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HomeMy WebLinkAbout016-1074-80-000 00100: 3-0 00 d ~1 f C 0 0 4rD <o °1 # eo n A~ O hi 0 0 0 o c o m" ` • a OD to cn m o' 3 o m to co C A Z ` N W O G i~3 CL C O (D (D O N N N G m co c 0 n d _ C 00 3 a = c°~n O CL 7 Z f 0 co 000 00 r 100 !T U "IVA. 0 CD ~-3 (a Ch U) I' a4 o c v o y G w 90 C N Q C CL U' ` Z rr D a 0 0 m O Z)7 CA ~ co N C Oro (D ~ w ~ a I a ~ ~ 'I Z ' e00 AZ o w n I o y a =i M CL i' Z w' w V m o aZ /giX Q M V/ I 3 m_ ~ y C w I 0 a C 0 ~ 'c-e1 I C 0 a a 0 N d I II t Q I A I A I ti I ~ N p V A • N dC N A 0 0 ti ~ ~y • Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T O N-R ,L-W ADDRESS ST. CROIX COUNTY,'WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR, 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I ' a ARM y47 4 sic, f-jr VeN - L _i Me INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: rp'oposed slope at s He: - - SEPTIC TANK: Manufacturer: Glf.(y~.~~r Liquid Capacity: /O" Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front , Side, Rear, O a feet From nearest property line Front 10 Side, Rear, O O feet Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE P CHAMBER Manu cturer: Liquid Capacity: Pump Mode • Pump/Siphon Manufacturer: Pump Size Elevation of in t: Bottom of taffr elevation: Pump off switch eleva on: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet f nearest prope line: Front, O Side, O Rear Ft. Number of feet from wel . Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: 17 Len$th: Number of Lines: Area Built Fill depth to top of pipe: Number of feet from nearest property line: Front, ® Side, O Rear,O Pt .2 Number of feet from well: ` Number of feet from building: °s (Include distances on plot plan). SEEP E PIT Size Number of pits: Diameter: Liquid the Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been u d on any of the above soil absorbtion sytems? (Chec one). HOLDING TANK Manufacturer. Capacity: Number of rings used: vation of bottom of tank: Elevation of inlet: Number /of property line: Front, O Side, O Rear, OFt. feet from well: from building: nearest road: Alarm Inspector Plumber on job: ~~~G-✓~ Dated: License Number : 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, Will 53707 XMONVENTIONAL ❑ALTERNATIVE State Plan LD.Number: ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound (if assigned) NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTIO DATE: Richard Rosen Glenwood City, WI Q 7` •s~Q BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. IT. ELEV.: NE SE, Section 34, T30N-R15W, Town of Glenwood Name of Plumber: MP/MPRSW No. County: Sanitary Permit Number: Gale W. Smith 5690 St. Croix 64883 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV. . WARNING LABEL LOCKING COVER / 6 w , 2 PROVIDED: PROVIDE ES ❑ NO ❑ NO BEDDING: VENT DI-A.. VENT __~M HIGH WATER NUMBER OF ROAD: IPROPERTY WELL BUILDING: V TO FRESH t ALARM I J FEET FROM LINE: LAIR I LE OYES O OYES NO NEAREST - DOSING C AMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP IP ON MANU FACTO F: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLSOP ATI AL: NUMBER OF PROPERTY WELL: BUILDING: IVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 1 FN/;ur JDIAMFTER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH IND OF ]DISTR. PIPE SPACING: COVER JINSIDE DIA #PITS LIQUID TRENCHES. MAT L: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE ERIAL N D STR. NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH BELOW PIPES: ABOVE CO R ELEV. INLET. ELE END PIPES. LINE A AIR INLET: y Q FEET FROM /l}- G- Q 2~ U 2- 2 NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ONO 1--) z SOIL COVER TEXTURE PER AN T MARKE RVATION WELLS. _7~ ❑Y S ONO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. DED: SEEDED: MULCHED. CENTER. EDGES. ES ❑ OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES: LATERAL SPACI GRAVEL DEPTH BE PIPE: FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE IM ANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.. ELEV.: _ DIA.. ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: DYES ONO DYES NO NEAREST Sketch System on Retain county file for audit. Reverse Side. SIGNATURE: ITITLE~7 DILHR SBD 6710 (R.01/82) wlsconsln APPLICATION FOR SANITARY PERMIT I CA- COUNTY ILHR (PLB 67) UNIFORM SANITARY PERMIT # r OEPRRTRIEnTOF InOUSTRV,LRBOF16HUrnjj RELRTIOnS -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER 4MA ADDRESS PROPERTY LOCATION : 14S91/4,s34, 2 N, RCS M (or) LT NUMBER BLOCK NUMBERSUBDIVISION NAME ST ROAD, LAKE OR LANDMARK ATE W. Nt BER TYPE OF BUILDING OR USE SERVED Q ~ll `~77 r X 1 or 2 Family Number of Bedrooms: r ublic (Specify): THIS PERMIT IS FOR A: New System El Tank Replacement El Repair ❑ Privy El Replacement Soil Absorption System ❑ Revision ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. X Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy System-In-Fill ❑ 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 0 Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. MP/M}MR3YMeNo.: Phone Number: Name of Plumber (Print): Signature- r (7.) 2X4_- 47 e M / Plumber's Address: Name of Designer: COUNTY/ DEPARTMENT USE ONLY Signatur of Issuing Agent: F e: Date: ❑ Disapproved El Owner Given Initial Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, 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`-1n ic~ate gpecifical(y-v at 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; .ti 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 froiv 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 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/contractQi~,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property- ~4, Section , T N - R W Township i~ Mailing Address Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel IJZ•ti 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 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 10 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. PROPERTY OWNER CERTIFICATION I (We) centi% y that aU 6tatemenX,6 on this 6oAm ane tAue to the best o4 my (oun) know.bedge; that I (we) am (ahe) the owner (s) of the pnopeA,ty descAibed in this inAonmation Rohm, by viAtue o4 a wannanty deed heconded in the O~4ice of the County Regiz ten o~ Deed6 _a4 Document No. and that 1 (we) phesent2y own the puposed site ion the b age posatsystem (on I (we) have obtained an eadement, to tun with the above de.6cAi.bed ptopenty, {Yok the consfituction o~ bai.d system, and the same had been duty tecotded in the O~6ice o6 the County Regizten o~ Deeds, as Document No. ) . SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) - /,7 2DATE GNED DATE SIGNED H U1 9 S T C - 105 r r 9 H SEPTIC TANK MAINTENANCE AGREEMENT H 0 St. Croix County z d OWNER/NOW ~sc. ✓ ROUTE/BOX NUMBER Fire Number `CITY/STATE ~ ~'tP' L L✓ .cam Z I P ..Sly/ Old PROPERTY LOCATION: l~l s Section, TAO N, R, ,-W, Town ofL-"O0 C/ 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 the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Crolx.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 stems 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 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 J DATE 2 C~" 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. 1 0 r N N ~ C N N~ S Al S C C N 3 O oNO :E CD Q (D tp 0 n N O 3 v SSw S O c O O N 1 z c ? (o . 3 c (Q CD b C N -O G (D (D O' A Jj N D o O fD N lD N N O 0 W co A CD CD = 0 "a CD CDCD 0) (D N co) a N A i_ (p (D (D - S co n o3a 0 0 « (acDw .O. (Q 0 Al O t0 lb m 3 0 c L c IW c a N C a o w cl< Q. 0 p c S N=` m 0 y 21(a = CD < (DvOi a? W c D 0 cD C 0) Q Q o O C '4 n O _D c o (D ..a nC 0 1 y? 3 O N a= ~ . (D (p O , aQ7 N O N (D S -0m-N a o O N N (D .,r ~ Al N ~ F- ~rACD CD 0s v Z (D 3 :0 0 W-. a yc(D OS 0 a Q (n m _ n? N O a O N O w m CL (a m 3m0 to00) ~ C m ~q N N S c a O (D O ,0►m 0 w 3 ~cA) N n 3: 0 O a - ,c (D yoo ~00 -c(c O N c (D A N y a0f 0CC w = aA1O m N ca M. - C a o 0 _a a s ~ G) - (c w S m ao 0 0to c° C) N ° ' eb C -1 -l 2 s CL C =r o •:{°x DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INDUSTRY, DIVISION N LABOR BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: p ~s TOWNSHIP LOT NO.: BLK. NO.: SUBDIVISION NAME: N,aS/ 3 /T 13o N/R/J 1 (or C COUNTY: OWNER'S/BUYER'S NAM MAILING ADDRESS: ly- 3P USE DATES OBScRVATIONa MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DES RIPTIONS: [ER/CO~,ATI O N TESTS: Residence V /1 ~O New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system T J CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optiona 1 ®s Du ®s ❑u s ❑u I DS Mu Xs ❑u«, a 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: 9 / Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 6.38 0 None . 3~ l ' O' 7SI, sc. B- 3 7 33/ o~. ' rirJ0 k 7, 33' s'` 7S' s c. B- 0 S ' d -A P , D 17 / 7.5 ' p5:ob /Uoae S' /-3 ~ / "Be, PERCOLATION TEST TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- 2.17 /Ud i/ P- zsr' Q " X40- AV 9' P- /Vo k I/ ♦i s' P-Ai 00 J" P- 01 11 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 99. #9 3 P F , E - - - - z I ~ 1 E[ j ( ii 4 ~ i E e-►4! 105 1 off- /oP Q F !JA N1eR S'lfN oN Li4tt Po.C I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord Stith the procedures and methods specipfie~d /in the Wisc9nsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. / Ca + ,_T-:2 f NAME (print): TESTS WERE COMPLETED ON: ADDRESS: CERTIF A ION NUMBER: PHONE NUMBER (optional): 17 • / J Trig f j" r CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. D I LH R-SB D-6395 (R. 02/82) -OVER - L UC 'IONS FOR COMPLETING FORM 115 - SBD - 6395 Tr e nr nnI and accurate soil test, you) iii is -o n project; . . 'AXL.. 4. Is this a EnD ,9err TANlk' nn r °y rr ALL `UT NI'T Is ,')own he 7. r curately loc ti ta: t a V in the appropriate box; I -"fais~r; T-"TS MUST BE FILED WITH THEW r, -IATI ^a... -,FkTIr- TESTERS 3") 6 am _ f A t ,pt M d 1 HW ti . Si, mares i sposa! j TOiHE s This wail test report is the first step in securing a sani_ary nit. The cc y or the Department may re<xtlest verification of this soil test in the field pricer ace, A -le` ! set of plans for the private sewage system an-1 permit application mu be sr : the late local authority in order to obtain a permit, T mit rnus be in ' ar ?osted prior to the start of any construction. .i I Smith Plumbing & Heating PHONE (715) 265-4838 l'lGh p r daSG~ GLENWOOD CITY, WISCONSIN 54013 F.M ce + /d L✓,. .~'"s~o~.z y~ %Y sE %Y Sc~.3S~ ~.3o~/~E',CS'~rJ .2 igedrooir, ~~,SPCGT7on Co vtr ~ 1F- 'Sc Ucn->L f~joc rr .r 04 k- Cooerlnc, vvzl- Racit d • p •e m 04 Z *~~vck *60 vt ~P *DID ~2 sC' ~Cr a ~o a Per'Q ee •e a ° o ~ I o aoa a~ O+y P p a I v cRa~ s~ c -7-To 11) Smith Plumbing & Heating PHONE (715) 265-4838 " ~l O S 1~1 GLENWOOD CITY, WISCONSIN 54013 ►C. IAIr e ~r►~► e (,kJ S .Scam 7,?,oN R uJ 1 Rep I*-e-e V%.*e n.+ g. ~ow=e /'000 9a1. Sip+:~Tar~ k ' P3 ~ p 83 Ba gsnc,~ w.I►r k. Go r nC rpoS S4 Alw /c2' Q • Igw~c ~ l ~a►~ j3ch c,~c rrti ~Y ~ Ta/o o ~ S~~ n an ~.rg ~o Parcel 016-1074-80-000 01/25/2007 09:39 AM PAGE 1 OF 1 Alt. Parcel 34.30.15.518B 016 - TOWN OF GLENWOOD 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 - ROSEN, RICHARD O & HELEN L RICHARD O & HELEN L ROSEN 1242 HWY 128 GLENWOOD CITY WI 54013 Districts, SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1242 HWY 128 SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 1.000 Plat: N/A-NOT AVAILABLE SEC 34 T30N R15W PT NE SE COM 520 1/2 FT Block/Condo Bldg: S 35 DEG W OF E 1/4 COR SEC 34, TH N 39 DEG W 198 FT, TH S 38 DEG. W 220 FT, TH Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) S 39 DEG E 198 FT TO CEN HWY 128, N 38 34-30N-15W DEG E 220' TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 711/617 2006 SUMMARY Bill Fair Market Value: Assessed with: 165737 239,100 Valuations: Last Changed: 10/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 7,500 181,900 189,400 NO Totals for 2006: General Property 1.000 7,500 181,900 189,400 Woodland 0.000 0 0 Totals for 2005: General Property 1.000 7,500 181,900 189,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 118 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 E k ROSEN, RICHARD NE SE, Section 34, Glenwood City, WI T30N-R15W Town of Glenwood San.Permit#64883 5-10-85 G. Smith Conventional, New 1? V'2) INSTALLED 5-6-85