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HomeMy WebLinkAbout032-2076-50-110 Wisjonsin Department of S ,vrnmerce County: Safety and Building Division — PRIVATE SEWAGE SYSTEM St. Croix • INSPECTION REPORT Sanitary Permit No: 463413 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: Scrivener, John I Somerset, Town of 032 - 2076 -50 -110 CST BM Elev: Insp. BM Elev: BM Descri tion: Section/Town /Range /Map No: C b pD - D 14.30.20.790A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 9. g $ 169 /va Septic �kc, L_j L 00 Benchmark !/ 2 - /0V 1 a i ;�p Dosing �O b00 Alt. BM C 1 C8o '! F_; \ n /- Bldg. Sewer Z -b /Q?. $ g a Holding St/Ht Inlet $, c�5 /� /• Z 3 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �- Septic � ) � � P I $ / � / � Dt Bottom IZ Dosing / / / 1 Header /Man. Aeration Dist. Pipe (p. L14 , /,03- y Holding Bot. System - ' (� /bZ•73 PUMP /SIPHON INFORMATION Final Grade -45 Manufacturer n errand St Cover ` CI A ( v'o" 4 S GPM 44• k 73 Model Number �^ h �D �/„ r 2 // / , A TDH Lift Friction Loss + System He pd TDH t r `J // s ,75 r a - -55 //, 3 2 o Forcemain Length Dia. r/ Dist. to Well Z SOIL ABSORPTION SYSTEM BED/TRENCH Width i Length / No. Of riches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7. 57 SETBACK SYSTEM TO / P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION ' Of stew 1 4 i � O It 1 ,351 � CHAMBER UNIT OR Model Number: DISTRIBUTION SYSTEM Header /Manif old I /� Distribution (2 1 I ] x Hole Size r 7xHole pa cing Ven Air Intake Pipe(s) ? l L�, � Length D t/ Z Length 66 r 3 Dia \ / � Spacing -- t± — l SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth I Topsoil g YeOver xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center 6 BedlTrench Ed es 5 I_,i, No s No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: Z9 / _b Inspection #2: Location: 1572 Oak Ridge Lane Somerset, WI 54025 (SE 1/4 NE 1/4 14 T30N R20W) NA Lot 2 Imo' Parcel No: 14.30.20.790A10 4— 1.) Alt BM Description = �' Q d.�( Q 2.) Bldg sewer length = 1 Z - amount of cover = — 7 L YZ I1 Plan revision Required? <l Yes o ��� (�� - - jj �-+ Use other side for additional information. _ _.______ �Ji ___ ... __. __ __ ____ _ Date Insepctor's S ature Cert. No. SBD -6710 (R.3/97) Safety and Buildings S County �y 201 W. Washington Av 7162 ,Sf. * Madison, WI 62 `a S nary Permit Number (to be filled in by Co.) consn (60 L�(� Department of Commerce l Sanitary Permit Applic ion oo to Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal inform. i n you p�ovide /r Z Z - 1 1 maybe used for secondary purposes Privacy Law, s 15.04 (m) ' Prniect Adc,resc (if different than mailing address) I. Application Information - Please Print All Information 1 / nn om K � d[ Property Owner's Name ` Parcel # Lot # Z_ Block # A .- CA_ 3 7_ -z o7G .s6 eio .790 A -/o) J Property Owner's Mailing Address i Property Location ' p - 17 City, State Zip Code Phone Number Y',/ %, Section �} 0 (circle one) /. I li u I -1 r .r2) T 3LI N; R �-d E or W II. Type of Building (check all that apply) oat cb _ P�G-� Subdivision Name CSM Number 1 or 2 Family Dwelling — Number of Bedrooms El V o ��� Public /Commercial — Describe Use ❑ State Owned — Describe Use av [ �f 7 ❑City ❑Village &ownship of �o.** eX 4 III. Ty a of Permit: (Check only one box on line A. Complete line B if applicable) A. X le., System y El Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. List Previous Permit Number and Date Issued ❑ Permit Renewal El Permit Revision El Change of El Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System- Check all that apply) ❑ Non - Pressurized In- Ground M ound > 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 11 Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) � � I- /6 1. ?, Q p V. Dispersal/Treatment Area Information: 6-,-6 c , , ` O Design Flow (gpd) Design Soil Application Rat"gpdsf) Dispersal Area Requ (sf) Dispersal Area Propo sf) I System Elevation 101-83 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 Holding Tank U g !— S v� �C Aer tment Unit Dosing Chamb 0 L VII. Responsibility Statement- I the undersigned, assume res ponsibility for install ' of the POWTS shown on the attached plans. ( Plillp ber's Name (Print) ber's Signature MP PR Number Business Phone Number 4= Z_ Z_ 74 — Z S 1 2 J Plumber's Address (Street, City, State, Zip C e) LA ve SJ VI . oun /De artment Use Onl pproved ❑ Surcharge Fee) ial J Sanitary Permit Fee (includes Groundwater Da Issued Issuing nt Signature S p 2 J � Qe ❑ er en Reaso Den IX. Conditions of Approval/Reasons for Disapproval ' /t-(J/J('a,�� �..e,41t_.�, SY STEM O WNER: YY C1 S nk a uent filter and a! c_ e'�� w '�~�J P�' �' dispersal cell must - a rlYe serviced / maintained r a plan I n rovided b lumber. 2. All setback requirements must be maintain (I 1(11 as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 91/2 x I1 inches in size SBD -6398 (R. 01/03) .... 7t 41 €ic Safety and Buildings commerce.wi. OV 1340 E GREEN BAY ST STE 300 g SHAWANO WI 54166 TDD #: (608) 264 -8777 isconsin www.w www.ce.wi.gov/s sin.go / Department of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 31, 2005 CUST ID No.222872 ATTN.• POWTS Inspector JACQUES M HAWKINS ZONING OFFICE HAWKINS SOIL TESTING & SEPTIC ST CROIX COUNTY SPIA 2659 150TH ST 1101 CARMICHAEL RD LUCK WI 54853 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/31/2007 Identification Numbers Transaction 1D No. 1122929 SITE: Site ID No. 696424 John Scrinner Please refer to both identification numbers, Lot 2 Oak Ridge above, in all correspondence with the agency. Town of Somerset St Croix County SE1A, NE 1/4, S14, T30N, R20W Lot: 2, FOR: Description: Mound System for John Scrinner Object Type: POWTS Component Manual, Regulated Object ID No.: 1010959 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and' the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691 -P (N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P (N.01 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. v4 JACQUES M HAWKINS Page 2 3/31/2005 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 Balance Due $ 0.00 Keith A Wilkinson POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (715) 524 -3630, Fax: (715) 524-3633, M -f 7:45 am - 4:30 pm kwilkinson@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist (715) 726 -2544 Safety and Buildings y commerce.wi. OV 1340 E GREEN BAY ST STE 300 g SHAWANO WI 54166 TDD #: (608) 264 -8777 i sc o n s i n www.w www.ce.wi.gov/s sin.go / Department of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 31, 2005 CUST ID No.222872 ATTN POWTS Inspector JACQUES M HAWKINS ZONING OFFICE HAWKINS SOIL TESTING & SEPTIC ST CROIX COUNTY SPIA 2659 150TH ST 1101 CARMICHAEL RD LUCK WI 54853 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/31/2007 Identification Numbers Transaction ID No. 1122929 SITE: Site ID No. 696424 John Scrinner Please refer to both identification numbers, Lot 2 Oak Ridge above, in all correspondence with the agency. Town of Somerset St Croix County SE 1 /4, NE 1 /4, S14, T30N, R20W Lot: 2, FOR: Description: Mound System for John Scrinner Object Type: POWTS Component Manual, Regulated Object ID No.: 1010959 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691 -P (N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P (N.01 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and /or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. r • JACQUES M HAWKINS Page 2 3/31/2005 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 Balance Due $ 0.00 Keith A Wilkinson POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (715) 524 -3630, Fax: (715) 524 -3633 , M -f 7:45 am - 4:30 pm kwilkinson@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: John Scrinner 3 Bedroom Mound /y, � Owner's Name: John Scrinier ' O 20 5 Owner's Address: 1315 Topic: Lane , St. Paul MN 55106 651 - 774 -6377 Legal Description: SE1 /4- NE'1 /4 Sec.14 T30N -R20W Township: Somerset nn County: X Subdivision Name: Oak Ridge Lot Number: 2 Block Number: NA Parcel I.D. Number: 32- 2076 -50 -110 Plan Transaction No.: P.O.W.T•S. Page 1 Index and title Conelidonafly Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank DEPARTMENT OF CONIMEfRCE Page 5 System maintenance specifications DNISION OF SAFETY BUILDINGS Page 6 Management and contingency plan Page 7 Pump curve and specifications age 8 Plot Plan "E CORRESPONDENCE Designer: Jacque Hawkins _ License Number: MPRS# 222872 Date: 03/25/05 Phone Number: (71 5) 472 -8446 Signatu : Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of F'ressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) i R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliforrn of <= 36 inches. 450.00 Design Flow (gpd) 13.00 Site Slope ( %) 101.25 Contour Line Elevation (ft) �7 / 29.00 Depth to Limiting Factor (n) X t J �� 0 0.60 In -situ Soil Application Rate (gpd /fe) DiskOibuti on Cell Information 57.00 Dispersal Cell Length Along Contour (ft) = 7.90 Cell Width (ft) ✓ 1.00 Dispersal Cell Design Loading Rate (gpd /ft j 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) ✓ c Center or End Manifold 3.95 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) ✓ 2.00 Estimated Orifice Spacing (ft) = 8.04 fe /orifice 2.00 Forcemain Diameter (in) _ 45.00 Forcemain Length (ft) Does the forcemain drain back? Y 96.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 7.34 Forcemain Drainback (gal) / 5.33 Vertical Lift (ft) 51.03 5x Void Volume (gal) 0.88 Friction Loss (ft) 58.37 Minimum Dose Volume (gal) 10.76 Total Dynamic Head (ft) 30.16 System Demand (gpm) �4 Lateral Diameter Selection Manifold Diameter Selection / in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x x V 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Skaw Precast IManufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 642.331 Dose Tank Capacity (gal) Zabel Filter Manufacturer 16.471 Dose Tank Volume (gal /in) JA100 Filter Model Number Skaw Precast IManufacturer Project: John Scrinner 3 Bedroom Mound Page 2 of 8 Mound Plan View J 1/10B -' -' 06servation 'Q K O d A W B i I ..... .. .. L Mound Component Dimensions A 7.90 ft E ffl 9.3 . in H 1.00 ft K 8.67 ft B 57.00 ft F 9.50 in z 14.27 ft L 74D 7.00 in G 0.5 ft J 4.05 ft W 26.22 ft 450.30 (ft) Dispersal Cell Area 1 1263.81 (fe) Basal Area Available 7.89 (gpd/ft) Linear Loading Rate 5.70 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.63 (ft) ,!!! lr; G H I F Dispersal Cell 102.33 ( ft) Lateral 101.83 (ft)—► Invert Dispersal Cell 1 Elevation E : D Q 101.25 (ft) Contour Elevation 13.0 % Site Slope Geotextile Fabric Cover Shading Key �. * Dispersal Cell See lateral details on [] [ Topsoil Cap 1.5 ft Page 4 for number, size, Subsoil Cap to e _ 0 and spacing of laterals. ASTM C33 Sand :6 2 F Laterals are equally ® Tilled Layer = 0.5 ft Typical Lateral spaced from the distribution cell's Q5 Aggregate le o _ b centerline in the *-- A distribution cell (AxB). Project: John Scrinner 3 Bedroom Mound Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection Aa tee or cross to maniftdd at any point. Laterals are identical S I -- P - SL% •= Turn -up Ydball valve or � X� x FP12�Laterals & Force main of PVC Sch 40 cleanoutplug per, GONMI Table 84.30.5 Holes driW on the bottom of the lateral. Number of Laterals 4i Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.06 ft Lateral Length (P) 27.81 ft Orifices per Lateral 14 Lateral Spacing (S) 3.95 ft Orifice Density 8 4-" fr /orifice Lateral Flow Rate 7.54 gpm Manifold Length 3.95 ft System Flow Rate 30.16 gpm Manifold Diameter 1.50 in Total Dynamic Head 10.76 ft Forcemain Velocity 3.08 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -- ► Comm 16.28 WAC4 in. min. Disconnect Tank component is properly vented E - Alternate outlet location Forcemain diameter Skaw Preca Manufacturer 2 in. Capacityl 2.33 Gallons Volume r 16.47 gal/inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 2 353.3E B 2.00 32.94 C Pump off elevation (ft) C 4. 0 58.37 97.00 D 12.00 197.64 D Total 1 39.001 642.3;: i1__ D ose tank elevation (ft) 3" Bedding uncTer tank. 96.00 Alarm Manuafacturer S.J. Electra Alarm Model Number 101 - 01H_ � r Pump Manufacturer IGoulds Pump Model Number EPO443871 Pump Must Deliver 1 30.16 gpm at 10.76 ft TDH Project: John Scrinner 3 Bedroom Mound Page 4 of 8 Mound System Maintenance and operation Specifica Service Provider's Name Tri- Co unty Sanitation Phone 715 386 -0114 POWTS Regulator's Name St. Gro County Zoning Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpcl Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum 13005 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450.3 fe Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL ,j Mice Frequency Septic and Pump Tank Irspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound lns for din and once e 3 Other Miscellaneous Con1ttruction and Materials Standards 1, Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • +........•... ............... Grade �. 6-8° Diameter Lawn Threaded Cieanout Sprinkler Valve Box - Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project. John Scrinner 3 Bedroom Mound Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Aden. Code General This system shall be operated in accordance with Comm 8244 Wis. A4m. Cade, and shall maintained in accordance with its' component manuals ISBD- 10691 -P (N.01101) and SSWMP Publication 9.6 (0181)] and local or state rules pertaining to system maintenance and maintenance reporting. m o one should ever enter a septic or Pump undo since darngerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordarce with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS cravens. Septic or pump tank manhole risers, access rigs and cxwers should be inspected for water tightness and soundness. Access end, openings used for service moot assessment shall be seated watertight upon the completion of seirvice. Any opening deemed defecbve, or Subject to faiture must be replaced. E)gweed access openings greater than 8-inc has in diameter shah be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. scow Tank The septic tank shall be maintained by an individual c ertlfied to service septic tanks under S. 281.48, Stafs- The contents of the septic tan* shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The out filer shall be cleaned as necessary to ensue proper operation. The fiber cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the rimer is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. hhtennatent #rider aims may indicate surge flows or an in+lxertdM continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scam in the tank taxoseds 1/3 the liquid volume of the trio. If the contents of the tank are not removed at the time of a biennial assessment maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than ma mum scum and sludge accumulation in the tank. The addition of biological or chemical addlithm to enhance septic tank performanoe a generally not required- However, If such produces are used fhey shall be approved for septic tw* use by the Department of Commerce. Puma Talc The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operabon- If an Blunt Ow is installed within the tank it shall be inspected and serviced as necessary. IliOtatld Owl Pressure pumptem 5h SW" No trees or shrubs should be planted on the mound_ Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Tragic (cow than for vegetative ) on ft mound is not recommended 6ince sod compaction may hinder a e Lion of the infNtrathe surface within the mound and snow cwnpection in the winter wtil promote frost penetration. Loki weather instailatiarre (October-February) ,dictate that the mound be heavily muldhed as protection from freezing. Influent quality into the mound system may not mined = mg& OW mgil. TSS, and 30 mg/L FOG for septic tank effiui rot or 30 rte s 30 mg& TSS, 10 mg/L FOG, and 10 dW100 rrmL for highly trued efikre* tnnfluent flow ma y not exceed rimodrnum design flew specked in the permit for this installation. The pressure distribution system is provided with a hushing point at the end of each lateral, and it is recd m winded than each Weral be kished of accumulated solids at Wast once every 18 months, ths, Wt*r a pressure bast is paftnied it should be compared to the iu test: when the system was installed to detemh* 9 orifice clogging has occurred and if orifiYxe cleanrng is required to maintain equal diahibubon vin the dsat maw. Observation pipes within the dispersal cell aftil be checked for effluent ponding. Ponding levels shall be rasporf W to the owner, and any fewefa above 6 imdm axisidwed as an impending hydraulic failure requiring additional, more frequent monitomig. CantlnQwm flan if the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condemn. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective oomponent(s) shall be immediately repaired or replaced with a component of the same or equal performance. ft the mound component fails to accept wader or begins to discharge wastewater to the ground surface. it will be repaired or replaced in its' present location by ftiessft basal area if roe leakage occurs by ranmmng Wfogically clogged absoirptiort and dispe sal medfa, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Projea John Serinner 3 Bedroom Mound Page 6 of 8 I Page 7 of 8 GOULDS PUMPS Submersible E Pump EPO4 3871 E AAPLtC.ATioAtS •fug egad in tti t • M hWefer: Ybe moplas- aaudrqs: tspaso imm grade t irx: cat for tic eidosed desip for twq dtY bell bWMV Speakally desiqiW for its Wicatiori &W efficient mp oved pelf"MM corwalction. � fleet t�anslFer. i aid !Base: lid �( • r+es �bie ft t Old 1 • Fa►mS �gxrJum tdbtl- ce aortosion d�ms�voon • Heavy duty sump mak"lodelskidud • Wa>ia try t� Switch AOti model f1tTr3 wW • Deratexing � and preW at the for elficient tea transfer. in "C" or "F"3 Wwxjth and C IA a MOW fAW Alas x CcrifthapsillMW 69and- 1F1rATURES cow vieh also howls and • hand t "itch aMbTalt pouf. /,' maxirtlum. • WWOOr: The mopt *- a P wAw CaW Severe duty • Capat up to 60 C1�'lUf. tic SAarrsi design with ame i0d and Water rat. • TOtal tends: ,up to 31 feet. pump out varies for me dianicai tie site I VF Seal prmaicxe. • A seat carbon- . • Teemprmxe: 104 {4O anwitiotis aaETERS a fkT 140 Oq kurmitterit. 10 • FaS wov. 3W swiees stairs sal g 30 • Capable of fanning dry without darrtage to a axn ncs- zs t Wotor • J 44 S pt1�e OA HP, v e a0 11 r to V, 5ti 1 155D s RPM. btk it overload with r, is automatic 4 • M phase 0.5 Mr, EPOS 115 V or23OV, 60 Hz, 15517 3 10 RPM, built in overload YOM Ep" automatic reset. z • POVWW cord: 10 foot s Mndard k!m• 1613 1 SRM MIh pry O Oug 24 ° O � % 10 zo 30 60 so GPM foot lam. 7613 $M wth WarldaW on 0 z 4 6 a 10 12 nVYh CAPA Y Goul P Sp 25101 Goulds Fua43s � ITT Industries ffeco t may. 2001 83871 r f 4 � v - 7 bq j fi d t! o Ir 04/13/2005, 07:11 7152686545 CEBERY EXCAVAT /TRUCK PAGE 02/02 4S d,i' 4 . 1 4 XviN, 4)f Ui r^,& f LJ 4;7M •V •7u J,l 1 ,04 b. wv +•.�••.• •° �h �� , MWIX COUNTY mb T A wwrnoy i'i AORBEKM AND O'D NERSHM CER7MCAMN FORM Owe, auygr !- t Moving Addme 1e*tapexty Adt 7 L- (Vorifaetion req*W from Pluviag DOMM far new coeeiW UOL) paivel IdeatirmdonNumbs _Z, " 7 �; s "/ Pmpprty U=tkM f V. , tiE* Sm. � `�_, T J N R. TOWA Of _ Subdivit �� �... CWdsm Survey Map W11,1 0 Used 0 `7� 3 L voiu= 2 - i 3'7__ Paw o o J Spec bvQee Ya Lot ?fie idea'tlwle (X�ao ueb odd wait ee of your apdo eyetern could t rettlt in lte pa = An s9 LIM to itco4k *MM, Proper run+mtrmnee anneiafis �f S out the aPde a nk avvy tbm yerm nr eaaaw. ff naad*4 by s lkawd pads w, bat y9d put into ty�rteiet eAa tdJiat. the titnetloar t►f the > tank re s heetarept ettde in th a wt dfe�oeal eytitrma, Owner tabs place reipaa M WiN m 4WIM its f Coaam 83.53(1) acid is ChRpter 11 • St. 01112 Catmty San WY drttitreaoa, 'Phut pwaty after tgtm to at>btait to 8e, Ctah Onno Zmdig DHi atmw a boa W'm. eoad : r *e owner and by a craw . WmWoj(Mwy= webtrt, MOWN p'haba or a 3c=W putapa lbat (1) dtr of -rite w.; d wow diepaeai � tem ii � proper' dpaeatlpb rmd+oz (3) codex bm�pocdoa ead � Gf � the eephe blillc ie lo� . tiraatt ll3 {lull of Uwe. dte eada d bays rtad 9w above mqu a=M ad agree to tatdstWO 6e ppn vaw abwe3e S atam with w Mderde eel *via. w ept by the Depaelmeat afCammeto: IW Wa Qepatitwt ofmari ai RCrott�= f Wboonsia, C.wWcatioa Among tires your sap* vA*m lee beds mabaodaed mA be o xnpletc4 end rdaned to the St. Cox C' uW ZoWmg wh"hin" f the tbt yes eePhdaa date, SICiNA+ AFPirtCANT DATE rI MAM . ArION et1 au dda & a uuo Mae ox"IM4 ON Qw4 c f 4f the � I7Fi � >SQ ttl0 b0�t prst7,Y /il{l[' kxWw�jp�tj,'e. ( ) P r 0£t+ rgrettmty dw teoMW iK Itag let of Deeds Ofice A�21 STG OF APPLICANT' DATD Nk+fMfM Any inkmilm *d i!( =W stay resat ja dw =dtery plt' & bd* rev lW by the Zoning Doi stouts. *s090 Taehsda with dos plW*x a 0 waged wrt sly dead Sara do Regius of 1#de WIN ad .a MY Of tits at T00c away map if POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFO TION SYSTEM SPECIFICATIONS Owner lj C,t V Septic Tank Capacity /00 d a l ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 2.et4r ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A U D ❑ NA Number of Public Facility Units E3-NA Pump Tank Capacity 4 6 U O a l ❑ NA Estimated flow (average) 4/-Y U al /day Pump Tank Manufacturer ' 5 4 a w ❑ NA Design flow (peak), (Estimated x 1.5) 3 ®v al /day Pump Manufacturer G. w 05 ❑ NA Soil Application Rate 1. al /day /ft2 Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD _ <220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) _ <150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODj 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :530 mg /L ❑ NA ❑ At -Grade / l'Aound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA years) M Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑Snonth(s) (Maximum 3 years) ❑ NA - ETyear(s) Clean effluent filter At least once every: (Q month(s) ❑ NA ❑yearls► Inspect pump, pump controls & alarm At least once every: '❑ month) ❑ NA � ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: "ar(s) Other: At least once every: ❑ month(s) ❑ NA D year(s) Other: ❑ 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 (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) Page of 1 _ 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 prior to 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 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 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. • 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 last 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 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 Name W Name Phone ?fj -�7L ��Ll Phone Y7L-1- Z SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name �' Name _ Grd ?� o^, vL Phone •f —V T — VyV Phone ~ (p� 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. i Wisconsin Department of Commerce SOIL EVALUATION REPORT P Da g e - of - 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County- ' v Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Z - ( �'►�d�+ �V� Please print all information. Reviewed b ► y Date 5 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l) (m)). M 2005 -�& Property Ow Property Location 3%(C R01)C C QUN Y v �l AJ � c i V" E 4 Govt. Lot 5 6 1/4/(J £ 1 /4 S / T NING E (or) Property Owner's Mailing Address /l Lot # I Block # I Subd. Name or CSM# / S / S — P i C: L city Stath Zip Code Phone Number [I city ❑ Village PaTown Nearest Road �f• a� ANA S,S /aG� (V) )775 1,37 a. Of New Construction Use: Residential /Number of bedrooms y Code derived design flow rate 5/S© GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable fl. General comments and recommendations: /%, it .tom 0 / Boring # Boring s' � 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 c:;;L V Boring # E] Boring N 15] Pit Ground surface elev. /0 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 <3 7. S IX � z S '1 AC- ' fftuent #1 = BOD > 30 < 0 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST ame ( lease Print) / Signature CST Number C 4f 0 4w/�;�s � 0 0�8' � Address Date Evaluation Conducted Telephone Number lv�S o QL. �u� ��," �' ���3 Y - Z- V41 f y Property Owner Parcel ID # Page °� of y 3] Boring # ❑ Boring Q 1 / pit Ground surface elev. 9 • ft. Depth to limiting factor ✓ / in. Soil ADDlication 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 *01#2 ° - /Q /,,i y e % ik as /, d F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. - § ' o — ilApplication 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 ❑Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit 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 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) C-1 � w fn �\ Z .�1 � r b Cq 1 - 7 43826 ' _ 2 4 I 3 ? P XATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 10/15/2003 02:30PH WARRANTY DEED THIS DEED, made between Michelle Henne Malkes, a single person, EXEMPT # Grantor, and John A. Scrivener, a single person, Grantee. REC FEE: 13.00 Grantor, for a valuable consideration, conveys and warrants to Grantee TRANS FEE: 317.70 the following described real estate in St. Croix County, State of Wisconsin: COPY FEE: CC FEE: PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: METRO LEGAL SERVICES Exceptions to warranties: THE FIRST NATIONAL BAN( BURDMiK#: Easements, restrictions and rights -of -way of record, if any. 332 MINNESOTA ST. PAUL MN L, MN SUITE N -106 55101.; 32- 2076 -50 -110 Parcel Identification Number (PIN) This is not homestead property. Dated this 29th day of September, 2003. * Michelle Henne Malkes s * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. authenticated this 29th day of Septe ;;M w` �c 5`r Personally came before me this September 29, V`t 2003 the above named Michelle Henne Malkes, a single person to me * known to be the person(s) who executed the foregoing TITLE: MEMBER STATE BAR Or WISCONSIN ins ent and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT INSTRUMENT WAS DRAFTED BY *Cheri Brown Notary Public, State of Wisconsin Edina Realty Title —Doug Berk My commission is permanent. (If not, state expiration date: 400 South Second Street #115, Hudson, WI 54016 3111/2007 ) (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 Metro Legal Services EDIRET 409704 A 309971 XkD 238615 WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 i70 HDVd 8 N611II9I000N '71 u 30 13N ayl 10 autl ;sea MuTI1Sip00N o° v Ih£'IO£i ,y£ "loci a aa, d � _ o o _ ? W to f ONY 4-7 Simi" m.w4F** IdIYQZ r�wnn.a- aC.w312 spu Pa33e[dn Y 0661 6 0 A V14 I Y 433A ,S6'9T9 M..ST180o00N m IZi'LT 1 0 C L W 0 Ii .o L v a y v WI C U 2 3 L WI 3 c x • ` V I M .� ... " ar. f•') O CO J H � 4 W t•'f � . a .--• U m N � ? N � l. N L 1 L N t � 4 •--. m K .r N r- O Y v Ib Oo O c� O co o N N N I �rn 1Z9 " j vl cl 1 W tD �D AI J I = m J I 196'913 311ST180000S - wI b I ,n qua 2 -�nzsa , 99 �n o m Ln M-4 I N 168'68 o N i O O cal ° rh 1 n I -- O M O 00 00 z E cn z O N Cf] c C3- w L - 3 4 O t~ s P-, CV � 3 C c+ In v •v s b } W EH m j to O O S U •. I co J O U) J- Mo a+ rh o n p till 1=1 W �1 W_ O Z LL- 4-) o 4-1 �--� Sd M i~ F— .0 EI z d 0. 0 19Z'S£ v Ir U IL9'T8£ 0 �­4 X 199 1S6'9TV S..ST.80000S 41 --1 U CO +' yL (,a6Yd `y auniop uc dew Can JnS pac3c��ao O a) �1 I-a V] U] ] T 3 W ° MuiTISip00N Jeaq o1 pawnsse 1y1 1EP.1 x s o W o 1 u0140aS 40 13N 0 44 30 auil ysea c r m 0 Q . a / y y ; 04 pa0uaJa3aJ aye sbui.leag -, ,I " - a x U l y._ u , 4 O 96C8SV U-wOQ16 Parcel #: 032- 2076 -50 -110 04/20/2005 09:26 AM PAGE 1 OF 1 Alt. Parcel #: 14.30.20.790A -10 032 - 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 JOHN A SCRIVENER * SCRIVENER, JOHN A 1315 TOPIC LA ST PAUL MN 55106 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.320 Plat: N/A -NOT AVAILABLE SEC 14 T30N R20W PT SE NE LOT 2 CSM Block/Condo Bldg: 8/2204 3.32 ACRES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 14- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 10/15/2003 743826 2437/01 WD 873/376 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 11229 58,500 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.320 49,600 0 49,600 NO Totals for 2004: General Property 3.320 49,600 0 49,600 Woodland 0.000 0 0 Totals for 2003: General Property 3.320 49,600 0 49,600 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 0 to 0 3 M 0 d v1 m O r C) 0 3 T y z O rn � Cl) A w l S d O C rt W N it tD 7� 7 N y ± 3 O IV FBI 1l A tb C tD '� p W 7 O N O h'y N N Q 7 - L -4 O n 7 O t0 o CO c R o n ° D A7 o � rr a > > y D o o p y N O v m m a y C v D a t � m to ? a N C n o � m N O �c O O L z N CD O Q � O y ° 0 n N M c (V CD c 3 tD 0 000 " �• °1 ai N m ° N D Or o to 3 V O O o co N y y A C N i N 7 � ', A N D D o Or o 0 I � � s a �• I m a �1 I � c � o 3 m (D to CO) c p z N I N — n .r 2r A z O (D O m I ° ` tTD m A CL Z a A O _ .Z1 rr Z N .. II I ° I m o N I f � A W I 0 W m a vO a 9 D m o 0 m m c m - 0 z ° d o0 o a I v a CD I ma O y N � tD - i O CD �+ 7 a N D) C tD A SU a y to (,q O c A ra ry 0 ° N s o 0 I m a o ° (D En O e CD `o y O CL ti y