HomeMy WebLinkAbout032-2160-40-000 r
Wisconsn DroartmQrtt of Commerce
PRIVATE SEWAGE SYSTEM County: St. Croix
Safety anti Rjiildiny Division
INSPECTION REPORT Sanitary Permit No: 429928 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information ou p rovide may be used for seconds purposes [Privacy Law, s.15.04 ( 1)( m) ]. —_
Y P Y rY P P [ Y
Permit Holder's Name: City Village X Township Parcel Tax No:
P.C. Collova Builders, Inc. I Somerset Township 032- 2160 -40 -000
CST BM Elev: Insp. BM Elev: / BM Description: i � / Section/Town /Range/Map No:
t50 , 01 1 1 LID . a1 crIb;`A l = T 2 �L 12.31.19.1382
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark /
6 30 LID oq.Yo bt . 0
Dosing UV lam' y Alt. BM r
C�-
Aeration Bldg. Sewer • O /
Holding SUHt Inlet q , S- Q � • L � r
SUHt Outlet •
TANKS TBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Z S r t Dt Bottom 1 13 •to 9 , • 0 /
Dosing Header /Man.
(� •s,D q1 to
Aeration Dist. Pipe
Holding Bot. System
^� Fi �3�.XStJJ
PUMP /SIPHON INFORMATION b`�, al Grade 3•4v ap .
Manufacturer d St Cover
6l..ld--(L P
Model Number .,IL. S3
TDH Lift Friction Loss System ad T Ft
Forcemain Length t Dia. rt Dist. to Well
SOIL ABSORPTION SYSTEM,
ENCH idth Length o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
D1 3 r I var ' 4 4 3
SETBACK SYSTEM TO P/L 15LDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
g1oVIr SiR
Type Of System: _ UNIT Model Number: /
ellm 2Sr� 28� . a7
DISTRIBUTION SYSTEM
Header /Manifol 11 Distribution � ole Size Hole Spacing Vent to Air Intake
e 3 ,
Lang' Length Dia Spacing
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 Bed/Trench Edges Topsoil — Yes No Yes No
❑ ❑ -i
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection # r;� Inspection #2:
Location: 2251 74th Street Somerset, WI 54025 (SE 114 SW 11412 T31N R1 W) Wild Turkey R eat Parce -D,,.: 12 31.19.1382
1.) Alt BM Description = +.f r'a'a
,) l'0''� Wr' ofs S `1S� a"
2.) 2.) Bldg sewer length = Z Lf / 9; r L ' sb 4.50 v 0 B. -
- amount of cover L 'r Cole? *. I.q D .= 9 -4•00 /
c� ...q -3 - -- - - Y - -- —
p n revision Re uired. , No
b e other sid for ad itiona in ormation.,
-6 10 (R.3/ ) �v -A-,, �— IL S �,O.�, bZ111A e Cert. No.
r► < PLOT PLAN
PROJACT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025
SE 1/4 SW 1/4S 12 /T 3 N/R 19 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 6/11/03 BEDROOM 3
CONVENTIONAL IN -GROU PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK
MOUND SEPTIC TANK ZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambers 39
BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100° Filter Zabel A -100
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 96.3/96.0/95.7 3' below grade
Alt. BM Top of 2" Pipe @ 99.1'
297' Property Line Vent
>6 „ Standard Biodiffuser
Plans Designed Using of Cover Leaching Chamber
Conventional Powts with 31.1 ft2 of Area
Manual Version 2.0 11 "
6' Long
34" Grade at System Elevation
175'
40' B-3 S ope 3 -3' X 82' Cells with >3' Spacing
35'AC Vents
Vents
QECEI WE D
K Alt.
B. B M s
75' 90' O'`iiv 1'7 ?003
B -Z
40' L < < c
a
T==]A 20'
Pro 3
Q Huffcutt Combo Tank Bedroom
° House
i;
M
d'
Lult (+
U
Pro Town Road
SEPTIC TANK S PUMP CHAMBER CROSS SECTION AND SF£CIF ICATIONS
„ " MIN. ABOVE GRADE 1d£ATHERPROOF
w Cl ENT PIPE 1Z JUNCTION BOX APPROVED
> 2 5 t FROM DOOR,
WINDOW NI?OW 4R WITH CONDUIT MANHOLE COY ER
FRESH AIR INTAKE W/ PADLOCK &
FINISHED GRADE WARNING LABEL
4" MI
2'!
I8" IN. y' Q�RW� �- S.D.
� a
INLET `.
GAS `
W ATER TIGHT SEALS TIGHT N APPROVED
A SEAL ► JOINTS VITH
fwriLPL ALM APPROVED PIPE
DI
ON
PIPE 3' _.-� -- } + �OIg 011
ONTO
per} SOLID C i OFF
SOIL PUt4P OFF ELEV . 1 . _+_
D
�: BEDDING UNDER TANY-
3 APPRQYF_D RETE PAD
SPECIFICATIONS
s .
SEPTIC / DOSE NUMBER DOSES PER DAY � ----- ---- --
SANK MANUFACTURER:
L DOSE VOWME INCLUDING � ,) GAL -
TANK S I ZES : SEPTIC — � ---- GA. FLOWB K
DOSE v GAL. _� = 7• GAL.
CAPACITIES: A 'i INCHES
ALARM MANUFACTURER: L" � S = 2 INCHES = �D GAL.
MODEL NUMBER: �- ,rC1'�!/ -- y
SWITCH TYPE: C INCHES c /o?
• J GAL.
PUMP MANUFACTURE INCHES = a/�LlgAL-
MODEL NUMBER: .3 D
SWITCH 3"tPE' 1B.23 WAc
o GPM PUMI & ALARM WIRI KG AS PER I LHR
REQUIRED DISCHARGE KAT �_ � � FEET
_ FEET
TICAL DIFFERENCE BETWEEN POFF .AND- IIZSTRIBU'EIUid P ; FEET
V ER V iMt3t'L NETWORK SL3PPL.Y PRESSURE 'FT/ 1 FT. FRICTION FACTOR FEET
+ FEET FORCE
x --U- -- TOTAL DY�NAM'C HEAD
---- /` 6 DIAMETER
LENGTH ` `� ' Sr 9 - :-
INTERNAL. DIMENS O ` S 4F pul�P 'LANK: LIQUID �-- - ----" �
�j G L V 7 SAL
f' LICENSE NUMBER:
SIGNED:
1/88
w HEADICAPACITY CURVE
EFFLUENT and DEWATERING
WARNING: Model 18514185 should not be subjected to less than 30 feet TDH.
TOTAL DYNAMIC HEADICAPACITY PER MINUTE
yyr
$us
w t s an,a +ea+u ISY41631 + w+ss 11391 ssenus sswus uw+n +t+
Uj 4
FT.
11;? Get i!i> Gd i.Yr<` GY. Lts' GM. Lte G8 I.ta G+t lff GN. lkf' Grl. lYf. G� lbf:_ G+1. �thf: GM. phi.: GK 'tD�.. Gai. Ctrt. GAL ft
14 s ass ns i=?e re sK a ses n <ns ss w sys. sos ee� : ss rsi ss Est >,`' ?`: s• m us +ss sn es its
42 to xre su�so :S etn >r srs es ns n ios to r/ +eo nt.: st rst st liS. a 9hs to su 1St i1r a
u' N
:.,
13 n u z s 1s rs .ss m 17i rs ��ie ss ss� ss iti u > ur, u 3£ to sn sa ;ise a ns
se,?rtt' �z e �>•tF p re rso : e7 <rft ? . is Ytr a E irt,: 111 ae 133 'sea a an .:
t 3 m �zstt:_c �. z : u tlz ss 246 : ss rr01 . IS Kiz. >e wee. se z» 121 ep ,rr of a iiF
at »_ ,.: 3Aru m ttN a rte a at71� u2N: rs 1 N sm> to m tie `as a
12 m s�lssi; 1 rf .' s r ee . rs \trf : is 1st: a "tri m z a iei IN i3ft +s }11
.. ;..x <: sar`'."o-e ' . f <; IS ' es a�1 :.7t f1 ,-r1k rt 3H. ss %7t a
12 ;, ar m1ts a a 1st ss u� n bs aa».:
n 3 7! fit: \'. 3 S aS?•
36 m l�e.7i� ; 'r: 'i t rk'•�? a €' S :Y 3cf: N +zlY;• a zt toe M {SOf a 'itt -
19t r s 3
53. 4 : S4„ y g" '��:.�• rr art.
11 w era
5 Y "` to iia H .H a
34
32 105 t.atw.e a »ss n >c +., s er sr
100
30
95
28
90 186.
26 4186
85
165,
24 4165
75
v 22
70
x
U 2Q
65
18 60 163. 189,
4163 4189
J
r 55
0 16
50
� 14 45
12 4U 188,
140, 4188
• 4140
35
10
30 1B5.
a—
137.139 4185
25
6 20
15
4
10
2
5 43 4 59 98. 4161
0
U.S. GALLONS 10 2 30 40 50 60 70 80 90 100 110 120. 0 140 150 160
I. LITERS 160 240 320 400 480 560 640
0 FLOW PER MINUTE oMzs
Note: For Head Capacity on Model 112, industrial column - explosion pr000f pump, see FMO219.
Safety and Buildings Division un
l 201 W. Washington Ave., P.O. Box 7162
V
Ali sconsin M Wl 53707 - 7162 Sanitary Permit N umber (to 3 ke filled in by Co.)
(608) 266-3151
4 q
Department of Commerce 9 /
State Plan I.D. Number
Sanitary Permit A
Ali
I accor with Comm 83.21, Wis. Adm. Code, Personal information PTA , _k
Pro t Address (if di an mailing S)
may b use f secon p ur p ose s Privacy Law, s15. m) 1 T,
I. Application Information - Please Print All Information 1 2 , ' 1& 0
4 1 0 # Lot # JJIOCK it
r Property Ow ne me 00
— i;;Wr — ty Location p ro p er t y 0 ailing Address
? 0. 41 X 7
1 5,— -A,Secti-1
City, state Zip Code Phone Number
Phone Number
(cird
Ep
T 51 N IL
PIL 71 7
II. Type of Building (check all that 411 S Name CSM Number
or 2 Family Dwelling - Number of Bedroom
❑ public/Commercial - Describe Use [1City_0Villg&Ao ip 0
[I State Owned - Describe Use 3 4 011 CIA— ,
III. Type ofPermit: (Ch only one box on line A. Complete line B if applicable) 3
A. ing y 0 other modification to Existing ystem
)21_1� System ❑ R e pl acemen t System ❑ Treatment/Holdi Tank Replacement On'
List Previous Permit Number and Date issued
B. ❑ Permit Renewal - it Revision ❑ Change of ❑ Permit Transfer to New
Before Expiration /� Plumber Owner
IV. Wpe of POWTS §Lqern: (Check all that-apply) E] At ❑ Si Pass Sand Filter
❑ Mound > 24 in. of suitable soil 11 Mmuld < 24 in- Of suitable soil
[I Constructed Wetland ❑ Pressuri BGrouud ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit 0 Recirculating Sand Filter '
El Recirculating Synthetic Media Filter'7;;�' ig Chamber ❑ Drip Line ❑ Gravel-less pip ❑ Other (explain) 3
V. Di ent Ar ea Inf oration: A I System Elev tion
Desi Flow (gpd) Design Soil ' Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (a
icano
Site Steel her Plasti
VI. Tank Wo Capacity in Total Number Mann direr Prefab Constructed Glass
Gallons Gallons of Units Concrete
New Existing V /� l
Tanks Tanks
Septic or Holding Tank
Aerobic Treatment Unit
Dosing Chamber
VII. Responsibility Statement- I, the undersMAOS, assume iresporisnaty for installation of the PO own on the attached plans-
MP/MPRS Number Business Phone Number
Plumber's Na me (Print) I ture 2Z
Plumber's Addre as (Street, City, State. ode)/) 7?
VIII oust /De 5T!Ment Use On] d- Si Stamps)
S i Permit
_ ;j7atr
Surcharge e
Ord
s Groundwater DIIE 1:135111!:IJ
0 Disapproved Sanitary Permit Fee (include
Surcharge Fee) owner Given Reason for Denial 2
IX. Conditions of Approval/Reasons for Disapproval
-d/
vn�- �ac�r�2�� ����vr✓on- �����°� �p,.��,,P,� �a,4, G�inr,, �'3• ����
7K� Y7~
17.4 447
an noner not than 81/2 x 11 Well- m size
PLOT PLAN
PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025
SE 1/4 SW 1/4S 12 /T 31 R 19 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 4/24/03 BEDROOM 3
CONVENTIONAL )= IN -GROUN P ESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK IZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambe 39
BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE Q WELL - H.R.P. Same as Benchmark
SYSTEM ELEVATION 96.3/96.0/95.7 3' below grade
Alt. BM Top of 2" Pipe @ 99.1'
297' Property Line Vent
>6 „ Standard Biodiffuser v1 Plans Designed Using of Cover Leaching Chamber
Conventional Powts with 31.1 ft2 of Area
Manual Version 2.0 6' Long 11 "
34
Grade at System Elevation
175'
B -3 8%
40' lope
35 Vents
Vents
Alt
&NL M.
75' 90' 10' 0'
-1 1
3-3'X 82' IN with >3' Spacing 4
'-� 2�
� T
30'
M �
Pro 3
Bedroom
House
Pro Town Road
_J
PLOT PLAN
PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025
SE 1/4 SW 1/4S 12 /T 31 R 19 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE4 /24/03 BEDROOM 3
CONVENTIONAL X00( IN -GROUN P ESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK IZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1212 # of chambe 39
BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 96.3/96.0/95.7 3' below tirade
Alt. BM Top of 2" Pipe @ 99.1'
297' Property Line Vent
>6 " Standard Biodiffuser ✓
Plans Designed Using of Cover Leac ' g Chamber
Conventional Powts wi 1.1 ft2 of Area
Manual Version 2.0 6' Long 1199
Grade at System Elevation
34 91
175'
>40' -3 8%
Slope
35 cii a
V s
Vents
B
*. Alt
M.
75' 90'
B -1
3 -3' X 82' Cells with >3' Spacing 0
a
T
a,
0
30'
M
d'
Pro 3
Bedroom
House
Pro Town Road
,�
.`
� y
•
..�;
s .t � i.�
-,p %. ��
c "
��
i
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A °` � '9 F
' �,� s� 3
r�
I
Maintenance and Contingency Plan for a Septic System Z9
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
1. If system fails, determine cause of failure, use alternate area and install new system or
install system at a lower elevation.
2. Replace an other failing of e a components P Y 9 as needed. p
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer P. C. Collova Builders, Inc.
Mailing Address P O Box 489 Somerset, WI 54025
Property Address I I e4 "-Jn 5�kD Q I-- =1
(Verification required from Planning Department for new construction
City /State �onno� '{� Parcel Identification Number d z -02 /(v DDd
LEGAL DESCRIPTION
Property Location5r %,, �/,, Sec. _�, T_aLN -R g_ W, Town of
Subdivision
�- -- O 32 -z 1 5q - oZ qqq
Lot # .
Certified Survey Map # . Volume . Page #
Warranty Deed # 6 3--S (P o 1 Volume Page # a
Spec house ❑ yes` 4o Lot lines identifiable yes ❑ no
SYSTEM A AINTENANCE
Improper use and maintenance of your septic system could result in its prematumfailure 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
masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (Z) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
of the three year expiration
Y /�Yi- 3
SIGNATURE OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the roperty described a y v f a warranty deed recorded in Register of Deeds Office.
�) � ,W
la`li -
IGNATURE OF APPL16KNIq D
« * * « «« 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
wisconsilri pert of Commerce SOIL EVALUATION REPORT Page —L a 3
Divis)on of Safety and Build W in accordance win, Comm 85. this. Adm. Cade
Attach compute site plan on pa not less 11M 81/2 x 11 indM in Size. Plan must
include. but not krWed to. wrdcal and horkontal reference Point #3M). d iscflon and Parrlal l.D. p 32
percent slope. scale or dimensions. north arrow. and location and WSU111109 to nearest road. T by Date
Please print all Inkwntatlon.
ftmond bnramason you moulds mar be used for ae —IftY purposes (Privaw tow. s.15 a (1) (R►)). ' Zy !Y
Propert 7/, Prop" t °`�n°n,
L t✓d!� c✓ Govt Let- _ 114 S f T 3 N R E( w
Property!�S s MM #V Address r aii, # Subd. CSW
x 'K .� �e ,� - 4
qlY State Zip Cade Phone Number ❑ V vlage awn Road
,,?� LP"
odds ( rs) -s9 o�'.v
New constrrrdior
Use Residers / Number of bedrooms Code derived . flaw rate c,PD
❑ Replacement ❑ Pudic Qr commwdal - oesaibe• - - - --
Parent n ,_sue .g3 _ .3r ,.,. Q, Flood Maine dwaaboon Iff a 14-ZAA: ft.
General oornnrerMs
and raoormrendeflons:
Bollig
1 Pi< Gratard surface elev.,��! q;, to �r
Depth *rg factor 1� � Sol Rate
Ho h n Depth Dominant Redox Dasaription Texture Structure Cons a Boundary Roots
IM Munsed Qu. S7- Cont. Color Gr. S7. Sh. 'Eff#1 *0102
117 a
17 s
qu o. y
° B°rir�
®� # Pit Ground surface Wev& R Depth to knftV factor -L� in. sod Applicolon Rate
Worixon Depth DommaM Redox Descdpflon Texture structure C.orrsistenoe Boundary Roots GPDII�
in. Mtnsd Qu. Sz. Corti. Color Gr. Sz. Sh. •Eff#1 'Eff#2
- 76
•Effluent #1 = BoD > 30 : 5 220 mgfL and TSS >30' 1 • Effluent #2 = BOD <_ 30 mglL and TM <_ 30 mglL .
CST Number
(Flease Pte) 2G
Date Evaluation Conducted Telephone Nu kw
Address
Sl�
I X 4 1,
Property owner Parcel ID # Page Z d
❑ Swing
] ' # Pit round surface elev. v & Depth So 9 factor Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHF
in. Munsell tart. Sz. Cont. Color Gr. Sz Sh. 1 2
Z
5 - ` % 3 w 7s� 6 I I H
E # ❑ Borkv
❑ Pit Ground surface elev. fl. Depth to fenrMv faCW In- sa Rate
Horizon Depth DorrinardCokw Redox Description - towns Structure Consistence Boundary Roots GPDffF
in. Munsell Qu. SL Cork. Color Gr. Sz. Sh. 'M 'EN#2
❑ I # ❑ e«
❑ Pit Ground surface Slay. it Depth to rmrfin9 f actor in
Soil Rafe
Horizon Depth Dwkwt Color Redox Description. Texture Structure i Consistence Boundary Roots GPOW
lo. Munsell tau. Sz Cont Color Gr. Sz. Sh Tff#2
Etlkxo #1 = BM > 30 220 mg& and TSS >30 < 150 mgll ' Eftient #2 = BM, :S 30 rng& and TSS 1 30 ffQ&
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.
sMarwt tAM)
Soil Test Plot Plan
3f3
Project Name P.C. Collova Bldrs. Inc Sha n it
Address P.O. Box 489 i
Somerset Wi 54025 TM #226900
Lot 14 Subdivision Wild Turkey Retreat pa 9/6/02
E 1/2 S W 1/4S 12 T 31 N/13 W Township Somerset
R Boring 0 Well PL Property Line County ST. CROIX
IL BM or VRP Assume Elevation 100 ft. Top of 2" Pipe
System Elevation 96.3/96.0 *HRpSame as Benchmark
Alt. BM Top of 2" Pipe @ 99.1'
297' Property Line
175'
B -3 8%
99' 4 0' lone
35'
rT =k Alt
B. .M.
75' 100' 90' B -210' 0,
B -1
a�
a�
a
0
c Please Note: Tested area
M may not be suitable for
desired building area.
Check system location
before excavating. Also,
survey was not completed
at time of test. Set backs
from lot lines may
change.
Pro Town Road
FROM C COLLOVP BURS, INC PHONE NO. : 71-5 247 2747 0,;t. 28 2002 02:14PM PI
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zu
the above,yowed
Trm Muce vlA a micof wl=mus to
i*wu-.rt and ScJv,-YkWqgd Lhe ama.
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My Ctrambsian ts pemanalt, (If nW. stmt =pirnnQ, date.
Tre M4 ameftwo,
U;4
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I
NE OF THE SW 1/4
;6. r-- 437.09' - - --
" '
2
N 3'1501 E
86.72. LOT Cl 4
�o I �
130823 S.F. �, �,
Kt,.� I 3.00 Ac. (D D - o� m - a
_= n _ w o c
N I ! ►�? Z O Z
0 I Q 80
? ' RADIU O S TEMPORARY I G7 rZrl o G7 c
' ( I CUL -D� UPON -SAC EASEMENT (TO C.B. 2.89 Ac. O O
BE REMOVED co u
rn co aD p
N I NORTH RLY EXTENSION OF I N _0 00 0 2
i V I ROAD) - p D O ' Z C
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