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016-1039-20-000
0 Wisc ~nsii~ Departrnent of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~ ` * INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Stein, Nathan Glenwood, Town of CS"f BM Elev: Insp. BM Elev: BM Description: nn ~ I SC / od Ij i~ C TANK INFORMATION TYPE MANUFACTURER ; ~y< .J CAPACITY Septic , z. Dosing (Z'„~ a ~ ~~ 4v ' ~~O F;1~ Po ~o~L sZs Holding TANK SETBACK INFORMATION TANK TO P/L w~~~-- WELL BLDG. Vent to Air Intake ROAD Septic y O~ 7 ~~ 2 1 N~ - Dosing ~ ~ b 7 /5p' IZa' ~ !Lo / -' Aeration Holding PUMP/SIPHON INFORMATION ~ ~ Manufacturer Demand ~e.v L~~ GPM ~ Model Number E n b~ t' ~Z .~e~. TDH Lifi; Frictio System Head TDH Ft ~. 3 ~~ 3 ~ Forcemain Length ~ Dia. .r Dist. to well ' ~ sb , 33 z S(~II ~RS(~RPTInN SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 499150 0 State Plan ID No: Parcel Tax No: 016-1039-20-000 SectionlTown/Range/Map No: 18.30.15.285 STATION BS ~7 • S HI !o q ' S6 FS ELEV. C~ Benchmark ~, 3a 1 Gy. 3 /Ob Alt. BM F•6 2.3Z ia7~z3 Bldg. Sewer 3. ~Z /a~' 33 SUHt Inlet s, $3 /b 3 . (iZ SbHt Outlet G' o~ /b3. s Dt Inlet 10.13 ~i9•'fZ~ Dt Bottom /3.03 95.gZ Header/Man. !v , $ b /'b3. OS Dist. Pipe ~• 5~ /x3.61 Bot. System 7.~ /6Z.3j Final Grade s , r7 /oy d5 St Cover ~. ~ 7.3Z io7.z3 ,13 /oo . z s BED/TRENCH Width ~ Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S ILO / ~~ - _- ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ TION CHAMBER OR INFORMA Type Of System: /~/~ / `J / / ("7 ' ZbO / a f ~ UNIT Model Number: \ DISTRIBUTION SYSTEM W~ Header/Manifold ~ ~ ~ ~ rjb Distribution ~y', I tl , Pipe(s) S9 l ~ /7 Z s x Hole Size ~ ~ ~/ x Hole Spacing r V~tyto Air Intake Length Z' S Dia ~ i ~ • Length Dia Spacing ~ Z • .3 Z cl+k ...-+~o+~- Sell CnVER v Pro~~nro Rve4amc only YY Mnund Or At-Grade SvstemS Only Depth Over r Bed/Trench Center I ~ Depth Over Bed/Trench Edges ~ xx Depth of Topsoil xx Seeded/Sodded xx Mulched N ~ ` ~` Yes No o Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1; / () / Zy / O ~ Inspection #2: /__/_ Location: 2741 160th Avenue Glenwood City, WI 54013 (NW 1/4 NE 1/4 18 T30N R15W) NA Lot C'~' k~-' ~ arcel P:o: 18.30.15.285 1.) Alt BM Description = ~' ~ `''~ C'6iV'~-'~- G~d~ ~-5 ~ ~~~^S Q~ oc.J (J~ 2.) Bldg sewer length = Z ~ ~ P~ e~,J ~Z.1 'bl 1 Sa{etyy and - ~ ` ~ ~ Zol W. was>>mgtan Ave., P:o. $oX n /`+~/~/~~~/~ Madison' wl filled in by Co., saeimry ~ N w~ (608)2663151 _ ~ 9I v Department of Commerce J Sanitary Permit Ap ~ state Plan LD. Nmnber In accad with cow 83.21, Wis. Ache Code, peso al inf ~ ~ 13l 0 2 g9 = ANS. /~.~ may be used for secondary purposes Privacy w, s 5. ixm) t tbart mailing address) -# 2 I. Application Information -Please Prime AQ Informatio A U ~ 1 ~ 1 v Property Owner's Name ST.CROIX000NTY Parcrl# 'i°~/---- l~e~- - /d.~ - ~ S Property ling Address , ` Yom' 1'roP~y Lomtiorr ~ ~~~ ~y~ ~~ ~ City, State Zip Code Phone Numbex ' ' ' L Gtr S O ~ .,' .. 4~ T ~ O N; R~E k~ Type of Beikling ( eek all that apply) II a„ ~,., ,,, . ~~,^O~/ 5 Subdivision Name CSM Number y + Il~or 2 Family Dwelling - Number of Bedrooms y~6,1~,~ - ^ PubliclCanmential -1)escdbe Ilse ^ State Owned -Describe Use ,,,~ ^City ^ Village LKCOwnship of III. Type of Permit: (Check only one boz oa lose A. Compl~e line B J applicabk) '+' ew System ^ Replacement System ^ TreatrnentlHolding Tack Replaceme~ Only ^ 01ha Modifxxtion to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Tiaosfer to New Ii4t ~~ Permit Number and Date Issued Before Expiration ~ Plumber Owner II r! ~~ IV. T ofPOWTS S Check all that a ~ ~ • ~ 't) ^Non -Pressurized In-Ground ~a. a ui3abtelGla Mound < 24 in. of suitable soil ^ At-Caade ^ Single Pass Saml Fiber ^ Constntcted Wetland ^ Pressurized In-Ground ^ Holding Tank eat Fiber Q~ is Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chaanber ^ Drip Line ^ Clravd-k~s Pipe ^ Ol4ra ( ') I V. Dis rsal/TreatmentArea Informatioe: Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation ~ ((.oS~d~ ~ m ~.3 VI. Tank Info Capacity in Total Number Menu Prefab Site Sted Fiber Plastic Gallons Gallons of Units ~~~ , , „ ~c~~) Concrete Consttuctcd Glass T~ r~ .S' t Loc < /a Sic or d- 2 °OS1°s S?J VII. Responsibility Statement- I, the undersigned, assume reapoasibility for bedalhtbe of the POWYS shows oe the attached phas. Plumber's Name (Print) Pl s Si ~RvIPRS Number Business Phone Number 1?/-~ B~ o TiS- 6•- oavo ddress (Stns, City, Zip Pl um be r' s A Q g y p ! ~G Q Lo J' ~G (~ / 'r ~70'~ VIII. Coon /De artmettt Use Oa Approved ^ Disapproved Sanitary Permit Fee (' Groundwater Sum ~) Date Issued ` t Si o Siamps) . ~ ~ 31 Reasart f~ ^ . IX. Condition of pp v SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Atrae6 tOmplele pue6 (to rue c:oaaq Oegq for me fySR® on piper w[ rms aoa.. our : a a nw+.w ... a..w: SBD-6398 (R. 01/03) ~: r Page 8 of 8 160 th Ave Site Plan h C'pnditi0ytully Nat an D. Stein Part ofNW ~ RpVED Sec. 18 T30N-R15W pp R~eN7 OF ~ Town of Glenwood - St. Croix County ~ QEPa p Ut D NGs nns~aN OF SAF~ 0 20 ao , J ~~~ ~ Proposed 4 Bedroom Home ~,,,,,,~ ~,,, ~,,,,~~ w/Walkout Basement SEE CORRESPONDENCE 1 lnoh - JO it Note: Maintain well and waterline setbacks per Comm 83.43 (8)(i) Approx. 38 Acre Parcel ~ ~ ~ ~ =L ~~ Proposed 4"Bldg. Sewer Proposed Wieser Concrete 6% 1250 Gal. Abandoned Pasture septic Tank Proposed 4" P2 S% Conveyance Line Proposed Wieser Concrete _ Dose Tank 99.40' Proposed S'x 120'Mound Cell System Elev. = 10233' ~(, B #~ I Proposed 2"Sch. \ 40 Force Main I \ x 102.00' Old Barn Yard BM '~ B x x Farm Field Path Note: Farm road to be tilled and abandoned that portion within 1 S' of 100,00 downslope mound toe. #1 BM =Top of 1 U4" Steel Pipe,Staked Op HRP =Same G ASSUMED ELEV. = 100 ' = Brtckhoe Fit Corn Field #2 BM =Top of Corner Post Elev = 103.80' ' Parcel #: 016-1039-20-000 09/01/loos 03:57 PM PAGE 1 OF 7 Alt. Parcel #: 18.30.15.285 016 -TOWN OF GLENWOOD Current '~Xl 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 CaOwner O -STEIN, NATHAN NATHAN STEIN 2747 160TH AVE GLENWOOD CITY WI 54013 Districts: SC = Schooi SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 39.500 Plat: N/A-NOT AVAILABLE SEC 18 T30N R15W NW NE EXC W 1 ROD THEREOF Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-30N-15W NW NE Notes: Parcel History: Date Doc # Vol/Page Type 07/26/2006 830492 WD 01/14/2002 668181 1814/226 QC 01 /18/2001 636975 1576/496 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/26/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 36.500 5,200 0 5,200 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 9,000 1,000 10,000 NO Totals for 2006: General Property 39.500 14,300 1,000 15,300 Woodland 0.000 0 0 Totals for 2005: General Property 39.500 15,300 1,000 16,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 207 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 commerce.wi.gov isconsin Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 17, 2006 CUST ID No. 221180 DAVID B FOGERTY FOGERTY PLUMBING & PERK TESTING INC 28288 MCKENZIE RD SPOONER WI 54801 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/17/2008 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: ~ci~~~ ~. ~~~n NSNE STo~~1'SNc . ~~ 274? 160TH Ave Town of Glenwood St Croix County NWl/4, NE1/4, 518, T30N, R15W Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Identification Numbers Transaction ID No. 1310289 Site ID No. 716965 Pleaserefer to both identification numbers, above, in all'corres ondence with the a enc . FOR: Description: 4 Bedroom Design Object Type: POWTS Component Manual Regulated ObjectIDNo.:,1091970 Maintenance required; 11 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/O1); Polylok PL- 525 Biofilter ~~~ Q ~~'ti~a G~ ~ Q~ E o~o~, ~S 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: O Reminders S~~ • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.O1/01). • This,system is to be constructed and located in accordance with the approved plans, and the. "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.01/01). 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. 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. ~ DAVID B FOGERTY Page 2 8/17/2006 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, Dennis R Sorenson Wastewater Specialist ,Integrated Services (608)785-9336, dsorenson@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Fogerty Plumbing & Perk Testing, Inc. Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633' ty MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN ~ ~s' Residential Application ~-`' _ `~,' ~r INDEX AND TITLE PAGE ~ (_4J ~` Project Name: Nathan O. Stein 4 Bedroom Mound Owner's Name: Nathan O. Stein Owner's Address: 2747 160 th Ave. Emerald WI 54013 (612) 250-1000 Legal Description: NW1/4-NE1/4 Sec. 18 T30N-R15W Township: County: Glenwood St. Croix Subdivision Name: NA Lot Number: NA Block Number: NA Parcel I.D. Number: Plan Transaction No.: 1 .3 ~ C ~- ~ 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 $ Plot Plan ,ll~ ~o MERC~NGS ~ Np , ~~ NQ~NGE ~R~SPO Designer: Dave Fogerty License Number: MPRS# 221180 Date: 08/06/06 Phone Number: (715) 635-9609 Signature: ~ ~, Designed Purs ant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 8 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) 5.00 Site Slope (%) 100.25 Contour Line Elevation (ft) 11.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 120.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/frz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) c Center or End Manifold 2.50 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.25 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) 94.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 8.17 Vertical Lift (ft) 1.31 Friction Loss (ft) 15.98 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 x 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 coliform of <= 3g inches. 5.00 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. 5.77 ft2/orifice Does the forcemain drain back? Y Enter Y or N 5.71 Forcemain Drainback (gal) 108.56 5x Void Volume (gal) 114.27 Minimum Dose Volume (gal) 42.84 System Demand (gpm) Manifold Diameter Selection in. dia. ~ o tions choice 1.25 x 1.50 x x 2.00 x 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 750.36 Dose Tank Capacity (gal) Pol lok Filter Manufacturer 20.28 Dose Tank Volume (gal/in) PL-525 Filter Model Number Wieser Concrete Manufacturer Project: Nathan O. Stein 4 Bedroom Mound Page 2 of 8 Mound Plan View 1_ .1.1/1.0.6_^ ••ObservationPipe 'Q' . .. ... .. ....... K .... {~, L:F. I I L Mound Component Dimensions A 5.00 ft E 28.00 in B 120.00 ft F 9.50 in D 25.00 in G 0.50 ft 600.00 (ft2) Dispersal Cel! Area 5.00 (gpd/ft) Linear Loading Rate H 1.00 ft z 12.79 ft J 8.80 ft -+ _fi -1 K 12.00 ft L 144.00 ft W 26.60 ft 2135.29 (ft2) Basal Area Available 12.00 (ft) 1 /10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.13 (ft) C ..... ~.... G ~ H ~ . f/frrt~.r~~ 2 ,r~~lrll~.. :i _ ~f._ I F .::: ; : ' ~~~~~~~~~~ 102.83 (ft) Lateral Dispersal Cell 102.33 (ft)-- - Invert Dispersal Cell ~ ~ ~p ~ ' ~ ~ ~ Elevation E . ~ ~ ~ . J J J J • i . J .. ~ ~ 1 • J ~-, ~-J -sJ --, -_,.__,.__A.-~ J.^. -."-J _~J ^_J.- J._~J:^ J _"C, •~ ~,__J.__3." J _-J _-J "-J."_J __J ~ ~. .~J, ~,.__,.~M1J. ~,. !;. _J."~J, _,. _,. _J ~ +, _J ^,. ^^J - t -J ,{ ,1 -i J J J J J J i 7 J J i J J 1 i J J J }~=. '--. ~'=. '^=~'^-. 1 J J J t J J J ;, J J ,l, J ;, , J J ,1, J J J _ _ _ 4 ._ •: ~_ J J "~• `~ --~ --~ ~-- ~-~ '~ ~~ `~ ~~` ^ - - ~- ~ ~ 100.25 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key 'a $. ~ Dispersal Cell See lateral details on [] ®Topsoil Cap o ~ 1.5 ft ~ Page 4 for number, size, © '{~~~ Subsoil Cap ~- c },:~ Q ~ and spacing of laterals. ©~ ASTM C33 Sand ~ Z ~ f F Laterals are equally ®~ Tilled Layer ~ ~ 0.5 ft Typical I_atera~ spaced from the J J J j []5 f:::•r~. Aggregate ~ c ~ . - ~~ T1yll distribution cell's centerline in the ~"-' A -~ distribution cell (Ax6). Project: Nathan O. Stein 4 Bedroom Mound Page 3 of 8 Center Connection Lateral Layout Daigram Project: Force main connection via tee ar cross to manifold at any point. I P •=Turn-upv~ball valve or IEX-~IExf2 I xf231 cleanoutplug Holes drilled an the bottom of the lateral. Laterals are identic al Laterals & Force main of PVC Sch 40 per COf+AM Table 84.30.5 s ~~ Number of Laterals 4 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 59.16 ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate 10.71 gpm Manifold Length System Flow Rate 42.84 gpm Manifold Diameter Total Dynamic Head 15.98 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -~ ~~~LLL,,, Comm 16.28 WAC I I Disconnect II ~- Tank component is properly vented Wieser Concrete Ca aci 750.36 Volume 20.28 Manufacturer Gallons gal/inch Dimension Inches Gallons A 21.37 433.29 B 2.00 40.56 C 5.63 114.27 D 8.00 162.24 Total 37.00 750.36 A B C D 3" Bedding under tank. Alarm Manuafacturer S. J. Electro Alarm Model Number 101-01H Pump Manufacturer Goulds Pump Model Number #3871 EP05 Pump Must Deliver 42.84 gpm at 15.98 ft TDH Nathan O. Stein 4 Bedroom Mound 0.125 in 2.32 ft 26 5.77 ft2/orifice 2.50 ft 1.50 in 4.38 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min. ~- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 94.67 Dose tank elevation (ft) 94.00 Page 4 of 8 Mound Svstem Maintenance and Operation Specifications Service Provider's Name Tri-County Sanitation _ _ ~ Phone (715) 386-0114 POWTS Regulator's Name St. Croix Co. Zonin Phone (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 1250 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 Frequency 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 Ins ct for ondin and see a e once eve 3 ears Insulate sewer i e under drive er Comm 82.30 11 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: Nathan O. Stein 4 Bedroom Mound Page 5 of 8 Mound System Management Plan Pursuarrt to Comm 83.54, Wis. Adm. Code General This system shall be 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 accordance 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 be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned 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 filter when removed from its enclosure. If the fi-ter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarrn. 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 time 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 generally not required. However, 'rf 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 switches, 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 trnes or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched 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 inflkrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 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 10' cful100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressun: distribution system is provided with a flushing point at the end of each lateral, and it is n:commended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine 'rf orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contins~encv 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 immediately repaired or replaced with a component of the same or equal performance. !f the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged 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: Nathan O. Stein 4 Bedroom Mound Page 6 of 8 Page 7 of 8 ~GOULDS PUMPS r Submersible Effluent Pump 3 V / ~ EP05 ~,~;''~ v APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 31e" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elas[omers. • Temperature: 104°F (40`C) continuous 140°F (60`C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage [o components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SAOW with three prong grounding plug. Optional 20 foot length,1613 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP041mpeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. METERS FEET 10 9 30 s 25 Q ~ W x v 6 20 s ~ 15 a a 0 ~ 3 10 2 11 0' 0 2 4 6 8 oaPACITv ^ EP05 Im~ller: Thermoplas- tic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplastic cover with integral handle and Float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing conswction. AGENCY LISTING Canadian 5candards association (CSA listed model numbers end in "C" or "F".) Gotrfds Punps is ISO 9001 RegisUered s FPM \ zs rr ~~ U 40__1 50 GPM 10 12 m'/h Goulds Pumps ®2001 Goulds Pumps ~ ITT Industries Effective May, 2001 83871 Op i o 20 30 Page 8 of 8 160 th Ave sl l P. , . . lly N than D Se in Part ofNw-NE Conditiona RAVED ' Sec. 18 T30N-R15W P p MB~ L RTMENT OF CO Town of Glenwood - St. Croix County D , \ \ DEPA DIN~ ,ntv-stON OF SAF~ °~20_,__~ Proposed 4 Bedroom Home \~iG 1~nti~~-~~""~ c.~~ ~, ~~~ w/WalkoutBasement SEE CORRESPONDENCE 1 i~h ~ 40 it Note: Maintain well and waterline setbacks per Comm 83.43 (8)(i) Approx. 38 Acre Parcel Proposed 4"Bldg. Sewer Proposed Wieser Concrete 6% IZSO Gal. Abandoned Pasture Septic Tank Proposed 4" P~ S% Conveyance Line Proposed Wieser Concrete Dose Tank 99.40' Proposed S'x 120'Mound Cell System Elev. = 102.33' ~~ ~ Proposed 2" Sch. \ 40 Force Main x Farm Field Path B \ 102.00' Old Barn Yard BM ~-- x X Note: Farm road to be tilled and abandoned that portion within 1 S' of downslope mound toe. #1 BM =Top of 1 1/4" Steel Pipe,Staked HRP =Same 100.00' ASSUMED ELEV. = 100 , = Backhoe Pit Corn Field #2 BM =Top of Corner Fost Elev. = 103.80' a wu~ur . At1iEh OOmplElt! SAC ~ ei1 ~~ ttet Iasc 1Mt181f~ k 11 Irlohes in SILK. titan IiKISt inct~rde, but not ttmibcd to vernal and hoAzorrffil ratarenee point tt~fi. direellore and Parcel to pertant slope. sole ordaTenslorss. north anrrw, and to~on and >n >,earest mad. Pleist pt~3ratt atN iaf+ormaaFon lb~wad parr a~~rbe rr~earormeoa~asrra^aose:l~rlarr_s, t5.0a tl)tmll: ~ Propafyr Ciwrret ~h ~at>on -taste Cwt Lot 11~ V4 ~ T ~ - N R ~• E Proosrt~rtOwners Nia~no Mdrass l.ot # 9locir # Subd. 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SoN (iP 'E.~1 Role DiIIF 'Etlll2 R°~~ ~ ~ ~ Qral/1d attrfaoe NOV, n wpa~ w wry ~~ "'' SOA RtttB Ftorttmn Daps (n. Dadnar~t Irktnae~ R~dpet DeacilpYOn • Du. l3z. Cad. Color 7eoows Sh~w~us Gr. 9z Sh. Owriata~cs 9amdary Route 'Hf111 'EtrN2 • EtlfuarR #1: BODE > 30 _< 7Z0 rtgA. and'ISS X30 _< 150 tttplt. • ElAtienl lit = BODs <_ 30 mglL end TSS ~ 30 mgll. The Department of Commerce is an equal opportamty earnce provider and employer. if you need asaietsace to access aervicxa or .. need ~ntMerial in an alternate foneut, Please contact the depatttttent at 608-266-315] or TTY 60&264-8777. asouuop-.wo) E ' d 9HZSSE9S T G T 9N I HWfl~d A121390~ d9S s 90 90 ZO 9nd - - -- -- -- 'r'p. ~~a Fogerty Plumbini X221180 282c 8 P:1cKenzie Rd. Spocr~er~ WI 5480 7 Zso (71:;) G35-9609 /yily~itlV sT~t'.s~t/ y/,~o fl ~ ~3 /^~ ~,- r . ""' !r r~ {~ dl~N~ .llifi~r/ eL/~ ,~s,~a 7s' ~ Y~ ~~°~ ~3 ~Of~~-- ~-~ - i ~v ~cR~ ~,K~~L ~G~,,cp ~t¢ [G, ScrtGE / '• = Yo ~ ,CT = /SaR'~~~ ~ , = ~3-N, r~~ i F ~~'y SSE lea ' , ~rs~.-a ,4, i ~ SGT ,~ ~r , 11a® eF chit A/A'cR or,-fJtR ~sT ~,rrrD~LE, // 3.E ~ to =- C~/t lVic' ~ poll" ~6~ !/ ~'/ /K ~ p ~ ~sl try ~ -~ tt' y ~~~ ~ -d 98zSSE9S I G T 9N I HWf1'ld ~1213J0~ d9S ~ 90 90 ZO snd ootnptei~ sde ptan op paper not: Tess than 8 i12 X l i tttd~es in sirze. Matt ttwst ~~µ.-~~--~~~'~' _ ' ineiude. twt n~ tQ Yet6G~ and hOri¢otdaf tEs~ererrce point Ems. dot and PanxJ tD_ percent stops, state ord. north arrow, ~d to't;afion and distance in neatest toed. 0 - --~ Please print al! iirbo~ma~on. ~ taersorwt;ntorma~on you ~ mat-be seed for s~nndary t,arr_ s- boa (ty pt~. ` ~ ~~©~ toeatiare Gorf. LoE ~ tt4~~ if4 ~ T ~ N R Property Owner's J~ dress _ Lot it 8btit 8 Subd Name or CStJItF - ,? ~ Staff 3p Cade Ptrane Number (] C.dy p ~ (r]. 'Tarrre Neau~est Road ~~' ~~ ,~L! S ~ 1 ~ tote E (or ~' New canshudinn,, t~ ^ Residential ~ ~ bedrooms ~/ code aeiaed assign ~- rye .~~o' ~ p `` ^ Pr,btic or - t)essxbe_ _ Panent nta~irat S.tv zr~,~ rrGr ~ir~ Flood i~ are 7 apps .r//A R ~ .. a~ /~muvD p f / j ~9 ~ Pd Craes~ stsface elev_ 1B Z !t ctEpB+ b faces 3P iii. Sod Rab 6PDJ~ R tiot¢on t~fs ~ Cofoc Redox Des~at Texitre Stnrcexe Care~6erroe - oots irr. f~ Stn Cont. Color ~ Sz. Sit. .~ '~ / - °/ --- TG ~ .3 err ~ Z _ L ,~ -- z iyr c S t~ -----~ LL ~ (~ Pd t~o~ ~r_ 11 ~ Y R Oepitt to ~ rauor s - ~ ~ tiai~on t?epih ire_ f7iomirr~t2 tr6rnse1l Re~c ~iptiaa tit. Sz Copt Comer Texiaaw Sae tar. Sz SA. Canoe Bder~y taoo~ 'Elft~t ~ -~/ -- s:-~ L Z /~ s - sr L F ~ ~ssr • F.t~ter .3 - G?~s d - > h~ ~~ .f ~ mgR, ~tct TSS >38 _< t v/.' SQ~tt+gR. _*L - ADS < 3Q mgfl- std TS5 < 30 tt~: - - _ ~_ P~ ' fl1t. ~r .A /-~ _ ~r-wit ~ ~ .2~lir~'~ Fogerty Plurtbieg & Perk T 'ag _ Owe E+ron t~Ottdrtc~ed T twsnnet ~~~rr ~ -~"Y~'~/ ~~~~ ptpperty Owner ST.drrrl/ Parcel ID # Ol6 ~' 18-39 " ~ -~ Page -z ~ ~ © Pit Ground surface elev. ~ ft. Depth tD factor Sail ~ ~~ # U ~~ i ti D Textue Struchre Consistence Bounden) Roots GPDIfP Horiaon Depth ~. Dominant Murrs~ on esa p Redox C!u. Sz Corrt Color Gr. Sz Sh •Eff#'I 'Elf#2 / - o ~. - s~rG .D ~1 S' Z S L c s b ~.. -~ 3 c~ 6 ~ s L S .^ _c,/ t L m # -L ~ Bori~# o 0 Pit Ground surface elev. ft. Depth ~ 9 factor i^• Sod iration Rafe tion D i d R Texture Structure Corrsister-r.~e Boundary Roots GPDflt? Horimn Depth ~. Oanr~rarrt Mtrrsea ox escr p e tlu. Sz Cori. Color Gr. Sz Sh. 'Etf#1 'Etf#2 Q ~9 # ^ Boring ^ Pit Ground surface elev. it. Depth fo Gmitir-g fadar i^• Soif Rage i ti Texture Stnictrre Carrsistenoe Boundary Roots GPDA! Horimn Depth in. Daminarrt MunseN on. Redox Descr p Qu. Sz Coat Color Gr. Sz Sh. 'Etf#1 'Eff#2 Etfluer>t #1 =BODE > 30 < 220 mgll and TSS >30 _< 150 mglL ' EHluerd #2 = BOO6 <_ 30 mglL and TSS _< 30 mgA. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or _. need material in an alternate fontrat, please contact the department at 608-266-3151 or TTY 608-264-8777. seo.s3w(rtrroo> //_„ Y di ~-~,o, \yy4 C ~s,,~m,~v 1 ~°t~ /~'A 1 i J ~ t ~~~E~S gcy~L~' / '• = Yo ~ r ~G7 (3 ~t , 7ta ® o f= ce.C.vFc /z v,4v~'ti ass T l~rppGE, fd 3.8 ~ ~~G7 Fogerty Plumbing #221180 2828 P~~cKenzie Rd. Spooner, WI 54801 (715) E35-9609 ,yy~,v p/~lo ~ ~ ~ ~~ ~~ ~~~ _ ~fl~~tb~ az.v ~_~~ ®~/~ ~y,~x~li 7s ~ Y~~ /o/ t~ ~~ ~ - - - - - iG ~ f!a ~cRc ~,scRc,EL ~Cm~Ai Ft~ tD, E 6u:. ~/ ~'( /®x,o ~ -L 91• ~~ 'I T-~'NGF_ ST. CROIX COUNTY ~~ SEPTIC TANK MAINTENANCE AGREEM T . AND OWNERSHIP CERTIFICATION FORM OwnerBuyer (~ ~ ~ ~ (-~ ,/y ~ -~- Q ; ~ Mailing Address ~ ~ y ~"' ~ (~ c; ~ ~ ~ `l ~. ~ y,,, .~~-~ J~~ c^/ ~ S~ r, ~ Property Address z-~"~-( ~- ~ (d p T--~- ~ (Je ~ ~ -~~ ~ j~ c.~ -= S Ll y 1 ~ (Verification required from Planning & Zoning Department for new construction.) _ S ya/~ City/State ~y~-, e ~'r.~ (p w~ Parcel Identification Number LEGAL DESCRIPTION Property Location '/4 , '/4 ,Sec. , T Subdivision Certified Survey Map # Warranty Deed # p .30 ~[ q 2-- N R W, Town of Lot # Volume ,Page # Volume ~ ,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 maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into 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 Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site 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. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe amaze the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE O APPLICANT(S) !a/!3/ o ~ 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. 08/05) ~. State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made betweetDelmar Goossens. a/kJa Delmar J. Goossens and Delmar J. Loosens and Marlene Goossens a/k/a Marlene Loosens, husband and wife one or more), ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): NW 1/4 of NE i/4 EXCEPT West 1 rod thereof, Section 18, Township 30 North, Range 15 West, St. Croix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. 83tZa49` KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR REGORD 07/26/2006 08:00Ait 11fARRANTY DEED E):c;1F? x REC FEE: 11.00 TRANS FEE: 360.00 CO);Y FEE CC FEE: PAGES: 1 Recording Area // Name and Retum Address f ' O~Q~-f~ RIVER VALLEY ABSTRACT & TITLE 1200 HOSFORD STREET, SUITE ~~ HUDSON, WI 54016 016-1039-20-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Dated ~` (~''t t U~ (SEAL) ~ ru-~.~ ~ ~~ (SEAL) * Delmar Goossens, a/k/a DelmarJ. Goossens and Delmar J. Loosens AUTHENTICATION Signature(s) Delmar Goossens, a/k/a Delmar J. Goossens and Delmar J. Loosens and Marlene Goossens, a/k/a Marlene Loosens, husband and wife authenticated n *Kris ' a O land TITLE: MEMBE STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) *Marlene Goossens, a/k/a Marlene Loosens ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attornev Kristina Ogland Hudson. WI 54016 Notary Public, State of My Commission (is permanent) (expires: ) (Signatures may be auMentkated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 * Type name below signatures. INFO-PROTM Legal Forms 800-655-2021 www.infoprofonns.com 1of1 ` N,. GLENWOOD PLAT T-30-N • R-15-W a` 4 _E $T. CROIR COUNTY, WISCONSIN-' -. _. : ~ Cfd V (Landowners) See Page 112 For Additional Nama. (~ ~ ,.: S -.. FOREST PA GE 72 DUNK CO. QU P800 pgOp 3000 3100 180th AVE 3300 3200 I.; p z C t 2 le ey t S 2 t F- Fd g Clan °°' Eid`T N e AYYv 21 ,. ,.,t z oseph t p ~~I t l' aDD Lawrence g Marilyn g Sheila Wagner 103 N Paulus 63 3 ~ ~ ^ er 4 Ohn 3 Wanda ckelm 30 ( 3 4 M lvi SrLug 5 6 ~ 3 5 :3 L 6 9 4 ~ in 5 ~ 6 °' Emma 4 Nitche & O .~ s 6 adcelen ~ 4 " 5 6~ 3 4 5 g Jeffrey I ~ :. e n & Laura Simonson ]07 ~~ ~m ~ s c s awrence o Sch E ~v ~ Michael ~ 128 [ie 108 , & Sazah ~_ ~ Pttt ~ ~ ~ ~ `~ ~ o•,^y 736 2s I t- $ Enid tol ~ N Bahnub I ~ ~ w s 6 r t; 5thtA s A CasseBlus s 8 h>7 to ~~ °° g Om a 3 ~~ 7 to 9 e 7~' c°a to s1 a 3947 , Kevin& x ~ ~ 4 - m D Roxanne 274 7I t 151 175th AVE 80 ~ X I 208 Crces N o 116 BUSH 234 Harold ~ oREFR I ~. ' Steven Rodney & LAKE 1 " Ernest g Severson Richa d claren a ~ 8[ June ~ Stack "' , David ~, Gabower I `d ~ ~ a .+ ~ ~ 1 & Patricia Warner Marriott Schug Marcella 108 Friesen ~~,5y ~ g Patrt Goner, Bacon lackelen 217 ° ~ ~ 3 ~,Q„ a ~ Tntst rl ~ ~ ~ m 170th Adams I g 126 114 r g 146 ~~=.r. 80 92 100 t 170th AVE ^" ' r w - - - 258,1, _ - ~- - - - E I 182 4 ~ O rarr a pa'a"`- Madden o k wane vsea v $ Dog ~r ~` l a~ ~ ~ ~ ~ S ~ i ga aS 3 Daniel li ~ I ~ a 01 `z "^ Frank & F k v<ak w Madae, d' c ' so kQ ..s ~ .-o Robert g M l d 80 $ £ e & Ju Stansbury I ~o9 Donna Warner ran Warner Thom as ago c WRliam J egL'o e o ce Forest ~~- , f m9 Lynette ~+ Meyer gt Jean Mazko ~ ~ `S4 Noy 165th ' T~~~I E ++ P t & 160 `~ 20 m" 65 ?F,'.8 I ~ 0 6 152 ~ 40 Dom AV z 160 .. e ea Courrttnn David s Julie a. .o Banar on<r_ es & 0 ° C 3'~ ZB - '~~: Wayne lgl o to Peter & Sheila " x3 $ I L 11 amen &Jon waw_ roH 40 200 d .cc k~aa Bontes ~ ~ W >:mg 3 &7orleta Newcombe ~, ISl ~' ~je~on ' - WaMroff Jeffrey N = O m ,n End g Yoder David g anwvt~ m X RUTSON I C1 A Ifz spl d 7 160 &Sheila Wagner 80 rs,~ a 35 40 80 ~ o' a~ ~' 160 ~e Nieman n n 226 Theresa 79 Hoffman 1 aton >~, 2 n sr RD ~ 159 1 r n i s p a c g ~~ Ker & m Y d g ary re ~~ x a ~.l ~ ~ LJ 160th AVE Richard 1gE 20 Larson gD 20 °v o y."'. o ~ 00 Hebert Gregoq &Rose D ith wam r ~„e,k x ~ ta[ ~ g 4 Mas ~~ 1~ +o a~ 4 w.lY~-~ e: ~~ p~ i a AH I Paul g Sm~ w ] 8 ang ~ T # 40 33 ~' gGIace ~ 1 B[own ~= L r .-, b rsm Luks oA ~ a-r' 3r ) as 1r Mr 3S 19 13 I S[ween `r t P 7 ~ ~ ~ Ober- t ueller SRA zo Smae ra E ' ~ rn ap a~ ~ ~~ u ~^,v HuoM h d aoo Ro ~ w u~ Gregory s°"s<ro+ &L nn S N ~.._ IHUITON ME O yy L ~ R ~ KgD ~ O R aafx" R o e 710 '~ -Pal x ut e 39 m y ' Barringer 74 0 °°'° '" I V~ 1~ ~ 3 1 ~ ]60 ~ D 0 r 1~ 70 o ~. r ~ ~ .o 15 85 µt > tt ~ d I .~ s ° o ao 20 Mae g Dona N'eYei b m m o m 97 Dale g Karla W e Pelson G 7-~ 9y q09 O ~ ~ I 3 ' 6 y 80 L d` .S ~n o y John 80 3 £ Q Obermi ller 40 Fred & ~, ! ~ ~ .n an 2 Corporation I Timothy ~~ Moe a;rwra a na~a M;cha<t g a s' n~ E d ~ ~ ~ ~ `~' ra~i~"t Om'Hr~sg Bazbara "t' Dritikman a ~ ( Anderson 4 ~ ~ 150!h AVE 120 ut V 140 Haines 40 r ro Graese 40 ~tlZ MM 3 'a WI ~ ~ 100 ~- 79 119 I1501h AVE 217 as Z W Q 7 o g ' ~ s Rodney & ~n5' z _ °m m`a"lN.m., end zy ^ ' g 5~ ~-' 20 w z Bruce ~ u t MarZietta x Scllug ~ g Kris Ohman 80 ~ ~ ° u aa«a- " d ~ Mderson 70 x "' ra l0 60 ihazon s j Im g 40 ~ ~ n ~ ~Ohman o 9 Mat een Konde m C lifford °R o ~~ ~ g o g o ~ '~ o O \ Iohn ~ 77 ~ ~ 5 W~a"3 r ]21 40 5 a ii - 143 lz z t33 145th AVE 78 eo nnte Q~ a, _ "~ ~ ~ ~ 717 ~+ ' Moe 1 M - v , 4 me o Robert W ~ & m ~ ~x o°o Thomas ~ ~ ffi V LL1 V ~ l 15 0~ X D 183 _, ro Ortonm ~,~ t llia l 198 g s:.d~ Webera o ai "' _ lm rT C1 TY L lio 7o OH H Forres I ro ~C7 Xhu ~ v 12 ~,°., , °, ~+ a~g M u.-,~ ~n alw Willie H m 124 ~' Sande ~ow Davidg s d d rn t 31 200 . ng 40 z 90 anson I 38 R s uae er -- G ._~ u . 13 _ _ _ _ uo Z $ to a°o Hansrn 4 ~ 15 v ~ ro Tas<n20 i to - DaSchroeder o [Cathleen Ob R s~ ~d DaNd a< ~ 3a carlY ~ a '$~ o ~' a °~ ~ at 3 8 a~ eDrisMa]tga Mon John & Rose ~` ~~ / 58 Faal 78 z lam-g aa.ms ~ ermue er 'd o ~ is<n taPher . o ro i aS q u O f°°7 ~ $ m 50D McCute:hvl I Xeog F Patrlaa ~ ~ ~ U aSQ so 35th A txsmitn E aim a .~ ~ ~ aLLG so ~ ]40 ~ ' e~ aY° rr # e naa w w 155 ,~ ~~ li \ t' _ ~ fi ~ Ihun<~g tr- t om BcUE u. Xro O oRE E 8[ Gloria /°rePhg ~ ~,.._ - ~ R I N Eileen r & Laurie 4 K . . ~ x ~ Christensen Urader ~ 3 Sdu<ilx[ 80 b Tone K ~ s t 118 r ° I \ thvl d g '7 sg ~~ ~ ~ te'a` evin fi w o sm E" ~` ~ X~ " 80 ~n <. . ~b + ~ Schreiber 60 219 40 gg al "3d ~x ain[<cet 90 12 ~ ~ ~rva `'~9M~OOd °~ so v9 t o ~^ a v i a Bruc e & "'a a Mt ro 130th AV ° ~ - [lie m G g ~ - ~ - a - tr N Thomas a Cazess Randy H Karen Konder G@M s) o ~ ~ E f Donald & June N ouse 83 T en a ~ au< +r 62 P 1 ®° Tl~esa Hoffman "1qp . 67 & Doris s 80 32 ~s is Frie- ~ z `~ ~ u sonmp- ~ G d gcmunnar ~ ~ tD.eMay g u at burg "'~^" tea- Tdmorhy g M 130th AVE Dean ~ A~ g ~ Scotty & Kristl I erson un 72 N ware ~ u Q ~lb« so ~ p v ~ 40 115 40 fle1d ~ a[r clew 71 Teigen 120 <~ 66 T``g`° 36 1 ~ o mY aGa3 a .o ~ & s a noodaa ~ ~ I D ~ a 190 o ° 80 n<n-lr "'id` 46 ., ann °'"' p ro '^ ° ~~~ u, TerCryannce a K k~a Sco f @ Ken 1 ms b r y 79I 40 i~ 282 w Dea tt is d v u itsile . ~ eig 1. `~ ' W McGee ~~ M = 1 o 1SS ~ 11 c ` ~ ~ g a Ba COn "c o Gf° 9 ~m' T ttl ~e "~ ~~M e a 19 40 163 o Crosby 90 a 80 j ~ <o [+ M u n 9 M m u e S 80 DD Pat 265 r ~ eR HAGAN RD RUSTIC RD #3 SPRINGFIELD PAGE 42 ROSS' LOCKERS ~~~~ ~~~~ ~~~~~~~~ MEAT PROCESSING 127 East Oak • Glenwood City Full Service Pharmacy JIM & TERRI ROSS Offering Brand Name and Generic Drugs • COMPUTERIZED MEDICATION RECORDS 424 1st Street FOR TAXES AND INSURANCES Glenwood City, WI 54013 • GIFTS • CARD • CANDIES • FREE GIFT WRAPPING (715) 265-4565 (715) 265-4833