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HomeMy WebLinkAbout004-1085-90-200 County: St. Croix PRIVATE SEWAGE SYSTEM sanitary Permit No: 563843 0 Wisconsin Department of Commerce INSPECTION REPORT Safety and Building Division Plan ID No: (ATTACH TO PERMIT) State GENERAL INFORMATION [Privacy Law, s.15.04 (1)(m)]. Parcel Tax No: Personal information you provide may be used for secondary purposes City Village X Township 004-1085-90-200 Permit Holder's Name: Cad , Town Of SectionlTown/Range/Map No: Clements, Brandon 35.28.15.551A20 Ins p! BM Elev: BM Description: CST BM Elev: ;~I~~Jjiilllrip I'll, ELEVATION DATA FS ELEV. STATION BS HI TANK INFORMATION CAPACITY TYPE MANUFACTURER Benchmark U /Q9 Q 5,3 Septic /1JGJ F1 it. BM 7, 1 /0z•'6 A 1r' . ( .r r Dosing Gd 6~ Bldg. Sewer 1 / / • 3 Aeration ` 6 St/Ht inlet /3 . d 7(, Holding St/Ht Outlet TANK SETBACK INFORMATION BLDG. Vent to it intake ROAD Dt Inlet TANK TO W P/ WELL q Dt Bottom C~ 1 ~ Z • J Septic 3(~ 36 m2 -3 Header/Man. Dosing c..J 7/ ;56 13 Dist. Pipe 7- p/6 Z. 3 Aeration Bot. System ~,3 1,61 .-5 Holding /C3. Final Grade 4,0 PUMPISIPHON INFORMATION Demand St cover -7. ( /D Z" $ Manufacturer S~ A) P (r_ ,Cj GPM 7• q 166 Model Number t~ Yb 'Z q / I System Head TDI TDH Lift1i Frictio6, 4-7 , Forcemain Length Dia.Z / Dist. to Well Jtp inside Dia. Liquid Depth SOIL ABSORPTION SYSTEM No. Of,T{ench PIT DIMENSIONS No. Of Pits Width Length / .Y6J[ BED RENCH 7V x C DIMENSIONS ONS DIMENSIONS LAKE/STREAM LEACHING Manufacturer: P/L BLDG WELL CHAMBER OR SETBACK SYSTEM TO UNIT Model Number: INFORMATION Type em: /06 t ,x~ 4 ( 6 x Hole Spacing Ven o it Int e DISTRIBUTION SYSTEM Z ,J x Hole Size v Distribution Header/Manifol5 i~ Pipe(s) $g . :L DiaSpacing Length Z •ia Length- xx Mound Or At-Grade Systems Only xx Mulched SOIL COVER x Pressure Systems Only Depth of xx Seeded/sodded es No Depth Over ` Topsoil es No Depth Over • BedlTrench Edges Bed/Trench Center / COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: j( Inspection Parce l No: 3 .28.15.551A20 aM1 ~O Location: 3103 Hwy 29 Spring Valley, WC~6 1l4 N 1/4 `5~NR15W) NA ~ Lot 2 P V / 1.) Alt BM Description = 6 pr 2.) Bldg sewer length = -5fj / I - amount of cover = 7 4 dw ~ Z 3 Cert. No. Plan revision Required? F81 Yes No ~~~777 v Insepctors S' ature Use other side for additional information. Date SBD-6710 (R.3197) D o,.J ~~~r~.e~•~s pew 7"~'%~1 Lx) 3 7-D,O FAic- Pi ~ AC, 1 v LUGtit Elm IJ 1-51 Po`i`'/' - /A-VI I any v y 4 -S~ BeDroo X3,53 X 11l•0o UU64( 10 58 45 n Se6Fo P✓L J;Oe k4oi n d d r ~dL i i p► pr ~t l~ ~ ~ SE-40H Series 4/10 hp Submersible Effluent Pump - High Head, 3/4" Solids FLOW - LITERS/MINUTE 0 50 100 150 200 250 35 Motor Housing Epoxy Coated Cast Iron 10.0 Impeller Material Polycarbonate 30 Impeller Type Closed Vane 25 8.0 Volute ABS Power Cord SJTW 2p 6 0 Nitrile with Carbon Mechanical Shaft Seal and Ceramic Faces o , Fasteners Stainless Steel 4 0 = Shaft Stainless Steel 10Upper - Sleeve 2.0 Bearings Lower - Ball Bearing 5 3 0 10 20 30 40 50 60 70 - FLOW - GALLONS/MINUTE 11.65' 5.65' 9.30' 1.5' DISCHARGE 9.00" 3.91 SCREEN TO PASS 14 SOLIDS 6.5/1000 70.0 64.0 55.0 41.0 32.0 13.8 24.0 1,750 SE-40H-AF 1509 61 14/10 I 23230 0 I 11.5" FNPT .5" FNPT f 65/1000 f 70.0 164.0 f 55.0 141.0 132.0 113.8 I 20 ' 24.0 I 1,750 Franklin Electric 400 East Spring Street, Bluffton, IN 46714 Tel: 260.824.2900 - Fax: 260.824.2909 02011 Franklin Electric Co., Inc. Form 996270 - 12/11 www.franklin-olectric.com Industry Services Division County Oro t 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 Madison, WI 53707-7162 n w State Transaction Number .aiitary Permit Application in In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate gW ental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS ar ed to Project Address (if different than mailing address) Roblk the Department of Safety and Professional Servies. Personal information you provide may b used for purposes in accordance with the Privacy Law, s. 15.04(1 (m), Stats. V 1. Application -information - Please Print All Information Property Owner' Name T y Parcel # 170n ~ `-1° Wl ~Pvl T ~~=r 6b~ /aF5 --pro - ~.~v 1 Property Owner's Mailing Address y~ Property Location / CC j /1 Z Z a 1 Govt. Lot .3r q ' JJ r! J city to Zip Code Phone Number (,f/ y, 1A Section ,4 tAl ..'Wrmg le one II. Type of Building (check all t t apply) Lot # - 2 Subdivision Name 1 or 2 Family Dwelling -Number of Bedrooms J t7 K ~ Block # Public/Commercial - Describe Use ❑ City of A CSM Number 73 sJc~ ❑ Village of ❑ State Owned - Describe Use own of 5 /X a o~ Ce,l V61 2-51s74-7 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. Xkw System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date sued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner G , _ ~ .0 c~C IV. Type of POWTS System/Component/Device: Check all that I 11 Non-Pressurized In-Ground El Pressurized In-Ground 11 At-Grade ound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) -OL V. Dis ersal/Treat t Area Information: al Proposed s s em Elevation j Desig Flow (gpd) Design Soil Application R` ~pdsf) DispersaJ,Areaequire / 0 Dispersal VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units t o y New Tanks Existing Tanks 2 .12 1 Itl~ a U v n u C7 a Septic o- W ice" Dosing Chamber ! b~ VII. Responsibility Statement- I, the undersigned, ass a respon ' ity for installation of the POWTS shown on the attached plans. Pl Plum plus s, tur MP RS Number Business Phone Number Plumber's Name riot) z ~J Plumber's Address (Street, City, Statew 7jp Code) VIII. Coun /De artment Use Only Issuing t Signature Permit Fee Date I ued g ve .7 ! V /3 Denial Approved =,'~G,v!nRe~ison. IX. Condit asons for Disapproval 3 ~Q, t-t~o /f!(bJctSG trL' 1, seoctank,`effltiant°FAerand v II ~~~I •n dispersal cetl,must all be services F Maintained C`ry' eT_CleC-~_ LA~'~ os per management plan provided by plumber. 2. A I $00' »ek requirements must bet illintained n Der Attach to complete plans or t e system and submit to the County only on paper not less than 8 ux x I t inches in size SBD-6398 (R0313) tipARTAf, DIVISION OF INDUSTRY SERVICES w°,9 Toy 3824 N CREEKSIDE LA ~~'0 HOLMEN WI 54636 S P K Contact Through Relay www.dsps.wi.gov/sb/ q~~ `Gw www.wisconsin.gov ADO sSior:Scott Walker, Governor Dave Ross, Secretary June 20, 2013 CUST ID No. 139462 ATTN.- POWTS Inspector TODD L SINZ ZONING OFFICE TL SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/20/2015 Identification Numbers Transaction ID No. 2258053 SITE: Site ID No. 791764 Brandon Clements Please refer to both identification numbers, 3109 Hwy 29 above, in all correspondence with the agency. Town of Cady St Croix County NW1/4, NW1/4, S35, T28N, R15W FOR: Description: Three Bedroom Mound System / 5% slope Object Type: POWTS Component Manual. Regulated Object ID No.: 1432962 Maintenance required; 450 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, 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. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. COND The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code AP requirements. DEPT OF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, PROFESSI stats. DIVISION OF IN The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • 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. SEE 4rn • 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. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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 Depaaartment which may include local inspectors. TODD L SINZ Page 2 6/20/2013 • Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • 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. • 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. 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 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jeny.swiin@wisconsin.gov cc: Edwin A Taylor, Waterwater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to } the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered ,ndaddressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed ` by SPS Chapters 360-366. TODD L S1NZ Page 2 6/20/2013 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. a 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). • 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. • 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. 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 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swiin@wisconsin.gov cc: Edwin A Taylor, Waterwater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to t the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered ondiaddressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. D fr JUN -,5 2013 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESI~RYS Residential Application F/~V1G,FS' INDEX AND TITLE PAGE Project Name: Brandon Clements Septic System Owner's Name: Brandon Clements Owner's Address: 3109 HWY 29 Spring Valley Wi 54767 I 715-495-7151 Legal Description: NW1/4 NW1/4 S35 T28N R15W Township: Cady County: St Croix ITIONALIY Subdivision Name: 'ROVED Lot Number: Block Number: FET AND RVlC .S Parcel I.D. Number: 'USTRY SERVICES Plan Transaction No.: Page 1 Index and title S ~NDE Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Todd Sin License Number: MP139462 Date: 05/31/1 Phone Number: 715-235-2644 Signature: Jfw ~to Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both 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) Version 6.0 (R. 04/08) Page 1 of 8 } Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 5.00 Site Slope 100.00 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (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) a Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. E_ 0.126 Orifice Diameter (in) 3.00 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 45.00 Forcemain Length (ft) Does the forcemain drain back? Y 87.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 7.34 Forcemain Drainback (gal) 14.42 Vertical Lift (ft) 81.16 5x Void Volume (gal) 0.61 Friction Loss (ft) 88.50 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 24.72 System Demand (gpm) 21.53 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Huffcutt Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 627.00 Dose Tank Capacity (gal) Orenco Filter Manufacturer 14.90 Dose Tank Volume (gal/in) FT0822-14BA Filter Model Number Huffcutt Concrete Manufacturer Project: Brandon Clements Septic System Page 2 of 8 Mound Plan and Cross Section Views t 1/10 B J Observation Pipe...... FK 5 A W B z - L Mound Component Dimensions A 5.00 ft E 22.00 in H [Aft ft K 10.50 ft B 90.00 ft F 9.50 in z ft L 111.00 ft D 19.00 in G 0.50 ft J W 23.53 ft 450.00 (ft) Dispersal Cell Area 1442.65 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.38 (ft) - 1 ♦ H I F !Dispersal Cell 102.08 .//IJ/fffflff f J (ft) Lateral 101.58 (ft)--► - Invert Dispersal Cell Elevation 100.00 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key m Dispersal Cell See lateral details on 1~ ® Topsoil Cap c 1.5 ft - Page 4 for number, 2 Subsoil Cap 0 o size, and spacing of r laterals. Laterals are ASTM C33 Sand 1° F equally spaced from the 8 Tilled Layer 0.5 ft Tvuicai Lateral distribution cell's © Aggregate o centerline in the _ A ♦ distribution cell (AxB). Project: Brandon Clements Septic System Page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the A 6c dimension • = Turn-up vRball valve or oleanoutplug p .I All laterals are identical IF X __4I Holes drilled on the bottom of the lateral equally spaced S Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30.5) i Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 88.45 ft Orifices per Lateral 30 Lateral Spacing (S) 2.50 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 12.36 gpm Manifold Length 2.50 ft System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 21.53 ft Forcemain Velocity 2.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and 111~~~ Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented ` E- Alternate outlet location Forcemain diameter Huffcutt Concrete Manufacturer 2 in. Capacityl 627.00 Gallons volume 14.90 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 26.14 389.50 B 2.00 29.80 C Pump off elevation (ft) C 5.94 88.50 _t 87.67 D 8.00 119.20 D Total 42.08 627.00 Dose tank elevation (ft) 3" Bedding un er tank. ♦ 87.00 Alarm Manuafacturer SJE RRHombus_ Alarm Model Numbe SJE 10101 H Pump Manufacturer Zoeller Pump Model Number BN151 Pump Must Deliver 24.72 gpm at 21.53 ftTDH Project: Brandon Clements Septic System Page 4 of 8 Mound Svstem Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing In-c.] Phone 715-235-2644 POWTS Regulator's Name St Croix County Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 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 Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Brandon Clements Septic System Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, 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 113 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 of 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 Department of Commerce. Pump Tank The pump (dosing) 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. 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 BOD5, 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 18 months. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaency 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 W PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW PER MINUTE MODEL 1511152/153 so EFFLUENT AND DEWATERING 14 45 153 12- 4u MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 0 35 5 1.5 50 189 69 261 77 291 10 152 30 10 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 ii 8 25 151 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 ° 6 20 30 9.1 - - 23 87 33 125 35 10.7 - - - - 22 85 4 15 40 12.2 - - - 11 42 10 Shut-off Head: #31ft. (9.1m) 38 ft 111.6m) 44 ft (13.4m) 2 014SUB 5 0 Model 151 Models 1521153 10 20 30 40 50 60 70 80 90 100 GALLONS 67132 67132 LITERS 0 40 80 120 160 200 240 280 320 360 3719 458 3718 4518 I FLOW PER MINUTE 014508A CONSULT FACTORY FOR 3718 X3718 SPECIAL APPLICATIONS o 4 ® ,?M • Timed dosing panels available e + • Electrical alternators, for duplex systems, are available and t 1r2'NPr supplied with an alarm • Variable level control switches are available for controlling single phase systems • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 1111,16 12.1/8 FM1420 • Over 130"F (54°C) special quotation required 415116 53M 151/1521153 Series SK2444 SK2064 1 5111 52 /15 3 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or3 E151 230 1 Non 3.2 1 2 or 3 BE1 N1521 115 230 1 Non 83.5 Indicted 2or3 "Easy assembly" BN152 115 1 Auto 8.5 Included 2 or 3 (pump not discharge pipe rrot included.) E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 InaUded 2 or3 SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level OPTIONAL PUMP STAND PIN 10-2421 • Reduces potential clogging by debris float switch. Refer to FM0477. • Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. • Provides the ability to raise intake by adding sections of 11/2" or 2" PVC piping O CAUTION Attaches securely to pump All installation of controls, protection devices and wiring should be done by a qualified • Accommodates sump, dewatering and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE: Make sure float is free from obstruction. most recent National Electrical Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. 7-D~ r= > ?Ai e~ .6m AG, ~b I v l~ i ti Dl~ ~6 oa ~Aw~ta T,~n /c... 1151 X00 chg. 3 i wt =10-7.~ Top, -7/y pi/l- PIP15- "CAD 4 IIeD aoi-I l 3,53 X !I 1 •oo UU6~ wEu- ,~t~✓ l~ s8 ~S~P r~l ~5 ~ 2" ;er~~o PJL rvke >4&;n 3J4 P V4- i / Topdr T.L. 'gin l *g Ine. E5609 708th Avenue Phone: (7,15) 235-2644 Menomonie, WI $4751 Fax: (715) 235-2592 FAX TRAP~TSMITTAL Date; oD 0?4 /.3 No. of Pages: (including cover) To: ,OpptaerA~ai 7 Cm eT Attn:' • From: ' / 01~~/✓~i Subject: n . . Message: PV& k11 ge it.. Iq Signature; ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer o - Mailing Address SN)II-11.4 Property Address N ~ ~q I 'j (Verification required from Planning & Zoning Department for new constniction.) City/State ci Parcel Identification Number c)N 1035go (?a LEGAL DESCRIPTION Property LocatiorpAAJ '/4 , X60 '/4 , Sec. 3 5--,T rK NR W, Town of Subdivision , Lot # 0 Certified Survey Map # Volume ~ Csrn , Page # _S Warranty Deed # q1Q/ F?`I , Volume , Page # Spec house yes no Lot lines identifiable yes 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 §Comm. 83.52(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 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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are 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 r orded in Register of Deeds Office. Number of bedrooms 44V4 SIGNATURE 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. 08/05) 0 100 200 now SCALE: 1 100 7RAwLEO CL STH 19" NW CORNER SEC7701V 35 728N - R15W N8954'11"W 2621.79' FOUND 1 O.D. IRON PIPE - - - - -Y S. T. H. "29 " NORTH 114 CORNER SECTION 35, T28N - R15W R/W VARIES FOUND ALUMINUM MONUMENT N81 32'27"W fib, j 385.38' M I _ W i x N N I it Wo I N O I I\ 08 WZ to M ~ 04 N m j LOT 1 M Z W a j 129,644 SQUARE FT. A m 2.98 ACRES oW w V) 00 K ~ I CV wa I A O g r- lU N I m Q A 0 zi o, I S89'34'49"E 381.59' W LLJ m1 N I p~ al 0 x F4 U I LO of =i ¢ I O gl Z I i zi R to I LOT 2 A 120,206 SQUARE FT 2.76 ACRES j M N x I A to N 66' I A ° N S893449"E 381.59' S N UNPi7ED LAND LEGEND A - - - - SOIL BORING A SOIL BORING BENCH MARK WEST 114 CORNER rSEC770N 35, T28N - R15W O SET 1" O.D. x 18» IRON PIPE REAL LAND SURVEYING, LLC POS17ION FROM COUNTY 77ES / WEIGHING 1.13 LBS./LIN.FT. 635 FAIRFAX ST. COORDINATES - HIGH WATER ALTOONA, WI 54720 (715)514-4116 SHEET 1 OF 2 CADD No. 11025 Vol 25 Page 5767 00. d NISNOOSIM ~:(1Nl100 X/0210 1S :(GVO -10 NMO1 00.0r :33~ ~3N M512J N901 5£' NOLL03S 1Aw;1X;1 `)f MN 31-L1 -10 )f MN 3H1 NI d S : TT AI/,S0 H0~9~~O~ D9AI3D3B L9L5 .0 ® - N `d bW A3AHnS 03/3/1X130 iM -asp xz,Qaz~ -.1$ Sa;]!Iu 210 ttnl'Slagm ISOVd H138 L9L5 30dd `WSO 3O SZ -10A LQ61.0V: X1 ff 8 9IIIIL L z 0 8If IIII~I I tCI~I~~~IIIiI~~~~~~ II ~I BOUNDARY SURVEYED AND DESCRIBED AND THE SUBDIVISION THEREOF. THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN STATUTES AND SUBDIVISION REGULATIONS OF THE TOWN OF CADY AND ST. CROIX COUNTY, WISCONSIN IN SU VEYING AND MAPPING THE SAME. DATED THIS GJJ DAY OF l J 2011 -PET J. GARTMAN , .L.S. 2279 OWNER'S CERTIFICATE OF DEDICATION: AS OWNER, I HEREBY CERTIFY THAT I CAUSED THE LAND DESCRIBED ON THIS CERTIFIED SURVEY MAP TO BE SURVEYED, DIVIDED, MAPPED AND DEDICATED AS REPRESENTED ON THE CERTIFIED SURVEY MAP. WITNESS THE 13 AND S i L OF SAID OWNERS THIS DAY OF VIM" .2011. I APPROVED MES P. CLEMENTS, OWNER STATE OF L „ ~ MAY 09 2011 ~ COUNTY OF S- { ss ST. CROIX COUNTY PLANNING & ZONING OFFICE PERSONALLY APPEARED BEFORE ME THIS DAY OF &U 2011, THE ABOVE NAMED JAMES P. CLEME ! S TO ME KNOWN TO BE THE PERSON WHO EXEC D THE FOREGOING INSTRUMENT EKNOWLE ED H SAME TO BE HIS OWN FREE ACT AND DEED. NOTARY PUBLIC MY COMMISSION EXPIR LANDOWNER/ SUB-DIVIDER: * : -~O A NAME: JAMES P. CLEMENTS ADDRESS: 3109 HWY 29 - CITY: SPRING VALLEY WI 54767 STATE OF WISCONSIN 441OF VISGO`NN ~.GC1i COUNTY)SS I, La, ieA - NeW being the duly elected, qualified and acting treasurer of the county of >Croix , do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of (date) affecting the lands included in this certified survey map. K)AI (Date) (Treasurer) Sheet 2 of 2 Vol 25 Page 5767 UNOFFICIAL COPY DOCUMENTNO. ~IINI~IIIIiNNi~~l~~l~~II ml~ STATE BAR OF WISCONSIN FORM 3-1982 QUIT CLAIM DEED 8 Tx 1 7 44 8 0 James P. Clements, a married person quit claims to Brandon P. Clements, a 970164 single person the following described real estate in ST. CROIX County, State of BETH PABST Wisconsin: REGISTER OF DEEDS SEE ATTACHED LEGAL DESCRIPTION: ST. CROIX CO., WI 12/26/2012 3:39 PM EXEMPT#: 8 REC FEE: 30.00 PAGES: 2 RETURN TO Dunn Co. Title Services, Inc. 521 N. Broadway Menomonie, W154751 Tax Parcel No: 004-1085-90- This is homestead property. (is)(is not) Dated this IT"day of De/--be x2012. 04wt-~~ (SEAL) (SEAL) ( ames P. Clements (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN authenticated this day of , 20_ ss. OUNTY OF DLiNN + ~ 1~. ¢,c,erwbur TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this 11 " day, ofr,, 2012, the (if not, above named James P. Clements, a gib e•known to be the person(s) who executed the'foPe in ..I . authorized by § 706.06, Wis. Stats.) acknowledge the same. fi ~ ~_a tip. THIS INSTRUMENT WAS DRAFrED BY t Robert L. Loberg/ Loberg Law Office tw/ Notary Public f►I'1 (Signatures may be authenticated or acknowledged. Both are My Commission is permanent. exptration not necessary.) *Names orpersons signing in any capacity should be typed or printed below their signatures. ' QUIT CLAIM DEED FORM NO. 3-1982 1 of 2 Lot 2 of Certified Survey Map No. 5767 recorded in the office of Register of Deeds for St. Croix County, May 9, 2011 in Vol. 25, pg. 57-67 as Doc. No. 935977, being part of the NW % of the NW Y4, Section 35, Township 28 North, Range 15 West, Town of Cady, St. Croix County, Wisconsin 2 of 2 ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings le -In accordance with Comm 85, Wis. Adm. Code County Attach complete s' ial"and an 8'/2 x I I inches in size. Plan must St. CTOix Include but not limited horizontal reference point (BM), direction and Parcel I.D. Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. / G nt all information Revi a Date Personal information you provide y be rivacy Law, s. 15.04 (1) (m)) Z 2 Nmblf 1 Property Owner Property Location James Clements c vt. Lot NW NW % s 35 T 28 N R 15 w Property Owner's Mailing Address Z o l l Lot # Block # Subd. Name or SM# 3109 Hwy 29 ST. Ci~Cix 2 -7 City State I Z0NIN?4q*FICE ❑ City ❑ Village El Town Nearest Road Spring Valle WI 54767 715- - 24 Cad #3/03 H 29 H New Construction Use: 0 Residential / Number of Bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or Commercial - Describe: Parent Material Loess over Till Flood Plain elevation if applicable N/A ft. General comments and recommendations: Mee-1V>t~ , 1 Boring # Boring 0 Pit Ground Surface Elevation 100.0 ft. Depth to Limiting factor >27 in. Soil ADolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 -Efr#2 1 0-11 10YR3/2 - SIL 2-m-gr mfr as 3f 0.6 0.8 2 11-21 10YR3/4 - L 2-m-bk mfr gs If 0.6 0.8 3 21-27 10YR3/4 - SL 3-m-bk mfi gs 1f 0.6 1.0 4 27+ 7.5YR4/4 - GRSL 0-m mfi - 1f 0.2 0.6 21 Boring # ❑ Boring E1Pit Ground Surface Elevation 98.3 ft. Depth to Limiting factor 17 in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0-10 10YR3/2 - SIL 2-m-bk mfr as 3f 0.6 0.8 2 10-17 10YR4/4 - SIL 2-m-bk mfr gs 1f 0.6 0.8 3 17-25 10YR4/4 7.5YR4/6 f-1 -f CL 2-m-bk mfi cs 1f 0.4 0.6 4 5+ 7.5YR4/6 - SL 0-m mfi - 1f 0.2 0.6 ' Effluent #1= BOD5> 30 220 mg/L and TSS > 30:5150 mg/L ' Effluent #2 = BOD5 30 mg/L and TSS 30 mg/L CST Name (Please Print) Si afore CST Number 46672 Mark Iverson - jZ-~~ Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 March 14, 2011 715-796-5664 Property Owner Jaynes Clements Parcel ID# new Page --Z -of 3 Boring Boring # HPit Ground Surface Elevation 100.2 ft. Depth to Limiting factor 18 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10YR3/2 - SIL 2-f-gr mfr as 2f 0.6 0.8 2 11-18 10YR4/4 - SIL 2-m-bk mfr CS if 0.6 0.8 3 18-22 10YR4/4 7.5YR4/6 f-1-f SICL 2-m-bk mfr gs 1f 0.4 0.6 4 -39+ 10YR4/4 - SICL 2-m-bk mfi - - 0.4 0.6 ❑ Boring 4 Boring # HPit Ground Surface Elevation ft. Depth to Limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring Boring # HPIt Ground Surface Elevation ft. Depth to Limiting factor in. Soil ADolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EfI#2 ° Effluent # 1= BOD5 > 30:5 220 mg/L and TSS > 30 < 150 mg/L " Effluent #2 = BOD5 < 30 mg/L and TSS 30 mg/L 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 608-266-3151 or TTY 608-264-8777. I Page 3 of 3. j Property Line j 0 ft. 24 ft. 40 ft. 80 ft. I N ' i j ` i 66' ! Access I ! c ' I LOT 2 2- I I~ I I_ I CM I IX I .W I I BM#2 - Top of /4"PVC Pipe j B 1 10-1.4' I i 100.0 4 % Slo e ! -1 I I I B-2 98.3 t ! . I I I II. j BM#2 - Top f 3A "PVC Pipe I B-3 1 .3' j 100.2 Property Line I • = TGround Surface Elevation I BM# & Description = Bench Mark B-1 = Boring Location & Elevation Elevation 100' Owner: James Clements Site Information: Completed By: Mark Iverson, PSS #197 3109 Hwy 29 NW1/4, NW1/4, S35, T28N, R15 680 Larcom Street Spring Valley, WI 54767 Town of Cady Hammond, WI 54015 St. Croix County 715-796-5664 Phone: 715-772-4524 CST# 46672 5 u R-u C~ t-o z- > S pa) Na l/,~ ~t wt 5V 76 7 • x 0 an ■ tv, f ' f1 4,1 LOT 4,, 165'ACRES i ~ " ~ir ~ x s II ~t~1 1~ 1 tI LOT 2 t r a 2.5 ACRES. y } gl. i t t Parcel 004-1085-90-200 04/09/2012 04:15 PM PAGE 1 OF 1 Alt. Parcel 35.28.15.551A-20 004 - TOWN OF CADY Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 05/09/2011 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CLEMENTS, JAMES P JAMES P CLEMENTS 3109 HWY 29 SPRING VALLEY WI 54767 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 3103 HWY 29 SC 5586 SCH DIST SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.760 Plat: 5767-CSM 25-5767 004/2011 SEC 35 T28N R15W PT NW NW; BEING CSM Block/Condo Bldg: LOT 02 25-5767 LOT 2 (2.760AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-15W NW NW Notes: Parcel History: RETIRED 2011 FOR 2012; TAKES PT Date Doc # Vol/Page Type 004-1085-90-000 (551A) FOR REMAINDER 05/09/2011 935977 25/5767 CSM 004-1085-90-050 (551A-05) AND CSM 01/09/2001 636502 1573/488 WD 25-5767 LOT 1 004-1085-90-100 (551A-10) 07/05/1996 546436 1188/396 QC & LOT 2 004-1085-90-200 (551A-20) 03/19/1986 410285 735/161 LC 2012 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/23/2011 Description Class Acres Land Improve Total State Reason Totals for 2012: 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