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HomeMy WebLinkAbout028-1041-40-300 r r I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division t INSPECTION REPORT sanitary Permit No: 488288 0 GENERAL INFORMATION (ATTACH TO PERMIT) to PI ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Z Z 90 = r..r'vs. /D, Permit Holder's Name: City Village X Township Parcel Tax No: Afdahl, Joel Rush River, Town of 028- 1041 -40 -300 CST BM Elev: t Insp. BM Elev: BM Description: / .1L Section/Town /Range /Map No: 1 00 -D W .O l2 �� C� 8 &U 7 � 36.28.17.260A30 TANK INFORMATION U ELEVATION DATA TYPE W ANUF,ACTU R ► ��AP CITY STATION BS HI FS ELEV. L S z /� fir' Septic Benchmark i Vol) �6� Dosing t� Alt. BM Aeration Bldg. Sewer )2-YO 1 t - / Holding St/Ht Inlet - • 9 St/Ht Outlet / TANK SET CK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > ' )( Dt Bottom Dosing t t �1 Header /Man. Y.3qL / Aeration Q Dist. Pipe �L 3 Holding Bot. System T, 1, `(' t Sod W. 6 Fi I j3rade PUMP /SIPHON INFORMATION at L=9 UJ 4 4 1 6 U 4, «' ' Manufacturer Demand St er 4A V t p �rcl.l_C GPM / ,raw - 1•D '�� U• �� M odel Number 3� / A � r / . � i6 (,.6 97 H Lift riction Los / System H d I T DH Ft o i 2. �. Iq.� Forcemain Length f Dia. 2 t i Dist. to Well N SOIL ABSORPTION SYSTEM T Width Length No. Of Tos"ehes PIT DIMENSIONS No. Of its Inside Dia. Liquid Depth IMENSIONS Q . ZS I I i1oids SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACH G ufacturer: INFORMATION CHAMBER Type Of System: X \ � U Model Number: CA DISTRIBUTION SYSTEM J a. Header /Manifold Distribution / �� x Hole Si$e t� x Hole pacing ent Air Intake u �/� P �/ Length Dia_ Length iaA Spacing_ �q SOIL COVER x hessure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes I_ j No I Yes j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 095Z �p Ins cti Parce o: 36.28.17.260A30 2: � 7 1 0 �G�,�r �4-' Locati 2010 County Road YY Baldwin, WI 54002 SW 1/4 W 1/4 36 T28N/r�R17W)^ A Lo 1.) Alt BM Description = 5r �^ 6t "" `— ��'� � _ �� h� 2.) Bldg sewer length = 2 - amount of cover = ' X No Plan rev's . equired c�� �4' ► � ��((C. . _ __ Yes ) Use other side for additional information. __� - �f J - - -- 1 1 - Da�e Insepctor's Signature Cert. No. SBD -6710 (R.3/97) A ty Cou n Safety and Buildings Division NVIsconsin 201 W. Washington Ave., P.O. Box 7162 St. Cr Madison, WI 53707 - 7162 Sanitary Permit Numb (to be fiillediby Co.) Department of Commerce (608) 266 -3151 0 we Sanitary Permit App He ' n State Plan I.D. Number / In accord with Comm 83.21, Wis. Adm. Code, personal inf provide Trans. Id# 1289290 (/ maybe used for secondary purposes Privacy Law, s l . lXm) Project Address (if diffmnt than / m � a ii ling address) I. Application Information - Please Print All Information 20 1 0 C, T / i . 4:�:� YX-- Property Owner's Name Parcel # Lot # Block # Joel Afdahl �j 028 - 1041 -40 -3 Property Owner's Mailing d ss Property A T 1996 C.T.H. YY iG� V tt City, State Zip Lode one Number `/° ' /<, Section Baldwin, WI 54 28 �(eirel T N; R ' ` r ✓ II. Type of Building (check all that apply) K �J Name C ❑� 1 or 2 Family Dwelling - Number of Bedroom (3 Subdivision SM Number 680159 Public /Commercial - Describe Use /2/�((/� 30 ❑ State Owned - Describe Use �� L(� []City ❑Village Brownship of Rush River M. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' 0 New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only 13 Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable so 1 ❑' Mound < 24 in. of suitable soil 11 At-Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland 13 Pressurized ht -Ground ❑ Holding Tank ter ero tc reatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber 13 Drip Line ❑ Gravel -less Pipe ❑ Other (explain) t t 1 1 f V. Dispersal/Treatment Area Information: gn ow (gpd Desig Soil Ap lication Rate(gp+f) t sal Required (sf) sp a Area Proposed (sf) levation 98.67 VI. T Info CapagAy in Total Num Manufacturer Prefab Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 Wieser Concrete x Aerobic Treatment Unit P O 1 t� Dosing Chamber 600 1 1600 11 Wile Conafete x VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POW17S shown on the attached plans. Plumber's Name (Print) P1 er's Signat MP/MPRS Number Business Phone Number Bennie Helgeson 92 715/772 -3278 Plumber's Address (Street, City, State, Zt ode) W1229 70th Avenue, Spring Valley, WI 54767 VIIL un ty /De artment Use Onl proved ❑ Disapproved Sanitary Permit Fee ncludes Groundwater Date Issu ing Ag Sign tamps) Surcharge Fee) � 6 U ❑Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval 3 �k' /S ( . YSTEM OWNER: 1 � 0 � ep is ank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained P� ---- as Pe -able de � co ch mplete plans (to the County only) for the system on paper t 81/2 / x 11 inches in size "Z s /, !NT C- � �f lWJl {1'�'.t(, � � /1j J C+ Gu'IZ SBD -6398 (R. 01/03) I ��Sf P + p �� Was "�-0 l ( So �ta►'Y tx� ter; Zoe I Af a l P b Ic.4- w.6 er' o�y� �o~t3 &cepf 4 S h ow S /00 cc' (n d . - j,M'5 See�� cl Dose 7a� 0 7 0f I Puc_ f ��S r P P-14 /,k S� S go F04 �CE� 8 4 Bt �bP 4o a fJ 0 i I Safety and Buildings ' 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.co www.wisconsin.go/ iscosin.gov ti ll epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary July 14, 2006 CUST ID No. 220292 ATTN: POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/14/2008 Identification Numbers Transaction ID No. 1289290 SITE: Site ID No. 715513 Joel Afdahl Please refer to both identification numbers, County Hwy YY above, in all correspondence with the agency. Town of Rush River St Croix County. SE1 /4, NE1 /4, S35, T28N, R17W Lot: 3, Subdivision: CSM # 680159 FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1086259 Maintenance required; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual, SBD- 10572 -P (8.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter 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: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption C0►1f area. chs. NR 811 & 812c APPI • A Sanitary Permit must be obtained from the county where this project is located in accordance with the ,RTME N OF requirements of Sec. 145.135 and 145.19, Wis. Stats.,> • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated SEE COR county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat BENNIE W HELGESON Page 2 7/14/2006 • Comm 83.22(7) A cgpv 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. 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. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 C ✓lG,�,� G G� � � Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11, Integrated Services WiSNIARYcode: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday charlie.bratz @wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 ' INDEX SHEET - SA FET Y W ILUI NGS PROPERTY OWNER: JOEL AFDAHL 1996 C.T.H. YY BALDWIN, WI 54002 PROJECT NAME: JOEL AFDAHL PROJECT LOCATION: SE 1 /4,NE 1/4, S 35, T 28 N, R 17 W MUNICIPALITY: TOWN OF RUSH RIVER COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- P(R/99) MOUND COMPONENT MANUAL SBD - 10572 -P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: WLP1000 /600 -MR Zable Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Signed Address: W1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Date: July 8, 2006 °1fl(1 }i ti'ErO� I � VT OF COMMERCE .FTEYA 6 NGS iESPONDENCE Pl'o+ Play.. I L. , - LAI', ber' ScnI I " =y�� .Evcpf 4s �-- 0 t —c �000 /E cc J�M's 106—acs set f C./ Dose M« k poc R -mss Poly lo s S !�� a 4Br S 9s o_ L s ��LeJr► . J 0 � A Pa e t7r G Synthetic Covering Distribution Pipe , /4 [v1 C 3 -3 — — [?� — °�', q-7 Medium Sand _ N _ G 9g.47 Topsoil -- "' F �� p E � � 3 „ h O IC onta� v. Slope Plowed �ef 2'_ 2 / Force Main From Pump Loyer Aggregate D /- 7 Ft. E /S Ft. Cross Section Of A Mound F $C Ft. G , S Ft. A S Ft. H Ft. !_ Signed: B . mss Ft. K � Ft. � License Number: L 77 / Ft. Date: J Ft. I /a, Ft. W X 8,3 Ft. L ---- -- Observation Pipe � K A �,r- -- - - - -- - -- -- - -- Distribution \� , C5L L - Of 2 — 2 z Aggregate Pipe D Observation Pipe Plan View Of Mound Own e.►- ; �o �L A- Fd P o!lorulno - I °III•_ Unlull :rLCrsC cJ / 1 End view Peelvruleu Pvc Pip( Cad E,l o ,. <\Ij Holes Located on Bottom are Equally Spaced R � % Fo rd r r ,� 5 oil If 1bullon P / , Pipe Discri buci_on p ipc�uC R S 3� x Y Hole Diameter _-- Inch Signed: Inch (es) Lateral 11 License Number: �ches Manifold Dace: - force Mein " ___ Inches 1,e 7 /JCLVV.be e X 3 7S— l ' ; < 1 o e, Fj o ,_I t Page_l� Of SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" PLX-VENT PIPE 12" MIN • ABOVE GRADE E WEATHERPROOF >_ 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W / PADLOCK E WARNING LABEL - T �� _-__ 4 " MIN. Zy INLET WATER TIG AL GAS- TIGHT i /APPROVED A SEAL JOINTS WITH FILTER ALM APPROVED PIPE APPROVED Aol�./b k S•D-S B , ON 3' ONTO PIPE 3' T I SOLID SOIL ONTO SOLID C ' SOIL PUMP OFF ELEV . 98-5" TT • — -- OFF D 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE �c 32 X S �/ cQS C3ctl, TANK MANUFACTURER: le- TANK SIZES SEPTIC Imo_ GAL. DOSE Y 1UM�E FLOWBACKG �, S GAL. DOSE ��_ ALARM MANUFACTURER: � CAPACITIES: A = Ig INCHES = _ Cl.� GAL. MODEL NUMBER: r B = 2 INCHES = �-� GAL. SWITCH TYPE: _ 4 a t'�O``� l C INCHES = I�,S� GAL. PUMP MANUFACTURER: r MODEL NUMBER: --� D = f Ll INCHES = Ib7, ( GAL. SWITCH TYPE: REQUIRED DISCHARGE RATE ,76 - GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 WAC � VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + MINIM}JM NETWORK SUPPLY PRESSURE FEET FEET + �$ _ FEET FORCEMAIN X 2� ©7 FT /100 FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD WI DIAMETER INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WID ,� L I Q U I D 6� - __ . SIGNED: LICENSE NUMBER: DATE: 1/88 a c � I D of O `Cr n w J o a z Q WJ Q # CD Na g _o IL j J L N O 3 Z N CO 2 V a i 0 F° aM ° Uo`n 0a\ /� U O V - O .a oo a ova O t♦ m ieQ z z �� ^ O ° P U) ° CL CL i c� i o �W Na y' a s Zx ao r CL 0 w i- w c� o In 0 o O• 0 a w °cn o °° o � ? Om w Lr) 0 ¢ ='00 � N~ Mwui o ^ p z a O N ^ Q Mt Nto �' Uj w w ZN r Z C Y 'n w l" c K F' w F=! (n ca z a o o w 30~ o w o w a a o ! omi al L) Q I z. a c� r �3m��QWm� a.rc� z D oa f 7 z Z J J t i I I ` 1 I w „Z z 1 q!� T 1 1 I I i I I I II I' 1 4 11 et W w IQ i I a L j I I J 1 o J I C/) F fn cn 1 I . I I I H w ., 9c • HEAD CAPACITY CURVE MODELS 137/139 4 13/16 �+ 7 7/16 MODELS 137/139 Ft �m I L-6 1 /8 5 1.52 93 352 6 10 3.05 79 2% 2S 15 4.57 64 242 4 13/16 6 20. 20 6.10 36 136 - --� 0 25 7.62 8 30 15 Lock Vahre: 26 R 1 1/Y - 11 1/2 NPT 4 f0 2 S I 13 0 S. GALL S 10 20 30 40 50 60 70 BO 90 100 I 0 TERS 80 160 240 320 400 I I 0 FLOW PER MINUTE ODMI SK373 3 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V, 230V or 460V. • Variable level control switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. . Double piggyback variable level float switches are available for variable • Mechanical alternators, for duplex systems, are available with or without level long cycle controls• alarm switches. • Over 130 °F. (54 °C.) Special quotation required. • Simplex Panels are available for 3 phase pumps. • Refer to FMO806 for 200' F. applications. • Control alarm systems are available for 1 phase pumps. 137 Series - 47 lbs. 139 Series - 51 lbs. SELECTION GUIDE shoo Said control Selection Lr,< 1. Integral float operated 2-* mechanical switch, no external control required. Modd vons.Ph Mode Amp4 Simplex Duplex CSA UL 2. Single piggyback variable level float switch or double piggyback variable level M137/139 115 1 A* 10.7 1 or 13 8 — Y Y float switch. Refer to FM0477. ON 39 115 1 Non 10.7 2 or 2 3 7 3 x 5 3 6 Y Y 137 115 1 10.7 Y 3 Mechanical alternator M -Pak 10-0072 or 10.0075. Refer to FMO495 1 7 — Y D1371139 230 1 Auto 5.8 / or 13 8 — Y Y 4. Simplex three phase control panel. Refer to FM1228. E137/139 230 1 Non 5.8 1 2 or 2 3 7 3or5j6 Y Y 5, See FM0712 for correkx model of Electrical Alternator. 111371139 200.208 1 flub 6.2 1&8 -- I Y N 11371139 200.208 1 Non 62 2 6 7 3 x 5 3 8 Y N -0225 6. Variable level control switch 10 used as a control activator, specify duplex • J1371139 200 -208 3 Non 2.6 4 334 or 538 Y Y (3) or (4) float system. /137/139 230 3 Non 2.6 4 334 or 536 Y Y G137 460 3 Non 1.4 4 334 or 596 N N G139 460 3 Non 1.4 4 334 or 538 N N • No molded plug "Single pippybadk F*4ch included. Pumps must be operated in upright position. CAUTION Twee phase units require a control switch to operate an external magnetic oonta tor. All installation of controls, protection devices and wiring should be done by For kdonnation on additional Zoeller product refer b catalog an Piggyback Variable Level Float a qualified licensed slectrIcism AN Necbicd end safety codes should be Swktm, FM0477; Electrical Akentator, FM0486; Mechanical Alternator, FM0495; Alarm Package. followed including the most recent National Electric Code (NEC) and lice FM0732; end Sump/Sewage Be", FM0487. Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Lokdskdle, KY 402584341 MelM4durers Of. . `O SIePTO: 3849 Cane Run Road Lo qp s wtsn're, KY 40211 -1981 �?yPwpa S /�ili7 I httpJAvww.zodler.eom ���� M. ( FAX (502) 77 W4 0 Copyright 2001 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 of S FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity lUUU a l ❑ NA JOEL AFDAHL Permit # Septic Tank Manufacturer Wieser Concrete ❑ NA Effluent Filter Manufacturer Polylok ❑ NA DESIGN PARAMETERS ❑ NA Effluent Filter Model Pol lok 525 ❑ NA Number of Bedrooms 3 Number of Public Facility Units !X NA Pump Tank Capacity 50U a l ❑ NA al /day Pump Tank Manufacturer Wieser Concrete ❑ NA Estimated flow (average) Design flow (peak), (Estimated x 1.5) 450 al /day Pump Manufacturer Zoeller Pum Co ❑ NA Soil Application Rate b ; ( p 0.5 al /dft z Pump Model 137 ❑ NA a / Standard Influent /Effluent Quality Monthly average" Pretreatment Unit Q NA Fats, Oil & Grease (FOG) 530 mg /L '❑ Sand /Gravel Filter ❑Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L [RNA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Dispersal Cell(s) ❑ NA Pretreated Effluent Quality Monthly average P Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L C NA ❑ At -Grade ® Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency ❑ monthls) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 2 [ year (51 Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 2 l$ year(-) Ck month(s) ❑ NA Clean effluent filter At least once every: 13 ❑ year(s) t$ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: 13 ❑ year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: 3 Ck year(s) ❑ month(s) ❑ NA Other: At least once every: p year(-) ❑ NA Other: MAINTENANCE INSTRUCTIONS made by an i Inspections of tanks and dispersal cells shall be individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) OWNER: JOEL AFDAHL Page 8 of 8 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks removed b a se detec a O Y tage servicing operator prior to use. P System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwatcr levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to Assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, The area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life Of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; Disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides, meat Scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the System is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space Filled 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 replacement area has been evaluated and may be utilized for the location of a replacement soil 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. O A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site 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 POW'I'S 7 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at comply I the infiltrative surface. Reconstructions of such systems must c p y with the rules 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 COMMENTS POWTS INSTALLER POWTS MAINTAINER I Name Name I Phone 1 715/772 -3278 -Phone 715 - 273 - 585511 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORYAUTHORI Y Name JOHNSON SANITATION Agency ST. CROIX COUNTY ZONING Phone 7.15/273 -5811 Phone 715/386 -4680 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and SanbLlon &Qonclp& This damnent eree40 trio minimum requirements of ch. Comm 83.22(2)(b)(1)(d)d(1) and 83.54(1), (2) 6 (3), Wisconsin Adminlstralive Code. Use of M4 doarrrAWdo" ad guarantee the performance of the POWTS. G11N041) RECEIVED JUN 0 7 2006 / Wisconsin Department of Commerce SOIL EVALUATION RE ORT P ge < of Division of Safety and Buildings ST. CROIX COUNTY in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. U percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 02F IWI - 6 Please print all information. sewed Date Personal information ou p rovide may be used for seconds p ( () ( ` I y p y second pur Privac Law, s. 15.04 1 )) m. Property O Ow�n / e Property to + G t T N R E (or Property Owner's Mailin ress Lot # 1991P Cr Y y 3 Cit State Zip Code Phone Number Ity ❑ Village E�4own Nearest Road Lo tV", ZS� /off OJJ )�,S J P) ' - I C.TN yY v New Construction Use: E3Residential / Number of bedrooms Code derived design flow rate 6 GPD ❑ Replacement // ❑ Public or commercial - Describe: Parent material h Oe 5 S f U e� ! al � 1 1 _ Flood Plain elevation if applicable ft. General comments T � and recommendati ns: ��,� ; g� Y S�. 9 S CALL � t I Ow e 0"+oLk Q�. O / ❑ Bo F Boring # �S S ft. De � pit Ground surface elev. pth to limiting factor fn 7" Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 � 4- RfsD C f ® Boring # El BBoring M Pit Ground surface elev. ? .S ft. Depth to limiting factor a in. Soil P 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 3 t o y �- . .sY s -521- sb l r I Jf 3i ch ics� -� 1 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CaT,Name (Please Print) / Sig re CST Number � -e- Address Date 0616ation Conducted Telephone Number Property Owner NJ �e l � � � `� I Parcel ID # Page � of F ,3� Boring # El 1:1 ❑ Pit Ground surface elev. 5 L ft. Depth to limiting factor �_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G P We in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 s JC Boring # Boring N � ❑ g ❑ Pit Ground surface elev. % J i 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. Cord. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0 Z— L V �'S In( /Co 1 141) ,3 F Boring Boring # Ground surface elev. ft. Depth to limiting factor in. 11 pit 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 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 , P p lease contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) P) CP LA VI L� o Iv FX 14s sbw� 10 �a L,of3 TMs ►oo. 9t O Cj-ra uN c� r f2 6z 1-9 Sa 70 � s 'i �►� �1 Y % z Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 ■ ■ TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 14, 2006 CUST ID No. 220292 ATTN.• POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/14/2008 Identification Numbers Transaction ID No. 1289290 SITE: Site ID No. 715513 Joel Afdahl Please refer to both identification County Hwy YY numbers, above, in all Town of Rush River correspondence with the agency. St Croix County SEI /4, NEl /4, S35, T28N, R17W Lot: 3, Subdivision: CSM # 680159 FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1086259 Maintenance required; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual, SBD- 10572 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter 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: Reminders • This system i constructed and located in accordance with the enclosed approved plans y s to be pp p and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities BENNIE W HELGESON Page 2 7/14/2006 a that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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 POWTS 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. Stat • Comm 83.22(7) 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. 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. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. BENNIE W HELGESON Page 3 7/14/2006 Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 Include, but not limited to: vertical and horizontal refe Parcel I.D. / � percent slope, scal e or dimensions, north arrow, and t road U rm Please print all Infor Date Personal infoation you provide may be used for seconda�r Lw, 11.@W) Property Owner PropertylACati n ®@ _ �� 9T. O M G COUNTY 1/4 N /4 S 6 T ,2 0 N R' E W C 0 7 rty Owner's Mailing Address # Subd. Narne,or Nq/ Q B w+k 00 ( c_ City , , State Phone Number , ❑Yllage / T Nea Road ?/3T 6ky t 7V I&N Construction UseEj Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material } �/ ` Flood Plain elevation if applicable /,� , ft. a General e ations: Bd j J 4— s�, ` d �3 .-s �, 1qq 6 cTI- Sirn - S e l © Boring # 0 Boring C� z Pit Ground surface elev. _ I d ' ft. Depth to limiting factor I In. iptlon Rate Horizon qDe Dominant Color Redox Description Texture Structure Consistence ' Boundary Roots GPD/fF In. Munsell Qu. Sz Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2 �- YR z X 0 ,5 - o- o Y 6 ,y 1 �d 0, 5 - D 9 S SE J R 02- C c D t � s oap # ❑ Boring .. Pit Ground surface elegy. / f'7 ft. Depth to limiting factor_ in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz Cont. Color Gr. Sz Sh. 'Eff#1 I 'Eff#2 0-10 Y12 w 3 , )"- 14 (� 3 �� d 0, r 3 'z oY 6 c b 'C o �0- O Y R Z6 r= � ii 08 s ind I io,44 As • Effluent #1 = BOD > 30 220 mglL and TSS >30 < 150 mg1L • Effluent #2 = BOD < 30 mgA- and TSS < 30 mg/L (Please CST Name ease Print _ Si nature J D 90 CS Number j .� A' * I -e4 sl er— Address Date Evaluation Conducted Telephone Number f11 20d 0� 30YO 1 F:. 1 Parcel 19 1" : P age o f r Boring Boring # Pit Ground surface elev. 9 7 R Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/fP in. Munseii Qu. S7_ Cont Color_. G�. Sz Sh. •Eff#1 'Etl#2 23 a Boring # Boring H u 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/ft In. Munsell Qu. Sz Cont. Color Gr. Sz Sh. •Eff#1 •Eff#2 Boring F]Borlrg - pit*. Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPP In. Munsell Qu. Sz Cont. Color Gr. Sz Sh. •EfI#1 •Eff#2 w Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgll_; ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg& 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-V Tcd (.07/00) Woods fill Fence e P / n h a \ l I c+ 5 � Q Z II O O �\ Ln I V � C+ O O O O I � � � O i i I 1 I 1 r imr t1d tzi t1d m Ln CD CD �0 • � � W rp P h O 3 t7d r ^ � V J � n W ^ r 4 o at ro ti ro to m to m L!1 O n n , 3 O S S 0 y O 3 P c p 0 Q O 3 M n r rF b0 o ca C+ F UI � N Lp W UI l V" ' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer '_T6 eA n Fd "[ Mailing Address 19PIo &A y� , Property Address 2 ) 0 C T. (Verification required from Planning D p ent for new construction) City /State 1,v-Z Parcel Identification Number D 2 3 0 ` ) LEGAL DESCRIPTION Property Location ' /,, A/ C — ' /4, Sec. 3 S , T 9K N -R_7W, Town of Subdivision , Lot # 3 t Certified Survey Map # 10 ,5 0 j , Volume / , Page # Ynv / Warranty Deed # C ) Volume Page # 6 Spec house ❑ yes �no Lot lines identifiable f9 yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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. Uwe, 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 Zoning Office within 30 days of the three year expiration date. z� ATURE OF APPLI 'ANT DATE OWNER CERTIFICATION w I (we) certify that all statements on this form are true to the best o f 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. L - [1'k'� . SI F APPLI ANT DATE * * * * * * Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.""" ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL 1 15 t o k STATE BAR OF WISCONSIN FORM 2 - 1998 IS Za; 4M 4r=1113 1 � KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Docume Number ST. CROIX CO., WI This Deed, made between Dean Monicken aWa Dean R. Monickea,_ RECEIVED FOR RECORD a single person 02 -16 -2001 9:30 AN WARRANTY DEED ERT Grantor, and Joel D. Afdahl and Katherine E. Afdahl, husband and wife, C C N 17 ERT COPY FEE: holding as survivenbip marital property F COPY FEE: TRANSFER FEE-z RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: Repordina Arm Name and Return Address Southwest Quarter of Northwest Quarter (SW U4 of NW 1/4) of Section Thomas McCbrnuack 1020 10th Ave. Thirty -six (36), Township Twenty -eight (28) Nortb, Range Seventeen (17) FO Box 2120 West, EXCEPT part to Dean R. and Doreen Monicken in Volume "514 ", Page ! Baldwin, WI 54002 97; ALSO Southeast Quarter of Northeast Quarter (SE 1/4 of NE 1/4) of Sectio* Thirty -five (35), Township Twenty-eight (28) North, Range Seventeen (17) West EXCEPT West 340 feeet thereof, EXCEPT South 912 feet of East 477.7 028_1045-20, 028 - 104140 feet of West 897.7 feet of the Southeast Quarter of the Northeast Quarter (SE Parcel Idanifu.cien Number (PD I) 1/4 of NE 1/4), of Section Thirty -five (35), Township Twetriy- eight (28) North, This is not homestead property. Range Seventeen (17) West. " (is not) This Deed is given M fu1f111ment of that certain Land Contract between the patios dated February 11, 1994, and recorded , February 11, 1994, in Volume 1064 of Records, at Page 408, as Document No. $12964, office of the Register of Deeds for St. Croix County, Wisconsin. Exceptions to warranties. Easements and restrictions of record, and except any liens or encumbrances created or suffered to be created by the acts and defaults of the grantees, their Lein:, succesdors or assigns. Dated this / day of ✓cr• , 2001 . Dean R.roonieken AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) St. Croix " County. ) Peroonally came before me this day of authenticated this day of ' o I 2001 the above named Dean Mori' can, elute Dean R. Monicker TITLE: MENMER STATE BAR OF WISCONSIN to me knowut to who e a person( xec the foregoing (If not, instnunent apd owledg a same. authorized by ; 706.06. Wis. State -) TIits 1NSTRUtASNT WAS DRAFTED BY e Thomas A. McCormack Baldwin, WI 54002 Notary Pubdit, State of Wisconsin be authenticated or acknowledged Both are not MY Commis$i °n is ao t (SiBaatw+as may 0! -_ • '� nooemmy.) ' m should be a below their signatures e Noma persons missing ' my typed printed BAA OF W taCO1VaM �- WARAANTY DEED 70— rb.2 - Stlla DQFpRMA2IOk7pAOFBiSIONA W CO!<PANYFOND DL1 IL �OO•es7- '.'A21 Parcel #: 028 -1041 -40 -200 07/28 /2006 08:34 AM PAGE 1 OF 1 Alt. Parcel #: 35.28.17.260A -20 028 - TOWN OF RUSH RIVER Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner JOEL D & KATHERINE E AFDAHL O - AFDAHL, JOEL D & KATHERINE E 1996 CTY RD YY BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC LeWa scription: 0.650 Plat: 4301 -CSM 16/4301 028/02 SE 28N R1 7 PT S E & PT SEC 36 SW Block/Condo Bldg: LOT 02 NW G CSM 16/4 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 35- 28N -17W SE NE Notes: Parcel History: Date Doc # Vol /Page Type 08/26/2002 688260 1959/108 EZ 05/28/2002 680159 16/4301 CSM 2006 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/02/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 42,000 264,300 306,300 NO AGRICULTURAL G4 12.716 2,000 0 2,000 NO UNDEVELOPED G5 2.934 5,200 0 5,200 NO Totals for 2006: General Property 20.650 49,200 264,300 313,500 Woodland 0.000 0 0 Totals for 2005: General Property 20.650 49,200 264,300 313,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 567 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Sao I MS VOL 16 pAGE 4301 APPROA` KATHLEEN R. MALSR ST. C '% REGISTER OF DEEDS plinnrM• ST. CROI CO., YI MAY 2 S ZDO2 RECEIVED FOR RECORD 1 03 -28 -2002 3t00 PM vm*1 U "i 01 CERTIFIED SURVEY HAP CEl � SURVEY MAP �'�r�FEE : 33� PAGESt 2 Joel and Kathy Afdahl Located to part of the Southeast Y, of the Northeast is of $oddon 33, mid part of the Southwest V, of the Northwest Y, of Sectimi 36, all hi Township 28 Nortlt; Range 17 Wes4 Town of Rush River, A Croix County, Wisconsin. I : sci+ R itw I , .UN ft-AT_W.L4 NO 6 N 00 E 1314.81' ca r o >F IM i Oy Ot • o X, N00 1314.2W 1281.E I O r Wr � •�. I !! � t � s •O - NCr4rdrE 21"-., 4 Q� ' V% E r " 141Y � �� E AST4IE 1a WiEC ipN9S :N X _ Rq�3• 1281.ar ?e a a 1srua�secnrmrsa /1 4t OC1 w ' A•1� N00'46Z5'E 1014.14 WAR z rn to y , i r 1 i w 319.89 3MAZ I ! z S 00 650:00' ZA 11 5 t00'= ]a I�� f 631.92' m ' ;2 f S 00'40'57" W 884.92' -- -- --._ � E�arlQrcar tmp_mm.VMS ' se:cnoN�4r2�ntrlt7w � A�+►000w,rlraeru,t�ru� TN SJNS 1?AFIED$Y.IER/LLDL SHEET I OF Vol. 16 Pao 4301 680 1 59 VOL 16 PAGE 4301 � APPRC"!--.. j r Cs (I �. KATHLEEN H. WALSH ST. C'. , REGISTER OF DEEDS Mannino 71" � ST. CROIX Co., WI MAY 2 8 2002 + RECEIVED FOR RECORD 05 -28 -2002 3:00 PH If not recordeo wIMin .iu ua a be CERTIFIED SURVEY MAP CE Dip REC FEE: 13.00 .I., n l b SURVEY MAP COPY FEE: 3.00 PAGES: 2 Joel and Kathy Afdahl Located in part of the Southeast % of the Northeast % of Section 35, and part of the Southwest % of the Northwest % of Section 36, all in Township hi 28 North R 17 West Town o p g � f Rush River St. Croix County, Wisconsin. WEST 114 CORNER ( OUN A W IRON PIPE) UN_ &417 LA_ _Q$ I r Z 6 � N 00 0 32'39" E 1314.81' z ��� A OOOOOOpop p 1281.81' w _„ o st N � � I ° 3 , � o O ° ° D A Ij �l I °�� ~ O T ' Z ; 00 . g yz "- �°° w ° °° m ° °° 2� �G O ~ y i9i Pa I+ O co I _ _ o Cri ffi $ Qp�000 DO Oooti000 ° ° ° � A I M a N 00 °46'25" E 1314.28' m 1281.28' Cn , , I �"Oo°po 47 -70N 7 0 _40 y m � r co - N 00 °46'25' E 2828.08' - N0 °4 625' E 13 14.03' 47 �� _ _ _ _ 35 N 00 °48'25' E 131470 1281.03 O WEST LINE SWI /4•NW114 SECTION 38 - -0 C ;O �,. A N Z y 1C y N 00 6 4625' E 1014.14' X Z � f LQT 3i* a _ � , , f I i (z z Z S� 0 ^� V ra cc 348.98' 300.02' k w a t -n T •a. 0 ° S 0 40 5T W 650.00' 1. w N � C � Im . C 100'' �0 0 co Z �g �„ w c0 3 M :C0 'O ' 631.92' , S 00 0 40'57" W 664.92' - - - - — 'O' , I i 41N_P�AjjED.(A�IDS � EAST 114 CORNER ca c�r SECTION 36, T 26 N, R 17 W f (FOUND COUNTY SERNTSEN NAIL) THIS INSTRUMENT DRAFTED BYJERALD L LARSONI SHEET 10F 24 Vol. 16 Page 4301 Parcel #: 028 - 1041 -40 -300 07/28/2006 08:25 AM PAGE 1 OF 1 + Alt. Parcel #: 36.28.17.260A -30 028 - TOWN OF RUSH RIVER Current 1 1 X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner JOEL D & KATHERINE E AFDAHL O - AFDAHL, JOEL D & KATHERINE E 1996 CTY RD YY BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description r r SC 0231 BALDWIN- WOODVILLE AREA 0 SP 1700 WITC 7 36 escription: Acr s: .384 Plat: 4301 -CSM 16/4301 028/02 T28N R17W PT SW NW BEING CSM Block/Condo Bldg: LOT 03 LOT 3 22.384AC / Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 28N -17W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 08/26/2002 688260 1959/108 EZ 05/28/2002 680159 16/4301 CSM 2006 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.384 3,500 0 3,500 NO Totals for 2006: General Property 22.384 3,500 0 3,500 Woodland 0.000 0 0 Totals for 2005: General Property 22.384 3,500 0 3,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount I Assessments Special Charges Delinquent Charges es a 9 q 9 Special P Total 0.00 0.00 0.00 -- - �, �. �R i� �' � -.^"� \` F \`� �l o � .� �.1� 9