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HomeMy WebLinkAbout032-1064-80-025 Wihconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and building Division INSPECTION REPORT Sanitary Permit No: 514824 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: Rivard, Louis I Somerset, Town of 032- 1064 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 0 - /00- 0 / 24.31.19.322A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic < Benchmark f0U d /0 6 . Dosing V Alt. 6M r /o - 7 - 0 07, l Aeration Bldg. Sewer p Qti lab/ Holding SUHt Inlet SUHt Outlet « Lj 2 TANK SETBACK INFORMATION S 101•2 5 TANK TO PP /P L WELL BLDG. Vent to Air Intake ROAD Dt Inlet _ Septic � r , ��. Dt Bottom Dosing _ �f U Heade�/Man. f � a I a S , Aeration D ist. Pipe – I P �( S (>• lam 0�. i Holding Bot. System, -- . *� I � - Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Z - Model Number g TDH Lift Friction Loss m Head TDH Ft Forcemain Length ia. Dist. to Well SOIL ABSORPTION SYSTEM mo BEDITRENCH Width Length No. Of Trench PIT DIM ENS S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 3 J SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer. �. INFORMATION T e Of System: CHAMBER O Model Number: DISTRIBUTION SYSTEM Bader/ nifold I D istribution 1 c x Hole Size x Hole Spacing Vent t r Inta I h Plpe(s) ' n lYl �7' / `"� �" w 3 Length-_ Dia Length_ Dia _ Spacing C SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only {Mry ve-_ � Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No [ Yes ', No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:_!/# Inspection #2: J / Location: 2074 80th Street Somerset, WI 54025 (SE 1/4 NE 1/4 24 T31N R19W) NA Lot Parcel No: 24.31.19.322A 1.) Alt BM Description �Of O441 Wa — 10.7 J 2.) Bldg sewer length - amount of cover = y Plan revision Required? ❑ Yes Vo Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No I commerce.M.gov Safety and Buildings Division County� JJ , 201 W. Washington Ave., P. Box 7162 Madison, WI 537 2 Sanitary Permit Number (to be filled in by Co.) ! CCU 51 gz State Transaction Number Sanitary Permit Application /Joe In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropr' Z WrS n unit is required prior to obtaining a sanitary permit. Note: Application forms for state -own Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for ndary ses in accordance with the Privacy Law, s. 15. 1 m , Stats. a61 'A Q I. Application Information - Please Print All Inform ' n U Property Owner's Name Parcel # DEC 2 Z 7007 r r - Property Location Property Owner's Mailing Address C / 3ZZf l a ST. CROIX COUNTY Govt Lot C City, State Zip Code FICE y., M5 -'/ Section 0 .r � cle o cJ V i '✓ S "CJ / /� �� T r. N; R E 11. Type of Building (check all that apply) *)r c , 4 Lot # Subdivision Name r,2 Family Dwelling - Number ofBedroo P l `'"'`' Block # ❑ Public/Commercial - Describe Use -f' Cl City of CSM Numb! - � ❑ Village of C1 State Owned - Describe Use wn o 5, ,-n eal Z Gill Z +- 43 G "% III. Type of Permit: (Check only one box on line A• Complete line B if applicable) A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Dam issued S. ❑ Permit Renewal C1 Permit Revision ❑ Change of Plumber 11 Per it Transfer to New Before Expiration IV. T e of PO S stem onent/Device: Check all that a 1 f n- Pressurized In- Ground ❑ Pressurized In - Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soi�Dvicc Mound a 24 in. of suitable soil [0) Holding Tank t Dispersal Component (explain) ❑Pretreatmen (explain) V. Dis ersaliTreatment Area Information: / Desig�n�flgpd} Designf�il Application jtate(gpds� Dispersal Requir sfl Dispe �IArm �opo� s System Jllvati n / ✓ Vt. Tank Info �� Capacity in Total # of Manufacturer 9 u Gallons Gallons Units New Tanks Existing Tanks t ,� Septic or Holding Tank x GL Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume r ility for installation of the POWTS shown on the attached plans. Plumber' Name (Print) Plumber's Si re MP /MPRS Number Business Phone Num G Plumber's Address (Street, City, State, Zip Cod Vlll. Court /De artment Use Onl pproved Disapprov Permit Fee Date ssued lssu ent Signature $ ivenReason enial IX. Conditi81MjtApe p 0 for Disapproval 1. Septic tank, effluent filter and dispersal cell must all be services / maintained as per management plan provided by pkwnbsr. 2. , AM se»sck faquirements must be maintaiflsd PK no- Attach to complete plans for the system and submit to the County only on paper not less than g 1t2 x 1 t iachec in size SBD -6398 (R. 01/07) Valid thru 01/09 i PLOT PLAN PROJECT Louis Rivard ADDRESS 770 205th Ave Somerset Wi 54025 SE 1/4 NE 1 /4S 24 /T 31 N/R JA W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 12/27/07 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK i MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 IL BENCHMARK V.R.P. Base of Large Wood Post ASSUME ELEVATION 100 Filter BEST Filter ❑ BOREHOLE O WELL - H.R.P. Same as Benchmark SYSTEM ELEVATION 97.5/97.1 Alternate Benchmark Top of 3/4 pipe @ 100.2 1320' r e o rt line 100 Well is to meet all Vent L riveway setbacks WDNR required by ALong 11 Quick4 S thambe ndard -1 Leaching r -J-o Plans Designed Using with 20.0 t2 of Area 9 Vb Conventional Powts 5.8ft2 /p Manual Version 2.0 2 Grade at System Elevation 34" 200' Scale is 1" = 40' AtI.B.M. * unless otherwis B. noted 15 T t 100 • /o s G,�c� 3 ° 3 9"o 2 ' 5 ST 50' 20' 50 , 3 roo Hous 5% Slope o B -3 2 -3' X 94' ells with >3' spacing Vents B 2 80th St. lelv- [ECO P Y PLOT PLAN PROJECT Louis Rivard ADDRESS 770 205th Ave Somerset Wi 54025 SE 1/4 NE 1 /4s 24 /T 31 N/R I L W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 12/27/07 BEDROOM 3 CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Base of Large Wood Post ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 97.5/97.1 Alternate Benchmark Top of 3/4 pipe @ 100.2 1320' property line 1000' Well is to meet all Vent Drivewa setbacks WDNR required by >6„ Quick4 Standard -W of Cover Leaching Chamber Plans Designed Using with 20.0 ft2 of Area Conventional Powts 5.8ft ^2 /pair of end caps Manual Version 2.0 4' Long 12" Grade at System Elevation 34" 200' Scale is 1" = 40' At1.B.M. unless otherwise * B.M. noted 15' 100 �4 20' B -1 15' ST 50' 20' 50' Pro 3 Bedroom 5% Slope House B -3 2 -3' X 94' Cells with >3' spacing Vents B-2 80th St. Wisconsin Department of Cqlla ,p SOIL EVALUATION REPORT Page of Division of Safety and Buildi in a�7/2 with Comm 85, Wis. Adm. Code Coun ���X Attach complete site plan oil r than 8 x 11 inches in size. Plan must �� include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. b P P slope, scale or dimensions, north arrow, and location and distance to nearest road. 1 1 Please print all information. Re wed by , ate Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)). Property Owner C E Iv E ® Prop rty Location 2 / ✓ Govt Lot 5.4 1 /4&,G1 / S,,2 T 31 N R (o W Property Owner's Mailing Address 1 2 O 0 � Lot 0 Block # Subd. Name or CSM# c;) C 9- o 3 -r X ftgo City State Zip Code Phone��lur�)X COUNT (3 ❑ Village �jown Nearest Roa KNew Construction Use' Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement _1 ❑ Pu lic or commercial - Describe: Parent material Flood Plain elevation if applicable � ft. General comments and reoornrnendations: � p� YP �1ti 7� System Type za / System Elevation 7. 9 7 / / — Boring # Boring n/ / C /t*" I ft. Depth to limiting factor / a y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 0-/0 ) S T`� - t o Z C� 90 - 1 ,; 9 rs tl M Boring # 0 Boring / �— tQ pit Ground surface elev l� ft. Depth to limiting factor J in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 o - ) Z /0" 3/v r ---- -- J. , - e-1 - 6 /0 2 -3 '5 C sbk �J ' 2 4 4 A 7 r 5 rl Effluent #1 = BOD > 30 < 220 nVL and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, W1 54017 — 0 715- 246 -4516 Property Owner _ Parcel ID # � a, a „�Page of l Boring # ❑ Boring Pit Ground surface elev. l ft. Depth to limiting factor IaLo in. Soil Apolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ' Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 •Eff#2 F-1 Boring # E] Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Iepth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1 150 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. sao-e330 (re./00) F Property Owner J Parcel ID # Page of ❑ Boring # ❑ Boring Pit Ground surface elev. 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. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 0-1 Z / 3) - 7/, 6 F-1 Boring # ❑ Boring 0 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F-1 Boring # C] 11 pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Efl#2 I . Effluent #1 = BOD > 30 < 220 nVL and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 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. SOD -0330 (8.6/00) I Soil Test Plot Pla)ni Project Name Louis Rivard Sha Address 770 205th Ave Somerset Wi 54025 CST #2 6900 Lot ------ Subdivision °------ Date 9 8/0 SE 1/4 NE 1/4S 24 T 31 N/R W Township Somerset Boring 0 Well PL Property L e County ST. CROIX BM or VRP Assume Elevation 100 ft. Base of large wood post System Elevation 97.5/97.1 *HRp Same as Benchmark Alternate Benchmark Top of 34' pipe @ 100.2' 1320' property line 1000' Driveway Scale is 1" = 40' unless otherwise noted 200' AtI.B.M. B.M. go 15t 100 99.5' 101.5' poll 20' 20' A B -1 50' 5% Slo e 100' B -3 IF B 2 80th St. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer -, ou t o 2i ✓mot r�� Mailing Address - 7 7 o �1, �2 A"& Property Address o2 7 (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION q Property Location S� 1 /4 , ��� '/a , Sec. � T J N R Town Subdivision __ Lot # Certified Survey Map # , Volume , Page # Warranty Deed # S , Volume — , Page # Spec house ( no Lot lines identifiable no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maiptenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our lmowledge. Uwe am/are the owner(s) of the property descried above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms y SIGNATURE OF APPLICANTS) 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. 08105) Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 cy Plan Option #1. system fails, determine cause of failure, use alternate area and install new ystem ' ested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900 63 STATE BAR OF WISCONSIN FORM 3 - 1999 QUIT CLAIM DEED REGISTER Document Number OF DEEDS ST. CROIK Co., MI This Deed, made between Louis J. Rivard RECEIVED FOR RECORD 10/27/2006 10:40AK QUIT CLAIM DEED Grantor, and Louis J. Rivard as trustee of the Louis J. Rivard EXOPT i 16 Rev ocable Living Trust dated March 28, 2006, —. REC FEE: 11.00 TRANS FEE: COPY FEE: Grantee. CC FEE: PAGES : 1 Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area The East Half of the Southwest Quarter of the Northeast Quarter (E1 /2 of SW 1/4 of Name and Return Address NE 1/4) and the Southeast Quarter of the Northeast Quarter (SE 1A of NEI /4) Judith A. Remington F the East 466.8 feet of the South 466.8 feet thereof, a in Seet�n REMINGTON LAW OFFICES, LLC Twen y- our owns , ange Nineteen (19) West. P.O. Box 177 New Richmond, WI 54017 (715) 246 -3422 0 - 1064 -50- 000;032- 1064 -80 -000 Parcel Identification Number (PIN) This is homestead property. (is) (i3iCdbt) Together with all appurtenant rights, title and interests. Dated this 26th day of October 2006 * * LOUIS J. RIVARD * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. ST. CROIX County ) authenticated this day of Personally came before me this 26th da3c,gf October 2006 the above'named' Louis J. Riv • , TITLE: MEMBER STATE BAR OF WISCONSIN r to -- me known to be the person(s) who exCcut4d f Pe omg If not, zi '`,, ( instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) nHS INSTRLWENT WAS DRAFIFD BY * dith A. Remington Judith A. Remington, Remington Law Offices, LLC Notary Public, State of Wisconsin P.O. Box 177, New Richmond, WI 54017 My Commission is permanent. not, state expiration ate: (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. Information Protessa wls Company, Fond du Lac, tM STATE BAR OF WISCONSIN 800.655 - 2D21 QUIT CLAIM DEED FORM No. 3 -1999 1 of1 ' Parcel #: 032 - 1064 -80 -000 12/27/2007 02:16 PM PAGE 1 OF 1 Alt. Parcel #: 24.31.19.322A 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): O = Current Owner, C = Current Co -Owner O - RIVARD, LOUIS J TR LOUIS J TR RIVARD 770 205TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 35.000 Plat: N/A -NOT AVAILABLE SEC 24 T31 N R1 9W 35A SE NE EXC E 466.8' Block/Condo Bldg: OF S 466.8' Tract(s): (Sec- Twn -Rng 401/4 1601/4) 24-31N-19W Notes: Parcel History: Date Doc # Vol /Page Type 10/27/2006 837529 QC 06/16/2004 766014 2596/587 EZ -U 945/421 802/575 more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 195339 Use Value Assessment Valuations: Last Changed: 08/02/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.000 3,600 0 3,600 NO UNDEVELOPED G5 2.000 100 0 100 NO Totals for 2007: General Property 35.000 3,700 0 3,700 Woodland 0.000 0 0 Totals for 2006: General Property 35.000 3,700 0 3,700 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 Parcel #: 032 - 1064 -80 -000 06/04/2008 03:08 PM PAGE 1OF1 Alt. Parcel #: 24.31.19.322A 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): O = Current Owner, C = Current Co -Owner O - RIVARD, LOUIS J TR LOUIS J TR RIVARD C - RIVARD, DIANE M TR DIANE M TR RIVARD 770 205TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 35.000 Plat: N/A -NOT AVAILABLE SEC 24 T31 N R1 9W 35A SE NE EXC E 466.8' Block/Condo Bldg: OF S 466.8' Tract(s): (Sec- Twn -Rng 401/4 1601/4) 24-31N-19W Notes: Parcel History: Date Doc # Vol /Page Type 04/02/2008 871884 QC 10/27/2006 837529 QC 06/16/2004 766014 2596/587 EZ -U 04/16/1992 482054 945/421 QC more 2008 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/02/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.000 3,600 0 3,600 NO UNDEVELOPED G5 2.000 100 0 100 NO Totals for 2008: General Property 35.000 3,700 0 3,700 Woodland 0.000 0 0 Totals for 2007: General Property 35.000 3,700 0 3,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00