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008-1047-10-000
Wisconsin Department of (~ mmerce PRIVATE SEWAGE SYSTEM Safety and Builoing Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal informaticn you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Kersten, Brian & Janette Eau Galle, Town of ;ST BM Elev: Insp. BM Elev: BM Description: t ~s c TANK INFORMATION TYPE MANUFACTURER ; rq~ 1i CAPACITY Septic ~j ~ !~~ Dosing {{ dv~L d J~ 5 g :4 ~ ~~ Holding TANK SETBACK INFORMATION TANK TO P/L ~~ WELL BLDG. Vent to Air Intake ROAD Septic ~ 7 /C1a ~~ ~ ~` a '"1 Dosing ~ /~~ b~ ~b, Aeration Holding PUMP/SIPHON INFORMATION ,~ - _ Manufacturer A Demand ,~~ d5 GPM Model Number 6b Z~ ~~ ~~ . TDH Lift` • / Friction Lois1 System ~ad5c TDB ~t Forcemain Len~ t~ ~ Dia. ~1 Dist. to well ~ ^ Z SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 506207 0 State Plan ID No: Parcel Tax No: 008-1047-10-000 Section/Town/Range/Map No: 16.28.16.239A STATION BS ~ ,A FS ELEV. d"b Benchmark, ~~ . ~ Alt. BM F. ~ ~, g. ~Q y ~ . Bldg. Sewer ~, 13.z ~g~~ St/Ht Inlet ~ ~~, ~ ~ 7„ 75 SUHt Outlet ~ ~ ~ Dt Inlet .~ ~ Dt Bottom L T '~' ~ ~~ •.Z Header/Man. 3 Z Iola . ~S Dist. Pipe 3- Z / as - Bot. System 3.g5 /t~0 Final Grade Z . Z /b/ • 85 ~( T~ 3~~ /41•S 5-~ ~~S BED/TRENCH Width 1 Length ~ No. rent s PIT DIMENSIONS No. Of Pits Inside Dia. ~ Liquid Depth DIMENSIONS "7, 5 ~~ e ~ ~ "~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ER OR CHA Manufacturer: ~~ T S stem: yp y ;,,, ~~ ~ ~ ~ p~ ~ • 1./f~ LIN Model Number: ~ ~~ ~" /V I~ DISTRIBUTION SYSTEM 5,,. tA_ Header/Manifold ! ~ Length Dia / ~ Distribution Z> // ~~ Pipe(s)`7 5 Length g'SZ- Dia /~ Spacing /b x Hole Size ~ I~ S 3Z x Hole Spacing ~~ 3~ V t to Air Intake ~'~ L~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only . 1 w. . .. o Depth Over J Bedlrrench Center ) ~ Depth Over BedlTrench Edges ~ xx Depth ofi Topsoil xx Seeded/Sodded xx Mulched r ~ / 1 Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~ W / ~~ Il~nspection #2: / /_ So. ~g G~~ti~ Parcel No: 16.28.16.239A Location: 363 230th Str et B I~dwin, WI 54002 (SW 1/4 NW 1/4 16 T28N R16W) NA Lot 1 1.) Alt BM Description = ~~ 4; -- ~J~- e~-.~,5 a-- W f 5~~, 2.) Bldg sewer length = O ~` - amount of cover = ~~ I ~°~S Gv~ Plan revision Required. [~ Yes No - - ~ b / se other side for additional informati n. V U o SBD-6710 (R.3/97) Date Insepctor's ~°~ -~ Signa re Cert. No. s ~.~~. ~ ~ - - - a . = ~ _ = - __ _ . a _ ~"r7.~~."'ee'rF L'$ Ccernraier L _- t _.._. _ .. _ _ .m _. -.~.. _ ...".""" . _..,.. . _ _ _. ~~ 1 ~ ~e ~ (~ ~ V J ~ ii ~ ^ y~ AYE g ee~~-[ gg--~~ i 5~}4,F~E~~i~ ~41~a.!i~E. ~~~~f3`~~l1 IR iit.i-CiLlilPicC V~'itSf 5. t. f3Ttid:1. Cij 71(v}> ~t f5. Aaer. Cede, Stii)m155tOR OL t~i15 tOrrsl t6 CtiC app rlaiC ~ "a: [Yt<71 ~taLE ~rr2R$3~Li4n ~IetI4LIWr ^/y/ ~ ~~ ~~ ~ ~ '~ ~~ `~ unit is requirr.d prior to obtaining a sanitary permit. Note: Application toms for -owtud~ submitted to the Deparureent of Commertx. Persural iniormazion you provide y be used fo!' ses in accordance with flee Pri Law, s. I5. ! m), Stan. are Project Address(ifdif€erentthatsmailingaddress) y ~1 '~ 'l ~ /r ~`'1 T- L A Iication Information -Please Print Ap Information (~ p~ .il'/ Property Owner's Name 1 J, 2 > ~ ~ r s7 ~F ~!~ c ~ ~ if ~,/,,,,s' c- e. o,~ s Parcel # G ~ - I ~, ~~ ? - ! v _ ~_ ~. ~~ Pro Owteer's Mailing Address Location City, State Zip Code Phone Nwnber L- -~) ~ 1 wi /~L , ~ C~ W ~'+1_.rl ~S 'SGUWn T ~~"' N R~ ~or w Ii. Type of Building (check sU that apply) Lot # ; ..~.1.9r2 Farttily D.wslling- N.~mu~ of Baia _ __ ~ Sttbdivisior- Name -- ~s-. ~.0~ fitr2ti~lC- - / ~ :s~a.c ~-'~` Block # ,..._._-- . 9 ~ Z~9S" ^ Pubtic/Commuciaf -Describe Use 3 ~I? . r~~ T/Q~~t/ ^ City of 0 Owned - Desaibe Use l ~Z~+- 6~-uc, - a-~ CSM Number ~~'~ 3~i 7 ^ Villas of 4a Town of ~ ~ ~. G ~ < r ~ [II. T ype of Permit: (Check ottily line A. Complete line B if applicable) `a" ~ New Sysrern System ~~ Tank Replacement Only ^ Other Moditic~iott to Syattrn (main) ~. 0 Permit Reaerral ~ Chanpe of Phateber ^ Peraait Tr~frr to Near List Previous Permit Nttanber and Die >sated IV. T of PoW7'S S a~UDevica ~c sTi that - YI 1'~% f ^ Nat-Pnaasuiaed M-Ground ^ Prrsurized in-Ground ~ At-Grade ~ Mound ? 24 in. ofsuitabk sal ~ Mound < 24 is of saita6lk soil ~9, ^ Holdmg Tarot ©Otber Dispersal Componen (exphin) ~ Aedrautteet Device (ex~lain)- V. VTreatmest Ares Information: - Desig-Flow (gpd) ~vv DesiKtt Soil Rum l.u ~, Dispt:rsel Area ~ (af) crv /S~d Dts ptxsal Area (sq LV ~ ~v Systzm f0evatiott q i, ~~US S~ /~ VL Tsnk Info Capacity Galkws T Galbos # of Units ~ .s ~ ~ IdwrTaaks Existiatr,Tad6 ~/-A~ ~6 /~ ~/. " /v~ f// w c~ v, ~ ~ ~ a Septic w Hreld~ Tank ~ ^ v (.~ ~ ~ v i ~/ , _ (; s ~'. /~ Dosneg t3amber t// _ . ~'Y~+ CJ ~' O / f ` ` . _ VII. oasibr7ity Statement 4 the andersigat>d, rue tespo for iestatlatioa ofute Powfs are the attatited plans. Plumber`s Name((Pritet) V e- Jt~ti7~ ~ PI 's Si~oatune r') Nu~tjdxr ~oC ~ l ~ Business P6oo/e Nunber / ~l~^^(a~( Srl4 Plumber's Address (Street, C" .State, ZipCode) / ~~^. VIIL /D t Use ~ ved ^ Disapproved ^ OwnaGivenRmson far Denial PerntitFee ~ S `'` ~~' ~ 4ato ~ ~~ ~ ~ _ _ Ages ~ ~ ~ %~'~ "`~'~ ~' ~~ ~,,,~ f~ ! IJC. CotadiHons of ApprovaVReasotts for Disapproval 3 C.4~'t<~./;-:~-;'~"hJ lX.. S~~- ~~-7/ "i" ~ ^ . SYSTEM OWNER: ~'~~ -~ 1 Septic tank, effluent filter and ~ ~,~~~`'~~~' ~,~ G ~~~'/'-~?~ dis ersal cell must all be serviced /maintained as per management plan provided by plumber. ~~ a ~ ~m ~~~~` and fabdlit t0 tat Coaaty ody N p7 less tteaa a ttr x t 1 toeaer to as per applicable code/ordina {/~/fj//'/~/ jJ (~/r~~~ S~'l "~ . ,~~~~/!/,~~~~'~_ SBD-6398 (R. 01/07) Valid thtu Q'ff99" //V !/ ~.~j~ ~ _ ~yt- ~ ~j~ ~j~ ~~.~.{/t~'e LYE `I ~~~~ (~~ ~~ (~ ~ ' i1 I~ i A-h •~. ~ ~t l1"j e. f Z:'~ fS a 125 ~"~~'? ' S' kJ ~~~ N t~ ~~ S ~ ~ ~ 2{~~v R/G k1 ~~.r `~ ~~p° J ~~ C L, ~~ St, ~~2~a 1 ~ ~ ~ .. Q"` t7" J ~. o ~ ~ ~ _. a ~ ~y,, ~ ~ o~ a ~ ~ ~~ rg ~{ i 'G iN-7 l ~', o . ~ zG, 3 ~ ~~ ,. i ~~ ~ g- ;, i ~' + 5 J ~I6:Silr/~" ~ tt - y Wit- ,a ~ ~- ~ ~;~ ~~`~ ~ ~~G~~ _ ~ o~~' ~ `• ~ ~ ~ ~~ ~ ~° ~~ ~ ~~ ~ ~G~~ ~_ ....._~__._ '--- f i ' ^ '~ ~~5 tuna ~'L /0®.s' , v ~` 2 ~ C ~ti ~_QS t"~" ~~`° ~ ~ g `~~ ~ ~' 3~ ~ ~ . .:a ~ _ .. ____ commerce.wi.gov isconsin Department of Commerce Apri125, 2007 CUST ID No. 223475 ATTN. POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-9831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary ZONING OFFICE JOE STANG ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HiJDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/25/2009 Identification Numbers Transaction ID No. 1386773 SITE: ~ Site ID No. 724376 Brian & Janette Kersten Please refer to both identification numbers, 130TH Avenue above, in all corres ondence with the aaenc . Town of Eau Galle St Croix County SW1/4, NW1/4, S16, T28N, R16W FOR: Description: Mound /Four Bedroom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1127042 Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter 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. 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: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The changes made in red to this plan on 4/25/07 by this reviewer were acknowledged and approved by the system designer. • Per manual cited above, 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption /-~~u~ area. chs. NR 811 & 812c • 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. JOE STANG Page 2 4/25/2007 • Inspection of the POWTS 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. Stat • Comm 83.22(71 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. Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 maybe 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, /~ ~; ~~. J Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. RECEIVED APR 1 6 2007 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application SAFETY & BUILDINGS INDEX AND TITLE PAGE Project Name: Kersten Mound Owner's Name: Brian & Janette Kersten Owner's Address: 840 10th Ave. Baldwin, Wisc. 54002 Legal Description: SW1/4 NW1/4 S16 T28N r16W Township: Eau Galle County: St. Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 008-1047-10-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Evaluation Report Designer: Joe Stang License Number: 223475 Date: 04/ 0/07 Phone Number: (715) 684-5166 ~f%!ty, , ~'~~~J Signature: Dili ~ ~~~ Desig ed Pursuant to the ~ OF COMMERCE Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and TEY NGS SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) .tSPONUENCE Version 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 4.50 Site Slope (%) 99.00 Contour Line Elevation (ft) 18.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 80.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) a Center or End Manifold 3.75 Lateral Spacing (ft) 2 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 185.00 Forcemain Length (ft) 83.00 Pump Tank Elevation (ft) ~~/^ }~ ` V ~~ ~~~ 4.55 System Head (ft) x 1.3 17.25 Vertical Lift (ft) 3.38 Friction Loss (ft) 25.18 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal colifomi of <= 36 inches. 7.50 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 11.11 ftz/orifice Does the forcemain drain back? Y Enter Y or N 30.18 Forcemain Drainback (gal) 72.04 5x Void Volume (gal) 102.22 Minimum Dose Volume (gal) 29.08 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 800.00 Total Tank Capacity (gal) 1200.00 Se tic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Manufacturer 22.22 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 22.24 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Manufacturer Project: Kersten Mound Page 2 of 9 Mound Plan View 1_ 1/10 B • ' •Observation Pipe 'Q' K •5 . .L:F . -t Jj - T A I I I - L Mound Component Dimensions Down slo a toe extension made. A 7.50 ft E 22.05 in H 1.00 ft K 10.38 ft B 80.00 ft F 9.50 in z 11.25 ft L 100.76 ft D 18.00 in G 0.50 ft J 7.38 ft W 26.13 ft 600.00 (ft2) Dispersal Cell Area 1500.00 (ftZ) Basal Area Available 7.50 (gpd/ft) Linear Loading Rate 8.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersa! Area Finished Grade 102.29 (ft) ~ fr~~ ~~.... G ~ H ! /l {f{ Z F . ~ : ~ ~ ~ ~~~~~~~~~ 101.00 (ft) Lateral Dispersal Cell 100.50 (ft)-- - Invert Dispersal Cell 3~ ~ ~ ~ ~ : ~ Elevation E ~ D ~ ; ~: _: _: _~ ~ __:::: _: _ __ .f ~.,_ ~_ ~.~ _ _ - _ _ ~ 'i •i •i •i •i •'i •j,•i •~~Yi Yi~i~ i ), i i 99.00 (ft) Contour Elevation Shading Key 1Q ~ Topsoil Cap ~'~f~'f Subsoil Cap © ASTM C33 Sand ~~=,~--i-fi~~ Tilled Layer ~5 Aggregate 4.5 % Site Slope Geotextile Fabric Cover '° c. ~ Dispersal Cell See lateral details on °• 0 au o 1.5 ft .• , .••.••. • .• .••.•• ~ ~' ~ ~•'°~° ° ~•'••'~ ; Page 4 for number, size, and s of laterals acin ~ , . • ..... •" ~~•~ ~ •'~~ °~ •• ° p g . L t l ~ F ~ a erals are equal y = as 0.5 ft ' s ~: •~ Typical Lateral spaced from the ° ~ ~ ~ distribution cell's ~ ° ~ '~ • - - centerline in the *' A ~ distribution cell (AxB). Project: Kersten Mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension • =Turn-u p tm' ball va Ive or cl ea n out plu g .l P f All laterals are identical If X-3I Holes drilled on the bottom of the lateral I equaNy spaced s 1 Force main connection via tee or cross to manifold ~ arry paint. Laterals & force main of PVC Sch ~0 [per C[:N111hA Table $x.30-5J Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 1.50 in 78.52 ft 3.75 ft 14.54 gpm 29.08 gpm 25.18 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -~ Comm 16.28 WAC Disconnect ~_ Tank component is properly vented Wieser Ca aci 800.00 Volume 22.24 Manufacturer Gallons gaUinch Dimension Inches Gallons A 20.37 453.14 B 2.00 44.48 C 4.60 102.22 D 9.00 200.16 Total 35.97 800.00 Bedding tank. Alarm Manuaaacturer SJE-Rhombus Controls Alarm Model Number Tank Alert 1 Pump Manufacturer Goulds Pump Model Number 3871 EPO5 Pump Must Deliver 29.08 gpm at 25.18 ft TDH A B C D 0.156 in 3.02 ft 27 11.11 ftz/orifice 3.75 ft 1.50 in 2.97 fUsec Locking cover with warning label and ticking device and sealed watertight I 4 in, min. ~_ ~- .Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 83.75 Dose tank elevation (ft) 83.00 Project: Kersten Mound Page 4 of 9 Mound Svstem Maintenance and Oaeration Saecifications Service Provider's Name Joe Stan Phone 1-715-684-5166 POWTS Regulator's Name St. Croix Coun Zonin Phone 1-715-386-4680 Svstem Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ondin and see a e once eve 3 ears 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 mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 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. .Lateral Turn-up Detail Finished .~~~~~........ ............... Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Kersten Mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code eneral This system shall tx3 operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in acccordance 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 tie replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective todcing device to prevent acldental 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 finer shall be assessed at least once every 3 years by inspection. The outlet finer shall be leaned 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 fitter when removed from its enclosure. If the finer is equipped with an alarm, the filter shall be serviced if the alarm is activated centinuousty. Intermittent finer 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 tirrre of a triennial assessment, maintenance personnel shall advise the owner of 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 generalty pat required. However, ff such products are used they shall be approved for septic tank use by the Department of Commerce. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switd~es, 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. Mound and Pressure Distribution Svstem 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 mulctred 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 infiRrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (Ocher-February) dictate that the mound be heavily mulcted as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 dvh00 mL for highty treated effluent. Influent fknv 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 R is recommended that each lateral be flushed of axumulated solids at least once every 18 months. When a pressure test is perfomred it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice leaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be dtedced for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 Indies considered as an kpending hydraulic failure requiring additional, more frequent monitoring. Contin~ncv 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 immediatety repeired 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, R will be repaired or replaced in its' present bcation by increasing basal area if toe leakage oars 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Kersten Mound Page 6 of 9 TBd B=9i-TSSSTasitO~d :oz 6s:sz se-sa-sre . LL15 ~JMPS $1~1~~ r -, EP'04 ~~ ~ EP45 . t -.~ - $pedt~t~r de~gr+ed iori~s a~ ~i'fll~dlM~1. ~j~ ^lM4i: Afem~O- ^~~1- pie cor iNNlrt~atlipt t~~~ tDplfO~ iNNt i~egr#1 ~ ~ ^lllrur~"1NC9~weEN~ f~l101~~f1l ' ~~ • ~ ~ ~ 'L04°F ~ ~ ~~~ ~ 1~ s ~g ~ • +(~~l~ t ~-rD~ 4 • ~! $~Il~s pig b.4 ~P. " tfb~r2S0 , g!!l~ ~ + ftP~ brit iR onerlo,d tr~h auianeltc ems. s ttbY - ~HY 1b5lIRP~iI ~ , . . bunt jn o w~ ~ a~alonmlic west. Pb~rei'onrrt t#ltoot s t6t3 S.tf ~~A1 wtbabmee tIQ ~4ig. Up~ord ?A iootbn~fh,161.~SdiW~Nih - o t~ P~9 iii pW9 {s#r~d~td on ~} aa. ~c~r ~ ~~ ~~~ ilsriiinytltl~0~t Z~ri ~ t + ~..,~._. --. _.ri .. `~- ~•- .,._. ~ ~ o~ - - - - ----j- - - -~-------~- --- w ~o 0 P~.~ _...~.. .: .. i- i. •-- . ` 8 M ~ . s2 .~+M- ia~lYlgfY o~G1• a g GOIi~S PUl~S - G ~ ~' ~ ITT Indu~ries ~a~ ~ /~ iA'N- ,~' cl~l7 t~t~^~ ~eRyt~~ ~' aJ tl~ ~* N ul Yy $` f~ ~ 2~N Rid k/ Z.acvn ~~ b'~k ~,att ~e.. ~~, ~~ Sty ~r~a~°~ P -: ~rr-~i~r---e~~ ~ ~,. ~~f ~~.~G~t• a 3 ~L q~.~ .5~5 t ~~, ~G loos' C~~ry~~~e 9Y 9W iCSI~ v ~ t~v~ -, Wit- ~'G,v ~~~ g ~ ~ `~~ ~ ~yt.. ~~ ~ ~y~ ~' ~/-13-~ 7 ~a4~d ~ao•~G~ zL,~3 ~~~ ~~ ~ ~ , 5~ ~- ~• t v- ~- °o ~ o- _' ~ ~ , o- \r ~~ 1 ~i~ ,.. 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LA N A I ° C) x _ C ' ~ v v o I ~' o ~ F N ~ N H N O p ~ N O ~ d 'Q 7 ~ ~ O ,d. y i ~f 7 Q 'Y ~ Z D D o 0 = ! ~ j ~ d ~ 3 N ~ I p ~ .~ L9 I O C C tD ~ w N ~ ~ a ~ ~ z ~ ~ ~ ~ ~ ~ N ~. ~ N C ~ ° o ~ N A N ~ I N w<moo -o m~ C D n 3 ~ ~ ~'w~ ~ m o - D "O ~ ~ Q ~ 0 C d Q . 007 v d n ~ T 3' <': ? 7 7 7 N fD 0 N N ~ N Z 3 O. ~ N to N Z `G . 3 O > ~ ~ O ~ 00 N p N O O CD ~ O ufDi s 7 0 O~ a N 0 O .~ ~ n ' _• m 0 7 C, N p a ~ 1 N ~ - S ~~ O ~ y ~ N O O I ~ p ( D ~ ~ U ~ ~ ._•. ~ O ~ 3 ~ N O ~ O N N 7 w ,z ~ W (D ~, o, a I '~. ~ ~ m >~ as O N ,.,. I ~ a fD O O fD ~ CD O ~ ~ ~ 0 : : o . i o - ncnp ', ~ ~n o m f c o o 3 ~ ~ '. ~ '• ~ •~ K 'p ~ ~ ~ 'O d ~ C 3 '. W W ~ ', ~ ~ C7 d ~ rn N '.. ~ v N ~ I o ~ Q D o ~ 0 0 y y Go ' o . . a ~ o. .. m :i 0 o rn w O O N ', ~ ~ W ~ n r U! V V cd ' O C N N tn '3 .. a ,, ~ ' ~+ .. O O O W ',I N ~ N a ' I ' f A F. , ~ D ~ v o ' o N ~ A ~ d 1 H ~ ' O .r ~ fD .~. O N ~ ~ m o y ' v w ~ o ~ O N ~ N ~ C fD a 7 ~ ' ~ p ~ N 2 1p °c ~ A ~; O p Z O . i .. W ~ CC I G W ~ Q ~ ,~ ~ Z 3 .P ~ y ~ _ rn ~ .. z ~ N A G T C 7 a d A'+ ~. .C -~ R O ~t O C7 ~~ '~~ C !r • V ~' O ~• Z A V A A W C N 0 0 v A i.,, ti 0'p :!i ~p ,~, r W a Parcel #: 008-1047-~ ~-0~~ 03/29/2007 11:43 AM PAGE 1 OF 1 Alt. Parcel #: 16.28.16.239A 008 -TOWN OF EAU GALLE 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 -KERSTEN, BRIAN L &JEANETTE M BRIAN L & JEANETTE M KERSTEN 534E 2ND ST NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 363 230TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 19.750 Plat: N/A-NOT AVAILABLE SEC 16 T28N R16W PT SW NW BEING LOT 1 OF Block/Condo Bldg: 2 595 19.75 ACRES CSM 9/ Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-16W Notes: t ~ 1~ f/ ~Z/1~yL~ 7 `~ Parcel History: Date Doc # Vol/Page Type r )/ d /L ` ~ ` ~~ ~ ~ ~ ~ 06/17/2004 766153 2597/563 QC ~/ ZG/Y>/ ~ l/U S Q 06/21 /2001 649044 1665/575 W D 06/21 /2001 649043 1665/572 TI more... 7f1P17 CI IMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class RESIDENTIAL G1 AGRICULTURAL G4 UNDEVELOPED G5 AGRICULTURAL FOREST G5M Totals for 2007: General Property Woodland Totals for 2006: General Property Woodland Last Changed: 08/04/2005 Acres Land Improve Total State Reason 1.000 15,000 2,500 17,500 NO 17.000 2,200 0 2,200 NO 0.500 50 0 50 NO 1.250 600 0 600 NO 19.750 17,850 2,500 20,350 0.000 0 0 19.750 17,850 2,500 20,350 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' t'AU C~ALLt L . ~~ N:-K. I b W. SEE PAGE 33 ~ ~~ ~ ~ ¢s. f ,E'y C Chi/cs G/c.~n R. p C nn i ~ . - ~L d¢nde y` ~ h ynde~son ~ He / d 0 4 Dona/d ~,y s ~ ~ ~ h ro~ //air s a 9.e vofin y C B He'9i y p ~ ~ ~ Q / e ~ ~ ~ 0 ~ vn `' C° ¢ ~ y 4o Gasse F7/fa tl ~~jB®®TT 63 ~ '~ ~; \ -zO \ p a h a vo ~ y. ~ ,s 7z ~ •B 3o C d J anh{ ~~,C~ 0~a ~ d\ vC BB e0~ Jh~ ~ry a9r ~Tent'n.E s F son w l Cj Rb. \ ~ C J l v 9 ~o%~E ~ P ~4 sn~ h_~ 4 M ~e C v N ~ ¢ir.3 • V,Q`0 ~ ~ V \ • - ~~ a ~ ~~ ~~ ~e'~ <5'/dne U~ e~son Tfie e,s ,Pobe~ f Hnde ~ ar /zo o Q ~ . •~ 0 40 ~Q /74. ~ Lee ~ ~ w o~ ° K ~~ ° sa' 9 a o• as~~ •G'e:- cis si• '~ /so ~e¢ caU- otlU -~v7 zazs a.'s Bse~fh .3o~ls ef~ •~o~e /447s /ia ~,~ .ea;yr ,y ../. 4~7v/ r .3'/~ O/sa~ T/~o ruv/a/ 94 7B </o/oonso~ "~,~ Osca~4Ce/icc ~ >`/iui- C. 4.Lo izc A. / sa i ~ ,8e~ksefh ~iaeniq so a~cn /1o.~s oi~e ~~~n fhn On/i7/e C 2z ~r Lin ~ f Seo~o •8~/s x.o /40 /J'~ :)s' ~3 Me/,4-e, ~/oe~7 ~A s .i ~n Tiv/o~° ~ C . ~ ~?6.i alas bo e/o/ io.zs • 8779 e-s en a9 OV c~~ ~P/+! ioc Chas. 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G/enn W ~ C • ohn ~ c~s9 H/s~ii~ ~P ~!r~ m,n5 0.~,- ~f/cma- K ~ ~ Ca'~- ~ zso ~3 ~~ o ye~csoi7 TF N q 9hsnsaoi so b Qo e s/c F o u~ '`~ o' ~~C • fh wQ b /s7S C y, .5/ r h ~o C> ~ Leo o l3 W H T. /~ /a.: cr W .6. id Tiro. ~ ~ • `" j r /'%hi7 ~C ~ $ ~ - i:. n C /V ^ ~/ 4 V. 80.93 : o/d .YiS <c~- ErYax oa • o/ a \ ~ /20 ~` !i'ac/r _ C C % 4 • ~aa 90 ~ a// r o¢ o p p `~~ \ ' a e 4 Shv o ~ ~ .p /e 4 h ~ o=- • 3 W yN ece7ff h 0 /da ~ F a'a V 0 ~ ° • ~ h. " tl Leym/e J ie Q E n Vrion .ckson Ca ncred V `~.w ~ f e shn- N qp 7¢ ~ 0 y ~~' b Os C \ ~Clm u~ 6o v ~/io/f ~ L VAC 39 ~o°n //6 ¢o ~\tl ~ ~ d¢~u CyBe ~ e W e /Bo ~sz.sv '~y o •~ .~ZSie /o¢ Tom. ~9/~.. ~ g7 an>` 0 is/ ~ V /vo a V ~ V ~ ~ - 8o C ~ /6 9h v 9/6%yh> cobs°~ . o~/Q/E gq ud c,nQ~ Co %/e/.,a rdQ CUp \J 1/onde ob< Thnowso v a ofFo%/e iO~ ~ ~ ® I • ndr~ h.Y- • ~.~ t 09ct • 80 ~ Bo +~~ o ~ . yb7 b ~ qa °n ~ on .f g s c7a.T,es ~ Li// '~ //o~s.~~ \1 ~ Ed. ti /~c Ta// y s ~ Ta//c d ~~V V x ° ~ %.z.v yn 94.s 290 Kov¢eh vex p Vb/Q. ~` ~~ C 0 Loeis. cTaeobso~ 9 Bo Bo • Ni ~P°~ue/fe ~Po~t/ef~e Ca ~~ 6o Lein /6a • 8o h 80 CQ ,y <'¢nson ~ • ~/ w~ 1,' h M~.y~o.-d ~ ~ .. c' h<ZJ. . h 60 > ~ C l C L o~ \\,,~p w s W'/I'am e~ Fi¢n ces ~~ / e ~ G'/¢ c.7ce ~O 40 ~ d p • ~~ 0 , h ,zoo \;)\V ~qo C sz.s P wens /zo 1~° ~/% ~~~~q ~~vo /ye G¢sB~ C.~°~~a~ d~v® o% ~~ /oo ~j /vo cfeh/e~e/ 3 `~ c, ~ ~ ~o~ ~ c h ~, 2 ~~ Gu do soq ~ Q O ,eichacd. -9if L- f/ z~~ ~ \ C W , ^ O/c /~7 • • 9dv/ h 4 ®° Le r7 Maw. ~'~'n ~ L 0 ~Qacie ~l7' no/ds Ryer• s so zb/e C y p v C `C ~` ~ moo/ ~° o/' a~ ~ Q ~.SB ~yce Fi cs s ~• V~ l 0 60 • l ~ ~ V \ °` C/vim a- y ~P~fh ~\ c 60 /o ~ ~ ~~ Ham'/' on efu ~ d • bV ~ V •C on Oson ~hnsoi7 ~ G s /d F Kenn .`. ~o ~ ~ ~.+! . n se h c/a/ ~ /9o V a ~ .ri E/s e fh K _ G~ ~ vo RO m 63 6a.oei ~ deal// ~ dEa// L¢/e/% in ec 4o a~cn ,1/vi/G ¢ rUj • C/a..E 4o Eo „6c f ~o Bo /so ~~ BO °QO B B ~/- n ~B ~ ~ .ZO /~nde soy! 40 /_¢vedE > /"" Twnoc/ r 9 d ew an cs. V `v 7g s d 0 .pobc Y E. ,w cS'fe e, Le~i7u~n lieu/d ~ /q'e v.+• y. 9ndecsoi7 s5a/6e ~ lYQyne 2 f~ ~ Ado son .moo efa/ Ba 80 . 80 1 ~ V se /oo r ^i\ his iyonso~ 0 C \y L/ ~v'4 /~/o/fen Da/e 4 0 /Pole// f h p 0 ~ •Fno ecs ~ Na~rief 9//e~ ^ 9nt Ma da/ ne c /~ C~ sa~ ~ 4 ae~o,-.s ~v a 9 f~ iCc f z '~ //e a~ ~Sb eniso~ 9~da sow 4/d M ~~ ~ E/sic ~ ~ V Gi/s-fa d ~ 8a ~' '~nOOi~s o ~ //anso/~ .Pcdes~// d h ±yh 8o go qo v /00 4v /s ~. ~s "dc- ~ p - -/7o C ~ Eo / 7zo Mh! M /n 4 • v / ~.c C ohn G C '~ a oo 'eYo/ /i3 ~- ~.. ~. ¢n /soil' Lv¢si Jv 3'wen /t O l 4 Nes¢in ~\,X B cd N ~p F/n© ewlJ. ~s<...r • ~ ' ~ 4 4O ¢0 4GY us sow ..5/~ v/ve ya ~ yen b~.V a n r C~9 f7nden.~o'~ ' ~ ®/97z~f'oc~n a u6 it c 40 Bo 40 ~~ siss 'u2 d 40 "0 90 EFCE COU T ~! C~wr Loin y "' ~ ~ , ' ~ IORGENSEN'S MADSON ~` ~~ SKELL GAS LUMBER CO. ~ Jacobson's ske//y BULK & BOTTLE GAS BUYERS OF LOGS, ' COMPLETE SERVICE STAT/ON, TIMBER 8 TOW/NG AND ROAD SERVICE New Richmond TIMBER LANDS & Baldwin SPRING VALLEY, WIS. 69822438 WOODVILLE, Phone: 246-4633 TELEPHONE: NITS - 698-2630 WIS. 54028 after hours 246-5134 ~~$-5533 -- _ _ a~. ~- ,i/. ~~~ PREPARED FOR: CLARENCE MOLLER 1240 BROADWAY HAMMONO, Wi ~~ , ~ 49539'7 +- CERTIFIED SURVEY MAP LOCATED IN THE SW I/4 OF THE NW I/4 OF SECTI , R 16 W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WI NW CORNER SEC, 18 (FOUND COUNTY MONUMENT) :o o :~ ~, w I3 z .g •O 'e OI y I~ j.5~ FEe z 4 ,99~.. JAMES qv;; .. Re8lstero! '"'IVEII~ St Crclx needs ~ ~~, WI •UNPLATTED ' ~-x.,R S87°22`41 "E 33 03' 12 p ce.pt t c houce . cV ~ I-t the d If..~I O C i,..! 1 0) W~ ~ I~ ~ ~~ barn W ~ `a -------.~..,. ~rl I driv'e~q I (n!i ~ ~ sheds zrl 100' r 1- ~ ~~ W ~ W Nt o la ' o to 0 0 ~ 2 z '~"7 I I33, ~~ i ~ ~ ~ . ,UNPLATTED 0 =SET I" x 24" IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT. r' / LANDS ., EAST LINE OF THE SW I/4-NWI/4 -~ 1308.43' 'I S' ~'; 1307.24 "i ~'v h. O~~V E:3 ~ ~ '93' q~ t0 ~ N : ~. Z. ~ J ; :::'~ . CROlX COUNTY '':arr;;sre'~ha~iwe P!~ nnlnct ~,~yl ~snd ~: F-• 3 F,.. +"' ~sc~t s+~ordeJ N Q, u... ~:;n 3+7 days of ~ -~• a • ~~~al daf,~ ° ' ~:~4irL1.~t{i~i ~~ IRJ ~ ~ n~ ~Il' ~:` YCirJ E'W QUARTER LINE .LANDS NOTE: BEARINGS ARE REFERENCED TO THE WEST LINE OF THE NW 1/4 !ASSUMED BEARING). ~Y~ (p J LOT I 19,75 ACRES 880,138 SO,FT,I 19, 25 AC. EXCLUDING R,O.W f 838, 425 SO,FT,1 B U I L D I N G '.~~- SETBACK LINE 33,03' 1274.21' N87°20'48 `w WI/4 CORNER SEC. 16 (FOUND COUNTY MONUMENT) 18'~ N67.20'48"W 3925.02' , '.. t' EI/4 CORNER SEC. I6 (FOUND 3/4" IRON 8QR) , Wisconsin Department of Commerce Division of Safety and Buifdinas SOIL EVALUATION REPORT Page ~ of _~_ in acoordartce watt t:omm tsa, wrs. Aam. t.oae County c t Pl b a ` an mus e. s Attach complete sibs plan on paper rat less than 8 1!2 x 11 incites inGude, but not Ilmited to: vertfgl and horfzorrtal reference point (BM), dfrect(on and percent slope, scale or dimensions, north arrow, and locatlon and distance to nearest road. parcel I.D. ~ "]~07 ~~ / a~ -~v Please print all Info a~._....~.____..._~ ~""" -•--~ `k ~3i 'I )) 04 ~ ~ ~~ +' ' R ed b Date Personal inronnation you provide may ba uaed ror d ) . ( w; a. . L r~urpL Pfcy Property Owner ~y ~ `1 ~ y ~ .~ ~~ ~-- ~~ ~; Property 1, lion t. Lot ~ ~ 1/4Nw 1!4 S ~p T Z ~ N R ~~p E (or~ Property Owner's Melling Address . ; , , ~:~ ,~~ Lot # ~ lock # Subd. Name or CSM.#, ~,1.~ 3(03 ~5~" ' S~ % zS2 ~ _ City State Zdp Code Pho -•~ ~ ^ ~Ilage ~'fown Nearest ad ~~ ~c ~ ~ ~,.~~~;~~ W~~Sy~~ ~(7/sag -erg ~. . ~ -~. New Construction e: ® Residential 1 Number of bedrooms _,3..."~ Code derived design flow rate ep acement ^ Pubfic or commercial -Describe: _ ~--. GPO Parent material ___~_ _______ Fbod Plain elevation if applicable ____/f/1[~-~______ ft• General comments ~ ~~ 21-Gtf t r~ry ~ J ~k ~~W ' and recommendations: ~S -//(J~ -p (" ~' fJ n ~pJ t G I ~ J • 1 (. O ~ X11 ~l ~ ICLN `-"_ v ".~7"G~L/y'~'l/(/~" G Boring # ~ Boring , ` , - v pit Ground surface elev. ~~ U 'L ft. Depth to limiting factor _~ in. Sol A lication Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft= p in. Munseli Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 !Q- a - ~, ~l in r' C- ~ U -~ ' `~ ~ ® Boring # r~~ Boring - L27 pit Ground surface elev. ~• ~U ft. Depth to limiting tailor ~r_~ in. Sol A ica6on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft: in. Munsell t1u. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 ~ 'Eff#2 3 Z~~ ~ 7 S sL ~ vn.-~~- - -G , 9 'Effluent ff1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent if2 = BOD < 30 mglL and TSS < 30 mg/L CST Name (Please Pent) ~ ure ~ N r „-,v A dress A/ Date Evaluation Conducted Telephone Number {~ .~ ' ~ s o -" ~( - o ~~~5 7(00 ~ C Parcel ID # Property Owner ~~ ~ _._/d ~ -- ^ Boring Boring # ~ ft. pit Ground surface elev Depth tiD limiting factor ZJ~ in. Page __ ~ of _ „'°" Boring Boring # Ground surface eiev. _________ ft• DeNn .o limiting factor ____- in. ^ Pit Soil A lica:ion Ra Hor¢on Depth Dominant Color Redox Des::ription Texture Swdun: Consstence 5oundary Roots GPD/ff Gr. Sz Sh.+ 1 I 'Eft#1 I 'Eff#2 in. Munsell Qu. Sz. Con! Cotor • Efliuen; n~ = BGDt < 3~ my~L and TSS < 30 mgil_ • Effluent #1 = GODS > 30 < 220 mg/L and TSS >30 < 1 ~0 mg; L - "1'he Department of Commecce is an equal opportunity service provider and employer. li you need assistance to access services or need material in an alternate fctmat, please contact the departmen, at 608-266-315 i or "1'i'Y 603-264-8777. SBD•G3301 R.01/001 Boring ^ Boring # ___ ft. Depth to fimi5ng factor __ in• Soil A lication Rate ^ Pit Ground surface elev. Horaon Depth Dominant Cokx Redox Description Texturo i Strudura Consistence 2ourdary Roots GPD/ft' Gr. Sz. 5h. 'Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont Cobr pAGE~OF 3 NAME: ~~r ~ k5~"` LOT# LEGAL DESCRIPTION:~w 1 /4 U~Jj/4,S ~!~ T ~$,N,It, ~G E(or~ V Z~ SCALE: 1'~ yU <;_ ~j.r\ ELEVATION: ~{•)~ ~ ~~r~, k,{, :> BM I DESCRIPTION:~~ c ~ 1 PST BM 2 ELEVATION: ~jf • S v BM 2 DESCRIPTION: fz_ P ~ ~ ~ 1 ~~ ~P~ SYSTEM ELEVATION: /C>v - s a SYSTEM TYPE: ~ ~' ~ ^`~ ' i..: SIGNATURE: ~/ ~ Z y 6„, /3' s _. __- Al L i ' __~ ~ /~6 DATE: n'Y~ -___ ~ "~ ~~ lGe G• I ~ -~.. __.__ _ _-~ ~ ~• oU ~C ~~y ----___..--.~ 9~vv .~ , ~~ r~~, \, ~~arruap^ - rn~^ ':~ f~ ~ s' ;,~_ . - ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 Phone: (715) 386-4680 Fax (715) 386-4686 June 11, 2004 Adam Schumaker, CST #253309 2113 80`" Street RECEIVED OCT 1 9 2006 ST. CROIX COUNTY Somerset, WI 54025 _ j' Re: On-site Soil Determination for Parcel #008-1047-10-000, Section 16, Eau Galle TCC~i:"'"'~ Dear Mr. Schumaker: Per your request, an on-site soil determination was completed for this site on June 10, 2004. The current owner, Bruce Erickson, wanted confirmation that a POWTS could be designed prior to selling the property. A copy of the county on-site verification form is enclosed, which concurs with your preliminary findings. Bruce Erickson and Tom Schmitt, CST accompanied me to the site and we dug hand borings in the vicinity of your test pits # 1 and #3. The location will provide adequate room for design of the potential mound on a uniform contour elevation and meet setbacks required in Comm 83.43-1. The soil profiles we observed were similar to your descriptions and even with recent precipitation the lower horizon was not saturated. Please complete the soil evaluation report for Mr. Erickson and submit the original along with the review fee to the zoning department. The on-site soil verification fee char ed b the coon is `/ $100, which should be paid prior to application or a sanitary permit. /~j ~ h If you have any questions regarding the on-site determination, please feel free to contact eat the Zoning office number. Sincerely, Pamela Quinn Zoning Specialist Encl. On-site verification form Cc: Bruce Erickson, 2289 30"' Ave., Baldwin, WI 54002 file _ , __,:~ ST. CROIX COUNTY ,_- ~, ~"'"~~= WISCONSIN ;,,; w ~ ~ ~ __ ~~~~~~ ZONING OFFICE - ST. CROIX COUNTY GOVERNMENT CENTER °' _ _ ___ ~-. __~.- - - 1101 Carmichael Road " Hudson, WI 54016-7710 (715) 386-4680 • Fax (715) 386-4686 June 11, 2004 Adam Schumaker, CST #253309 2113 80th Street Somerset, WI 54025 Re: On-site Soil Determination for Parcel #008-1047-10-000, Section 16, Eau Galle Twp. Dear Mr. Schumaker: Per your request, an on-site soil determination was completed for this site on June 10, 2004. The current owner, Bruce Erickson, wanted confirmation that a POWTS could be designed prior to selling the property. A copy of the county on-site verification form is enclosed, which concurs with your preliminary findings. Bruce Erickson and Tom Schmitt, CST accompanied me to the site and we dug hand borings in the vicinity of your test pits #1 and #3. The location will provide adequate room for design of the potential mound on a uniform contour elevation and meet setbacks required in Comm 83.43-1. The soil profiles we observed were similar to your descriptions and even with recent precipitation the lower horizon was not saturated. Please complete the soil evaluation report for Mr. Erickson and submit the original along with the review fee to the zoning department. The on-site soil verification fee charged by the county is $100, which should be paid prior to application fora .sanitary permit. If you have any questions regarding the on-site determination, please feel free to contact me at the Zoning office number. Sin l/i~ivl/h, Pamela Quinn CST ~G ~ Sa53< Zoning Specialist Encl. On-site verification form Cc Bruce Erickson, 2289 30th Ave., Baldwin, WI 54002 file ~~ ~~~ .~, ST. CROIX COUNTY WISCONSIN ZON=NG OFF=CB ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 COUNTY ON-SITE VERIFICATION FORM drr' "/1 T~S~ ~'~-s. v~`s~ bC~ 1\~l/D ~fnclUnl.lU //7.~~/~1~ /1/'X7_ /n~~/- ln~r~l~ roperty rmar rope Location 1 B v i [.,DE1z - B ~ UGC' G/G.S-O ~! Govt. Lot ,5 V/ 1 ~ 4 8 ~ T Z ~ N R ~ ~p E (ar 1N PropertyOvsners tulailing iLrJdress ~ 22~~ 30~' ~~ ~ ~~ -tl~ Lat Bladc if Subd. Name or CStut±t 1 Zv - 31v3 Z3d~` S , Cily 8tata ~ipCode Phone umber ` ' ~ City ^V81age awn NearestRaa 2 3 ST I3 , z5 vt~c s z r ~/s c,nw-/ o ~s~ ~/~~ awConstruction U sa: ^ Residential f Number of bedrooms 3 ~ _ Code derived design fbw rate _ ~ ~~U -_-_._ GPD ^Replaoament ^ Publicarcommercial-Describe: _,,_,_,_._..___._.,_,.._._......-.._,_.____.._-~____..._.~._.-....--- Parent material _-.,,.___.-._..,_.~___ ~_. __.. - _____,._.. _ .__ ._._._._ Flood Plain elevation if applicable ._,___..__. ____ ~_~~ it. General comments ~~ ,c ~ /' /J and recnmmendations: CiJ~~l~~t/va/ ~ C ~ ~ .S ~/1G(/I h~ ~ ~~~~ t~S d ~~Ga~-., -~r r~~+~u-wh-d S s-}~iv>., - s~ ~ ' l P ~a l cca,~i m!~ Baring ~ Boring Q/Vlr~ p~'~ -~fJ ZQYtN~.: ~~J(~ ^ Pit Ground Surface elav. ~._.._.__ft. Depth tv limiting fador_~ _~. O ._ in. Sal licaticn Rate , , ~,,) Horizon Daplh DominaniCobr RsdoocDescriptian Texture Strueb~re Consistence Boundary Rods GPCt<1h in. tvtunseJl Qu. Sz. Conk. Colcr Gr. Sz. 5h. "Etf#1 'Eftat2 Z a ~ ,ot y ~r z~s~~~ i~ re Coto V h ors / ~~ Gu~i fZa ~~ G Vlf ~d~ Z~f~p~ ^ 3 Baring # Q~ Boring ~aiKQ ~ ~ -{' ^ Pit Ground surtaae 21e ___~ __fi. Depth or, limting fador _____-~_ in. sdl licatiai Rate Horizon Depth [lominantCobr RadoxDescriptbn Texture Structure Consistence Boundary Rods GPt k'fN in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. 5h. 'Efi#1 'Eft±#2 1 a-~ io 3/~ sf'f 2-1nsb , co - v 2 iC ~ Sh -i Z6`' -~ S nZ lit.' ~'~` ~?~i~~oy U~~ GsT ~/ ~ ~a sy ~2~Ce f ~S.T7i~/ ~~~~~~ ~'-'". ST. CROIX COUNTY ON-SITE VERIFICATION FORM ProperiyO~nner_------._--__--_ ParcallD#---_._. _~_---__ Page_--_of_--- ^ Boring # ^ Boring ^ Pit Ground surface elev. _----- ft. Depth to limiting fac6or----- in. SaU icaGon Rate Horizon D~apth DomirnntCobr RedaocDescriptlon Teoriure Strudu~e Cari3atence Boundary Rods GP DA1' in Munsell Qu. Sz. Cart. Cdor Gr. Sz. Sh. 'Eff#1 'Eff~2 Bsxing # ^ Boring ^ Pit Ground surface elev.._ __ ...............__.. ft. Depth to limiting fadar ._............................... in. Soil licatbn Rate Horizon Depth Domi~ntCobr RedoxDescription Texture Struduie Caisistence Boundary Rods GP Dlftz in. Munsell Du. Sz. Cant. Cdor Gr. Sz. Sh. 'Eff#1 `Efff~2 ^ Being # ^ boring ^ Pit Ground surfaceatev.,_---- ft. Depth to limiting factor--_,_-_ in. ^,ril Amliratirn Rate Horizon Depth Dominant Cobr taedox Desay#ion Texture 3trudun3 Cat~i~ience Boundary Rods GP DAP in. FAunseU Qu. Sz. Coni. Cobr Gr. Sz. Sh. 'Eff#1 'EfffCl " Efrlueiri #1 = BOD. > 3D _< 220 mg,4 an0 TSS >30_ 150 mgrt ' EQluEnt #1= BOD, _ 3D mgr L and T5S : 30 mg~l ~ ~~~ Sl~ . -~ ~,s~, ryIl'~ ,~I ~I3L.-~ ~~ ~~:;Ii;~i~.1 lT~~ ~-tL:%3 ~~_ o~_~ G/ ~ S'y~ ~ !~;!; r~r:!rr! ! co~.o!; r.~o•rn.rs •rex ! u; Z ~w-2Z N13 ~ s ~ - ~ ~ ~ ~ P ~,s'yr~/y ~;ciir,~ Jlil'i'll i u~i,\}~ A-, ~ ~ q _ ~ ~_~ ~3. `3/3 ~ _' ~S-~ '~Sy-ylq~c~ P~..~y~~l~~ ~ s~ ,::: y ~3 ~ Z~ Z~ '~ l sal ~~ .~,-3 ~, ~ ~ ~I , ~,P~.s7~yl~ s~ ~ ~~°~ ~~'~R li~..(~i.it2E COQ :ilS 1'::? .ri!~A!i1~ ;~UiYiJ ti.i.. :.... ~ m ... ~ ~' U -h (~ ~ . ~ ~" ~ c ~ ~ ~ [~~ L~, rv~4 r S ~ ~ ~ Z -~ Sbk ~ ~" ~'~ ~ S ' 1 ~ y~ 3 ~-~sy~I ~~~- ~ S I~~ ~ 8 ~ms~ - m~~ ~ S I~ ~ s g ~ ~~ a;y,.~<< ~~ c 5 ivy- I ZmSbl~ r~~ ~ - -- `~ (o .-~ --_.~~, ~ ~ I ~r~ /~ (~~ 6 C ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIl' CERTIFICATION FORM Owner/Buyer 132 ~` /~ ~ ~ ~~ n e trt e- ~C ~ ~S tG ~ Mailing Address ~ Ll y ~~ ~ ~ ~ U~ Property Address -- -- (Verification required from Planning & Zoning Department for City/State ~ ~ ~~ w ~' ~ ~ ~ Pazcel Identification Number f~~ X' /~~/ ~ - ~y. ~ U LEGAL DESCRIPTION ~ ~~~~~ w ~ ~ ~ ~~ // ~ Property Location .~ /a , (~ ~ /a ,Sec. /G , T 2 N R ~ W, Town of ~ ~ K l~ ~ ~ ~ Subdivision- - -_ _ __ _---- - --- -- _ - -- _ _ _ ----- __- _--_ - -----; Let# ~: ` CertiFied Survey Map # ~ ~ 5 .3 ~ ~ ,Volume / ,Page # 2 ~ ~S/ Warranty Deed # ~ ~ ~ ~ 5' ~~ ,Volume 2 ~ --~ Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION ~~ Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper inainteuance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put iirto the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Departme~ a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal. system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form aze true to the best of my/our knowledge. Uwe am/are the owner(s) of the property descn~ed above, by virtue of a warranty deed recorded in Register of Deeds Office. L ~ Number of bedrooms O~/~/ 07 DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed (REV. 08/OS~ LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF EAU GALLE COMPUTER NUMBER 008-1047-10-000 Parcel Number 16.28.16.239A OWNER NAME: First BRUCE A & JANE Last ERICKSON PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 363 230TH ST SECTION 16 TOWN 28N RANGE 16W'/<160 '/.40 Line Description Line Description TOTAL ACREAGE 19.750 PLAT LOT BLK 01 SEC 16 T28N R16W PT SW NW 15 02 BEING LOT 1 OF CSM 9/2595 16 03 19.75 ACRES 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit ' U 2S9?P S68 S'r.4TE B.~R OF \1'ISCONSIN FORM 2 - 2000 Doctunent Nttntbar WARRANTY DEED This Deed, made between Bruce A. Erickson and Jane Erickson, husband and wife holding as survivorship marital property Grantor, and Brian L. Kersten and Jeanette M. Kersten, husband and wife --------------------- -- Grantee. Grantor, for a valuable consideration com'et's and warrants to Grantee the following described real estate in St. Croix _ ___ __ Counn•. State of Wisconsin (if more space is needed, please attach addendum: A parcel of land located in the Southwest Quarter of Northwest Quarter (SW 1/4 of NW 1/~), in Section Sixteen (16), Township Twenty-Eight North (T213N), Range Sixteen West (R16W) more particularly described as: Lot One (1) of Certified Sun•ey Map filed February 24,1993, in Volume 9 of Certified Suney Maps, page 2595, as Document No. 495397. Exceptions to ~y~acranties: Easements and restrictions of record. '*-- Dated this ~ ~ day of ~v N'1- .2004 - - - - AUTHENTICATION Signature(s)_____ ____ authenticated this day of 766 1 54 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 06/17/2004 10:00Al1 MARRANTY DEED EXEMPT # R1sC FEE : 11.00 TRANS FF.fi : 355.50 COPY FEfi CC FEE: PAGES: 1 Area Name and Retum Address Thomas A. McCormack 102010th Avenue Baldwin, WI 54002 oos-ta7-to-0oo ____ ___ _ _ _ Panel Identification Number (PIN) This is not homestead propefi,~. (vs) (is not) * Bruce A. Erickson --- --- -- - -- _ -- - -- - XJane rickson ACKNOWLEDGMENT STATE OF WISCONSIN - _- ) ss. St. Croix___ __ Counn•) Personally came before me this ___-______ day of _ _ _ _ _ ________ ____ ___ _ _____ _ ___ _ ____ . 2~ _ the above named _-- J Bruce A. Erickson and Jane Erickson! '' --,; - -- TITLE: MEMBER STATE BAR OF WISCONSIN -- -fir'---+~-z----=, ~`'~ ~~--- ------- (If not. to me known to,)}e,the'pecS~dtt~g~.who executed the foregoing authorized by $ 706.06, Wis. Stats.) ~ ins[tutrte and dcktio e THIS INSTRUMENT WAS DRAFTED BY * _ _ .~i Thomas A. McCormack Notary Public, Baldwm,WI54002 -_-- _-- ---_-_-- _____._ MyCottuuissi~ (Signaturos may be authrnticatcd or adowwladged. Both arc not necessan.) _--___ _-- * Names of persons signnig in any capacih mttst be typed or printed belo~~ their signature. WARRANTY DEED ST aTE BAR OF R'ISCONSIN FORAf Na 2 - 2000 S =_. _ _ state expiration date: INFO-PRO (800)6552021 www.infoproforms.oom ~ ~ • ~ ,1~ ~/~/~ '~''j.//~/,ZC~ ~, `~~ ~,/r~~"l ~'''%~~/ ~ :'G'~ ,, 7,lL'C ~' ~c~ w~ /D r ~ /C' ,C-v' i f ' ~: • j 49539'7 CERTIFIED SURVEY MAP LOCATED IN THE SWI/4 OF THE NWI/4 OF SECTI R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WI ~~~ ~~ ~ NW CORNER SEC. I6 (FOUND COUNTY MONUMENTI :o :~ v, 3 2 ,; W O Z .O 'i • O 3 •O 'o y t5' FEB 2 41993.. JAMES p'r;: ; ;~:rVELI~ Re9lster of Deeds ~~. Cro1x Co•, WI O =SET 1" x 24" IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT. UNPLATTEp LANDS • ....... ' -' r"''4 S87°2241 ~~E 33.03' p sePt)c house N ~I O Id, o a f-T shed >~.1 ` Wi ~ I~ ( ~ ~' I I barn ./ 1 I driv,~ ~ ~ (j)~ I sheds ~ Sr l 100' r- ~~ ~~ ~ I W W N' ° O I °o ~ O O O Z I O Z ~ BUILDING :~ SETBACK LINE j ~ ~~ r . 33.03' \ WI/4 CORNER SEC. 16 !FOUND COUNTY MONUMENT) i I33' 33I I, ~ ~ ~ 127- 5- 4 ~~ {!~ LOT I 1308.43' 1 9, 75 ACRES 860, 136 SO.FT.I 19. 25 AC. EXCLUDING R.O.W l 83 8, 425 SO.FT.1 PREPARED FOR: CLARENCE MOLLER 1240 BROADWAY HAMMONO, WI EAST LINE OF THE SW I/4-NW (/4 76 -~I~'~O~~t~ E:3 2 -~ '93' .:,'} , CROiX COi1NTY :01~:~,re';'-s~*~v~e Planning ?' and +` r~~t s:~arde;j ~ U...:;n ~7 u~y; cf ~y'~' 3? ,~d,,~~ap(f~:p na ill,' ~ S'!iMrj )274.21' • N 87°20 X48 ~~W UNPLATTED ~ N: O 0 . z• ° J; f" ' ~' J o d: ° Z. ° ~- i8' 1307, 24 N87.20'48"W 3925.02' ; ..' E' W QUARTER LINE ' EI/4 CORNER SEC. I6 !FOUND 3/4"IRON BAR) • LANDS NOTE: BEARINGS ARE REFERENCED TO THE WEST LINE OF THE NW I/4 IASSUMEO BEARING). 3wP~~1~~~~~5~ .,e .n.:__ a, s r1_ • 4- ~ l w v - ~ EAU GALLS PLAT T-28-N • R-16-W ~ , . ~ . ~ .: ,. -... -.. (I.aIIaOWntYB) See Pane 112 For Addltlonal Names. 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Twg & r as-bars sc ama 143 1 4s ao .ip~ °i o.a yl~^ p p qp ~My Vang Cn llyynn .9g P #@@@ 25 AVE 82 t31 w ~' ~ lob 97 12 ~o> dson & x - Patrida s~ • ~~GCa'y33$q m g seevm 3 tyo-as a ames& K~ El~alne ~ Q Donald on 3a Ricky R t a~j Linda 8U ~~ V U g~ M Js °°fi` 't-y law a $ ; 87 . + 2001 ~q~ GOOD ~ )Johnson 80 Lee i Sturtevant )oa~htne ~ Waltera 1'homu X75 a 60 i "5 ~,~ Sandn Janet avslea Donald ~. ~ a o 20IhAVE gp Alb S0 8 r3 Feostn dson °m'kr Larson ~ n RC 13 o sx s , 3 -1L - _ - _ 80 _ ? 3r 60 °''I S5 Gerald ^ ~ ep vedyn li iro eaio s n ~..,.`a`y ~` s se) Dtimar d[ ~^ c~ "~1~ Lazson r w ~ Berk- Panda °sm,;. y x lisvest- Il~ebart C n ~ r~ ~- T~ N Thommes & ~' '~ Seth Falae zo 53 ment 34 Pi I mxr~a ar ~ I 48 ~~ 9 a m LandCl a°~:T 59~ BK~~ 60 ~ ~~~~ LLC Fugate ~XSZ CaN r0 g Soma 74 ,~ icaois 9,r 160 owrsa (arson 2 ~ ~ ~ ~ ~`~ P+, I 119 g 119 lala Cwmdaron p ~ ~ ~ F C ~ 15th AVE y 3 S ~~~ pyre g 35 g g °"'~ ed Dennis & '^ Iohn & o~ g ~ za m 46 S 7 w v Dazlene "' Linda 8av °c a w~G c a BB `a: e,w = Lien 101 121 Shirlry 0 Weber arena ,wm zs N ~ : Krb~ r =Peter dt _ Roche 60 Woltman = g i>ura 3o~adc& ran + ~ ~ a0 ~ 7s tl « Sharon x ~ r ~ sax o ~a 1285 AV Itebecn s m s~ oe^tr1tli o6n a 266 40 279 -a, x~ S 1 r r3, JlVdwn i aasmu-m so Kent w c~ 10th A ° - w ao _ _ - 115_ tw ~+ ~- Donald S e. - n ~I J srdeslB 50 52 ss Pax 60 r arms 40 $ ~~ o~ $ ~N D 20 ~ a c Diane Brunkow ~ 40 ss x ~ I~ Anderson BOSTON R N~ ~ g M V 79 H 70 ~ Harwood q 3 0 $ ~ a..: t 2 ~ ~ 1~ s 27S Core 8O 80 ~ ~ C 'a 150 clRiutwx, sz ~ Kew 8: ' N~ Ql ."~ .,O r a m )affray 8t c;~w. a r.sm Steven $ a= 20 u~ VVildsvood Kexlzr ~ a ma I dRu esiR Merth ~ vn~ama a11. rev< Bbbrooke W~zo °`°"" Jon oai m ~ Incw aAmy °` ~~ "" ~ enreare Anderson gp we.ve ,~ - DKedte0 140 g 8 8 3e =111 ~a nan SO ~xt.7 sra~ arm ~~ e"s" a sswiey Hairy B[ a wawa eresssy R R BiT[y F w a0 rs ~B 80 120 40 s io Bluem gp ~ N ~ ~,- ~o'< "° ohosoa e~ 9 A~derson S `i st a0 q0 ~ ; 139 N sac. PIERCE CO. PIERCE/ST CROIX RD JACOBSON INC. 186010th Avenue Baldwin, WI 54002 (715) 684-4600 Stampings • Subassembly Phone: (715) 698-2471 Fax: (715) 698-2335 soNs SONS TOOL INCORPORATED 460 THOMPSON ROAD WOODVILLE, WISCONSIN 54028