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ti ~ O 6% t:j aD M a o w � h w m c N a JT N c 0 Cl) N E p c p C y c •p N. O U c o 0) m o a I O Nacw°E 5, 00 m y' 01L t �M r E Gov tr_ CL dr�y 8 0co o mC c o � �C [r rn N fn a .- � r � a m c Q j vi O N N C'' ) w e Z a OL c pp ate• 0 +O, O U �— 0 0 O N O Q N N C O w V C a) CN CL 0 . N 3 Q .y . r N m � � I r Z V! rn W E Z O L r rn H z a °° _o z " 'O E d zz U) F- r C V N V Y � N C � N 7 � y of I a w o I o Q z = z N E Lo I m - m @ N MA I J N 9 i d O O O •N �aaa a *� ° LO o v� cn z fn J U O O 7 N p O N O W C CO) N N z O I v m Q Z (n I M 7 a� O O O N C N ( H C C v W O O O O LO L �} N N C O N QUj ►"" N r2 E y W a; E • c') (n =vo z oa EL m a .� E L: a • a m '2 m rr `I � v E c �1 A 6(Lm o3wu C ° � o p v1 c 4 o f. O p N �\ M 4= C ` L N >_ C N fl. N O. O .6 @ C C O @ 'NO r0 06 C O L N N C 'O.O NN O U -� -C L o D O w y - 0 - DE y O y . 0) ca j 'o, of 0 c ao a N Y y h D O CL C y 0 -O CI V r@+ N o L t O y '? 7 .Z :3 c C O E E . N �� '0 0 N 'O @ _ U — O. @ C N O N a a �' CO @ U N O U 7 is .N c c co C O O O O LL o .x� «L� 3.Up E U � z �> E @� _.QN y o Ti L O o N U) C O. O T CL N Q H d N n U 7@ �-- N@ 'O 3 a v � � z N rn z E O Z � y 4) �;Lu am a) H Z O z d c a) rn C � E V N N_ U 7 N N N N M cm o z z N ~� .. _ U) L _ @ C 0 N N C R Q N N m N T 0 >� d 0 N J N > H F' H O O O a E y X Q) O N J U N O p G @ N N N o r- O O Furl o o Z Q) o CS] � N '6 Q A i.. @ co Lo ✓ O p O N C CSS O p C 7 4a O p p a p it N p C fn E @ (L p 0) C N C — p i co — O v� C QO W �. O C 'O ' ❑ N N @ N 2 N 'O C N y O o U) S �t o z `1 CM V E N V) a; m y CL a 2 °�1 y E U C V o o `m 3 :4 0 v a � O v� V Wis, onsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St Safety and Building Division ' s INSPECTION REPORT Sanitary Permit No • 479285 0 GENERAL INFORMATION (ATTACH TO PERMIT) State PIWM No: Personal information you provide may be used for secondary purposes [Privacy Law, s.1 5.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Hokenson, Gary Somerset, Town of 032- 2102 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: j btu -o f 00 . r n .,z ( , w 4�, -e— 09.31.19.969 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ��� 12 � D Benchmark Dosing Alt. BM Aeration Bldg. Sewer N® j• � S .3 Oz.�sl Holding St/Ht Inlet 0 � TANK SETBACK INFORMATION SUHt Outlet 3 • S D(• �S TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic t > 3s Z2 ( 1 Dt Bottom + -- Dosing _ Header /Man. ( A) laD .o S yY -zl Aeration / Dist. Pipe lA\ e Holding Bot. System -4 =\az� Final Grade - PUMP /SIP N INFORMATION Manufacturer De St Cover XL ` If O Model Number TDH Lift 7 Friction s System Hea TDH Ft ``'fit t0 L Forcemain tength Dia. Dist. to well SOIL A ORPTION SYSTEM 5� RENCH idth 1 Length i No. Of Trenches PIT DIMENSIONS No. Of Pits jInsideDia. Liquid Depth DIM ? (� 4-2— r ?J\ SETBACK SYSTEM TO P/ BLDG WELL LAKE /STREAM LEACHING /'. INFORMATION CHAMBER OR (l Type Of System: / UNIT er. C, > J DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing V t to Air Intake ll ipe(s _ ti Zo 1 40 Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only f� Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mu ched Bed/Trench Center Bed/Trench Edges Topsoil Yes No F Yes L No COMMO 743 4 6543uth S: (Inclu ee de discrepencies, persons present, etc.) Inspection #1:�9 0 Inspection #2: '�T Avenue Somerset, WI 54025 (NE 1/4 N 1/4 9 31N R1 9W) Lolly Acres Lot 2 arceI No: 09. 1.19.969 1.) Alt BM Description = S T. -' 2.) Bldg sewer length = zz - amount of cover = �� f 9`f•% (a - - PlanrevisionRequired? '] Yes XNo i � ! 057 9�•9S g `� /'OT1 Use other side for additional information. SBD - 6710 (R.3l97) — Date In is igna ure }� '7 Cert. No. -` — - -- 't T s J Safety an ail ' s D' ' ion County 201 W. W n P, ox ` Midi - ani P it Number (to be filled in by Co.) �sconsin (608) 6 -31 E Department of Commerce • . State an I.D. Number Sanitary Permit Apphcatio �rr in accord with Comm 83.21, Wis. Adm. Code, personal informati ou prolrfdo A may be used for secondary putposes Privacy Law, sl S.tki(1 m) �Project dress (if ' t than mailing address) n1X( -O I. Application Information- Please Print All Information ZONI C l .7 ��� eAVl- Property Owner's Name Parcel # Lot # Block # Pr k &0, r 0 510 03a- 103- 4, d-- Property Owner's Mailing Address Property Location Is 3 q 5� NjGws Qu '/4, /�y Section City, State Zip Code Phone Number A— INI �}TS U �j'b (circle one) T_ N; R or® II. Type of Building (check all that apply) ` Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms � 1,L , A `` � � $ � R ❑ Publie/Commereial - Describe Use W L ❑ State Owned - Describe Use ❑City ❑Village IATwnship of III. Type of Permit: (Check only one boa online A. Complete line B N applicable) A- � New S ❑ Replacement System � System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal Permit Revision 10 Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. TVW of POWTS Sys! Check all that a ( " Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable ❑ At -Grade ❑ Single Peas Sand Filter ❑ Constmcted Wethmd ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculat mg Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Lane ❑ Gravel -less Pipe Other (explain) V. Dis rsal/Treatment Area Information: 5 f_.N a 113 Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) 1 Area Proposed ( tent Eleva " T3 V G 3'3 a! O�j r � 0 a�'' t0oo 5 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constr ucted Gins New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber J ►' L VII. Respo bility Statement- I, the undersigned, sesame responsibility for Installation -09e POWTS shown on tte attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number A�1 Gu Q Plumber's Address (Street, City, e, A 1 '7 5(0 50` G a �9 c-�S u� 5 72- 6 VIII. Coun /De artwent Use O nly Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued g Signattuc ) Surcharge Fee) / (fl ❑ Owner Given Reas for Denial ( f/ ! D"ondItions of Appt%C� ns for Disapproval � D � c (to Comity oily) f the system on p lets than 81/2 x 11 lathes to size SBD -6398 (R. 01/03) a. AL g r- ra� vi I a L ' a . ce i I C- AC r IQ Tr cla i cr- a V- 0 0 M M c c�►� a1 S I I .n C3 (" � 2 `) tT` c It ® 4�k ", '� •tto 7 L ° w IUhPG k r GVi S ro ��e�Skc�VC RECEIVED Wiscoj Qegiomen of commerce SOIL EVALUATION REPORT Page A of Division ilf Safety and 3uildinq§ ` • ? � inkl3b�cdan wit o de ,fig �/ County Attach complete sit plan on paper not less than 8 1/2 1 include, but not limit d to: 68ftici;�iirXtisjl�pldt�t refertnc t (B dir on Parcel I.D. percent slope, scale r dimenskons; notlh tar[pw, and Idcation and ance nea road. D 3 eZ " a 0 a - c� v O rXj Please print all information. Reviewed by Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location p Govt: of N E 1/4 NV) /4 S i T 3 N R I ° f E (or W Pro erty Ow s Mailin Address J Lot # Block # Subd. Name or CSM# 538 Ig 6 %i r U .. ISO` y l�G c --S 1.11 e�,38 City 4- State Zip Code Phone Number c] city C3 Village ® Town Nearest Road � raoC 1 -�-k'S i 1N S50 (45 ) Y55- 1,a$v O , 50 MC s �t a 3o 1 4 o e- ❑ New Construction Use: 15& Residential ! Number of bedrooms � Code derived design flow rate L_ o Q GPD J4 Replacement // C1 Public or commercial - Describe: Parent material LOL _w 00tk. , A_ !S L% Flood Plain elevation if applicable ` _— ft• General comments S -!s 30 " 'frA -J,'5 FO- "1 3 4.Xj2: o h C and recommendations: T ( 9 3 .3 4') ,1 6' ; •t t - na tql,oy �0 Boring /J' ZOef � O Boring # Pit Q I Ground surface elev. 7 a 35 ft. Depth to limiting factor 7S in. r SoilAppLcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0 -'3 /ay 3/ L_ aF t:�w rn Q,w 2 111PM . r L - W1 M r t -^' 7 -7 7-SIR j 12 -rh _ o ®Boring # Boring /� Pit Ground surface elev, I y5 ft. Depth to limiting factor in. 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 6 - 1 b 3� — ---- -- - SL_ J FS5� Mr— 1, a c� a. 5 Yt2'I -- -- ------ ~ as M M F x 0� $ Qy --�. I•itst?^0 �^ W1 i+( '" r �'�� �1 � r +�e ! 5 15 - q 7, S `{ L 5 I F S b Vt. C 0 _ - < L _ an Effluent 1 = BOD > 30 < 220 m Land TSS >30 < 150 m !L #2 - BOD 30 m Efflu # gl 9 - Narne (Please Print3„� Signature c� T Number CM V1 VA- Ad re 5 j , t . ' D e Evaluation Conducted Telephone Number Yee - S's �I Property Owner C-,o- ^e-vN s Q Parclel Ifl # ^� ; Page _ of F3-1 Boring # ❑ Boring a � ' . " " Pit Ground surface elev. _/ • 3 ft. Depth to limiting factor in. Soil — Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -30 7S�tt2�+ -► a ry1.5 the c .,� 1.a ► . Q F-1 Boring # ❑Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring F Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 150 mg/L ` Effluent #2 = BOD S 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. SOD -8330 (R.6/00) ,. s �` QI i vi "'• + A l CQ r o m V7 4 ci O l QO rip + clt a � , •r�" o vas Q 7 Jessie Nye Subject: Dan Worrell, Hokenson, Lolly Acres Lot 2, 479285 Location: Somerset Start: Tue 10/11/2 5 00 PM End: Tue 10/11/200 3:00 PM Recurrence: (none) Meeting Status: Meeting organizer L�9 M�t^1 Required Attendees: Kevin Grabau J / 032- 2102 -20 -000 09.31.19.969 435 230th Avenue i JUN-28-2005 22:40 FROM:DANS PLG HTG 646 -2634 TO:17153864686 P.2 Safety and Buildings Division County • n 201 W. W hington Ave., P.O. Box 7162 `7T C �( itary Permit Number (to be filled in by Co.) sconsirn 2 i 6 ��E������ 9 2gs Department of Commerce Sanitary Permit APPH �� "29 to PLsn L.D. Number In accord with Comm 83.21, Win. Adm. Code, personal inf 2005 maybe used for secondwy purposes Privacy Lsw, sI .04( 1 vjcci Address (if ditracm Than mailing address) I. Application Information - Please Print AU Information t, NING OFFICE Uru 50 T -d 14i� a Property Owner's Name PerCel Lot p p C a �,,j soJ oat _1o(1 -000 L� Property ownc'a M ailing Addt ess erty Location v k�L l L(J i4. Section City, State V Zip Cade Phaste Number Soyn e��l~ Z T (circle one) w ?� N. R�fi org t< 11. Type of Building (check all d t apply) q V 11 l or 2 Family Dwelling - Number o edronms r 5 -^ Subdivision Name CSM Number ❑ Public/Commeiel - Describe Use L on �er o er f ❑ State Owned - Describe Use ❑City_❑Village ®Townabip of III. Type of Permit: (Cheek only one bAt on line A Complete line B H app able) A. Q Now System ❑ Replacement S era ❑ Trestmen /Hniding T Replacement Only 0 other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Permit Transfer to New List sums Permit N arc Issued Betbns Expiration Plumber Owner ' IV. TyW of POWTS System: Check all that ■ IA Non - Pressurized In- Grousd ❑ Mound > 24 m. of sutta Yu.. ound < 24 in. of suitable Boll ❑ -Grade (I Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized 1n- Ground ❑ Holdieat Filter ❑ Aerobic Treatment Unit El Recirculating Sand Filter ❑ Recirculating Synthetic Mcdia Filtcr Leaching Chamber ❑ otavcl -less Pipe ❑ Other (mpwn) Y. DU tsdffrestm es Information: Design Flow (gpd) i1 Application Rato(gpdat) Di Area Requund (at) J � t Proposed (of) System Elevsriar + 3 1 197 7 1 u 7/. / X17. V1. Tank Info Capacity in Total Numlor uf cturer Prefab Site Site Fiber Plastic Gallons Gallons of U its Concrete Constructed Glass New Eaisltng Tank& Tanks Septic or Holding Teak X d t Lim T ' Aerobic: Treauncra Unk Dosing Chamber - VII. Responsibility S ta tement - 1 , the underligold, assume reapornlbfllty for instaliatlo f the PowrS abown on the attached plsaa. Plumber's Name (Print) Plumber' ignature MP/MPRS her Business Phone Number wo C- ,- y6~ cl Plumber's Address (Street, City. State, Zip Cade ? %'o - 0 "E. i (C- R.oI K I t w4- SL 0 1-'/ VIII. Coun /Dt artment Use O turn o St 01 Approved (] wed Sanitary Permit Fee .includes Groundwater to Issued Agent >u (1'1 amps) SurchrlrgeFex) 3� 0 7�t95� 1 Res err Draoial -- __ nn rr IX. Conditions o prow 3j D� t� , 4L i� SYSTEM OWNER: t i l t3we r - 1 Septic tank, effluent iltef end --- ' dispersal cell must II 0 serviced ! maintained o-re t . as per manageme t plan provided by plumber. 2. All setback requir ents must be maintained as per applicable code /ordinances. � 15 Matti complete plant (to the County only) for tits system on paper set It=s than BI/! a I 1 loc la Mae SBD -6398 (R. 01/03) �) (�S of A-A& tr ms Safety and Buildings Division County Ivi201 W. Washington Ave., P.O. Box 7162 scons,n Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide maybe used for secondary purposes Privacy Law, 05.04(1)(m) Project Address (if different than mailing address) 1. Application Information — Please Print All Information 93 S` a 3 Olt V E- S ccsL o a Property Owner's Name Parcel # Lot # Block # Property Owner's Mailing Address Property Location T 3 KL',4, N_ Section City, State Zip Code Phone Number (,v ©� 3 ( (circle one) 11. Type r o ' f Building (check all that apply) T / N; R�E orb 1 or 2 Family Dwelling- Number of Bedrooms Subdivision Name CSM Number ❑ Public /Commercial - Describe Use Lo'" v qcr ej " Q q ❑ State Owned - Describe Use ❑City ❑Village ®Township of III. Type of Permit: (Check only one box on line A. Complete line B H applicable) A. J� New System ❑ Replacement System ❑ 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. Type of POWTS System: Check all that a pply) A 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 (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Di etsal Area Proposed (sf) System Elevation l � r .7„ �7. © 1 *7 t VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank y l CS G AANFle Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POVVTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number N 7 — 5/6 6 Plumber's Address (Street, City, State, Zip Code) , t o "OLVE- 5 i C R.©/ 1C VIII. County /De artment Use On ❑ Approved ' Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Isstring Agent Signature (No Stamps) Surcharge Fee) Owner Criven Reason for Denial DL Conditions of Approval/Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches to size SBD -6398 (R. 01/03) I i r ' County Sanitary Permit Application ST. CROIX COUNTY WISCONSIN , In accord with 15.04 St. Croix County Sanitary Ordinance ZONING OFFICE Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER (Privacy Law. S. 15.04(1)(m)) 1101 Carmichael Road Hudson, WI 54016 -7710 (715)3864680 Fax 715)3864686 Attach complete plans for the system on paper not less than 8 -1/2 x 11 inches in size. County Sanitary Permit # U Check if revision to previous application 1. Application Information - Please Print all Information ocadon: Property Owner Name GG 9 �}Ty1/ 1 /4,Sec 6oLr + C&rvil Ho 4eu s '3 t / 'VI R ✓ W Property Owner's Mailing Address of N r Block Number � 5 A7AJ 6v s7` City, State Zip Code Phone Numer ivision Name or CSM Number 7 J ° IT pe o uil (check one) ity Village own of ■ 1 or 2 Fami elling - No. of Bedrooms: Public/Comme i (describe use): Soot 19r State -owned Nearest Road 11. Type of Permit: (Che o one box on line A. Check box on line B if applicable) �� arcel Tax Number(s) ^bQv A) 1 connection 13[)4on-plumbing Rejuvenation 031 a t Od — a-© Sanitation O O B) Permit Number Date Issued ' ✓ State Sanitary Permit was pre issued // V. Type of POWT System: (Check all th p ) Non - pressurized In- ground Mound Sand Filter El Constructed Wetland ❑ Pressurized In- ground Holding Tank Single Pass p Drip Line ❑ At -grade Aerobic Treatm /Unit Recirculating o Other Dispersal/Treatment Area Information: C AiiCk- 1 1OF 020 Ca P-5 1. Design Flow 2. Dispersal Area 3. Dispersal a 4 oil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade 4 - 13 Required Proposed (Min.finch) Elevation 6 858 1 � 7 q 7. t �' j ©� W Tank Information Capaicty in Gallons Total # Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons T ks \\ Concrete structed glass Tanks Tanks 13 13 0 rl ■ I. Responsibility Statement I, the undersigned, assume responsibility for repai econnenction /rejuvenation /installation of n- plumbing for the POWTS shown on the attached plans. A icense is not required for terralift repair or the in Ilation of non - plumbing sanitation system. lumber's Name (print) Plumbeci Signature (no s)• MP /MPRS No. Business Phone Number a Plumber's Address (Street, City, State, Zi Code) ( T u. L Vf,9j q -� �s - yd III. County Use Only Disa roved Sanitary Permit Fee Date Issue Issuing Agent Signature (No stem ) O Approved er Given Initial Adverse De animation Conditions of ApprovaUkeasons for Disapproval: I S h 10 i A.A 7� Ljj O f � o 4 L--7 s' LO lbo a CY-- OL 2 LU i N .t J �4 <4 �-,D (-V3 Q0 _ CO O - 377F7 - 10 - 7 kA -75 y W\ w -qj r 4r L.C) . o � ' ' ' � § g ■ ( f ] � � @ � 0 \ � © R ; 0 9 0 ) Q ° to (A \ ( />± ¢ § E t . \ @ CD : z . o ) A \ { � 0 T V \ E, % I § § § 7 \ 7 7 § > > > o � / Z. . 7 . , ƒ (D k U) / z E Z to 3 k 1 � � § ^ \ \ , \ �^ . ° G E�§a=> # rE�§2/ k . R2222\ r § % k 2 g z % � CD . 2a /} / { \ \)_ \ � /[+ §a5 ® ® °# & $§k0 o m =_ q 5D a) $ cr ; °E w k a) rr \ K ) / \ §a 4= � i � K r r Partiel #: 032 - 2102 -20 -000 02/1812005 08:32 AM PAGE 1 OF 1 Alt. Parcel #: 09.31.19.969 ' 032 - TOWN OF SOMERSET Current ;X; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner GARY W & CAROL J HOKENSON ' HOKENSON, GARY W & CAROL J 9385 ANGUS AVE E INVER GROVE HTS MN 55077 Districts: SC = School SP = Special Property Address(es : ' = Primary Type Dist # Description 435 230TH AVE SC 4165 SCH D OF OSCEOLA SP 1700 WITC Legal Description: Acres: 3.280 Plat: 2166 -LOLLY ACRES SEC 9 T31 N R19 l I Y Block/Condo Bldg: LOT 02 ACRES 3.28 AC EZ- UT- 1220/340 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09 -31 N-1 9W Notes: Parcel History: 5 7 Date Doc # Vol /Page Type 05/03/2002 678035 1884/152 WD 11/24/1998 592381 1380/319 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 11364 75,100 Valuations: Last Changed: 07/1412004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.280 49,400 14,300 63,700 NO Totals for 2004: General Property 3.280 49,400 14,300 63,700 Woodland 0.000 0 0 > Totals for 2003: ` General Property 3.280 49,400 0 49,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 consin Department of Industry SOIL AND SITE EVALUATION Page . �, of or. and Human Relations . in accordance with S. ILHR 83.09, Wis. II of Sgfety and Buildings ach com plete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must Count' ludo, but not limited to: vertical and horizontal reference point (BM), direction and rcent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. ' PPLICANT INFORMATION - Please print all information. Revie w ed rsonal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (ml Property Location 1!4 �UW 1l4,S ! T2/ .N.R / E (or% roperty Owner t N KE /�cl FL E/ SG� �vE� Lot # Block# Subd. Name or CSM# ty O wner 's Mailing Address 7— J40Ta : (U13 Q/ roper 2 S $ r A ti S p - Nearest Road , :ity State Zip Code Phone Number Villa a Zr Sd. 5• f • �4 �tN. 55075 (leis -) y5�o -�z�o C " s� / Addition to existing building � 1!� New Construction Use: ❑ Residential / Number of bedrooms 3 to ❑ Replacement ❑Public or commercial - Describe: 5� bed, gpd/ft� _ trench, gpd/ftz Recommended design loading rate ,� /� Code derived daily flow J; 4 9Pd 2 / p 0 trench, ft 2 Maximum design loading rate _bad, 9pd/f� S trench, gpd/ft Absorption area required bed, ft J P Z� ,3 it (as referred to site plan benchmark) Recommended Infiltration surface elevaf i47`uv W��ErJ -� �N Gp,DtJ�. S Additional design/site considerations Si f 5��,cf�,vTS Flood plain elevation, If applicable ___ !VT Parent material 5C S Z system in Fill Holding Tank Conventional Mound In -G�rou Pressure AT Grade Y ❑ S ® g Suitable for system U-/ El t� 5 ❑ U ❑ S ❑ S -- U = Unsuitable for system L!d 5 ❑ U COh��E�D�� SOIL DESCRIPTION REPORT NI/p - " Horizon Structure GP it? Depth Dominant Color Mottles Texture Consistence Boundary Roofs Bed , Trench Boring # in Munsell ou. Sz. Cont. Color Gr. Sz. Sh. lf'S�E' �iQ f 2vf N,� • , 5 lor 3 13 —~ s/ 1 fs hi CS lo Z 15 -27 /o r r 3/�/ 3 t'7• y /o Ground elev. /f SAW �rfiQ - 7.5 % A - , 5 Depth to limiting factor �Q—in. Remarks: Boring # a ye 3 �/ 1�,.► she nh cs — . , s y 2 � 1G ,' S to [ 3 /6- 7.5 s . Ground 75 elev. , Depth to —r" limiting factor y 0 in. Remarks: Tff Telephone No. CST Name (Please Print) l Signature - 3 $6 /POl'E�2 T W 4 8 , Signature Data CST Number Address �a C!,� d ,� I� Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis• 54016 ' B ' K z 3 a- vQ . C s�r po 3 Lv T / .cif ,i off? -- E 1 e v.4T10 Z s �3 /OGrr (v0 y 00 , �5 /0 3. Y3 - rReAll)a,ill EtIl LlAlrILAw5 �SvS yFST -D� IM E 2 -.- (3 - 6 y 50l 7•ISE 3 TieC_"U44g S ' vW 1/E 11 It .s Ta Mn i n l"I� E�vtilL, ! y, 5 ' 0 41, r c{, Sloes l 404> -fov R 5 /Ow Tie FN 4�v 4 7 7 D ` 1 No . 4,0 7 1 - . n f uF 4a T C 1 GO r 5� J s D Ob 4 1 13 3 - \ r. H �S f� �w /5 d y L o 2.. T !�f A� Sop- S 0 R f� i U I TnP OF l i" Pic P y o I S. ell So • L oT 4 , PROPERTyOWNER '� �L� /S� SOIL DESCRIPTION REPORT PARCEL 1.0.# LOT — �'I� J`Q k S U f' Page Z o Boring # Horizon Depth Dominant Color Mottles In Structure Munsell Qu. Sz. Cont. Color Texture Consistence Bounds € 3 Gr. Sz. Sh. Boundary Roots / f �s, & f CS .Z f Bed Ground elev 3 X / - Go ft. 1 S. O , S G?,!Z ct 5 Depth to �/ f N G�� limiting factor Remarks: Boring # ff /e M^ Ground s v L y Loo. 9� Depth to limiting factor Remarks: Horizon Depth Dominant Color !n Mottles StructM Munsell Qu. Sz. Cont. Color Texture Boring # Gr. Sz. F-2A /D rip 3/3 S sh YR ol elev Ground . 3� �'- Q o ft. 5 ti Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBI)W -8330 (R. 08/95) IMPORTANT NOTE TO OWNERS & INSTALLER Soils th (loams, silts fiber ' etc.) can & will be easil textured compacted even b When this occurs by a backhoe bucket during a Smeared Or (4), the ins taller r MUST u be verlure will resultncA construction. the sidewalis & bottoms to re- ry ca re f ul allt p Of properly han d As per ILd ra ke 83'13 structure. Minn. ro ra mounted on the si ev even recommends that s carifyi n g soils natural treatment & s devices be absorption be most enhanced for normal alonger system life. I I IIII Parcel #: 032 - 1023 =50 -300 02/18/2005 08:27 AM .� PAGE 1 OF 1 Alt. Parcel #: 09.31.19.116C 032 - TOWN OF SOMERSET Current Xi ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner " GARY W & CAROL J HOKENSON HOKENSON, GARY W & CAROL J 8385 ANGUS AVE E INVER GROVE HTS MN 55077 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description l �� ,, � / � / L Q // SC 4165 SCH D OF OSCEOLA C � y SP 1700 WITC gal Description: Acres: .830 Plat: N/A -NOT AVAILABLE SEC 9 T31 N R1 9W PT NE NW BEING LOT 3 CSM Block/Condo Bldg: 11/3038 3.83 ACRES EZ -UT- 1220/340 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09 -31 N-1 9W Notes: Parcel History: Date Doc # Vol /Page Type 05/03/2002 678035 1884/152 WD 03/20/2001 640896 1604/529 WD 11/24/1998 592380 1380/317 LC 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 9846 61,400 - Valuations La t Changed: 07/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.830 52,100 0 52,100 NO Totals for 2004: General Property 3.830 52,100 0 52,100 Woodland 0.000 0 0 Totals for 2003: General Property 3.830 52,100 0 52,100 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 E I AW ot,k� NW`% s• cj , 31 iRw TAO S my o ,�seT^ E5!(ol DA Wort 6T CEO/Y fix (Is w_r 5'YCk�- 7 K- to L1 - �- to 3 y Coed A (a 5 7 r � cJa lVcc'(� o AJ �a6 c SW DiLD cop PQ L 6 te a, JLJ�� }Q a "et atepul PQ-6 L S s Te m Pl cq- PU ,-1 P4cL, 9-4-to . Fdotic( - tiati Piaa P, ( �, I ttA- o-5 -C(oor Att-J. Pa, 6 ��-�3 aN� coon PLAO P �"eut?e- D 4- > C, ( J o - er - 4 ©u Q G y f KcL a N (c- - 7dv i POWTS ! 2 OWNER S MANUAL &MANAGEMENT PLAN Page of FILE INFORM ATION SYSTEM SPECIFICATIONS Owner, Septic Tank Capacity 121p 0 a l ❑ NA Permit # 2 T,s Septic Tank Manufacturer W EIS ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer t 1 2 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units flQ NA Pump Tank Capacity al [ANA Estimated flow (average) Gb gal /day Pump Tank Manufacturer O-NA Design flow (peak), (Estimated x 1.5) &M gal /day Pump Manufacturer "A Soil Application Rate 0 . -- t - 0 gal /day /ft2 Pump Model PtNA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit P Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD :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 (BOD 530 mg /L ;Kin-Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ 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: ❑ month(s) (Maximum 3 years) ❑ NA y ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cells) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(g) Clean effluent filter At least once every: ❑ month(s) ❑ NA Z P year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) $�NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) A ❑ yearls) Other: 13 month(s) At feast once every: ❑ year(s) '°' Other: &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 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. Page Z of y START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) 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: �Q 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. W T alua ' a o ing tank b e ai a ?R D4115 rrSt' -. I�WP— A/6'1 OfIJ ❑ 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 WpZF-6 L(_ Name Phone �S 07W , 2&3 Phone d SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY / Name Name ST. CD , bV N Phone Phone /S— 3gCp- r0 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. 'ZS \11N Ql 7 Ji JN { ti, - r . ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r i Mailing Address f (t - ,D -�— Property Address ~ (Verification required from Planning Department for new construction) City/State - So �,'�1� Parcel Identification Number 03Z - 2102 -Z0 -pOp LEGAL DESCRIPTION Property Location E ' '' /., Sec. �, T N - W, Town of C "ry\'Qf . Subdivisi oAk u Lot # d im. Certified Survey Map # - ��`�T° Volume Page # ��� ( - Warranty Deed # Volume Page Spec house ❑ yes 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, restrictedplumber 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. I/we, 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 a year ex . tion date. SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (wSj 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 rprode ribed ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA OP PLICANT DATE * * * * ** Any infonnation 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 Pe ty g Deeds office a copy of the certified survey map if reference is made in the warranty deed i U 288�tP 252 _ STATE B K A AR OF WISCONSIN FORM 2- 1999 H 8 `J THLE &N H. 4tALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO_, NI This Decd, rnade between Bradley H. Lebrke and Melani R. RECEIVED FOR RECORD Lebrke, hu sband and wife, 05 -03- 2002 9:15 All - ;a3wi —1 ' LEE" Grantor, and - Ga ry Ho a nd Carol J. H okenson ,_ husband� f XE1"PT and wife, m - - REG FEE: 11.00 _— TRANS FEE: 230.70 COPY FEE: CERT COPY FEE: Grantee. -. - PAGES. 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in __S_t Cra ix County, State of Wisconsin (if more space is needed, please attach addendum): Rcec:dirsg "M1rea _ot 7 , Lolly Acres in the Town of Somerset. Together with right of ingress Namc an d Return Add s and egress over the 66 foot access easement as shown on Plat of Lolly I! Acres. Soy } Gv That part of NE114 NW I/4 Sec. 9- T31N -R19W described as follows: � ' -Yoe of Certified Survey Map recorded in Vol. 1 I of Certified Survey Maps, page 3038 as Doc- No. 538192. 032 - 2102 -20 -000 & 03 1023 -5 0 -300 Parce4 Identification Number (PIN) This is not homestead property. 0€) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of May 20122 Adt2y H_ * Melanie R. I,ebrke AUTHENTICATION ACKNOWLEDGMENT dley H. Lchrke a Melanie R. Lehrk _ STATE OF WISCONSIN ) -- ) ss. County ) this l a lay of MaY_._ —. _Ztl(l — _.... - - -- day of a. Personally came before me tins Y the above named + Kr stina O gtand� TITLE: MEMBER STATE BAR OF W}SCONS}N - to me known to be the person(s) Who cxeiuted the Foregoing (If not, instrument and acknowledged the same_ authorized by 4 706.()6. Wis. Scats.) THIS INSTRUMENT WAS DRAFTED BY .Attorney Kristin& Ogland _ _ Notay Public. State of Wisconsin ftf udson. l[ 94 16 Y uy Commission is permanent. (if not, state expiration date: (Signatures may be authenticated oc acknowledged. Both are not necessary.} signing in acuy must be or printed below their signature- ""° " "iO" P ra ° "i O " ' FO d 5.2 %" Names of Persons gn g arty" cap tYP� Pr g S00455-2021 STATE SAIL OF WISCONSIN WARRANTY DEED FORM No. 2- 1999 .. gx kEp � k # � L yt'�r diY t „C W � V , 'Z , LOLLY ACRES l� F LOCATED IN PART OF THE NE 1/4 OF THE NW 1/4, PART OF THE SE 1/4 OF THE NW I/4 � OF SECTION 9 T 31 N R 19W TOWN OF SOMERSET, ST CROI X COU WISCONSIN. ULft / j ^ 2�47N AYEN�E -.- ---#— IORTw IJNE OF THE NW iip -'^' -"- ss c fmf"fre'W q 5W29 'I5'W 344W !ff"29'h'w 97 -- i42' Mt/TOMMEP �� �fM•tf'q'W 3p3.O' ~ Q • . o OFSfnN9 2•= 1 laVW Rl06NEF p f!6 MST AR. >D 1 Comm_wn R w ' YIi mn LOT WM com lM AC OO cc R!W n Q I - J 233.N# O3 I 2 lit.q' 1 2-1 1 I 342.57' S OW 2915 312.42 ( _ 2 m mwzw - E {Mfr p � � 1 b 1 RI 3sre� VOL.9 PG. 2441 ti as .CAC! A/W 1 Q ,- wK2,945 FT, y M2.0 =a FT — •1 y - •-� LOST ACRES ERC. R1W b40 N— - u� I �p { ••--'� \� 134.579 50. n y Q_N `!cE>,. !r] - - - -12' Wt lowl .,. q'! Btf'29 i5A4' Vp/ W IMO C! UMCM OR AS W — 66' e CA � 1 vCL.l120 PG 309 &310 , t�� ( c ✓/ 031 ;1 � �1 1 1, Ju lan C. Nyhagan, registere ; 79z SO NC Esp#T that in full compliance with n qI Niscoosin Statutes, and under ISM AC. EXC. ESMT. 0 of the land described an this 670.904 SOFT N (Ally 14crem that such pl boundaries and the subdivision is 1- 3 �- 392.00' _ NKl /4 Section 9. T31N. Rl m Wisconsin; further described a 1QI � vx! s „ at the Wl /s Corner the n $ of Lot 3 of Certified survey Z the St. Croix County Register hCSj=dW; thence 889 -25•K 344.00 feet; thence 800 NW1 /4, 2668.71 feet to the not section; thence N89 -1, SO corner of Lot 2 of Certifi 2435 at said Office; thence Lot 2, 885.71 feet; thm j .�i N00 along the Nest 1 ' 4� � 1ta13f7V351I3 .... SS3:):)t! 301AK .£E 1 r 4L - cp A;S f T N ul Q 0 J ODD i' 3r67i?19000 lV iaC ` V m cu as 3 W � it] � O {V 71t 2 a Y1 UJ c�ri 0 ci # �► ,lm rEs m ° A tm 11 ,6£8EZ X !�� V/1 MN 3Hl t 30 ZA 3 3H.L d0 3Mn 1S3N �f I IOU IMIiC im3wrt{l1-w Sail Z - d trE X? t?97- 'OUI ISUO!} WOJQGIA e7n:Af) an trr. un- Jun 24 05 09:03a V iebroc k Consf. Inc. 715- 294 -4444 p.5 31• 3r6' - f � \ 1 �5 COURSE 4 1 ! s TDap \ LL a 9E WED Q iE ! s mss: CAS 227 SVL TO M � J c s CRS - , 2 - a.G EMA 12 COME a X 17 :/$- C \ \ �• -� SS O.G. i— COMSE CC ca c r y j 12 G7jMSE 127 9L= s cO:asE 8 - j)t.e r i.. t-- e�'9aa PC.8: toe 1 ?{{)P C.QS. .-._ M . ._ � FCR BCtnT L 'mom JnuTY i 97LRA { } CMPS - 8 Hl•Y.d t 7 ' AJC M S�OCX l ( i 6 �K t I 1 :CP C3s. 6° etc" ' P 1 1 aosr :, acsr ,FoLryZ7ATrO -N SCALC: , /b - V--c- Jun 24 05 09:03a Viebrock C;onst. Inc. r { e• -tV4-44+4 P. to IT -a . ! i ty ._0• GT 1 SE raCKET 6 CRS b, i•. CNaNGC FRCU S 475, IGU -50 _ T-4CWr -� r r< HLt o L _ 4p` �RCST WA • ' 4S' Ft= 1YM1 9' t 1 �S 9 i� 16 oz- 1 , III O-xai mos 5 ZS i 1 11 li t Li— Adow I: c r` CR5 - i2 - IL_ ^ :'A W/ - ----------- ---- �5.S -F,u ro SWO s 5 acs. c- •_.- { { � jv �,- > 01 �rlsOrf Resrd�r7ce PRENT DATE: � 5 A ,' - Vtcbrack :SHE=- ,.,L-.uBER � xx n CRxwru 8r: CoIxS�ZIc6aa x 2 5Z9 54. FT. IS-, FL'JGR � � � 2ttU3 I �P P - 0 - B.. r9T 52 SO. FT_ 2NO =LOCR } CHECKED $7_ S48 State R.I. 35 ;:0 ` - SO. F;. GARAGE 44$ O. I xx OfC.040, wr 340'•0 . 2? SO. FT. F?O,yT �flRCN I ,±un 14 ut) uy:U3a V`IemocK uonst. Inc. p.o 1 t f� N 0 , r,o-ii t'ss! ML•� t/r777f w i�177R d yd � � ` Ural`�t: '70.01 ! •7IIit°Lr .'^R Xit7 D[S7 r fj 1 m � ! -� [AV•I7N Y1F•IY••_ � 1 CVREAT S OGY, - ..,.fr.: I -. k l— � To n aat , i r :! Vs =1 ,7 . "ea'. 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