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040-1303-00-014
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 563804 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: Shewcz k, Derek & Jodi Troy, Town of 040-1303-00-014 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: / bb I m I G<j'r 22.28.19.1749 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 1Z c,,6 CAPACITY STATION BS HI FS ELEV. /d~j. /oZ • ~o 2 .5(e Septic Benchmark y Q Q~ zsa 16 Dosing 75 Alt. BM / 7 c 97.7-N w v V Bldg. Sewer ~q p►~ Holding St/Ht Inlet T'S • -7/ J TANK SETBACK INFORMATION St/Ht Outlet N_-1 TANK TO W 1 ' P LL BLDG. Vent to Ai Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. v ' z I 'c! V z z/ Aeration Dist. Pipe 3. Y p 1,61. Holding Bot. System 4,Z( 161 ` Final Grade 's PUMP/SIPHON INFORMATION z • 142 Manufacturer Oti) Demand over / GPM ,3 le6) (gyp J '7^ Model Number 6- G ~J 'Li TDH Lift 0, ~G Friction oss Sstem Hpad~ TD H1 JJ t I ~7. Z J Forcemain Length Dia. / Dist. to Well :54 I($ Z ~ OW anti dr i / Oo SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~J 74 0 ._4 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of tem: v? 3L UNIT Model Number: , JL I 1 DISTRIBUTION SYSTEM a4t c Header/Manifold Distribution Ji x Hole Size x Hole Spacing Ve Air Int Pipe(s) ` Length Dia Z Length Z 9' Z Dia /,ZJ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ...._i Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedrrrench Center Bed/Trench Edges Topsoil I P --c es ❑ No No VV 1111// COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 2/ / nspection #2: Location: 645 Tribute P ay River Falls, Wi (NW 1/4 SE 1/4 22 T28N R19W) Walnut Hill Farm aka The Tribute Lot 14 Parcel No: 22 9.1749 1.) Alt BM Description = r v 66 Jew-- 04-c,.- 5c,,., c~. - / o ~o~k s P/a 2.) Bldg sewer length = C'~•a.: - amount of cover = JQ 14 Z r ' a G ('r~.., S e WNO J 1 $ ' ~G Plan revision Required? Yes ____1 F 4 Use other side for additional information. 1 J - . SBD-6710 (R.3/97) Date Insepctor's S' nature Cert. No jC~ca 1 7~ ~~~e>uc•dz KCa ~ 9 F-`~~'1t'. f~ (~.1 f' k;r 11 ~i L x i 1. Y o la 3© q6, L-J t ` 0/f,; t ice: it rt Z - l/,nev +.._....__-...,.._.~~s. f t7 ~~~Jif ` ~ ff YY k .a ea t'1c.t o A/1 • Safety and Buildings Division County 46 Cra ~1 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) $ Madison, WI 53707-7162 °joNState Transaction Number Sanitary Permit Application r tal unit AX66 y76 In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropr~fstte pro ect Address (if different than mailin address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS J»tzt the Department of Safety and Profes ' ies. Personal information you provideWe use/`t oses in accordance with the 'v 15.04 1 m , Stats. ~1~~ 1. Application Infor a Pr' t All Information Parcel # Property Owner's N CROUr CO 0 130 O Q ~01 TT k- ~NTy e V Property Location Property Owner's Mailing Address / 7 1 Govt. Lot t Z~ -2107- /v Zip Code Phone Number t7., Section _AML City, State - / 020 (circle one y) Lot # Subdivision Name II. Type of Building (check all that app1 / L/ ~r 2 Family Dwelling - Number of Bedrooms '!r L ~ Block # 0 ~ W D Public/Commercial - Describe Use D City of 6- CSM Number ❑ Village of ❑ State Owned -Describe Use ;Town of III. pe of Permit: ( eck only one box on line A. Complete line B if applicable) A ❑ Other Modification to Existing System (explain) New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only List Previous Permit Number and Date Issued B. 11 Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration IV. T e of POWTS S stem /Com Component/Device- Check all that a 1 ❑ Non-Pressurized In-Ground D Pressurized In-Ground D At-Grade Mound > 24 in. of suit/able soil ❑ Mound < 24 of sit soil D) F- eatmel Lev lam D Holding Tank D Other Dispersal Component (explain) e Z r(0 ~ J!aS V. Dis ersal/Treatment Area Information: Desi Flow (gpd) sign oil Application Rate(gpdsf) Dispersal Area Require sf) Dispersal Area Prop sed (sf) System Elevation d& 0~/ D,5G .0 /god r.000 ZdO l03® /4 .0 C acity in Total # of Manufactur L o VI. Tank Info Gallons Gallons Units (p~ 2~ e U N y 05 w C7 C New Tanks Existing Tanks 4E Sept. or Holding Tank / sa We f S4 x A- Dosing Chamber ! 5-0 we t s 4t 0 k VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS;s oow~n on the attached plans. ess Phone Number Plumber's Name (Print) Plumber' ignatute 9 / 8 /s zoa e. 0. (Z „J ~ 7- - Plumber's Address (Street, City, State, Zip Code) VIII oun /Department Use Onl Permit Fee Date Issued issuing Age Signature Approved D Disapproved $ (0 Z S 06 0/2-0 ? 1 '1/ ❑ Owner Given Reason for Denial IK CA~~~ tgyaUReasons for Di Disapproval 1. Septic tank, effluent filter and dispersal cell must be serviced / maintained (mot J ~~\u as per management plan provided by plumber. / 2. All setback requirements must be maintained ® +j c~j L as per applicable code/or ' 604 IL & 4t,& J~ Attach to complete plans for the system and snb It to the Co only on pa r not less than x 11 Inch in size SBD-6398 (R. 11/11) 9tivA&RRTMEA. DIVISION OF INDUSTRY SERVICES To 3824 N CREEKSIDE LA o~ P HOLMEN WI 54636 0 Contact Through Relay 3 S P K www.dsps.wi.gov/sb/ S ow www.wisconsin.gov o _ c= A~Ossior~A~s~ Scott Walker, Governor Dave Ross, Secretary June 14, 2013 CUST ID No. 931384 ATTN: POWTS Inspector MIKE RODEWALD ZONING OFFICE BETTENDORF EXCAVATING ST CROIX COUNTY SPIA 285 CTY SS 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/14/2015 Transaction ID No. 2255476 Site ID No. 791494 SITE: Please refer to both identification numbers, Shewczyk / Lund Builders above, in all correspondence with the agency. 645 Tribute Pkwy Town of Troy, 54022 St Croix County NW1/4, SE1/4, S22, T28N, R19W Lot: 14, Subdivision: Walnut Hill Farm FOR: Description: Mound / Four Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1431617 Maintenance required; 600 GPD Flow rate; 86 in Soil minimum depth to limiting factor from original grade; System: EZ-Flow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, R. 10/12); Effluent Filter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. co%o Ap • The observation pipes must be located at a junction point between two polystyrene aggregate bundles so as not DEPT O to create separation of the bundles within a product. pROFE$SI tyry1310% OF 1 • Per manual cited 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 are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption SEE G area. chs. NR 811 & 812c • 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. MIKE RODEWALD Page 2 6/14/2013 • Inspection of the POWTS 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 • SPS 383.22(7) A copy of the ap rp oved 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 Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 /]~y Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services W]SMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov Tr, i f EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE w Project Name: Shewczyk / Lund Builders C C]C C30 Owner's Name: Shewczyk c+z LIJ Owner's Address: 645 Tribute Pkwy CC to River Falls WI 54022 Z Legal Description: Sec 22 T28N R1 9W PT NW SE Plat Name Walnut Hill Farm 1/75 040-03 Township: Town of Troy County: St Croix Subdivision Name: Walnut Hill Farm Lot Number: 14 Block Number: Parcel I.D. Number: 040-1303-00-014 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Plot Plan TIONALLY Designer: Michael Rodewald License Number: MPRS 931384 'ROVED Date: 05/22/13 Phone Number: 715-821-6229 SAFETYAND NAL SERVICES 01 Signature: :".144 4DUSTRY SERVICES 0:2/ Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) )RRESPONDEN EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 3.50 Site Slope 100.50 Installation Contour Line Elevation (ft) F 100.00 Contour Length Available (ft) 86.00 Depth to Limiting Factor (in) e e r, C -03 .50 In-situ Soil Application Rate (gpd/ft2) t4e Distribution Cell Information 9.00 Cell Width (ft) 3, 4, 5, 6, 7, 8, 9 or 10 Only 70.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 6 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 150.00 Forcemain Length (ft) Does the forcemain drain back? Y 84.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 24.47 Forcemain Drainback (gal) 16.50 Vertical Lift (ft) 65.55 5x Void Volume (gal) 3.79 Friction Loss (ft) 90.01 Minimum Dose Volume (gal) 26.79 Total Dynamic Head (ft) 34.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser ConcreteManufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) Polylok® Filter Manufacturer 16.12 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Concrete Manufacturer Project: Shewczyk / Lund Builders Page 2 of 9 Mound Plan View 1 Observation Pipe . C K T 1 A 5 I W I. B . _ :0 L Mound Component Dimensions Down slope toe extension made. A 9.00 ft E 9.78 in H [A5.4 ft K 7.97 ft B 70.00 ft F 12.00 in z ft L 85.95 ft D 6.00 in G 0.50 ft J ft W 22.57 ft 630.00 (ftz) Dispersal Cell Area 1200.00 (ftz) Basal Area Available 8.57 (gpd/ft) Linear Loading Rate D (ft)-Ule-B Obs. Pipe Placement SEE CORRESPONDENCE Mound Cross Section View EZflow Dispersal Area Finished Grade 103.00 (ft) F Y I Dispersal Cell 101.50 (ft) Lateral 101.00 (ft)--* ; 6 Invert Elevation Dispersal Cell Elevation j E D Q: Z 100.50 (ft) Contour Elevation 3.5 % Site Slope Typical Dispersal Cell Shading Key See Page 5 1❑= Topsoil Cap > a) a a o Approved Geotextile Fabric Cover Subsoil Cap °v w c 2.0 ft F2-] 3 0 ASTM C33 Sand ® Tilled Layer a Q Q - F ❑5 EZflow Media = v in d 0 H0.5 ft -if f - A -T See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Shewczyk / Lund Builders Page 3 of 9 Center Connection Lateral Layout Diagram Force main connection via tee or crass to manifold at any point. Lateral- are identical C'r2~ rf lo`i d//ric+ 33' 3_ft 16 of-frE%< T P .t- = Turn-uMba II vaIve or X >Il2 2 . r-1 Lateral. & fofc- main of PVC Sch 40 ofe'sncutpluta per SPa Table 4.:<ta-5 Orifices point up. except F„:nr ;th one paints dawn for drainage: Number of Laterals 6 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.54 ft Lateral Length (P) 2..z1 ft Orifices per Lateral P- iz =/6 Lateral End (Z) NA ft Orifice Density 7.50 ft2/orifice Lateral Spacing (S) 3.00 ft Manifold Length 6.00 ft Lateral Flow Rate 5.77 gpm Manifold Diameter 2.00 in System Flow Rate 34.60 gpm Forcemain Velocity 3.53 ft/sec ,4,4k/4/ I-e,tjlk 64, Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in, min. Disconnect Tank component is properly vented F- Alternate outlet location Forcemain diameter Weiser Concrete- Manufacturer 2 in. Capacity 750.00 Gallons Volume 16.12 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 26.94 434.31 B 2.00 32.24 C -Pump off elevation (ft) C 5.58 90.01 85.00 D 12.00 193.44 D Total 46.53 750.00 Do♦ se tank elevation (ft) Bedding And Backfill As Per Manufacturer 84.00 Alarm Manufacturer S e rhombus Alarm Model Number Tank Alert 1 - Pump Manufacturer Goulds--~ Pump Model Number WE05H Pump Must Deliver 34.60 gpm at 26.79 ft TDH Note: Switches containing mercury may not be used in this system. Project: Shewczyk / Lund Builders Page 4 of 9 Hf/ow® Distribution Cell Media Layout 9.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements 9 ft Wide J~' ~ J Component Legend 0 SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or ),S JS in 5 ft or 10 ft lengths O 4" Perforated Distribution Pipe With Pressure Lateral Inside • Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 Cell Width - A (ft) 70.00 Cell Length - B (ft) Center Connection Lateral Layc - - - I A-~ Force Main 9 ft Wide Center Manifold 0 i Project: Shewczyk / Lund Builders Page 5 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Michael Rodewald Phone 715-425-6200 POWTS Regulator's Name Saint Croix County Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 630 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test periodical) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ponding and seepage once eve 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 69609666404996*0 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral ~L 'A EZf/ow Synthetic Media > 1.21 Feet Distribution Lateral Lateral Cleanout -i Project: Shewczyk / Lund Builders Page 6 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZflowMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. *****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.**** Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Shewczyk / Lund Builders Page 7 of 9 f ~ Wastewater APPLICATIONS • SJTOW or STOW severe duty oil and water resistant Specifically designed for the following uses: power cords. • Homes, Farms, Trailer Courts, Motels, Schools, • '/3 - 1 HP models have NEMA three prong grounding Hospitals, Industry, Effluent Systems plugs. • 1'/2 HP and larger units have bare lead cord ends. SPECIFICATIONS Three phase (60 Hz): Pump • Class 10 overload protection must be provided in • Solids handling capabilities: 3/4" maximum. separately ordered starter unit. • Discharge size: 2" NPT. • STOW power cords all have bare lead cord ends. • Capacities: up to 140 GPM. • Total heads: up to 128 feet TDH. • Designed for Continuous Operation: Pump ratings • Temperature: are within the motor manufacturer's recommended 104°F (40°C) continuous, 140°F (60°C) intermittent. working limits, can be operated continuously with- out damage when fully submerged. • See order numbers on reverse side for specific HP, voltage, phase and RPM'S available. 9 Upper and lower heavy duty ball bearing . construction. MOTORS • Power Cable: Severe duty rated, oil and water resis- tant. Epoxy seal on motor end provides secondary • Fully submerged in high-grade turbine oil for lubri- moisture barrier in case of outer jacket damage and cation and efficient heat transfer. to prevent oil wicking. Standard cord is 20'. Option • Class B insulation on 1/3 - 1 Yz HP models. al lengths are available. • Class F insulation on 2 HP models. • 0 ring: Assures positive sealing against contami Single phase (60 Hz): nants and oil leakage, • Capacitor start motors for maximum starting torque. AGENCY LISTINGS • Built-in overload with automatic reset. GO Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association File #LR38549 us METERS FEET 40 - 130 . IE1i5hll I _ i I.. SERIES: WE1 . ; , _ . SIZE. /a SOLIDS, 120 RPM: 3500 & . 35 - i 1750 I I 110 WE ~ 5 GPM 2 H 30 100 r I _r 1 = - l Q 90WE1H t E 25 80 1 VIIE1" n I I 70 i Q 20 L.- .EO F ' i 1 Z 60 f I a { p i I I j WEO ; E J Q 15 50 p _ I 3 . 40 I t 10 30mwE0 M; I } 1. _ i....a 20 l who 5 , I , I 101 - (M), 0 . 0L~ 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 1.50 160 GPM L 1 1 arm I I I I I I I I I I Sc -5 4Q<<1C >,k110 A M M1 5 0 15 20 25 30 35 m3/hr 7111C,laeI RO~i e,.-,0"t, 13138V /Vrog-, CAPACITY Jon CC_ go-f T 0 ff ~d x ? `1'' As n O n.n N G7 A ~ y a m ~ y ~ ~ m a m y z m 'a to m, 3 v o -n 0. t~ c{ ai rn C fD w O v ' C rv o c m a 7 C 7° ~ °Ey tin .Z7 w a d m E W 3 z to c R ~p ~i' r^ -1 $ s m c 0 el o c Z c C T o' x- ° 0 cr y y '.S rj rn W M G' ~ ~ ~ y G y m ~ O m _ c 0 0 > w d .o, 9 Nr~. ~ G v r ~ d Q C O N^ A L Sc y g r=y c p 3 ew{sn ' M 6. 'n 7 G.~ m N M c m > ti k ^ d S mj a z c h rv d m y O CL ° m wec 9 a Z ^oc r d... y -I w n 3° m m O g n -r S N x H T ° p 3 ~i o n m o ~u,P c ° o ° v io F o ~ ° ' v' n e s• ~ a O n n ~Il ~ a E ^ ie OQ -0 ~v k q lo, ro o > O IA X (n m B y m S o C Q .T D m W~ s Qy _ -a ZnmN~~m0 X' ,fig H s ~2zz-(A~ a~m30Om'~V m m m 1 w~ 0 N o~ »xo.. n ~ Ulm # xOD N °O T W V m~ ° I m m 7 0 0 A m aq, r 6 P D j t t~ `V r' fie. a c K V b a 9 k° i 1X t N-I 'p l ~ A 10 ~b qo t I E~- s C I~ I `fit a 4p "I IV ~ I 1 r G r ~ V+, B. E. t ~~~'1c`'~1a PA~ iJ'~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ ~DERL*K Aub U-dD i t4e W CZ `q Mailing Address 180 Jy,~m , I(A ryp s-fi HubSow. W q'b IL Property Address (p "i~~~3~l~ W (Verification required from Planning & Zoning Department for new construction.) City/State ~',y Ra~~ w Parcel Identification Number Ot4D - ! 303 - 00 - 01 LEGAL DESCRIPTION 01( q ) Property Location 1/4 1/4 , Sec. _,~a , T _Z8 N R /Q W, Town of c~y Subdivision Plat: WAJ14u1 14-M ~FAP_M, Ay till ;&AC Lot # 1~. Certified Survey Map # , Volume , Page # Warranty Deed # bo)'101 q`1aa 7 (before 2007)Volume , Page # Spec house 0 yesAno Lot lines identifiableXyes D 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 §SPS. 383.52(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 Safety And Professional Services 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. Nu er o b o 17 /1_3 G OF 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. 04/12) ~r 1 ' 2-0~ r x, 21 / 00 5 C Ol Or it r 436 1'1 19 N ~~Q052 ip 1 N 4 15 Act 87, AC, 461; ' Jf '25 / ; i uento ldirip wrce SOIL EVALUATION REPORT Buildfna, Pap I of 2 - 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 ST. CROIX include,,patnot limited to: vertical and horizontal reference point (BM), direction and Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 040 - 1303 - 00 - 014 Please print all information. eviewed rte. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (t) (m)). y 9 CC`s'/ y~ REK D. & JODI L. SHEWCZYK Property Location 0 FPropertyOwnerls ~1~// r ling Address G• Lot NW 1/ 4 SE 1/4 g 22 1ST8 N R C/ E (or) W Lot Blodc SName or CSM# 2107 Namekagon Street 14 State Zip Code Phone NWalnut arest Roa WI 54016 V illage ■ Town N eearest Road ( ) Tribute Parkway FNeew ction Use[D Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Public or commercial - Describe: Flood Plain elevation if applicable and recommendations: ts Boring conducted near the dispersal cell to verify the depth of the A horizon for the soil loading rate per Pam ft Quinn, St. Croix County Zoning Specialist. ❑ Boring # E Boring 11 Pit Ground surface elev. 100.50 ft. Depth to limiting factor NA in, Horizon Depth Dominant Color Redox Description Soil licatlon Rate Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-12 10YR2/2 "Eff#1 'Eff#2 1 2fgr&sbk mvfr cs 0.6 0.8 2 12-15 10YR4/4 sil mfr ❑ Boring # © Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon De th Soil ication Rate P Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 CST Name (Please Print) _ m9/L and TSS 30 Mg/L Signature CST Number er M Jo Hu ert ollister's Soil Testin & Design) Address 224832 W9875 690th Avenue, River Falls, WI 54022 D t Evaluation Con ucted Telephone Number ~ (715) 426 - 1775 06/12/22013 22:55 FAX to0001/0001 rja6 i Y* Pkw MI5"' TR 6 a 4e pk'w y. _J~7=.%~v_1~ __S~E.~%f ,Sec /9~Ti8N_i 03 -o.o -4 .1..1_.. ~~~„Rao~ aka •7s o .m gp 3o yo s ~++r8 , yo, s rie,st~ taa. i s k a C3 ~ y e • tiL ~~ojec,f _S{ie c~ k / caNa 6o,~l~t,s ~A e• G~~. 01 e ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPARTMENT M M N M ■ M,.., 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, Zoning Specialis ` Date: 11/8/2005 Re: On-Site Soil Evaluations for Lots 12,13 & 14 of Walnut Hill Farm Subdivision (S 1/2 SE % and NW'/. of SE'/ Sec 22, Town of Troy) On November 1St, 2005 I met Shaun Bird, MP #226900 for an on-site evaluation of soil conditions on the above-referenced lots. Mr. Bird had been issued a sanitary permit for this lot to install a conventional POWTS based on the original soil reports completed by CST Robert Ulbricht (who was unable to attend the on-site). During house foundation excavation and tank installation, the soils observed did not appear to match the descriptions reported. The soil evaluation was done at 3:00 p.m. with late-day sunshine and partly-cloudy skies. Two test pits were excavated on lot 13 and another on lot 14 to determine whether or not the recommended conventional POWTS would be feasible. Lot 12 already had a recommendation for a mound, so the only concern is the direction of slope. 0 ,11 % The test pits excavated n lot 13 w r6 in e vicinity of o it gi~~fla ed b gs B2 and B3. These pits revealed soil pr at were similar to those reported for lot 12, with massive sandy loams encountered at approximately 36" and soil colors ranging from 5 YR 3/4 to 5 YR 4/6. Due to the angle of sunlight, it was difficult to determine if there were redox features in the reddish brown soils or at the boundary with overlying silt loam horizon. Shaun has done additional soil work to create a new at-grade POWTS design, since B 1 and B3 report moderate platy structure in Horizon #3 silt loams that have a maximum soil application rate of 0.0 gpd/ft2 for Effluent #1 [per Comm 83.44(4)(e)]. In addition, the slope direction on the system area is to )kOn the northwest, not southeasterly as indicated on the soil report. lot 14 a test pit was excavated between B3 and B 1, approximately 48 ft. west of the existing fenceline shown on the soil report. Sandy loams were originally reported at 26 - 36 inches below grade with "weak, fine granular ("I fgr) structure, but granular structure primarily is found in A- horizons, not in deeper soils. The sandy loam horizon appeared to be massive (0m), with the soils breaking into smaller units due handling, not as true individual peds breaking along planes of weakness. The soil application rate of 0.2 d/ must be used to size a conventional POWTS for this lot, which will require a significantly larger system. The slope direction on the r" O tested area is northwesterly, as reported. These items have been noted on the report for use in' POWTS design. I notified Bob via telephone conversation that the slope direction on lot 12 needs to be re- checked and he is scheduling a site visit so that any necessary corrections can be made prior to preparation of a mound design. He was also informed of the discrepancies found in the soil conditions on lots 13 & 14 and that Shaun Bird will be re-designing the POWTS for lot 13. Cc: Todd Bjerstedt, Subdivision Developer Bob Ulbricht, MP/CST #226375 Shaun Bird, MP #226900 (POWTS Installer) Leroy Jansky, DCOMM Regional Wastewater Specialist Soil report file tested area is northwesterly, as reported. These items have been noted on the report for use in POWTS design. I notified Bob via telephone conversation that the slope direction on lot 12 needs to be re- checked and he is scheduling a site visit so that any necessary corrections can be made prior to preparation of a mound design. He was also informed of the discrepancies found in the soil conditions on lots 13 & 14 and that Shaun Bird will be re-designing the POWTS for lot 13. Cc: Todd Bjerstedt, Subdivision Developer Bob Ulbricht, MP/CST #226375 Shaun Bird, MP #226900 (POWTS Installer) Leroy Jansky, DCOMM Regional Wastewater Specialist Soil report file A • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page j of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code c w* ST' CA 101'X- Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must S IM but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 407- /n1 M percent slope, scale or dimensions, north arrow. and location and distance to nearest road. p NDlJO G"' b Please print all Information. R Y Date Personal kito moon you provide may be used for secondary purposes (Privacy Law. s.15.04 (1) (m))_ Q/f~yL ! 3 j/ v~ 1 Property Owner r DD Property Location De T•o CID B3 ERS Te7f~ T--~ /o ~ # A Govt. Lot Al l vn 5 1/4 S fit- T 2-8 N R (or) W 0 Property Owner's Mailing Address Lot # Block # Subd. Name or CSW (D o 15 CA K-i L!_ AU -R- - / y wAL."O r Kit! FAR ( . T)W& t State Zip Code Phone Number 0 City 0 Village R Town Nearest Road &&907 /-1 P; M~ 5S47&r ( CSI) z99• lof TRoy so. a-louER New Construction Use- [9 Residential ! Number of bedrooms Code derived design flow rate GPD 0 Replacement 0 Public or commercial - Describe: tA Parent material 49 IS- S. Flood Plain elevation applicable N! ft General comments i b - oN -5i f 1419-ed /'o 0. Z I~'c vu and reconuriendations: • ffjPF~f- TD'S T~ Svi Ti9~~3 /E' - 1 BU,v Cv i~ ~ si'~t.. ~~7~. • y l1"P~ ~ a• ll7 • T'S , n O / N Boring # Boring Q/ > a r ®pit Ground surface elev. n ~ / • 3 7 Depth to Writing factor in. Soil Rate _Wlicadon Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff b \ In. Munsell Qu. SL Cunt Color Gr. Sz. Sh. 'Eff#1 TO YR 23 2- IV-.21 io Yle 51L !-FS k d A 4L) /1 • Z • 3 3 / • SiL k v c • ~ ~ ~ o Ground swface elev. Depth to limiting farxar~ in. Pit O Sol Application Rate c„ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. MinLsell QU. Sz. Corrt. Color Gr. Sz. Sh. -Eff#1 '01#2 / o • o /o R3l 2-~sh 1Xs~x w . s N 2- D•~ /o S/& l-P 4) •3 N "j.( dutt, CL ti afluent #1 = BOD > W < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BOD 130 mgA. and TSS < 30 mglL CST Name (Please Print} • , i a T- Signature j M_ _ L a2 CtCSST"N Address Ulbricht & Assgciates S Data Evaluation co3 7U- 7 ~ yy Private Sewaae Consultants 2812 10th Ave. Spring Valley, Wl 54767 p/X,5 FOR 4APRO X . z 3/0 s 01/0 - ©,?h ayo•/096 - 70• 0,Y0 . /0S'6 -oar Cv~GN V 7- Propert Owner ID # Par d D 4 ✓ i t Ground surface stay Depth to (asst" factor In Sod €tate Horn Depth Do«t Redoa Descctp#w Texture structure Consistence Boundary (toots ire, Munseti Gtu. 5z. Coat. Color Gr. Sz. Sh. `Eff#1 'E!f#2 o • r /D 3 2-F SAC 4,; . S ZQ SQL1 aQ w .Z .3 zo s• 5L FS Ole VYa F-1 Q pit . Ground surface elev. ft. Depth to limiting factor 5o ication Mate i torizon Depth Dom rk M Color Redox Description Texture structure Consistenw Boundary Boots GPD-ff in. Munsefi ChL Sz. CM* Color Gr. Sm Sh. `Eff#1 'Etf#2 Bonng # ❑ pit Ground surface rev. tt. Depth to T ' farctor in Sod A ticaion Rate Hortzon Depth r"renard COW Redox Description- Texture Consisterxe BourWary Roots GPDM in. Munseff Qu..Sz. Cont. Collor S-4 Sh. `Etf#1 `Eft#2 e r a ~ a ~ i E ODdng # Boring E] pit Grouted surface elev. -4-ft. Depth to knit" faces In. Sp litatia3a1e Nottzon DWM DarninantColor Redox Descrtp5on. Texture shucture commence soundery Roots WON ire. Munseti Qu Sz C,,, t. color Gr. Sz. Sh. °Eff#1 °Eff#2 Effluent #1 = Bt7Ds > 30: 224 mg& and TSS >30:S 150 tnglt. ° Eftent #2 = BODs < 30 mglt. and TSS < 30 mWL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3153 or TTY 608-254-8773. seaajrorr:_sroo? TDGG~ 13 ~E ~ s T~D7- Prowtyowner L a / y Z 3 Parcel ID # Page of Boring tj ❑ Boring F3 I Groundsurfaceetev. O ' 4 Depth to timiBttg factor / in coil ic:atirart Rate l tcxtzon Depth Dominant Cokn- Redox Descziption Texture Structure Consistence Boundary Roots GPD ff Munseti Qu. 5z. Cunt. Color Gr. Sz. Sh. `01141 'E8#2 o• io 3 L 2-FSAI(' dS17 G, ~ . -5 or S Z- 27 , Z • 3 71~lh l~ • SQL to /Ow s• 5c c • Y ~ Boring # ❑ Boning ❑ pit Ground surface elev. if. Depth to limiting factor in. Solt Application Rate t lvriZOn Depth Dominant Col Redox Description Texture Structure Consistence Boundary Roots GPD ft= Mansell Qa. Sz. Cont color Gr. Sz Sh. `Eti## l 'Ef##2 71 I L EJ Boring # Boring ❑ pit Ground surface eiev. ft. Depth to i' factor In. S cation Rate Horizon Depth Dominant Cotor Redox Description- Texture a Consistence Boundary Roots GP[} In. Munsell Qu.,Sz. Cont. Color INV, Sz 5h. "Etf#1 `EtT#2 F-1 Boring # Boling Ground sua face: elev. ft. ' . Depth to lirniiing favor in. E) pit Suit ' Lion Rate t-toitzon Depth Dominant Cot Redvx Desfxtp6on. Texture Structure Consistences Boundary Roots Ot'M Munsel Qu. Sz. Cont. Color Gr. Sz. Sta. "Eti`#1 "Etf#2 . e 1 I IEffluent #1 = BADS > 3t) = VO tr ti. and TSS >3tt < 150 mg& " Effluent = BODs < 30 mglt.. and TSS ~ 30 mgt The Department of Commerce is an apal opportunity service provider and employer. If you steed assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608 -264-9777. Sat}4no Ouw) PLOT PLAN' WALNUT HILLS FARM. LOT # / Pg. 3 of 3 = Contour elevation lines. • = Backhoe Soil pits. O = Benchmarks set, maRKED WITH FLAGGED .lathes. 1/2" steel conduit pipes. SCALE : 7 _ ✓ I 0 ~ v tob lell w c~ fl ~ V O~ LoT W (3t'~ Is s /00 L p T ~ RE;~ ~ ~ev~Yar~ s 0 11-'V~; 5 ; ARM 5,4 • + 1~0 j"* v~ ONO NI j t'j >0 LLJ cc / 00 ce- xS°J GoC14 o\ 00 z LL- Cl! ron zi~ (p 0 C'4' La T , 1 IL O z! to soh y~ x , LL- fi a 1 d f i ! LO '`2 moo 1 04 ' d ! 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C N W M F ufO~ y C7 U 4; N ry c A, S E E c U rn • O N h Co Co Z U O_ O_ E (n r V d IL i L: (L CL z 06/20/2013 02:41 PM Parcel 040-1303-00-014 PAGE 1 OF 1 Alt. Parcel M 22.28.19.1749 040 - TOWN OF TROY Current OX ST. CROIX COUNTY, WISCONSIN, Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - SHEWCZYK, DEREK D & JODI L DEREK D & JODI L SHEWCZYK 2107 NAMEKAGON ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 645 TRIBUTE PKWY SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.050 Plat: 09-092-WALNUT HILL FARM 1/75 040-03 SEC 22 T28N R19W PT NW SE WALNUT HILL Block/Condo Bldg: LOT 014 FARM LOT 14 (1.050AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-28N-19W NW SE Notes: Parcel History: Date Doc # Vol/Page Type 01/30/2013 972274 WD 04/05/2006 822193 LWD 12/19/2003 749627 2477/542 WD 12/10/2003 748766 2471/591 WD more... 2013 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.050 55,000 0 55,000 NO Totals for 2013: General Property 1.050 55,000 0 55,000 Woodland 0.000 0 0 Totals for 2012: General Property 1.050 55,000 0 55,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00