Loading...
HomeMy WebLinkAbout012-1016-00-100 ST. CROIX COUNTY ZONING DEPART 10 �/ AS BUILT SANITARY REPORT Owner Property Address P,Mf, 2 X999 '` City /State S t, Legal Description: Lot _Z2_ Block Subdivision/CSM # m S Ale 1 /4ALL 1 /4, Sec. (c T 3 6 N -R O W, Town of ef rWh a.' w r- i- PIN # OLE /D SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer CA J Lai- Size ST/PC 2 5ZW Setback from: House Al _ Well 40 P/L 9S 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: to N Width Length — 1 4 1 Number of Trenches eat 6' Setback from: House '-3, Well 7..S;' PAL <o D Vent to ffesh air intake 7 ELEVATIONS Description of benchmark N --{ Elevation Description of alternate benchmark Elevation Building Sewer ST/HT Inlet 9g' Z ST Outlet PC Inlet PC Bottom Header/Manifold J� Top of ST/PC Manhole Cover 0, Z Distribution Lines (/) � S �g3 (t) 9 Bottom of System Final Grade Date of installation / / p �Permit number 3f 93 Z, 6 State plan number Plumber's signature License number ���Z— Date /d6/ Inspector �to�r� L Complete plot plan � 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. PLAN VIEW �� al C TE NORTH ARROW I r Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar �e� rni TN IX Personal information ��you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)J. i1 Per tftftll JJIi :, WARREN ❑ City fRaV Ir1�tfg: State Plan ID No.: CST BM Elev.:- Insp. BM Elev. BM Description: itv Y 11{11; Parcel T ad ufl.Dr �� � �`�*- 1016 -00 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic (,J e 5e-r t CRM Benchmark C ". , Dosing 8 wl 3 •G `E Jo 2 Aeration Bldg. Sewer Holding St /Ht Inlet �8. Z2 TANK SETBACK INFORMATION St/ Ht Outlet �O •3� q� TANK TO P / L WELL BLDG. Air I to ntake ROAD Air Septic x So 1 �0� L -- NA Bit Berttuill Dosing NA Header /Man. cZ• L ?.z3 Rs• g� Aeration NA Dist. Pipe N t =. ss r g3 Holding Bot. System 5 (3.� iv . v PUMP/ SIPHON INFORMATION Final Grade q, q 19A Man cturer Demand M del Number GPM TDH i Friction stem Ft e ad Forcemain Length Dia. Dist. To Well A SOIL ABSORPTION SYSTEM C2 3 S ' l .12at e,�tilil� i- RENCH Width f Len t N Of Trenches PIT No. Of Pits Inside Dia. iquid Depth DIM 3 J DIMENSION SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING I�uu/,�r: SETBACK CHAMBER INFORMATION TypeO �� ♦ ♦ o e Number: System: (10 •2 'f `� OR UNIT tt DISTRIBUTION SYSTEM Header/ anifold N Distribution Pipe(s) x Hole Size x Hole Spacing I Vent To Air Intake Length e- Dia- Length — Dia. Spacing 5&P 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 E] No COMMENTS: (Include code discrepancies, persons present, etc.) 4 Z dl LOCATION: ERIN PRAIRIE 6.30.17.77C,NE,NE 1577 CTY RD K� loo • D r W J� • `tfAue4 o-4 > 4$ `` yer.c e,. t �b r 1 " Z.& T Plan revision required? ❑ Yes No Use other side for additional information. -1 l SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. r ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: E e E e e , � e { , 3 P m� , 3 E �F. , e a Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue Ai s ' consin In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce 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. • See reverse side for instructions for completing this application State Sanitary Permit Number Personal in you provide may be used for secondary purposes E] Check it [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INE RMATION Property Owner Name Plo -erty Location L • t . J S Py � q , � \ X4 r �V 4 rri 1/a, S T , N, Rl E (orx Property Owner's Mailing Addrey) , Lot Number Block Number Is Lot: I /,[�a A M City, State Zip Code Phone Number Su division Name or CSMNumber N A h - Q S�Lgo/ �r I (76) = M o I. B ILDING: (check 6ne) ❑ State Owned V ❑ qtr [3 rtr. t -q -C Nearest Road VII age Public 1 or 2 Famil bwellin - No. of bedrooms Xown OF III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) , •', .�C_ 1 ❑ Apartment/ Condo QI a 101 ia — 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 E] Replacement 3. Replacement of 4 Reconnection of 5 ❑ Repair of an _System -- - - - - _ - System ---- ---- - - - -- Tank Only______________ Existing 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 Xf Seepage Trench 22 ❑ In- Ground Pressure / t 42 ❑ Pit Privy 1 Seepage Pit t t (A x r l J 43 ❑ Vault Privy 14 ❑ System -In -Fill �F►O �� - -C VI. ABSORPTION SYSTEM INFORMATION: X65 -2 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) Elevation S( ,h$D 7S9 .9 '(0 Feet 90 Feet VII. TANK Capacity g allon s g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in structed Tanks Tanks Septic Tan r nk UJ `QShQ-f` ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inAtagktion of the onsite sewage system shown on the attached plans. Plumber's Name: (P i t) PI er's Sig ature: o St ps) rz PRSW No.: Business Phone Number: a o S3 7 Plumber's Address (Street, City,�e, Zip ode): N -e N ,0 tjR C)k r,&_ 0 A ik v J IX. COUNTY / DEPARTMF:KM USE ONLY ❑ Disapproved San' ary Permit Fee (includes Groundwater D ate Issued ature No Stamps) Surcharge Fee) (Approved []Owner Given Initial Adverse Determination Y't X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit may be 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 maintained. 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. • II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. 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 Rif 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. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic 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; p Y p Y 9 B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross-section of the soil absorption system if required by the county; E) 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. . P ta �rox X5'79 k A)C -NC %4T3a -1xw E r � n '�•1 r�2 SYo s 7 `.577 Q:�K 1 AR V �zc5s� 9 7 . 8 ..A 6 3 o� Y r %f� Y\ §7F § ) t y DJ/ § � 7 � w�m �� 2 % % / 3 ! Cc: ! | n E f �$ /2 �CO � �� 7 x C co 2 Cc % £ o = o Q � ' _� 2 0 E x 0) CO ¢�2/ / �/ \ \ D 2 c n > �o § 0 % 0 k _ k i o ca @ o 2 0 \ C o c i E- o a- - 0 a T ! / 2 E- 2 3 ! CO 0) CO c | 2 > a % :3 O R a: o @ ! 703@ 777 S zo CL R $ q - � _. �| ■� || \� -! E m )» 'O \ ® E § `. ■ � 7 2 ■ \ f #, 1 _ : 0» 4 i . 0 �} o e§ I T i 2 2 , ~ \ OIL D � � `! k C ` '` 0 ° ° ' } \ / t\ C U | IL ° 5| O . . k � k §! } � � WiscoAin Deportment of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page - L — of 3 — Division of Safety and Buildings in accordan w . ILHR 83.09 Wis. v- l _. c County Attach complete site plan on paper not less than 8 1/2 x 1Forw�i`ar s ip ize. Plan musty' , include, but not limited to: vertical and horizontal referenc13M), ditli nd J� G r o\ X percent slope, scale or dimensions, north arrow, and loca. d dis e st road.. Parcel I.D. # o m APPLICANT INFORMATION - Please print all in forfjo It f Reviews b Date Personal information you provide may be used for secondary purposes (Privacy Law, g Property Owner S Z ��N 1 �f rty pc on Y`�" 'VN S tlY\ 0.\` e Goat �Lkl l AN 1/4 N �j 1/4,S 6 T 3 ,N,R /' or) W Property Owner's Mailing Address -, Lot Block# Subd. Name or CSM# ._� City State Zip Code Phone Number City Nearest Road ❑ ❑ Village � Town New Construction Use: Residential / Number of bedrooms — 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 4_50 gpd ,/ Recommended design loading rate 15 bed, gpd/ft L - trench, gpd/ft Absorption area required 9M bed, ft 2.50 rench��,//ft2 Maximum design loading rate s bed, gpd/fi trench, gpd /ft Recommended infiltration surface elevation(s) 97/ ft (as referred to site plan b6nchmark) Additional design/site considerations 'u Parent material «..a �� l�^I� Flood plain elevation, if applicable N ft S = Suitable for system Conventional Mound — 1n- - Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U ZS El Ibl S❑ U 1 S❑ U [21 S U ❑ S N U SOIL DESCRIPTION REPORT Cho, W%1 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP6* in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 6 IS l0 i 1 — S� l 5bk U f ►� .5 .6 V S 37 /d 9 tK 6 b S,1 f 5 LZ 13 ,S ; Ground -3 37-44 S 1 1 + 5w_ ft. y'L C 10 S 5 Mi u5 _ Depth to limiting /_ p p !0 �d Il 5 �� .S 1n f V lr� j i O factor 'h ,Lin. y Remarks: Boring# r 0-13 O -11 a s6 �-�' �,,,5 z.,., s 3 -3 /10 VIR Ground b f A elev. 7 a -- s O m s m 1 9ft. _ ; (0 5' D 5 1 M s i/fr 5 �b Depth to ,1 limiting 3 factor , in. Remarks: CST Name (Pleas int) at ure Telephone No. U 1 v� y o cue �5 7�r S / Address zV Date CST Number �6 ens 0S3 7 `f f� ' ? OIL DESCRIPTION REPORT PROPERTY OWNER lA1g r n m4 l I IQ Page of 3 PARCEL I.D.# Borin # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots h , in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench :. z 337 o Sa a sbk �r� C4 Ground ,� /6 R sj <, rn 0 5 - I ! 5 rro elev. I 1194-ft. / 6yk S — 6 tyxsq Depth to limiting M n. Remarks: Boring # z 3S 104 S o ►rg' rCl r 1 S Om Ground elev. I y /JV1 ft W N Depth to limiting fa r in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ' M a �1 S_ , Imo` ro Ground elev. 3� r.r ft• Depth to limiting factor >- Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) Lo ° VOL L ol F � I I : �" I I _ I I i I I i _ l i i i I � ! . I � I mo d►. � - I 4 M I _ I _ i i Q : i i i . .. t � � r �. �� � � , a —, � .� - -- _; __. ,, i i i i - - �. .. � _ ._ _. - _ _ __ - r -- - - � I ,� � - ,, � ,_ ., I z ^ i i � � f �� �, � ' _ - `. ' Y _ I ` 4I �, �_ _ _ _ � � _ - - � .I � - � � . _ _ I __ • _ _. ,_ I � �. '� i ,. 1 i i ` I _ _ _ -+ " � t � i - � � � �� �- � � � � ' ____ i � i r � I� _ _i i _ I i � �� I j � � _._ _ � � t. _ _ __ I I I , ' ' i __ __ _ _, I � i � ' -_' -- -- 1 � i I � __ - - - - -�- _. __. - i _ __ _. __ -;� -- -- -- 1. __ _ I __ ___ _ - i - � - - II i _ _ y � I __ � ._ , i _ I i '� I I �. � i ; . _', . .t ..�- - - -y ._' � .__�' � -- - - - - -- r i . � _ �.. i .- � ! � �� �. __ _. .- - � �' j i I � r' � i - � � - - _ i __ � _ _- _- -. i - -- � -- � �_ I _ i - - -, - - ', ---, - i �� � � � �I j I � j �, i ' � .Ili _ � _ I I � -� r i � _ - - - -- - � - - _ - -- - - r -- l � I �. � � � ° i _.._ ___ -_r- r- � _ ; I I t i i _. __ i _ __ _ , i - _ - -- -�-- ', '� _I- • II I � I L i i � - i i I i _ I_. i I �� � � �� f I i - � i i � - -I I i _ .. � '_ .. � � � � � � i � ,I - ji - - _- ; -- I � _ I i f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1 f CLA V'% A. Mailing Address _ `T q C� v k k n Syo� 7 Property Address . (Verification required from P nning Department for new construction) City/State o � k A w-,c, ^ Parcel Identification Number 10) (0 — 00 —1 Do LEGAL DESCRIPTION Sc{o / �r Property Location' /4,E '/4, Sec. �, TON -R_W, Town of `.Q Subdivision Lot # . Certified Survey Map # , Volume Page # S" Warranty Deed # — ,Volume �O S , Page # 3 3 S� Spec house ❑ yes A no Lot lines identifiable Vq 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 to a a p tank s 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, 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 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 thre ar expiration date. MAW 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 he roperty describ above, by virtue of a warranty deed recorded in Register of Deeds Office. C IJ VlX1 V \ / SIGNATURE OF APPLICANT V 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 /TAT[ BAR 04— FORM I VCIL 65 PH-N335 OF WISCONE WAAAAM" TH1# S►ACC 09SENVE0 ►OP MCC 010ING DATA --0 and. - Betty, ........ ........... REGISTERS OFF4CE ............... ...... I ............... ....... ............ I .......... ....... ... —1.1 ............ .... St. CROIX CO., WI. .................... ................................... ......... ........ ............... -- ...... ftoe& for Record M 16 th ............. conv - and .. warrants to --warret L . I . fts . I ... i . A . a . I "A- . Kar . v . jl1d9 clay of Au s ►.D. 1912 .. 9:30 A ....... ... .. .... ........ ....... ............................................ ................................................... ................ -- ............. ................................ ..................... ....................................... ................................................... ...... .................... ......... ...................... ............................. RCTURN TO .......... .... ...... I ............... ...... — ............ ........... ......................... the re following described al estate in .... 1t.-CrOlt . ........................ State of Wisconsin: Tax Key No . ...................................... Part of the Northeast Quarter of the Northeast Quarter (NEk M) of Section 6, Township 30 north, Range 17 West described as follows: ^oamencing at the Northeast corner of said M NEh; thence West 500 feet to Place of beginning; thence West 820 feet; thence South 750 feet; thence Northeasterly 1111 feet, more or less to the Place of beginning. This ...... U. ........... homestead property. (is) (is not) Exception to warranties: Dated this .. .. -- . . . . .. ........ day of August ............ 19 - - - 82 - ........................ ....... ---- (SEAL) ..... . - ------ - - ------ - ------ (SEAL) / ----------- • ....... ... ...• ............... ------------------- .......... ._D&piel ...... ........... ............. .. . .... -- ............ 1---1 ..... ........... .. (SEAL) ... ------------- (SEA•) ...... I- . ............. ..... I ...... ................ • Betty-.!)_ Casey --------------- ......... ........ AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this . ... ..... ... ...... day of STATE OF WISCONSIN ................. .. ..............••-- °-•--....., 19 ....... 55. ------ _ County. . ..... - •- - -• - -- --- •------ • - - - - -- -------------- .... Personally "me before me, this --- .._..___.. Of ", 1L :. the more named . ................... TITLE: MEMBER STATE BAR OF WISCONSIN ..........• .... (If not . ...............•........ ------- ------- ------------------- ...... - ---------- --- authorized by 1 706.06, Wis. Stats.) ......... ...... ........... — ......... — I ......... ......... .... ...... ---- 1 � ----- . ... ....... ---.- .-----• .............. .... ....... THIS INSTRUMENT WAS ORAFTEC 6'� t0 me 'ipo%rt to be the person . ............ wh- executed the 'oreg'o instrument and ayknowlYge the -erne. Warren ftallidge! ... ........ ....... ............. --- --- ----- I ...... ................ ....... ------- ----- -- ---- A- le t- ( Signatures may 6! Authenticated or acknowledged. BhC - --- ---- I... - ,., - ............. County, Wis. are not necessary.) '--n is n—marient. (If not, state expiration --- - --- --- --- • of ffr—n• *ixn;.* in any —psity h,-14 be typed or pri'tM +,P�fa WARRANTY DEED STATE BAR Ot' NISCON91N Bl.-k Co. Inc. FORM No. 8 — 1997 N1, •wja. (jobasoss 1 /X1(/1/[, U 5308302 N z r o D ����0���� tz F m a BEARINGS ARE REFERENCED TO THE z D NORTH LINE OF THE NE1 /4 OF SECTI ❑N c ' co -4 oo W 00 00 z C ' ") 00 00 `0 6, ASSUMED TO BEAR S89 °29'24 - W .-, �D 0 N N D -,D ,D o D C) m N a ru o rl r 7 rU w m �D M `D ,0 D D ° r r� 6 V n3 r� r O m Z M M Fr M 00v (is m 00w - r� C) r- w ut Lf, w : N N N N D ^ y z \ n �.1 fTl i O h1 nn fn rr Z_ N ON n a o� FILED 3 �co b NOV 0 4 1998 rATMLM H. b ftister of Deeds o I y Cf0 "� PLATTED LANDS 'b o S INE OF THE NE1 /4 OF THE NE1 /4 I I O y (SOUTH) 65' 80' I '41 c X S00 °29'47 "E 750.00' 685.00' ® ~ .D 1 10862 y 3,.60,90.2 S C H--� O Q ,66: • E2 !D l� OFFS Z m `O 00 d Z (/) `D w • S� -1 CD rn ��� `S�- fo� O r I ru ° ' y I., i U) 9 �j� T F�, F I N £ 1"0 OD �� l ll l �,9, sll sus un l ^� I 50' S0' © ® X 8 O a,w o o .� � CO 4 m °, n Lfl N X roD roD ti y �;0 O £�rTj fc7M W (10) I� - r r - -' x i X X X p 0� p D Z -+ r o WNp 3Z rn m (n D N. z 3 Z t/J r l �I £ Z N -0 � () .- N w r CI1 (n ri r Z M ;0Z �� Q� L o D r r X M r D d � o° LA ru I ol'ol �, O (7 C D I z -b W 00 D ' of ."p G m 7, D Df'1 £07m O� m z M ryi I X n m M ;0 Z n N n V1 (7 70 m 0 r p � �X � \ I C3 z m m n d c') z m V) z rri M m mm L11 n .A O o THIS INSTRUMENT DRAFTED BY ED FLANUM JOB NO. 98 -96 °�? Vol. 13 Page 3544