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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 JAMES E & DIANA M AYSTA O - AYSTA, JAMES E & DIANA M 709 HARRIET DR STILLWATER MN 55082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1313 53RD ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 0.640 Plat: N/A-NOT AVAILABLE SEC 28 T30N R19W PT GL 3 COM 1071.2 FT W Block/Condo Bldg: OF NE COR GL 3, TH S 388.43 FT TO POB: TH SWLY BY DEFL > 11 DEG 132 FT, W 210 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TO LAKE, NLY ALG LK 132 FT TH E TO POB 28-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 828/389 07/23/1997 727/438 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.640 113,000 16,500 129,500 NO Totals for 2006: General Property 0.640 113,000 16,500 129,500 Woodland 0.000 0 0 Totals for 2005: General Property 0.640 113,000 16,500 129,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER S%~ TOWNSHIP S-7,- ye-,5e lye SEC. e' T _ 30 N -RW ADDRESS ~0y ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 301 1 5,~?n-ie I 3 "A 8; A 6GI 91, /Vv . ~~-Ll6l,S !It'A TL Ulf - 0 C' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site•,_ SEPTIC TANK: Manufacturer: j/-) Liquid Capacity: J Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front Side feet ,O Rear O .From nearest property line Front 10 Side 0Rear, 0 3,5' feet Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) RF.F. RFUFRCF crnF PUMP CHAMBER Manufacturer: Liquid Capacity: p Model: Pump/Siphon Manufacturer: Pump Size Elevation 'nlet• Bottom of tank elevation: Pump off switch elevatio Gallons cycle: Alarm Manufacturer: larm Switch Type: Number of feet from nearest operty line: Fron Side, O Rear, 0 Ft. N r of feet from well:_ Number of feet from building: - nclude•distances on plot plan). SOIL ABSORPTION SYSTEM Bed: V 4: Trench: Width: U Length: 's Number of Lines: _ Area Built vJ /r Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear, Ft.3 Number of feet from well: 11/4' Number of feet from building: (Include distances on plot plan). PAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribut box O been used on any of th ove soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capaci Number of rings used: Elevat' of bottom of tank: Elevation of inlet: Number of feet from near t property line: Front, Side, RearO O , O umber of feet from well: Number of feet from building: Number of feet from nearest road: A arm Manufacturer: Inspector: 0 Plumber on job: Dated: (--f~ License Number: 3/84:mj EPARTMENT OFINDUSTRY, ABOR INSPECTION REPORT FOR SAFETY & BUILDINGS .0O. . BOX 8E 79969 69 RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION ADISON, WI 53707 BUREAU OF PLUMBING k2CONVENTIONAL ❑ALTERNATIVE S, ate Planl.D.Numbel ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound (11 atalgnM) NAME OF PERMIT MOLDER. ADDRESS OF PERMIT HOLDER. INSPECTIO D T James Aysta 709 S. Harriet Dr., Stillwater, MN B ENCH MARK IPermanent reference 00,M) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELE V.: CST tiff PT. ELEV SE SW, Section 28, T30N-R19W, Town of St. Joseph N.- M Plumber. - MP/MPRSW No.. County Sanrlary Permll Number. Donavin Schmitt 3205 St. Croix 83843 EPTIC TANK/HOLDING TANK: f MANUFACTURER LIQUID CAPACITY v y TANK INLET ELEV. TANK OUTLET ELE V pROVI WARNIN LABEL LOCKING COVER ~I/'J!~✓ f~ DEG D PROVIDED V BEDDING. ALARM ila. O YES ❑NO ❑YES -]NO VENT DIA. VENT MATL WA NUMBER F ROAD: PROPERTY WELL BUILDING VENT TO FRESH ALA FEET FROM - LINE E) IL INLET YES ❑NO E~~// ❑YES ❑NO NEAREST 7 OSING CHAMBER: MANUFACTURER BEDDING LIQUID CAPACITY JPUMP MODEL PUMP. SIPHON MANUV AC TU/IFH WARNING LABEL LOCKI NGCOV ER PROVIDED PROVIDED YES ❑NO OYES ONO ❑YES NO GALLONS PER CYCLE: PUMP ANDCOruTHOLS DPE R ATIONAL NUMBER OF PROFIT it Ir Wt LI HUD DINI• VENT TOI III Sit (DIFFERENCE BETWEEN FEET FROM LINE AIR INt FT PUMP ON AND OFF) ❑YES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGn/ OIAM1II II H NIA I1 HIAI AND MARK INI, Or excavation, (If soil can be rolled into a wire, construction shall cease until L FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF UfSTH PIPE SPACING COVEN N.SIDI 111.1 iHENCH S F61AIARO AL' PIT 'z V11S 1.111 rE IID DIMENSIONS nfnl (.RAVF L DEPTH FILL UEDT/I UIS 111 VIDE UISTH Plrf DISTR. PIP . MA ERIAL lit Lf)W PIPES ABOVE COVER I I F V INI I I ELE ENT.) :NO H NUMBER OF PI (PEAI V WCIIjjA FNT TO f HI ::U r FEET FROM LINE H INLE i NEARE MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA. ❑YE5 ❑NO meets the criteria for medium sand. TIONS MEASURED. OIL COVER TFxTUFit iIFNMAN! NI MAHkI NS AUlltil HVn THIN WI I 1 ti Df PTH OVER THENCR HE[) DFPI11OVfR TRENCH ED UEV T11 qF iUVSDII 1P j) ❑YES StE DFD 411D1 NO OYES NO CFNIE14 EDGES MuII; HI U ❑YES ONO DYES ONO ❑YES NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LEN(011 NO.OF L ATE ALA L SPACI NI, t INAVELUF Pi I/HIIUW PIPj-- TRENCHES 1 It L Uf PIif AHUVI I1DV! 1/ DIMENSIONS MANtf OIU PI1M MANI/IILD UISTR PIPE MANII OLD MATERIAL NO DISIR I)I Illtillf 111111 H,N {'11'1 M!\11 HInl KMAIIK INI, ELEVATION AND ELFV ELEV DIA ELEV PIPES Dl S A I11 PIP! DISTRIBUTION INFORMATION HOLE SIZE HUIE SPACING UIOLLLUCOfIRf C1I V COVfH MATERIAL Vf H I IIfAI I I{ I I;IIHNF SW ONUS 111 AVPHnV! D .0 YES ND ANS COMMENTS: PERMANENT MARKERS. ❑ Pl OYES ❑NO OBSERVATION WEllS- S NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE ❑YES ❑NO ❑YES ❑NO NEAREST Sketch System on Reverse Side. Retain in county file for audit. SI(i ATUR ( TITLE DILHR SBD 6710 (R. 01/82) 17DILHO4 SANITARY PERMIT APPLICATION [STATE OLIN Y to accord with ILHR 83.05, Wis. Adm. Code SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% X 11 inches in size. STATE PLAN I.D. NUMBER -See reverse side for instructions for completing this application. 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PETITION PROPERTY OWNER FOR VARIANCE ❑ YES ❑ NO PROPERTY LOCATION I Z, 7-4 PROPS T OWNER'S MAILI DDRESS 7 ~ % 5 Via, S ;Zg T - N, R E (or' LOT NUMBER BLOCK NUMBER SUBDIVISION NAME Jr ,70 7 CITY, STATE ZIP CODE PHONE NUMBER CITY VILLAGE : NEAREST ROAD, LAKE OR LANDMARK Ar-lec 11. TYPE OF BUILDING OR USE SERVED: /W Ae) 77" 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. VN New b. E1 Replacement c. ❑ Replacement of d.0 Reconnection of e.0 Repair of an System System Septic Tank Only an Existing System Existing System 2. A Sanitary Permit was previously issued. Permit Y IE10 3. An Existing System has been inspected and soil conditions meet minimum Date Issued 7' 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. N Conventional b. ❑ Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. El Vault Priv e. In-Fill Tank y ❑ Mound f. E1 IGP V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. XSee a e Bed b. ❑ seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 13. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ~U a rq VI. TANK CAPACITY /r ~ Feet Lol Private ❑ Joint El Public INFORMATION in al Ions Total # of Prefab. Site New xisting Gallons Tanks Manufacturer's Name Con- Steel Fiber- Plastic Exper. Tanks Tanks Concrete strutted glass App. Se tic Tank or Holdin Tank ❑ ❑ ❑ ❑ ❑ Lift Pump 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' ignature: (No Stamps) MP/ W No • Business Phone Number: lumber's Address (Street, City, State, Zip Code): Name of signer: VIII. SOIL TEST INFORMATION Certified Soil ester(CST)Name T# CST's ADDRESS ( reef, City, State, Zip Code) Lj r Phone Number. _ Q 1X. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature (No Rams Approved ❑ Owner Given Initial Surchar a Fee P ) 9 A dverse Determination PL w &dw X% A4f X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION x. 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; 41 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 property maintained. The septic tank(s) should be pumped by a licensed pumper-whenever, necessary, usually every2 to.3 years; 6. If you have questions concerning your private sewage syste i, contact your local code admin.straJor or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must includ.: 1. Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: If public is checked, indicate type of arse'i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; Ill. 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; application is disapproved. X. Comment area for use by county or resaon given when app 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 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 Groundwater Wiscoris' in's included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The surcharge took effect on July 1, 1984. All of th., water that buried reasare is used in your building is ;returned, to the groundwater through your soil absorption system or the disposal site used by `y cur holding tank pumper. The monies collected through these sircharges are c, edited to the groundwater fund adminis- t tered by the Department of Natural R_)sources These funds are used for monitoring ground- vvater, groundwater contamination investigation` and establishment of standards. Groundwater, it's worth protecting. SBD-6398 (R.03/86) DEFAR-NENT OOF SAft"-"&BUILDINGS INDUSTRY, REPORT ON !L BORINGS AND p~ DIVISION LABOR AND PERCOLATION TEST P.O. e0x 7969 HUMAN RELATIONS (115) MADISON, WI 53707 (H63.09(1) 8t Chapter 145.045) LOA ION: I€~` . TOWNSHIP kwWO tM4tO.. LK. NQ.: SUBDIVISION NAME: SE V s"J1/ ZS J30WR IS11lor ST 30SE P H - - - COUNTY: OWNER AM N SSc1~S~ S, CeoIX 31M TA 744, S I Aft T 6 it 51 tt.&-WATC1t MW ,l E e] - 7- 't 3 `}b9U - 30 297- DATES OBSERVATIONS MANE COMMt: IO ION S FILE DESCRIPTIONS: PERCOLAT Residance~ N ~j Now [--]Replace Noy /S /SW ~ Nol( IO /5V Soil cr ` K ti 4-4 5atc.S ; Bx~Z ' ~KNa~,4T ft- - --9-: Site suitable for system U- Site unsuitable for system GN r T!€ :NV i:~N I ']`A' : M(LU'~ND: [~V' tIV-(xR JIV : YST'FT~1LL OLDiNG TAiN~~K: ECOMMENDED SYSTEM:I tionai) ~ ou __srzu._RIS ❑~~ii V ❑S uu Y [Is ❑U CON /Q AL fOk lZ_ H Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: N C t.oo s , Floodplain, indicate Floodplain elevation: A/ c• 1; IT PROFILE DESCRIPTIONS IBORiNG AL AT R-1 H S t-H-A-AACTIR OF SOP H E, COLOR, TEXTURE, AND DEPTH ;NUMBER tlf, ELEVATION O TO BE RUCK IF OBSERVED EE ABBRV. ON BACK) 90.00ME 5. 'S. I U-9ZA LSI.SL-ts p$-5,1 C5*Gk 9r cob ~B- Z 9 o >M ? , IRLSIL "I S to-S.OCS-t6a, Fca6 -~!a-6 0 B- 3 Q•~ ~,~•sFs1~(of~i >9•< 4 0-0.4 liks LTS av -3 • t-SvGR cob V -3.9 5~61aw51 B- ~.Z /0I./S J~(o,\t $ 2 3,~,~.ocsrtGe4'ccb ts.o-6a516.~-8.2 es~I~ B- 547 31K oN~ g 6 0-0.-7 &SC.TS 0-7-7-6-2516R 'cob 7•0-7.3 c's,~s► Noi v(a -U%10046, S0 NC,, IV S SysrEM MU' B•b Q7t`06 NoN 19T f. KI --p -<--,,OIL PERCOLATION TESTS TEST DEPTH WATER IN HOLE --TEST TIME N WATER LEVEL-INCHES RATE MINUTES NUMBER IBS AFTERSWELUNG INTERVAL-MIN. N PERIOD PER INCH P.. ^3. 1I 3 Z >7- >Z P. z Yrr N• P• ` ° -r+wsT NU n+ :s po~5 Ta N A P• PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borlnp and the direction and percent of land slope. SYSTEM ELE q z o 7.1 W-- -0y1 =x;, , oars b I.AF i~duss -taN N~ - A A<. I Y .fj Ti Iz ' x~ Ai; t _-1 A!z - . < . were-ti I MOTE ^I UPS l an, ..Qgn[.g. l $/1i9~$(~ a L N~ L d a P N[I~Hftalls ;.SJ .Nl.~,...CaiN ~(.Iz'~? .'CNQ ~ 4# ~ ~ ~ ~ ~ ~C NausE trl.~V_J4TloN"rC1 SvsIEN ICUT REt' V.lR Q AArik Tttt+ L ikt ytl©oq D . EkcSIW a ~9NA rif 6P WATtkROM PONWA14 ON SYSTCM . 1, the undersigned, her certify rtify 06P that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Admi istrative Code, and that the date recorded and the location of the tests are correct to the best of my knowledge and belief. ^JAM tprirrt _ TESTS-WERE COMPLETED ON: NOMO 3004 SQN1 Nov f~nBE+P J6 198 fADO~ESS 1 - CERTIfJZAT+GN NUMBER: PHONE NUMBERloptionai): 407 "~~CA h I.1LA~~Ft)N ( 16 ~:S'~ ' 484 7/S 386 -4C 8(3 p CST SIG TURE: ' DISTRIBUTION: 0. i0mal and one copy to Local Authority, Property C>PfIR~'A7S8' i ~II.HF?-BBD c;?95 IR, o/R?) OVER C14 Y-r AP A-) yP/~ 3 fi ey • • • • • Oki 47, Ile J C3. r f/f 'p% 4D _ • jo Pe k ST. CROIX COUNTY WISCONSIN r ZONING OFFICE 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND, W154015 August 21, 1986 Ms. Carolyn Haag ^ State of Wisconsin, DILHR ) Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Carolyn: Permit #838431 issued to James Aysta on August 21, 1986 replaces the permit #83810, issued on July 24, 1986. A new percolation test has been conducted and the depth of the system has been changed. Permit#83810 is attached. Should you have any questions regarding this subject, please contact this office. Sincerely, Mary J. Jenkins St. Croix County Zoning Office MJJ/ Attachment 2 Z ~ p ~ O ~ r y cn o C C90P3 co v p z a) m 0) M &1 p rn M 00 01 -n N p m x ~o ~n m m 0o v) n ~'1 r M ~ Now iv r 00 c K -p ~ ---I ~ D n n rn C7 ~ ° cn Z 00 m n Cn D ° x 96 C :10 z C) 0 rn o O C7 O~ U) 5 Z n Z2 o C G) M =0 rn & * m5- 9 io„_ o? Vim' Z D o d ° jF~ 11 r-' - 1 A t Q A O . d N y m to S A f~ r rn n o t=3 d9 _ of a:: 3 o,m A~ <a D 0 3~ is °1. °=`°Wv w ow m 0 z~ A do 3 eM ca a S < O O YO7 W p df - O M 20 0.0 w 40 CD c V) ~ ~ D ~ ~ m < S d N• ~ 0 2 ~n ~ ryry~ a dam ~ Cd H D = m O C O M ~0 D 10 1 A 0 = 3 me ° 3> ti 00 CA) d 3~ R ` ° 0 00 rn A~ s3° O DEPARTMENT OF REPORT ON SOIL BORINGS AND SAfel,",~~ BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS (1-163.090) & Chapter 145.045) LOCATION: EG N- p TOWNSHIP ili~iWPAt:OT O..BLK.NO.:SUBDIVISION NAME: SL 1/4SWV Z$ 30 RIS111 r W ST JOSE PH - - COUNTY: OW E R AM TMWrL SC t~ S-T CRoIx 3i TA 74S S. AkkICT 6I, S-pI..,LWATCA PIN ;JSE_ e) - -I 33-9L 9U o-(222- DATES OBSERVATIONS MADE ESCRI TIO PROFILE DESCRIPTIONS: PERCOLATION p p ESTS: Residence A( A KNew ❑Replace N01( is S~~I-c K L 47- Sot LS ; gxQz - t-K#4AkbT BATING: S- Site suitable for system U- Site unsuitable for system C N CTLr K :C NVF:N 1 A MOUND: IN•GROUNFfLL OLO NG TANK: RECOMMENDED SYSTEM:( tional) MIN SIZd~ S ❑u 111S u .mss OU IF u as oiu com - A-A ,Z x3 --]DESIGN RA'C'E: If Percolation Tests are NOT required If any portion of the tested area is in the I under s.H63.09($)Ib), indicate: A C.LI(SS Floodplain, indicate Floodplain elevation: N/A D c• IPT PROFILE DESCRIPTIONS IBORING TOTAL DEPTH GROUNDWATER •INCHE CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH ;NUMBER DEPMtl~. ELEVATION Qg$ RV TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) / 9o•oU ntC S. l r U-o,9 9zSLTs 0.9C'I< cob T 9TLQ 0 >r ? BLSL -rS / o -5 o CS-i bit pooh 'S.0-6.0 B_ Nc, >9 C!i B~SL.75. /.S-9.5 CSC Gk kola B- 4 0-0 9 RLSI_-r-S U.9 3.4 IL->-t cold 3.4 -3.9 St6R ws+ g~Z /0/./~ 1 aNt 8 2 3,~ coLS~c6eFcab 6'.o-6•4:$rS. 6.A-6.2 cs-tv~2 B' S~ C1 G 97. 3g in[oNL cj' G O-O.7 6LSL7s 0.7-7,64tit A Cob 7.0-7.3 <'S-tSl _ - G>R B- PERCOLATION TESTS TEST NUMBER DDS A TER SWELLING INTERVAL-MIN, l S RATE MINUTES 3 Z 2 PER INCH P - 9 > P. Z 9.l 9 .(3' 3 3 P - 9 .,4' 3/1 111/9 -0 rtST NuMlit R enkipiz<P0 S To m E AZ R PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELE .oo tea;:°~9 fk.hi'radc kx~'aT t rJ puts Q ' F~ouv+ r bF N I'mo' tslr% lp0 00 //s ..a + ~s<NSIOtI ~gsELl"l bM Nye $_S. Ai~ M rY ~►N~ ` Y°`'~ 126 rN ~I 37 .a. y(q ei t. tL~ ~ ' ~ a + Loc.aTlo~► t ~ 1'N G b F 1 t' _ ~t~`I/ ~ i. ,~t~,p~y SySTGM ~ w./i ~ yr/hu.• ~ 1 //j ; f.... s•Z r \ _ rai Ton A--I. fcr.. 8 W _ ` ( •r / ELL~Q~' 1JC ALL = 3~ NE 14 HRo1tS i.._ 1 I, the undersigned, hereb certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Admi istrative Coda, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. LAME printl-^ TESTS WERE COMPLETED ON: ~aA lEy .lo~Nsa~ NawemkEk /6 16-Aa5, tADDR SS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 407 SECZ&lA-~~-r OuA<-nN WI -14016 , F:SZ X484 ifs ~~a CST SIG TORE: DISTRIBUTION: O. iginal and one copy to Local Authority, Property Owner and Soil Tester., l .rr, DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.•BOX 79$9 BUREAU OF PLUMBING MADISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE StatePlanl).D.Numb- (lf asslgneA Holding Tank ❑ In-Ground Pressure El Mound NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER. INSPECTION DATE: James Ay,6;ta. 709 S. HatvLiet Dtc., Sic twateA, MN BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: \ CST H AF L E EV SE SW, Section 28, T30N-R19~1, Town o~ St. Joseph Nam, of Plumper MP/MPRSW No- Coumv Sanrtarv P n Num t r aanavin Schmitt 3205 St. 7c&oix 8 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV WARNINGDLABEL LOCKING COVER PROVIDE PROVIDED DYES ❑NO DYES ❑NO BEDDING. VENT DIA. VENT MATL.. ]HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING VENT TO FRESH ALARM FEET FROM LINE AIR INLET DYES ❑NO DYES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING LIQUID CAPACITY PUMP MODEL PUMP. SIPHON MA NUFACTOREH WARNING LABEL LOCKING COVER PROVIDED. PROVIDED DYES ❑NO DYES ONO DYES -]NO GALLONS PER CYCLE: PUMP AND CON TRO LS OP ER A TIONAL NUMBER OF PROPER IY WF LL 1111111DIN(; IVENT-TOFFIEST-1 (DIFFERENCE BETWEEN FEET FROM LINE AIR 1Nt ET PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moistureat the depth of plowing LENGTH J ulnnu lF 11 MATT HIAt AND MAHKIN(, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH TRNOEOFNCHES DISTH PIPE SPACING C MOVAER INSIDE Uln ~VIIS QUID TERIAL: DIMENSIONS PIT uFPnf (4HAVFL DEPTH FILL DEPTH IIISTII PIPE DISTH PIPE DISTR. PIPE MATERIAL faMROM R OF 1 fiF LOW PIPES AHOVE C(IVER F 1 F V IN[ E ( ELEV END PROPERTY WELL HUILDING VENT E FHf SO 'LINE AIR INLLET ST-s 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- D YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TFx TOHE TP RM ANINI MAHKf 1 011,111 VA I1(IN WI t I S fit Pill OVER THE NCH BED DEPTH OVER IHENCH BED DEPTH OF Tf1PSOIL SOUDf 1) DYES ❑NO DYES LINO CENTER EDGES 5EE OF I) MUL(: 111 U DYES ❑NO DYES ❑NO DYES DNO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LA T E HAL SPA([ IN(. (4HAVV LVLL OF PTH NFLOW PIP! LUf DEPTH ABOVE COVIH TRENCHES DIMENSIONS MANIF -OLD PUMP MANIF _OLD DISTR. PIPE MANIFD LD MAiEHIAL NO DIS11t =TF? DISIItIHUIIr IN VIP( n1nKMnItK IN(, ELEVATION AND ELEV ELEV DIA ELEV PFS DISTRIBUTION INFORMATION HOLESfzF HOLE SPACING DItILLEOCOMHECUY COVFH MATERIAL VFIt "At 1 II T(;OHHF SPUNDS TO APPRIIVIU PLANS DYES ❑NO DYES ❑NO COMMENTS; PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE DYES ❑NO DYES ❑NO NEAREST _ Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE DILHR SBD 6710 (R. 01/82) DILHR SANITARY PERMIT APPLICATION COON In accord with ILHR 83.05, Wis. Adm. Code STATE SA ARY 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 ❑ YES ❑ NO PROPERTY OWNER PROPERTY LOCATION 3E '/a s, S T p, N, R E (o W PROPERTY OWNER'S MAILING-ADDRESS- AILING DDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME d i /1/,4 19~4 CITY, STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAKE OR LANDMARK r G VILLAGE : L E TOWN 5XI 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 01- OR ❑ Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable) 1. a. El New b. AT tal 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): Q p8i0 Feet Private ❑Joint ❑Public VI. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank , tE S ❑ ❑ ❑ Lift Pump 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 SW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): Name of Designer: VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST # \ 7.0 -7 8 CST's ADDRESS (Stree , City, State, Zip Code) Phone Number: G V 7 9,v,-.7 S77 #&vsevy ` o/ - p IX. COUNTY/DEPARTMENT USE ONLY 9~y F-1 Disapproved Sanitary Permit Fee Groundwater ate issuing Agent Signature (No Stam1,~ I](I 1 Su e F - J Approved El Owner Given initial Su g Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber b., INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT M APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a iicensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your privai _ se~nlago syster,i, contact yc urlocal code 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 owner's name and mailing address. Provide the legal description where the system is to be installed; ll. 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; Ill. 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% 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 Groundwater - included the creation of surcharges (tees) for a number of regulated practices which WiscoM;ns's can effect groundwater. The surcharge took effec' on July 1, 1984. All of the water that buried reasare , 47 is used in your building is returned tc the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. ! C T he w-rionles oll c to through these • '_1Yc cars es ore credited to the lei +JnC;wa'er fund adminis- terec~ by time Department of Natural R ,source,-;. These fun's are used for ?~'loni*oring grourd- f vk°ater, groundwater contamination ire astigatk-rns am establishment of stiinda-ds. Oround.va+t=', it's worth protecting. SBD-6398 (8.03/86) 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 _ C7- AC~ A ZZA T. Location of Property ~jg __L~14, Section T_3 N-R _ W Township S_L Z©SEra Mailing Address 702 ~S; #,44,26= T Qg S1 J ATE= ",IV ,T Address of Site 9T I Subdivision Name J~,4 Lot Number Previous Owner of Property 1zuG ,412 Total Size of Parcel AK E S Date: Parcel was Created ZZY Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes 4~-' No Volume 02 4r and Page Number _.2 yT' 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) ceAti6y that att .statements on this 4otcm ahe tAue to the best o6 my (outs) knowledge; that I (we) am (a&e) the ownen(s) ob the phopetcty described in thin in6oAmation 6o4m, by viAtue ob a watvcanty deed &eco,%ded in the 046ice ob the County Reg.usten o6 Deeds as Document No. J a ; and that 1 (We) pneaentty own the upos ed site 6o& the sewage d" pops system' (oh I (we) have obtained an eaa wt, nun with the above de.6cibed pnopetcty, gon the conwstnucti.on o6 .daid .a y6 em, and a same hays been duty teco&ded in the 046ice o6 the County Reg-usteA o6 Dee , as Doc ent No./rP J• SIGN TURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 8z, DATE SIGNED DATE SIGNED H cn . a ST C- 105 r" r _ a y SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z 0 a OWNER/BUYER t m, -z -s_-A !i i,Q. ROUTE/BOX NUMBER 709 x ~ /Z42_e1z--T Fire Number CITY/STATE L5JjLLWATE,[I_ Z1P SSQ~L PROPERTY LOCATION: L-- k, k, Sectiongp6 , T-7C7 N, R_W, Town of St. Croix County, Subdivision A64- 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 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 stems 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. 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set y th Wisconsin Depart- ro ment of Natural Resources. Certificati n form must be completed and returned to,the St. Croix County Zo ing Offi within 30 days of the three year expiration date. SIGNED DATE G "g 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. DFPA►iTMENT of REPORT ON SOIL BORINGS AND SA - BUILDINGS INDUSTRY, DIVISION LABOR AND R PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 3707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) AY MV NUT )I:- TOWNSHIP WAAWoke0'f . OT O.: BLK. NO.: SUBDIVISION NAME: 4s t 1/SW( Za jj R Isitor W ST 3 OSC P N - - - COUNTY: OWNER AME: UAILING A >1 Ceoix_ ,ffh Y TA 749 S. Aekl T ~R SpL.1-wdTbA MN SSO~sZ JSE _ e3 14 - 4 d-_a9z DATES OBSERVATIONS MADE ( EDR MI AL C NiM TIO IO S: PERCOLATION TESTS: -Rcl Residence Tio- R New ❑Replece Noy /S / ,a No J( 16 /S85 MATING: S- Site suitable for system U- Site unsuitable for system - GNCTC K E I A : MOUND: IN-GROUND-PRESSURE: ILL OLDING TANK: RECOAMENDED SYSTEM: (gptional) Mfg 0NVs ou Los.s 0U ❑su os au ~oN -N ,o AL ,2'x3 , DESIGN RATE: r If Percolation Tests are NOT required 1 [Flciodpla,n, f any portion of the tested area is in the I/+`/j sunder s.H63,09($)(h), indicate: NA indicate Floodplain elevation: p ,-T-f PROFILE DESCRIPTIONS IHDSING TOTAL P R U ATER-INCHE CHARACTER OF SOIL WITH THICKNESS. COLOR, TEXTURE, AND DEPTH ;NUMBER DElTfHt*. ELEVATION 08SERV TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) CattSr e- I 9o.00 9c s.1 o-o.g' 9LSL-TS Q.9-S.1 CS*ak Cab ~7 1 97.3(3 No>vL > t-N .s cS I S 1 6.0- s.s'LT19WCSTGIt- B- 3 4 ~~.s~ NoN~ > 9.< o-~.s &s~ Ts /-s-9.s c<-t'6k 4 cA ca_o`? BLStlTS a.9.3.4r-S-t6It coln N-3.9 St6k "S B- :n c-GLs-tGe-C'cab d.o-6•4 9vSr 6.4-82 cs-tyk B' (3-0.7 &SLTs 0.7-7-04:516R gcob 7.0-7.3 CS-tSl C Gk B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBFR IBS AFTER SWELLING INTERVAL-MIN. 002 PER INCH P.. I 3.c~Ts 9 g_ 3_ > Z > Z 3 P. z cf. /I NC*j L 117. 13 3 /It i -S- {9 fs, .L-3-11A _ ..1 6r, 4 .14' 3 P" TEST Nc~n+ E 2 O S To N A` o N 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- rontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELE ~~.oo 3Y~Tay 1A, t~.edc .,s ~711b11 NG ; . . o,Jt: as ~ of Qt~~ lo0.00 ~~~~/v~xlr"ATLila~ gdos" / 'yy _ t&NSIO~ S~IK~ IN IS~~~ • ~ n If St:~.l~lF I ~M. Ar tlrifaorr~/ rfl.ni.a,I G , s» f 0 4F@ • a 64P r' i ; 37 r S 3 frD'er: +~s i~ p~t~~,~►lY AITE1L ~'Irr 4 6, ~ 5~~~ a3 ~ '{Jr'fli ~'D • to<arlo~v M a H ~e~ • E N !/n f. i.4 I cE1^ I 077 N[1G NAo~s ` ~ 1. + ~ ~ ' . 1, the undersigned, hereb certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Admi istrative Code, and hot the data recorded and the location of the tests are correct to the best of my knowledge and belief. ^IAME print : TESTS WERE COMPLETED ON: ! 14AN&Y 1014N)SON1 Ncvr=MIkEk /tS /96-5 IADDR S : CERTIFICATION NUMBER: PHONE NUMBER (optional): 467 `-SECatin Jun<~~fv W1 -401 . >~sZ ~Aa4 71s 3a& 4odo CST SIG TUBE: DISTRIBUTION: O. ipinal and one copy to Local Authority, Property Owner and Soil Tester. H y a~-sT ~ riot P~P~ ~ oar G~~/~N 9~ y l~RA/N ~o Racr ~ f©' G kN p/ VIA 1 cp3 1000 so Kj~ M A 01- /Op 0 5 Sira- N ~8~ o ems., ~t i s /D~o ~ off` tol ~ 4uTf+ P, !a L //vim /~R,~tuING Fog 7- 9~~G ~/?.4CUN -7- ~ G may. C//~Me ~T,4 ' 7v S /~7~ 2 /9a ,ZQS.9 S✓iLL C~J4TE/~ ~~r