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V(isconsin Department of Cpmmerce Count PRIVATE SEWAGE SYSTEM St. Croix Safety @nd Buildinfj Division INSPECTION REPORT Sanitary Permit No: 514954 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: Schmit, Gary I Stanton, Town of 036- 1091 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: , Section/Town /Range /Map No: /OD , G /U C �T 35.31.17.5568 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER _t Q j CAPACITY STATION BS HI FS ELEV. Septic Benchmark .BM 3.2� /a3,2 /oo -a Dosing Alt. BM neratl0 o s-zS' Bldg. Sewer 7ru2, Holding S UH� t Inlet St/Ht Outlet TANK SETBACK INFORMATION -' TANK TO P/L WELL BLDG. Vent t it Intake ROAD Dt Inlet Septic � � t � �d(J/ i Dt Bo�tpna Dosing [OZ N ? I � f ro / Head r /Man. V e 9 V Aeration t Dist. Pipe TZ� 3 , 7 1 Holding Bot. System �` N Final Grade .1 5 r J v PUMP /SIPHON INFORMATION 2, 71 Manufacturer / a' 1 1 GP St Cover (J 7 . / Model Number W P - 05-14 ok TDH Lift Friction Loss Syst m Head TDH Ft/ o r-2- 44 f - 3 I. 3.23 For ain n t I lDia. „ Dist. to Well r t `/ S IL ABSORPTION SYSTEM BED /TRENCH lWidth t Length No. Of Trenches PIT DI NSIONS No. Of Pits Insid ia. Liquid Depth DIMENSIONS ((7 D (1 f c \ SETBACK SYSTEM TO P/L BLDG WELL LAK TREA E G Manufacturer: INFORMATION e ` ER OR Type sJ� )5 1 t D Model Number: DISTRIBUTION SYSTEM Header /Manifold 10 Distribution x Hole Size x Hole Spacing Vent to �r Intake It a Length Di a Length Dia Spacing y i SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of 6l xx xx xx Mulched Bed/Trench Center �7 Bed/Trench Edges Topsoil . (j / 12 P1 y,�.1X/' � Yes [] No 0 Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 07/ Inspection #2: f / Z O / G/ Location: 1824 Cty. Rd. T New Rich n d, WI 54017 (E 1/2 SW 1/4 35 T31N R17W) NA Lot 1 �� Parcel No: 35.31.17.5566 1.) Alt BM Description = �i'`0.9 N S f tl a l �� S v k 2.) Bldg sewer length =/0 t(6 - amount of cover Re quired? J f - - -- -- -- - 0 �; I � 7b i Use other �side for add , additional information No I - 20 I � �. , - SBD -6710 (R.3/97) Date Insepctors Signature Cart. No. RECEIVED �� v � C 8 V w a an d g ton A P.O. 7162 cairn /� ` son, WI 537 71 filled in by Co.) ■ T. CRO X COUN 7 Sanitary ermit Application S T` oa Number In accordance with s. Comm. 83.21(2 Wis. Aden Coda submission of this form to the appropriate govannteoW 1 S 1 � 5 %53 unit is required prior to obtaining a sanitary permit Now Application farms for state -owned POWTS are Project Address (if digit dum mail'mg address) suinnitted to the Department of Commerce. Personal information you provide may be used for secondary p in accordance with the Privacy Law, s. 15,04(l)(ml Stats. L Applicaban Information — Please Print AN Informatmn CA rf Property Owner's Name Parcel # S r 36 Property Owni Mailing Aadmw Property Lecatim Govt. Lot ma zip Cote Pdone Number 5 F y y S;,J y,, section �S t ' s a (o Q& elrek ouck II. Type>�B� ding (tom a� that apply) T � L N; R �>3 or �/ Lot# Subdivision Name - i or2FanrilyBwc}hng_NumtwofBcdrooms- 91 p CI C w Qc-.O - O PublidC.ommeecial - Deauibe Use J 1 - �-` ❑ City of ❑State Owned - Deacdbe Use NO1'br l l O Village of I''Town of III. Type of Per mit+ (Cheek only one box on One A. Compere 111w B if applicable) A- O New System Repl -clot rt System O Treat mYRoldmg Tank Replacement only O Odwr Wd&catiom to Enstarg system (explain) IL O Permit Renewal O Permit Revision O Change ofPhrmba O Permit Tmnsfa to New List Previous Permit Number and Date Imed Before Expiration Owner ✓ IV. Type of POWTS SySftMWAM NDevice. Check alt that O Naro-Pressurr ad In- Ground O Press razed In -Grand ❑ A6Gtadc Mamd >_ tPtlrcaftnt M <24 ' sal O Holding Tank O Other Dispersal Component ( ) Device (explain 7 o / V. Dhuw=vrmtmmt Area Information: Design Flow (gpd) Design Soil Diepassl { Dispasai ( System VL Tank Info in Teral # of Maaufaetura toms Galk"Is Units g a _ �i F Near Tads >�aB W, t � l W O P. d� S �S Tait Q O 000 t tYt .D VM RespoaldluHily Statematt I, the aid red, assume respossroWlytor installation of the POW" attached plans• ,s Name (Pre P s signature amber Business Plane Numbs S a s , 1 Plumber's Address (Street, City, State, Zip Code) VIII. t Use Oni ved ❑ Disapproved PermitFce Date Agent goaque O Owner Ginn Reason for Denial S ✓ C � — IX. Conditions ApprovaUReasons for Disapproval j ? C ( e f Jp,,,, W�� STEM OWNER: R: 01 ' ) �"r�� 1 Septic tank, effluent filter and C / - dispersal cell must all be serviced / maintained 7d' , A 6e� XL - as per management plan provided by plumber. U 2 i_setback- requireMe must be m a4— fined pliers for the � d mbsdt to tae ' b aq er jap not lea lima 9 In x 1 i lacbm ra size g'r'�Ir��` O as per applicable cod� I '� �vg o�tinr'ofi C 3 �GU.e� - - - ate i � k ��/ sCa� co wY o I -- - - - - -- - -- -- So (a/Y1Q f S_ I `cA -- -�.- ._ Q 7- � =ac re-5; G _ - - - - Am � � r Safety and Buildings 3824 N CREEKSIDE LA commerce.wi.gov HOLMEN WI 54636 i ■ TDD #: (608) 264 -8777 ��O �' www.commerce.wi.gov /sb/ t l � epartment of Commerce www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary August 04, 2008 CUST ID No. 220537 ATTN.• POWTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/04/2010 Identificatio..n Numbers Transaction ID No. 1575853 SITE• Site ID No. 740885 Gary Schmit Please refer to both identification numbers, 1824 County Hwy T I above, izi all corres ondezice with the a enc . Town of Stanton, 54017 St Croix County SETA, SW1 /4, S35, T31N, R17W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1194740 Maintenance required; Replacement system; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System: EZ -Flow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual- Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter 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 10 1.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licaised 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: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Cevoid =at he manifold is to be filled with aggregate. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. cond "d Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. W II The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. !RC • A Sanitary Permit must be obtained from the county where this project is locatedin accordance with the SEE COI�E2E requirements of Sec. 145.135 and 145.19, Wis. Stats. CALVIN W POW MS JR Page 2 8/4/2008 • Inspection of the POWTS installation is quired. Arrangements for inspection shall be made with the designated county official in accordance with the pr visions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the a roved plans. s ecifications and this letter shall be on-site during construction and open to inspection by authorized re Lesentatives of the Department, which ma include local inspector . Owner Responsibilities: • Comm 83.52 Responsibilities. The own of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in ac 3ordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall bs considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptableto the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local unicipality shall be obtained prior to commencement of construction /installation/operation. 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 the 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. Sincerer, Fee Required $ 175.00 /� s �✓ `' Fee Received $ 175.00 • j ��� �' Balance Due $ 0.00 Charles L Bratz /' J POWTS Reviewer II, Integrated Services WiSMART code: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Proje Na me: Pr o ' GARY SCHMIT Owner's Name: GARY SCHMIT Owner's Address: 1824 CTY HWY'T' NEW RICHMOND, WI 54017 Legal Description: SE 1/4 SW 1/4 SEC 35 T 31 N R 17 W Township: STANTON County: ST CROIX Subdivision Name: 8 ACRES Lot Number. Block Number. Parcel I.D. Number. Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZFlow mound drawings Page 4 Lateral and dose tank RECEIVED Page 5 Distribution media Page 6 System maintenance specifications AU - 20 08 Page 7 Management and contingency plan Page 8 Pump curve and specifications SAFETY & BUILDINGS Page 9 PLOT PLAN Page 10 PERK TEST Page 11 SEPTIC TANK & PUMPSTATION SPECS Designer CALVIN POWERS License Number. 220537 Date: 07/30/08 Phone Number: 715 - 246 -5135 Signature: Designed Pursuant to the onally EZFkrx Mound Component Manual (N. 06103), and VED SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) 3 -F EZFIow Mound Version 1.2 (R. 02/04) Page 1 of 11 1 � 3PONDENCE EZFIow 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 315.00 Estimated Wastewater Flow (gpd) Table 8344 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 =150 %) colifoml of <= 36 inches. 472.50 Design Flow (gpd) 1.00 Site Slope ( %) 97.60 Installation Contour Line Elevation (ft) 120. Contour Length Available (ft) 36.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft Q Distribution Cell Information 6.00 Cell Width (ft) 3, 4, 6. 7. 9, or 1 Only 80.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highe point in the distribution (� 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. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.00 fe /orifice 2.00 Forcemain Diameter (in) 110.00 Forcemain Length (ft) Does the for drain back? [- Y 88.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 17.94 Forcemain Drainback (gal) !� 9.85 Vertical Lift (ft) 71.93 5x Void Volume (gal) 2.54 Friction Loss (ft) 89.87 Minimum Dose Volume (gal) (v (� 18.89 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral D iamete r Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 J 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x I x 3.00 2.00 x _ 3.00 x Gallonslinch Calculator (optional) Treatment Tank information 1 600.00 Total Tank Capacity (gal) 1000.00 1 Septic Tank Capacity (gal) 36.0 Working Liquid Depth (in) WIESER J Manufacturer 16.67 gain (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.001 Dose Tank Capacity (gal) POLYLOCK _� Filter Manufacturer 16 .67 Dose Tank Volume (gaUn) PL525 Filter Model Number WIESER - _ -- = Manufacturer Project: Page 2 of 8 Mound Plan View t 1/10 B� Observation Pipe :: ; :- :�:::_::. j 'T.- �tT I K A 5 �. . B z 0. L Mound Component Dimensions (� Aft toe extension made. ` A 6.00 ft E in H 1.00 ft K A20.59 ft B 80.00 ft F in z 8.77 ft L ft D 6.00 in G J 5.83 ft W ft 480.00 (ft) Dispersal Cell Area F11 81.25 (fe) Basal Area Available 5.91 (gpd/ft) Linear Loading Rate 8.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.10 (ft) ---► H G I F t Dispersal Cell 98.60 (ft) Lateral ♦ — g�: ......... ..... invert Elevation 98.10 (ft)--* Dispersal Cell Elevation E D :- •. • .::.::::• i } y= a.}}}xSS.}�` :� ^�- !.�•y <�. '�..i} a<y:nJ1 ?:+. ^,ale- }•�._,�.)...,t:g ?..} ..�... .. .a .•� } _ z ,`: 97.60 (ft) Contour Elevation 1.0 % Site Slope Typical Dispersal Cell Shading Key I. See Page 5 Topsoil Cap 2 c 2 0 ft Geotextile Fabric over Subsoil Cap a 0 T © ASTM C33 Sand �s '`' ' `� w :.: r• Sit• •L•1 Tilled Layer c 0.5 ft [5 = EZFlow Media V 16_ See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Page 3 of 8 • 4 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Face main oonneotion via tee or cross to mardfold at any point. Laterals are identical Orifices point up, except every Sth one P paints down for drainage. S •= Tum-up vdball valve or X--� ��d2 W2 ->l Laterals & face main of PVC Soh 40 cieanoutplu9 per COMM Table 84.30 -6 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 39.20 ft Orifices per Lateral 20 Lateral End (Z) NA ft Orifice Density 6.00 fe /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 8.24 gpm Manifold Diameter 1.50 in System Flow Rate 32.95 gpm Forcemain Velocity 337 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 WAC Disconnect 1 4 in. min. Tank component is properly vented iz E— Alternate outlet location Forcemain diameter WIESER Manufacturer �_ 2 in. Ca 600.00 Gallons Volume 16.67 gaUnch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.60 326.76 C B 2.00 33.34 P� ump off elevation (ft) C 5.39 89.87 88.75 D 1 9.00 150.03 D Total 1 35.991 600.00 ink elevation (ft Min. W Bedding under tank. 88.00 Alarm Manufacturer ISPI A ] Alarm Model Number O BSERVER 100 Pump Manufacturer JbOUL 3885 Pump Model Number W E05H Pump Must Deliver 32.95 gpm at F 1 ft T D H Project. GARY SCHMIT Page 4 of 11 EZFlow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. 6 ft Wide GOGOOM Component Legend ® 6' EZPlow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths O 4" Distribution Pipe With Pressure Lateral Inside Tumup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 80.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. A-- Force Main -- -- - -- 6ftWide Center Manifold Mound System Maintenance and Operation Specifications Service Provider's Name OWTS Regulato s Name � T ZONING Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 472.5 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 315 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 480 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliforrn >10E4 cfu/100 mL Service Freguencv Septic and Pump Tank Inspect and/or service once every 3 ears 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 eve 3 ears Other Miscellaneous Conatmctlon and Materials Standard 1. Observation pipes are skrtted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the EZFlow mound component manual. 2. Dispersal cell media conforms to EZFlow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFkow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Weis. 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 64" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where ............... .............. Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZFlow Media Diameter as Lateral 1.31 Feet 4— Distribution Lateral Lateral Cleanout Project: GARY SCHMIT Page 6 of 11 Mound System Management Plan Pursuant to Comm 83.54, Wit. Adm. Code Goneral This system shall be operated In accordance with Comm 82-84 Wis. Adm. Code, and shaft maintained in accordance with its' component manuals [EZFIow Mound Component manual 613103 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 subject to failure must be replaced. Exposed access openings greater than 84nc as in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component- Sentic Tank The septic tank shag be maintained by an individual certified to service septic banks under s. 281.48, Slats. The contents of the septic tank shag be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shag be assessed at 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 are made to retain solids in the tank that may slough off the filter when removed from its enclosure. N the finer is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag have its contents removed when the volume of sludge and scum In the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shag advise the owner of when the next 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, 9 such products are used they shag 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. Ail switches, alarms, and pumps shall be tested to verify proper operation. H 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 shag be seeded 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 sod compaction may hinder aeration of the l>fdtratim surface within the mound and snow compaction in the winter will promote frost penetration. Colo weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD s ,150 mg/L TSS, and 30 mg/L. FOG for septic tank effluent or 30 mg/L BODE, 30 mg/L TSS, 10 mg/L FOG, and le c fu/100 mL for highly treated effluent. Influent flow may not exceed maxanum design flow specified In time permit for this installation. The pressure disMbution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed 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 9 orifice clogging has occurred and if orifice cleaning is required to maintain equal demon within the dispersal cell. Observation pipes within the dispersal cell shall be clacked for effluent ponding. Ponding levels shag be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. contincrermPlan 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 condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes detective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. H the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it Will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: GARY SCHMIT Page 7 of 11 MdOOLDS PUMPS Submersible h , Effluent Pump M ODEL :: WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL ''- APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded • Capacitor start motors for without damage when fully following uses: design. Locknut on all models maximum starting torque. submerged. • Homes to guard against component • Built -in overload with N Bearings: Upper and • Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing • Trailer courts rotation. • STTOW or STOW severe duty construction. • Motels ■ Fasteners: 300 series oil and water resistant 0 Power Cable: Severe duty • Schools stainless steel. power cords. rated, oil and water resistant. • Hospitals •'h -1 HP models have p ■ Capable of running dry Epoxy seal on motor end • Industry without damage to NEMA three prong provides secondary moisture • Effluent systems components. grounding plugs. barrier in case of outer jacket • 1'h HP and larger units have dam and to prevent oil ■ Designed for continuous bare lead cord ends. "� P� SPECIFICATIONS operation when fully w Standard cord is 29. Pump submerged. ed. Three phase (60 Hz): Optional lengths are available. • Class 10 overload protection •Solids handling capabilities: ■ O -ring: Assures positive 3 /4' maximum MOTORS must be provided in ding against contaminants separately ordered starter and oil leakage. • Discharge size: 2" NPT. ■ Fully submerged in unit. • Capacities: up to 140 GPM. high -grade turbine oil for . STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 feet lubrication and efficient heat bare lead cord ends. TDH. transfer. Tested to hu "8 and ■ Designed for Continuous csl► ZU 108 • Temperature: i Class B insulation on ' srandaas 104°F (40°C) continuous 'h -1'h HP models. within the motor Operation Pump ratings a are rer"s c us I% Assodation y 140°F (60°C) intermittent. ■ Class F insulation on 2 HP •See order numbers an models. recommended woddng limits, coakts ftW is rso 9001 reverse side for specific HP voltage, phase and RPM'S METERS FEET available. t3° = WE 120 SIZE• 3 /0 sows 35 RPM: 3500 & FEATURES 1 1 0 , s G E 30 100 -►- ■ Impeller: Cast iron, semi- L open, non -cog with pump- 90 out vanes for mechanical 25 so seal protection. Balanced for 70 smooth operation. Silicon 20 bronze impeller available as >0 60 _ an option. 4 15 50 ■ Casing: Cast iron volute 40 t type for maximum efficiency. 10- 30 2" NPT discharge. zo ■ Mechanical Seal: SILICON 5 CARBIDE VS. SILICON 10 ff - CARBIDE sealing faces. ° 0 0 10 20 30 40 so 60 70 80 90 too 110 120 130 140 150 160 GPM Stainless steel metal parts I I I I I i I I I I L i �--' BUNA N elastomers. 0 5 10 15 20 25 30 35 m CAPACFTY Goulds Pumps 0 200C TTwaterTechnokw, Inc. ITT Industries Effective December. 2004 www.goulds.com 83885 sr hM. - - s s il_ s s 3 ST3 tJ )Q if S C+felx 1000 /t�e� 5 N,w - r "= yo - -8an T o � r�ccm d.. Q il '� . (.tA 15 CA r q r Pct o T J / vvrscorse uepanmarn or L.ommence SOIL E V.L%I+6►m(i�A �:Z.f'ri.�fi rage or__ Division of Safety and Bindings in accordance with Comm 85,1Nis. Adm. Code L::l ST. C�,ROIX Attach complete site plan on paper not less than 8 112 x 11 inches b size. Plan must Include, but not limited to vertical and hotiaordai ref�rce point (BM), demon and by Date percent slope, scale or dimensions, north arrow, and location and distance to nearest road. _ Please print al infornm0m. pwa xwd Waarn effen you pivwirle mw be used for aeoacdW vrrrt,oes: (PWmcar L a. 15.04 ( 04 Properly Owner Property Location C is GARY S CHivil [ Govt_ Lot SE 114 S`J'1J il4 S 35 T 31 N R 1 17 E (or) W P r op f ert Owners Ma*V Address Lot # Block # Stdnd. Name or CSMS 3 L1G.L�. iF.r �e•3 aiLS T City Stel Zi C Phone Number Village {: own Nearest Road a�� 1tilC� id'3 J av�_ - D , Jet 54017 15 - 246 - 3133 CT'l HVVY T ( New Cordon Use: (: Residential / Number of bedrooms 3 Code derived design flow rate 300 GPD C� Replacement C' Public or commercial - Describe Parent material GLA. CiAL DR;,-- Flood Plain elevation if applicable N/A fft. General connrrieMs and recarrnenddiions WhOUND CGS "1' tJlJ -L 67H soft # C 9 e7 L 38 C Pit Ground surface elev. ft Depth to kn&V factor - in. Sot APPS Rate Horizon Depth Dint Color Redox Description Texture Structure Consistence Boundary Roots GPDIftz in. Munsell Qu. Sz Corti. Color Gr. Sz. Sh. 'Efk1 1 0-6 10 4,3 MC NE 2f .4 •6 2 6-23 1 Gy i 6/4 nc ne s €t 2r : ; Mir Cw 2f .6 . 3 23 -38 7.5yt sf Zr is 3. rn Cu! if .6 1 38 50 7.5 ;,fr =f6 Mf5yr513 Si 6 1 Comments: F 2 Ground wface eler, Depth to rrnithrg in qpp Rate Horizon Depth Dominant Color Redox Description Texture Structure Consrstence Bowrdenr Roots GPD/fh in. munsell Qu. Sz Cart. Color Gr. Sz Sh. *0W 'E02 ( �'• MIT CVd 2f 4 6 i 0 -; i0+ /r `s, Wore s_e. 2 6-12 f0yr;8%.', 1100: & mir OW 2f .6 .8 3 T5ys4i6 none Si • . Cods: 'Effluent #1 = BOD? 30' 220 tr Q& and MS >30 < 150 mgft. #2 a gpp s `30 rnq& and TSS `— 30 mg 1. CST Name (Please Print) Signature CST Number `4i ?C.•� s ,`, 220537 Date Evaluation Coriducted Telephone Nunes Address C Sz_ v 1% 7 135 65'1 av�i, ,t_R.: Property Schmit Parcel IDB Page 2 of 3 # �� a Pit Ground surface elev ' -" ft Depth to rwnrM fWOr in- Horizon Depth Domnnant Color Redox Description Texture Structure Consistence ry Roots GPD/fb in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. - EMI 'Eff#2 1 0-12 10yr4/3 none t lfsbk mfr cvv 2f .4 .6 2 12 -24 1oyr6 14 none sil 2fsbk mfr CAN if .6 .8 3 24 -36 7.5yr4/6 none sl 2fsbk mfi 6 1 4 36-47 7.5yr4/6 f2f5yr5 /3 sl 2fsbk mfi .6 .1 Contrnerds: F1 Pit Givund surface elev. ft. Depth to 6trt factor vL Sod q on Rabe Horizon Depth DarnW" Color Redox Description Texture %U t m Consistence Boundary Roots GPD46 In. Munsell Qu. Sz. Cori. Color Gr. Sz. Sh. - EIM OW%ments: Boring F Pit Ground surface elev. _ _ _R Depth to uniting farmer fn- Sofa App on Rabe Horizon Depth Dominant Color Redox Damon Texture Sfnnxure Consistence Boundary Roots GPD/lh im Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eifrd I 'Eff#2 Cornrnents: ' Effluent 81= BW s 30 < 220 mg& and TSS >30 < 150 mgll- ' Ettluent f2 = BOD 6 30 mg& and TSS < 30 mglt- The Dcpartmat of Commerce is an equal opporthady service Provider and employer Myoo need assistance to access services or need material in an alternate forrnat please contact the department at 608 -266 -3151 or TTy 608- 264 -8777. seDsfttRwsmW >Ga al. /j � ! t a .__ _ - a� - VS L n - 1 -- - - - - 11 7 7 r- --- -- -- S:W - - - � -3 • s� �„ p r/ It 56" 8." 42" z w Fn t ! 3" t 5 °� ! ar 5 } 0 1 � ! a S 4s" _ ! 1 1 39" � z z A a a m z c ° a c _ rri m Go m O p C7 D Z g Ct3D� 23vA �Z Z �� G7 t7 O�z �z rl 00�� n N m °�� nv =CQ-iZ'n ZS �i�_Z z my n ►�' S rmi_, a ; °zo v a i o -+ �-;o '!► Z urc -ic mzao ��.. CA cn o r^ r r*t Z Ni`- a a'st- R�Ufw.. =w o � v S a � io ON o � O m En c ° a A A o a, .Ni a'M R m ° w 4% -. 0 s - 00 > o z n o z m '401) 0) cnv� �rn1" v ° � a ° O > rest Srz O ° O n - z 1 � � zz v o n 0 -i rq g a O N O N vo a ., m i0 to CA m rE+ o z m m W.P1000 j60 -MR SCALE: i 4'-1, REV NO. DATE WINE ?E ORAYYN BY SW: z SEPTIC MANUAL. Wns US Names MAWN ROM W 54M DAM JANUARY 2= 0 o REV. JAN. 2005 804 -325 -8456 FM- wLP1000 r - r REC EIX/E® Wisconsin Department of Com roe O B SO EVALUATION REPORT page 1 of 3 Division of Safety and Buildings II II(r, 2008 A`�)f accordance with m 85, Wis. Adm. Code County ST. C R O I X Attach complete site plan on perg l �h N� x 11 inches in size. Plan must include, but not limited to: a� point (BM), direction and Parcel I.D. / percent slope, scale or damn ' arrow, a tion and distance to nearest 3 (O (� (� road. eviewed Date Please print all fnf Pownel mfornmtioa You p wAft may be used far Law, s. 15.04 (1) (m)). h d D Property Owner Property Location {. 6 GARY SCHMIT Govt. Lot SE 114 SW 1/4 S 35 31 N R 17 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name 1824 HWY T I r77 ACRES City State Zip Code Phone Number (' City C Yllage C Nearest R oad' NEW RICHMOND WI 54017 715 - 246 -5183 STA CTY HWY T (� New Construction Use: C' Residential / Number of bedrooms 3 Code derived design flow rate 300 GPD Replacement C Public or commercial - Describe: Parent material GLACIAL DRIFT Flood Plain elevation if applicable N/A fit General comments and recommendations: MOUND CONTOUR EL 97.6' 1- Boring C Boring 1 # (^ pit Ground surface elev. ft Depth to limiting factor 38 in. Soil App licatio n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f6 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 '0102 1 0 -6 10yr413 NONE I 1fsbk mfr Cw 2f .4 .6 2 6 -23 10yr6/4 none sil 2msbk mfr Cw 2f .6 .8 3 23 -38 7.5yr4/6 none si 2msbk rnfi Cw 1f .6 - 1 38 -50 7.5yr416 05yr5 /3 si 2msbk mfi .6 .1 T, Comments: 2 Boring # C Bourg Pit Ground surface elev 9 7.4 ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. $z. Cont. Color Gr. Sz. Sh. 'EfW - Eff#2 1 0 -6 10yr4/3 none I lfsbl< mfr Cw 2f .4 .6 2 6 -12 10yr614 none sil 2fsbk mfr Ca✓ 2f .6 8 3 12-48 7.5yr4/6 none sl lfsbk mfi .4 .6 Comments: Effluent #1 = SOD 5 > 30 < 220 mg/L• and TSS >30 < 150 mg/L = BOD s < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Calvin Powers 220537 Address Date Evaluation Conducted Telephone Number 1969 185th ave, New Richmond, Wi 54017 Jul 27, 200S 715 - 246 -5135 y Property Owner Schmit Parcel iD # Page 2 of 3 ❑ Boring # f Boring (: pit Ground surface elev ft. Depth to n�ing.factor 6 in. S oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0 -12 10yr4 /3 none I lfsbk , mfr Cw 2f .4 .6 2 12 -24 10yr6 /4 none sil 2fsbk mfr Cw 1 f .6 .8 3 24 -36 yr4 /6 none sl 2fsbk mfi Cw .6 1 4 6-47 7.5yr4/6 f2f5yr5 /3 s1 2fsbk mfi 6 .1 Comrents: F Boring # Boring (` pit Gro surface allow. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 *E>f#2 Comments: F-1 Boring Boring (� ph Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 -Eff#2 Comments: ' Effluent #1 = BOO 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 6< 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- 2648777. sa-MffeOOw7/Om ,. RIOT 6 l' 1 5 y s� y s 3ST - 3 7 f N l g w T �ST 0 �, IQ t 7 c� � -40 r 7 � a'` /oc ne. Vel e/97 y � J { �'; ST. CROI K COUNTY = SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 0 f - Mailing Address _ /off C N 2s.� i CXl YYl O ►� �� �(�6 Property Address SQ Wk (Verification required from Planning & Zoning Department for new construction.) City/$tate _ �/4 t/ R f Parcel Identification Number go��� � 7 LEGAL DESCRIPTION Property Location .i.E %, , S w V4, Sec. T AN R 12 W, W, Town of , ) ht ttd Subdivision , Lot # o Certified Survey Map # [ , Volume_ , Page # 9 . 7 y Warranty Deed # q�'(o S (e 3 , Volume 9 3 - 1 Page # W Spec house yes 6) Lot lines identifiable a no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comoro. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master phumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undw*gned have read the above requiretnetits and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Dgxut ent of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am fare the owner(s) of the property descr above, by virtue of a warranty teed recorded in Register of Deeds Office. Number of bedrooms V F SIGWATUM OF APPLICANT(S) DATE ** *Any information that is nmsrspresen- may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty teed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. nsros) + DOCUMENT No. STATE BAR OF WISCONSIN FORK 6 -19" s sru• ftC&AAw roe etco,mu,a enr. PERSONAL R1= PRES@NTATIVVS DEED REC ( R S 01=Fta - William H. T _ raiser and Joseph M. Traisec ST- o CROIXC, W1 - Reed for ReEORd ----- _ ____________ ____ _ _________ as Personal Representativeof the estate of APR V 31 --- ------ --- - Adel - aide Traisec a /k /a Marc ide Adela Q1 ?, a _ - - - -- Triser -- -- -- -- ---- .................... .......... -- -••-•-••-,.•._---------•---- _ ---- ( "Decedent "). for a valuable consideration conveys. WitbPXUCW MMWXbp %.K.- alld -.- warrants of nft ..siarY A- Schmit -.. -------------------------------------- --•--- ----•---- ........ . .................... -----•.................................... .........................•--.. ............... ................................... -----------------'----' ------------------------ -- ----------- _ -• Orttntee, RSr4,Pw ro the following described reel estate in ____St .___l < t41X . .....................County. State of Wisconsin (hereinafter called the "Property") : Lot One (1) of the Certified Sucvey Map filed in the St. Croix Countv Register of Tax Parcel No _________________________ _ _____ Deeds office on August 19, 1980, in Volume Four (4) of Certified Survey Maps on Page 972 as Document No. 365849, being a part of the East Half (E2) of the Southwest Quarter (SW,) of Section 71tirty —five %, oc ) r +-v v.:•�•i� i::i�� : ^.v ( 31 ) Nc th; Range Seven teen (17) West. =fari- i, n r1f Lila t. Iand contract between Mary Adelaide Tcaiser $ /K /a M. Adelaide Tra1E3er oj, /a ' Traisec, a single woman, to Gary A. Schmit dated August 20, 1980, and recorded in the St. Croix County Register of Deeds office on August 22, 1980, in Volume 616 of Records on Page 115 as Document No. 365914 Personal Representative by this deed doe% convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since an.luired. Dated this -- - -- -- -TF4> n= day of March .19_.$.9... ----------------•-••------..__...----•----•-•------•--•-- ............... (SEAL) -----•---/Os.,.._....._..(SEAL) (D William H. Traisec phMTraisec_ ••••- _ - -•• -- ------ ---- ------------•-- --- ... _ Penon•1 Representative Pemon•1 Reprefent•tivt• UTHENTICATI0N ACKNOWLEDGMENT ILLINOIS _. Signature(s) -------- -- --- - •__- - -, - - STATE OF V=EOEK� William H. Traiser , as. °' -- -------- --- -- ------ -- -• n m ma y. -------- ------ Coun -y. I authenticated this _-' ?..day of ---- .Mat.C11---------- 1989- Peraonaliv came before me this � ........ day of l --- aar.c- h ------- - ----- - .. 19 .89.. the above named - - Joseph M• Traisec _V z ...... - --- -•-- -- -- -- --- - -- .................................... (If n,)4 ...... N9.t;a.ry._.Publ t'c _ -- ...... ...... . authorized by § 706.0f, Stns_)^' :t _ ....__- ...,. --_ to me known to he the person - wnr, executed the My Co mmission expires foregoing in;arument and acknoxvledged the same. THIS INSTRUMENT WAS DRAFTED AY G_ E_ Nocman A - - -. . • [2 II [! fC F' _ Ai(1 D M II fiS JC C <` 1-7 i t M_ II_ �` F7 �F: t7 _. C _ C` IL - -- - - =--- -_ ---- - - r _ tdta� _ - pern,nneni iT - - _ .+ ('-. _;. ,,.,oy,., .. .� nr?i, eF,nio r•zm rniwn authenhoatcrl or R [Ji�n:rtu rr, may he arKnowv *.ii. -lv[. RnEh -��� ------ - - - - -� e �L , rc� %•;V1 � 1'� L JI! - MI=/7 S T:l - 3 i � ,� -- -- -- -- -._,.� i �. r)ntV ..9.. .... f: . -_. - _ � ... - 0/i►Il1at s�� - - '' .. r �. -.:::: e. �'. <tl. io-%• T i soli _ W - it OP I[1.f1•Q;� L p FLC,•S:inS.i: . .- .,IR1i N..- _��[. 7 � ' 3 ~ FILED • AUG-191980 &AN a C oWa U w hvw of D. . 4 ft Oak `• II h, .I v X65849 - s ' CERTIFIED SURVEY MAP PART OF THEE 1/2-SW 1/4- SEC. 35, T 31 N, R 17 W N 1/4 CC CO. M01 SEC. 3! N 3754.34' BEARINGS ARE ASSUMED AS N 1 4'- 28" W ALONG THE EAST LINE OF THE N 89 °- 0 418.7 X00" W SW 1/4 OF SECTION 35. 95.?- • 39 5. 2 i' � Z 41.2 •.�" m d►� I ca o - u o• 9 2 N w o o •' 8.25' . � S 88°- 24' -II "W a EXISTIMG. . HOUSE � I 100' 50 25' O' 100' I I%?%6ii" - SCALE-I"-100" EXISTING n BARN �^ LEGEND O — — I" X 24 " IRON PIPE ° °o r SET WEIGHING 1.68 o z CD to LBS. / LIN. FT. At w LOT— I' p N C u aD p, THIS INSTRUMENT DRAFTED m 8.00 ACRES INCLUDING R/W z n BY B. R. P. 7.44 ACRES EXCLUDING R/ W z o JOB. NO. 80 -22 0 IY - w co as = I = ' m � 49.: ALLEN C «,. db I NYHAGEN 5 -1487 o. HUDSON, o �N4 ft N "�� Np VVI$ w►�'"� -t� ,h� � 389.67 418.75' APPROVED S 89--05' E VOL. 4 PAGE 972 CERTIF�L•.-,D SURVEY kAPS ��G 707. ' ST. CROIX COUNTY, 1I. 19 1980 N 1 ° -24' -2 U. CrtQIX COiJ: '41Y S 1/4 C ftwN m PAWS PLA#UM _ l el,� Co. mot -wft 41> . te��awnEE SEC . 3 M 1 SURVEYORS CERTIFICATE: I, Allen C. Nyhagen, a registered Land Surveyor, hereby certify that by the direction of John Walsh and Mrs. Martin Traiser, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A part of the E 1/2 of the SW 1/4 of Section 35, T -31 -N, R -17 -W, Town of Stanton, St. Croix County, Wisconsin, further described as follows: Commencing at the S 1/4 corner of said Section 35, thence N 1 "W. along the East line of the SW 1/4, 707.56 feet to the point of ' beginning of this description; thence continuing N 1 24' -28" W along the East line of the SW 1/4, 833.0 feet; . thence N 89°- 05'- X00 "W,. 418.75 feet; thence S 1 24' -28" E, 833.0 feet; thence S 89 05' -00" E, 418.75 feet to the point -of beginning. Above described parcel contains 8.00 acres and is subject to a R.D. easemenent for C.T.H. "T" along the easterly boundary and all other easements of record. That this Certified Survey Map is a correct representation of the• exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 Wisconsin Revised Statutes,in surveying and mapping same: Certified this 7.1 1 „ day of , ,, I A , 1980, at Hudson, Wisconsin S igned : a iac Allen C. Nyhagen, R.L.S. N0, 1407 S_& N hand Surveying