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HomeMy WebLinkAbout038-1159-90-100 ny0 3-0 0 C r~ ° A `r1 T 7! CD 0 *k ' T (D _ O o m o o W-$~ w ~c• o m 3 r- 00 CD CD m z n d Ul p~ N CL 90 O 7 CD CD CVO O w e o CD = C) , oD Q A~ 3 N oa, o C !i o d o ICD v cn D m y cn a C c ° W C: =r 3 p - o 4 i 3 o co rn o N r°r. Q x tam z O O O N! ~y• SS qc, CS CO o N y y z CD o cam ~0 r. Z = o' Q, N) ju 0 t~ n a CD z D lV CL i z cW z O p D D a n -b o c~ ~ • m CD y l~l c N N w c m D I G, a 3 5 z CD cb p ~ a p Z W v n A z j i, ao -o $„3 ~z 3 co z F I w CL w n 3 v c 0 o a I CD y a 0 < A I b I ~ I ~ I o N O O~ w p O ~ b CD }wo o p I o m ~ a o ti Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER -7~i rYJ _ GC~c) / L1/ TOWNSHIP _QI~2,. i SEC. T6 / N-R /Q W ADDRESS ST. CROIX COUNTY, WISCONSIN t,G ~mo~ SUBDIVISION LOT J I/y LOT SIZE J` e. PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 33 A $ INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used 0, ,la-~-j j/jq Elevation of vertical reference point: ` d d Proposed slope at site: SEPTIC TANK: Manufacturer: F v ~j Liquid Capacity: 16FC) d Number of rings used: Z O!) Tank manhole cover elevation: zz Tank Inlet Elevation: S9 Z -74~'_ Tank Outlet Elevation: Number of feet from nearest Road: Front,Side,0 Rear, O S feet From nearest property line Front,F~-Side90 Rear, O ~P S feet Number of feet from: well building: J ? ' (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE STT)R e ~ PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pum iphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch ele tion: Gallons per cycle: Alarm Manufact er: Alarm Switch Type: Number of eet 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: Width(-2-2 Length: Number of Lines: Z Area Built~~ U Fill depth to top of pipe: Zc9Number of feet from nearest property line: ront, O Side, O_Rear 10 Pt. /-S Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: umber of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Bui . Has eit a drop box O or distribution box O been used on any of the above soil abso tion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: t Number of rings used: levation of bottom of tank: Elevation of inlet: Number of feet from arest property line: Front, O Side, 0 Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: larm Manufacturer: r p Inspector: Dated : Plumber on j ob : - j License Number: vO~1r 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, 141 53707 ate Plan 1.0, Number CONVENTIONAL 1:1 ALTERNATIVE St M) 111 ii-q D Holding Tank 1:1 In-Ground Pressure D Mound NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER. 'OECTION DATE: Tim Wold Rt. 2, New Richmond, WI 54017 /~-'vl-1~,?6 3 0 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. Pl. ELEV.: CST-H5 . ELE __1 1 SW SW, Section 34, T31N-R18W, Town of Star Prairie, Lot#9 Narnr. of Plumber. MP/MPRSW No.. County Sanitary Permit Number: Gary Steel 3254 St. Croix 83822 SEPTIC TANK/HOLDING TANK: MANUFACTU R LIQUID CAPACI / TANK INLET ELEV. TANK OUTLET ELEV WARNING LABEL LOCKING COVEH PROVIDED PROVIDED EF~~ BEDDING. VENTDIA.~ VENTMATL. HIGH WATER YES ONO OYES E_.INO ALARM NUMBER OF ROAD: IPROPERTY WELL BUILDING VENT TO FRESH /f FEET FROM C LINE// AIR INLET X YES ONO C7 OYES ONO NEAREST S! ze /v DOSING CHAMBER: MANUFACTURER BEDDING LIQUID CAPACITY PUMP MODEL JPUMP. SIPHON MANUF ACTUHEH WARNING LABEL LOCKING COVER PROVIDED. ]PROVIDED- DYES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF Pfl"'F HTY 1W, LL 11,111,. DIN({ VENT TO IRISH (DIFFERENCE BETWEEN FEET FROM LINE AIR INIFT PUMP ON AND OFF) DYES ONO NEAREST 110 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTFt JOIAM( TI It IMATI HIAI AND MAHKIN(V 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: WIDTH JLEND INO OF UISTR PIPE SPACING COVEN It NSIDI DIA -PITS LIOIIID 6 '~i BED/TRENCH THENC MATERIAL: PIT uFPIH DIMENSIONS (03AVEL DEPTH FILL DEPTH I)ISili I''f DISTH PIPE DISTR. PIPE MATERIAL N H UMBER OF PHOPEHTY WELL BUILDING VENT TOFHFSII BELOW PIPES ABOV)VEH F I IV INllIFI ELEV END P FEET FROM ! LINE .C / JAIIt INLET as NEAREST w- ~c1~ 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- O YES NO meets the criteria for medium sand. TIONS MEASURED. O SOIL COVER TF xli)lif PF F;-MAN _NT MAFtK(I4S I)Ittif llvnllnN W MI I is - _ OYES ONO _ OYES _ [_1 DEPT H OVFH THENCII NFU UEPTIIOVFIt THENCH BED DEPTH OF TOPSOIL S()I)l1FU 1EE DF 1) ULCIHD CENTER EDGES OYES ONO OYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH L1N6T14 NO.OF LATERAL SPAC (,HAVEL Df PTH HI LOW PIPI It L DEPTH ABOVE (OVI H TRENCHES DIMENSIONS MANIFOLD PUMP MANIF OL I) DISTR. PIPE MANI F OLD MATERIAL NO DISTR 1)ISIIt PIPE DIST HIHI1111IN_PHI M11Al1 HIAI fLMAlfKINI, ELEVATION AND ELEV ELEV. DIA ELEV. PIPES DIA DISTRIBUTION INFORMATION 'POLESIIF HOLESPACING DHILLEDCOHHFCTIY COVFHMATEHIAL VFHTI(:Af IIIT(:OHFiFS1'ON051()APPHOVID PLAAIS OYES ONO OYES ONO COMMENTS: PERMANENTMA RKERS. JOBSERVATION WELLS. NUMBER OF PROPERTY WELL BUILDING F OYES ONO OYES NO EE T FROM LINE NEAREST Sketch System on Retain in county file for audit. Reverse Side. paj SIG AT E TITLE DILHR SBD 6710 (R. 01/82) - D1LHR SANITARY PERMIT APPLICATION couN Y In accord with ILHR 83.05, Wis. Adm. Code OiOL STATE SANITARY PERMIT # 12 2-1 =Attach complete plans (to the county copy only) for the system, on paper not less than J2 8% X 11 inches in size. STATE PLAN I.D . NUMBER -See reverse side for instructions for completing this application. 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PETITION [FOR VARIANCE ❑ YES ❑ NO PROP`S~f TY OWNER PROPERTY LOCATION T 1 m (A 0 CL .5LJY4.9jD%4, S T N, R 1,4 FC(or) W PROPERTY WNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME I 10114 1 Y, STAT ZIP CODE PHONE NUMB R CITY NEAREST ROAD, LAKE R LANDMARK k)' 5 VILLAGE II. TYPE OF BUILDING OR USE SERVED: ~ o-5 y-l Number of Bedrooms if 1 or 2 Family OR Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. F?I%ew b. ❑ Replacement c. E1 Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit # Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a.~Conventional b. El Alternative c. El Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ Seepage Bed bA Seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ~,3 Feet Private ❑ Joint ❑ Public VI. TANK CAPACITY in allons Total # of Prefab. Site INFORMATION Fiber- Exper. New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank ~ S ❑ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank/Si hon Chamber ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility, for install ti on of the private sewage system shown on the attached plans. Plum er's Name (Print): Plumb nature: (No tam ) MFIMPRSW No.: Business Phone Number: ZE f Plumber's Ad ess (Street, city, St Zip Name of Designer: ~dd VIII. SOIL TEST INFORMATION Certifie I Tester (CST) Name CST # Z CST's R S reet, Ci t te, Zip Code) Phone Number: 4 A. /S IX. COUNTY/DEPARTMENT USE ONLY . ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial 4///~ ,l AID Surcharge Fee Adverse Determination 4r J~ X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber C ' INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted. to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s). should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have ci:Jestion ; cwi,,:erning your private sewag:. Syste I, .Gentao.tyour local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: li public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling-, ill. Purpose of application: Check only one in #1. Complete #2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in #1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill C;roundwater included the creation of surcharges (fees) for a number of regulated practices which wiscorrsin's can effect groundwater. The surcharge took effect on July 1, 1984. All of the water tha`. buried treasure is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies collected through these ,.jrCiarges are credited to the groundwater fund adminis- tered by the Department of Natural RaSOUrces. These funds are used for monitoring ground- t water, groundwater contamination in- esfigatinns and establishment of standards. Groundwater, it's worth protecting. SBD-6398 (R.03/86) i 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 7/,Jz2 Location of Property Section , T~dj_N-R /,6S W Township Mailing Address Address of Site Subdivision Name 2 StO 930 ,Q ~n OA 40 Lot Number R Previous Owner of Property su Total Size of Parcel Date Parcel was Created '2 Are all corners and lot lines identifiable? U---_Y_es No Is this property being developed for resale (spec house) ? I Yes No Volume ? ~g and Page Number! as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty 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) cvLti4y that aU dtatements on this 6okm atce tAue to the but o4 my (ouA) know.eedge; that I (we) am ( ahe) the owneA (.s) o4 the ptcopetr ty des cAibed in this inbotunation goAm, by viAtue o4 a waAA nt deed %econded in the 044ice ob the County Register o4 Deeds" Document No. $ D 7 ; and that T (We) ptces enemy own the ptcopo.sed site botc the sewage d.ispod by em (on 1 (we) have obtained an easement, to ruin with the above ducAibed ptcopehty, 6o,% the conAtnucti.on o6 aai,d .system, and the dame has been duty necotcded in the 04jice o4 the County RegisteA o6 Deeds, as Document No. SIGNATURE OF WNER SIGNATURE OF CO-OWNER (IF APPLICABLE) p I DATE SIGNED DATE SIGNED H z H a STC - 105 r r a SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z / a OWNER/BUYER //yj ~QIC'L y r~ ROUTE/BOX NUMBER Fire Number s C I T Y/ S T A T E i t? 2 eA /YL Z I P s~ --n PROPERTY LOCATION: Section TS I N, R W, Town of St. 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 11 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. yo I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- 'o 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. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 (H63.090) & Chapter 145.045) L CATION:s SECTIQN: ~Q TOWNSHIP/ Y: LOT NO.:BLK. NO.: SUBDIVISION NAME: t~ '4W4 3 T3 N/R~"/ %(or) W ' COUNT NER' BU ER'S NAME: MAILING ADDRESS: TT1I'' -W Z 0 Y ' O't USE V ~•J DATES OOBBSEEIRVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER OLATION TESTS: Residence (ew ❑ Replace RATING: S= Site suitable for system U= Site unsuitable for system '7 J ,V /rjf CONVENTIONAL: MOUNcD: IN-GROUND-PRESSURE: SYST1EcM-IN-F-F~ILLHOLDIcNG TnANK: RECOMMENDED YSTEM:(optional) S ~ ~ ®S ~ ~ ~ J ~ ~ CJ J 1GJti ~ J LJ 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: / Q Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS l/ Im ~T BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF OIL TH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 80 Do B- Z-1 7 B- a-~" /l9©~ t✓ ~(p ~i31. vr` R~43n.•~.. B- 1'po n9a- /U0 ~'•(v •$3 /BSI. I • ~ ~ v °~Br~• S.,(., B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P- 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 - - .p +a_ 6 e SKI ~c i i € j ~ I 1 3 E TIM~ r ~ 1t_ A,4 t E I I bm-i (so b3 r E ~ a € r n t 1 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): TESTS WERE COMPLETED ON: ADD S: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIGN UR A-A DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. , II DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - S BD - 6395 To be a comnlete and accurate soil test, your report must include; t. Cornp?.§o I0-scription; 2. The use - gust clearly indicate 4vhr :ds is a residence or commercial project; 3. MAXI 1 r k~ c a.=;e planned; 4, is t' t 5. .A.- cr'IT/ K: "D A WOLDIN TANK ONLY IF ALL. C O'tT B. J IT ' S; 6, 1 hei , is ;ompletirig the plot plan; 7. LFGIB i ac( ately scale is preferred, A desired; f -d uertic-r e` -icI are permanent; as to t on test e~xernp- 10 ac i, yin) does not app] the appropriate box; cu ^ertificat3on r _ i t V L SOIL TESTS MUST BE EKED WITH THE L UTF Y 'T I 30 D C T'-)IV, -VI TI NS FOR CERTIFIED SOV T ",951 TeN C 1u I ~s *sI *siI - *cl y c p: Point T, , i cjue-t ~~SG t~ ~ 1 i 40i lac C-r CD foe ~ ~ i r2~G~C ~ I~Lt1~ ~ WOLi,,` TIM SW SW, Section 34 Rt. 2 / 96 7 //0 T 31N-R18W , New Richmond, WI Town of St. Prairie,lot 9 San.Permit 483822 7-31-86 G. Steel Conventional, New _ INSTALLED 10-27-86 ` Parcel 038-1159-90-100 11/30/2006 04:47 PM PAGE 1 OF 1 Alt. Parcel 34.31.18.750-A 038 - TOWN OF STAR PRAIRIE 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 O - WOLD, TIMOTHY & SHARON TIMOTHY & SHARON WOLD PO BOX 272 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1807 110TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.290 Plat: 1974-GERMAIN & HANNER ADD SEC 34 T31 N R1 8W GERMAIN & HANNER ADD Block/Condo Bldg: LOT 09 LOT 9 EXC PT TO HWY PROJECT 1559-08-23 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 01/04/2001 636297 1 WD~ 07/23/19R7 748/544 1&u,jd 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.290 13,500 15,600 29,100 NO Totals for 2006: General Property 1.290 13,500 15,600 29,100 Woodland 0.000 0 0 Totals for 2005: General Property 1.290 13,500 15,600 29,100 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