HomeMy WebLinkAbout012-1017-50-100
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Parcel 012-1017-50-100 09/21/2011 03:00 PM
PAGE 1 OF 1
Alt. Parcel 06.30.17.87A-10 012 - TOWN OF ERIN PRAIRIE
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
07/30/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
LYNN T JR FORREST O - FORREST, LYNN T JR
1508 CTY RD GG
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1508 CTY RD GG
SC 3962 SCH DIST NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 6.509 Plat: 4801-CSM 18-4801 012-2004
SEC 06 T30N R17W PT SW SW CSM 18-4801 Block/Condo Bldg: LOT 01
LOT 1 (6.509 AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-30N-17W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
03/28/2008 871681 TOD
08/19/2004 772074 2640/416 TD
07/30/2004 770285 18/4801 CSM
12/22/1998 594283 1389/230 QC
more...
2011 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/01/2009
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.509 48,400 159,400 207,800 NO
Totals for 2011:
General Property 6.509 48,400 159,400 207,800
Woodland 0.000 0 0
Totals for 2010:
General Property 6.509 48,400 159,400 207,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 06/19/2007 Batch 07-06
Specials:
User Special Code Category Amount
Total Special Assessments Special Charges Delinquent Charges
0.00 0.00 0.00
Form- S T C - 104
t
AS BUILT SANITARY SYSTEM REPORT
OWNER 5-Z TOWNSHIP 'Enn 6r le SEC. T 30 N-R7_W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT a 00+ 'fOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of zLHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s~
~r
IO ~f II
f 3 P
age)
I
INDICATE NORTH ARROW
00 00,
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point:
112T) Proposed slope at site:
SEPTIC TANK: Manufacturer: llcjGce Liquid Capacity: /
Number of rings used: Tank manhole cover elevation: ~~p a
Tank Inlet Elevation: 049 3 Tank Outlet Elevation: /0 7
Number of feet from nearest Road: Front, 04 ide 0 Rear, 0 ` feet
From nearest property line Front 0 Side,( Rear, 0 feet
ber of feet from: well building:
this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
r
i
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Z Bottom of tank elevation:
Pump off switc elevation: Gallons per cycle:
Alarm Man acturer: Alarm Switch Type:
Numb of feet from nearest property line: Front, O Side, O Rear, Q Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM /
Bed: Trench:
C~idth: Length:J-O Number of Lines: 2 Area Built:-S~
Fill depth to top of pipe:
c1d
ll~ r
Number of feet from nearest property line: Front, O Side,(S(1 Rear,O ht(7C
Number of feet from well: l
Number of feet from building:/
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built*
Has eith 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:
Number of rings-used: Elevation of bottom of tank:
Elevation ,of inlet:
Numbe -`of feet from nearest property line: Front, O Side, O Rear, OFt.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: Plumber on j o
License Number:
H
I~
G
c~
3/84:m] a
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C
.DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR
LABOR & HUMAN RELATIONS SAFETY & BUILDINGS
P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS
MADISON, ;VI 53707 DIVISION
BUREAU OF PLUMBING
XX CONVENTIONAL
❑ A LTE R NAT I V E Stare Plan J.D. Number
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound (If a-goad)
NAME OF PERMIT HOLDER:
ADDRESS OF PERMIT HOLDER:
INSPEC ION DA E.
wise Forrest R. R. 1, New Richmond, WT 54017
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN:
Nam R F. PT. ELEV.: CST REF. PT. ELEV
SW SW, Section 6, T30N-R17W, Town of Erin Prairie
e of Plumber:
MP/MPRSW No.: County:
Gary L. Steel Sanitary Permit Number
3254 St. Croix 64920
SEPTIC TANK/HOLDING TANK:
MANUFACTURER:
LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COV
W Id
BEDDING 1 10 -2' PROVIDED: PROVI D
: VENT DIA.: VENT MATL. HIGH WAT R ( YES ❑ NO S ❑ NO
ALARM
NT ( HIGH Vy NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
❑YES NO (.~[l C \
FEET FROM c~ n i~ Llar€: \ LAIR
❑YES ❑NO NEAREST <C (J •C. U I DOSING
CHAMBER:
MANUFACTURER: BEDDING. LIQUID CAPACITY. PUMP MODEL.
PUMP/SIPHON MANUFACTURER.
WARNING LABEL LOCKING COVER
YES ❑NO PROVIDED: PROVIDED:
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL ❑YES ❑NO ❑YES ❑NO
(DIFFERENCE BETWEEN NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
PUMP ON AND OFF) FEET FROM LINE' YES (
-
SOIL ABSORPTION SYSTEM. Check the soil moisture at the❑dePth of plowin❑NO _ NEAREST 3110- AIR INLET
or excavation. (If soil can be rolled into a wire, construction shall cease Untg FORCE DIAMETER MATERIAL AND MARKING
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH LENGTH. NO. OF
BED/TRENCH j DISTR. PIPE sPAC
S INC: C VER
DIMENSIONS S C~~ TR Ep GH ES / MAT; INSIDE DIA #PITS LIQUID
J G /11 PIT DEPTH:
BELOW EL PI DEPTH FILL DEPTH DISTR. PIPE DISTR PIP DISTR. PIPE MATERIAL: NO. D TR.
. ABOVE CO V~R: EL~1yIiN1t T ELp( NUMBER OF PROPERTY
PIP WELL BUILDING: VENT TO FRESH
/ FEET FROM LI,N,E: AIR INLET
NEAREST--- L /6
MOUND SYSTEM:
Mound site plowed perpendicular to slope
and furrows thrown upslope: Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
❑YES ❑NO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE
PERMANENT MARKERS: OBSERVATION WELLS.
DEPTH OVER TRENCH!BED EG DDEPTEH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED
. ❑YES ❑NO
CENTER. S ❑YES ❑ NO
SEEDED. MULCHED:
PRESSURIZED DISTRIBUTION SYSTEM: ❑YES FIND YES ❑NO ❑YES
❑ ❑NO
BED/TRENCH WIDTH LENGTH NO'OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE.
DIMENSIONS TRENCHES: FILL DEPTH ABOVE COVER
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NOES DISTR. PIPE
ELEVATION AND ELEV. ELEV. CIA ELEV. PIPES DISTRIBUTION PIPE MATERIAL & MARKING
oln.:
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY
COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS:
COMMEN PERMANENTMARKERS: YES ❑NO ❑YES
OBSERVATION WELLS: ❑ NO
NUMBER OF PROPERTY WELL: BUILDING:
❑YES ❑NO FEET FROM LINE:
❑YES ❑NO NEAREST
4~ 1 3 .
i
f
Sketch System on
Reverse Side. 3 SL \~~1 t?t ' in county file for audit.
TIRE TITLE:
DILHR SBD 6710 (R. 01/82) -roll
wlsronsln APPLICATION FOR SANITARY PERMIT
~.DILHR COUNTY
(PLB 67) UNIFORM SANITARY PERMIT #
-`DEPRRTR1Er1T OF
.e IrIDUSTRV,LRBOR6NURIRfIRELRTIOrlS
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'hx 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PRO ERTY OWNER MA LINIADDR S q ti
.h fl'ts L_ VJ, PROPERTY LOCATION OtTv:
V11 Iz C
W 1 /4 ;01 /4,S , T ,3Q N, R) 7V4.(or) W TOWN OF: /fir c
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEARES OAD AKE OR LANDMARK STATE PLAN I.D. NUMBER
`Il/ ,V /T
TYPE OF BUILDING OR USE SERVED C710?'/~1~~~~0
1 or 2 Family Number of Bedrooms: ❑ Public (Specify):
THIS PERMIT IS FOR A:
❑ New System ❑ Tank Replacement ❑ Repair
V 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 Q
Lift Pump Tank/Siphon Chamber
Holding Tank capacity `
Manufacturer: 5 S
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):
j '~_a0 Uf2rivate ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name Plumber (Print): I Signature: RAP/MPR ;W No.: Phone Number:
( %3 l W Z) I/ .n
Plumber's Addr s: Name of Designer:
J ~J)V, 0~~ I I
COUNTY/DEPARTMENT USE ONLY
Signature f Issuing Agent: Fee: Date: ❑ Disapproved
1/1 t #-d p~^ ❑ Owner Given Initial
d _ J Approved 1 Adverse Determination
Reason for Disapproval:
Alternate course(s) of Action Available:
DILHR-SBO-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.);
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan; drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
APPLICATION FOR SANITARY PERMIT
ST C- 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 S 4~L
Location of Property Section T ~ N - R f- ~7 W
Township e~/ _y1 !fir ~¢y, k ?-ai
Mailing Address /
1 •Subdivision Name
Lot Number
Previous Owner of Property ¢9yyl_
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
Volume / and Page Number o7 `v 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.
PROPERTV OWNER CERTIFICATION
I (we) ee4ti6y that att statements on this 6onm are true to the best o6 my (our)
knowledge; that I (we) am (ate) the owner ds ) o6 the pro pen ty deA c i.bed in this
.in6o4mat.ion 6o4m, by v.ihtue o6 a wauanty deed neeonded in the 066ice o6 the
County Reg.iA ten o j Deeds as Document No. sal $ .?3 ; and that I (we)
pnesentty own the proposed site bon the sewage diz)Soz system (on I (we) have
obtained an easement, to nun with the above deseni.bed pnopenty, bon the
constnucti.on o6 said system, and the same has been duty neeonded in the 066ice
o6 the County Reg.is,teA o6 Deeds, as Document No. ) .
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
D AE SIGNED DATE SIGNED
z
H
a
STC - 105 r
r
a
SEPTIC TANK MAINTENANCE AGREEMENT ry+
St. Croix County °
z
OWNER/BAYER C~GGlSE y~~yC
ROUTE/BOX NUMBER .Fire Number 2;~ 8
CITY/STATE
Z I P
PROPERTY LOCATION:45 W 14, Section 6_, T &O N, R1-7_W,
Town of &11'1 Ofh^t $ t. 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
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. H
0
E
I/WE, the undersigned, have read the above requirements and agree z
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- b
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 O u
DATE-7 ds
J
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.
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND
HU PERCOLATION TESTS (115) P.O. BOX 7969
NAN RELATIONS \ / MADISON, WI 53707
(H63.09(1) & Chapter 145.045)
LOCATIONS SECTION: TNO.: SUBDIVISION NAME:
'/ate'/ (o /T3vN/R/71(or) W All
CO N Y: OWNE 'S/~ NA MAILING ADDRESS:
4~ .5"16
USE DATES OBSERVATIONS MADE
NO. BEDRMS : COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER OLATION TESTS:
Residence /4 ❑ New Z b
13 N Replace l " `Q L 15
RATING: S= Site suitable for system U= Site unsuitable for system f
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
L~j $ ❑U Cgs ❑U S ❑U ❑ S ❑ S 2U rV
[under Percolation Tests are NOT required DESIGN RATE: [Floodplain, any portion of the tested area is in the
s.H63.09(5)(b), indicate: indicate Floodplain elevation:
PROFILE DESCRIPTIONS ~f
BORING TOTAL
NUMBER ~ ELEVATION D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH ESSJLE-O LORI TEXTURE, AND DEPTH
OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
s
B- a
10~ >
A)Q 17-S r _An,
41-
B- q 9 P0
B- 3 4 q3 4Z Uo j R rho
Lie
/ PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 4+de"&S AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERT D PER INCH
P- ^I(9 3 3 .3 3
P- Q 3 3 z 3 3
P- Ne) s s
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. ~PP 6,_t_ ~a-,h p,`c, g
SYSTEM ELEVATION Low f-r -6e t, 9 3 `3 c I/dw R v
f
lit-
i Y -
I T
f-
! 7 t 3
3 E f
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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 (printl: TESTS WERE COMPLETED ON:
ADD S: ~v ~o Z Z AS
CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SIGNAT
-SON: Original and one copy to Local Authority, Property Owner and Soil Tester.
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Parcel 012-1017-50-100 01/23/2007 04:01 PM
PAGE 1 OF 1
Alt. Parcel 06.30.17.87A-10 012 - TOWN OF ERIN PRAIRIE
Current X; ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
07/30/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - FORREST, LYNN T JR
LYNN T JR FORREST
1508 CTY RD GG
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 1512 CTY RD GG
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 6.509 Plat: 4801-CSM 18-4801 012-04
SEC 06 T30N R17W PT SW SW CSM 18-4801 Block/Condo Bldg: LOT 01
LOT 1 (6.509 AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-30N-17W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
08/19/2004 772074 2640/416 TD
07/30/2004 770285 18/4801 CSM
12/22/1998 594283 1389/230 QC
07/23/1997 836/32
more...
2006 SUMMARY Bill Fair Market Value: Assessed with:
155690 244,500
Valuations: Last Changed: 05/31/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.509 64,900 174,400 239,300 NO 02
Totals for 2006:
General Property 6.509 64,900 174,400 239,300
Woodland 0.000 0 0
Totals for 2005:
General Property 6.509 64,900 167,100 232,000
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 012-1017-50-000 01/23/2007 04:00 PM
PAGE 1 OF 1
Alt. Parcel 06.30.17.87A 012 - TOWN OF ERIN PRAIRIE
Current X' ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
07/30/2004 00 4
Tax Address: Owner(s): O = Current Owner, C = Current Co-owner
RETIRED FORREST TRUST O - FORREST TRUST, RETIRED
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1508 CTY RD GG
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 26.290 Plat: N/A-NOT AVAILABLE
SEC 06 T30N R17W SW SW FRL EXC CS MAP IN Block/Condo Bldg:
VOL III P 612 AND EXCEPT PT FOR HWY GG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
06-30N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
08/19/2004 772074 2640/416 TD
12/22/1998 594283 1389/230 QC
07/23/1997 836/32
07/23/1997 719/296
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 03/29/2005
Description Class Acres Land Improve Total State Reason
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 0 0 0
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