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HomeMy WebLinkAbout026-1020-50-100 I _ Wiscbnsin Depa'rtment of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Divisici INSPECTION REPORT Sanitary Permit No: 408298 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)]. Perrnit Holder's Name: City Village X Township Parcel Tax No: Lefler, Russell I Richmond Township 026- 1020 -50 -100 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATI N BS HI FS ELEV. Septic Benchmark Dosing 4 l� `ry AIt.BM f •s/ Aerati 1 Bld . Sewer e y.. Holding SUHt Inlet 45-6 R S �0 �. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 2 � , f In Dt Bottom /� 2 Dosing � / Header /Man. Aeration Dist. Pipe Holding Bot. System T z.o' 92� z sSw).,� Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover b , `f7S GPM Model Number I TDH Lift Friction Loss System Head TDH Ft , J dt."/N�7 s Qn �/Ztilz Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 1kj -S- / (3-( /0, /D • L Z BED/TRENCH Width Length No. Of Trenches IT DIMENSIONS No. Of Pits nside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG ELL LAKE /STREAM LE I - -facturer: INFORMATION CHAIM Typ System: / NI a X1;tCS DISTRIBUTION SYSTEM ?+ Header /Manifold Distribution x Hole Size x Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade System Depth Over Depth Over xx Depth of xx Seedec Bed/Trench Center BedfTrench Edges Topsoil No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Ins e ti n / � Location: 1/4 NE 1/4 6 T30N R18W) NA Lot P el 1787 95th New Richmond, WI 54017 (NW No: 06.3 0. 8.72D40 _ �'• �a n� 1.) Alt BM Description = [ e 2.) Bldg sewer length =� S �- 'L 611 6— �0 - amount of cover = f " ILI 3.) Contour = 92 4 2 Use revis for additional in Yes No formation. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Marion Standaert Subject: 408298 -Lefler /Powers mound final Location: 1787 95t so 4, Richmond Start: hu 8/7/2003 2:30 PM End: Thu 8/7/2003 3:30 PM Recurrence: Section 6 Pam Quinn Subject: 408298 - Lefler /Powers mound Location: 1787 95th St. almost to Hwy 64, Richmond Start: We>8/6/ 03 . 0 PM End: We :30 PM Recurrence: (none) Wanted to set tank and cover - replacement mound system. Benchmark is way on north property line, so took shot off house foundation to shoot back to. 1 1 D Z 3 � �l 2 / , dD / 3G Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 .S C ro ,X N vitsc sin Madison, WI 53707 - 7162 Site Address Department of Commerce $'r r4 Z ©,- 9a 2z- ! - 7g I l i s N�e.; R► Sanitary Permit Applic Sani Permit Number In accord with Comm 83.21, Wis. Adm. Code, perso info qa gititpa, 11 Check if Revision �&R'z �� may be used for sew purposes Privac w, s . ff _ ;'`'+ I. Application Information - Please Print All Informatiol State Plan I.D. Number - 1 O Property Owner's Name ` Parcel Number ��e�1�e sr C W;HYrc I_,., (4- 100)(3 O-(0� Property Owner's Mailing Address 1�,a� m `'' _ Property Location ��// Uj t 9 5�� NW !k 'A,S T N,R A City, State Zip Code Phone Number Lot Number Block Number .79 D/O Subdivision Name CSM Number s 1 a 4 7 -5 36 II. Type of Building (check all that apply) ❑City 1 or 2 Family Dwelling - Number of Bedrooms ❑villa e g ❑ Public /Commercial - Describe Use Township kamon ❑ State Owned Nearest Road I s sl . III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B V applicable) A For County use 1 ❑ New 2� Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Only Existing System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 2XMound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line A 6P 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other 13 ` V. Dispersalffreatment Area Information: r'i Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation �}S0 q C p 91 X1.3 C15 VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septi o Dosing Chamber VII. Responsibility Statement- I, the undersign , e responsibility for installation of the POWTS shown on the attached plans. Plumber's N tint) 71Z ' Lure MP/MPRS Number Business Phone Number , X053 - 71 Plumber's Address (Street, City, State, Zip Code) VIII. co t /De artment Use Onl Sanitary ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) / �jq ❑ Owner Given Initial Adverse ?J ell Z/ a I L Determination Y �� I IX. Conditions of Approval/Reasons for Disapproval �,�� wo � k�►,wcc `�2 S ���� .E-a (-�cr � I�um�etc�wwi0 4G'+ bH 5 �p -tta✓ � C6�nr^ r,�.c -t�.� f 1 , Attach complete plans (to the County only) for the system on paper not less than 6112 x 11 caches in sue '� SBD -6398 (R. 05101) 6 T3 N <z s 5r Cr o % r n ' ��. ♦ �m N4� I r POIAXI `POI&EI loo law 11 ,�Irn a "/mac T� q a' qy c duo - ' a 3, v k q :23A r �� t 0 d 30 , l Fw__ 1 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsirn www.commerce.s io www.w isconsin.gn.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary February 18, 2002 CUST ID No.285102 ATTN. POWTS Inspector ZONING OFFICE CALVIN POWERS JR ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/18/2004 Identification Numbers Transaction 1D No. 708537 SITE: Site ID No. 641173 Russell Lefler Please refer to both identification numbers, 1787 95TH St L above, in all correspondence with the agency. Town of Richmond St Croix County NWl /4, NE1 /4, S6, T30N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 829581 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (8.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal Collifi a are prohibited. �PpRc • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and MElIT of maintenance of the POWTS occurs in accordance with this chapter and the approved management plan unde: � Comm 83.54(1). In addition, the owner is respon for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropri S EE � for the component(s) utilized in the POWTS. CALVIN POWERS JR Page 2 2/18/02 • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. •. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • The changes made to this plan on 2/18/02 by this reviewer were acknowledged and approved by the system designer. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 J Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us ME SHEET DA'I'E:_ PAGE—LOF .7 MOUND SYSTEM FOR A BEDROOM RESIDENCE C F plan has been P� in accon3l� w e with the Mad Component �V P and the Pi ' e M,l SBD- 10573 -P. 10 CR. 5/99) 0 LOCATED IN THE IV w 1I4 OF THE VC 1I4 OF SECTION vs � R�W, TOWN OF �, m ST. CROIX COUNTY, WISCONSIN. —SEX PAGE 1 OF 7 TITLE SHEET PAGE 2 OF 7 PLOT PLAN PAGE 3 OF 7 PLANVIEW CROSS SECTION PAGE 4 OF 7 DISTRIBUI7ON PIPE LAYOUT PAGE 5 OF 7 PUMP CHAMBER CROSS SECTION PAGE 5 OF 7 SYSTEM MANAGEMENT PLAN PAGE 7 OF 7 PUMP CURVE Q P.A. E F R tl4S� S�( \.Qt ! `7 37 I� S1 P PA RED BY POWERS EXCAVATING INC. 1969 185' AVE. NEW RICHMOND, WIS. 54017 PHONE: 715 -246 -5135 FAX: 715- 246 -5135 tatty VED :AMMERCE V '��W 3 IL S ,-OND CE PtA 6j� - 7 7 Se7 9S � t- AJQ)A A) fy T3a N �z 18 R ,C- k.��,.� 6yr— ?3,4 h t i r C 13. ` a � h�1 30 r Synthetic Cov .-ring A S try-- c33 Distribution Pipe Medium sand Topsall F .-3 i E a 'M. Slope Bed Of f- 2' Force Main Plowed Aggregate Layer 0 Ft. Cross Section Of A Mound System Using A Bed For The .Absorption Area F ` 93 Ft. G i 5 Ft. A Ft. H._.. Ft. Design -oa ing `tote = ID /j T K Ft. L Ft. Ft. Position I Ft. of Farce Ma in w Ft. i L ---- Observation Pipe t ._.. ,_... __....� .,.. .� — — K -___________________ �.._ ______________ _____.- Distributions Of 2 '� Pipe. Aggregate Observettion Pipe +►4cho - So C#4 rat Pion View Of Mound Using A Bed For The Absorption Area c J Wlsconsi Dqw% dcmTwM SOIL EVALUATION REPORT pop -J— of 3 DNMM otsafat ww ewkww in acao1d 000 raft damn 85. V& Aft. code Mbach connpieie site pkoa on peer not isse tlten ti Vl x 1 i b in stze. 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SL SIL "E#Af't 'EM2 I Mot t #1 = BOD > 30 <_ 220 mylL and TSS >30 _< 150 nV& ' Effluent 02 = BOD 1 30 not arrd TSS <_.30 nVOL The Department of Commewc is an equal opportunity service provider and employer. If you need anistanee to aco, I services or need material in an alternate format, please contract the department at 608 -266 -3151 or TTY 608 - 264.8777. ssw,uoca� l w, t ` n S 0 1 u C. kA4 '{ _3 Iv wYq /� S( T`3o V R lkw ?g -7 95-rt, '�i Cl1m�o A ol �sT N AM- -� "Poc Top c r. J8 � 5 �o IS ao N�- ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer '4 Mailing Address 7 �S T ! e �, h h?�i'1 cd • 5 ya 7 Property Address Q (Verification required from Planning Department for new construction) City /State ...�:c.� ��-- Parcel Identification Numbe LEGAL DESCRIPTION c/ ' ' /,, Sec. �, T3Q,N -R /SS W, Town of Property Location W /,, Subdivision , Lot # Certified Survey Map # , _, Volume , Page # Warranty Deed # . 3 tt 7 b —1 , Volume S , Page # Spec house ❑ yes no Lot lines identifiable (` yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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 Zoning office within 30 days of the three year expiration date. SIGNATURE F I_iCANT DATE OWNER CERTIFICATION I (we) cer ti f y 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 abo e, by virtue of a warranty deed recorded in Register of Deeds Office. // / IGNATURE ICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •"" " ' * Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ; A 1 t- tkAVC F OR %I I WAFtRANTY DEED 00CUMEN7 NO R��] N�3 P A '72 VOL 34 C39 RFG6TERS CFFICE 'ax Co., Wr3. ST. C7 'rjjl [WHI ------ rd 0* &th- Rec'd. r- day of__j 19_78 103t_ 9 . 30 M. and te r a n ts and Wjf-P Caanl XX W t 11 e � t � 1 Xdf-- L ,, �, (,r,ilt- X and ot�.efgP-Qdan dol-lar va7u4ble S t Cro x- (:"untv. .1,,URN Gr,,rIz- !hL- de— �,i- RealtY, Inc- f:-,d -. Stdtc of W1- ,; Ri wr 54017 of tJ`- Of Sec �rtn A parcel of land located in the Wi eing further described as follc 6 - 30 - 18 Town of RiChMond, b ComrPercirg at the NP, corner of said S-!,� 6 ; thence S :�e of the NEA,- Of sa id S 6 0 20' 50" W alcrg the W 11 0 -71 E' 2.93 feet to the cenrer�Ire of t2 a distance of 4q9.23 feet; thence S 89 461.55 ning; thence 3 g9 071 j existing ' Road; being al��;2 t h e L ir of tegin hence v sqO 07 W 406.12 feet to cerc-erline feet; thence S 0 53 W 482.34 feet; t A. - of said Town Road; thence 'Aly i? feet alonc said �.-enterline being the arc NZ of a 353.91- ra curve which is concave tD N'S and whose l chcrd be-3xs - Said c--,7? 305.33 feet ro 04 50" W 184.15 feet; thence N alc:Y, j v 150 - of beginning. poir T�)g.qhvr with .11 an-! n d ks, a 1-nglp—a�r-Z A Rraa -own Road warrants that 'he title is �—)d, jn ,jf easi me in i,e it.Mp " fr-- t,r,,n, for easemtnt ovejz and ... ri ght s-of- and w ill wafrant �nd defend the sarne. ig -7-8� 7t h djy A .4arch Executed at Mad-ison, K.isconsi-n this (SEAL) lul SIGNED AND SEALED IN PRESENCE OF (SEA L) (SEAL) (SEAL) signaturel of ne. B� PkS---- Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix $ aYety and•Building Divisic { � INSPECTION REPORT sanitary Permit No: 408298 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: Lefler, Russell I Richmond Township 026- 1020 -50 -100 CST SM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing C41" Alt. BM / f • S/ Aerati l ic Bldg. Sewer 4 Holding St/Ht Inlet � TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet e Septic l � I ytS Dt Bottom /� 2 Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM D `f7S Model Number t r-- I� 2 • t ez • �`�' c7 TDH Lift TDH Ft Forcemain Len SOIL ABSOR BED/TRENCH N renches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched D ed/Trench Center Bed/Trench Edges Topsoil nn Yes ®No ❑Yes [ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / _a3 Ins e d n #2: Location: 1787 95th New Richmond, WI 54017 (NW 114 NE 1/4 6 T30N R18W) NA Lot 7 P cel No: 06.30.18.72D10 1.) Alt BM Description = { o'P 07 2.) Bldg sewer length = wA,t F- (�C 611 �6►.c ax- �y�yr� J" - amount of cover 3.) Contour =�' - -� — — - - -� —T -- Plan revision Required? Yes E91 No i � Use other side for additional information. L � i I %_ SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. I Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 .S l ` C p0 �X N vinscon s i n Madison, WI 53707 - 7162 Site Address Department of Commerce $ -r SF-t) Z ©,- 0 1 7g 5 NQ. l Qr Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, persor d info u ❑ Check if Revision qaz 0/8 may be used for secondary purposes Privac w, s 3 � ^ I. Application Information - Please Print All Informatio State Plan I.D. Number O 1255_�) ` A4 0 1 2002 Property Owner's Name Parcel Number ST. CROIX COU JT o O — 1c)0) —SU ' ( fu� Property Owner's Mailing Address � �= Property Location 9 NW 'A i6;S T N,R A: City, State Zip Code Phone Number Lot Number Block Number D/D Subdivision Name CSM Number t l� s a i a 7 s3 38" H. Type of Building (check all that apply) ❑City 9 1 or 2 Family Dwelling - Number of Bedrooms 3 �� []village ❑ Public /Commercial - Describe Use 9 Township _ fficim — on cl ❑ State Owned Nearest Road q !f V\ III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 ❑ New 2 Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use S stem Tank Onl I Existing System B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 2,o Mound 47 El Sand Filter 50 ❑ Constructed Wetland /// 22 ❑Pressurized In- Ground 41 ❑Holding Tank 48 ❑Single Pass 51 ❑Drip Line A-- 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑Recirculating 30 ❑ Other -7,5-, V. Dispersalffreatment. Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation c 50 PS 4�R5 a 1 JJ� �� °13 t C's VI. 'rte Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks d or - ' �� Dosing Chamber VII. Responsibility Statement- I, the undersign , e responsibility for installation of the POWTS shown on the attached plans. Plumber's N Tint) P ber's Si tore MP/MPRS Number Business Phone Number C 4 er- -- o OS3 I f s -, =? G Plumber's Address (Street, City, State, Zip Code) 1 9 (ga 5 Au Q MQk. - Q , Im onj VIII. County /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse 9 ( It W Determination 1 °� 1X. Conditions of Approval/Reasons for Disapproval �-•-� �,,,►w �� 1u v4 4 0 k. c {ue $ ;(. s� ,,,, .I-� (�cr p� utn�►+�v�to�t vwto g V r � w 4o-f' 6. h s 'uaJ C6 wc- i-ru,Gfi . Attach complete plans (to the County only) for the system on paper not less than SM x 11 inches in size SBD -6398 (R. 05/01) t 1 `rl a x( n 9J Str /' 104 NCXy - T3 r (� 1Y� N4� 1 �crxr t'oL2 / /«' 21 yYl b a- yx-k a 3, Y k _ 1 \ s, 3 a � � 1 / Qqz � J li qy d 30 ' 1 0 CO) p y v 0 O c O d Q C to w z 0 � � O N O c) O CD - ICI 1 m N 'C �• S a C - - ',. = �_ a N^* C N N Cta CD �,' p co O N CD Aa p t0 Cn C 17 O o O, co N) Q a V CT O M j C CD O� m 3 * O O ~' N � 7 p C D1 CD v� ! 0 CD c�:, ? �' o � W 3 G O w °° m _ CD CD "„ z rn N A CL O O O CD W ON O0 N , C CL 3 a o' N N o m 0 v CD O rn N CD 7 N CT < 3 °y ' c N 7 _ 7 a rn z O O i a D D o o CL lr• o U CD 7 3 a CD a CD CL a CA) a m @ 5 5 - N CD J to 7 0 CD CD N O :p .7 7 O o Z W O CD O CD c a z CD a, 0 3 `a <. Go O z OD 5 9 m vi 7o N I � A w N I C y D 3 3 £ 3 a CD - O CD - C rn CL v a� a 4 :E a m m =oo O 7 0) y I - _ rn < S y o d 0 Cr y 3N a co x ro w x• x ' _ wNN W == I o O O i N Ki CD Q o � w CD yG N m o m `° a O : , 0 ' ° 2 J 2 g — � } ° 7 a � ; ■ � Cl) ic o= E z m o o 2 n o o a�: n = r - i & m \ 9 u) b_ \ 3 \ OD CL �2a (n i $ § $ \ � g ( E E �' % \ § 2 g 2 4 a ■ » . @ l ƒ ■ a $ \ 2 _ .. ® : _ » R o o ƒ o f e e_ ! � ® f CY) \ �: f / \ \ ch o c ■ o E C . \ ■ rT / 0 0 0 7- / 0 c I 2 2 ` @ Cl) @ 3: m ) \ M a a � 2 g f ) 0 2 $ (D § / z » > >c a o , ƒ 7 = . m � m � [ . z § ■ ■ z $ ƒ Z) « 17 2 » m_ k rr : m kk / / {2 § ID 0. / \ c �CDCD CL E2 = / 0. 0 - ƒ$92 ƒ \/E0 o = =t§ k 3 $ eas(/ =!m <\ wx $ CA � w2� \\ i EE /a $ 7CL CD u E5 2 to C { A . a ` _ o % w \ CL & , � I Parcel #: 026- 1020 -50 -100 03/02/2006 07:49 AM PAGE 1 OF 1 Alt. Parcel #: 6.30.18.72D -10 026 - TOWN OF RICHMOND Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner RUSSELL R &RUTH LEFLER O - LEFLER, RUSSELL R & RUTH 1787 95TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1787 95TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 4.440 Plat: N/A -NOT AVAILABLE SEC 6 T30N R18W 5A IN NW NE COM N 1/4 Block/Condo Bldg: COR TH S 489.23'E 2.93' TO CL RD & POB E 461.55' TH S 482.34'W406.12 FT NWLY Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) ON CL 186.3'N 305.33' TO POB EXC AS 06- 30N -18W DESC IN 1619/22 FOR HWY PROJ 1559 -08 -23 (.56A) Notes: Parcel History: Date Doc # Vol /Page Type 04/16/2001 642911 1619/22 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 95448 174,800 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.440 58,100 91,800 149,900 NO Totals for 2005: General Property 4.440 58,100 91,800 149,900 Woodland 0.000 0 0 Totals for 2004: General Property 4.440 58,100 91,800 149,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 207 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00