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HomeMy WebLinkAbout040-1306-19-000 eosin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix F GENERAL ety , Id building Division INSPECTION REPORT Sanitary Permit No: 499151 0 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: Van soua, Lang & Thao, Pa Van Troy, Town of 040 - 1306 -19 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: Q1D .a On . o ST 6J O IA B"'� 08.28.19.1846 TANK INFORMATION ELEVATION DATA TYPE Lo � ANUjCTU RE R _ „ 1 , /r- CAPACITY STATION BS HI FS ELEV. Septic Benchmark I CS �2 2 SD 1l 3 l t l• 3S olo, o Dosing Alt. BM • d" ^ �•�' a D Aeration Bldg. Sewer • 33 o3,0 Holding SUHt Inlet n St/Ht Outlet go • r TANKS TBACK INFORMATION . 2 ,3 1 02, 12 — f TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �. Septic 5 r , Dt Bottom Dosing Header /Man. ►o •8s / Un •Sa Aeration a CAr,,��ns `��� 10.1 S' 0 r s ' Holding v Bot. yst IZ vZ ° 'q, 33 PU SIPHON INFORMATION Final Grade I �'• Io3• Manufacturer Demand St Cover r Model Num r 3 'a TDH Lift Fqi6jon Loss System Head TDH Ft +, } Force m Length Dist. to well SOIL ORPTION SYSTEM SM/ CH idth Length r No. O Trenches rDIMEo. NSIONS N Of Pits Inside Dia. Liquid Depth DIMENS 3 9 �. Z , SETBACK SYSTEM TO P/L f DG WELL LAKE /STREAM LEACHING Manufa:� INFORMATION — CHAMBER ORvr -kv Type Of System: -- I > �5 UNIT Model Num CO-AA V . DISTRIBUTION SYSTEM Header /Manifold I II Distribution x Hole Size x Hole Spacing Vent to Air Intake ty Pi e(s) ` /C L l 1 1-eng Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx d Mulche Bed/Trench Center Bed /Trench Edges Topsoil Yes No Yes 1 1; No COMMENTS: (Include code discrepencies, persons present etc.) Inspection #1: wr IL ` Inspection #2: / T� Location: 471 County Road FF Hudson, WI 54016 (SE 1/4 NE 1/4 8 T28N R1 9W) Sunset View Lot 19 Parcel No: 08.28.19.1846 1.) Alt BM Description --,P i r 2.) Bldg sewer length = �� amount of cover ='� i� cd1A►• Plan revision Required? Yes >( No �•- I Zf -,. t5'21�� Use other side for additional information. J NCO ____ _ _ _ - -- _ _ _ _ L__ -_ _L Date Inse ctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings t tY 201 W. Washington Ave .O. Box 7162 �• um fd,�r Madison, WI 5370 - tary Permit Number (to be filled in by Co.) Ivisconsin (608) 266 -315 / 9 9 �s Department of Commerce I State Plan 11) . Numbe sanitary Permit App Ica ovid In accord with Comm 93.2 1. Wis. A dm. C ode, p information you o u � Pr 6 than mailin address) +g) 1 QQ Address (id f ro�ect i(fuent 8 may be used for secondary purposes Privacy la , st 5- jug) i / %. y7 D "' r - F " , v `^ t� R 1. Application Information- Please Print All Information CRp1�C Coo j _j.ausG K W I 5 0/& ZZ S Parcel k Lot g Block k Property Owner's Name - oeo �� Ya-.� v Location La„ �/ah ,DU O`td _ y Property pro Owner's ailing Address pj 4ST Cy o37' 000 S y. NE y., Section a I �� Cof�a tZL one Number Zip Code g City, State t (circle one) r Z II. Type of Building (check all that apply) Subdivision Name CSM Number ❑ 1 or 2 Family Dwelling - Number of Bedrooms S L3 S t- V 1 C LA-) ❑ Public/Commercial - Describe , r E� S Q SS ❑City_ ❑Villagepownship of ❑ State Owned - Describe Use tJ�CI� q- 000 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) o A ❑ Other Modification to Existing System New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ._._ -- ---� List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner C 2 -� 4.r. 6 gars C I IV. T of POWTS S stem: Check all that a pply) z- T K e 1 f s ❑ on -Pressurized. In-Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ n Grade ❑ Single Pass Sand ilter F U Constructed Wetland [I Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter hing Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑Other (explain) V. Dis rsal/I re _ Des Area Information: Dispersal Area Required (sf) Dispersal Area Proposed (sf) System elion Q Design Flow (gpd) Design Soil Application Rate(gpdsf) 9c(. Manufacture Prefab Site Steel Fiber Plastic V1. Tank Info Capacity in Total Number Concrete Constructed Glass Gallons Gallons of Units �� SL S, New Existing \ O, l �k F. T6 y- Tanks Tanks x Septic or Holding Tank k / V Aerobic Treatment Unit t.A/ f-1 I- IL Dosing Chamber VII. Resp onsibility Statement - 1, the undersigned, assume responsibility for installation of the POWTS shown on the Bu nesss po Phone Number Plumber's Name (Print) Plumber's Signature MP/M PRS Number M(IcE- t'1A`J7nho -Il Vltitcl�lA�p Z2S' l0 71 s�76o-Z -�j Zs Plumber's Address (Street, City, State, Zip Code) to 7 0 tI U , \Tea , V-. 0-- N so w S o VIII. 'ount , /De artment Use Onl S Date I u Issuin gent Signature o S anitary P ermit F ee (includes Groundwater pproved ❑ isapproved Surcharge Fee) 466 c`0 / O even Reason for Denta ` IX. Conditions of Approval /Reasons for Disapproval t aysTerl owwR: ,, /► 1. Septic tank, effluent flfter and dispersal cell must all serviges I maitttaNte� I ` f / as per management plan provided by plumber. e 16LA-� 1 2. AN setback requirements must be maintained code / ordlirwr w. V r t Attach complete plans (to the County only) for the system on paper ant Gs thAU a1 R x II inches in size SBD -6398 (R. 01/03) 2 d I / i Itr `�- �j Lq U o fl � � - LU QS i re �fl N i O © i-u w p -� 1 w � J _ T I ll� N �-1 u► - T -�I � i G d 6 ` J 2 N \ rl q_ a lL Q6- Vi 00 tj Ot 0 '� . m N' a v J - e T . `o Q — �2 N- w fv i/► vi LO T Vi J� 0 o N N IA i 0,6 88/5 CVe9TCZWi � WisconsinDepartmen SOIL EVALUATION REPORT ,Division of Safety and �n�n4� Page of 3 2 iWalrCOrdan with Comm 85, Wis. Adm. Code Attach complete site r not I�ri 8 1/z 11 inches in size. Plan must County include, but not limit(Mel ref ce point (BM), direction and �� percent slope, scale w, and location and distance to nearest road. Parcel I.D. � rvG Please print all information. Revi ed by "Date Personal information you provide may be used for secondary purposes (Prvacy Law, s 15.04 (1) (m)). � Z� Property Owner az— Property Location �Q) % +�! h ~ Jr 114E 1/4'S T Zts N R �� E (o�W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# �-', - o, Sox 3 3 \9 - 1 UYQSi3Z7 vL City State Zip Code Phone Number ❑ City Village J� Town Nearest Road New Construction Use: 3 Residential / Number of bedrooms � — .. � Code derived design flow rate `\j UtJ GPD .' ❑ Replacement E] Public or commercial - Describe: Parent material G Lie) }4 L, vl:�U j yvT)g Flood Plain elevation if applicable P) ft. General comments and recommendations: 2ECC�W1wt � J I Vj i W 1`>�I t N �t L`T? �p 2 L �14 O F `( LS 7 b� w'1 l hl y c`3 TIf w1 Boring # ❑ Boring ... CLO 4! f 20DY— i ® Pit Ground surface elev. `�\ 9 ft. Depth to limiting factor 7 �� in. D 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 'Eff #2 Z to -y I fog � s1.6 — 21 Iz- VA it I a Boring# Boring ❑ ® p' Ground sur bZ • 2 d ce elev. 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 'Eff#2 o -tit �o� ZIZ - i 5 Z �sbk may- e� Z'+ 2VnS m`fi O s _ Effluent #1 = BOD > 30 < 220 mg/� and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) .p CST Number Arthur L'. 'Wegerer d _ gnature C Z S 220254 Address W e g e r e r Soil T e s t i n g & Design Service Date v luation Conducted Telephone Number 421 1 1 4. 1 St. River r'alls, 11I 54022 - Z_Z 715 -425 -0165 I i Property Owner ` P1 &J Parcel ID # hi G Page ' of Boring Boring # ❑ r� ® Pit Ground surface elev. � u l � �I -Z ft. Depth to limiting factor C ) in. Soil Application Rate Horizon Depth Dominant Color Redox Descripfion Texture Structure Consistence Boundary Roots GPD /ft' Ill. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I `Eff#1 `Eff #2 �o -� 1 I')'1 R Z! z - si 1 z Mns . YAi` - C " j Z IN 4. lC LI V- 6 s i ► Z hi S wt c g — . S . 8 • p �- ❑ 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 /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 • Eff#2 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 /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ` Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD, < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SB13-8330 (R.6/00) PLOT PLAN Page 3 of Scale 1' ON 0 JI �r J� v S� CS s e.,Z 3w1I+ ram. o SZZ- z� 1Z- 2Z_� 3 715- 425 -0165 220254 03 9 CST Signature Date Telephone ado. CST No. Job NO. ST. CROIX COUNTY Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer m rtC 1 0 R �Q (/a K�` Ct c Mailing Address e 4 2 10 6 79�57 Azm Property Addres 4-�s � (Veri ication equired from Planning & Zoning Department for new construction.) e , r. oyo- 1 0 - .0 Parcel Identification Number 6L/o- " -'Z ° ' °O • /d3 LEGAL DESCRIPTION o y� - /0 Property Location 5 '/4 Al 6 '/4 , Sec. _ , T ck$ N R �Town of Subdivision ( 4 Lot # Certified Survey Map # - 7 (P 6 / �l Qj , Volume 9 , Page # /d Warranty Deed # � 7 ©q Z ,Volume a-(p �S ,Page # / 'Z- Spec house yes no Lot lines identifiable yes 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 y of the septic tank as a'treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 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 plumber, 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 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 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. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of be r oms SIUNYM11 OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) S v n S ort" U aw L.oT - # 1 9 - Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for.maintaining the system within the parameters'of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99�. Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Desi n Flow -Peak (gpd) Co© o Estimated Flow - Average (gpd) o c Septic Tank Capacity (gal) f z• 5'Q Soil Absorption Component Size (ft') $ FT �- Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) ( Maximum Influent Particle Size (in) 5' or> 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se and outlet filter shall be assessed at least , once every 3 years by inspection. T e outlet filte. shal c lea n ed as nec essary to.ens_iL_ 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. If the r Management Plan for a Septic Tank and Soil Absorption Component filter 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 shall have its contents removed when the volume of scum and sludge in the tang; exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next sere c needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness an soundness. Access openings used for service and assessment shall be sealed watenight i.per the completion of service. Any opening deemed unsound, defective, or subject to failure m.;s be replaced. Exposed access openings greater than 8- inches in diameter shall be secures cy an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm.83.33, Wis. Adm. Code where the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, r. the observation pipes, and a visual inspection for any evidence of surface seepage or discn, from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wa'Stewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may sac to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve, In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may leac tc more intense, and earlier, organic clogging of the soil. 2 Management Plan for. a Septic Tank and Soil Absorption Component Plantings of deep - rooted trees, and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Q EC o / �� ✓�. I-�D cJ S . A Q . / a � �!, � e li . ! Q ,� a - r W i ' b � cJ $ � e i 1' S ✓ S Q.vh a , �9 Z zo /I 3 U _. 2 6 2 9 P 1 2 1 92!!114Sa! tl STATE BAR OF WISCONSIN FORM 2 - 1998 REGIST H. WALSH WARRANTY DEED DEEDS REGISTER OF DEEDS ST. CROIX CO., MI Document Number RECEIVED FOR RECORD This Deed, made between R & T. Tanrl revel opment, Tnr , 08/02/2004 11 :00AN a W i can c i n _ Stun t_ inn - -- --- - - - -- MARRANTY DEED - -- -- - - - - -- - -- - - - - -- - -- EXEIPT i — - - -- - - - - - -- — Grantor, and — Lang_ and Pa Vana Tha o�__ _ _ __ - -- REC FEE: 11.00 TRANS FEE: 419.70 - - - - -- - - - - - -- - -- COPY FEE: CC FEE: - - -- - - - -- - - - - - - - -- - -- - -- Grantee. PAGES: 1 Grantor, for a valuable consideration. conveys and warrants to Grantee the following described real estate in _ — . St. Cro - -_ —_ County, State of Wisconsin: Fi,cor•Jlny n:,:.1 `! Name and Return Address First Federal Capital Bank 201 South Second Street Hudson, Wisconsin 54016 040- 1035 -10 -000; 040 - 1035- 40 -OOQ 040- 1037 -20 -100; 040- 1037 -30 - 000 Parcel Identification Number (PIN) This is riot homestead property. (is) (is not) Lot 19, Plat of Sunset view State of Wisconsin Development in the Town of Troy, County of St, Croix St. Croix County, Wisconsin. I hereby certify that this Instrument Is a full; true and correct copy of the document on file and of record in my office and has been compared by me. Attest LI S f Exceptions to warranties: A `j � y fY L(Ja.,IS i7 n Subject to easements, reservations and restrictions of rE H. Walsh Register of Deeds ��Pc�. - �t.C�,C Q Qcic -tltio Dated this 3 "j-1 — day of July 2004 B & L LAND DEVELOPMENT, INC. a WI Corp. r (SEAL) B Y: IS I (SEAL) Secretary — Treasurer (SEAL) _. (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, <Re 5.. pub\�C St. Croix Co authenticated this e� C •'(� Personally came before me this day of July 2004 the above named �ta�e Ok a A. Geissinger, as Secretary- Treasurer of B & L hand Devel_o Inc., a Wisconsin Corporation, -- TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me J!wn to be th pet who executed the foregoing authorized by §706.06, Wis. SCaLS.) Inst nt and ack owle ge a ame. THIS INSTRUMENT WAS DRAFTED BY - , - - - -- Stephen J_ Dunlap / Notary Public, State of Wisconsin _ Hudson, WisoonGi n 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. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. FORM No. 2 - 1998 1,14 —kee. WAS. U) I t a (Cg, f4p > 0 X'41 cDcb ' ot ....... I ...... I ... I .. ' � -j'Z X.... 69 ig Toz . .......... .............. ........ !... 1. 1 vi�'U� t L % .. .. ............................... ... Z LTIVS M.01.60.10 s Leg�� —:ffNVrl—Nk(IZJor— - A 3.0t.60-LO N . .......... ...... ..... /. -.. . .. ;f) I ...... ........................ .. .. w ............. ........... .99'69Z —j Z IV . O 00 r.; eq PA C* to < CD C6 (Ii 4 0 -cc 'o Fx , q 0) P / C� a 1p cQ w A" I Z , m . 2 0 © CR W U) 7; f1l) N V) C) �l In V 'ost LLJ Z 10 a- S 01' 18'36 "E 45' 62' 488.35' 0 Lo 0 ui I � �. �'�- -- I 00. 00 0') 50, 50' 00 00 F-4 C) k0 (GDO z m a) 0 0 '09 t - to I � Go 0 0" @ 3N-3S 3HI JO 3NII IS3m Q�l uj ED z S9 co ol E- Or 1 CQ 10 0 E-- ;o C4 488.40 an o ' j 62.52 z T N 01*1833*W 550 s 15 C14 : ick4 r✓ STANDARD CHAMBER C�uick4 Standard Chamber _ _ 4B ° - _-- _- .- .- _-- ._-- _----- _. -_ -.- ._. [FFECTIVE LENGTH) ". . — Ig W i = s SI,7E VIEW SECTION VIEW I I i I MultiPort End Cap _ 34 `.rIF \. TOP VIEW FRONT VIEW Quick4 Standard Chamber Specifications Il ultiPort End Cap Nominal Specifications Size (WxLxH) ti `•34''x52 "x12" S ize(WxLxH) 34 "x16 "x12" Effective Length - r 48" avert Height 8" or 1.25" Invert Height ;:1 8" I INFILTRATOR-SYSTEMS—INC. STA NDARD LIMITED WARRANTY ' ' "•� � .) ) 3 [?A 7P. 7 (1 (lfhflr ,�('t'f5S ry I. 1( I � � PI I r n t nc.. w P I r It dl Or . Insl i Cl � n.,, v � •. c1 „-, ^r1 al r- hle Ii - Ih- arraniv ppno(1 II Y 9 i r II +o �. 1a� I. r,v rnl e I U is In 11 att r<, �� I II � �• ., � ' • � r� ( <. C r z Iv�l �. C.) r�..lall,�l n, � ,� I li•.i W, aF MI f. 11F IN'LlWARAGRAPH (a) ARE FXCLUNVI Tf if tl :r`i r - - �N N(` X1111-C �'vA1�RAN rILS O� MERC;HANIARII RV C)H �i INf �� S Y S T E M S I N C "r" Ofill Environmental Onsite Wastewater Solutions' I � ,I 1 a I r<sfis_ n II Inns -. 6 Business Park Road • P.O. Box 7 68 Old Saybrook, ST 064 7 5 +,.;;.,� I,t�r,r 11�.,r,I,� 1° 000 FAX 860 577 II 860577 -7 - 10 , I . n,�. �, 800- 221 -4436 I _ II 'I _ J - .1 ) 1 5 488 -. 3 / 5.401 i if, Uencli y rrarin -na ks of Inldiral ]r IA Cl'rinllr, (;nr'.Inur S Conn ection Mti r(11 � �, - . �• , r_. , ,`.f).l: ..i ] �,,,... �l :kP�� ?\ FELYCL EO Ce ccR �Ir i nl Infiliral(.r Sy,lerrs Inc. n 2003 InhIlralor SY51•; n ,Inc