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020-1019-10-200
Wisconsin Department of Commerce Safety and Building Division , j " GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) 'ersonal information you provide may be used for secontlary purposes tPrivacy Law, 6.15.04 (1)(m)) 'ermit Holder's Name: City Village X Township Ser ico, Chris Hudson Townshi :ST BM Elev: Insp. BM Elev: BM Description: SANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~,~ ~- '~ ~~ Jc c~ ~ Dosing L ~~ ~- /C• Aeration .~ Holding TANK S~BACK INFORMATION TANK TO P/L W E LL BLDG. Vent to Air Intake ROAD Septic ~ SL• ~ C~ ,,,• r~~ ~ ~ ~ t _ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer nd GPM Model ber TDH Lift ri Loss System Head TDH Ft Forcemain ength Dist. to Well SRSIL ABSORPTION SYSTEM ELEVATION DATA c°un~'~ St. Croix Sanitary Permit No: 430166 0 State Plan ID No: Parcel Tax No: 020-1019-10-200 Section/Town/Range/Map No: 14.29.19.91 C20 STATION BS HI FS ELEV. Benchmark 5 ~, S ii c.~rS i c~ ~-t . ~ Alt. BM ~ rte. , ~~`7.~r Bldg. Sewer lv, i ~r~u..3 SUHt Inlet ~o ~ q5 _'75 SUHt Outlet ta.9 49•S Dt Inlet ~ Dt Bottom ~ Header/Man. Dist. Pipe ~ • + s I ~ - Cr' ~d.3Z 3 9E, !3 Bot. System pr<s~ -2. S Final Grade St Cover i ED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~_ ~ ~'2 f ~~ -~ - _ ~__. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufac rer ~ ~ INFORMATION _ CHAMBER OR ` t ~'" ~~` ' I ~ Type Of System: ~ t,G ~ ~ ~ ~, ,~ /Q U ~ , „ n UNIT Model Number: j~ t DISTRIBUTION SYSTEM r Z 1 Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air-Intake h 7 ~ '~-- "- (; i Dia Length '~ Length pia pacing '- ~' SOIL COVER .., •.- x Pressure Systems Only xx Meund Or At-Grade Systems Onlv Depth Over r ,~ L, ~ < ~~ Depth Over B h xx Depth of T xx Seeded/Sodded xx Mulched Bed/Trench Center ed/Trenc Edges opsoil .~------ ~~ Yes No r-, i ~;,, Yes f:.~ No LJ LY C{.A -- L / J O V '~-Y 1 /1 C. 5 W Y~'{ CiG COMMENTS: (Include code dis repencies, persons present, etc.) Inspection #1: ~ ~ / S / o Location: 782 McCutcheon Road Hudson, WI 54016 (NE 1/4 NE 1/4 14 T29N R19W) NA Lot 2 1.) Alt BM Description = T c r~ ~ ~ c ., c t :. ¢ ~--- ~4 ~ ~-. v( c.'~ ~ c ./ ~ ~ c ~~ 2.) Bldg sewer length = ~ ~~ - amount of cover = ~ -,. to ~ • Inspection #2: / / Parcel No: 14.29.19.91 C20 -- ` `. ' Yes No - ~'_' I Use otherlside foruadditional informa ~___,~__, J _ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 ST. CROIX IS~D~SI~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of•Commerce (608) 266-3151 ,c~3p ~ (o Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(1)(m) roject Address (if different than mailing addre ss ) ( -V `~eev~ -~ ~ ~OZ I. Application Information -Please Print All Information ~E~ ~ E/ ~~ ' Property Owner's Na me arcel k Lot N 31tielrA~ CHRIS & JENNIFER SERPICO u~..1L. ~ (~ c003 020-1019-10-200 2 , 9/G~zO Property Owner's M ailing Address Property Location 981 TANNY LANE, ~~~~~~~~'~ ~~r=;=ir NE NE 14 ~ Section ' ~ City, State Zip Code Phone. Number , • HUDSON WI 54016 715/381-2947 (circle one) R 19 E or~ T 29 N II. Type of Btriltling (check all that apply) I - tM~ ; a.0 Su.b ~ CSM Num ®1 or 2 Family Dwelling -Number of Bedrooms 3 b tZ pvvs , v~ 639452 ( /P ~lp ^ Public/Commercial -Describe Use ~ ^ State Owned -Describe Use 2 Zl ^City_^Village Township of H[il)SON III. Type of Permit: (Check only one box on line A. Complete line B if applicable) '~' ®New System ^ Replacement System ^ TreatmendHolding Tank Replacement Orily ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. of POWTS S stem: (Check all that a 1) /~--(SD Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single P and Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirc ting Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ~- V. Dis rsal/Treatment Area Information: S Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Ar Propose S ~53•io 450 .7 642.86 ~ 02.3 & 101.71 VI Tank Info Capacity in Totat Number Manufacturer Prefab Site StiC , Gallons Gallons of Units Concrete cted - G - New Existing - Tanks Tanks ~ Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X g~~ f a C r Aerobic Treatment Utut -{ C V G. ~ r , h Dosing Chamber VII. Responsibility Statement- I, the undersigned, asstune responsibility for installation of the POWTS shown on the attached plans. ~ /G , Plumber's Na me (Print) Plumber's Si gnature MP/MPRS Number Business Phone Number BENNIE HELGESON 0292 716772-3278 ~ Plumber's Addre ss (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. Cotmt /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued I ui Agent Signatur (No Stamps) ^ Owner Given Reason for Denial Surcharge Fee) ~ ~ 5G ~~ 2 Zuo IX. Conditions of ApprovaUReasons for Disapproval at,~. v C~ '~,~._ ~.~•bl ~~ ~ wn~.~.a~ ~ ~rV~, , ~ ~ ~ % ' wttach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD-6398 (R. 01/03) 0 ~jc.Jh-~v; Chris ~~~ ~ehn~~~r s~er~~co !fin.,-.~ ~~g' ~,1~ 100 bo ~' Y~ ~ ~" ~~ / ._ ~ih ~ - ~N % ~ c 1~~\.. ~ v1 f ~ ~` ~ ~,.~ ,~ nv ~®q / ~ropos-~~ /ooo Cml. Sepf;~ ,/ ,,/ ~~ ~j ;1 ~- ~ ~ro pos ec~ 2 .`.,`~ ~,9., ~ St.~y ` Frees. ~ ~ m g~ r~~~3 b. 8,M ~o4.g nn ~O~ ~r~ 5 ~e..t,' T•~~ 11 U / ~cw~.e ~,`11= 7 F 1~ c ~e~ ~ f~19 S ~ out v` Cj(}ra5 ~~ ~`JE 1-0 ~' _ CDfN rr 7'v 8 / .~o.. Lo.{~ L ^'C M~ C~e o~ ~~D, ~l Q~F `~ l arm _~c,Jh~ev ~ `mil r/~S ~h~~ ~ h~ i~<v ~~ewp ~ ~ o ~~ v-w~. Qom' e v~ `~ 2 C v` ~~9~ .!~~ Z _~; ~"k~, 9~•yo~ r6 s~®~_Q EIe~, ~ .~` ~~~~3 i ~~ ~~ yo ~ ~rOpo&•eC~ 1000 Gad. SePf-~~ S l,~ e IIN ~~ ~ ~~ ~~~~ ~~ ~ ~~ c ~ ~5 E c~ /~/~/~p /, ~t D l v F }~ c ~e ~ 1 f~ 9 S ~l oc..o..1 ~ S ~e~ I ~.~..~ ~~ ~ Cosh ~~- G M~ Cwf~G~e o~ ~~~ /~sb 'Uo~~ Lo~ L ^ "~ ~FbS~ ~c"~~ oc~ ©'~ ~„ `2LLCC ~ t Nl c~ ~~Q1nn.~ ~~ fn ~ 3 ~e~ _ ~sc~ ~ P, ~ = , 7 = 6 y~ . ~ ~ L'~a~-~~err- ~ ~ LOc-tie ~ ~ ~ ~ ~ = C.c ~ ~ ~ U C' Lt ~ ~.,.~ ~ -r .- s ~ ~ • r ' L ~ ~ ~~~~~' ehn~~ 1 ~SyA ~a~~~ 96l261'3f~63 16:45 715~467i27 ^IHLLE EUILiIERS iNQ FF~GE 05 ..~"r~ ~ ' 98 / Tffv,v~ y . ~ ' ~ ~ of v v s©.~ s yat G SOIL EVALIlATI~N REPORT "` P^~^ ~ ~' 3 whc xwn aP^~ a txrrm,ara~ ~51vWaa0iSeMPf1'4>~adla9a lneaoOrYkndwMCnrM»05,WIS. AdM, Dade /~ Alled+oomplbtl elb plan 4n P^pat not lees avn E 172 x id 1 h1dVd4, buf nd Ilrntled b: wraeel end harizanml AfefaflE^ polnl ~,r ~ P LD. v~ . ~QI y . ~%© . per'.ardrlape.sca~erditngnatona.rorfh^n9w.^ndlecilonanl dlelanae .~•e_, ~~ peke y/f c~• Please Pdn! Nt h+fem+eHon. I 1 `I j~ I1 /~I~ Maarrd NRameYOn Y~+prO.Id: rneYbu V.ed lYf»mrdlrr PMP~» ,.Ma''i•~6Mt9>~N-C3 , If'~, ~ °~S - ~~~~~' ~L11~~I.'~!~lS .~z~~ t ~tr~ s~..,.T'~•~ •M a...~9:i(a)w 9 ~ a Nw Grp.. •-~ • ~ • ~ ~. GS . t> fa ~ ~p~ , ~d~cJ 55EOJ ' ~lS ~f~~~' ~aSd~ tea ~1G C f, ~' ,~or~ Code Ceriad deelpe flaw n» aPQ NawCaatruotlon Use'~I Raeldene.Irtxer6ardb.droerrYe O gep~Ml ^ eueeo agnr-+wrd/aI . paa~^: _ _- ---. psi a>wlelkll . /d ~S S j ~~,~[.41~L`i.~_ Fbad Pleln elewlbn 8 sPPfl~~ ~ '--~-,.---e. a«w.l a^neneMs d,r~~ .~/~%+~~ DG 7~ lrliF ffd, . • SI rte' ~ sv~ r~~~' ~ ,e >',uA~ rn~t ~.e. ~ YP 9 s• © ~~ A ~ p~jt~ dmtxld pafaa elev. ' ' R ~~ ~~ n tMtero f+~ i F ~ ln, ~--r_ __ _._ ..~r„a ~ tea ~ ~ _/(,~,.`{~~~~.!~' a I J' a ~ PN cirw.drMrosebv.' -" n• 1 oePwg9~q y~~ In. zeta ~otn ~~®. SQt~ing Valley, WI 54767 oRa~~NAL 96/23/2693 19:35 i".524F7[27 HLILLE BUILDERS INC PF1~E 93 Property t7wnar, ,v~liV~ t~ J~lj ~A~ ~ ~ Q yr~ Z Paregl tD N ~ '~' r .._ . _ ,~PN rirGUnd welaeB elev. ~A • R. D~PIh b tiMNto lwler ~/ ~ V ~. ~dneA ^ GIN ~ {Yourdsu-fant~{av' a .~_..'_.._... _ Rates Z« earpp R +J a,~R,v Pn 4rountl a~ahwe abv, R. oaoMl kt AndS~n ~~ ~, • t?IAtlant kt ^ 9QD~ > ap `jj' Q npfl, mM tS$ >10 S 150 ~ ~ ENIuv1A iY'2 ^ bQQ .70~~~.ya '[he Dapercnent oPCammeres is an aqua! appottunfry cervloe provider and enlployec tf you aced assiatanee to access aarvioes or need mare~ial in an aleerttare fomuk pleu+e oanlaa ~e Oepattmont at tS0>L2GtS-31SI or 7TY 608d64•E777, frwueteaao~ to -~ ~~ ~Q w ~ 2 o~ ~~ y- ~ °° ` '\ a a D ~ \ 0 , / ~ V R C ~. ~ p V p ~ '1. ~.. „ u > ~ ~ ~ ~ ~, ~ , ` V ~- ~ ~{ n I ° u` ~ `r` ~ ~~T. . ~~G Cid-11 C m ~~~ (!J 0 ~~ ~~ i.9 3Jtid ~~ y I ~• j L ~ ~s ~ ~' `b p o 1_'v~ o V~ f ~G~ C~ ~~ Do o ~ I ~-..Ch N I` r ~ ~~ . gyp' n ^ r~ ~ ~~ ' / q ~ r ~ ~ . . '~` a lf4~ ~ 1 N r ~ 1r i ~ ~ .~ ~ , , , p '~ ~ ~ ^ l v 1 ~w / ))) L 1- -~ ~ . _ n ~ ~~ ~~ ~ -~ , ~~ - o n ~ ° m ~S ~ ~~ ~- ~ ... ~ :7NI SJ3Q~If1H 3l"1HH ~~ 1 ~a ~q ~ _~ c• ~. I 's •~ ~ v ~ f w 3 11 ti ,~ ~ ~ ~ ~ '~ ~, ~ ~ a •. ~ ~ ~ ~ o h ~ ~~ 1.Z"cL9b~SSL I 4 s,tr-OL ~Hg7,~9SJ32 i 0710712003 13:56 17157723442 ROBERTULBRICHT PAGE 01 U~.BR~~CHT & ASSOCIATES CO. Rag. pssigne~s of Engineering Sysiams 2812 10th Ave. • Spring Valley, WI 54767 Private Sewage Consultants ' 715-772-3442 ~ -03 ~ ~ ~,e S T~ IFS ~ o;~~p,~--- Ov + l~o i 5 ~ S~;,u U- '~ f~`~ "f~ pJ' So~~L /~~~sd ~ , S.~*~sz ~-en..,.~,,,~ ~S: P~ ~ ;~ y~ ~-~~ ~ ~~o~ _~~u~~J~ 07/0712003 13:56 17157723442 ROBERTULBRICHT ~ ~.~ ~. ~ r _~ PAGE 02 ~~~, oep~,M1e,,, of ~,~,~ SOIL EVALUATION REPORT Pegs _ d bl,~kr vt Sefey snd 8ulldings _ . In ecoo!danve wllh Comm !!5, wlo. Adrn. Code Co~>t~ C,r. ~~ O ~ ~/ ANad+ com j,a~le slle plan on paper not less than R 112 s 11 Mthes M size. Plan must J s • /~. , lnrJude, bu! ra111mHed ro: verlica) end ho~lzonlal relevance polo! (0M), dlreellan end Papal I.D. trarceM slf,~,e, scale or dim8nslens, nafi ertow, end la~lior. snd dlstanoo 1o meanest med• //~~- Re~lawed ef- Date Please prln~ NI information. ~~ ~/Pe~~rnlK' :l.ro~~~ton yeu prwrde w..~ es ussE ta. •~aa+d~ry Pie' (~~~Y lam. r. te.ei l~1(~11. . ~(/P~,~, ; //~~ ~~ P.oDe~N t.aretllon C / 9 f~ ta, W ~S ~ / ~N~ /~(J /~~/ ~'~ f Gout. lal /v ~ 1/ ~G 1/~ S / . T ~ ~ M R pn~erly 1'8 MaAing Address I.d~M Blodt 1! cube. twine or t: sAM~ • • . 9 / NNE ~~• ~-~ ~ • ~ ~ . Isle Cede Pha+e ~ ^ CRY ^ NNlape Town '' '•Wearesl Rosd uvro~ ~ : S yai c 7~s) d l/ ~ 2rY v aso~ mac. ~v .f o' ,,~v.I lVe.r CahsbUdlaM Use: ~ Residentlal / Hlumber of bedrdorn! Gpde der-red design Ibw vale _+~... • -- aPb ^ Replaoernenl ~~~~~ubRcT oQnxner ~1- Desa~ibe~ -----.,r---• - PerenA male~lel _ s ~~R O S FWod Plsln ele•atlen M eppNc~ble ~(~~ R. ~l oQ,n,ar~s ovq~ s~Dy oa >< ~.~ s~ . and remrnnsndallov~s: . s. r~~21~ T~~N r ~/~s l_.-J ~~~ ry ~ PII e;trourd suriaoe elev. / J' /V _ R DeDM- b ~+~-~9 loo' ~ s "- ti. S4R Rear }1PrFW n Di d RddoR Deseripllon TsxMa S~rdula Cofnlsicltpe l~otlrM~ RCela •E1r111 'EfA12 rll. Hansel atr. S>; C.arA. Color Car. Sz. Sh. r 1 3 f • 7 ~• Z o. /0 3 ~..~ • LS ,,,~ Z S -- SL, / s~ Z f ~ S • a s ~------ SG. f ~. / ~ . Y , • ~o ~ s ____, s ~. ~~~ d ~ Io3 ~~ >f~ ~ ' . ~ Pll t3ra>r+d Burieae elegy. _ R. Defer tO ~ ' ~~ SoM Rda Nalzon D. pil- Do~nanl Col Redox Desoripliorl Te:1~ 5trur;Nn's Con9lslenae enurldary R~ CsP •Efi/1 ~IR 'Elfll2 in. FMJnse~ Du. Sx. Cont. Cola Gr. Sz. Sh. is r,~ ~ s~ ~ = 1. ~y GS i v~ a - •y • ~y- ie ~ s~ _ s ~~ _ Etlhienl N 1 = BOD ~ 30 ! ?20 mg+l end TSS X30 =150 rngfl Rkienl ilY = BdD < 30 C3T~t1~ms (Please Pfit) Sbnet11e i ~~~ ~ -- Dela Evswied~ Ca~d~+~e4 Ulbricht ~ Associ ~te ~ Z - ~ ~ ;~ ~ . rivale swage Consultants 2812 i 0th Ave, Spring Valley, WI 54767 .' ~ ~ (fir ~ ~_ A yL erd TSS i 30 mg-l CST lVuri~er _~Z~i3~ S Tebphor+a PMd 07f07f2003 13:56 17157723442 ~. 4 l~ Z O ~ ~ ~ ~ _ "' j'~ C i ~~D f~ i~ ~ w t h ~ ~ ,e :_ ~~ ~ w ~ .~ 1~ ., // I O W. ~~ (pN~C ~~R-~~ ~N~ ~~ m ~ ~D~D ~ G~~~.~ n tli ~1 y ,N ~ ~~ ~~~ O. W ROBERTULBRICHT / ~ / ~// ~~ ^ ~~ c` ` ~. ~ V I "-. a ~ D .~ o~ o ~~ •+_ ~ ~ ~ t~~ ~ ~ ~ V ~O' 1 i ~ P ~~ - 0 ~~,} O ~ ~ ~~ 1 PAGE 03 0 ~ ~ Q ~ „ ni O ~~ o ~J + ~° I~~ ~~~ . `' A N ~ ~ 0 / `~ ~ o / ~ 1 ` '1~ ~ ~b~ ~! ~. ~ ~ ~ / ~ `. ~ I ~ ~Y ~/ I ~ ~~ / ~/ nl ~-y ,- Q ~ ~ G ~~ ~~ ° ~ N ~~ -.-~ O ~N~ ~. ~ Cam. ~ N pf n. ~ ~ ~ ~~ ~ ~Dpy < <p r„ ~~~~ o -°» ~~ v ~ r 0 ~: N n ~~ ~~~~ 5 : Cff2i S ~ 3•E~v~viF~n S~R~i co _ I S/ ?"~,rJ NAY GN • ~v Oso•v S col ~ KRsconsin•Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings sj ?/S• 3£~/• z9y7 Pe9e ~ ~ 3 in accoraance wrtn Comm aa, vws. Aam. was County s~ C~Q/•/~.. Attach complete site plan on paper not less than 8 1/2 x 1d inch inducts, but not limited to: vertical and horizontal reference point M), d~~lTc~i a v' ~® ' P I.D. v ~ • /Q/ G • ~O • percent slope, scale or dimensions, north arrow, and location a distance to nearest roa ( 7 R d b Date '~. Please prin!' ap information. /P r al Mr ti ~ae d f b d r ~` t+ nn AC ~ ~t s e1 f 1) (~~ l~rl e awe y e son oa you prov may e use om+a or secon ary w+ v~~ ( . . ~Y ` l ~/ PAS ~/SINE "' / ~ ~~-/ J s T Z h ~P'`~r l ~ 1 ~ / ~ ~ Q T'~'9 f W N R l . 1/4 S fs ., - 1/4 • . (or) / . Property ONrtler's Mailing Address : , ' ~ 9 i ,v,~+~ ~N. - Lot'# " z Block # CS Subd. Name or CSM#• ~l . ~ /o ~ ~ ~ . State Code ~ Phone Number , . UDrov " !,~ : SYv~ c 7~s) ~/~ 2~1y ^ ~ ^ village (~ Town . vnsow crest Roed , ~l~ •la .f c' •.~o New Constnldion User Residential / Number of bedn5oms Code derived design Qow rate GPD ^ Replacement ^ Pubfi~c/or cgmmerd I -Describe: __ Parent material /d ~S S •~ T ~jy~,( ~D/!~M S Flood Plain elevation if applipble ~ ~~~ ft. General aorrrrlents ovg2 S~,v~y ov ~ w!} ~ . and reic~rrurrendatiaons: . S; TE ,s Svc Tif/,~l~ ~d~Q /.v,~IG T"/t/!-~i~ • TyioE /,v ~iPO U,vO T-R t~-T~t~~v T Gam! s © # ~ ~~ Ground surface elev. / ~• 7a it. Depth to limiting factor ' ~~ in. soB ica>ion Rye Horimn Depth Dominant Redox Description Texture Stnx~txe Consistence Boundary Roots GP O/lt: in. MtxlseM Qu. Sz. Cont. Color Gr. Sz Sh. •Elf#1 •Eff#2 Z S - SL. / ~ Zf . 3 S• a s SL f q. / f' . Y I ~ 1 # o Boring i~ ~ z0 >~~ ~ 1 ~ Pit Ground surface elev. ' ft. Depth to limiting tacxor ~ ~ ln. Sad Rye Horizon Depth Dominant Cd Redox Description Texture SUucture Consistence Boundary Roots GP DJfP in. Munsep Qu. Sz. Corp Color Gr. Sz. Sh. 'EtT#1 •Eff#2 / o- y Dye ,~/ --..- LS /,n, ~ S w • 7 /• i. . ~~ yie s~ s ,~' cw . • ~~ Mi ~fZr.~,l of S/ ~- I f~S ~ ~~fi ~C.G ~ . z. . 3 . /8 S D. /. Efiuerlt #1 = BnOD > 30 </~p mgfL an/d/TSnS >30 < 150 mglL ' EFlluent #2 = BOD < 30 nglL and TSS _< 30 mglL CST Name (Please ~)lC O~IC ~ ~/!~'~/C/~'~ ~ ~ CP'37 S Address Date Evaluation Conducted Telephone Nurrlber Ulbricht & Asstxiates ~i¢ ~ Z. jam- ~ 4 3 7~s' ~~~ ' ,~ y Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 PAY ONrtter - • ~ Parcel ID # ~~ # ^ Boring ~p;r Ground surface elev. / ~ • ~~_ r~,tt, h, t;..,a:.,., ~.,...r ~~~ V :., _ 33 ' ~ r Page Z' of Horizon Depth - Dominant Redox Description Texture - Stricture Consistence -- BOlntdery Roots Sod GP Rate DlfF in. Munsell Qu. 5z. Cor-t. Color. Gr. Sz. Sh. •Etf#1 ~ 'Ett#2 Z 3 ~a D t2 ~ L S SQL .~ ~i ' / ~- • i. ~. • /~ - S. d, ~. # ^ Boring. - ° , n = o:- Ground c:ufarp alav A r~..x. -., c...:~:.... s.._.... :_ Horizon Depth Dominant Redox Description Texture . : - ° Stnx:hxe ----_- Consistence ~.. Boundary Roots Soil i GP catbn Rate D/fF kt. Munsefl Qu::Sz: "Cont. Color Gr. Sz Sh. •Efl#1 'Eff#2 n o:~ Ground surface elev. ft. Deth to rmrtine factor to L~_l ~~ # O ~n~ Sal Rate Horizon Depih Dominant Redox Description. Texture Structure Consistence Boundary Roots GP D/fF in. MunseM Qu. Sz Corrt. Color Gr. Sz•Sh, •Eff#1 'Eif#2 «~ - ^ Pit Ground surface elev. ft. Depth to fimifing factor in. SoB ir~Uor- Rate Horizon Depth Dominant Odor Redox Desaiptior. Texture Structure Consistence Roots GP D/fF in. MunseM Qu..Sz t.ortt. C$lor Gr. Sz. Sh. •Eff#1 •Eff#2 .~ ~ ' A-, ~~ ~i i o ~ Z, n ~ ~ ti ~ r ~l .y ~, // I 0 w. i w p ~~~ ~ O ~ _ o, ~ .. °~? + '^ o ~, O f o_ ~. ~ • ~ N ,~ ~ ~ C~ ~ -~ 0 e~' 9e ~ 0 ~1 ` ~ ~ / / / .~^ c,. r 1 r ~ ~ ~ ~ /O ~ ~r e p ,~a o ~_'• w ~ N G ~ ~- cJ ,y ~ o~ -. ~ o "t~ ~~~~' ~~ N ~ n• <~~ O (/~ ~~~~ ~•tD~~ ~ c °'~ ~ ~N v ~ .~ r 0 N I~ ~~ ~. .~ T .- ~~~ Wisconsin Department of Commerce ° L EVALUATION REPORT Division of Safety and Buildings ' .,.ate .uti r.. .., nc ~nr.. na.., r,.a.. Page / of County s'7` C/(~0l~ x Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and t l ' l Parcel I.D. O Z ~ , ~~~~ • `O . ~~ percen ope, s sca e or dimensions; north arrow, lion and distance to nearest road. Please print all info IrSg, r ~ Reviewed by Date ;. ~ , Personal information you provide may be~u~ed for seconder purpose3ZPfrva~y Law, s. 15.04 (1) (m)). A', Property Owner „.~- r ;: ~a~i ~ _ k~ti ~/,eisoti .~,; 1 ! Property Location f ~/ VE t ~ G L 1 S f y T 2 ~ l ~ ~-.. , , ., ; ovt. G /4 / 1 /4 o N R E (or W Property Owner's Mailing Address -~~; ~~ ~ •~ " ,' L•• 9 ~l ~i9'N~t/E~ ~ .~ ~ ~"~,~~~~ Lot # Block # Subd. Name or CSM# Z N _ 63 g s rte, City State Zip Gadd, Pho G E '~,• ,ff U flSO~ t,~/. S~G'l(,~ (~i~`~~ ~ (~~ 30 ^ City ^ Village own ~`fUOSD,t~ Nearest Road /~1 c ~lrfGl eo,v ~lJew Construction ^ Replacement Parent material General comments and recommendations: Use: ~tesidential ! Numbetaf bedrooms Code derived design flow rate ~>7 GPD ^ Public or commercial -Describe: ,/~ Flood Plain elevation if applicable /' tl. This ~tP~t alto ~~~~3~~~ for a conventional septic system. Boring # ^ Boring ~~. ~ Z- (~ Pit Ground surface elev. ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 i o~~3 ~~y~~~-- s~ z~S~~ ,~~~ w z~ . s . ~. ~ l3 •~ io y~ 3/ ~ L l ~iP ~t fie C S --- . y ~ 3l~ • io ~~ S ---- ~ ~ s. D r S ~~ • 7 /• z t3oring # ^ Boring~j'~Q ~~ / n pit Ground surface elev. / O' ft. Depth to limiting factor ~ ~V in. Soil Application Rate Horizon Depth Dominant Color Redox Descdption Texture Structure Consistence Boundary Roots. - GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ 'Eff#1 `Eff#2 3 2(v • 3 ? ~o yk y~ .~.-- SQL a f sbk ~- f• • ~ S - . s . ~ ` Effluent #1 = BOD• > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD• < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ~ Signature CST Number I~OQ ~ / ~~di~~C~JT 22 4 3 7S Address Date Evaluation Conducted Telephone Number rte ssoc ales Private Sewage Consultants 655 O'Netl Rd. Hudson, Wis. 54016 ~! ~1,2~So•~ Property Owner Parcel ID # ~~ ~ • ` o `~ " `~ Page Z of g / d ?/ Boring # ^ Borin ! 7 ~ O Pit Ground surface elev. ft. Depth to limiting factor /~ in. Soil Application Rate Horizorr Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fiz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o•rs ,oye ~z -- ~ ifs ,~ ~f~ w Zf . s . ~ 3 2s~y /oYR~ -- S~~ /fs /Iyff,~ ~s - .L .3 . ~ ,D ~ y ----- ~ • s. o, s . ~,~ . ~ ~~ Z ©Boring # ^ Boring ~/ " 3 Z ~/oZd ^ Pit Ground surface elev. w ft. Depth to limiting factor ~n• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 ioy2 z/ -- L 2 fsd~ .~~ ~v ~ f s . 8 z ~ . Z ~b L 3 SQL /~.~ ~ ~'~' cs -- . Z . 3 . ~o k 3 ----- ~ / fs~c ~ ~' ~s -- . Z . 3 Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 'Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL 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 format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.6l00) ~p ~~~ s~yy~ST s vS ~ ~' /~ ~ ~9--~~~`a-v s / r • i / ~' ~'~ /oLV 7~'-euG~ y 2' ~ ~i_ '~~"~ 5N~ a Co,J~ ~ R y~,Q,.. ~v~ /0022 zs , ____ ~a • ~N ~~ - o~ V ~~ , ~~~~T ~'~~~ ~'~~A~ t~~ ~~o i5 ~ ~ ,r.~- ga, f3 y i5 ~~~ 2 s~~; D ~~ , l S~""' r Abp ~ p~,~ . y ~, ~ a- ~opas~D ~o~"" 2 3.3 Res ~ ~ ~~ w ~ i5~ ~ . --- o ~~ ~ 1 ~~~ ~ Tbh S~~ ~ ~ ,~ 5~ ~~ ~ , Pi1~ ~ op,o ,. ~ ~~~~~ ~~ ,~5 o zo /o/ ,~ ~ .. TWO LOT CERTIFIED SURVEY MAP ' LOCATED IN THE NE1/4 OF THE NEi/4 OF SECTION 14 , T29N, R19W, TOWN OF HUDSON, ST.CROIX COUNTY, WISCONSIN; ALSO BEING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 4, PAGE 1079. OWNER KEN NELSON 981 TANNEY LANE HUDSON, WI 54016 a/ 0 EXISTING ~I~ GARACa E a~ 0 a~ o~ d aol a ~I a~ 0 al ~I a~ . ~- °~I ~I O MJI 0 0 ~I ~I G5 O~ d ~I ~I 1 '+ z'~I ~ Q [~I a/ o~ d ~~ Q/ a 0 ~Q/ d moo/ 591'+\- ~/ LOT 1 3.3 ACRES +\- z 1= ND 1 r EXISTING HOUSE PREPARED BY SbN LAND SURVEYING INC. 2920 ENLOW STREET HUDSON, WI 94016 ~~ ~~~ ~~ ~/ ~/ 296'+\- I ~ a/ d ~- I ~~ ~ 0 I¢ ~ P~ I~ I~ ~O (C (~ IQ Imo. I~ I~ ~ LOT 2 3.3 ACRES +\- ~ ~ ~/ -~ ~57~T_l __-- I 253'+ 295'+\- 589'+ c~~a4o~o~~ ~~ad~~ map nM M~n..~ c~., r~~~r~ ~r~~r r - ~ i 295'+\- ~ [~C~C~_M4C~GJC~Oa G°~O/lD - - I I ~.a4o~oc~ ~~~d~~r map as dojo 4s, pa~~ ~~6 ~ I- . ~a v~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ot_ ru c iuGnRMATI~N. n~~..... _ ----- Owner CHRT4 c4~ TFN1tITFFR CFRP~~Q_ Permit # ~3v ~ ~ ...-......~ nenAluGTFRS NG~71V1• ~ r+..r....~.. - Number of Bedrooms 3 ~ ^ NA Number of Commercial Units ~ NA Estimated flow (average) 300 aUda Design flow (peak), (Estimated x 1.5) 450 aVda Soil Application Rate 0.5 aUda /ftz Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODS) x220 mg/L Total Suspended Solids (fSS) 5150 m /L Pretreated Effluent Quality .~ ®NA Monthly average" Biochemical Oxygen Demand (GODS) 530 mg/L Total Suspended Solids (TSS) 530 mg/L Fecal Coliform (geometric mean) s10` cfu/100m1 Maximum Effluent Particle Size Y inch diameter SYSTEM SPECIFICATIONS Septic Tank Capacity 1000 al ^ NA Septic Tank Manufacturer WIESER CONCRETES NA Effluent Filter Manufacture r ZABEL ^ NA Effluent Filter Model A-100 12" X 20"O NA Pump Tank Capacity al ~ NA Pump Tank Manufacturer ~ NA .Pump Manufacturer ~ NA Pump Model ~ NA Pretreatment Unit I~NA ^ Sand/Czravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other. Manufacturer Dispersal Cell(s) ® In-ground (gravity) ^ In-ground (pressurized) ^ At-grade O Mound i ^ Dri -line ^ Other • Values typical for domestic (non-commerda~ wast~watar arxf septic tank effluent. ' •• Values typical for pretreated wastewater. MAINTENANCt scrttuut_t Service Event Service Frequency Inspect condition of tank(s) Pump out contents of tank(s) At least once every 2 ^ months [~ year(s) (Maximum 3 yrs.) When combined sludge and scum equals one-third (Y,) of tank volume Inspect dispersal cell(s) At least once every 2 ^ months Q year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ,1 ^ months year(s) Inspect pump, pump controls & alarm At least once every ^ months ^ year(s) ~ NA Flush laterals and pressure test At least once every ^ months ^ year(s) ®NA Other. At least once every ^ months ^ year(s) ^ NA f)ther. At least once every ^ months ^ year(s) O NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servldng Operator. Tank inspections must Include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components; and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servicse report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. OWNERS: CHRIS & JENNIFER SERPICO _ Pape of= System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. ,, • Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. . Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss;'diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products;• pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMIUIENT . When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • • The contents of a{I tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN ff the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: , ® A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compactlon.and should not be infringed upon by required setbacks from existing aid proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a §uitat)le replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. O The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. ADD1TlONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name HELGESON EXCAVATION INC ~ Name JOHNSON SANITATit~ii •~ Phone 715/772-3278 Phone 715/273-5811 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY ' ' Name JOHNSON SANITATION Agency ST. CROIX COtiNTY ZONING • Phone 715/273-5811 Phone 715/386-4680 ~'~ This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agendas. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(t)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Admintstrative Code. Use of this document does not guarantee the performance of the POWTS. CMW (2/01) 06/25/2003 14:04 7152467227 HALLE BUILDERS INC ST CROYX COUIrlTY SEPTIC TANK MAII~iTENANCB AGREEMENT AND OWNBRSbIIP CERTIFICATYON FORM Owner/Buyer Mailing Address .Address ~$Z. ,~i/I~C~.~-fz,Q~eb~. REQ. required front Planttieg,Deparlmeut for new PAGE 02 atylstare ~~~c~'a~1, ~f ~/~ parcel Identification Nwmber DO7~ /~/g /0'-~~1/J )L~.GA,~ DES CR~'TION ~ 9 I C- Z o Property Location-.-~v ~ '~, ~ z/<, Sec. ~, T,~N _W, Iowa of Subdivision Lot # ~_. CertYfied Survey 1V>Cap # ~ ~ ~~~~ Volume Page # 9 . Warranty Aceti # ~Q~ ~~~~ _ ~ ^, Vo~umte _ ~_~ ~ S .Page # ~ Spec house ^ yes Q na Lat lines identifiable yes ^ no ~'ST`E1VX lVIAIIV'1`ENAN('F. Ia:propcr nse and maintenance of your septic sybrtem could result in its prr.mature failure to Dandle wastes. Prapes maintenance ooasists of pumping out the septic tank every three yrats or sooner, if needed by a licensed pumper. What you put into the system can affect tht function of the sgstie tank ss a treatment stage is the waste disposal system. T~ FroP~h- owner agr~xs to submit to st C~oia wing Depardnent a certef cation foam, signed by the owner and by a mastCrplumber, jonzneyman Plumber, tastticted plumber or 8 licensed puasper Vetifyitig that (1) the on-site wastewaterdisposaI system is in proper operating condition and/or (2) after inspection and pumping (if naxssary), the septic tank is Iess than lI3 full of sludge. T/we, the undczsigned have Lead the about roquirera,cnts snd~ agree to **+A**~in the private sewage disposal sysbcm with tb-e standards bet forth, he¢oiq as set by the Departaraat of Carnmerne and the Departmextt of Natural Resorrr+ees, State of W iswosiu. Certification stating tb2tt your septic system has been maiafeiued must be~completed and returned to the St. Cron County Zoning Oiirce within 30 days of the three expiration date. ~'~ / J/ ~~ SI OF APPLIi DATB O~V~tVER CERT`IFxCATION I (we) certify that alI statements on this farm ate true to the best of my {our) knowledge. I (we) am (are) the owner(s) of the property deacrr above, by victuo of a wansaty deed recorded in Register of Deeds 4~ice. J(~ f / l~~ SI OF I'I.I DA'[Z "•="t Any izlformatiaa tJzat is mis-ropnseatcdmay result in tizC sanitary permit being revoked by the Zoning Department. "*k'«« '• Include with this application: a stamped warratlty decd from the Register of Deeds office a copy of tlxe certi~od survey map if reference is made in the war=aaty deed 061' 26f 2003 16:45 PO Document I~tnnbee 71524il22r 22b7P 329 !-~t~LLE SLILDER.~ IhJ STA"i'E BAA OF WTSC4rIS]N FORM } - 1999 QUIT CLAIM DAD Tbfs l]eerl, rnadt between Disee M Wflilatns. s aiagle__Dtxson- Grantor, aad Grantee jeenife~ Chris#lnc Sernito a married l!~"'~°O- Gruttcrquit claims w t3rantee the i'ollawiag descttibed real rstatt; iaS~ roix County, State of Wiscoesin (if mare space is nccdod, please attach Addendum}; What part of Ni;'/,NE'!+ S4Ction 14-"C'Z9N-R19W beint Lot 1 of Certilied Survey Map recorded ' Vol. 4 of Certifi~tl Survey Maps, page 1079 described as foliaw Lttt 2 Certified 5u p recorded in yo].15 of Certified Survey Maps, p°Ge 4039 as Doc. Na. 639452, PAC-,E 03 xA'fHLfiEN H. kALSH REGISTER bF dREII'S ST. GItOIII ~. , 1tI RECHIyBD FOR REGL3RD 06l1il~/2Bia3 0$:tdOAli OUIT CLAIM DEED EXFaiPT i 8 ftEC FEE: li. ti90 TRA)!ES FEE: t:DPY Fl?f; CC FEE: PAGES: 1 it.ococdinQ Arcs ]Jame and Rehun Address giant M. Wililiams 4BI. Tenney Lane Hudsatt, Vb7 54016 ]by 2 Together with all apptttteaant rigjtts, #itle and iryterests. I'srtti IdmuGcxkion Nvmtecr (PIN} ~ This,iynot .., homestead property. 17ated this ~ -day of ~ h °1..,. , 24Q3 ~_` (is) (is net) >.nl~ ~~ , ~ a Diane M. Wtlltema -- - ~ AUTHF.N'17CATidK ACKMQWLEDGi~'IE~T s ~ gnature(a) sTA t >r o>:M r ~rrn~ 5o~"~.x- ss. ~Q rt7$2 ~/ County ) ovthcntieated this day of r„~_ 'TITLE: MEMBER STATE 13Ait (fF WISCt7NSIN (If not, autharizcd by ~ 70~.0~, wis. sr~es.~ TN]S INS'TRUMENT` WAS DRAP"16D BY Attoracy David J. Eatreen 304 l,octtat Street Hudson,VVt $;1916 (5 ignalurta rhaY tx authenricaeed er acimowledged. 9crh a~ not nGCCgsary,) Peesonally cone hetbrc me ~7 day of "~"~ y~ , 21103 the above named Diane aj4.4'i'~;ann, a slagls person _ to me ttawm to be rho person(s) who ezacuted the foregoing instrumcttt and uoltnowiedged the lama. _ ~ ~~~~ Y 3votsay Public, State at _ f ~f t r7 5C1"fC4 T.~ My Commission is penmancat. (if not, state axpfration date: I+ Name of pemoru sign;ng ie any capacity must bt typod a prttrtzd bctow their a:gnah~re. lalbmmtion rrotL+eiaaa~s co.. Fonsoo`a55 2 2 i STATE BhRUK WiSCt7N QtJ1TCLAtM tlEEl! 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