HomeMy WebLinkAbout024-1035-10-000 " sconsin Ddpartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 514930 0
GENERAL INFORMATION 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:
Deboe, Mar Pleasant Valley, Town of 024- 1035 -10 -000
CST BM Elev: Insp. BM Elev: BM Descri tion: Section/Town /Range /Map No:
30.28.17.225A
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
46 /010 . /aD - a
Dosing n � � A lt. BM
Aeration
5� all 11 2
Holding SUH Inle I ' O
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO s /L, J � WE L BLDG. Vent to Air Intake ROAD Dt Inlet ✓ —
Septic I , i� Y � ® ' ^ _ Dt Bottom /Y. D y 2. S �
pig \ lA 2 •n oo ' Head /Man. 1 / 7 9 /v k I 1
r
Aeration Dist. Pipe
Holding Bo Sy stem
5 - 5
Final Grade
PUMP /SIPHON INFORMATION - I o 3
Manufacturer Demand St Cov /
LO GPM ( OI to
Model Number
�I 3 3 3
TDH Lift Friction oss System ead TD Ft 06,
7. 2, t o �� 0, - 7 /0s
I lForcema � in
Len 5h Dia. /, Dist. to Well
D 2
SOIL ABSORPTION SYSTEM
BED /TRENCH Width i O Length 0� No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ( n
SETBACK SYSTEM TO `�' P/LW BLDG WELL LAKE /STREAM L CHIN Manufacturer:
INFORMATION CHA OR
TyA S t I� i V A U Model Number:
DIST ION SYSTEM S 7 q w rv,
Header/ anifol Distribution d _ x Hole Siz I x Hole Spacing ) Vent to Air Intake
v11 �i Pi D •� Z J� '3 .3 ? j A !! �1-� - 2— - Z - 5
Length '/ Dia �' Length Dia Spacing �
SOIL COVER x Pressure Systems Only Mound O At -Grade Systems Only
Depth Over Depth Over Zxx ept h of xx Seed d /Sodded xx Mulched
Bed[Trench Center Bed/Trench Edges soil Ip P 149 E] No Yes ❑ No
COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: z f l Inspection #2: / 1 . )- q /Q
Location: 1586 18th Ave River Falls, �544�0222 (NE 1/4 / N , E 164 30 T28N R17W) 40 acres Lot Plod — Parcel No: 30.28.17.225A
1.) Alt BM Description = 1 DP /��"' v�1G %�`'�"`� - ✓� /r��'�,r Y
2. Bldg sewer length =
- amount of co er = ���
Q �('Gwwtt� , 0 a "d 55 rvwf � Cva- -�-y
--
. - --
Plan revision Required Yes No
Use other side for additional information. -_ - --
Lti
SBD -6710 (R.3/97) Date Insepctor's Sign ure Cert.
t
commerce.wi.gov Safety and Buildings Division County
As 201 W. Washington Ave., P.O. Box 7162
s co n n Madison, WI 07 — 62 Sanitary Permit Number (to be filled in by Co.)
t i epartment v D ofCosntmme _ 5 /`t� 9.30
Sanitary Permit Applicatio State Transaction Number
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you pr ' e may be used for secondary / 1�
p urposes in accordance with the Privacy Law, s. 15.04 I m , Stats.
L Application Information - Please Print All Information 4 1 ,' RECEIVE
Property Owner's Name - Parcel
K 4 Z —
Property Own is Mailing Address t^� ocati on
4 3Eyovt. L a Z z
City, State Zip Code Phone ber ZONING OFFI '' /., ' /., Section
�p A �^ 2 Z �l circle one)
1, v` ✓ T "�/ t J T N; R � E or�4
1I. Type of Building (check all that apply) p k Lot #
or Family Dwelling- Number of Bedrooms _ ..__, _...___. -. _ __ - uWryistQn
Q 3 ���.�,� Block #
C1 Public/Commercial - Describe Use '`
A]4,< p ❑ City of
11 State Owned - Describe Use A� o CSM Number ❑ Village of
Town of �� �i� - �/�✓u
LL
(II. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A ' X New System ❑ Replacement System g p y 8 Y (explain)
❑ Treatment/Holding Tank Replacement Onl Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner l
IV. T e of POWTS System/Component/Device: Check all that apply) O
❑ Non - Pressurized "round ❑ Pressurized In- Ground ❑ At -Grade WMound > 24 in. of suitable soil ❑ Mound < 24 in of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑Pretreatment Device (explain)
V. Dis ersalfrreatment Area Information: / •
Design Flow (gpd) i Design Soil Applicati n Rate(gpds Dispersal Area Required Dispersal Area Proposed f) yytem Elevation
.i ,� p � /off I L, v —C,) ppG' g ✓
VT. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units u o
New Tanks Existing Tanks e
rA
Septic or Holding Tank / rJ,�. ' 4A_)J
Dosing Chamber
VII. Responsibility Statement - I, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature MP /MTW& Number Business Phone Number
I�1 ety / z`Z - 7 1 71 1 -J - 27 Z
Plum er's ddress (Street, City, State. Zip Code)
V111. Count /De artment Use Onl
;Approved ❑ roved Co , Permit Fee Date sued Issuing gent Signature
_ a / yin �$
El caner en Reason forDenial Vvt/
IX. Condi ' easons for Disapproval -
t'84444'� . RQ..
1. 8�pde t9nk,.etl6 t MW NO
tibpetstl ed ttttst ap be
M! PfO by � Grp
2. AN adbat M**Wnwft NWd b• RdililltteM
0 OK k * Attach to complete plans for the system and submit to the County only on paper not less than a in x I I Inches j inize SBD -6398 (R. 01/07) Valid thru 01/09
e/`
i � e _9T A
5� OkS 15L �b I 4" LO
:�1lYIW:: M3i'Z': a
bne I W tnsun'b Mat *0"8 . t
JJ Ns 19um i's:, iUWARib
. yd bsbivwq nbiq tnsm", ansm isq tt
bsn+ilnwn sd tzum sxisinm►uptt il*mdss NA .S:
saam1wm ! §Ww do WMR-Aw an as
1
s
- Plot Plan, page of8
Pyroper& OWner p \Ay,K4 MAae.P, DE
I" =Oft
Legal Description NEtkt or- -we &KA 'SF j- 3o. - rm. (except wkere noted
R,71., -Mwa rA- pLr--JkSA.n vAU.P-Y. S-r, rpo&X coujoly 0 = Backhoepit
�scoas� a. 36 ACRES
North
WILL Lt , 300' SE
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Plot Plan Page of8
Property OIVllel =J MAei� DEBOE
1» = 40,f�
Legal Description N��kr �+� %.,sue. 3a. (cwt where noted)
19.17 IM,-14awa Ov- pLrcpsApIT VAUAV. s?. Caax,�-i . --
�1= Backhoe pit
l, tsco asp a 30 flCRL s
North
C wtiLL.. L . 5 300 ` gE
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Site Location: I
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Safety and Buildings
commercemi.goV "" .; 3824 N CREEKSIDE LA
HOLMEN WI 54636
isconsin #: (608) 264 -8777
L UU i www.wisconsin.gov
e partment of Commerce MAY 16 r
ST. CROIX COUNTY Jim Doyle, Governor
ZONING OFFICE Jack L. Fischer, A.I.A., Secretary
May 05, 2008
CUST ID No. 224832 ATTN.• POWTS Inspector
MARY JO HOLLISTER ZONING OFFICE
HOLLISTERS SOIL TESTING ST CROIX COUNTY SPIA
W9875 690TH AVE 1101 CARMICHAEL RD
RIVER FALLS WI 54022 -4011 HUDSON WI 54016
CONDITIONAL APPROVAL Identification Numbers
PLAN APPROVAL EXPIRES: 05/05/2010
Transaction ID No. 1533813
SITE• Site ID No. 736968
Mark & Mara Deboe Please refer to both identification numbers,
1586 18TH Ave above, in all corres ondence with the a enc
Town of Pleasant Valley
St Croix County
NE1 /4, NEIA, S30, T28N, R17W
FOR:
Description: Four Bedroom Mound System / New construction / Sloping site
Object Type: POWTS Component Manual Regulated Object ID No.: 1181015
Maintenance required; 600 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; Sytem(s):
Mound Component Manual- Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual- Version
2.0, SBD - 10706 -P (N.01 101)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
component manual(s) referenced above.
• 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 ofSec. 145.20(2)(d), Wis. Stats.
• The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic
or soil compaction in this area is prohibited.
• Maintenance information must be given to the owner of the tank explaining that periodic clearing of the effluent
filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval
conditions.
• A cony of the approved lU ans, 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
P.O.W.T.S.
Conditionally
APPROVED
i DEPARTMENT OF COMMERCE
— null nu1Gt
I
MARY JO HOLLISTER Page 2 5/5/2008
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.Comm 83.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard the roe owner must follow the contingency r'
p p rty co tmgency 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 Safety & Buildings reserves the right to require changes or additbns should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 175.00
C ^�� � /��/ .• Fee Received $ 175.00
Balance Due $ 0.00
Gerard M Swim
POWTS Plan Reviewer, Integrated Services
(608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633
jeny.swim@wisconsin.gov
cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M.
41
MOUND AND PRESSURE DISTRIBUTION COMPONENT D& `'D00
INDEX AND TITLE PAGE aow�
Project Name: MARK & MARA DEBOE
Owner's Name: (same)
Owner's Address: 1586 18th Avenue
River Falls, WI 54022
Legal Description: NE1 /4 of the NE1 /4, S30, T28N, N17W
Township: Pleasant Valley
County: St- Croix
Subdivision Name: NA
Lot Number. NA Block Number. NA
Parcel I.D. Number. 024 -1035 -10 - 000
Plan Transaction No.:
GIN app, Page 1 Index and title
�
..............
` Page 2 Data entry
Page 3 Mound drawings
MARY JO •: " Page 4 Lateral and dose tank
HOLLISTER t Page 5 System maintenance specifications
1859 Page 6 Management and contingency plan
HlVER FALLS, Page 7 Pump curve and specifications
)NI �• Page 8 Plot Plan q►u w
•4 `^ p tdGE
O
�A...•, .... � ee� ESP N E
� �' SE E GU
Designer. Mary Jo Hollister License Number: 1859 -007
Date: 04 /30/08 Phone Number: (715) 426 -1775
Signature:
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 5.1 (R. 06/06) Page 1 of 8
Mound and Pressure Distribution Component Design
Site Information
R Residential or Commercial Design Note: Sand fill (D) calculations assume a
400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal
1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches.
600.00 Design Flow (gpd)
2.00 Site Slope ( %)
100.08 Contour Line Elevation (ft)
32.00 Depth to Limiting Factor (in)
0.60 In -situ Soil Application Rate (gpd /ft
Distribution Cell Information
60.00 Dispersal Cell Length Along Contour (ft) = _ 16 - 0 - 0 - 1 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd /ft
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network?
e Center or End Manifold
3.33 Lateral Spacing (ft) If N above, enter the elevation (ft)
3 Number of Laterals of the highest point.
0.125 Orifice Diameter (in)
2.17 Orifice Spacing (ft) = 7.41 ft /orifice
2.00 Forcemain Diameter (in)
26.0 Forcemain Length (ft) Does the Forcemain drain back? Y
00 Pump Tank Elevation (ft)
6.50 System Head (ft) x 1.3 4.24 Forcemain Drainback (gal)
10.08 Vertical Lift (ft) 55.91 5x Void Volume (gal)
0.61 Friction Loss (ft) Np7 60.15 Minimum Dose Volume (gal)
0.5 -line Filter Loss 1 / 33.37 System Demand (gpm)
17.69 Total Dynamic Head (ft)
Lateral Diameter Sel Manifold Diameter Selection
in. dia. options choice in. dia. options chn ice
0.75 1.25 x /
1.00 1.50 x �J
1.25 x 2.00 x
1.50 x 3.00
2.00 x
3.00 x
Gallons /Inch Calculator
Treatment Tank Information Total Tank Capacity (gal)
1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Wieser Manufacturer gal /in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
800.00 Dose Tank Capacity (gal) Polylok Filter Manufacturer
22.24 Dose Tank Volume (gal /in) 525 Filter Model Number
Wieser Manufacturer
Project: MARK & MARA DEBOE Page 2 of 8
Mound Plan and Cross Section Views
T
........... ............................... ............ J
1/10 B '•- •. Observation Pipe 3 ......
K
0 ❑ 0 A
W F: . :. :: : ::. :.:.:::::.:. :.:.:.:
B .......... ...............
'
.3
z
:. ... ......:.:.:.:.:.:.:.:.:.:.:.:::.:.:::.:::.:::.:.:.:.:.:.:::.: ::.:.•.....•.•:•:•.•...•...:.:.
Mound Component Dimensions
Al 10.00 ft E AO. in H 1.00 ft K 7.11 ft
B 60.00 ft F in 1 6.67 ft L 74.23 ft
D 6.00 in G ft J 5.01 ft W 21.68 ft
600.00 (ft) Dispersal Cell Area 1000.00 (ft Basal Area Available
10.00 (gpd /ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 102.35 (ft) —�
G * H
l
Z l
- �-- ���- •��-- ��-- ��� - -� � � � 101.08 ft Latera
F Dispersal Cell ( )
100.58 (ft) — Invert
Dispersal Cell
::: 3 ::: ::::::::'.
•. 1
P :::.:.....::::::::.:.
Elevation ::; E D ..........::::..
a
a
100.08 (ft) Contour Elevation
2.0 % Site Slope
Geotextile Fabric Cover
Shading Key m c. T Dispersal Cell See lateral details on
Topsoil Cap c 1.5 ft Page 4 for number, size,
Q Subsoil Cap 0 — and spacing of laterals.
Laterals are equally
ASTM C33 Sand Z / F
H4 C] Tilled Layer 0.5 ft Typical Lateral 5 spaced from the
❑
❑5 �] Aggregate v o I distribution cell's
-{- centerline in the
A — r distribution cell (A.
Project: MARK & MARA DEBOE Page 3 of 8 AAil
End Connection Lateral Layout Diagram
Center the laterals over the A & B dimension Tu rn -u p vW ba 11 ua Iwo or of on n out pi ug
ILI e P
All laterals are itfentloal Holes drilled on the bottom of the lateral S
equally spaced
Laterals & For** main of PVC Soh 30 S
[per COMM Table SC30 -5]
Force main connection yia tee or cross to manifold at any point.
Number of Laterals 3 Orifice Diameter 0.125 in
Lateral Diameter 1.25 in Orifice Spacing (X) 2.25 ft
Lateral Length (P) 58.50 ft Orifices per Lateral 27
Lateral Spacing (S). 3.33 ft Orifice Density 7.41 ft /orifice
Lateral Flow Rate 11.12 gpm Manifold Length 6.67 ft
System Flow Rate 33.37 gpm Manifold Diameter 1.25 in
Total Dynamic Head 17.69 ft Forcemain Velocity 3.41 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and
Comm 16.28 WAG Disconnect 4 in. min,
Tank component is properly vented Alternate outlet
location
Forcemain diameter
Wieser Manufacturer �_ 2 in.
Ca acit 800.00 Gallons
Volume 22.24 gal /inch A
Weep hole or anti -
Dimension Inches Gallons B siphon device
A 19.27 428.49
B 2.00 44.48 C Pump off elevation (ft)
C 2.70 60.15 91.00 I Ir
D 12.00 266.88 D
Total 35.971 800.00
Do se tank elevation (ft)
3" Bedding under tank. 90.00
Alarm Manuafacturer Tank Alert
Alarm Model Number HW101
Pump Manufacturer Gould
Pump Model Number 41
Pump Must Deliver I 33.37 gpm at 17.69 ft TDH
Project: MARK & MARA DEBOE Page 4 of 8
i
Mound System Maintenance and Operation Specifications
Service Provider's Name Darrell 's Septic Service Phone (715) 425 -1025
POWTS Regulator's Name St. Croix County Zoning Phone (715) 386 -4860
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 1200 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 600 fe 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 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once every 3 years
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound Inspect for ponding and seepage once every 3 years
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 vl
6 -8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lateral
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: MARK & MARA DEBOE 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 ISBD- 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 BOD 30 mg/L TSS, 10 mg/L FOG, and 10 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 dogging 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.
Continuency 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 dogged 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: ,I.�EP M� ,�afz� Page 6 of 8
�, . "U'L".-S FUMFb Submersible
Effluent Pump
_ P
PE
MGM WAIIJW
PrMrl{r— Gerraai: GeneraE r Orrosion t E
• Discharge: 13�' 1�'F • 9"91e phase Corrsrn/cdon.
• Tenure; t off (4o•q ' 6o Nettz ■ Cast iron body.
M- amtkum whim 2 W=O&W irn*w and
fiuN 2&Wged. • 8tolFin tllerraat oaaload pro- Coact.
• %Ws handirg: W Mcft vwh au0nak tenet ■ Upper sleeve and lower
"%W& "M sphere. • am B insulation. heavy duly W bearing
A"UKAUM • Aulow is modeh irWO& a • O1&f" design Conmuction.
Ut switch. • =*wO carbon steel f =X
*d* desijw tar the • Manual models avalU*. extended
fo WAV Uses: g range: See lei Motor. service W.
• Motmd Systems pe iNmam chart or cave_ • 33 HP, 3000 RPM ■ Powered for cwfi uow
• E1RuentlttktSing SySMS Pei PUMIX • 115 votes operation.
LOW Pressm Pipe ' MaWrnm capacity: 53 GPM • Shaded pole design ■ AN ratings are within the
' Basement Draining • Ma &Awn heeid. 2S' TDN PE41 Motor: w rd 20' the motor.
• HwW Pur
Sam# PE41 W • .4014P, 3400 RPM M
Dewa • Mmdrnm 61 GPM • 115 and 230 votes co standard k no,
• Matd nurn head: 29' TQFi • PSCdesign heavy duty 16x3 SOW with
PE51 PE51 Motor: t 15 or 230 vdtgrouticGhg
• Mmd mnt 70 G_pM • 50 NP, 3400 RPM
• MaAnwn head 3Y TDH • 1 i 5 and 230 voles m � . mrnpaa
METERS FEET • PSC ■ MedaniW Seal is 00bon
t._ . _t .; _ manic, BUNA and stainless
s - . . t-f^ , MODEM FBI. P"I, pal I Stela.
35 , -1 _ NF 33. A0,30 i r Stalnim Steel bstenem.
10
, 2 GPM
�'a" �"'� - - `. --� AMY
30 F•-i 1 FT 1 - Lai14165
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Te*d to UL M aid
4 GA 2U 108 Storm"
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-- —L �i --
0 ` 10 20 � 30 40 56 60 - • 70 GPM So 1 56 CT ' Ofi& P- AM MAKA _
0 10 15 rnlfh
IRA T
Wisconsin artmentofCommercee IL EVALUATION REPORT 1 of 3
� P�
Division of Safety and Buildings
ml1WMMrWComm85,Vft. Adm. Code
Cotslty ST. CROIX
Attach complete site plan on paper rot less than 81/2 x 11 incises in size. Plan must
irx�tfde, but not limited to vertical and horizontal reference polo (BM), direction and Panel I.D. 024 - 1035 - 10 - 000 ,'Z Z. A
percent slope, scale or dnnensiars, north arrow, and location and distance to nearest road.
Please print all ii tier_ _ Re by Date y/
Persona! tnromearim You provide may be used for ndary p 15.04 g fif/� O
Property Owner RA MARK & MA DEB vt. 1/4 NE 1i4 S 30 T 28 N R 17 E(or)W Property Owner's Mailing Address Lot # Subd. Name or CSM#
1586 18th Avenue ST. CROIX COUN Y -- �CQ a4z /dI/✓6 3 " l _30.og z, City State Zip Code Nurp MING OFFIC lage • own Nearest Road
River Falls, WI 1 54022 ( 715 796-5481 18th Avenue
Q New Construction UseE) Residential / Number of bedrooms 4 Code derived design flow rate 600 GPO
Replacement Public or commercial - Describe:
Parent material sandstone Flood Plain elevation if applicable N - A ft.
General comments Mound system — 0.50 ft. sand fill -- 0.6 oading rate
and recommendations:
I Boring 1)`
❑ A
Q Pit Ground surface slew. 99.91 1L Depth to limiting factor 40 in.
Soil Appl ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. `Efr#1 `Eff#2
1 0 -7 10YR2 /2 — sil 3fabk mvfr cb lvf -m 0.6 0.8
2 7 -22 10YR2 /2 — sil 2f -msbk mr gi lvf -f 0.6 0.8
3 22 -36 10YR3 /4 — sic] 2f -mabk mfr cs lvf -f 1 0.4 0.6
4 36-40 10YR3 /6 — vfsl Om mvfr as -- 0.2 0.5
5 40 -46 10YR7 /6 c2£ IOYR6 /6 vfs Om mvfr -- -- 0.4 0.6
2 Boring # �9 100.68 32
❑ Q Pit Ground surface elev. R Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I `Eff#1 `Eff#2
1 04 10YR2/2 — sit 3fgr mvfr cb lvf-m 0.6 0.8
2 4-14 10YR2/2 — sil 2f- ma&sbk mfr cs lvf-f 0.6 0.8
3 14-24 10YR3 /2 — sil 2fabk mfr cs lvf -f 0.6 0.8
4 24-32 10YR3 /6 — vfsl lfsbk mvfr cs -- 0.2 0.6
5 32-40 10YR7/6 12£IOYR6(6 vfs Om mvfr -- -- 0.4 0.6
` Effluent #1 = BOD > 30 220 mg1L and TSS >30 150 nlWL ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L
CST Name (Please Print) tune /Q CST Number
M Jo Hollister ollistees Soil & Desi eas 224832
Address Date Evaluation Conducted Telephone Number
W9875 690th Avenue, River Falls, Wl 54022 04-26-08 (715) 426 - 1775
Property Owner DEBOE, Mark & Mara Parcel ID # 024 - 1035 - 10 - 000 Page 2 of 3 Lj Boring
3 Boring # E] pit Ground surface elev. 99.38 ft. Depth to limiting factor 37 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
1 0 -7 10YR2 /2 -- sil 3fgr mvfr cb 2vf -co 0.6 0.8
2 7 -22 10YR2 /2 -- sil 2fsbk mfr cs 2vf -m 0.6 0.8
3 22-28 10YR3 /3 -- sicl 2fabk mfi cs lvf -m 0.4 0.6
4 28-37 10YR3/4 -- sicl 2fabk mfi cs lvf - -f 0.4 0.6
5 37 -40 10YR3 /6 c2f 10YR4 /6 fsl Om mvfr -- -- 0.2 0.5
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 *Eff#2
F-1 Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil A lication 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
* Ef fluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- " 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.
SBb- 8330Test(R.07 /00)
r
. t
Plot Plan for Site and Soil Evaluation Page 3 of 3
Property Owner lrJ�Ayx, A&A b Ee m
1 " =40ft.
Legal Descr• e w t where noted)
iption NE /4 �+� us /, sEC. 7'z81J. ( eP
j, 7 uI, - Qf P682sA.rr VALIA 'S_11 C R,x C O N n = Backhoe pit
u c s m a s\ 3b Am S
North
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Site Location: a
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner /Buyer
Mailing Address
Property Address �� '� l r ` ✓r
- r�!l
(Verification required from Planning & Zoning Department for new construction.)
G� N Iv 3s "� —c
City /State 6 " C14 " 11� Parcel Identification Number ti rt f S U
LEGAL DESCRIPTION
r operty Location , , �fA , Sec. & T, NR W, Town of 4ec Sit r1 v(' ifr
�} c
/l
Subdivision Plat V I /Z �J- f t % Q ( � 1� �� s � n ¢ l/�
1W �, [�' 3V ! i �i� ln� �
Certified Survey Map # , Volume , Page #
j (� 1 to 1 9'-N
i� Deed # (pi /�`� _ (before 2007)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.
1 /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 cert t f that all statements on this form Y � are true to the best of m /our knowledge. I /we am/are he Y g t owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms — I
a /LS / v
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)
P STATE BAR OF WISCONSIN FORM 3 - 1998 ` 1 1111111 1111111111 Dill VIII 1111 111111 1111 1111
l QUIT CLAIM DEED I � * 8 6 5 4 4 1 1
Document Number 865441
KATHLEEN H. WALSH
A.� ice L/E -JJ°i9 REGISTER OF DEEDS
This Deed, made between — - -- f ST. CROIX CO., WI
RECEIVED FOR RECORD
12/10/2007 11:20AM
Grantor, QUIT CLAIM DEED
and � E D C BO E _ EXEMPT t 8N
REC FEE: 11.00
PAGES: 1
, Grantee. II
Grantor u(t claims to Grantee the following described real estate In
County. State of Wisconsin:
!j flE. ording Area
io 3 s /O .. 00 p I Name and Return Address
SE - ?7o/v 3o T.ZgN R /�i4/ W3/'f /sg to �g+�ti All-'
of it/E -,c/E Tocv.�saiP o r Rive¢ ���.s ccir .S�a��
pLEflSf1'N7 ✓ -Ei
�I � o�y -/v 3s- 3o - o00
Parcel Identification Number (PIN)
1/—. /O 351 This homestead property. i
(is) (is not)
30 T s N ? w N 11A �!
or- WW N e• e r I
e,4 s ,4 N r d ,4 L1_ c Y' 020
I'
l
Together with all appurtenant rights, title and interests.
I+
Dated this day of 1
_. (SEAL) (SEAL)
i
(SEAL) (SEAL)
" 1
i
j THENTICAT ON ACKNOWLEDGMENT
i
! Signature(s) M
State of Wtsceas4qw �t
County. '!
authenticated thls day of V Personally came before me this r day of !I
N tt e Z °: 7 the above named I�
M a er
TITLE: MEMBER STATE BAR OF WISCONSIN to
(If not, me known to be the person who executed the foregoing l
authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. ;
THIS INSTRUMENT WAS DRAFTED BV y,
e.
�I
Notary Public, State of Wisconsin
My cam xpiration date:
(Signatures may be authenticated or acknowledged. Both are not ) I!
necessary.) —
f - — -
ITAR 1BLIC M Nd NE SOTA
-_. -.
Iof1 - b — —
persons s, nin ,n an <a - -� —��—
8 H Y pacify must t>e typed or printed below their signature. � -- � — � - _ - -- - -'— - - -- `- �
°f STATE BAR OF WISCONSIN al Blank Co.. inc.
QUIT CLAIM DEED FORM No. 3 - 1998 MYwaukee Wis.j:'
ArcIMS Viewer Page 1 of 1
I
18TH
http: / /www.landinfo.co. saint - croix. wi. us / website /LRPortal /ARCIMS/MapFrame .asp ?PIN= 7/16/2008
Parcel #: 024 - 1035 -10 -000 07/16/2008 08:22 AM
PAGE 1 OF 1
Alt. Parcel #: 30.28.17.225A 024 - TOWN OF PLEASANT VALLEY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner
O - DEBOE, MARA E
MARA E DEBOE C - DEBOE, MARK E
MARK E DEBOE
1586 18TH AVE
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description ' 1586 18TH AVE
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 30.000 Plat: N/A -NOT AVAILABLE
SEC 30 T28N R17W W3/4 OF NE NE TOWNSHIP Block/Condo Bldg:
PLEASANT VALLEY.
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
30- 28N -17W
Notes: Parcel History:
Date Doc # Vol /Page Type
12/1012007 865441 QC
04/11/2005 791803 2781/013 WD
07/14/1999 606777 1441/510 WD
05/12/1999 603018 1426/15 QC
more...
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 06/2212007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 49,600 171,800 221,400 NO
AGRICULTURAL G4 12.000 1,600 0 1,600 NO
UNDEVELOPED G5 16.000 24,000 0 24,000 NO
Totals for 2008:
General Property 30.000 75,200 171,800 247,000
Woodland 0.000 0 0
Totals for 2007:
General Property 30.000 75,200 171,800 247,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 306
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
1606
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service, Inc.
Attach complete site plan on paper not less than 8'% x 11 inches in e. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point ( on and l _
percent slope, scale or dimensions, north arrow, and location an tg wrest road. Parcel I.D. / —
024- 1035 -10 -000
Please pd' 0
G� R revue Date
Personal information you provide may used for y Law, s ()). 0
Property Owner Property Location
Zue Jane DEC 2 7 2nna Govt. Lot na NE 1/4 NE 1/4 S 30 T 28 N R 17 W
Property Owner's Mailing Address Lot # lock # Subd. Name or C M,� #
1586 18th Ave ST. CROIX COUNT'r na 'S h' I 41 res
City State I Zi Codes HijKeQ6Fri6� i ty J Village 0 Town U Nearest Road 5111
River Falls I WI 1 54022 715 - 796 -7079 Pleasant Valley I 18Th Ave
J New Constri<ion Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
16 Replac ement J Public or commercial - Describe:
enal Sandstone Uplands covered by glacial drift Flood plain elevation, if applicable na
General comments
and recommendations: Mound design, system elevation 99.45ft based on contour line elevation 98.20ft.
Boring # J B mg
16 Pit Ground Surface elev. 98.50 ft. Depth to limiting factor 2 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2
1 0 -10 1Oyr3/1 none sit 2msbk mfr cs 1f .6 .8
2 10 -21 yr4 /4 none scl 2msbk mfr cs na .4 .6
3 21 -48 7.5yr4/4 c2d 7.5yr5/6 sl 2msbk mfr na na .6 1.0
Boring # J Boring
✓J Pit Ground Surface elev. 98.50 ft. Depth to limiting factor 22 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2
1 0 -9 1Oyr3/1 none sil 2msbk mfr cs 1f .6 .8
2 9 -22 1Oyr4/4 none sicl 2msbk mfr cs na .4 .6
3 22 -36 10yr4/4 c2d 7.5yr5/6 sicl 2msbk mfr na na .4 .6
" Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L Effluent #2 = BOD < mg /L and TSS < 30 mg /L
CST Name (Please Print) Signature: CST Number
David J. Steel r / 248956
Address Steel's Soil Service, In Date Evaluation Conducted Telephone Number
994200th St., Baldwin, WI 54002 12/13/2004 715 - 6845680
•a
Property Owner Zuettel, Betty Jane Parcel ID # 024 - 1035 -10 -000 Page 2 of 3
3] Boring # J Boring
N Pit Ground Surface elev. 97.00 ft. Depth to limiting factor 21 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -10 10yr3/1 none sil 2msbk mfr cs 1f .6 .8
2 10 -21 10yr4/4 none Sid 2msbk mfr cs na .4 .6
3 21 -48 7.5yr4/4 c2d 7.5yr5/6 scl 2msbk mfr na na .4 .6
F-1 Boring # I Boring
J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 Boring # I 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
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD 5 > 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.
STEEL'S SOIL SERVICE INC 3 of 3
David J. Steel Betty Jane Zuetttel 994200 th St.
CST - POWTSM NE1 /4,NE1/4,S30,T28N,R17W Baldwin, WI 54002
Lic. #248956 Town of Pleasant Valley, St Croix Co. Bus.(715) 684 -5680
CSM 50 Acres Fax.(715) 684 -3449
Legend N
1" = 40'
= Benchmark Ele. 100.00 ft
Top of 3/4" pvc pipe
• = Alt Benchmark Ele. 100.10 ft
Top of 3/4" pvc pipe
(Y El Borings
Boring Elevations
40 B1 = 98.50 ft
B2 = 98.50 ft
B3 = 97.00 ft
B4 = 0.00 ft
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Parcel #: 024- 1035 -10 -000 01/05/2005 08:51 AM
PAGE 1 OF 1
Alt. Parcel #: 30.28.17.225A 024 - TOWN OF PLEASANT VALLEY
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
*
BETTY JANE ZUETTEL ZUETTEL, BETTY JANE
1586 18TH AVE
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1586 18TH AVE
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 30.000 Plat: N/A -NOT AVAILABLE
SEC 30 T28N R17W W3/4 OF NE NE TOWNSHIP �— Block/Condo Bldg:
PLEASANT VALLEY.
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
3 - 28N -17W
V� l� V"
Notes: Parcel History:
Date Doc # Vol /Page Type
07/14/1999 606777 1441/510 WD
05/12/1999 603018 1426/15 QC
05/12/1999 603017 1426/11 TI
2004 SUMMARY Bill #: Fair Market Value: Assessed with:
25317 Use Value Assessment
Valuations Last Changed: 05/21/2004
Description Class Acres Land Imp ve Total State Reason
RESIDENTIAL G1 2.000 26,100 125,0 151,100 NO
AGRICULTURAL G4 27.500 3,100 0 3,100 NO
UNDEVELOPED G5 0.500 100 0 100 NO
Totals for 2004:
General Property 30.000 29,300 125,000 154,300
Woodland 0.000 0 0
Totals for 2003:
General Property 30.000 29,700 125,000 154,700
Woodland 0.000 0 0
Lottery Credit Claim Count: 1 Certification Date: Batch #: 306
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
s �
Parcel #: 024 - 1035 -30 -000 01/05/2005 08:58 AM
PAGE 1 OF 1
Alt. Parcel #: 30.28.17.226A 024 - TOWN OF PLEASANT VALLEY
Current XX ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): " = Current Owner
BETTY JANE ZUETTEL ` ZUETTEL, BETTY JANE
1586 18TH AVE
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 20.000 1 1 Plat: N/A -NOT AVAILABLE
SEC 30 T28N R17W N1/2 NW NE TOWNSHIP ;` Block/Condo Bldg:
PLEASANT VALLEY.
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
30- 28N -17W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/14/1999 606777 1441/510 WD
05/12/1999 603018 1426/15 QC
05/12/1999 603017 1426/11 TI
2004 SUMMARY Bill M Fair Market Value: Assessed with:
25319 Use Value Assessment
Valuations Last Changed: 05/21/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 19.500 2,500 0 2,500 NO
UNDEVELOPED G5 0.500 100 0 100 NO
Totals for 2004:
General Property 20.000 2,600 0 2,600
Woodland 0.000 0 0
Totals for 2003:
General Property 20.000 2,900 0 2,900
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