HomeMy WebLinkAbout040-1264-10-000 x
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count
Safety and Buildings Division ''fit. Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanita�V No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)).
Permit Holder's Name: ❑ City ❑ Village ow of: State Plan ID No.:
Miller,. Sam Troy Township
CST BM Elev.: Insp. BM Elev.: B ( � M scription: Parcel z�x - t64 -10 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Z Sb Benchmark S-87— _ 1 0 5.8 oD. a�
Dosing Alt. BM �„�� c1$, ZZ'
Aeration Bldg. Sewer
Holding St/ Ht Inlet 6 •5� �� • Z`(
TANK SETBACK INFORMATION St/ Ht Outlet (0.9( cP8 g6'
TANKTO P/L WELL BLDG. Air to
I ntake ROAD Dt Inlet
Air
Septic .112' 3� / NA Dt Bottom
Dosing NA Header / Man. �' So 9$• 32
Aeration NA Dist. Pipe �`� �, 32 r
Holdin Bot. System
5 «- sa
PUMP / SIPHON INFORMATION Final Grade 6 ,6"
Manufact re Dern St cover 3.3o p
Model Number GPM
TDH Lift F' n em 1 1 TDH Ft
oss ea
For In Length Dia. Dist. Toweu
SOIL ABSORPTION SYSTEM
Bf$ TRENC width i Length No Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIME N �J �Z- So 3 DIMENSION
nu
a ctur r•
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING M a nu7
SETBACK CHAMBER
INFORMATION Type of r 2 Mode Number:
System: C) 7 OR UNIT
DISTRIBUTION SYSTEM L 9 � ,,,e �, l,.
Header / an U Distribution Pipes x Hole x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over 40 & �C�' I Depth Over L xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center 34 1 Bed /Trench Edges Topsoil I ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
Inspection # 1: --i° /2s / a-:- Inspection #2:
Location: 405 New Century Drive, Hudson WI 54016 (NW 1/4 SW 1/4 5 T28N R19W) - 0528191429 Frontier - Lot 21
1.) Alt BM Description = (.0" Ic+�+�
2.) Bldg sewer length= yo'
- amount of cover= iz .ID
Plan revision required? ❑ Yes No
Use other side � additional info - rmaa i
`(� `-"` �`�""`�"�� Date Inspector's Signature Cert. No.
s BD � 2 1'x uti L _ I ,
I
J
ADDITIONAL COMMENTS AND SKETCH `
SANITARY PERMIT NUMBER:
s -°
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3
I �
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y
i
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§ � s
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Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
14scons Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302
Department of commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not
state owned.)
Attach complete plans (to the county copy only) for the syste on paper not less than 8 - 1/2 x 11 inches in size. -7 County State Sanitary Permit Number Check if revision
to previous application State Plan I. D. Number
I. Application Information - Please Print all Information Locatio
Property Owner Name / Property Location x q
514 /�'� 1 LL ,.. " 1/4 94/4, S 5 T V,N, R/iE (o W
Property Owner's Mailing Address Lot Number Block Number
City, Starr Zip Code Phone Number Subdivision Name or CSM Number
UJ I � D (3 (4) Z 7Gt - 7 A0 qT1 f4L-
11. Type of Building: (check one) ❑ city
1 or 2 Family Dwelling - No. of Bedrooms: ❑ Village
❑Public /Commercial Town of (describe use):_ 4
��
❑ State -Owned }may f, 1 s I� p
` t) z y` Nearest o c ra6
l �j L
Parcel Tax N ber(s)
III. Type of P rmit: (Check only one box on line A. Check box on line B if applicable) 2-(P Z
A) 1. Wew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to
ystem System Tank Only Existing System
B) Permit Number Date Issu d
A Sanitary Permit was previously issued - q Z vop
IV. Type of POWT System: (Check all that apply) ' �r .� �p
Non - pressurized In - ground LC Ac, f1 ❑ Mou ❑ Sand Filter ❑ Constructed Wetland
Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
VII. Tank Capacity in Total # of Manufa rer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete strutted
Tanks Tanks
0 0 0 ro 0
VIII. Responsibility Statement
I, the undersigned, assume re sponsibility for install of the POWTS shown on the attached plans.
Plumber's Name (print) Plumber's,,,' ature (no slam ) MP/MPRS No. Business Phone Number
lumber's Address (Street, City, State, Zip ode)
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
` 3 Approved ❑ Owner Given Initial Adverse Surcharge Fee)
Determination d, 6 V /o A l Z 0 o
X. Conditions of Approval /Reasons for Disapproval:
5t'401< S1'ah t,Ucl ` 1
re t�� Gi � �4 r i� m e fin-, y L& 01 0 e-
Y'eve
SBD -6398 (R 07/00)
Sanitary Permit A plication Safety & Buildings Division
in accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
fsco Madison, WI 53707 -7302
Personal information you provide may be used for secondary purposes Submit completed f not
Department of Commerce [Privacy Law, s. 15.04(1)(m)] ( p leted form to count
_ _ state owned.
Attach complete plans to the county copy only) for t o er bt less than 8 x I 1 inches in size.
State Sanitary Permit Number ❑ Fc i sion to p' application State Plan L D. Number
County a' �V
I. Application Information - Please Print all Information e t Location:
Property Owner Name ! Property Location
W -" i /; �} /4 S ""t /4, S T Z �N, R I % o
Lot Number Block Number
property Owneds Mailing Address
CC)uNTY
City, State Zip Code \ , OFFICE , Subdivision Name or CSM Number
n
NvpC N wl y a I �e if 2aNTi ,�/Z.-
II. Type of Building: (check one) �� r ❑ City
:,= ...�1..•.�•• ❑Village
❑ 1 or 2 Family Dwelling - No. of Bedrooms :-1— Town of Teo
❑ Public/Commercial (describe use):_
❑ State -owned Nearest Road
�I ,41H R 1310 11r�s•�r cF ale. RIVE
Z15 r-/ 11l 5 OT61`4A- Parcel Tax Number{s)o 0 -/2 D-boo
III. T e of Permit: eck onl one box on line A. Check box on line B if a licable 3� Z Q. �yz
1, ew 2. ❑Replacement 3. ❑Replacement of 4. 5. 6. 1 Addition t
A) stem System Tank On l Existin System
m
nit Permit Number Date Issued
B)
❑ A Saa Permit was reviousl issued _7 ^(f '3 �(9T
IV Type of POWT System: (Check all that apply)•3 D to DI 4ga , & , r ❑ Sand Filter ❑ Constructed Wetland
TV, In- ground LEA ❑ Mound
Pressurized In ground ❑ Holding Tank ❑Single Pass ❑Drip Line
❑ At ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V. Dis ersal/Treatment Area Infornation:
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation .Final rade
Required Proposed Rate (GalsJday /sq. ft.) (MinJinch) /
VII. Tank Capacity in Total # of Manufacturer Prel',ib Site Steel Fiber- Plastic
Gallons Gallons Tanks Con- Con- glass
Information New Existing crete strutted
Tanks Tanks ❑ ❑ ❑
1240 UJE� s2
Ems- IooA ❑ ❑ ❑ ❑ ❑
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached Tans. g,iness Phone Number
Plumber's Name (print) Plumbers ibmalure (ilo ps): MP/MPRS No.
K� `Da [.L ( z z
Plumbees Address (Street, City, State, Zip Code)
00 T ( M E 14 U 1 Se vi
IX. County /Department Use Only
11 Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
Approved ❑ Owner Given Initial Adverse Surcharge Fee) ?/
Determination .Z Z 6 U U
X. C onditions of A /Reasons for Disapproval: / J
�0 ', Ma.`�rl4is,e, / 0 ,r MU
in7�a�/u /rd / S ! ✓ <�ou�a�Pu���io ^S
Ik Sc�s> hn t<5{ NfJ be try 1fa(�� ir^ ✓PGerdeJ s e(elokoo 0t6eme
r
rl� ►LL F(Z L.cT tl - M -" oyo 1 24o4l - 16 -0 0 0
c v N w c C- N T V � q Di i V F z w-, F"I.�.
� S �
i
LcT 2 Z
s
N
co Z
25 p 6A` 57 hl6�d
A v y �
a-
LIT 100
row
i
G I
WELL
(Ie� W O O L < X01
►o,�f�t- .r- 6 : Nw i +, yr �.� ��cK �
A
t,
Q ,fin, T o r i-4
DoT zo aft $ L°
�� Toy a�
L «C
Biobifluser Specifications
76"
00 00 00 00 00 0 00 00 00
OD OO OD OO OO OO C� �0 DD Chamber
OD DO OD DO OD OC7 r 7 C� C7 OD Height
OD OO �C1 DO OD DO C� -] OO DD
DO OO OD OO OCl DO OO OO l= 7C==
3 +
E
s x
� Chamber
�
Height
utr
End View
34"
4" Knockout
i
Universal End Cap
Available Sizes
Length 76 76
?6
Width 34 34" 34"
Weight 11" 14" 16"
Invert 6.5 9 11.3
I
wisconsin Department ofCommerce SOIL AND SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code
AC.E. Soil &Site Evaluations
Attach complete site plan on paper not less than 8 %x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimernsions, north arrow, and location and distance to nest road. Parcel I.D.#
Prt of 040 - 1022 -10
APPLICANT INFORMATION - p /ease print all Infor viewed gy Date
Personal information you provide may be used secondary purposes (Privacy Law, s. 15.04 (1) (m)).
R
Property Owner , r- Property Location
. -
�b Govt. Lot NW 1/4 SW 1/4 S 5 T 28 N,R 119 W
Miller
Sam
Property Owner's Mailing Address 1 Lot # Block # Subd. Name or CSM#
.4 "t Plat �. a O
P.O. Box 151 O Frontier
i---- � � �, 21
City State Zip Code fthgn4l inber City Village ®Town Nearest Road
Hudson )# 54016 2769 Troy Tower Road.
® New Construction Use: A9610ential 1 Number of bedrooms 4 ❑Addition to existing building
❑ Replacemen ❑
t tic- meraajbescribe
Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/ft
Absorption area required 857 bed, flz 750 trench, ft Maximum design loading rate •7 bed, gpd/ft2 .8 trench, gp d/ft 2
Recommended infiltration surface elevation(s) 96.00'. ft (as referred to site plan benchmark)
Additional design / site considerations Install trenches using high cayacity infiltrators..
Parent material Glacial outwash Flood plain elevation, if applicable ft
S- for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank
U= Unsuitable for system ® S❑ U ® S❑ u ® S❑ LI ® S❑ U ❑ S ®U [ S M II
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure Consistence GPD/ft2
Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench
1 1 0 -10 10yr3 /2 None A 2msbk mvfr cs 2f,lm 0.5 i 0.6
2 10 -23 1Oyr4/3 None sl 2msbk mvfr cw lf&m 0.5 0.6
Ground 3 23 -30 1Oyr4/4 None is Osg ml cw if 0.7 0.8
elev
102.19 ft 4 30 -81 10yr5 /4 None s Osg dl gs - 0.7 0.8
Depth to 5 81 -126 10yr6 /4 None s Osg dl - - 0.7 0.8
limiting
factor
>126' X9.28 tl�•28
Remarks:
2 1 0 -12 1Oyr2 /1 None sl 2msbk mvfr cs 2f &m 0.5 0.6
2 12 -224 10yr4/3 None sl 2msbk mvfr cw if &m 0.5 0.6
Ground 3 24 -37 7.5yr4/6 None is Osg ml cw If 0.7 0.8
elev
101.54 ft 4 37 -88 1Oyr5A None s Osg dl gs - 0.7 0.8
Depth to 5 88 -123 1Oyr6/4 None s Osg dl - - 0.7 0.8
limiting
factor
>123' 6 r. .`f �
Remarks:
CST Name (Please Print) Signature ( Telephone No.
James IC. Thompson �c'� ' - 715- 248 -7767
Address A.C.E. Soil & Site Evaluations Data CST Number Ref #
340 Paulson Lake Lane, Osceola, WI 54020 12/31/1999 3602 1170
f
OWPERTYOVMBL' Miller Sam SOIL DESCRIPTION REPORT Page 2 of 3
'PARCEL LDS Prt of 040- 1022 -10 A.C.E. Soil & Site Evaluations
Depth Dominant color Mottles Structure sistence Boundary Roots GMW
Hod" in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Bed Trench
3 1 0 -22 10yr2 /1 None Sl 2msbk mvfr cs 2f &m 0.5 0.6
2 22 -30 10yr3 /3 None A 2msbk mvfr cw if &m 0.5 0.6
Ground
elev 3 30 -41 10yr5 /4 None A 2msbk mfi cw if 0.5 0.6
100.42 ft 4 41 -95 10yr5 /4 None s Osg dl gs - 0.7 0
Depth to 5 95 -122 10yr6/4 None s Osg dl - - 0.7 0.8
limiting
factor
>122*
5 - 3 o Y
Remarks:
4 1 0 -26 10yr2 /1 None A 2msbk mvfr cs 2f &m 0.5 0.6
2 26 -38 10yr3 /3 None Sl 2msbk mvfr cw if &m 0.5 0.6
Ground
elev 3 38 -56 10yr4 /3 None sl 2msbk mfi cw if 0.5 0.6
99.20 ft 4 56 -63 l Oyr4 /4 None is Osg dl gs - 0.7 0.8
Depth to 5 95 -122 10yr5/4 None s Osg dl - - 0.7 0.8
limiting
factor
>122'
Remarks:
5 0 -12 10yr3 /2 None Sl 2msbk mvfr cs 2CIrn 0.5 0.6
2 12 -20 10yr4 /3 None sl 2msbk mvfr. cw if &m 0.5 0.6
Ground
1 d
elev 3 20 -26 1Oyr4/4 None is Osg ml cw if 0.7 0.8
99.15 ft 4 26 -61 10yr5 /4 None S Osg dl gs - 0.7 0.8
Depth to 5 61 -123 10yr6 /4 None s Osg dl - - 0.7 0.8
limiting
factor
>123'
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
J
■ 50; ( O&t
Sa i» /�j,'/ /ter' • /oca.�e d�oroo.
Sc�e•
oc a
WAK- ,may S ee. "5
, T,W if
� � , • 307. ,2S
az
/.t,2. ao ■ 8,� S /off. � al
Q
eq
■
g5
278,7/'
and : �OO�' /oe
I of s6vee.. 67W = 9P //
ST CROW COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer ���-� ---
Address o
Mailing Ad
Property Address
(Verification required from Planning Department for new construction)
City /State 4 Q S o tA W) Parcel Identification Number yy ' y w0
AD
LEGAL DESCRIPTION
Property Location At tt V,, 5 1J %, Sec. S . T Z ! N-R21- 9 own of D
Subdivision r 2 o tfT I � .Lot # Z /
Ma # 6 SS d Volume Page #
Certified Survey p
C7 Pa
Warranty Deed # �' � � � � , Volume � _ e # g
Spec house 41 rs 0 no , Lot lines identifiable r yes 11 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
waste sal em.
' n of the treatment stage in the disposal syst
can affect the funct sep tic tank as a t
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, restricted plumber 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 15 full of sludge.
Vwe, 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
y ear e x p iration date.
day p
Ys of the three y
4 SlikE l O L F PLICANT 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 ownet(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
7 /
STG OF APPLICANT DATE
« « * « «« A information that is mis -represented may result m the sanitary pe rmit 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
Vill.1442PAGE 42 L=
STATE BAR OF WISCONSIN FOILM 2 - 1999 4&06841
WARRANTY DEED
KATHLEEN H. WALSH
REGISTER OF DEEDS
TIds Deed, made between Kathryn B. Tuleren, and Ferris — ST. CROIX CO., UI
R- nilRrvn. tj+fe and husband RECEIVED FOR RECORD
Grantor, conveys and warrants to 07-U -1999 11:00 All
Sara E. Miller, a sin¢le person. YARRANTY DM
EMPT 1
Grantee. CERT COPY FEES
Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE.
the following described real estate in St. Croix County, State of tRAIISFER FEE: 2223.10 RECORDIM6 FEES 12.00
Wisconsin (The 'Property "): PAGES: 2
RecordinS Area
Name and Return Address
0/04022•10: 001022 -70: 010 - 1021 -90:
0/0- 1029 -20: 040-1023-70
Parcel Identification Number (PIM
This is 11Ut homestead property.
(See Attached Exhibit "A ")
Exceptions to warranties: Easefnenis, restrictions and rights -of -way of record, if any
Dated this 13th day or my, 1999.
• • Kathryn B. ulgrcn
* 'Ferris R. Tulgren
AUTHENTICATION ACKNOWLEDGMENT
Signatures) STATE OF WISCONSIN )
) as.
authenticated this _ day of St. Croix County )
Personally came before me this l3 day
• of July, 1999, the above ruined Kathrm B. Tulartn,
TfTLE: MEMBER STATE DAR OF WISCONSIN and Ferris Ft. harem
to
(It not. me sown to the per s) who executed the foregoing
authorized by it 706.06, Wis. Stars.) instru and ackno I a ge the same.
THIS INSTRUMENT WAS DRAFTED BY 6G�/ `tom_
Attorney Kristirla Ogland '
Tludson, WI 5406 N blic, State of Wisconsin
(Signamfes may be authenticated of ackno wledged. Binh are not My Commissio p�ane If not, state expiration date:
necessary l Brenda Poulin r r r ao
Notary Public
Statc of Wisconsin
-Names of person signing In any opacity should be typed or printed below their eiga0uu
wARRAMIT DUD frAta aMa or wssc~
roar w r . Me
&FOAM now PROF E894 1 COMPANY FOW OV LAC. IM 11100466M i
L I
I
�,,,.1442 43
EXHIBIT "All
lo ca te in the NE ,/ o f SE' /' of Section N n h! Range
ALL in Township That certain parcel E A o Sw ,/' of Section 5, in more fully described as follows:
N ons ° � "E
and the Wisc 51 08
of SW /* a St. Croy County, thence N87
West Town of Troy, distance of
e Inning s t_West quarter line of said Se p °51 08 "E, 288.00 feet to 3
at the West qua aer comer of said Section 8
f3 g on the E thence N
(recorded bearing ° 854.00 feet Said East line
thence S00 13'24 "E
2342.24 feet; y. thence along thence along the
E '/• o SW . of SW %-, f SW al
point on the East line of said N 87 °54'54
South line of said NE "W.
24 "E, 466.08 feet to 1he�S and iherSouthaine of said Nv thence S
S00 13 of SW /� o � 170.48 tee , s aid
"A
thence N00 30'28 E. thence along
2g72.41 feet;
S87 °54'54 "W °32,36 "E), 941.26 feet; thence
e monumented West line of said NW' /' of SW �� line of said NE 'A
273,91 feet to t
West line, No0 30 28 E ( d as Not 458.40 feet to the 13"E (recorded I as
N64 °57'47 "W (recorded as N63 ° n 4 said North line, N88 2 2 % rods) to the Point of
of SE'/• of Section 6; th nce "E; e 6 69 feet (recorded as
S88 °40' "E and t489
Beginning.
UNPLAT -90 LAND
OWNED BY OTHERS ,
West Wader Cornet I RTtfi �
Section 5. 1 23 N. R 19 �"V"I UR
(East Quarter Corner Sec. 6 I— QUTjQT _1
Set Railroad Spike) ! / Utility Easement to Wisco
r
R = 25 - 1/4 Roes = 416.63' / as De Vol. 781, page 73
ine Nt 1/4 R = S 88' 4019" E ♦' 1— Wh line NW 1/4-SW 1 /4 Sec. 5
_ 1/4 Sec. 6 i = N 19'24 E� i .�� ___ - -_ -- - -- ---- -- ----
—� 52 00" E 1 54. 139.00 — 854.8(}'-
4141. i 89'54 57E 14 8 3 ` 429
p ) 2.97SataM r
� �. [eateri�e 3a' �r+dc ri4o+ooe E� � ♦ i � � r t�
Mai in ve 1492
` 5� .1 E 25 ' Drainage ._. • L = 872. /
LaB
O r
[El l 8T5
0
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< La X
2.SS2 ss
' 111174Sglip
- ------- - 13 140
S 87'36'35" E
tJ� i � Z � � • ,.•x..-
x S 87'36 '35 " E
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C�� �� �� , mo t �i � �(�,••� t i \ .,[- ^_ f; • \ c 6 ► y - e ��
f! sl 1 $ 6 T
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bjS �f•'S IIYS Y /IrIC •u� Ni �• .9Q 5 .,
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ANN—
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