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HomeMy WebLinkAbout014-1007-60-000 . Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: $t Safety and Building Divisiofi INSPECTION REPORT sanitary Permit No 538838 0 J 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: Village X Township Parcel Tax No: Ci b 014-1007-60-000 Ro ers, Phillip Forest, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: lob , J06, U ~ 04.31.15.53B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER . CAPACITY STATION B HI FS ELEV. oI 11 /496 Septic a , Benchmark qD /Q/ /D D. U Dosing Au 5 Alt. BM- A Al. a Y 'c0 LIA"n Aeration Bldg. Sewer Q 9Z Holding St/Ht Inlet V r St/Ht Outlet TANK SETBACK INFORMATION 1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom / $7 $7 1(o • 2 y, 7 -s Dosing 871 > Header/Man. 1 55 e 1 17-- Aeration Dist. Pipe Holding Bot. System y~ `Q Z. 3 qw C( QK PUMP/SIPHON INFORMATION Final Grade J Manufacturer LA 11% Demand St Cover s-+ r/ / G~eJI~ GPM (o Model Number A 1 Z_ 4 - ' C1 4e TDH LiftY Friction Loss Z( ~e~5 TD Ft Forcemain Length Dia.zor Dist. to well SOIL ABSORPTION SYSTEM Z X (Db BED/TRENCH Width Length No. oPIT D E11VI NSIONS No. Of Pi/s Inside Dia.Liquid Dh DIMENSIONS 7 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHAMBER OR Manufacturer: INFORMATION Tye f System: / UNIT Model Number: V ~~f DISTRIBUTION SYSTEM Header/Manif Jd N Distributiioon( x Hole Size 'n t( x Hole Spacing r 72~o Air I ke Pipe(s) - Length 3 Dia L Length Dia 5 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only pth of xx Seeded/Sodded xx Mulched De Depth Over Depth Over TT BedlTrench Center Bed/Trench Edges psoil' No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection nspection #2: Location: 2827 Polk-St. Croix Road Clear Lake, WI 54005 (NE 1/4 NW 1/4 4 T31 N R15 mete & boun of arce No: 31.15.536 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = / t G ` n Plan revision Required? Yes No Use other side for additional informati n. _ Cert. No. Date Insepctor's ignature SBD-6710 (R.3/97) ' oarrn~+ce- Soft mdBm'kbp D COOKY JSAW 201 W. w Ate, P-a Bm 7162 ' Ma&saq WI 53707-7162 Sa,niwy PamitNambar (to be Mad in by co.) sca $$3$ Stale Tiam~actior Nuaeber Sanity Permit Application 7Tr 31 this EOM to the SIPPFOPtiatC V-Xg-MW u with s Ceimm 83 ~ w~. Code, wbm A_ of iim foaos for ownef' P~ Aoid* Addnas (if c throe mmisg address) to Nair unit is prior s to the of yo. rravide mar be usee Suds. .04(i )(m LA Property tioa riot Ali Ia>sraioa hh a proputy owwr•s i Ads Peopatr ILAC06008 ~ 5 3 b~ ala11 IK - S~• CAMLLot city, state s Zip Code Phone Namber _ U 5, Aar V, S-u- QhtJOC c~ lG T L_N; R Exam IL Type ofBtaRdtng (Cbeek>e dud apply) Lot# isiouNum t or2 Fa®1y Dwcfl*-Naedberof Block p ❑ city of [J p-Di7se _ (SM Neattba ❑ ViAage of ❑ Stale Owned - Desesibe Use -~r~ Town of r0 I L- lv.~S-CA U L Type of ifenn it: (Cieck miyme be: ea live A. Caupkle Fite B if appliat6k) A ❑ Nt w System Vr Rgdacemtwt Sys ❑ T~ Tank R*wm-ct OdY ❑ O1hrr tiro to Eat System ( ) ~b L List L-p.-~ and Dube lsssred B. ❑ pemdtRawwat ❑ Pe~Revision D OWNWefMaoba ❑P~itTiamiartoNew -MI Before Sxpi"Ition Owtar f = 1V. Type of POWTS dDewim OWN& am that <24 ia. ofsuitobk sol H ❑ Non-P fa-Grand ❑ P d DAt-ande ❑ Mo=w?24in.ofswb"esoil ❑ Hddmg Tank M0&w Dzpw-d ComQooeot (e )~Z I'/OnJ /t?©u~ ❑ P tom) V. Aim= C Desiign Flow (ad) Sod Application R s NWM&Cbxw VI. Tack Rafe CW-AY C in Tow of ClAknu Units v 1 a NewwTaaia r a U m m r: 5 14/ ril" Scow or HdWwETa* % Dos-cbmota y 5d o l 04 e VII.Rtspon iibftySiatewwat I,tie w oftieI()VY'T5 PhoneNumb" Plumber's Nam (Print) s e ors ~k 0?5347 2P Plumber's Address ckY, sane, tip Code) IE~ 81IT Co 47S Vl1L C Pamit Foe Dale S Appel Q erved R S ~ 7-5. pit' 9 S ~l I L Ce dit for Dsappreval 3) 4 +4 1 "Septic tank, i luent filter and dw<J- 4-fin.:' ~C^"'' . dispersal cell must all be services / maintained 66 MbLAJ lb~- as per management plan provided by pWlt>ber.Af AA 2. ~Il sefback requirements must, be maintained Attach to eompk4e pines for the syska a~ tie Cewat7 tx PMa DO lest d" 8 in z 11 hrcies Sift GO~ , 3BD-6398 (R. 02M) Valid ftu 02JI i i 1~" 13i~'1 Nell 100, ® L7ACY►1~0~ C f Roc - YAA rvs~ ~ S ~ ~ I 83 S,4- bm 1 w y"Af , 6~S Ll ` and Buildings 10541fNtRANCH ROAD HAYWARD WI 54843 Contact Through Relay p www.commerce.wi.gov/sb/ S w/ www.wisconsin.gov ~~FPSSfON g Scott Walker, Governor Dave Ross, Secretary August 25, 2011 CUST ID No. 253976 4TTN: POWTS Inspector LEWIS C BJORK ZONING OFFICE LEWIS BJORK LLC ST CROIX COUNTY SPIA E7818 CTY RD E 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/25/2013 Identification Numbers Transaction ED No. 1983106 SITE: Site ID No. 770637 Phil Rogers Please refer to both identification numbers, 2827 Polk - St Croix Rd above, in all correspondence with the agency. Town of Forest St Croix County NW 1/4, NE 1/4, S4, T3 I N, RI 5W FOR: I a Description: Mound, 3 bedroom residence C(I I Object Type: POWTS Component Manual Regulated Object ID No.: 1329982 Maintenance required; Replacement system; 450 GPD Flow rate; 12 in Soil minimum depth to limiting factor f11 F, original grade; System(s): Ezflow Mound Component Manual, (R. 8/07), Pressure Distribution Component Manua ~EpN of SA`rE Version 2.0, SBD-10706-P (N.01101), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative hod EE COF~ and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be con cted 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. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • The float switch shall be a type that does not contain mercury. 2009 Wisconsin Act 44 prohibits the installation of float switches or relays that contain mercury. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. 1 ~ l Y EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Phillip Rogers Replacement Mound Owner's Name: Philip Rogers Owner's Address: 2827 Polk St. Croix Road Glennwood City WI 54716 Legal Description: NW NE 4 31 15 w Township: Forest County: St. Croix Subdivision Name: na Lot Number: na Block Number: na . yJ~,y Parcel I.D. Number: 03 Plan Transaction No.:F~ p1N~S Y AND Page 1 Index and title Page 2 Data entry ~PpNpE E Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Septic and Dose tanks Page 10 Plot Plan Page 11 Soil Report Page 12 Effluent Filter Designer: Le k License Number: 253976 Date: 0 102/11 a Number: 715-231-7375 Signature: Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) EZflow Mound Version 2.0 (R. 4/4/11) Pagel of 12 ICC Flow Tech@ Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 2.00 Site Slope 94.90 Installation Contour Line Elevation (ft) 110.00 Contour Length Available (ft) 12.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/fe) Distribution Cell Information 6.00 Cell Width (ft) 3, 4, 5, 6, 7, 8, 9 or 10 Only 75.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 a/orifice 2.00 Forcemain Diameter (in) 20.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.90 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 3.25 System Head (ft) x 1.3 3.26 Forcemain Drainback (gal) 6.83 Vertical Lift (ft) 67.53 5x Void Volume (gal) 0.42 Friction Loss (ft) 70.79 Minimum Dose Volume (gal) 10.51 Total Dynamic Head (ft) 31.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice .75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity (gal) Bear Filter Manufacturer 9.84 Dose Tank Volume (gal/in) MI-3-916 Filter Model Number Weiser Manufacturer Project: Phillip Rogers Replacement Mound Page 2 of 12 IGG HOW Tecim r r Mound Plan View t 1/10 B J _ _ .Observation Pipe K f.. •.r: .s:. :f: :i: f::ti: ti.• r A B I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • L Mound Component Dimensions A 6.00 ft E ff!Mft in H 1.00 ft K 12.18 ft B 75.00 ft F in z 11.55 ft L 99.36 ft D 24.00 in G J 9.91 ft W 27.46 ft 450.00 (fe) Dispersal Cell Area 1316.49 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 98.90 (ft) ♦ H 2 G 1 I F J Dispersal ceii 97.40 (ft) Lateral 96.90 (ft)--10- Invert Elevation Dispersal Cell 3. Elevation D l , { 94.90 (ft) Contour Elevation 2.0 % Site Slope Typical Dispersal Cell Shading Key m See Page 5 Topsoil Cap a 22L 2"""' Subsoil Cap g 2 o 2.0 ft Approved Geotextile Fabric Cover ASTM C33 Sand m 4 Tilled Layer ~ 01; ::ti''~ ~.ti j,. t 5 EZflow Media F • ~S•4•• . 4__ 0 0.5 It 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: Phillip Rogers Replacement Mound Page 3 of 12 ICC Flow Tech® Center Connection Lateral Layout Diagram Face main carneetion wa as or cross to mw* M at arty point. Laterals are klemic al Orifices point up, except every 5th one P points down for drainage. S .]L • Turn-up w1bsll vslw or x IFsd2 rl laterals fk force rosin of PdC Sch 40 olwnoutplu8 pen COPMVITaW 84.30.5 Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.20 ft Lateral Length (P) 36.80 ft Orifices per Lateral 12 Lateral End (Z) NA ft Orifice Density 9.38 fe/orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 7.86 gpm Manifold Diameter 1.50 in System Flow Rate 31.46 gpm Forcemain Velocity 3.21 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and i Comm 16.300 WAC 4 in. min. Disconnect -i Tank component is properly vented F- Alternate outlet location Forcernain diameter Weiser Manufacturer _r 2 in. Capacity 500.00 Gallons Volume 9.84 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 33.62 330.81 B 2.00 19.68 C Pu mp off elevation (ft) -t d C 7.19 70.79 90.57 D 8.00 78.72 D Total 500.001 1 J -J Dose tank elevation (ft) Bedding And Backfill As Per Manufacturer 89.90 Alarm Manufacturer 5E - Rombus Alarm Model Number 520-002A Pump Manufacturer Zoehler _ Pump Model Number 151 Pump Must Deliver 31.46 gpm at 10.51 ft TDH Note: Switches containing mercury may not be used in this system. Project: Phillip Rogers Replacement Mound Page 4 of 12 Uflowe Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) C3 Distribution Cell Cross-section Arrangements (0(00060 Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or GKM SR3-12H in 5 ft or 10 ft lengths o 4" Perforated Distribution Pipe With Pressure Lateral Inside 0 Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 75.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main 6ftWide Center Manifold Project: Phillip Rogers Replacement Mound Page 5 of 12 AAA T_ I- AM Mound System Maintenance and Operation Specifications Service Provider's Name Lewis Bork LLC Phone 715-231-7375 POWTS Regulator's Name St.Croix County Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ndin and seepage once eve 3 ears Other Call Lewis For our Pumping 715-231-7375 Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. ry Lateral Turn-up Detail Finished Grade • . • • • .000000000000000 6-8" 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 S nthetic Media 1.20 Feet Diameter as Lateral Distribution Lateral --011 4- Lateral Cleanout Project: Phillip Rogers Replacement Mound Page 6 of 12 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZflowMound Component Manual 8120/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall 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. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittentfilter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to 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, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. ****"No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be 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 soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged 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: Phillip Rogers Replacement Mound Page 7 of 12 EFFLUENT %KwN ' PUMPS BN = ~ Float In Booc M = Auto Fbat Attached (vertical) ~Pl1P !D E = 230V Non-Auto (MMMO "FUM-MATE"IN 1 .....vw`+ irk =s ,vT._"`v aa.. ..-~~xF-- :sr .-.-_s+x~~A.^,. ~•W~.'.' ~~...~x... 'S~.o ZBN98 BN98 W HP i 1511 Aubmafc Cad trop 12' Sots 1-12' Disc. Tedwred Float (15') 358,95 - ZN98 N98 12 HP 115M Manual Cast Iron i/2" So ds, 1-117' Disc. 319.45 FEATURES: The Tbw-A aw is Oonsbucled tEAD CAPACffy cumM of durable cast iron, carbon so rocs *W 12H rip ceramic seals and a non- dogrg vortex impeuer zs 15'Cord APPLJCA7MS: s The Tiow-Matew is idew for septic tanks, dosin% low w and stop sysum 0 O 10 ~ 80 q 9D 80 7Q 80 `°DOSE-MATE 151,152,153 FZ, Is .!r ZBN151 814151 1/3 HP ~~~~~-3?s:~~.~.•~ : a~~ _ - 115/1 Aubmatic Cast km 1/2" So6cts,1-1/7' Disc. Tethered Float (20') 322.08 ZN151 N151 113 HP 11511 Manual Cast bon 112 Sdit2s, 1-12' Disc. 281.16 ZBN152 BN152 4/10 HP 115✓1 Ar6orrradc Cast bon 31'C SOkK 1-112 Disc. Tethered Float (W) 355.08 ZN152 N152 4/10 HP 115/7 Manual Cast Iron 3W SaW I-12' Disc. 314.16 ZBN153 ON153 12 HP 11511 Aubmaft Cast Iron 36C SoW l-712" Diu. Tethered Float (20" 498.95 j M53 N753 12 HP liar Manual Cast iron 3/4' ZE153 E153 12 HP Sob* 1-712 Disc. 462.00 230/1 Marwat Cast bon wr Sow, 1-12" Disc 462.00 _ FEATURES: PUMPI Th@ MOW~ is Ucted of 1IOD8 wurmrsrt BN152 durable cast iron, carbon ceramic seals and a non-dog vortex 20' Cord APPLICATXWS: The'Do98-MMe' is idew for septic ,fix u per. mounds and slap sygama s o w s 1 s m @NMI s s s nansewn~ u 142 ~ r D Z to 69j" AS 93" m REQD D c 57" z n m N ~ m v 0 \ m UP 56" N l 0 4" CAS m 3" 61e 5" - m m x \ 0 _0 v 51" I 1. a D r8rl ~ UP 53" N 4" CAS v W c ~ m p Z b 54" -Zi z ro co XZ Fn Fn rn 9s S~ OU) y >9z f? C7 p~D 47?D s~r-maZIxD0W:*(A zC 0 U)~ Z v F.. v ~o9o Onna =e"__A~EW g° U)m v n m A> ~3 >0 SO2 ~N O ~ :4O~ NN co -~a =j ~ c F c) to -I mzw~c,F'~ O 0,-o m 2/41.2 0 -00 rri u 0D- Nm --II (A °cntn~~N_ n C.) Ln A a m -pl 7C Q N ~s D> = s N =p 0 TI O o o m u n N CnZ m v 1 O• s Q r m m A 5j 0 Z - ZI Z DD"~W O Opp 03 a 4 0:0 0 U) r- r- s` c a g o b D v H D ~G~ Z~ 2Z Dry W0 D m ~v a O y In > Z4 ;a ;a ~o 0;0 O ~ z c o -4 Z A 0 (n 3 O to "0 ~D A Z y -1 O rri r y 0 g rn H 0 r- 0 m 91 ~ Z Fn \ In W1000/500-MR m DRAWN BY SME SCALE: PRE-POUR: ° --4 SEPTIC MANUAL 01HER C®ICBETE DATE: JANUARY 2010 1 REV. DALE. POST-POUR: \ Z W3716 US HWY 10 MAIDEN ROCK. WI 54750 ° REVISED JAN. 2010 800-325-8456 FlLE noon is T t .w.run~ 13r1 - em ulA1 101)' ~ ~ IZoc~ - T~i°► rvs~ ~ ~ t Old Lo J 4N b-tD Department of Commerce ATI N P_ORT_--_. _ Page 1 of 3 b'rvo Salary and Buildings in with Comm 85, this. Adrn ry County SLCroix Attach complete site plan on paper not less than 1/2 x 1~i i/rs;L~~n m include, but not knftd to: vertical and horizontal point do and parcel I.D. percent slope, scale or dimensions, north avow local" WW road. ~ A 14D.7- 66 -OM R by Date Please print all i M--- Cy Personal informeMion you provide may be used far sacmderY Purposes (Privacy Law. 15.04 (1) (m)). / 2. Property Owner Property Location 4 T 31 N R 15 E (or) Phil Rogers Govt Lot NW 1/4 1/4 Property Owner's Mailing Address Lot # Block # Subd. NanMWSF, CSM# 2827 Polk-St. Croix Road city State Zip Code Phone Number [:]VM ge [ATown Nearest Road Glenwood City WI 54013 ( 715-263-2695 Polk - St. Croix Rd New Construction Usejq Residential / Number of bedrooms 3 Code derived design flow rate 45 GPD Replacement Public or commeicial - Describe: ft Parent material loess over till Flood Plain elevation if applicable MA Germ" comments Install mound on the 94.X9' contour with 2' sand fill lift and recommendations: ORIGINAL P-1 Boring # D Boring Q Pit Ground surface elev. 94.9 R Depth to limiting factor 14 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 A-1 0-3 10yr3/2 sl 3fgr mvfr Cs 2F .6 1.0 A-2 3-8 1 3/2 sl 3msbk mvfr as 2f .6 1.0 E-3 8-14 10yr5/4 - fsl 3msbk mvlr as 2f .4 .8 B-4 14-20 7.5yr4/6 c2p5yr5/3 scl 3msbk mvfr s if - B-5 20-36 7.5yr4/6 c2p5yr5/3 sal Om mvlr - - - - F-11 Boring # Boring 94.4 12 ■ pit Ground surface elev. ft Depth to limiting factor in. Soft Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munseil Qu. Sz. Con. Color Gr. Sz. Sh. *Eff#1 *Eff#2 A-1 0-4 10yr3/2 sl 3fsbk mvfr Cs 2f .6 1.0 A-2 4-6 1 3/2 sl 3msbk mvfr as 2f .6 1.0 E-3 6-12 10yr5/4 - fsl 3msbk mvfr as 2f .4 .8 B-4 12-20 7.5yr4/6 c2p5yr5/8 SCI lmsbk mvir - - - - * Effluent #'1 = BOD >30:< 22o mall acrd TSS >30 < 150 * F BOD < 30 nv& and TSS 30 rrgtL \ CST Name (Please Prim Signatu CST Number 253976 Lewis Bork Address Date Evaluation Conducted Telephone Number E7818 County Road E 7-30-11 715-231-7375 2 3 Property Owner Phil Rogers Parcel 1D # paw of Bourg Fp-3] Bor9 # 0 pd Ground surface elev. 94.9 11L Depth to fin r 9 fador 16 n Sol Ap*Mhon Rate Horizon Depth Dominant Redox Description Texture Skuchme 10e Boundwy Roofs Gl'DMe lo_ Mined Ou. Sz. Cont. Color Gr. Sz- Sh. 'EtllRt `Ei 2 a-1 04 10yr4/4 - sl 2fsbk mvlr as 2f .6 1.0 a-2 4-8 1 3/2 - sl 3fsbk mvlr 8s 2f .6 1.0 a-3 8-10 10yr3/2 - sl 2msbk Muir cs 2f .6 1.0 b-4 10-16 10yr5/4 - sl 2msb mvlr as if .4 .8 b-5 16-24 7.5yr4/6 c2p5yr513 scl lmsbk mvlr - - - - ORIGINAL F-1 Ppit Ground surface elev. ft. Depth to > bCtDr in Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsd Ou. Sz. Cont. Color Gr. Sz. Sh. 'EfW1 '01142 F-1 9 # Pit Ground surface elev. fit. Depth to frr&V factor in. Sol Rate Horizon Depth Dominant Redox Description Texture Structure Consistence Ba+ndery Roots GPM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EW -EW • Effluent IM = SM5 > 30:5 220 ffq& and TSS >30 t50 mgfl. ' Effluent 82 = BOD5 < 30 rrg& and TSS _S 30 ffQ& 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. SBD-8330Y'mt QL07/UQ> T . ~ are H~~z~~~-~ ~ rc~. 6M kAc11 100 -y- Rad - Tt~A rvs~ ~ ~'{5 ~ + t,, p 30 t a 83 SA- bAct, ~'ss~z Sc pa ORIGINAL I `s loo • OS3 Sfi 9s•y 4 R,4 ~4 TAkk 1 Cj- o .y Z ` S ~ ~ cac~' ~-L -3 Z 4N,9 t~ 8 1 1 2 6 8 A DOE Z R s Z KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. wI Document Number QUIT M DEED RECEIVED FOR RECORD Phillip Rogers and Lorna Rogers, husband and wife quit-claims to Phillip E. 11/04/2e65 10:26AN Rogers or Lorna M. Rogers, trustees, or successor trustee(s) as trustee(s) QUIT CLAIM DEED of the ROGERS FAMILY TRUST DATED APRIL 6, 1999 the following EXEUDT A 16 described real estate in St. Croix County, State of Wisconsin: REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address 4hiill~& Loma rr^ 2827 ~kW Road Ju aI Lace, Klem ngton ReminhtgtHon Law Offices P.O. Box 177 New Richmond, WI 54017 Part of 014-1007-60-000 (Parcel Identification Number) A parcel of 2.5 acres located in the Northeast quarter of the Northwest quarter (NE% NW'/+) of Section 4, Township 31 North, Range 15 West, further described as follows: beginning at the Northwest corner of said Northeast quarter of the Northwest quarter (NE % NW%) of Section 4; thence East along the North line of said Section 4 a distance of 197 feet; thence South a distance of 552.5 feet; thence West a distance of 197 feet; thence North along the West line of said Northeast quarter of the Northwest quarter (NE'/. NW'/.) a distance of 552.5 feet to the point of beginning. The North 33 feet of said parcel being used for a town road. This is homestead property. Dated this 30th day of April 1999 r + +Philli Rogers a Rogers AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ STATE OF Pol COUNTY Personally came before me this30t1bay of April 1999 the above named Phillip Rogers and Lorna authenticated this day of '19- Rogers, husband and wife to me known to be the person(s) who executed the foregoing instrument and acknowledge the same.. signature type or print name signature 3h R~,~r~?~ petersen type or print name TITLE: MEMBER STATE BAR OF WISCONSIN ♦ j ~i q (if not, Notary Public • ' Ca authorized by § 706.06, Wis. Slats.) My commissio sm I ot,. expiration date: 11 04 0 • THIS INSTRUMENT WAS DRAFTED BY Dwight P. Cummins 'Names of perses signing in any capacity sP Cad be typed or 363 5f" Avenue North, Bayport, MN 55003 printed below t,5r4gnaty%+ ` c ,0 Informatlon Professionals Company Fond du Lac. Waconsin 800-6552021 Oct-20-2010 0$:30 AM St. Croix County Plan/Zoning 715=386=4686 1f1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT Sep 06 OWNERSHIP CERTIFICATION FOIt1YI pVZ Coo,~,/'f NiNG of ~ OwnerlBuycr Mailing Address T C _.P C - Sf &n i x aa,1 C~(Q e r _ I k e ~44j~7 -5-411)66 Pmperty Ail ms Q:j a? R,(l rg Aoc el (Verification mquned from finning niag Depsrwm# for new coasttttctioa.) C!t Atatc eleA r- k&Ke CJ ^ Parcel Identification Dumber LEGAL DUMMON Proprty Location jj M. l~ Y. , S=. -~L, T ~,~fi 1'.~ own o'f rces ~ Subdivision Plat: , Lot # Certf ed Survey Map # , Volume z gaga # Warranty Debd # (be#bre 2003)Voltm, Page # Spec house yes no Lon Fares kknd mbie - ya no S'YMM MAIMMNAMM AND DWNER CEMIMCATION lnip v;w use and teiaittteW= of Your sep$a system COUld result in ita pt a failure to handle tvUWL Proper maintetrttttcc consists of pumping out tite septic twk every three years or sooner, if we ded, by a U*wAW pumper. W1* YOU put into the system can affect rite fimcdon oftita septic tank ea a tivitutront stage in 8u waste dkpoW system. Owner naittte respottalbMdea are "Mind in I Conmi. 83.n(1) and in Chapter 1-2 - St. Croix County Swtary Orditiaoce. lit Praq*rey uww kpm w subinii to St. t^Mfit Ctitaity Pla a t$ at Zmtmg ptp=ttont a cenif UUM f wi. sib by die owner attd by a ttpgtw pkmber. jtann rpw ptumber, TawWmdplumber tir a flimmed ptnr W verf lging Rest (t ) t8t± on-sttc wastewatar tliWml system is fn ToWer operating condition andAx 12) after inqe ft and pumping of he fty),1h a septic tank is less than 1:►3 ftrfl ofstudge. Ywe. the wed he" react the i6we tequim ed to tin do pivaft sewage disposal "tam with the owdtads,t;et fwk b , as 4W by tba DepuUng of OMMUM4104 de Daps UUW sfb3awral RUOUMM Sty Of Wes. Cadfwmdoa wftdwyawseptic, ayehasboomai C;cuntyP1w=iag tar Zoairtg Deputtneatt within 30 days afthe three year a on date. )lure cattify that all statenxints on this fortn are we to tite bw of c Wkw knowlodaa IAva anVu a ttre ownerW of the propaty described above, by virtue of a warranty deed herded In Ragim of Deeds Ofilce. Number of bedroom P 0~1~-~~-2h rNATUREPAMMAMM .w"Any infornimdon tlutt is muted may result in the sanitary permit being woked by the Planning & Zoning Dwwwa "e* Include with this applioatim a recorded wernmty deed fiam tae Register ofnee4a Office and a copy of certified survey map if reiennce is made in the warranty deed. (REV. 08105) n w O 3 w n r~ d O d `O1 C C 7 0 cp M 3 R ID n 'O to 7 m 3 - ~ 0 'C f;• Chi ~ O N m 0 N O O AA A N j ~r [Yl CO O- ° CD C: 9 C' CD y W z Q 4D O O' W 7 - N ~ O M L zt CD Cp . p N cn O N N O. 3 a N w~ ~ O V~ 0 O N C07 - O co CO V V U70 OCD , . O O Q (~I o O co w 00 + C N O d - N z n a co m O N ° F W C O O C4 I~ 0 3 0) cn v rv N n O C CCD OD O~ "ar A x o :z 4 m~ n r ui N o c O O CD ~r• z Oc C C 0 -p n G G G aQ O n ° y y r F N 0 v_qm y eQ o _ ~ O CD Q .di N 4 O A y 0 C fl N O a Z z N z~Z c n ~p 0 v ° ° O ° o N N~++11 C Cl) c CD -a F4 W a w m CD Z ° ~ t0 P Z N N O0 - z O v CL O 3 O O Z -1 A W m z 0 3 o z cn H z CD A W 'i I CD w a C v - ~ I Q- d p n N C 7 00 z o ND C 0 ° CD CC I CD m I 'n. v I o n~i m o 0 N ° SU ~ (D O ' A w O -rj C4 Opp 0 CD O L ^r ` r'i,.;- U9 Division of h:!etttl PERMIT APPLICATION i for PRIVATE =1ESTIC SEWAGE SYSTEMS /00 -7 - eQ 212 -7 A. OWNER OF PROPERTY S3 TYPE OR USE BLACK INK Name Address (Street, City, Zip Code) Z e / - County B. LOCATION OF PROPERTY THERE SYSTEM WILL BE CONSTRUCTED, ALTERFD OR EXTENDED ' Check One: c CITY VILLAGE LEGAL DESCRIPTION: TOWNSHIP 7f S C2~ Ci G G~ C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? YES NO ~ PERMIT NUMBER D. SEPTIC TANK CAPACITY l~ Gallons NEW INSTALLATION REPLACEMENT ADDITION MATERIALS: Prefab Concrete Poured in Place Steel Other NT23ER OF TANKS TO BE INSTALLED: ~ E. TYPE OF OCCUPANCY Cheek One: One or Two Family Residence Cormeroial Industrial Other (Speaify Number of Persons to be Accommodated _ Number of Bedrooms F. APPLIANCES, ETCs Food Waste Grinder YES NO Automatic Clothes Washer J" YES NO _ Dishwasher YES i NO Automatio Potato Peeler YES [ ---'-NO Other (Specify) _ G. EFFLUENT DISPOSAL SYST NI NEW ~ EXTENSION ADDITION REPLACEMENT Tile Size y No.Lin.Feet - )T? Trenoh Width Depth E Number of Lines Seepage Beds Length Width Depth Tile Size No. Lines Seepage Pits Inside diameter Liquid Depth P E R C O L A T I O N T E S T Test Depth Character of Soil Hours Water Teat Time Drop in Water Level Inches 1Minutes Number Inches Thiemas: in Inches Sinaa Hola in Hole Interval Second to Next to (Last ITo :Fall lst Wetted Overni hR t din Mtrutes Last Period Last Periozl Period' One Ivan ZxZ.mple P- 0 3511 To Soil 10" Cla 261, 25 I es-or no I 30 I 1/2 1/? 1/2 I 60 I' 77-1 RECORD DATA FROM MINIMUM OF 3 ?EST OL`:S ompute size of absorption a^ea in accord with H 62.20 Wis. Adminis`retive Code. S 0 I L H 0 R I N G S- Minimum 36" B31= Pro osad Absorption System _ Boring Total Depth Depth to Ground Water Dooth to Bedroo:c j 'umber Ine:ies Cbserved Esti:ra'ed Obsa:-ved Esti-atod Character of Soil with Thickness in Inches i xample ' - 0 72" 72" Black o Soil 1211• Cla 18"• Sand 18"- Gra.vol 24" i. _i ~A 141 W..000 DATA FROM MI`7InJM OF ::r?? = I, the undersigned, hereby certify that the percolation tests reported on this form were made by me or under by supervision in accord with the procedures and method specified in Chapter H 62.20 (3), Wisconsin Administrative Code, and that the data recorded and loektion of test holes are correct to the best of my knowledge and belief. NAME C/ S TITLE Type or Print) ? REGISTRATION NO. or MASTER PLUMBER LICENSE No. ADDRESS l fw/~ /~.Q L~ LCD/ .S DATE 1) SIGNATURE t G L-~ MASTER PLUMBER MAKING AP?LICATION License Numbers Signature: "Y' MP RSW (To be Completed by Issuing Agent) Date of Application 7G Fee Paid $ 100 Permit Issued (dat ) Z Permit Number Agent (name) Z L- G`C : CC- ~t~ C For, Town, Village, City, ounty, etc. (Specify) Notes The application cannot be considered for filing until all 'of the above questions are answered and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the Permit (yellow copy) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space belo'n - FOR DEPARTMENT USE ONLY j DATE RECEIVED ACCEPTED BY RETURNED (Initials) (Date) -(See Corres. FEE RECEIVED VALID. NO. PERMIT NO. C Yes or No) REVIEWED BY APPROVED DATE (Initials) (Yes or No) COVIMENTS s r Parcel 014-1007-60-000 07/03/2007 03:46 PM PAGE 1 OF 1 Alt. Parcel 4.31.15.538 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - ROGERS FAMILY TRUST ROGERS FAMILY TRUST 2827 POLK/ST CROIX RD CLEAR LAKE WI 54005 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2827 POLK/ST CROIX RD SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.500 Plat: N/A-NOT AVAILABLE SEC 4 T31 N R1 5W 3.50A IN NE NW THE W Block/Condo Bldg: 276' OF N 552.5' OF NE NW EZ-U-1345/569 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-31 N-1 5W Notes: Parcel History: Date Doc # Vol/Page Type 11/04/2005 811268 2922/651 QC 11/04/2005 811267 2922/650 QC 07/23/1997 666/512 07/23/1997 453/312 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/17/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.500 20,000 92,800 112,800 NO Totals for 2007: General Property 3.500 20,000 92,800 112,800 Woodland 0.000 0 0 Totals for 2006: General Property 3.500 20,000 92,800 112,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 129 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 EREST T 31 N:-R• 15 W,61 L II IL POLK I COUNTY I IL o~ma • Mr~. j ly%/vm s.?"non~ Wisher \ ~ .G3E'r-n. ~'4 ~ rjos Jo,6~,r~n ~es Oe P V. :v ~ C V] C V ~°r-ie6e rsz9 ral /-=ca i%~ie~ ir' f h en t f c Co. 63 0\ s p v/eye ~ h O F m ` h C ~osa~ 7/o m ferame~,jJara tfi C -7es1 ~ i BB6 ~~ose e ` ~ f P¢. 3z Z(oS C /6.~ 3zr `f 'P o~ /n Ff/✓e ir22n y !8s..z A .~j A ' Pead _ do z sRBU 'u ~ ~ .l 96"66 d7o.oB G'/¢~enca I~ A S Lo n Les/e.- s `C Q 67 isy E"~ p ~ •zo~~ .Bea~/r e l'~~ ~ v ~ i°Q/men y 0,^ //r~~~ c a nd r/ n ~ y b ~ ~d go ioo ~o C 4i ~0 ,9/tee m¢ Q V ~ anfr Q• ~ 0 9/v .-T. z O izo ei e e ~ Q B/ m ae 9 ~ ~ /sB 16 n p n `6 a ' Bo rPue6e~ Q 4O ofin mes cS,ron h C ~ C d v p do 8o izo //.i ~ ~o mo ~hn Th s 4 .9 ~ 0 \ C 0 0 \ 3en 80 ~ r`a/ e /zo /oo fhn 4Eo%Fd`r¢ d ~fi /~o , //.3 /4 LVv ~~Q C ess ~ D ~ 9/✓c~- Edwa.ns /~0 9~'r~son 80 , ~ ~ p Bo ZJoug/2s i E ~esf C I/e~non (41~ d Be~nne7lne Ne:/ Aar /hec Fiona U E ~esf v,\"J fQ~ Les/e /.moo • N/~z/an¢ Gos 96 a9 /loo N`Ql~ . do e\al izo U/~i ch Ba /o.b° I 0 F~¢ n,4 Al Lorne Len¢' V z 40 L • F W 5=" C/a r: s amore HC'ces cf Z 4 Fir sd /7a ffen ~~.s c s SF E.9.99SSlo 80 0 OLF 'V ~l . w G 37 X60 9 h /c~o i66.s3 9s6~~e L~/L~ ~c~ ~ ~,J` ~V ' ry \ • LenQ • • Fi4nrF~ oih . Me'• ~ O ~ 66 h U i%¢f~e {?/es/e~ ~e 6e Ken v¢. vhf littC ft. ddp 6so s~O 9/ce do 40 3ayhr e 4o"r/ y ti eSton ~j' It Z, Lo e~~en n N/¢t~e.- ✓snso~ ,n'Cf efa/ /moo u N 2 Fa~.Fs; J. \I 3 ~ z<o l•0 ~ ~ .B os Zoe - ioo C ~ ` • Gzo 4 7~i on a s /9 0 eBoen h o a h v C• s 40 \ U 0 Q lobe 4o Osc¢n o~.Es D¢~io' v~ /zo rr. a 00 T\71 0 r~ •F7i/en o Ed~-✓o ds 2 Ro6 ~ofhe /mo 6 niy h Q_ ~Sdv e ~y0 ~~Q v v 5oo~/d v da 2 er7`- . o/so o U r e ~ C ~v ~ ~ BOLE~y /c-O ~ q sz..> .izo ,C ao Q C? ~ i ~a ~ o ' bf.D.• rch" J o 0 • f Fif~e~ j~ o~ 4O' Thonos 3B 406 Edd AA l 4 sirs do~ l) as en a 9de/¢idc "0~ w o° W Ei/is B. /ss ~o I J Schu/f3 • 4a o da ~i J%/o~ \ L c ail \ 07 Z- y Macy U E//evo/d ef~s st676~ _ /60 w ~ 0 1~~✓¢/ ~ ~ ~ F ~ Mote/ ~ 8o i6o Te,Boio 0 ~ ~V ~ /60 ~y v`C v /JV ~~M ueben Q I~` ' 9ses /ic G d .f• rbe'9 \ • Marv /6843 Cf x Cha /oft ~ VH. 0\ Edw ~ o f T/~ohr7 y /'7¢~c~s C C~~ So✓o P c~ d 0 h/O// ~ C ~ /GO 8o C fhisor7 • ~ ? ~ ~ anP so ~ /i9,z : y Bo ~ /s73 ~dwa~ 4 E ho f c ~ ~ , Mac Ha// ~V Cafh. ~frf ~p C~ ~n yl C 429 a~ .Tas. w f o d N .Bog/d4 • f~/ \ 0 0 ® Oi'vi%/e ev zo l r• /!/O ~E%as ~e W 9 yJ ~j /zo ~L Q% f eLZZ/,r Z/e \ 0~ Q, f7/rcc~ 6i a tl 3 F/ ence /rcZnQ Qo ~ioo ,/ae/ft3 0 U 7acke/en • • 1/0/¢ 63 cTohn h! C a C'd/v ~r • ,f/c~~o/d f/r roan •P•~bnccc s-innA N u ~o doiJ .iio.e7 04 E/`%¢nie ~~i~ke .Bo.-mef f~Sha.ron wan e/ooe/ P L 0 /da w h ~v rt,- C /oml Bo ~ ` < 0 ~ 3s ~ y0 . ~ Y. /zsiz Craas v h /GO ao 64 c a' ` • : REST v h • Lauc ce ' w\ • o. /✓o mQ~ f.,P bona/o' Meccr// v l o .Dona/d ~ c7en ~ W '9 of ~ 7B D D. [,pvG CUB v n fecC p /+7i/~oi7 cT~~e ~Y/ a ~eic/u~ad~ U d~ /y3 4~Cisan C~ N/5N ac'a- 0 D 0 Y R ",6¢ ' 40 /ss a//e ~0 3 v 9esch:/m . Go \ \ l C C o \ zto G'/¢ e,~ee .Yec n 4 J~ dp 0 a 0 r\ 0 zoo !'Yie e V ~s b Q V ~ .0 0 ~T¢c•.Fe/cn ~ ~ 6~uth Mi .a rr • 9//e~ Ch U ~Y /~la/v. v C/oefe 128 U y~dai ocP 0 p 0 u 0 L oZ/is v~, 0 • /4n e Q C c~>o~son /yc6sfe:- l?/ai-~e.~ C v ~ ~ o GLQVi-a. /°o L/oasr ~ y ' b - . ; i O: A V~ 0 ~ 0 Fo 16x.44 /bo ef'i-r 3~j~ v v ~ S~~no~son Jahn .S.. /6O • W ~ C 0 ".S~Q~o/d ~ ~ ~ ~0 ~ ~ S ~ n^ 0 : ~ /loo /einbau ~ ~ 96~tf rGO D(. u d Q ~ 0 BO `L ' x hO' • SEE PAGE ><C oii mi9>z °C SEE PAGE 47 PLAT BOOK COMMITTEE SALES COMMITTEE Mrs. Arlo Johnson Mr. Floyd Fouks Mr. Carlyn Lund Mrs. Gerald Schwan Mr. Herb Turner Mr. Ben Sachsenmaier Mrs. Robert Leaf Mrs. Arlo Kunze Mr. Irv Holzer Mr. Duane Berends Mrs. Walter Faber Mr. Doug Thompson Mrs. Ray Anderson Mr. Wm. Ullom Mrs. John Slotevig Mrs. Emmett Langness Mr. Bruce Harris Mr. Robert Draxler Mr. Eugene Larson Mrs. Jack Bean Mrs. Harold Beer Mrs. Gerald Johnson Mr. Lavern Timm Mrs. Ed Cody Mrs. Carlye Nerbe Mrs. John Feryereisen Mrs. Talley Rouquette Mrs. Charles Vanda Mrs. Ivan Vickerman Mrs. Maynard Larson Mrs. James Johnson Mrs. George Barringer Mrs. Robert Hartmon Mrs. Douglas Werner Mrs. Don Gabrielson Mrs. Oliver Erickson Mrs. Francis Fouks