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020-1335-80-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 572874 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Krueger, Michael & Cassie Hudson, Town of 020-1335-80-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /b Z - 4 z 27.29.19.1778 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~•S / fye~ h Benchmark ~ / 6,3• ~ fZS 2'. ~t evJ F I Z • , / 5~ Alt. BM J Z s ~Qd . 46 'e C* Pte sta 1On ' Bldg. Sewer Z Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 5. Z TANK TO P/L , WELL BLDG. Ven oAir ntake ROAD tj 64-e V-4. Septic ~Z Dt-mZ 756 IDS 5.3 -7 g , b 115 I Header/Man. g Aeration / D / / `O • Dist. Pipe 4-t~lP c~ Holding Bot. System 7`KF x 146 47 ` PUMP/SIPHON INFORMATION Final Grade Y, qU Manufacturer Demand St Cover I L GPM L R •~K . Z• ~1fG . 9 Model Number 5.3(. TDH Friction Loss Syste Ft 1)al~e. 61 s- 37 c7-7. Forcemain Ta. Dist. to Well SOIL ABSORPTION SYSTEM -5,1 S BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits I side Dia. Liq ' e th DIMENSIONS 3 74 3 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR ~t t4' Type Off S,stQem:. b n 16 )5 UNIT Model Number;, DISTRIBUTION SYSTEM g r- . ,~3 .~S Header/Manifpld ~I Distribution x Hole Size x Hole Spacing Vent to Air)ntake I Id ! Pipe(s) \ ` \ Length Dia `t Length Dia Spacing g~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded ulched Bed/Trench Center • ~ ~ Bed/Trench Edges Topsoil Yes TNT.- Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 769 Wilfred Road Hudson, WI fd' W6 CSW 1//~W 1/4 27 T29N R19W) Badlan Prairie Lot 38 Parcel No: 27.29.19.1778 1.) Alt BM Description = %C •I 1 ta/.44(& C4 v%r%e 2.) Bldg sewer length = (.~✓t~. -amount of cover= Plan revision Required? Yes o Use other side for additional information.) _ E(4 J SBD-6710 (R.3/97) Date Insepctor ignature Cert. No. County Safety and Buildings Division St. Croix a P 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) FEB (~I Madison, WI 53707-•7162 Ly~ T. CROIX COtl ,57Z'S~ Y'Trllt AppI1Cdt1O1 - State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to.the appropriate governmental unit Na is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing addres the Department of Safety and Professional Services. Personal information you provide may be used for secondary purp oses in accordance with the Privacy Law, s. 15.04 l) m Stats. W 0.1 1. Application Information - Please Print All Information Same Property Owner's Name / Parcel # , Mike & Cassie Krueger 020-1335-80-000 Property Owner's Mailing Address Property Location 769 Wilfred Road Govt. Lot City, State Zip Code Phone Number SW NW , Section 27 Hudson, WI 54016 612 759-6174 (circle one) /T 29 E or WC ' 8 H. Type of Building (check all that apply) Lot # N; R 19 ❑ 1 or 2 Family Dwelling - Number of Bedrooms 5 3 8 Subdivision Name Block # Plat of Badlands Prairie D Public/Commercial - Describe Use ti. Na ❑ City of ❑ State Owned - Describe Use CSM Number D Village of Na D Town of Hudson III. Type of Permit: (ChIne ' y one box on line A. Complete line B if applicable) A. ❑ New System plac ement System D Treatment/Holding Tank Replacement Only D Other Modification to Existing System (explain) B. D Permit Renewal D Permit Revision D Change of Plumber D Permit Transfer to New List Previous Permit Number an Date sued Before Expiration Owner, ~9 ?Fr I?"n-Pressurized ype of POWTS System/Component/Device: (Check all that apply) In-Ground D Pressurized In-Ground D At-Grade D Mound > 24 in. of suitable soil D Mound < 24 in. of suitable soil D Holding Tank D Other Dispersal Component D Pretreatment Device (explain) V. Dispersal/Treat nt Area Informa 'on: 54 Infiltrator " Plus" Standard ch rs & 6 endca s, Pol Lok PL-525 effluent filler Design Flow (gpd) Design Soil Application rsal Area Required (sf) Dispe al Area Proposed (sf) System evat'On L 750 Gpd 0.7 Gpd/Sq. Ft. 1,071.43 sq. ft. is 6.60 Sq. Ft.~~j 9 . 0° VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o b New Tanks Existing Tanks IN! U o 8 o ~ U in y v, a. 0 0. Septic or Holding Tank 750 1,000 1,750 1 Wieser Concrete X Dosing Chamber VII. Responsibility Statement- I, the unde igned, nine responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber s Signatu a MP/MPRS Number Business Phone Number James K. Thom son MFRS 30021 (715 248-7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola, WI 54020 Rp:proved oun /Department Use Only isep) Permit Fee Dat Issued Issui ent Signature Wen Reason for Denial L $ t 75` ob 1i S IX. Condit$ta'p al[W"O'Reasons for Disapproval t.` Septic tank, effluent filter and 3J ill 4-o r S t f dispersal cell must all be services I maintained 2 , has per ma'agemeent plan provided by plurnber. ,,µ1~ • L ~C 1 ~1 1 ✓ t a setback requirements must be maintained as per applicable coaeordinances. Attach to complete plans for the system and submit t the County only~on r not less n 8 t/2 x 11 inches in size ~~6✓~i1 GOG SBD-6398 (R- 11/I1) Sca./e: ,gyp, ~loo~tdSlSa/C'L//. TXrrc( c 3'r 75'~v/rB fir/trutcyr } ti` nGle~ t ~sS C l ci er- Fk•^ fir . ~`/~tc ~ra~c 54 clcu r,dw-3 ?/O y ~J, %~~e d Qo be = Y~.~ ` c t a 14 J{u dsv~, w S'~fU!{o q' on e~.s lei cacl~s Ca 5e s c CC G / ov- . O r IAa/s co 5 6. ~ iX 4 i j ge'l' ' G~_ /x.35 90 - ac i ~,,n ~o~✓ - o r r ro~vas~r(~-~dCi 5;rr~ r rt i<Y ! ~oPo.sedLV:es~~n~. ~ l ` r / 7So S.T. w/ o.I ~o/yCvX.aL-SZS \q GG:!'GtyE,, I i U ~.X W,-p 11 ~ w G ~l (p nc . 1 . ~ s v w 0 0 i IP~Srcl~stCL s we! P~ A,de t~t~~t.s 3`xse.-zs:~}' ~t,iee(4J t✓,= /OZ.y1' SysErr.+z clcc.~ = 45-.$7' r4 /Y(b.».'cu/'C.~ ~'~t1554S /w r.v.q l I ~ I f I ~ I Conventional POWTS Index & Title Sheet Project Name: Krueger 5 bedroom Replacement Conventional POWTS Owners Name: Mike & Cassie Krueger Owner's address 769 Wilfred Rd., Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 38, Plat of Badlands Prairie Legal Description: SWI/4. NW/4, Sec. 27, T.29N., R. 19W., Tn. of Hudson, St. Croix Co., WI. Parcel ID 020-1335-80-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calculations & Distribution Media Cross Section Page 4 System Cross Section Page 5 Septic Tank Cross section Page 6 Filter Specifications Page 7 System Management Plan Page 8 Septic Tank Maintenance Agreement Page 9 Certification for Utilization of existing septic tank Page 10 Parcel map Page 11 Warranty Deed Attachments: Soil Evaluation Report Mater Plumb cted Service: James K. Thompson, DSPS Credential #30021 f Signature: Date: , 17 -ZO1 Page I Of 11 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) 5ca-1e: 410, f~opascd ~SPL~Sa/('G//. 7Arec E~znc~e~ p~ 3'x 7-1 ~n1716z6v - "a-'f"CAu n6.wj /osr tr e - f ~r've S 4 c e a /eN ~~~C mss G X~Ju {,p 6e = Y6.cao;enCles fa 6e sttlaecd 4.16 76 y /fled Qd q a~ ems., bc. Vq, .0/-' o,f 5v 5w%y4I wYy Sar--zi r194., Ao /ii'w, i' , ~,~Eo~✓ - , o 7-x - 0 fA4,dson, 5E.Crr1iX loo. ~ocl, G.2v- /33S Bo - cz~D , ~ " t $ ~c ~aposed w;esN' C'or~ . ~ / n ~A~'kyc, r?~t; W, esc~ Cosa. ~ ~ i E,rlsf/ d,Sp9c~<sa/rc~/ TwoC4~ E,tiS~in QQ~ &,en25 aZ` ~XSG.zS itfite~4) ,vet " Ar1c •Sd~w,'..d~ d 7-7r--7 ~ 4e _ /OZ.iI.t' Y ti~ 6 !/owJ ~~a 5545 I I KRUEGER DISPERSAL CELL SIZING CALCULATIONS 1. (5 bedroomsx100 gallons estimated flow)(1.5 design factor) = 750.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.7 gpd/sq. ft. 3. Absorption area required: 1.071.43ss .ft. GG 4. Absorption area as proposed: Sq. ft (54ch bers total Infiltrator "Quick 4 Plus" - OCSX5.10) sq.ft. EISA per chamber, Infiltrator "Quick 4 Plus" end cap = 540 sq.ft. EISA 1,071.43 sq. ft. e=1,040.83 sq, ft. 1,040.83 sq. ft./20.00 = 52.04 cbers required Number of trenches: 3 na, 18 chambers per trench Trench width: 2.83' Trench length: 7100' Trench spacing: 9.00' on center ' Total system area w/ 9' center spacing: 21.00'x 75.00' IMC14 0 STANDARD CHAMBER 52" Quick4 Standard Chamber 48" (EFFECTIVE LENGTH) 8 12" g T 34" SIDE VIEW SECTION VIEW MultiPort End Cap R O 12" 16" i i 34" SIDE VIEW TOP VIEW FRONT VIEW Qu1ck4.cat ns~ Size W 7-1 ' Effectiv hive ltly e 1or`1.25 . nye r .r• Pg. 3 of 14 Soil Absorption System Cross Section ft gq.Y0 ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap 97-d ft Leaching Chamber ~ ~ v ft ' System Elevation ft ft (o ft Soil Absorption System Plan View 75' ft -3 ft { G ft Leaching Trench 1 Chambers KEE 4" Dia. Trench 2 Header Vent Or Observation Pipe Trench 3 Leaching Chamber Specifications Manufacturer And Model lcr EISA Rating .20-0 sq ft per chamber Soil Application Rate o, gpd/sq ft 75O gpd Design Flow !~.,7 Soil Application Rate 20.0 EISA = 'Y Chambers 3 rows of chambers each. Page of _ D z x D m z 54" AS REQUIRED 84" rn D n ~ 42" o z r O nx . ~ m m o r I yi m m 3" 37" ~ n N < 5„ S ~I CC) M mp _ D c0 \ m m I II D N f I \ / ;a c: D 'moo C ;a D O t D C Z v 40" IF'I m N I-q Z I D I N m D 0 --j r O r0 2 z z g 6 c- ° m F m m m A o o ° ~cmomrom*czn ~N RNl D Cn~ 0 O9Z O-0iD r± OmcmAoOA- cm° vx U m rn id 'DO ~n° Lnnv =pOc~i==r~* ~Fz D pD nN p O =rA n ANC ~~C ~FZm-amp N~ .c ~N Zz p m U) 0 z 0>.. DzF, 0Dm - rr~DDN~4'N (n D 6 v A N r~ m co -Ni I o m a = -D O z o A o o a v 7C N.~ N Oa C~ N NmA y ~pJN~O~ m o a v N N Z C O.. oo m m' I r V) f~ • n (J1 A D ~p z 0* 01* o m-, F. mm °m;u p a o TI L.- Z CCO~ -I D °o 2rA-D ~O wm z o v z n (j m 'V C c0 Z D4k v m 0 P_ (n co x v m -1 O A ;u p O~ O~~ D m n D D F . i M O ? 1r4 O { a U1 ~ m :9 0 = °o N zD ovz zZ ;a r- M O co 0 z r D m DH 0 ;u r m ;u vi m m 0 DRAWN BY: WCP SCALE: 1/4"==l'-0* PRE-POUR: ~o m WLP750-MR MIENER CODCAETE REV. rn SEPTIC MANUAL POST-POUR: \ Z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: 00 00 00 :::JDATE: ° 800-325-8456 FILE: YLP750-MR Filters PL-525 EFFLUENT FILTER ( h J Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility "eF----- Accepts PVC the largest commercial filters in its t extension handle class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16" removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off 10,000 GPD the system so the effluent won't leave the tank. No other filter on 1 the market can make that claim! Accepts 4° & 6" SCHD. 40 Pipe PL-525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional alarm, the owner will be notified `t by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank i pumper or installer. Automatic shut off ball when filter 1. Locate the outlet of the U.S. Patent No# 6,015,488 is removed septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. 3. to not use plumbing when PL-525 Installation: 1. Locate the outlet of the septic filter is removed. Ideal for residential and com- tank. 2. Remove the tank cover and 4. Pull PL-525 out of the housing. merc:ial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4" or 6" outlet pipe. If the back into septic tank. filter is not centered under the 6. Insert the filter cartridge back access opening use a Polylok into the housing making sure Extend & Lok or piece of pipe to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. P~ (o oic/o Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01101). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St. Croix County Zoning Department at (715) 3864680. Septic Tank Septic tank servicing mechanics comply with SPS 383.54(l)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 113 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of diversion valve. Effluent to be diverted from new cell to old drainfield at 2 year anniversary of new system installation. Old drainfield to be utilized for a 1 year period. Effluent dispersal to be alternated between systems on a three year rotating basis thereafter. Continizency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Pg.7ofII ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mike & Cassie Krueger Mailing Address 769 Wilfred Rd. Property Address Same (Verification required from Planning & Zoning Department for new construction.) City/State Hudson, Wl Parcel Identification Number 020-1335-80-000 LEGAL DESCRIPTION Property Location SW 1/4 , NW 1/4 , Sec. 27 , T 29 N R 19 W, Town of Hudson Subdivision Plat: Badlands Prairie , Lot # 38 Certified Survey Map # N a , Volume N a , Page # N a Warranty Deed # (before 2007)Volume , Page # Spec house Oyes[Dno Lot lines identifiable Oyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 Safety And Professional Services 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on th' form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a w ty deed recorded in Register of Deeds Office. Number of bedrooms 5 Ilud~u~ ~"'U'vq 2 SIGNATURE OF PLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) fie. s Sri ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 769 Wilfred Road, Hudson, Wl 54016 located at: SW 1/43, NW 1/4, Section 27 , Town 29 N, Range 19 W, Town of Hudson , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service June, 2014 Did flow back occur from absorption system? Yes No x (if no, skip next line.) Approximate volume or length of time: Na gallons Na minutes Tank Capacity: 1,000 gallon Construction: Prefab Concrete X Steel Other Manufacturer (if known): Wieser concrete !p-ofTarik (if known): 16 years, installed 10/02/98 ermit n ber (if known} 315988 s James K. Thompson 'tensed Plumber Signature) (Print Name) MPRS MPRS #30021 (TitI4 (License Number) MP/MPRS Feb. 16, 2015 (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 P~ 9 00 f TOWN OF HUDSON, ST. CRO WISCONSIN . r COUNTY, -MATCH LINE sEE rt Z FF~ 6 nn' z 39 s 38 t ~ Via?" { c 37 2.69 A,-REE ,1',374 Su. Q w Z6 ` \ 3.3 34-.. a 1G isconsin Department of Industry, SOIL AND SITE EVALUATION % i beaband Human Relations Page 1 of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 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 dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # 0 - 1072) o APPLICANT INFORMATION - Please print ~all-in`formeficn. eview Date Personal information you provide may be used for secondary p(Grposes (Privacy Law, s. ts',p4 L) (m)). 8 Property Owner \I'~ Pro rty Location Richard Stout / •4 pia. of SW 1/4 NW 1/4s 2 7 T 2 9 .N.R19 R (or) w l Property Owners Mailing Address ~r 1_6 # Blvck# Subd. Name or CSM# 1353 Awatukee Trail 38.. Badlands Prairie City State Zip Code ` one urn! VN p~G [ 4 ty ❑ Village [ Town Nearest Road Hudson WI 54016 ~ 154 ~~31 uds(:>n State Hwy 12 ® New Construction Use: ® Residential / Num 3 - 4 Addition to existing building ❑ Replacement ❑ Public or commercial • Describe: Code derived daily flow 6 0 0 gpd Recommended design loading rate - 7 bed, gpd/ft2 _-8 trench, gpd1W Absorption area required R R R bed, ft 27 5 0 trench, ft 2 Maximum design loading rate - 7 bed, gpW - -8 trench, gpd/ft2 Recommended infiltration surface elevation(s) Z 16 ,2;1 1 -it (as referred to site plan benchmark) Additional design/site considerations Parent material Glacial deposit Flood plain elevation, if applicable tt S = Suitable for system Conventional Mound 7U) Ground Pressure AT-Grade System in Fill Holding Tank U Unsuitable for system ERs ❑ U Las ❑ U S ❑ U ®S ❑ U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 1 1 0-2 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 .6 2 24-!2 10 r3/ none sl 2mbk mvfr Cs if .5 .6 Ground 3 52- 8 10yr4/ none ms osg ml cs .7 ; .8 elev. 9 9 . 4-0-ft- Depth to limiting factor - S_a__in. , Remarks: Boring # _ 2mabk mfr Cs 2m 1.5 .6 2 2 20-0 10yr3/ none sl 2mbk mvfr Cs if .5 .6 3 40- 9 10yr4/ none ms osg ml cs .7 ,.8 Ground elev. 9 8 _._3_0-ft. Depth to limiting factor $9-in. Remarks: CST Name (Please Print) Signature Telephone No. Address Dater CST Number a o t1- J l a 4? a 4'9d ?ROPEfiTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.01 3oring # Horizon Depth Dominant Color Mottles structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots QeDtft Bed . Trench 1 0-1 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 •.6 2 12-48 10yr3/ none sl 2mbk mvfr cs if .5 •.6 around 3 48-SO 1 0yr4/ none ms osg ml cs .7 ; .8 Ilev. 9 9 .5-D_tt• )epth to inviting actor 9,Q--in. Remarks: 3oring # 1 -12 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 ;.6 2 12-4 10yr3/4 none sl 2mbk vfr cs if .5 ;.6 4` 3 2-9 10yr4/6 none ms sg 1 cs .7 ..8 around alev. 9 9--.-6-df• depth to imiting actor -9-Lin. Remarks: Horizon Depth Dominant Color Mottles Texture Structure GPD/ in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench Boring # 1 0-1 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 .6 5 2 12-42 10yr3/ none sl 2mbk mvfr cs if .5 '.6 3 42-92 10yr4/ none HIS osg ml cs .7 ;.8 Ground elev. 100.05ft. Depth to limiting factor 9-2-in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) 13_1r~.2 l ".G Al 0 ~o~3g ST. CROIX COUNTY TONING DEI'ARTMENT AS BUILT SANI'T'ARY REPORT Owner -5~44 OK~ 1 LL€, Address 'Nol W t i- 1e F q P.,D City/State V D,S o pq Legal Description: Lot :S12 Block Subdivision/CSM B Ajj)j-A4 Al( IS R-i Z '/.5 w'/, Y (4) Sec. 7, TAN-R[ Town of 14 un,j C i✓ PIN # 4 Z O - RSA SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer (A) f~ IS F14 Size ST/PC/C / Setback from: House Wellq L P/L Pump manufacturer Model Alarm location 1 (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system:jVJLTKAT01X..Width 3 Lengthr~o, ZS Number of Trenches 2- Setback from: Mouse /d/7 Well J 8 $ • Vent to fresh air intake f 7S ELEVATIONS: iJ Description of benchmark 2 PUc P I P.6 Z , $s Elevation 0©'490J Description of alternate benchmark SILL 00 E tl z f. lk Ali ec', K 1,(p Z. Elevation 4r Z '3 Building Sewer ST/HT Inlet j 'ZST Outlet 2.. PC Inlet PC Bottom Header/Manifold + S Z Top of ST/PC Manhole Cover 44, Distribution Lines ( ) r ~~'3l) , ' ~(r l Bottom of System ( ) 7, -7.90 41- fS ( ) Final Grade ( ) 3.2 ~r` l /NCO( ) >2 ~9'~0 ( ) Date of installation /?4e~Permit nu mber?j State plan number Plumber's sign ture D190 o /t ~ License number'VCSes. Date /T Inspector complete plol plan NOTICE: Picasc providc 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. /400 140 0 ' LAN VIEW 5e- 04L~ ~Iq to FA f 14 45*1 0 C g.n4, Z 5/44 of B$5F~r uzk F 1:, /0 ra p 46E IXW~ W -C LL. INDICATE NORTH ARRO Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: 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 purposyes (Privacy Law, s.15.04 (1)(m)]. 315988 f +t l e/'s ❑Ht~DSONage Town of: State Plan ID No.: CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: 160 red 020-1335-80-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ,00 Dosing L D' Aeration Bldg. Sewer Holding St4 Inlet TANK SETBACK INFORMATION St/* Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / 7 a i `1~ s 7 Z~ U' qi, Aeration NA Dist. Pipe -?'_2 IV ~ Holding Bot. System 'q ~'.S ' `l s 1 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand v, -1 Model Number GPM TDH Lift Frith n System TDH Ft Forcemain I Leng Dia. H Dist. To Well SOIL ABSORP ION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 _Z I S DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O eta c c''' z A CHAMBER Model Number: System:.v,,~,a ~7 ,~7 d 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 E] Yes E] No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 27.29.19,SW,NW 769 WILFRED RD-BADLANDS PRAIRIE LOT 38 . Plan revision required? ❑ Yes [ No Use other side for additional information. ~p ` s 4p , SBD-6710 (R.3/97) Date nsp for Signature Cert - No. r Safety and Buildings Division AiscOnsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue In P O Box 7302 Department of Commerce accord with ILHR 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 8 112 x 11 inches in size. 6ro • See reverse side for instructions for completing this application State Sanitary Permit Number SBg Personal information you provide may be used for secondary purpo es ❑ Check if revision to previou application [Privacy Law, s. 15.04 (1) (m)]. 9 Wl' - boy ~ ~ VV State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location / LL,Eft- 5 tvA /4, 5 2 T Z , N. R/ E (orW Pro erty Owner's Mailing Address Lot Number Block Number Z~ 1 City, State Zip Code Phone Number Subdi ision Name or CSM Nu r ~fv Sa'1`I p/ c3~c > Z7t. 13 D 1.AN (Z41R (f 11. P F ki DING: ((check one) ❑ State Owned ❑ City Nearest Road lage Public or 2 Family Dwelling - No. of bedrooms ° VC OF0 L) o N W (L L ME Z RD. 111. BUILDIN USE: (If building type is public, check all that aPPIY) Parcel Tax Number(s) ozn - 133s- ga 017-a9- 19.17 1 C] Apartment J 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. XNew 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Tank Only ______________Existing system _________Exlsting 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 124 Seepage Trench 151DE 4449k22 ❑ In-Ground Pressure 0 42 ❑ Pit Privy ~ x3/ SG2 1~❑ Seepage Pit TR IQ TO (L z 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade S O Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) , Elevation S077-- . $ 9Sf Feet 47 9r d Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel glass Plastic App New Existing structed Tank Tanks Icon 1 4 U I S G /L ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: (0 NjV_C M! ~XJELL rl" U4 ~P '-~~Soa -00(07 gi.. Plumber's Address (Street, City, State, Zip Code): )070 14 V 'T /L O E.lr` U o ~O IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue ISSUI g nt S' ture (No Stamps) Surcharge Fee) Ot~ Approved ❑ Owner Given Initial IQr~ Adverse Determination ! a(J 9:~~ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber ~o q fI G FtZr6 Poi n Tk aZo - 1 3 35 - e 1 ; 100,00 epuc- rz~ 113' c F. L ~ p 1C ~ rsr / F ~/ptE: z TRrt~fcM~ ~ SIDEWrNDf-RS ;f 761A I- Aitofto Aou~.E , ald'is' pLIT J ~ ~O N 3 6 Q -JI ~o E E L6 C J 4_$, r C7 0 M •a -C NO (D co L- 0) \ r co _0 N C: 0) co U) 0 0 31 cu N (D Q cu a (n o C\j R C O O N O F? cN ca 75 cu 1 V U O C C C N j d 7 A- cJ 1ll n1 t 3 o 0 0 A o x n o A~ a 4 a o~ ro> a c 'r ( x M pp cn o c V C O U L Cc U C 76 CL U ((a * cd 0 ' .C E a) Q ` 2) CO 0) :3 ffl Q) 0 a) - cYS O N > a LO J co LL E 0 = U 'a C5 U) CL -fill ~y 13 J co p 4 r t~ N p r~ y'' ® N U L 800 - ds U) 00 i co O U- g W E UJ o CY) $ N co cu , C O f0 Q~ CO M U g O U n: c°o o L 2: CL ~ co ~ s 00 o c o UJ co w Q 3 °N 3 W E C) y co W (CS Y -7 C: iT ca I- V Nisconsfn Department of Industry, SOIL AND SITE EVALUATION zb~}and d Human Relations Page 1 _ Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 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 dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATION - Please print alhirif6rmati6n. eview Date Personal information you provide may be used for secondaryf5urposes (Privacy Law, s. 15.04 (~1) (m)). p Property Owner o Property Location Richard Stout SW NW 2 7 2 9 R1 9 X (or) dp.'A* of 1/4 1/4,S T N, W Property Owner's Mailing Address _ t*+,~ Lot # Block# Subd. Name or CSM# 1 353 Awatukee Trail 38.r Badlands Prairie City State Zip Code -P one umtre JuN FAG [ ty El Village E 4 Town Nearest Road Hudson WI 54016 `.!(T},5 )54rle31 uds >n State Hwy 12 ® New Construction Use: ® Residential / Nu t, mber ~_tg' 3 - 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 0 0 gpd Recommended design loading rate • 7 bed, gpdAI2 • 8 trench, gpd/112 Absorption area required 89A bed, ft 2_ 750 trench, ft 2 7 - $ Maximum design loading rate - bed, gpd/ft2 trench, gpd/fit Recommended infiltration surface elevation (s) 57 6 Z-, (tL._ft (as referred to site plan benchmark) Additional design/site considerations Parent material Glacial deposit Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system Eas ❑ U ERs ❑ U ® S ❑ U ® S ❑ U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 1 0-2 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 -.6 2 24--12 10yr3/ none sl 2mbk mvfr Cs if 1.5-'.6 Ground 3 52- 8 1 0yr4/ none ms osg ml cs - 7 .8 elev. 9 9 .4-8--ft. Depth to limiting factor - 9 -in. Remarks: Boring # 1 0 - 2 _-3_.5_yr_2_ 5 2mabk mfr cs 2m .5 .6 2 2 20-40 10yr3/ none sl 2mbk mvfr Cs if .5 ;.6 3 40-E9 10yr4/ none ms osg ml cs .7 .8 Ground elev. 98 -3-aft. Depth to limiting factor 8_9 in. Remarks: CST Name (Please Print) Signature Telephone No. &ts~-~ Address Date CST Number j e a -t~` J 4,1 6- C 2 Q 2 ~qd /.a ? o PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# 3oring # Horizon Depth Dominant Color Mottles Structure G~pjft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3 1 0-1 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 ..6 2 12-48 10yr3/ none sl 2mbk mvfr cs if .5 -.6 around 3 48-90 1 0yr4/ none ms osg ml cs .7 ; .8 :lev. 9 9 .eft. )epth to imiting actor 9() in. Remarks: 3oring # 1 -12 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 ;.6 2 12-4 10yr3/4 none sl 2mbk vfr cs if .5 ;.6 4 - 3 2-9 10yr4/6 none ms sg 1 cs .7 ..8 ,round alev. 9 9- O. depth to imiting actor -9-6 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 # 1 0-12 7.5 r2.5 1 none L 2mabk mfr cs 2m .5 .6 5 2 12-42 10yr3/4 none S1 2mbk mvfr cs if .5 .6 3 42-92 10yr4/6 none ms osg ml cs 1.7 ,.8 Ground elev. 100.05ft. Depth to limiting factor _2-'n. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) Z'6 Qe, 9 A 6,r5 g r a ~Q ~~r3~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer rL.._„' Mailing Address Property Address b Lv I L< r&-:r so (Verification required from Planning Department for new construction) City/State ~`4 J SO N U-) Parcel Identification Number ZD 3 0 LEGAL DESCRIPTION Property Location S W %4,h (A) '/4, Sec.a , T O"I N-R c/ Town of It y -o N Subdivision Lot Certified Survey Map #,3Te0! Volume Page # Warranty Deed # -S7'~a ITS Volume , Page # 1 3 Spec house * yes ❑ no Lot lines identifiable Vyes ❑ 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 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 th three year expiration date. NATURE 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. ATURE 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 o~ l~ VOL 111" ovi 171 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO REGISTER'S OFFICE ST. CROix CO„ wi --RTC HARD n__STQ1.1T__. Rse. r r uer~ - JUN 2 5 1998 conw s and warrants to AM b MILLEK 3:30 1 P AW, - _ F >tt of D+eyx g. TwS SPACE RESERVED FOR RECORDING DATA P-! %AAt AND RETURN ADDRESS the following described real estate in bt. Croix County -5 ~~a Stale of Wisconsin: ~m /,,7 / Lots 37, 38 and 42, Plat of Badlands P~ Prairie, Town of Hudson, St. Croix County, f/v Oso.✓ w~ fyol6 Wisconsin. PRi+C;El OENTIFICATION 4UMBER t i „1K $ TRANSFER . FEE pq~ f T This is not homestead property us) (u rk)0 Except ion to warranties: easements, restrictions, rights-of-way and covenants of record, if any. Dattd,4,is 25th day of June ,A.D., 19 98 Richard O. Stout (SEAL) (SEAL) r^ (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT tF;: F~ Signature(s) State of Wisconsin, St. Croix ~o~, 's 25tb t authenticated this . day of 19 PersonalJ .3me before me this day of title 19 . the above named ~i Stout TfFLE: MEMBER STATE BAR OF WISCONSIN ~w►u - n (if not. - ~.PY P(J, - - , authorized by §706 06, Wis. Stars.) 20 to me known -'s be 1 person who executed the foregoing y instrument the same. -,4, THIS INSTRUMENT WAS DRAFTED BY ,k III. Janet P. Stout -t3 3--Awa-tIIKe-e - - ~ Tr = r L[ _ --hudEon-tWi_`~i' 4Q16__ N~xAry PUNS c_ ~1 Q'-X County, Wis . (Signatures may be authenticated or acknowledge s Mr orn .:.am s permanent (If not, state expiration date necessary) • Name,of pr,nru> 5mng.n an} -.pj.n) -hh% i.rwd ,r pnr.ied hdo, ihr.r>ign~;urn. y- SFAIE BAR OF WISCONSIN 'NSCxsn!agal&:,v:. v art Mihva~hre y;,5 WARRANTY DI:FD Form No. 2 - 1481 WISCONSIN. S'T. CR dIX MATCH LINE cEE E 541.76' S e. 686.00' L~ 4 88J_' 14? p.,;.. H.W.L. = 971.0 9i 39 a _ s 8,9'26, 40" E o ! 1:64 ACRES 1586' 0. FT. J 1 5 89'59'06" E 693 30' i 205.11' yl j / 41.12 1 38 ~ I _ 95.48' 56.90 i \ 1 2.4 1,1 ± l•o H.W.I. - "09.0 3 37 ;o 36 Y 1 2.69 ACRES m 3.73 A :RES f 117,374 $ ° I O. FT. ro I6 387 Sp. F I r° 2 r T. OR LOTS in 4' t~ n•:, `S s \ s 1?r, p }A mATCH S847328 W a 'J LINE Ou 87 0 O3 It E 669ti~_88.82' I SEE \ 33 \ u4• ; ~ tiny ` } ,1~5 6J3'S' ~ i' • ~ <,.0' r T 4, 12 - r l^~ ` 129 - - - o n ? 9 13 T r. ~ n J w THL ACi?ES 15 14 r 50,687 o G. FT THL S89'S9'13"E 64.7~y o 3.00 ACRES Z 730,681 S Z 7. FT. W THL ~'~z'S'• o/ n~ 3 00 ACRES ~jQ; 130.672 S0. FT. z5e.n; 2i~ J ~3443~51µ I r->a c~ N saoo' i ~ :