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HomeMy WebLinkAbout006-1083-60-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 574325 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: Klasse, Dorothy C Ion, Town of 006-1083-60-100 CST B ev: Insp.BM Elev: BM Desprlption: Section/Town/Range/Map No: / co 36.31.16.556A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION , ; BS HI FS ELEV. /C /e / Septic ( S�,I Benchmark O 1 f Dosing Alt. BM Aeration Bldg.Sewer - y7 ICU X Holding SVHt Inlet VN SZ- St/Ht Outlet TANK SETBACK INFORMATION TANK TO �JL WELL 13LDG. Vent to Air Intake ROAD Dt Inlet V Dt B `:� C.(LQ/L Septic [ l i r S.r LE LU 211 i 5 Z O,Z,c:� Dosing [ el 4,"e Heacip0Man. Aeration Dist. P' 'w1, 6,'� It T rz Holding S Bot. System Final Grade y // s? Z ��� PUMP/SIPHON INFORMATION kit tj tr; `�. i, / y •�� Manufacturer Dema d St Cover / 0 i J' v Q* i� / L GPM (�' ht 1J 7 • /�' J Model Number - 4-Ou v Frict!IW Loss System Head J TDH� Ft rrl / ]',0 to Forcemain Length / Dia. // Dist.to Well I ,Z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No.Of nch s PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth .5� DIMENSIONS � `76 1%..— SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAM LEACHI Manufacturer: _ INFORMATION CHA R OR Type 0 tem: '1„7 I AI 1 •7 L UNIT Model Number: \ / / i0J d�? 7- U DISTRIBUTION SYSTEM ° C.i:VI-1(,,>'S q Am,5 oll 34 Header/Manifold/ �/ Distribution / 3 Ix Hole Si z Ix Hole Spacing Veneto A r Intake(�) Length+'�� Dia 1-:5 Length 4�` ` Dia /` J Spacing Z-1� L , tv SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of Seeded/Spi1bled hed Bed/Trench Center 1,75 Bed/Trench Edges \ Topsoil � es �' No �` s � ]NO 4, COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / zS/ Inspection#2: ( Location: 2533 Hwy 63/64 Emerald,WI 54013(NE 1/4 NW 1/4 36 T31 R1 6W) NA Lot 1 ��� Parcel No: 36.31.16.556A10 1.)Alt BM Description i 2.)Bldg sewer length 2 -amount of cover Plan revision Required? ' information. �-J----:-.-----1- � Use other side for additional in Date Insepctor's Signature Cert.No. SBD-6710(R.3/97) J HARDIN .. SEPTIC SYSTEMS X, U 25 It 4 M, Pie W f,-jAi t.-Z;aa� - wCLLy Aug s r • o • 9T.s ! � 3 v Z d _ � to 61 I I I&W Z l obsr°PV-14 ` o 4°5EN4 q kd aco<s, w e- eft o"o 7r� JA PUMP PERFORMANCE PUMP PERFORMANCE CURVE EFFLUENT MODELS •. 0I I SRI U-11;n 10 Moo:77NIq. • \\NOON■■m�o�o■BMWs w! n ■\NOON■°®o°°i°omio°o®°©o°v■�v°©o °®000�°moo®■��o■o° ,s o��®oo ®�°o.��°©��°�o.���o�©gym•°� NOON■■■o°°°e°°°°°i®®o°°oo°v°©� o®is°°°also°°°ai°o°e°°e�■o ■\NOON o®°°°°°eoe°eeee°e°isoee o�oe°o°■eaoee°�s°e°e°ova° ■��■�■■' �� me°a°°o°°use°°°ae°e°ns° � �°®°e°eee°e°ens°e°°e000io .� ■■�■►�■■°�eee°°o°ee°e°°ems■°°°�so - ►\HMINIMNO■■■■■■■ W\Mil11\NONE■MEMO \\MMI WIPMEMME■■■ � ■� I : MZX � 0M\■11►�■NMEEMMEN mooa°�o°°°Emil= \►\II\1\\\ENONNN 000®m® ®®o�ovm \1►11■I■\\IEEE■■ pp°°°m!'°�°�m®®©� \ � °m0ovv°aom0v®0v° ov©mov°eoo0o0mi®° ►-M►EII iM M, ■■EON o ®�oovm \l�I111 MME.\\NME■ veve©0°oo ®mom© aae°aa°°®®©ov0v0 Nowell\\0■■■■►M■M s�E\\ICI\\M■E■EE■ MR\\10"i��!\\\■■■O\E ■\ \3001 S \\EMM\■ ■■NNE■■NEW N■■■■ pump,see FM0219. SEWAGEAND o©omomoov�vovomvvoossm0©v DEWATERING 0 000 MEMO== 0000000®OOS©O00 ®0O©00000000©0000000000000 :1 M■■■■■■0000000000x00®©0000m100©000 o0ssssasssssomao©o©vovv®°° u omssasassssssssso0voov®��� `■■■■■oolm ss sss�sssasasm®ov©v0v � ©mssssssassssass s0vvv©v®v v©ssssssais®°�°®®ssssovov .■■■v©ssosssssssasssssssss©oov . ■■'� m®®sesssassassss�s�ss® ■���■■►�■■■■■■■■■■■■ ON No \��■■■►\■►\■■■■■ \\►\■■\O�■■■MEN■■■■ . . . . Nip \\■\■\�\■■■■■■■■■■ . . �- WORMS ►`fir\�\\►\■■■■NMO 51 SEE! :,subjected tD iess than 15 feet TDH. alp County Safety Safety and Buildings Division t��4 .° 162 Sanitary Permit Number(to be filled in by Co.) 201 W.Washingto e. Madis W3 — 6 S 74�3 Z S co E State Transaction Number �t-��^nn Ut 9*H tary Permit Application In accordance wuIYS'PS 38:1.21(2).Wis.Adm.Code,submission of this form u,the appropriate governmental unit I required prior to obtaining a sanitary pentitt Note:Application fortes for state-owned POWTS are submitted to Fn�ject Address(if d ffcre�n than mailing addre �V the Department of Safety and Prolexional Servies. Personal information you provide may be used for seconda 33 ,$ . purposes in accordance with the Privacy Law,S.15.04 I)(m),Stats. 1. Application Information-Please Print ormatlon _ Parcel n Property Owner's Name Do J - 143-6 Q I U ,iJ®Q oT Property Location Property Owner's Mailing Address / I A Govt.Lot - ------------ City,State Zip Code Phone Number VO4 �_y,�':, Section icircle one) !� � I_sri.—N: R 1.(� For It.Type of Building(check all that apply) Lot k �r Subdivision Name 1 or 2 Family Dwelling Number of Bedrooms Block If ❑Public/Commercial--Describe Use ❑City of -- --... CS T� Village of_. M u gi ber� � �/� ❑State Owned- escribe Use_ V ll 7/ Down of L6/l✓t f -;ir iii.Type of Permit; (Check only one box on line A. Complete line B if app icable) A. lacement S stem ❑TreatmentMolding Tank Replacement Only ❑OthcK Modification to Existing System(explain) 'New System eP• y. — -- List Previous Permit Number and Date Issued [� Change of Plumber El Permit Transfer to New R. ❑Permit.Renewal ❑Permit Revision 1 ' I Before Expiration Owner i lV. Type of POWTS S stem/Com onent[Device: Check all that apply —� ❑Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade JfMound>24 in.of suitable soil ❑Mound 24 in,of suitably e soil r ❑Holding Tank ❑Other Dispersal Component(explain)- El Pretreatment Device(explain)- .a V.Dis ersal/Treat ent Area Information- ---- Dis Dispersal Area Required(st) Dispersal Area Proposed(st) System Elevation Design Flow(gpd) Design Soil Application Rate( dst) { T I �Do ^ __.ManufacmreC VI.Tank Info Capacity in Total #of c s Gallons Units J New Tanks Existing i'artks C) c.. Septic or Bolding Tank Msing Chamber 750 V11.Responsibility Statement- 11 the undersigned,assume responsibli ty for installation of the POWTS shown on the attached plans. Plumber's Si ma e MI',MPRS Number Business Phone Number l Plumber's Name(Print) 7 ! C9- �-7 CCC..'ClIJJJ Plumber's Address(Street,City,State,Zip Code) Z;/ ,, e Vill.Coon /Department Use Oni Issuin nt Signature Permit Fee Date f sued g � pproved ❑ e $ Cf z [ er Given Reason fo eniai IX.Condtt �,: easons for Disapproval 3 �ro� tank;efflUbnf dispersal cell must all be services f marnlairtai! i G �� /� 815 per management plan provided by plumbic. 61- I cries// t LodL¢_ Attach to complete plans for the system and submit Gr the County only an paper not lus than 8 l!2 x 11 inches in site SBD-6398(R. 11/1l) BOB J HARDINA Page 2 7/7/2014 is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(1).Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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/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. Sincer Fee Required$ 250.00 Fee Received$ 250.00 Balance Due $ 0.00 Patricia L Shan orf POWT an Reviewer, ed Services WiSMART code:7633 (715)634-7810, Fax: (7�5) 4-5150,M-F 8:00 a.m. -4:45 p.m. pat.shandorf @wiscons v cc: Edwin A Taylor,Wastewater Specialist, (715)634-3484,Monday-Friday 8:00 am To 4:30 pm r 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 and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. 9ti��ThT DIVISION OF INDUSTRY SERVICES 10541N RANCH ROAD 0�5 0 9 HAYWARD WI 54843 3 f S Contact Through Relay °Y www.dsps.m(i.gov/sb/ p www.wisconsin.gov A�OSSION Scott Walker,Governor Dave Ross,Secretary July 07,2014 CUST ID No. 824825 AT77V:POWTS Inspector BOB J HARDINA ZONING OFFICE HARDINA SEPTIC SYSTEMS ST CROIX COUNTY SPIA 477 170TH AVE 1101 CARMICHAEL RD TURTLE LAKE WI 54889-9187 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/07/2016 Transaction ID No.2414391 Site ID No. 803198 SITE: Please refer to both identification numbers, Dorothy Klaas above,in all correspondence with the agency, 2533 St Rd 64 Town of Cylon St Croix County NE1/4,NW1/4, S36,T3 1N,R16W FOR: Description:Mound,4 bedroom residence Object Type:POWTS Component Manual Regulated Object ID No.: 1490016 Maintenance required; Replacement system; 600 GPD Flow rate; 50 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),Pressure CONDITIO Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01 101,R. 10/12), SSWMP Pub.9.6; Effluent Filter APPRO The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes DEPT OF SP► and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be construcyOFESSiONA and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. OF INDU The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all codeDIVISION 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. SEE CORK The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • 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 component manual are complied with.A copy of this information must be given to the owner upon completion of the project. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it BOB J HARDINA Page 2 7/7/2014 is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i).Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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/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. Sincer Fee Required$ 250.00 Fee Received$ 250.00 Balance Due $ 0.00 Patricia L Shan orf POWT an Reviewer,In grated Services WiSMART code:7633 (715)634-7810, Fax: ( 5) 4-5150,M-F 8:00 a.m.-4:45 p.m. pat.shandorf @wiscons v _ t cc: Edwin A Taylor,Wastewater 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 and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. x " MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: KLAAS Owner's Name: DOROTHY KLAAS Owner's Address: 5829 15TH RD. NORTH ARLINGTON, VA. 22205 7.64 Legal Description: Part of the NE,NW,sec 36,twp,31 N-R1 6W Township: Cylon County: ST.CROIX Subdivision Name: NA Lot Number: NA Block Number: NA Parcel I.D. Number: 006-1083-60-100 LLY Plan Transaction No.: 1ED ETY AND Page 1 Index and title _ SERVICES Page 2 Data entry ;TRH( SERVICES 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 p DE CE Page 8 Tank specifications Page 9 Site plan 1"=40' Page 10 Filter Specs. 'mot 1 Page 11 Attt. Soil test Designer: Robert Hardina License Number: 824825 Date: 05/14/14 Phone Number: 715-986-2508 Signature: _4 4 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P(N.01/01, R. 10/12),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,R. 10/12) Version 7.0(R. 11/12) Page 1 of 11 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 400.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for fecal coliform of-36 inches. 1.50 Peaking Factor(e.g. 1.5= 150%) 600.00 Design Flow(gpd) 5.50 Site Slope(%) 98.00 Contour Line Elevation (ft) wDepth to Limiting Factor(in) In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 70.001 Dispersal Cell Length Along Contour(ft) = 8.58 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate(gpd/ftz) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 2.86 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 3.00 Estimated Orifice Spacing (ft) = 8.70 fe/orifice 2.00 Forcemain Diameter(in) 120.00 Forcemain Length (ft) Does the forcemain drain back? Y_� 87.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head(ft)x 1.3 19.57 Forcemain Drainback (gal) 11.13 Vertical Lift(ft) 94.17 5x Void Volume(gal) 3.46 Friction Loss (ft) 113.74 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 37.16 System Demand (gpm) 19.13 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. op tions choice in. dia. options choice 0.75 1.25 1.00 1.50 x x 1.25 2.00 x 1.50 x J X 3.00 2.00 x 3.00 x Gallons/Inch Calculator(optional) Treatment Tank Information 758.00 Total Tank Capacity(gal) 1250.001 Septic Tank Capacity(gal) 1 45.00 Total Working Liquid Depth (in) HUFFCUTT I Manufacturer 16.84 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity(gal) IBEAR Filter Manufacturer 16.85 Dose Tank Volume(gal/in) GF10 Filter Model Number HUFFCUTT I Manufacturer Project: KLAAS Page 2 of 10 Mound Plan and Cross Section Views 1 1/106 • . . . J Observation Pipe l K T A . . . . . . . . . . . . . . . . . . . . . . . . . . B ?: •' : ; �. M: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions Down slope toe extension made. A 8.58 ft E I 11.66 in H 1.00 ft K ft B 70.00 ft F 9.50 in 1 12.85 ft L Egft ft D 6.00 in G 0.50 ft J 4.61 ft W 600.60 (ft2) Dispersal Cell Area 1500.00 (ft) Basal Area Available 8.57 (gpd/ft) Linear Loading Rate 7.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.29 (ft) —► H I F 'Dispersal Cell 99.00 (ft) Lateral 98.50 (ft)—► — : : . . . : . : : : Invert Dispersal Cell p D Elevation E { (t { i .. - 98.00 (ft)Contour Elevation 5.5 % Site Slope Geotextile Fabric Cover Shading Key $, �_ Dispersal Cell See lateral details on it Topsoil Cap o 1.5 ft Page 4 for number,size, f2 """" Subsoil Cap 0 .0 and spacing of laterals. Laterals are equally ASTM C33 Sand .5 Cd i'_ F spaced from the Til Later Tilled Layer c o ft ypca al distribution cell's © Aggregate �+ o _l__ centerline in the A distribution cell(AxB). Project: KLAAS Page 3 of 10 End Connection Lateral Layout Diagram Center the laterals over the A&B dimension •=Turn-up vgball valve or cleanoutplug P ,I FForcemain dentical IE X—�I Holes drifted on the bottom of the lateral S equally spaced Laterals&forcemain Sch 40 PVC per SPS Table 384.30-6 g onnection via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.11 ft Lateral Length (P) 68.42 ft Orifices per Lateral 23 Lateral Spacing (S) 2.86 ft Orifice Density 8.70 ft2/orifice Lateral Flow Rate 12.39 gpm Manifold Length 5.72 ft System Flow Rate 37.16 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.13 ft Forcemain Velocity 3.79 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —� 1� SPS 316.300 WAC 4 in.min. Disconnect n. Tank component is properly vented E-- Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer 2 in. Capacityl 750.00 Gallons T Volume 16.85 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 25.26 425.63 C B 2.00 33.70 P= ump off elevation(ft) C 6.75 113.74 1 r r--8-7-8--81 D 10.50 176.93 D Total 44.511 750.00 Dose tank elevation(ft) 3" Bedding un er tank. 87.00 Alarm Manuafacturer SJE RHOMBUS Note: Switches Alarm Model Number TANK ALERT containing mercury may not be used in Pump Manufacturer JZoeller this system. Pump Model Number I bn 152 Pump Must Deliver 37.16 gpm at 19.13 ft TDH Project: KLAAS Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name ROBERT HARDIN_A —� Phone POWTS Regulator's Name ST.CROIX CO. I F7 301 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 600.6 f:2 Maximum FOG 30 mg/L Type of Wastewater I Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once ev2l 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 3 years 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 SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 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 v1 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: KLAAS Page 5 of 10 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[SBD-10691-P(N.01/01,R. 10/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD- 10706-P(N.01/01,R. 10/12))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 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 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. 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 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 10 U) M LU W W PUMP PERFORMANCE CURVE MODEL 15111521153 50 14 45 153 12 40 a 35 10 152 � 30 8- 25 151 ° 6 20 15 4 10 2 5 0 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 014508 w z r w � 57' IN H 50' 7' 3 -- N D 0 3, 47' u > m - 1'1 a z d Q -4 m tz m N ?_ a D rri -to r Lam' cn !!° Q` G 13 A� Off' w m z ^ i 0 a 20' 2. O-� m w m D z � r fJ Gl CPI C D D ty\ INn O 1: 2' •. z N ru Re w PD C3 D o r O r ;1 N N < N rn A z P\'—�M D � n£ N N z r D'; 6.5 m m m n A QD y ntv �CZI 0 C3 m d n f*3i C O r Dz m m t3 C3 z <m C3 0 c z Am OD m C7 t7 C7 I a£ t m N m m � ti D v n == n O 0 0 < D1 mZ 48' 9' A z o 0 45' m A r;o C3 C] O> O 0-0 N D G V O w m n m r D rl g ° "z z T^ Z 0 N O d ? ..ui D ` PROJECTS 4154 123rd STREET :WN-SICDNSIN.C.A. C RnFlm PLANT N NUFFCUTT CNIPPEVA FALLS,WI 54729 . Sc 9 1,250/750 GALLON MEMBER OF: C o n CRETE.If IC (715) 7723-71 1 x (BOW 924 1516 (v PUNP DR SEPTIC TANK FAX C715) 723-7111 ■ rww.huffcutt.con �,��r5[NA:nl0NA.:L& PRECAST CONCRETE ASSMATIONS HARDINA SEPTIC SYSTEMS MPR IX ST 924925 Lo CL(- 9 _ 175o/75a CEau3c,M AA. k s 0 � a � 4 ID 5.41 yc C.L46�Tv N fit ,�Ar r FILTER CARTRIDGE INSTRUCTIONS Installation STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not,then either insert more pipe into the tank through the outlet or solvent weld (glue)additional pipe onto the outlet pipe. STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four. STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 900. Maintenance 1. The effluent filter should be cleaned every time the septic tank is .� �$�� N7, serviced. r' 2. Open the outlet access opening to inspect the tank and filter. +'" 3. Pump the septic tank completely, making sure to remove the sludge *. layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the outlet pipe,firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. 6. If a VRS switch connected to an alarm is present,the switch ` should be removed by turning counterclockwise 900 and cleaned L with water only. P 7. While holding the cartridge on its side(large flat surface facing dOWR)over the access opening, rinse off the cartridge with water }, I only,making sure all septage material is rinsed back into the tank. 8. If VRS switch is utilized, replace by inserting into filter and turning clockwise 900. 9. Insert the filter cartridge back into the case, pressing down until "t t � a the filter locks into the bottom of the case. � � A� 10.Replace and secure the access opening on the tank. BEAR ONSITET"FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five(5)years from the date of consumer purchase" BEAR ONSITET"Filter Case-Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use,Bear Onsite will,at its election,repair,provide a replacement part or product,or make appropriate adjustment.Damage to a product caused by accident,misuse,or abuse is not covered by this warranty.Improper care or malfunctions resulting from units not installed,operated,or maintained in accordance with instructions provided will void the warranty.Proof of purchase(original sales receipt)must be provided to Bear Onsite with all warranty claims"Bear Onsite is not responsible for labor charges,removal charges,installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product . ra,ti, " r � XID p\x G � VALUA T� Page of Wisconsin Department of Commerce J Division of safety and Buildings c;'� '- ((}}E .in,#t��rdance with Comm 85,Wis. Adm. Code County T.C4-6 " Attach complete site plan on paper not less than 8 112 x 11 inches in size.Plan must include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. O �� percent slope,scale or dimensions,north arrow,and location and distance to nearest road. vv 1 Date Revie by please print all information. 3/ Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Property Location 6 1 16 0 DOROTHY KLAAS Govt.Lot NE 1l W 1/4 T N R E(or)W Property Owner's Mailing Address Lot# Block# Subd.Na or CSM# 5829 15th RD.NORTH 1 City State Zip Code Phone Number ity ®Village • Town Neal r � p� ARLINGTON VA 22205 715-505-3912 ON n New Construction Use fl Residential/Number of bedrooms Code derived design flow rate °- LbC� GPD Replacement ❑ Public or commercial-Describe: ft. Parent material OUTWASH Flood Plain elevation if applicable General comments and recommendations: 1 ® Boring 52 `' Boring# 9 2�7 Depth to limiting factor in' MGPD/ff o Pit Ground surface elev. ft. P g Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 1 0-8 10YR3/3 -0- SIL 2MSBK MFR W 2M-3 10YR4/4 -0- IL 2MSBK MFR CW 3 32-52 5YR4/B -0 L 2MSBK MFR NA/ N/A 52-66 5YR416 SL 2MSBK N/A N/A NIA /A Baring 50 F—I Boring# ❑ 6)-7 ( Depth to limiting factor in. • pit Ground surf ace elev._6)-7 7>ft. Soil liption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots REff#I *Eff#2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 6 1 0-9 10YR3/3 -0- 51L 2MSBK MFR CW 2M 8 2 10YR4/4 0- SIL MSBK FR CW 1F .6 .8 3 YR4/6 -0- SL MSBK MFR N/A N/A .6 1.0 4 YR4/6 C2D10YR5/4 SL MSBK MFR N/A N/A N/A N/A 30 mg/L= Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L Effluent#2 BOD <30 mg/L and TSS_5 CST Number CST Name(Please Print) to 824825 ROBERT HARDINA Date Evaluation Conducted Telephone Number Address 12 12-i� f3 715-986-2508 77 170th AVE TURTLE LAKE WI 54889 KLAAS 4O4 - Property Owner_ Parcel ID# nQ✓� _ D `-3 ` C+� l Gt C? Page of F Boring# ® Boring Pit Ground surface elev. G�=t✓_ft. Depth to limiting factor `J Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 -Ef1#2 1 -8 1OYR3/3 0- SIL 2MSBK MFR CW 2M .6 .8 2 - I OYR4/4 0- SIL 2MSBK MFR CW 1F .6 .8 3 31-52 YR4/6 -0- SL 2MSBK MFR CW N/A 6 1.0 4 YR4/6 C2D10YR5 14 SL 2MSBK MFR N/A N/A NA/ N/A Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 I -Eff#2 F-1 Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu,Sz. Cont.Color Gr.Sz.Sh. `Eff#1 I 'Eff#2 ' Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD9<30 ngYL 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 608-266-31St or TTY 608-264-8777. SBD-8330-rni jR.07 1) now HARDIN , SEPTIC SYSTEMS � C 5 I-7-.. ♦ VC.�c-' L�. �lai.'rj L,� Mrs alt tJlr��r4t C•� LoCLL r-r � 3 oil, Psi w -93 0 3Z 4 t ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �5 E1, a P�-r Mailing Address Va -le Property Address O'Z533 t,y/ (Verification required from Planning&Zoning Department for new construction.) City/State ft4,A� l Parcel Identification Number Ft_)o -°66 -k o LEGAL DESCRIPTION Property Location Ak '/4 , A14 '/4 , Sec.,34, T l N R_/4_W,Town of Subdivision Plat: ,Lot# Certified Survey Map# ,Volume Page Warranty Deed# Mo 0 (before 2007)Volume Page# Spec house❑yes/no Lot lines identifiable/yes El 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 thjsform 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 w anty deed recorded in Register of Deeds Office. to er of bedrooms_ '� c 1� / 1 / Sld&ATURFE 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.09/07) 19 FAG-4932 X h1'JiLLI''N 1-1, 1';AL mil 1'7 1 S TER OF I-C". O= N m ro 0 T. C R 0 1 X CO. r 0 0 m 0 r: 0-/— > M :0 cn x > r v Z z Q. m x x MOM CERTIFIED ��URVI, E'FC, FEE: 11. )x. m 0 ADO COPY FEE: OO r IM x 1z 00--i m cn Lo 0 m m fo z — > Co M cq rT,0 0 M 0 z M m m To z U) > 0 -.1 z c 11 c 0 Q) > m (1) 210 -0 0 7 m m co 0) c m If w m K� M x z w T I > m > MOT mo*m- 0 co A M c/) ')<s. > 0 0 0 0 0 m T C)m 0 K I(/)— Z Z `� U) 0 0 m 0 0 cn z z M-n M:v c" m C z w 33 �m 0 0 0 K 0 r T- m w m z z 1 0 0 m z L^_ 69 6� G) 1+ 1 >0 Zp [2 5* —1 .46 M S01°05'45"E 570.00' 0) 0 480.00 90rOU Z M ca WEST LINE OF THE NE114 OF THE NWI/4 99 M 9cr > z --i C) 0 :0 I � I 0 > 0 -n 0 m 18 111114 "n 0? x 0 on IN m rn lozm > I;.j z M I m IJ I C 001 0 1 N0 -4 c 0 2m m 0 SD x T 0 E z 001 7: Im,z 0 , '4 > 0 00 (-) r- Do 0 rn m 0 w w cn _j C m X Z 0 40k 2 z 14 m z 0 A n 35 0.0' 0) m 0) 0 0 m m Z 2� EXISTING I > 0 mm . m is 0510 DRIVE I Z T) w mp m z rn 0 Z Ila m 515.09 65.00, D— .A N01 005,45"W 570.00' 0 uL11j[p1L%vU1RD [IMPS"n — ——— — — — —— — — (0 C,z m BEARINGS ARE REFERENCED TO THE z ST.CROIX COUNTY GPS NETWORK -4 0 Z NAD 1983/91 5 0 z m Vol 19 Page 4932 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE1/4 OF THE NW1/4 OF SECTION 36, T31 N, R16W, TOWN OF CYLON, ST. CROIX COUNTY, WISCONSIN. OWNER SURVEYOR MERLIN&CAROLE TURNER EDWIN C FLANUM 2533 STATE ROAD"64" NORTHLAND SURVEYING,INC. EMERALD,WI 54012 P.O.BOX 14 ROBERTS,WI 54023 SURVEYOR'S CERTIFICATE I,Edwin C.Flanum,Registered Wisconsin Land Surveyor,hereby certify that by the direction of Merlin&Carole Turner,I have surveyed,mapped and described the parcel of land which is represented by this Certified Survey Map;that the exterior boundary of the parcel of land surveyed and mapped is described as follows: A parcel of land located in part of the NE1/4 of the NW1/4 of Section 36,T31 N,R16W,Town of Cylon,St.Croix County,Wisconsin;described as follows: Commencing at the N1/4 Corner of said Section 36;thence S89°07'43"W,along the north line of the NW1/4 of said section,645.22 feet to the point of beginning;thence continuing S89°07'43"W,along said north line,673.61 feet to the west line of said NE1/4 of the NW1A thence S01°05'45"E,along said west line,570.00 feet;thence N89°07'43"E 673.61 feet;thence N01°05'45"W 570.00 feet to the point of beginning.Described parcel contains 8.81 acres (383,955 Sq.Ft.). Parcel is subject to State Trunk Highway"63"and"64"right-of-way and all other easements, restrictions,and covenants of record. I,also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described;that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and Land Subdivision Ordinance of the County of St.Croix in surveying and mapping same. APPROVED ��r. EoWIN C. �t ST.crtolx couN FY = FLANIUM Pi Mlnq d ZmhIg Co"rdttnr S-2487 — AMERY FEB 2 3 ?0lJ5 ; WIS If nvtreo;:�iac7�Jp;�i+i,;J r,rrys o ,,.,,r+nummn,a+na� ?pproval date ahparra;shall+ Each parcel shown on this map(plat)is subject to State,County and Township laws,rules and regulations(i.e.,wetlands,minimum lot size,access to parcel,etc.).Before purchasing or developing any parcel contact the St.Croix County Zoning Office and the Town of Cylon. SHEET 2 OF 2 SHEETS Vol 19 Page 4932 11111 1 11111111111 i I I 1 State Bar of Wisconsin Form 2-2003 8 1 8 3 1 7 2 Tx:4151615 WARRANTY DEED 956070 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED,made between Carol J.Turner 09/17/2013 2:33 PM EXEMPT#: NA REC FEE: 30.00 TRANS FEE: 166.50 ("Grantor,"whether one or more),and Dorothy Masse,a single person PAGES• 1 ("Grantee,"whether one or more). Grantor for a valuable consideration,conveys and warrants to Grantee the following described real estate,together with the rents, profits,fixtures and other appurtenant Recording Area interests,in St.Croix County,State of Wisconsin("Property")(if more Name and Return Address space is needed,please attach addendum): James H.Krave Part of the NE 114 of the NW 114 of Section 36, Township 31 P.O.Box 304 Glenwood City,WI 54013 North, Range16 West, Town of Cylon, St. Croix County, Wisconsin described as follows: Lot 1 of Certified Survey Map recorded February 23, 2005 in Vol. 19. as 006-1083-60-100 Document no. 788099. Parcel Identification Number(PIN) Subject to all Easements, Reservations and Restrictions of This is homestead property. (is)(is not) record. Exceptions to warranties: Dated _ /v 2-0/ 3 (SEAL) (SEAL) * Ruth Hurtgen-Attorne in Fact for Carol J.Turner (SEAL) (SEAL) s * AUTHENTICATION ACKNOWLEDGMENT Signature(s) ``%„ttttittttt�4h STATE OF Wisconsin ) )ss. authenticated on A St.Croix COUNTY) ic 2 Personally came before me on * sic . N�; ? the above-named Ruth Hurtgen POA for Carol J.Turner TITLE:MEMBER STATE BAt 44 W) lYS110 �.`� �R v. It, &–r—+ (If not, ''�,��� �N�S ��`� to m4 known t t rs n(s) who executed the foregoing authorized by Wis. Stat. § ginst ent ac a e. THIS INSTRUMENT DRAFTED BY: s James H.Krave Attorney Public,State of Wisconsin P.O. Box 304 Glenwood City,WI 54013 My commission(is permanent)(ampkim: permanent ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO.2-2003 'Type name below signatures. INFO-PROTMwnw.infoproforms.com 1 of 1 V SIB JW0 n11+ox�ea ..rw+ll.arr�w�w. MMW�8 ■Ar31�1 VOW" Mo01B.SIB dstl w8 Am aB�N t Y p 1NVixodla :Apm on►spofw 83NOH NV�Itl�N1/1113t1fl 4 IN M p N a a NYf NON --------------- i = 1 1 1 Y 1 1 i e Id LL 2014 Property Record I St Croix County,WI Assessed values not finalized until after Board of Review. Property information is valid as of JUL 15 2014 10:30PM . OWNER CO-OWNER(S) DOROTHY KLASSE 5829 15TH RD N ARLINGTON,VA 22205 PROPERTY DESCRIPTION SEC 36T31N R16W PT NE NW GSM 19-4932 LOT 1 PROPERTY INFORMATION Property Address: 2533 HWY 63164 Pmel 10: 006-1083-60-100 Municipality: TOKIV OF CYLON Municipality: Alternate ID: 36.31.16.556A-111 &hoof Districts SCH DIST NEW RICHMOND DEED INFORMATION Other Districts: UPPER WILLOW REHAB DIST m Pace Document# 986070 WITC 986068, t' n Town Range Otr Qtr Section Qtr Section 520 588 3259a7 36 31N 16W NE NW Lot: Block: LAND VALUATION t Name UNDEFINED 20120824 Valua. n Date: ; Code Acres WW value imorpvemertts ,Total TAX INFORMATION 2.000 30,000 67,100 97,100 6.810 _` 400 0 400 Net Tax Before: 8.810 30,400 67,100 97,500 Lottery Credit: , .00 Total Acres: 8.810 First D ft Credit: .00 AA,s%sment Ratio: 0.0000 Net Tax After: .00 Mi#Rate: U.m000000 i Amt.Due Amt Paid nc Fjlt Markgt Value: N/A Tax .00 .00 ' .00 Special Assmrtt .00 .00 00 Special ehrg .00 .00 .00 INSTALLMENTS Delinquent Ghrg .00 .00 .00 Private Forest .00 .00 .00 Period End Date mount Woodland Tax .00 .00 .00 Managed Forest .00 .00 .00 Prop.;Tax Interest QO .00 Spec.Tax Interest .00 .00 Prop.Tax Penalty .00 .00 Spec.Tax Penalty .00 .00 Other Charges 00 .00 .00 TOTAL .00 .00 .00 Over-Payment .00 PAYMENT HISTORY(POSTED PAYMENTS) ,General ! QW Recebt# SQUrC+e I= A!rm..951t71 Tax Status mss.Brags inter Penalty I4W