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HomeMy WebLinkAbout040-1196-40-000 0 to O m v n C7 C O L 1 7 I ~ n M O m 0 O O A0 A A C) 0 A M Cirl O 00 D O 3 O O N Q) O 00 (-D 0 CD wk N N N O- O O O Oo CD T 00 0 0 0 (~D ((Dj O O OD O R O (D O) N C O d O 3 N CD o (n (A Ln d C v ' lei a (n D (D CD c CD Cn CL c~ ? 3 N W a w 3 a rn rn< p vr N N lot w CD 0 co co C) w CD Z to ~ to CD m O A 00 c fn O C O '.I C7_ N+ ' K Z o 0 0 O O _ • c7 ~ Ti C , I a o n ~ C CD C-) CL (Izz) C) C) 0 (o ` rn rn= Co m a n N y N gc n 4~1 X' Z N Wi `o _ Z W Z O z wS o O D (D 0 a R O (n • (D N O r (a c (D CD rr ~O T w co' o d n 3 Z Z Z N ~ a, I m a A z Z (D a, Co A 41 7~ Z oo -0 m r `o fTi (D CD co Z `rti 5 . 3 m A ~ ~ ~o I W CD s 0 ~o n n D 3 o v Q QZ, N O O o a Z O ~ c'F v N I n ci. ~ y fi I fi O ' N O O ' a A ~ III b < ~Q 0 ~ P O O _7_77 7 ♦ Fo rut - S '1' C: AS BU'IL'T' SANITARY SYS'T'EM REPORT 1 TOWNSHIP T~+~``41 Y SEC. T 19 W,., OWNER ' 3 /3 0)C ST. CROIX COUNTY, WISCONSIN ADDRESS . SUBDIVISION' Hr' A h ,'J"_t Coc rT LOT LOT SIZE ct h, PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM !0' u G' vent Nv ` i +n S t - 4w ,r r}u t5~~ r" ~ IND'TCATE NORTH A1tROW SC0.1~ I„ qU, BENCH 1M; Describe the vext.ical reference point used ory, (u fl~ r~L 4IJ~ Elevation of vertical reference point: Proposed slope at site: Z I SEPTIC TANK.: Manufacturer: Lt- / e Pr;" r Liquid Capacity: I V OG'T Number of rings weed: 'l'ank manhole cover elevation: Tank Inlet Elevation: A , Tank Outlet Elevation: ~ 0 Number of feet from nearest Road: Front,0 Side,(aRear, a feet 4 From nearest property line Front,QSide,ORear,~ feet Number of feet from. well building: ; ' plot plan) 2 reference imensions to septic tan ~ ,ference d o f the above cl.de this information (gin u PUMP CHAMBER. Manufacturer: Liquid Capacity: M_ Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, F't._ Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSOR'PPION SYSTEM Bad. ! 'X 1 Trench: Width:' f Length: 7,0/ Number of Lines: 5 Area Built: «0 Fill depth to top of pipe: Q,2 (42 „ Number of feet from nearest property line: Front,' (~Kide,~ Rear,O Ft. Number of feet from welly Number of feet from building: r (Include distances on plot plan). SE P4dt PIT Size Number of pits: Diameter: Liquid depth;, Bottom of seepage pit elevation: Area Built: ~i Has either a drop box y or distribution box(&/ been used on any of the above soil ! 1l . V,,° 4- Wyam' abear#~tion >ayrems? (heck one). \L,/ i ile Vet L HOLDING TANK Manufacturer: ` Capacity: .Number of rings used: Elevation of bottom of tank: Elevation of`inlet: Number of feet from nearest property line: Front, O Side, O Rear, Ft. Number 1 Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm ranufacturer: Inspector: Dated: Plumber on job: ' License Number: 4 t4 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 ♦ BUREAU OF PLUMBING MADISON, W' 5:707 w ' State Plan I.D. Number. IWONVENTIONAL ❑ALTERNATIVE (If asslg ned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. :::JDDRESS OF PERMIT HOLDER: INSPECTION DATE. Ronaed J. Mon . R. 3, Box 331, Hudson, W1 54016 I~ - '?.°Od BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.'. CST REF. PT. ELEV. NE NE Section 4,T28N-R19W Lot#16,High Ridge Ct., Town of Tnoy Name of Plumber. MP/MPRSW No.. County Sanitary Permit Number. Pact Cudd 2739 St. Cnoix 54906 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED. PROVIDED V L 0 DYES ENO DYES ENO BEDDING. VENT DIA.. V T MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. VENT TO FRESH ALAR FEET FROM LINE AIR INLET DYES ENO f ES ENO NEAREST DOSING CHAMBER: MANUFACTURER 7ING L I UID CAPACITY PUMP MODEL PUMP'SIPHON MANUFACTHREH WARNING LABEL LOCKING COVER PROVIDEDPROVIDE trES ENO DYES ENO DYES ENO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPEHTV WELL BUILDING I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR wLEr PUMP ON AND OFF) DYES ENO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing ni uIAMETEH MATERIAL AND MARKING or excavation. W soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH NO. OF DISTR. PIPE SPACING COVER/// INSIDE CIA. =PITS LIQUID _7 I BED/TRENCH / TRENCHES MA RAAL PIT DEPTH DIMENSIONS GRAVEL DFPTH FILL DEPTH DtSTH. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH 1 LINE AIR IT BF LOW PIPES ABOVE COVER EL ~L. IN f r ELEV END. 7 PIPES FEET FROM -t 2, f 3" 3 S 2 7 2 7 NEAREST-- ► f ~~of 'SO~ 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 ENO SOIL COVER TEXTURE PERMANENT MARKERS JOWELLS DYES ❑ O ❑ ENO DEPTH OVER TRENCH BED DEPTH OVER TRENCH, BED DEPTH OF TOPSOIL SODDED 111EDMY MULCHED _ CENTER EDGES DYES ENO ❑ YES ENO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL EPTH BO VE COVER. BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. TR. PIP ISTRIBUTI N PIPE MATERIAL & MARKING ELEV. ELEV.. CIA. ELEV.. PIPES A.. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICA IFT CORRESPONDS TO APPROVED PLANS EYES N a) DYES NO COMMENTS: PERMANENT MARKERS BSE vnnoN wELLS. { NUMBER OF PROPERTY WELL. 77NG. FEET FROM LINE ! OYES ENO EYES NO NEAREST c,e,e ~cQv~ wed o~~Q~ D J0 Sketch System on Retain in county file for audit. Reverse Side. SIGNA / 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% 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: Mailing Address: Ronald J. Olson Rt. 3 Box 331, Hudson W 54016 Property Location: gkWy R Township: County: NE '/a NE'/aS 4 / T 2 8 N / R 19 )FxW_rj W Troy St. Croix Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: 16 High Ridge Court Hi h Ridge Road (If assigned) TYPE OF BUILDING Public* ❑ Variance* ❑ Other (specify)* Number of ❑ ~ie1 . (}~D~~_ Bedrooms: 1 or 2 Family *State Approval Required. 4 I 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: Weiser EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Xn Replacement ❑ Experimental 51 Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Class 2 1245 Water Supply: Listed on Soil Test Report (If other than present owner): ER Private ❑ Joint ❑ Public M7 as I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signat e: . MP/MPRSW No.: Phone Number: 115 11 ) -2049 Paul R. Cudd ' 2739 Plumber's Address: N e of Designer: Rt. 5, Box 364, River Falls, WI 54022 Arthur L. We erer (576) COUNTY/ DEPARTMENT USE ONLY gnat a of Issuing Age Fee: Date: APPROVED Sanitary Permit Number: pn&e Cec~ ❑ DISAPPROVED j Reason for Disapproval: Alternate course(s) of Action Available: i I Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to r- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (N.03/81) Vur-w - S T C IOU .b Owner of Property_ 2% Id _G a, '--C ISv~ .Location of Property k3t ~ O(E=4, SCCtiun__~__ N It-_/_9_W Township` T(Qa V Mailing Address ~r 3+ [ja 331 S u b d i v i s i o n N a w e Lot Number - Previouu Owner of Property ~cigp '~QbS ~T2c.c~•rryw~ Tutal Size of Parcel,-- ~C~C~ Date Parcel w4a CreULed Are all corners identifiable? Yes No InClUde with .[:Ill L, a))ll1, ton one o1 Lhu tullowiIl.Certitied Survey Map .Deed .Land CUntraCt, or Other Leal DOLUUlelit which deaCrlbus Lite property - PROPERTY OWNER CERTIFICATION (We) certify that all statamants on this form are true to the bast of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Ragister of Deeds as Document No. 3g $ 3 Z~ ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an patiumant, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Oftiea of the County Register of Deeds, as Documant No. SIGI/NATURE O WN SIGNATURE of CO-OWNER (IF APPLICABLE) c~%E/I~q _ _ GATE SIGNEp DATE SIGNEO Form No. 105 s, y r~ _ r SEPTIC TANK MAINTENANCE AGREEMENT H St. Croix County d y OWNER/BUYER ROUT1:/L,OX NIJM~',F?R ~ Fire Number __~5.!2:~-cam CITY/STATJ? ZIP - PROP11ITY T,OCA`'ION.~-~ '`'DIY L~~Jr,~ Secrion T a _N, RW I Town of St. Croix County, Sti}>di.v:i-s.io t number I Improper use rind 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, i_f 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 n_ew systems_ ati,,ree 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. CD J/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with ~ the standards set forth, herein, as set by the Wisconsin Depart-IT~ ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Off' Ye withi Ways of the three year expiration date. ~~kd/137, I SIGNED G DATE C~TyC I St. Croix County Zoning Office P.O. l3ox 227 Hammond, WI 54015 715-796-2239 Si_,.>n, ?rarc ; nrl return to above t,ddress. DE'PARTMENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY,, c DIVISION LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX ON WI 7969 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNIGI-P-A-L+TY: LOT NO.: BILK. NO.: SUBDIVISION NAME: ~/a '/a COUNTY: OWNER'S/BU~S NAME: MAILING ADDRESS: F/i lc/(,7s USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence Ll 1 ❑New Replace v_ RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) LS ❑U ❑S ZU DS ❑U E DU ❑S QU If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-IN##€S CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH W, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- L/' 7Z 13- S.1-1 B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PERINCH P- P- P- P- P- 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 borings and the direction and percent of land slope. SYSTEM ELEVATION "t)TT 'EiC2~ 5' v~,o_+ . ~~JS~,~ ~'1 .~~.•vc. ~'L dU 2rhJ ~ J~ _ ) Wit= l f _G AT ...t vS . ?Ji ?O - VBu71rP/,0~V- 8 , `r~ ? 5o rev l, s I so K3~ N I ~ N T Ex, s ~ s - - - - - , , , f , t is form were made by me in accord with the procedures and methods specified in the Wisconsin I, the undersigned, hereby certify that the soil tests reported o /I Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional). CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER A= fit -01 and Oxman soil You; ~Lpco't n-,ust ;nciude~ i US., k, t,I.''ct o ;r.,ti YJ"Ct ar ? 0 4 : C s?C. .1C;L t7t ca-e- ei 3C t~} &iCi~e Cr; INIA ,a 'P_aa wnr)er (if f:)£,d cii °"t1 UY couline planned; is this a n t"E'P(-?f'i'.P`? MI, syStE'(n; C;=: mtal<ve kre, -;iwt> liq rating FE . A .7 F T X ETAbl-C, F,'-- 6 A HOLDING TANK ONLY IF ALL M }-$ER SYS: E 1"+16 RE i L)LEID COU T BASE D N" SOIL Ft ~Di'-C0 NS; h=r!, A, f_E ciitii cliagrar`t k wa. og YC,}£,i;. !o """Cal o E., pi£'tot u(J- A ,f$i n `7enc ..:c€i and b _s,..,c. .,,a3 t,i„.},. h.,., ra}in 3' U Pac,.r£. v ch€, _JPP, ,;T£$ GFL' iJ E3., 1'; idl',Ee. 's..P:. t~.n '-d, _,7%;.3ioje- <ie hoo o,S as 'tc damn nwm MJP 4 eS, ne,,0 plain don, ;5 6,:LMon test C' ;>_',YYtp, soon 11 a0lournimn; if , n° orm f_„ n d n from! plain, a€ a, n) € oon nM ;r? w on, TA _ in w ad's,. s, iwn haa; nm ME „a. r i and (3due " "',o .P can 'Piz adfjtt dl your Sown on, 141 BR BY, Mow (3. 121 S Soh, - rav ! iuroIk,i - ti 5 _ St3e't~ ~G~U F`i iE' G i ,a .e ant. Pew air`„ [ " P me swtl BM Loony Soo! ~ - GM", Sot „t My Lown iy C ' ref 3...om-t Cl~, t SON _ y Ln= M01 Sol GO"-' on . . P,1'a Mgt it P b, E 3 i _s t" .a .z eY', ie, , a ,r z". rf r"t; ~ ,_l o-6.-' CROSS SECTIDU OF A= S~ST>=/'~ - f ~IIJ~SH~o GtzH'o~. AGGREGATE ?"OF SOIL F-ILL Ll j N C DISTRIBIJTIOQ PIPE APPROVED SyWTHETIC COVER /'thTERiAL OR 9OF STRAW OR MARSH HAS i (o pF%Z-2~/Z AGGR~GAT~ ELEV_ OF ^`a• FEET - nE~z.Fo~.A'rEn P~P~ To x`1""1-pM ~F BE1~ I►JCHES BELOW-f ORIGI►JAL GRADE DISTRIBllTIoQ PIPE TO HE Al LEAST "LOW FIi1AL GRADE A"D AT LEASTZO IIJCHES BUT MO MORE THA►J `~2 IUCNES B= 71 -7 I►JCHES mt,xitAUN DEPTH pF LXCAVATIOIJ FROM ORIGt►JAL GRADE t-JILL BL 3S INCHES ` MINIMUM DEPTH OF EXCAVATIOU FROM ORIGIUAL GRADE WILL BE SIC-"ED, A e-4~~- L IG E ~ SE UUMBE R= • - - San. Permit No. C;an ' s name H63.05 PLOT PLAN Show: F 1 Location of building served Dosing chamber Septic tank Vertical reference point Q Building sewer Horizontal reference point 1 "R Effluent system Q well N Replacement system area F Propert,, lines w/in 50' of system Distribution boxes ( Scale = 111 = , or dimensioned IEY Pump and controls: _ ( - - Mfr. & Model No. Vertical Limit Size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal. per Miss. Gal. per Cycle Place check mark in appropriate box, indicating item is shc-,7n on plot plan below: - ~NRP - S 9f.1 A, BI 7 7 -3 ESC! jT. r O ~ I ~ - ,±gl 1 IA 7 CyS~- ~xtST. i By the granting or approving of the above plan, or upon th- event of a subsequent permit being issued, - -F'-o}x County and the STcRojx County Zoning Administrator, does not assume or hold itself liable for any detects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after installation. -A~■~►C Plumber's signa ure San. Pe Fit Nc. u H63.05 PLOT PLAN Show: [A 1 Location of building served NA Dosing chamber Q Septic tank Vertical reference point Building sewer Q Horizontal reference point Effluent system Well vA Replacement system area Propert-y lines w/in 50' of system C~ ' VI Distribution boxes ~ Scale = 111 = 4 ;J , or dimensioned Pump and Controls: Mffr. Model No. Vertical Lift Size Force Main Friction Less T. D. H. Vol. Dist. Pipe Gal. per Min. Gal. per Cycle Place check mark in appropriate box, indicating item is shc«m on plot plan below: ~?CiP S gl - \grlo ~HPVC b_O ~T - - - - - - - Y i ; y; -1 r I , V0 gcpZl~ i'?~iJ'r, I, UJ By the granting or approving of the above plan, or upon the event of a subsequent permit being issued, , S-Roix County and the nT.cF1o1X County Zoning Administrator, does not assume or hold itself liable for any defects in Tlans or specifications, plan omission, examination oversight, construction, or any damage that may result in or after installation. /a Plumber's si nature 146 3 . o L T LuD P -,,,cation of building served Dosing chamber Septic tank Vertical- reference point ff ✓ Building sewer Horizontal reference point well Effluent system Property lines w/in 50' of system Replacement system area - } j Scale or dimensioned { 1 t Dl- stri buti on boxes ! L - (N J Pump and Controls: Mfr. & Model No. Vertical I-_ ft Size Force Vain - ~_------N; - . Gal. per Cycle Vol. Dist. Pipe Ga=•_pe- Y Fri co on Loss T. D. H. . Place check mark in appropriate box, indicating SLem is shc-m on plot plan below: - - 51.1 3'7 ~s - - - _ b -CBI $ LVFJJT 1 _O_Z I avcZ 6' 4i Pt I .I TAP gL I J- _ 5 y 8 ~ o P~1 7 - 1 1kil~ 'S-Mll 14 6f'--T-'P- VNlVE K L;~W`tE t~c15T. I'. ~Ni - ~I RP ,,lv YIo iITL~! of S I L) ? nl G • iDO.o' - _ I By the granting or approving of the above plan, or upon the event of a subsequent sr.c~oix County and the STCROix County Zoning Administrator, does ~eimit being issued, not assume or hold itself liable for any defects in :plans or specifications, plan scion, examination oversight, construction, or any dam _ that may result in or after installation. _ ~P mbcr's signature