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038-1029-20-000
loy 7 � AA CAI �•5' Y a x✓ 5 cr S G� r' 7 a. � CC Jr'a M� U d d y k Imo, ..� V) ,1 0 .: Y oA NO el) ci CK C7 o, j .► w ai 'O w NL ze dYi 1) 04o 4o y s y ,yxu�•en ..- •.y.,a+m.r�+m„ w.«...sr•,.rr.n r✓ f -.A LA .l 1 jo s 07 ► .� of cd JL a o y 0 0 �- r 1 1 c3 Q �.. a g � r • �� © t �4 � Q 6� � p 'd d � J ' � ' s ^ �;P4 GO a4 DO t4 JL v � J 3 - J s d � r � ..b 0 If 1 o �,y Q • g p � a 4 ae f ; d 8 + a of J 4 I 0 0 o �, - ° 1 o ti 0 I i I � x 4) cc o o N N U v C G rL N r O O 0 N 3 E-00 0 0 c � cai 0m I E2 I s (D m'° m o a w d• n 4) CO w La (D Ern a�0i 0 c z t 4 oat I o z �� I c o U. m o o c m� I 3 m � a I LL rnrn� .1 o c° I LL ° E��c I ate-° a c +? v E rn E Q �wr- m mw E Q Uvrn o r N I N E E co Z n a m I a m I o I o z I P5 1 0 Z c I 2 � : Z U) l- �- E I E 4 4 Cl) 1 7 N N 7 I 3 (a U) I C •N L a L Q z z O z m Z O 4 N E _ I d z N �i a. ' o a � 0 t o 06 to H 0 0 I 0 0 0 ) CO 3 ooCL roroa .0 o Z M > — 7 ) I 3 3 . Z o. cn I a a o •►� j E a a a I E a a a �, 1 IL j j U U '�-' f.- 00 W N N y U) J U 00 00 z m co co �l ( z N N Z r 4 Q 0 � ml I in ml d 1 M U,O d Q z 05 0 p N Q O? to o O O f 0 H C I N d! C 04 C14 :3 O o M H I O1 rn n C C C C O s, o, c iv _v°, U-) o n U N H 0 z a 0 Z c 0 i • o Z o (A o> o Z c I- to c o H to r� Q xt :R E E v a I € a I o A 3 0 1 ` o �1 010 a2 ! Ov) U U) DEPAF4TMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION ,P.O.BOX 7969 BUREAU OF PLUMBING MADISON,W1 53707 NWk,NW%,S7,T31N—R18W L'9�CONVENTIONAL 1:1 ALTERNATIVE IS,,,,PI-1,13,Number: Town of Star Prairie ❑Holding Tank ❑ In-Ground Pressure ❑Mound CTH "H" NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: S & S Coating--Gene Swanson Route 2, Box 162A, New Richmond, WI 54 17 7, )9_8,p, /0:3c) BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT..ELEV.: CST REF.PT,ELEV.. Name of Plumber. MP/MPRSW No.. County: Sanitary Permit Number: John P. Sykora III 3212 St. 'Croix 96024 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIOUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. OYES ONO ❑YES ❑NO BEDDING: VENT CIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM. LINE: AIR INLET. FEET FROM ❑YES ONO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY JPUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO ❑YES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING.I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST' SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing _vcTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORGE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NO OF DISTR.PIPE SPACING. COVER JINSIDE DIA. #PITS. LIQUID BEDtTRENGH TRENCHES. MATERIAL: PIT. DEPTH: GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR NUMBER OF �;: PROPERTY WELL: BUILDING:JVENTTOFRESH BELOW PIPES ABOVE COVER. ELEV.INLET ELEV.END. PIPES. FEET FROM LINE. AIR INLET: 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. DYES 1:1 NO SOIL COVER TEXTURE: PERMANENT MARKERS OBSERVATION WELLS 1:1 YES NO DYES 1:1 NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED. CENTER. EDGES. ❑YES NO ❑YES NO ❑YES NO PRESSURIZED DISTRIBUTION SYSTEM: C WIDTH. LENGTH. NO.OF LATERALSPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER- BEWTF C#i TRENCHES MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.: ELEV.: DIA.. ELEV.. PIPES DIA.: >eVATtQN AND F k 7-rtON , TTN HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED [j YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: SERVATION WELLS: NUMBER OF LINE:PROPERTY WELL: BUILDING: OB ❑YES 1:1 NO El YES El NO 1NIEARESOM T------)H I Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE. DILHR SBD 6710(R.01/82) Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION w TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location`, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed' pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local,Qode administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. ' To be complete and accurate this sanitary permit application must include: 1 Property owners 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/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for 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 in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller,than 8'h x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ----------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground $i«S 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 reis� rE3 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. 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, id's worth protecting. S:3D-6398(R_03/86) DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm. Code ° ....�. STATE SANITARY PERMIT# 96 6d V —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. 2,7 —See reverse side for instructions for completing this application. PETITION I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES 0 No PROPERTY OWNER PROPERTY LOCATION Q Co �-f� 5,-Udr,"%6 V &01/a (J)%, S '7 T , N, R h6 E(or(W PROP R Y OWNER'S MAILING ADBAESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CITY,STA ZIP CODE PHONE NUMBER 7n CITY NEAREST ROAD,LAKE OR LANDMARK VILLAGE: 07 �� W t ��' IFS 3 . S C`T � . 7 N � II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ® Public(Specify): � III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a.jPXJ New b.A Replacement c. ❑ 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. X seepage Bed b. ❑Seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): c� _ f Co S_ 2 !i�-- 77 Feet Private ❑Joint ❑ Public CAPACITY VI. TANK Site in ga ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App [Tanks I Tanks structed Septic Tank or Holdin-q Tank 080 2 fl Z xaj k"rC�Sr Lift Pump D00 Tank/Si hon Chamber ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) M /MPRSW .. Business Phone Number: Plum er's AddresrMtreet,City,State,Zip Cod • Name of Designer: -- arc S' Q oo Z z , S . VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name,/ :CST CST's ADDRESS(Street,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved SI itary Permit Fee Groundwater ate Issui Agent Signature(No Stamps) Approved ❑ Owner Given Initial S charge Fee QQ�� Adverse Determination w'O0 ��• �'v X. COR7TSIREASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber , State of Wisconsin ` Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION Bureau of Plumbing 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 SYKORA EXCAVATING Owner: GENE SWANSON ROUTE 2 BOX 75 ROUTE 2 BOX 162A BLOOMER WI 54724 STAR PRAIRIE WI 54025 RE: Plan Number: 87-03633—S Date Approved: June 19, 1987 Gallons Per Day: Date Received: June 9, 1987 Project Name: S & S COATINGS Location: NW,NW,7,31, 18W Town of STAR PRAIRIE County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans . All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department' s approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Bureau of Plumbing has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: — REPL MOUND Enquiries concerning this approval may be made by calling (608) 267-3607. Sincerely, ANTHONY T EDERSPILL. Bureau o Plumbing Safety and Buildings Division PPP022/0009w/ 9 cc: GENE SWANSON Private Sewage Consultant County UW—SSWMP Plumbing Consultant -- Owner Plumber Environmental Health DILHR-SBD-6423 (N.04/81) - _ S and S Coatings - Mound Plan ID # 8604693 Location: NWl/4, NW1/4 (part SW2/4, NWI(4), Sec. 7, T 31 'Ns R 18 W Town: Star Prairie County: St. Croix Date: August 7, 1986 Owner: Gene Swanson Address: RR 2, Box 162 A y New Richmond, WI 54017 Plumber: Signature: License # 3096 Attachments: 6748-Plan Approval Application See earlier submission, received August 1, 1986 revised 115 a page 1: cover . 2% calculations 3: plot plan 4. system. crass section. - 5. :glan i v w t 6: ;lateral d-etail �4 7:. pp t*nk exit detail: 8: pq-1pp carve'. 9: i Zing of sx nation 5 & S Coatia� page .I of 9 t z ,a 7" fir t� l t 4 4% SYSTEM CALCULATIONS Factory 9 gallons/day Percolation rate dtAr g min./in. Depth to groundwater in. Depth to bedrock O in. Up-slope �. Bed-site slope %. Down-slope Force main length ft. of in. diameter Force main drainback t•g gal. -k 7•dt- Elevation difference C�. 0 fit. between pump/s`Tphon and distribution system Force main friction loss " ft. g gal./min'. Total dynamic head ` 4 • ft. Pump/si'plagn _+Q G.P.M. @ 1 Q X ft. of head Manufacturer o M,.:.,d.el 4: S Dose volume 3\ 3 gal. i,seasurement pump on & off '; in. �d 036" r • Lift jsl*4Qn tankk gall Septic tank gal. Height alarm above tank bottoms ± 1dr- in. Lateral length � gt h V ft. of IZ in, diamet.Fr Lateral,,.,levation ft. bottom of pipe Lateral hole size in. @, � in. spacing hales per lateral, (go holes total Lateral volumes gala Total lateral discharge rate �"�oZ.. G.P.M. .1_ .'- :``ft. head ...,�,..�...... ._s �..�.-.,..•- page of ��9Et+•.,:X11 �. -a' ,.x; -" � ^!n: � - � K .''i ,.., ,. _ ----. a r •�'t> 4.v e c� i�•�et U�:�. ���}o-t„Q �..�Qom. ` IL t , ` q} ti ti _ 363 t (�V C t-7-1 IOV �L e r w.wiN aY 9A 77 � r'r G 4'r cf g (. n pLUM YIN pr-toVED --1 f orc� wa.�h ' DEPARTMENT Or INDUSTRY, LAF` A UILDINGS DIVISION or SAEEIY AND ._ 5�t RESPONDEtN E a Q , 4-o If 4.s. • ia f 5 'a-or rt rs" OL 46 CJ Oro akt a.X Ck�k.O qiw '' \ + b s..b�oa s�..A 3 ZS.S{ r—T�.(� (� "+'O �J •fT i v\!V'��G.Q� tw.�.►. �ti < 8703633 t%L ` 00 tA 1,\7C- ItAG ... " � � � aQ Q�e 5 Q� +�r...cus+.' mx�tw+ <-p,±auar.,ns,w s.+:i+�,.wc. •:�'3 s. M,..r--^' ..,Hru:<.a..v%xa.4aaW0.. ;. �-.m'�mrece.e>..-u - >".+ r;s,,,:�*a..rs�55: VEtJT CAP 'i't.I. V1 tJT PIPE APPROVED LOCKMIG WEAT14EK PROOF JUAlCT10AJ BOX MAWNOLE COVET; S Z5' FROM DOOR, �1N WtUDOW OR FRESH ' AIR INTAKE a�GRAD ` 4t' COUDUIT z.� PROVIDE ( ------ AiRTl6kT SEAL. I ) I APPROVED JOINTS I ((I W/C.=. PIPE L i ALARM .L. EXTEUDIUG 3' { I I( CWTO SOLID SOIL. s 3 ( 1 ON 13 A- I t ru MP �. OFF BLOCK b„ I KING gLU M ;Val d ROVED ' NTIONS tiUUSAN Rr.E APP - TMENI OF INDUSTRY. d !LDINOS ,ri� DIVISIO OF SAFE' „- EE S , t - P40 Performance and Dimensional Data ?3 SP40A — MAX SOLIDS 11/6"SPHERE -- 1750 RPM , r 24 I I 20 yWj a I � A=1�w Z 1b 12 i I I i } a I i � 6 I j � i I _ FULL LOAD N AMPS AT 10 T ! 4 4 9.4,AT 230V.4.7 # - FULL LOAD 72, AM,AT- ' 30230V. I+-5'1.--J 2. AT 460V.1.3F \-.1D PIPE is 0 _ 0 20 AO 60 90 100 i 0 NOTE-CASTING OIM.MAY WARY:h" U.S.GALLONS PER MINUTE - SP50 Performance and Dimensional Data SP50— MAX.SOLIDS 1112 SPHERE— 1750 RPM 24 f ; { i ` 20 z 16 ` N1 - t -. - r i I FULL LQAD - 4: AMPS AT #0115V. I f., t •..,Y'-a 3" - -' i I 12 0.AT 230V 0.0. A♦ STD.PME FULLLOAD i ~' -✓ 1» AMPS AT 30 230V,4__ '.+•. 38.AT 460V 16. o 8 0 20 40 60 60 100 120 140 160 - 3683 t U.S.GALLONS PER 14 MUTE _ } - .tsMf CASTING DIM.MAY YAPY z V. _ {i Distributed by MARif Y ,D COMPANY Aev i i -8 6rsedeS 0.,) #f, ! A ktt ' 1 L kAIII?{?SOH 1'!1`t#t1A1 » i �r Irf t-n Nt M.wt,,f Itm18s} x„ ►�i 1 #UI (Id�t[c }�`y�C-7 -��"}�� �;�'} �,LA.� attr ti4t1f1, wx# •i6 3�rvus#I# f=��6�6ast-�f�.`s 1b �-. , M Sizing Information Existing Building: to be used for storage, allow 1 employee, 20 gpd Replacement Building: 30 employees 30 x 20 gpd = 600 6 floor drains 6 x 50 = 300 1 shower 1 x 15 = 15 Subtotal 915 gpd Total, both buildings: 935 gpd Note: (1) Interior approval originally issued for 8 floor drains. Two of these are in an area of potentially hazardous waste spills, and DNR requests that they be plugged. Application. has been made for interior approval revision. (2) The shower in the replacement building is an emergency shower only: it is to be hoped that none of the employees will ever take a shower. Sizing is adequate at 15 gallons since the only probable use is occasional testing. MOVED AUG 081986 pWMB►NG sECTiOM page 9 of 9 8604693 VU V -� c..'r --� N � n 4 t :�_. 4r 4 a F ♦\�• XV 1�• I 8--x / lool nXe� wtw •j �� rl p ?��=� ►�►-t •, 2 @ nQ s�u, 96,k O bout_ �o`�� � f(�o..,.l� �,o\�� } roa(,��n„•,�;� �.n•'�, I V 4 DEPARTMENTOF REPORT ON SOIL BORINGS AND ' SAFETY& BUILDINGS INDUS`i RY, _ r�_.__-__.. DIVISION LABOR Hy MAN REDLATIONS PERCOLATION TESTS (115) MADISON W 53707 ,,VAN -µ„^i ULHR 83.09(1) &Chapter 145) LOCATION: SECTION: TOWN HIP/ �+ Y: OT NO.:BLK.NO.: SUBDIVISION NAME: uW�/ WW 1/ /T 1 H/R 1g ►W 5 0. NA Nq �A • COiiUNTrY•• OWNER'S B/UY�ER•\$NAME: Q,..� MAII`LING AD(D�RE 1 .4-� 0X �0.Y•�► vtipy.� �4ra1'� USE DATES OBSERVATIONS MADE NO.BEDRMS.: C MER AL DESCRIPTION: FO NS: A TESTS: ❑Residence �� f Q ,.," , ❑New ®Replace 00,,%J% Is } Q� %O %k. -t tt\IL I• RATING:S-Site suitable for system U=Site unsuitable for system O[I STIMU ONAL: M®� ❑. IN-GROUND-PRESSURE:� ®� r[]S Y I��L ��G��TANK:RFR o�EN�D SYSTEM:(optional) V EIS RATE: If Percolation Tests are NOT required If any portion of the tested area is in the U under s. ILHR 83.09(5)(b),indicate: N A Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS 6 7 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNES OR,T T I D DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIff_H_ESf_ TO BEDROCK IF OBSERVED (SEE ABB BA t9 B- B- Ot ti B- S« s Q. C, / s'IaL g ��u Z X14 �} (`o.. p ...,ok 1,:;l. B- o•- o-ASI-4- Ip 316`' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PE I D t PERIOD 2 ERIOD3 I PER INCH P. 'i; 3� ' L' /L"/zip. P- Z.� a `.o ♦r►h --� p-4 14 ( 0 /IV Vi1l. 2 ,V . 4. 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. �ZI S ra YAA, 0 M 9 S�'1 G,. �o�..r �• SYSTEM ELEVATION `� �' s , ��w q`O JC. OWN 1 �..J ! \� �t GX-Q ._...V O-N O 'er Z S` ... _ tN I-- T-- _..... _ - — -- .... _. .�. i VS )pvot+ cY1r _.. 1Pl► _" `� .. .._ 1!'r?± !'► tr 4'L�C 0�+... I tl n `"S I � 1�e -+ zl_ tiu _ 1,46W undersigned,hereby certi y t at t e soi tests reporte on this orm were ma y me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. f�AME(print): �• TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): .�4A b CST SIGNA E: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. - ` ------ Oq ` ` Henry F Grote Wisconsin Certified Soil Tester 615 Second Avenue 715-839.9496 No.3065 Eau Claire, Wisconsin 54703 S and S Coatings, soil borings B-1,_ 3 95.5 est DHGW greater 31" 0- 3/2 1 8-16 lOYR 4/3 sil w/ common Gy sil coats on peds w/ occasional f gr and iron concretions below 18 16-26 7.5YR 4/4 sicl w/ Gy sil coats on peds & becoming gritty w/ s below about 24 26-3 /4 sl B-2, 31" 95.3, st DHGW greater 31" 0-6 1 6-18 Bn sicl gritty w/ s below 10 w/ gr below 14 18-3 sl w/ gr B-3, 34" 95.3, st DHGW 32" 0-11 11-18 Bn sil w/ Gy ped coats 18-28 Bn sicl w/ Gy ped coats 28-34 Bn sil w/ cmp R-Gy mots below 32 ec 'ng gritty w/ s and f gr 32-34 B-4, 381< 95.2, st DHGW 28" 0-6 6-16 Bn sil w/ Gy ped coats 16-30 Bn sicl w/ Gy ped coats p R mots &/or weak iron concretions below 28 B-5, 60 , 95.3, est DHGW greater 60" 0-8 Bn 1 grading to dk Bn sl 8-24 dk Bn is w/ gr 24-60 ed s w/ occasional dk R-Bn sl inclusions B-6, 80", 95.9, st DHGW greater 80" 0-22 dk Bn 1 and Bn sil 22-80 sl w/ gr becoming more dense w/ increasing depth B-7, 26 11, 94.2, est DHGW greater 26" 0-8 B 8-20 Bn sil w/ Gy ped coats 20-26 R-Bn sl Soils are inconsistent on this site but can be generalized as fairly well structured loam, silt loam, and silty clay loam above a red-brown sandy loam till which becomes significantly more dense with depth. The upper layers of this till seem to be reasonably permeable. All holes at all depths reveal occasional cobbles and stones. Greatest inconsistency observed near B-5 where two perk holes were dug within 5' and both entered the R-Bn sl till which is present only as an occasional inclusion in B-5 which is anomalously clean s. ,�1 O�Q.`. �%�4�a� �..... b JL�-t �}►-� � i d QAJ cL Y YZ �O\ page 2 of Perk Tests — Mound Design — In-Ground Pressure Design H ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z OWNER U Y E R C6 r Vt ` I ROUTE/BOX NUMBER ) �FZ ��� /� z Fire Number A)6,40- aS r / °S .CITY/STATE �Qc� �� k� �4D��Q (V ZIP l �7 PROPERTY LOCATION: ' , 14, Section - T -'?( N, R /18 W, Town of ('v,;e- , St . Croix County, Subdivision N/ Lot number • I 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 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their 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-site 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. Ho I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- ►u 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 IGNED� DATE �- �- 7• 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 . 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/contractgr, ("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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ��f'S Owner of Property Cd�dl.,a� --4-LAC' . ' Location of Property AZ�L I A)UJ 4, Section 7 , TS/ N - R W Township s 2"-a I - f �/'i&_ Mailing Address (�Z A) Pl% A w�t'i�Lill (�V i T'Q 7 ear Subdivision Name - Lot Number (� Previous Owner of Property Da_s_.� „��; ��q �,.a p Total Size of Parcel Date Parcel was Created 3/0 7/8--7 Are all corners and lot lines identifiable? Yee No . . . Is this property being developed for resale (spec house) ? Yes No Volume and Page Number -36 2) as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: .1. Warranty Deed 2. Land Contract 3. • Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) emti.6y that att statements on this 6onm ane thue to the best o6 my (oun) knows edge; that 1 (we) am (cue) the owner(d) o6 the pnopen ty des cAi,bed in this .in6onmation 6onm, by vixtue o6 a wamanty d��39)necon in n the O66ice o6 the i County Reg aten o 6 Deeds as Document No. () ; and that I (we) pneaentty own the pnopoded site bon the sewage pdid oche system (on I (we) have obtained an easement, to nun with the above desehibed pnopehty, bon the constucti,on o6 said system, and the same had been dut neconded in the 066.iee o 6 the County Reg.i A teK o 6 Deeds, as Document No. _413 ''a c) _) . SIGNATURE OF OWNER SIGNATURE OF CD-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED I slate of wbwwM of U f GrOIX i Ma I lWeby Wm and coned CWY of the doa Non fib and of cacord in MY Cice cod has bay compared by 00- 1 1987 2 May, �,.,,� —' Attest Ja i Co lP a teslbt of ae Deputy Ct At jw wl►., +�M n:. a`4' W4 per * AL I'll ma 7�'sV`•� "� moo_.� tM d? �}�.lA�•a... A l t. z �k 'x �-'s•�'A` .. .T. MLA'�`, ^�4`.t ..�mc �4�. - 4 + OW�I 0 LDILHR FLAN Safety and Buildings Division APPROVAL Bureau of Plumbing r «> �� P.O Box 7969 ❑ General Plumbing Plans Madison,WI 53707 Private Sewage Plans Telephone: (608)266-3815 GO" do ENE \"140-0w� 4-�7e o G2 to Project Name Project Location - Street No. or Legal Description i unty ❑ City Village Town of: Y g ct.;�; C V C7 The plumbing plans and specifications for this project have been reviewed for compliance with app ica qulrements. This approval is based on Chapter 145,Wisconsin Statutes and the Wisconsin Administrative Code.The plans are stamped"conditionally approved".This approval is contingent upon compliance with any stipulations shown on the plans.All items that are noted must be corrected.All permits required by the city,village,township or county shall be obtained prior to construction.The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site.The installer shall notify the appropriate inspector when inspections can be made. ❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. FOR PRIVATE SEWAGE PLANS: (1) ) (3a) (3b) (4a) (4b) (6) (7) This approval will expire two years from the date approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Bureau of Plumbing has reviewed these plans for plumbing and/or private sewage code requirements only.All other system reviews must be submitted to the Bureau of Buildings and Structures. Comments: , p ����`..O-�-M.`.e- -✓yi _, .�;_,�� ,�C..`-sL.. .,t��.<L7-i-c�..�'��cst'/ cF.� �cE. .��� By: James Sargent Bureau Director If Questions Plans Approved By: Date Approved: Contact 4 cc: Private Se+ Consultant El Plumbing Consultant [I Environmental Health County J ❑ Local PI C] Facilities Need Analysis Section kI-1 UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099(R.01/85) ❑ Owner ❑ Other State Of Wisconsin ` D 77 ent of Industry, Labor and Human Relations PRIVATE E P N ...._ .. UA,L sspay� TT INv S qG tD f;all^aa�ii )��I�Q�117 £l�IISION list j �� 2ol. U:ast: Washington Avenue /� P t7, Box 7969 Madison, Wisconsin 31207 BE'.RGH CONTRACTORS R Plan Numb-,,r ; 86-0�693--w t� Gallons Per Day : 1 935 1028 E. SHORE DRIVE � Uat;e Approved: Augdst B, 1986 At T(:}C?NA WI 54720 Fees MY (Priority Review) : 260.00 Date Received: 8/08/86 Project Name: SWANSON, GENE_ S&S COATINGS Loc•.uat:ion: NW,NW,"7, 31, 18W. R Town of w.1.AR PRAIRIE: County ; ST CROIX The plumbing plans and specification, for this project have been reviewed for' compliance with applicable code requirements .nt.rs . I.h:is approval is based A Chapter 145. Wisconsin Statutes and the Wisconsin Administrative Code, The plans are stamped.'conditionally approved' . This approval is contingent upon conpliaance with any stipulations shown on the plans . All items thGat are noted arrest be 'corrected. All permIL5 required by the city, villrage?, township or county' shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set oaf: plans with than department' s approval stamp at ihK construction site, The installer shall not.ifv the appropriate inspector when �.. i.n3pect;ions can be made, This approval will expire two years f'rorn thy )"at;e! approved or K as sanitary ` permit: is` obtained,- it will expire the day the in:i,tial sanitary permit expires , E The Bureau of Plumbing has reviewed 1_ttW.3e 1:?Trans for private sewage system code jrequirements only . These plans have not been reviewed for the code requirements ' set, forth in ,Section JLHR 82 for general plumbing or• in Chapters 50-64 of the Wisconsin Administrative code. i This approval is for the following components only : L 1 REPL, MOUND NOTE: This approval does_ not include plans for the gQneyral plumbing systems or sewer piping before the septic/holdinc3 tank that is required for this project. Those plans must: be submitted and approved bcafore construction on this project is started. . NOTE 3nit:ary permits shall not be issued until the bureau of Plumbing has received verification that a properly executed common ownership easement has been recorded at the appropriate registrar of deeds . DILHR-SBD-6423 N.04/81) T State Of Wisconsin of Industry, Labor and Human Relations ti f F.fdCsW C'ONTr2ft('sTORS SAFETY&BUILDINGSfffVSION �aci{t� 2 Incjui r':ic�s c one.orni ng 1"'hiss, approval may i>r= piado by ual t inn (,608) 266---2884. PETER 11. , ;ref°ety .Wld BU Winds 00/193.0v) cc .:Pr:ivate Sewage Consultant )4 C.'o ntc 'Plumbing Consultant uwnc=r !'fumbor Envir^bonental Health DILHR-SBD-6423 (N.04(. �ad yx:; . Mr. Craig Swanson - September 21 , 1987 2• Completion of the attached application does not necessarily mean that your discharge will be permitted. In the interim you must consider yourself in violation of chapter 147 of the Wisconsin Statutes which requires a permit prior to discharge of wastewaters to the waters of the state. If you have any questions regarding this, please feel free to contact me at (608) 266-3143. Sincerely, Gregory A. Hill Industrial Wastewater Section Bureau of Wastewater Management GAH:jm/9838A cc: West Central District Joan Bueter-Ross - Eau Claire Area Office Bill Evans - West Central District Charles Verhoeven, Environmental Enforcement Specialist - WCD Tom Nelson - St. Croix County Zoning Administrator Permit File State of Wisconsin \ DEPARTMENT OF NATURAL RESOURCES Carroll D. Besadny Secretary BOX 7921 MADISON,WISCONSIN 53707 September 21 , 1987 IN REPLY REFER TO: 3430 Mr. Craig Swanson, Production Mananger S & S Coatings Inc. ' Rt. 2, P.O. Box 162A ���. New Richmond, WI 54017 ! X C 0��6 SUBJECT: WPDES Permit Application No. WI-0057151-1 t- Dear Mr. Swanson: The Department has received your application for issuance of the above reference permit. Upon review of the application for completeness, it has come to our attention that you have not included a wastewater analysis with the application and therefore it is not complete. For this reason, I am returning your application. S & S Coatings Inc. appears to be a primary industry as defined by the U.S. Environmental Protection Agency. The industrial category which appears to apply to your facility is that of metal finishing or electroplating. As such, the attached permit application Form 2C must be completed in order for the Department to evaluate the discharge under a WPDES permit. _ As you will see, the application form is quite long and specific in the testing requirements of your wastewater streams. According to the information I have received, it appears that the volatile organic pollutants which you use are kept separate from the discharge to the land disposal system and therefore, at this time we will not require analysis of the volatile organics. The attached permit application should be completed up to page V-3 of the application form with the exception of the analysis for dioxin. The Department has not considered land disposal of metal finishing wastewaters to be environmentally acceptable. From the limited amount of information the Department has received, the Department may not find your system as a permitable discharge. If this is the case, the Department will work with you to modify your wastewater treatment and disposal practices in order to find an acceptable disposal method. ST. CROIX COUNTY ; �. WISCONSIN i ZONING OFFICE r� `z 796-2239 (HAMMOND) _ 1 425-8363(RIVER FALLS) AN HAMMOND, WI 54015 July 25, 1986 Division of Safety and Building Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir : An on site investigation for the S & S Coatings property (Gene Swanson) , located at the NW1/4 of the NW1/4 of Section 7, T31N, R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 31 inches, below which seasonable high ground water was noted . This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office . Sincerely, Thomas C. Nelson Assistant Zoning Administrator TCN/mj WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Cnoix Location NW 1/4, NFU 1/4, Sec. 7 , T 31 N, R 18 XKxkoti W Town owftW00 00ft Sta& Pna.ctcie, Street Address Lot No. , Block Subdivision Landowner's Name: S 9 S Coatingz (Gene Swanson) The application for this site is for: ❑new construction use. ®replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: �.1to have one of the first five approvals guaranteed for this year. This is number - - of those applications. (Use one of the first five quota num ers ssuea to you.) [. ]one of the applications needing a quota number. The quota number assigned to this application is - - for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. [�for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. (._.]for an application on file prior to February 1, 1980. (_]for a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: ®a failing conventional soil absorption system. [�a holding tank that was installed and in use prior to February 1, 1980. ❑a privy that was installed and in use prior to February 1, 1980. If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for a conventional private sewage system, check here I certify that the above information is true and accurate to the best of my knowledge. Name Thomas C. Netzon Si ure County Official Title Azziztant Zoning Admini�sticaton Date July 25, 1986 DILHR-SBD-6158 (R 12/82) w INSTRUCTIONS FOR COMPLETING FORM 115 - S D - 6395 To be a cc:,whne and accurate soil to st:, your report must Incl,.acfe: 1: c(,)rnp ieto i i rfes,~r I"$tion; . As Use I ts;r, ml st C`ea3 ly this iS a resid(,)rrce or commercial project, 3- MAXIMUNI nurnber of bacfr.>=or c.fsmrrbere.ial use panned; #S th s n z:,t <>r rer l€r me t SYSI;e nii' fi, Cornpl..-e the,suital3r1r,,y rats .g boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER S STf[l'".a ARE RULED OUT 13AS D ON SOIL CONDITIONS; 6, PLEASE use e abbreviations show s here for tixriting proble d crQWs and completing the plot plan, 7, N"IAKE A €..a GISLL diagram ac<uiately to€,atinq your test locations. Driving to scale is prelerret'l. Ma?' I,W' Used it deSi d; 8, NI'lake sure youa b nc,t?rt€ ik and vw6ca, elevation reference paoint are clearly shown,and are psrrTrarrent; S, Co,npiete all <€pp ",gyp iaw boxes as to dam, names,addreoes, flood plain data,percolation test exert',P- 10M N arnpuproan IT 4 we .ru�m,")60i, ,..uct as f,ti €1 Mtn WvahwO does=rot amply,trlac=e N,A,i n the appiop:rate box; 1 I Sy he I: .Psi and place vour cuaent Wire,and yow cerdfica?ion number; 11 We iecT;lvf" cci=al...s and zli,€khme as requked, ALL SOIL TESTS MUST BE FILED VVITl-i THE ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Si:me los'nr 1O°,I BR Se hock ed) — Cobble W- 'I W) SS - Sandmone gr .-.. Gravel (under 3") L.S — Lin-iestone ,; Vv` ell Loony 5-A "han Lwwz B r SA QW y 1 F F; f'3 <vLl.n7 t.,say vv,' wits-I sir - SMN Cfay fff — few, fine,faint — clay crc common,Coarse P! _: eat r rn - Many,mediUrn rH Muck d distinct: p prominent: FIWL High water level, nz £;;-rye,.__ o,. Textures surface water VRP ._._ Veiticai Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary pert-nit. The county orthe Department may request verification of this soil test in the fir d prior to permit issuance. A, complete set of plans for the private sewage system and a permit application mast be submitted to the appropriate local authority in order to obtain a permit, The sanitary permit must he obtained and posted prior to the start of any construction. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, _ __ DIVISION LABOR AND MAREµTIONS PERCOLATION .O. BOX 7969 H14 LLATION TESTS (115) MADI � SON,WI 53707 Na �l LOCATION: SECTION: IPY: LOT NO.:BLK.NO.: SUBDIVISION NAME: Ww 1/ *kw 1/ -+ /T 31 N/R kg )W S � - Nq �A COUNTY: OWNER'S/BUYER NAME: Q,..c MAII\LING AD(D�RE ^ — �'T. LA, ** 5...,lh it., T`�'�1 USE DATES OBSERVATIONS MADE NO.BEDRMS.: C MER IAL DESCRIPTION: PROFI E DE R P IONS: ER LA IO TESTS: ❑Residence � p ❑New ®Replace -'$�dt\� $� �. fl RATING:S=Site suitable for s l S system I_U=Site unsuitable for system C M®ND:❑u IN-GREOUND-P®URE: SYSTEM-IN❑-FILLHOF LDING TANK:RYRM�M`EN�D SYSTEM:(optional) If Percolation Tests are NOT required DESIGN RATE: If any p e d area is in the under o s. ILHR 83.09(5)(b),indicate: N A Flo in elevation: PROFILE DESCRI BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHAR R OF L TH ESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BE CK IF O EE RV.ON BACK.) B- T %p`f' 3 1` "y S ow r_ "^S 01 C-0a., o�. lia l ZI 1t _a.s f O Y it 4-/#,- B70 C_ B- 4 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- Z, 3'4 /x,' �, /Z 7 LL U "` P- 1 7-4- P- `Z 1`� 31411 ►Z/1v 3`2/lv P_ k4 Its '� 11� Its 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.t'^Show the surface elevation at all borings and the direction and percent of land slope. ''Z1 %°'a 1;A\ o y` q s"l �,�o� SYSTEM ELEVATION el t.- kill IN E t � E i I r il 0 kV NO 6 G-il Ca-41i.-Ill `2 _A. w tw :2 �►a',,. 7 �o ; r.{vim•:©`� ` �� �C. 0.m�roV e�L v 2t✓;(1 t7 . ....OM� � � LL L' l� I, h undersigned, hereby certify that the soil tests reporte on is orm were ma y me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(printl: �- TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optionall: CST SIGNA E: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R. 10/83) —OVER � V Henry F. Grote Wisconsin Certified Soil Tester 615 Second Avenue 715.839-9496 No.3065 Eau Claire, Wisconsin 54703 S and S Coatings, soil borings B-1, 3111, 95.5, est DHGW greatest 31 0-8 10YR 3/2 1 8-16 10YR 4/3 sil w/ common Gy sil coats on peds w/ occasional f gr and iron concretions below 18 16-26 7.5YR 4/4 sicl w/ Gy sil coats on peds &becoming gritty w/ s below about 24 26-31 5YR 3/4 sl B-2, 31", 95.3, est DHGW greater 31" 0-6 B1 sil 6-18 Bn sicl gritty w/ s below 10 w/ gr below 14 18-31 R-Bn sl w/ gr B-3, 3411, 95.3, est DHGW 32" 0-11 B1 1 11-18 Bn sil w/ Gy ped coats 18-28 Bn sicl w/ Gy ped coats 28-34 Bn sil w/ cmp R-Gy mots below 32 becoming gritty w/ s and f gr 32-34 B-4, 38", 95.2, est DHGW 28" 0-6 Bl 1 6-16 Bn sil w/ Gy ped coats 16-30 Bn sicl w/ Gy ped coats w/ ffp R mots &/or weak iron concretions below 28 B-5, 60", 95.3, est DHGW greater 60" 0-8 dk Bn 1 grading to dk Bn sl 8-24 dk Bn is w/ gr 24-60 Bn med s w/ occasional dk R-Bn sl inclusions B-6, 80", 95.9, est DHGW greater 80" 0-22 dk Bn 1 and Bn sil 22-80 R-Bn sl w/ gr becoming more dense w/ increasing depth B-7, 26", 94.2, est DHGW greater 26" 0-8 B1 1 8-20 Bn sil w/ Gy ped coats 20-26 R-Bn sl Soils are inconsistent on this site but can be generalized as fairly well structured loam, silt loam, and silty clay loam above a red-brown sandy loam till which becomes significantly more dense with depth. The upper layers of this till seem to be reasonably permeable. All holes at all depths reveal occasional cobbles and stones. Greatest inconsistency observed near B-5 where two perk holes were dug within 5' and both entered the R-Bn sl till which is present only as an occasional inclusion in B-5 which is anomalously clean s. page 2 of 3 Perk Tests — Mound Design — In-Ground Pressure Design \ 0 7 / 7 ~ q K 0 . \ 8 A - R % k/ � ■ _»E A t § A co G -0 It bD a \\ z m , e 2 LL. (1)e \ ( \ E < o=E $ c « \ E � { i ` & z ) 2 � § % � a.■ \ � � \ \ k J J c / 2 I � ■ ® � ) 2 ± A ) S z in z j .. ) 7 . 2 § E $ ^ ■ a a.6 0 cc : (D . to � \ \ . _ o 0 2 ) / k § k V) ■ § § L -� c § a a 2 FL s ! ) C-4 C'4 2 S § / 2 : zaL { 2 0 « / . 7 I . _ e2 f m 2 � § f O \ ' § 2 = E \ � k \ \ k ) k k LO ■ a ' 0g ) 222 - k \ \ k k o z / k ) \ . ® % z s 2 k { C » § a § a t $ J a 0 2 U . . � Parcel #: 038-1029-20-000 12/21/2005 11:29 AM PAGE 1 OF 1 Alt. Parcel#: 7.31.18.133C 038-TOWN OF STAR PRAIRIE Current X ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-SWANSON, GENE&KATHLEEN GENE&KATHLEEN SWANSON C-S&S COATING S&S COATING 2267 80TH ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): ' Primary Type Dist# Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.000 Plat: N/A-NOT AVAILABLE SEC 7 T31 N R1 8W 1 A IN SW NW COM NW COR Block/Condo Bldg: SEC 7,TH S 1435.35FT TO POB:S 208.71 FT; E 208.71 FT;N 208.71 FT;TH W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 208.71 FT TO POB ALSO LOT 1 CSM 6/1791 07-31 N-1 8W ALSO KNOWN AS LOT 3 CSM 6/1758 ASSESSED BY DEPT OF REV-MFG Notes: Parcel History: Date Doc# Vol/Page Type 07/26/2004 769804 2624/041 EZ-U 06/16/2004 766019 2596/602 EZ-U 07/23/1997 773/200 2005 SUMMARY Bill M Fair Market Value: Assessed with: 118762 28,900 Valuations: Last Changed: 11/15/2005 Description Class Acres Land Improve Total State Reason MANUFACTURING G3 1.000 5,700 22,700 28,400 NO Totals for 2005: General Property 1.000 5,700 22,700 28,400 Woodland 0.000 0 0 Totals for 2004: General Property 1.000 5,700 24,100 29,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT LiANITARY sys,mm W UWNLK LRUIX CUUNTY , WISCUNSIN 3ubDIVI61UN LOT SLZL PLAN VIEW DIUL"nCgg ar►d 4jae"giona to WeCL cequircil►cLIL6 ul H63 1W E G WiTHIN 100 FE'LT Ur' SYS"' •M AJ, I I a e o th Arrow L --7 (Pur"nunt rotgrunce PUWL) d L I I b C U I L i L /� elS 1.1Iu1J C:ul,a�lLy /fi't1���'. �/,-..._ SEPTIC TANK: kanutijeturar ; Nwub6r of tinge on cover Lank iiianholu CL)ver ulevaL ion ; -- Tank Inlet Elevation; lutik ULILLcL L A. L PUMP CRAMBLA MunufACLurer : N LLwbL:L -1 8,A1 IUM, -- .---1a 6,A I Loiib , LuLdi �.-zjpacit. y Of Number of gal . Puu'P 4FTor a c Ye c,___ distribution linom I Iun 1jiLL: cif pully gallon per minute huru4;:PuWC1 bcal►d 11"11►C of putup and modal nutubar Type of Warning HOLUING TANK: Manufacturer IlL►lkbui Ut 8allul►d Elevation of manhole cover ry duvice A�e of Warning N umb u r k) feet diLimctcr ISELP E PIT SIZE: Ucepu6e VIL ItIlet jjij)u--eIcV,1L1-Uk► feet liquid d6-P—LAh----- buttow of badpa4d pit eltivuL Lu►► I ce L 3110 L I i u LIL�.p L SEEPAGE bLD SIZg; number Ut 11"eu di Si-.'i,i-,AGL ntENCH : W Uh AREA RLQUIRED/�fo'Q Mk•A AS BUUT PUtGULATIUK MT1 IN,')'H CTOR UATEU PLUMM..h ON I(M L 'L NUMBEIt DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR °� SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969' BUREAU OF PLUMBING MADISON,WI 53707 ®CONVENTIONAL ❑ALTERNATIVE IS,,,,Plan l.D.Number: (If assigned) ❑Holding Tank ❑ In-Ground Pressure ❑Mound gcao NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: sts r, Q F-,:) fao BENCH MARK(Permanent reference point) CRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. ri1 Name of Plumber: MP/MPRSW No County: Sanitary Permit Number: L-Cnl PMUL� i ' 3 3 SEPTIC TANK/HOLDING TANK: MANUFACTUR ER LIQUID CAPACITY: TANK I LET ELE .: TANK OUTLET ELEV. WARNING LABEL LOCKING c0 P IDED: PROV ED �d'LJ � ����E' �� YES ❑NO NO BEDDING: VENT DIA.: VENT MATL. HIGH WATER - ROAD: PROPERT �.ELL: BUILDING. IAFNT TO FRESH ALARM. ." LIN � 7 IR INLET DYES ONO ❑ ❑NO �� � � .2/ DOSING CHAMBER: MANUFACTURER BEDDING: LIQUID CAPACIT P MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ❑NO IDYES ONO DYES ONO GALLONS PER CYCLE: PUMP D ROILS LS OPERATIONAL kT PROPERTY ERTV WELL BUILDING: VENT TO FRESH AIR INLET: (DIFFERENCE BETWEEN PUMP ON AND OFF) ES ❑NO SOIL ABSORPTION SYSTEM.Check the soi V.istur at the flepth of plowing LENGTH IDIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a were,constructio Yshall cease until ' the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LEryGTR. NO.OF DISTR_PIPE SPACING. COVER INSIDE DI 1,111 PITS LIQUID a ., I TR ENCHES. DEPTH. RAVEL EPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO STR :4 PROPERTY WELL BUILDING: VENT TO FRESH BE LOWf IPE/S AB V VEti ELEV.INLET ELEV.END. ^ PIS. LINE, AIR INLET: MOUND SYSTEM: ` . L G/i �7Q Mound site plowed perpendicular to slope Check the text re of the fill material fon PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certai . n t it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium san TIONS MEASURED. ❑YES El NO SOIL COVER TEXTURE ERMANENTM E S OBSERVATION WELLS Z11 YE ❑NO DYES ❑NO DEPTH OVER TRENCH'BED DEPTH OVER TRENCHiBED O OFT PSOIL. SOD ED SEEDED. MULCHED. CENTER EDGES. ❑ S ❑N i 1:1 YES ONO OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH- LENGTH. F LATERAL SPACING- GRAVEL EPTH BELOW PIP_c FILL DEPTH ABOVE COVER. NCHES: �. MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD M TERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEV.: ELEV. DIA. LEY. PIPES. DIA.: HOLE SIZE HOLE P CING DRILLED CORRECTLY. COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: ❑YES ONO OYES ❑NO COMMENTS: PE ANENT MARKERS: OBSERVATION WELLS: WELL: BUILDING: LINE: ❑ ❑ DYES NO DYES NO JWMPROPERTY i Sketch System on Re 0 Qzrnt my file for audit. Reverse Side. SIGNATURE: TITLE. DILHR SBD 6710(R.01/82) DEPARTMENT OF APPLICATION SAFETY&BUILDINGS INDUSTRY, . FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON,WI 53707 Attach plans for the system on paper not less than 8'/z x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed,sealed and dated by the designer. If designed by a Master Plumber,the date,signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Maili g Address: 7 d� I�� � Property Loc lion: Ci Township: County: / '/aS /T N/R (or) W Lot Nu ber: Blk N .: Subdivision Na e: earest Road,Lake or Landmark: State Ian I.D.Number: (If assigned) TY E OF BUILDI G 'i Number of QI Public* ❑ Variance* ❑ Other (specify)* Bedroom ❑ 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED(Square feet): ❑ New K Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit -1 ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as isted on Soil Test Report (If other than present owner): C4 Private ❑ Joint El Public 4'1 I,the undersigned,hereby assume responsibility for installation of private sewage system shown on the attached plans. Nam of Plumber: Sig tur MP/MPRSW No.: Phone Number: Plumb is Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Si ture of Issuing Agent: Fee: 0o Date: ❑ APPROVED Sanitary Permit Number: qw)D�A- C- ❑ DISAPPROVED Reason for Disapproval: Alternate course(s)of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County,Canary-Bureau of Plumbing,Pink-Owner,Goldenrod-Plumber DILHRSBD-6398(N.03/81) 7 7"3/4l lls�, Jr /7 RECEIVED 82 - 05649 OCT 18 1982 y a�J=, &0,/ PLUMBING BUREAU l -F/ D XsOI= ,5-0 APO Vr lopp s� ,o,�/dE�►� ,8� �,I/rye S lov a \ ' ��� 90. AECEIVED nrT a 8Z 8 2 0 5 6 4 9 PLUMBING BUREAU 9 0 - �30330 -30" 19"Ell,411'as i � a�" ��Pusn�ra �o� � P�fo7rA�n Pit .8zo s/zz - /a X 90' , ry V . 2. Indicate whether the following facilities are present. Floor drain yes Y no Number of drains Food waste grinder yes no Dishwasher yes no Automatic clothes washer yes no Number of clothes washers 3. Septic tank capacity r/��-4_ Holding tank capacity el Septic or holding tank manufacturer 4. SEEPAGE TRENCHES: total square feet width of trenches length of trenches depth number of trenches SEEPAGE BEDS: total square feet �/�,��a width length of bed `` depth SEEPAGE PITS: total square feet outside diameter depth below inlet f total depth from top to bottom of pit Signature of pe completing form: FOR DEPARTMENTAL USE ONLY Address Zip 7 Telephone Number 1 Date e I P1 b: 60 ,1/78 PROJECT DETAIL DATA SHEET 82 - 05649 NAME OF BUSINESS S C .S OZ 1, Q, LEGAL DESCRIPTION C h)V //✓ 77�f? — 7,- ..1,) AA� OWNER � ,,j a. r 5 an MAILING ADDRESS / ff ARCHITECT, ENGINEER, ADDRESS ? PLUMBER OR DESIGNER l JJ RECEIVED /F�> �'r,,,1p I I P .S'-�/�z OCT 18 1982 TELEPHONE NUMBER 1 . Check appropriate bftWAWGj A4 and fill in the information requested opposite each usage listed. Please consult Section H 62.20. Existing building New building Addition ( ) Apartments and condominiums . . . . Number of bedrooms ( ) Assembly hall . . . . . . . . . . . Seating capacity ( ) Bar . . . . . . . . . . . . . . . . Seating capacity # of meals served ( ) Bowling alley . . . . . . . . . Number of lanes ( ) With bar ( ) Campground and camping resorts Number of sewered sites Number of unsewered sites Total number of sites ( ) Camps . . . . . . . . . . . . . .. ( ) Day use only Number of persons ( ) Day and night Number of persons ( ) Catchbasin . . . . . . . . . . . Number ( ) Church . . .. . . . . . . . . . . . ( ) No kitchen Number of persons ( ) With kitchen Number of persons ( ) Dance hall . . . . . . . . . . . Number of persons ( ) Dining hall . . . . . . . . . . . . Number of meals served daily ( ) Dog kennels . . . . . . . . . . . . Number of enclosures ( ) Drive-in restaurant . . . . . . . . Inside seating capacity Car-service -- Number of car spaces ( ) Dump station . . . . . . . . . . . . Number of dump stations (X) Employees ( total of all shifts) . . Number of employees ( ) Hotel ( ) Motel ( ) Cottages . . . . Number of units with 2 persons per unit Number of units with 4 persons per unit ( ) Medical and dental office bldgs. Number of doctors, nurses, medical staff Number of office personnel Number of patients ( ) Mobile home parks . . . . . . . . . Number of sites ( ) Nursing homes . . . . . . . . . . . Number of beds ( ) Parks . . . . . . . . . . . . . . . Number of persons ( ) Toilets ( ) Showers ( ) Restaurant . . . . . . . . . . . . . Seating capacity ( ) Dishwasher and/or disposal? ( ) 24-Hour service ( ) Retail store . . . . . . . . . . . . Total number of customers _ ( ) Schools . . . . . . . . . . . . . . Number of classrooms Meals ( ) Showers ( ) Self service laundry . . . . . . . . Total number of machines ( ) Service station . . . . . . . . Number of cars served daily ( ) Swimming pool bathhouse . . . . . . Number of persons ( ) OTHER . . . (Specify) . . . . . . . COMPLETE OTHER SIDE Department of Industry, Labor& Human Relations - StateDivision of Safety& Bldgs. State O Wisconsin Bureau of Plumbing Platting&Fire Protection P.O. Box7969 Madison WI.53707 Tel. 608-266-3815 INALL CORRESPONDENCE L ��C �� REFER TO PLAN IDENTIFICATION NO. z NAME OF PROJECT TYPE OF APPROVAL C- L , l STREET AND NO. � CITY OR TO ,1 COUNTY' STATE 1 \.. = C OWNER z4s�_4 1z Gentlemen: Examination of plumbing plans and specifications for the above-mentioned project has been completed. In accord with Chapter 145, Wisconsin Statutes and Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon com- pliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of plans bearing the stamp of approval of the department. In the event installation of the plumbing improvements or system has not commenced within two years from this date,this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions,examination and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit require- ments of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will auto- matically void this acceptance. Sincerely, cr�msi'Y vt� James Sargent-Bureau Direct PLANS REVIEWED BY: DATE: r.y cc: DO OWS Owner DI LHR (J Plumber H&R (2) un y Mfg.Rep. Bur.of Health Fac.&Services DI 06/80► Rec.&Env.Services .l�a Department of Industry, Labor&Human Relations Division of Safety& Bldgs. ��T State of Wisconsin Bureau of Plumbing Platting&.Fire,Protection P.O. Box7969 Madison WI.53707 Tel. 608-266-3815 i s. i IN ALL CORRESPONDENCE �I , REFER TO PLAN c �' ` '�'`� � IDENTIFICATIO''N NO. -t4 W C) ,4 sz_ i Soy 7 NAME OF PROJECT ,'y TYPE OF APPROVAL j/ C_ P L- STREET AND NO. CITY OR TOWN NT STAT ZIP � C J OWNER ,Q Gentlemen: Examination of plumbing plans and specifications for the above-mentioned project has been completed. In accord with Chapter 145, Wisconsin Statutes and Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon com- pliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. i The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of plans bearing the stamp of approval of the department. i In the event installation of the plumbing improvements or system has not commenced within two years from this date,this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions,examination and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit require i ments of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will auto- matically void this acceptance. Sincerely, �J�tslJ� James.Sargent-Bureau Direc r r PLANS REVIEWED BY: DATE: 17/ cc: OWS Owner DI LHR Plumber H&R (2) un—W— Mfg.Rep. Bur.of Health Fac.&Services D .06/80) Rec.&Env.Services DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, � DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MLV*WhPAtf-TY: LOT O. BLI .: SUBDIVISI N NAME:At / N/R r (or) COUNTY: OWNER'S/BUYER'S NAME: MAIL[NG ADDRESS: USE DATif OBSERVATIONS MADE ❑ NO.BEDRMS.: COMMERCIAL DESCRI PTION: S: A TESTS: Residence ❑New Replace I j RATING:S=Site suitable for system U=Site unsuitable for system 2'r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FIL OLDING TA K: RE OMM NDED S E :(optional) S ❑U 1QS ❑U CAS ❑U ❑S U El S NII If Percolation Tests are NOT required DESI RATE:S T If any portion of the lot is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: or , — J PROFILE DESCRIPTIONS BORING1 TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMB/ER IDEPTH IN. ELEVATION OBSERVED EST. GHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) s' B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI 1 PERT D2 PERIM T PER PER INCH P / P'3 W&AIA P P__ PLAN VIEW: 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 slop. SYSTEM ELEVATION t _�.: 1 /, � . �. 3 � I fir. . . AI1 � I � i _ „.. _. ..._� ......,_ .. t.. .. ..,__.._.. ��. w .. /specified 1, the undersigned, hereby ce ify that the soil tests reported on this form were made by me in accord with the procedures Wisconsin Admimistrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. I NAME int : TESTS WERE COMPLETED ON: 1 AD S: CERTIFICATION NUMBER: HONE NUMBER optional): — C GN UR DISTRIBUTION: Original-Local Authority,2nd page-Bureau of Plumbing,3rd page-Property Owner,4th page-Soil Tester. DILHR-SBD-6395(N.03/81)