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HomeMy WebLinkAbout032-2054-90-050 C c d o d `~1 3 4 -0 c M 1 d # n 3 3 • N Z ° a O O cn ° cC ~l 3 w c o C.0 3 W N P" C Z CD Co CD M M CD L O O N 7 O N C O O 7 N n CD O -,J 0 O rn g D 3 o Ro cn Q CIO K O N C O~ c ~s CD iU - cn D CD P - CD CL C) C~ cp A 3 (0 CO V c 0 O ~ w c rn 5 A 0 z vl n o 00 oho < n N rn a 0 4:zl a z Cd Z F O A (o r-3 ~ fD N Q 0 K ~ ~J A d N I ~.J < N H N 7 3 fD I oo z Z o c 0 00 c Z CO Z v D O m O o m~ o m CD a y z p CD cu ~V~ e (O N ~c m a c n n N N Z m v` v a A G f V Mw~ CD M m o z c 3 a X O cn M CD 3 N (CD 'a Lo N v a 3 v a ~ o ° T 3 v c 0 D o a (D m CL o .C A O N N ' N O O a A ti O C CD Oq O A O O ~ a C) CL Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER a(C Q4~ TOWNSHIP SEC. T St%-RJT W ADDRESS ST. CROIX COUNTY, WISCONSIN ! t/~~~1t• 1C SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a3 y► f 'j~cl~ Sl~ec~ IuI 1 \ rz I ICATE ROW BENCHMARK: Describe the vertical reference point used i Elevation of vertical reference point: ~DU Proposed slope at site: 51~ SEPTIC TANK: Manufacturer: Liquid Capacity: /000 Number of rings used: - Tank manhole cover elevation: 02-, ~ Tank Inlet Elevation: 96,S5~ Tank Outlet Elevation: Number of feet from nearest Road: r Front (g~ Side 0 Rear 0 feet From nearest property line Front Side, Rear, O feet i Number of feet from: well building: -116 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) 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: 1 Width: Zc2 Length: s~ Number of Lines Area Built:'~X'o G Fill depth to top of pipe: 20' Number of feet from nearest property line: Front, O Side, O Rear, O F't.S Number of feet from well: Number of feet from lilding: (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: -c~ Inspector:-, Dated: Plumber on job: License Number: 3/84:mj I 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 aCONVENTIONAL ❑ALTERNATIVE State Plan ID Number El Holding Tank ❑ In-Ground Pressure El Mound Iltasslgneril NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE. C2atcence Otc R. R. 4, New Richmond, W1 -~8-6 -7 BENCH MARK (Permanent reference pond DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV. SE SE, Section 15, T30N-R19W, Town o6 Someuet .,f Name of Plumber. MP/MPRSW No. County. Sanitary Permit Number_ Cai Poweu 1563 St. Ctr.oix 54997 SEPTIC TANK/HOLDING TANK: , MANUFAURERLIQUID CPACITY. TTANK OUTLET ELEVWARNING LABEL LOCKING COVER PROVIDEDPROVIDEDYES ONO DYES ONO BEDDINGVENT DIAJVENT MATL. HIGH WATER NUMBAD: PWELLBUILDINGVENT TO FRESH ALARM FEET LAIR I"LETYES ONO DYES ONO NEAR DOSING CHAMBER: MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL. JPUMP; SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PR OVIDED. PROVIDED DYES ONO OYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS oPERAnoNAL NUMBER OF PRQPERTV JVVELL BUILDING I VENT To FRESH (DIFFERENCE BETWEEN FEET FROM LINE aIR"LET PUMP ON AND OFF) EYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 11IN1,111 JDIAMITIH 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: BED/TRENCH WIDTH LENGTH NO OF DISTR PIPE SPACIN(; COVER INSIDE DIA IPITS LIQUID TRENCH 1 MATERIAL'. PIT DEPTH. DIMENSIONS , GRAVEL DEPTH FILL DEPTH DISTR. PIPF DISTR. PIPE DISTR. PIPE MATERIAL. O. R NUMBER OF PROPER V WELL. BUILDING. VENT TO FRESH BELOW PIPES t ABOVE CqIV ER ELEV INLET ELEV. END / PIP t LINE AIR INLET FEET FROM ` NEAREST- 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- DYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ONO DYES ONO DTRENCHBED DEPTR OVER TRENCHBED DEPTH OF TOPSOIL SODDED SEEED MULCHED ENTER EDGES DYES ONO EYES ONO EYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. ]LENGTH NO. OF LATERAL SPACING: JGRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. No. DISTR. ID ISTR. PIPE DISTRIBUTION PIPE MATFRIAL & MARKING ELEVATION AND ELEV.. ELEV.. DIA. ELEV. PIPES. DIA.: DISTRIBUI ION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. DYES ONO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE OYES ONO OYES ONO NEAREST Sketch System on Retain,in county file for audit. Reverse Side. / S GN E n~ ~ TITLE. DILHR SBD6710 (R.01/82) APPLICATION FOR SANITARY PERMIT 'S I- I ~u- COUNTY (PLB 67) 771 DILHR OEPRRTTEnT DF UNIFORM SANITAR!!''Y'')) PERMIT # InOUSTRV, LRBOR 6 HUMAn RELRTIOnS { / ? 9' , -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 PRO"T,/ OWNER MAIkIN AD4 ESS r r ~ - - _ ( S [ ,l PROPERTY LOCATION CITY: VILLAGE: 1/4 j= 1/4, S T_M, N, R (or) W TOWN OF: LOT N MBER JBSUBDIVIS ON NAME NEAREST ROAD, LAKE OR LAN MA K STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED / 1 or 2 Family Number of Bedrooms. ❑ Public (Specify): f 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 ❑ 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 'lr Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: ziiL 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): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of thLTrivate sewage system shown on the attached plans. Na of Plumber (Pri / Sig fuse: MP/MPRSW No.: Phone Number: r t~ _ Plumb is Address: > Name of Desig 1 / - ) / COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ~4 ¢ t~~ ❑ 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 INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLS 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 perm it; 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. Al'!'!, l CAI l ON I~1)I~ SAN I'! Al~v I'F:RM I'IS1rC- 100 This application form is to be completed in full and signed by the owner(s) of the property being, developed. Any i-nadegnacies will only result in del1lys 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 . 4 Section T~(~ N - R 112 - W Township Z7 Mailing Address Subdivision Name Lot Number 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 i Volume 4,S and Page. Number 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPER7V OWNER CERTIFICATION I ((Ale.) eWi )y that al. statement3 on..t_h,,s Konm cute teue to ,thee beet o4 my (ouh) know edge; that I (we) am (ace) the owners (s) oo the pnope-ty desembed in ,tha ,i-nAonmation Aonm, by vi,~tue o{ a wa"an.ty deed neeonded in the OA{.tee o{) the County RegiA tee o ~j Deed,5 " Document No. ; and that I (we) pAment-fy own the proposed site. Aon the. sewage, izpo6aT hy, tem (on I (we.) have ob-taine-d an e"ement, to nun with the above, de,5m~bed pnopo"c-ty, dote the eonAVtuction o{ said system, and ,the. same has been duXy ne.conded in the- O{()ice oA the County Re.g Ater o{, Deed, a,~ Document No. ) . SIGNATURE 01, OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) C% DATE SIGNED DATE SIGNED J H y S T C - 105 r Y H SEPTIC TANK MAINTENANCE AGREEMENT ' 0 St. Croix County z d C% y OWNER/BUYER~ ROUTE/ BOX NUMBER Fire Number c5-~ CITY/STATE I.IP -~U f - PROPERLY LOCATION: , Section T N, R~ W, Town of St. Croix County, Subdivision f+//I Lot number I 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 pumLer. 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 maw 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. o E I/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- ~u 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. C~7, SIGNED %C DALE 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_ N z ~ m m ~ ~ ~ c'D ~ W ? V1 cA N ~ 0 (D O cD 7r a 0 0 W N t0 co Q' O C O N W cn x, l< z = 3c: o=A o M CD o N D N O cn O a o a 0 0 cu O CD O co g W mgoo mx 00p, ~ 0) CD CA w n C :3 CD ? O ? co n CIO CD 0 o 3 a 0 O% co c0 S4 O cD c w O >>=r coO =0 ? 0 O ~ C- C " W Z a c c 5 SD cn -w ODD `O 'o n O O N Cr A►ccQ O A O N O D c 0 5T 0 C) al CD 0D' ~0atD0w O ?N M (D Z U) co w CD ~ w = Z aN 3 CD " =r CD M CD rL cD =r 0... 171 CL 0) = o cr (j) CD CD N 0 :3 :3 SD 06 acn~~ U)SD C m v CD ° .0 D ~ CD N~ oao o N v,N n ic ?ate w~Eka (D CD ono ~0 .q. CD C5 0) G) aow ~c~a00 m CD CO 0. CL CL 0 cr U) cr =r (D G) 0 0 M a I 0. 0 :3 0(a C ID CL c =r r- CD 0 0 O O Q. CD o - - a < co cD z >R« 0 i DEPARTMENT-OF #A ,4N3U ON SOIL BORINGS AN o ~ F l` D INDUSTR.`f, I VISION DUS LABOR A~JD PERCOLATION TESTS (115) P,q aOx 7969 HUMAN RELATIONS SOI WI 53707 (H63.09(1) & Chapter 145.045),` a`-L LOCATION: SECTION: OWNSHIP/°ni'^' rioni - ~\i - LOT NO.:BLK. SUB ON N M,s S 1 1/ /~/T3~1/R/ ~(o e_ CO,,UjNTfY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE 1-3 NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence ❑New Replace I Al--/" _ / ~„~►7_ Q~ Sa'/Mj~~s Ts 13 RATING: S= Site suitable for system U= Site unsuitable for system 3 CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) INSEUlmsoul XS❑U ❑S®U ❑S©U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PR FILE DESCRIPTIONS BORING TOTAL/ DEPTH TO GROUNDWATER-- CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) So Aze4 -5 13- 2, f rs~ 3 6g A7 j4 B- B- B- PERCOLATION TESTS TEST DEPTH 01 WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER FA}G"" AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD 2 PERIOD 3 PER INCH P- P- .2- P--:? .3' v 3 1 p P- 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 93.3 X -t/e_ 'Ou. r, _ eww,-, I " fc/E sxe_d aw ti I S• 0 7~D~ _ o F ~4 eA.AftY eta, A , o f x w~ y f,. N 41 ,13r x ss Aso, d Mar y4% per es T~s1f ~:~r}d. 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): f TESTS WERE COMPLETED ON: AdzAe C4 fV o~ S CERTIFICATION NUMBER: PHONE NUMBER (optional): ADDRESS: / 71 7 CST T~ r d €c.T. ...,E tea , }wt', sa it moo Mwv: ii,o , °E, ErY :'F r .,Y u a 1y ,r!e3i, rr a'°,A £A W, a itsucrucror t,CSYtmo cia trojecq li, j of r e ~r ,erg! T€,lrii:8 .11C 4#Irig moo A SITE 0SUIT BLE 1--O i I°4 11OL-O}NIG ' As°` K e3i , Y 1F ALL ASE ma. to r,:•vit.rtJn3sPiawr M. Criwg , ? p,try,r..;P°:ie,(..Ya;t?'.~;aI15ut1d r..rJS"slNe-(r€.,YSp p' ::pi<?C`E; a.,i: A n a a 'fir Yfs,, .1..a} w.,, 's* '._..loons. D }vvinr sE:alo i, s:➢; .J .r 3..,:.7. P. k? t k so'.. Your U MM[ iM{ Oi <4 1 i, r t0 ,.1 'n. , S :;lj, are (;3Y .t] l w„ , and are cat{ar E,. rI~., i c a,t''r`r_>, all dM;,,c€e= p v m 10 dr es, n=i . , dv, r 4 too? ¢il£i?, r € wa, p..(E.t3'f;a? tC)ii Wu € xi p- µ r { ' 3 m } ti?f . . 9L x` W!on e 1t`fit} in am! t. <t:'7 r; ~ lEE}Edlv,. s ._Yi cEl your t .,it i:F-.3 i 9 , it; § dt.. c.l; # s Wide i°;O awl „ ribU tIs r¢r . ALL c C,q ' F'}JS PF Fit r l Y'}jlTl e -T-NF ` , t IS r' . , sand Hi~jh 1'-3' ( t tSM ,,.r.-i M Loamy z.; -G3; i ~i ,u. v Loam Wait B n Thy Sky Loy-n mo, My .f e _e jL, 'u. E }YS , . r,z 110 WIA~ ih~n LCi i. .lit, fi'z W t..,c t , in Mt h ,MUM m a E s mss. e ~ ~ 2.t ~3.r.' f ! Y4 PAGE OF .r~.a , %✓L CU S Z C t U t1 O C 17 5 n"1 Fresh Air Inislc And Obcsrvation Pips j Approved Vent Cap Minimum 12" Abov• F~Inot Grade 2u- 42" Above Plpe 4" Cast Iron To Final Gracie Vent Plpe Mor sh Noy Or SyntMllc Covsr lny Mtn 2" Ayyreyols Over Plpe OlUribullon - Tee P1pe 0 0 0 0 0 6" Ayyreyols 0 Perforated Pips Below Beneath Pipe _ o Corpllnp Terminating At i Bosom Of System it 5AeJo.~ tort SOIL FILL DISTKIBUTIOF,I PIPE gPPROVEO S4uTF1ETlC COVEp "MATERIAV oP q" of sTRAw 2"oF &GGR1=GATE //\\OR MARSH Hq':~ 2 AGGREGATE oR r_ LEV. QF? FEET 'y\\ %i~ m,;-RIR'JTIOfJ PIPE T() BF AT LEAST IUC HE5 HELOW ORIGI"AL GRADE AI,IL' AT LLAS-I- ZO I ti1CHE_-', NIT 1,I P MARE TNA1~I Wz IUCHES 6LLOW FItjAL GP.ADE MA%IMUM DkPrW OF EXCAVAT100 FKOM OKI&r-JAL bKAdF- WILL BE ItJc.Hfs MINIMUM Wr'N OF EACAVATImN FKWA. 016114AL 69499- WILL BE _ INCHES SIGLIEO: LIC- L" SE Q IMBE R: > i DATE . ,A:9 I s ~y sic /S,': ao,4~ /9GrJ I t--{ - - iC..1~~'.- /1.iil1C ~ - ~FJ✓" 1' <`i~ ~L'j ~ G'.J`~Sr~k~' _-.~~f~l? _ _ r i i j i T i Alt. Parcel 15.30.' 9.707A 032- - TOWN OF SOMERSET 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 MARGARET H-TR %GENE M ORF O - ORF, MARGARET H-TR %GENE M 1513CTYRDI NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1513 CTY RD I SC 5,132 SOMERSET SP 1,700 WITC Legal Description: Acres: 39.890 Plat: N/A-NOT AVAILABLE SEC 151-30N R19W PT SE SE EXC HWY Block/Condo Bldg: (0.11AC EXC EXISTING ROW) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-30N-19W SE SE Notes: Parcel History: Date Doc # Vol/Page Type 03/27/2003 714765 2184/613 WD 07/23/1997 1179/468 QC 07/23/1997 707/615 07/23/1997 431/12 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 127,600 175,600 NO AGRICULTURAL G4 35.890 4,500 0 4,500 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 39.890 52,600 127,600 180,200 Woodland 0.000 0 0 Totals for 2005: General Property 39.890 52,600 127,600 180,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 St. O.ic County, Plnnning and Zoning 27