HomeMy WebLinkAbout022-1099-50-000 (3)eme PRIVATE SEWAGE SYSTEM Bonl � Sl. Croix
GENT emleme om..n
INSPECTION REPORT rva,mrw 63030T
GENERAL INFORMATION (ATTACH TO PERMIT) Pun to nn
>ea[Play Lew, 1¢04 Ty,D
ParraIxeem.xam, an Vidaut
TOWN OF KIN
P ,In.ue 022109950-000
BMC,, Many, amgnn mmn.nma
a�u34 28.18.538A
TANK INFORMATION ELEVATION DATA
TAPE
MANVFACTVRER
CAPACrtV
STATION
BB
N
FB
MAS
Segic
Banchl
Wung
All BM
"MullBldg
Sewer
Holding
DYxr net
TANK SETBACK INFORMATION
Suw OUlla
TANHTO
Ph
WELL
BLDO
VialmonEm,
ROAD
Or Inlet
into
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m
HeaEerlMan
DNA Plge
kme
a Britain
PUMP/SIPHON INFORMATION
FeeIOreae
Menuleolurer
r
Inn Lnaa
SYalem Haae
Ton
Portemam
Lengm
Do
I DID PWell
B�NCH
DIMENSIONS
Yean
Li
INN tonal
PIT DIMENSIONS
N. Lull.
11,0101,
LAWDoolh
P Snue.
UNIT
SYSTEM
PSI
SOIL COVER v Preaaure Sya¢ma Only n Mound Or AtGntle Syartma Only
wMu+a
won Net
,mereadd.d
a
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m„ Eaton
u
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COMMENTS. pnnuaemaeeianrecencea, Persona Preaem. ell) Impenunnut
Loudon IpBCTY RDM
1) At BM Dwounden—
g) Bldg moar anigh
ande no of Buyer
Ran revlalon Required? LYes LNo
Dag later ale Sir amulnnal mrwealen
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Inspoduon ON
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Site I ion:
•a '
COpv
,
von
DIVISION of INOWiFr SERVICES
'at
µ
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GREEN aftVII
m tnmag. Rely
S
OUR ndeo 119wlpovarellnd
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Aueun 19. 2020
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES 301-00.11
Plao Review: PK TS-09300179i(
MARA 10 NUPPERT
28497 Kmg nMurs O
O rii It 154810
SITE RANDALL P. & YVONNE R. CUDD
CIrv)1
Town of KINNICKINNIC
St CrOm County
Total Amount 52000
FOR
ocnmal 51,11d Cnmpnnem Manual - EdisonI
Rv m Onlbul m(ompnnmI Manua-Aer. l a.
mP NSAn
106.1N1 of R 10121
U GPU /I BN.
MIL11eNR'. restrict
The submittal deecnbeJ ad..e her F.. red for Loomi 11th applicable Risconswi Adm < Codes
nm and llnnn9num [M1e zubminalbss been COV01Tlo,\ALL\ APPROSFU. This system nrolbet
cted and France in accoi ANN the ortloed any m,Ti plan, tried a rib an) omWm ua(e1
rommnced abuse The mI net as denim in chapter 10 101(101, A monon Srmmez, is responsible for compliance
with all Node rcqun.area,
No pawn may engage to or uork IN plumbmg In the stare a nlns tressed to do ea by the Oep.mment Per 14506,
DAN
The (ollowing Conditions shall he met during cnnnmumm or installation and poor to occupancy or use
® • Page J- Pump - Goulds PL 51
Preserve dnllereal area piton and during mnstrummn to around dolurhal compemm,.nd use of be site
• N'nh nen mmvornom it is rmommended not acusam the pump to the dose tank until the term are
pumped prior to homeowner occupancy
N aaei &... rated train i... car, clemmg of mhLpm..I and moh mWor left over anmtmcenn
pmdtmu:hall not be dacharmd into the drams dnuhnrymg to the pie w.netreatment system
POwTs) wane 9111111'hall be property cup ... d of nit-meoroff wew• wnei
Any tan gmi lmrro .ad shrubs shall be.,Idi and removed prior m Wlmg the ormor for installation to
Present maim& ands, the dnpersal.ms All lime organic madii to be«moved man POx Tb Dnrynaal
Area
bitter awlaw "ter from all POw TS Areas
Prior to ,,at rut Ion of reform I urea, cheek the mnutum content of the sea m aaepth of a ,,has
furnace and eompactmg or x at sit xi 11 result an circular the mflnauon npxlry of thew, I Proper sod
mi be chairmaned br roNng a od sample fellow the hands if ivolIsi aLJ-mchx
me 11111 iml lei 10 prepare t crumbles, sue preparation can proeeM If the woe a tin veto museum. m nor
proceed and it ddn
• Ul piping shall mmorm to SPS Table 3e4 30-3 and SPS bible Mud thus
• Immune building eart be, and to fen par this :6:30111 let
• itch setback, m min Ins na r 11 m r lz
• Tank Installation to hapax all manurutre a eoommeallible
Yrne pmMny III Freer la msallanam
Pump flouts to be If and veined per appealed pill AlfChanges im, ri pump rultl meal
g to
Tpll and GPM Speellevllnm
• Meathat curried xtab rode fragln mpa and boulders reduce then m of
stable far proper Ifin other wadi n the basal mu orlhnamWmst be cut at
at mound inter A larger fill area is locsars when any of *a abuse uwdimm we encountered, 1, pmnde
su Nine. I influal't am,
Owner Responsibilities
l he Current owner and each thermal ,net shell mmlve a cagy of the letter Including mstmeuoa telling
to proper use and mamtmumn of tile syrem Owners shall recnve a copy chile epos t "touch and
fainual nndow at our mor
al nual for the Poin described the appm,,l SPS JU.Svi 1).
In the event the the mod All pinon I 'am or any of its mm iltent pans malfunni... r. ae be create a health
lend the wipeny Owner must follow the eommSency plan as reversed In the approved plan.
Acopvofilleappriwolplao,, rpe110.a and this ]net hall be o�te nm dungand open to
...a watch m authorized representatives of the Oepanment nfimh no,IncludelanLnspenoe All permm
"quoted to the r tirer the local in inpaly shall be oblm Il prior to commencement or
construction maullen ncirculr,
In granting the monorail the Division of Industry Senses resmes the not 10 ma mre changes or addmom Mould
conditions one making than marmi for dome mephm¢ as Par spite came 101 IAb, modern In this reveal
will relies the@ernerdf the respnmrivew ford ..tytmga safe brusidang. wromm, or ximpoment.
Inquiries conammg this wneapnmence may be mule 10 me at the calciumne number I¢IN pat or in the "dress
on this lemethem
The of Ins vddresee wall Prove, a "of of least and the POx TS in ... parent plan to die ,,,at and vry
Others low awe responsible for Ins mundane op=mbmn or maintenance of POWTS
Thank..
Zoe, 4%,,Wdr ee
POwre Plan Nevnewer—wanewvw SPeudlm
Oepanment of Safety k Pmlmmrel Yen tcesI Onvemn IfirdatryShmem
mad tnvanOn«sQ
CAI 608-S16.6114
G Mat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Into
"inert III
RANDALLP IYVONNEAT CUDD____
_
AP
PROVED
Owners Name
(SAME)Err
AND
�'
Owners Address
929 QUARRY ROAD
RIVER FAILS, WI Iiii
...� L.t
PmPartY n
PmpeM Address
CTHM
Legal Deprnpun SE NW S
3e T rie
N R to W
Torrop gnnck c
Gunry
St Does
Subdrvuion Name NA
Lot Number a Block
Number NA CSNm 12Ad
Pame11D Number 022 ID99-50 000
Plan Tensatllon No
Index d"
Paget Iinal and nHe
Page
Tank cups eecaaru
Paget Deck entry
Page 10
Prat Nan
Page 3 GroMat mount drewrgs
Pape 11
Shc w
Page Lateral and doze tank
Page 12
'
Page 5 Dmtnbuuon media
Page 13
Pap System mandenance spacgcanona
Page 14
Map
Pape] Management and mnnngency plan
Paged Pump curve and specification
License Number 1%9007
Prone Number 715i25-1P5
S of wrwneln ApprwN Stump
must lEemon 1, 2017),IN dtn.
Ekwi M STSA$ MAN) And
J1 WO6 `)N 01Nt N 10'GD
Page 1 of 14
Mound Plan view bill
o
K
1
Mound Component i
s1l
do
e 880Dn G n14W 1n H. �1011]n L T0311
D 05011 1 1 59211 W1 Y.Sdn
3WW(fl) DlapMal Cell Am 1CNOU(11) Reml Am gnilebb
1000(g ILnedr LOMIry FNe 6 Co(11)1/tI 0 Cos Rpe Placement
Mound
GoMat Dismaaal Am
Observa0on Pipe
I2"A51M C 33land as GwMat blslnbutbn Cell
regmredb.Go, Mat
6 Geddes a l3'VE]ML
component sand
101 ]i Finish Grade f aMilerlal
100
995099W Latenllmen Elmtlon l
olrpersalCYl ! ibpe 40
_ [pmoua Reaaded NCo
TIWMa
In sol� Fortemnn
In atu ral
$kidding
Topsoil Cap
a
subsoil Cap
11
past"c 33"no (F)
an
ASTM n (0)
A
uMcr
6 0
G11 Met
See Mltlb oo pal M wmbv. We. and Naa^ia M"W
stoece RA Fs BWONNER CUDD Pgp3gti
End Conoe0fal Lataml lryow Olagmm
S�lll �� P", "l 9g, F,,w"nAwny AN �
Oase TenP lnlomr on
wrti.ee..wwe.,a,. ni
_.a _ Wi..yr
ah
TMhim
VIA m
HIM A
sim, tqi Fare,—�
rma..oearv.me..
m,AnIA n,., I9 n o
u.m� a,Le`.nNliBeai.-1---1
wmo uwi a.., ®m .t ft w
o aaa wv P&W Rc vaPaaau
- 4aeMtl9gWDullon ENl Metlk Lnou[
lcol wmu IN ala Wm m utermia1
(WIOutlon Call Cm¢euectlon Arnnpenments
prxww tmnl vO,fil, Shield
umupendm,m - - - -- Plooctalnai
call w wwmE wN applo y Ale Aenn as Par the Ial pMucagmorel
Distribution Call Man View layout - Typical
0Call All -A on) 8000 cap Urraffin - 8 III
ievec
µ. -�
Typical mmmat cell
and Fill R,sarnnnaachl Inane, hall
Pill Anathared
lell al
sBUIL an , mmwa(piowma,
�.0
"it�. n.mi I O Topsoil cap
f.�„,." 3O subsoil Cap
AASH C 33 Sand (F)
T i 33 Sand (D)
V i nn s O a
! e I eTeo asset
3eeeeuem rpaMmimen w,amervanpdwys
vmie Rai F&Tala cuoo pane 6 mta
Mouny16ys1e n Malltlanance and Ol aranon Sloddlical
SONiw Pronoery Name OgRRELLS SEPTIC - Phone :]15J25-1025
POWTS Regulators Name SCrolxuWu IA -Zone, OMce Phone )15 336d8B0
Si'.'�uEf[P.Ty2E5eil'}T1Sca]"
Olson Flow -Peak I Ape Menmum lnAuenl Pais SOME--1I5 In
Estknekp Worst -Avon IOp pap mammum 6O05 a0 mplL
Sepic Tank Capedly 12M Gal Mmlmum TSO ]0 molt
SOIL Appeared, CompmrcM Sire 3e0 M MCMmum FOG to mWL
Tork,p Weslewdka Oomgtl¢ Manmum Fecal Codfotm 10E4 nlulloO mL
Sall and Pump Tdok
Emu¢m FAWr
Pump and Contras
Alarm
Pressure System
Mauna
Olt
agMce Frill
Inkmact al at once evew 3 years
1 Ob88rMbn ppss ve eNXM eM rraterlals conform to Tack SPS 3943 1, bass ava UM cep and area and In as
Whose N the Synergy Sys a Geoklal Mound CPnpobeni Manuel Verawn 1, 2017.
2 Da"We ttll made Cwdarme to Gal praducts approved or Pro III the Synergy b)atemn CxoMaI MVM ComPon¢M
Manual Varsun 1, 2017 Meals is CMered µalb an approved Want Wool
3 All grevtly and pressure plpine makel le perform to We reywramann In SPS 384, Wh. prom Coo.
4 Tluets of the Wed area le ancomplooed wed OmWd Warp Or tlllml plow
5 TM mound eWClu re and other apparel arem an Ee seeded and mulMtl m pmea Wa emom and help Seattle heal
mdkmamn
ee.ml ma^p It not
Q Iffiib a llon ln� Lateral Cleanc
25Fout
Prefect, RANDALLP A YVONNER C000
loam Tumup poll
�1 mreddea mmnom
�% all; or Sall Valve
Tel l
Pape 6 of 14
Mound System Manallamant Plan
PeanunXb aP8 38364. Was Rem. Ga.
r»nere
.ey.m Mavm mermn ln.anmanm alN sas3sas4wa Alm Code vnd,hi Ps wMml in adcwn,W,fcampamm
seoma groloy Syemma L.L.c Oenmal Mound Cnmmnm w Ual 011e, 1. xoll. Prawn demwtian Cempemm Mir vv, xo
lwastN gwtl ane sswuPPudlwlpneemvalrl a^ekw<,dam rvlaa paXalmneroaremmm.kwnnane membrenm
mqn"
SpM eN PIP bnkebervbnm odwil be,,,,M,n, kno ra S3M 33, wire Y9m Caue MonIMYnFavre na longer
u pC swmpol
Spuc mpemhmanM ns naN ren ougMi apxW q, xsm114amm�avnew ss. A¢assodua q
uW r wabN3blduPo^Pe mmdNmnIN ervlx mecpa uNPn L.Mellmawe.e a ne
alyetlm kiWn mNlNleplacae mmalJf" her
Mark My Mrmvn&nWaln ehmtle, eM1eiYltlaebu2u by eo neflMlrelWmY
of
Sew Io dntMll.me.nm r, nn^pl^p,led enwi km. nnx a aanPon.nl
Siegel
The ugle bnh IslI myr uy an lulWwlw of "who xdknth Plar 1301.43 S1eN They firs Mier
Mark "I basdW lot k'wN wind MR 113, Wa l CWe Ta a 119 w,eXM of ma aegk tank end O lMier III
ee Tye of lel UPI Issue 11,11 or ecMmu n,ewuarylo swum MR,
nklW mayebupp �Mbon hemlb a er �a XIMflMkeeulge Nuaenwdmm�Me
NumuEXMe almm lnearvaW wdlnuowty Inbrmpanl M1M1arelamemrylneluk wrye Ppwa n,an lmpeMlnBOMnuwa
eIee04 Mary aMIl1 N caryi IIPlan lthevolume N Sudy, old W, 11 Me Wk 16 MIWw, weume0and
gry,nMbdpennkan rol2mme]el lheXmdvirenmal aaeevemenl. melnbna wPolSonmbbNl tlaeelM wm®um
Ne npl urvb rgWelo NPorrormrtl w mamYln W INnmWmumscumane YWyevunulN[nln tlu M1nh
w Tre aMXM1ndMyWWzlmcnna lPinkNw mean'auptic bMrtmentman®ername ndrpube Xcwrer, IlauA pmeutla
ere uaeuNryNallMeppmree leneplkbnh we by Ne NSveonam CepanmenldCcmmerw
v"m^*AW
The nWeXon eulparnIll
llama I In,geldNmag at in lMY^hones
erhydrem rop Aul eeiervlMadarms Send ae rc2pvYmp Shia II to
eswmepnfuird
SWIM de Wead Up Dung pug gwellm, end X nd, s aiw m ue Nurreu
� ana MwYOawdmncaaeptle wtlaae WNpnwOvnywawgaaumeYNawaaa'aeMsmeMuuwtleatla�
Nolme wmrvh Mouluuvpla^kennlM mount and SO
Pooumeytr MYpiff, TF MlMmown Par
maurylopmenl awawnnum IIIW 1 our ram amakenoft TeMc IdM man
IIII slow
nmul a I@ mOund It run ants:nepwaiPolwv:bo�cou":�"ene��l:u l:uo io"ape.. a :nl elmulnnlin'"
Word W lam
any mdew ep�ns� natalrpa.aNg.
Iffill Rally
lmotM Wound0rvyamm antryd 1lotW uwW ML ughSW613o wines, and
ormho yLFOO In onfulheNwmw 30
mGLBOCI Me "we
Till myLFW.entl IdRWIW mLmrIYXMybevlMelAuent InfluenlfluxMay nderaN muknumeeelpnlaw
XMIM1IebaM1ll 11
The
a^ anmm �edMmeae aMM anwnlne mIdallroem de.0 aural. ane n anmmm.ne.euM.aM NMm e.
®.w,Y3 q.m war. wMwMMdo gndmne nawlee.mmpa,.emue mxmbdwn.n
4e di i alnmmiM1AapW G.l.11melluiel nonfireerypupnv.Ocwrrea eno nol?xcbanlne le,mulratmmalnahepuvlGMNubmwlNln
Melegn.l tall
kw.i�aeeM.eti�e°"�e�"en;kam:�`im 1p::,ee,�np"alaiu�rena�lelo.eXX�Xknnne��n��lmw-nm'�y Inure o.�w..m.m
commendom If N'p'CIO 11 any d N m^Pone^6 bearre dOW1ve Me to or npmem anaub npa3M n, np mused the Wall
Proper ewnbre mneluen
If III nd�eXM1 a amVorem d Ne M1wre o�W�+ wMirmmmededMu.^Narve,vnMrcMlm m.I W ImmWYlelY
npIf Me mound mmpenanl kh m 0=0 moe r d b,na to breNal weM N, to the Post apikx, a WU as Mpan or
n
rn by]newly bad area a too leakage wenmo^, by mm% bmkalevw elpga.migNn am do l
Man' IM mlum Wea, Fore �Ma wSOummp�ends lead Wl m PIP W ayabm Into prape, o ,M"mnemm
s. PINm q a e granmn.m Wta a^e taken erumbe, Of tar, loml Powrs MOSSdar, me Iwrdea
Fil RANDALL P & WONNE R CIIDD PSgG I Of 14
WLP1200/800-MR
TANK SPECIFICATIONS
164- aMENUONS
WAIL: a'
BOTTOM 3.
COVER S'
_ _ _ MANHOLE 16' 1O. RECAST CONCRETE RISER
HEIGHT S]' OD
IIII —� LENGTH Bf Oa
11-------_ eDTw Ba O.D
a' cnsT-A-SEAL IIA II 4^ CAST -A -SEAL BELOW Iinu: e. o0.
QUIDIIII II WEIGHT BOTTOM I2.000 LBs.
COAG 0.170 S.
INLET AND
� cFSWI
TRgr s PL B WT OR EQUAL
GASKET, CAST -A -SEAL BOOT OR EQUAL
JI mRR aP \ IIII II INLET AND OUTLET BAFFLE AND NLRB
BI3TLL VISroxslN, SEE DETAIL ILOIIII ( (OTHER STARS SEE aART)
____- LIQUID CA➢ACIm 3146 GAL/IN (SEPTIC)
22.24 GAL /IH (PUMP)
LOADING RESIN B 0' UNSATURATED SDL
TOP NEW
TANK CAN BE LOGO AS
SEPTC/SEPTC. SEPM/➢UMP
ON SEPTIC(N
VENT MIX 0 MB Mo NHER)TANK
MIX DESEGNIN sw p (SMALL nBEN)
BTOMI2E0 TANKS
FOR CUSTOM TANKS COMPACT WESER CONCRETE
INLET
OUTLET
UBMIT
^ �PUMP PAD DRAWINGS
�APPA F °xRLnTnAPPROVAL
ypr IEv }y FOR APPROVAL
RESEAL
To MEET OR EXPEND ABNI o-lffT 7c11111eKIWI
q
Plot Plan page ion Y
PROPEMMNER: RPNi uL P, { NW R. CMAD 1- 40 FT.
I�x.e.A morel
Le jDesojpb, L� 4, cvnazex sc/v w,nE Nw'/4� Sec. w. =hrkloe Pl
T36J R'tW lewrv' KiuN�fKN rS [v% GUNiYF Z4�0 Af2G'+
Site 1 ion:
04A
BmY�—
NWh
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i¢ FFb�a
ail.
W R��
6 V �
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rts
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION I-ORM
D.voer/e,,,,r, Randall P. & Yvonne R. Cudd
Mailing Address 929 Quarry Rd (�
Property Address / 2 3$ CTy 1� /✓� T
Nenroavon rcgnnm bum ilanning s 2oinne Cepanmem for ilex vnnatrvnion )
cq/smae River Falls, WI Peter l Ideobeeanon variant Pending 022-1099-50-000
LEGAL DESCRIPTION
Property Location SE A. IMy see. 34 .T28 N1118 W, To.,, of Kinnickinnic
Subdlviston Plat . Lot 4
Cemaea Survey Map a Pending 7z32- volume 36 .page4 06F
warranyDead 4 6/3970 (before_a0o])volmne /4115`/ ,Pai Ili
Spec house oyesCGho Lw lines memifable Dyeaono
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper um a ad Omamenanee orynwaepun ay9em could reeubmna p,wiffe torture to handle wmove Proper
Maintenance
console ofpumpmg at somemakevery threens or ye,omr dneerymp ded,byaker,mer ayu Whupmmb
line sys ecanaffect Wsepti e function what c auk as a trevtmem data it ,he waste disposal Action Owner mvLinci
responsibilities are spenfed in ISPS 383 52(1 ) and in Chapter 12 -St Crmx Cuunp Sanmry OrNnaocc
Tire named) owner agrees to submit to St Croix Cmmly Planning R Zunm6 Depanmem a cn.,fmtmn 6nn, soared by the
ownerd by a metier plumber imnowytnan plumber reavwmhLa tl Plmnr or rmcd pumper vholyina that lTman be s
and
ordedal system rs in proper DperumE condnmu auLar(2)after n,specuan and purihe Uf aceavy), the septic manta
less Ihad I,1 full of sludge
livid the modere fined ]taw read the above reps li and agree to nvmlmn the prrva¢ sewage disposal system mth the
Samaras sir two her all, as set by the Derail MCI IOf Safety And PrOavand aI Sees pit and me Depanment ofam at pastures.
Slate of Wisconsin Cmilmion stating thagmu rtpain$,swam has been maintained must be compared and durmed to the at Croix
Cowry Planning& Zoning Depanmem wham 30 days of Ne three )ea, exporter date
O%,effay that all smaxi on thisform are we to Wv but of my/om knowledge bo a aware bo ownetlsl of We
props described above, by same of warranty deed rreerded m Reasur of Deeds Office
Numb beard ins 4 - /t
v SIGNATURE OF APPL CAN q5) DAZE
.,.Any uncommon that a m.regesen¢d envy mi m the mmmry permit Ming mvobd by the Plannbg & Zonal Department
Include wub me apawat m a recoised u'maan o tleed finto the M1egwerofDceds Offer and a copy of the cemled survey map of
reference is made in be warranty area
(REV. Nil2)
OCT 992020
5t. omx couoty
222vnum N".loome��
OCT 992029 {
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11
House Information -1325 East Division Street
All measurements are approximate. r�. ppl�
1325 East Division Street, about 988 square feet Irving space over basement RLc2�C.��O ED
Three main floor bedrooms (all have closets, namwoad flood: 0 1a x 12, OCT 092020
0 9'-V x 12' St Cmly [aunty
0 1'-6'x11' Community oevelo eat
Kitchen/Dining: T-8N 16' 9'
Wag Room: 11'x6" x I6'-V
330 square foot attached garage
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