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HomeMy WebLinkAbout042-1059-50-300 \ ` \ \ k7 a R � 7 � � m 2 � § ) � % � § I $ $ � 2 m\ ) z k LL / § r = W c- $\ 4. k �k\E� I =o - E= I § / k E 2 S a m / k k \ R 0z 2 ok %ca ) 0 zzt § `f cc z ■�� / k ƒ /j(�§ { 2k fE@ @Gk/ ® N E off §f B 7 7 7) C,4 _ ¥ _ - E ; Vic@ S]) §§dam z / \ k ) ■ 2 R m E ~ (L CL ; 2 2 0 a e R Z # / / ■ m \ § ) EL = t 1 $ k 2 z k a a 2 a ' k o B 2 0) CD u ƒfm ƒ to =s 7 0 0 = 221 § 2 « d f a / I '$ 2kf a) ■ e o �g _ _ C. c ( © E 04 - k cc k CL \ \ a n/ c m , 7� $ § \ § 0 \ / ) 0 § 0§ f �S / 0 z/) 2 A ■ 2 EL ° — � _ 2 " a ( § \ 0 § c 0 (L 2 0 ■ 0 1 Parcel #: 042 - 1059- 50-400 12/10/2004 10:20 AM PAGE 1 OF 1 Alt. Parcel #: 21.29.18.331 E 042 - TOWN OF WARREN Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner L N &D M(LE)FAM TR %DARYL JONES " JONES, L N &D M(LE)FAM TR %DARYL y� bath 1134 80TH AVE U►�ti� �''� ROBERTS WI 54023 Districts: SC = School SP = Special erty A ss(es : * = Primary Type Dist # Description * 1126 80TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 10.129 Plat: 0853 -CSM 13/3648 PT SW SW & SE SW BEING Block/Condo Bldg: LOT 5 LOT 1 CSM 11/3039 .491AC NKA LOT 5 CSM L)�� Tract(s): (Sec- Twn -Rng 401/4 1601/4) 21- 29N -18W Notes: ti C� Parcel History: 1 Date Doc # Vol /Page Type 1 2004 SUMMARY Bill M Fair Market Value: Assessed with: 38331 Use Value Assessment Valuations Last Changed: 07/11/2003 Description Class Acres Land mprove Total State Reason RESIDENTIAL G1 2.000 20,0 - 19,900 3 gQQ__ AGRICULTURAL G4 8.129 ,1200 0 1,200 NO Totals for 2004: General Property 10.129 21,200 19,900 41,100 Woodland 0.000 0 0 Totals for 2003: General Property 10.129 21,200 19,900 41,100 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount 018- RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT ! t -, tiL Owner li Property Address Fi 0 S U City /State ` Y; Legal Description: ' Lot � Block Subdivision/CSM # 5 0 '/4 5 ' /a, Sec. d I , T A 9 N-R b W, Town of h nw - tj PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer 2��-S Size ST/PC Setback from: House JoA Well 5 P/L [W -r Pump manufacturer Model Alarm location (HOLDIN Setbacks: Service road Ven ater me Meter location Alarm location SO ABSORPTION SYSTEM Type of system: T NSS'N '� �n Width 3 Length !�;0 5 Number of Trenches Setback from: House `� 8` Well o ( P/L o V Vent to fresh air intake ELEVATIONS Description of benchmark To c ( , Elevation Description of alternate benchmark Elevation Building Sewer ST/HT Inlet d ST Outlet 10 A 3 S PC Inlet PC Bottom - ------- Header/Manifold S U Top of ST/PC Manhole Cover Distribution Lines () (3 )- - 3 �D () g } $ 18 1 ��� ► r Bottom of System A) D U 8 - � 9 ( ) Final Grade 4A) 0 � 0 ((-) IN, j 9 ( ) Date of installation S /V / / 91'ermit number State plan number Plumber's signature License number �\ Date !� -P` . Inspector I�.-P ' N ��'� Complete plot plan I 1 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 3 Beds -�o►� � , � Nu h'0 a p S1 3� So y� INDICATE NO TH OW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) S anitary IX Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 344541 Per �QL3 me$AR`I' ❑ CitLr _ ViilMe Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: W � Parcel Tax No.: 042- 1059 - 50-300 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bat. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH I Lift Friction I System TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN 1 N SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size 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 Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes [] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: WARREN 21.29.18.331D,SW,SW 805 110TH STREET — LOT 4 - T I Plan revision required? ❑ Yes [ Use other side for additional information_ F FTI RRn_a7in rQ 1/071 Date Inspector's Signature Cert. No. Safety and Buildings Division SANITARY PERMIT APPLICATION 201 E Washington Ave. Vis I n accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 R De artment of Commerce Madison, Wf 63707 -7969 I p lans he count ca only) for the system, on a not less County Attach comple p a s (tot y c y) y paper � p p than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanita Peimi y ou p rovide may Y P Y be used b Num ber The information a rams Check if revision sion to previous applicatio Y other g overnment agency YP ro 9 (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D, Number I. APPLICATION INFORMATION - PLEASE PRINT AL L INF RMATION Property Owner Name Propert Location A (X 5L)1 /4% v 4, 5a1 T o) c1 1 ,N,R18 E(or)W Property Owner's M fling Actress• Lot Number Block Number A W hop a 9 1 City, State W , ,. ( Zip Mode Phone Number Su i is n me or M Number ,s b b (-) - 0 3 7 8 11. TYPE F BUILDING: (check one) ❑ State Owned it Nearest R ad ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms _3 Town OF 1Q r 111. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) r, 4 n a' �$• �j 3 (7 1 ❑ Apartment/ Condo 6 0 � _ `'� v -" ou 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ 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„ r.aVew 2_ ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an - - -- '__`_System -- - - - - -- System ------ -- Tank Only_ Exlstinc�System _ -__ Extsttn S�rstem - - - -- ------- - - - - -- - - -- 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 124g45eepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 1 43 Vault Privy 14 ❑ System -In -Fill f~� 1��� 3 SC •�S ' 31 VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System ,Elev. 17. Final Grade ,,ma�yy-� Reog d (�q. ft.) Pro ed sq. ft.) (Gals/day /sq. ft.) (Min �jinch) 0 _ 100•v EI vationL IQ I r c I, -' 7'7 Feet - 10 1Oo Feet Capaut VII. TANK in allo s Total # of Prefab. Site Fiber- Expev INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in structed Tanks Tank e t k I I _- 0QU Q ❑ 1 ❑ ❑ 1 ❑ ❑ Lift Pump Tank /Siph Chamber ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Nam (Print) Plum is Sign re: (No Stamp } MP /MPRSW No.: Business Phone Number: .r Do i.( 71, Plumb is Address (Str , City,S ate, Zi Code): Uw 3� s uc G IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate I ssued Issuing Age i n ure (No Stamps) la []Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: i i n,.o .o,.., T. casmv R puiwie nivia;nn. n wner. Plumber i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address � �� � NOUN o rid ,C 0r Property Address L6 Q -,'h '5 (Verification required from Planning Department for new construction) City /State V� '"J Parcel Identification Number vu- LEGAL DESCRIPTION Property Location 5 W %., S w 1 /., Sec. ��, T N -R_j_q_W, Town of U -IckQC I\ Subdivision , Lot # Certified Survey Map # Go3 , Volume l , Page # 34 � - Warranty Deed # Volume /` J 2- , Page # 331 Spec house ❑ yes ❑ no Lot lines identifiable Q yes 4dMD, 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, 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. 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 days of the three year expiration-date. W. 6 161 1 6 / 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT 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 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No... IX Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)). 344541 Per ' i me: El City ❑❑�� -- ills e Town of: State Plan ID No.: nhV���K , BART 'WARRE�i CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: / I VO •p CST' / 042 - 1059 -50 -300 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic GD Benchmark 2yG Dosing > 1 a 3 em , .2 Aeration Bldg. Sewer Holding St/ Ht Inlet , 6` ;L. (0 0 TANK SETBACK INFORMATION St/ Ht Outlet �jl, $'`j 102.36 TANK TO P/ L WELL BLDG. Ventto• ROAD wwh4et� Air Intake Septic >1 rte) NA Dosing NA Header / Man. • gO C) Aeration NA Dist. Pipe `P'� S- 1 4. Holding Bot. System L V. 2 I 4 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand gar) Model Number GPM TDH Lift Fric m TDH Ft s ea Force Length Dia. Dist. To II SOIL ABSORPTION SYSTEM a 3 5 7- _ ^� s ea • R Width Lenqtb N Trenches I f PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS `J • Ze I I DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Man yf tu_ reL S- SETBACK CHAMBER -4 � r INFORMATION Type of M I Number: System: >tDD� ^—� OR UNIT /D C DISTRIBUTION SYSTEM He anifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Le gt �� Dia. 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 E] No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: WARREN 21.29.18.331D,SW,SW 805 110TH STREET — LOT 4 L�. -.- No WQIQ t0-kS4&L Plan revision required? ❑ Yes No Use other side for additional infor ation. Leg- SBD-671 (R.3/97) U C-jr, , Inspector's Signature Cert No. w V iscons in Safety and Buildings Division SANITARY PERMIT APPLICATION 2 01 E. Washington Ave. ox P.O. B 7969 In accord with ILHR 83.05, W ; s d A m Code i Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County I than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 3 �1 The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan LD, Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Property Owner Name Pro pert Location q (;� SIJ 1 /4 S o 1/4, S� j T a g , N, R l 6 E (or) W Property Owner's M 'ling Atess Lot Number Block Number V A 7 City, Stat Ziprode Phone Number Sub i is n N me or M Number II. TYPE OF BUILDING: (check one) ❑ State Owned 13 C it Nearest R ad I o ❑ village r Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town OF 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) A A l. A )T - -351 D 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 IineA. Check box online B, if applicable) A) 1. [ New 2 ❑ Replacement 3_ ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an ________ 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 124RSeepage Trench 22 ❑ In- Ground Pressure 42 Pit Privy 13 ❑ Seepage Pit 43 ' Vault Privy 14 �;� E] r Z j �(.,Zs'" '1111 •eIl, VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2_ Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System A) 7. Final Grade 4 ,�/� Re r (s o. ft.) Pro �nsecl sq. ft.) (Gals/day /sq. ft.) (Min inch) 0 _ 100 El vationL•1Ci. 50 t to J J 7 $ 770 Feet A 16y'cw Feet VII. TANK Capaclt in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Co Steel glass Plastic App New Existin structed Tanksl Tanks e t' k ( I — 1000 2 P rs 10 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamberl I I I ❑ ❑ I ❑ 1 ❑ 1 ❑ I ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum er's Sign re: (No Stamp) MP /MPRSW No.: Business Phone Number: -Ti go R- )X0 U V .5-M— kQ10 Plumb is Address (Str t, City,S ate, Zi Code): 07 C wl 3S s�►� iJ� 9V OG IX. COUNTY / DEPARTMENT USE ONLY [] Sanit Dis a p p roved P F (includes Groundwater ate I ssued Issuing Age I n ure (No Stamps) y e rmi tee Approved El Owner Given Initial �+ Adverse Determination � � Surcharge Fee) X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SB66398 (R t IMI WS72111411TIM: OrigiirW to County. One copy To: Safety 6 Buildings Division, Owner, Plumber A a-n • Gel. , pti • Iv OtC Ad (tw t APo VpcpW� o--t: " I s Fjo nT K - rk)o N - 'Ifpt6 5 4irlY�n �'�2NG� ► °1 YG J 3 Noroorn 1 e O \ o i iC) - ia J� pl1 r3.m,y- &P Uply-- S + 70 3.1 �jc�IbW rop o� PR�taT)�P WIOJ Cu �0 P,)ihQ 1 N PI I d� r - ���� �14NC�„ '�UO•Q � co' Eby -oo 9 1O ' C a ca =o c c= U cq o C = N ` �- ('7 (b R1 c N x (n ® _?.•x� CO U n D (� .2 (D N E N U X t7) (N W co z 0 5, ry ; En _ CO O O O C Q ` 00 L U M O N 0 to U - - -- - LL C UU Q > ca E (a __ I T U L ?ii ' n LL 'N 2 N L U U p .... L X _ C i/ V 2 �- -c° v °vvv °vv O 2 ('n n O .— N (A Wisconsin Department of Industry SOIL AND SITE E V A Page of 3 Labor and Human Relations ; •.,.F Division of Safety & Buildings in accord with ILHR 8 ,05x �Om. toe V UNTYS / • CiPO i X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Pt4p Tbk inetude,W., not limited to vertical and horizontal reference point (BM), direction and % of *,PO, ssal"r )WEL I.D. # k . dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION ,. ,/ VIEWED BY GATE PROPERTY OWNER: PA6PFt t} A 10 J �s7,fr,& GOVf� 4 1/4,S - T 11F N,R /� E{ W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # C/O G. jooe s -!, - DoRTNy M. Jo � �S / CS,y A6XIP CITY, STATE 113 po t+, *,-ZIP CODE PHONE NUMBER OCITY []VILLAGE BrOWN NEAREST ROAD IROSER -T-S wis . 5 y 13 ('7 7y4 -3552. IWARAI—A." I P0%• 40--c . [ New Construction Use [ Residential / Number of b6drooms 1�t7 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow y cv gpd 1 3 `' - Recommended design loading rate Nle bed, gpd/ft trench, gpd/ft Absorption area required bed, ft 7 5 o trench, ft Maximum design loading rate ti bed, gpd/ft • oo trench, gpW Recommended infiltration surface elevation(s) s Of- ft (as referred to site plan benchmark) Additional design / site con ' erations Parent material SG5 - 5 +7-rk 6F 104 I s� 1;0 - Flood Dlain elevation, if applicable tt , o w ,t rFti S = Suitable for system CONV I ll L M IN- GROUND PRESSURE AT GRADE SYSTEM IN n HOLDING TANK U = Unsuitable for system LT5 ❑ U [3-5 O U 0-S ❑ U C48� U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch ye 3 /a-- s/ a,�► 347 4 , v c eS 3 . 5 G yR Ground 3 4 tG t o yR 5 4a b S elev. IT. bLft. Depth to ' limiting P�'! 1 factor Remarks: Borin # o - er Io Y,C' 31' — 5/ z 4-0 5h& i [ ` 3 �N- H l o y� y� s� / zw, he Ground elev. y-t - 5 5 TS y,p YW . S O S 6eAL CS — , -► � 59•� -ft. -5 S -ys /ovi s /le a s Depth to limiting factor / t Remarks: T Name: — Please Print ;?vt3 E RT u 1 R k C R T - Phone: Address: /.2. -1,5 - - CST�`11 Z Signature: T Date: CST Number: s Private & Associates (µ� Private Sewage Consultants Sv.uv y, 2-9 655 O'Neil Rd. '' FRe os r - Hudson, Wis. 54016 ASE Lr hdf PA of . G-PD. l -Pj - if s I /STEM l S 19 O low PROPERTY OWNER �Sr'4TE SOIL DESCRIPTION REPORT Page Of PARCEL I.D. GS�I Lo T l _ 4�C N D i G-- Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourdfxy Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 / D - / 3 /o yie 3/-L— /o4.r-r -2..., j 4*1 uf iQ S f • S • G 13- 1 0 yR 3/ Si�. .2 5, �w f, c s 3 � , S - rc� Ground elev. Z,yr, ,6.� 7�i� a S Z . S too ISO ft. Mfr (, /D /� Depth to limiting L ffaactoorU �qjp! Qw `� Remarks: Boring # �o dAt u-f 2 P _30 / o Yie y /ll cs O s a � o --- e Ground .3 O J elev. 104 4,0 1t. Depth to smiting Z factor� �� A Remarks: Boring # 7- f f Cg Ground elev. 0 co o Depth to limiting S'U kg • 4 / , G / S N factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: CDr\ COO/VO Ar All% 1 Z 0 Ill A —/r uTio,v S Ln 3 g9.py� �► � � 3 Ic�o� SD i (3 y o y•Go 0 ! l vy q S SCALE : 1 30� = BACIc koe TXeu 1 13y G 57 �o �ID �\ _ 30 13 50 13AI = A r Gqs vh��E !ly z T op Or Fp TEcriuE (� � r M o s r� eo Aj G%t 4 ¢-- �Q pi IJAP T A1 I v E , i y 9 ppoPOSEO sa, �c,1- �,' NJ�- 1313, 38 33 C L Sr 0 - r � A"E . — of ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer U Qj frf Mailing Address �' 0 1V(�y. , Sam �d Y0I Property Address l-6 ?0 ZZ0 S (Verification required from Planning Department for new construction) City/State V�S Wa Parcel Identification Number 99 6 LEGAL DESCRIPTION Property Location 5 W '/ S w %4, Sec. J W, Town of Subdivision , Lot # Li Certified Survey Map # G03 8� , Volume 13 , Page # 34 � Warranty Deed # 6 0 V5;Z/ Volume / `f 2 , Page # 33 Q Spec house ❑ yes ❑ no Lot lines identifiable K yes 4fto_ 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. a 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 Js in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 days of the three year expiration date. 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT 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 Deed P ty g s office a copy of the certified survey map if reference is made in the warranty deed f PAGE 3 � tin State A lsconsm Form 1 982 6►045r21 KATHLEEN H. WALSH TRUSTEE'S DEED REGISTER OF DEEDS DOCUMENT N0. ST. CROIX CO., WI RECEIVED FOR RECORD ....... .............................................. I.......................... 06 -07 -1999 11:15 AM ................................................. ............................... Daryl L. Jones , as Trustee of DEED L. Newel Jones . Dorothy . M. Jones Family Trust EXEMPT # CERT COPY FEE: ................................................. ............................... COPY FEE: ............ TRANSFER FEE: 99.00 RECORDING FEE: 10.00 for a valuable consideration conveys without warranty to Bart Luedtke, PAGES: 1 a single .. person .......................... ............................... ................................................. ............................... • • ...... • • • • . • • • .. • • • 1 • ..... • • ....... .................. THIS SPACE RESERVED FOR RECORDING DATA ............................................................. .............. I.... NAME AND RETURN ADDRESS: ............................................... ............................... ,Grantee, the following described real estate in St. Croix County, State of Wisconsin: Part of the Eouthwest Quarter of the Pac IDENTIFICAT NUMBER Southwest Quarter (SWj of SWj) of Section Twenty —one (21), Township Twenty- nin429) North, Range Eighteen (18) West, described as follows: Lot Four (4) of Certified Survey Map filed May 26, 1999 in Volume Thirteen (13), Page 3648, Document Number 603786 Dated this ........ ... ............................... day of .........June . ............................... , 19 99.. (SEAL) (SEAL) * ........... ............................... .......................... ............................... *.. Dayy.. I.... L.,.... Jo j.? e s.................................................. ....... Trustee Trustee /, AUTHENTICATION ACKNOWLEDG*ENT •y� �..' J Signature.(s) ..................... ............................... STATE OF WISCONSIN: ,,, `; A ui. ................................. ............................... ss'�y (� St....Croix.......... � r ,... authenticated this ...... day of ................... , 19 .... Personally came before ..... . ....... day of June . . . . ... . ..... . . ...... �'!�i� 'the above named ............................ ............................... ...Daryl . * Jones . and. Dorothy. ,M. _ .Jones .Trust TITLE: MEMBER STATE BAR OF WISCONSIN ................................ ............................... (If not, ................... ............................... ............................... ............................... authorized by Section 706.06, Wisconsin Statutes) to me known to be the person .............. who executed the foreg in instrument and ackn wled e e same. THIS INSTRUMENT WAS DRAFTED BY Attorney Michael H. Forecki . .......... � ....... ..... ........ ................................. I........I.....I............... .Kathleen . R,, .Vi. een ............................... . Eau Claire Wisconsin . ... . ...................... Notary Public ...... I'o.lk ..................... County, Wis. (Signatures may be authenticated or acknowledged. Both are not necessary) My commission is permanent. (If not, state expiration date: ' Names of persons signing in any capacity should be typed or printed below their signatures. J 24 . . . . . .. . .... . . . . . . . . . ... . ........ . ;*.2001) CERTIFIED SURVEY MAP L. NEWEL AND DOROTHY M. JONES FAMILY TRUST Part of the Southwest 1/4 of the Southwest 1/4 and the Southeast 1/4 of the Southwest 1/4 of Section 21, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Southwest 1/4 of the Southwest 1/4 and the Southeast 1/4 of the Southwest 1/4 of Section 21, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, more fully described as follows; Commencing at the Southwest corner of said Section 21, the POINT OF BEGINNING, of the parcel to be herein described; thence N 00 "E (assumed bearing on the West line of the Southwest 1/4 of said Section 21)'a distance of 515.24 thence S 89 "E 2020.73 thence S 00 "W 515.24 thence N 89 "W 353.51' on the South line of the Southwest 1/4 of said Section 21, (recorded as N 90 "W and S 88 "W); thence N 00 "E 165.00'; thence N 89 "W 330.00 thence S 00 23'24 "W'165.00'; thence N 89 "W 1337.22' on the South line of the Southwest 1/4 of said Section 21, (recorded as N 90 "W and S 88 "W), to the POINT OF BEGINNING, containing 22.651 acres, being subject to easement over Southerly and Westerly portions of said parcel as shown on this map for town road purposes and also being subject to easements of record. Note: The parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land. Surveyor, do hereby certify that by direction of the Owners, L. Newel and Dorothy M. Jones Family Trust, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. `` , t tttttttUiri tih This instrument drafted by Laurence W. Murphy �SC' V URE CE M MU ac . m t Dated : October 2.8, 1995 7 LLS,; WISC \ Zf e�NN������ \ \� � aurence W. Murphy Registered Land Surveyor Vol. 11 Page 3039 Certified Survey Maps St. Croix County, Wisconsin. SHEET 2 OF 2 S � 9 D E t? 61999 ► M AI a �0 UtTM 6 PeO ►s ° W► 603'7% SL ti CERTIFIED STIR VFY MAP L. Newel and Dorothy M Jones Family Trust Part of the Southwest 1/4 of the Southwest. 1/4 and-the'Southeast 14 of the Southwest 1/4 of Section 21, Township 29 North, Range 18 West, "Town of Warren. ;St:: Croix County, Wisconsin, being part of Lot 1 of that certified survey map recorded in Vol. 11, Page 3039 of St. Croix County Certified Survey Maps. �,�111111/�Ii� Dated: March 10, 1999 "Revised this 19th day of \ScotVs V I P ART OF May, 1999.'3 ♦ V` ........... /� i� LOT / C. VO LAUR • PAGE 3039 ° m _ ' W M PHY•L 00-23'24"W 204.20' a z CM 1713 " ~ - IV R FALLS, • a � •'••. '• WISc. Q ? a This instrument N •.......•••SJ ♦♦ ♦� '� ° drafted by W 4 LAND ♦� ♦ Laurence W. � N�� M O ��R� /1� Murphy N. LEGEND: _ 0 2 _;::q— a S � * Indicate 1 iron pipe found. M m 3 o y ` o Indicates 1" x 24" iron pipe ro h weighing 1.13 lbs. /lin ft. set o, R (1.0') Indicates previously record d ♦ h data. � = SOO.23'24 "W 311.0 B - tu (a 278.03' 1 33. N 1 y O k � Q �1 ,j g _ 3 I 3 O y� O Q N •— Q 1 \ ° O QI WI e AU ku t Q I N O QZ N Q o a y m I of L$ I 1+ h1 1 O y 0z red W O M N V\ a q vt I !u I Q ;, . tu 0 Iq N y Q y 2 p I M O Q h 482.23'-z— I 0 N O SOO / /'40 "W '' 5/5.23' I y 3 24/.00 241.23' 33.0 . Q ao COI O 274.W3' QQ I M ° m I° y x� O h Owner's Address: Q: o ^ "' o I°0 W ♦`° 0 33' 2 1134 80Th Ave. „ d k ►. W 3 Roberts, WI 54023 '° ,n M Q: o o M e °• 3 �► C� ti Q MQ NQa b � 1QQ Q W LINE SW 114 v N q �i H q, ti ry S 00'/ 1 '40 "W N 4 82. 23' `" Q O 2/36.56' 24/.00' 24/.23' �b�I ti 241.00' — 274.20 - -- _ + N u r — 5/5.24' J U y 110TH Sr 2 r N 00' 00' DO "E 2651.80-1— 2 UNP A rr L 1 v a 3 ° I..� I C► 3 v I I h �vl��4l SHEET l OF 2 Vol. 13 Page 3648 r Robert Heise N4769- 430th - St. Menonornie -WI 54751 1(71-5) -235 -8369 April 25, 1999 Lot #4 Recommendations 1. Property owner has a- choice of 3 system locations. This additiona€ boring identified system #3. System included- 3.B. #1- and S.B.2 from a soil test approved Dec. 8, 1995 by Robert Ulbricht. 2. Turtle shells may be used, designers option. 3. 1 reduced- loading rate -of system #3 because of the quantify of course gravely sand in Horizon #3 boring #6. Wiscons Department of Industry SOIL AND SITE E V A L U AT 1.__ O' i Page L of T Labor and Human Relations c'� - Division of Safety & Buildings in accord with ILHR 83.0 , `Adm. C9g 10 NTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size :.410 � myst include, bh not limited to vertical and horizontal reference point (BM), direction and ° p6 Wale vr�„ P' EL I.D. # dimensioned, north arrow, and location and distance to nearest road. �; _` t. - /d APPLICANT INFORMATION PLEASE PRINT ALL INFORMATI �% ^,�!�,ry, WED BY DATE PROPERTY OWNER: p ATY LOCATI /X �.C�.6.l f C9T © .�S *- C f; , ,1 1 /4,Sa T ,N,R )W PROPERTY OWNER':S MAILING ADDRESS LOT # )P k6G0-PUBD. NAME CSM # ! 3 3 T' o // CITY TATE ZIP CODE PHONE NUMBER ❑VILLAGE ®TOWN NEARESTAD (�� - s W - wyc New Construction Use UQ Residential / Number of bedrooms [ J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 41' 5_0 gpd Recommended design loading rate _ bed, gpd/ft gpd/ft Absorption area required 7.:%b bed, ft X50 trench, ft Maximum design loading rate .'� bed, gpd/ft gpd/ft Recommended infiltration surface elevation(s) 4 f3 ft (as referred to site plan benchmark) Additional design / site considerations S Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem cgs ❑U as ❑U ERS ❑U ®S ❑U us ❑U 0 ®U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bounclay Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed JTW& �r.X k :� o -9L gv < m S 3 m 5 1fi S S 1 2 21 Ground Q - S "/// 1'q'1 .S'' Depth to limiting factor r S Remarks: Boring # - k k: 1 1 Ground elev. ft. Depth to . limiting factor Remarks: CST Name. Please Print ' S Phone: _ o ddress. Al 2 �b re: l Date: /07 CST Numbe Signatu _ 1 PROPERTY OWNER SOIL DESCRIPTION REPORT Page — of ` PARCEL I.D. # Boring Horizon Depth Dominant Color Mottles Texture Structure Consistence eandary Roots GPD /ft - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed n Ground elev. ft. Depth to limiting factor Remarks: i Boring # MI Ground elev. ft Depth to limiting factor Remarks: Boring # R - 01 Ground eleV. ft. :z Depth to la limiting factor Remarks: Boring # Ground elev. ft. . Depth to limiting _ factor Remarks: SBD- 8330(R.05/92) r r v s at k4 fr s I- W ,p ; .x � �, Wisconsin Department of Industry SOIL AND SITE E V A .l '• e 0 N Page � of 3 ^ ; �; c , 4 ,-,' , `'� Labor and Human Relations G ,� Va :,� , Division of Safety & Buildings �' , r 2. I in accord with ILHR 8 ,Oti''(Nis. _m. le UNTY :; '�",,, 11 � Attach complete site plan on paper not less than 8 1/2 x 11 inches in slze...J�t ia`bt inelude, G 11 ! not limited to vertical and horizontal reference point (BM), direction and % of, ' ale or '� CEL I.D. #��w�, , ' I N :0 , dimensioned, north arrow, and location and distance to nearest road. � ,� �Z, ; ` `y. * I 11, h J` VIEWED BY D a APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION -.^ �/ 5 &" ,a ,- �y'Y,x � �Ij 4� N -1 . £ " 4 PROPERTY OWNER: PRdPF It A IeN '�; *� NBC , - 11 10 ,JE S �s7,fr,&' GOVT ' 45Gt.I 1 /4,S Z/ T L �N�R /� E ( W '� w� ,`� _ ` PROPERTY OWNER':S MAILING ADDRESS LOT A BLOCK # SUBD. NAME OR CSM # a = x Y' + a G/p G- ,3e9aJE5 ? �oRTNy' J'f. Jaa�S / C SC! �,�Oi,vG• vie *+a ��� ri CITY, STATE //3 po th v�ZIP CODE PHONE NUMBER (]CITY ppvv ILLAGE OWN NEAREST ROAD ;. `� r b Rol3eRT5 wt5 5L1oZ3 (7 7d/ Z: url/P,PE,J sv%,.lu -- . 4 `•' �� �� I - . L''F4 Ct y [� [ New Construction Use [ Residential / Number of bi;drooms [ [Addition to existing building * ; } 4 _ * , * } y -1 I [Replacement [ ] Public or commercial describe i � , t F , Code der'IVed dairy flow cv 9Pd �� a - f3 " - 13� ti 2 2 t � k, 'M.`, rs x ' ecommended design loading rate �iC' bed, gpd/ft trench, gpd/it l }• t � �i ... n a tir ',,,Fa,,> , Absorption area required �J� bed, ft Z 5 o trench, ft Maiamum design loading rate N bed, gpd/ft Irench, gpd�t ' " � ' a , . ; , � a� xp r i Recommended infiltration surface elevations) 3 ft (as referred to site plan benchmark) ; s �r� .,4 , " Additional design / site con erations > " , .� 1. 11 I Parent material Se5 - S,+rr o& • /0, ;' S� / y.- FI PP ti � �''�, , ' ` , 4, cod ain elevation, if a liable ft� 1 S = Suitable for System CONV�NTI U L MOUND IN GROUND PRESSURE AT GRADE SYSTEM IN FLL HOLDING TANK `' r ",% -_ � , U = Unsuitable fors stem [ as ❑ U L� ❑ U - �s O U L�FB" O S � !�O x � r, z f �% - As 1, r y4 SOIL DESCRIPTION REPORT "y , 4 f 1 De th Dominant Color Mottles Structure GPD /ft - x _' Boring # Horizon P Texture Consistence ea�xtary Roots ' `� �` ti '� ?�� in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tertd� x <b " ' 3 /,� d t r pt /� //�� ' / / t .:. , skt . , .. ``;::c xt, /� �/ y /O �/ _ �/y y�� / j� / ' D Q ••V 3' "� • I r•fly N t � r r r p (J rr !/� S i l k I , a ' ' . + ,p C ( �h /� �'.... - ma r.» r�" ,r nr s t4 ti •i �j Ground 3 �4 1�0 �0 J�� �� , S. v „S' dx .. • � .# — 7 ..P `�.�11 1. _'�, :I eleV. f�sli 1 �' / V ,6 ,ft. i t , ?4 , - .:iv y , u—. .. �'. ue th tt� ` � *`4 Fy t. -� , limiting I _______ LA biNAL, . . ��_ ..�, I �, . � ­ : � r # (actor I ;` f: f 5 .. , - ,:-_ 1.� I;" �p _4& y a . ,, - . � 1 �.,�'. + -'y ,t 1 i $ f Remarks: t , Boring # O` 4 io Yye 3 /j-- 51 Z �tw 5,6& � U >rR C S 3 f r S. E ' G i 17 11 j 1: I i `3 Y W U. I % �;. * . t 1 15 . 5 , - rel � : y 3: iN- �1�� r c� y� y /r� — -- ---- S� /. z �. h. - n�� f g , S i' �' , S Ca r � ` ; ° %, i Ground �__ _ r ., ,% j e►ev �{ ya -s� 7,s y� /� --- S. o�s ��. cs r �'; 4r , A " "''^s' s �j /y b ft. i w , x , , �, �. / / tSL S y yS V 1 � �/� _— V V f/� Imo• �• . . � � � t �j _. `'*? * , t �� `* h w a Depth to / y #�, i"� , fi 1. L* � � limiting I ,_01` , a,., ; I f '.1 {�;t a t i e 1 j ... : � . . 1, [ Remarks: � : � ° : + N , I. e CST Name:- Please Print Phone: <.� f �" y�r'- I 11 T�o(3 E Rr u3 t c t-} T �/S 38<v 8 gS" ��, � - <� 1. - ^� t Address: /�. — /,!" 9 _ CS7"�11�g 2. a a �v, `r , 3 i Signature: . Date CST Number: '�,� / Ulbrlcht & Associates , ", t `�LGt �'V Private Sowage Consultants Su,uv)/ 2 S °'� . f `, k 655 O'Neil Rd. i� f OS T- ^� z' ' sg 4' Hudson, Wis. 54016 t Tr . . r , t f tF•d ' ,tmo r �• N Y 4 11 , � ` �y ��E t - 3 3 , ti�:r3 �; f hir a 4 r2� r � S t /s G � �. �G ; rx ; � ITT .:,� � r r �.v C * G• P D l �� • 2 I �' S I� S M q 's y aY y% �'y,s o� lower y' "�� 4 : =a / ' �k�� ,�„> > _ rt _ 5 r a n ; . � s �` 4 + 4f b 6 �` ; 3r Y •f` ]' 'ha+,i:M v✓f+ - Iµ^ -? q4,. rr '+ T .X.a 4 T rK�'(' t ri: � �r," c .! 4 y 1. ':r y t'R � f r fa Z ^lJ +„ .tl.. Ir t��h 5 : t F t „ :.; N tf n i�v a :: f ... y"`� ;, 1., { r T> 4 , "r+rs 1 a —,'t C .^. s1{.r yS;� 7r Tj " " r L.ti, �..Ar A g 1 4 ,�2 4 % V" s . t i ':, 'Y k v U`••, L. * r :, *,apif `} r,.�. , :•'.c Y ' ,.t +: fig . _rin.: ... .+ "..9! % S �F..i rx i j R ' + T ,;�N�''., SU y ` 1 ..i`; ' t,; a4.` i, o 1 L t '�:�. >x�s leg ^ � ':Y. `t i£ .; , ) ??., i-.. .- .x , y'yt'r rd ,� r V. ^. r j3'�;� jxx 1t "- o-£ ; 4 'M':. 1 , e .e F t' ( tili,Je� kY '� vtTs �S� i � 1�' s,.. ` bow r, r�'� n ... $ a + p . °!a r F * 1 - 3R't�e,r t , at a ' ...t' ? `'R .r 17}1 K $ .S t , r , .•,� a % L i s y. , ply s i r :'d J ". �` a Rid r a�' .f r� % mFrry, ' -m y h , t - ; '. - 4' t '. h r.in t � li `� �i�' - � . ,4 r , t ' r ' L''2 2'tirt:{'4" V -y f flu r r+ '` t i l r }± r" t, 4 y to l e. :2, u.. w.. ` � Q . �_. . .,.' .3 .ry a? « «r ; �' e �GW ��! � � �' .i ,`ti X_.TSr*'S -iv.' fT # r Ij ] . PROPERTY OWNER �$ T��tTE — SOIL DESCRIPTION REPORT P age ? o f . 3 ,�R yt .. PARCEL I.D.0 GSh / T-„#./ I i Z G— r,f v T`E'S `4 R •R k 1.. <` s'a'x a Depth Dominant Color Mottles Structure GPD /ft x„ ;T .`;f t °!A; � Boring # Horizon Texture Consistence Bouxlary Roots In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends , g; x "� ' 17- V. �S1 1. :: >.3 >::. . / o - / 3 /0 y�e 3/�- 104", .2 .., S 4", die C-s f , s ..:G i `; � - . %, i :y i:•:i!v �2:...:�V t ci1'' H '1 }L . + z i3 - .aa / o yp S 5l /. Z S A& .w► - c S, 3.� , S i �. > r } } ; 3 *yt 2 > Ground ?0 '.3 / D /(' t/l �/, 2 X e �,.� f� a S 2 - , s , � ��; ,� � �4, d 1 [ } U�/� I h � l.' x y k" I �� S s 1. J p0 e 1 5o ft. G / p ` ��f S , , y Q �Q . 7 , ,� _ °, "' : k a` n 11 ' 111 I J .,r a s +" 4- Depth to , s' a lim itin g ,� 3 a 9 %, 5 � I {3 "` y:. K L(} . �.. yi 11 I 11 '�aT y , w�,. `� ?fi n!: ,� w..$ :� + #. Remarks: � y - r�'- , .dt .�, Boring # ? ,�' ,;" { I �6 ,, .C.., � '�� ri ", J . jl 1 'W. .;�g,-� 1 ­ � I .. .. .:. ,� . /, ._', , :1 ­ : : I : : I ." L ..,.�, ` r. k. NIA"'i, 1. : �:" �, .�. �*, ,,I I .. � .. L d F /� S r b. . - . . . . . . . l o T� . m 1 .� . 1­q �.'.,�, - �.3 , 1_"!,­,.N0."1N . - - -wl cs y y a� Q 8 !� . . I . .- - I Ground . ' rr r } i7N r n��"I :tg �, _ , elev. r l : SS s� *,, ,;, I0q (0o ft. ti. {, s, y =, M'k' A,'. Depth to ' `� ",Z.. 1. limiting � 4 ,,' ,., , q; ; k , factor �� € � ;r t z � 1[/ _ 4 s 1, ' T ;��"�`� a+' wr . ' Remarks: - , , �,�� E r , <x 1 — t Boring # ,�Y r X l a - �o yk 34 a7/ / ,* vfiP es l� `, �{ ..S ,' ; &5 V,� �; T; <�� ;. I M _ t F ' , . 1. ` I �. N 1. '� ,.� ti r _r $ r l��r . , i Ground � , ;x _ r� x elev. / yid S /!� ST d K� ' � ,� 'j ; k ' 4 �` ,, i c� y, c? ft. �. f a . ,r,s a, Depth to .. if Y '•{ y 2°' +K f t - 5 „- F� 1. Ilmlang ,, :w : Lerrr�".,�A , , factor 7 , 4 "' �. " , �� . u /. Y4f L t p ,� 5 II .kh �, 1 N 9 — ) 1 1 +_4 it 7-p v w ti I � � , . 77W r I I ;, � Remarks: c x?} ,it s x a' " Boring # r' yt y r Ground f . n t . . � +y it. 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