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Home My WebLink About004-1008-70-000Wisconsin Department of Comme ,e PRIVATE SEWAGE SYSTEM Safety and Building Division ,~ v INSPECTION REPORT / GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Dittman, Dan Cad Townshi :ST BM Elev: Insp. BM Elev: BM Description j~ ~ ~ ~ ~~--~- TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~. e ~ Dosing /~ ~e~ V~~ Aeration 1G~~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ /~ I Z7~ f ~~ ,~ ~ _ Dosing 7 iaa ` ~ ~ ~' 3(~' ~t~' .~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand ~ GPM Model Number ~ ~ ,) TDH Lift ~Z,`b Friction Loss ~. ~ System Head 4.~a TDH Ft Z~.l Forcemain Lent Dia. ,t Dist. to Well i ~u {r Z 7~ SOIL ABSORPTION SYSTEM ~ County: $t. CroiX Sanitary Permit No: 430533 0 State Plan ID No: Parcel Tax No: 004-1008-70-000 Section/Town/Range/Map No: 04.28.15.54 ELEVATION DATA ~~ ~t _ ifi~. Zl STATION BS HI FS ELEV. ys Benchmark Alt. BM Bldg. Sewer ~Q „7 ~' j St/Ht Inlet I Z 3~ ~~ : `~ ~ St/Ht Outlet ~ \ Dt Inlet Dt Bottom I SY ~y- Header/Man. `3, o 3.og 3-a5 /aZ~ 3$ Dist. Pipe 3 ~~ i n z ot. System Final Grade ~-. ~.~5 /3.35 St Cover ~~` BED/TRENCH DIMENSIONS Width / [ Length ~ ~ No. Of nches PIT D MENSIONS No. f Pits Insi Dia. Liq 'dew Depth „ ~ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer's INFORMATION CHAMBER OR \ Type Of stem: ~ > '~~! ` /fin / / my I ~ N UNIT Model NumBtr~ O DISTRIBUTION SYSTEM Header/Manifold / (! 1 !! / L h Distribution 1 / !/ Pipe(s) y~ C~ ! I I ~ ~ ~ x Hole Size ~ 11 x Hole Spacing /' // ~~' ` Vent to Air Intake / Dia Lengt Length / ~.7 Dia Spacing ~ 7 p SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Oniv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulc d Bed/Trench Center t ~ Bed/Trench Edges Topsoil , ~-, Yes [,_I No - Yes rj No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 Location: 593 290th Str et Wilson, W,J. 54 7n W 1/4 ~1V~ 114 4 T28N R15W) NA Lot ~~{j"o~ a{r id•1~ 7`6 ~L5 1.) Alt BM Description = ~~ i ~~~~ ~- ~~~ ~~, 2.) Bldg sewer length = ~ ~5 -amount of cover = 74 ~ ~' Plan revision Required? [] Yes No °'~ -L'7 a~ Use other side for additional informat' n. Date SBD-6710 (R.3/97) ~~p~ Q rte- Parcel No: 04.28.15.54 Fr~s>~- 1oa~ 1.7 ~~ ask ~~ 3~1 ~~ Cert. No. Safety and Buildings Division ~ ~ 201 W. Washington Ave., P.O. Box 7162 . ISCOOSIO Madison, WI 53707 - 7162 Department of Commerce (~$) Sanitary Permit Applicati In accord with Comm 83.21, Wis. Adm. Code, personal infortnati may be rued for secondary purposes Privacy Law, slS.l)4 I. Application Information -Please Print All Information n S ~~~e Q 5 203 P o )(m) r j ZONING OFFICE VS. ID# 931466 :t Address (if different than mailing address) Property Owner's Na me Parcel A r Lot ~ Block DAN DITTiviAN oo µ-look-~o w- 6~-_~0~~ ~p Ptoperry Owner's M ailing Address Property Location 593 290TH STREET NW ~k, NW ~k,Section 4 Ciry, State Zip Cods Phone Number WILSUN, WI 54027 715/698-2247 T28 N; R 15(goe~) o ~~ II. Type of BtrildinE (check all that apply) ~ 1 or 2 Family Dwelling -Number of Bedr ^ms ~ _ ~ 3 Subdivision Name CSM Nutnbec ^ PubliGCornmercial -Describe Use l.o _ ~"•~~~ ~ A ~ A ^ State Owned -Describe Use r ~ ~. cxx.r, `..Dtt `' ~ •~ ~' City_^Village ~'I'owrtship of LADY III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ^ New System (Replacement System ^ TreatmendHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Tratufer to New List Previous Permit Number aid Date Issued Before Expiration Plumber Owner IV. T of POWTS S stem: (Check all that a I ) ^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ~ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Coruwcted Wetland ^ Pressurized In-Ground ^ Holding Tatilc ^ Yeat Filler ^ Aerobic Trertrnent Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filler ^ Leaching Chamber ^ Urip Linc ^ Gravel-less Pipn Oder (explain) V. Dis ersal/Treatment Area Information: '~. - la0 Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Reyuired (st) Dispersal Arcs Propuscd (sf) System Elevation 450 ~ l.0 450 450 101.7 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Uniu Concrete Coruwcted Glass New Existing Tarils Taril:s Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X ( Dos(ng Chamber ~ 600 ~ ~ 600 ~ 1 ~ WIESER CONCRETE ~ X ~ ~ ~ ~ ~ VII. Responsibility Statement- I, the urrdersigrred, assutue respousibllity for irutallatlon of the POWTS shown on the attached Lots. Plumber's Na me (Print) Plumbe 's Si gnature MPlMPRS Number Business Phone Number ' BEIV'NIE HELGESUN 292 715/772-3278 Plumber's Addre ss (Street, City, State, tp Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 'Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui Agent Signature o Stamps) Surcharge Fee) ..-- ^ Owner Given Reason for Denial 3~ t9U. ~2 ~3 IX. Conditions of Approval/Reasons t'or Disapproval ,3, ~~` ~ ~. t ~ _ f - ~ ~ n /~ SYSTEM OWNER: ( `7~1e~.'Ctt-~C~_ up.trµga' 4~L cA..,~ 1 Septic tank, effluent filter and Ot-bdtM.tlw'~tl1 c9o f ~~ . dispersal cell must all ~e serviced !maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. ~>~m Pmt ^1 = ~~- C ~ Attach complete plans (to the County only) for lhhsyslem ou paper not less thmt 81/2 x 11 inches in size SBD-6398 (R. 01/03) County ST CROIX Sanitary Permit Number (to be filled in by `f3o 533 ta Plan I.D. Number l _+~,: ~.„Y ~ , r Af `v ~~1 ~~ ~ yr C 5 ~ ~~ 0 ~/ ~" ~' 1 ~ ~ ~-- n dr _ ~ ~° w° WC ~ ~ y ~ a ~ ~ ~, ° ~ ~ ~`~' \ v ~ ~ 4 ~~ ~~ ~ ~~ ~ ~~~~ ~~~ 4 ~ ~ y T O d `~" 0 ~ \ ~ ~' 3~ ~~ ~ i N -t v ti O ~-1^ O ~q0 (J ~~ ~a M = V ~+ L~ ~ J_ V S ~~~~ 's ~~ 4 ~~ ~~" ~ ~' dJ L CppY ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce. state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 24, 2003 CUST ID No.220292 BENNIE W HELGESON HELGESON EXCAVATING W1229 770TH AVE SPRING VALLEY WI 54767 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/24/2005 SITE: Dan Dittman 593 290`h Street Town of Cady St Croix County NW1/4, NW1/4, S4, T28N, R15W FOR: Description: Three Bedroom Replacement Mound System Object Type: POWT System Regulated Object ID No.: 926847 Identification Numbers Transaction ID No. 931466 Site ID No. 667078 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A 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. CQFZ`~l~p®ytt~ E ~, ~~~~ ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 BENNIE W HELGESON Owner Responsibilities: Page 2 10/24/03 Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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 owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 PROPERTY OWNER: PROJECT NAME: INDEX SHEET DAN DITT'MAN 593 290TH STREET WILSON, WI 54027 DAN DITTMAN sq,~F o F~F/~F~ i~ PROJECT LOCATION: NW 1/4, NW 1/4 , S 4, T 28 N, R 15 W MUNICIPALITY: TOWN OF CADY COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section & Specifications Page 5: W 1000/600-MR ZABLE Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 G Name: Bennie Helgeson Signed Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Date: October 3, 2003 DEPARTA4ENT p ~ , ~s~~ DIV1SIpN ~F CDMMERGE FETYAND BUILDINGS SEE CORRES ONDENCE I r ~ ~' C s z~ J ~v ~_ ~ { ~ ~ ~ ~- ~ ~ ~ ~_ cu ~ W 3 ~ ;~ y o ~ ~a a ~ ~ \ ~ -~ Y ~, ~ ~~ ~ m ~ ~`~ b, J e~~r _ \ ~ ~ J `~ ~ `~` ~3~\ ~ fl W(? \ ~ ~~ \ ~ ~ ~~ ~ ~ ~ ~ ~` - ~~.~~ fog ~ ~a d ~~~ ~~ s \~~~ s ,~ 4 ~~ ~... ~ ~ ~° e J d I ~i ASTN~ C 33 Sand Topsoil Synthetic Covering _._.~ ~ ~ 3 ~~ % Slope C Et. L. O f z+- 2 'z Aggregate G =~;-====T j~ F ~j ii U ~ ~ . ~~e/. ion O~ Force Moin Cross Section Of A Mound Signed: License Number: Date: Position ~~-- o f Force Main L A ~ Ft. g~ Ft. K %, ~ Ft. L ~ Ft. ,J ~,~ Ft. I iy, g Ft . W 2$ Ft. Plowed Layer D ~ 7 Ft. E 2?.aS~ Ft. F ~~ Ft. G , S Ft. H ~_ Ft. Observation Pipe ,} 8 K r-------------------'~ 8 q o- -- -~ o ~ -- -j--------_--J- -------------.I w L_ -- - - - CEI.L 0 f 2"_ 2 z" Distribution Pipe Aggregate I ~. Observation Pipe TURN-UP Page ~, Cf ~ Distribution Pipe t-`/~v /03 ~ S`-? Plan View Of Mound ~WNE12: ~~Anl ~I'r'i m~ hi C )eo.~.o~ r A-<<rs` ' C ~ ~EcwCx-~-~ Perlorotnrf l~~p~ 0nlo~~ ~ ,~ End VI~~ P~rloralcd ~ , 1 -~ Holes Located. on Bottom are Equally Spaced ~'~ /VQ1C~'Co /"/dv~~~91~+ ~ IF,~ Ylp~ Discributi~?_ne Layout Signed: License Number: Dace: P ~ s~„ . . .~ R ~~ S x ~~~„ ,/ y ~~ Hole Diameter ~~„ Inch Lateral " ~ Inch (es) Manifold ~ Inches Force Main " ~ Inches .~ N ~ IBS ~'~~r ~-~P~«i - 3 8 ~ 7'wc= ~~f~~Q1s= 76 yaps (~~~ f1/ L~12 ' S A N 17 ~ ~TTIYI A N P a o e~O f g SEPTIC•TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS u ~tJC.VENT PIPE 12" MIN. ABOVE GRADE E 1 NEATHERPROOF JUNCTION BOX APPROVED 25' FROM DOOR, WINDOW OR ? WITH CONDUIT R W%NPAD V FRESH AIR INTAKE E LOCK ~ WARNING LABEL NISHED GRADE FI ~~ -- ar„_._. 4 " MIN . 6 r~;n. '. 2y y'~~>UL UP~SERVnT~or.l s•~• 18" IN. PIPE '~~~ ~$ MiN. INLET ~~ ~ 1 GAS- ~ , WATER TIGHT SEALS TIGHT ~ ~, /APPROVED R A , SEAL JOINTS WITH ~~ ~~ 1 ~ ALM APPROVED PIPE APPROVED ' _ . B ~ 1 ON 3' ONTO ~ PIPE 3' ~`' k ~0 ~ ~ ~ SOLIO SOIL ONtO SOlIO ~ ' SOIL PUMP OFF ELEV . ~6.SF'r • ~ OFF D 3 APPROVED BEDDING UNDER TANK „ CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE ~ ~ ~ ~~, 7 ~ct', _ ~ ~3 _Y X_ .a _. TANK MANUFACTURER : LL)/ 2 CH- TANK SIZES: SEPTIC ~~~C? .GAL. D0~>!v~ Cs-~E>FLOWBACKG ~O,la GAL. DOSE ,,,~<~ ALARM MANUFACTURER: C ~1 G1~~-{-~-v .~-~c„S~'rr•.~S CAPACITIES: A = / c~ INCHES = _~or.ro~GAL• MODEL NUMBER : /b / N(.~ g = 2 INCHES = 33, •S.~ GAL. SWITCH TYPE: c ~- ~ea.~ PUMP MANUFACTURER: .2C~<'r~'P~' C = ~ INCHES = ~~ .~ GAL. MODEL NUMBER: /~/U D = ~ INCHES = I3 .a GAL. SWITCH TYPE : /~•F%'~c.~-/_~~oc~ t- REQUIRED DISCHARGE RATE 31,1 GPM PUMP b ALARM WIRING AS PER ILHR 16.23 WAC FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE ~ FEET + MINIMUM NETWORK SUPPLY PRESSURE ~ x.3~ FEET + sue- FEET FORCEMAIN X ~-.~ FT/lOB ETOTALIDYNAMICAHEAD = p, FEET WIDTH DIAMETER INTERNAL DIMENSIONS OF PUMP TANK: LIQUID 6 T}-~lo ~~ SIGNED: LICENSE NUMBER: DATE: 1/88 !1. ,.~r ~AN 1"7trrrn pW ..R .. ..~,` .. ~~r. CC' . ~ ~ JO' :, ,: ,. ~, ,_ ~ ~ ,• ~ i ~~ ~ . ~ ~ ~~ ~: TOP ViE~N ~CA~E: 1 /4" = 1 -~ f OAT E n! SIDE VIEW SCALE: t /4" 1' ~" ~/ENTS NLE7 N ~r t - ''~ ~'f` ~. F - c~ "- ~ - - - _. + WLP1000/600-MR ~ ZABLE TANK SPECIFtCAl14NS DIMENSIONS: WALL• 3' BOTTOM: 3' COVER: 5" MANHOLE: 24" I.D. HEIGHT: 56" O.D. LENGTH: 150" O.D. WIDTH: 84" O.D. BELOW INLET: 42' O.D. UQUID LEVEL• 36" WEIGHT: 14,795 LBS. INLET ANO OUTLET: 4° 80RE `M TN STOP FOR QUIK-THE, FER~CO GASKET, CAST-A-SEAL 900T 0° E QU.AL i"dLET AND OUTLET BAFFLES: WISCONSIN, SEE DETAIL X10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GAL/tN (SEP iiC) 16.76 GAL/IN (PUMP) L OADING DESIGN: 7' 0" UNSATURATED SOIL ~~~C~Q ~o~~ar~~~ wa71o us Hwr ~a MNOEn Ra(]C, ~ 54750 800-325-8456 MODEL WLP1000/600-MR ZABLE SEPTIC/SEPTIC. SEPTIC/PUMP OR SEPTIC/SIPHON JANUARY, 2000 FlLE: Y+1P1000 600-MR OCT-21-03 03:52 P`'~M~y~ n A/ L~~~~ ~' UAf. ~ .1 I 'r4/11U + ~ H~ D ACITY CURVE / TcT^L DrivnMtc HEAD/CAPACIrr MODELS "140/4140" ~ EFFLUENT-nNOI DEwATERwG ft. Meters Gal. Ltrs. f° ~5- - _-.__ ~ _ 5 LET 9t ]~s Ic a°e e. ne 12 ~0 - - !~ x.57 -....~e 2ee 140,4140 '0 a.lo ee as7 J5- - Te 7,03 ~ ]y T77 t U I 30 a u~-- ~o ~ 65 ~ ^.~ ]5 !0«07 •~ ~ 3e 11. - •0 iT.19~_ }I 7p e• - _ _ ooyf( 25.x, - ~~ 11.7a ~.-..._ a 19 i l°it Vi1Y•: ia' .L 6 -- V t0 - .` 10 ~ ,,.. 2 5 0 U.S. WLCONS IO 20 IO 4D SO BO 70 BO 90 100 It LITERS 80 ---- f 40~ 1~0 ]210 ".,~. •OC q FLOW pE~R MINUTE 01°~ le tI1 NPr CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical altematprS, for duplex systems, are available and supplied with an alarm. • Mechanical altematas, for duplex systems, are available with orwithout alarms. • Control alarm systems are available for 1 phase pumps used in simplex system, See FM0732. • Variable level control switches are available far controlling single phase Systems. • bauble pfggybeck variable level fleet switches are availabl9 for variabie level tong cycle controls, • Sealed t]wik•8ox available tpr outdoor installations, See FM1420. • Ovar 130°F, (54°C,) special quotation required, • Refer to FM0806 for 200° F. eppllcations. 140 Series • 53 lbs. 4140 Ser!s • 73 !bs. ,.__r._.~~_.....-_.._....-_. -_....._..... . fedN40~' MQDH1.8 _ ' Control 9alauon MedM ModN Velte•Ah Mode ~ ~Am'11_-.6lmplett_~-files Nf10 -N1 uQ 115 1 Non ~..~15A I 1 a i 8 5 2 or 3 8< Et/0 E_11~ , Z~OR~1_ Nen 7 S 111- } or t d 7 ~ _2 er,~ A }'_' aN440 61w140 11S 1 _ ~•- _,„„__ Nvn .. 15.5 _ t0r163 _ y0r3~4 EUO BEI140 270 1 ~ t~ ~ 76. _~ ta7-e,,y 1~,..,,~7,a766 .-~. 17 e/s SELECTION GUIDE P. 02 1~_4L_i:,~_ : ~ e ..r r/e _~_ !I I!: NPf BN t 52M unez~e t~ g~8~ Pi99yback varlabie Tavel Moat switch or double piggyback variable level that awltch, Rarer fo FM0477. 2. Machanlcat altemetar M•Pak 10.0072 or t0-0075. 3. See FM0712 for correct rtlodel of Electrical Altemetor E-Pak, 4. Variable level control Switch 10-OZ26 used as a control activelt2r, specify duplex (9) or (4) Roat system. O CAUTIO All IprtAllatlon or oontrole, pwt°etfon dwkn and wtrtnp oheultl b. d°n° by ^ quNMo4 ee^It°a °I"serler°n. An .bslrli al aria °N.ry aedu "noula pq IoRavYp1 inslutl~na te. ntnN t N•tl°nwl GI°•.rlo e•a• rNCt:) •ntl en. oe evp•tlaw•! •°r•Ir and M~snn kl4o/NAT. RESERVE POWER L+t~ l:7ESIQrV .n rt... FoI umJrtrnl r' nsnew r, mnr~ ...rntr e..a.,r to .nF,o,.>....... rne.. ehw il.w.,n r my y....,,.•. , -.. ~1~ _. .. _ t ,---- _ POWTS OWNER'S MANUAL & MANAGEMENT PLAN -~. ~ ~-randiueTlr~N Owner DAN DITTMAN Permit # MAINTENANCE SCHEDULE Service Event Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) Clean effluent filter Inspect'pump, pump controls ~ alarm Flush laterals and pressure test Other. werclu cPFCIFICATIONS Psp~ _, ~ „QI $ . „, Septic Tank Capacity al Q NA Septic Tank Manufacturer WIESER CONCRETE ~ ~ Effluent Filter Manufacturer ZABEL ' O..NA Effluent Filter Model A-100 12" x~ 29"p NA Pump Tank Capacity 600 ai O NA Pump Tank Manufacturer WIESER CONCRETES ~ .Pump Manufacturer ZOE /~ Q ~ Pump Model 140 ':'~'`: CJ ~ Pretreatment Unit ~~`'' ® ~ O Sand/C~ravel Filter O Peat Filter O Mechanical Aeration O Wetland ^ Disinfection O Other: Dispersal Cell(s) D In-ground (gravity) ^ in-ground (pressurized) D At~rade ®Mound~ D Drip-line _ [7 Other: • Values typical for domest(c (non-corruner+daQ Mrisf~wstW ~r1d septic tank effluent. ' •• Values typical for pretreated wastewater. Service Frequency At least once every 2 ^ months ~ year(s) (Maximum 3 yni.~ When combined sludge and scum equals one-third (Y) of tank volume. At least once every 2 D months Q year(s) (Maximum 3 yrs. At least once every 13 ~ months . O year(s) At least once every 13 ~ months O year(s) O NA At least once every 3 ^ months year(s) DNA At least once every O months O year(s) O NA At least once every ^ months D year(s) ~ NA MAINTENANCE INSTRUCTIONS , Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or POWTS Ins ector POWTS Maintainer; Septage P certifications: Master Plumber, Master Plumber Restricted Sewer, Servidng Operator. Tank inspections must include a v(sual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up; ~° or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually Inspected to check the effluent level 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 requ(res the Immediate notification of the local regulatory authority; -~ When the combined accumulation of sludge and scum in any tank equals one-third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Ch. NR , .; 113, Wisconsin Administrative Code. . The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainet'. A servlr~e report shall be provided to the Iocai regulatory authority within 10 days of completion of any service event. STARTUP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If hJgh concentrations are ,, , ;, detected have the contents of the tank(s) removed by a septage servicing operator prior to use. OWNER:` DAN DITTMAN Pase $ of $ System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power !s restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the t;,eU(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. ... Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compeCt, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the I(fe of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss;'diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMNIENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, Wisconsin~Adminlstrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.• • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the Vold space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compactlon.and should not be infringed upon by required setbacks from existing aid proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. O A suitable replacement area is not available due to setback and/or soil limitations. Barring advances G1 POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. O The site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soU and _, site evaluation must be performed to locate a suitable replacement area. If no replacement area IS available a holding tank may be installed as a last resort to replace the failed POWTS. ® Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. 00 NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS MAINTAINER 1- < _ Y POWTS INSTALLER Name HELGESON EXCAVATION INC ~ Name "' Phone 715/772-3278 Phone 715/273-5811 .. . SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY ' ' ~ ~ '~ Name JOHNSON SANITATION ~ Agency ST CROIX COUNTY ZONING OFFICE ,~ Phone 715/273-5811 Phone 715/386-4680 This document was drafted by the staffs of the Glean Lake, Marquette and Waushara County Zoning and Sanitation agencies. This dtxxrment m9ots the minimum requirements of ch. Comm 83.22(2)(b)(1)(d)8~(t) and 83.54(1), (2) i£ (3), VY~sconsin Admfnlstrative Code. Use of this documentd0os ttOt guarantee the performance of the POWTS. G~AVII~~if < ~J~~~~~'~R ~ , 1875 Wisconsin Department of Commerce SOIL ~ EC~~~~" Page 1 of 3 Division of Safety and Buildings in accordance with Com 85, Wis. Adm. Code I Certified Soil Testing Count Attach complete site plan on paper not less than 8'/: x 11 inches in size. di t li it d to rti l d horizontal ref r nce oint BM) i l d b t Ian mu~ ~ ~ ,~ 6 z O ction a St. Croix e, u no m : ve an p ( , nc u e ca e e percent slope, scale or dimemsions, north arrow, and location and distan to nearest road. Parcel I.D. 004-1008-70-0000 Please print all information. ST.uF~:OIXCC)U~~~ Z "`' v' ed By Date 1 GNING OFFlC ~ Personal information you provide may be used for secondary purposes (Privacy L ' /Vo ~ 1 Z ~p~ Property Owner Property Location Dittman, Dan Govt. Lot NW 1/4 NW 1/4 S 4 T 28 N R 15 W Property Owner's Mailing Addre$ Lot # Block # Subd. Name or CSM# 593 290th St. City State Zip Code Phone Number __ City Village ~ Town Nearest Road Wilson ~ WI 54027 715-698-2247 Cady 290Th St. New Construction Use: / Residential /Number of bedrooms 3 Code derived design flow rate Replacement _..,, Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable. General comments and recommendations: install 5' x 91.2' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.7' sand fill 450 GPD NA ^ Boring # _i Boring /~ Pit Ground Surface elev. 99.0 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f/m .5 .8 2 9-19 10YR 4/4 - sl 2 f-m sbk mvfr cs 1f .5 .9 3 19-26 7.5YR 4/4 f2d 7.5YR 5/8,5/3 s1 1 m sbk mfr - - .4 .6 i ^ Boring # -- ~ Boring /! Pit Ground Surface elev. 101.0 ft. Depth to limiting factor ~in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-8 7.5YR 3/2 - sil 2 f sbk mvfr cs 1f/m .5 .8 2 8-16 10YR 4/4 - sl 1 m sbk mvfr gs 1f .4 .6 3 16-30 7.5YR 4/4 c2d 7.5YR 5/8 sl 0 m mfr - - .3 .5 i i 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * E ue t #2 = BODS < 30 mg/L and TSS < 30 mgr CST Name (Please Print) Signatu ST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 7/18/2003 715-233-0398 ...........................:...........:.... . ~. Property Owner Dittman, Dan Parcel ID # 004-1008-70-0000 Page Z of 3 Boring # _'~= Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 21 i Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#i `Eff#2 1 0-9 7.5YR 3/2 _ sil 2 f sbk mvfr cs 1f/m .5 .8 2 9-21 10YR 4/4 _ sl 2 m sbk mvfr cs 1 m .5 .9 3 21-34 7.5YR 4/4 f2f 7.5YR 5/8 sl 1 m sbk mfr - - .4 .6 ._---, redoximorphic features become c2p below 30" ^ 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 P = in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 i ^ 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 = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I i I 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 =GODS < 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. SBD-8330 (R.07/00) Certlfied Soil Testing .s I ~.~ 0 9 fl 9 ff s r Do q ~` ~ 9 ~ 0 ~ fl ~ .9 N ~!' 3 z SI C.. ....J~ 0 n s s n~ /~ ~^ V .~ 2.f~ r~`^ A ~ ~- J /~ l u ~ ~. .~ .~ ~o 3 d ~ y ~ ~ j ~_ ~ ~ ~. Y i a' ~ ,s ~ ~ 2 ~~ ~. o r ~ 0 4 ~ 3I 0 9 ~ s + ,Q \ ~~ t/ 9 S ~ ~ u ~ c ~ ~/ ~d m ~~ ~~ ~~ v ` Of T' ~~• `~ S S ~\ ~ ~9-~ / \ ~ ~i \. ~ J `~ ~~ ~ r~~ ~ ~ :. ~ ^ v M .~ /~ ~. ~O ~~. ti~ ~ ~~ ~ a~ d ~~ ~ -~ `J ~ ~~ s~ r °' ~ ! 0 ~ . ,~ n! ~ V ~~ ~~ d ~ 3 a~ ~ ~ ~ ,- ~ ~ ..l '~ ~ .~1 ~ ~ ~~ :.J~v ~ o ~s~ ~ ~ ~ ~ °~+ ~ ~ ~ 1 ~' ~ ~ ~~ ~ ~ ~ ~ r % `~ '~ y ~ ~ ~ Z~ s" ~,~ ~. 9 ,.: ~ J~~ ~ O c'~ ~h ~~.- J ~~ c m n~ .~ ~=1 }. ~v~~ ~~~vN~ -~~~ m ~~TTr~_ f=m~~~ N T!r , :3 o~O6oo >DDCCyy C~ m^D~AS ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~ ~ a 9 0 ~ ~~ Property Address 5~ ~ ~ ~~ ~ ~~' (Verification required from Planning Department for new construction) City/State ~i~~~ ~~ Parcel Identification Number O6~-/a~~ 7y 9`' ao~aoo~`~'a LEGAL DESCRIPTION Property Location ~ '/,, ~ '/a, Sec. ~_, T~2~N-R `~ -W~ TOE of 1 /~ ,Lot # Subdivision _~" / Page # ~- Certified Survey Map # ~ ,Volume Warranty Deed # 5~~~`~~ ,Volume _ /moo / ,Page # /S Spec house O yes ~ no Lot lines identifiable ~] yes t7 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into th6 system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of WisconsO~ceC within~30n stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three ear expiration date. Q~p3 DATE SIGNATURE OF APPLICANT OWNER CERTIFICATION our knowled e I we am are the owner(s) of I (we) certify that all statements on this form are true to the best of my ( ) g • ( ) ( ) the roperty descri ed above, by virtue of a warranty deed recorded in Register of Deeds Office. . ~ /C3 ~Le..id DATE SIGNATURE OF APPIICANT Any information that is mss-represented may result in the sanitary permit being revoked by We Zoning Department. **"**' ..*.w. •' Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 550z~0 STATE 6AR OF WISCONSIN FORK 3 - 1981 ~UIT CLAIM DEED oocUhAEN7 No. ,~ 1~1 tACE~~J7 Bre^~• t-•• ni-rm.,,~ a a ,~,le Weraon quY<Wma m I-...1a1 fan. n~ rrman_ , single parson -- ,I,t rdterrvata a~,;hta tat EYUtt -D S e . Croix ~ srlt et w~ont+t~ II The NW of NW and the SW of NW of Section 4, T28N, R15W, Town of Cady. G "o'/'.~ ~isra+~~c~~I~E $~ CROIX CO., tiYi tlt~a~atltoola ACT 1 1996 ~ 4:00 P. ~,1 `'~~t,s.... `FF 4~ Peat<te~ rt C•e• IMIt ttMCE AEiE11vE0 f011 (1EC011DIN6 DATA NMeE A/ID 4"...?Y AOOIINi FofM `f:di'f cSWv~teS 1 B4 C.~l,( ~Id ld ~~vu F~.tts,wt Sy~LZ 004-1008-70 and 004-1008-80 A,Aee bSeTl~+e~te~te ~IreestA (This deed is given pursuant to a judgment of divorce dated 7-17-96.) r -$~~~vr' This i e iloDteslead propetryl utl a tetl pp~ lhy ~ ~ Iisy Dl Oc obe r 19 96 . 6sEAt) ~sf_ ~ csEAU • Brenda Lee Dittman 4sFwL) AUTHENTICATION Sigpatutl:W aeMukated this dty at 19 TITLE: NEIABER STATE 8AR OF WISCONSiN q(ttot, eLthel;:ta br s~ob.ob. w~. wt..) ACKNOWLEDGMENT State of Wiseorsir, ts. ~4L C ~O~J~--C~x s~ t4lwttYp amt 6ebte me tldt ~~ aq d October 19_.2S2..thta6oretnmed Brend~l-~~ Ilittmen N mt IDID~ra b lte 111! ~)IIa IWSTRUTAENT WAa GRAFTED 811 Lauri J. Gaylord, Attorney River Falls, WI 54022 WoarywbMc._ (Signoras Dtslr be wt-tenticstsd « .clmowlcaBTa. 1IoLh rue nee. Ltp eommseiea is • tA,t, d penma ~pn,q w •°P eapeei,T JouW ly r,pd a prweel 41or Jet rOrwra QNT CLAIM DEED STAT< tAR «~~~ /sew ae. ~ - Ntt r,roarrw tpr emr Cs, et. a,ra,,w, YMe i _~ T-28-N • R-15-W CADY DIRECTORY ~ , E ~~ ~ .. ... .. .. - ~ ~ Sae PttiBea 135-140 For Additlonal Nama. (Residents -Owner or Renter) `, ' SPRINGFIELD PAGE 43 ~--.~~ thAVE -I- '- - ~ ^Dadd ~ ~- Ha~ey ^ ^ s^ ^ ^j tdahl D d ^ Chula ^E ~°~ c ~ OMeara i F- 7erkelsnn ~ I~Cy tOII a~Ve~' ~ I S r rn V m Z H c~ ~ r I t ^1«nchurhof sca ^H loverdson °~ Daeld ^ r ~ s ouctlow ~ Roemhild l Lee ~ J ~' Donald 5th A Bruce ^)oha ^Schutts ~ 1 Merrimack r t N e 4 Thnm IV Stems . , ~ ^ ^ 6 ^ ^~°v~ea~a5 im en ^ 56th AVE \ e I schmtt ^ 53rd AVE 53rd AVE r- ~ W ^S _ R xybbm Dmn4 Gibson t ~ ~ ~ Yae ^Bursar w ^Balcer ^ ^ der 50th AVE ^~~ ^ ^KeeY 1^ - _ - ~ ~ Ronald ^ S ^ ^ ^ ^ S^ ^Trrooyy cAOV Ferber ~- I Pher Gordoa Lund ^ ^ SeLbion _ han ~ ^ ^D ~ ~~ I ~6u L~drd Rand Sobota ^ ^Peterson Stoci®aa ^LI ^ hi1Rp ^laseph ~~ Rye M Peterson Rex ^ Green I eu6er ^Heclcer _ I Ellefson Stockman ^ ~ ~ m3 45th AVE ^~otzke ' p 10 ^ I Jasoo ^ J 8 ^) 128 Get daatu~ I ,- Cebulla ^NKinduhy I I ^Grafenstdn Steen Johnson ° I ~p^ I ~ I 7npp Ron ~ - Garr - Rosib]d - - - - - _ Wilco ^B« d ~ _ - ~ - ~ ~_"_ _^Wohid ~~ - ~~ - Tjnderwn ^ 40th AVE ^~~ -GliII_~ t ?~ ^M Pain ^ PY SYSTEM ~ ~ ~~ ^t Ltd odd ^' ^ ^ ~ ^M~n I I Leon Lamb ~3 Erb giK~ ^- _ °"~ ^ ~~^2 i i ^ K^~erenr ^ABan i~ ~ D ^ ^ -~ ~ Nielsen 1. ~ .~ ~ N 16 ^Wheder ,o n ~ t I ~~ 14 ~e^ ~y 18 ^James ~'~ s xerr ~ ^w"!"`iur tt~ + N Robert t ^~+ ^~O~ ^ ohnson yx ~, john ~;r~ory ^ N inti ru ~ ~ Nelson ^/ ^ Menter n Gmd4~t Lawrence :~']cy VanAsu ~~~n ~ Bow~eB (7 ^ Carl ^ ^ Wiegand K C ^ ~ ^ Pitchaei ^ Anderson ^ Spcer Richard A Smno ~ C _ --~ ~ Michael SchoBmeyer ^ ~~ Hi~Pc P ~ -t ^CroraR 30th VE ^ ^ ^Butter Thomas ^ Ea8 ^Lan6er _ ^Charles ^ _ _ _ - - Don - Walter ^ i Bruce ^ ~p~n~v,d~.^ ^LI.~~sEeerr C6r1s goN,eR Curtls n Vr- F~ G K ^ Nhmeman - - _ r - Faber Brim ^ ^MBler Tom """" 1 ~~ ^Tom irme WBson ~ O ~ r~r~cs Britton Frye ^i ^ ° ~~n ^Glenn 5~`Yd ^Gabrkl S~ K ^ - ~ Delmer Sorenson B~+m c N „^ K^ 27th AVE W~^ E ^ Hovde H Holum Romo ~ ERtn66oe ,1,~ ^N~~ I Klelmeyer Olson ^toH~p- ^ 25th VE Jr 21 inn 22 ~ ^ ^W er 23 ^Houdorf 2,4 ~ ~3 1 g ~ /- -I Leonard ^ IH,o,• Kenneth Robert t ^Terry ~~^ ^ ^sau~ere ~/L Olson mtson MBkr Hunter ~ ~ ^ Witt Lamb Sm~ithu ~ ^ s ^ S Richard yy11 mudler ^Brlan Rmt rreegg ~~ - - Hampto ~ ~ umd ° Pla ~ ^ChrisWpherson Wang ^INlller Buchal^ ^ oBer ~~0~ ^ ^Peggy Biegen GLunpe Timm 1 ^ Ti• ~ - - " - - - - b - ^]7m 20th AVE ^ ^Rodney 1 Troy 7nvfs ^^.~ ~~, Have Richud ~~ ^ Timm ^ ~ Fteaine Tim =~ P ^ ^C ~e lac°ba ^ u. TDenn-is G~ ^ ~ ~ SNOWMOBILETRL ~. ~ I \,~P Hampton Frye S ^ Haol~ud ^Thomas ^ P H ~n ~ Robert hauer Peters° ^ Alan ^ 26 25 ~ ~ 30 ^ ~~ 28 H°! ^ Hale 27 '~°~; ^ Eric David Saran`s: ~'~~ ^t Muk ^James n ^ ^Raasch ~ ° ^Sands ~ BWe Rex Strhrger Chris ^t ~ ° ~ e '~~ ~ ~~ ^ ~~ King BI ^ B A ~~' ^ B ^~ i ^r~'Tim ^ ^,~ ^ ~'i ^ ^ Stewart ^ - 10th AVE ~ ^ ^Wayne Rober~ 7~~ °~d ^ ^ Orvllle ^ ^H ^ Schmitt Bauer SP t V ^ ^~ 1Crendn~ VhanS~choo^n- ~r~°r G>~t Trealoff ~ Dial Youa sa~ s Her C Mike ^ ..v Y e7Sr. byp I --/ ~ B ~a~-: ~G~ ~arreB V', rya ~,F ~ 1^ 41 ZimmC[IDan Ro. oti.;f: ` 32 tee" ~ ~3 ^ .Rode 34 ~ 35 ~' 36 w`" ^ ^ JOHN / 2^ ~ ,9998 Wolf ^ PP LAKE ~ 128 0~Q ~~ ~~ Nelson ^ r -~, GEORGE r I 7\vain Kevin ~ ^ David Stephen eff ^ 'Y' .Hdmer ,/ I~ ~ FLefs n ^ ^Lee 4Q0 y1 ^ ^ ^Sowatzke ^~ ^~~~ Samud ^ a®a.- ------ PIERCE/ST CROIXRD ^rcora r^n _~ • Cancer Bank of Spring Valley • Intensive Care & Plum City Branch c ,Accident., COMPLETE BANKING SERVICE Harty O~Poa• CMuwi6os, Gswgla 37999 • Disability Rita. Asher • Nursing Home Care • Life Spring Valley - (715) 778-5537 Phone 715-772-3245 N8595 50th Street Plum City - (715) 647-3791 FAX 715-772-3265 Spring Valley, WI 54767 Member FDIC