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HomeMy WebLinkAbout026-1165-06-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division j Sanitary Permit No: INSPECTION REPORT 488116 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Free Style Home I Richmond, Town of 026- 1165 -06 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: � 60 I � � 22.30.18.1272 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �,�� Benchmark c Beern Alt. BM — 1co of- Aeration Bld . Sewer H olding St /Ht In fir , aS y4. 75 TANK SETBACK INFORMATION St/H O ut l et g TANK TO P/L WELL BLDG. V ent o A ir In t ake t ne ep is 4c,) \ r '7 � / _ B ottom Header/Man. � TT ,/ ` 7 $•� A eration Dist. P ipe H olding BoL System Ott F inal Grade PUMP /SIPHON INFORMATION 3.�5 79 - anu ac urer Uemand St Cover GPM 3.b "- 3 M odel um F riction LOSS Sysiem Read t q , orcemain Lenc tn Lita. tit. tv Mail YSTEM DIMENSIONS O _ _` �� . � INFORMATION /(� Cam/ CHAMBER OR ��j� UNIT U A rc— U115TIKIBU C /I Pipe Lengt Dia 4- Length Dia Spacing 3 C x Pressure Systems Only xx Mound Or At - Grade Systems Only Bed /Trench Center t . ' Bed/Trench Edges .` Topsoil ` No Wires No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1454 129th Street 1 New Richmond, WI 54017 (N 112 SE 114 22 T30N R18W) Lundy Meadows Lot 6 Parcel No: 22.30.18.1272 1.) Alt BM Description = C. I C c,), e , , -,#'V'- 2.) Bldg sewer length = - amount of cover = 5� �� t n- �-- ec: ^'— � Z. Plan revision Required? Yes o Use other side for additional information. IJ10 D ate — - - - -- — Irtsepctar` grr - -- pert' N . ` SBD -6710 (R.3/97) Safety and Buildings Division Countz— A 1 - , 201 W_ Washington Ave., P.O. Box 7162 Isconsin Madison, WI E I `E am Permit Number (to be filled in by Co.) (608) 6 -3 I �/ L,( Department of Commerce _ ff Sanitary Permit Applicati State Plan I.D. Number APR 0 5 Z00 NA- accord with Comm 83.2] Wis. Adm. Code personal informatio you provide In o P Y may be used for secondary purposes Privacy Law, sl5.04( (m) ST. CRO Proje Address (if different than mail' address) /, � �, 0 IX COUNT `1 I. Application Information - Please Print All Information ` / 2- 15 I - ' . Property Owner's Name , C 5 e i 1 # t # Block # rK ' Property Property Owner's Mailing Addr Location t J ' /., Section City, State Zip Code Phone Number �-t N' E e on ► 2 z. II. T e of Building (check all that apply) n OK Cis '� S �� 2 i Subdivision Name CSM Num Family Dwelling - Number of Bedrooms Q� DEL- ❑ Public /Commercial - Describe Use C El State Owned - Descr Use /- 5 ❑City ❑Villa T ship 1 III. Type of Permit: (Check only one box on line A. Co plete line B if applicable) D2 (p �� �j - a Co - A_ New System ❑ Replacement System ❑ TreatmenbHolding Tank Replacement Only ❑ Other Modification to Existing System El Permit Renewal El Permit Revision List Previous Permit Number and Date Issued B. ❑ Change of ❑Permit Transfer to New Before Expiration ( Plumber Owner r IV. lype ofPOWTS System: Check 211 that appl t Non - Pressurized ln- Ground El Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil [I At-Grade El Single Pass Sand Filter - El Constructed Wetland ❑ Pressurized In- round [I Holding Tank 11 Peat Filter El Aerobic Treatment Unit El Recirculating Sand Filter Recirculating Synthetic Media Filter ching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) 1 S V. Dispersal/Treatment Area nformatio Design Flow (gpd) esgn Soil Applic i Rate(gpdsf) Dispersal Area Required (s Disperses Propos Of) Sy,Ftem Ele on .� � Y �� Tank In To Capacity in Total Number Manufacturer Prefab Site teel Fi er Plastic Gallons Gallons of Units Concrete Constructed Glass New Bdsting Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit f �• W Dosing Chamber VII. Responsibility Statement- I, the undersigned, a responsibility for installation of file POWTS shown on the attached plans. Plumber' Name (Print) Plumber's Si MP/MPRS Number Business Phone Number l L Plumber's Address (Street, City State, Zip r VIII. Coun /De artment Use Only Approved ❑ Sanitary Permit Fee (includes Groundwater Date ssue Issuin gent Sign o S s) Surcharge Fee) Cc) /w '1/ ❑ en Reason for ial �P IX. Conditions of Approval/Reasons for Disapproval �� J, l SYSTEM OWNER: � J ! o,,�+.�.� Cyr e r` 1. Ssplic tank, effluent Piker and r'n�(�� dispersal cell must all be. serotces / maintained ,f '� �� o w �� as per management plan provided by plumber. p ct `-"'�"t 2. AN SeQrack requirements must be maintained I as per applic,blee code / ordir>arlces. y J ic�- rna 65 1 , ,-s �e - Gr�Gc)rJ�•�� d�; t G�- (' Attach complete plans (to the County only) for the system on paper not less than 81 z 11 inck f l`2 f e D -6398 .01 /03 I _A d C J-r� SB (R ) �2tnc� 6P�'►rl RX14-v 7 M3TSY3 i rsstrsr r �:�, _ ,,- ��,2•c;;2trb PLOT PLAN PROJECT Free Stvle Homes LLC ADDRESS 891 174th Ave New Richmond Wi 54017 N 1/2 S E 1/4s 22 /T N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/4/06 BEDROOM 3 CONVENTIONAL XXX IN -G ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TA K SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 kk BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zab4A 100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark Alt. BM Top of 2" Pipe C 100.2' SYSTEM ELEVATION 94. /94.3 5.5' below qrade Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 308' Property Line Please note: Installer must Scale is 1" = 40' verify all lot lines and setbacks before installation. unless otherwise noted 30' ST 30' 5' Please Note: Tested area - 2 may not be suitable for Pro 3 1 lope desired building area. Bedroom Check system location House 90' before excavating. B -3 5 ' 45' 30' -1 75' 2 -3' X 94' Cells with >3' Spacing Vents Vent * Alt. B.M. >691 Standard Biodiffuser B of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 1 V1 3 4" Grade at System Elevation 242' Property Line not enough slope to establish contours COPY PLOT PLAN PROJECT Free Stvle Homes LLC ADDRESS 891 174th Ave New Richmond Wi 54017 N 1/2 SE 1 /4S 22 /T 4/4/06 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 �t DATE BEDROOM 3 CONVENTIONAL XXX IN -G ND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TA K SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 IL BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P . Same as Benchmark SYSTEM ELEVATION 94. /94.3 5.5' below qrade Alt. BM Top of 2" Pipe @ 100.2' Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 308' Property Line Please note: Installer must Scale is 1" = 40' verify all lot lines and setbacks before installation. Unless otherwise noted ST 30' 5' 30' Please Note: Tested area 1% Slope B -2 may not be suitable for Pro 3 desired building area. Bedroom Check system location House 90 before excavating. B -3 5' 45' 30' B -1 75' 2 -3' X 94' Cells with >3' Spacing Vents Vent Alt. B.M. B.M. >6 „ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 11 3 4" Grade at System Elevation 242' Property Line not enough slope to establish contours ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT 1 • u I N own rnsr ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to File From Pam Quinn Date: 4127/2004 Re: Sandy loam structure misinterpretation on subdivision soil reports Recent soil on -site determinations have brought a problem to our attention. During these on- sites, bofings were excavated to confirm soil conditions where two conflicting soil reports had been submitted for zoni department review. The soil profiles, evaluated by myself, Dave Fogerty, and Dave Steel (all certified soil testers) differed from the original soil reports in that massive ( structureless) sandy loams were encountered in horizons that were described as having either moderate, medium subangular blocky (2msbk) structure by Adam Schumaker or weak, medium granular structure (I mgr) by Shaun Bird. There apparently has been a misunderstanding between "structure" caused by handling samples of the soil during texturing versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand texture, with pressure parted into "crumbs" that appeared at first to be subangular or granular in shape. However, these were not true peds that broke apart along planes of weakness, but fragments created by handling. The soil when observed in the horizon did not have distinct units of structure and should have been reported as "massive ". Added notation: on 4/23/04 Mark Iverson (Cedar Co rtified professional soil scientist), Shaun Bird, and myself did an evaluation of soils on 9, Richmond Meadows where the original soil report described the third horizon as sandy loam, "l mgr". n Lot 6 we checked soil profiles within a POWTS distribution cell and then excavated a test pit on Lot 9. The sandy loams in question were a weak, coarse to very coarse subangular blocky structure, where planes of weakness were just discernible when peds were parted from the profile. The peds separated with very light pressure by soil tester. Sand coatings were observed on the ped faces in the Lot 9 soils, which supported the determination that some structure existed to allow water to move through the upper portion of the sandy loam horizon. However, below the weak - structured soil we found massive (structureless) sandy loams and the boundary between these horizons was irregular, which would mean a distribution cell could encounter alternating weak and massive sandy loam. Shaun said he would amend his soil reports with a memo recommending that any sandy loams he identified as "lmgr" or "2 mgr" be assigned a lower loading rate of 0.3 gpd/ft2 (see attached memo for Whitetail Meadows) to provide a larger dispersal area. Page Two — Soil Memo 4/27/04 Massive sandy loams have been assigned a soil application rate of 0.2 gpd/ft with the code changes in Comm 83.44 -2, effective as of 2/1/04. The application rates listed on the soil reports were higher due to the structure having been described as either weak or moderate, which affects the calculations for sizing of POWTS distribution cells. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 of Richmond Meadows subdivision had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon had been described on the soil report as "I mgr" with firm consistence. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on -site verifications for any lots with this potential misinterpretation on the soil reports. All soil reports with sandy loam "1 or 2 mgr" as its structure will be required to use a design based on the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings i in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Reviewed by Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). 6210— 0 Properly Owner Property Location �/ c �j Govt. Lot 1/ d 1/4 S T N R E (o Q s ,, C, . C/ Property Owner's Mai ' Address / Lot Block # Subd. Name or M# tate Code Phone umlber C' �❑ Village T Nearest Road city a ❑ i New Construction US • Residential I Number of Code derived design flow rate. Zire 5f GPD ❑ Replacement �(�' Public or Wirim - Describe: -- Parent material I Flood Plain elevation f applicable /, Lh ft• General comments � (�rrZ� ✓�'`✓ f / � and recommendations: Boring # Pit Ground surface elev ft. 5 Depth to limiting factor ! Z (S in. Soil Ap lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 4*Eff#1 •Eff#2 0 yc r -r- -, :� Al IJW V)4 1 1 ,1 �b Boni ng # Boring y ��', �� 7 Pit Ground surface ele -; -�-- ft. Depth to limiting factor �• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 p- Z - i c m , w I f ,t D • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 Effluent #2 = BOD < 30 mg/L and TSS < 30 mgfL CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 — `�__ O 715 - 246 -4516 Property Owner _ Parcel ID # Page of [3-1 Bonn g # Boring 4, � ,/ i Pit Ground surface ele6 / �� � ft. ��� Depth to limiting factor r Soil Application Rate Horizon Depth Dominant Color Redox Description tion Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 D V z_ ff 2 0 I, �'`/ �� t � s A �2 r ( 1 F-I Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in • Soil Rplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etf#2 Boring F] Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit M ate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. . ....................... ...... . .......... Effluent #1 = BOD > 30 220 mg/L and TSS >301 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L If y ou need assistance to access services or e is an equal op portunity service provider and employer. Y The Department of Commerc q pp need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6(00) r Soil Test Plot Plan Project Name William Stock/Steve Dalton Sha ird Address 1748 112th St. New Richmond Wi 54017 C M #226900 Lot 6 Subdivision Lundy Meadows Date 8/11/03 N 1/2 SE 1/4S 22 T 30 N /1318 W Township Richmond M Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 94.5/94.3 *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' 308' Property Line Please note: Installer must Scale is 1" = 40' verify all lot lines and setbacks unless otherwise before installation. noted 5 ' Please Note: Tested area B -2 may not be suitable for desired building area. 1% Slope Check system location 90' before excavating. B -3 45' not enough slope to 5 establish contours 30' B -1 75' .M.El .ilA .M.El 242' Property Line 0 co i 00 401-w- 9 0.86' CO t y ° \ �• 362' 3� 1 0' S 16 UN O 3 lam` y ?' '• . / 5 .1 Q1 t• p ' / . ' O c O �` // // �' • ' ' , s / • c 41 / to o / O � M „OZZ• Sato / ��0 2 ,,E , , 5 3 -- 95 `� a ' in h p0 W o N qb) a 0 si ^ 'h 1-4 co \ \ O O cp \ O :•� 5'10" E 309.88 Maintenance and Contingency Plan for a Septic S stem Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. Pemin nto system is not exceed those required as per Comm. 83 Plan ystem fails, determine cause of failure, use alternate area and install new ed replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer T : ` X 4 Mailin g Address F Property Address ( q5 A � (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location 0 '/ , :5 '/4 ,Sec., T __;;!aN R -W, Town of LL � ,r Subdivision G, 4,1_ r-­7 �' , Lot # g Certified Survey Map # Volume , Page # Warranty Deed # 2 '� Volume , Page # Spec house yes no Lot lines identifiab yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms F APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) $2 1 892 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX Co., WI RECEIVED FOR RECORD Document Number Document Name 03/31 04 : WARRANTY DEED EXBPT # THIS DEED, made between Dalstock, LLC REG FEE: 11.00 TRAMS FEE: 129.98 ( "Grantor," whether one or more), CCPYEFEE: and Free -Style Homes, LLC PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address interests, in St. Croix County, State of Wisconsin ( "Property") (if more space Estreen & Ogland is needed, please attach addendum): 304 Locust Street Lot 6, Lundy Meadows. St. Croix County, Wisconsin Hudson, WI 54016 026- 116546 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties Easements, restrictions and rights -of -way of record, if any. Dated a ( Lo Dalstock, L (SEAL) _ Y (SEAL) * *By: Bill Stock, Member n (SEAL) 'd .NJ M /� • (SEAL) * *By: Steven M. Dalton, Member' AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dalstock, LLC By: Bill Stock, Member and Steven M Dalton, Member STATE OF WISCONSIN ) ss. authenticated / ST. CROIX COUNTY ) Personally came before me on *Kristinh O land the above -named Dalstock, LLC, by Bill Stock and Steven M. TITLE: MEMB4 STATE BAR OF WISCONSIN Dalton, member (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogland Notary Public, State of Hudson, WI 54016 My Commission (is permanent) (expires: 1 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 " Type name below signatures. INFO -PROTM Legal Forms 800 -655 -2021 www.infoprofoffns.com 1 of 1 sa' �• W............. : ..... !.� ................ Ai Al i A ! r ,...........s • y N a - % ti Ci o � N III •K O a - ----- -- --- ------- -- ---- - -- ----------- - ---- _ , •- N q C t _ ............... .. IN CA 'E i f EE i s c: 4'�' ip•-ty s' -4 t 4' - 11Y" 4• -" $•-3• 2r-V 2• -9• Li '� � /����/� �l�'' fsenr� "1ao-r.�,.i% ^ %3�q..'L L .zlcy:•wrk', � ^�w;;�i� r wna�roro.N fJl1 �a /e H7�t:. �! > Parcel #: 026-,1165-.06-000 04/06/2006 08:54 AM PAGE 1 OF 1 Alt. Parcel #: 22.30.18.1272 026 - TOWN OF RICHMOND Current *1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/09/2004 00 0 Tax Address: Owner(s): O = Current Owner, C == Current Co -Owner O - DALSTOCK LLC DALSTOCK LLC 1748 112TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1454 129TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.600 Plat: 10 /08 -LUNDY MEADOWS 026/04 LOTS 1/36 SEC 22 T30N R18W PT NE SE BEING LUNDY Block/Condo Bldg: LOT 06 MEADOWS ('04) LOT 6 (1.600AC) Tract(s): (Sec Twn -Rng 401/4 1601/4) 22- 30N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 06/09/2004 765401 10/08 PLAT 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.600 25,200 0 25,200 NO Totals for 2006: General Property 1.600 25,200 0 25,200 Woodland 0.000 0 0 Totals for 2005: General Property 1.600 25,200 0 25,200 Woodland 0.000 0 0 Lo Credit Ott n Date: Batch #: � Claim Count: 0 Certification Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00