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HomeMy WebLinkAbout040-1157-30-000 t -CT STC - 104 AS BUILT SANITARY SYSTEM REPOI t- ot;, f OWNER S~.erJ-2 SL(1.e2/I~J2-'" +w~L3ls,.r G~ TF ADDRESS 7-3Z OW- U/EW 7,e4,-e- yO/. 5,,71_ 3 O SUBDIVISION / CSM# LOT # 3 SECTION Zf/ T,4 N-R Zy W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ORIGINAL INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. r p BENCHMARK: ALTERNATE BM: Ro /iuje_ 444/1 j!f/L G, = SEPTIC TANK / -F~'RAiPIBER / H ORMATION Manufacturer: 101PAVeS723?1v l~eifs 7 Liquid Capacity: /200 '¢I~f Ro1C Setback from: Well N 74o 14,& House Other GOT COO Pump: Manufacturer NlJ_ Model# ti Size y Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: 5 Length -7 S Number of trenches Distance & Direction to nearest prop. line: 73 , It, So ' Lo T Setback from: well: House yy r Other NO A ELEVATIONS Building Sewer Cpl ST Inlet: 0 Z y~ ST outlet: PC inlet s; PC bpttom Pump Off Header/Manifold Bottom of system S-"7/ C Existing Grade • Final grade /0 y 50 Ut, le 3 S~ ti,9 /f/~A S DATE OF INSTALLATION: Q PLUMBER ON JOB: 7- LICENSE NUMBER: /V/?~ 33 ~ 7 INSPECTOR: 1W)y 3/93 : jt ova /'s T s f r G w v` p . f r N 4 ~ ~ ~ Op a a:' n o C) ti ~ o ~ y -41, CPS I I I I ~ \ ~ ~ I ~ i I Oy I I I I i I IA ~ I I~ I I I I~ ~ I~ C I ff~ I ~ I~j I I I I I ~ i I I I I I I I I I 1~1~ I I oa` I V n ~ I ~ Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM S County: aand Human Relations Safety and Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 289315 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: SWEENEY, STEVE TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ' off' 040-1157-30-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / 04 Dosing C Aeration Bldg. Sewer S 16a,t"A, Holding St/ Ht Inlet ' TANK SETBACK INFORMATION St/ Ht Outlet Vent irIto ntake ROAD Dt Inlet TANKTO P/L WELL BLDG. A Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe 16 Holding Bot. System 0 /C)O.d PUMP/ SIPHON INFORMATION Final Grade , a 3 ~ 96 Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft CAB U1, '53/ Loss Head bur ~ -4- Forcemain Lengt Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth 17,5 DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Mode Number: System: AA) 3 g V OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges 3(0 - Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 2/.4.28.20.614E,N,SW LONGVIEW TRAIL LOT 3 Plan revision required? ❑ Yes RfNo Use other side for additional information. SBD-6710 (R 05191) Date s e or's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: F g 2- 3 2-Rl 9. of Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau aBuildingWaterSystems SydZ~~ 201 E-Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. 601? • See reverse side for instructions for completing this application State Sanitary Permit Number ag93~~ The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION 11114- Property Owner Name Pro erty Location ~N1 5&) 1/4, S T , N, R.Z E (or )o Propert~ Owner's Mailing Address Lot Number Block Number City, llState 3 Zip Code Phone Number Su division Name or CSM Number II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ city Nearest Road r ❑ V Rage -reo y Public 52,or 2 Family Dwelling - No. of bedrooms own OF V 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 30 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF P RMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Se age Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 eepage Trench 22 ❑ In-Ground Pressure 42E] Pit Privy 13 ❑ Seepage Pit ~ 43E] Vault Privy 1 14E] System-In-Fill 3 TTiewe4eS c-)( 5,6 67 r--? - 167.5"0 VI. ABSORPTION SYSTEM INFORMATION: 1p 0. f',o - X09, 62 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7_ Final Grade Required (sq. ft.) Pro~osed (sq. ft.) (Gals/ ay/sq. ft.) (Min./i ) cil~'•?f Elevation 60V 1 '750 S 0 Fe /03- Feet VII. TANK Caa in gltoaccts Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank /~Q jZpQ ~r~~ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber / t-e ( ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number: eGd~1~!7~ 330 1715 Plumber's Address tr et City, St te, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (IndudesGroundwater Date Issue Issuing A signs o Stamps) pproved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to Counly. One copy To: Safety & Buildings Diar•.ion, Owner, Plumber 1 , INSTRUCTIONS A ~ 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local node administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacemen'., reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7 VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County / Department Use Only. X. County / Department Use Only. Cormpl,ete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service,- streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas,, and the location of the building served; B) horizontal and vertical elevation reference points; Q complete specifications for pumps and controls; dose volume; elevation differences,- friction loss; pump performance curve; pump model and pump manufac?.urer; D) cross'section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater- contamination investigations and establishment of standards. LOT' `[3 t 16 l . S Z. Q Z / OZ, d Z 3 03. (-o6 r y~ /oS.oz 6 s /oy. ~Z Ir ,r • = Jj,¢L,G~~CeQ Pi 1 S sv s~ ES7'~ ~~~N O-AJ 4 i3r) os~° k) fPM64- 1% A • O = - - 17b 56 /to G 11Q ~ ~ xso`~,, 1 93 ~~w • Fresh Air Inlets And Observation Pipe Approved Vent Cap r Minimum 12' Above _ 111 Final Grade 'Above Pipe _ 4' Casl Iron Veal f e' ,to Final Grade SyalhNk covering Min. 2' Aggregate Over Pipe 0 Oitilributlon -Tee Pipe 0 0 0 0 0 a Aggregate t b Beneath Pips PerlMelel Pipe Below J a -Coupling Terminelin4 At Bottom Of S.ysleat ~Q l0/.a Fresh Air Inlets And Observation Pipe h ~ . Approved Vent Cap W t / r t Minimum 12' Above ~J tl Final Grade Fik3 t5HED GRA-PE- ~ j T H E IJ c t-F- _ 4' Cost Iron Above Pipe ' • Vent "W V\ 'to Final Grade k $ynlhelic Covering Min.2 Aggregate Over Pipe Olslrlbullon~ -Too pipe 0 0 0 0 0 W e (P Aggregate 0 Pertbroled Pipe Below Beneath Pips c:~, sy 5 7-jFA-1 0 -Coupling Terminating At _ Bottom Of System Fresh Air Inlets And Observation Pipe 4 Approved Vent Cop Minimum 12' Above k C ll/ Final Grade/.r/%S TREAV c ti-- / d3, S~ -1 An ~ v y~,e .SwE' .~i /~a q2 -q s;S3<oy Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page : of , Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # oyp• /x3-7 • 30 APPLICANT INFORMATION - Please print all Information. Reviewed by Date Personal Informition you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ' p Govt. Lot 1 /4 -SW 1/4,S ZY T fO N,R E (o W Property Owner's Malting Address " Lot # Block# Subd. Name or CSM# 306 Celle_ 3 C." 3&8l0/ . Uo% z P . 3Z y city State Zip Code Phone Number Nearest Road 0A.1 ❑ City ❑ Village 3Town Cali /rte rl1r LJ , v 0.✓ &11. y 01& (715 ~d V • $7731 t~ New Construction Use: Residential / Number of bedrooms 3- Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: rise Code derived dally flow 4 D gpd Recommended design loading rate bed, gpd/ft2 . ~1p trench, gpdNt2 Absorption area required_1~bed, ft2 Z 50 trench, 112 Maximum design loading rate • ~ bed, gpd/ft2! Q_trench, gpde Recommended infiltration surface elevation(s) -sue leg • 3 ft (as referred to site plan benchmark) Additional design/site considerations T~E'v e4i S~ Parent material SA~yl~Y DVf Flood plain elevation, if applicable ft S = Suitable for system Conventional ~Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system 2--s El U LK5 ❑ U Lid S ❑ U ❑'S- E:] U [r]'S ❑ U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench a3 io Y4 2Y2_ /--5* / v i 1" t ; Z -s /0 yR Y6 / / Ground 3 slev. 3 5Z- #^4k elev. ZY: -3 06 Depth to limiting f or 4in. Remarks: Boring # L "1 / 0.6 /O y,Q 2- Ls / AN& 4-1 ME M YF low 416 5" 00 .9 VOL. Ground -5 C ZZ S~ ~p r1ti► a i . Y • 5 job • ~1? ft. io S/ S l~ . "1 ; • ~ Depth to limiting 7 /,tin. Remarks: IQ CST Name (Please Print) Signature " Telephone No. 1 Up ~o,8i T-' 71Y 3~ • JO/FS Address Date CST Number Z .Its '~1 -1 ~ ~T tI 7 LI ~ 1 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of PARCEL I.D.ff .3 Boring # Horizon Depth Dominant Color Mottles Structure 2 In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots 3 ^ Bed ;Trench % /0 316 LS / CS / ' Ground 3 s~L 2 elev. f s .~.r, ~ 2 s . S ; • ~ /o3,r (wort. S- o y -s D ; . g Depth to limiting factor Remarks: Boring # o•S ioyje z LS If fl e v S s ' •G 7 2 57- 2 Ground elev. OL tt• ' Depth to limiting factor 1//7) in. Remarks: Horizon Depth Dominant Color Mottles Structure D In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Boring # 1 . to P Vz GS' S: • G 16P lo V IQ 316 -5_ 1w 4#2,e- e~- Ground elev. Depth to limiting factor Remarks: Boring # Ground elev. Depth to limiting factor in. Remarks: F L O T- 3 `(3 ~ I a l . S Z. . 3 03. ~0d r y / oS. o z S /oy.5z. sU S~ Es7~E°D ^T"~~N ~ 100 . a r low ~1 75 ` 13 r 67a 3-N ~ IIO Ili D3 1 ~C 1 33686 N CERTIFIED, SURVEY MAP PART OF THEN 1/2-SW 1/4- SEC. 24, T-28-N,, R-20-W l~'LF. cy BEARINGS ARE REFERENCED N00-36'-18"W TO THE' WEST LINE OF THE UNPLATTED LAND SW 1/4 - SEC. 24 p~ O [55 (ASSUMED BEARING) plb ` 41.64' It' p ! / N 89t 51'- 23" E X90 596.72' 5a 0 2 / 2r i, ZZ V' 6 / / p ~0'T 2 UNPLATTED LAND LO_ N 2.60 ACRES 66' PRIVATE ROAD i N 89°-51'-23"E 439.60' I I SEE REVERSE SIDE FORI I I L CURVE DATA AND I OT 3 1 1 SEE REVERSE SIDE 'OF 1 LOT I 7 1 SHEET I OF 2 FOR - C I I-•CERTIFICATION N 2.23 ACRES To ' 0 1 N w \ 1 •N ~ ' O tG O lps 1 M N 89°-SI'-23"E ® 8 .01 443.33' ® \ S77-01'-37"E oa \ ro 72.88' Z 1 1 M „0 217°- 2 8'- 19 160' DIA. CUL-OE-SAC LOT 4 sl2 58'-23" II UNPLATTED ~ 3.52 ACRES \g'0 O3 - A N _ LAND M _0 O W p c - S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER J~~ ~P~ ~e eeti~ ADDRESS_ L07 3 L9N4 c 1 ew !r~ 9 1 FIRE NUMBER CITY/STATE `T~ O _T0L-q&3'&A4(3 -ZIP PROPERTY LOCATION: N 1/a, '5UJ 1/4, SECTION_ L34 , T-21-N-R_2Q_q TOWN OF_--r(-osz Tnw&a sA p , St. Croix County, SUBDIVISION_ 3 ?)('?(40j, V , a PU, sag , LOT NUMBER__2~ Improper use and maintenance of your septic system could result in its premature failure to handle waste. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed septic tank pumper. What you put into. the system can affect the function of the septic tank as a treatment stage in the waste disposal system. 'St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with- the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoni officer within 30 days of the three year expiration ate. SIGNED: DATE: 41- R St. Croix co. Zoning office 911 4th St. Hudson, WI 54016 S T C - 100 This application form is to be completed in full and signed by the 'owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property ~~"P_042JD Location of property 1/ Stem 1/4, Section ,T _N-R aO W Township Tr(Su Mailing address I03gl /1ki AA,,,j L.v /J M6ple_ r*W AAA 3 (4il. 4 ' Address of site 3, L Odl»C3~¢c~, 3 Z U Subdivision name ,~j Lot no. Other homes on property? Yes No Previous owner of property G~a(L, (ter t= , ET Z~12 ~ot3F~T S tCT~~p~ Total size of property Z, L Cam( Total size of parcel 2. S Date parcel was created njyoQ,-►~ -Q-r a q ~9 76 Are all corners and lot lines identifiable? XYes No Is this properly being developed for (spec house)? Yes - Volume _ ^ and Page Number jnQ2_4j/ No as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded i the office of the County Register of Deeds as Document No. S 2-5 1 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. r 4SIgna of pplicant C 1'c nt Date of Signature Date of Signature VIL 1214 PAC1? 4 553259 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. y AEGISTM OFFI ~E - 1 ST CROIXCTY..W1 Gena Setzer, as Ancillary Personal Represent3_ tive of the Estate of Geor a F. Setzer a APR 21' 1991, deceased and Robert J. Setzer Q M 4tenhen M_ Sraeenev and Heidi F_ ~.ou ~ Wj conveys and warrants to «+c on v hl~Q~ .i ,.i fps as snr~i~•nrahin #4,owof DWJS 3 Mari tat zre 1.~ SPACE RESERVED FOR RECORU»+o DATA ADIr %ONE MW RETURN St Croix -CD-Mx %71LV\ A- the follow,ng described real estate in S State of Wisconsin: MWCW DENTIFlCAT'v. NUMBER Lot 3, certified survey map recorded November 29, 1976, in Volume of the North one- 2, Page 329, Document No. 336861 being a part 2 Twenty- half of the southwest Quarter (N1/2 of swi/4). Sec Twenty (20) I four (24), Township Twenty-eight (28) North, ~ in. West, Township of Troy, St. Croix County, TRAP'_$ Eli This is homestead ptopertat Easements, restrictions and rights-of-way of record, Exception to warranties: if any. ' Dated this l day of Estate of George F. Setzer Der-eased (SEAL) B Z a4., WMA~ (SEA) t obert 1- ,Gena Setzer ~Lr (SEAL) AC.ICPIQWLEDGMENT AUTHENTICATION , State of Fusin, ss. SigttatuK(s) St. Groin Cou ba me this day of 19__ Paso Low i9 The abow named authenticated this day of Persona 1 ena etzer asncstl-e o eor e Re resentative o Deceasea an ..oert F. Setter TITLE: MEMBER STATE BAR OF WI5CrJNAN S e t z e r (if not, tp sl>z ~eaSOrt 3 who executed the foregoing Wis. Stars.) to me kno-n authorized by !3706.06, instrument and ae the same.