HomeMy WebLinkAbout012-1014-30-130 ST. CROIX COUNTY ZONING DEPARt MI* .,
AS BUILT SANITARY REP.4RT
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Property Address 7 ,
City /State
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Legal Description:�`w`%
Lot Block Subdivision/CSM #
/41/4, Sec. , ToN -RaW, Town of �^,h �/r �r, PI F k' �/=�7 �rl�-.
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer IgCle Size ST/Pd� / Setback from: House j K.1 Well ;.��' P/L 75 - -fP
Pump manufacturer Model
Alarm location
HOLDING TANKS ONLY)
)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: l Width - , --3 Length Number of Trenches
Setback from: House 2fe W ell P/L Vent to fresh air intake 7
��
ELEVATIONS
Description of benchmark 4at Elevatio
Description of alternate benchm Elevation /.
sec ihS��G rc�or'f
Building Sewer / S /FiT Inlet �� ST Outlet PC Inlet
PC Bottom Header/Manifold Top o ST/PC Manhole Cover
Distribution Lines
Bottom of System Q) e&7
Final Grade
Date of installatio>!f �' //, ermit number , >:�k3 State plan number
Plumber's signature . License number Date/O /r/ V
Inspector ,,_
Complete plot plan �
I
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y
Safety and Buildings Division
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353135
Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.:
Town of Erin Prairie
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
4xU 1 40 v g a , 012 - 1014 -30 -130
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic I C� Benchmark
osing Alt. BM
r'
Aeration Bldg. Sewer /O z, Z
ding t / Ht Inlet
TANK SETBACK INFORMATION St Ht Outlet
TANK TO P/ L WELL BLDG. A u ir I to ntake ROAD
A
Septic 7 �vr 4- 75E -3 r NA
Header / Man.
Zolding rati NA Dist. Pipe �" �" 2
877-
Bot. System ` t/ / oS
.7
PUMP/ SIPHON INFORMATION Final Grade
Ma facturer Demand St cover �(F /02, z Model Num PM i qfj : r3 fZ-
TD Lift Lrictio S e TDH Ft — ��_ t _ 3 -�3 Q 9
oss
Forcemain Length Dia. t. T
SOIL ABSORPTION SYSTEM / �_
BED / ENC Width , Len r No. Of Trenches PI No. Of Pits Inside Dia. Liquid Depth
DIME TS 1 2 11 DIMEN I
SETBACK SYSTEM TO P/L BLDG WELL LAKE STREAM L Manufacturer:
INFORMATION Type O Sr .�� �S r MB a l Number
System: 7
DISTRIBUTION SYSTEM
Header /Manifold „ Distribution Pipe(s) x Hwwole //Size x Hole Spacing Vent To Air Intake
/ 1 V /
Length _LL Dia. 7 Length Dia. Spacing � �S
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 El E] No E] Yes E] No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1787 160th Street, New Richmond, WI (NW 1/4, NW 1/4, Section 5 T30N -R17W) - 5.30.17.66C - 10
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'5eCo� d - � ✓ rrr►r 4.,-e S� ^ 41 a � �sy5�cjn
Plan rev is IrueqdireAYes 1. & -
Use other side for additional information. 36 le i n'�
SBD -6710 (8.3/97) Da Inspector's Signat a Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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} Safety and Buildings Division
Visconsin SANITARY PERMIT APPLICATION 201 B Washington Avenue
Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 1/2 x 11 inches in size. f G a
• See reverse side for instructions for completing this application State Sanitary Permit Number
36
Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owner N me 4 roperty L cation ,,,� ��
e,-- r 1 4/ /4, S T p , N, R17 E ("U
Property Ow er's Mailing Addrss ' P ber s Block Number
C Stat Zi Code Phone Number Name or CSM Number
ad o (/ 6-
II. TYPE F BUILDING: (check one) ❑ State Owned ❑ its r Nearest Road
Villa Yet y ✓fir pl G
Public 1 or 2 Family Dwelling - No. of bedrooms Town O d f�j
III BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) 5 . 0; � 0
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility / Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1, ❑ New 2 g Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5 ❑ Repair of an
______System ________ System Tank Only System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 eepage Trench 22 In- Ground Pressure \ 42
13 ( Seepage E] Pit , K E] Vault P ivy
14 E] System -In -Fill r G YG a „., �
�T
VI. ABSORPTI SYSTE N ORMA ION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System F�1ev. ina
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /s . ft.) (Min. /inch) �jy; 1 Elevation
a - 'G!: 2 .5 5 d , � y' - Orff" Feet Feet
C apacity
VII TANK in a gallo s Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank + Z 1 41-1 -e - e ( a ❑ I ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ I n ❑ 1 ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans:
Plu is Name: (Print) Plum be ' gnature: (No Stam s) MP /MPRSW No.: Business Phone Number:
lu )Ker's Address (Street, City, State, Zip Code):
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IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved anitary Permit Fee (Includes Groundwater ate I ssued Issuing Agent Signature (No Stamps)
Approved E] Owner Given Initial Surcharge Fee)
Adverse Determinations �� '�'�
X. CONDITIONS OF APPROVAL / REASONS DISAPPROVAL: 7
SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS 1
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership' or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintairied. - The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 - 3151. = - - • - - - -
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
111. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7-
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
1X. County/ Department Use Only.
X. County/ Department Use Only.
Complete pl a ns speci f i cations not smaller than 8 112 x 11 inches must be submitted to the county. The plans must
I drawn to le or with com I to dimensions loc tion of holding tank a
in lode h f Ilowin A lot an d a sc� e a s s
c the ) p O, tic
� P p 9 p
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; frictionloss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; f_) soil test data on a 115 form; and F) all sizing information.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983'Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
PLOT PLAN "
1,RUJi:C"� "���f'e+ �d e s ADDItEss
ll-IS �! /'1' �N/R ) y W TOWN G0 L \''1'1'
\
N1PRS Byron Bird Jr. 22052 B E D R O O !19
7 DATE '.���
CONVENTIONAL X)O( IN -GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK
.N4O u N1) SEPTIC 'TANK SIZE LIFI' 'TANK SIZE DOSE 'TANK SIZE
HOLDING TANK SIZE LOAD RATE L� ABSORPTION AREA ' 7 # of Chambers �7
f31iNCFi:19,�ItK V.R.P. ASSUM ' FLEV'\TION 1 00 , —
7 1 - b
❑ BOREHOLE 0 WELL *H.R.P.
Vent SYSTEM ELEVATION Tr.
� 1 2 „ Sidewinder High
of Cover Capacity Leaching
Chamber with 31.8
ftA2 per chamber
6' Long 16"
Grade at System Elevation
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION 3
Division of Safety and Buildings Page of
Bureau of Integrated Services in accordance with s I Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in z4p,. Stan musj� Count
include. but not limited to: vertical and horizontal reference point ( slNection J �, r
percent slope, scale or dimensions, north arrow, and location and ce to ne+bl4d
Parcl LD. #
APPLICANT INFORMATION - Please print all infokmatfon. ` -` Revo wed by Date
Personal information you provide may be used for secondary
ry Purposes (Priv�aylaMi, s. t5.04 �1VT` \
Property Owner /' N 9Fr
2 le r F. 1 -( t O t/ K , �o �'I 5 � .� Govt .., I , ��(J 1/4,S T ,td,R / 7 E (or
Property Owners Mailing Address t Subd. Name or M
178"7 160 sue` 9' 2 dCL-a z CS In 7 /e7V
City State Zip Code Phone Number
n - ❑ City []Village � Town Nearest Road
lVew k;z� aJ/ 5' �/7 t7�� ") I ,1 ` ., . T N m,
❑ New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building
Replacement ❑ Public or commercial - Describe:
Code derived daily flow (�� gpd Recommended design loading rate ` � bed, gpd/ft � trench, gpd/ft
Absorption area required �; bed, ft2_ 750 trench, It 2 Maximum design loading rate 1 -7 _ bed, gpd/ft L trench, gpd/ftz
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design /siteconsiderrations I /J / _5 1� f x-Xe5 SA- 4 ,
4e✓, /4, ZrL�cPf�0 lod, 5 /
Parent material fie) ff !.v i<S� A;' Flood plain elevation, if applicable //4 ft
[ U _ � Suitable for system ; nventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
= Unsuitable for system S❑ U m S❑ U R S❑ u 0 s ❑ u Q1 s❑ u ❑ s 9 u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
13 / _5' 16 Y 3 Z- 0 o- - 2m ` `" -0-- CS l c c . 5
Ground L 3 - S S .� 2 L 5hk m-' 1, C 5 or _
5L� T /U S
Depth to
limiting
in.
Remarks:
Boring #
l 0 40 6 3 z ►vl
El '-0-23 n ri f? e M e r (f
3 3 -S -0 7. Sy� y 5.1� 3 sn
Ground D -yd 4 J''►S 5 M •� , o
Depth to
limiting i
f o
& n. Remarks:
CST Name (Please Print) Si Telephone No.
David J. Steel 715- 246 -5085
Address e lf, Date CST Number
1564 Cty Rd GG, New Richmond, WI 54017 �' -fin l% CST #248956
PROPERTY OWNER �eS `� SOIL DESCRIPTION REPORT Page g of 3
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
�;. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed .Trench
r
/KI W V44 7,- -_,W "I/ n o f r�► s ms's - -
Depth to
limiting _
or
J
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench
Boring #
F r i:
Ground
elev.
tt. '
Depth to ;
limiting
factor
in. Remarks:
Boring #
.53:x.. ..:....a '
Ground
elev.
ft.
Depth to
limiting
factor
In. Remarks:
SBD -8330 (R. 07/96)
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Ownur /Buyer s «' o h -eS
Mailing Address
Property Address
(Verification required from Planning Department for new construction)
Cit} /State Parcel Identification Number
Lf " G,3L DESCRIPTION
Property Location Sec. _� , T �a N -RAW, Town of
Subdivision G S , Lot # .
Certified Survey Map # �'�f�� y� , Volume , Page # / ��r �.
N1'arranty Deed # � 6 ���� Volume , Page #
Sl ec House ❑ yes -R-no 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
piaster plumber, journeyman plumber, restricted plumber or a licensedpumper 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 the three year expiration date.
S1J'N!ATU1'E OF APPLI NT 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
C� gx�7 Al Lxt� 1� / �B/
SIGNATURE OF A LICANT DATE
*'* 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
DOCUMENT NO WARRANTY DEED THIS SPACE RESERVED FOR RCCORD.NG DATA
STATE BAR OF WISCONSIN RM 2 —loss
46329Y tic.. SSIPA'E r4qj REGISTER'S OFFICE
ST. CROIX CO., WI
Richard G. Tibbett and Joanne R. Tibbett Recd for Record
h u s b'a h d and wi fe at OCT 17 1990
... _.....
_- 1:30 P.m
conveys and warrants to L.eSt.er E. Jon.e.s- and. C.aro.l R.. Re9lste►Ofp
Jones, husband an.d, wi._fa as s�rvivarshi.1> . . .. .... .... . ..
marital_ p- ..-
- .. -... .- -... ... ..- gL.='W 1MLCiPO
..... - 219 North Main Street • P.O. Box 198
... ... River Falls, Wisconsin 54022
the following described real estate in . St , Croix _., -_.,- County.
.........................
State of Wisconsin:
Tax Parcel No: 1
The North Half (N}) of Lot Two (2) of Certifie Survey Map in volume 7
of Certified Survey Maps, page 1874, as document number 429494, filed
in St. Croix County Regist--r of Deeds office on August 25, 1987, being
part of Lot One (1) of Certified Survey Hap in volume 2 of Certified
Survey Maps, page 480, being pert of the west Half of the Northwest
Quarter (W} of NW1) of Section Five (5), Township Thirty (30) North,
Range Seventeen (17) West, Town of Erin Prairie.
St. Croix County, Wisconsin.
This is not -_ - .. homestead property.
6K!1d (is not)
Exception to warranties: easements, restrict - -.nd rights of way of recor?.
Dated this 15th ���oLeS )0
day o ]9
(SEAL)
ISEALr
,.Richard G. Tibbett
(SEAL) (SEAL)
I
To.an.ne.R. Tibbett_
AUTHENTICATION ACKNOWLEDGMENT
Signature - -- ....... -- .- .......... ........... . - STATE OF WISCONSIN
ss.
Pierce
-. -. - __. - -. -- County.
authenticated this ... .....day of-., ----- --------- ------ 19-. ---- Personalty came before me this ...1.6 th- -..day of
Qs Lobe.r------ . - -_... , 19.._ the above named
. . . . . - • - - - - - - - - - - - • ....... .... ........................... .. .. ............ R i _ a r l T i b b e t t
• ? nr.e R. Tibbett
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not- - --- ------- -....... . .......... ..
authorized by § 706.06, Wis. StataJ to me known to be the person . S. who executed the
foreg mg instrument and al nowicdge the same.
THIS INSTRUMENT WAS DRAFTED BY +/ -
Gwen..- Kuchevar - , ,Attorney
kGDLI, BcSKAR BUi.: •, S.r lark R. I)av[d
a t �;nt -: P,�t,l;c `i.. Croix Cnnnty. W ;
2- 19--P1-;- .Yain - i , . 'r Faits, NY
(Signatures may be Ruthenticated or ark ;owledzed. Both -Mv t' -tnnni -inn 0'T. %1L X XXX ( (f not, oat exP':rat;cn
are not necessary.) date - Ju ne 11 19 `) ) 1
1' , I' �ii
"'Names of Denons a.cnina in any capacity shnu!d be t;Ped or I, ntcd t_l_ •... r - r-a• - - T'���y �
-_ — STATE BAR :
;o z n-r;cnv Stock No. 13002
�►tCtrtis r•on4 .:o - . .
(AUG 2519 LED
87
a ao �rt
429494 *o
CERTIFIED SURVEY MAP
Located in part of the Wl� of the NA of Section 5, T30N, R17W, Town of
Erin Prairie, St. Croix County, Wisconsin; being part of Lot 1 of
Certified Survey Map, Volume 2, Page 480 of the St. Croix County
Register of Deeds.
Unplatted lands owned by others
-------------------------------
NW Corner of North line of the NW4 of Section 5 N89 °29'13 "E, 2631.36'
Section 5
N8 0 29'13 "E 503.92' z
_ — ° a
C 1-r - 3
C .T.H. "K" °_ 212t. 4 4 N4 Corner of s
- 1
w S89 °26'07 "W 475.65' Imo, Section 5 0 M' d
N R/W Line vrn o m
w �
I C LOT 1 w APPROVED ' rt "
S f)
Z /D n
IN I N O co Z M
l� _
N ll n
I ` O a
S89 °26'07 "W 502.53' AU �
cn
11--' 475.65' O
m co
1 10) t26.88 Cl) f*
10 Sf. LaUi ' i.:.:'..h':! r' rr T
. Cc
Iq C IV OMPaEHPNS i'AP.nS rLl.''1! tN,
Iix _]Existing House A14D ZONING CO -
cn
SCALE IN FEET
�� IC
0 100 200 400
I r = O I rh
I N N I
C.r 0 2 Existing Barn
is I ° IO LEGEND
Cr C) O
I
I r = I r
o I N y a County Section Monument
LOT 2 x I In
I�
°; i
I 0 • 1" iron pipe found
a p 1 "x24" iron pipe set, weighing 1.68 Lbs.
ID
I per linear foot
I�G rt I co
I r
I C
= �, I Ln I ° J �CD NOTE: The NW corner of Section 5 as shown on this
�N "� map is not in the same position as shown on '
CD I w Certified Survey Map volume 2, page 480. Corner
N I was measured north and east of original position.
I
° I
I
S87 0 51 1 34 "W 498.82'
Ln 475.96' LOT AREAS
to 22.86'
eo Iim N N - Lot No. Including R/W Excluding R/W
i;� LOT 3
Ilzi
IIH I
° o 1 140,787 SQ. FT. 106,120 SQ. FT.
ItrJ ° 3.23 Acres 2.44 Acres
887 0 51 1 34 "W 497.77' 2 400,151 SQ. FT. 380,112 SQ. FT.
475.96'
r2l.811 9.19 Acres 8.73 Acres
I 3 104,588 SQ. FT. 99,899 SQ. FT. Ln 2.40 Acres 2.29 Acres
00
LOT 4 0
I ° - 4 124 719 S . FT. 119
403 SQ. FT. Q ,
I I 2.86 Acres 2.74 Acres
'20.56'
I S87 °51' 34 "W 496.52 >����r'Go�L "'��a °��t
Lot 2 of C.S.M. Vol. 2, Pg. 480 ALLEN C. CAI •k�
r --------------- - - - - -- --- - - - - -- NYHACEN
S -1407
a
OWNER , HUDS0f+E r
vile. r�
Richard Tibbett A� o ..i
Rt. 3 Box 310 `��
W Corner of New Richmond, Wi..
• Q9Cd1�
Section 5 �
54017
This instrument was drafted by Fran Bleskacek Job No. 77 -76 -187
L Vol. 7 PQ. 1.874