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HomeMy WebLinkAbout038-1040-10-040 0 co0 mT0 ^ f C d 0 d O y m a 0 2 . '0 �1 ' of w fD, m CD c o o o ° o c (D ° w < . O O CD cn M CD cn 0. 5 N N N 0- CD co O ry CD CD 5 O O)D C71 CTT C z:+ N N O CD � CA O ! 3 p O. O F A A rt. N 3 0 0 C m r, v D N a ca W O . O + N 3 O O O S O L !' ? ? p N .Z7 O O C o f cn Cl) N N O y a (n 3 .r O ! M CL O O O m tN A? O - 0 C G G f < ? z (�^ D o n f f�A N O D �rf N N O r T � C p p O N CD d a A al N N = N (O o — co z z ;.. l�J O z W z O =� D o o d O 3 Co V+ • CD m w N _ F C CD CD U) a z CD cn (0 _i N N D c �_ O A z O N CL C 3 p. cn p A A ' G z c 3 N _c) p z W C I ? 2 C O � T 47 C o CD U) i w I � t A„ ! A I ` S � N N � O O V A O ^' 3 b CD A O CD I1 t� y b O CL v y Wisconsin De p artment of commerce T PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405126 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: Ludowese, Lenny Star Prairie Township 038 - 1040 -40 -040 CST SM Elev: Insp. BM Elev: BM Description: l a d 1 ee TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark a 6 Dosing Alt. BM S, j Aeration Bldg. Sewer Holding t Inlet ' 3 St/ TANK SETBACK INFORMATION t Outlet Zp- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic y Dt Bottom Dosing 'J Header /Man. Aeration Dist. Pipe Z 9 it Holding Bot. System ; /0.,P 5 ' o' ? d - Final Grade PUMP /SIPHON INFORMATION 4, 9 9 Manufacturer De St Cover G PM 7 O Model Number e 1, v 3 TDH Lift Friction Loss Head TDH Ft 6y Dia. Dist. to Wei F remain Length B y � Tc SOIL ABSORPTION SYSTEM BEDITRENCH Width Length Pro. Of Trerielies PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 7 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM J•ENG ?Model ufact r: INFORMATION HAMBE OR Type Of System: 3tp �/� / T Numbe / I ii DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake l/ Pipe(s) G i �- i Length Dia Length , ,/ Dia Spacin AA 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 j Yes EN] No �� Yes M No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: ! ! Location: 1013 220th Av New Richmond, WI 54017 (SW 1/4 SW 114 9 T31 N R18W) NA Lot � l Parcel No: 09.31.18.117111340 1.) Alt BM Description = I, �k�u�f �t r �/" �"�` ��C�pwao4e, 5 S 2.) Bldg sewer length = Lb C C L 1 � -k'(�i lh Tii� areA_ . ge r WO- - rr amount of cover = > Zy - Ldki ti<e S Y S fe4t„ Wd s' i it 6kAel �pro/Ofl"l� �.�OYSPd'Vi(J'i �c� pS � ih/5���0' _4- d Use other side for additional ai Yes No q b i informat on. -- Dat - - -- - : � �C , 07N Insepctor's Sign ure SBD -6710 (R.3/97) x O� C,✓ S e J .. 0 14- 1b 2V Seta ty aami B~ Division Canny 2D1 W. Wmhhotm Ave.. P.O. Hoc 7162 C c ; n M•diut1. W1 "M - 71C Site Addrems Department of Commerce 1, - �/-o v ® l Sanitary Permit Appcation Suft'" la a000ed aids Comm 83.21. W Ades. Code. pmaea l I oemadoa yea PeO•ide D cbeck if Revision to wed tar w=MJM riummas fdvacy Law. zI5,04(I L Applicadma t &wu diom - PMtns POW All h0wimadaa State MOLD. Nvw'= ,n PropwWOwosrsNun PO T ! QlJQ Y1 OweS� 3 - z _ - Prepaq Owner's Address Propavy Location 5 1 C so • Mi A rN 2S0 S1 - S %SUJ 1i•S 9 T3 N.R 4F City. Srate Zip Code Pboee Number Lot Number Block Number SWWIvWm Name CP0l Number n, 100 of 8011011109 (dledl an 6 apply) 0MY V I or z Pltmitr Dwdft - Number of Bedeaams �_ �fii✓ o - Describe use 0 Sme O�m►,oad 3 X g 3 ' ( S + Na" Road O �T q3" 7S M. Tjpe of Pftvde (fit aey an soot ea lfae A bvmmbwbg adieus ter bhtad am). CONVi be ■ae B D 2 1FIFUC 214 0 A. 1 Now 2 O Rwha moot Syssms 3 0 Rapi meoent of 6 Mdieloa d For Co m1y mme Tads Owly if god"" P�awk Proviiomm* barred Pettit Number Date lamed B. 1V. Type of (caw* an dot adimm Is fir klaud ttee) /! - 1g5A 444Non -Promm iaed ht- a 210 Maud 47 0 sand Fiber So 0 Cotam eted wedand 22 0 Pm mdnd h4kommd 410 Heitift Tank 48 0 Ski* Pas St 0 Drip Lim 43 0 A*Qta a 46 0 Aerobic Mmelmeee unit 49 ❑ RecircUbIft 30 0 Omar V. Am P+aeabtidoa Rase ldevaeio. Final Glade D��� Ana D� ' M 1 " ✓ hapoeed RaeecRlai:-►Da Mq•FL) (hCwjlndt} Blhvaoan ,/ qCm d 4 33X t!5 NA 4 a, o✓ °1 y -, S VL TxAk info pia in Taal Number MaodKft er Prdxb Sae Steel Fiber Plastic elala.s GAM of Tbnks Gmocrete Comma med Glaw Now alki a Tads T p V � Iteldioa Turk �p C7 W c vS p r ' 2te �!� /� . j tar ow"adba of dw FOWTS a1w oa the damebed Pbmmsws Name AUM Number ousban Pbome Number Plumber's Addreo fbb*et. City. Sterne. Zip GAO) e\ N 1 VUL Use Only 0 SatWry Permit Pee (imcbrdes 0101 dwanx Doe issued S4pame (No Snagn) Sarckolve Fee) b Advasa A � S , `� (o �� �— Dwermiyadw 13L Condition of Appe taeoas andnL for Disapproval (f 3.L13 -1 a4- ,dGr ewx, v71 /h" -r e9M? C V w i 71-( CL& A- ' SP a.J 6 s^✓ &0 7 /� T A&%* camp m an Caaatf a*) Ara a Mg= on P/s me Im Oft SM a It ftdM Y ales eon -A m ni /on �- �a Len ny � U-jo w es . 2.. mac, ��c� S` . ` � TR r 10 � . M i n n eso la cS� ' tic,y forT, fnN ss �,ca ©3�; - f©cfo - l0 - odd 107DO QS 4 ,7(�b e4 Q Nom I'h o 0 sa&Q- f = c fo SOS' `fop � w �:� �•�ce Q Ic1a°' o� 4,v p a.S 6� 1 -� 100 r k1sconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code — Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must County �d i 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 to nearest road. 03 o_ �10 _ �, Please print all inform o����.- �'• - ` r.. � ed by Date / / t� . Personal Infon m natlon you provide may be used for (Pri cy S. trq'� (m)). C [. 1�� �^� d Property Owner / i �� ,P�petbr; UFation 'Y f Govt. Lot- -_<- 1/4 /4 S T N Rl�' E Property Owners Mailing Address — LQt # ¢ck # Subd. Name or CSM# City State Zip Code Pho Num !JWWN�., T r [ jgTown Nearest Road New Construction Use.( Residential / Number of bed Code derived design flow rate c GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material /� _ • Lac. lez -A 2_ Flood Plain elevation if applicable ft. General comments and recommendations: Boring # [] Ping Ground surface elev. - 5 - J° iL Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 G /� '/ ` -a2e e .", r G 0 2 02 Boring # Boring ❑ Pit Ground surface elev. ! '� fL Depth to limiting factor} In. I I' Soi Appli cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont.; Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD > 30 < 220 mg/I- and TSS >30 < 150 mg/- ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (P ase Print) Signature CST Number Addresar Date Telephone Number t Property Owner Tie Parcel ID # Page 2 of ' 7 Boring # tit Boring - 4 [] Pit Ground surface elev. � ft. Depth to limiting facto, S r in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Cu. Sz. Cont. Color Gr, Sz: Sh. `Eff#1 `Eff#2 o�u;�.►J � � rte- s /' Boring # lC.r Boring g ❑ Pit Ground surface elev. !� ft. Depth to smiting factor In Soil Application Rate Horizon Depth Dominant Color Redox Descrip on Texture Structure :'onsistence Boundary Roots GPD /ft In. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. I `Eff#1 'Eff#2 b - Boring # ,� Boring ❑ Pit Ground surface elev. Depth to limiting factor ,�� in. Soil Application Rate Horizon Depth Dominant Color Redox D . Texture Structure Consistenc Boundary Roots GPD /ft In. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. `Eff#1 `Eff#2 ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 <.150 mg/L ` Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. sso.asw (rc61ao) r f Y Soil Test Plot Plan Project Name Richard Halverson Byron Bi Jr. Address 2203 100 th st /� Somerset Wi. 54025 CSTM f220527 Lot - 4 Subdivision -- - ----- Date 9/26 SW 1 /4 1/4S T 3 N /R W Township Prairie Boring Q Well PL Property Line County S T. CROIX ,BM or VRP Assume Elevation 100 ft.top of white stake System Elevation 92.0 H.R.P. same as BM # Alt BM Elv. 10 0.4' top of white stake 1�P>✓ B2 B5 G PL B3 !0% slope 200' / 100' Rep. 100' 50' —�--� 120' , B 15' 15' B4 B 36(' � S �Cfowese I R Bee W L� n n ys. rn �n Q so�a ST y I � ni A c r ♦ Biop S �f 1 l�Ct i r `�. �ST C'r`p;X' nits H - $tter vOhtme + i , S a i r .. Sidc 8 " rfi kce and • Improved 'fie efict Maunkes atMask The ed sam of u�nasiced Provides the op obj ective leachin mum amount unmasked i to Provid an o surface. Its design sideiyall to allow eftlun bottom �pillary action in ent to flow thieved b all directions. 7his and via SP ECIFIC /�T tim Y co mbining . ottorn with g the t raditional s been �rt8tnat S. went insides se cha of louvers aion ' ope ...... Of `� Prvfiie Unit 'U along the the Vows g the sides. x .............34 - ,` 9th - - -• • ...7g e designed o jl 1 8th of each side o uncomPacted He�9ht ........14" W •.. 34^ compacted allow effluent to The Louvers pert ...... ....9. Height..,... 11" P into tile chill whale preventing into the SioDif/���� ekhe invert........6.5- amber. g it from Of 1 2 - graded and �, when Instates , 2 " or 17", Withstand Woec Wety, H - Q A 2Q o ver factors ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND RECEIVED OWNERSHIP CERTIFICATION FORM Owner/Buyer MAY `ice 0z C i Mailing Address So n'� e �(' ° Property Address vt o (Verification required from Planning Department for new construction) :: - City /State © 0 Parcel Identification Number ��� 03K— 0' 1-71 J3 10 LEGAL DESCRIPTION Property Location SGJ ' /,,' '/4, Sec. . T _N -R W, Town of t Subdivision , Lot #_• e lum , Page # -- Certified Survey Map # Volume � Warranty Deed # _ & 1 Obg . Volume __L_j - , Page # Spec house ❑ yesx no Lot lines identifiable 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning off within 34 days of the three year expiration date. 10 DATE NA OF APPLICANT OWNER 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 the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. yj,� DATE GNA :O APPLICANT * * * * ** 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 decd POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page — I — of FILE INFORMATION SYSTEM SPEC1111:11CATONM Owner Septic Tank Capacity I a�"� al 17 NA L Lu w Permit of I Z a Septic Tank Manufacturer i r O NA DESIGN PARAMETERS Effluent Filter Manufacturer O NA Number of Bedrooms ?� ❑ NA Effluent Filter Model O NA Number of Public Facility Units NA Pump Tank Capacity al O NA Estimated flow (average) 200 gal/day Pump Tank Manufacturer % ❑ NA Design flow (peak), (Estimated x 1.5) A S 6 g wday Pump Manufacturer O NA Soil g al/dayfW Pump Model O NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit O NA ats, Oil & Grease (FOGI 530 mg /L O Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg/L O NA ❑ Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand IBOD.) 530 mg /L PIn -Ground (gravity) O In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA O At-Grade O Mound Fecal Coliforrn (geometric mean) S1W cfu /100ml O Drip -Line O Other: Maximum Effluent Particle Size Y in dia. ❑ INA Other: ❑ NA Other: O Other. O NA 'Values typical for domestic wastewater and septic tank effluent. Other 0 NA MAINTENANCE SC14EDULE N Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 -3 Om -UeZs1 s) (Maxhnum 3 yeses) O NA e Pump out contents of tanks) When combined sludge and scum equals one -third (Y o vo me ❑ NA Inspect dispersal cell(s) At least once every: ❑ r M�oonth(sK :(M: aA rmm 3 years) O NA L9'year Clean effluent fitter At least once every: 0 rrva O NA wyear(s) Inspect pump, pump controls & alarm At least once every: ❑ month) NA O years) Flush laterals and pressure test At least once every: ❑ O year(s) ) m year(s) ❑ NA (s1 ❑ month(s) Other: At least once every: ❑ year(s) ❑ NA Other: O NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third IY or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (41011 t ww UP AND OPERATION Page 2 of 7/ For new construction, Prior to use of the POWTS check treatment tank(s) for the presence of painting products or that may impede the treatment process and /or damage the dispersal cell($). If high concentrations are detected other chemical have the content of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b, discharged to the dispersal ceg(s( in one large dose, overloading the call(s) and may result it the backup or surface discharge o effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorin( power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating c restore normal levels within the pump tank. the pump ontrols tc Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the are: within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; rease; herbicides; meat sc raps; products, sanitary P g raps: medications: oil; Painting P Pesticides; sanit napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shag 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 Septa" Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 13 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement ep emleit 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. O 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. 0 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 biomet at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name c d Name Phone SEPTAGE SERVICING OPERATOR iPUMPER) LOCAL REGULATORY AUTHORITY Name N ame C � Phone Phone '1 l S - 3� - This docwment was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &If) and 83.54(1), (2) & (3). Wisconsin Administrative Code. WN-21-20 TUE 08'67 AM FAX NO. r. Ue 26-OCT-2001 FRI 01:58 PH FAX NO, r, uu 11 VOL 1754PAGE412 KATHLEEN H. W? STATE BAR Of WISCONSIN FORM 1 -1991. REGISTER OF D EDS WARRANTY DEED ST. CRID X CO. v Wl WCEIYED FOR Fs* DOCUMENY NO 11-02-2001 3;30 0 'Phis Deed, mdabowtvit pti D. Hativorscrip utmorri WAWry K13 FA FEE: Gran tor.lp FEE: 201.00 LeWa i Pa we jjO Debrat C. kapwa FM 11.00 �r!q and vita, aW dtiUGV v 3 air PAGES WilneSselb. x Tim sma KSNW:b FM ft000lo"o 0 " conveys to C"nice Ase folluMns deserffied tool estate in — -�" - -.t . .. . Count State of WwordAM =ryrt1:: tee of sect 9, T 31 F il e # 7S- 108412 Plvt of the soduriest, QMC i 19C)o S L p4ad #200 1 North, RaM30 IS W05t, St- CCOix C=1ty Wiscormn, N&W Br i g ht on , M 55 '] itind an follows-. 28, 2001 I.Qt 4 of the Certified Survey Map filed Februar in yo IaTle 15 of Certif Survey M&ps, P"fil 4038, W pact of DMI nt Number 639449 ThU homestead prm-tty- 7bSedwir wit a ll and singu t hatted man and 1k;t j j wm% tAto, beloagU* . AM warr.MLS that the title Is goad, InMeaAbla i L- simple an d her an d clear of encumbrances except W W ill %Amrtam an d defend the same. 1, oatccl d,i: _ ._ 76th — da y oi--- October, 2001 MEAU &44A) Richard D. Halvorson (SEAL) AUTHPNTICATION ACKNOWLPDGMgNT State OF VOMMINW, Mi er Washington I 1W to Emu M I 26th day of 7n octo r RMI lnlow nte v o XX)% the Fbove maied reon, 'i iTtL MW UR Mi 6 MR OF WI (it IVA ANNETTE D. - MEIS I me kwwn t be the person _"a executed she fi*^-00iAg MARY PUBUC - UMMWA to and wlmwV4* tho same. 106'ots' ils, Wt s, THIr. ItALTAUMeNT WAS PRA"CO 0 A -n • Nat" Milt: CAMY, VAIL (shpAttives MWI Ix vauditntiewd or acknowWF& Both am M M Comnimion is PETVIMAL. 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I lrr & Ral & D sash &Arms La Did av 9z &� s Robert 3 w,,ud rc Roserte & • M sawn• Mary Mondor Railsback B seahm u & Mnmhe Cart Be DB 40 Klemesrud $() CIOUtleI .2 x 1012 40 2A 18.4 Curtin �; Ronald 50.5 9o1kert Volkat Joseph & Mary Lamoyne & ws ,r: D 6 Anderlik 157 z.s �, "' Robert, Fria • + � Sm N Wohlers smau Rivard Eva Halvorson • rKS a 6. -- . & Assoc EH & violet Asplhmd 80 - irs - 4 60.6 Tracts Marion M« „ e 4 75.1 • 85 Fam Tr z r&K °s, w &IS9 "6 P�Q1 s.z r 1 4 80 cl s 80 Gary cry &B.- Langn"re 4 82 oo try xa Gerald & Marcella • L Tra Steven & Genevieve 97.2 Ba ua gears s5 R& Small 9� A Francois ���° 63.3 • BaNat Inc DIt cuss Lvtrhg :5 Trace 33.5 • s 90 185.5 d Eehtea • A^a°^r -g- Wickenhauser 100 Daniel • • &Agra &Jane 212.9 r N Star N ,aa i 'ma C&KB 221.8 T a of 160 - zl Casey _ e L-•1P 105 f 40 - Ge aid ^ Francis & p rairie IS 8.1 Ltd Mahad v N o , E mh K" o' Baillargeon Ne l or 40 Casey ur,orh Hatfield ore wmn•n R " 6 e m • & Vrieze 78.4 L a k e J y a"R-ptr rCed t • < "' n ^ • x 196 T er Richmond 120 90 40 t Mondor 1 " • �'"' Victor 103.4 ^•. Rv a 5 St Croix Helene 138.4 M. Jw x Trs Myers III Houle 71.5 _ `� G&D 16 • ° 25.7 I &LB 4 g .. • County O at • u m4 : �r M arc sr Robt . ' a°°& ^�^- c ter St Croix � Plourde WE rserh Ral h SheLman cScott COUn 120 392 C 362 4D 271.3 & � & Jean a 36s a Newby ty CC NE 1 Mondor G '°" & RICHMOND Ca John & ° 92 . Russell Bou 9 r Archery N n Catherine i s Flandrick • K N n 4o Y Rivard DL 6 .4 been //� 120 o 40 z 1 2 • �•L Ne iem DR. B&ML 9.9 a ta10.9 CMNR Coif R ich 38.6 LTD Linda , 1362 1 lou • • D&LO10 17.6 Friday • a • u . 5 ' 24.5 Michael ,y B N p,P • • • Jensen 74.7 ' " „ & Kathleen "_ Cannin GE 'C R9 • Alice CS 5.9 0 « 1 Robert & s! oa 92.4 K RC 12 Cod z Corp B5 ' eau v GD 9 0' Caml Duis d Mark & Y O&w K •� In 1.1a7 • Kathie Cellotti 116.2 • e„ us 212.6 mTrs 49 54 `3 • Trs 1300 lair K 1400 900 1000 Soo SEE PAGE 60 �' 1100 SEE PARE 4 6 1200 or� 1 (G1L^t7A 77 77 in i>>lSurkince b {nsuriJng Pefiin °and Comm° party For more information contact our office .'Phone: (715) 294 -3186 or 755 -3186 • Fax: (715) 755 -2998 i OR CALL YOUR DIRECTORS OR AGENTS: ` John Heintz Edward Sontag Richard or Sharon McCurdy David Neidemire Henry Heintz 248 - 3833 549 -6579 646 -9303 294- 3692 357 -3244 Phyllis Clark George Setter Stack Insurance Agency Paul Hedlund Agency Tom Heintz i 265 -7079 269- 5481 265- 4614 643 -3311 265 -7394 �.