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HomeMy WebLinkAbout024-1036-70-100 r Wisconsin'Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 'safety and Building Division INSPECTION REPORT Sanitary Permit No: 515227 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: Larsen, Joel J. & Tana I Pleasant Valley, Town of 024 - 1036 -70 -100 CST BM Elev: Insp. BM Elev: BM Description: nn Section/Town /Range /Map No: I6Z • 35 ti J L ST 30.28.17.235B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER �t CAPACITY STATION BS HI FS ELEV. Septic Be hma C 4 7, 1 Al Dosing 6 ( Alt. BM Aeration ' / / Bldg. Sewer a Holding St/Ht Inlet #4 17 1 IF TANK SETBACK INFORMATION o St/Ht Outlet �P 1 I \. TANK TO P/L WELL BLDG. Vent to Air Intake ROA Dt Inlet Septic 7 l �i / Dt Bottom 5 Dosing L53 ' / Header /Man. J *7 �� 9� zo /u�' �y o 3 .ter Aeration Dist. Pipe Holding Bot. System J /02.13 /b2 • 7 PUMP /SIPHON INFORMATION Final Grade Qk Manufacturer Demand St Cover GPM !6 7�7 .T (o // � ! 7 Model Number 31 A7 4111 ` , L ors 7 TDH Lift S Friction Los System H ad TDH , ,I Forcemain Length Dia. �i Dist. to Well zip 3 SOIL ABSORPTION SYSTEM 7, / BED/TRENCH Width / Length No. Of Trf�che PIT DIMENSIONS No. Of Pits Inside Dia Liquid Depth DIMENSIONS to ;R i � SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: \ INFORMATION CHAMBER Type 0 tem: IT OR Model Number: DISTRIBUTION SYSTEM Header/Manifo)d I Distribution ( >/ x Hole Si // I x Hole Spacing / Ven Air Intake L / " 2 L ngth Dia /' ZO Spacing � I g Z (0 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only 6 k G -11.0 Depth Over If I Depth Over xx Depth of - Mulched Bed/Trench Center / Bed/Trench Edges Topsoil I No � No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: 5 / W / 16 Inspection #2: Location: 111 Cty Rd W River Falla, WI 54022 (SW 1/4 SW 1/4 30 T28N RI 7W) NA Lot C-" ,Q( Parcel No: 30.28.17.2356 C16 rp, 1. Description Alt BM Descri = ! 6 / / � / P. P lJ� � �b le V, d� 2.) Bldg sewer length = / �r, ^ f r - amount of cover = ` v �`Jr 5e _' Plan revision Required? 0 Yes No 7 J_ Use other side for additional informati6n. �� l _ W �Aj 6 Date Insepctor's Signat Cert. No. SBD -6710 (R.3/97) cornmerce.wi.gov Safety and Buildin ision County 201 W. Washington Ave x 7162 St. Croix sco n s n Madison, WI Sanitary Permit Number (to be filled in by Co.) N �� t r i epartment of Commerce 5/ 5 Z Z Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate vemmental / I unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned WTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary purpo in accordance with the Privacy Law, s. 15.04 1 m , Stats. . I. Application Informatiq -lease Print All Information Property Owner's Name Parcel # 024 - 1036 -70 -100 Joel & Tanya Larsen map 3 2010 Property Owner's Mailing Address Property Location 1278 River Drive Jig CvUNTY Govt. Lot City, State Zip Code Phone Number SW' /.,SW' /,, Section 30 River Falls, Wl 54022 (715) 760 -0514 (circle one) II. Type of Building (check all that apply) 0 Lot # T b N; R 17 W ®1 or 2 Family Dwelling — Number of Bedroom. Subdivision Name Na Na Block # ❑ Public /Commercial - Describe Use Na City of ❑ State Owned - Describe Use / CSM Number ❑ Village of (� k �� /) /o e , Na ®Town of Pleasant Valley III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) —y System B. ❑ Per* ❑Permit Revision Change of ❑ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Expiration W. TVDe of POW System/Component/Device: Check all that appl Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ® Mound S 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: Design Flow (gpd Design Soil Applicat' ate(g dst) Dispersal Area Required s p Dispersal Area Pro ed (so System Elevation 600 1.00 600.00 sq. ft. GG 600.00 sq. ft. 101.58' 19" ab ' l ✓� 100.00' contour VI. Tank Info Capacity in Total # of Manufacturer w a Gallons Gallons Units o n Q U U 1 k ti F New Tanks Existing Tanks 0' �Q ¢ Septic or Holding Tank 1250 1250 1 Wieser Co crete t / ® El ❑ ❑ Dosing Chamber 750 750 1 Wieser Concrete _ L 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/MPRS Number Business Phone Number Bill Schumaker 227990 (715) 386 -3121 Plumber's Address (Street, City, State, Zip Code) 1070 Scott Road, Hudson, WI 54016 VII oun /De artment Use Onl Approved Approved Permit Fee Date Issued Issuing nt Signature Owner Gi ason for Dem $ ( 2S pa 3 3 0 IX. Conditions of Approval/Reasons for Disapproval ^^ 1 r SYSTEM 3� L a�.�L�i,,,•• e .,s 1ti IIII s..�a a� {.Gl'Fs, �. •�. 1: Septic tank, -. "', . .., , . t? ti-et�I' 14 dispersal cell m,, 'mainta ' as per managem, y plu 2. All setback require as T aintainbd as Per c o comp rte p ans 1 the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 i /o 9oATafr. S/cpac - f.�i.�ou�� � Soi /edalcco6b ' SySv`a+n .4�tct fir• _ .�'et1� Tanya ,(s��S�n�orop. �. � Swy st c,&,, T. 28 2 . rP. i7uJ easa.l� da//cy, ` 3Go X 0 62 3G� • 5!O CJICeM4i '7. 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Safety and Buildings 10541N RANCH ROAD commerce.Wl.gov HAYWARD WI 54843 Contact Through Relay isconsin www.vAsconsin.gov vAsco ov Department of Commerce wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary February 26, 2010 CUST ID No. 227990 ATTN. • POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/26/2012 Identification Numbers Transaction ID No. 1770169 SITE: Site ID No. 754782 Joel & Tanya Larsen Please refer to both identification_ numbers, 111 CTH W above, in all correspondence with the agency. Town of Pleasant Valley St Croix County SWIA, SWIA, S30, T28N, R17W P•Q FOR: Condi Description: Mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1257304 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; Systems EAERM Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), SSWMP Pub. 9.6; Effluent Filter sv- 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 cons SEE COI and located in accordance with the enclosed approved plans and with any component manual(s) referenced a ove. 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: 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. • Care must be taken to preserve the bench mark during construction. • The proposed pump is near its limit with the proposed total dynamic head. If upon installation, the total dynamic head increases, the proposed pump must be reevaluated and may be inadequate. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. WILLIAM C SCHUMAKER Page 2 2/262010 a a Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(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 COMM 84. • Maintain well and waterline set backs per COMM 83.43(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 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 responsibl aril costa tion, operation or maintenance of the POWTS. Sinc ely; Fee Required $ 250.00 &- Fee Received $ 250.00 a Balance Due $ 0.00 d.., Patrici andorf POWTS Plan Reviewer, Inte at Services WiSMART code: 7633' (715) 634 -7810, Fax: (715) -5150, M -th 8:00 - 4:45 pat.shandorf @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Monday, 7:00 A.M. To 3:30 P.M. 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 buildingproduct not on the building site. For further information, go to our website: www. commerce. wi. aov/ SB/ SB- BuildinpContractorProp-,ram.html MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Joel & Tanya Larsen 4 bedroom residential mound Owner's Name: Joel J. & Tanya L Larsen Owner's Address: 1278 River Drive River Falls, WI 54022 Site Address: 111 Co. Hwy. W Legal Description: SW1 /4 SW1 /4, Sec.30, T.28N., R.17W. Township: Pleasant Valley County: St. Croix Subdivision Name: Na Lot Number: Na Block Number: Na } I Parcel I.D. Number: 024 - 1036 -70 -100 Plan Transaction No.: iHESF SO Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications 7 Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Bill Schumaker License Number: 227990 Date: 01/27/10 Phone Number: (715) 386 -3121 Signature: �rl�1L� �- Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SOB- 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) Pagel of 9 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 83 -44 -3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 10.00 Site Slope ( %) 100.00 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.08 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.001 Forcemain Diameter (in) 300.001 Forcemain Length (ft) Does the forcemain drain back? Y 92.001 Pump Tank Elevation (ft) Enter Y or N ?/ 6.50 System Head (ft) x 1.3 48.94 Forcemain Drainback (gal) 3tD 9.08 Vertical Lift (ft) 62.89 5x Void Volume (gal) 9.69 Friction Loss (ft) 111.82 Minimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) 39.54 System Demand (gpm) 25.28 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection r i n. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 x 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 757.64 Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) 47.00 Total Working Liquid Depth (in) Wiese Concrete IManufacturer 16.12 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 757.641 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 16.121 Dose Tank Volume (gal /in) PL -525 Filter Model Number Wieser Concrete Manufacturer Project: Joel & Tanya Laresn 4 bedroom residential mound Page 2 of 9 Mound Plan and Cross Section Views ......... .......... ................ .. .......... ... T 1/10 B ..........-:• .....:. J . Observation Pipe:::. _ I K: : �i•• ♦ : I• 5 A ti W .I. .I: ............. nn................. ............................... I ::l�J ............... ... ........ ..... .......... L Mound Component Dimensions A A19.00 ft E 26.20 in H 1.00 ft K 10.96 ft B ft F 9.25 in z 14.80 ft L 121.93 ft---, D in G 0.50 ft J 6.59 ft W 27.39 ft 600.00 (ft Dispersal Cell Area 2080.36 (ft) Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.35 (ft) ---► G 1 � .rirrrrrrrrrrrrri.( }vrrririrrrrrr... I F 102.08 (ft) L atera l Dispersal Cell 101.58 (ft) — Invert Dispersal Cell :.:.;. Elevation . } x ' «r« +:: : i 100.00 (ft) Contour Elevation 10.0 %Site Slope Geotextile Fabric Cover Shading Key ' Cell See lateral details on 1[] _ Topsoil Cap ... 2 c 1.5 ft Page 4 for number, size, . Subsoil Cap . o and spacing of laterals. :: ' "''`p 9 Laterals are equally ASTM C33 Sand :o t spaced from the 1, Tilled Layer 4) 0.5 ft :'. Typical Lateral w distribution cell's © f:1 Aggregate et o centerline in the A distribution cell (AxB). Project: Joel & Tanya Laresn 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Diagram Force main connection via tee or cross to mwAold at wq point. Laterals are identic al I P S • - Tum -up %Wbell valve or 1+ x--+x12 t2 Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 14.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 49.35 ft Orifices per Lateral 24 Lateral Spacing (S) 3.00 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 9.89 gpm Manifold Length 3.00 ft System Flow Rate 39.54 gpm Manifold Diameter 1.25 in Total Dynamic Head 25.28 ft Forcemain Velocity 4.04 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —� 1 � Comm 16.28 WAC � 4 in. min. Disconnect Tank component is properly vented �— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acityl 757.64 Gallons �- Volume 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 26.06 420.14 B 2.00 32.24 C P ump off elevation (ft) C 6.94 111.82 F 93.00 D 12.00 193.44 D Total 1 47.001 757.64 Dose elevation (ft) 3" Bedding under tank. 92.00 Alarm Manuaaacturer ILevelArm Alarm Model Number I DLV Pump Manufacturer JGoulds Pump Model Number 13885 WE05H Pump Must Deliver 1 39.54 gpm at 25.28 ft TDH Project: Joel & Tanya Laresn 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker _ Phone 715 386 -3121 POWTS Regulator's Name St. Croix County Zoning De 't. Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft 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 every 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 Moundl Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade vl 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: Joel & Tanya Laresn 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01101), 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 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. Puma 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 BOD 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 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 9 GOULDS PUMPS Submersible Effluent Pump a 3885 r fWEXI PUMP PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant Single phase: ■ Bearings: Upper and stainless steel. Threaded • Built -in overload with lower heavy duty ball bearing Specifically designed for the design. Locknut on three phase automatic reset. construction. following uses: models to guard against • All single phase models ■ Power Cable: Severe duty • Homes component damage on feature capacitor start rated, oil and water resistant. • Farms accidental reverse rotation. motors for maximum Trailer courts Epoxy seal on motor end • Motels ■ Fasteners: 300 series starting torque. provides secondary moisture • Schools stainless steel. •' /3 and Y2 HP —16/3 SJTOW barrier in case of outer jacket • Hospitals ■ Capable of running dry with 115, 208 and 230 Volt damage and to prevent oil three prong plug. wicking. tandard cord is 20'. Industry without damage to • 3 /n -2 HP — 14/3 STOW with g � • Effluent systems components. Optional lengths are available. bare leads. ■ O-ring: ssures positive ■ Designed for continuous Three phase: g' p sealing against contaminants SPECIFICATIONS operation when fully • Overload protection must and oil leakage. submerged. be provided in starter unit. Pump •Solids handling capabilities: •'/2 -2 HP —14/4 STOW with bare leads. 3 /4" maximum. MOTORS AGENCY LISTINGS • Discharge size: 2" NPT. ■ Fully submerged in high- ■ Designed for Continuous • Capacities: up to 140 GPM. grade turbine oil for lubrication Operation: Pump ratings are Tested to UL 778 and • Total heads: up to 128 feet and efficient heat transfer. within the motor manufacturer's CSA 22.2 108 Standards TDH. recommended working limits, By Canadian Standards • Temperature: ■ Class B insulation. can be operated continuously CM us File #LR38549 104 °F (40°C) continuous without damage when fully 140 °F (60°C) intermittent. submerged. Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP, MET 40 PE z0 ' _.- T .� _ -,.. _ -_ _ - -� -- -- RPME 3_ 3soo voltage, __._._ -� .._._- _ -.__. __.:_ RPM: _ available p 35 hase and RPM's E15H 175 SOLIDS 110 WE2 H I —► 5 GPM FEATURES 30 100 rT _ ■Impeller: Cast iron, semi W 25 open, non -clog with pump -out = 80 - t "- "� U vanes for mechanical seal < 20 70, H rotectionp 60 Balanced for ° 1 soF bro��e impeller ro avail l able as w o H �— a 5 an option. ° 40� ■ Casing: Cast iron volute type for maximum efficiency. Td A 5 20i�3 - 2" NPT discharge. 101 ■ Mechanical Seal: SILICON o O I L .. -_ _. CARBIDE VS. SILICON 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. 0 5 10 15 20 25 30 35 m /hr Stainless steel metal parts, 39. s Y /r�, A� iniry2 urn3 ul�GO[ BUNA -N elastomers. �� `" Goulds Pumps Cs 2002 Goulds Pumps ITT Industries Effective October, 2002 www.goulds.com 83885 7 6 F 9 � sconsin SOIL E REPORT #1969 De par tm ent of Commerce in accordance with Comm 85, WIS. Adm. Gods Page Z of 3 Division of Safety and Buildings Steel's Soil Sorvipe Attach complete site plan on paper not less than 8% x 11 Inches in size. Plan must County include, but not Ilmlted to: vartical and horizontal reference point (8M), direction and St, Croix — percent slope, scale or dimensions, north arrow, and location And distance to nearest road. Parcel I.D. Please print all information. Pendin _ Personal information you provide may 159 used for secondary purposes (Privacy taw, s. 15,04 (1) (m)), Reviewed By Date Property Owner Property Location Joel Larsen _ Govt. Lot no SWIA. SW1 /4, $3 0, T28N, R 1 7W Property Owner's Melling Address - Lot # Block # Subd, Name or CSM# 1278 River dr. — na n o C 37 Acres City State Zip Code Phone Number 1 City Village y _ 9 L Town Nearest Road River Falls WI 1 54022 715 -760 -0514 Pleasant Valley Cty Rd W �J Now Construction use' LJ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD .� Replacement �. I Pub I �— I c or commercial - Describe na Parent material Llrn" uplands covere by g lacial till Flood plaln elevation, if applicable _... na ft. General comments Mound design, system elevation 101.58ft Based on contour line elevation 100.00ft Minimuum 19 inches of and recommendations: ASTM 33 Mound Sand F - 1 Boring # '�_ Ground surface elev, 102.35 ft. Depth to limiting factor - in. Soi( Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Conslstan Boundary Roots GPD /f1' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, •Etflt1 1 0 -9 10yr3/1. none V 2msbk mfr ! Cs 1vf 6 8 2 9 7.5yr4/4 none sicl 2 msbk m cs na .4 .6 3 17- 10yr7/4 j none 'racturec limestone na cs n a .0 .0 i a Boring # Ground surface elev. 102.35 ft. Depth to Iimiting factor 35 in. i Application Rate Horizon Depth Dominant Color 5oi Redox Description Texture Structure ConBistenc� Boundary Roots GPDM in. Munsell Qu, Sz. Cont. Color Gr, Sz. Sh. •Effiel li •E!'g2 1 � 0 -12 10yr3 /1 W ane sil 2msbk mfr CS ivf .6 8 2 12 - 7.5yr4/4 none slcl 2msbk mfr cs na .4 j .6 3 35- ibyr7 /4 none =ractureC limestone na cs na 0 1. 0 I I ' Effluent #4 = BOr) F > X < . 220 mg/L and TSS y$0 a 150 /L " Eff luent 42 BOD 30 mg /L and TSS a 30 mg /L CST Name (Please Print Sign CST Number Da vid J, Steel _ 248956 _ —. _ __.. Address Stee)'s Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54 9/30/2006 715760 -0347 SOD-8330 (it 17T.6) Property Owner Joel L a rsen Parcel ID # Pendi Pag 2 of 3 -- g — E Boring -1 45 LJ Ground surface elev, gS , ft. Depth to limiting factor _ 28 in. 8011 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ T in Munsell Qu. Sz. Cont. Color Gr, Sz. Sh, "Effll4 E 2 - 1 0 -1$ 10yr3 none sli 2msbk mfr cs 1vf I g 2 18 28 7.5yrry4/4 none sici 2msbk mfr cs na 4 6 3 28_ 10yr / 4 non = racturct _ li mestone na Cs na - 5odng # Ground surface elev. ft. Depth to limiting factor in. pp Soil A Rate Horizon Depth Dominant Color Redox Descriptlon Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr, Sz, Sh. "Eftlii ,E ❑ Boring # [; Ground surface elev. — ft, Depth to IlmRing factor — _ In, Soil Application Rate'. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ t" in, Munsell Qu. Sz, Cont, Color Gr, Sz, Sh. 'Eff#1 'Erfrt2 ; Effluent #1 SOD , 30 < 220 mg/L And TSS 730 K 150 mg /L ' Effluent #2; 130D , 30 mg/l and TSS < -30 mg /L T1ie Department 01'Commcrcc is Dui equal opportunity service provider and employer, If you need assistance to access services or need material in an alternate format, please contact the depaAmcnt at 608 -266 -3151 or TTY 608.264 -8777. SRI) -9730 (Z.0'iC0) Steel's Soil Rrvke STEEL'S SOIL SERVICE 3 of 3 David I Steel Joel Larsen 994 20W" St- CST- PO'w'TSM SW / /4,S30,T28N,R17W Baldwin, WJ 54002 Lie. #248956 Town of Pleasant Valley, St Croix Co. Direct 715 -760 -0347 CSM 37 Acres Fax 715 -684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot tines were not established at the time the soil test was conducted. Legend N Q , I„ - A = Benchrnark Cle. 100.00 It Top of 3/4" pvc pipe = Aft Benchmark Ele_ 100.00 ft Top of 3/4" pvc pipe © - Borings L` Boring Elevations BI = 102.35 ft B2 = 102.35 ft B3 = 95.95 ft 84 = 0.00 ft 1 t� �Y 5 7 '�. IL EVALUATION REPORT #1969 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Bu' ' Steel's Soil Service Attach complete site plan on paper not less than 8' /z County x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. ! U Re ed Dat By Date Personal information you provide may be used for secondary pur ses y Law, s. 15.04 (1) (m)). /n ` 7 I Property Owner R EGS Property Location V YJ Joel Larsen Govt. Lot na SW1/ , SW1 /4, S30, T28N, R17W Property Owner's Mailing Address O CT O 2 2006 Lot # Block # Subd. 1278 River Dr. na na City Stat Zip Code �h "er ] City Village ST. CR(fl ty ❑ g 0 Town Barest Road River Falls WI 54022 715-76 __ Pleasant Valley Cty Rd W New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD [] Replacement U Public or commercial - Describe na Parent material Limestone uplands covered by glacial till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 1 Based on contour line elevation 100.00 Minimuum 19 inches of and recommendations: ASTM 33 Mound Sand ` M Boring # u Ground surface elev. 102.35 ft. Depth to limiting factor 17 ✓ in. P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 =Eff#2 A , B 1 0 -9 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 9 -17 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 17- 10yr7 /4 none = racturec limestone na cs na .0 .0 Boring # Ground surface elev. 102.35 ft. Depth to limiting factor 35 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 -12 10yr3 /1 none sil 2msbk mfr cs lvf .6 .8 2 12 -35 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 35- 10yr7 /4 none = racturec limestone na cs na .0 .0 " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatu e: CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 9/30/2006 715 - 760 -0347 SBD -8330 (R.07 /00) Property Owner Joel Larsen Parcel ID # Pending Page 2 of 3 Boring # ❑ Ground surface elev. 95.95 ft. Depth to limiting factor 28 in. � Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 -18 10yr3 /1 none sil 2msbk mfr cs 1vf .6 .8 2 18 -28 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 28- 10yr7 /4 none =racture( limestone na cs na .0 .0 F-1 Boring # Ground surface elev. ft. Depth to limiting factor 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 F-1 Boring # Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2 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.07 /00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Joel Larsen 994 200" St. CST- POWTSM SW1 /4,SW1 /4,S30,T28N,R17W Baldwin, WI 54002 Lic. #248956 Town of Pleasant Valley St Croix Co. Direct 715- 760 -0347 CSM 37 Acres Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N y 1 " =40' = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe .� • = Alt Benchmark Ele. 100.00 ft I `C Top of 3/4" pvc pipe ❑ = Borings - -- - - -� Boring Elevations B1 = 102.35 ft B2 = 102.35 ft B3 = 95.95 ft B4 = 0.00 ft SJo S� r � 53D a� • vor rvi wy v s". "r � M i • .v re v"e • •i............ �.� vP A w—, - N V24�4r w Q63L32' Wnt Ifng aw 114 &CNoa 30 --• - a�a +e n .27 tw:irr Aft Hill •rte _ "' � • Y Re rc I S PRO . r ini7 r7L r I iu uuun n lull invt i IAIUCA nnn7'AC 'AO ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buye T Mailing ddress g kll-el— 1 r VIA d C��; Property Address (Verification required from Planning & Zo ng Department for new construction. 6 Ve VI, M City /State Parcel Identification Number -�/ =� � 7 - X"90 114 LEGAL DESCRIPTION Property Location S(-j ' /4 , '/4 , Sec. - , T : P� R 1 W, Town of Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # g3 k6) I (before 2007)Volume , Page # Spec house i 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 ( I ) 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 certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number o' dr s 3 / 3 / /a // SIG& RE 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) E33B0�3 /i KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS ST. CROIX CO., WI Document Number WARRANTY DEED RECEIVED FOR RECORD This Deed, made between Joseph W. Koenig and Mary Diana 11/02/2806 03:45PK Koenig, husband and wife Grantor, and Joel J. Larsen and Tanya L, Larsen, WARRANTY DEED husband and wife as survivorship marital Property Grantee. EXEMPT # Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in St. Croix County, State of Wisconsin (if TRAITS FEE: 705.00 more space is needed, please attach addendum): COPY FEE: THAT CERTAIN PARCEL OF LAND LOCATED IN THE CC FEE: SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER (SW - /.OF PAGES: 1 SW /.) OF SECTION THIRTY (30), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE SEVENTEEN (17) WEST, TOWN OF PLEASANT VALLEY, MORE FULLY DESCRIBED AS FOLLOWS: Beginning at the Southwest corner of said Section 30; thence N00 0 24 1 47 "W (assumed bearing on the West line of the Southwest Quarter of said Section 30) a distance of 1319.16 feet to the Northwest corner of said Southwest Quarter Recording Area of the Southwest Quarter; thence along the North line of said Southwest Quarter of the Southwest Quarter S89 0 57'33 "E 1223.69 feet; thence Name and Return Address S00 0 24 1 47 "E 1318.30 feet to a point on the South line of said Southwest Joel, J, 1-4'e serf/ Quarter of the Southwest Quarter; thence along said South line 7 - Ate }A ' (. (, 14'e �v N89 "W 1223.68 feet to the point of beginning. 1X78 fr/C k '6le Subject to C.T.H. "W" right of way. /�IilE `gsT a i .I`ve Part of 024 -1036- 70-000 04 ' . ' 0 43 Parcel Identification Number (PIN) This jEM homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, and rights of way of record, if any. Dated this :�O+ l ` day of Octobe r 2006 * * oseph W. Koenig * * Mary iana Koenig —� AUTHENTICATION ACKNOWLEDGMENT Sienature(s) STATE OF WISCONSIN ) )SS' ° )'/ . PIERCE County. 1 end "atedtt�c� day of +,r Personally came before me this day of 1 " h October 2006 the above named Joseph W. Koenig and Mary Diana Koenig IRTL'IF: MEMBER'STATE BAR OF WISCONSIN (If not. ' CMARLFNE A. LARSON to me known to be the Derson(s) who executed the foregoing authorized by &706.06, Wis. Stats.) R of u bil ap instru t and acknowle ed t same. State e! tV u sin THIS INSTRUMENT WAS DRAFTED BY 'jl - - T— Joseph D. Boles - Attornev at Law * ' River Falls, WI 54022 Notary Public, State of id I My Commission is ent. (If not state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) .) • Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655 -2021 www.' oprofomis.com STATE BAR OF WISCONSIN 1 WARRANTY DEED FORM No. 2 - 2000 , loft d) - --- ---- ----- a m a 8m ffi T2 - ------------------ ----------------- Lu 4 4f ------- ---- .1. "M .... 4.Ef R 's ue 1 2 t LU --- --------- 1-wid 0 IN. � �� � (Y - � Q IK EC! la ------------------ --- ---- ------ --------------- ------------------ ------ i 6 Ail -------------- Igo r s 8 � 4 Q � � x e s 3 s I $ a I j 4z J Q LL � 7 I I � � '7'O .CG • � 4 O ' Q f �_ __ __ - _ `,! p W69lIZ� m Q � 111 � mI glI ° z a o � - r: m i m i i i i m m z -- --- -- -------` -- ------------- - -- --- - -- -- ------ --- - -- -- -- -----r • ---- - --- -- -- -- - ---- --- --- -- - - -- - -- -- ff 3 r m ,O,C9 1Sy Y O i 0 d r u - i u 111tIBI1111N1111111111 . �lI11N1l11l111111l11 � 1� � , i 11 11111 NINA Al! I o n O N IV�In, ON O�Ip = � I IIIh II•I � . ��'�� •! i Il,inl�Illlllllllllnll iii ■•' ■■ is ■ ■ ■f:� 1/ !`` _ _ �i 16iai81111111111n1111 MO— j ■E- i.!, ii- iI I? I'. �� "�'�' "�' IIIIIIIIII �. i i �l,i i l i ill l i i i iii i�� II ■■ �■■ � l OEM I Parcel #: 024 - 1036 -70 -100 03/04 /2008 12:46 PM PAGE 1 OF 1 Alt. Parcel #: 30.28.17.235B 024 - TOWN OF PLEASANT VALLEY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/02/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LARSEN, JOEL J & TANYA L JOEL J & TANYA L LARSEN 1278 RIVER DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 37.000 Plat: N/A -NOT AVAILABLE SEC 30 T28N R1 7W PT SW SW DESC AS COM SW Block/Condo Bldg: COR SEC 30; TH N00' W 1319.16 FT; TH S89' E 1223.69 FT; TH S00' E 1318.30 FT; Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TH N89' W 1223.68 FT TO POB 30- 28N -17W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 11102/2006 838003 WD 11/02/2006 838003 WD 10/31/1997 567768 1273/575 TD 07/23/1997 1059/620 WD more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/22/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 35.000 5,900 0 5,900 NO UNDEVELOPED G5 2.000 400 0 400 NO Totals for 2008: General Property 37.000 6,300 0 6,300 Woodland 0.000 0 0 Totals for 2007: General Property 37.000 6,300 0 6,300 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 r a L� N m (�6 Q V_/ O N C �� f0 ' O � � N � y L w N