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HomeMy WebLinkAbout026-1153-34-000 Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: ` 463418 Qe,✓ +d�f si\� 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: Ritzer, Justin I Richmond, Town of 026- 1153 -34 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No Q6 g m 1 C - v - 19.30.18.1172 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r 15 , Benchmark Z � �dZ�9 Alt. BM "IL 00�- 5,1Z 57.77 Aeration Bldg. Sewer I qZ_ S 3 Holding SUHt Inlet I'' I s 9I .75 TANK SETBACK INFORMATION St/Ht Outlet III 3q TANK TO WELL BLDG. Vent to Air Intake ROAD Dt Inlet ac. Septic 160 / f i Dt Bottom S r 24 �� T ~, Dosing Header /Man. 12!.0 qa .13 Aeration Dist. Pipe I Z. Z3 96 Holding Bot. System IS gR. 75' �. PUMP /SIPHON INFORMATION Final Grade (' 3 4 7&- �a Manufacturer Demand St Cover GPM 7v c/l 7 `t TYv Model Numb TDH Lift Friction Loss S TD Ft Forcemain Length Dist. to well SOIL ABSORPTION SYSTEM BED /TRENCH Width + Length No. Of Trenches PIT DIMENSIONS No, Of Pits Inside Dia. Liquid Depth DIMENSIONS / } / T(e JIM '— SETBACK SYSTEM TO `D W P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: n, INFORMATION f f / CHAMBER OR 1 U 0 Type Of System: I ! 4y 7 S UNIT Model Number: DISTRIBUTION SYSTEM /I Header /Manifold Distribution T ole ze Si x Hole Spacing Vent to Air Inta / �+ Pipe(s) \1 A I Length Dia y Length ` Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 8 � Bed/Trench Edges Topsoil \ Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / Location: 919 148th Avenue New Richmond, WI 54017 (NW 1/4 NW 1/4 19 T30N R18W) Glen View Lot 34 Parcel No: 19.30.18.1172 1.) Alt BM Description = U0, V J �� t` EZ c.oJ GIrS D 5 2.) Bldg sewer length = 3 � - amount of cover = 5 f Use Re e o her side foradditional information. No r J Date InsepctoognatCurm Cert. No. SBD -6710 (R.3/97) "ROW Safety and Buildings Division County _ 201 W. Washington Ave., P.O. w^ r �seons�n Madison, ITI�� � Sa tary Permit Number (to be filled in by Co.) (60 ) 266 - v Department of Commerce Sanitary Permit Applica n 3 UL 2ap Slat Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal inforrnat n you provide r may be used for secondary purposes Privacy Law, s m) C RpiX GOUN Projec Address (if different than mailing address) ST 00 1. Application Information — Please Print All Information 9� y8 Tk (/F Property Owner's Name Parcel p Lot q 3 y Block k V _ - — a s -I 3 -- 71 Z,64 f Property Owner's Mailing Address Property Location 5.5 T Y., &azv, Section City, State Zip Code Phone Number / 1 Z (circle one) ` J d%7 T _'�(L N; R 5 E orC) II. Type of Building (check all that apply) 3 -.-.1D e.(' 6r# Subd Name CSM Number J1 1 or 2 Family DH -,Iling — Number of Bedrooms n�Q ❑ Public/Commercial - Describe Use �� �` \^ a °`� C -_ ❑ State Owned - Describe Use ❑City — ❑Village ®township of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ 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 6 (/ IV. Type of POWTS System. Check all that appl ® Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At -Grade ❑Single Pass Sand Filter 11 Constructed W d ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculatin Recirculating Synthetic Media Filter IN Leac r ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) �Dispers Area Proposed (sf) System Elevation o VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass ' New Existing ' _ n A- / l Tanks Tanks a W�.lt� Septic or Holding Tank 0�0 000 Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si ature MP umber Business Phone Number Plumber's AdZrress (Street, City, State, Zi e) 7 Of p - p VIII. County/ e artment Use Only ` Sanitary Permit Fee (includes Groundwater Date Issued Issuin ent Sig tur v proved ❑ 'approve Surcharge Fee) I — T El caner eason for Denial WO 2 � D IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: 3, sd e.vw, J - 1 . Septic tinot, etlklent filter and lJ dispersal cell must all be serxices / maintained as per management plan provided by plumber. 2 AM setback requiremen4must be maintained as per applicable code I ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) I f�EUIS /O /1� 7.s ` 7,3S - l id P PP- 3` /'Y /N 3 __t31 VAcrgnt i'ofg AZ ovc�ti�� = 98 S2 I � � ,fir /30?,9 wwg e 407 3V CIC lit 0n �U� P e f 96 ` ypus� i c ALr s r /L q c7u s rlAl.. /?! % z c /2 I N - h . 97` 7.3s ` 7,36- �o al � V job f o vG j p/�c-- 31 l`YiAv 3 c 7A cr ©n %oP .2 % �°'/°� -- p8_, S-z _ _ - A 132 RarS i i pug - PQ° P °5+%O - - - UJL'u - -- - - �i'� ,per ' l ' - - - - - -- - -- -3 - � A Or �� S /ice � r �- -?— - -- - -- -9W - - - _ - -- -- - - - 13 b Al i i v 1376 Wisconsin DepartmeKtrce � -- E -- --SOIL EVALUATION REPORT P� 1 of _ �{ Division of Safety and i. i n ao3ra5Mnm 8 Wis. Adm. Code Tom Schmitt County Attach complete site plan {taper t Idss tt��q g y. 11 'nches in size. Pla must St. Croix include, but not limited to: vertidal"O twrizohlelkefe � p"(ppl), di n and percent slope, scale or dimensions north arrow, and location an distance nearest road. Parcel I.D. 026-1153-34-090 P /ease p nta1A6f6ftM4ML1NTv Reviewed By Date Personal information you provide may LL ONI V;,,acy taw s. 15.04 (1) (m)). Zg b - 4Z:a� Property Owner Property Location Abbie Homes S - Govt. Lot 1/4 NW 114 19 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 556 S. Arch St. 34 Glenview City State Zip Code Phone Number I City Village fd Town Nearest Road New Richmond WI 54017 1 1 Richmond I 148Th Ave. 01 New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement J Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 07 gpd/sgft rate. Possible system elevation for Area 1 is 89.65'. Slope of area is 2 %. Boring # j Boring 16 Pit Ground Surface elev. 96.07 ft. Depth to limiting factor 144+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 'Eff#1 'Eff#2 1 04 1Oyr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 4 -16 1Oyr3/4 none sil 3fsbk mfr gw 1vf .6 .8 3 16 -31 1Oyr414 none sill 3fsbk mfr gw .6 .8 4 31 -43 7.5yr4/6 none s Osg ml gw - .7 1.6 5 43 -144 1Oyr5/6 none s Osg ml - .7 1.6 Boring # Boring 16 Pit Ground Surface elev. 96.87 ft. Depth to limiting factor 145+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF 'Eff#1 'Eff#2 1 04 10yr3/3 none sil 2msbk mfr as 2vf .6 .8 2 4 -7 1Oyr3/4 none sl 2csbk mfr cw 1vf .6 1.0 3 7 -14 1Oyr4/4 none s Osg ml cw - .7 1.6 4 14 -22 7.5yr4/6 none scl 2msbk mfr gw .4 .6 5 22 -32 1Oyr5/6 none Is Osg ml gW - .7 1.6 6 32 -51 1Oyr6/4 none cos Osg mfr cs .7 1.6 7 51 -87 1Oyr6/4 none s Osg ml cs ---- -- .6 1.0 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <�0 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ��' _ 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 6/28/05 715- 247 -2941 2 95 -145 1Oyr6/4 none s Osg ml - - 7 1.6 3 Pit Boring # Boring / Ground Surface elev. 97.14 ft. Depth to limiting factor 94 ✓ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 8 -15 1Oyr5 /4 none sil 3fsbk mfr gw 1vf .6 .8 3 1541 1Oyr5/6 none sil 3fsbk mfr gw - .6 .8 4 41 -82 1Oyr6/4 none s Osg ml gw .7 1.6 5 82 -94 7.5yr4/4 none s Osg ml - - .7 1.6 6 94+ 2.5y6/6 fractured limestone-- - -� 4] Boring # Boring f Pit Ground Surface elev. 96.97 ft. Depth to limiting factor 144+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2 1 0 -3 1Oyr3/4 none sl 2msbk mfr as 1vf .6 1.0 2 3 -19 1Oyr4/3 none sl 2msbk mfr gW .6 1.0 3 19 -36 1Oyr4/4 none scl 3msbk mfr gw - .4 .6 4 3646 7.5yr4/6 none sl 3msbk mfr gw - .6 1.0 5 46 -84 1Oyr5/6 none cos Osg ml cs -- .7 1.6 6 84 -144 1Oyr6/4 none s Osg ml - - .7 1.6 ' 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 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. ' + Property Owner Abbie Homes Parcel ID # 026 -1153 -34000 Page 3 of F-51 Boring # Boring Pit Ground Surface elev. 143+ ft. Depth to limiting factor 97.50 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -8 10yr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 8 -17 1Oyr5/6 none Is 1msbk mvfr gw 1vf .7 1.6 3 17 -54 1Oyr5 /4 none s Osg ml gw .7 1.6 4 54 -143 10yr6 /4 none s Osg ml ---- — . 7 1.6 F—I Boring # _j Boring I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM *Eff#1 *Eff#2 Boring # . j Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *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. Page Vof .t/ ..Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Abbie Homes Thomas I Schmitt, CST 227429 Address: 556 S Arch St. 1595 72nd St. City, State, Zip: New Richmond, WI. 54017 New Richmond, WI. 54017 Phone: 715 -247 -2941 Subd.Name: Glenview Lot No.: 34 Legal Description: NWl /4 S19 T30N R18W M Backhoe pit Township, County: Richmond, St. Croix County ® Bench Mark El. 100.00' Top of 2" pvc pipe Q Alternate Bench Mark El. 98.52' top of 2" pvc pipe Slope= 2% Scale F = 40' a ? /yft D. 6 ? � r i �� gs b� Alf pi'\ 1376 YYr�p�ifTDeparlmentofCommwrce SOIL EVALUATION REPORT Page 1 of_`? Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Mach complete ate plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix irr A de, but not limited by vertical and horizontal reference point (BM) direction and Parcel i. D. pert ent slope, scale or dimemskim, north arrow, and location and distance to nearest road. 026 - 1153 -34 -000 Please print all infonnatlon. Reviewed By Date °2 1 you Provide may be used for secondary wpm (lacy Law, s. 15.04 (1) (m))• Property ,Owner Property Location i4bbiii� Homes ,� i r 4�_ Govt. Lot 1/4 NW 1/4 S 19 T 30 N R 18 W )?iopety Owner's Mailing Address Lot # Block # Subd. Name or CSM# 8. Arch St. 34 Glenview CRY State Zip Code Phone Number City Village Jj Town Nearest Road New Richmond I WI 1 54017 1 Richmond 148Th Ave. New Construction Use: Residential /Number of bedrooms 3 Code derived design flow rate 450 GIRD 4 : Replacement Public or commercial - Describe: ' t . Parent material Outwash Flood plain elevation, if applicable na � ft pP General comments ' end recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rate. Possible system elevation for Area 1 is = 89.65'. Slope of area is 2 %. �a s� Boring # Boring r Prt Ground Surface elev. 96.07 ft. Depth to limiting factor 144+ in. Soil Application Rate a {` } Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' Eff #1 Eff#2 1 0 - 4 10yr3/3 none sil 2fsbk mfr as 2vf .6 .8 2 4-16 1Oyr3/4 none sil 3fsbk mfr gw 1vf .6 .8 3 16-31 10yr4l4 none sil 3%bk mfr gw — 6 8 _— za 4 31 -43 7.5yr4/8 none s Osg ml gw 7 1.6 5 43 -144 1Oyr5/6 none s Deg ml — — 7 1.6 4 Boring # Boring Pt Ground Surface elev. 96.87 ft. Depth to limiting factor 145+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' 'Eff#1 'Eff#2 1 04 1Oyr3/3 none sil 2msbk mfr as 2vf 6 .8 _, -2 =: 4-7 10yr3/4 none sl 2csbk mfr cw 1vf .6 1.0 ' 3 "' 7 -14 1Oyr4/4 none s Osg ml cw -- .7 1.6 4 14 -22 7.5yr4/6 none scl 2msbk mfr gw — .4 .6 5 22 -32 10yr5/6 none is Osg ml gw -- .7 1.6 6 32 -51 10yr6/4 none cos Osg mfr CIS .7 1.6 7 51 -87 10yr614 none s Osg ml cs — 6 1.0 zz • Effluent #r1 BOD ,T 30 < 220 mg/L and TSS >30 < 150. mg/L ' Effluent #2j. BOD < 30 mg/L and TSS <-0 mg/L ' ? CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 159572nd St., New Richmond, WI 54017 628/05 715 -247 -2941 i Property Owner Abbie Homes Parcel ID # 026 - 34-000 Page 2 of _y 2 F Boring # Boring �/ Pit Ground Surface elev. 96.87 ft. Depth to limiting factor 145+ in. Soil Application Rate .._5 -£. ,• - Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM r •Eff#1 'Eff#2 1 87 -95 7.5yr4/4 none gds 2msbk mfr cs — .6 1.0 2 95 -145 1Oyr6/4 none s Osg ml — .7 1.6 L � 3 Boring # Boring Pit Ground Surface elev. 97.14 ft. Depth to limiting factor 94 in. Soil Application Rate - t"_ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPON 'Eff#1 , 'Eff#2 1 0 -8 10yr3/3 none sil 2fsbk mfr as 2vf 6 .8 2 8 -15 1Oyr5 /4 none sil 3fsbk mfr gw 1vf 6 .8 ' 3 1541 10 r5/6 none sil 3fsbk mfr --- .6 .8 Ow Y 9W 4 41 -82 1Oyr6/4 none s Osg ml gw 7 16 5 82 -94 7.5yr4/4 none s Osg ml — — .7 1.6 6 94+ 2.5y6/6 fractured limeston — - - Ir ` . F4� Boring # Boring Id Pit Ground Surface elev. 96.97 ft. Depth to limiting factor 144+ in. Soil Application Ratrr� Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . `k •Eff#1 =' 'Eft`#2 •S ; 1 0 -3 1Oyr3/4 none sl 2msbk mfr as 1W 6 1�0 2 3 -19 1Oyr4/3 none sl 2msbk mfr gw ti, '1.0 3 19 -36 1Oyr4/4 none scl 3msbk - mfr AW i 4 36-46 7.5yr4/6 none sl 3msbk mfr gw 6` 1 0 5 46 -84 1Oyr5/6 none cos Osg ml 6 84 -144 1 Oyr6 /4 none s Osg ml A".. n :. ' Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L . *Effluent #2 BOD <30 mg/L, and TSS - !00 mg/L' `. The Department of Commerce is an equal opportunity service pr )vider and employer ,.if you need assistance to access services or need material in an alternate format, pleaset contact the department at 608-266-3151 - of, TY 608- 264 -81 £ ' 3 'fir Property owner Abbie Homes Parcel ID # 026- 1153 - 34-000 Page 3 , of ,•_. F 5 Boring # Boring x Pit Ground Surface elev. 143+ ft.. Depth to limiting factor 97.50 in. Soil nation Rate F rt Appl' . E Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GEDM k , 'Eff #1 •EffAl2 1 0 -8 1Oyr3/3 none sil 2fsbk mfr as 2vf . .6 2 8 -17 1Oyr5/6 none is 1msbk mvfr gw 1v1 7 1.6 3 17 -54 1Oyr5/4 none s Osg ml gw 1.6 4 54 -143 1Oyr6 /4 none s Osg ml — .7 1.6 F-I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate ; , Horzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 •Eff#2 s`. NYC 6�F ^'r 3 :Yyt 1 fe F M Pit Boring # Boring Ground Surface elev. ft. Depth to limiting factor in. S ppplication Rate` Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAP •Eff#1 !Eff11e2 1 x A 5-t l r s - 3 4 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD,< 30 mg/L�and TSS < O.,mg/L r The Department of Commerce is an equal opportunity _service provider and employer. If you need assistance to access services need material in an alternate format, - please contact department at 608 - 266 -3151 or TTY b08- 264 -8777 = 4 { Pa e y � nducted by: Conducted For: w- Schmitt Soil Testing Inc ___. Dame: Abbie Homes :- Thomas I Schmitt; CST 227429 Address; _ � _ _- ___ .— 556 _ _ 5 Arch St; u { ita A 1595 72nd St. City; - State; Zip: - New`I%cb=nd;'WT 54017 ..-New Richmond, 54017 Phone: 715- 247 -2941 Subd.Name: -- l--Glenview Lot -No.: 34 - - _ + ^� _,._. Legal.lZescrigtion - �._NW1/4 S19_T3DrLR18W__.- v M Backhoe pit T County Richmond,- St._ Croix County ® Bench Mark EL 100.00 Top of 2" pvc pie _ 0 Alternate Bench Mark El. 98.52' top of 2" pvc Pipe �/ Slope- 2%_ A Scale 1' = 40' n F . 1 . a ' j } 1. z - - _ -: ro __. a t'4 t, t - -f 7r pp , 1 7 C yy i p L__` _ G Safety and Buildings Division County V isconsin 201 W. Washington Ave., P.O. Box 7162 .57, ( 12Q f M,c iso - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce ( 8) 26��5 2 ALF Sanitary Permit App n l ate Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inrvrQ 005 N maybe used for secondary purposes Privacy Law, s (1)(m) roject Address (if different than mailing address) I. Application Information - Please Print All Information c I 1 9 4QNN OFRCE $ Property O V -1 41 3 Block # J }�iTZE� - 9� , 1172 Property Owner's Mailin ddress Pr rty Location �s S w ee 19 City, State Zip Code Phone Number °, A) Section )VA) t ,'{f/Zo-1V S yd /� ��� '02�/6 " y 7� T�N; RjEor9 II. Type of Building (check all that ly) O K C's K6 1a ® I or 2 Family Dwelling - Number of Bedro s Subdivision Name CSM Number ❑ Public /Commercial - Describe Use LZ N V t EW ❑ State Owned - Describe Use ❑City_❑ Village JiTownship of R t c f./ /h 0 A� III. Type of Permit: (Check only one box on line Complete line B if plicable) A. � New Sys tem p y p y g y ❑ Replacement S eatmenUHoldin ank Replacement Onl El Modification to Existing System B. ❑Permit Renewal ❑Permit Revision ❑Chan of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl )� Non - Pressurized In Ground ❑ Mound > 24 in. of suitable s El M\d< n. of suitable soil El At - Grade ❑ Single Pass Sand Filter Constructed Wetland ❑ Pressurized In Ground El Holdin ank El PEl Aerobic Treatment Unit 11 Recirculating Sand Filter Recirculating Synthetic Media Filter Leaching Chamb ❑ rip Line el - less Pipe ❑ Ot r (explain) V. Disp ersal/Treat ment Area Information: t I 11 Design Flow (gpd) Design Soil Application Rate(gpd Dispersal Area Required Dispersal Area Proposed (s6 System Elevation Z° (9 ySo 0.7 �,� s3 N Ir0 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallo of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank J 9 / 00 i r � Aerobic Treatment Unit if V V +✓ Z q-BE L �- /00 Dosing Chamber VII. Responsibility Statement - I e undersigned, assume responsibility for installation of the POWTS s wn on the attached plans. Plumber's Name (Print) Plumber's igna re MP/MPRS Number Business Phone Number J oMr SCNIII , o -376 713 -� VF J Plumber's Address (Street, City tate, Zip Co 616 /50 4ae Soine r5 W y VIII. _CAunty/DepartFrAt Use Onl proved Di prov Sanitary Permit Fee (includes Groundwater Date ssue Issui gent Sign ture o Sta p mp KSurcharge Fee) ��� ZL 6S rven Reason o ial J IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: Sep I filter and i t all be serviced / maintained a er mana t Ian rovidedu by plumber. 2. All setback requirements mus ed as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) i ZE A f'►'1 /0o. 70t; 0,0: $7-tic r EI'c e 1 i • 40 drrl 61, 9 7 w,Pi��sf .�,EoA) 5 V57- r o 14f ef q. 00 co 8 Y� p��� ��► ,: 4 PRO►� OsE� _ pgivtwa a �" ® QR�►�os e � welt 1 3X 68.3/ 8ro0,fhusE raeAmIt PRopnsc:o 13 6Z.10 ovi,=r= ,c� Zeew[H 3 Bch us-: i-1�us 1 000 GAL S. 7, 73 03 � ALT Am 19 70 sto �M fL. C OPY PRAW1 ) ocef PR ,4wN d 4 lw4 , ll�i� iAw Ll5 +Ji Z �yo <7 M P9-S o '2- c - �- � 1 4 0 t► Bn1 ,�C vo-o0 Tor' o� s %tfL _ /= Eti'c a coos j • r LT r3i�I = 96. Tor) s'-k_vee .L"�eA1' ` �D�� IDOL C 5 V 5 8y. o L 8Z.00 ' R t - SO i Rod .0 �►eivt a T 1 6 6! 00 546 r,¢ t'" N , Ro�ns�� _i B c' n � 3 cO nt 1 000 GAL S.! 7, 13 ■ .� —87 2 B; A -ion ALT $m 11 Six Dt BM PA Are v- . "' � __ r __ _ __ - - -- _ -_ -- _ -_ _ _ __ - -- - _ _ _ __ _ - __ -_ _.. _ - _ _ _ __ I - �_.._ BIODIFFUSER CROSS SECTION 4 11 PVC Inspection + Vent Pipe IHI, ! Approximate Grade III E1 . = 88.0 I II! E1 - �q Da 11 1 7" alto i aC LAU a ,e•oge !:n en El • = OZ 0() I- —L g ' — , ArN09f 0,040 A/*0 W010 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Justin R i t z e r Septic Tank Capacity 1000 gat O NA Permit 0 Septic Tank Manufacturer E3 NA Week s C.P. DESIGN PARAMETERS Effluent Filter Manufacturer Z a be 1 D NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Unit ll NA Pump Tank Capacity a l 0 NA Estimated flow (average) 30 g al/day Pump Tank Manufacturer ■ NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer 0 NA Soil Application Rata 0.7 gal/day/ft' Pump Model 0 NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit 0 NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen. Demand (BOO 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD,) 530 mg /L 0 In- Ground (gravity) '❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 0 NA ❑ At -Grade ❑ Mound Fecal Col)form (geometric mean) 510' cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y, In dia. / t ❑ 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: C3 month(s) (Maximum 3 years) ❑ NA 3 0 ears) Pump out contents of tanks) When combined sludge and scum equals one -third (Y of tank volume ❑ NA, Inspect dispersal call(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA, 3 0 year(s) Clean effluent filter At least once eve ❑ year sl every: O. NA 1.1 0 ear(sl Inspect pump, pump controls & alarm At least once eve 13 month(s) year(s) !>t NA. Ins p p every: O earls) ' ❑ month(s) Flush laterals and pressure test At least once every: ❑ ear(sl Other: ❑ month(s) At least once every: ❑ year(s) pNA:: Other: ❑ NA` MAINTENANCE INSTRUCTIONS yin Inspections of tanks and dispersal calls shall be made by an individual carrying one of the following licenses or cwljficatlons- 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 on lea. 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 call(s) shall be visuapy inspected to check the effluent levels in the observation pipes and to check for any,..pondin of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requli"s - a immediate notification of the local regulatory authority. ,- ; ,��, `;N • When the combined accumulation of sludge and scum in any tank equals one -third %) or more of the tank volume, the ;entice.. contents of `the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter. NR;1 13; 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 S12 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. • i Page of START UP AND OPERATION For new conauuctlon, prior to use of the POWTS check treatment tank(&) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks) removed by a saptage servicing operator .%K�"' _ use. System start up &hail not occur whbn soil conditions are irozen at the Infiltrative surface. During power outages puutkp tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(:) 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 calls. Do-not drive or park over, or otherwise disturb or compact, the area within IS 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. r +d e 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 falls 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 bean evaluated and may be utilized for the location of a replacement soil absorpt Ion system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing land 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 b(omat 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. ADDMONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name' John- SchAtt Name Owners choice Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Owners iCe Name St. Croix Ct . Zonin Rhone Phone 715 386 -4680 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &M and 83.64(1), (2) & (3), Wisconsin Administrative Code. , Wis,•onsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code n County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ` r 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. Please print all information. e ewed by Date �4.) Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 29 Pam, Owner Property Location I .4' /—/ ,5— d a � P�✓ L Govt. Lot OR LAA S T N R E (o W Prope Owner's Mailing Address Lot # Block # Su Name or M# city tate Zip Code f P p one,Number 7 ❑Village To NeareRoad New Construction Use:A Residential / Number of bedrooms 3 /'V Code derived design flow rate ' GPD ❑ Replacement ❑ Public or commercial - Describe: _ -- Parent material Flood Plain elevation if applicable ft. General comments and recommendations: i �# ❑ Boring a (�� .� od � � • 2aa�� pit Ground surface elev. ft. Depth to limiting factor_ in. E Soil Application Rate 4 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 2 J J . L �- g 3 • �a vF4 ❑ # Q Boring JC pit Ground surface elev. � ft. Depth to limiting factor ��-� —� in. Solt 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 4 In., 2 s C L rn mFr r � �3 z rr- OD Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 � -, 715- 246 -4516 3� Property Owner _ Parcel ID # Page of FT Boring # ❑ Boring 2 Pit Ground surface elev. ✓' ft. Depth to limiting factor �n Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Ef1#1 - Eff#2 c-S f (_ 2 —� 5 t✓ t _4_1 1 2 2 ADLL y s 1, z ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - E1f#2 F-1 Boring # ❑ Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil AWication 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 1150 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. SBD4330 (8.6/00) Soil Test Plot Plan Project Name Lakes and Hill Development Shaun Bir Address P.O. Box 10598 White Bear Lake Mn 55110 CSTM 226900 i Lot 3 Subdivision Glen View Date 7/18/03 1/4 N W 1/4S i9 T 30 N /R 8 W Township Richmond Boring O Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 1 ft . Top of Steel Fence Post System Elevation 8 9.0/87.0 *HRpSame as Benchmark Alt. BM Top of Survey Iron @ 96.1 Scale is 1" = 40' unless otherwise Please note: survey was not noted completed at time of testing, setbacks from lot lines may change. Installer must verify all lot lines and setbacks Please Note: Tested area before installation. may not be suitable for desired building area. Check system location before excavating. a a� a 0 22% Slope 5' � 90' B -2 87' POU 30' 90' 0' 93' t 45' B3- t lt. . 381' Property Line � F , SEE SHEET 1 r 1 i 1 I ' I - I - i N I ® / --- ---- - ----- 1 ! 1 00 r ^ / 1 ! N = 1 N tr 1 i ! O m N Nol•3r01'W 155.00' 170.00' • 45.78• t 1 • _M4 03 -1 1 ItI I J N I• tl m la I ! : I II 1 m I Sr I •m � OIt A1NA0E ! ,r 1 I I� I • M ' EASEDIENT 1 i iz i I III "'_� I . I '. � • • 1310V ry'4 tn! i �. I g I j i teo.00' o Z I a i I 1 75' UT0.1tt m N n ' I ! i I � 545.3' 0. 1 i i a l EAS ENT • i m! Np8.4r54"8 co LLJ i t ! I • • lot I I Ft Q I I 1 I N C, lit I ! Mb m z: , I n rr • •• I t D; ! 75o.9 m • m A 5't' � ' S0S4r53 ,55.90 sr .oe I 708.18 4WW i 1 NOt 300.00' r►p i i ( i I I I 3.1 (n I � j • 1 Q1 Ih m [ I J: Z i o,• z1 I 1 ; J' O N: /$ 9/ it / /,' • O to QI QI >:a. i i I i Z i _ i •�[r / it ®; r i' 3 �h�t .. i ® ? 27 It ai � 1 4 co % , M —� ' 1 i ,SYGtI ' O i , m. \ • N w I >_ I 1 i tn: N J ► _ __ Q. I m, i iI i O!a m• m yy o mI ht► m i m N00'OS'49'E 74&40 .. NDWW•49 - E t575Jr zm� ss �i a� UNPLATTED LANDS ff�� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer J u 577 nl R 17- E /Z Mailing Address 5 ( f2 /f Si ke to R C o'v Mr S`Y / 7 Property Address (Verification required from Planning Department for new construction) 0,Z.d— / /6"3 / 9 � csoo City /State Parcel Identification Number LEGAL DESCRIPTION Property Location ` /., N ' / +, Sec. , T 3O N -R I L W, Town of A 4 1[ WJe"d 1 ut 0 . Subdivision 61-'e 1//e . Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 7, 3 ,60 12 . , Volume 1 Page # �2 Spec house 9 yes ❑ no Lot lines identifiable IK yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic/system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da the e v . i' lgkln date. l l8 t�S' N��T(At13 DATE OW CERTIFICATION I (we) certify/that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of thWN esc ' d above by virtue of a warranty deed recorded in Register of Deeds Office. LICANT ATE . Any `information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * *** «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed l U 2 5 5 3 P `I 2 6 - 76 0aa<3 �l STATE BAR OF WISCONSIN FORM 2 - 1999 HATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS 5T. CROIX CO., WI This Deed, made between 13illvale Development Limited Liability RECEIVED FOR RECORD Partnership Grantor, 84/21/2004 09:30AI1 and Justin T. Ritzer and Jennifer L. Ritzer, husband and wife WARRANTY DEED Grantee. EIEliPT # Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: 11.00 TRA FEE: 274.20 (if more space is needed, please attach addendum): COPY FEE: Lots 19 and 34, Plat of Glenview in the Town of Richmond, St. Croix CC FEE: County, Wissonsin. PAGES: 1 Recording Area Name and Return Address s Y c 6a--�K p go t o g a (S a- . U -62- I v 026 - 1153 -19- 000. 026 -1153- 34-000 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any. Dated this r day of April 2004 * * Hillvale Development Lim' ed Liability Partnership AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF `jre%�� ) ) ss. -- - - - � �c County ) authenticated this ___day of Personally came before me this l day of p�� - -� -- April , 2_004 the above named D, `r'� — Hillvale Development Limited Liability Partner Notary Public >l vac TITLE: MEMBER O W _ (If not, _ _ _ to me known to be the person(s) who executed the foregoing authorized by §706.06, Wis. Slats.) instrument and wledged the same. THIS INSTRUMENT WAS DRAFTED BY _ At to r ney Kristin Ogland * H_ udson, WI 54016 Notary Public, State of My ommissio is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 3e * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co.. Fond du Lac. WI STATE BAR OF WISCONSIN 800.655 -2021 WARRANTY DEED FORM No. 2 -1999 ,06'SS1' 3.£S,Zi►.£OS ► I y �i/ P r oo I r / to N 0 I I I's V m to A Z C I I D a ' I Mv, oto ;+t M y rri 'n �� M.�£1► 90N ► v �Z'S5Z I I w )'09L wo a v ° 1 �£ I! •££ cn 03 W N .8Z'Sf , IMI >a A W / I ! w a► 133�j1s loo lol Q r � r . W ZHHHS TqS f t. Parcel #: 026- 1153 -34 -000 04/22/2005 08:39 AM PAGE 1 OF 1 ` � w Y a Alt. Parcel M 19.30.18.1172 026 - TOWN OF RICHMOND 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 * RITZER, JUSTIN T & JENNIFER L JUSTIN T & JENNIFER L RITZER 12482 DAVENPORT ST NE BLAINE MN 55449 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description " 919 148TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.870 Plat: 1984 - GLENVIEW LOTS 1 -43 026/03 SEC 19 T30N R1 8W PT NW NW GLENVIEW LOT Block/Condo Bldg: LOT 034 34 1.870AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19- 30N -18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 04/21/2004 760229 2553/426 WD 04/21/2004 760229 2553/426 WD 10/21/2003 744287 9/88 PLAT 09/03/2003 738635 2398/458 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 21062 23,100 Valuations Last Changed: 07/01/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.870 21,000 0 21,000 NO Totals for 2004: General Property 1.870 21,000 0 21,000 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