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HomeMy WebLinkAbout026-1131-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420594 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: t Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Stock, Bill I Richmond Township 026- 1131 -11 -000 CST BM Elev: Insp. BM Elev: IBM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � / / � � Benchmark Dosing ' / /l( Alt. BM s 7— C4 f y'd Aeration '! v j 11 Bldg. Sewed '7 2. Holding = — - St/Ht Inlet X78 9 TANK SETBACK INFORMATION St/Ht outlet 9Z TANK TO _' /L WELL BIDG. Vent to Air Intake ROAD Dt Inlet Septic OVA 7 S / ri / h Dt Bottom V J J Dosing Header Aeration Dist. Pipe I / (: 6 .35 Holding Bot. System I 10, 5 PUMP /SIPHON INFORMATION Final Grade 911 Manufacturer Demand St Cover Io GPM c i y. Model Number TDH 1 1-il Friction Loss System Head TDH Ft Forcemain Length Dist. to W SOIL ABSORPTION SYSTEM C� BED/TRENCH Width/ Length / No. Of Tr�,QChes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth D ENSIONS IM 7 5 SETBACK SYSTEM TO P/L BLDG WEL LAKE /STREAM LEACHING INFORMATION Typ Of System: CHA uBET OR ►� �, �l / ,� / Model Number: ws,0 38 DISTRIBUTION SYSTEM �/ Header /Manifold i x Hole Size x Hole Spacing Vent to Air Intake —y^ / h Pe(s) J� 7 Length Dia Length O Dia Spacing 6 1 Yv SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 1 5 �j.7i Bed/Trench Edges Topsoil X Yes [A No �] Yes [] No COMMENTS:: (Include code discrepencies, persons present, etc.) Inspection #1: 1 -X / 1' /0 v Inspection #2: Location: 1011 159th Avenue New Richmond, WI 54017 (NW 1/4 NW 1/4 17 T30N RI 8W) B & R's ollin Acres Lo Parcel No: 17..30.18.913 1.) Alt BM Description = ` C'b 2.) Bldg sewer length - amount of cover Plan revision Required? Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Sanitary Permit Application Safety & Buildings Division Wi In accord with Comm 83.21, Ws. Adm. Code 201 W. Washington Ave. 1 *sconsin See reverse side for instructions for completing this application PO Box 7302 Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department bf Commerce [Privacy Law, s. 15.04(1)( (Submit completed form to county if not m ] / . p ,�j O state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County f State Sanitary Permit Number ❑ Check if revis4to evio us application State Plan I. D. Number 0 I. Application Inf ormation - Please Print all Information Location: Property Owner Name t Property Location / 2 /� (/ Jf G 1/ A, § T O N, K '}�(o Property Owner's Mailing Address UEL 0,3 2002 Lot Number Block Number City, State Zip Code P ne Nu Subdivision Name or SM Number A� z� PIING OFFICE �f II. Type of Building: (check one) pw 5 Lb — ;f JW l mvts. ❑ City 1 or 2 Family Dwelling - No. of Bedrooms: gVillage Public /Commercial (describe use):_ �jL own of ❑ State -Owned G1 f /aG2 Nearest Road �'o u = C7—) 3 �� t SuU(S Parcel Tax Numbers) III. Type of Permit: (Check o ly 7 one tox on line A. Check box on line B if applicable) o2-6-1131 - 1( -OW . 7l3 A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued q IV. Type of POWT System: (Check all that apply) n O In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland` ❑ ' Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: 7 ` V. Dispersal/Treatment Area Information: — 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rats yste Elevation Final Grade Required Proposed .3 Rate (Gals. /day /sq. ft.) (Min. /inch) ;r r _ j = Q2 evation - . -, 6 J r q,-7. )'r 7— VII. Tank Capacity in Total # of Manufacturer Prefab ite Steel Fiber Plastic Information Gallons Gallons Tanks, Con- - s New Existing crete structe Tanks Tanks §� ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) ` f Plumber ignature (no stamps): MP/MPRS No. Business one Number — 7 L2-- I / 'Z Pli Address (Street, City, State, Zip Cod IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fte (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fe /2 Determination 225 /OS OZ X. Conditions of Approval /Reasons f r Dis proval' - Side -� ; , k X Jv,-5 4o � �us�. o.�.� /�'Zsd�ls. srs4�I 14411 SBD -6398 (R. 07/00) 4- PLOT PLAN PROJECT Bill Stock ADDRESS 1478 112th st NewRichmond Wii 54017 NW I/4 NW I /4S 17 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX 12 -03 -02 4 MPRS Byron Bird Jr. 220529 - "'. T DATE BEDROOM CONVENTIONAL XXXX At�rade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 0 LOAD RATE .•7 ABSORPTION AREA 857 # of chambers 28 BENCHMARK V.R.P top of PL wood stake ASSUME ELEVATION 100' ❑ BOREHOLE SWELL *H.R.P. same asa BM Vent SYSTEM ELEVATION T- 1 = 93.2T -2 -93.0 AT' Sidewinder High Capacity Leaching Chamber with 17.2 6' t ^2 per chamber ,46 Grade at System Long 34 337' Alt BM assume 99.1 126' 10' PL top of white stake 20 B1 4 bed house Oobpi 87' EAsement Rd 4' driveway garage B Pri. e 1 300' B4 10' 40' 97' � B2 95' I PLOT PLAN PROJECT Bill Stock ADDRESS 1478 112th st NewRichmond Wii, 54017 NW 1/4 NW 1 /4S 17 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX - 12 -03 -02 4 MPRS Byron Bird Jr. 2205 _ DATE BEDROOM CONVENTIONAL XXXX At rade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ❑ LOAD RATE ..7 ABSORPTION AREA 857 # of chambers 28 BENCHMARK V.R.P top of PL wood stake ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. same asa BM Vent SYSTEM ELEVATION T- 1= 93.2T -2 =93.0 AT' Sidewinder High Capacity Leaching Chamber with 17.2 " �tA 2 per chamber Long 34" — 4eV 337' Alt B ssume 99.1 126' 10 ' PL top of white stake 20 B1 4 bed house O ob pi EAsement Rd 4' driveway garage I Pri. , ep. A. 1 st > 300' S0' B4 10' 40' 97' !� 95' Wiscrosin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code ,! Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must County 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 Intonnadon. R by Date Personal information you provide may be used for secondary Pew (P��Y Low. s. 15.04 (1) (m)). ',Z S-/0Z _ Property Owner Property Local % Govt. Lot 1/4,W1/4 S T N R 1 (o(CV Property Owner's Mailing Address Lot # I Block # Subd. Name or CSM# a h � City sta Zip Code hone Number. ❑ gty ❑ Village Town Nearest Road /( Pr New Construction Use: Rf Residential / Number of bedrooms Code derived design flow rate 7__ GPD ❑ Replacement ❑ Public or commend- Describe: Parent material _ �� �y cc OGC /mac -q<c �r, Flood Plain elevation if applicable ft. General comments and recommendations:, - �v �3 qo. Cl q - Cg 61 G�� © Boring # Boring Pit Ground surface slev. ft. Depth to amting (factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure . Consistence Boundary Roots GPD/ t in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. •Eff#1 •Eff#2 - z g3• S A- 36 ( o .7s Boring # Boring `f ❑ Ground surface elev. /� fL De th b tir(dtl facbr in. ® Pit P ng Soil ApplIcatiort Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell ou. Sz. Coot Color' Or. Sz. Sh. •Eff#1 •Eff#2 4 WD Tfl v / -�' l a 3 •?J� �� 1 ST f7 ` I • Effluent 01 = BOD, > 30 < 220 mgA. and TSS >30 _ <.150 m91L • Effluent #2 ■ SOD, - 30 CST Name (Please ,, W 57 CST Number dress Date Evaluation Conducted Telephone Number Property Owner v ✓� ' Parcel ID # Page of F 3 1 Boring # ❑ Boring A Pit Ground surface elev. /� ft. Depth to limiting factor. > in. Soil Application Rate Horizon Depth Dominant Color Redox Description 1.jexture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont Coldt`., »;' . Gr. Sz. Sh. 'Ef1#1 'Eff#2 Boring # ❑ Boring q o? J; ,� Pit Ground surface elev. / y t ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'E a7 f , �' u A da ❑Boring # ❑Boring - Ground surface elev. R , Depth b limiting factor in. ❑ Pit ' , Soil Application Rate Horizon Depth Dominant Color Redox Description., ;. _Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 �-sis fix Effluent #1 = BOD >'30 < 220 mg/L and TSS >30 -1..150 mg/L ' Effluent #2 = SOD, < 30 mg& and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. - If you need assistannce -to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD4330 (R6W) y j Soil Test Plot Plan Project Name Bill Stock Byr 95 Bird Jr. Address 1478 112th St. 6 :�� New Richmond Wi. 54001 M #220527 Lot 11 Subdivision Rolling Acres Date 11/4 /Ov NW 1/4 NW 1/4S 30 N /F W Township Richmond Boring Q Well PL Property Line County S T. CROIX ,BM or VRP Assume Elevation �ft top of PL wood stake = g� System Elevation 93.2 H.R.P. same s BM 337' B.M. It BM assume 99.1 126' ' PL top of white stake 20 B1 7' EAsement Rd B Fri. A. EM Rep. A. 20' 300' �� B4 10' / d3 97' 96' 9 .5' 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 -- FILE INFORMATION SYSTEM SPECIFICATIONS TTT� Owner t1u S-Mc� Septic Tank Capacity a l El NA Permit # Zo Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA ❑ NA NA Effluent Filter Model Number of Bedrooms ❑ �- --jc?D Number of Public Facility Units MNA Pump Tank Capacity a l ""'NA Estimated flow (average) OV al /day Pump Tank Manufacturer PLNA Design flow (peak), (Estimated x 1.5) 60D gal /day Pump Manufacturer ANA Soil Application Rate 0 al /day /W Pump Model FNA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit PT NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODd 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (6013 <30 mg /L F,In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ ea�� (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA 2 bd year(s) Inspect pump, pump controls & alarm At least once every: ❑ mo nth ❑ ye (s) l A lsl Flush laterals and pressure test At least once every: ❑ year(s)month(s) eI1VA Other: At least once eve ❑ month(s) IR NA every: ❑ year(s) Other: RNA 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of :512 months, 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. GMW (4/01) Page of 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. 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. ABANDONMENT 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 chapter 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 OR 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 INSTALLER POWTS MAINTAINER Name Name ' 5 A0 C_ Phone — ,� Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name n e h Name ) Phone Phone This document was dra ed in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND j OWNERSHIP CERTIFICATION FORM Owner/Buyer 1 a /�' M1Zl Mailing Address Property Address . /r�. (Verification required from Planning Department for new construction) 942, A City /State Parcel Identification Number oz6 - ll3l - ll — �• `�I3� LEGAL DESCRIPTION Location , � /4, ,��' /t, Se c. Town of Pro m p�Y y�6 Subdivision Lot #�. Certified Survey Map It . Volume -, Page # Warranty Deed # (o l i - f . Volume 13 3 Page # Spec house Ayes ❑ no Lot lines identiflabloO 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. a The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the .owner. and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastawaterdisposal sys is in proper operating condition and/or (2) after inspection and pumping (if necessary), the; septic tank is less thq �4" of sludgy' Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the stan&r& set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic rem has been maintained must be completed and returned to the St. Croix County Zoni ig Office wlthia 30 days of th on date.' ICANT AT$, OF PL OWNER CERTIFICATION f the owners) of I (we) certify that all statements on this form are true to the best . of my (our) knowledge. I (we) am (ire) the p diva e, by a of a warranty deed recorded in Register of Deeds Office. 'r 0� SIGII&TURE OF PLICANT Any information that is mis- represented may result in the sanitary permit being revoked by the x ** 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 voi_ STATE BAR OF WISCONSIN FORM 2 - 1999 629143 KATHLEEN H. WflLSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between John C. Van Dyk and Eileen K. RECEIVED FOR RECORD Van Dyk, husband and wife, 08 -31 -2000 2:30 PM WARRANTY DEED EXEMPT # Grantor, and William B. Stock and Ro Stock, husband and CERT COPY FEE: wife, COPY FEE: TRANSFER FEE: 186.00 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 2 and 3 of Certified Survey Map filed July 28, 2000, in Vol. 14, Page Name and Rcturj Addres 3914, as Document No. 627230, located in part of N W 1/4 of N W 1/4 of es y �� Section 17, Township 30 North, Range 18 West, Town of Riclunond, St. qM 5 5 - Croix County, Wisconsin. , LA.) T. 154 � - 3 00 $ 26- 1049 -70 -100 Parcel Identification Number (PIN) This is not homestead property. (K) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of August 2000 * * Jo Van Dyk k * * Eileen K. Van Dyk AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ■ ■ ) Ss. poi k4., County ) authenticated this d N)TARY PUBLIC 6 9 - E)F WISCONSIN Personally came before me this day of ' August 1 2000 the above named John C. Van Dyk and Eileen K. Van Dyk, husband and wife, • TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. Z7 1 oe THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisc sin Hudson, WI 54016 My Commission is permml. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) / 0 7 Q , ) * Names of persons signing in any capacity must be typed or printed below their signature. 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