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022-1021-20-300
nmo ■�0 d § fff � \ 0 ® 0 C 2 7 co $ - } \ \ ƒ \ . ) CD ; / 0 o G 2 [_ :3 0 k ) ° ® e 4 0 r ° a o o« - E E n § p _ § \ ■ �� K / § £ ¢ " _ _ $ co _ 3 0 \\ 4 § 2 § CD 2 2 z m� k �- CD OR z o o o / % 7 CO) CO) § \ / ° § E d 7 J 7 i E JEM 2 � G E [ 2 ' t { 2 5 i § ƒ k / 9 / k E = 7 � M / ¢ \ 0 ; / �_ k ■ a / \ { § 9 f i U) z ¥ _ D m \ 0 \ / 2 o @ 00 0 > CL rr § j a) E§R ® % N :3 @ :3 $ CD CL ƒ \ x \ k (D \ £i @ CD Kj K 0 o � § f @� �\ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitar Permit No: 453372 0 GENERAL INFORMATION (ATTACH TO PERM'T) s State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Otte, John -- Kinnickinnic Township 022 - 1021 -20 -300 CST BM Elev: Insp. BM Elev: BM I Description: Section/Town /Range /Map No: /od /on (3 `'v1 t C S i 08.28.18.1220 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. /0 Septic Benchmark I :50 av Dosing Alt. BM (z 0e ' 7 G S Aeration Bldg. Sewer HotdlFig �, l] St/Ht Inlet Z � 3 TANK SETBACK INFORMATION St/Ht Outlet �� • 7. 7 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic If2t / r �/ Dt Bottom A-. �' 1- -3 3 $ Dosing I 1 Header /Man. 25 / Z5 Aeration Dist. Pipe Holding Bot. System $ S ' Final Grade PUMP /SIPHON INFORMATION 3 .Z5 z Manufacturer GP and St Cover -I Model Number �� Cyr r � c t � TDH Lift � I Friction Loss System ead TDH - I <1, D Z• ^� , 1 Z7- Forcemain Length i Dia. i t Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of�{enches PIT DIMENSIONS No. Of its Inside Dia. Liquid Depth DIMENSIONS ! _ AM (1 C — 7 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of t em: ' r ���/ AIA- !V /� UNIT Model Number: �1/�S F'� DISTRIBUTION SYSTEM Header /Manifold / I s ributio is x Hole Si x Hole Spacing n ( 1 z �l / `in�g f Ve to Lengt Dia Length J� V Dia Spacing 3 ` �S �,J po SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over r Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges \ Topsoil 1 (�� Yes F I No Yes J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ld / 6 Inspection #2: 1 / YlL Location: 431 C.T.H. SS River Falls, WI 54022 (NW 1/4 SW 1/4 8 T28N R18W) NA Lot 3 Ck Parcel No: 08.28.18.122 1.) Alt BM Description = r 2.) Bldg sewer length = 1� / n' S I 1 1 J 0� - amount of cover = J ��C'.(� �1 (' L - 1 _ v -�� -- -- - - - -- -- - - -- - r - - - Plan revision Required? I> j Yes /No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's ignatur Cert. No. [qGOULDS PUMPS Submersible Effluent Pump MODEL 3 88 5 WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously Sp ecifically des for the stainless steel. Threaded • Capacitor start motors for without damage when fully P y g design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with ■ Bearings: Upper and • Homes damage on accidental reverse automatic reset. lower heavy duty ball bearing rotation. • SJTOW or STOW severe duty construction. • Trailer courts ■ oil and water resistant power • Fasteners: 300 series Motels ■ Power Cable: Severe duty • Schools stainless steel. cords. •'/3 and 1 /2 HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry NEMA three prong Epoxy seal on motor end • Industry without damage to provides secondary moisture •Effluent systems components. grounding plugs. • 3/ HP and larger units have barrier in case of outer jacket damage and to prevent oil ■ Designed for continuous bare lead cord ends. operation when full wicking. Standard cord is 20'. SPECIFICATIONS P y submerged. Optional 9t 0 Three phase (60 Hz): tlonal len hs are available. Pump Class 10 overload protection P ■ 0 -ring: Assures positive • Solids handling capabilities: MOTORS p 9 must be in P sealing against contaminants 3 /a" maximum. ■ Fully submerged in high- Sept, rately ordered starter and oil leakage. • Discharge size: 2" NPT. grade turbine oil for lubrication • Capacities: up to 140 GPM. g STOW power cords all have AGENCY LISTINGS *Total heads: up to 128 feet and efficient heat transfer. bare lead cord ends. Tested mucneand TDH. ■ Class B insulation on ■ Designed for Continuous csa221 108Standards • Temperature: '/3 -1' /z HP models. Operation: Pump ratings are CM ® By � ia" � "da � 1041(40°C) continuous ■ Class F insulation on 2 HP within the motor manufacturer's us F Association il #UW549 140°F (60°C) intermittent. models. recommended working limits Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP METERS FEET voltage, phase and RPM's 40 130 I N available. 120 _ __ ___ -_ __ - — _ — - - — SIZE: 35 -_ ___ ___ ___ __ __ __ ___ __ __ -_ __ _ RPM: 3500 & 110 FEATURES - - -- - -- - � 5GPM - — - - — 30 100 5 FT — — — — ■ Impeller: Cast iron, semi- 90 4-4— _ — --d - -- 11 ___ __ -_ -- — - - -- -- -- - -- - - - -- - -- — open, non -cog with pump -out w 25 80 vanes for mechanical seal _ H _ _ ___ ___ ___ _ ____ ___ __ __ __ ___ ___ --- ___ -- - -- -- - -- -- protection. Balanced for 20 70 Q - - -- - - -- - -- -- -- — - - -- - -- - -- -- - -- - - -- - -- - -- - -- - -- -- - - -- -- - -- -- -- -- -- - -- smooth operation. Silicon Z 60 - -- - -- -- bronze impeller available as a 15 50 6 - — - - - - - - - - - - -- -- — -__ - -- - - -- __ ___ . ____ __ _ -- _ -- - an option. ao - - -- - -- - -- - -- — -- - - -- - -- - -- - - -- - - -- - -- - - -- - -- ■ Casing: Cast iron volute type 10 - -- - -- �-- --- - - --- -�� �-� ---- -- - - - -- - -- 30 -- for maximum efficiency. -- - - - - -- ------ — -- - -- — - -- 2" NPT discharge. 5 20 _ _ ____ ____ ___ ___ _ ___ _ ___ ___ _ ___ ■ Mechanical Seal: SILICON 10 CARBIDE V$. SILICON ° 0 0 10 20 0 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. , , I J Stainless steel metal parts, 0 5 10 15 20 25 30 35 m /hr BUNA -N elastomers. CA PACITY Goulds Pumps © 2003 Goulds Pumps Effective July, 2003 www.goulds.com ITT Industries 83885 <& Satiety and Buildings Divisiun County 201 W. Washington Ave., P.Q. Box 7162 N VIsconsl. Madison, WI 53707 7 7162. Sanitary Permit Number (to be filled in by Co.) —1 De artment of Commerce (608) 266.3I51 5 33 -2� I Sanitary Permit Application State Plan 9L�D.iNumber ,� l ; ]� jl In accord with Comm 83.21, Wis. Adm. Code, personal information you provide d l`� Ce 4 V � ' �, ` may be used for secondary purposes Privacy Law. si5.N 4 Project Address (if different than mailing addressl I. Application Information • Please Print All Information I 'L-TI. E i 73 / tap ?h? SS Property Owner's Na the — O — 9 2 004 I Parcels Lot # Block # Property Owner's M ailing Address Property Location I City, state i4 14/ 4. �CrJ ,Secdon Coda Pho n e � r j Zip ne Number �`G G < l�S G.r f .�/ G�✓� 'circle o .II. Type of Sulltting (check all that apply) T � � N; R1 f E of 1 or 2 Family Dwelling - Number of Bedroom$ Subdivision Name CSM Number ❑ Public/Commercial - Describe Usa _ �01 /s Z ! l 0, State Owned - Describe Use pt T' L f` r� �jy� A, O r ❑City Lviilage 'Towns 'p of III. Type at Permits (Check only one box on line A. Complete One D if applicable) C SYsie ❑ Replacement system ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ® Permit Renewal ❑ Permit Revision ❑Change of C Permit Transfer to New List Previous Permit Number and Date Wilma before Expiration f Plumber ; Owner IV. Type of POWTS System: (Check all that apples____ _ ❑ Non - PressuriW 1wGround ? Mound < 24 in. of suitable soil At- Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressure n- Ground ❑Holding Tanis 1 Peat Filter ❑ Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Recirculating Synthetic M edia Fi lter ❑ Leaching Chamber G Drip Line r Gravel4eas Pi G other (ex lain) V. rSAMeatment Area Information: Design Flow (gpd) Design ll Appil m' gpdsf) Dispersal Area Requi ed (st) 1 Dispersal Area Pro ad (sf) System Elevation �� A. ; CDQ r S'; 3 / -a �( d two I Gae Zia -7 .-5 VI. Tank Info Capacity m Totai Number Manufacturer Orefab Site Steel Fiber Plastic New Gallons Gallons of Units Concrete Construcred Glass Tanks Tank$ Septic or Holding Tank Aerobk Treatment Matt /� i Aosing Chamber 1 ' ®vd r , "es e- Y VII. Responsibility Statement- I, the undersigned, assunu responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature rMPIMPRS Number Business Phone Number Plumber's Addre as (Street, City, State, Zip Code) VIII, Corral /De artment Use t?ni — ApWovgd (] Disapproved Sanitary Permit Fee (includes Groundwater Date Issued ing Age Signature ' tamps) Surcharge Foe) '? Y V V C1 Owner Given Reason for Denial J -� LX. C%X1l loac at Approvat/Reasons for Disapp M 99 afktlC;6 � YSTEM OWNER: C'. Y3 S - III Septic tank, effluent filter and dispersal cell must all be serviced / maintained all er /�Lry>�Ji� Y A CJ�O��4h�C All setback� m�ent an rovid ed b ptumber. 2. All setback reqts must be maintatne as per applicable code /ordinances. 411100 eamplow Plans (to the County only) tot the system on paper nofleas 81/2 x 11 ia0hes In u ' SBD -6398 (R. 01103) C a PLOT PLAN ' Page 3 of � Scale 1 "= SO ' L 0 y "pv C k q �J J J l� I l� ' � 1 l F+ � N 'I �l N i � X � qs L , S � _ Lo T ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road -� Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel #8.28.18. Site: 431 C T H SS Lot 3 (Kinnickinnic Twp) owner(s) John Otte Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and /or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. Surface drainage is southwesterly toward C.T.H. SS road ditch, with >100 feet of buffer between road right -of -way and the house construction. 2. Route contaminated runoff into vegetated buffer areas on owner's property by creating temporary diversions graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with temporary diversions and vegetative buffers. The POWTS inspector and building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation – do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion & sediment control i 11 t* Prepared by_ Pamela Quinn Soil Erosion Inspector #665054 Owner acknowledgement of ESC Plan requirements: —/ 0 @ o ■ - 0 �z \ 7 � . fƒ 0 ° r 2 $ 8 G �- 2 / 4 �� ƒ % \ ~ } \ ¢ 2 2 \ U ) O 2 , � [ � g i ■ � (no > 2 C = 7. 0 �ƒ� 4 §�j 0 } \ § E c f � ■ r 7 �, \ .. o > � / \ § § § K) / ° � \ � / E . w .. CD @ o \ C / g 7 o a CD 0 � / CD \ w ca q ( \ k z 0 ■ L-. \ \ 9 CL z H = D ■ © CD § 2 ; m o - ® co � m > {} CL g t C . � a / $ � \ l 0 7 0 2 0 ■ (D \ \ ° � 8: � �4 Safety and Buildings 'commerce.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 06, 2004 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/06/2006 Identification Numbers Transaction ID No. 994983 SITE: Site ID No. 682835 John and Joyce Otte Please refer to both identification numbers, CTH SS L above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NW1 /4, SWIA, S8, T28N, R18W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 955934 Maintenance required; 600 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.0 1 /0 1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS - Version 2.0 "; SBD - 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /01) "Pressure Distribution Component Manual for POWTS - Version 2.0 ". • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized gRgesentatives of the Department, which mgy include local inspectors. 1 U - Vif. Conditionally 0 --,f%vr-M ' ARTHUR L WEGERER Page 2 5/6/04 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, &40ff��� Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page of -7 O M OUND SYSTEM FOR �w A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component C,4► Manual SBD 1 0691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01 101) (N.01 101) LOCATED IN THE V'3� 1/4 OF THE SW 1/4 OF SECTION ,T Z8 N,R 19 W, TOWN OF �r�1/Niy1C12 S�^. `��X COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PU--IPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR Pj LL R- or,- -D rw�So�,1 "-j 1 S �IU I PREPARED BY tsiEGEFcER St3 I L . TEST S NG AND. DES = GN SERVICE P.O. Box 74 421 N.iain St. ` raow River Falls, WI 54022 Phone 715 - 425 -0165 w1�� ...••••••. Fax 715 - 425 -6864 wecFFt'N D -915 P 6LL3'ropNT, i rall Yl SA W ' VV, (VISION SAFETY AND BUILDINGS SEE CO R SPONDENCE y JOB NO. —Lt iviouna System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Pa � - of dj � 3 2 Septi_ c ask `7J J - 71-� The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be leaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pumg Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as.necessary. Mound and Pressure Distribution S tem No trees or shrubs shAUld be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may infiltrative surface within the mound and snow compaction in the winter P Y hinder aeration of the P nter will promote frost s October- P ost penetration. Cold ( Feb P wea (October-February) dictate that the mound be heavily mulched for frost protection. ther installation Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual arid.l s ) ocal or state rules pertaining to s � P g system maintenance and maint - ce r e p ortin g . s� q \- P No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component she be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning-office at `71 S - fib_ �1 �UD Sr- t The system installer at S — ' sg 6 .31 Z4 Set- huv�r�- The tank manufacturer at The effluent filter manufacturer at 1ZJ - S (L The pump manufacturer at y� -- _ - sloUt - GVULI PLOT PLAN Page 3 of � Scale I"= 50 ' Lv�' yJL I S i IJ J fi F. M. �� ge Pace 0 - 7 Approved Synthetic Covering ASTH C33 Distribution Pipe Medium. Sand Topsoil �= H — W G ^� ,• F Elev. 3 E D e C� % Slope Distribution Cell of Force Main Plowed z" to 2- Aggregate From Pump Layer D \ � Ft.� E \.`� - CROSS SECTION OF A MOUND SYSTEM F O .B Ft. G 0 .S Ft. A Ft. H \,O Ft. Linear Loading Rate= 6.O GPD /LN FT B 100 Ft. /J Design Load in g Rate= 0 .3.GPD /SQ FT I 1 Ft 99,0 c 4AAe- Ivo+ wF�l -L, � � (2'� o � • � (� Sa d.rw kAc. p `� Ft. —6 VneR 4f Z c.� Al+ one +.y L 1ZZ Ft. W Z Ft. — L ' U - Observation Pipe K c�- �— •--------------- - - - - -- --------- - - - - -- EF _ W � - - - - -- -- - - - - -- ----------------- - - - - orce Main 0v R - T Distribution Cell of z" to 2.1,211 �h47oS �1vi� Pipe aggregate Observation Pipe (Anchbr securely) . r PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout ; S Pz a o� Place the holes at the bottom of the distribution pipes at*equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45' frrins to a point ' r w , six inches of the final grade Q*ad . T . e�minat e the ends of the late. -aIs with a valve,•threaded can or • threaded plug. Provide access from final Bade for the valve; threaded ' or or d re :de3 plug. i �t'F 1 cr L Zs�S s s��i10?y FV C F�J� PVC Lateral — Manirold Lateral X X x x V2 Ixa x x x x = Lateral Lancth —`P Later(Length — F Oistribut cn Une I_c Fob r, aim P 14°\,S Ft. Hole Diameter � fnch S 3 Ft Lateral " 1 Inchfes) X 3 �0 Inches Manifold 1 �'�z Inches Force Main " s l of holes /pipe 1 1 Invert Elevation of -Laterals Voo 0 Ft. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOMS PAGE .(�. OF VEIJT CAP `t"C.Z VENT PIPC ' WEATHER PROOF APPROVED LOCKING MANHOLE 2: 10' FROM DOOR, JUIJCT101J 80X COVER WITH WARNING LABEL WINDOW OR FRESH IZ•MIV• I Alit INTAKE _ I GRAD - � COQDUIT I lj' MIAl. �--- � 11� IMLET , PROVIDE _ . r AIRTIGHT SEAL I I APPROVED JOIIJT/ A I I I APPROVED .1014% I I I I ALARM I I I ON C I I CLEV. ` -7 FT. I PUMP OFF 0 COUCRETE BLOCK Y - RISER EXIT PERM17ED OIJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL 3,•A9 100 SPECIFICATIOUS DOSE TA LI V-S MALIUFACTURER: k�ENZ UUMBER OF DOSES: S ' , PER OJ►y TANK SIZE : GALLOWS DOSE VOLUME Z ALARM MIW_UFACTURER' S` S '��-Tiz -O S Z IWCLUDIN 5ACKFLOW: GALLONS A10DCL NUMBER: �� I - CAPACITIES: A, INCHES OIL cZ CALLO SWITCH TYPE: M -L Z ' 8 = � IIJtNEi OR SS' 7 GQLLOf►IS PUMP MANUFACTUJtCR: G P U LrL� S C s � IULH :$ OR � GALLOWS MODEL LJUM9ER: � OS 0; V• r INCHES OR 3 � 9 6 GALLONS SWITCH TYPE: Qizoj1-�- � MOTE: PUMP AU�A ARM ARE TO bE MIWIMUM DISCHARGE RATE _GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFEREMEE BETWEEU PUMP OFF AU0.015TRIBUTIOW PIPE..�_ FEET + MIMIMUM NETWORK SUPPLY PRESSURE .. • SO �FE,ET (c- + iy0 FEET OF FORCE MAIN F p fLFRIC7IOU FALTOR. Z"!a FEET TOTAL OyWAM L HEAD As per - manufacturer • Z`l . � gal /in. Liquid depth 3 Gouldsjc 1 °� ' Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. dry without damage to heat transfer. ■ Motor Cover: Thermo las- • Effluent systems p • Homes components. tic cover with integral handle Available for automatic and • Farms Motor: manual operation. Automatic : 0.4 and float switch attachment • EPO4 Single p hase: HP, • Heavy duty sump 115 or 230 Vp a e: 0.4 H0 models include Mechanical points. • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, heavy ang lower 115 V, 60 Hz, 1550 RPM, FEATURES ty bearin Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 1 /a maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP• Canadian Standards Association Total heads: up to 24 feet. with three prong grounding ■ EP05 Impeller: Thermo a Discharge size: l /z NPT. plug. Optional 20 foot plastic enclosed design for (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with end in "F or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 LL • Capable of running dry without damage to s 3 0 — s� SGPtN it l components. Pump: EP05 a • Solids handling capability: 0 25 r I 3 /4 maximum. a z • Capacities: up to 60 GPM. _ • Total heads: up to 31 feet. S? 6 20 • Discharge size: 1 NPT. -- ! - -- • Mechanical seal: carbon- c 5 15 rotary/ceramic- stationary, 4 I i BUNA -N elastomers. o ( ! - - - EP05, • Temperature: 3 10 -- 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 ( I - — 5 � I 0 00 10 .. 20 30 40 50 GPM L 'L L L 0 2 4 6 8 10 12 nn-1h CAPACITY C 1995 Goulds Pumps Inc. 1_4ective May. 1995 Z. C) 1 `Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST - c'm l include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Re ' wed V7 D Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Prop erty Owner Property Location 2 ITIQ 67 Geu"et- n1 l l) 114 S W 1/4 S T Z R N R ) E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1'- O - �3n K Z 4 Z 3 — I ?Izoi > eD cswI City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road S.ST'- 2LN - wtN SSi)�S (�1Z) - 1 Z3 -108 7 - ` \1�11JL°L�fc- t)J1VLC SS « ® New Construction Use: © Residential / Number of bedrooms Code derived design flow rate "° GPD ❑ Replacement ❑ Public or commercial - Describe: .�. Parent material G p�_� P rt1 `71 L.L Flood Plain elevation if applicable Nj . E General comments .-- and recommendations: LOUt�p �� ; 'Y' to 0 b ) s`�1Z -1 �Uj 0 )'V DEC 0 3 zQ01 6, ST CROiX r ou o FF 20N ZONING O FFlCE a Boring Boring # ❑ ® pit Ground surface elev. 9 g ft. Depth to limiting factor Z(7 in L 9 oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0 -9 1p'. LZ31Z Z w� `F►,- LS - ,S g iOw2 3L6 3 1z �O ,sKfZ31y L Zo- S R FLT .S (z S!$ L sI Ov V�qU'& Boring # ❑ Boring 9 0 pit Ground surface elev. � o • 7 ft, Depth to limiting factor Z S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 _9 Lr-�-t R �Jz _ S Z I Z'PS b �Z- 3 ZS A 1 R- S/8 L �.s l ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Signature CST Number Arthur L. Wegerer D 4 4 04 , Z� - (2� l-Zq I 3 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Iiain St. River Falls, UI 54022 715 -425 -0165 Property Owner `-� ALT Z Parcel ID #�Dl Page Z of F-1 Boring # ❑ Boring ® pit Ground surface elev. S- Z ft. Depth to limiting factor Z'�° � I Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 �1z - s,1 m 5bk Z 9 -L9 F Borin g Boring # ❑ ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence lioundary Roots GPD /ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 L --E ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 • Ef0uent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. SBD -6330 (RAM) • PLOT PLAN Page 3 of 3 Scale 1' _ L 4 • 0 1 4 m eor.lrovIL Lt . _q8.o' GFL qS / 9 i r nr N `C(1 LL r 3.3 ! r r O JO 02 D1,S'ly� I r � / r q9 I Yt7JCE b- _ An? o►= s`r"�L�z.__ F ► PusT, - - -- ti -Zq -0] 715- 425 -0165 220254 O 1- Zg - CST Signature Date Telephone No. CST No. Job No. U' 24 4 3P 043 - 7 use STATE BAR OF WISCONSIN FORM 1 2000 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., MI This Deed made between John J. Jones and Cynthia J. Jones, husband and wife RECF RECORD 10/24/2003 130P!! Grantor, and John Otte and Joyce Otte, husband and wife as ° Y1ARR EED . EXi=t4RT it aurvivorshi a6arital property REC'FEE: -11.00 TRANS FEE: 164.70 Grantee. COPY FEE: Grantor, for a valuable consideration, conveys to Grantee the following CC FEE: described real estate in St. Croix County, State of PAGES: 1 Wisconsin (the "Property") (if more space is needed, please attach addendum): Lot 3 of Certified Survey Map recorded in Volume 15 on page 4247 as Document No. 669534 ing a par the Northwest Quarter of the Southwest Quarter (NW% Recording Area of SWk) and part of the Northeast'Quarter of the Name and Return Address Southwest Quarter (NE;1 of 5114) and part of the Title One Premier Group, Inc. Southeast Quarter of the Southwest Quarter,(SZ% of 706 19th Street South - SOO , Section 8,.Township'28 North, Range 18 West, Hudson, Wisaonsin`54016 Town of Kinnickinnia Part of 022- 1021 -20 -000 Parcel Identification Number (P" Together with 91 i0purtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor wamdnts that the We to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of _Record. Dated this 23rd day of October 2003 hn ones * is J. Jon * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signatures) ) ss. St. Croix County. ) authenticated this day of Kay v. r qim Personally came before me this 23rd day of Notary Public October 2003 the above named In John J. Jones and TITLE: MEMBER STATE BAR OF WISCONSIN Cynthia J. Jones (R no d to me known to be the person s who executed authorized by §706.06, Wis. Slats.) the foreg and edged the same. THIS INSTRUMENT WAS DRAFTED BY ` * Michael H. Prorecki, Attorney N06y Public, State of Wisconsin Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: L ( Signatures may ce be authenticated or acknowledged. Both a not neces December 12 200 *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 orney Michael H Forecki 1830 Brackett Ave, Eau Claire WI 547014627 Phone: (713) 835 -3029 Fax: (715) 835 -4112 Title One Premier Group T6942049.ZFX Produced with ZipFwmD by RE Fwrns e . LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 49005, (8W) 393.9805 \'A �W�� LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF KINNICKINNIC COMPUTER NUMBER 022 - 1021 -20 -300 Parcel Number 8.28.18.122C OWNER NAME: First JOHN & JOYCE Last OTTE PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 8 TOWN 28N RANGE 18W %160 SW 1 /440 NW Line Description Line Description TOTAL ACREAGE 2.891 PLAT CSM 15/4247 LOT3 BLK 01 SEC 8 T28N R1 8W NW SW 15 02 LOT 3 CSM 1 5/4242 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit ST CROIX COUNTY SEPTIC 'TANK MAINTENANCE AGREEMENT AID OWNERSHIP CERTIFICATION FORM 'OwnerBuyer " -f'y d5` ' Mailing Address _ -sS r�t't/C Y malls evr' °�r�� Property Address -eI 3I ce (Verification required from Planning Department for new construction) City /State Parcel Identification Number 022 — /OZ /— a6 --36) LE GAL DESCRIPTION • / Z2G Property Locations '' /,, a��-� ''' Sec. , T.7?' N -R_7 W, Town Subdivision , Lot # Certified Survey Map # &(a , Volume I_S , Page # _ Warranty Deed # __7 Y'7 - 7 �U Volume O Page # 3 Spec house O yes a no . Lot lines identifiable Z yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposaI systern is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the t ree year expiration date. ( L /1a / -a SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are tntc to the best of my (our) knowledge.. I (we) am (are) the owner(s) of the prope described above, y virtue of a warranty deed recorded in Register of Deeds Office. / ej `• S NATURE OF APPLICANT DATE '• "'• Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ••••'• '• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT RECEIVED AND OWNERSHIP CERTIFICATION FORM FEB Owner/Buyer l `������-� ? sr ;wC " \wt;?u; a. Mailing Address c`7 Property Address 4 (Verification required from Planning Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION V Property Location J " � '' /:, 5 '/:, Sec. , T N -R -W, Town of (16, Subdivision Lot # . Certified Survey Map # 5 55 L f , Volume � Page # Warranty Deed # " G p - J U Pa ty `I Volume ge # Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. J. R ,s SIG RR ERTIFICATION jol DATE O I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. C QI?l U TURE F PLIC DATE •••••• An in-formation 2t is mis- represented'may result in the sanitary permit being revoked by the Zoning Department. •' "" •• Include with this Application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I I 66953-as ' Cit L.-. 1 I=-"- G u 4247 • KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. WY RECEIVED FOR RECD F :cx: 01 -28 -2802 1:45 PN COPY FEE: 3.00 RECORDING FEE: 13.00 BEARINGS ARE REFERENCED TO THE PHGES. EAST -WEST 1/4 LINE OF SECTION 8. o Z ASSUMED TO BEAR NBB'19'46 "E o I r Co m 1 I 1----- - - - - -- o °D — 1 — I ` f 1 - - -_ -_ 1 _ WEST LINE OF THE c = / t I CsaT�N■ S" S`�~14OFTHESWt /4 \� m ��� ` oN00 1'21"W cn 1311.48 ` 11 77-1 w m 3 n 436.43' <_ aztrW S_ A i; 1278.7& t m 20- - ... ... ._... - - ...r ... -' jA ba CD 1w;b NO ;O;Lyy7� 4 4• ;Uuu ;Do glue N G- :32.7 1 1 1 1 r _ - - � -- �; ca ' F 1 r.`3i 0.r •n5 1 Cad I O � T I N (� ZZ m [; �t7t i � � 1 m � v � u t IO v ca rs I EAST LINE OF THE (cam t SWi /4 OF THE SWIM EAST LNVE OF THE t I V NOO°08'22"E 439.42 _ — NW1 14 OF THE SWIM ; I c -- . ST. CROIX CJL NTr S00°2205'W 1762.16' I I m Ptanrtina 7o a" P: "r rnmi! oe ; I T ; JAN 2 8 2002 �G`JtPL�IQ_1 _ © �GIO�D o If t recuroaa wtltua 311 days CA I v appmvat date app rio r'ovai shaN be x� N � � 7C y y y r n,11 mtdvoidN Z<<Icg r r r r r r r r r Zrn AAAA—f O • 0000c 0c; m �� i 1 A A co C." p is n O Cp 0 zydd� Z nnnnnAAn m o,�j �naaa in _n o z z i S St Se 0 z F o v b O o' -i _ �r �j C Z O D i t,. r .r .... o ..a ' c') IM M to �1 �T Q / f� Z f�•7 m '� oo� po� ."a 3 � Vj i�D r f.il C>o N C7� O � IT1 �C �I � _ �••1 �/ J ru f*1 C D 2C) �C m M O N O N � ,- ?tN•11 C CID x mZ CC /V � A l A c-_ C W tw N N N N N W D r L") O� m� No (D to 40can rn� a - t ` m ` �A� rn 70 g O - Z 1 ttc) 01 A i0 N p ���_ 0 ` GGO S a-. gm M yC y Z C3 SHEET 1 OF 2 SHEETS V 0 Vol. 15 Page 4247