HomeMy WebLinkAbout040-1010-95-200 r
7n
STC - 104_.
AS BUILT SANITARY SYSTEM REPORT - fff
OWNER s ij.n~~~ c
ADDRESS 25 • ~z
SUBDIVISION / CSM# LOT #
SECTION T,=,2&_N-R_,/~W, Town of_
All
P VIEW
SHOW EVERYTHING WIT x,100 FEET OF SYSTEM
r
g~
141A All
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK: ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: ek; f1 Liquid Capacity:
Setback from: Well4_ House Other
Pump: Manufacturer Model#~l Size ~ J~
Float seperation lf~' Gallons/cycle:~-
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length. Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: House- Other
ELEVATIONS
Building Sewer ST Inlet. S/,pP ST outlet
PC inlet 5FLB PC bottom Z7 -?7 Pump off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION: -
PLUMBER ON JOB:
LICENSE NUMBER:
~q
INSPECTOR:
3 / 9 3 : j t
Wisconsim Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor a!nd F~uman Relations INSPECTION REPORT ST. CROIX
Sai~ty and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
PeIHLEder's DAVme: ID ❑ City Village Town of: State Pla
CST BM Elev : Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 10
Dosing 7() r
Aeration Bldg. Sewer
Holding St/ W "inlet
1 / I / ~6'
TANKS ACK INFORMATION St/,bft Outlet
17,
TANKTO P/L WELL BLDG. Air Intake ROAD Dt Inlet ~ 20, 7P~
Septic y?j NA Dt Bottom j~ r3 -7 Z
Dosing 5d > 50 /a r >16 NA Hcatfar / Man. p $Q " q , 2-
Aeration A Dist. Pipe 9d 97 35!'
Holding Bot. System
PUMP / S1PINFORMATION p~1 Final Grade
Manufacturer Gdu Qj3 Demand
x
Model Number (JCQ31l
1- I TDH Lift \4 `rictionl 44I Symead 41 stem TDH 3. t
oss
10 Forcemain Length Dia. Dist. To Well,> 50'
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length / No. Of Trenches PIT No. Of Pits Inside Dia Liquid th
DIMENSIONS 63 IMEN I
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING
SETBACK
Type O /Y~u' CHA R Model Number:
INFORMATION
System: /YJoc~nolho, OR UNIT
DISTRIBUTI N SYSTEM
Header /Man d Distribution Pipe(s) y x Hole Size x Hole Spacing Vent To Air Intake
SO~
Length Dia.64 Length 30i Dia. ~ Spacing z~ I ve " I >
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 1- - IS Topsoil ❑ No es ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.),4,'~d%~ c ✓
I
LOCATION: Troy-3.28.19W, SW, SW, Lot 5, Frances Avenue
-7 0- P
4 Ali V,-
Plan revision required? ❑ Yes [~'N0
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
t
SANITARY PERMIT NUMBER:
n_ SANITARY PERMIT APPLICATION
.In accord with ILHR 83.05, Wis. Adm. Code CouSTATE SAI~[T P R IT #
-Attach complete plans (to the county copy only) for the system, on paper not less than
8% x 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. -
FP6WerftY ROP TY OWNER PROPERTY LOCATION
t/a %,S S 1,-r ,N,R E(O
OWNER'S MAILING ADDRJiSS LOT # ~ BLOCK #
~ J
CITY AT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) ❑ State Owned Q VILLAGE
QCOWN F:
❑ Public 1~ 1 or 2 Fam. Dwelling-# of bedroom PARCEL TAX NU BER
III. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo V '7 v V
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1.,~ New 2. ❑ Replacement 3. ❑ Replacement of 4. El Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ,Mound 300 Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./i h) ELEVATION
Feet Feet
CAPACITY
VII. TANK Site
in al Ions Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank - j M71 El F El
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the upydersigned, assume responsibility for installati n of the onsite s wage systeMshown on the attached plans.
;,P lu b s N in Plumbe 's Si at ps) MP/MPRSW No.: Business Phone Number:
mb r Address treat, ity, te, Zip ale
t 7
ZAV
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanita Permit Fee (Includes Groundwater ate Issued issuing Agent
r--
Approved F] Owner Given Initial StLrcharge Fee)
CC~j
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your'sanitary permit may be renewed before the expiration date, and at the 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 code administrator or the
State of Wisconsin, Safety & 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.
Ill. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/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.
Vlll. 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.
Complete plans and specifications not smaller than 8% 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;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; 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, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
';v
WORKSHEET - MOUND SYSTEM DESIGN S94-413
22
PROBLEM:
Design a mound system for a
The site characteristics are:
Depth to groundwater or bedrock in.
I.andsl ope %
Percolation rate
Distance from dose chamber to distribution system ft.
1.~.
Elevation difference between aum '
p and distribution system .1~ ft.
i
Step 1. WASTEWATER 1440 = /s~cllwP l~a,el ~ 3':5v ~ gal .
t
Step 2. SIZE THE ABSORPTION AREA
A) Area required
sq. ft.
B) Bed or trench length (6) ft.
1
It C) Bed or trench width
A
(
) f
: ••D) Trench spicing (C) _
1
- Wastewater load : .24 gal/ftz/day B~= ft.
tre hc~ eT1
Step 3. MOUND HEIGHT
.A) Fill depth (Dy = l ,1 f~ ft.
B) Fill depth (E) ■ D + slope ft.
C) Bed or trench depth (F) ft.
D) Cap and topsoil depth (G) _ ft.
E) Cap top oil depth•(H) _ ,~Lft.
• Idconuo 141u:
Date
S94-41322 AJ4.c •
Step 4. MOUND LENGTH
A) End slope (K) = D+E1+F+H x3. '
S
C-~-- ft.
t,83 t/s7
6) Total mound length (L) B + 2(K)t.
Step 5. MOUND WIDTH
Al) Upslope correction factor
A2) Upslope width (J) ■ (D + F + G)(3)(factor) ft.
x-,83 _4- &J l -8) = 2,7911
Bl) Downslope correction factor =
B2) Downslope width (I) _ (E + F + G)(3)(factor)
3-2) Z. sly
C1) Total mound width (W) for bed ■ J + A + I = ~ ft.
~8t 344
C2) Total mound width (W) for trenches =
J + + (no. trenches -1)(c) + A + I = ft.
I
Step 6. BASAL AREA
A) Infiltrative capacity of natural soil bal./ft2/4ay
B) Basal area required = wastewater flow
natural soil infiltr iv ~Apacity = s q. ft.
Cl) Basal area available for bed for sloping sites =
B x (A + 1)~~~"' /4ssq. ft.
C2) Bas areZi
avail le for trench for sl'opring sits ■
B W + A v .41.x. sq. ft.
C3) Basal area available for trench or bed~for level
s 8xW= /
sq. ft.
Licon a Ku:..
Date:„~11
1
t
i -
Pax 3 of
594-41322 )0401~T~)Xs }y
Step 7. DISTRIBUTION SYSTEM
7A) SIZE DISTRIBUTION SYSTEM
A
1) Hole size in.
2) Hole spacing • r in.
3) Distribution pipe length =4 imf'
4) Distribution pipe diameter ■ in.
5) Spacing between distribution pipes in.
6) Distance from sidewall to distribution pipe • in.
7B) DISTRIBUTION. PIPE DISCHARGE RATE ~i9r„S~~ft.
1) Number of holes per pipe
2) Flow per pipe.- I GPM
7C) SIZE MANIFOLD
1) Manifold iscentral/ end
i
2) Manifold length ■ „n_ ft.
i
3) Number of distribution lines
4.) Manifold diameter in.
1D) SIZE FORCE MAIN ,
1) Minimum dosing rate =c GPM
2) Force main diameter 'x.49 „ 2' in.
3) Friction loss ■ "✓ly~ { , r ft.
7E) TOTAL, DYNAMIC HEAD
1) Vertical lift', Q ft.
2) Friction loss = ft.
3) System head 2.5 ft. _ ft.
4) Total dynamic head n ft.
I,
Sig
Licerse: ~ 9
594,41'322
s
7F) PUMP SELECTION
1) Pump selected will dischargq GPM at ft.
total dynamic head.
2) Pump model and manufacturer '
P
1G) DOSE VOLUME
1) 10 times void volume of distri uti n lines ■ gal./cycle
2) Dail wastewater v lume 4 doses,/24 hrs.
-z4 / ~ gal./cycle
y -
N 1
3) Minim;Mse•volume = _4'7 gal./cycle
7H) DOSE CHAMBER
i
1) Minimum capacity required ■ -5' ^75'dy41 gal.
Sign:
Licunse
Date
L
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v
1
1
S 9 4 -41 3!2 - -
- J
s/ /~~e4,t1C~s 754'/ sw SEC ~J 7~0✓vj F i~
rz-
Tu.rp s~J lit F's~~ Ai°lk&j 30?.~
Z~Z
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44,
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code
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Li~.Ck7lTc Vc~.~. !1S R€;,~uaR~ ~ a
e
S94-41322 ,
1f
Designer.
t
P" 6 ' Noh -Woven Filter Fabric
4" Observation Pipe Distribution Pipe
ASTM- C 33 Sand !
H G Alter. Pos. of
Topsoil _ r Force Main
% Slope
Be d Of 2 = Fo'c a Main Plowe d
Drain Rock Frpm Pump Layer
r
i D~
' C
Cross Section Of A Mound System Using
F s
A Bed For The Absorption Areo
G
H
t.
A
B ' Ft.
~S-
Q' xw> l Ft.
J Ft.
K Ft.
Alternate Position L Ft.
of
Force Main W ,-Z3 3 ft.
'
J ~4*Observolion Pipe
r ~
~ Force Moin
w From Pump
c _
3 "
o Distribution Bed 0f i2- 2
Pipe Drain RocK r
1
M
4 Observation Pipe Permanent Marker
Pipe or Rods.
Pion View 01 Mound Using A Bed For The Absorption Area
i
PAGE-4-OFJ
I
` PERFORATED IPE DETAIL
and S94-
DISTRIBUTION PIPE LAYOUT
Perforated Schedule 40
PVC Pipe
End
Cap
Y . ,e Z 1
Holes Located On
Bottom Are Equally
Spaced
End f
Cap
Schedule 40 T
` PVC Force Main 1
1 PfQA 1OU-S1 Tt OUT Tu; «'°.n TEfo.:luT~
Last Hole _2 g,~z,a~. 30
Should Be
Next To 1
End Cap
i
Owner's Name: ~~,qy„~ •.T~ p feet
Plumbs d i ne Sign ture: x_ inches
Y inches
Date: g / I,i ensdTNo.:,
H9le Diameter -//4/ inch
Lateral Diameter inch(es)
Force Main Diameter inches
Holes per Lateral
feet. Invert Elevation
of Laterals
qq.q k-as 11D1 L,Fr
~„np OFF
Page of.
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PAGE OF -.14.
r S94-41 3
22
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VEWT CAP ' "
40C.2. VENT PIPE WEATHE R PROOF APPROVED LOCKING
25' FR¢M DOOR, JUNCTIOW BOX MANHOLE COVER
WINDOW OR FRESH 12~MIU.
AIR JUTAKE
GRADE I
. y~ MIN.
CONDUIT
r lh
I
INLET %PROVIDE
AIRTIGHT SCA~ I III
. ~ ;4, I III V
APPROVED JOINT A I I I APPROVED JOWTS
W/C.T.. PIPE I I r W/C.I. PIPE
EXTENDIN¢ 3' ` C ; I II ALARM EXTEN0111G 3
ONTO SOLID SOIL D 1 ONTO SOLID SOIL
I I OW
QIf~N L i F' ~u~6P Orr
Y 4=.F CONCRETE BLOCK ,
RISER EXIT PERMITTED OWL`J IF'TAIJK MANUPACTURcK 'HAS SUCH APPROVAL
SPEC.IFI.CAT10KJS'
0TIG AND
OSE TAWKS MANUFACTURER: IJUMDER OF DOSES: PER DAy
TAWK• LIZ E: T_ GA LOWS DOSE VOLUME: GALLOWS
ALARM MAIJUFACTUR.ER: 7-1 A CAPACITIES: A. INCHES OR = GALLOWS
`MODEL WUMBER: hoO -.111t) / 6= ~IUCAES OR --5'9, CALLOUS
.SWITCH TYPE: f ~o CsINCNES OR GALLOWS
PUMP MANUFACTURCR: D• INCHES OR GALLOWS
MODEL NUMBER. ~L'~,3~~-?R~~ TE.: PUMP AND ALARM ARE TO DE
bWIICH TYPE: l*~ IUSTALLEO ON SEPARATE CIRCUITS
(W lri~til UKEL) $t-_- > 4#1 ir-01L
PUMP DISLHAR(*L RATE GPM g)czRD Vm-ripEaL Sw.mk cr•:rtac,.•~
.,NiCN
VCKTICAL,D1►F'EKENCE bETWEEU PUMP OFF AND DISTRIBUTIOW PIPE.. /&.D FEET
+ MIWIMUM WETWORK SUPPLY PRESSURE 2.5 FEET
+ ,L~ FEET OF FORCE MAIN X ..f„~F/00 KFRICTIOU FACTOR.. aZ FEET
TOTAL DyWAMIC. HEAD = FEET
1UTERWAL, DIME SIOWS OF,TA K: LEWCaTH ;WIDTH LIQUID DEPTH Z62_
• LICEAISE IJUMBER: ~.~•s~ ~ DATE:IQt' ~Z
SIGUED: F
}performance E ubmerssloble E"Jffucelrl
Curves Pumps 40
METERS FEET S 9 4 .L 4 1, 3 2 2
MODEL 3885 w~
25 6o SIZE 3/4" Solids
WE15H
70
= 20 WE10H
60 ,
T
1 -WE07H
H
15
WE05H
40 RZ,
10 30 W
1
~ WE03L
5
10
0 0
0 10 20 30 40 50 60 70 t.0 K., 110 120 GPM
j
0 10 20 ' 30 m'/h
CAPACITY
[gGOULDS PUMPS, INC.
58-E{A R%US PEW tic &48
METERS FEET `
120 MODEL 3885
35 SIZE 3/4" Solids
110 WE15HH
7
30 100
90
25
70
20
60
h~-
50 WEOMI
15
10
20
5
10
0 0
0 10 20 30 40 50 60 70 60 90 100 110 120 GPM
L i i
0 10 20 30 MI/h
CAPACITY
01965 Goulds Pumps, Inc. ElNcgw July, 1956
03895
Wiscg~sin Human Rel Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 2
ations
Lacrld
'Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
_ COUNTY /
Attach complete site plan on paper not less 8wt-n„ size. Plan must include, but
not limited to vertical and horizontal refer rit (BM), direc % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location ntance r>rest ro ¢
1 REVIEWED BY DATE
APPLICANT INFORMATION-PL PRIKTiC'Lk ~NFQRM/t:IO
PROPERTY OWNER: r PROPERTY LOCATION
GOVT. LOT 1/4 1/4,S N,R Z (or(~O
PROPER WNER`:S MAILING ADD S LOT # BLOC # SUBD. NAME OR CSM #
4, 3( 14
CITY SATE ZIP CO i NE;N~JI BERy , ❑CITY ❑VILLAGE TOWN NEAREST ROAD
Y
)Z-
New Construction UseJX Residential/ Number of bedrooms [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow _3~Z gpd Recommended design loading rate f,~bed, gpd1ft2,Z,trench, gpd/ft2
Absorption area requirec-,25-y bed, ft22 trench, ft2 Maximum design loading rate _bed, gpd/ft2trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site consideration - -
Parent material Flood plain elevation, if applicable_ AL It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ❑ S Q U R .S ❑ U ❑ S O u ❑ S U ❑ S U ❑ S NU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bourldary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Pont. Color Gr. Sz. Sh. Bed Trench
Qlk
Ground s~w~rx
elev. yg~
ft. -
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev
,~ft. G ~
Depth to r C -
limiting
factor
Remarks:
CST Name: Please Print Phone:
Address:
Signature: DateL CST Number:
-
PROPERWOWNER SOIL DESCRIPTION REPORT Page-,-
4f 7
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. nt Color Gr. Sz. Sh. Bed Trench
3 - 3 -
< a
Ground
elev.
Ajlz
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to .
limiting
factor
Remarks:
SBD-8330(8.05/92)
A~, xllv
L~1G/ ~/7~Jx'~C'-~1,`~:Nfe:,~ct ~F✓"'(/GAO
i G^ "2f
0
y5
522864
CERTIFIED SURVEY MAP
LOCATED IN THE SE4 OF THE SE4 OF SECTION 4 AND IN THE SW4 OF THE SW4 OF
SECTION 3, ALL IN T28N, R19W, TOWN OF TROY, ST.CROIX COUNTY, WIS.,
BEING PART OF THE CERTIFIED SURVEY MAP RECORDED IN VOLUME 4 OF CERTIFI-
ED SURVEY MAPS, PAGE 1164.
PREPARED FOR: David Ihle
El/4 CORNER OF SECTION 4.
( COUNTY MONUMENT FOUND).
v NOTE: BEARINGS ARE REFERENCED TO THE
EAST LINEOFTHE SEI/4 OFSEC.4.
( RECORD BEARING)
rn
Ln '
_J N w N = I`
In: W CC)
Ln 4 s
LA `t 0' w
~ (D Z UNPLATTED
U' °
w E s a ° J LANDS ~g9k~
c cZ : `n y 1
S
W aG~ GoNNE~,~
J,
JP~~~ste~~~g`N~
POINT OF BEGINNING.
m -=-=TO a 5 S' 4T6' ~°L7-0" 3. y 089 ° 4 3'5 3' E 2 17. 6 5'
156.42 54.61'
n r- -
N87°1549E 429.51 ^ w
N UNPLATTEo co : O)_
O) " O O •N LANDS
,LOT' 5 - 00 CO
.
- M-
2. 16 ACRES
( 94, 222 SO. FT) :AG E M
N _ 2. 00AC.EXC. ROAD EASEMENT - GAR cn
N ( 87,200 SO.FT.) SETBACK LINE
3 y EXISTING
BUILDINGS \)~•a
0 56
z
~j ~y 2 7 9 8 4
APPROV.' S790 2 0 16 W:
OCT 2.7,,"94. 3
-n ro
co
CRO,
L • o ~~~@4@y5~84)/~
Zoning and Z~`,•3~~~~,~I
Parks
SE CORNER OF SECTION 4. r
COUN7YMONUMEN7FOUND), JAMES M.
11 not rer.oc:. WEBER
within 30 deu; rji o S 1804
approvah"tt41 SPRING VALLEY
Wis.
approval sties„
,
eta' ~~X 24 IRON PIPE WEIGHING 1.13 LBS. ,1,rjv ••~~0~,
PER LINEAR FOOT SET.
• 1 IRON PIPE FOUND. a aR~~
JAMES M. WEBER S-1804
SCALE I 100' N ELSEN- WEBER LAND SURVEYING
~I DATED 0 --4~
o-' 50 100 .200' SHEET I OF 2
94 - 102 THIS INSTRUMENT DRAFTED BY JIM WEBER
VOLUME 10 PAGE 2837
DS SCR I PT I OIV
A parcel of land located in the SE 1/4 of the SE 1/4 of Section 4, and
in the SW 1/4 of the SW 1/4 of Section 3, All in T28N, R19W, Township of
Troy, St.Croix County, Wisconsin, being part of the Certified Survey Map
recorded in Volume 4 of Certified Survey Maps, Page 1164, more fully
described as follows:
Commencing at the SE corner of said Section 4: Thence N0034'56"W along
the East line of the SE 1/4 a distance of 948.86'
Thence S89058'46"E 54.61' to the POINT OF BEGINNING:
Thence N89043'53"E 217.65';
Thence S3018'41"E 138.59';
Thence S64018'57"W 178.82';
Thence S79020'16"W 279.84';
Thence N0006'46"W 266.69';
Thence S89058'46"E 211.03' to the point of beginning.
Contains 2.16 acres subject to Frances Avenue right-of-way. Also subject
to any and all additional easements, right-of-ways or conveyances of
record.
I
SLJR.VSYOR ' S CSRT I F' I CATS
I, James M. Weber, registered land surveyor, hereby certify: That in
full compliance with the provisions of Chapter 236.34 of the Wisconsin
Statutes and the provisions of the St-Croix County and Town of Troy
Subdivision Ordinances and under the direction of David Ihle, owner, I
have surveyed and mapped the above described parcel of land and that
this map is a correct representation of the boundary thereof. ~0;N1s~a► ";paov-v
Dated this Z~--c\, day of 1994.
Y
a: O
JAhtE`5 bt.
James M. Weber S-1804 WEBER
NELSEN-WEBER LAND SURVEYING S•1804
SPRING VALLEY
WIS.
0 lb
% 46
NOTE: The parcel shown on this map is subject to State, County and Town
laws, rules and regulations (i.e. wetlands, minimum lot size, access to
parcel, etc.). Before purchasing or developing any parcel, contact the
St.Croix County Zoning Office and the appropriate Township Board for
advice.
SHEET 2 OF 2
94-102 This instrument drafted by Jim Weber
VOLUME 10 PAGE 2837
FORM NO. 985-A
IIGMfI.•rCarp•.y~ 1.
Stock No. 26273 ,
FILED
C0 V-k
APR 231982
r rAaea O' CONNED
3`~ -1252 54 ~ C'"" ru
CERTIFIED SURVEY MAP
LOCATED IN THE SE 1/4-SE 1/4 SEC•4, AND THE SW I/4-
W 1/4 SEC. 3, T28N,R19W, TOWN OF TROY,ST.CROIX CO.
#OR: David Ihle, Rt. 1, Hudson, Wisconsin.
I, Arthur L. Wegerer, registered land surveyor, hereby certi-'y: That in
full compliance with the provisions of Chapter 236.34 of the Wisconsin Stat-
utes and the provisions of the St.Croix County Subdivision Ordinance and under
the direction of David Ihle and Francis Marson, owners of said land, I have
surveyed, divided, and mapped said parcel of land, that such plat. correctly
represents all exterior boundaries and the subdivision of the land surveyed;
and that this land is located in the SE4 of the SEk of Section 4, and the
SW4 of the SW4 of Section 3, all in T28N, R19W, Town of Troy, St.Croix County,
Wis., to-wit: Commencing at the SE corner of section 4; thence S88°4057"W
along the Sou line of said section 362.47'; thence N4°23126"W 334.18' to the
SW corner Ldtt4c,Certified Survey Map recorded in Vol. 1 of Certified Surveys,
Page 140, also being the point of beginning: Thence continuing N402312611W alone
the West line of said Certified Survey Map 623.71' (rec. as N4°32t17"W 624.24'1;
thence S$9°58146"E 47$.431; thence N89°43.53"E 217.651; thence S3018141"E 13$.59
thence S45016108'tE 270.0$1; thence S8048` 12711E 227.831; thence N84008t 41"E 194-521
thence S50181561% 220.351; thence S21004133'tW 92.371 ; -thence S74°45' 43"W 116.83t
thence N86037t 22"W 86.90t; thence N53°51155"W 91.041; thence N17°28131"W 136.261
thence N8202$t 42"W 296.23' to the SE corner of Lob 13..rf 1,ftec=Certified Survey
Map recorded in Vol. 1 of Certified Surveys, Page 140; thence N87'm31142"W along
the South line of said Certified Survey Map 456•$21(rec. as N87'5310611W 456.35k
TO tli6 point of beginning.
Contains 13.964 Acres subject to roadway easement over the northerly
portion as shown.
Dated this Z3'~'day of VV'PWi L ,19$2.
Arthur egerer
Kozel, Wegerer and Assoc. In
.Z t EXISTING 66'RO40WAY EASEMENT
U N,P•LATTE D• LANDS, SCALE 1 200'
0' 100, 200' 400
+ D i 66'W/DE ACCESS EASEMENT
O=SET 1'7(24"IRON PIPE WEIGHING i
S89054'49'E 350.13' 188.88'_ ♦ _ 1.13 LBS. PER LINEAL FOOT.
N89°43'53"E 217..5'
958 8 S8 ° '46'E 47.43' ,6.87' -IRON PIPE FOUND.
188.88' - 430.49
26.43' S 3'18'41 "E
. 138.59'
NOTE: 13.264 4C.(593292 SOFT ~ttttnnttt,~
TO EASEMENT LINE.
~~tt
i
m 1 AS ~ •.L.i•• ~ rr
Z I ~a a•• r~
° APPRD '
z N •
w •
LOT I •
r WEG°_RER
a' 13-964 AC ES
'
608,272 VQ. FT.) APR 2 3 1982 5-963
ELLSWORTH •
ti% ii i:=+(Ti; IGf) V1 . WIS. •
Em -
0, MAP .'?EC. 1, /J 1". I ST. CROIX COUNTY A
4. _ COMPREHENSIVE PARKS PLANNI W Ott `ate
E.C? /-1 F:,:, = J jv. (VL-:1 S, I AND ZONING COMM!TTEE v N
„ m ND SU
PAGE + EXISTING HOUSE -M tttt,~~~tttttt'
+ 4v' • (OWNED BYDAV/D I ON THIS LOT. 41"E
N84r
194.52
I to
N o
Nm
O
w Vi
N8703142W 456.82' N82°28'4
2'W
4 E. o (REC. AS N87053'06"W 456.35). 296.23' -M
0
N
N N17028'31"W
136.26'
NOTE: BEARINGS REFERENCED ~ U N P LATT E D 52192 33"W
TO THE SOUTH LINE SECTION 4. i,
(ASSUMED BEARING N88044' wA N53051'55'W
57"W). LANDS 91.04'
Qp , S74045'43"W
N86 °37'22 'W /16.63'
N88044'57"E 2302.63' 86.90'
All\ 588°44'57"W 362.47'
C.S.M AT SE COR. SEC.
C.S.M. ATSI/4COR.SEC. 4,T28N,R19W.(FD.) 82-24
4, T28N, R19W.(FD.J SOUTH LINE SEC.4
Volume 4 Page 1161'
Tu 1 c~n~crPuAArNr nRAFTFn Ry
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
I
O WNERIBUYER „ j 6t i t 4. ~MAILING ADDRESS N C C! .s U
PROPERTY ADDRESS 1^ cc /V C P s /TL) -e
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE 9U.s~ t S c
1:1 W
PROPERTY LOCATION ,56 1/4, 1/4, Section, T_N-RW
TOWN OF 6 t ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP 2- 2Vv , VOLUME, PAGED;/, LOT NUMBER 5
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 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 (l)
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.
UWe, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set rth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintaine milst b mpleted and returned to the St. Croix
County Zoning Officer within 30 days of the three yea x irati n date.
SIGNED:
DATEQ q~ - -
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, Wl 54016 11/93
STC-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 ^ Da, C1 P e-
Location of property~w 1/4 sE 1/4, Section TN-R_% q W
Townsh' p r Mailing address s/ r a cuc F' s v
v.J s C,~
Address of site r i/ 40
Subdivision name Lot no.
other homes on property? Yes>(_No
Previous owner of property t. ; P. 1 h /e
Total size of property )3,2 a C r c
Total size of parcel „1 (L C r
t
Date parcel was created [j C-f- 7
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes V, No
Volume, and Page Number 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 n the office of the County Register of
Deeds as Document No. 1 ?q . 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 of ice of the County Register of Deeds as Document No.
31 ~
Signature of Applicant Co-Applicant
Date of Si n,)t-1/1-41 natP of SienatiirP
u0cumttI14f No. STATE BAR OF WISCONSIN FORM ii-19s2 THIS SPACE RESERVED FOR RECORDING DArA
LAND CONTRACT
Individual and Corporate
ITO RE CSED FOR PLC TR.\NRACTIONS WHERE OVER
) A ~ 62.i,,wo IS FINAN~'F:D AND IN i'rI(vR NON-CONSUMER
e ACT TTRRAjNH'ACTTIONSI ~j
Cqn t by and ecweell l rvi :1v1'fI't'sbtfi'siift~'7 REG $TaS OFFICE
1,ranee s -K.- r on, hi l s w l t e 3T. L"p1 X CO., W16.
. 1 Rt9.xr3 Mfrs 6th
("Vendor".
whether one or more) and...... David--P....Ihle_....-..... April A.D. 1963
1 :00 P M.
("Purchaser", whether one or more).
Vendor yells and agrees to convey to Purchaser, upon the prompt and full per- _
formance of this contract by Purchaser, the following property, together with the twMlr o/ Oeed~
rents, profits, fixtures and other appurtenant interests (all called the "Property"),
in...-----. -St.. ..C rjai-x County, State of Wisconsin: RETURN O
All of Lot 1, of the Certified Survey Map recorded (l-(-k. ~ iApc' ;<<,
in the of l--ice of the Register of Reds for St. Croix
County, h 1 scons in on AI)r-i 1 23, 1982 in Volume 4,
Page 1164, Dociument 37-12S2, except those parts Tax Parcel No
previously conveyed to the buyer by deeds from
the sellers previously recorded in the office of the Register of Deeds
for said County.
aso granting to the buyer and to his successors in title, a permanent non-exclusive
easement to use as an access road and for the installation of utility lines, Frances
Avenue as shown on said C.S.M., including that part running along and on both sides
of the North line of said Lot 1; and reserving to the sellers and to their successors
in title as owners of the remaining land now owned by the sellers in Sections 3, $ 4,
T28N, R191V, a permanaent non-exclusive easement to use Frances Avenue as mentioned
above as an access road and for the installation of utilities to serve the remaining
land now owned by them in the East Half of the SE!, of Section 4 and the SIN% of the
Sh'j of Section 3, all in T28N, R19W.
is not
This homestead property.
( h}..VW1Xd4
Purchaser agrees to purchase the Property andn the pay
tollo Vendor at RR ~3 Hudson, Wl
the sum of $ -
9.2 0 'l 700 00
at the execution of this Contract; and (b) the balance of s .19 320._00 )11-.tW0--- together with interest from date
hereof on the balance outstanding from time to time at the rate of-.-_._.1~.- per cent per annum
until paid in full, as follows:
*e((ual installments of $9,660.00 each on the 1st and 2nd anniversary of tho
closing. All Unpaid balances to draw interest at the rate of 120 per annivll,
payahle in addition to the payment of principal.
Pruvideli, %:owever, the entire outstanding balance shall he paid in full on or before the. 5th.... - day- of
i9.. 8.5 ( the maturity date).
Following any default in payment, interest ;hall accrue at the rate of % per annum on the entire amount
in default (-.which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance
PIIrcknser,-taalRSaexeused-by:~radorTagrees-to-payzment>;.}y-to-Vendorameurttesdffictienttepnyte:r.,ertablyan6iei- .
paced-armnat-tsxe~ epecial es:+esariaents, ~irexa,} ret}tlir~d-rasew•awcwi-preraaiurna-•xbert-due~'Fo.the~vctca,t6 receFw'el} by ~'erHlor~
Vendor-agrees-tD-appir payments to tkeoe-ob}igat4ons -.when-due- Sueb -anto~unts- reeeived- by the-Vendor fore payrnent of -
taxes,-assessments-and-inFer$nee- w+ll• be -&po6tte4 Sato-sit escrow -fiaad or-trustee aemuRt; bat skadF nsE bear-interest-
unkes- et-hemmise required by-law.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any
amount maybe prepaid without premium or
there may- be -no prepayment; of prirrc rrai wit}rcmt perm ssion -of Vendor..
In the event of any prepayment, this contract shall not he treated as in default with respect to payment so long
as the unpaid balance of principal, and interest (and in ,•uch case accruing interest from month to month shall he treated
as unpaid principal) is less than the :-mount that said indehtedness would i:ave been had the monthly payments been
made as first specified above; pmv!,ied that monthly payments shall be continued in the event of credit of any proceeds
of insurance ar condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with tl:e title as s:,,otwn by the title evidence submitted to Purchaser
for examination except:
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor nntil the full purchase price is paid.
Purchaser shall be entAle to take possession of the Property on
1. 19
'Crow Out One. -
LAND CONTRACT - Indlvidual and. iT.%TF RP,R of WISI.O\v;IN R' r;..n L~agl Rank Co. Ins.
COTDO-ta Lvla.r 11
V11-
. ...n ...e F',.!.,rt•: .l n l',o~l.~'+ ultereat
662 t Purchaser pr,:n is W pay when due all
in it fond to deflate .o Vii A,„r -n dem.nd rt,t f t;_,.. . '~t~.
Purciia er shall itvvp Lt e improve:t,en:.s .a _ c, a-..,,u,•d t•y i:re, ex-
tended 'Overage per!!, and ,ucil Ar.er la,za11J • i..:; 'i., ,,.i.:~. _1- 4L C.r-.1`..;:,., l., r '.l rerJ :tl..i,ruo.cd
by Vendur, in the aunt of :oil ::.t r, gwre ro,'•, r :ge• n an :n.:nt mure
r
than the balance owed under this Contract. P'.: aicr y ":c c.c l,ro ta::;r,s w,,-to Le. "fr:e p i.: as shall
contain the standard ,Louse in :.over of the Vcn. , ..h, 1•rr,dor i,ti,erw,:e a rc~, in wr t:nK, t,t original
of all policies covering the Property shall L, ~•,>;t„1 .cite, a,ir 111. ha .t:l a> ,;,%e nut:.e of 43 to
,
insurance companies fund Vt i,lor. Gnle,a Purc:i,or 11• ii,, t:i . ,.•c .igr,.e .n my ri", u:re 1 r, , , e,ls shall
be applied to rt-stor.otiun ur r, lair of the Prop-7': ~~l t:.e 'i • u.r r.tt.on r,r rt:,a r to Le
economically fe:wible.
I Purchaser rovcn:r.i,s not to commit wa_.r i •v u E,-, w ~ „ i,e 1::t 1 . 1 r„pe to I,rcp e 1'ruperty
in good tenantable condnttr,n and repair, G> 's rep tr e l t in ,.m i:cu, u,,, rn'.r e : , n of Lill, e , ntfact, and
W comply with all laws, urdinances and regulati:;ce.:,ffect,r-g e l'rol=erty.
Vendor agrees that in case tine purchase price will, nit, n•.•t and utt:cr uloreys s!. al: t,e fu.i pa:u and ail cond,tions
shall be fully perfornned at file Limes and in the manraer :.h-e peca.•,.I, 1endur will un demand, execute and deliver to
the Purchaser, a Warranty Deed, in tee simple, of the, Peeped;, iree and ?!ear ail Let„ and encumbrances, except
any liens or encumbrances created by the a.-t or default of Parctia,er, :,nd extupt:
_ -
Purchaser agrees that time i3 of 1-t;e I—, !„e 1,.! 11 .:1 t:,. pr.nc.pal or
interest which continues for a period of 6tJ. .Lt, c.c :u't ,n ,hl t., ,•c,: :,t of a .o-'.,alt ill
performance of any other obligation of Puri) it-, r is n • ot:ce
thereof by Vendor t delivered personally ,r u:a icr .r u t
shall become innmetliately ,toe and payable !n it ; i, ,din Pur, "a. r •~rcby
waive-), and Vendor _iizdl also Lace L,, ~ , - i. to c, . •d he ,,,ci um
addition to those prodded by saw ur in •tic - • ,t .t: ! 1'. rc•..-,r'.~
rights t:tle and later in tfiv Propert, ;it ,l h. .
redemption to he cuii.Ltic,ntd upon I' 1 ct ! i 1: 1 I t run
the date of do fault at t; !e ra!e in et:cc, n ~:,1,;. ,tf,cr a.aount-,1 , n r i 11 .c. a (r, v;nusly
paid by Furch iser ,snail 1,e 'orefeite i 1 i iii 1 ai: r I t, l r thv zi~ P' t if purcha•tr :l, to rt eelll) t 1 1'w 1 11,
i, r ~ni t ( r act 111M
i ate and full p to ent (If the er! r .>t , n h iris i Lit tic, p T! to -.,f
d, .,t and utter ah.. un !4 41 ,iv here f,. t, rrt i nt i h( .ti -.tlt.Lind 1 ur,h.t`er
shall be liable for any or , - i) 1 ; , r, i u,• of ~r nn, 1 - rt, n
thereof: or (iv) render nut; dcc!are ti.i>, t „1.,.. l .1.1 1trnc ,,-ar o „i ,n1 title in a i:,.t-title
u•uon ;f ti,e• o,init:;l,le ii:h•re't of 1':11'1 r c 1',rct a-er c itd from I, slam
of the Property and hate a 1'eCelA'01' i lens,, of in_,- t,•tion
under fi), (ii) or lice "t',n „1^r. in e:1•; •i1 n If arc
of tilt fo.r•gning rt n,crLes ;h ill unit , A 1 V. i i a. , .,nd :,li and opt, n1<es
inclu'ing r m~rinableattorne.. rcec 1 n r r tla1 1 :1 c;,t1 to t'1e
extent riot prohibited by law and ; x, , r in-
curred. and -hall be included in array
Upon the conimeneernent or iur *.,e n ct!un re o l•:, lct i'-1rci,a,er ronFents
to use appointment of a receiver of r 1 i crc t to o. ct :.e r + t and ;riots of
the Property during the pendency .i profit.; When all De i.e,d and
applied as the cwi t >ha!' tirc,ct.-
Pi:rck,. er ::=hall r.-[ tnu.~fer, > :t' _al r e,; Lnble ,i,,ter,st in the i'r,o,.r[y
or Purch ,>ti r~~11t. . ,:cr r ~1 1-:1 se < I. in f•nv rthem , t fit t, e nr> r ,.r:ttcn
rt,t
consent of Vcn,ir,r a e tixr to,(: trv t tr:,rt ..id in i iii •sr e
nveced m n'cdze it nmcnt -1! r' r e r,t 1?,r an ,n1:, t a,< of
r 11 Ptt!c' a'e1•. !n the -nt i,v =1;n l . , 1, - •,c r! rr.t, the c .t re +nLn
balance pa>ablr •.1! -act - r~ i A „;It n cc.t" A n !ice
cndnr n:u, it n•, r _ n_ a L 1' r e date o.
thi (',;morn, a, .;t fiat _ a~, ~r r to, 1 •o h, nroc i,:,~ t 1 ,n, r
l pn, I . t u:1 :r ; n•, a t c r L- lc
tr )Tort ~a_ V• .6...i. t p t..l.re:.•. !e
is ! r it I'..., ,
r r tra.1 1 ,c n IC ,rtat,ce,i.
r , t^ tt-, _(„ran Or
k c n ! of . . .re ,sec r rP
3eet '•e. In
Apr i 1
1 r f'
DAVID 11. HILL FRNW,1 S A. MRSON
1'R,IVLI:S K. ~l'iRNA
A U 1 11 E N F 1 C -1, i' I t~ V \ C K N 0 V, T, E 1) M F. N T
Francis A. Marson _md :ti•; 1, ~,Il ~t n> ~
Frances K. Marson and Davit; 11. iltlc',
i :April 83
101 IN t). IIE)WOD
I H liv)(i C-T, I i4 `rt1R1Z1Y
F, ii. ROX ,-,t)
f (u1_ un, hi 3 l0 ib
t .n rn. i it A, r r• .v