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036-1073-30-000
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CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/16/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MELBY, MATTHEW C MATTHEW C MELBY 1945 140TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1945 140TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.000 Plat: 5052-CSM 20-5052 SEC 30 T31N R1 7W 45.30A NW SW FRL FKA Block/Condo Bldg: LOT 01 CSM 20-5029 AND NKA LOT 1 CSM 20-5052 EZ-U-1219/190 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31N-17W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 09/06/2005 805446 2882/010 WD 08/24/2005 804396 20/5052 CSM 07/27/2005 801504 20/5029 CSM 02/17/2000 618409 1490/370 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/17/2007 Description Class Acres Land Improve Total State Reason OTHER G7 3.000 20,000 176,200 196,200 NO Totals for 2007: General Property 3.000 20,000 176,200 196,200 Woodland 0.000 0 0 Totals for 2006: General Property 3.000 176,200 0 176,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 00'0 00'0 00'0 lejol se6je43 ;uenbullaa saBieya leloeds s;uewssessy leloeds I ;unowb /Go6a;e3 epoa Ieloads jasn :slel3adS 4o;e8 :a;ea uo!;eol;l:paa 0 :;unoa wleia :IIPaao Aiello-i 0 0 000'0 puelpooM 00£`691 OOZ`9171 001`£Z 00£'517 A:padoJd IeMOD :£OOZ ao; SIe301 0 0 000'0 PUelpooM 00£'691 OOZ`9171 001`£Z OOE'S17 ALpadoJd leaauaD :17002 Jo; sle;ol ON 00Z`991 002`9171 000'21 00£'Z L9 2GH10 ON 0017`£ 0 0017`£ 0007 99 3NVI 1Sb03 3N10f14MJd ON OOL`L OOL'L 000' 117 179 Td2iniin01i:19d uoseab a;e;s Ie;ol anoidwl pue3 sajoy ssela uol;dljosaa £OOZ/90/50 :paBueya ;set : suol;en IBA ;uawssessy amen asn 9KZ9 :y;Inn passessv :enlenWPM ne3 II!8 Auvwwns ti00Z e,ow L£ 1/8179 L66 WEZ/LO L9106L L66 WEZ/LO 6Z£/£ 19 L661/£Z/LO (IM OLE106171 6017819 OOOZ/L 1/ZO edA1 aBed/lon # ooa a;ea :tio;s!H lamed :sa;oN ML 1-N 1£-0£ (17/1091 17/1017 bull-umj-oas) :(s);oeal 061/6121-f1-Z3 :BplB opuoaplool8 LA: ML1H N1El 0£ 03S 3I8VIlVAV lON-V/N :3e1d OOE'917 sa:uo!;dlaose OlIM OOL1 dS 1SIa 8t/HMJ MOIIIM b3ddn OZ09 dS 4NOWHORi M3N Z96£ OS 1S 4NZ 3 5179. uol;dlaosea #;sla adA1 Ajewlad . , :(se)sseippy Apedoad leloadS = dS I0043S = OS :s;ola;sla LWV9 IM (INOWHORi M3N 3nb' H100Z 1991 . 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N O sAcnm O O O 0 A ti CD :I 6p Op t69 0 00 p ~ p yb 0 a + y Document Number Document Title St. Croix County Occupancy Affidavit GAL MtrGSY Name - (Owner) Typed or printed being duly sworn , states, under oath, that: 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume 1 Lq Page 37 b Document Number at 2 W St. Croix County Register of Deeds Office: Records Area A pwroel of land located in the NO V. of the -5'.j of Section Name and Return A4dress lk?AT7-HEI' iii T 30 N - R i-7 W, Town of _ S T.anl TO A , St. Croix County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): Parcel Identification Number (PIN) As owner of the above described prope , I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of . The design flow is calculated by a uming 150 gpd for 2 Individuals per bedroom. There are currently occupants living in this residence; occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to accomodate any increased wastewater flows and/or contaminant loads. 1 also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this day of ENT[ ATI0 ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )ss- authenitcated this day of t. Croix County. ) IJ rsonally came before me this Le day 4 a , the above named b * ~o-Q I" Ise l TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06. Wis. Stats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY LORI A. DURAN ~'-p - Notary Public Sta-ef . iseerts Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commis Is permanent. If not, state expiration date: necessary.) Date: `"t Z~O~_ "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" TNs kdbrrn N must be completed by submltter: document tithe. name 6 retum address. and P, N (if reQuked). Other information such as the granOw clauses, leagal description. eta may be placed on this first page of the dDowneW or maybe placed on additional pages of the docu n t h&W Use of this coverpage adds one page to your docuawd and ,$.00 to Me, mcon lna An. NQscWWn Staddes. 59.517. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the / q5 / 4/01A 5T residence located at: 1/4, 1/a, Sect}on 3° Town N, RangeW, Town of 5-~--~/Tp pJ , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service Did flow back occur from absorption system? Yes No/)( (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: / PD Construction: Prefab Concrete Steel Other Manufacturer (if known): Age of Tank (if known): r yeie~s . '-Jns' (Licensed Plarfiber Signature) (Print Name) (Title) (License Number)-MP/MPRS 6242 (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) 2029 200t6 L A 993 a 1965 ~ I 1959 rM 945 p'j 1938 t.►U~/s - s e I nset A 9t ig 4 ~ pt~g Hart o r-I• Lake 31 cn ew • ichl Mill Pond Q V t -4iCHMO8jg&jnSV i of 04 N STANTON DIRECTORY R-17-W T-31-N • sr. Catae fiann dt Home Publlshcrs, Ltd. (Residents- Owner or Renter) a II ■ See Pa g c} 13 5 - 140 For Additional Names. POLK CO_ - - - - - - - - - - - Lam II ■I" scoff ■ M A ~I oyd Hoer ■ Johnson o STAR - g G P II~ @ M 3 N ///~~~ennick m~ ■ ■ 1235th AVF r" 11■I_.-- J S ■ W l ■ ■P Sanders ' ry ■t ■2 Richard esselW, ■I Fn ■CPlaceore3' ■3 , O riC I'~I V MichaelexseliRk ■x Manske ■ d 9■T.." L\ NeB I ° ■o i r~ ■ ermder I Fouks$ X 'I lljj El n Robert I i cc Km ■ ■Boche ' loiumn ■ ■lames ■ ■ -Fog ■ BIKEWAY SYSTEM H 1■1-°7~1 ■ Morteusm H ■ ■ Leo ■ ■ a ■ ■ 9'I 7 ■ I ■Wayne ■Wazren Hammes ° ail Theodore Douglas Irle Irle ■ z° RalphnE■ Mike Irle Olso I V t 1■I ■ Howard Hansen ■ Frank I ■ Gerald d Krueger A2 8 j o 0 10 I 1 i I 12 per; u■ 1■C _ r Elmer Q_ MW L ■ Dittman LtI / I I E Brent and o LAKE o q p I Wott Richard ■ ■Dor:d 1101- ■Affias ■ Killen Q 220th AV E Fern ~I - ■ Settpe m Robert ark , ■ ■ Duaine ■ Schroeder ■ ■ Volkert e ■ g v I Sewenson Kn°PP Eric ■ Culver ■Wi1Bam ■ Bohl Anderson Craig , Gr ■ ~reg Erg I Ants Fv. ~I. ■ g Unumb S tk 'I Charles I L '3~ I Kruschke v Volkrt i 8 Dp r 17 1 16 David W -John oR 15 j 1 I 13 . 65 ■ e'r - u ' Andersen ■ , I qq 'I -Chang M~ser •Terry Terry D orr I Scott ■ ■Irvin Larry ■ 10 Jerabek Arendt q Steven POD Kevin I Howard t7 a ° q Arnell Alexander Loddy xoos- Jarchow I Johnston is m y S athan Brabec I Todd h<vn ■ Robert ■ t v Ktu,ze Greer ■ , ■Brabec ■ Fm ■ rank I A. : Olson ■ 210thNVF - - at ■Merlin - k Troy ~ Vincent acy - ■ Pasno ■ ■Terry ■b 'n EUZId p e David t Puno ro M w j Frank CAE tru r■y ■ 6 a v Andersen o_'ia 'Tr is o, Marty 0 w- p I i I a a I O r Jerry ■ 'g5 Christopher paad Cicchese ° ■ 'I < I AFp-' -Andersen m" x° U , t7 t7 rraett - a:31 Nelson ■ I t; 24 v I ~ ® I 19 20 i 21 0 22 j T W JJ Richard I Steve ■ 5 Gary Lang !e' e Scott I Krampe:rt ■ Raymond -Kran pert / ■ I Gleaso n / 1 a Harold /Allan Gillis Stst B I Frank a a l McNamara 200th AV F Johnston Grotenhuis Vehrs ■ Wck ■ - -.-,,,,~..,,,~..,,-.,...~.-r.:_- s.....,,~: ■ Bill Gary ■ ■ Golz ■ ■ Tom ■ ■ ■ 10- ■ ■ ■ ■ Randy . ■ Tony ,,,Ka s Bet)tki 1'. ■ ■ / ■r:Q -I -Simon\Teske q .d v Beach Lillie I Tom ■ cNamua 6t! Barney w ° ° \ SI ro Randy ■ + McNamara m C Om Messer ■ 5 Thvmas q- imz ( r \ •°^~I Jacobson SNOWLETRL_~ 1 _27- /G ~ Steve Davi :ethke 29 I Leiter `s' i Kie ■ I b° a I C p B_ ~g~■ ° i Nicn~mm ~ Rob ~3i ■ .o 1.4 LM ■ V.i 'L' v T Krampert U ! ■t Steve T ~~'a r I u p o o I o ° o DJ alton z ~rto ■Je ■ ■Killen ■ J as ~i m is ~D co" i~ ' a IN i~ - • GoWu ■ ■ 64 ■ ■ . _ ■ ■ on ■ ■ ■ ■ ■ ■ a M~o ■Cod / r, 5 t Dal r 7oblin t- ■Cook -fir -B ke ' Waldroff 9 -op e p y W,.~ ~ t a:. West i ~ ■ Brian W Anderson g o " a eI ,851~< I William 34 36~ s RICHMOND 33 ■ Cal Donahue I ■ 0 I Poi Pjdg~ Oak 2 I , Eswt Gan, ■ am,es Q Jr GOOSE y L_ I a C ,20 tJPOZ'1_ 1 Sehmlt I n. O[c F- ■ ' v, aid ° ■ ■ ■ ■ ■ t / P i.w ta. ■ O K st AVE ERIN PRAIRIE PAGE 53 RICHMOND PAGE 49 + EGGEN'S SUPERMARKE by i 830 Tenth Avenue Baldwin, WI 54002 A DiverBtmpany Phone 684-3316 Joe Simon • Presid, (715) 246-3873 345 St. Croix Avenue (715) 386-3830 - Specializing in Fresh Produce & Quality Meats New Richmond, WI 54017 Fax (715) 246-2614 - Groceries, In Store Bakery, Amoco Fuels & Car V ' E-mail: simonelectric4simon-electric.com i T-31-N • R-17-W STANTON DIRECTORY e. ® Farm & Rome Publishers, Ltd. 5r. ~ROLY CoLFKrY, W~scgNSYI~ ~ E Sec Pigs 135-130 For Additional Names. (Residents - Owner or Renter) g POLK CO. - - - - - - - - - - - - - - - - - - - - - - - - - - - Larry STAR salt ■ fcr- F F 'Lloyd I pan g3 t PRAIRI r'"" I r ■MA Gtws 3 a~ ' Johnson o ~Rennlck 11 " ■ W~afdeB ■ Is MPS-d- ' ■ ■ 1235th AVE Michael =h link Richard ■ ■1 ■2 •ef Manske ■ HeSSeBnk ■HesseBnk N ■PCO ■3 , p Plea Nell I n ■ob ■Mlchad I nda I IOC 11 Elgin Robert a ■James ■Boche I to`. CO Ken F■uks ■ 3 ■ Ail ■ Mortensen I ■ _ ■ BIKEWAY SYSTEM Jehoson ■ ' H F1 01 Theodore ■ I ■ Wayne ■ Warren ■ HHaammes ■ ■ a ■ r rle ~ Douglas Irle Irle Y7 p ° I is Howard Hansen Zsl Ralph E Mike Krueger I ■ o Olson ■ Frank I Gerald Q >y ~tI , _ l- E $ imer I hh P 10 1 i 12 Donavan■Dittman p I Etf Parnell ■ o OAKRUGE , Brent Ralph + ii 5 AKE Q 0 I I o o souks R?Jmra ■ Sette Mark m> m>° Q ■ , d ■ DDoonald ■ Schroeder ■ ■ Volkert ■ 2201h AVE Fern ■ ■ Eric ■ Culver ■ WiWam ■ ■ ■ ■ ' ■ ■ Duaine Charles Bohl Anderson Unumb Gre ErB~ Ailb I Swrnson Kn°PP olkert David 3 EChahnng owell Kruschke I I b>7 N l i I 18 nath 17 16 David W ■ ■ John on 15 i 1 13 1 Messer ■TerryDorr Andersen i ■ ■Irvhr Ars■ J■. I oa., !F Arnell Alexander Loddy I stacven Posey Kevin e-d I a Howard ♦n Greer ~rabec ■ Brabec he ■ Robert Jar i I Johnston ■ O U Ol ■ 210th AVE Frank ■ ■ C ■ ■ Terry ■ w • 'Tracy ■ ■ p David ■ Fredrick ■ ■ t ■ Merlin ■Troy O .Allen q - y arty Andersen g EBevold~g+ Pasno Frank Vincent I Stm- Y 4 pE Cicchese q ■ Wal- M~ Q ■ W ~ I ~ Andersen ~3m a°U V Barrett I CNelson hristopher■ I I 'I ■ F x 24 F I C- t I 19. 20 21 C- 22 I I s _ _ ary I I N Richard I I Harold /Allan ■Gillis Steel 1 ~ ~I Frank colt I T Krampert ■Raymo Grotenhuis nd 1 Kram- Vehrs Ni\ ■ 1 , McNamara n ' ■ I Gleason / ■ ■ ■ ■Golz ■ ■ 200th AVE ■ pert ■ / ■ p ■ ■ Joe \ Tom ■ ■ ■ ■ ■ ■ ■ ■ Randy L11Be ■BKarts Be h to Mike Simon T g ggp qqg Beach ] Barney Tom ■11•ic SI A 5h ,'Sy e 9 Randy ■ I Namara ae G> A 5 OR Messer McNamara jol- ~n ■ I N C \ I L ■ SNOW bj5 n ■ Ja_obson 29 ~ I ~ s■M~ltke / Davl IL ~ g~ ~ g■ F I 3 0. ~ u o~ ~1 p gels o n N- r 3 d IOGa 57 w v 7 tames ■ L M ~m L Robert g yam, ,~X:=~ w a°'w~ m r8 (~7 i ,p° Malt.- ■ k-pert ` ■1 Steve ■ S ■ ■ ; ■ . . . ■ . .G .Kellen. . . ■ ■ ■ ■ I; TobBn s ^"a ■ t■■ ■G ■ ■Erlc ■Jon 84 ■ ■ ■ E p t y West r`~'°° z Coo Burke Waldroff B F Cody B Mark ! F- a I -Cy I p Dalton t =Brian W a ` IC o5 Anderson RICHMOND / y g I William Pd~P I 36 185th AVE 2 33 Donahue 34 Odk a~ E-r ■ ■ " I ■Ca~ E -A«. o I ~ a Powers Ll~ )r I $ ¢ : 5i 0 GOOSE I Scm it n,a nv 0. t■ F.71 t r•.~ ■ O i A D ■ !P15, 181st AVE RICHMOND PAGE 49 ERIN PRAIRIE PAGE 53 EGGEN'S SUPERMARKET p 830 Tenth Avenue A [ zany Baldwin, Wl 54002 Phone 684-3316 Joe Simon • f're T f 715) 246-3873 345 St. Croix AverJe'< (715) 386-3830 Specializing in Fresh Produce & Quality Meats New Richmond, WI 54 " Fax (715) 246-2614 . Groceries, In Store Bakery, Amoco Fuels & Car Wash E-mail: simonelectric@simon-electric.com in I r s Parcel 036-1073-10-000 05/13/2005 02:26 PM PAGE 1 OF 1 Alt. Parcel 30.31.17.462A 036 - TOWN OF STANTON 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 * MELBY, NEAL A & JOYCE A NEAL A & JOYCE A MELBY 1561 200TH AVE 7 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 645E 2ND ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal D c 45.300 Plat: N/A-NOT AVAILABLE EC 30 T31N R1 7W 45.30A NW SW FRL Block/Condo Bldg: EZ-U-1219/190 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 02/17/200 618409 1490/370 WD 01123/1997 813/329 07/23/1997 790/67 07/23/1997 648/137 more 2004 SUMMARY Bill Fair Market Value: Assessed with: 52146 Use Value Assessment Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 41.000 7,700 0 7,700 NO PRODUCTIVE FORST LANC G6 2.000 3,400 0 3,400 NO OTHER G7 2.300 12,000 146,200 158,200 NO Totals for 2004: General Property 45.300 23,100 146,200 169,300 Woodland 0.000 0 0 Totals for 2003: General Property 45.300 23,100 146,200 169,300 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 c v,Oi 3m o d r~ f m ~1 ° l , 10, 3 4 I O z K) co :r cn C.0 0 • I 3 fu O v 0) O Im co .4.1 O CO 3 O C: l"D p~ 0 CD CD =r CL z CYI N O S O W ' V O rO~ 1 N Q 7 O O N? W G3 - CD O ° ' (D w ° N ° O tOD °O w CD C O d o O I 3 ° 3 °o p I o _ ~ ° (n D D a e ~ (GI vi c d A "ICS CD W si V 0 C4 co z o or CO) CD o o c I ~ f 3 A =or z O O O 3 o o cav v v I 0 0 O N !r w <7 N 3 V CL M N Z O D a o o !r 1 N N MN O. V C_~f C (D (DD I w ~ LL I z CD -1 N O O ya Z a A 0 C4 CD 00 CL 3 z cn I y i CA) ;v I ~ D 3 v a v~ v n m c N 0) 7 I 3 m z a 7 (D O I ~ n m D) N I n~ CL 0) I =a ~ C' O A N O ~ I n ~ o x a it (D o x 110 I ti N I ~ o0 I A I o ^ CD Oq N N is O o ° CL Parcel 036-1072-60-100 01/08/2007 05:04 PM PAGE 1 OF 1 Alt. Parcel 30.31.17.459B 036 - TOWN OF STANTON Current XI 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 - MELBY, NEAL A & JOYCE A NEAL A & JOYCE A MELBY 1561 200TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 43.180 Plat: N/A-NOT AVAILABLE SEC 30 T31 N R1 7W SW NW EXC LOT 1 OF CSM Block/Condo Bldg: 9/2573 EZ-U-1219/190 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 05/24/2001 646308 1645/51 WD 12/15/1992 492893 986/16 LC 2006 SUMMARY Bill Fair Market Value: Assessed with: 166923 Use Value Assessment Valuations: Last Changed: 06/03/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 39.000 7,200 0 7,200 NO AGRICULTURAL FOREST G5M 2.180 1,700 0 1,700 NO OTHER G7 2.000 10,000 43,200 53,200 NO Totals for 2006: General Property 43.180 18,900 43,200 62,100 Woodland 0.000 0 0 Totals for 2005: General Property 43.180 18,900 43,200 62,100 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 Parcel 036-1073-20-000 01/08/2007 05:05 PM PAGE 1 OF 1 Alt. Parcel 30.31.17.462B 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/16/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MELBY, NEAL A & JOYCE A NEAL A & JOYCE A MELBY 1561 200TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 42.300 Plat: N/A-NOT AVAILABLE SEC 30 T31N R1 7W 45.30A NW SW FRL & EXC Block/Condo Bldg: CSM 20-5029 AND EXC CSM 20-5052 EZ-U-1219/190 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 08/24/2005 804396 20/5052 CSM 07/27/2005 801504 2 CSM 02/17/2000 618409 490/370 WD 07/23/1997 813/329 f o~... 2006 SUMMARY Bill M Fair Market Value: Alq!ssed with• 166927 Use Value Assessment Valuations: Last Changed: 05/18/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 41.000 7,700 0 7,700 NO AGRICULTURAL FOREST G5M 1.300 1,100 0 1,100 NO Totals for 2006: General Property 42.300 8,800 0 8,800 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 Parcel 036-1073-30-000 01/08/2007 05:03 PM PAGE 1 OF 1 Alt. Parcel 30.31.17.462C 036 - TOWN OF STANTON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/16/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MELBY, MATTHEW C MATTHE ELBY 1945 140 C_ NEAgOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.000 P at: 5052-CSM 20-5052 SEC 30 T31 N R1 7W 45.30A NW SW FRL FKA lock/Condo Bldg: LOT 01 CSM 20-5029 AND NKA LOT 1 CSM 20-5052 EZ-U-1219/190 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31N-17W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 09/06/2005 805446 2882/010 WD 08/24/2005 804396 20/5052 CSM 07/27/2005 801504 CSM 02/17/2000 618409 1490/370 WD more 2006 SUMMARY Bill Fair Market Value: Asse~ 166928 209,300 Valuations: Last Changed: 05/18/2006 Description Class Acres Land Improve Total State Reason OTHER G7 3.000 176,200 0 176,200 NO Totals for 2006: General Property 3.000 176,200 0 176,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP ,~1r j SEC.~T /N; RZW SS ST. CROIX.AnDRE COUNTY WISCONSIN. SUBDIVISION LOT LOT SIZE Distances & dimensions to me PLAN VIEW et requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Idiae o r SC L SEPTIC TANK(S) / MFGR. .,v/' CONCRETE STEEL N0. o rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. ~EL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines width length area deptFi to top o pipe NUMBER OF SEEPAGE PITS outside ameter total pit area AGGREGATE PERK RATE REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix Cdunty does not imply complete compliance with State Administrative Codes. There are other areas tha, it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED - PLUMBER ON JOB LICENSE NUMBER 5Z-3 REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM San.i.-tany Pehm.i..t_C;?64 State Sep-tA c 1AME Townehip~~~7¢,R•y..y St. Choy County '71--v FE G-OZE9 7 oca.tlon~/ 4ij SectionSC> Lo-t p Subdivi.6 ion ; PTIC. TANK Si z e gallo nb Numb en o6 eo.mpan.tmen-ta )i6-tance 64om: Welt -5--f 1 Building 12% etope H.ighwa.ten 'LIMPING CHAMBER Size yallona p 6ae unen Mudel Numbers iOLDING TANK ; Size- gattona N'u ben, o6 tmen.te Pumpeh. e m )ie.tance V%om: Welt. u.ild.ing 12% ,alope._ Highwa.ten BSORPTI.ON SITE Bed %ench i6tanee 6nom: We ng 12% eQope Zghwa.ten 6SORPTION SITE DIMENSIONS W.id.th o6 .tn,ench 6.t Requited anea --6x Length. o6 each tine 6t Depth o6 noch below life in Number 4 fine, 6- u6 noeh oven -Mile. in Totat ' length o6 l.inee 6.t Depth o6 ,tile below grade .in D.i.6 tanee between lined 6z Slope o6 ,theneh 41n. pen 100 6z ~ f u 4.u' aG6 v&ptiun anea 6x Type o6 Coven: • Papers. on a -thaw ' IT DIMENSIONS' Numb e h . o 6 pi t.6 Gravel around pi.ta yep _rtu Ou.te.idg d.iame-ten 6x Depth below .inlet 6x Total abe oap.tion anea 6z ,Area nequd.n. # NSP D. BV TITLE 1PROVED DATE 2 198 T- 't JECTED DATE 198 '1ASON FOR REJECTION State and County State Permit # PLB 67 Permit Application County Permit # for Private Domestic Sewage Systems County , *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: ,dAj-4jeA1 AL B. LOCATION: Section 1j:j- T.~ N, R (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township AiI2AQJ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms 13 No. of Persons D. SEPTIC TANK CAPACITY 1©dL1 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete - k Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement x Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area. ft. New Replacement Alternate (Specify) ' Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top)No. of Trenches Seepage Bed: Length Width Depth Tile depth (top! No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative de, and that I have sized the effluent disposal system from the EH-115 prepared by the Certif' oiI T ste , NAME C.S.T. # -5'5- 5:3/ and other information obtained from (owner/builder). Plumber's Signature MP PRSW# Phone . '11U- Plumber's Address T lli7 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. r .a e Do Not Write in Space B low - FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Q Fees Paid: State /y. c-'U County Date o2 Permit Issued/Reteeted (d te) 1,;P-11 IeC) Issuing Agent Name Inspection Yes/ No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 1F,~J /Vl,~ ster/ah/ 0, A/-)(/7 xi b/ ~f reh 44)0 All ST.4AIM411 s~~7 • I /ZtrnPst~tro~J ~XISf/~G f Q 1 lt3i 1\ ,OAP/JccJh+~c S~I,EI~ I REPORT ON INSPECTION OF SANITARY PERMIT # 2_Z_J~ (1 Name and Addr s o P rm*t Holder Person/Persons at Site (2 )Date of Inspection X23 ame, ress, icense NO. o ns a ing,p umber Time of Inspection 3 IN TAL ATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System N ermanen reference Point) escri e: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number . Is.the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TREN H: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: