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HomeMy WebLinkAbout024-1018-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479381 0 GENERAL INFORMATION (ATTACH TO PERMIT) 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: Village X Township Parcel Tax No: City Jacobson, Arnold Pleasant Valley, Town of 024 - 1018 -10 -000 CST BM Elev: Insp. BM Elev: BM Des 'ption: Section/Town /Range/Map No: j�Iyt 16.28.17.97 TANK INFORMATION ELEV TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. lo 3. 3 Se ti V u w L 4 2,4 v B �–� r �� . 7. too. GJ Dosing � �1Li'.•"" —� -- 1��y�,/� ,d06 Alt. ,BM✓n �..' � ��J • J Aei 10_ - ( ` rn BId er / s� Ti��1fs ]v y�C,�{fy� Holding 6- hd'�YS I St/Ht Inlet y Q I TANK SETBACK INFORMATION /V St/Ht utle a n TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / I Septic ) Dt B_ ottom � 3, 41 2 U Dosing 1 3s , Hea r/Man. * / 16 2- 159' C ` 1W Dist. Pipe Hol i g I Bot. System 7 (� / Fin D jb 2 PUMP /SIPHON INFORMATION al Grade J Manufacturer / l Demand St Comer/ GPM G (p Model Number / n 64 �a , J Z f /!5 /a y YS TDH Lift Friction Loss System He d DH Ft e. / Forcemain Lengt 5 f Dia. Z // J Dist. to Well i d SOIL ABSORPTION SYSTEM " 30 BED/TRENCH Width Length / No. Of Tcenches PIT DIMENSIONS No. Of Pits Inside ia. Liquid Depth DIMENSIONS -6 �"7C SETBACK SYSTEM TO / J P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Ty Mystem: Z �U/ / 1 7 /� UNIT Model Number. —� b J � DISTRIBUTION SYSTEM Header /Manifold r � Distribution CZ' ' �/ / x Hole Size x Hole Spacing r r I VWA'ltake Pipe(s) L Length t 4 Dia Z Length AW I /i Dia 7 Spacing �`/✓ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodd xx Mulched Bed /Trench Center / t / / Bedlrrench Edges Topsoil (� 1 - l Yes No es ] No ` COMMENTS (include code discrepencies, persons present, etc.) I nsp #1: 1 - 01 �^ inspection #2: / � / Location: 372 County Road T Hammond, WI 54015 (NE 1/4 N 1/4 1 T 8N RIAV) k e o 0 � a ce o: 16.28.17.97 1.) Alt BM ription = C-��� QJ C�v G� j�yrt f'"""' 2.) Bldg sewer length , y�to ` /,,• - amount of cover = / / (/ o�aB' C U 5 d, /t elev. 7T�2.is Q' �vry w /5G`�4 -`f� w► 3 - -- d Use other side for additional information. No Date Cart o. Q _ Insepctor's Sign re SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 5T . ( K N) Pisconsirn 1�adison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 - 3151 3? •�' . ,. ; State Plan I.D. Number Sanitary Permit A �o In accord with Comm 83.21, Wis. Adm. Code, perso i n you provide I (o j S = ( -Aug / IJ may be used for secondary purposes Privacy La )(AIJ oject Address (if different than mailing addre s) I. Application Information - Please Print All Information 91, C OFFI Property Owner's Na me Parcel # c ( ' 9 Lot # Block i/ 4JA4 % non Property Owner's M ailing Address Property Location 3 �) '.A, !i,Section Cl , State Zip Code / Phone Number ��- /�j (cirdepp) H. Type of Building (check all that apply) T (J U N; R l / E o,/ 2 Subdivision Name CSM Numbe� 1 or 2 Family Dwelling - Number of Bedrooms — _ ❑Public/Commercial - Describe Use ❑ State Owned - Describe Use _ ❑City_ ❑Village INTownship of P 102 M'A III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' ❑ New System Re lacement System y p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. ; T ype of POWTS S stem: (Check all that a 1) K SO ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (expla' ) V. Dispersal/Treatment Area Information: = /Co. 2 - 5' Design Flow (gpd) Design Soil 1pplic te(gpdsf) Dispersal Ar a fired (sf) Dispels Ar Pr sed (s System Elevation 6 o s 6 � � boo VI. Tank Info Cap aci in total N6mber nufacturer Ffvtab Site Steel Fiber Plastic Gallons Gallons of Units w' PLS ZS Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank A Aerobic Treatment Unit Dosing Chamber A© VII. Responsibility Statement I, the'utideydgned, assume responsibility for in POWTS shown on the attached plans. Plumber's Na me (Print) Plu s Si nature M Num Business Phone Number 9' 5F Plumber's Addre ss (Street, Ci State, Zip Code) 0 #Z Z2 7259 bf &6^ VIII. Count /De artment Use Onl Approved ❑ D' oved Sanitary Permit Fee ' cludes Groundwater Date Issued Issuin Agent Signature (No Stamps) Surcharge Fee) ❑ O ' en Reas r Denial r 1 IX. Conditions A prov SYSTEM 3) a") 1 Septic tank, effluent filter and dispersal cell must all be serviced / meintaln®d eA Lim as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances, Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) ( FLae� iLAPtJ =, C) 4 Ilk tz i �o 3 a 4IZZ q qU d � o Ac th AQ p o + C4 i , ,Add N� Get r\ yr cw j i i J � z a�� r� Safety and Buildings PO BOX 7162 commerce.Wl.gov MADISON WI 53707 -7162 TDD #: (608) 264 -8777 t isconsin www. www.comm vAsco o v Department of Commerce wisconsin.gv Jim Doyle, Governor Mary P. Burke, Secretary August 01, 2005 CUST ID No.220673 ATTN: POWTS Inspector CHARLES L WEBSTER ZONING OFFICE WEBSTER EXCAVATING, INC. ST CROIX COUNTY SPIA N5815 770TH ST 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/01/2007 Identification Numbers Transaction ID No. 1161527 SITE: Site ID No. 702411 Arnie Jacobson Please refer to both identification numbers, 372 Cty Rd T above, in all correspondence with the agency. Town of Pleasant Valley, 54015 St Croix County NE1 /4, NE1 /4, S6, T28N, R17W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1031730 Maintenance required; Replacement system; 600 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) Cc 7 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. L 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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 maintenan f the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Robert Kanter POWTS Plan Reviewer, Integrated Services WiSMART`code: 7633 (608)261-7735, Monday -friday 8:OOAM - 4:45PM rkanter @c ommerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 f WEBSTER EXCAVATING, INC. f � N5815 770th St. Ellsworth, WI 54011 (715) 273 -3430 �- R EC EIVED POWTS Index Sheet Page JUL 2 7 2005 *vk7y S BLDG DN Mound System Sized for a 4 Bedroom Residence (house is three bedroom) Property Owner/Project Name: Arnie Jacobson NE % NE % S6 T28 N R 17W Town of Pleasant Valley, St Croix County, WI Contents Page 1 of 8 Index Sheet Page 2 of 8 Plot Plan Page 3 of 8 Plan View Cross Section Page 4 of 8 Distribution Pipe Layout Page 5 of 8 Pumping Chamber Layout Page 6 of 8 Pump Performance Curve Page 7 &8 of 8 Management Plan •• We"TIR _ �FLL3Y�tOfi"M AL E� Component manual used: Name: Mound Component Manual for POWTS Version: 2.0 SBD- 10691 -P Date: January 30, 2001 Name: Pressure Distribution Manual for POWTS Version: 2.0 SBD10706 -P Date: January 30, 2001 37� ° 4 , -r� 4Z jt of Al 1- 6 `! •k• ti ot J 5 lk b s .3 yC t N O s Qo I t * f r P /d S V o'ck. v�rs 5% ec ti on a� Page . Of Approved Synthetic Covering Distribution Pipe F rs '1 C- 3 3 Medium Sand H _ Topsoil - �- �__ = F Ele Z 3 % Slope ;z1 Bed Of ? -22 Force Main Plowed Aggregate mp Layer �+ c oti + o,, a /- ►!d(9 -.Z D E X45: 7 '1 1* Cross Section Of A Mound System Using a A Bed For The Absorption Are.a r I F , 16"- -h, (0 -$ J G O Ft. Ft. H / - A Ft. _ Linear Loading Rate = 49 'QGPD /LN FT B 7.� Ft. Design Loading Rate= c /SQ FT( j IS Ft. 74 bO .? 7 Ft. Tl,K.+d�dO /w� 1 K _�L Ft. 1 r Ft. J T)'P�ct tltc�t cn d W 30 Ft. L }IrObservation Pipe i B K --------- �_--- - - - - -- A / �.- -- - --------------- .�.--------------- Distribution Bed Of 2"- 2 Pipe Aggregate aity- Roe Observation Pipe,` OLrc vd to•a t J jee d n,.'a•is,k d. "dj., ctr� o �j ih 6c C? C. d1Cr t �J l/C 7 '/e- tdA" 15�,,4c -r x1otfedi6 C sccGtbQ j dhci���sCe. Plan View Of Mound Usilkg A B For The Absorption Area �'caG�s Page Of Perforated Pipe Detail 0 End View Perforated PVC Pipe Z1 0 1 . Holes Located On Bottom, S c- it C f" d %/ Are Equally Spaced rtP J — Distn�ution I Pipe Seems _ } dct P Ft. Distribution Pipe Layout S Ft. _ X Inches Inches skv' ," z S-6 ( =� G Hole Diameter 0 Inch �p Lateral X4 Inches) Manifold 02 Inches Force Main " Inches r # of holes /pipe ttitcec%d�/�i�, Invert Elpvation of Laterals 14�'l•+te l I /ef ewe�oz�a� s• tr. r,�•'sue �/ Place lst hole from - with succeeding holes ate +,"o o-A intervals. .4 c4r;�' !c''O tae I d ��� �t �'�a- Page Of (� C . (No Scale) ;r eerr p.Pe Approved Locking Manhole Covers r ,�,,, 9 � o` �, With Warning Ldbe1S Attached I�ylke Weatherproof Approved -� Junction Box Vent Cap T 12" Minimum / t I� J0 -t ' 4" Minimum iRL�11 i -r Quick 18" Minimum Di scor�nect i 1/4" Weep ' Hole Baffle POD Alarm B On 6 P,, e *APPROVED Off 6 '/ aF coyer t , JOINTS WITH APPROVED PIPE D 3' ONTO Conc. Block SOLID SOIL 3" of Bedding Under Tank --/ �Pw� �sw�mp �c��en oil ,�e.� all:�•,dt� c.iy^u.�.`'�.s Number of Doses: Per Da Gal l ons Per Day/Doses: 60 4-� ­ G al 1 ons �.`csef �°°_� ��``' 1r. duG�� Volume of Backfl ow: >.�tSG + 1 ons Tank Manufacturer: Total Dose Volume — i l l Tank Size-Septic/Pump: l;?-av F3 0 0 Gallons Alarm Manufacturer: e/ �t-/ ,) Model Number: 'a c. v Capacities: A - inches or 7 Ga1 Ions Switch Type: tet cf + B ( 2_ inches or 4--f Gallons Pump Manufacturer: 6� /d + C :,;- inches or !( / Gallons Model Number: .E PO ¢ d/ + D inches or 17 If Gal 1 ons Minimum Discharge ate: 0.,S _ Total .....= inches or 600 Gallons vertical Difference Between Pump Off and Distributio Pipe 7 3 Feet Minimum Required Supply Pressure: ............ Cc3o? ..+ 7,, - Feet 40 Feet of Force Main x Friction Factor /100 Feet: ± Feet Inch Diameter Force Main Total Dynamic Head: ... = /d7 Feet Internal Tank Dimensions: Length /0 ; Width , 7� Liquid Depth_ 22, 7 4 ,O"R . ff l uent P 3871 EP05 EPO4 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 y g • Capable of running lubrication and efficient strength, and durability. owing uses: dry without damage to heat transfer. •Effluent systems ■Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 ■Power Cable: Severe • p RPM, built in overload with Float Switch assembled and duty ewatering automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with in EPO4 EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design 1 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING r` •Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. CO- Canadian SiandardsAssoclation • Total heads: up to 24 feet. with three prong grounding EP05 Impeller: Thermo- • Discharge size: 1 NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for 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 0 C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 f I • Capable of running - - -- — - --� - dry without damage to 9 30 components. Pump: EP05 $ • Solids handling capability: c 25 I i maximum. w 7 •Capacities: up to 60 GPM. s • Total heads: up to 31 feet. •Discharge size: 1 1 /2 "NPT. Z 5 • Mechanical seal: carbon- 0 15 rotary/ceramic - stationary, _j 4 BUNA -N elastomers. "Y • Temperature: 3 10 ! ! ! r 104 °F (40 °C) continuous ��. ! 140 °F (60 °C) intermittent. 2 - 5 I 0 0 10 20 30 40 50 GPM 0 2 4 6 8 1 o 12 m /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 83871 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 of FIL INFORMATION SYSTEM SPECIFICATIONS Owner ���� Septic Tank Capacity /AGO a l 0 N Permit # Septic Tank Manufacturer 6P.ICS C,,,, cR/e ❑ NA D ESIG N PARAMETERS Effluent Filter Manufacturer ?+ ` �� ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units X NA Pump Tank Capacity a l ❑ NA Estimated flow (average) O 0 gal/day Pump Tank Manufacturer Gc., p Cowcue ❑ NA Design flow (peak), (Estimated x 1.5) COO gal/day . Pump Manufacturer G / o ! ❑ NA Soil Application Rate 0 • 8 gaVday/ft Pump Model L"Ao t ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit RNA ❑ Sand/Gravel Filter ❑ Peat Filter Fats, Oil &Grease (FOG) 530 mg /L ❑Mechanical Aeration ❑Wetland Biochemical Oxygen Demand (BOD 420 mg/L Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality - ,XNA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- ground (gravity) ❑ In -ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ At -grade 9KMound Fecal Coliform (geometric mean) 510' cfu/100m1 ❑ Drip-line ❑ Other Maximum Effluent Particle Size Y inch diameter values typical for domestic (non- commerdal) wastewater and septic tank effluent. *+ Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Ins conditio of tank(s) At least once every 3 ❑ months Xyear(s) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one - third (n) of tank volume Inspect dispersal cell(s) At least once every 0 months Xyear(s) (Maximum 3 yrs.) Clean effluent filter At least once every j JKmonths . ❑ year(s) Inspect pump, pump controls & alarm At least once every ❑ months ❑ year(s) ❑ NA _r e r - l ad Flush laterals and pressure test At least once every ❑ months ❑ year(s) ❑ NA f lj' /(/e e de. Other. At least once every ❑ months ❑ year(s) ,V NA Other At least once every months ❑ year(s) - ;&NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. All e--, / /�lddt _ � o .SO Page _ of System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or:elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products: pesticides: sanitary napkins; tampons; and water softener brine. ABANDONM E NT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83:33, Wisconsin`Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALL POWTS MAINTAINER N To Name Name Phone TIS� — .� '� 9S� Phone SEPTAGE SERVICING OPERATOR PUMPER alt.4,p" LOCAL REGULATORY AUTHORITY Name Agency .S'tC� �ou n� ,i 7, Pho Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (2/01) Iflam SOIL EVALUATION REPORT #1692 Department of Commerce in accordsa Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings / )1 Steel's Soil Service, Inc. </ �J County Attach complete site plan on paper not less than Sys x 11 inche i Plan must St. Croix include, but not limited to: vertical and horizontal reference point it on and percent slope, scale or dimension arr a tq^qarest road. Parcel I.D. ��� O 0 1018 - 10000 Please riot � Revie ad B Date Personal information you provide may 3e used for secondary purposes (Priv cy Law, s. . 4 (1) (m)). * 2 Property Owner JUN ''_, i .) Property Location Arnie Jacobson Govt. Lot na NE1 /4, NE1 /4, S6, T28N, R17W Property Owner's Mailing Address Lot # Block # jSubd. Name or CSM# 372 Cty Rd T ZONING OFFICE na na cres City State Zip Code Phone Number City [] Village M Town Nearest Road Hammond WI 1 54015 1 715 -796 -2277 Pleasant Valley I Cty Rd T • n use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ public or commercial - Describe na material Ridges and foot slopes of ground moraines, pitted glacial drift Flood plain elevation, if applicable na ft. General comments Mound Design, system elevation 101.75ft based on contour line elevation 100.25ft. — /Y // o - 4 33 and reco end at ions; F-11 Boring # ❑ Boring Pit Ground surface elev. 100.85 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr 3/1 none A 2msbk mfr cs ivf .6 .8 `2 12 -28 10yr4/4 none sicl 2msbk mfr cs ivf 4 .6 3 28-48 5yr4/4 c2d 7.5yr5/6 sl om mfr na na .2 .6 Boring # ❑ Boring Pit Ground surface elev. 100.85 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 1 0 -9 10yr 3/1 none A 2msbk mfr cs lvf .6 .8 2 9 -25 10y1`4/4 none SO 2msbk mfr cs na .4 .6 3 25-48 5yr4/4 c2d 7.5yr5/6 sl om mfr na na .2 .6 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD <30 mg /L and TSS s mg /L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel's Soil Service, Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, Inc._ I 54002 617/2005 715- 760 -0347 SBIM330 (R.07 /00) STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel Arnie Jacobson 994 200` St. CST - POWTSM NE1 /4,NE1 /4,S6,T28N,R17W Baldwin, Wl 54002 Lic. #248956 Town of Pleasant Valley, St Croix Co. Direct 715- 760 -0347 80 Acres Fax 715- 684 -3449 Legend N 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.35 ft Top of 3/4" pvc pipe 1 = Borings Boring Elevations B1= 100.85 ft B2 = 100.85 ft B3 = 98.45 ft O ft c- . l� Q' �U r ho ✓f al�� 6/7'fd e� r �i/t�._ io/ Ini b LA 7 � 37 / �i( W -P V�Cc2�-4—� �&�J V isconsin SOIL EVALUATION REPORT #1692 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service, Inc. Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 024 - 1018 -10 -000 Please print all information. Re sewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).� Property Owner Property Location Arnie Jacobson Govt. Lot na NE1 /4, NE1 /4, S6, T28N, R17W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 372 Cty Rd T na na 80 Acres City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hammond WI 1 54015 1 715 - 796 - 2277 Pleasant Valley I Cty Rd T ❑ New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe na Parent material Ridges and foot slopes of ground moraines, pitted glacial drift Flood plain elevation, if applicable na ft. General comments Mound Design, system elevation 101.75ft based on contour line elevation 100.25ft. and recommendations: a Boring # ❑ Boring ® Pit Ground surface elev. 100.85 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr 3/1 none sil 2msbk mfr cs lvf .6 .8 2 12 -28 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 28 -48 5yr4/4 c2d 7.5yr5/6 sl om mfr na na .2 .6 F ❑ Boring 2 Boring # Ground surface elev. 100.85 ft. Depth to limiting factor 25 ® Pit p 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr 3/1 none sil 2msbk mfr cs lvf .6 .8 2 9 -25 10yr4 /4 none sicl 2msbk mfr cs na .4 .6 3 25 -48 5yr4/4 c2d 7.5yr5/6 sl om mfr na na .2 .6 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD s30 mg /L and TSS <_30 mg /L CST Name (Please Print) Signature: — CST Number David J. Steel zJ 248956 Address Steel's Soil Servic - Date Evaluation Conducted Telephone Number 994 200th St. Baldwin WI 54002 6/7/2005 715- 760 -0347 SBD -8330 (R.07 /00) Property Owner Arnie Jacobson Parcel ID # 024 - 1018 -10 -000 Page 2 of 3 Boring # ❑ Boring Ground surface elev. 98.45 ft. Depth to limiting factor 18 ® Pit 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 1 E18-34 10yr 3/1 none sil 2msbk mfr cs 1vf .6 .8 2 10yr4 /4 none sicl 2msbk mfr cs na .4 .6 3 7.5yr4/4 c 7.5yr5/ sl 2msbk mfr gw na .6 1.0 4 34 -42 7.5yr4/4 c1d 7.5yr5 /6 ms osg mvfr gw na .7 1.6 5 42 -48 5 yr4 /4 c2d 7.5yr5/6 scl om mfr na na .0 .0 F-1 Boring # F-1 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 F-1 Boring # F 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 t #1 = B D > m /L n > < 1 m /L * Effluent #2 = BOD < 30 m /L and TSS < 30 m /L * Effluent 0 30 < _ 220 g and TSS 30 _ 50 g g _ mg /L s- 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 -8330 (R.07100) Steel's Soil Service, Inc. STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Arnie Jacobson 994 200' St. CST- POWTSM NEi /4,NE1 /4,S6,T28N,R17W Baldwin, W154002 Lic. #248956 Town of Pleasant Valley, St Croix Co. Direct 715- 760-0347 80 Acres Fax 715- 684-3449 1 A = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe o ,= Alt Benchmark Ele. 100.35 ft Top of 3/4" pvc pipe i = Borings Boring Elevations B1= 100.85 ft B2 = 100.85 ft 133 = 98.45 ft gi' to n MOP 3 TA k ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buyer to ► P `�o( � a Mailing Address _ 2d f' &B B Property Address e "' h 126V (Verification required from lancing Department for Lnstiu:�n) City& +- Parcel Identification Number 15 LEGAL DESCRIPTION .nod 6��� �m/ X) - L Property Location Yt ' /., Y., Sec. . T a N- R Town of 'el Subdivision _ Certified Survey Map # . Volume �— . .Page # Warranty Deed # 3'0 Volume Page # Spec house ❑ yes ❑ no Lot lines identifiabletd yes ❑ no SYSTEM MAINTENANCE use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance Improper consists of pumping out the septic tank every throe years What or sooner, if needed by a licensed pumper. y pu t 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 mastCrphunber,journeymanP , restricted lumber lumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system P 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. U the sewage disposal system with the standards we, the undersigned have read the above requirements and agree to maintain p 8 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 day.p of the tb year xpiration t e. c t IC#NAT[JRE OF APPLICANT DATE OWNER CERTIFICATION e the owners) of I (we) certify that all statements on this form are true to the best of my (our) knowl I ( we ) a m the roperty above, escri ab by virtue of a warranty deed recorded in Register of Deeds Office. // 1 SIQNA 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 lNistonsin Department of Industry SOIL AND SITE EVALUATION REPORT Page ) o L -3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code 01 / T lib I y CO <UNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but J t C "' not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT RM REVIEWED BY a DATE C I ATION- PLEASE PRINT ALL INFORMATION PROPERTY OWNER: PROPERTY LOCATION Arno ,t TackO�So' GOVT. LOT N 1/4 1/4,S { T Zg ,N,R (or W PROPERTY O NER':S MAnG RDDBESS LOT # BLOCK # SUBD. 7 NAME OR CSM # CI , ST TE spy r I ZIP CODE PHONE NUMBER []CITY ❑VILLAGE OWN NEAREST ROAD 'r Gks S z (7 5) 7 6- ;0.7 7 P �- -r C. [ ] New Construction Use [ Residential / Number of bedrooms (] Addition to existing bu' 9 10 Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft cb e O Absorption area required 3 bed, ft trench, ft Maximum design loading rate bed, gpd /ft tre , gpd/ Recommended infiltration surface elevation(s) 7 o Be De bra, rti j Rr f(o, 4- a` € A referred to site plan benchm AUG 9 �9 G Additional design /site considerations houlyp x Parent material Loe55f) Flood plain elevation, if applicable ��P10E S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYST U= Unsuitable fors stem ❑ S U S ❑ U ❑ S JO U ❑ S [� U ❑ S S SOIL DESCRIPTION REPORT Boring '# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tiench F r f •s D•6 � 4 C, D z; A . {:::{ Y-�I ioY j I Ground 3 21 6 �'�YR l6 — Ioq ';� F k r F r c S I 0i5 0, f, elev. ft. 36 . 8 Y R 5 1J 2J TM A/ s J Depth to �.�-rRZ a cz limiting z k factor �' 7� 7 SrR s •6 �� Y I 2 F abk — Remarks /* i-ltcy►A;tte!± ( Vaatt Boring # [ O RN 39' f)Y A�F DS r c s Ground /I r.Zd 5 YR 09 c I I VC q14 elev. - � � .5YR 311 cf F to q)z 5-19 G ( i lk — �[��ft. Depth to limiting fac o Remarks: CST Name:— Please Print 1 . / Phone: rvriC �� W Seri 08� Address: 80 fi ts - wo o► vo 5 0 f/K Signature: � R Date: CST Number: , y� csT-� 53��y0Z I� Wiscpnsin Department ofIndustry, SOIL AND SITE EVALUATION REPORT Page ' of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ._. COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 6 ~0 i not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 'n0 d lllco GOVT. LOT IV f 1/4 1 14,S 6 T g' ,N.R ' (or)® PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY TATE S ZIP CODE PHONE NUMBER ❑CITY PVILLAGE IVOWN NEAR ST R AD ( ) f levee- - ✓4 ((e G [ ] New Construction Use Residential / Number of bedrooms [ ] Addition to existing building [oJ Replacement y [ J Public or commercial describe Code derived daily flow I gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft trench, gpd1ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / sit considerations Parent material ' `b5ei Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN -GROU D PRESSURE AT -GRADE SYSTEM N FILL HOLDING TANK U= Unsuitable fors stem El 0 U a S ❑ U ❑ S U ❑ S U ❑ S U ❑ S pill SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxfary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tiench to Y R 313 SO 3 FeA Ground 3 31 04 r-U I.544D C 2 Vn 4 ►^1 "�Y i elev Depth to limiting factor -1 Remarks: tr Boring # pwwa Ground elev. ft. Depth to limiting factor Remarks: CST Name Print �� Phone: Address: Signature: A 14, Date: CST Number: Y ✓ S � � - < pm i D -ra 0 D r r^� � > CL c ;= `�mw �� o Ln n +—' n s to y 0 -° 40 shed F7 0 N co 0 e a � r'1 [ Cd @4 wo Q 2 w m Q ° Q m to a+ -t7 Q ��? .+ n -v rr 1 p f;-unoo 1 pvod A:: unoo 1 p-+od A)runoo a� &. p 4 `> "'qad f bri^. Fw 7y. AA �`�„� `� �:�Fa�' e x < ` �`' `�'^�r^yg.iw+A a r at^ +.�,ro ±, � A 5 ear t+r w>;z• � i�r* �.. �c « NA k � � +rte fcY f ' 1u .d.w ,��+,r�.'{,�,,�x +N.i- Y1 C01'P.'1 'k� jo of `rcv��i� a ^` � r Y a ���#.' be�rs�tees�►. ���} '�iFe'��; '� � r r t c na.},3 ���rt M1t 'r *, .� � r �� s � r !�� r • s o y4 L a '��a '• R�`�""' �'�.. Yh � t ��` rti D� , k D . �.A �: v tU �: h t 7 .;•'�, r ��`� tr�'4 � �' e? � �� 0 is �" r �� �� r t;� � tk�r r "fir "`�5� � dx,�a � •:. �',� � � } "� �e°`t ye ' d�'�°h. r ^�l '.11; " y �'a � � 9 r � �' �� �� ,��: '� 'fit S%� t' t � � x� ;;aw'a•i �'�r � i'`yr. �""4 5-r �. S PLEASANT VALLEY /RUSH RIVER PLAT T -28 -N R -17 -W See Page 112 For Additional Names' AGE 36 2100 (Landowners) °PUSH RIVE f 1900 60th AVE 2D00 CN 1700 PLEASANT VA= $3 else 8c 1 & 4 ,o N Donald JCharlme Alle risen 1500 J $ • - o ^ WBcos Merritt 80 27 ABM eta( Richard Stever & au a uoda ss 39 I John & Y as FamU9 119 a can Resux Kenton I A 8 7nsst am,aed J p Heinbuch 79 trHhTtstn'8 t•m ta r pgI N 103 138 M� Irn� 4 n 5 i VE �,�- eaxson tT 80 G 144 7s a 102 sass 94 37 See Go sun m, ams ss 110 ompson 41 L k- R MM q Farms S K Ridge tue�ck MZ9e4 +d 's Farms t ccokadaon gy m g o jr ester - sM Inc 7 K'� sass Yrd Inc n � �°° :F 8 c9 m 8 78 , 250 f, 40 70 122 t3 50t AV ,� Jeeythia �'t' Peabod 9 w2S z x• as ,„� `' a*8Ya ohnwn , All Eat ds Ma*Y y m 7$ 63 N 'soma: 2 '� snide Smcester 40 28 HuessiOk M4c6a oma< & �y do 3 pp 'I eYI Donald & Patr4i ro 1 Herman& IM 21 N + Christian ` n � bar �ll 5 W N Van, I a H or I a e i Hanson 4 M � s° �� ' Mo raam 3 s Erd 4ue a 77 o Trust 1 ' 149 o 1 57 30 • e�cmrshe , 1 1 V °oo E g Vsalme iohn & s Robert 160 78 ^ 0- Sbee d 2 Zwald shim„ �& c A 1 N 35 40 y 43 Bare r W , awot Fairmont a L I y U 6 p 2 I, W Alan & Boman a[aans10 Inc Bahtssm F Z c 3 �XX 3 s! N o s s t 157 Jeanne S I Inc Inc 115 Inc eio�ha o 224 m tz ` to f!i j Mark & Owens 40 so . 35 Ij i I �s'J Carolyn . 2 , 9 s N s o$ K g ¢ on De 7 Tubman - 197 0 arms Fredric +tl T, o Glen & Afdahl I 1 g o s ` ° wooau. Gerald, it 4t Wm & Dawn a , °.� mane f� Owens I Family , ° Sharon 4f u Dadem " Mohn Newton a 160 I II I I Trust I a^tdah' R$ StOPP1 60 • Lloyd 80 w 10 y 79, 1 ltwosa oza�s'a r Richard �e & 35th 150 VF m aorta Ien & t & May hoer I Weber Vito ° II L arson K s 20 ntur we 40 AabY 120 V iton e C W Stan- IBomaz Bradsd as 48 115 a 199 59 139 aftis C J ohn Afdahl John a tails o w1O0 r TC dcK so, r 3$ a Int a a arr a yy hl & I FamOY 60 sae 0 Neumann tl se 3 e 38 1 &x a e :I U BehBng 125 X 40 20 Mboseo 80 64 30th A E M 5 15 Ghii 39 s `4o t a s ILK 38 81 Q p 0 oLS" Kurt 40 � M j tYi I — - e°�Irneu &S 4 00 Donald & 40 ° i °° is t Farms F 5� e iaW s ss a„dmoo tNt Richard & .+, 40 e g Wayne David & ther Inc P� is ims I DOTOthy W Schulte w Jtun 1 145 Inc Jacobson cobson dd $ S x 1 pa 155 40 152 a a laJeerfr ss 240 gg ' rame�a 15 Clarence & li � 25th AVE tl � 40 33 dy & N T wasea,d0 � 40 SB D� a of 22nd VE h ultz 120 D o e°"44. i Helm A H _ ' 63 II � N � 80 rn Jacobson 8 40 138 1 °c Nelson rn B R ruce a ,,,, --' 200 _ I - ohn ai & Kim & asseiiaib 1 J —0 - a B � ) m Raelle 160 - I Dorothy c Wapd Z 120 40 lorae 80 11 _ R i t Y i 18th AVE a Mne 72 J " U.:: 4 f I«� & ° a e 0 120 _r p 79 4 r @�{ { I g amen B z, arI Rma J� 40 1 40 3 ra son 80 8 f y 40 wu. Charles Mon- ' Fosse gp 40 son 40 scout m a , m°'�°. n Langer x°40 78 z0 so +o gy y 20 � m 3s � Chats xaw� �e - �" r J FT 40� G Jes co o Colby Ql 4t S 10 a to o p d 5 m .• Eric & eln s zs uy N ~ • p 0 Michelle eske a 2 3 20 s B saaa°o°wssss ss Fslcraen smd S3 SGwmmson 164 a ciordon ROAF �h 136` 80 w < as o �+- lake - Clie & a sMa*r, nebosa cow do Krai 3 r , uwrence t H & uth Thomas & Robert & smaT Marion I 28 ieY 40 wain 40 sa 0 ISO a oseph & a shaum u Nolte Ann Sharon w StwaP -40 +? a Carole twm,s , 10th AVE Michael ary sham - eta! y Rushfeldt 80 A Beth lohn a y sun+ Fusoro wank Ha ne y & & Dana Koenig 80 80 1 1111 Q ca,an a 20 Foede N LuB 1 Ma`• eMc �t I S Timmer Robert & 2 2 ao 0 Kerry i Ka thleen enson 77 Freeman aua A Kart 40 Swenson 31 19 108 ,,, ! , a� 30' 8 smmo W Licht N Frauds & 60 160 ' °a � ` M,.t - Karlson 0 � YY Charles & Eleanor J& M �,m 20 $0 scan a Barbara I 80 224 SchRtgm 80 20 !tells z0 ^ P M uaa e° ohn �1t r A �°m a � B WeYer 120 ' Henry ,Mon OWenSe 1 5 a aro. w 8 e To & Cannon '� wan� Mean a 40 N oon Orvin iekm NEW 143 L �� H�a r Robert Ds River L w" Moelter Toddy izo Peterson 80 Eau v 40, 80 4 36 M» ches K '� omm.e ao — VJLLE — Y 70 T sb — _ 1 PIERCEIST CROIX RD ,:aaem Masers 0 3 38 120 _ _ 160 L _ izo —� �= PLEASANT VALLE SH RIVER PIERCE CO. AuAA� ST. C COUNTY FARM BUREA I /N4SU/gANCE (The Voice of Agriculture CpMP,IN /ES A Farm Bureau Service We believe in the Agent future of agriculture and our area youth through �i i seminars j Ken singerhouse sponsoring 4-H and FFA members to leadership training ctur and workshops. We also support numerous agriculture related (715)- 796 -220 promotion events, including Farm -City Day, livestock auction 960 Davis Street • Box 129 at the County Fair an d legislative workshops �, Hammond, Wisconsin 54015