a, percolation t exernp- } ire the appro. f AUBT BE FILED WITH THE C 9 B1 I rl P _ € ryC` lit PL B (o 7 MOT and CROS5 SarI O N P IA145 so i~ 'X 35 1191 1 e 1 1 TOlo /Ge 2-5 I 1 1~ /0 1 1 ~1 I I 1 I 1 1 , ss 0 PPo 1567- .g 5 r JNj /90X wood- A C~6 4v'~-00a ax - /00.0 , 14), (ItR r /SO t 1;~7sT S 116 IFD HOMESITE SEPTIC PLUMBING CO. ROBERT ULBRICHT WIS. MASTER PLUMBER LIC. NO 3307 M PRA 'v,'-NN. INSIALLER & DESIGNER LIC. NO. 00663 Fresh Air Inlets And Observation Pipe SOIL TESTIA• 5 aY HOMESITE TES-I' NG RT.-3, 0't4 L Approved, Vent Cap HUDSON, WIS. '01$ Minimum 1211 Above Final Grade / y 2- MAX. ~ 411 Cast Iron y~ ,1 Above Pipe Vent Pipe -Fo Final Grade Marsh Hay Or Synthetic Covering Min. 2° AggrIte Over Pipe Distribution Tee Pipe 0 0 0 Aggre ga0 Perforated Pipe Below _ Beneath PipCoupling Terminating At S/ 0 Bottom Of System ~y3 Parcel 276-1043-35-104 09/21/2006 08:54 AM • PAGE 1 OF 1 Alt. Parcel 36.28.19.322G-4 276 - CITY OF RIVER FALLS Current IX! 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 - ANDERSON, LORRAINE LORRAINE ANDERSON 125 QUARRY RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 125 QUARRY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.000 Plat: N/A-NOT AVAILABLE SEC 36 T28N R19W PT NE NE COM INT E LN Block/Condo Bldg: HWY35&SLNNENE,THE234.5',THN1 DEG W 185.7'; TH W 234.5' TO E LN HWY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 35, TH S TO POB FORMERLY 040-1136-40 36-28N-19W (560D) Notes: Parcel History: Date Doc # Vol/Page Type 03/28/2002 674848 1863/033 TI 07/23/1997 07/23/1997 783/140 in PSG Pte? 07/23/1997 727/367 more... 2006 SUMMARY Bill Fair Market Value: Asse with: 0 3-7O - '~Z Valuations: Last Changed: 09/19/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 57,900 151,300 209,200 NO Totals for 2006: General Property 0.000 57,900 151,300 209,200 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 36,700 124,100 160,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 309 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1