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HomeMy WebLinkAbout032-2150-60-000 Wisconsin partment of Commerce PRIVATE SEWAGE SYSTEM C °U St. Croix nty: Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515128 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)j. Permit Holder's Name: City Village X Township Parcel Tax No: Grand Properties LP, C/o Mike Germain I Somerset, Town of 032 - 2150 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionlrown /Range/Map No: Gf ) Q Z C-,—r 02.31.19.1312 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE , 5 CAPACITY STATION BS HI FS ELEV. Septic y /S� Benchmar f /dam' - z (,r Ue"79 Alt, BM Aeration Bldg. Sewer 7,33 /oa, /g Holding St/Ht Inlet �15r �f9,3� TANK SETBACK INFORMATION SUHt Outlet TANK TO P ` WELL BLDG. Vent �to I ntake ROAD Dt Inlet Septic / / Dt Bottom 24 Dosing HeaderlMan. Aeratio Dist. Pipe �/. 9 4,451 Holding Bot. System Z , Q 75 S Final Grade 1 -7 .3 /60 , Z PUMP/SIPHON INFORMATION �,ar.1 �; �, Manufacturer Demand St Cover t ��// /6 3• GPM ,'bfrc�. "7• Model Number TDH Lift Friction Loss System He TDH Ft Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid DIMENSIONS 3 1 W / Z , f� SETBACK SYSTEM TO G P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacture_ r,: �.,� INFORMATION Type Of System: f / T) / CHAMBER OR ,It.ti t C6,��ew � 7� 1 33 �(.J/� ' UNIT Model Nu�be,: DISTRIBUTION SYSTEM Qc t.J / & 4 HeadedManifold IDistribution x Hole Size x Hole Spacing Vent to Air take // Pipe(s) �� Zw i`! a Lengthy Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of Seeded /Sodded Mulched �� "'� T BedlTrench Center drfh Ed I Topsoil Berenc ges Yes Ed No No Yes [] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 611 232nd Avenue Somerset, WI 54025 (SW 1/4 SW 1/4 2 T31 N R19W)Grandview Estates Lot 16 Parcel No: 02.31.19.1312 1.) Alt BM Description = " IFZ l.-.arJtllt� (I—) C. ic—, 2.) Bldg sewer length = Z $ - amount of cover = Plan revision Required? efp' Yes X No ! U 7 , Use other side for additional information. � L-- L! Date Insepetor's ignature Cert. No. SBD -6710 (R.3/97) ,commerce_vvl.gov Safety and Buildings Division County 201 W. Washington Ave.. L2r ED ^ n c Madiso n, WI 537 ��// Sanitary Permit Number (to be tilled in by Co.) D sco in of Commerce 51,5 1 2 4 3 Sanitary Permit Application StateTramac In accordance with s. Comm. 83.21(2). Wis. Adm. Code. submission of this form to the apprMnLvka VN ( N unit is required prior to obtaining a sanitary permit. Note: Application forms for t4Rlii@ &P%b%�# ject Address (if different than mailing address) submitted to the Department of Commerce. Personal information you pr �de ma `(' used for secondary p urposes in accordance with the Privacy Law. s. 15.04(1 )(m). Stats. L Application information - Please Print All Information �l J>✓ Prope Owner's Name Parcel # Property Owner's Mailing Address Property Location Govt. Lot Cih. State Zip Code Phone Number %a �75,ej_ %<, Section - ircle one II. Type of Building (check all that apply) p k Lot # T _ N: RA-Eo6) 1 or 2 Family Dwelling - Number of Bedrooms C-A Subdivision Name ACUJ be_ Block # ❑ Pubi is /Commercial -Describe Use — �l a• .1 ❑ City of ❑State Owned - Describe Use CSM Number ❑ Village of Z &5 - & �-/ Town of . �isi>a�C3oe III. Type of Permit: (Check only one tfox on line A. Complete line B if applicable) A. New Systems ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Change of Plumber ❑ t Pi Permit Number and Date Issued Permit Transfer to New List B. Permit Renewal Permit Revision ��• � �� Before Expiration Owner IV_ Type ofPOWTS System/Component/Device: Check all that apply Non- Pressuriz In-.Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(g f) Dispersal Area Required (st Dispersal Area Proposed System Elevation V f Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o 2 New Tanks Existing Tanks a. U �z rn Septic or Holding'rank / Dosing_ Chamber V I L I R esp sibility Statement [,the undersigned, assume responsib' ' for installation of the POWTS shown on the attached plans. r' : `amc Print +� Plumber's 'gnat MP/MPRS Number Business Phone Number 15-38— J c: f s : ddress (Street_ City, State, Zip Code tit '0 Vil l County /De artment Use Onl ^rmced isapprov Permit f� Date sued IssuiAASignature ex> ` Owme en Reason vial Al S ZJ�a IX- C9nd9W8MAQkVN,W. asons for Disapproval 3 \ J, . /1 r rJ _ �� Ae r, 1, Septic tank;.efflue eftluent filter and )) lam" ( v�r¢. dispersal cell must all be services / maintained as per management plan provided by plumber. 2. AM setback requirements must be maintained as per applicable code / ordinances. �} /(' �.. p� Attach to complete plans for the system and submit to the C nunf only on paper not less t n 8 in x 11 inches in size �E__cF ;R. 0 107) Valid thru 0 1 /09 4t, � lt�- 5fay.41 P E ,CZ?iJ�i� 9 ,Am a 9 1 PC c OPY C p , a Q 1! Q � S - MCI zz Soil Absorption System Cross Section AD ft 4° Schedule 40 Final Grade PVC Vent Pipe With Vent Cap �� ft Leaching Chamber � ft System Elevation si ft - ft Soil Absorption System Plan View ft MIA 11111111 �� ft Leaching Trench 1 Vent Or Observation Pipe Chambers 4' Die. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model EISA Ratin sq ft per chamber Soil Application Rate gpd /sq ft gpd Design Flow z 7_ Soil Application Rate + ;z �2(-') EISA = Chambers 2 rows of .___l/,, , — chambers each. i Page of POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page Z. of� a ? FILE INFORMATIO i , SYSTEM SPECIFICATION Owner Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer e_i ❑ NA Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Model r' ❑ NA Number of bedrooms ❑ NA Pump Tank Capacity al Z NA Number of Commercial Unit ❑ NA Pump Tank Manufacturer z NA Estimated flow ( average) gal/day Pump Manufacturer NA Design flow (peak), (Estimated x 1.5) al /da Pump Model O Soil Application Rate gal/day/ft' Pretreated Unit Influent /Effluent Quality Monthly Average* ❑Sand /Gravel Filter ❑Peat tiller j Fats, Oils & Grease (FOG) <30 mg /L n Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) <220 mg/L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) < 150 m Manufacturer ' Pretreated Effluent Quality ❑ NA Monthly Average" Dispersal Cell(s) g In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODs) 530 mg/L ❑ At - grade ❑ Mound Total Suspended Solids (TSS) <30 mg/L ❑ Drip-line ❑Other: Fecal Coliform (geometric mean) <10 cfu /100mL Maximum Effluent Particle Size 'f inch diameter * Values typical for domestic (non commercial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once every ❑ months -_,q ❑ ear (s) (Maximum 3 rs) Pu o ut contents of tank(s) When combined sludge and scum equals one third ( /3) of tank volume ? Inspect dispersal cell(s) At least once every ❑ months ears (Maximum 3 rs) Clean effluent filter At least once every ❑ months R - y ear(s ) Inspect pump um controls & alarm At least once every ❑ months ❑ ear(s) NA Flush laterals and pressure test At least once every ❑ months o year(s) pNA Other: At least once every ❑ months ❑ year(s) q NA Other: ... Al least once every ❑ months ❑ ears NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an 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 (%3) 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 ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to th P p e local regulatory authority within 10 days of completion of any service event. 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 my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use. Owner: _ u1� �" z ,mss �af& P age�of System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal 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 soft absorption are. 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. ABANDONEMENT 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: 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. • 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 Iast resort to replace the failed POWTS. • 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 POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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 INS ALjjF � Name l POWTS MAINTAINER _ Name Phone Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY A ORITY ! Name �� Phone Name Phone 7 1038 Wisconsin Department of Commerce . SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not le tba(i8(rx 11 * s s' e. Plan must County St. Croix include, but not limited to: vertical and ogta reference punt (BM) •rection and percent slope, scale or dimemsio; s, rth airdw, and location dnd di t� to nearest road. Parcel I.D. O — 5'0 GUD 2 - 2t -6 •1312 Please l W ti � // p`-f Reviewed By Date Personal information you provide rr�y�psed fors s (Privacy Law 5.04 (t) (m)). 1111!! Property OwnerI t} Property Location M & G Inc �'1� ovt. Lot na SW 1/4 SW 1/4 S 2 T 31 N R 19 W Property Owner's Mailing Address r{ Lot # Block # Subd. Name or CSM# 1359 Awatukee Trail ��\ �p t CrF 16 na Grandview Estates City State zip de Number % J City J Village IJ Town Nearest Road Hudson WI 54CLig -' 1 j715 549 - 5971 I Somerset I Cty.Rd. I Vi New Construction Use: y Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD J Replacement J Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Suitable for a conventional system with 0.7 gpd /sgft rating. Possible system elevation for Area I, step trenches, (high trench) 96.91' (low trench) 96.07'. Based on 7% slope. Boring # jj Boring ej Pit Ground Surface elev. 99.91 ft. Depth to limiting factor >91 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. , Munsell I Qd. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0 -7 1 10 Y r3/3 none SL 2msbk mvfr cs 2f .5 2 7 -17 1Oyr4/4 none LS 1msbk mvfr gw 1f .7 1.2 1! 3 17 -91 1Oyr5/4 none MS Osg ml - - -- - - - - -- 7 1.2 i i 96.9( �! L I Boring # Boring u s ✓� Pit Ground Surface elev. 99.91 ft. Depth to limiting factor >98 in. Soil Application Rate Horizon Depth I Dominant Color Redox Description ! Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color t Gr. Sz. Sh. "Eff#1 "Eff#2 t 1 0 -6 1Oyr3/4 none SL 2fsbk mvfr cs 1f .5 .9 2 6 -10 7.5yr4/4 none SL 2msbk mfr cs 1f .5 ! .9 3 10 -27 1 Oyr414 none LS 1 msbk mvfr gw - - - - -- .7 1.2 4 27 -98 1Oyr5/4 none MS Osg ml - - -- - - - - -- .7 1.2 3b +� " Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L " Effluent #2 = BODS < 30 mg/L and TSS s mgA- 1 CST Name (Please Print) Signatu : __ CST Number h�a „•� Zd, Address Tom Schmitt Date Evaluation Conducted Telephone Number Z. 5/17/01 4 L B� 6Z Property Owner - M & G Inc Parcel ID # Page 2 of 3 I� Boring # Boring V1 Pit Ground Surface elev. 97.19 ft. Depth to limiting factor > 103 in. Soil Application Rate Horizon ( Depth Dominant Color I Redox Description I Texture Structure ` Consistence I Boundary { Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I - Eff#1 "Eff#2 1 0 -13 10yr3/3 none SL 2fsbk mfr cw 4 1f .5 .9 2 13 -37 10yr414 none LS 1 msbk mvfr Cw 1 f .7 1.2 3 37 -103 10yr514 none MS Osg mvfr - - -- - - - - -- .7 1.2 i IV] Boring # Boring ZPit Ground Surface ele, /03. 8D ft. Depth to limiting factor 97 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 0 -8 / 3 /20,1 se 1 as 6-4 oxy -3 6 -I /o yes' /,� �/o�v� s Cis �►,/ -- ---- . ? /, 6 .' F-1 Boring # Boring (lJ+! k ✓c. D�r G�J Q u 5 Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ( Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 LEI `I ii l * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg /L and TSS -s 30 mg1L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or AAA motarial i.. .4 f r not n11 n rnnto t tl,. A--t —t of lnR_7FF_21 S 1 n. ry (nR- ')4A_2777 I. ► � O T 1 6 i i- -�-- " � � _ �,, �,, vas -- - - - -- 9 - --------- Z L-A o?.2 owt � 1 Z a co tn J 0,0 LL- �a(1) o) z i ,• ' �` Q O �NZ J w • w L ``9 6 %J O � Si9�s J r O • ........................................................ ................ ............................... I M I dp 1 N I i I t9t ,69794 ,60.9£9 3„9£,IZ.ZON 2131N30 3N1l t° V nn „ZZ,8t,.00� Se _ I 12,L9JON - - -- I I 685 d `Z �wn-lon I 3wL£,�5.L'Z N011031 SI HOIHM %G8 'NL£1 3 3H1 30 3N1� 1S3M 3H1 Ol 030N3213332! 3 51480 80 SVV838 UMol ajoudojddo 241 PU ` 831'4M •oolnPo col PJDDB anaP jo 6ulsoLloind OdNld 0 `C)NMU aojod �(uo 6uldol o n6aJ Pu 0X3 �0 xloa� '3S aU� �oo�uoo I ,s UC) "aM •a . ) suol� Is slaojc uno a wnu�lulw P 1 uo unnoU 1f18 �C� � zls col dow s.UI I a ON S ssa000 ns ago I 1 a o oa(q W d I OdNivdO lao . o} 3 0 / (�uno� O d u S HIM d!Usum P '30NdH � 83NMO ON •31ON ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 71 04 e0 Property Address / -3 C�e_— (Verification required from Planning Department for new construction) ' 032. - /oOs ,20 - /00 City/State SOM 6 0­561- �U L Parcel Identification Number - Zy - T°O LEGAL DESCRIPTION Property Location 12 1 — �1 ' /s, , '/s, Sec. � T 3 / N - R g W, Town of �� h� �K S 7 . _ 7 Subdivision 6 2 4 AM V iC 6 - 5 7_14 7- L S . Lot # . Certified Survey Map # , Volume , Page # Warranty Deed # t15_ 74 , Volume .Page # 7 _ Spec house 0 yes ❑ no Lot lines identifiable (0 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 masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal 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 sewag e disposal sys 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 three year expiration date. S la7/ O SI TURE O APPLICANT DATE OWNER CERTIFICATION t h e owner(sj of I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the prope described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE O APPLICANT DATE c * «s « ** 1 in the sanitary permit being revoked by the Zoning Department. * * * * ** information that is mis- represented may result rY P Any IR ** Include with this application: a stamped warranty deed from the Register of Deeds office I '' a copy of the certified survey map if reference is made in the warranty deed Wisconsin Department of CommercQ PRIVATE SEWAGE SYSTEM County: St. Safety aig Building Division INSPECTION REPORT Sa ' ary Permit No: 479211 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: Grand Properties L.P. I Somerset, Town of 032 - 2150 -60 000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 02.31.1 .1312 4 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION S HI F ELEV. Septic Benchmark Dosing Alt. BM - Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss Sy ' +�.. Forcemain Length Dia. 3( �7 r 7_1 SOIL ABSORPTION SYSTEM 5 BED/TRENCH Width Length �? " Q PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS } � SETBACK SYSTEM TO r LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of rS� eodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes N No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 611 232nd Avenue Somerset, WI 54025 (SW 1/4 SW 1/4 2 T31 R19W) Grandview Estates Lot 16 Parcel No: 02.31.19.1312 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = _TFT Plan revision Required? F] Yes F� No I Use other side for additional information. E — Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ✓ T N v ol isevnsin Madison, WI 5 - 71 b2 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 2 9 2 Sanitary Permit Application EIVE LAte Plin I.D. Number, In accord with Comm 83.21, Wis. Adm. Code, personal information y prov' / f � _ may be used for secondary purposes Privacy Law, sI5.04(1)( ) tlject Ag dress (if different than mailing address) I. Application Information - Please Print All Info tion Sl _ COL NTY 6l / 23 Z , -r Property Owner's Name _ J,ot #_ _&, Block # RUb P&PM7 v W,41A7) Property Owner's Mailing Address Property Location 7/Z wqpj) ST SLiiTF /CAD City, State Zip Code Phone Number �' � �' Section - S DIr1 X25 T W1 �1Da s J 4 -17 - 4/506 J!. (c E ol ircle e) � II. Type of Building (check all that apply) I , - _ T N; R 6K C's V�OJS�- p�a� Subdivision Name CSM Number ❑ 1 or 2 Family Dwelling - Number of Bedrooms j G (; R/dD V 16 W J ❑ Public /Commercial - Describe Use f E57-47-Y's ❑ State Owned - Describe Use (,J lb 4-1 U a +� ❑City_ ❑Village PoTownship of S Orr► ��Si� T III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ Replacement System ,New System p y ❑ Treatment/Holding Tank Replacement Only El 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 [KN - Pressurized In- G round ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter Recirculating Synthetic Media Filter IX Leaching Chamber ❑ Drip Line ❑ Gravel -less PipA Other (explain) V. Dis ersal/Treatment Area Information: % a , Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation YI67 y, & 1 ©, ✓ 1 6 q3 (2.53 1 l.oW q93 ' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 000 /000 / i� S o x Aerobic Treatment Unit - Z4661— 100 WZ Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PM P/MPRS Number Business Phone Number JOHny '5mm 2 a371 v 715- 5L- lq Plumber's Address (Street, City, State, Zi ode) 616 IYC S7, VIII. County/ e artment Use Onl Approved ❑ pprov Sanitary Permit Fee (includes Groundwater Date Iss ed Issuing ent Sign re o Surcharge Fee) ❑ er n Reas or Denial 3 �o J IX. Conditions of Approval/Reasons for Disapproval nn 3) 14 .Po,,j TEM OWNER: Septic tknk, effluent filter and p a � ' z In e� t1_P dispersal cell must all be services / maintained as per management plan provided by plumber. 2. AN sd ack requirements must be maintained ale per applicable code / ordinances. Attach complete plans (to the County only) for the system paper not less than 81/2 x 11 inches in s SBD -6398 (R. 01/03) . �6� YVIt)�� �entia OL4& L al jCc, AQ� _6 TNC : l._.,3 � _� •/O � � Dv /.:.%kSFk _T�EruC/ ' �l.T ' ' � ©C,- — � [.r Q!►1 t� = l�'9.8 i oP o r Z 1��'C ��► i -- - — - �a�e� 4 i ♦ i� I W Ebl — 1 3 dEQpdom 160V 6: fit — — — NOUSE 97 1466L i 5 dU 1 .S" L/0 L? - 'l e&_651 s /40a.S - 1038 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt County Attach complete site plan on paper not less 8(rx 11 inchps, e. Plan must St. Croix include, but not limited to: vertical and h ' ogta re(erence'pgfnt, EJM 'rection and percent slope, scale or dimemsions, rth airOw; and location 2nd " t f to nearest road. Parcel I.D. g e� 2 f SD —60 —(3p C 1312 - Please "pCaN r o `.,` ,, By D to Personal informaon you provide j�psed for s �p (Privacy Caw s. 5.04 (1) (m)). �/�Z 3/O Property Owner ?(� roperty Location M & G Inc MA� vt. Lot na SW 1/4 SW 1k1 S 2 T 31 NR 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1359 Awatukee Trail Of 1 G ra nd view � 6 na Estat City State i Phone Number % City Village Town Nearest Road Hudson WI 5 �� 1 715- 549 -5971 Somerset Cty.Rd. I 1d New Construction Use: 16 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Suitable for a conventional system with 0.7 gpd /sgft rating. Possible system elevation for Area I, step trenches, (high trench) 96.91' (low trench) 96.07'. Based on 7% slope. Boring # Lj Boring g Pit Ground Surface elev. 99.91 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 1 0 -7 1Oyr3/3 none SL 2msbk mvfr cs 2f .5 2 7 -17 1Oyr4/4 none LS 1msbk mvfr gw 1f .7 1.2 3 17 -91 1Oyr5/4 none MS Osg ml - -- - - -- .7 1.2 � - 96.91 3 (a Boring # W1 Boring ej, Pit Ground Surface elev. 99.91 ft. Depth to limiting factor >98 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 0-6 1Oyr3/4 none SL 2fsbk mvfr cs 1f .5 .9 2 6 -10 7.5yr4/4 none SL 2msbk mfr cs 1f .5 .9 3 10 -27 1 Oyr4 /4 none LS 1 msbk mvfr gw - --- -- .7 1.2 4 27 -98 1Oyr5/4 none MS Osg ml - - -- - - - - -- .7 1.2 Rio . 9 1 36 :�2 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD S 30 mg/L and TSS < 30 mg /L CST Name (Please Print) Sign at -� CST Number 2 2� Address Tom Schmitt Date Evaluation Conducted Telephone Number IN - 7.7 - SI Z . S'/ 5/17/01 I S7-. Sq/ . (0 ( .S - L Property Owner M & G Inc Parcel ID # Page 2 of 3 1 Boring # A Boring J Pit Ground Surface elev, 97.19 ft. Depth to limiting factor > 103 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -13 1Oyr3/3 none SL 2fsbk mfr cw 1f .5 .9 2 13 -37 1 Oyr4 /4 none LS 1 msbk mvfr cw 1 f .7 1.2 3 37 -103 1Oyr5/4 none MS Osg mvfr - - -_ ______ 7 1.2 Boring # j Boring 'Pit Ground Surface elev. /0 ft. Depth to limiting factor 97 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 o -8 /o _T13 S .mss �� fir- its a-�' /, 0 7S y/ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = SOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <_30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or — motariol ;n — oltnrnata f — t n1-- —f.,+ A. A—,+--t . + AnQ- Q 1 — 7TV AAQ_')AA_Q'1'1'7 �. � +• 1 I 1 � 1 I ' 4 1 1 � DO ; an A65 i�le- II 1 I I i 1 ' I I • - - I-- - d f'_ _ II 7 31 s � _ _ _ � �. _ ____ f _ _ . - -- r � -�- � i � ' � '. r � _ _ . , _. _. � _ - I- -- � - � - i i i r_ I `� ,' � ,.. � �, i � i i _ � '� i_ _ ___ t _ _ _ _ . i �- _� ' __ i F r -- - _. ._ _ I _ i - -- r - j �-.- � , - � _�_ ' I_ r ! I I I � �_. - _ _ _ � ._ � r - -- - i I I - _ _ _ t- - .. �, I I �, -- I i i j - � i i � - '. __ '. � � I I i li � J r I I � � - �. �, f � _ � i '. _. -__ _�._ I � I I. � I '� ' ', �� � r � � � - '. � '. ,. .�. _. ,. - - � i -- ..,r._._. _..��.. i � � � �_ r ' � � �. j BIODIFFUSER CROSS SECTION 4 11 PVC Inspection + Vent Pipe t r r r1 Approximate Grade' �. I —I = 03. II' E 1 • �— I- El • = l0 6 • 3 u 11 - n alto W, A,.e.agC ?n. 3- — AW/09f QPOn Af*Q WOln POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Grand Prop er t ies L.P. Septic Tank Capacity 1000 gal ❑ NA ❑ NA Permit Septic Tank Manufacturer Week' s C - P . Effluent Filter Manufacturer Zabel ❑ NA DESIGN PARAMETERS ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A -100 Number of Public Facility Units � NA Pump Tank Capacity al 0 NA Estimated flow (average) al /da Pump Tank Manufacturer ■ NA Design flow (peak), (Estimated x 1.5) 4 50 gal/day' Pump Manufacturer M NA z Pump Model M NA Soil Application Rate alJda Ift ■ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5 ❑ Disinfection ❑ Other: 150 mg /L ❑ NA Monthly average Dispersal Cell(s) Pretreated Effluent Quality p In-Ground (pressurized) Biochemical Oxygen Demand (BOD 530 mg /L ® In- Ground (gravity) ❑ Mound Total Suspended Solids (TSS) 530 mg /L ® NA ❑ At -Grade ❑ Other: Fecal Coliform (geometric mean) 510' cfu /100m1 [3 Drip-Una Other: O NA Maximum Effluent Particle Size Y in dia. r r ❑ NA Other: ❑ NA Other: ❑ NA ' Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE service Frequency Service Event ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 ■ ear(s) Pump out contents of tan (s) When combined sludge and scum equals one -third (Y of tank volume Q NA, _ ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal call(s) At least once every: 3 ® year(%) ❑ nth(s) ❑.NA Clean effluent filter At least once every: 1 10 year(s) ❑ monthls) d NA Inspect pump, pump controls &alarm At least once every: ❑ year(s) ❑ month(s) ■'NA Rush laterals and pressure test At least once every: ❑ ear(s) ❑ month(s) ❑ NA;; Other: At least once every: ❑ year(s) ❑ NAB Other: ; MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carry TS Ma nt inere Septag ' servicing Operat ,, Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; n , s inspections must include a visual inspection of the tank(s) to identify any or pond ng effluent the ground stirfa measure the volume of combined sludge and scum and to check Y The dispersal call(s) shall be visually inspected din t of c effluent on ground surface may ndic a fail ng condit on and es ttia nd to check for of effluent on the ground surface. Thep g 'i immediate notification of the local regulatory authority. more of the tank volume, t 0 'l When the combined accumulation of sludge and scum in any tank equals odn ais� osed� r of in accordance with chapter. NRe1,3; contents of the tank shall be removed by a Septage Servicing Operator an P 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 shall be performed by a certisi POWTS a soft ny service event. A service report shall be provided to the local regulatory authority within 10 day o ed - Page of 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 tank(s) removed by a septage servicing operator prio use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal call(s) In one largo dose, overloading the call(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-grada 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 chapter 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. r rr • 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: ■ 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 now 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. 0 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 POWTS. 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the:. infiltrative surface. Reconstructions of such systems must comply 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 dR 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 Name' ohn SchttFltt Name owners choice Phone * Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Namo hoice Name St. Croix Ct . Zonin Phone Phone ( 7 15) 386-4680 This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. / w c em u : I W � � N P. Go r4 LL, •w I • V• , fn cz J I Cf) �� � �'•.••� � �• � � � IFS oi w l 01 C54 , I I _L Q- co I � — � Qy a z i �v� o cr, O ! w i . ................ ...... .................................... ................. ............................... I M I co I ' N 1 1 ( I j I I I 160'909 3u9£.LZ.ZON M„ ZZ,B 0 b - -- I_ -- - -- - I 685 d `Z 3 Wn�on `WS '3 «L£.L5•L0W 8 SI H01HM 'M61,8 'NL£1 .Z N 3H1 30 3mn iS3M 3H1 01 030M383338 3 SM Poo o Sd2�0 '80 39 vMOi a�v��dWddo ay} �jnd �31dM aa!npo �o} pjoo8 �o 6uisvy +3JdNid2 �(uo bu!dolanap v n6aJ Pu �0 `C)Nilll� aql }oo}uoo '1apwd am . suol} I boX3 uno� xio� ' }5 nw!uw spuol} uo uMOys slaq�� IWil l )N SI inS av�od o} ssaoOO 'aZ!s }ol w �a(gns ago do s! uI S "QNV 3E)V V80 dlusvMOi puo jjunoo 'a }o }S °} } 30N'dH0 8 ON '310N . 83NM0 - . �o�fi40PAGE 627 - 64509 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. WI This Deed, made between Harold J. Schachtner and Margar J. RECEIVED FOR RECORD S chachtner, husband and wife, _ 05 -16 -2001 10:40 AM _ WARRANTY DEED Grantor, and Grand Propert LP, EXEMPT N - _ _ CERT COPY FEE: COPY FEE: ' - TRANSFER FEE: 825.00 -- - RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area W 1/2 of S W 1/4 of Section 2 -31 -19 EXCEPT Lots 1, 2, 3 and 4 of Certified Name and Return Add ss Survey Map filed November 6, 1985, in Volume 6, Page 1607, andj EXCEPT EI/2ofNE1 /4 ofSWl/4ofSWl /4, and EXCEPT EI/2ofSE1 /4 ofNW1 /4 ofSW1 /4 thereof. 7i0� t 411 t Jul \3-1 0 Pt 032-1005-20-100 & 032 - 1 0_0 5 -30 -500 _ Parcel Identification Number (PIN) This i not _ homestead property. ot) (is [tot) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. r Dated this '� day of May 2001 ' Haro J. Scha tn Marg t J. Sch tner _ AUTHENTICATION ACKNOWLEDGMENT i Signature(s) Harold J. Schachtner and Margaret J. Schachtner, STATE OF WISCONSIN ) husband and wife, ) ss. ��. _ County ) authenticated this day of May 2001 / Personally came before me this day of b the above named .. tina 1 - - _ Kns O and - g a TITLE: MEMBER STATE BAR OF.WISCONSIN - -- — I (!f not to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by ,§ 706 06 Wis Stats ) F THlS INSTRUMENT WAS DRAFTED BY'- • a A Attorney Kristine Oglan re Notary Public Statc of Wisconsin Hudson, W!; 016 r,t z MyCammission is permanent (If not state expiration date (Signatures may be authenticated or acknowledged 1Both are not necessary.) Names of persons signing tn'any capacity must be typed or panted below their signature wam,oi Pia «;au ccmvenr Fond d� lac Vvi .,� szL,a - ti00 -655 2027 \YARRANTl DEED ar tz � W' ?k ,STATE BAR OFIVISCON5IN , M g� , FORM1tAio 2 1999 (� I i 'Parcel #: 032 - 2150 -60 -000 06/01/2005 10:27 AM PAGE 1 OF 1 Alt. Parcel #: 2.31.19.1312 032 - TOWN OF SOMERSET Current X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GRAND PROPERTIES LP GRAND PROPERTIES LP 712 RIVARD ST STE 300 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 611 232ND AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.120 Plat: 2012 - GRANDVIEW ESTATES SEC 2 T31 N R19W SW SW LOT 16 GRANDVIEW Block/Condo Bldg: LOT 16 ESTATES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 02-31N-19W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 06/10/2002 681331 1907/467 EZ 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.120 54,600 0 54,600 NO Totals for 2005: General Property 3.120 54,600 0 54,600 Woodland 0.000 0 0 Totals for 2004: General Property 3.120 54,600 0 54,600 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