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030-2031-10-000
I N 64 p ca d N N d 4 C C O N C W O v7 C 0_ O r- '9 Lo Co M O E N N C O- m ' N Y C � (6 O C a. C N E 2 N C N a L 6 C o N E N a)�p CO Cc N_ O N N EES O 0 U aCOM U 07 7 012 O N N O U O - 0.0 C 7 p C L I > O —W cc _ O OL O IU D 'a.- OT C 0 E C w O m a C.0 CL y yZ co O 0 0 E m o c m c ti LL C EO L d N f 0 t i C p U N Y 2 c� O � V 3 'O O X m O) 8 ],O Cl) E 3 Q vCoo c E Q i5 Ci chMU as 0 � I I a M 3 Cl) N (D z o w = 0 _0 w z 2 CY) °Nm am 0 O Z c v w N Z O c O O c c E UO N N 0 m �_ Cl) N N O N C C f6 N C N j y N U) N i C a a. Q � zomz zo z o N N C C C C r� Cl) r E m N fm/! R C �i o0oa` .2 E f 04 0 IL E Q o N N N a o N N N w • � aaa aaa z ►� a 2 o ^� N J U = T r CO o Oi co M }z 2 \ w Iii M CI � (� � v 0 o 0 0 .. N O _ O O co O E N t O e- _ V O. c- I N T I N a C0 y m o rn ; ti m y M o y Q Q > in m O 3 V Q o N C N N C N O O d U Cd rN. N (D 0)O `O N o ° O-2 C N y C M O N O D N O N CO 0 ` -0 Z � n U) -0 Z C O C O N 0 C N 00 0-4 I • i O N N 2 co O Z _ 2 H N rn O Z '� 2 H 2 c� Q � I I U r CL € a ' a 0 L IL dad' ` Iv++ E c > �1 A c0a2 '; 50) (oj ) 0 s Form - STC - 104 w AS BUILT SANITARY SYSTEM REPORT OWNER / "^s• ® �E�� - TOWNSHIP `S�`' T�SEP SEC. Z Z T 30 N-R 20 W t F ADDRESS 3S / ST. CROIX COUNTY, WISCONSIN -��vy SUBDIVISION T LOT SIZE PLAN VIEW T HOM PLUMBING CO. RT. 3 O'NEIL RD.,HUDSON:WIS. 54016 Distances and dimensions to meet requirements of ILHR 83 ROBERT ULBRICHT WIS.MASTER PLUMBER LIC.NO. 3307 M.P.R.S. MINN. INSTALLER&DESIGNER LIC, N0,00663 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM � c�j[iS�iaG- I� 1! 3 ud Rey. 1'1,C1V4t 1ov of ?oP 6F , e •ya- V EiPT' 1 1 AEF ?T. (C&04rlbv� 70 � 1 1 I I � y�-�oE,� • � a 29 i i sreo f POS r c INDICATE NORTH ARROW P,t-. SO 1( -1 EST: 10 P BENCHMARK: Describe the vertical reference point used Rte, Dooi2 APRoj Elevation of vertical reference point: /60- Q Proposed slope at site: oe SEPTIC TANK: Manufacturer: 40EO"? �dNI..LT� Liquid Capacity: Number of rings used: /to' Tank manhole cover elevation: to . Tank Inlet Elevation: 476. 7y' Tank Outlet Elevation: /�• J�- ' Number of feet from nearest Road: Front,@ Side 0 Rear, O feet So. From nearest-property line Front,O Side,ORear,0 > feet Number of feet from: well 7S , building: 02 Fr * (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE :PARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS IBOR& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION ) IOX ,WI BUREAU OF PLUMBING >,DISON,WI 53707 9CONVENTIONAL ❑ALTERNATIVE State PlanLD.Number of a::meal Holding Tank ❑ In-Ground Pressure ❑Mound ME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE Mrs. Paddy Henne R. R. 1, Hwy 35, St. Joseph, WI `l)_ �i� /�� NCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF. ELEV.: CST REF.PT.ELEV. SE NW, Section 22, T30N-R20W, Town of St. Joseph ne of Plumber. MP/MPRSW No. County: Sanitary Permit Number: Robert Ulbricht 3307 St. Croix 69688 PTIC TANK/HOLDING TANK: WUFACTURER - LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKI GC /— � �'^ P O IDED: PROV ED �UU / ' 7 ���- YES 0 N s.DOING. VENT DI .. VENT MATL. HIGH WATER ALARM My�yy ROAD: PROPERT WELL. BUILDING. jVMTTOFRESH ��" RFJ41�' LINE: AIR INLET. DYES NO �� ❑YES ❑NO 11E5 )SING C MBER: ,NUF ACTUR R BEDDING. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. ❑YES ON ❑YES ONO DYES ONO 4LLONS PER CYCLE: PUMP ANDCONTROLS0 AT ON BEROF,s, ; PROPERTY WELL BUILDING VENTTOFRESH IIFFERENCE BETWEEN FE�t`'O ONE. LINE AIR INLET IMP ON AND OFF) ❑YES NO NEdREST IIL ABSORPTION SYSTEM.Check thesoilmoistureatthedepth Iplowing LENGTH DIAMETER M1IATERIAL AND MARKING excavation. (If soil can be rolled into a wire,construction shal cease until ORCB =' soil is dry enough to continue.) Al )NVENTIONAL SYSTEM: I "• WIDTH LENGTH NO.OF DISTR PIPE SPACING COVER C. INSIDE DIA #PITS ILIOUID �� <� TR ErNCHES MAT"IAL: PIT DEPTH. AVEL OW P DEPTH FILL DEPTH UISiH PIPF DISTR.PIPE DISTR.PIPE ATERIAL: N0.DI R [NUMBER OF ROPERTV WELL. BUILDING VENT TO FRESH LOW PIPES ABOVE COVER ELEV.INLE t ELEV.END PIPES LINE Lo ( �(] x 0 31 2 ;7 J FEET•FRC3M� ��' AIR INLET )UND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. )IL COVER. TEXTURE r MANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO NTH OVER THE NCIf.BED DEPTH OVFR THENCH,BEU DEPTH OF TOPSOIL SODDED SEEDED MULCHED NTEH EDGES ❑YES ❑NO DYES ONO OYES ONO IESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER • TRENCHES. MANIFOLD PUMP DISTR PIPE MANIFOLD MA ERIAL. N O DIST DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING MD AANIFOLD e.•^-• a""r ELEV. ELEV ELEV. PIPES DIA.: L' HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATE A ^ / VERTICAL LIFT CORRESPONDS TO APPROVED PLANS YES ONO ' ` ((( ❑YES NO )MME NTS: PERMANENT MARKERS: OBSERVATION WE LS'' ,NUMBER •.PROPERTY WELL: BUILDING: C (� FEET FROM""' LINE: IA ❑YES ❑NO ❑YE ❑NO NEAREST , .L� 17 t.7 em on Retain in county file for audit. SIGNATURE: TITLE f 6710 (R.01/82) yi 7D: L APPL ICATION FOR SANITARY PERMIT 'L H R (PLB 67) 54' �1 rOUNTY UNIFORM SANITARY PERMIT`sTRV,LABOR 6 MUmgn RELRTIOnS /f / n? -Attach complete plans in accord with s. H 63.05,Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in 7 size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS IRS. PADD Y HEAJNc5" Hwy. 3S �-t-. ( s+ aos,Eprt- wr'S. siko�PL PROPERTY LOCATION >rYfl':' SE 1/4 A /4, S Z2` , T 3o N, R 10 E (or) W TOWN .5`T SAD ff- LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, 64 STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED }� 1 or 2 Family Number of Bedrooms: 3 ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ New System ❑ Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. X Seepage Bed ❑ Seepage Trench U Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total *of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity r'✓�� x Lift Pump Tank/Siphon Chamber A,;.fI✓ Holding Tank capacity N. Manufacturer: 60C,6 r<S CD.uC,E -e— IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total *of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): //P--'ROPOS D (Square Feet): /-3 &15 �!S �? x SZI 2SI Private ❑ Joint ❑ Public I,the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print) HOMEJIiE SEPIA PIUMBIN '�rature: � MP/MPRSW No.: Phone NumbDer: T. 'NEIL RD..HUN WI .540 6 ' �l/�1 — 33o-7 (-7(f �5 Plumber's Address: ROBERT ULBRICHT Name of Designer: WAS. MASTER PLUMBER LIC.NO. 3307 MARS. COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved `tom /j�-q /if S7s �(f�A ❑ Owner Given Initial /� pproved Adverse Determination Reason for Disapproval: Alternate course(s)of Action Available: 1313-6398 (R.5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing,Owner,Plumber DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 ) HUMAN RELATIONS 1 / MADISON,WI 53707 (H63.09(1)&Chapter 145.045) LOCATION: SE TION: TOWNSHIP}MHPOI&F t}TY: LOT NO.:BLK.NO.: SUBDIVISION NAME: 5� '/ �/ 2Z /T33o N 2o (0 5'-f- TO E P(+- COUNTY: OWNER'S 9Hi I!M NAME: MAILING ADDRESS: S4.ao ,X MRs• HeNAjt-' 1H w Y. 3 S J2 T. I S-� • �s�p/t� �v�s • Syop USE FN DATES OBSERVATIONS MADE NO.BEDRMS.: COMM R A DE RIPTIO : P OFI E SC P ONS: E A I N TESTS: Residence �j• ❑New Replace • A r W��V�D y '` ScS QD3 �/'�/'tElpT !`T.tl7l' _ v�Y c s RATING:S-Site suitable fors stem U=Site unsuitable for system " �C SV •S 7�P�73fS O®�T❑� • MOUND:�� IN Ggi s ❑�R : S�S E - LHO❑LDING©U CoNMENti SYSTEM:j (optional 12,X 52 " If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: C 11'4 s•S Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS jo 2)ECi MAj_ -F+ BORING TOTAL ELEVATION D PTH TO R UNDWATER-IN CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH . q OBSERVED E HES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) > y S &7' 0.3. ;aF oor S, 33 - cr.Q B- 3 PQO.. IF b^*. S' ",QN• V C-S G� . 6.3 S " 9/�� `yta.- �. �r • aN•cy. /s, / yi' A�• f G• 7 RA), v c PAZ Gee l o• RAN t'°.ti/D,4CrEv *6 ev s 3 1Y-,Y B- yo - 1. d'� " 3 a S' L fill S%/ 3 Sl h i 1r 400& o'f ill 'a B- A M of 8 >�CE/�f�Q� P °"� yA&a w '-oR 407'S rt 7- / W6-14"+ 13 -aI-- � PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WA_TffR LEVEL-INCHES RATE MINUTES NUMBER IN AFTERSWELLING INTERVAL-MIN. PERIOD 1 RI D2 PERIOD 3 PER INCH P- P- P o 4 IX M I P M Ol �'VilroR'444y' C;2 Q s P- �V E" �' E M L Pte__ i L i�l c ST S Z 6 e 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. 30 l/O� � ��• , �( s Z • � s �7• S' cr. ELEVATION , (J Y . _ �A�rf�i�d,�• i I � � i � E v6F F, / 3 E,r�s71"� I _ �, ► _ COs s, AW ! y - a 451Eu. IN a , X00 D L I,- ,;� • � � _���.�,� l y �� J : y _. A�! ��T3..`•�"I 46 SoL LoIr Lid7C'� 'g 1,the undersigned,hereby certify that the Itte�ts report ed oq�this form were made by ( me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorde tl?e A io of the tests are correct to the best of my knowledge and belief. NAME print HOMESITE SEPTIC PLUMBING CO. TESTS WERE COMPLETED ON: ADDRESS: 11111SON. WIS 54016 ROBERT ULBRICHT CER IFIC ION UMBER: PHO E NUMBER(optional): WIS.MASTER PLUMBER LIC.N0.3307 M.P.R.S. ,SS_O.Lt 3 ��� � MINN.IN31ALLER&DESIGNER LIC,N0,0 CST SIGNATUR DISTRIBUTION.Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 M.02/82) —OVER — 1 • k J .v k /r,P SaIL TEST �oN(-�t7r� iPE�,cr De�,p STE� . EIEG. _ /OD•D • �,[i ST►��j �u 1 1 1 1 1 1 re �` i Alew S r47e- �/'�iloOFO T. �+ ' ' D/Q14/NtiCIl7 1" 1 1 1 . 1 1 1 lr--• 1 1 .a 3 75 O r �r 3(v O So. 4 0 r 4 vFresh Air Inlets And Observation Pipe C} h o QV t1 Approved Vent Cap Minimum 12 Above Final Grade S / q'S 4" Cast Iron Above Pipe 'o Final Grade Vent Pipe g Marsh Hay Min. 211 Aggregate Over Pipe Distribution Tee Pipe —'' 0 0 0 0 0 , P� so;� TESr: � r 11 Aggregate o Perforated Pipe Below el S Beneath Pipe Coupling Terminating At Bottom Of System SS,SHHS Z 30 T laaHS ZiiO£ a9F1d TT aI�Ifl'IOA 00£ OOZ OOL 0 OS OOl � ,OOZ = uL 133J NI 3lVOS Z 133HS 33S ,+tg'LOS M119Slt0o£8S O clv�n I II �.�;s°$. ��ns QN NO W I 1 A Z Pa 14j 'bS +tZL`0£L o w t 'SI/4A saroV 00'£ M `N05a�11� ro W 9 1 Z 10� v s I Le)I �HJI 3 1b �' o �0 2 O CA -I I—I JI `f' 1L 80o18N - E rn CGI C�i CSI 3��SZ u1 m tfil C0 >1 u. 6 I CSI `" w ;►. CSI `�' - ° pus 2ncadci1 i N to 110 g4II I w- ji 00 ,Ln e}ep 1encAddre GI I 'n M N p s ep O NI'cw> _J zpOp10361 'I.ClU II C N i ILuL003 SV12d 0 w Pu �;;;suu z �_�/G "id W �, zttnald Gngsuc �ctuaG 3 <r C4 <1 I v+ z o M r ?-I cr s °Ln LI o o I !Q I NNM o .- -I coo c, COI q I m l v.. ow —ll >I W ':t3 'bS LSL`8LS`t ° v- °' m a MA •ox3 sauaV W t£ �' c `4J ° t' *4j 'bS gL6`SZ9'L °'c-0 M/N 'oul saJoV ££'L£ a a c 10� C.- N L N yA N � 00 W N £Z u0 43oaS N JauuoO 3N � b6*T99 Hu0016to68N Z80h5 IM `uo4 pOH h/M 843 do au 4 l 44uoN WS£ ',IMH M ___ ja44nS �IupW .ci�PvC' 1 �-3 1 1 �t�a N f i Hammo °aoT330I spaaQ 3o aagsibau Aqunoo xToaD °qS aqq qa Z£VZ abEd ' 6 aunjOA uz papaooaa dvN AaAanS p9i3T4a93 3o T qoZ butpnjouz :uisuoos-r M '�quno:)' xioaD '4S 'udasor '-4S 30 uMOs 'MOZU 'NO£s ' £Z uOi409S uz TTa ' fig/THm ;9q4 30 /THS auk 30 �aad IV/THN auk. 30 V/THN 9u4 3o gapd uz p94V00Z d W A3.A nS Q3IAIMO c0 080038 S,SOA3nans IM'b0 4110 is A oa X1080 Is spaaQ 10�als1 $ 14S1VM'H N331HIVA 96616 1 9661 8 1 NVP 9 Z amu N nD.w� ► 03D W-41 /11 00 /41 ',d zo � 1 I IL 'j-At Cs/�1 '�� 2 ` DEC 23 JAM- , ID91�► 47710:1 � ocorvn►FCt St crft co° .! CERTIFIED SURVEY MAP o� Located in part of 'the NEl/4 of the NE1/4 of Section 23, T30N, R20W, Town of St. Joseph, St. Croix County, Wisconsin. LEGEND Aluminum County Section Monument Found C ' 1" x 24" Iron Pipe Set, weighing 1.68 lbs. per linear foot 0 �+ Existing Well NE Corner of Existing Septic System Section 23 a N —-— Centerline Existing Drive Marsh Area Ln 0 0 J._ UNPLATTED M z I O N a� +' b • 1" Iron Pipe Found ° d' 1 Existing Fenceline LANDS_ ° 0 C, 0 ' N89 049 ' 00"E Q H UPI 01 v CO r 399.93 _ o UI o 5M —33.00' .931 WI 30 — I � m h F-1 01 :� ,-a u,M Noose N u� M ,� 01 01 QI zl c � �o o N � � d JI > I ,JI <1 o M 16M o OT 1 �,o M O n j S89o49'00"W Z 33'33' a4aJ�n� 1 , U. OWNER 33.00' 21, ' 366.93' /N 240.92'. 126.01''" '� z I Mark Sutter — 1 01 192 HWY. "35"/1164" 589049 ' 00"W\'k thI N Noulton, WI 54082 ` 2I Lr)I UNPLAT'TED Not Ln 00 M ^ 66' O M _ L A N D,S 751 s tback from U ( CL I ,N., o° _ _ _ wetl nds. ,o LOT AREAS H M M ' a` 142,434 S . Ft. I / Sq. I E— I JI 3.27 Acres Including R/W �j I® O 1 O 1 Y 130,681 Sq. Ft. OF F /Note: drive a y e to b J ( >I .� 3.00 Acres Excluding R/W 02 se ' vacated whe road easement m to / is Improved. 14 L w ~1 N O N U. ' j dp W = W N M V ni .. . I 00 4- I I , 0 ROADWAY EASEMENT y DESCRIBED AS OUTLOT I , I N I I C ^ P � I I I 1 r a\ OE C 2 3 199E PAPKS 'Lf1NNltr(; iI 1 i I SCALE IN FEET 41 ;© 0 100 200 400 lyA T (See Sheet 144, --_� E} Corner of ) Section 23 VOLUME 9 PAGE 2432 SHEET 1 OF 2 SHEETS 5usl CERTIFIED SURVEY MAP SE CDR. SEC. 14 BEARINGS ARE , „ CO. MON. ASSUMED N 00!15-IIW S E 1/4 - NE 1 /4-SECTION 147T30NIRZOW ON THE EAST LINE OF THE NE I/4 SECTION 14. UNPLATTE� Ik - �ANpS S 890- 32'- 55'W S 890- 32'- 55"W 353.30 1006.33' P _ ✓ (L TOWN R0. 0- �6° Nto MR S �I1M c'. 352.32' rn y �_ 'S�"' TOWN RD R/W 38.73 - _ - S 88°- 02'-5 W \O o Dc� 3-1 L. ° O O M O Z LOT - 1 W 3.33 A INCLUDING R/W EE COR 00 N _ 3.00A. EXCLUDING R/W SEC. 14 O, O z _� CO. MON. n - -to o ' m O CO L-,�fw� 0 z �/ V" � CO O UNPLATTE� (n I� r��/ rn O -- LANDS } � l �/ o _- I Z u bra dy LL Ld� w � � T �, o fF1 w ~ w Q Z Z z kr 9 1980 1 91980 w o w 1AAES O'CONNELL q ti R"!"r of D"d= LL Z !� t,vRC,"1 C�ii1 -t"f Ka w ebi'0)' " ONY. E�,W"F r ijowrr 4 i St, Croix County, z Z Qt ;"� 1�,r j A 00 29.45' �r 342.89' N 89°3 2 - 55 E /a/ 100, 60' 0' s.s OJ N� 4'1 gyp:p 10 LEGEND �;� ` ALLIsm r,NmArau SCALE = 1 = 60� p__ 1" X 24�� IRON PIPE SET & S-14O? WEIGHING 1.68 LBS./ LIN., FT. HUL►3Qir '; THIS INSTRUMENT DRAFTED BY B.R.P. E1 Wis. 'f o-- FD. 3/4" IRON PIPE JOB NO. 80.11 ry ���rU Vol. 4 Page 974 4I2�,/go 0o 0 6p kn d R N c y I °o O Y O C r N �p U N y is c 0 co O lC N �1 O U C O C 2t .0 i C L m 3 y L U � U O aN z . Cl) 3 O O co LL X co 6 LO M Q c�mU CD O 04 LU x Z £ Z N a m C) N H Lll O C c6 O Z :�E 'I c 0) Z I Z -a — O O M N d ca N d N • N O O 0.. U L co C U O O Z z F- Z o z N CD N M l6 6 c ca .. O IL N C G a n 0 o o m m m bip ZM > I a (1) Z 3aaa N ►� a I � � o M J U = O O) } M ITV (�O N O 04 r N M O O = 'O � M C)3 d Q (n Q t rn d c N N C 't c C) 3 O N CD O N ~° U CL CO N 0 0 L" O ` C -O N N y � r_ V , p " 0 y N Z a) o N O O N .d.. O M M '�, j M O N O '� U • �a O N fly d) O O Z C H (n O � CD IL av o m m 3 :°, o A U CL O m V t Parcel #: 030-2031-10-000 02/25/2005 08:41 AM PAGE 1 OF 1 Alt. Parcel#: 23.30.20.445A 030-TOWN OF SAINT JOSEPH Current X: ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): " =Current Owner MARK J SUTTER `SUTTER, MARK J 192 HWY 35/64 HOULTON WI 54082 Districts: SC=School SP=Special Property Address(es): `=Primary Type Dist# Description * 192 HWY 35/64 SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 37.330 Plat: N/A-NOT AVAILABLE SEC 23 T30N R20W PT E1/2 NE1/4 BEING LOT Block/Condo Bldg: 3 CSM 11/3042(THIS INCLUDES FORMER LOT 1 CSM 9/2432)37.33 ACRES EXC HWY PROJ Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 1327/38 23-30N-20W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 900/290 07/23/1997 795/97 07/23/1997 787/402 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5968 Use Value Assessment Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.270 77,000 173,500 250,500 NO AGRICULTURAL G4 25.580 4,300 0 4,300 NO UNDEVELOPED G5 0.390 100 0 100 NO PRODUCTIVE FORST LANC G6 6.000 43,000 0 43,000 NO Totals for 2004: General Property 35.240 124,400 173,500 297,900 Woodland 0.000 0 0 Totals for 2003: General Property 35.240 70,000 114,100 184,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 121 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 989V-98£ (91L) XL= • 089b-98£ (9 LL) O LLL-9 LObS IM ` uospnH pRoa laeyolwJPO LOLL L . IJ31N301N3WNH3AOJ AINf100 XIOaO '1S a+n _ r■rn•nr�� IIJIAAO OAIINOZ —1 --_-- NISNOOSIM AlNnoo XIOao '1S Parcel #: 030-2031-10-000 03/22/2005 03:26 PM PAGE 1 OF 1 Alt. Parcel#: 23.30.20.445A 030-TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): "=Current Owner MARK J SUTTER 'SUTTER, MARK J 192 HWY 35/64 HOULTON WI 54082 Districts: SC=School SP=Special Property Address(es): `=Primary Type Dist# Description ` 192 HWY 35/64 ` SC 5432 SCH D OF SOMERSET SP 1700 WITC 1g91 Legal Description: Acres: 37.330 Plat: N/A-NOT AVAILABLE SEC 23 T30N R20W PT E1/2 NE1/4 BEING LOT Block/Condo Bldg: 3 CSM 11/3042(THIS INCLUDES FORMER LOT 9/2432)3t.33 ACRES T-PROJ— Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 1327/38 23-30N-20W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 900/290 07/23/1997 795/97 07/23/1997 787/402 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5968 Use Value Assessment Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.270 77,000 173,500 250,500 NO AGRICULTURAL G4 25.580 4,300 0 4,300 NO UNDEVELOPED G5 0.390 100 0 100 NO PRODUCTIVE FORST LANC G6 6.000 43,000 0 43,000 NO Totals for 2004: General Property 35.240 124,400 173,500 297,900 Woodland 0.000 0 0 Totals for 2003: General Property 35.240 70,000 114,100 184,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 121 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 s FILED 2 JAN 1 8 1996 0- MAR 19 1996 KATHLEEN H' S WALSt) 3 8 Register of Deeds(AUNTY t.CMIX ON VIN SURVEYOR'S RECORb 538686 v rn v` CERTIFIED SURVEY MAP Located in part of the NE1/4 of the NE1/4, part of the SE1/4 of the NE1/4, all in Section 23, T30N, R20W,, Town of St. Joseph, St. Croix :County, Wisconsin; including Lot 1 of Certified Survey Map recorded in Volume 9 , Page 2432 at the St. Croix County Register of Deeds Office. JN�"LAT T cD ANDS OWNER Mark Sutter 192 HWY. 35/64 N North line of the NE1/4 Houlton, WI 54082 N89 049 ' 00"E 6.61.94 ' NE Corner Section 23 wd W Y °I of d / N LOT 3 CA W co as 0 37.33 Acres Inc. R/W � he � 1,625,978 Sq. Ft. o et'I ._.. oc`° m m 34.85 Acres Exc. R/W rrn A 1,518,151 Sq. Ft. o I` 11_ c° ? e IU IC) o_h Ct y K)T�lO�ial ° I_ c ? T i 0 ° I C 't C'-)I I� z ■� A e ir) ° ' z 0 JADE ���' ; N S.N1. A 0 ^ - V L. , ;l' v -� . CROIX sw=4T''rrn e+ %oo 4 M;omprehensive Plarxraiirl'c� Z trJ PG. :?4 c. \ zoning and Ct Parks Comniiftee a iv If not recorded I` a vsittin 30 days of Ip N a approval date Its Ln I< Ct approval shall be o :�' ? I_I co 0. -wil & void Ln Irn I— I� ion Icn 1° N81°08'23 E t�J iO Im I ® 511 PSG f 235.47 !w Ir- I-I I-j c I- •�. ° AL !: �' `� om t'' o Gzi - 1-0 Ir) YFI :.: Icn 66' 1cnW iv� Is LOT 2 , _vv I W W DSON, r W Acres 3.00 I Wl$,••frfC'1..�,, °_ 130,724 Sq. Ft. I b 7,, 0 '7, 6� < SU RJR ati Gam) �i gdo j 0 CAI I I � 1 S83°04'56"W 307.84' SEE SHEET 2 MATCx LINE SCALE IN FEET 1" 200' 100 50 0 100 200 300 � VOLUME 11 PAGE 3042 (Y 0 SHEET 1 of 2 SHEETS 4 ' I I SSHHHS Z Jo T SHHHS Z170£ SOVd TT aWMgOA 00£ ON OOL 0 05 OOL ,OOZ = nL 1333 NI 31VOS ; H1z1rl xis 3 S LO£ Z I.-3314S 3 ,h8 gS Mu95Ip0a r W ta7 � I J v O 6(1S • � M V w � o; ••�• qe I .. / �• , E-1 m z a I •3d •bS tzL`osL o ti' r�j� -SIM saraV 00'£ x`" `NOSa 1� S Phi En ►99 Z -LO-1 u1 HA , 3 lb (nlOI aOWW UI �I � HaJ N 5�,+ ,��•µ*y O A N �J O r-I I—I w Lt - CGI C3� GI 3u£Z,80oL8N p> �I CGS ..JI >I U- LiI cl I �ctmrs w iii�y N pLvn vyI alep Ienoidde >I %D N N C]I jo step oF.Wkiltra ZI N <I }}plo:s2�}.72fI E ael.T!wwo0 SV3d w pue Buiucz C��sl�acte.Nd aAiS�sou3J:+uaa, b - t ° <i • 6ti 5 N o W -J i g11 NVP ° Q_I ui� t�Jl z `I C ■ I 0 o m I i L �+N ' Oo C'JI _Il >I mo w L. w '3d •bS LSL 8L5 L 0 `-Z m M/H •Ox3 seJOV WtE c r L-+' 'F •qd 'bS 8L6`SZ9`L 41 L.o v / M/H •au I saJOV E£'L£ a ro d / � 3 y 4 2 10 1yp N w LO W N EZ UO FOSS JOUJOD 3N y V6.•T9.9 H,i00 a 6Vo68N }o au�l ZOOtS I M `uo4 LnoH t/ON 044 +79/S£ •AMH M j944nS lieW �OPvC'i i3! I V"'c!Nfi HaNM0 •aoi;j0 Sp99G Jo a94Sib9g A4unoO XTOaD •4S age. 4p MIZ abud ' 6 auinTon u-r papaoo9a dpw AaAanS P9TJT .aa0 ;o T 4OU buzpnToui :uTsuooszly 'Aquno0' XTOao •�'S 'gdasor •-4S ;o umos 'MOZ-a 'NOES ' EZ uoi409S ui TTP 'V/THH. ?g4 30 V/THS agq jo gavd 'V/THN ago 30 V/THN aqq ;o gape UT pagvooq ddW A3Adns Q3IdIA30 � � ti 98985 =1101' uu►' x,o�J 7S �► MWM'H N331H1VM 4 9661 9 L NV . \II ( fitQdR MAR 19 19� ST.CROIX COUNTY pc SURVEYOR'S RfC RD 538686 CERTIFIED SURVEY MAP Located in part of the NE1/4 of the NE1/4, part of the SE1/4 of the NE1/4, all in Section 23 , T30N, R20W, Town of St. Joseph, St. Croix County, Wisconsin; including Lot 1 of Certified Survey Map recorded in Volume 9 , Page 2432 at the St. Croix County Register of Deeds Office. OWNER_ i Mark Sutter 192 HWY. 35/64 Houlton, WI 54082 i "Mm w a cp Ill jrj N �•lQ m a 7��oL 14ATCH°,o 1�SEE SHEET 1 o rt 9 rnm ——L r I Ic) Ivy c cco I 307.84' i I0 °-''o IC N (n I wm Ct I` ON o O �o lI' o o I y I ( L-4 m —I a � w IIf �° co I 1r) '''ROVE /on* o —_I s -n O co Ct 00 H s J l� 6 r z Ct AN 1 6 �' 81'� .� I� m w O O � m f. � 4) �jr c Ill t4 b �v u' I— � o N n t* 3IOCY (.'*UNTY Ct b N I,W a W In .� .ca;:?^,s�•r.�r.,ive �laruiir rn �H O � tyA Ct co CD Parks Committees c rn a -h - o Ct If not recorded m o M a:. within 30 days of m °- / approval date `W 1 N approval shall he i �°• — Ln // W OZ a T y -- ��- YARIABLE 'RIGHT— OF — WAY E1/4 Corn � O. N89°46 ' 47"W 663.92 ' Section 23 South line of the NE1/4 j 66, o��'�� 9� ,t Ui�i'�a I l �i� I c I—I � �'e• LEGEND__ --' I?. Aluminum County Section Monument Found IC') ~ G EN 01 1" x 24" Iron Pipe Set, weighing 1.68 lbs per linear foot ° S-1407 X. p -.• 1" Iron Pipe Found HUDSON, x —r Existing Fencel i ne WIS. 1f?Q- �' M —n- Existing Well O�®<I X661.4U --A- Existing Septic System �d 4 5U RJ ,It Marsh Area ®�Ait" tA:v1d3n _ r SCALE IN FEET 1 200 100' Roadway Setback Line , VOLUME 11__.___ PAGE___3042___ __ SHEET 2 of 2 SHEETS r PUMP CHAMBER Manufacturer: Liquid Capacity: Pump el: Pump/Siphon Manufacturer: Pump Size , Elevation of i Bottom of elevation: Pump off switch elevation. Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from n est property line: ront, O Side, O Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: ' Width:_ 61 Length: Q Number of Lines:__,,3 Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, Rear,O Ft . Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT ze: Number of pits: Diameter: Liqui epth: Bottom of seepage pit elevation: Area Built: Has either a drop box r distribution box O been used on any the above soil absorbtion sytems? (Check one . HOLDING TANK Manufacturer: a city: Number of rings used: Ele ion of ttom of tank: Elevation of inlet: Number of feet from ne est property line: Front, de, O Rear, OFt. umber of feet from well: Z Number of feet from building: er of feet from nearest road: turer: Inspector: Dated: �Q�/ '�� Plumber on job: License Number: 3/84:mj y . 1 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �� VU T, TOWNSHIP S/" 1`�OSEDJT SEC. _ T 7aN-R ' QW ADDRESS RT ST. CROIX COUNTY, WISCONSIN E.7o, SUBDIVISION LOT LOT SIZE AC/1GSS PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM �poo L 13` pP�+' pox 4 �r v a� piP �s - -- - -- 0 1� r V� INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Iko &R A5r 0 t T9l cs WC#4 g s Elevation of vertical reference point: f�Q,� Proposed slope at site: 12 1% SEPTIC TANK: Manufacturer: U)AE /C_5 Liquid Capacity: 1Qg42 Number of rings used: _ Tank manhole cover elevation: `®,. 97 Tank Inlet Elevation: Tank Outlet Elevation: /©3, 70 Number of feet from nearest Road: Front,(&Side 0 Rear, O 9S'400 feet From nearest- property line : Front,O Side,M Rear,O 5 6o feet Number of feet from: well , building: 13` (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE W SAFETY&BUILDINGS I DEPARTt,4ENT OF INDUSTRY, INSPECTION REPORT FOR / DIVISION LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING P.O.BOX 7969 MADISON,%VI 53707 State Plan I.D.Number: S23 T3ON—R2OW CONVENTIONAL ❑ALTERNATIVE (if a-gned) NE ,NEIa, , Town of St. Joseph Holding Tank ❑ In-Ground Pressure El Mound HWY 35 & 64 INSPECTION ATE: NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: f Mark Sutter Route 1, St. Joseph, WZ 54082 REF.PT.ELEV.: CST REF:PT.ELEV. BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: MPlMPRSW No.. County:S Sanitary Perot Plumber: FI Plumber: 3205 St. CroiX (�C� r�7 enavin Schmitt SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: P�aV{IIDEDL - PROVIDED OVE )io,00 1Q3, �2 O� ,�Q LbJYES ❑NO OYES IYNO BEDDING: VENT DIA.. VENT MATL.: HIGH WATER NUMBER OF ROAD: � � PRO ()O WELL: BUILDIN+�]A R NL6T RESH 1 ALARM. LINK` +J` l FEET FROM DYES NO DYES YNO NEAREST DOSING CHAMBER: jptjm�,SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER MANUFACTURER: BEDDING: LIQUID CAPACITY PUMP MODEL. PROVIDED: PROVIDED: ❑YES ONO OYES ONO ❑YES ONO PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING. AIR INLET: RESH GALLONS PER CYCLE: FEET FROM LINE: (DIFFERENCE BETWEEN OYES ❑NO NEAREST PUMP ON AND OFF) LENGTH. DIAMETER. MATERIAL AND MARKING SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: INSIDE DIA #PITS LIQUID WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING. COVER PIT DEPTH: 5 �0 TRENCHES / M RIAL' °DM /�f•/• PROPERTY WELL BUILDING: VENTTOFRESH GRAVEL DEPTH FILL DEPTH DISTR.PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NO,DI R U BFERR O ,LINER r 1 �r+ All,6�If�JJ,ET: BELOW PIP ' f( ABOVE COVER. ELEV.INLET.ELEV.END PIPES 7 °►`1 °I 2 2 c� NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES E]NO PERMANENT MARK ERS: OBSERVATION WELLS SOIL COVER ITEXTURE ❑YES El NO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. . IMULCHED. CENTER EDGES: ❑YES ❑NO ❑YES NO DYES El NO ❑ PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER: WIDTH: LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE e9J�® +RE * TRENCHES: MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. F OEDISTR. DD ISATR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.: ELEV.: DIA. ELEV.. Enx#`��ATIN ,le?� COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED IkT1OT TOLE HOLE SPACING DRILLED CORRECTLY PLANS. r 1� ❑YES NO DYES ONO { E PROPERTY WELL: BUILDING: COMMENTS. PERMANENT MARKERS: OBSERVATION WELLS: LINE: FEE C"FRAM' ❑ OYES NO YES ❑NO Ai$S7 I i 1 X3.37 -- Io A Sketch System on tam in county file for audit. Reverse Side. TO TITLE: Zoning Administrator „r DILHR SBD 6710(R.01/82) "°'" � 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 sewagesystems must=beproperly maintained�'The septic tank(s) should be pumped by a licermsed - 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 application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. 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 depending 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/br 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 all 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-Jn 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 8%2 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 ario 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 -- 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.grQUndwater bill Ground included the creation of surcharges (fees) for a number of regulated practices which WISCO in`s can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure ° is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. a 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- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) SANITARY PERMIT APPLICATION COUNTY T ffILHR In accord with ILHR 83.05,Wis.Adm.Code I- I�� STATE SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION (� 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE El YES LJ NO PROPERTY OWNER PROPERTY LOCATION Nk'/4 E-'/4, S 3 T Q, N, R 6 E(or W PROPERTY OWNER'S MAILING A DRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 1Y CITY, TATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. M New b.❑ Replacement c. F1 Replacement of d.❑ Reconnection of e.❑ 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. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. 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. See a e Trench c. ❑ See a e Pit 2. - PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SY TE ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 96i 10.7.0 ( 981,0 Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in al Ions Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strructed Steel glass Plastic App Tanks I Tanks ❑ Se tic Tank or Holdin Tank ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber LIA VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown ttached plans. Plumber's Name(P int): Plumb o S tam s) M /MPRSW No.: Business Phone Number:46 f y - Plumber's Address(Stre t,City,State,Zip Code): Name of Designer: _ - Vlll. SOIL TEST INFORMATION Certified Soil Tester(CST)Name T CST# Q � 7 /G�" Phone Number: CST's ADDRESS(Street,City,State,Zip Code) IX. COUNTY/DEPARTMENT USE ONLY ❑ ap proved Sa i ary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) �j Syrcharge Fee f ' „ a,�Approved ner Given Initial (Jp Lr J Adverse Determination la c) 4+P X. COMMENTS/REASONS FOR DISAPPROVAL: ` ears,,+ a&rwed 6j 'rltxo tn” y SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber 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/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 A R Location of Property4E;,j 1%, Section 429 , T..zZCj N-R 2 Q W Township /d1y.L1._ S i�, e �j .t r �ey I)c e,701.J)c Mailing Address .,&;L7 Address of Site - __ �y�l/ �� C/ „•,;1 S. f,<,3 7` rr A&&A Subdivision Name �'` 4,dr,- syosZ- . Lot Number / ,¢ Previous Owner of Property e it n C Total Size of Parcel Date Parcel was Created 12 L y Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number 416)7— as recorded with the Register of Deeds. .INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) cvW6y that atQ. Stdtement6 on this 6onm ahe -hue to the bust o6 my (cun) knowledge; that 1 (we) am (ahe) the ownen(b) o6 the pnopenty deAc i.bed in th,ia -i.n6onmation 6oAm, by vi tue o6 a waA.anty eed %e onded in the 066ice o6 the i County Reg s ten o 6 Deus ass Document No. ; and that I (We) pneb entty own the pnopobed zi to bon the bewage di6pozat ayb em (on I (we) have obtained an easement, to nun with the above deg nibed pnopenty, bon the eonbtnucUon o6 datd system, and the same has been duty neeonded in the 066ice o6 the County Regi.6ten o6 Deed&, as Document No. ) . SIGNATURE O1 ER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED L ~-yl• .rte A7.w.fAm DOCUMENT NO. STATE BAR`6l 11-1982 it THIS SPACE RESERVED FOR NkGORDING DATA ( LAND CONTRACT • G4 r Individual and Corporate I (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $25,000 IS FINANCED AND IN OTHER NON-CONSUMER II _ _..._ ACT TRANSACTIONS) j MG15 TERS OFFICE II Paddy T. Henne, a single i ST. CROIX CO., WI$. Contract, by and between --------.---------------------------------------------------- person Baca. ftW R=rd this 5th -- ---------------- ------------- - --- - --- - --------------- - --------------- ("Vendor", day of Aug. 9$7 J whether one or more) and--Mark J. Sutter:: a single person A.D.. ;I 2:05 P M ---------------------------------------- -------- -------- -------- ---- -------- ------ . ---------------------------------------------------------- ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- rNM aN� formance of this contract by Purchaser, the following property, together with the rents,profits,fixtures and other appurtenant interests (all called the"Property"), �I in----------------St. _-_Croix___--_--_--_---_---_---_--_ ----- County, State of Wisconsin: li RETURN TO A parcel of land located in the East Half of the Northeasti � I Quarter of Section 23, Township 30 North, Range 20 West, Town of St. Joseph, St. Croix County, Wisconsin, further Tax Parcel No_ __________________________________ described as follows: Commencing at the East Quarter corner of said Section 23; also the point of beginning I� I� of this description; thence N89°46'47"W, along the South line of said Northeast !! Quarter 663.92 feet; thence N00°04'09"E, 2647.59 feet to the North line of said Northeast Quarter; thence N89°49'00"E, along said North line, 661.94 feet to the Northeast Corner of said Section 23; thence S00°01'35"W along the East line of said Northeast Quarter, 2652,25 feet to the point of beginning. Parcel is subject to Right-of-way for State Trunk !Highway ''35" & "64" and all other easements.,of record, j j' !j I� This _ is not homestead property. not) Purchaser agrees to purchase the Property and to at her residence or at Stich p1a e g p p y pay to Vendor at ___________________ as--sne--sn 1 the sum of 38,000.00 --------------- in the following manner: a 9,_OO.bb desl na a ;� $ - - - - - - -- g O $ ---------- --------- at the execution of. this Contract; and (b) the balance of $28,500.00 , together with interest from date hereof on the balance outstanding rom time to time at the rate of______107__ _ _ ___ _ _______________. g _. _ . _ _ per cent per annum until paid in full, as follows: Monthly payment of $383.00 on September 4, 1987 and on the 4th day of each month thereafter; payments to be applied first to interest and then to unpaid principal balance. �I i i I Provided, however, the entil a outstanding balance shall be paid in full on or before the--------4th day of August , 19___y5_ ( the maturity date). Following any default in payment, interest shall accrue at the rate of-- 2----_-% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire Ij principal balance). I' Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due.To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time atlwxXxXXXXXXXXXXXX;KIMXXX?C*Olq t�eocx;�X�X7o�t�]�a���gxi�ci�aic�Dd;?o�iD?;7p»la�c�$��o�X" In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long II 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 monthly 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. jPurchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination None Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall I be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on................August....4------._--_-_-_------ i9 87 -Cross Out One. ` II LAND CONTRACT—Individual and STATE, BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. Corporate F9R!YI No. 11—1982 Milwaukee. Wis. 0�4 g �A� OM Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in J 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- tended 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 than the balance owed under this Contract. :F___ urchaser 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 insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds economically feasible.e oration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good 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 times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: Easemen_is and Protective Covenants or restrictions of record if an Sub 'ect to 13i hwa ri ht_____ ? --- ----------------------•--------- '------------- ----- o f–way ----------------------------------------------------------------------------------------------------------------- ---------------------------------------------•---------------------------------------•----------------------------- ---------------------------------•-------------------------------------------------------------- - -- --- -- - - Purchaser agrees that time is of the essence and (a) in the event of a default in the a ment of an P Y y principal or interest which continues for a period of __6Q_...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_320..__. days following written notice thereof by Vendor (delivered personally or mailed by certified snail),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 rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's 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 paid by Purchaser shall be forefeited as liquidated damages 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 clue hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; 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 xeceiver appointed to collect any rents, issues or profits (luring 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:an,y 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 shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of 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 y --------------- day of August 1987- ----•-- -----`• - -car---- --- r - ^� •--- (SEAL) _--- �PAD ' (�. (SEAL) . HENNE ---••----- ---------------------------------------------------------------------(SEAL) ------- !� G _' -••------•---•----....(SEAL) MARK J. SUTTER AUTHENTICATION ACKNOWLEDGMENT Signature(s) ............................................................ STATE OF WISCONSIN ---------------------------------------•---------------------------------- ----- St. Croix ss. -------------------—--------------County. authenticated this --------day of___________________________ 19...... -- Personally came before me this ---4th day of H z H 9 S T C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z .4 d ^� 9 OWNER/BUYER JOA6,e ROUTE/BOX NUMBER _ > (J� Fire Number CITY/STATE t..iir ZIP PROPERTY LOCATION _k, Section p2 T N , R �(� W, �. Town of T ase� �i St . Croix County , Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix . County residents may be eligible to receive a grant for a maximum of 606 of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this . program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . 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 that (1) the on-Rite wastewater disposal system is in proper operating 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. 0 0 E I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth , herein , as set by the Wisconsin Depart- ro ment of Natural Resources . Certification form must be completed and returned to. the St . Croix County Zoning Office within 30 days of the three year expiration date . S I G N E D DATE St . Croix County Zoning Office P. O. Box 98, Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . - r INSTRUCTIONS FOR COMPLETING FORM 115- SBD - 6395 z r To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use section mast clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4, Is this a new or replacement systern; d. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; B. PLEASE ease the abbreviations shown here for writing profile descriptions anri Completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred, A separate sheet may be user,] if desired; S. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9 Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion,if appropi iate; 10 If the information (such as flood plain,elevation) does not apply, place N,A, in the appropriate box; 11. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL Al.;THORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS oil Separates and Textures Other Symbols st -- Stone (over 10") BR — Bedrock cola ._ Cobble (3- 10'") SS __ Sandstone it Gravel (under 3") LS — Limestono s — Sand HGW — Nigh Groundwater cs — Coarse Sand Pere: _.. Percolation Rate riled s Medium Sand W — IN(:ll fs — Fine Sand Bldg — Building is — Loarny Sark,] > — Greater Than "sl - Sandy Loam < Less Than 'I — Loam Bn — Rrovrn sil — Silt Loairs E11 _ Black — Silt G -- Gray c.l — Clay Loarr-r Y -.- Yellow sc) Sandy Clay Loam R _ R{?d sic1 _— Silty Clay Loam niot — Mottles Sandy Clay rr;' — vrith SIC -- Silty Clay flJ -._ few, fine, faint C` .amrnon,€.oa..G `'i �y C;€'; — C`f rc p: — Peat rnm — Mang, me"diurs nn — Muck d — distinct P -- prominent HWL — High water level, Six general soil textures surface water for liquid waste disposal BM — Bench Mark VRP — Vertical Reference Pont TO THE OWNER: This soil test report is the first step in Securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit: issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. Tile sanitary permit must be obtained and pasted prier to Mlle start of any construction. D"E""PART11jIENT OF \g�. FETY&BUILDINGS REPORT ON SOIL BORINGS AND ` -r INDUSTRY, - 1 1 �' R 1`'�`t P.O. LABOR AND PERCOLATION TESTS (115) 1�T aMAIIdk�jON, HUMAN RELATIONS (H63.090)&Chapter 145.045) SECTION: TOWNSHIP/n^ii^1uaa ITY: LOTNO.:BLK.N BDIVIS Al r 1/ 1/ Z3 /T30N/R-xE (o )W ST• J'GSEP W-- �9� D D � COUNTY: UY R'S NAME: MAILING ADDRES #uD1OA ' Y„ S. 5 / `4J y USE DATES OBSERVATIONS MADE NO. EDRMS.: COMMERCIAL DESCRIPTION: PROFILE DE CRIPTIONS: PE A ION TESATS: �7 Residence gNew ❑Replace RATING:S=Site suitable for system U=Site unsuitable for system Sc S (0) TOT L_+ . ms NTIONAL: MOUND: IN-GROUND•PRESSURE: SYSTI:iA N-FILI H111 NG TANK:RECOMMENDED SYSTEM:(optional) W P K. ❑U ®S ❑U QS ❑U ❑$ QU ❑S ®U �� cS eaL I rQOp Box s. E� A TiCCw off.. S X 0 If Percolation Tests are NOT required DESIGN RATE:` `-� I If any portion of the tested area is in the �. under s.H63.09(5)(b),indicate: G�/j'y5 � Floodplain indicate Floodplain elevation: PROFILE DESCRIPTIONS jv pEC/yj/ BORING TOTAL DEPTH TO GROUNDWATER-IN" CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B-/ IO /00.S( 7�— D .mss ' o,�. °ovQS� si N- Si . �3' Tdv S./ B-2 . y6, � � 9S• .s' o,� aa• s��, �.��• fy1.,.e,� . s w/ �,,� .' 1v! , of N . sl ¢ (3a. t i ' , 33' 1;f'8.v• S� , �O' BA', yy S� , 4,, 33 ' ��Qa• /o(P-o ?� 9 S S-� i, s ' o . St s.33' -aa . s! . B- / o&" B 03 1' B-S q D /67,i0 1 o S7 1., B- Sl�iQF'./t� ¢4 , PERCOLATION TESTS TEST DEPI A WATER IN HOLE TEST TIME DROP IN WATER—LEVEL-INCHES RATE MINUTES NUMBER INCH- AFTERSWELLING NTERVAL-MIN. PERIOD 1 PERIOD 2 P R PER INCH P- P-y P-- * /v S.}r✓ o/ 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 elocation/on the plot plan. Show the surface elevation at all borings and the direct and and percent of land slope. L0119ESr Ti�E'V r- /(!�S M/'DD�� �� / V ' SYSTEM ELEVATION f�i' _! .__T,E'E,�? /Oz' O 00 �?6 51 T - , w° _ - _ t - t I j 3 *rIf ) � ,T-1.....-._.-..,_�....._.....�_ tN• . , I{ f t -i- ,i E /0 E _ J------- /00. O p °A,7 /00 1, �. I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and ethods specified in the Wisconsin �W>4 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 WE E COMPLETED ON: p 7 HOME IT A }yEl�•✓ Z 0 — / ADDRESS: RT. 3O'NEI.L RD.,HUDSON.WAS. 5016 CERTIFICATION NUMBER: PHONE NUMB I o tional): y y? v- 3�G - /�S! ROBERT ULI�RINO. CST SIGNATURE: • .N0. 3307 M.P.R.S. MINN.INYALLER&DESIGNER LIC.N0,00663 DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) -OVER - f� WEST $ova � ,. _' -. r - / �• t PART ST ,JOSEPH T�s j T29-30N:-R-20-19 39� oA W. V !-'n ti • •` ✓ • V C� 99e K/ur east E"n yes/ +�.,. w. .,. • "'�„ .. p 0"y✓vc l`C dfiFe f Eve/yam RUC r7e� ® W K/uedf.Ea .. ! _. • l . F�: ± ♦. +' ,�_ 14` r v Bo O�CI^ M000 OR.�L7 yC e aw/ey _ • � � o' oso» � `CA ZI�. �ti.K.j COU ®/o �nOn G _�w• �.0�1°G •, '., ` ♦ w �v.: ..ro.> ah/ke � w O Ktnn�C Giz � / ° k �.>yf.aQ • , woosn .m />o Cy E U Fa.i 77 d s .jrva K/¢tt v�(V r / 'f p O -: • brrl � �v Inc. 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