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N E N w Q l r f/J C C O. r.+ ` Y C MA 0 o a` ° v o c a` a E 0 0 U) U) ~o " ~ p f ~ Cl U) U) U) 1 :3 n co z I C a u~ z •ti 3aaa N ImIL aIL u~, d c c N N J U = rn rn CD co 0 ~ co M z ° is = o ti~ °o I a N a~ co 00 O E O E C O O 7 0 C O O p m ml a m N l a D y m v y Q 4 mv Q>- 05 m Qzin m a .2 U) Ai ~ N C y C Q O M C C C U U p y d p Q~i 0 Q U Q1 TT cow o! m a' a c_ n• rn o y m o. o l Y N N v co F- C C O N C I= C C p N 4r p C'I O CO L d N N r 'O N V y H Z c o I m m ayi o v c m co c LO N co o v O E co co v rn o z N z z (n O N= r O z fn Q ~ = I = I V r o €a L• a • cl a as m c d y c ` c « rw c c « > > FORM - STC - 104 i AS BUILT SANITARY SYSTEM REPORT OWNER_ BKUCc . )o hNSoRJ TOWNSHIP HUDSON SECTION 0~8 T A N-RW ADDRESS_ '7GQ LAtzSer~ W,)c ST. CROIX COUNTY, WISCONSIN SUBDIVISION_ C-eJAP\ H')) I S LOT -LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a - 5x8 o" Trz~uc~es ~~?D t2Ub y0 O I {JO TY~.e F a5` ra' 1 1 30 5 dui ~u~ V' 1ve `rN 9(~.3y 014 -A Oed New -~c~.3a I S~sfiP 3q' L INDICATE NORTH ARROW BENCID-UM: Elevation and description:..... I CA Alternate benchmark us N9 OIL T~Nk SEPTIC TANK:Itanufacturer: Liquid Cap. I5O GA Rings used: Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: 115 No. of feet from nearest road:Front , Side , Rear J Ft. From nearest prop. line:Front , Side , Rear )(Ft. 11 No. of feet from: Well 7-5 , Building: 1a, (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact. : Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front, Side_, Rear-Ft. Distance from: Well Building . s " ~(e~~eoc 9' 1.58 91.58. ~t,s~f 1oootl SOIL ABSORPTION SYSTEM g d'S o ~N 9 IA) 71-91 + i a ` I O -b(9 Bed: Trench5 V Seepage Pit: I Width: Length 0 Number of Lines: Q Area Built ca~o Exist. Grade Elev.- C _Proposed Final Grade Elev. 9~• U~ Fill depth to top of pipe: Y1) No. feet from nearest prop. line:Front , Side 39', Rear Ft. No. feet from well: 106 No. feet from building gal HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well , building , nearest road AlarmManufact.urer: Q INSPECTOR: DATE:-ally PLUMBER ON JOB: ll - LICENSE NUMBER: 3 4 0 6/90:cj Wiscon,inDepartment of Industry, PRIVATE SEWAGE SYSTEM County: Laborand'HurrianRelations INSPECTION REPORT St . Croix Safety and Buildings Division (ATTACH TO PERMIT) Lot 35 Sa n ita ry Perm it No.: GENERAL INFORMATION E; NE% Sec. 28,T29-R19,Larsen Lane 149135 Permit Holder's Name: ❑ City ❑ Village I3 Town of: State Plan ID No.: Bruce & Sue Johnson Hudson CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 0_") Z_ 1136 TANK INFORMATION ELEVATION DATA 000 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /p 106) , O Dosing 0 Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent ir Ito ntake ROAD Dt Inlet TANKTO P/L WELL BLDG. A Air Septic NA Dt Bottom Dosing NA Header/Man. 9,s Aeration NA Dist. Pipe 9,-71 Y l Holding Bot. System 9 p, 5 u PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM I Loss Friction System TDH Ft TDH Lift mead Forcemain Length ED 'I a. Dist. Towels SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth 91 DIMENSIONS 5© DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: LAA"A_ 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 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes ❑ No "1 v Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. =LHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code Za !5t. X STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 1' "T/~ /opl 8% x 11 inches in size. Check if revision r evious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PR PERTY OWNER PROPERTY LOCATION C -o .E % A`;6 S Zdf T z , N, R 1/9 'E (or) W PROPERTY OWN R'S MAILING AD70- ESS LOT # BLOCK # 760 ...5AJ12- 5- r~ CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISI N NAME OR CSM NUMBE A/a .5©~ A/ 15601& ('7111386 12-17 C eAO-o ~~5 II. TYPE OF BUILDING: Check one) CITY NEA EST ROAD ( State Owned ❑ VILLAGE z5oA S4 LA N ? ❑ Public R1 or 2 Fam. Dwelling-# of bedrooms PA TAX NU BER( ) 111. BUILDING USE: (If building type is public, check all that apply) " ~v - 60- 000 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 50 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. ❑ 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 30 ❑ 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./inch) oELF-VATION 16 00 760 Soo -7s- 8 .,StFeet 1 -60 Feet VII. TANK CAPACITY Site in gallons Total of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks ~anufacture(r's ame Concrete Con- Steel glass Plastic App Tanks Tanks 151 N t structed Septic Tank or Holdin Tank _ (Ago Lift Pump Tank/Si hon Chamber 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) :=V No.: Business Phone Number: Tr" u lj~~ 1013 -9c Plumber's Address (Street, City, Sta , Zip Code): NOS I unl S- Ps o, s~ "-0 117) IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sani ry Permit Fee (includes Groundwater Date Issued Issuing em Signature (No Sta Approved ❑ Owner Given Initial surcharge Fee) 9 Adverse Determination lmv` X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly PIt-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety a Buildings Division, Owner, Plumber t, APPLICATION FOR SANITARY PERMIT 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 Location of Property Section T N-R_Z!Z W Township Hailing Address ~N /71 Address of Site Sir Subdivision Name .Lot Number Previous Owner of Property/' 57 Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number as recorded with.the Register of Deeds. f t INCLUDE WITH THIS APPLICATION THE FOLLOWING: i 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION 1 (We) ceAti6y that att statements on this olcm aAe true to the best 06 my (oun) knowledge; that I (we) am (cute) the ownen(s~ o%opeAty de~scAi.bed in th,i,a in6ofcmati,on 6o4m, by viAtue o6 a waAAanty deeed in the 066ice o6 the County Regi,6teh 06 Deeds o Document No. and that I (We) puzentfy own the ph.opos ed 6ite bon the sewage di6 po.a s ys em (on I (we) have obtained an easement, to h.un with the above des cnibed pnopeh ty, bon the con,stAuc ti_on 06 said eystem, and the dame has been duQ~/ceeonded in the 065dce o6 the County RegiAteA o6 Deeds, ae Document No. AA 0 j Q1L_Zt_yU SIGNATURE 0 ER SIGNATIYR OF CO-0 ER (IF APPLICABLE) DATE SIGNED DATE SI ED SEPTIC TANK MAINTENANCE AGREEtfENT St. Croix County y OWNER BUYER o p ROUTE/BOX NUMBER ' 7'~~~ ~~(/Fire Number d f s~' , 7 a l z o CITY/STATE _ U p Sa ZIP n PROPERTY LOCATION:''Section, TL_N, R~w, Town of _ ) ,5'r,,V St. Croix County, Subdivision Lot number . Improper use and maintenance of your septic system could result in con- its premature failure to handle wastes.- sists of pumping out the septic tank every three years or sooner, into if needed, by a licensed' 's'e t'ic tank pump - er. What you put t e •se tic tank as a treat- o p ect the Function the system can a went-stage in the waste disposal system. St. Croix County residents-mom be eligible to recieve a grant for a maximum of 607. of the cost.of replacement of a failing system, whi.c 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 .s stems agree to keep their system properly maintained. The property owner agrees to submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and •(2)•a£ter inspection and pumping (if nec- the septic-.tank essary), bessentsapthan 1/3 proximately130fdaysdpriordtoc~• Certification three year'expiration. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- y' V ment of Natural Resources, Certification e CountcaoOffice twithin 30 days and returned to the St. Croix County Zoning of the three year ekpiration date. i SIGNED - -1 I DATE 7 - St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. 1 it DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INQUSTFY„ DIVISION P.O. BOX 76 LABOaAND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNS HIP/MFkWfttPAt'tT1' LOT NO.: BL . NO.: SUBDIVISI N NAME: j 1/4 /T 4WIR /A 0 COU,' 0,T Y: , OWNER'S/BUYER'S-NSAAME: MAILING ADDRESS: nl a a D USE DATES OBSERVATIONS MADE NO. B~RMS.: COMMER I DESCRIPTION: P S RIPTIONS: PER O TI TESTS: e❑ New ~ieplace I f RATING: S= Site suitable for system U= Site unsuitable for system c JTI❑ ':I IN ROUND, F-'!- ~ ~~RE:TIS ~LH~JG RCQMSYSTEM: (optional)~ ' .129s- Ul I, If Percolation Tests are NOT required DESIGN RATE- -r+ If any portion of the tested area is in the r under s. ILHR 83.09(5) (b), indicate: c SS Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHIM. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERV (S ABB V. ON BACK.1 0. iii ` 7~ ~ry2r, ♦r~'ir SSj. 7Siq„GSsj,~~ All fi B-Z j,og'Q//.3lG,.s~J SFt'B;~ry..J S!o'BnS B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 0481ILS AFTE LLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER D PER INCH P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATIONS I 1 r <•/z~ JN_ s F a 00 3 E 14 G r •5Y jM E t r E 3 E ~z 3 E , --I- ` I, the undersigned, hereby certify that the soil tests reporTed-cH this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): / TESTS WER G PLETED ON: (/14h (/G/1 4)l°' ADDRES : CERTIF CA ION NUMBER: PHONE NUMBER (optional): L L~~ C5T66 ft7 3F4 c7 CST SIGN T DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - i PaL .67 PLOTANO,, \OS w Sr CTIO~N P R OJ EL T Mrh ` NAMEJo/~ jls »N_./~ M E ► rn._ L 0 C A 10 Nw~.. ~L I C ES E=_ a.. i~.)A` P E 0 I M A W►fi~ 9 of Igo c h At Tk, ~Ru1+1 01 jX t 7 ~eorcoo,,, Tizrr#& U lpN 10 10r, Welb, ARI fpRfi4e\, i .e ~a•,a. S'e PV c. w s'~ r~ c r~ WA We.1~ ► f fPrt/J~n ~~pN sift ~ f~u~ Sept'►C sy~t~, ' w VA OL C) S 7G Sx~G T~rrir~ Ere c. ~ArelaN ` N x S.F coRNee of b = Bay ~,vJes pert FRESH AIR INLETS. AND OBSERVATION PIRE CROSS SECTION Approved Vent Cap Minimum 12" Above rMo F1 Nvl p Final 4" Cast Iron Above Pipe Vent Pipe To Final' Grac~cs Marsh Stay Or Synthetic Covering Min. 2" Aggret iii Over :Pipe` ' Distributo~~ Tee Pipe Aggregate Perforated Pipe. Below 0 Beneath Pipe Coupling Terminating A P•~ ` ` Bottom of System G~ r; yl 2' , Form-STC- 104 (a ~ ~rBBLOLT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T -,z,? N-R l W S G d ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION e~d~•~-N%l~S LOT LOT SIZEf PLAN VIEW Distances and dimensions to meet requirements of I•hHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 14;, t9 t 5y _ - - D' 7 C_ INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Suf.-tee S S Elevation of vertical reference point: /467'.c Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: /9 S'd Number of rings used: 42 _ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side ,Q Raar,~ $ feet .From nearest property line Front 10 Side 10 Rear,0 ~O feet '.a tL Number of feet from: well ~a T r; building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet.from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: x Trench: Width: Length: Number of Lines:_ 2 Area Built: 4P~7p Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, Rear, O Ft. Number of feet from well: - JA • 4 a-7- 7`a 4.c. Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: ..e1~.",» Dated:' Plumber on job: License Number: , 3/84:mj ~ SANITARY PERMIT APPLICATION COUNTY { ' L fILNR In accord with ILHR 83.05, Wis. Adm. Code I ' Rio / X STATE~SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER 8Y2 x 11 inches in size. -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES 68,j NO PROPERTY OWNER PROPERTY LOCATION ti. ,J % %1~/a, S ~2 T N, R / E (oro PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 35-- C l CITY, STATE ZIP CODE PHONE NUMBER 71 CITY NEAREST ROAD, LAKE OR LANDMARK ❑ VILLAGE : I ER TOWN OFO 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable) 1. a. 0 New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. El Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. a IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a. X-Conventional b. ❑ Alternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. Seepage Bed b. ❑ seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): G /1 ~r_ 'e, _S~ ('(41 . e) Feet n Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank ❑ Lift Pump Tank/Si hon Chamber ❑ ❑ 1-1 Lj I Li VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system sho on the attached plans. Plumber's Name (Print): Plumber's Signature: (N Stamps) 01MP/ PRSW No.: Business Phone Number: rn;r -7 Plumber's Address (Street, City, State, Zip Code : Name of Designer: Vlll. SOIL TEST INFORMATION Certified Soil Tester( T) Name CST CST's ADD (rest, City, State, Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater Date Issuing gent Signature (No Stamps) Approved ❑ Owner Given Initial t rcharge Fee Adverse Determination 710417 X. COMM!;NTS/REA NS FOR DISAPPROVAL: j lah >°uG~e~Q/ Eby ~oM~S L'. hl,o/Svr► SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit applicaJon must include: 1. Property owners name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms If building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes dependi-ig on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for a// septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8Y2 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more y. commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bili Groundwater included the creation of surcharges (fees) for a number of regulated practices which Wisconsin's a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried Treasure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater Y It's worth protecting. S8D J398 (8.03/86) DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.X BOX I BUREAU OF PLUMBING MADISON, WI 53707 MADISO WI 537 T29N-R19W nCONVENTIONAL DALTERNATIVE State Plan I.D. Number: (lf assigned) Lot 35 Cedar Hills Ell Holding Tank ❑ In Ground Pressure ❑ Mound Town of Hudson NAME OF PERMIT HOLDER: JAODDRESS OF PERMIT HOLDER: INSPECTION DATE: Cedar Hills Development Inc. ute 1, Box 1910, Hudson, WI 54016 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: JCST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: William Schumaker 6382 St. Croix 92531 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER /~1C P IDED: PROVIDED: S°o /96,05 J ~7) OVYES ONO DYES O BEDDING: ENT DIA.: VENT MATL. HIGH WATER INUMBER OF ROAD: PROPERTY WEBUILDING: IVENT TO FRESH ALARM: ~j AIR INLET. NO LyU OYES NO DYES N FEET EARESTM 'L DOSING CHAMBER: (y✓~{~ MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL'. PUMP/SIPHON MANUFACTURER. WARNING LABEL JLOCKING COVER PROVIDED: PROVIDED: DYES ONO DYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONA L: NUMBER OF PROPERTY WELL BUILDING. VENT FRESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moistureat the depth of plowing FORCE LENGTH DAND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN he soil is dry enough h to continue. t y g ) CONVENTIONAL SYSTEM: WIDTH: LE G JNO. OF DISTR. PIPE SPACING'. COVER JINSIDE CIA. SPITS LIQUID BED/TRENCH TRENCHES / IND. RIALVNEAREST PIT DEPTH DIMENSIONS 1 ~ : BER OF PROPERTY WELLBUILDING V NT TO FRESH GRAVEL DEPTH FILL DEPTH JDISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. f BELOW PIPES ABOOVERELfLET LFROM LIN~f}1 ,(J AI?INL , I1I/))~~ - ► / V ~V 3 II I MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ONO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED =OP SOIL. SODDED SEEDED MULCHED CENTER: EDGES. DYES ONO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH'. LENGTH. NO.OF LATERALSPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE JMANIFOLD MATERIAL'. NO. DISTR. JD~STRPIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.ELEV.: DIA.ELEV.PIPES DA.'. ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS DYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBEROF LRNEERTV WELL: BUILDING: FEET FR DYES ONO OY S ONO NEARESOM Sketch System on etain in county file for audit. Reverse Side. SIGNATURE: r TITLE. DILHR SBD 6710 (R. 01/82) Zoning Administrator APPLICATION FOR SANITARY PERMIT 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/contractwc,("spec house"), then a second form should be retained and completed when the property is 4 sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property Section T '0 C1 N - R W Township C L Mailing Address i i Subdivision Name C (2c~Ct Y' Lot Number Previous Owner of Property L JC i') Total Size of Parcel + C b+ Date Parcel was Created at Are all corners and lot lines identifiable? Yes No is this property being developed for resale (spec house) ? Yes No Volume L1-3 and Page Number j as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office 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 the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION 1 (we) evLt%6y that ael 4tatement6 on t i,6 6o4m ane true to the but o6 my (oun) knowledge; that I (we) am (ane) the owner (a) o6 the pnopen ty de.6c/tibed in th,i,b .in6o4mati.on 6o4m, by v.ih.tue o6 a wannanty deed neeonded in the 066tce o6 the County Regiz ten o 6 Deeda a.a Document No. y .3 1-19 ; and that 1 (we) pneaentXy own the ptopo.ticr site bon the sewage c,apoa e y-.,;j^n ion I (we) have, obtained an ea.a ement, to nun with the above deb embed pnopehty, 6on..the eonetnucti.on o6 .aa.id ayatem, aad the .6ame W been duty recorded in the 066ice o6 the County Regi6ten o6 Deeds, ab Document No. q 13 ) 7 SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) - j DATE SIGNED DATE SIGNED ' I J &VOL, ~E ?yam - iyS- THi3 SPADE RESERVED FOR RECORDING DATA - Dc]~uMENT NO. STATE BAR OF WISCONSIN iZM 11 - 1982 ' ' LAND CONTRACT t~' r Individual and Corporate ff1E'OSMS OFFICL.. ~(TO BE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON-CONSUMER V: WIS. ' ACT TRANSACTIONS) ST. CROIX CO • Recd. for Record ibis 11th Contract, by and between Harry J Stewart as Personal day of Jun a _AD. ) g 86 Representative of the Estate of Aldro Larsen a/k/a John of 11:45 A M. • Aldro_Larsen__aflcja__John_Aldro__Myren_Larsen}* ("Vendor", _ James 0 Connell whether one or-,more) and.... illiam C,_ Harwell__________________________________ Do 58W41 a s --gle man - w *single man ("Purchaser", whether one or morY , 0 Cry Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- deputy formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in .............St. Croix County, State of Wisconsin: - - RETURN TO See legal Description on Addendum Tax Parcel No. 386 _ ~a 73 y _ 71TA FEF This is__not__________ homestead property. $ (is not) Purchaser agrees to purchase the Property and to pay to Vendor at . such -place as he -shall--name the sum of $..192.x500.00 in the following manner: (a) $...60_,QQ~_~00 at the execution of this Contract; and (b) the balance of $.D2.,500_tOQQ................. together with interest from date hereof on the balance outstanding from time to time at the rate of ..............1r~Yl..~) per cent per annum until paid in full, as follows: See Payment Terms on Addendum Provided, however, the entire outstanding balance shall be paid in full on or before the........ 14h day of .Ilia-e 19.__4.4_ ( the maturity date). Following any default in payment, interest shall 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). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any iG9tik#X?lXxxxxxx~txcX~cgxxXx2~ amount nlay be prepaid without premium or fee upon principal at any time. tDcarx:~:z.,~~~x~altacx7~tarr~t~m~cy~i~iRatxvcnt~s~aDi~oxrufxVe¢ISharis:~ In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the iXRl j&payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance. or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown 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 until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on....... tY}e__d.4te__llereof.................... ggx...... *Cross Out One. LAND CONTRACT-Individual and STATE. BAR OF WISCONSIN Wisconsin Legal Blank Co. Ine. Corporate . FORM No. 11 - 1982 Milwaukee, Wis. 9M. it 40FI E Lri0 / Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's ini':rast in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- icrded coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by `Vendor, in the sum of _n/a but Vendor shall not require coverage in an amount more th." Ore balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to in:~orarlce companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall he applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be „"olnicaliv . feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Proper t;• in rood tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the time,,; and in the manner above specified, Vendor will on demand, execute and deliver to the 'urchaser a Olt1~x pe d in ,fee simple, of the Property, free and clear of all liens and encumbrances, except ersona'1 Re ressntaetivg s any lens or encum ances created by the act or default of Purchaser, and except: caSementS,..Uxotectixe_. . covenants_..a£..record, _.i.f. .-any,..and._zoning._o.rdinanee _-requirements. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 6aQ.._ days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of ..60.._. days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rightq, title and interest in the Property and recover the Property hack through strict foreclosure with any equity of redemption to be conditioned upon Purchasers full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously pail by Purchaser shall be forefeited as liquidated damn%es for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem) ; or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall he liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion tlwrcaf; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies' shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shail not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any cf Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 11th day of June , 19._86.. -.-(SEAL) ~~-?!V -`..\-..1.!`1..q.,. ('SEAL) (SEAL) (8EAL)U William C. Harwell _ AUTHENTICATION ACKIN0WLEDGMENT',o'~~.`^ C` Signature (a) STATE OF WISCONSIN ss. St. Croix .................County. authenticated this ........day of_.. 19...... Personally came before me this llth...... day of une....................... ~ 19.86.. the above named Harr J Stewart_.and._William C,__Harwell TITLE..: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person S who executed the foregoin 'nstrument and acknowledge the. same. THIS INSTRUMENT WAS DRAFTED BY Lois--A.._Murray_.................. EYW00,. CARL, MURRAY & SHERBURNE, P.O. 229, V~~-•-__...._,........ ~RS.O~✓ Huthsnn-''-WI.-.5'401-&-------------------- Notary Public St,__CCoix.................... County. Wis. (Signatures may be authenticated or acknowledged. Both My Commission is per anent. If no state expiration are not necessary.) date;:y _i 19.. 7) 'names of persons signing in any capacity should be typed or printed be! signatures. y r • STC - 105 r" SEPTIC TANK MAIN`1'ENANCE AGIt EEM EN`1' o St. Croix County t v ckciiZ vn OWNER/ BUYER {L \ - 4 { t- Fire Number R 0 U '1' V / 1i O X NUMBER C 1'l'Y / STATE 1 r PROPERTY LOCAT10N: ~Lu ~L Sect ion 'I N, k__~_~ -W' St. Croix County, umber Lot number- Subd 1v Lsi,.,n f- Ck" L I Improper I Improper use and maintenanct! of your sepLit• system could result in its premature 'IaLltire to handle wastes. Proper maintenance cun- lists 0l pumpln9 ouL the septic tank every Lf►ree years or sooner, it needed, by a licensed sel)Lic tank LumLer. What you put into Lhe systeu[ can affect the function of the septic tank as a treat- went stage in the waste disposal system. SL. Croix County residetits maY be eligible Lo receive a grant for it maxi►ount of 60% 01 Lhe cost of replacement of a failing system, which was In operaLlon prior to July 1., 1978. St. Croix County accepted this program in Aui;usL of 1980, with the requirement that owners of all new s~+sCen~ agree to keep their systems properly maiit ta.iti ed. - - 'l'ife property owner agrees LO submit Lo SL. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying LhaL (1) the on-SiLe wastewater disposal system is in proper uperating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. £ i/Wl, the undersigned, have read Lhe above requirements and agree to maintain the private sewage disposal system in accordance with the standards Sec forth, herein, as set by the Wisconsin Depart- 'n n[ent of Natural. Resources. Certification form must be completed and reLurhed to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNEU_`` _ UATE_~~/ St. C -oix County 'Lon ing 'Off ice P.O. ,tax 9&. 1lanuno'iid, WI 54015 715-7 16-2239 or 715-425-8363 Sign, date and return to above address. C1 t: ,{.TIv,, iJf, SPORT ON SOIL, BORINGS AND SAFETY & BUILDINGS a,.t ,I, r i DIVISION PERCOLATION ,'►T .1~ P.D. Box 7989 MADISON, W153707 1163.09 (1) ~ Cha}>itar 145,045) 7ti C.K. NI JNI~IVI5fUN tME: Swl c Z9 uDsG►~ 3r Dat /411.LS H" /9 I" (~F arC~otx Cr e~ l~tt~ s ~e#.?l*'I,,z Ai T, 4016 USI. DATES OBSERVATIONS MADIE , ~:I ,r l l f t IPt IJPJ ~ I TL. ~,k I UN~ *Ne I Ifiepl ve l MAY [ i7 a~ - UIRkhI ~~tc5 $o4}c r~QbE 6( &C z RAI INC, Site sr,table t(>, ~ysterri tP Site unsuitable to, system -....V ~ aiyiNU At ~&SC)' ) NI: IN t Nt1tJNC3F'r~t ~ ilkZt" ~SYS~' RE~~^/Vt:~'014//~~. .I~.~ I' r ~ f) L ac U U-- If t'. , ; h, ; I' tf % i „ ! c,n r,l Lhr tested area is in the , ~U110e r 1 fr..;. ndwotti r-loodpimn elevation: A E>S, t't PROFILE DESCRIPTIONS Init. , !t?. , ; i t,,(.1 i+i i., nltalrW fl t rJr F+E, i,:- _tr,l7I1; 01 SOII. WITH 1H I KNESS,~OLt R TEXTURE, AND- t~PTH ~ 11`01 ti r, it,: , i ",~lr` I 1 t u ,rlt•, t, ~ `:T,TtI f IC i'I, It,l f3k UfdO(.6. IF 4,I35EliVFT) (SEE A60RV ON BACK.) 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W GD O 1 0 .r ~ to G ' _foOo N - I i- M 400 >r M N tlf ~ W ~ I~ Ir tL} s e h $ M M ♦a C a N o o r 'ids` a lb +r~ fir) o 1 6 N M - op W a 0 0 ~e • GD M I~ N .I u. W ' ' er O U • t M U) Q / W MN 0 K) 40 frs ~1 !V N I l t/ i r . r I . ~ ~