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HomeMy WebLinkAbout012-1029-60-000 ■ Wi :onsin Department of Commerce PRIVATE SEWAGE SYSTEM count St. Croix Sltuilding Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 41'3 O 0 State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. /g, 6'74 Permit Holder's ame: City Village X Township Parcel Tax No: Roe a LJy 11;ev•. d- 1•aA.4Oc., �r‘ ,�, Pret,tV e. , c)1z /oz ` " - WV - CST BM Elev: 1 Insp. j BM J EIe � v: BM Description: i3 171 i / G� C5 Section/Town/Range/Map No: _ 1 1✓(! T f 1. W a ( ! w tl W7 C._ it TANK INFORMATION ELEVATION DATAk S, )05: - /ac:. TYPE MANUFACTURER r��� CAPACITY STATION BS HI FS ELEV. 2 , `7 /62 .`7 l z+t) Septic t ? Benchmark Br g M 1 6� ti� /LA 2. ot, /o2_ /621:• Dosing TA.. 3 Alt. BM > 0.....--1 � �,.. �' (0 3 O j :6i-t.. ► k . a , „,_ 2. . /'3.$ Aeration �',_, I S J^� � Q Bldg. Sewer M. ________ Holding (3.,W itA '�'��J""" St/Ht Inlet e‘ MI St/Ht Outlet TANK SETBACK INFORMATI N ' 'MS 71. TANK TO P/L WELL BLDG. V to Air Intake ROAD Dt Inlet / / r� 117 94. Septic / Dt Bottom 4,5 > 30 zI /2.5 yo.z Dosin g A 1 /1/ S. 54 / Header /Man. /45 /4.75 Aeration �` Dist. Pipe Z . z_ / oD , J Holding Bot. System PUMP /SIPHON INFORMATION Final Grade I+ z /o/.5 o Manufacturer 14r Demand St Cover / Q ��' . GPM _ • 'C. .4 . 2,i lb3,3 7 Model Number 11 'T GA -) LC c 1$ TDH I / f LG Friction Loss System Head ITDH Ft Forcemain 7 Le � ngtr is ` Dia. /l Dist. to Well r -`� (o �t. //I SOIL ABSORPTION SYSTEM E , - BED/TRENCH Width / Length / No. Of jjench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 'g t,► / ( ' ......_1 --\` SETBACK SYSTEM TO tJ P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION / CHAMBER OR �� Type Of,System: .n z &, j� UNIT /1 J /_Q 35 1 r/ �'_ Model Number: _..\ DISTRIBUTION SYSTEM 4 C � d. Header/Ma I/ Distribution Z 1 , f / x Hole Size / / / x Hole Spacing / o Air Intak k Length Dia 2, Length s Dia Z Spacing 4 3 / / (p Z / �5 fr'�.. SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 1 Depth Over xx Depth of xx Seeded/S dded xx M hed Bed/Trench Center 1.7 Bed/Trench Edges \�......., Topsoil 1 Yes D No Yes m No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ? / 2 I/ /6 Inspection #2: / / Location: 64'444 n S rG `I - P i.,a�„ ct , 1'7' Parcel No: W' 5 A 1.) Alt BM Description = GaJ�✓L— Pion Ot<— 2.) Bldg sewer length = g n /'^ - amount of cover = 'p W e U . !, Ji2 - Plan revision Required? D Yes No v �.� Use other side for additional informati n. , 3 �V L ✓J��� SBD-8710 (R.3197) Date Ins/ or's Si. ature Cert. No. PAID commarce.wigov Safety and Buildings Division County t 201 W. Washington Ave., P.Q. Box 7162 Tro) Madison, WI 53707 -7162 Sanitary (to be filled in by Co.) i scons�n Department of Commerce /g ' 3 q 1 D Comm. anitary Permit Application State / TransaetionNum c b � er � In accordance with s. Com. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental ! ' / 0/ unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Proje t Address (if fferent than mailing address) submitted to the Department of Commerce. Personal information you provide ma be used for secondary _ , / CZ I /. , tp purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. Y C'` G D J � ( F ��vv • `'� I. Application Information - ease ' int All Information 0 �c.>tiQ -� Property Owner's Na a a+. j /\ i Parcel # ° LAD 1 u Q Property Owner's Mailing Address / 0 Prope Location C, f -+) . a o ,..L .. t/ ST. CROIX COUNTY / / Govt. Lot J City, State , Zip Code F1'.k + 3lllh1748' s - �t 7 %, ,<l f/ %, Section j� N 1 , 1 5 -• 1, T N ` R /,ircie e) II. ype of Building (check all that apply) 7 T Lot # ® or 2 Family Dwelling - Number of Bedrooms Subdivision Name ■ Block /! r apt Public /Conunercial - Describe Use _ �'�' +++ttt ciccl"' n ❑ City of ❑State Owned - Describe Use ( Os) . CSM Number ❑ �� -// / / Village of - 12)/-,:e....-//2 S 57 / ( X fL 4 owa of / J� , ...C.--e III. Type of Permit: (Check o ly one box on line A. Complete line B if applicable) A ' ❑ New System eplacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal d Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner . r Re . I V. Type of POWTS System /Component/Device: (Check all that apply) _ ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) A J V. Dispersal/Trea ent Area Information: Design Flow (gpd) Design Soil Applicatio te( drsal Area Requ d (s Dispersal Area Propo (sf) System Elevat s-7� /06,x- sf) Dispersal e VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units .o g t o New Tanks Existing Tanks / 4 o y g jt i 1 Ai/a Septic or Holding Tank / / s / J n /� w ,, Dosing Chamber G 3 v 63' / ( ' i ; / L' VII. Responsibility Statement - I, the undersigned, a: , ponsibility for installation o e POWTS shown on the attached plans. Plumber's Name (Print) PI • • e : : a MP /MPRS Number ' Business Phone Number ‘- } 2 26�� 7/ o? ,(y / - 4 Plumber's Addre Street, City, State, Zip C C e /7 _ '- // 66/��/D/. , VIII. County /Department Use Only _ A Permit Fee Date I ued issuin ent Signatu • / r p proved Dis Given $ n7 q /41116,111111111k er Given Reason for De ' 1 � ° Z* ' // IX. Condi ' easons for Disapproval n . 3 ) ‘6"cg: 4v tA... . - le_. 1. Septic tank, effluent filter and ,� v itas dispersal cell must all be servtces 1 maintained ),., CAA. : r s as per management plan provided plumber. ��� 2: Ail sttbaekfibgt�itements must.be maintained \ ntained 6)1A:1 5 6� c o co p k m piei s o system and submit t6the County only on pap r not less thR 8 12 x 11 inches in she a z p 4.0 -4•42. . SBD -6398 (R. 01/07) Valid thru 01/09 PLOT PLAN ' .PROJECT William Roettaer ADDRESS 1924 160th Ave New Richmond Wi 54017 SW 1 /4 SW 1 /4S 1 1 /T 30 N/R 17 W TOWN Erin Prairie COUNTY ST. CROIX SYSTEM ELEVATION 99.5' BE DROOM 3 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )000( SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. top of walkout foundation ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 160th Ave Scale = 1/4" = 10' 5 acre parcel ■ Concrete septic tank, with good baffles 1' Old Drywell is to be pumped and • buried Existing 2 Existing Septic Tank f 4 jar-s2-‘ Bedroom 1000 gallons "to Overflow House • ■ e Drywell B.M. 7 Grading is to be done to divert run -off away from system B - 3 ❑ .'. Huffcutt 630 dose tank 120' 8 4 99' ii 98.5' B -1 98' Area 15' below 9 7' B - 2 8% Slope system is to remain 175' undisturbed ■ Property Line 900' Safety and Buildings COmmerCe.wl.goV 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188 -3789 ' SCO fl S' Contact Through Relay www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Aaron Olver, Secretary August 13, 2010 CU ST S ID No. 226900 A77N• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/13/2012 Identification Numbers Transaction ID No. 1840943 SITE: Site ID No. 759181 William Roettger r g Please refer to both identification numbers, 1924 160TH Ave above, in all correspondence with the Town of Erin Prairie agency. St Croix County SW1 /4, SW1 /4, S11, T3ON, R17W FOR: Description: Mound, 2 bedroom (sized 3 bedroom) Object Type: POWTS Component Manual Regulated Object ID No.: 1276762 Maintenance required; Replacement system; 450 GPD Flow rate; 25 in Soil minimum d original grade; System(s): Mound Component Manual - Version 2.0; SBD- 10691 -P (N.01 /01 , Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); 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. 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 rior p to occupancy p cY or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01/01). In the . event this soil absorption system or any of its component parts malfunctions so as to create a ea yard, • the property owner must follow the contingency plan as described in the approved plans. In addi • , � �wk must comply with the operation, maintenance and monitoring duties as described in section WI >!le 7 $'1 upon completion of" component manual. A copy of this information must be given to the owner u jD . All holding/treatment tanks are to comply with Comm. 84.25(7)(a). t)F� S FF Maintenance information must be given to the owner of the tank explaining CO lainin P g that periodic cleaning 'c�'the filter is required. ed. A g q Access to the filter for cleaning must be provided per Comm 84 product approval conditions. L SHAUN R BIRD Page 2 8/13/2010 A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • Comm 83.52 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. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83,55 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. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. • ;erely, Fee Required $ 250.00 44 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis - Osborne POWTS Reviewer 2 , Integrated Services W)MT 7633 (262) 397 -6005, Fax: (608) 283 -7481 julia.lewis@wisconsin.gov Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www. commerce. wi. gov/ SB/ SB- BuildingContractorProgram.html • • • Cover Page Shaun Bird RECEIVED Bird Plumbing Inc. AUG -9 2010 1008 192nd Ave SAFETY & BUILDINGS New Richmond Wi 54017 715- 246 -4516 Date: 08/ 5/10 Owner:William Roettger Location:SW 1/4 SW1 /4 S 11 T30 N,R17 W 1924 160th Ave Erin Prairie System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1 . Cover Page • 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Conti. - nf plan 9 -12. Soil test Shaun Bird Signature License number 800 Ok <T , c y gN o �ly j � l icks L PLOT PLAN ,PROJECT William Roettaer ADDRESS 1924 160th Ave New Richmond Wi 54017 SW 1/4 SW 1 /4S 11 /T 30 N/R 17 W TOWN Erin Prairie COUNTY ST.CROIX SYSTEM ELEVATION 99.5' 3 BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )000( 1000 TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. top of walkout foundation ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 160th Ave 5 acre parcel Scale = 1/4" = 10' Concrete septic tank, with good baffles Well Old Drywell is to O be pumped and buried Existing 2 Existing Septic Tank Bedroom 1000 gallons House Q • Overflow Drywell B.M. */ Grading is to be done to divert run -off away from system B - 3 ❑ Huffcutt 630 dose tank 120' B� • 99' 98.5' B -1 98' Area 15' below 97' B - 2 8% Slope system is to remain 175' undisturbed • ' Property Line 900' Mound System Cross Section and Plan View T ,, - ,.. �, -r e- ., ... ,.... ..., ,,,,. I' I]hnl lOn , Dimension Feet J r t A r B S 1 ^L ' D r Y .Y' . Y S : ,YSY;`t : , : • & : Y . G' I^ t I i °' z` t "t " r t .:.,:.:.,:.:::•:•:•:.:::::: r } J } . . }: }; . t . •.! ,,} rrY. � 'r � i � ?i }.t t % t s' i, t t } " ' - r <, Y � ^..� { �;� ,Y ;SY'tJY,�' z, ti' . ,t }; }Y �� tY {}- 2 t.{ r,{ z � "��3 A ,}. {r { . 5Y {r4 { ; t . ,4... .; t r. . t }r :��:tiYti? c' I t {t;.,..r .{t .t. , . , E Y' } I: ± a �t . Y{ c tLr.. ,� } rk > . r3.� , ,Y'Y 4 { if , rr .} 'r: , ?t{ , . 'e, ,I, . , {r,YZ, ,, {.zY * z';i } r z., ,zY � i • `GY Y ^zY � zY � t {, {, � ?-�3 . Ot r� . .2, : 'I �- t.s .ry.,x f.f .q..,t 7 4 . .., x;i,x, t.,t. tt, , }.= . )r,. 3tr ' J :S r.Y tt }'r� } {{} r W x, : - _, {•t,_.';?x, ,t �t _,x { xt� s.� {�: <d,:{ tx5., ?fit : F i � � : ∎ r �Z i G S H 1 . D 1 T 1 I a 1 l r J t- I K " .... .... �r .i ,,,,. •. .w ... ..• .. ....0., — ... .-. w ... r ... ..i. r r ..., .J+. ..r ,iii. r r — ... ,+ W 2s `, W 2 s., . K B Ilb Z / L Slope $ 1 , . = Topsoil = ASTM C -33 4:4 = Clean aggregate = 4 in. sch. 40 pvc Cap Material . sand fill ii '/ to 2 '/2 in. dia. u observation pipe • 1 Geotextile H Fabric G - I'� " • ; 're's + Q T < �r i { ;,:11: . � 7 'L t {y I ..‘!1 � e J r f. r iz :.4 Ft D 'x11 E 1 ►� 11 1 14.,-,,,, v . ►1111 1 1'�i�' 11111 11111111 . ti ►ti 1114111 titi �l 1ti 111 ' ►111 i s ►1 `1 � r �►11 ` u i S 11 � ,: I Q + • -•,.1►1rr1ri:11- `b,1.i11 i 441tilti1 ii11 1 it ititi111i�'► :: _' • U ` 5-- ` `�•ti111 11111111 11 11111 11 T. :. .. _ . . 4,5;5..... ..,...11ittrit i Plowed Surface 03441 x..... _, Ft Contour tiltititiitititilti * •. � c s 1 1>r11 t1 1 �i1 1 .1y1y w Slope Direction , ter GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 'A inch soil wire when a sample is rolled between the palms of the hands. ASTM C -33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10 /07lgj Page of , Pressure Lateral Layout Two Laterals — End Manifold r i i .4-- Threaded Cleanout Lateral Turn -up ---* Plug Manifold 4. .01 11:11 !. . 4. 1 \ M dre*N. \111 i j r — I I 0 0 0 • 4. Ir-J t L • Long Force Main Sweep ,l 90 y ' �, Bend Distribution Network Specifications t Pressure System Construction Lateral Diameter L In. Manifold Diameter a, In. Laterals are constructed of Schedule 40 PVC Orifice Diameter a 1 /(, In. pipe. Orifices are drilled perpendicular to X (Orifice Spacing) d- In. the pipe with a sharp drill bit and face down. L (Lateral Length) NO .5 Ft. Lateral turn -ups terminate with a threaded M (Manifold Length) / Ft. cleanout plug and are enclosed in a 6 -8 inch Force Main Diameter Z. in. diameter lawn sprinkler valve box accessible Force Main Length _ 5 O Ft. from finished grade. ••••• Grade ••••••• : 6: ••••••• 6 -8 Inch Lawn Li Sprinkler Valve Box i . . .Ill -- Page of 03/051gj . Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer C Minimum Pump Performance Required Tank Model Number c , Q() ii 0 GPM @ Ft TDH Total Tank Capacity 6 3 0 Max. Bury Depth —q '' _ _ Total Dynamic Head (TDH) - Feet Elevation Head it, Pump Manufacturer t ', 4 .e, Co '100,* Distal Head 3--e Pump Model Number q F i4 Network Head Loss • R Alarm Manufacturer I , 6 c.4 - ,5 • Force Main Head Loss i Alarm Model Number D �,.., L/ Filter Head Loss s Switch Type 5 J n me rcijit Total Manhole Min. 4" Above Grade I 1 With Locking Device Vent Abo Grade Weather -proof — Wi th Cap Junction Box ' 1 ............. - . Finished Grade ' N 5 lc\ l e-- I - , Disconnect F 0 t iv INN Means i 7 . 777 • . .r ta, a4.,., a, 4,.,.:.t r' a, a, 4 r ,4,4t4.4,4 : t ,4t4t4{4t4,4,4,4.414t4`4 ,4, , , 4 , , , 4., 4 1 4 t414f , : ,: . s 1 t t;; t t < Switch Settings and Reserve Capacity is Inlet Tank Volume = / S GPI ^ - * Dimension Inches Volume Gal. A :;:; ; ';a 4t (reserve) A �,? . f- 3‘.. ? `• y4„ (alarm) B 2 B - �-- i ;' : . Weep -1)-- s Hole (dose) C C , - ` 7,s- 441 O ff Blev. C ':> (dead) D q / 3 S" j Ft /,, / 0 +I #li,h t, 4 4 .4 Total l/ , , ,, D i : Bottom of Tank Elev. Ft , : :: :. :. fi ., .' . .- i41 : :: :: , <1. . f . 4444 1 -I : t i, / 1 l 1 < , 4444: 141 < 44144444(414 f 4444444144444 4444 t4 as : 1 141414l 4 t4 444 141444441414 t4144t 4t144t 1 t t 144 i i 4 1 a 141414 {444f414 <414 r x r s 1 1 1 r r 1 14< t a 1 1 14t4f 1 . r . 4 1 .4) f • 1 t 4 4 ( GENERAL INSTALLATION: The dose tank is bedded and back tilled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the excavation and is sealed watertight. Electrical servicecomplies with NEC 300 and Comm 16.28. I0 /07Igj Page of It ay: H' Las•rJet 3100; . ILL aL ` ±Ui Yni i I fwILIP SERIEB SUMP /E rrLU � PUMP - 11.18 I„ - P °.- " 414 ra) A . 0 I ltfk k tt g i s i 1 1 . . \' W ;ii)/14‘10;5, o 40. lir virsi y I MIN 01111 60M0• MI , la 1 601 1N� illi Oki woo ix am rM1i s __ i a11r1 00 1/11 116 all 130 llm 711 54 11 41 111 11111 11' 11 IA r1tV4P VOW SOW so* VS a01 aM 64 IMO 71 11 53 a to me St 11 X11 rl MMI al.gM, s eon WON 1110 114 aM 130 1110 70 a 16 41 1! In V V in t {1a11x101 oder oolovadol agAlogrugnmerimundmiliegiligueliggaahigimi r raw- L1.rt $�1001r. Cklt t..it Iron. . ° >000 �o6a Material _ 511111111111111111 to • .jmeggr - 1431 • 3 11110 101111111111 - im' �. ... „w�,► •• _. �_ . '" 11111111111511111111111 0 g b„ abaft Sod igitite with cubed got - 1 111111111111116.41111111 W manic Omni . Bouriqpi ,_ — 40 o err ,r11i� 0 . moo oALLOP1011N11111E � � 0 7 w rt cuev ' '" f ' �, ttOV iOiL � -.r1 i 1 mom raw•u14. -- 701'i7 • .. mops 4101a0.011 •A1as NtG N 311LI Ems* lasaimasamairmoatora . . P of MANAGEMENT PLAN POWTS OWNER'S MANUAL & MANA SYSTEM spectricigTIOAis � ! ue a,tIFvArtax s® Ferc' rtc c• /777) gal o NA Cfwe,�,c co , 0 " .. - � �o TaNc fltLer+ac' u n k.� ❑ NA F�eftillt # - Marne , AP - ) ' I! • Effluent MO PAMM :.3 ' GI i+tA S f ,:„ci a NA Mentor ct Bed P,ump•?',enic ► • 30 gal ttNA; Units MEM � d NA Nulnb�' C Tank �IW�r ,rr� . _v Pu P forOni! °a Manittii16e : ga ff"; d' q N. .Pump x Le) .i. ._, ,,,--,.4/L C.� NA ova -= Pump Model � � `` � `' � Pretreatment Unit _ • Montt* overage" tnlluet ceant b SMa r1+� L D 7 Grease (FOG) ad � D emand (BOW 122O mg/L I7 Wi © Other: Tatra ousearwriau Solids MSS) A 50 •/1. Quad y • ', NA , Monthly average fl � a� . II Itl�yttwnd IPnaar - Pray ODD 530 mom' ,� gt� �tarnd BboltasrdO i Sands (BOW s30 mg/L L7 At grade Q Food � moan ‘I 0 cturICOmI Q Orip• S - tad Size xr Inch dismeter - eel > for deseesea end . of Maws typical for preassear wistemear. htMNTENANCE 8CHED Service Service Event t Q months = s $) (Ma�ctmum yrs.) feast once evert of Z1t volum y inspect condition of sank(°) one-tl1�nd (4) When combined sludge and scum equals e Pump out ooctfsnts of tank(*) When months � Ito (Maximum 3 yrs.) Oeats) At least once every ..3 At least once every D months • : s) 0641112 effluent }Star .�,�f s) ©NA At l east o nce every L S ___ t _..� rasped puck, Avg Gannets a: atsrnn � . � s) 0 NA Ia turais and pruritus ff t At least one every' 3 CI monies Drum= At Ieast once °very 0 months II year(*) 0 NA At west once every 0 months O year(e) 0 NA uumkt '@NANCE INSTRUCTIOM$ ass aaP t or inspections off�es and as shad be made by art hunt/ Mod , POWTS Cat' 6 P ber Plumber Restricted Sewer; POWTS Insp lo td !!►i ar broken inspections nand include a visual insFe coon �, Identify Crooks or UMW, measure the volume of combined sludge and scum end to cheek far any beck up Vie. The d arks) smell 6e w cheek the effluent kinds n Of aa p p l the ®rorutd of e Muent Ott t he l end T of effluent on sire in the obrrawa60n tip and to Check for any panning indicate ground surface may a tang condition and x qu kes the immeefabe nottecedfon of melons! rsguiamoeY (Y) Or 1!1015 Of the tank volume, the When the cariilaed a� and �,p�1 of � socanisnce Witt+ ch_ entire extents of the tam( sham be removed by a Sontag. any NR 113. WJg ansin AdnOrdskativ�e Code. - - ;an and ant The servicing at effluent Stem or pressurized POWTS components. PO Nta r termer metering ering at � of 72 months orients shall be performed Of a weed A seivkp wog shatlbe pinvided to the load regulatory authority within 10 days of corn of any event. TART UP AND OPERATION Or other For near c nstiu on. prior to use of the POWTS Chadic tr+ erIt tang(s) for the pram of products cherrtleots fast may impede the h m+er pruxess anti/or Mirada. the diapered OeIKs)• if high conowitnaions are 0e11e12ed [itiVe the contents of the tanks) removed by a sepiage servicing operator prior to use_ r .. / r -- Page of System start up shall not occur when' son are frozen at the infiltrative surface. Outing pamvrouLuges pump taroks may fill above normal highwater levels. When power is restored the Mess wastcwaierwW be domed to the dispersal cell(s) in one large dose, overloading the mks) and may result in the . bat or srtrraoe discharge of �t To avoid this situation have the contents of the pump tank removed by a . Sep�e Servicing opendor Pr y l; ttng power to the effluent pump or contact a Plumber or PAINTS Maintainer tp assistki manually operMing the puneicerib is to restore normal levels wtihln the pump tank. Do not drive or perk vehicles over tanks and dispeisal tells. Do not drive or pats( Ovel, or otherwise distuth or oomph the area within 15 feet dowry slope of any mound or at -grade soli absorption area. Reduction or-eaimination of th following from the wastewatersiream may improve the performance and prolong the Re o f the P O W s & an tibiotics ; baby rtes; c +see buts; condoms; caftan swabs; degreasers; dental floss; &rapers: dam; fat; foceida on drib (sump pump) water; fruit and vegetable peelings; gasoline; g : herbicides; meat saps; reedloationte o prods; peillicide si sanitary napkins; tampons; and water softener trine. ARANDONMMt TT - When the POW S fags andfor is pennanenty.laken out of service the following steps shalt be taken t insure that the ' system is pnoperiy - and safey abandoned In compliance with oh_ Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • . The =agents of all tanks and pits shall be removed and properly disposed of by a Septage Sei'vicirig operator. • After pumping, at/ tanks and pits shall be excavated and removed or their covers removed end the void space filed with soil gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system:. O A suitable replacemenearrea has been evaluated and may be utilized for the location of a replacement soon absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations_ Baiting advances in POWTS technology a holding tank may be installed as a l ast r esort to r eplace the failed POWTS_ 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil. and J' - s ` ite evaluation must be performed to locate a suitable replacement area_ If no replacement area is available a holding tank may be installed as a last resort to replace the failed POVYT5_ and at - grade son absocptlon systems may be reconstructed in place following removal of the biome( at the infiltrative surface, Runs of such systems rnust comply with the riles in effect at that time_ <<WARNING» . SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL. GASSES AND/OR INSUFFICIENT OXYGEN_ DO NOT ENTER A SEPTIC, PUMP OR OTHER. TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT_ . RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.. ADDITIONAL cossidENTS ' POWTS INSTALLER POWTS MAINTAINER Name 5 A-" w a , / Name S" qu ,-t /31.?i i Phone 7 J -04/ '71 j / ,4, Phone 7'_, %d Ci f 46 -6 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTNORffiY Name / ayvt. 177M-1.‹,,evz,„1 Agency �i ":yam i s P Phone - r T docameata.es dratted bribe stad6 area Clasen Lake. Marquette and Waushara County Zoning and Sanllatbn spades. This docatmrent meets the minimum rierrafiernernat onto.. Comm es- and 83 - f2) & (3). Wisconsin ariegnistralhe Cede. ties of this document doors not I guarantee eft performance of the POWTS. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently . serving the L41(0_- 7t '" d" . -- residence located at: Su.J %, Si /, Section )l , T-30 N, R 1 7 W, Town of f r-;,,, {P oi-(/ . Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. y Last time serviced: S f q L a:Ii i2_ Did flow back occur f om absorption system? _ __ Yes No (If no, skip next line) Approximate volume or length of time: gallons minutes • Capacity: Construction: Prefab Concrete - A Steel Other Manufactu -r: (If known): 1,11,nDu✓ Aye of � . , k (If known) .: u it/ / l.Gd f `Q� -4� l Ai Lf/Cbt 6) . (5'• .ture) (Name) Please print (Ti le) (License Number) Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the be t of my knowledge will conform to the requirements of ILHR 83, W'= Adm. Code (except for inspection openin over outlet baffle). / 2 Name G. <44_45; Signature % MP /MPRS • ST. CROIX COUNTY . 1 SEPTIC TANK �BNANCE AU AND OWNERSHIP CERTIFICATION FORM OwnerBuyer L.) v a ,,� 0� , Mailing Address / ol`( / 6 bat 1 Property Address (V on reed from Planning & Zoning Department for new .) City/State Parcel Identification Number 0 ; -.- /DC7 ,6 - re LEGAL DESCRIPTION p / '� ,p SLc2 Z 1 T JON RJ1W, Town of f i e rt.. r ! a- J. property Location �( /4 , Seo• , .. ,Lot # Subdivision Certified Survey Map # , Volume Page # . Volume &:-.312_,..,, Page # . , L22 . Warranty Deed # . Spec house yes Lot lines ides b - • O SY TE R CATI N Improper could result in its pare � Proper handle wastes. r resintesette e,on fists p o ,� , three years or sooner, if needed, by s licensed pump- What you put into dm system eau affect the traction of the septic tank as a treatment stage in the waste Owner maintenance responsibilities are specified in §Coro m 83.52(1) and in Chapter 12 - St. Croix County Sanitsry Orclimmce. to St. Croix County a certification form. by the The property agrees to submit Planning & Zoning verifying that (1) the on -site l t knober, rests plumber or a licensed pumper owner and di a master phm is jo p and pumping (if necessary), the septic tank is wastewater disposal system. is i n proper operating =Mien and/or (2) after n less than 1/3 full of sludge. system and agree to maintain the private .1/we, ta sb, d set by read the Dep the ar rtme of Natural Resources, State of Wisconsin. standards set foa herein, as set Department of Comm and the Dept Certification stating that your septic system has been maim must be completed and rearmed to the St Croix County Planning & Zoning within 30 days of the three year expiration date. Uwe certify that all statements an this form are true to the best of dry /our knowledge- 1/are am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of b lLli2 , ��� 4111r_ ue DATE SIGNATURE O/ • CANT(S) :: *ma information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department * ** htcbide with this application a recorded wanruify deed from the Register of Deeds Office and a copy of the certified survey map if referu~nee is made in the warranty deed (REV. 08/0 1' t et "^....■ ,%1•, It it V r;.. 6.1b WA bi7 STATE BAR OF WISenNSIN FORM 3-,- 1982 il THIS SPACE RESERVED POR RECORDINGI DATA I; 4 li QUIT CLAIM OE0 q :1 d .. . , 4527 11 .11 .. t 'l , ---ii REGISTERS °NICE tt it Adolph M. liari8 and Ruth R. Karis, husband ti and-wife as joint tenants 11 I00323-41%.-"" " 11 I !I V quit-claims to William ' D. Roettger ana rinda14. , APR 031989 ?! li it 'W il Roettger, husband and wife it 11 ii I I 1 1 L- E , the folio-vying described real estate St. Croix ate la County, ! 1 ! State of Wisconsin: F..,:r. - --- II li ti u o 0 1 1 Tax Parcel No: , , ii Part of Southwest Quarter of Southwest Quarter (SW4 of SW4) of Section Eleven L11), Township Thirty North (T3ON), Range Seventeen West (R17W), . ll ti 4: -St. CroiXounty, Wisconsin described as follows: Commencing at the 1 1 center of the road at the Southeast (SE) corner of the Southwest I Quarter of Southwest Quarter (SW k of SWk) of said Section Eleven (11); n aL.:,thenCe North Eight Hundred (800') feet; thence West 277 feet to the ii II point of beginning of the parcel to be convev'ed thence South Eight II Hundred (800') feet; thence West (W) Twenty (20') feet; thence North (N) A Eight Hundred (800') feet; thence East (E) Twenty (20') feet to the I: I p4.3:4.uk.. ..... II 11 .. I: 11 FEE : EXEMPT •I i; I 1 ' • I This is not II x0E:ix homestead property. (is not) - " Dated this 30th March , 19..B.9.. 1 day of ... .(SEAL) / e<4 - 17 e' A (SEAL) 1 i Adolph M. Karis 0 „..,, ....... 77 I - .0 .. Ruth R. Karis ti - • .. . - ij - . ii AUTHENTICATION A C ViN OW L E D GMEN-.7“ , '•- ',.: ....— - 11 ii Signature(s) STATE OF WISCONSIN . ? . .. • . k 1 \ 1 St. Croix County. ). n authenticated this day of. 19. Personally came before me this 3 (3 day of ". il March . 19.. . .. the above named Adolph M. Karis and Ruth R. . ;I TITLE: MEMBER STATE BAR OF WISCONSIN Karis GI not, -- ' authorized by § 706.06. Wis. Stets.) - .. , . .. to me knawe to be the person ...... .. who executed the foreg r acknowledge the same. THIS INSTRUMENT WAS DRAFTED HY /(<11.---g' Tiwmo, A.,. .. McCormack _ .. .... ... .. .. . .. . - ■ ; : t 6 ( A 42 ,...t D, c — ""/ / ./ /).- B a 'Alf .11 .1 W4.. . ..... N,,t,,I.uhri, St. Croix c,-..z1,-. Wis. My rere1i.sinn iQ permanent. 11 not. ,tato expiration are net reee ) _.. , • : " • ' ? , - - 1 7 19 ls ( .) I QUIT CLAIM DEHD "1',.,..1'-' — — I $ P AID Wisconsin Department of Comme - AUG 0 6 201101i. VALUATION REPORT Page 1 of 3 Division of Safety and Buildings i r} artollymComm :5, Ws. Adm. Code C / • e t9 i Attach complete site plan on pa • ' r N�� -1 ..,1\1 •FFICE - - - , County J size. Plan must T include, but not limited to: vertica • onzontal reference point (BM), direction and Parcel I.D. �,.�/ /7 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 01 a j - 6G - r IUI.!" •�Y� r/ ' Please print all information. R Date /7 Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). aw 44j..— / b / Property Owner Property Location LA � ! C 1 c rw- 4 T. IN t+ + _v Govt. Lot $l c) 1/45411/4 S !, T3 0 N R / 7E (off W/ Property Owner's Maili Address U Lot # Block # Subd. Name or CSM# v 19 a-` . / � o eA- —� I -' � � ���G�tA,� City State Z Code Phone Number ❑ City 0 Village A- own Nearest Road 0.1.ufb;C.liPi uJil sya( - )I (7l.t)2V 6 "63!6 �, Pce--r4,r I /S /, /)2 ❑ New Construction Use / ` Residential / Number of bedrooms Code derived design flow rate ' ' GPD eplacement Public or commercial - Describe: Pa ent material j.� Flood Plain elevation if applicable /1 � ft t Generarecommendations: r 11.6 / 0� -t P/.. ..o iIYI Y -- J.f h�f <S v v.,- frnd aai and System Type () U System Elevation 044stV 1 CI Borin l� # lag pit Ground surface elev. 7 0 ft. Depth to limiting factor '7 V 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 •Eff#2 2 y / 4 4 r 6/5_ C/ . ii r' . ,G .`-// .1 . t/3 _/ —.n— m(lil 4/d" 13/1)1 , o� . Boring # 0 Boring r / .. � �� N pit Ground surface elev. ` 7/ Oft. Depth to limiting factor in. 1 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 *Eff#2 1 v ° s 4 5/1.- Si / a /27 e r- 014 / C - ,g 7..._ 6 - rg P 6/ , e l ; 9 9 „1.?k 7)77 - /e,e2 /- . i - 6 , /8-- io ir- ' 3 .1 , AP ei A ?" 7 Yi -'/' Y f / ., -.6/3 S/ -- m -- /;7aft - it/../1)-/ , oZ z - • Effluent #1 - BOD > 30 < 220 mg/L and TSS >30 < 150 • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/t. CST Name (Please Print) _ CST Number Bird Plumbing, Inc. Shaun Bird `' 226900 Address 19 Ave Date Evaluation Conducted Telephone Number 1008 New Richmond, WI 546 3-/-/b 715- 246 -4516 i... . • Property Owner _ Parcel ID # Page _ of 3 Boring # ❑ Boring �y 4S pit Ground surface elev. /I • - ft. Depth to limiting factor in. Sal 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 ' •Eff#2 o-i/ is 2 V-17 /o�r�l3 /!/ �m,s- ,„7// 4J .4 • 1 /y - J _ s� �rs9.> /'�- I277/ feel y, / /x' //79, b/C s — ,y ' �� / /'4;24 , i z/ Boring # ❑ Boring ft. r) fif.pit Ground surface elev. / Depth to limiting factor / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 2 6-is l / / l - ALA lam' < Gl ,6) 3 !0_ S/ /roll it< �. /1/ d7 - 57 -1 7/I My 6A 5/ ''r. — /;;X/ A Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth 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 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. SBD -8330 (R-6/00) Property Owner Parcel ID # Page --- of ❑ e / 13 jEtwing# p it Ground surface elev. 'p..5 ft. Depth to limiting factor t9 in. Ap plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDI((` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2- g 62fi/a . e771 .4 fez./ 7 ;1-Y8 . � x/.4 ,/ s/ - 'off''"' /Iv / 'iii / r f (�g # ❑ Boring y 1 / `Pit Ground surface elev. r/'' ' ft. Depth to limiting factor in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDflf in. Mull Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Yy? fr ,,,72er es) / g 2... 4 . 0 r$ .4224 pt.2 3 /P r d o s l C X77 J r .,3 . . / r. �, �.y �. _` . x - � # CJ Boring ❑ pit Ground surface elev. R. Depth to limiting factor in. 5ott Appellation Role Horizon lepth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots , GPD/ft in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Etf#2 • • • Emuent #1 = 80D, > 30 c 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 BOD < 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. 88134330 (R.6000) • Soil Test Plot Plan/ Project, Name Bill Roettger Sh. � ird Address 1924 160th Ave �/ /j New Richmond Wi 54017 / #226900 Lot Subdivision - • to 8/1/10 S W 114 S W 1/4S 11 T 30 N /R17 W Township ErinPrairie �] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Walkout floor System Elevation 96 ' *HRPSame as Benchmark 160th Ave Scale = 1/4" = 10' 5 acre parcel Well 0 Existing 2 Existing Septic Tank Bedroom 1000 gallons House 0-0 Overflow Drywell B.M. * J B - 3 ❑ 120' B -4 ■• 99' B -1 98' 97' B - 2 8% Slope 175' Property Line 900' ► • Parcel #: 012 - 1029 -60 -000 08/06/2010 03:31 PM PAGE 1 OF 1 Alt. Parcel #: 11.30.17.167C 012 - TOWN OF ERIN PRAIRIE Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co - Owner O - ROETTGER, WILLIAM D & LINDA M WILLIAM D & LINDA M ROETTGER 1924 160TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1924 160TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 4.560 Plat: N/A -NOT AVAILABLE SEC 11 T3ON R17W 4.56A IN SW SW COM Block/Condo Bldg: CENTER OF RD AT SE COR OF SW 1/4 SW 1/4 SEC 11 TH N 800' TH W277.50' TH S 800' Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TH E277.50' TO POB ALSO A 20' STRIP 11- 30N -17W ALONG WEST SIDE OF THIS PARCEL AS DESC IN 836/637 Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 836/637 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/01/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.560 36,200 184,600 220,800 NO Totals for 2010: General Property 4.560 36,200 184,600 220,800 Woodland 0.000 0 0 Totals for 2009: General Property 4.560 36,200 184,600 220,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 220 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00