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018-1098-09-000
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: Doreen Loescher City Village Township TOWN OF HAMMOND CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MAN UFAC URER CAPACITY Septic •� �kikv Li Dosing oo��{, Aeration waw+mg TANK SETBACK INFORMATION Ac-V�❑�` TANK TO P/L WELL BLIJ6. Vent to Air Intake ROAD Septic q6 I N , �S Dosing 3 N A 1 ��5 � I Aeration Holding PUMP/SIPHON INFORMATION SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 648476 State Plan ID No: Parcel Tax No: 018-1098-09-000 Section/Town/Range/Map No: 30.29.17.816 ELEVATION DATA Ot.3 1 1%r .1 Q4.1% STATION 4BS S -Benchmark HI 10)-� FS EITOLEV. , � I��•� 100.3 Alt. BM Bldg. Sewer �• � An SUHt Inlet 'C J (��•� � SUHt Outlet Dt Inlet Dt Bottom Header/Man. � C 91.1 Dist. Pipe �• � 91.1 Bot. System n• � per. O Final Grade Cover WM An 6.4 115 •W BED/TRENCH DIMENSIONS Width ` Length ❑ No. Of llapehrgl 146ircVOAS PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Type Of System: 3 1 �� Model Number: DISTRIBUTION SYSTEMt2pv Header/Manifold Distri . ution Pipe(s) �� x Hole Size �� x Hole Spacing Vent to Air Intake 7 Len th Dia 9 Length Dia Spacing 9 p 9 l 1, SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only At a&AA ft-s . Depth Ov Depth Over xx Depth of �7 xx Seeded/Sodded xx Mulched Bed/Tr ch Center Bed/Trench Edges Topsoil ... V *Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ow 9 1;A to %T.nspection #2: Location: 1534 73RD AVE LW 6 A* CAt�f �WcjftlftAs 0- 1.) Alt BM Description = os�c �`lme(-600 — ('A�.,\p,,`.r • boa 2.) Bldg sewer length `qk\ b�►��b1 - amount of cover = A � �� Swq& = `tY — too VA Ok Plan revision Required? ❑ Yes 10 No Use other side for additional information. SBD-6710 (R.3/97) 3 edo., 4 15l 4q Date Insepctor's Signature Cert. No. Industry Services Division County US 4822 Madison Yards Way *11.N M 22 Z y 9 Madison, WI 53705 Sanitpry Pen -nit Number to be filled in by Co.) 0, count P.O. Box 7162 zo;3►�'010 X Madison, WI 53707-7162 St. C e� 0 -lent �0 n - D�nent Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governine is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are sub?ittejd to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for seconda purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. ry I. Application Information — Please Print All Information `7 Property Ownervs Name ( V4-L�_ Parcel # 0 i Open ty Owner s Mail 111g Aaaress rt OWN City, State Zip Code Phone Number QUA T-3 0 �0 11. Type of Building (check all that apply) 10�7 _11/ Lot # r 2 Family Dwelling- Number oorns _t) 94C 7 [:]flub] ic/Commerci al - Describe Use 0 U'.ese Block # 7N6 I vpo� oState Owned - Describe Use :1 CSM Number Property Location Govt. Lot Y4, Sectiono 12-> T 4:7�� N R Subdivision Name OCity of ElVillageof �NG 'Z Opp=% Town of/74mw&- I III. Type of POWTS Permit: (Check either "NeNv" 07"Replacenient" and other applicable on line A. Check one box oil line B. Complete line C il applicable.) 7� A. J ew New Systern Replacement Systen, di M Cher Modification to Existing System (explain) 11 00 11DAdditional Pretreatment Unit (explain) [:]Holding Tank In -Ground Elt-Grade (conventional) C. ❑ Renewal Before EJRevision ahange of Plumber Expiration IV. Dispersal/Treatment Area and Tank Information.- X 6? yvl Design Flow (gpd) Design Soil Application Rate(gpd/sO Dispersal Area Ri LiJ'0 J)J Total Capacity in "I �F T Tank Information k Gallons Gallons INew Tanks Existing Tanks E o Septic or Holding Tank Dosing Chamber V. Responsibility Statement- 1, the undersigned, a Plumber's Name (Print) PI _- 70�A Plumb, is Address (Street, Cltyl, Stat Zip Code) L _V1. County/Dopartment Use Unly Approved en Reason o enial Conditions o _*ova SYSTEM OWNER: I. Septic tank, effluent filter and dispersal cell must be serviced / maintailned-as per management plan provided by plumber. 2. All setback requirements must be rnaintained as per appliGable code / oidinances - Mound ❑ Individual Site Design Other Type (explain) Transfer to New Owner l List Previous Permit Number and Date Issued sxVtdIel li+f — /10 - aired (so Dispersal Area Proposed (so �5D 2 4 of Manufacturer Units L���-� System Elevation 4U i f a) 0 © sponsilbility for- installation of the POWTS shown on the attached plans. ignature MP/MPRS Number Business Phone Nu iber r 71 A Permit Fee Date Issued Issuing Agent Signature Z2 mcou_�k AqPA� CLAP_ A.Aol� e � 1 lo" SEPTv SBD-6398 (R. 03/21) Attach to complete 1)1.11ls fol, the systell, 1,1(1 s"b"lit to the County Only on paper not less than 8 1/2 x 11 inches in size Doreen Loescher NE 1/4 SW 1/4s 30 System PLOT PLAN ADI)REss 2596 19th Ave. St. Paul IVIN 55109 2 9 N/R 17 w rOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 99.0 ATE 5/4/23 BEDROOM 3 D- CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK 1000 Gallons 1, 1 FT TANK S I Z 14"1 Dosiq. TANK SIZE 646 MOUND xxx SEPTIC TANK SIZE 'A 450 # of Chainbersnone HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTIOIN4 ARL Pipe 1, q, Ck !,NCIIMAIZK V.R.P. Top of 1 ASSUME ELEVATION i0o, Filter Lifetime BORE"110LE, 0 WELL *11.R.P. same as benchmark r A .-I " 4;9 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 May 19, 2023 CUST ID NO.: 226900 SHAUN R BIRD 1432 120TH ST NEW RICHMOND, WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/ 19/2025 MUNICIPALITY: TOWN OF HAMMOND ST. CROIX COUNTY SITE: LOESCHER 1534 73RD AVE ROBERTS, WI 54023 NE1/4 SWI/4 S30 T29 N,R 17W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 25" Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: http://dsps.wi.gov Email: dspsoa wisconsin.g_o_v Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-052300828-C Application No.: DIS-052320956 Site ID No.: SIT-115626 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES C 7106Z014f &/-OV&" SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022-2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • It is recommended to fence off dispersal_ area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left -over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. . • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewers beyond 30 feet per SPS 382.30 (11)(c) • Well shall be located 50 feet from drainfield and 25 feet from treatment or pump tanks. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1)0 • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state, or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval, the Division of Industry Services 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. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Travis Wagner Division of Industry Services Phone: 608-598-0715 Email: travis.wagner@wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 05/04/2023 Owner: Doreen Loescher Cover Page Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES CT"ce:t Rl-ovaa SEE CORRESPONDENCE Location: N E 114 Sw 114 Sao T 29 N I R 17w 73rd Ave, Hammond Manuals Used: Mound Component Manual Version 2.1 (May 2022-27) Pressure Distribution Manual Version 2.1 (May 2022-27) Page# 1. Cover Page 2, Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7. Filter Specifications and cross section 8-9, Maintance and contingency plan Attachments: soil test Shaun Bird Signature License number`226900 Page 1 of 9 Doreen Loescher NE 1/4 SW 1/4s 30 System PLOT PLAN ADI)REss 2596 19th Ave. St. Paul IVIN 55109 2 9 N/R 17 w rOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 99.0 ATE 5/4/23 BEDROOM 3 D- CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK 1000 Gallons 1, 1 FT TANK S I Z 14"1 Dosiq. TANK SIZE 646 MOUND xxx SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AIZEiA 450 # of Chainbersnone W!"INCHMARK V.R.P. Top of 1 11 Pipe ELEVATION ASSUME ELEVATION ioo, Filter Lifetime BORE"110LE, 0 WELL *11.R.P. same as benchmark .-I " 4;9 r A i w t t i t� Mound System Cross Section and Plan View t .t t ! .I i J 1rf 1 1 A r w. •.r rn� �. rw.1 ww .+ w.. �s r wr �r1 uw r one oft �. ..r ar IIr ire �.. Mns .�w arr K B L is = To soil t t ..::::::: ••���=•:: ``` ' = ASTM C-33 = Clean aggregate � %ta 2'/� in. dia -= 4 in. sch. 40 pvc 0 observation pipe Cap l�Iateriai :�••• ,.;.;.;.. sand fill L....A Geotextile G H Fabric IL q*,C) et t t r rtitilrA►ti1r11� �... _ . ��1r`��ti�ti�11�ti11111�►���� 111111�►v�... . ►�ti:►�`ttitit�>;�titi�titititii �1�1111�ti�1111ti�1�ti41'�1��11wi�►.��i������__ - _ -- ,• �.� �r�-•:�:r:1ti►'1�1�i1►�ti1r11r1ti111��11Plowed ��tia.11r`1111�ti1 SurFt Contour face � SlopeDirection GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing . vegetation • is mowed and raked off the site. The mound basal. area (L x w) is plowed with a moldboard or • ` the soil is wet enough at the plow depth to form a 'f4 inch soil wire chisel plow. Plowing may not proceed if g • . is e aims of the hands. ASTM C-33 quality sand is placed immediately when. a sample rolled between the p • • machine keeping 12 or more inches of sand under the tracks or after Plowing. Sand is placed with a tracked p g . p g e used when placing sand of less than one foot is laced overhead b a backhoe. Special care must b p g After the topsoil cap xaced; the -enure mound thickness to minimize compaction of the plowed surface. A p p p 've owth limit erosion and protect from freezing. The is seeded and mulched to promote vegetate growth, observation pipes are slot ted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07 lgj Page -----. Man Force Main T Pressure Lateral Layout Two Laterals — End Manifold ded Lout 9 ag Sweep 90 Bend Pressure System Construction Laterals are constructed of Schedule 40- PVC' pipe. Orifices are pp drilled perpendicular to pipe Y e with a sharp drill bit and face down. Lateral turn -ups terminate with a threaded cleanoutg plug and are enclosed in a 6-8 inch diameter lawn sprinkler valve box accessible from finished grade. M • 1 • • . f • • • • • • • • • • • f • • ade •R,;•..,.,,,. •• U) kA 6•-8 Inch Lawn Sprinkler 'halve Box f. Page 03/05 lg3 eotic-l)ose'l an I k. Cross Section And Pump Perforinance SpII- . "fication, !t: Frank -Manducturer � � -1 `I"tmk. Model Number Total Tank Capacity Mwt, Bury Dopth ? �_. fif I Ftlter Manufficturer or Filter Model Number � `� Minim = Pump rorform nce Required in clwNem at- 15,-6 -, R TDH Outlet IN4anhole Min. 4" ,shove Grade With Locking Device. Inlet Manhole < 6" Below GrOde Sealed Watertight 4%1 "Now "" mom It mum Finished Grade plImp Majiufacturer Pump Model NLunher ManUfekcturor ve, Alarin Model Number Alarm Switch Type Total Dynamic Head (TDH) - Feet Eieyation Hoad Distal Pressure I-- , Network 1,oss � q Force Main Emss Totw "I * I 111M Manliole.Min. 4" Above Grade With Locking Device Secul-ely Mounted Weather-proof Junction Box awd V%ft ho" ft2w lowma Vent Min. 12" Disconnect Above Grade r frjIvieans With Vent Cap H F1 I ICI I�� ICI ■ V Minim Outlet Filter lot t Inlet sI 6 Inlet Baffle llX► I 4it 111.: 1: a t :bl 1 4lrlRl 63witch.Seth ings and Reserve Capacity Tank volume GPI Dimension,, Inches Volume Gal. (reserve) At, (alarm) B 2 7-1 (dose) C,5 _7 (dead) D_' Total j lrlr 0 Elevation C rrrr ►4 4", r4 t " ''T TVralmarl.rlt70'f O! 4oI 4 t I a s1b. � ... 6 1 L I I I•I a .4.'Iko. 7 74 Weep note Bottom PlIevation GENERAL INSTALLATION: 1.110 septic ldose tank is bedded and back filled in accordmice with the nianufauttirer's product approval spocifications. Maximuin depth of bury as speoffied by the manufacitirer inay not be exceeded without prior approval. Manhole covers exposed to grade have an effective looking device (padlock.) installed. Piping at the inlet and'outlet is of approved material, corineeted to the tank with watertight fittings, and laid on stabi I soil to prevent settling or sagging. The forou main is slooved with 4" SA. 40 PVC to bridge flee tank oxcavaticin lid the sleovel's sealed watertight, Electrical s.ervic 7 omplies with NBC, 300 and Comm 16-28, 02/0 5 U' Page 5 of 280-SERIES i/2 hp Submersible Etf/uent/Sump Pumps The Liberty 280-Series provides a cost effective "mid- range" pump for on -site waste water systems, liquid waste transfer and commercial heavy-duty sump pump applications that require higher head or more flow. Designed around Liberty's unique "Uni-Body" casting, the 280-Series will provide years of reliable performance,, All Models Feature; * Vortex style impeller permitting passage of solids Up to Y4" * 416 stainless steel rotor shaft 9 Permanently lubricated upper and lower ball bearing * Epoxy powder coat finish 9 All fasteners - corrosion -resistant stainless steel * 1 Y2" Discharge 9 Stainless steel bottom screen - easily removable e Maximum fluid temperature: 140* F. 280-Series Cord Lengths ni Model 10' 25'(:j351(-3) 50 280 Standard Optional Optional Optional 281 Standard Optional -Optional al 283 Standard Optional Optional N/A 287 Standard Optional N/A N/A 10' cord length standard on all models. For optional lengths, add '1-2, -3 or -5" suffix to model number. Example: for model 280 with 35' cord, order 280-3 Motor Specifications Y2hp 60 Hz 3450 RPM Oil filled, thermally protected (PSC) Permanent Split Capacitor 8.0 amps (1 15V) 4.0 amps (208/230V) Performance Curve: 280-Series 40 o-i-T-T-r-1--Fi I I I I - TTrrr 12 35 30 4) 25 --, U. %-20 15 10 5 X 11 9 5 3 2 0 U.S. Gallons Per Minute 0 38 78 114 156 192 228 270 Liters Por Minute Dimensional Data: Weight: 29 lbs. Height: 13" Major Width: 10" (model 287) Minimum Sump Diameters: Model 281, 283.14" Model 287 VM F... 1011 W Factory switch Model 281,283 Model 287 settings VMF Turn on level 13 965 Turn off level 711 4.011 The Model 283 featuros a fully adjustable wide-angle float. Differential adjustments can be made easily by tethering the float to the dis- charge pipe or other mounting point. Vertical float model 287 is not adjustable. Model 280 Model 281 Model 283 Manual, M Wide angle Wide angle no switch float switch float switch with quick- with series disconnect (piggy -back) plug PMMk G) CERTIFIEDY 00-00 icp C us Certified Specifications arO 6ubiod to chango without notice. Model 287 VMF-Series Vertical mag- netic float for smaller pits -- will operate in a 10" diameter Sump Liberty Pumps * 7000 Apple Tree Avenue 9 Bergen, Now York 144 16 Phone 800-543-2550 Fax (585) 494-1839' www.fibertypuinps.com Copyright 0 Uborly Pumps, Inc. 2017 All rights reserved. LLIT 2000 R05/17 -0-s' CJ, e� v t. 0 { .01 Gap between Cme and S Tenfine A SECTION A -A Boa 91 SQ 6 71 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION 0 - Owner A 7 0 1 Permit # I)ESIGN PARAMETERS Number of Bedrooms Cl NA Number of Public Facility Units 0 NA Ij Estimated flow (average) I I Design flow (peak), (Estimated x 1.5) gal/da Soil Application Rate tv 6) nalldayift I Standard Influent/Effluent Quality Monthly average* Fats,' tail & Grease (FOG) �30 mg/L Biochemical Oxygen Demand (BC D,5) r220 mg/L 13 NA Total Suspended Solids (TSS) -el 50 mg/L !Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD6) ::530 mg/L Total Suspended Solids (T58) 1530 mg/L 9W NA Fecal Coliform (geometric mean) �j 04 GfU/1 00MI iMaximum Effluent Particle Size in dia, Cl NA 10ther: Ll 0 NA *Values typical for domestic wastewater and septic tank effluent. NI,IAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity al C3 NA Septic Tank Manufacturer C1 NA Effluent Filter Manufacturer L o NA Effluent Filter Model 0 NA ,Pump Tank Capacity gal 0 NA Pump Tank Manufacturer j, 0 NA Pump Manufacturer El NA Pump Model 0 NA Pretreatment Unit NA 0 Sand/Gravel Filter Cl Peat Filter C3 Mechanical Aeration El Wetland 13 Disinfection 13 Other: Dispersal Cell(s) 0 NA 0 In -Ground (gravity) 0 In -Ground {pressurized) 0 At -Grade )(Mound 0 Drip -Line 0 Other: Other: 0 NA Other: El NA Other, 0 NA Service Event Service Frequency linspect condition of tank(s) At least once every: :3 month(s) Ro'year(s) (Maximum 3 years) 0 NA 1Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank v6lurne [I NA linspect dispersal cell(s) At least once every: ?month{s) :Lyear(s) (Maximum 3 years) C NA 1',".4*lean effluent filter -1 At least once every: 0 month(s) PSyear(s) 0 NA Inspect pump, pump controls & alarin At least once every: month(s) year(s) 0 NA I -lush laterals and pressure test At least once every: Pglyear(s) 0 month(s) 0 NA lDther: At least once every: Cl' month(s) 0 Lear(s) Cl NA _Nher: I C3 NA MAINTENANCE INSTRUCTIONS Onspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master 1PIumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator, Tank Inspections must linclude a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of i-.ombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) 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 (6) or more of the tank volume, the entire contents of I:he 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, lind 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. START UP AND O P ERATiON presence of ,ainiln�, products or other chemicals that ' v use of the P check treatment tanks for the pies are detected have the contents of thjr For new construction, prior t damage the dispersal cell(s). if high concentrations may Impede the treatment process and Jor e Y removed b a septage servicing operator prior to use. tank(s) Y • an so{{ �;ondltionR are frown at the infiltrative surface. will k)� System start up sr�a{{ not occur when ev+eis. when power i s restored the excess wastewater r� eS um tanks -nay fill above normal �hlghwater i result in the backup or surface discharge of eff4uer It During power outages pump ewer to tl�;e sal Cells In one large dose, overloading the cell(s) and may re cin orator prior to restoring p discharged to the disper of the ump tank removed by a Septage Servicing Oporator to restore normal levels T o avoid this situiatlon have the contents p alntainer to assist In manually operating the primp controls effluent pump or contact a �'{urn4�er or P�3wTS M within the pump tank, over, or otherwise disturb or compact, the area within s over tanks calls. lea not drive or park Do not drive or park vehicles ks and dispersa 15 feet down slope of any mound or at - grade Bali absorption area. erforrnanc:e and prolong the life of the P4v TP: following from the wastewater stream may improve the pdisinfectants, fat; foundation dra�ln Reduction or elimination of the foil � � cotton swabs; degreasers dental floss, diapers; di antibiotics; bah wlpea; cigarette butts, condoms, herbicides; meat scraps; medications; oil; painting producils; ant y {sump pump water' fruit and vegetable peelings; gasoline; grease; pesticides, sanitary napkins; tampons; and water softener brine, A5A tVt]C�NN1El��" steps shall be take;1 to insure that the system i� prap�:i�ly is and/or Is permanently taken out of service the following s� p , When the ��TS fat p ce with chapter Comm 83.33, Wisconsin Administrative Code' and safely abandoned in compliance p ,AII p1pir3g to tanks and pits shal l be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be r removed and properly disposed of by a Septage Servicing Operator. In all tanks and pits shall be excavated and removed or their severs removed and the void space fitted with s�i�Il, � After pumping, a solid material.gravel or another inert CONTINGENCY PLAN have been, or must bo taken, to provide a code compli'lint If the POWTS falls and cannot be repaired ttre following Measures es replacement system: ' ized for the location of a replacement soil absorption systOM. suitable replacement area has been evaluated and may be utilized Mould not be Infringed upon by requitled � A p area should be protected frorn disturbance and compaction ands area will result In the ncled The replacement ar structure, tot lines and wails. Fe�ilure to protect the replacement comply with the rui��fl in setbacks from existing and proposed ilsh a suitable replacement area. Replacement systems must c p y for a new sail and site evaluation to establish effect at that time, and/ soil limitations. Barring advances in pOWT'S technologIt a 0 A suitable replacement area is not available due to setback. d tank be Installed as a last resort to replace the failed POVVT lion holding ing may replacement area. Upon t'��iiure cf the P+r��i'vT� a sail and site evalua � The site has not been evaluated .to Identify a suitable replac p ble a holding tank may be Installed) as must be erformed to locate a suitable replacement area. If no replacement area is avail p a last resort to replace the failed pQ1ItiTS. a�rat at the inftitra-li�re systems nrta be rted in piece following removal of the bi Mound and at -grade sail absorption Y Y econstruc. surface, Reconstructlons of such systems must comply with the rules In effect at that ttni� t<WARNING>> IN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DU NICT SEPTIC, PUI1�P AND OTHER "f TREATMENT TANKSMAY CONTAIN CIRCUMSTANCES. DEATH MAY RESULT. RESCUE (�i= A ENTER A SEPTIC, PIMP OR OTHER TREATMENT TANK UNDER ANY PERSO N FROM THE INTERIOR OF A TANK MAY RE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMEN T rerrrs�+'""'r p�3wTS MAINTAINER �, �---- POwTs INSTALLER ..,..�..�. . Name Mr7e ..... Phone Phone SEPTAGE SERVICING OPERATO PDtIJl1=' LOCAL REGULATORY AUTHORITY �.,...,, i— . Phone Phone fence with h�pter �3PS 383.22(2)(b)(1)(d)&(f and 383.54(1), (2) & (3), Wisconsin Administrative Code, l his docurnent was drafted in com p ST. CROrv. SANITARY SYSTEM '!�/ OWNERSHIP/ADDRESS FORM File #• Office Use Only Created 212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This Information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Prwertv Files Scanned weblink. NER/BluYE Owner/Buyer Mailing Address City/State/Zip94 V. Phone Number (requires Email Address (required) Parcel Identification Number 016 2) Y'~ (found on the property tax bill) 4 NE1ljv SYSTEM: 'LlE ESCRI P-ION!. ' - Property Location _V�g 1/4 /4 , S T Z N R_/ �N, Town of Subdivision Plat: Lot #? Certified Survey Map # Volume Page # Warranty Deed # (before 2006)Volume �``" , Page # ~' Number of bedrooms Spec house C] yes no Lot lines identifiabA yes ❑ no New Property Address 4(aff nitials) 0..FF,IGEUStE, O'NL G� (Verifi/t, of ew address required from Community Development Department D� {D te} for new construction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System; Include with this form 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. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cd@sccwi,gov 1101 Carmichael Road, Hudson, WI 54016 WWMICCw' v b !E tY►. FOUNDAMN M/ylS b r X ra TALL POLJIIED COW- MAT►t FRAMEc On MJALL ALONE POOT1010111iTEPAEOAS Ma TO Mori E 6r PRD:T PROTECr*M b L; a 1 � 1 LOWER LEVEL UI` ■ 1'-0' X-C Tr-TU7 7•4Wr s.r tr.1r r.P a -a 1 1 1 V-P t I 1 xa�r I L I b Iiiiiii+ I I � � 1 � �wilialEilEw { s.P tr-sur 7-r } s-t C-r r I I Its 3 y°, ItZ•a 1 I I I 2'•PI 1 b I IIPA=vw« LINE LL-1 r --- ---- - - -- t203VPLmMr"PArEt3 jr ago- It 11 fill,, 2s ti I .�, ►acT. a ! I I r I ! 11.O X 124 I I 2; ® i I i O 2 6 I! J-7il- SHMCLOWT 2a � Lf - � I --- uP --- I A=281 u FrAwENTRY i MOC:M"A L U NE L1.2 5 1 VTSW 0E I 12.0 MCMG MOLM D &APP=1N CDMMw11t0N sA PANELS • EXT. HEADER - - - - - ------" - � I A I �.• I I I- - - - - --- AA I I 1 I I 1 1 I I I I b I 1 I I I ! I I GAPAM FRUIT LwLLs ! ! I I As NOTW I I j I tsa D°PILMINaDOR FCR I j I , I � � • I ___----_-_� I w I J1. 7 7&--- ------_-----I---""------- I I BRACED WALL LINE I 1 PANEL DETAILS e.r r-� to -a te•P ** STRLJCnjPAL PANEL **ATM* t.7•P ff-D' EXTENDED NFi M (SIM Aq tr.a �•a 2e'-P ti n MOISMAg YOU Design YOUR Ho+tw (715)248-3010 www.S4*mWwW*A=n NOTICEI 9ULOER TO VERIFY ALL DIMENSIONS. SIZES. AND LOCATIONS AND REPORT ANY ERRORS PR)0R TO PROCEEDING. ALL CCNTROCFM WAM FAMRM M THDOMV95VO"ALL PEDE+LwSTATE. NO LOCOiL MUL084 000E V*KI-L M MK MATTER. AMGCT MATOW" an SO IPMENT VM ON THIS MUM. IF W SPIC94CALLY STATED ON PLANS ORNWVCWATCNKrEMW OPMATE CDOE 00IL 00MIN lily OL UM. AND OUAMTMESAND MU OF ALL troll +L. A "riAL RELEAK Felicity Homes stienbach Project FOUNDATION Ptw- s 2R-r orr 62.16 C I Or CtrrOrf b A2 x Helping YOU Oesl,;n YOUR Home (715)248-3010 www.3-0OeWonine.com Ca ISlti AArf�.�I Aa)I.w P'MM FA. �+MfY BRACED WALL LINE I 19% SPACING AEOIAAED w% SUPPLED Wl a p PANELS Atld..Y AM.wu PHq... FAn a - on BRACE) WALL LINE x Cdnr.,r.n i4r%SPACING REOLARED r _ — — — — --- — a5. AAy.eA 23- SVMUED STM.CTUML PANELS I ~ FAr I I I CawwM I Pq� n i F'T e I F, I I b 6 I a I I AI I NOTICE! Iicr I BUILDER TO VERIFY ALL DIMENSIONS, M1 r SLZES. AND LOCATIONS AND REPORT r ANY ERRORS PRx•?R TO PROCEEDING. �+ Sn, 7 a + On AL•:D WAL_ LINE ,n%eRACINc R£OU,AED I I I3�L '.,tA°I`.IED wta�PANF LS k r a ALL CONTRACTORS OUST FAIR uARtZE 1 Tl*wS€LYE$ WITH ALL FEDEAAL.STATE. AND I LOCAL tlUILDING, CODES w"CH- n. ANY MATTER, L AFFECT 1AATEPLALS OR EOLAPuENT USED ON TI.IS PPQ,{ECT IF NOT SPECIFICALLY STATED ON b I PLANS CA IN SPECWICAT1(yI(5 T4{£ APPROPRIATE anACEO wAll LINE . I cone. SHALL GOrERI. SIZE. CIUALf V- AND te\ BRACING nEOIARED I OUANTME :AND sill C4' ALL wOAal . SUPPtJ£D Wf EItT l�ADEP I I I Ma bn D.r b ROOF TnuSSES CANTILEVEAED i A INITIAL RELEASE S-13-13 OVER COVERED AOgd b S INITIAL IlEASE j-,a•+s ....,AWLOAOSCAMUEODY I R b P i_M HEADER ENC SY SUPPLIER I >D S o9 I - , V T I �mn WWED WALL LOVES b 1QL BPA(,°ING REOUIi*O — ti ,+as SUPAUED Wr E 17 HEADER OWx w i ALL EXTERIOR WALLS CCAITINUOUS SHEATH.{G C WIN PANELS $$-P FASTENED PER co*.w V rs o BRACED WALL LINE PANEL DETAILS STRLCTUIRAL PANEL SHEAT aNG Oevering Homes EXTENDED I.F EA ME A,1 13-26 1188 SO. FT. MAIN LEVEL MAIN LEVEL 17 A.Q p i *.+aW R-118&3R-22 DAw ! 1 o..... by BIM t MAIN LEVEL A3 tie' . t'-a- Scow 1 !a' . t'•C' �.p 2b'•fl 11',.• i•-a• 57•�ba' ]'-It Yr S'•0• tv -i,N• i'-SY.' S'•I1? i'�Y tr•r i'•7 I'-e1 SN' S' -i err I oW WSd A I I I E I I vS150a4 ..v I I I YSL]UJO �r-------- YSLa2.0 Zrwe�...rw,K..xr. +— vPtxae,a L l +\ k9TCF+EIv r M. BEDROOM 11$Xt5-e s I r , e.7yr �_ � a t 1� X 9-!S DINING 9.6 x 9-s � tQ-2 x 5-8 I O IO � b b ,•.,..., s• ro I!2" r• i 1? is r I I e I as ra > I ---....__J I I I ?24 xa I ae i i I as k ...... Wisconsin Department of Commerce O U I L t:V/-\LU/-k I IUIN ME:r-Ur\ I Page of Division of !Safety and BuIldIngs 4 In accordance with Comm 85, Wis. Adrn, Code County rn Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must S4. C*/ Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D./0 //^ 9 percent slope, scale or dimensions, north arrow, and locaUon and distance to nearest road. ) 74 Revlewedlp 410. V Data I Please print all Information. 1/1'� X Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) MY "V ����� -2 Property Owner Property Location Govt. Lot 1/4SW 114 S S T N R E (or) Property Owner's Mailing Address Lot # Block # Subd, Name or CSM 7CY City State Zip Code Phone Number []City Village Town Nearest Road r-q IN -73 4 - (� I ��9-6 New Construction Use: Residential Number of bedrooms. fZ' Code derived design flow rate 01) GPD Replacement Public or commercial - Descn'be: ft. Parent material Flood Plain elevation If applicable General comments V, ,5-0 and recommendations: elcv. 1:fiA 7 CFO 0 Boring # Boring CDC try `. J,\ Depth to limiting factor -3Z in e , pit Ground surface elev,• ZQ oil Application ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaRoots GPDIK� *E Eff#2 In. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. ------Sri Vf 9 2 Ll CJ LM 32 -q6 6 vr-�-�hp C-5 P -7 2 rn�Sb -.n-rrjr Boring # E] Boring acl pit Ground surface elev. ft. 1 30 Depth to limiting factor 30 In. Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L CST Name (Please 1nature CST Number ma Print ZS3-369 ker�, EibLk .01 Address Date Evaluation Conducted Telephone Number 2-115 :54 �ji�. �.� � �-� � ���s� �. �'�' � boo L. - 2 SBD-8330 (R07100) Property Owner 5401)4 Boring Boring # Pit Page 2—of 3 Parcel lD # Ground surface elev. 2k• d� ft. Depth to limiting factor I In. Bonn # Boring 0 Pit Ground surface elev. ft. Depth to limiting factor In. © Boil Application Rate scri ion Texture Structure Consistence Boundary Roots GPDIft� iHorizon Depth Dominant Color Redox p i In. Mun sell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef##1 `Eff#2 Boring # BoringGround surface ei©v. ft. Depth to limiting factor in. Pit N*F plication Rate n Color Redox Description Texture Structure Consistence Boundary RootsGPDltt2 Horizon Depth Dominant In. unsell Qu. Sz. Cont. Color Cr. Sz. Sh. 1 •Eff#2 Effluent #1 = BQD > 30 < 220 mg/L and TSS >30 < 150 mg1L ' Effluent #2 = BODa < 30 mglL and TSS < 30 mg/L 5 fife Department of C q, omrnerce 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. SOD-9330 (R-07/00) P, PAGE—a.OF� • #W SCALE: 1 " BM I ELEVATION ,0 BM I DESCRInIONA4,vC BM 2 ELFVf A'rICON BM 2 DESC;RIFFION 4-ir / SYS'11M ELEVATION ° SYS`l-E4 M TYPE M..cfv in rq �e CONTOUR ELEVATION 4 0 0 0 DATE SIGNA TLJRE ,r 6° State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between Richard 0. Stout and Janet P. Stout, husband and wife, ("Grantor," whether one or more), and Doreena M. Loescher, wife survivorship marital 2roperty, ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 9, Plat of Emerald Acres, Town of Hammond, St. Croix County, Wisconsin. This deed is in full and final satisfaction of that land contract between parties, dated November 5, 2003, and recorded in the office of the St. Croix County Register of Deeds on November 17, 2003, in VoI.2458, page 080, as Doc. #746845; then extended by agreement of parties on May 9, 2011 and extended again by agreement of parties on July 18th, 2012. IDOCIE8, ul I9�I N��4II Tx:5154433 1165860 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI 04/ 18/ 2023 01:51 PM EXEMPT#: 17 REC FEE 30.00 PAGES: 1 Recording Area Name and Return Address Doreena Loescher ;5g6 fIR, Noi,rN st- Pain. , N AB 018-1098-09-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: none. easements, restrictions, rights -of -way and covenants of record. Dated 04/04/2023 �. � (SEAL) (SEAL) Richard 0. Stout * Jan P. Stout * (SEAL)„ AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Janet P. Stout 1353 Awatukee Trail Hudson DUI 54016 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) (SEAT:.) Personally came before nie on 111#1+1,ij1,� the above -named Richard 0, Stout and Janet P. S% ��W.4 0 rX 1 46i to me known to be the person(s) who execu£�theore of . instrument and acknowled ed the same. (P :0 ' ug�1 VP w1b,00i Notary Public, State of Wisconsin .4��ry o My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. I-2003 * Type name below signatures. St. Croix County 1165860 Page 1 of 1 ) ACRES 100 SO Fr I o Ul S89044'16' W 7s' I M:.9FE 1028.00 ll 9 2.�'5 i yo .499.5 0CRIES 0 SO FTu1 / C8 ? ,g --------- —... N------_--.__—.------ r r 19.60' 251.96' 56"E 891.18' S3 1 °O 1'3 - _ - TOWN c, ,-- 56' W 891.18' w- CO) 224.14' 4 196.03' 63.13' C9 p 2,08bCo wisumsir Partmont of Commerce SOIL EVALUATION REPORT Page of Division of afety and Buildings • in accordance with Comm 85, Wis. Adm. Code County 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 (BM), direction and Parcel I.D. r e-7 - - O(J percent slope, scale or dimensions, north arrow, and location and distance to nearest road. /6) Please print all information. Reviewed,p�y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 6^0 Govt. Lot 1/4 1/4 S.,�o T N R E (or) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1,353 Ato-aAkA-f C -V(--- 13 Acre.-S City State Zip Code Phone Number City Village Town Nearest Road YIW New Construction Use: Residential Number of bedrooms Code derived design flow rate 11-Y S--a Z 0 0 GPD 0 Replacement ❑ Public or commercial - Describe: Parent material 7-11 Flood Plain elevation if applicable ft. General comments sy.S-7LCen el-ev- and recommendations: 6 J�i Ad Bonin Boring # g pit Ground surface elev. �Mo 3� ft. Depth to limiting factor in. -0 X "I roll ADDlication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bounda Roots GPD/ft" *Eff#j, *Eff#2 0-9 j r3L --------- 2 rr C.'s -1 VT .5 .9 9-.32 32 -q6 L 2 k fs 2Boring # Boring e7c., , pit Ground surface elev. -L-4Q-1ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture I Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ftl *Eff#1 *Eff#2 (b V r- �)l ?,-, - -- 1byr3)(o * Effluent #1 = BOD 5 > 30 < 220 mg1L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print i nature CST Number A(21QM-- LAWaker- r A5336? Address Date Evaluation Conducted Telephone Number S13D-8330 (R07/00) r Ar + { Property Owner 5401)4Parcel ID # P Boring # ❑ Boring ❑j , pit Ground surface elev. n. 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. *Ef #-1 *Eff#2 -� c o-1Z ZwnhL ML 6 5 L 5 �-- 7 l� s � Sic Z 3� 1 ,3IIF Depth to limiting factor S in. Page Z of J ❑ Boring Boring # Depth to limiting factor in. [:] pit Ground surface elev. ft. P g 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 # Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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. SUD-9330 (R.07/00) PAGE OF NAME 0 LOT# LEGAL DESCRIPIION-A/ ES X IS -So T OT sNoRo E(or)-O SCALE: I"=. BM I ELEVATION BM I DESCRIPTION BM 2 ELEVATION BM 2 DESCRIPTION SYSTEM ELEVATION SYSTEM TYPE Cr u n 54ek"yl CONTOUR ELEVA"fION 00 5-- // C:7 E - > gel I CRC 7o �k COUNT N08.h STATE SA)ITARY PERMIT f.7 D►�/ [�lil: ► � OWNER 1)6eCv-i &f L OW00 lit . . .... . ................ ......... . ......... ......... AUTnuR1z'---,r--,ij ISSUING UVFICEI%, P1601( CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, lease contact the coup authori P ty tY. - " , 1 S S R E N 1", W E B"VE d R E T lux Al YD " A T'", NL Ir .. .. ... .. . . .... . . . . . . . ........ SBD-06499 (RI 1/20)