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HomeMy WebLinkAbout026-1127-07-000 n (a o ■ -0 n e \T\ V �f 7 - 3 J e ■ � 0 ƒ 7 0 ^ 0 I ; m ■ \ f = ? ± / ƒ � k 0 a) ƒ � PD 7 Q C; d CL CL O 2 \ C ; $ o / E E § S / � A @k 7 / §£ t \ C CD § \ S @ ( C » § Z;3 K / k \ § 2 0 . § r- k T T T / • / -n - k k k ® \ 0 \ co ■ ■ I [ i( T aqe \ E � K D [ I } CD .. E CL { C E § ƒ § / k § % § ( q 3 3 ■ m - (n g _ 7 7 0 9 ° U) ■ T q CD § E § $ 7 2 ) 2 £ � # % � CD CD 0 0 2 k )(CDCl'0 L ¥ a o om ( § c § /�G�9Ek % {a } / §k \( , amm =I §70MCL0 L. CD L ' £P'ff °77 t G92EefQ a 5(D :E cot � N'CD 0 - � CD <w 0 ,,, $ ;ACL,a_ = E 0 2 m ƒ @ � % k 69 � $ C) a, -a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St, Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430016 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: York, Fred I Richmond Township d 2 /l a —7 — 0 7 ��� CST BM Elev: Insp. BM Elev: IBM Description: Section/Town /Range /Map No: / 0 - 0 - 0 6 , d � / 25.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. -(o " 1 /' Septic Benchmark 5'a 5 lo S ?7 /00-6 Dosing 000 Alt. BM Y Aeration Idg. Sewer Holding St/Ht Inlet 3. 13. 00 jo St/Ht Outlet TANKS TB CK INFORMATION W 1 . 0 9 t0'3 « l i v g TANK TO /L ELL G. Ve t to Air I take ROAD Dt Inlet Dtm �' ,6 24• y ��. � I Dosing ` , / \' 1S eader/M_ a_n. T o d , Aeration Dist. Pipe _- p D. d Holding = ystem "6 �u des Final Gr d PUMP /SIPHON INFORMATION (� " *- Manufacturer Demandv St Cover G� GPM Model Number 7. 0` 7 � �•� TDH Lif Frictio o Syste e TPt l i S 5 �Q �alT l Forcemair f Length Dia N ] Dist. to Wall SOIL ABSORPTION SYSTEM BED/TRENCH Width Length c � No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / lb D I / _ / SETBACK SYSTEM TO f P/L BLDG WELL LAKE /STREAM LEAC ING Manufacturer: INFORMATION R Type O stem: > Z,o� i � NIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution / x Hole S' e x Hole Spacing Vent to Air I ntake 14 Pipe( Length_ Dia ' Length Dia ✓ Spacing 3 ,o i 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 ' Bed /Trench Edges Topsoil [ >� Yes I� ] No F; COMMENTS: (Include d discrepencies, persons present, etc.) Inspection #1:� 03 Inspection #2:�! 3 / 0 .1 3 Location: 1437 131st Ave New Richmond, WI 54017 SE 1/4 SW 1/4 25 T30N R18W Richmond iFl Its Cot 7 Parcel No: 25.30.18. / 1.) Alt BM Description 2.) Bldg sewer length = 33 / 01A �j G Ko -&:5 - amount of cover = O�N y �" � '� "� r�sS of /nd _----- - - - -.� .- - Plan revision Re uire Yes I o - - 4Sigature Use other side for additional information. Date Insepc Cert. No. �r e SBD -6710 (R.3/97) �_ Q /� / �O / o _,f / 0- 4._ _1 �F T 0 _t-14- N+S��� ,r..�.lks5kff t _ `�'r- � � r� ice" di / n Safety and Buildings Division C ourrty ! 201 W. Washington Ave., P,O. Box 7082 ST. CROIX j � ��� Madi Scm, W i 53707 - 70$2 Sanitary Permit Number (to be filled in by Co.) sc Dep ■ artment of Commerce (608) 261-6546 State Plan I.D. Number ccx Sanitary Permit Application � In arrd w C'cmmt ith 83 -21. Wis. Adm Code„ personal information you provide _ may be twed lor saoondary purposes Privacy law, sl �.i14(1 xm) Project Address (it different than mailing ) i3ATi L Application Informatk a— Please Print All ]nformatia $ f - RE(; # 3�- 3/ VE Property (per Nark MAY 2 1 2003 Pau ccl # Ld Block # FRED W. YORK PYoQatY tJrvtwr's Mailing r1 CT. Ch � �, 1'tvperty Laeari 13235 - 20TH NO. �ONJ, SE y,, SW se atitki 25 City, State Zip Code Phone Number rarrle rare) STILLW _ MN 55082 51- 436 -2898 T 30 N, 1 18V�/ porw IL Type of Building (check all that apply) � Subdivision Mae csly; Number I or 2 Family Dwelling - Number of pAxj orris 4 B EDROOM l / .� PuhlicConaneicial DescribeL C l^ra� 9 � Y. ' /� RICHMOND HILLS 'r CQ El State Owned- 1)csexibc t Ise (�[ k - jam /_ YV�t4trv " V tt r� 0' ' r) �Vdlageuwnsft�'oIHMOND Ill. Type orPernsit: (Check only one birx on line A. Compkte line B if applicobte) New System ❑ Replacennna System ❑ Treatmetamomiag Tank ltepucement Only ❑ otiietr modification to E?dstmg System $• ❑ Fermit rmm t ❑ Permit Kevmon ❑ C'hange of ❑ Permit Trancer to New Ust Previous Permit Number and Dale Issued Fletorc Expiration Number owner IV. T y of POW'US, Svstem: Check all that a t < 91 -Grade 1_.1 single Pass sand Filter ❑ Non Yrt�riaed In- (3rtwnd [A titnaud= 24 in. ofsuitahle soli ❑Mound 24 to of suitable soil ❑ . P� cotuaructed wetland ❑ 1iemwk e i Indlro w ❑ nommg 'r..k ❑ Prat fitter ❑ ,Aerobic Treat,nent unit ❑ Recirculating Sand Finer ❑ RPxtrrmlatntg Synthetic Media Fiber flizachingj2hamber H Drip Titre n (irevet -less Pipe: ❑ ode (explam) V. Dispe rsaltTreatment. Area Informati - ZABEL FILTER A100 )AND ZOELLER PUMP 152 Desigp Flow (gpd) Design Soil Application R Dispersal Area Required (st) Dispersal Area Pn"sed (st) System Elevation l 6( 1 .50 1 600 1 120 1 —g" `� 9. /0 Vt Tank Info capacit in Total Number ManUfactttrer Prefab Site Steel Fiber .Plastic Gallons Gatti ns of I inits C'oita'ete Constructed Glass. I3ew Emom 'finks I Tw*s SWicor1JndingTs& X 1250 1 WIESER W125 -MR X Aerobic Treatment Unit rvairT. X 1000 1 WIESER WLP1000 -M X VII. Responsibility Statenitent- t, the unieixizomL aaaas®e renmusibaq for halal$ wim of the rovers ahv+ an the aWcRed rhino. Plumbier's Name (Print) Plumber's re MPlMPIRS Number M"Ineac phone Number zzz TODD FEATHERSTONE 242514 1 715 -3 81-1704 Plurntw 's Address (Steed, City, State, 'Lip Codc) P.O. BOX 467 HUDSON, WI 54016 VIII. Court /De artment Use Onl Approved Sanitary ❑Disapproved Permit Fee (includes Groundwater Dante Issued I Agent Si (No Stamps) t• � Surcharge Fee) ? 11 O n m Given Reason for Denial J 2 S A' 30 ?(� 1X, Conditions of Approval/Reasonsfor l:fisapptroval -- —04. -- M1 S�t4u�- - �. rn A CA, 6e- Auacb t:eaWtete plans (to the Cauuty oily) for the syatem an prq "not lea than RM : 11 hwhea is size L ® �ou � fD 7 B �Cfi2 1 9T. 4` too . .Z K1'P fee CGblss Yo c o PID '� -�,✓- Lam. � s V4 /s,S Z T-3 N,R LoT -7— Bkv/— SU / H "- tct C O V O T�1' MPRSW 242514 46"�r yb ` Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 '\ Visconsin www.commerc .wis ons Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 15, 2003 CUST ID No.242514 ATTN: POWTS Inspector ZONING OFFICE TODD C FEATHERSTONE ST CROIX COUNTY SPIA PO BOX 467 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/15/2005 Identification Numbers Transaction ID No. 864574 SITE: Site ID No. 658596 Fred York - Dwelling Please refer to both identification, numbers, 130TH Ave above,, in all correspondence with the agency._' Town of Richmond, St Croix County SEIA, SWIA, S25, T30N, R18W Lot: 7, Subdivision: Richmond Hills FOR: Description: New Mound System / 600 Gpd Object Type: POWT System Regulated Object ID No.: 901680 r' above has been reviewed for conformance with The submittal described a 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. P A copy of the approved plans, specifications and this letter shall be on -site during construction and open to con inspection by authorized representatives of the Department, which may include local inspectors. All permits A required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. DEP DIVIS ME 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. SEE CoRR 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 X /` Balance Due $ 0.00 Teter E Pagel POWTS Plan Revie er II , Integrated Services WiSMART code: 7633" (608)266-2889, M - F, 0630 - 1500 Hrs pepagel@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: FRED W. YORK Owner's Name: FRED W. YORK Owner's Address: 13236 - 20TH NO. STILLWATER, MN 55082 Legal Description: SE1 /4 SW1 /4 S25 T30N R18W Township: RICHMOND County: ST. CROIX b, Subdivision Name: RICHMOND HILLS Lot Number: 7 Block Number: N/A 8 1p„ US D Parcel I.D. Number: PENDING Plan Transaction No.: Page 1 Index and title Page 2 Data entry 4,10 rs. Page 3 Mound drawings /Z Page 4 Lateral and dose tank �O y Page 5 System maintenance specifications NT Page 6 Management and contingency plan '"El oMM Page 7 Pump curve and specifications Page 8 Soil Test G Page 9 Soil Test � Page 10 Plot Plan NCF Page 11, Tank Specifications Designer: TODD FEATHERSTON License Number: 242514 Date: 04/29/03 Phone Number: 715 - 381 -1704 Signature: 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 Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (05/01) Page 1 of 12 Mound'and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope ( %) 98.60 Contour Line Elevation (ft) 30.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = F 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ff) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (c or e) C Center or End Manifold 3.00 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) 2.99 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 220.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 35.89 Forcemain Drainback (gal) y, 9.60 Vertical Lift (ft) 62.81 5x Void Volume (gal) 5.51 Friction Loss (ft) 98.70 Minimum Dose Volume (gal) 19.66 Total Dynamic Head (ft) 34.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x X 1.25 x X 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 1000.001 Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) 50.00 Total Working Liquid Depth (in) WIESER W1250 -MR Manufacturer 20.00 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 1000.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 12.00 Dose Tank Volume (gal /in) JA1 00 Filter Model Number WIESER WLP100041 Manufacturer Project: FRED W. YORK Page 2 of 12 Mound Plan View < FT� > : :< ::: Observat m Pipe . U A W — B - z L Mound Component Dimensions A 6.00 ft E Emft in H 1.00 ft K 7.08 ft B 100.00 ft F in z 6.43 ft L 114.17 ft D 6.00 in G J 4.87 ft W 17.31 ft 600.00 (ft Dispersal Cell Area 1 1243.13 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs_ Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.87 (ft) I " F Dispersal cen 99.60 (ft) Lateral 99.10 (ft Invert Dispersal Cell E D Elevation ..... a Q 98.60 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key �a ;>i Dispersal Cell See lateral details on Q ® Topsoil Cap � a 1.5 ft Page 4 for number, size, © " Subsoil Cap o c and spacing of laterals. e ASTM C33 Sand Z F Laterals are equally Tilled Layer c m 0.5 ft Typical Lateral spaced from the ❑5 Aggregate a c distribution cell's –+— centerline in the A distribution cell (AxB). Project: 1 Page 3 of 7 Center Connection Lateral ra Layout Dai m Y 9 Force main connection via tee or cross to manifold at any point. Laterals are identical rJ —IF P S •= Turn -up vWball valve or If X— +vJ2 I sl2 +l Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.2 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft' Orifice Density 9.38 ft /orifice Lateral Flow Rate 8.62 gpm Manifold Length 3.00 ft System Flow Rate 34.46 gpm Manifold Diameter I Q 1.50 i Total Dynamic Head 19.66 ft Forcemain Velocity 1 3. 2 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --0 Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented <[ E Alternate outlet location Forcemain diameter WIESER W1250 -MR Manufacturer 2 in. Cap acityl 1000.00 Gallons Volume 12.00 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 61.11 733.30 C B 2.00 24.00 P ump off elevation (ft) C 8.22 98.70 90.00 D 12.00 144.00 D Total 1 83.331 1000.00 IF-- Dose tank elevation (ft) 3" Bedding under tank. 89.00 Alarm Manuafacturer ILEVEL Alarm Model Number I LV1 Pump Manufactur� ZOELLER / cj � A - Pump Model Num 152 d a #�� Pump Must Deliver 34.46 gpm at F 1 ft TDH Pa e 4 of 12 Project: FRED W. YORK g Mound System Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXCAVATING, INC.1 Phone 715 - 381 -1704 POWTS Regulator's Name ST. CROIX COUNTY I Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect 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 month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction 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 Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: FRED W. YORK Page 5 of 12 r Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subj to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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 fitter shall be assesse least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions a made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tan the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the ne) service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seed and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and sr compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulct as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BCP150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg/L FOG, and 1 d cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specific in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flus of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any le above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan 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 pro operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repair or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and re 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. Project: FRED W. YORK Page 6 of 12 TO Vl PER M HEAD CAPACITY COW MOOFT 152/153 LJ 50 Ve I Ulers - ;:ers i 153 69 26 7 7 1 12 40 7 15-2 1 4.F 5? 2 01 1 1 uj i 5. 44 i 30 2- b z ^G 4i 9 < z 12 42�8- 7 3 9.1 E) 2 Fir 20 o 40 1 12 2 L 4 - 1 Ft. ( — k V�Ilv(� 38.0 Ft 1 . 44,-, G (04WS 20 lbo 40 60 80 00 GALLONS LITERS ,i 4 0 80 160 240 320 LOW PER MINUTE • V 7 fie% 4k Timed dosing panels available. 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarni. Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable T— level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130 °F. (54'C.) special quotation required. ! Sent- 1521153 MODELS Control selection Mode Amps Simplex Duplex Model Voft-Ph N152 lirl, I — Non 1 1 2or3 BN152 1 1 A In cluded 2or3 I W 4- In E152 230 1 I Non i 43 t 1 2 or 3 BEl 52 230 1 Auto 4.3 1poluded 2 or N153 1 - 1 Nan I 10.5 I 2o BW53 1 1 Auto I 10.5 lrdudmi zu E153 230 I Non 5.3 1 2o -- -- — 1. Single piggyback variable level float switch or double piggyback variable level float 153 230 1 5 1 Included 1_2 3 9�r� switch. Peter to FMO477. [A CAUTION 2. Soo FM0712 for correct model of Electrical Alternator E•Pak. 1'. by a qljailtjeO 3. variable " control switch 10-0225 used as a control activator. spm4 duplex (3) I Will f)udinq the must - I. - ,t , Act f USHAI or (4) float system. RESERVE POWERED DIE"S'l For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0- P.O BOX 16347 Lotas0s. KY 40256-0347 Manufacturers of. SW T& 364 Cane Run Rosd (502) Louisv&, KY 40211.1961 s— /Sff -2731 - 1 I T78 httpdAwww.zoetter.com I FAX (502) 774- (W 3624 928-PIJMP 0 CoDvrlqht 2001 Zoeller Co. All rights reserved. 101 pgwftnent or Commerce SOIL EVALUATION REPORT Paw of 3 w;is n of Safety and Bttftdngs in acccxdance with Camm 85. VAs. Aden Code CoultY St. Croix Attach complete she plan on paper not less than 8 iR x 11 inches in size. Pion must mckide, but not lmk d to vertical and twrtzo M reference Paint (BM). clirecfion end Parcel I.D. percent slope, scale or dimensions, north arrow. and location and distance to nearest road. pen Please print all information. *vviewecl by Date PW50" *ftMOVM TM provide nW be used for secorwi" purD M (Privacy law. s. 15.04 (1) (m)). Prapert PropertYLocallon R J C C, GovL Ld SE 114 SW Im S 25 T 30 N R 18 7E (or) W PtowV0wWs Mating Addmss Lot # I Block # Subd. Name or C.SM# 1868 MY Rd. C 7 na I RicYmtond Hills City State Zip Code Phone Number 0 Cfty 0 ~ -a Town Nearest Road New Ricer WI. 5401? 715y 24 ?- 5721 Richmond 130th. aVe. CM New construction Lose: ❑ Rawdenu ! Number of bedroorns 4 Code derived design flow rate 600 GPI ❑ Reowerfent ❑ Public or omrnertaai - Desallm Parent material Q1wi as drift Rood Main elevation It applicable na rt. General oocmhents and mss: mound @ e1. 99.60', based on contour line of el. 98.60' Swing F a Q Pit Ground surface elev. 99.00 ft Depth to iinitahg Factor 42 in. Horizon Depth Dondrus t Color Redox Desuiption Texture Structure Consistence Bou dwy Roots kh. MunseN Qtr, Sz. Cont. Color Gr. Sz Sh. •Eff#1 1 -13 1 r 3/3 none 1 2msbk DSH gw Elf .8 2 13 -30 1. r 4/4 none sil 2mvbk mfz aw if .5 .8. 4 42-65 7.5 r 4 c2 7.5 r 5 8 Sol M na na . 2] 9� �- F Boring # Pit Ground suface slay. 94 .00 ft. Depth 10 Rniftrrg factor 4 0 in. tali Rate Horizon Depth Dortirmn color Redooc Desu"M Texture Structure Conswence Boundary boots c4m f in. Muni Qu. Sz. Cont. Color Gr. Sz. Sh. •EN#1 - am 1 0 -9 10 3/3 none 1 Zmsbk DSH gw if .5 .8 2 9 r 4/4 s' cl 2msbk mfr Qw if 3 19-40 7.5 r 4/41 node sl 2csbk mfr qw na .5 .9 4 40-60 7.5 r 4/4 c2d7.5 r 5/6 scl 2csbk mfr .4 .6 EMuwd 01 = 80D > 30 < 2W mglL and TSS >30 150 rrhgll • Eflkrent #2 = c 30 rW& and TSS 5 30 mglL CST Name (PieM P" Signature For . CST Number Gar L. Stee Date It 02298 Address Concluded Telephone Number 1554 200th. Ave., New Ricbmond, WI. 54017 10 -14 -2000 715- 246 -6200 /9 ply owrw R J C Developmen Inc. p ID 0 pm 4inq Page 2 of 3 F -3] sori<tg 0 o �*v Pit Gmund surface elev. 97.70 ft papa t fitful v factor 30 in. Sol time Hodzm Depth DotrMlterr; Calm Raft Deecrlp m Tsxkm Strucltas Cmansislienam Smidwy Roo4 GPM In. WON Ou Sz Cant Color Gr. Sz Sh 'Efi 1 'EM2 1 0-8 10 r 3/3 none 1 21Sak DSH if .5 .8 2 8 - 20 7.5 r 4 none sicl .4 .6 na 4 30- 7 5 . d F # ° ❑ Pit Gttttnd atufaoa elev. R Dopes to B factor iR Soil AppkaWn Rift Horizon Depth Dominant Redox Desatptlon Too" 5t w*" Cortststertoa Boundary Roots GPDiNIr im i un" Cm Sz Cott. Color Gr. Sz. Sh. 'EiBf 1 'EffR2 i F] ❑ pit Gnoutd surface Ww. R Depth in Nursing factor In. Soil Applicabn Rata Hot= DwM Dm* mw Calm I Redaz Description Tod" Stru*se C.atuMwm Bat•dwy Roots Sm at. Munsei flu. Sz. Cart. color tar. Sz. Sh. •M1 'ERI2 EMuwt #1 = SM. > 30 5 220 rrglL mrd TSS X30 1 150 molt_ • EMuwd *2 s BM. < 30 argil and TSS < 30 nVC The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services of need nwuw sl in an alternate fonnst, please contact the department at 608 - 266 or TTY WS - 264 - 8777. :ea- csmawooj STEELS SOIL SERVICE Steel 1554 200th Avi M2298 R7C Development, Tnc. New Richmond, WI 5401 IRSW -3254 SE*SWI S25- T30N --R18W (715) 246 -620 town of Richmond lot #7 Richmond Hills N 1 " -40` BM.= top of 1" pvc pipe Q el. 100.00' Alt- 13M- top of 1" pvc pipe @ el. 99.10' t ® a r� v p Flo c Ah b A l ID' t . Gary Steel 10 0 -14 -2000 NC1RTH txf tit �.ro ��.: pd► � � All or �� ��6= f► 2 Z �,' � , Fr 9 7 Vey too z �� t'TP � 9y � > 99 9 - Joy .� fee Cress PID U T..L BL 4 SU / w A 9c CO VO TO. MPRSW 242514 �� yb �\ » § p� 7 -7 ��A §_ �^ & b _ B 4!1 C . 3 . at i y - ~ � / 6 $� $ / B2 2 [A d §, § o, m � , S us « ` . � �.4 �3� ) b o � ƒ § § � ■o c� )i C § ���..§��q�\ � O-Z § m - mo &- o� \Mrs � 2E g 2�j aQA§% 2AQ2§ � § # @8■ ¥�s � « �� � $ � k � \{ | §�« , 7 � � | - , \ ' | ■ | � - _ A § l ei k II k out � -fa r. :e/Z O 29VC4 213ADNOD wgGA IM T8TSLv9sTLT 90 :CT 0 , z/V 0 .n O Z cr EE Z J LO J 0 CD LLJ 0 00 Z z Z 0 to o �oN �C) a ° o o� (� � o I o� �. BCD Z N � P Q aU t I U OJ J= J 00 a l_J U� � I, a J� v w N a Lij p aN Lww " �� D 3N c U MO o O NIDm O< ON Lu ��_ 0 � O UZ - 00 . *r) I QwN r a- C ) n O �w NQ� NO` O.. -•0 s to m f u AF N Jd r ii d F J Q a 0 • 'y' U ��_� ZL -j eJZN F} �U Z dJ.. oo?J .- OZ� CI Y 6 .. W OT= ..3 0 oY OoW Q QJa W Z ZJF- W O5U p�N 0 N� a ~0U 0 0 ao ? aww °W0 aa0 a30 U z z 3r In Um=J 3m� 0 z z w :2 J J 9 O O O M Z Z J = J W J z I[V N I t LLI W U V1 U , S� / N i W J 'd F- O ufiri 98 L9 gan eV US U4: e 1 b�tr d e u ndr v L erua •• • •• •••• h LOT 9 r LOT 10 t 2.39 A.:n c ev ! { ,p�.5, f• TOTAL AREAS 93,344 SO. f LOT 8 / 2 is AMU s TOTAL AREA - S0. r i 2.19 ACRES . - X n � ii 1Y.L /OPS 11 1 1. ti 218.33' go 5 '43' 4 'W � zq 351,92' g, a S&9 a r . 218.87'. -- •� XJ lool ,, -J LOT 7 _ 0 FOM AREA- 0 95344 SO. FT. l 19 ACRES •.• LW F I TO—& .;,°r+ I 95, 196 $0, FT r OR n } LO rorAC AREA: dw Fr 2.40 ACCRE ` c C n1 = m c 1 _ t Q gaj -15, t9Q32' Z I 1 � LOT 4 y LOT 3 GEFi1fF�D RVEY �' 901 •' ~ ' n VOLUME M P 3 . b N --- - -- r Z 7 i tAJ I t r R - mlr - cM TW 1 OF: P1 PM Tn: RrdWFRTf N. M RFC9 TY PPrsF : 7 < Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1_ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix 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 (Ba), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and locat'wr) and distance.to nearest road. eridiri Please print all infornisflon. ev' wed by A I Qdle SPY Law, s., 15.8 r ry *,(1 ) (m)). Personal information you provide may be used for secondary p ur p os ' Property Owner (' Prope, ovation R J C Develo men , _ % SE 1/4 SW 1/4 S 25 T 30 N R 18 X (or) W Property Owner's Mailing Address _ Block # Sub chmo d. Name or CSM# 1868 Ct . Rd. C :; na Rind Hills City State Zip Code Phone Number ; :F C:❑ Village 4NTown Nearest Road New Richmond WI . 1 54017 1 ( 11,�' 241721 Richmond 130th. aVe. New Construction Use: ❑ Residential / Number of be*6o s Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Q a i al drift Flood Plain elevation if applicable nel ft. General comments and recommendations: mound @ el. 99.60', based on contour line of el. 98.60' 1 ❑ Boring Boring g [ pit Ground surface elev. 99.00 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 1 0 -13 10 r 3/3 none 1 2msbk DSH if .5 .8 2 13 -30 10 r 4/4 none sil 2msbk mfr 9W if .5 .8 30-42 7.5 r 4/4 none scl 2msb 4 42 -65 7.5 r 4/4 c2 7.5 r 5/8 scl M na .0 .0 2 Boring # E) Boring F 11 Pit Ground surface elev. 99.00 ft Depth to limiting factor 40 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 1 0 -9 10 r 3/3 none 1 2msbk DSH qW if .5 .8 2 9 - 10 r 4/4 none sicl 2msbk mfr QW if .4 .6 3 19 -40 7.5 r 4/4 none sl 2csbk mfr gw na •5 •9 4 40 -60 7.5 r 4/4 c2d7.5 r 5/6 scl 2csbk mfr na n •4 .6 Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 5 150 mg /L ' Effluent #2 = D 5 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Date valua' n Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 10 -14 -2000 715- 246 -6200 r Property Owner R J C Developmen Inc Parcel ID # pending Page 2 of 3 Boring # ❑ Boring 3 ] pit Ground surface elev. 97 • �� ft. Depth to limiting factor 3 0 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 1 0 -8 10yr 3/3 none 1 2msbk DSH gw if .5 .8 2 8 -20 7.5 r 4 none sicl 2msbk mfr I ow if .4 .6 3 20 -30 7.5 r 4 none S1 2csbk mfr aw na 4 30 -50 10 r 5/4 c2d7.5 r 5/6 sil M 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] Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. 1:1 pit 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 `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 fonnat, please contact the department at 608 - 266 -3151 or TTY 608-264-8777. SBD4330 (R6=) • " • STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 RJC Development, Inc. New Richmond, WI 54017 MPRSW -3254 SE4SW S25- T30N -R18W (715) 246 -6200 town of Richmond / lot V- Richmond Hills " =40' 'BM. = top of 1" pvc pipe @ el. 1 00�QQ' -"Alt. BM.= top of 1" pvc pipe @ el. 99._0_'_ s, 0 O d 's .s � °rte `' �0 Gary L. Steel 10 -14 -2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFIICATI FORM , �j /' / OwnerBuyer 1' �P CJ� � — o (� IC �' J� y� �� /- (C �o514 c�ff g' Mailing Address Property Address 1 3 / — (Verification required from Planning Department for new construction) City /State &c,• LAI---�AdOl Parcel Identification Number L DESCRIPTION Prop rty Location SE, ' /,, '' /,, Sec. , T_�_ – 11W, Town of Subdivision I Lot # _ , i Certified Survey Map # , Volume , Page # ./ U� Warranty Deed # �`�� , Volume i0 , Page # Spec house D yes X no Lot lines identifiable yes O 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 treamient stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposa I 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 dw standards set forth, hereut, us set by the Department of Conrnterce and the Department of Natural Resources, State of Wisconsin. Crrtilicauon stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the t ee year a pir tion date, S. NATURE OFF A LICANT DATE OWNER CE TIFICATION 1 (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 theA, per described o , by virtue of a, warranty deed recorded in Register of Deeds Office. NATURE OF AP LICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •• *••• ** Include with this app a stamped warranty deed from the Register of Deeds office p Y g a copy of the certified survey map if reference is made in the warranty deed a q3l. , i1a�.s I N (a, 0 a Lod � 7 J 2210 f 623 • 7 1 7692 4STATE GAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. MALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIK CO., MI RECEIVED FOR RECORD This Deed, made between RJC Development, Inc., a Wisconsin Corpo 04/21/2003 09:30AM WARRANTY DEED EXEMPT is Grantor, and Fred York and Susan York, husband and wife, REC FEE: 11.00 TRANS FEE: 92.40 COPY FEE: CC FEE: PAGES: AGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 7, Plat of Richmond Hills in the Town of Richmond, St. Croix County, Name and � , y ,,, � , .kltd '7Ct`1'I,. " .. � OGI.AND Wisconsin. AT C; F". _ Y AT LAW P.C), COX 359 HUDSON, WI 54016 026 - 1127 -07 -000 Parcel Identification Number (PIN) This is not homestead property. pK) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this _�N day of April 2003 . RJC Development, Inc. � berta J. C , ' -- �a, _ * YY sy..: R000 arlson, Vice President _ * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) R JC Deve Inc., a Wisconsin Corporation, STATE OF WISCONSIN ) by Roberta J. Carlson Vice P )ss. County ) authenticate this �tP ay of April 2003 Personally came before me this day of the above named + Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY * _ Attorney Kristina Ogland Notary Public, State of Wisconsin _ Hudson, W1 54016 My Commission is permanent. (If not, state expiration date: (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 Professionals company. Fond du Lac, wi WARRANTY DEED STATE BAR OF WISCONSIN 800-655 -2021 FORM No. 2 - 1999 RPR -22 -2003 03:31F FROM:BOROERTOAN REALTY 7153855000 T'0:43657584361530 P:4 .,elr F'! Uj U 4: f_ i p LOT 9 J ! :D4.;Pj SO F- LOT tO , I 2.J9 h:rcS ell 1� TOTAL AREA: �� I ` ?•��l 2 4. 93,544 S'J f'' 2. U ACRES r � { � L OT 8 � ,8 I TOTAL AREA: $' 95 M5 So F' f 2.19 ACRES ( J n j .a u �, I ` — S84'43'24 ^W cD �.,0 1 218.93' 00 M w �► :� 351.92 SB4'43'24 "W _ 2 , — t r 8.87'— — LOT 7 Ile 0 r aa.3r W IAL AREA. • . ' Z 95.344 SO. FT. 2 19 ACRES LOT 5 t , , � ..•tom ,., ...,. � LOT R S5, f46 S.? FT T Ut t g 104,654 SQ Fr di I Q I I 2.40 ACRES E j j I t it R1 q �! { � X22 ��• 190.32*�+ , �I ----- - - - - -- S8g'43 714.48 LOT 4 s r LU T 3 i{ CERTIFIED AURVEY MAP ' " „_ Lo VOLUME 14 �AGE 3�1 — — — b N MAR- ?T -?fRA TWI! M. -PlOM Tr):Rf1R!')FRTnWW RFAI TY PAGF :7 I Jane Hansen �C Subject: Featherstone/ Fred York/ Richmond Hills Location: Richmond Start: Wed 09/03/2003 9:00 AM End: Wed 09/03/2003 10:00 AM Recurrence: (none) Sanitary Permit Application RG �5- =7 mms . Jn.ww)4with C(mm 93 21. W Achn Code. lwrbxnul "1f6fMStKJ firo A (it differem than maili-i iml be tisw for , jxu jxxws Vnwwy Law. /3/ Aj& 1. Application Information- Masi! Print A.11 Info atio REC Block ft MIA Y LJ F RED W - YORK I'Jop,;rly Owl'-s's Mailing tuuc��' .N. SE ,,, Sw 25 13235 - 20TH NO. City. SWA: zip code rhmc Numbcr STILLWATER IVIN 51 L-436-2 89"8 T 30 N-. R 48,r c ., W e 2 5 !j Ste' --- IL Type of Building (check all all that applY) ✓ 4 ea 5 su Nam CSM\'Umbff "q rs i ew 2 Family Dwelling - - Number ol'Rxhuom' 4BEDROOM RICHM w H I L LS — cit IV 0. y Li state 0-'—i I's I i!w wl" C9 RL Type of permit: (Check onl- • o ne 1npx on hoe A. Complete line B if a pplicable) .n - T ❑ R-pl 11 oo, f w6fw-Ation toL,&Aing 9-4-1 1 . Yl 'qe" system RqAam --- -- - - ---- ---- -- — j --- I j p Tranqf- to NeW B P Li ptreviWow Permit I mbar acid Dale Isn" Permit Rawwai vernmmt Re ❑ (iiange -I Mfinc2virallon Flurnbcr IV. Type of POWTS Svstcm' 24 in. of S (Check sJ! t IlPpi�)._- 'r 1-1 tb l, Soil L] S tng l c P Sand FiftL I ❑ Non I't—Ifizcd I JA Mtxuml *--, W ' , -,4 ir, of SU C ore i R Q=W Filter ll - -r. F1 rem Fit— tu � , t,tdWdlx,d Lj r r 'MrizWjn4;rQ , (Xbx ( i m Fih F1 1 n mashin �ff Drip T aw cn-avei-less Ric �W� �RQ R.%irriolAting SvTdh,4 T _LE 152 -r;Tawg--ti—aZ�ZA7BEL�FILTEFR�AZloo NDZOELLER V. Dis irsaltTrientment Area 0 ' ' is I .4= KCWt-d (M) T_ 1 )j s �,- A,-Nr 1) vi ( ux.�,,;n Soil Amfication Rat i to 600 1200 _ / .50 Number Prefer site i V1. Tank Info CqWAY in Total C c 600 GjjI<nvMtR (Wkwn of Unin 1,;m 'Existirg 1. 7;jfss TwAs Spt x Lc eff n ank 11old T x 1250 1 VVIESER W1250 -MR Amhw Trlunent k ink V) .. (7 --- , WIESERWLP1000-M x - 'h-nhc�. 1 x 1000 - 1 ---- I rowrs % gm the a ttached pk-- VII. R Statement- 1, the witimiffnec nmuw responsibiluNty h of the ggw I tk.�. 114n (Print) pitunbct's ' VIV , mPiks Numbs TODD FEATHERSTONE '242514. 715- 381 -1704 - N - - — Ad&c�" (Street. City, SAW, /if P.O. BOX 467 HUDSON, WI 54016 Si (No Stamps VI OL � 60 —,IV( S=tary p ermi l F ( Grou Ageill Si i AMov"l Lj Dwafilvoved surcharge Pee) 3 2— S 7�1 L] e,'rvjK-j <Iivcn Ralson Par Denial i F x - rovaliRtasOus for L%sappmvillf Y- Conditions of App N�1� W4- -A-A� (Lih C.L onl 1. the s va tape' eat I aro pd NORTH (S, az t wec rr P.� s v ` , 6 C 9 7, yq l77 t TP �- �� /''C� i PID y o LOT C D V D T� MPRSW 242514