HomeMy WebLinkAbout038-1179-30-000 ST. CROIX COUNTY ZONING DEPART ,�
AS BUILT SANITARY REPORT �"6 RE30 �
' r 1999
Owner "IT 4 AvV" „A � sY CROIX !� /
Property Address / -1 V CouNrr
^� ZONING OFFICE .
City /State w kt&laiarM yp .f
Legal Description:
Lot 2 Block Subdivision/CSM #
Imo /a S� t /4, Sec. 15 . T 2 _ 1 N -R IS W, Town of S AK K PIN # h3 8 � 1179 �3 a
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
21.5
Tank manufacturer Mf£E K - % Size ST/PC/7- Setback from: House A& Well JJ A P/L ,
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: 91) Width 8 Length S Number of Trenches
Setback from: House '1-3, S Well P/L_ Vent to fresh air intake
CAQ(-�3Z
ELEVATIONS
Description of benchmark SE - NO ` 9E Elevation
Description of alternate benchmark Elevation
Building Sewer /b/. ST/HT Inlet 100- ST Outlet 9 `91 PC Inlet —'
PC Bottom Header/Manifold 9` Top of ST/PC Manhole Cover /6!• �'g
Distribution Lines
Bottom of System( ) C M , 06 () ( )
Final Grade ( /07j/ O O
Date of installation /17/? Permit number 3x'1717 State plan number _
Plumber's signatu U ' License number 2Z3 2q z- Date) /
Inspector 71 R6b
Complete plot plan �
'Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count
Safe4t -and Buildings Division y:
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary ermitNo.:
Personal information you provice maybe used for secondary purposes [Privacy L , s.15.04 (1)(m)j.
J r R'dffbft I & DAWN vvn of: State Plan ID No.:
—30 -000
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
"
Acmirinisins
TANK INFORMATION L ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �'� ^ `� 1 Benchni 2 i ?rte r✓y 1 Gam`
Dosing A l.a7A Q�
Aeration Bldg. Sewer (
Holding C._. C5_�V kit Inlet 106?.;L
TANK SETBACK INFORMATION 1�, , 4 CSt Ht Outlet yo 99
TANKTO P/L WELL BLDG. AAirintake ROAD Dt Inlet
Septic �;; /l 3, NA Dt Bottom
Dosing �' NA Header / Man.
Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number
TDH Lift Fy' tion .,S tem TDH Ft Loss
Forcemain Length Dia. Dist. To well
SOJ.L.ABSORPTION SYSTEM
( BED /TRENCH Width Length �, No. Of Trenches PIT No. Of Pits Inside Dia. epth
DIMENSIONS I �` C_> DIMENSION
SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Ma cturer� `
INFORMATION Type O, / CHAMB R -ppQ a Num er:
Syste6ni - e, s....�c.; `'`l^ —"'� OR UNIT
DISTRIBUTION SYSTEM 4,tf
Header /Manifold , Distribution Pipe(s) ; , x Hole Size x Hole Spacing I Vent To Air Intake
Length r Dia. Length Dia. Spacing v _r�` "i t ' - ?
r , s v
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: STAR PRAIRIE 15.31.18,NW,SW 1151 212TH AVENUE ,
i
( �� 'f fir' 1.�
G is
'/ 1/Vd Jly, �j y � y ♦ ( F �4 )� �� i��ZV t E'y �'� �C.c.. F. .,rC.�
V� w K - �D `P I�l� �U-4 a4l er
Yes PIaFvision ligtti1.1 ❑ Y C X N No
Use other side for additional information. C
SBD -6710 (R.3/97) Date Inspector' igna ire ert. N .
Safety and Buildings Division
o SANITARY PERMIT APPLICATION 201 B 302
x7ngto
Viconsin
Department of Commerce In 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 1/2 x 11 inches in size. !Srr C 0i
• See reverse side for instructions for completing this application State Sanitar Permit Number
Personal information you provide may be used for secondary purposes ❑ check it revisio'pre ioLs Application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION
Property Owner Na - . / P opert Location
♦ Pt W D rF IIIr✓1 A 1/4, S /S T N, R E (or) e
Property Owner's Mailin Address Lot Number Block Number
zo i Y" s v - 1
Cit , State Zi Code Phone Number Sub Ivision Nam
ry •c J a7 ( > lZ E
II. T YPE LDING: (check one) ❑ State Owned ❑ Cit Nearest Road
❑ Village ��� /!�
Public or 2 Family Dwelling - No. of bedrooms Town O l•
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1. 17i'New 2 E] Replacement 3. E] Replacementof 4_ ❑ Reconnection of 5. E] Repair of an
____/_`_System -------- System Tank Only Existing System - ------- _ExistingSystem
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 1K Seepage Trench 22 ❑ In- Ground Pressure r 42 ❑ Pit Privy
13 ❑ Seepage Pit 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. Syste Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq- ft.) (Min. /inch) Tom' 9$,f Elevation
- 7,J 0 '7.5 0 _ � lam, 4 5, o Feet Feet
VII Ca acct
g . TANK in allo Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Existin strutted
Tanks Tanks �+
epticT an JZ — IZ ! �F 12 ❑ ❑ ❑ ❑ ❑
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 Signatu�(NSttamps) MP PRS .. Business Phone Number:
-�'�FF �x � z Z 7l5- 2qy -3iy 1
Plumber's Address (Street, City, State, Zip Code):
0 X 7- ER W/ b
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit F e (Includes Ground ater ate slue Issui nt Signature (No Stamps)
Surcharge ee)
Approved E] Owner Given Initial �//6� , �O
Adverse Determination //
X. CONDITIONS OF APPROVAL / REA 40 NS FOR DISAPPROVAL:
Vzot , dry -W 44 d k lr iMC -k -1 5 54,*gy fw m ' &14% 1N1-
SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
SC bAWA( � i RilNDFr A'Al SEc l S T 3/, n! R lB �✓
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page of
Bureau of Integrated Services in accordance with s. I_�HR.83 09, Wis. Adm. Code
X�,'��
Attach complete site plan on paper not less than 8 1/2 x 11 inches in lze: •,Flan must County
include, but not limited to: vertical and horizontal reference point ( dwe`ctio"ncl* r t
1 ,
percent slope, scale or dimensions, north arrow, and location and ktoice to n •�`f' paPnel 1. D. #
30
APPLICANT INFORMATION - Please print all in m tio ewed by Date
Personal information you provide may be used for secondary purposes (Pri oyL�w, s.
Property Owner 1/4
`�' I�latio /
%5co 6.vJVN k 1 f" Govt. Lot '' JG 1/4.S ; T 3 N,R 1 E (or W
Property Owner's Mailing Address Lot # B Subd. Name er881*"
C) 11 qT k City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
�,, ' k � � ��) �,�.,:. �. D I "� (`",� I�) «�'� � X93 - t�...r �. ` r+ �.... c� � � � � �,� �, .
❑ New Construction Use: ❑ Residential / Number of bedrooms J Addition to existing building
® Replacement , El Public or commercial - Describe:
(or r`cv.�*r o��
Code derived daily flow OO gpd Recommended design loading rate 7 bed, gpd /fi trench, gpd /ft
Absorption area required 2 S7 , D. bed, ft 5 C) trench, ft 2 Maximum design loading rate _ bed, gpd /fi k trench, gpd /ft
Recommended infiltration surface elev / e ft (as referred to site plan benchmark)
Additional design /site considerations e^ g f k L p a:i rw , + Ir>v* re .0 lot .� + +^ <..' ' �+, t '_ r ,y *net Fir e w 5 " ' �a
Parent material v Flood plain elevation, if applicable ft
L: U Sui table for system
Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
Unsuitable for system 54 S ❑ U [AS ❑ U ®S ❑ U ® S ❑ U ❑ S ® U ❑ S t4 U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft
Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
�
c ? l , hi Fr .'F -S .
Ground 7, 51 �° .�N L.� ��,_ v kvw L C "jo �� � ° . �i � s '�
elev. g � /�
1 "7 .44-31 '7.S'l P` r - -,..� d— 5 �yt' L a.(,oi..)
Depth to "
limiting
factor
in. y
Remarks: 3t #,,V + ' r4 6WeINS
Boring # �—
Ground % I J6 �. .°f .� �,..�.� °° M L Ck ty
v
Depth to
limiting
factor "r Ki
10D in. Remarks: S horw r 1,0 " »,
CST Name (Please Print) Signature Telephone No.
Address Date CST Number
5coit + bw n K l rc W F Pa t 3
N f4 E V4 5 w /y 5ce,15, T JIM Blow 1)ov" �4 3. 5tamk.
qO c s+m a117y�v
5
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t M .0 G /o 5loDt
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its `SE
C3 8 �S E C OOLDcr pC ! V C r� . +� Q ► 7i4 c.aocr
perms s
borcv,ok �a lo
s +a►t t
R
SEND FIRS T A DOI TION
PART OF THE SWI 14 OF THE SWIM, PART OF THE SEI 14 OF THE SWI /4, PART OF THE
1/4 OF THE SEI 14 ALL IN SECTION 15, T31N, RI8W, TOWN OF STAR PRAIRIE,
Mo SUcal oo5w as the ay Iplal i5 nbj Kt to fgti, couty ad To5E51ip 1555. n ags A c M (i.e., votl
Si lot Sin. WWI to ptal, otc.l . Mtoto laclwial K /a5alopial oaf 1
oftla W awwioa ?m wd for own.
U N N FL TT
AEQ Iir—M 2 9 c051NER
— -- -- SE CTION a—
TEMFOIIART CUL - OE - M _
�TO !E REOaMO Um" N99�N'46 E
E]ITENSgo. or THE ROAD 2788.39' EAST - W EST 04 LINE �—
NOV48'46 'E 5 — v
is �2406.30'
� j 1 1 � N•
LOT 27 % ed 6 ) LOT 26 .
2.09 AC. / ® �� I 3.56 AC.
91,19! $0. FT. / ® $0. FT.
1.91 AC. EIIC. EsMT N 1.17 AC. ExC. CONT.
!0./14 $0
N
N66*47'36'E 497.73' 8 d . FT. -1
Ip NI
;I
S ? a
'°.
LOT 28 0
2.15 AC. r , .
2.07 Ac.
/ / •it •.i.
90,042 $0. FT. N r }� , J6 1.72 AC.EAC. �.�- o �J
�
I Y ,'`, �7•� T4.911 OFT. / •ND.t\
2.09 AC. EXC. / f� E --QQ
N96 31' >2 "E 417.44' �. w �?' • • • `d 33'=
4�
1.9! Ac. I I'd AC GIC• fps acr
LOT 29
$0.571 90. FT. '
IIISL ' MO y .6 �q,
1.9u Ac. C�
92,974 so FT. N 3 /�\ , y u 'r` •�'
•
r'
LOT 23 i as r
� z 1 1.71 AC.
74 $0. FT.
8 1.39 AC. ERC. 9111101- �. /�� ft
0
LOT 30
x . i � .oti
Q �
►5,791 so. sr.
__—' 2 T 22 ® W» ~j d v'
1.59 AC. I / �QQ
1 I I I I
%7,701 $0. FT.
1 1 I 1 1.39 AC. ENc, E9Mt LEGEND
199'49 265.4T I I I 90.619 w. FT. I
( I I I e ALUNJI YM COUNTY 9ECTQN O MMA MONVM9001 Fow
I n1 Na/s M 31 w a" IRON ►.In r0uI10 !9D'1' TN 0T10*10111 IN
AIt11
I � �1 3•I/, Of Ail LOT 31 1' IRON ►I►l FWNIO WITH 1" 1 aI 13 .
1
WI NININ9 1 l
1 I 3/1" IRON PIPE FOYNO LINtAR root.
.73 AC. _ I.
F5. 387 S0. FT. `, \ L OT 1 L tf _ _ � IY' WIDE UTILITY EASiA'E'^
100 ROAUWAT SETrACN ,.INE
N• \ VISION TRIAW.E 1.965 ON VISION TRI. ARE 150'
Q om, V ALONG THE WWI
i
p. — � CRAINA6E AND/OR PONOIN6 EASEMENT
Department of Industry, Relations
Labor end Human SOIL AND SITE EVALUATION REPORT Page / of 3
•
Division of safety R euildings in accord with ILHR 83.05, W
l NTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. st' I �T. c R o I K
not limited to vertical and horizontal reference point (BM), direction and % pg. b �, � V L I.D. #
dimensioned, north arrow, and location and distance to nearest road. co
APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATI ` OBY DATE
1 � �chx rV
PROPERTY OWNER: PERTY ISZfAVI
� 1G ti Al7D S ro v 7— t 1% ,S �� T ,N,R /P E
PROPERTY OWN R MAILING ADDRESS L AME CSM#
-SU
3 3 W4 7- A 7R- 2 !3 - .vD
CITY, STATE ZIP CODE PHONE NUMBER �
5 qO 16- ( 715) 5 41 - (07 31 []VILLA P DEAREST ROAD
5r PRhtRtE //W Y. cc
View Construction Use ( &+ / Number of b6drooms 3 +o y
I 1 I I Addition to existing building
S ( J Public or commercial destxibe
Code derived daily flow yZ oy gPd Recommended design loading rate • 7 bed, gpollt - ?_trench, gpd/11
Absorption area required K017 bed, 11 7jA'0 trench, g2 Maximum design loading rate bed, gpd/fl - 6 trench, gptilR
Recommended Infiltration surface elevation(s) _SEA }'t - 3 ft (as referred to site plan benchmark)
Additional design / site cons rations
Parent material $CS I i UiPKti fFRO 7 Flood plain elevation, N applicable It
S =Suitable for System IRS ❑ U L l�❑ U � O U ESSURE AT .5 , n U S FILL HMD T
U = Unsuitable for stem L�-J'S IR U O
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft
In. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Bmi fary Roots 11 0- 1 d yP 3/ 5 /,w► 4-v4/79? 4-v4/79? S /� 7 Bed
•8
Ground 3 3� jr /om �/� s. O S �.e C s . -7 . $
elev.
-7. &o /0 • ? , g
Depth to o f 7
limiting
factor
Remarks:
Boring #
/a yR 313 CS If
Ground 3 O 75 yCP S (, S ��Q C S' _ • 7
elev.
5 ft. 0 - /o
Depth to
limiting
factor
Remarks:
ST Name: — Please Print R c Q t R T V L R r L, l' Phone. 715= 3 _ 6 5 `
Address: U c7
767
Signature: r c
--% !I_ k , -I- Private Sewage Consultants Date: CST Number:
P5 3a 3�
B yG.
133 a'
(3 y / °/ ys SCAM . t 3o '
5 9 off • = /3 Ac rs
su95�sr� �t�ecN�. sys
F I t! o
l-4 r rt eN c,{,,, 12 -50
- rye EA3 9 r. 0
0�
If-
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3o
W
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Q
Z
r
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So . G C2
0'4 'f) 8 9 f TL-E 14 0_ FAI € 5 294 4458
— 05CEOL-i LI'3II PR CCs.
11:11 CROSS COUNTY rD- 7152943I38 uool
g� may_ r te . ��,pr , P
ST CRO,�R R S
SEPTIC TANK RAWENANCE AGREEMENT
AND
OWN ERSHIP CERTIFICATION FORM
Ovmer uyer _.L L d 7-1 A WV N 1,01 r &Z
Mailing Address o t / 4 0 /
Propeny Address i l5/ LZ � Aortz o
(Verificati*0 required tram Planning Departnunt for new construction)
city/state Farce# Ideitif�a:atiam t�tumbet D3S --I 1 �7 "" �
LEGAL D901PTION
Property Locadon , ALhZ V, SY✓ �f, Sep. 15 , T2LN , Town of fZ 9L4 ?P 'gk)4.
Subdivision _&PLC i�i ✓(y &E�n Lot #
Certified Survey Maps # Volume . Page #
Warranty Deed # yZS 5'� _ V . Page #
Spec house C} yes 2 Lot lines identifiable 2 0 no
SYSTEM MAffENANCE
impropar use aid mainteratmccof your septic system, could its dt is its prerataun failure to handle wastes_ Proper In emit �i ce
consists of primping out the septic twit every time years or sooner, if naeded by a livaanad pumper, What you pat iwD the sa;; m
tan affect the fwacbon of the septic taint as a treatment seise in tEte wasta disposal rf m..
flee pm<`t,�` pe owner agr= to submit to St. Croix Zang Dcga=oat a cerdficatiei form $ig W by the owner ant ' (a
zustar plumber, jouracyrtm plumber, restrictctlphunber or a licensed patmper verifying dmt ( I) the on - site wwrewaterdispasal s st m
is €u proper opmtiug condition aud/ar (Z) after inspection and pumping (if nceessmy), the scpric tank is less than 1/3 full of sly � t ; e-
Uwe. the trador5igned have read the above recpsirerr nts and spies to mainsaiII tl3e private seQragc dixposal system with the slat' 1 As
{et forth, h=i% as set by dtc Dqmrm=t of C•ommorct: =Ad= De of Natural Resources, State of Wisconsin. C ffW js ion
stating thmt your septic system has beenmaivaiiucd txtttst be compteted aid gemmed to the St. Croix Cowry Zo� Offke wit t:, 30
days of the tluoaa year expiration data.
SIUNATURE 0 APPLICANT DATE
OVER gj&H i .A iQN l
I (we) certify that ail staremeuts oa this form are true to tfie best of ray (our) knowledge. I (we) am (are) the owm i .' of
the property described above, by viaue of a warramy deed recorded in Register of Reeds Of iee.
SIGNAT YRJ Op A ICAN�`
PP DATE
`tiQU. Any infamiation that is mks- resentodma rtrsvlt in the S8�
rep y Lary' poi�T beitt,�; revoke$ by ties Zo�nitlg Depat'i'ncnt.
`• Include with this application: a stamped war=ty deed from the Rooster of Deeds office
a Copy of the ccaffied snrvcy rmp if refercnct is tnadc ire the wanmry deed
• J V
6 3 ; LOT 26 LIS
®Q
155.231 S0. FT. '; "•
a.73" ' �js, 1.17 AC. EXC. ESMT P
50.814 SO. FT. rQI
1
'
I i - LOT �5 '? � °� .�},�. •:
1
93.74 s0. FT• '� JJ, 3•� "W 1_
Ba 1.72 AC. 0'. • `` t�p�� �.�d � •. f
74.90 SMFT. ! RI"�� ~y'.{J•;;
Q 1 f •
fi tj y y'�p .
• ~
i
C�! `
, OT g4
jMp / �Z! /1.65 AC. 1.22 W. ExC. • l
! . 60.571 SO. FT.I .r
r/ 52.943 % FT
66 •y1
8 / HWL • 0
461 ��. � GJ , ebb
LOT 23 lb
a
1.71 AC. Iy a;
1 74.406 $0. FT.
1.35 AC. EXC. ESML
8 66,70 S0. FT.
1
1 ggg
art
1 , 4 1* 1.56 AC.
67,791 S0. Ft, NIV
1.36 AC. EIIC• ESMT. j.
E0,6T9 $0. FT. a LEGEND
1• 1 ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND ,;1•
N85 14 37 W �1 304,59 A�1 /" IRDN RI ►t ROUND ���. ALL OtNER wT CORNERS )
TO N MONUMINTED
I" IRUN MWS ►WIND WIT" 1" 1 24" IRON PIPt
1 WE14"IN9 113 to PEN
a 3/4" IRON PIPE ROUND LINEAR FOGT•
}
_LL_ L n I 12' WIDE UTILITY EATt1.:E':T �
LO _ _ _ _ 100' ROADWAY SETFACK LINE
VISION TRIANC-E I..EGS ON VISION TR,. ARE HO' LONG
ALONG THE R/ W I 1 ",i• :.
{W - DRAINAGE AND /OR PONDING EASEMENT
--- IN. PROPOSED DRIVE
�1 PROPOSED JOINT DRIVE
-( VARIA 14 ?•
LENGTH TE FINAL DRIVE LOCATION SHALL BE AT THE
DISCRETION OF THE TOWNSHIP.
�• �'�.� s _ - MEANDER LINE
1,
322 \ �-� 75' WATER SETWK LINE t
AC.
t S0. FT. ® O 2" X 30" IRON PIPE SET, WEIGHING 3.65 LOS. �
\ O PER LINEAR FOOT
W T 19 - EXISTING FENCELINE
33 si
I /
/ \
NOTE: ® 6ENCHMARK NAt SET IN LONE .TREE (LOT 331
/ \
LOT 1 i ! EL • 915.
A
/J us OS DAT 1929
® aENC"MARK KFINTSEN SURVEY MARKER WAIL SET)
\
EL • s SET IN FENCE COMER ILOT HI
LOT 19 USES p DATUM
A7LM 1929 ����.