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HomeMy WebLinkAbout040-1060-95-000 •O p C) 0 3 o 3 ° O w O o 0. a o 0 00 N Z O w (n O y N N I w .q a r O U) 2 ~ o x o o~ _ to N N 0 O E o o N d N a c O- N h y 4- ~ .O• C N N C rn N 4 - 5, E o y n o o° Ea. z c Z m•0 7 -CB U. _o L ~ 0 ~ ~ (O L 0 3 LL ° rn a~ CL 0 Q LL c Q wU4)Qa I I Z yj z rn Z c c Z £ a y y d m (n N a m a m I c z o z c r v Z d N 0 O 0N m N H E 4) 41 4) N p N p 7 mN C N (D 2' C p p p (y O C~ O O O O ~ N ~ ~ O ~ (n L_ ~ (9 N N N C •O O C •O O " 4_- N N O o Q) 0 a) i' Z co z Z co z Z 0 0 0 N d 5 Qw o CL M) ° ooa U') E Q O E j Fy- FN- E Z > C) F- a o 3 3 3 ° LO 6 ooo • Oa 0a IL y a a a N a: o = rn rn Q Mi 7 o N N O) N L) 'a a) Z o rn rn } o ao :3 z: = rn Lo v rn °o N N CD I N (D N ~ ~ N ~ .2 co 00 0 (n O 'd - QI z V) _ O C7 M _ •d N H C ° y C L f0 N C E O c0 C U O 4) O O O O U O O 7 y C Q N C C ~ CD p N N N M CL U) c r c j N V ° N 3 d E E rn a co ° s«" ° F- a N FL- t co - + O pS O m N 7 t'' L > C'! 00 • ~a u-) O p O N E O T c0 N .I O I- Z O Z N~ Z J N O z .2 E E £ o E a a ` a a z .2 L M 10 3 0 3 A 2 O~ V 0 in v Page 1 of 1 / rc Jennifer Shillcox From: Monica Lucht Sent: Thursday, June 30, 2005 8:21 AM To: Jennifer Shillcox Subject: Phone call Jenny, Maureen Skidmore called and would to talk to you about opening a Montessori school in a residence on 614 Glover Rd. She will have to file for a special exception permit, but would like to get your opinion if this would even be feasible since they don't have much money to work with. Her number is: 425-7715 otherwise she is planning to call sometime between 11:00 and 2:00 when we told her you had a break from appts. Thanks, Monica `~v~~~ G~ o2d~J y, /S 6/30/2005 n CO) O n to O D1 F O d N O O ID CD (D 0 (D -0 n A m (D I m 3 _ m Cn z N O N f Z E- - 0 -1 C) fl) LU O L5 N? O 3 N C2 O A 0 CJ7 A • -i CD C1 CAD D A (O CL iD So z ~<o N Q OD N (b a D L N . 0 (0 =r 00 N a S. Co O .Z CL (D (D 7 C CD O O O) A 't CD -0 _0 N ~s ` 11 j A b .Op C m N N n O CD C O 0 O CL o a o co o 0 j N N a N N A O O 0 y (D c 'J N w - (D F ~ m y a s = w a a< t~ co O 'c co 0o N T7 c 0 O O 0 N) O O N :z 6 c, v m, W0) (D co (D Z~~ R =3 Cx 7v N O co O. p m O n m e co 0) o e y rn rn c M j a :2 CL i7 T v T o T T-0 :5= o 0 o z tOC COC COC ? COC COC COC A A A. O _I G G G C7 G G G A !'\i 0 0 0 o CO) CA w cc ai N CD a N N N Q-) I 3 C1 3 CA 0 0 0 0 CD G W I~ O O W O 0 O► w a' N (Di - (A O (O X11 f0 m (P C N M co 1D .di N U N (~V (3D 4 CD -4 I z ~ N O Z co oZ O D a Z (D o co O o O D CL D m m • m CD O N CD N CD m W cc (D CD (D CJ CD V y C1 a 3 S 3 7 p c O CD 6 p A Z A N c C r n d a _ P CL o Cn O ( O ~ O (D (D CL CL Z 0 3 0 3 O 3 z Z y m H CD CD a Cl) CA) a CD a C, c 0 o a cn Z a 0 C, (n j z (n (A 1 0 a 3 O I ch I N' I n z o E 7 1,51 O o L N 0 I w N h a n, O A c tv I o 0 ~J A 0 O r N (D yD r r 0 ~0 0 ti CD C O (D ) O 1 V • ~Z 95• STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER n a ADDRESS ,11~221 SUBDIVISION / CSM# c/ /;"f LOT r SECTION~T mo'b' N-R 15~ W, Town ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Ir e p_t y'.t([ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. i BENCHMARK: sGtJ LA1 c c ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:-/ C i:E Liquid Capacity: - c~c+0 ,r ~..-C Setback from: Well 165 _ House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width: S Length SW Number of trenches 2 Distance & Direction to nearest prop, line: Setback from: well: /o2z"_ House 0' 2 Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3 / 9 3 : j t I WisS.onsinDepartment of Industry, PRIVATE SEWAGE SYSTEM County: ST. CROIX Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL ~INFORMATION 262492 Pe UG meRICHAD ❑ City Village [Town of: State Plan ID No.: TwdCST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: I TROY A9600152 y" TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark o~ r Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet pa' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic , 09 p NA Dt Bottom 9 i7 rI d 5 Dosing NA Header / Man. Aeration NA Dist. Pipe 9 6Z q 7.l8 Holding Bot. System qa, G,sa PUMP/ SIPHON INFORMATION Final Grade 5 f L''t HJ Manufacturer Demand ,rsJ~ W ~bo • 6' Model Number GPM bY' g, 3g c.; TDH Lift Friction System TDH Ft r, l '7 1 ~t S oss 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 DIMENSIONS LEACHING Manufacturer. SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Model Number: System: / /i 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: TROY-15.28.19W, SW,_NW, GLOVER ROAD fir 1 Plan revision required? ❑ Yes [B'No Use other side for additional information. L-761 SBD-6710 (R 05/91) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a , 3 ; z 7 y Safety and Buildings Division v.~rin SANITARY PERMIT APPLICATION Bureau of Building water systems t 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Nu err The information you provide may be used by other government agency programs ❑ Check if revTsian trrevidus Spp tc (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Propert Owner Name Property Lo ation '~1i4of01i4,S le, T2~? N,R (or) Property Owner's Mailing Add ess Lot Number Block Numbe . r /CY' 14 City, State Zip Code Phone Number Subdivision Name or CSM Number o! ( > /ti's Vol b 7~ II. TYPE OF BUILDING: (check one) ❑ State Owned 0 cityage Nearest Road y/ ❑ Public 1 or 2 Family Dwelling - No. of bedrooms ❑ vil l -&V/ Town OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) a5/t!J- >O~oO-yam 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System System Tank Only______________ Existing System Existing System B) ❑ A Sanitary Permit was previously issued- Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 Holding Tank 12,0 Seepage Trench 22 ❑ In-Ground Pressure 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. Fin I Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 7/ /o Z-5. ElevattLon _9:~o jJ' 0 70 , 2 j 2 /o Y,, O Feet Feet TANK Capacity VII• INFORMATION in gallons Total # of Prefab. Site Fiber- Exper. Gallons Tanks Manufacturer's Name Concrete con- steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank lOZYj ,f S ei,4P ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. usi Plumbe ' Name: (Print) Plumber' Signature: (No mps) iitl~IMPRS._ Bness Phone Number: c/Z✓ /?rp,/ ~J_.; 7/j - 177, 3,7> Plumber's dress (Street, City, State, Zip Code): all' glr~ 1.0 7 IX. COUNTY/ DEPARTMENT USE ONLY El Disapproved Sanitary Permit Fee (includes Groundwater L17 ssue Iss in AgentSigna re (No Stamps) Approved ❑ Owner Given initial (~j Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to county, One copy To: Safety & Buildings Di6sion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 1 All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling- III. Building use. If building type is public, check all appropriate boxes that apply- IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, r ercinnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information Provide all information requested for numbers 1 through i. VII. Tank information. Fill in the capacity of every new/or existing tank, list the tota' c .allons, nu r;L .r 3f tanks and manufacturer's name, indicate prefab or site constructed and tank material Con- olete for al ;)tic, pump/siphon and holding tanks for this systern- Check experimental approval only if tanks received experimen <i' )roduct approval from DILHR. VIII. Responsibility statement Installing plumber is to fill in name, license number with appropri,,I )refi): (e.g. MP, etc.), address and phone number Plumber must sign application form. IX. County/ Department Use Only. X. County / Depa, rnent Use Only C~ eT c' -ifications not small .'-an 8 112 x 11 inches rnr-st be sub Yai'.ted to -h=. ~nty- The plans must plot p',in, dravv;~ t, ;.ale or with coma! r, _nsiUns ioc._.,ci ping tank(s), septic r ~I bu ~ ;aump or siphon _ ;il or Pl-ia, mcr._ _ `lie m lding served; dos•- volum._, -r cross Jection o;r t i~-:5 if Iu! buy _1,U szirclinformation_ GROUNDWATER SURCHARGE 1983 i A-y ^-10 inruded the reation of surcharges (fees) for a number oF r r ,~~,ted r); vvhicl) can effect c, ai=r ;;-,ese s~.. rcharges are used for moni toring c,=t~ ,..,•nt~ nt,a~ : ~ je;i igations a ~-.std4 1 'r, - ^f S' rld~ ~t5_ JOB (,c kj Lv n G AU 401 TIMM EXCAVATING SHEET NO. / OF Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY DATE - p (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE I , - 6 A..........A..........' : . ; .....4 . .....rx e N O . ` o _ Ov- i~ r `1~►.. ~a G, C>-. . . U o ~ y 111, W.. °-t c . G O 0 PRODUCT 205-1 Inc., Gr 7~11/1471, To Order PHONE TOLL FREE I-800-225-M r L ri l~ JOB TIMM EXCAVATING Route 1 Box 192 SHEET NO. Z OF WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE T! U ( p r y 1►~ r - PRODUCT 2051 Inc., Groton, Mass. 01471, To Order PHONE TOLL FREE 1-800.225-M 4 Wi3consin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code JC0jUN Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale ordimensioned, north arrow, and location and distance to nearest road. E Wpm TE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ¢t9.1,, PROI~,RTY OWNER: PROPERTY LOCATION aw~ r c GOVT. LOT S 1W 1/4 1/4,S / T a r,Ny (or) W ~J PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # SU E OR t$M, "7 r 10 t Sr • t C i 7 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY Foy ILLAGE ®f0 ,`,9 ,%ful5c' 1 -4U i ()S) 386 cr ? rA New Construction Use [xj Residential / Number of bedrooms 3 [ J Addition to existing building j J Replacement [ j Public or commercial describe r~ Code derived daily flow D gpd Recommended design loading rate bed, gpd/ft2 d. 8 trench, gpd/ft2 Absorption area required bed, ft2 g trench, ft2 Maximum design loading rate U " _I _bed, gpd/ft2~e _trench, gpd/ft2 Recommended infiltration surface elevation(s) Ty e dcTti,m,ae1 b~ rift (as referred to site plan benchmark) Additional design / site considerations c ~~r to ch s . e m J 4 h" 'tTe.- c s ;F; re,g' -i 6 jeep rn i,J Parent material Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND F7~GSROUNDPRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK UUnsuitable fors stem 19 S El U ®S E3U ❑ U ®S ❑ U I -Is 'MU ❑ S Z U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench m [ cs 20 S:/ 24 5hk Ynur C 5 +u~ CG S D.~ <;:>s 2 i 2 3 is (L 31 Ground 3 20-00 'D,~°(~ `4 rntls a~g rnl e-~ - j b elev. 4 wrft. Depth to limiting factor K ~iee Remarks: Boring # ~ . _ 10 Ql 31 5; I 'Z 4~1h, rnl 5 2„ D.S & cl rL 3/ 3 - S Z rn v [ r C 5 i i C" 7 d- Ground elev. rnul s s Yn v 5 - - i~. 7 (7, G q9,r ft. Depth to limiting factor Remarks: CST Name:-Phase Print _ Phone: 715- A "7S C:.ar1 tic, se ddress: J c42- S. (Yle ~w ;7,' ~vr~ ha lls W Ada Signature: /L / Date: C S7 CST Number: W M l 09 3 31 PROPEMOWNER PAO NC wr't d SOIL DESCRIPTION REPORT d Page -2-, of 9 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BouncUy Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 4 tit In ~ 2 v ~ (3 , 0 I (L -3 j Ground 3 ~s-qa ,5Y~3/3 S~1w~ t~ mSSk nz GS t~ fi'r' /VP elev. tcc. ft. 4 40---s4 7 , a/q 5 1 0 Depth to 5 3-`~6 7.5 Y(Ls/3 md5 limiting 4 c factor , Remarks: Boring # •`•'?•`~fww~:? h b.-&0 f 0r fL .Z ) f 5 hk n, i of e. . r C~vnt r C ~ ti ~S -S Ground elev. i oc ft. Depth to limiting fact tor„ Remarks: +:e.r X3o,,.~y 4 ~(3. a2 (`:JVd.i~rc•yo~ r n li pry ly G1- /T 7,;14 Boring # 1u(131L - S 27~~ m ( C S zvf (j 9 J'3 1 / fir`} f ..wE.i.: 2 /G r o i` 2/ S Z~h~ yhr c j f v 1G 5 `0, !o Ground 3 2-S" YCL 3~,3 S 2 m s6k_ C 5 c a. S ielev.c % ft. 9 5z- -7. (L A/d S 45" U S rh I c 5 6.7 o. Depth to s -5276 ?,S YIL513 mss 0 s limiting factor Remarks: Boring # ti v~1L I0 v2-3 3 SI I5 w CS f~~ m o.4 r",-Z, Fx:• Ground elev. i c~ft. Depth to limiting factor ~ Remarks: SBD-8330(8.05/92) PROPERTY OWNER )2 aiJ YQv r uciJ SOIL DESCRIPTION REPORT Page 3 of 4 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0-14 10 : fL 3/z t, ( G $sbk rn C 5 G, S c 51,k ✓YL 1AY C✓ U C, Ground 3 2i-z~ Z,,s Sd r 2 m shk, m, L S N i~ fU P elev. 4.9~It. X76 35 '(R dlq _ rr, s ~g~ © ~ rh 1 C s O r✓ ' Depth to 7, rh a s 0 r, limiting ' 0 factor Z Remarks: Boring # 3 sx•:: Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # kv tiGround elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) 0w ww Pc, u~ Y3e r u t, A O T Ft h w Qq o~ p~G'lO SCai'ei VRP GM Top I►cti P~`J-E 16TCorhar L o"~ i aSS~ ~L, I Oa, 00 a I A° \ ccn b f ~ r, ~e m o y. s~ r r sE i m STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County / OWNER/BUYER l C/1~ iw t' L G y/' 116 MAILING ADDRESS ` PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE Cf'zt~~i' PROPERTY LOCATION S"Av 1/4, 1/4, Section / T_,;),-N-R Q _W TOWN OF Tco2 ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER I CERTIFIED SURVEY MAP , VOLUME___4 PAGE/.?:) CLOT NUMBER a2 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED:/ DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property a C 14 Y4 ~Z r ~ 4F I-LIIU Gy Location of property W 1/4 NW 1/4, Section TAN-RAW Township `FK1W Mailing address Address of site &I X-ge l U6~P- D?4 f3 Subdivision name CS✓1Z ,/'1'777 Lot no. / Other homes on property? Yes_L--,"_No Previous owner of property N0p V 0LL Total size of property aR • `l y Total size of parcel Date parcel was created 2 - ~S Are all corners and lot lines identifiable? ✓ Yes No Is this property being develope or (spec house) ? Yes No Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. ignature of Ap an Co-Applicant Date o Signature Date of Signature CERTIFIED SURVEY MAP LOCATED IN THE SW I/4 OF THE NW 1/4 OF SECTION 15, AND IN THE SE 1/4 OF THE NE 1/4 OF SECTION 16, T 2 8 N ,R 19 W, TOWN OF" TROY ST. CROIX COUNTY, WISCONSIN. Surveyed for: Roger Schwartz Rt. #3, River Falls, WI 54022 gPPR`•~~ IE"" _C_E_kTj E 1 E p_ 4-U B Y C V ALP - /~C~D ~ T 4 VOL.3 PAGE T96 N 41053'46'E 707.49' ^ 35.55 / ry^ 671.94' FE 1, 35.t5' rJ NE CORNER ~_JC; SEC. 16 I , C. h COMPaEH=_NN'/L `rAK; ' FLAN,'4ING AND ZQNINW Cta k.-IT911 „ O CENTER OF SECTION P 1/4 CORNER It/ O a y~°a n SECTION 16 2J tihbyo $ o``0 _ = R / J '0 0 O W 04 lp 'T, U 4) O ~J ~1 0 Z 0 i-4 V. N w O b O y \ time:o X06": • / 1 O o LED p , w x H 0 0 -4 ~I FEB 19j987 U y °''I W rw -4 U) yl fd O 0 AMU Qi CONNU bomw of 0006 ' V Q cd cd cd " of a) U aO -4 o M~ttooia Rs. O EAST 1/4 C0R~ ~3 ♦ U) 3 w s w~ SECTION 18 i ~.0 a `4' 1 k u1 0 , I N "1 4) IQ, T 2 8 N R 19 W ~9 c~e n''6 22 yh / Q Z a) y` p Q; td \ , " Za \o , , x b 0 0 _I 0 y, 0\0 Q) SCALE IN FEET I"= 200' \ '~ry~ / E-I E1 Z 0 O OOWo0o 0 50' loo 200' aoo' O a) \ a as Z a U 3 0 ~ W ~+n a) a) U BEARINGS REFERENCED TO THE \ e'yd•~a' g0MQ661 'd U UJ EAST LINE OF THE NE I/4 OF \ ,r WtS, U SECTION 16, ASSUMED \ U) Q b N01°57'54E < Rj m O' LEGEND 36z`~'\ °.y °N 0 SECTION CORNER MONUMENT °Sy W (1) H41 • 1" ROUND IRON PIPE FOUND \ °o - / d C; ~p RI U O 1" X 24" ROUND IRON PIPE WEIGHING n 0 a) 0 U /T1776v/ U V ,1W 544415 WARRANTY DEED 1~80PA~. ~~2 Document Number REGISTER'S OFFICE ST. CROU(CTY., WI. r RecdfaPA=d Reddress MAY 3 0 1996 HERITAGE TITLE COMPANY t~ ,1:00 A. ° J k M Tulgren Square Register of Deeds so2 second street Hudson,, Wisconsin 04016.1843 Parcel I.D. Number: 236-1139-00 Paul A'. Norvold and Deborah M. Norvold, husband and wife, conveys and warrants to Richard G. Lynghaug and Frances L. Lynghaug, husband and wife, as survivorship marital property, the following described real estate in St. Croix County, State of Wisconsin: Part of the SW1/4 of the NWIA of Section 15, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, described as follows: Lot 1 of the Certified Survey Map filed in Volume 6 of Certified Survey Maps, Page 1779, as Document No. 422526. This is not homestead property. TRANSFER Exception to warranties: Easements, restrictions and rights-of-way of record, Aaff Dated this 28th day of May, 1996. C~ Y -f I~~ti,Q (SEAL) (SEAL) Paul A. Norvold De orate M. Norvold ACKNOWLEDGMENT STATE OF WISCONSIN ) ss St. Croix COUNTY ) Personally came-before me this 28th . day of May 1996, the above named Paul A. Norvold and Deborah M. Norvold, husband and wife, tome known to be the person(s) who executed the foregoin ' strument and acknowledge the same. '*tA_Lk~ E ::JANE N * Jane Terkelsen Not4y Pu is St. Croix County, WI SMy ission expires May 9, 1999 S INSTRUMENT WAS DRAFTED BY: THI Attorney Kristina Ogland Hudson, WI 54016 DIPARTMpdT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON WI 53707 State Plan I.D. Number: SW 4 , N'W4 ,Sec . 15 , T 2 8 - R19 (If assigned) Town of Troy, Lot ~ ❑ CONVENTIONAL El ALTERATIVE Holding Tank ❑ In-Ground Pressure ❑ Mound .C,lnvp.r Rd. NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 1 As n r. #203 Huds n WI BENCH MARK ( ermanent reference point) DESCRIBE IF DIFFERENT FROM PLA REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Paul Cudd 27.~9 t. S Croix 148991 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO BEDDING: VENT DIA.: NT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: El YES El NO VENT ❑ YES ❑ NO NEAREST - DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: JPUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: [__1 YES El NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH. DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: DIMENSIONS TRENCHES: MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710 (R. 06/88) C~ILH -1111 SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 net~( Z.on 1 8% x 11 inches in size. t previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION P&W A, and Qebotak /ti. /1/0kVoLd 5w %4AIW1/4,S I T2$,N,R IQ 14or W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1 Gol 11§Pen LIP. # ao3 ~ CITY, STATE V016 ODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER e s ~ n r/ /a 1017 79 Hudson W1 7/s 386-6-06 Ttah av, L / tY Ir'i's fia II. TYPE OF BUILDING: (Check one) 1:1 State Owned VILLLLAGE : NEAREST ROAD R TOWN OF: T koY Notth (5Lavek load ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL Ax NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) 36 8 1 ❑ Apt/Condo 20 Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - 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 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 u REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION (J 0 616' Sg Fr 6 36' < J • a 91• L / Feet SG • O Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed F+ F Septic Tank or Holdin Tank 00 0 e s e co•.G. Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): umber' Signatur (No ps) /MPRSW No.: Business Phone Number: Paul R. Cudd RSW2739 715 425-2049 Plumber's Address (Street, City, State, Zip C 1047 S. Wasson La., River Falls, WI 54022 IX. COUNTY DEPARTMENT USE ONLY ❑ Disapproved Sa ' ary Permit Fee (Includes Groundwater Date Issued Issuing Age t Signature (No Stamps Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS • 1. A sanitary permit is valid for two (2) years.. 2. Your sanitary permit may be renewed before the expiration date, and at thy; time of re +faF4al any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumt E:c by a licensed pumper whenever necessary, usually every, 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safpty & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit applic<tion must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacemenl, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallon_:, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only ii tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 13% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, ocation of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water rnairs/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; repl.=!,,ement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. - SBD-6398 (R.11/88) r APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property-is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Prop erty Location of Property W It , Section T (29' N- W Township Mailing Address r SPC' InC'd3 CA); SZ/O Address of Site ! 610wr ' `OG 4 HC1A_S:0 dal Subdivision Name T~r yi i'TT_~! S'FCL -'Lot Number / Previous -Owner of Property <~+eph e h Total Size of Parcel- Parcel was Created 7 " g 8 Date Are all corners and lot lines-:.identifiable?_ Yes No Is this property; being developed for-'resale (spec house) ? Yes - No Volume and Page Numbeas recorded-with the Register of Deeds.: INCLUDE WITH THIS APPLICATION THE- _FOL1.,.0WING: A Warranty=:-Deed-which-.includes a Document number,-volume and page number,-and the.:. Seal of the Register of Deeds. In-addition,.a certified survey, if available,-would-be _ helpful_so.as to-avoid delays--of the reviewing process. If the deed description refer- ences_to-_a Certified=_Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) eeAti.6y that -aU Atatementa on Chia 6o cm cute t ue to the beat o6 my (oun) know&dae: that I (wed am (ane) the awneALbl aX the' nnone -a dtAehi_bo_d in AiA DOCUMENT NO. WARRANTY DEED TNT, ►AC[ RESERVED FOR RECOR01"Q DATA STATE BAR OF WISCONSIN FORM 2-1082 44714 93 FA 4* REGISTER'S OFFICE ST, CROIX CO., W1 Stephen J. Dunlap Recd for Record A P 211989 at 11:15 AM . " ..Paul" A; " "and"" conveys and warrants to V Deborah M. Norvo. c liusbaricl Noryold aril wife', Register of Deeds .....s.urvivorship..marital.propert . RETURN To the following described real estate in ......St ....CrolX ....................County, _ ' - • • . State of Wisconsin: Tax Parcel No: Lot one (1) of Certified Survey Map filed on February 19, 1987 with the Register of Deeds office of St. Croix County in Volume 6, Page 1779, as Document Number-422526. {Y~ ~ISE S~ 111 ~~~y • . FEE This is„"not,,.,,,,,,, homestead property. (is) (is not) Exception to warranties: Subject to easements, reservations and restrictions of record. Dated this .............2.R h.......................... day of .A..priI................................... 19.....89 ..................................................................(SEAL)k.A L) • • STE EN J DUNLAP (SEAL) (SEAL) • • 9 AUTHNNTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN as. St: Croix County. ' I day of authenticated this ........day of 18...... " Pe;aonallq came before me this 20th April - IQ 89__ the above named ct SEPTIC TANK MAINTENANCE AGREEMENT F; St. Croix County w OWNER UYER ' ER M~f Fire Number d 6 ROUTE/BOX NUMB CITY /STATE ZIP Y0 1K rt PROPERTY LOCATION:'S'UJ Section 1 T~1.N, R/_? W9 Town of St. Croix County, ~ -~w r5nc Subdivision:/_L I i; Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed''s'e tic tank pumper. What you put into the system can a ect the .unction o. t e septic tank as a treat- ment-stage in the waste disposal system. St. Croix Count yy residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, wh - was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new .s stems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or.a licensed pumper veri- fying that (1) the on-site wastewater disposal system is iifprocer operating condition and .(2).afrthaninspection fullnofpsludge and scum. essary), the septic-.tank is less 30 days prior to Certification form will be sent approximately three year-expiration. y I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- :r went of Natural Resources. Certification form must be completed V and returned to the St. Croix County Zoning Office within 30 days of the three year expiration. date. n SIGNED l~C DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. INDUFZ tMEN'r !}F REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS Il pIVISiON LABO AN P.O. BOX 7969 HUMAN A RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN (1,163.090) & Chapter 145.045) _ Lb 'ATI~TV:T($N - - FTSHIP UNICIPALII'Y:~ Llf NOS SIVNA E: COUNTY; USE OATS OBSERVATIONS MADE ~A NO SEDFM: rO MERCIAL-DEOR ❑Residenca ❑New CJReplace I MAY /0/9116 MAY Z 1 / IS So~c,S pa Abp ~,Z RATING: Site sultsWe for system Uw Site unsuitable for systam ONVEN N M UN I_ - LL OLDI G TA K: RECOMMENDED SYSTEM:(optional► EIS UU ❑S ❑U ❑S ❑U ❑S U ❑S ❑U CONVENiorJAL If Percolation Tests are NOT required DESIGN RATE, If any portion of the tested area Is In the under s.1-163.09(5)(b)- Indicate:_ C~t-A .L Floodplain, Indicate Floodplain elevation: ~~t c c s' PROFILE DESCRIPTIONS BORING TOTAL -I CH A A R O"OIL WITH THICKNESS, L R, TEXTURE, AND DEPTH NUMBER DEPTN1g0, ELEVATION EST, HICK TO BEDROCK IF OBSERVED EE ABBRV. ON BACK.) .ST G.83 $LS,L 033 SL /•Zo kk, N L S B > '7 z S' 4 aS BN Mr 4 S w/ 6 k BtS,L o.So &N VS. q;80 cTigti M5 F3- _Z _1b,06 6 6 $LS,L O•S$ GytN s,L CiSkO gN Ls B- 3 f3 oS ,g . f; t4 o nl IL > 6.0.0 trah M Z-06 tL S, L z•ZS Gy N S, W 16P- 0.33 N LS B- 4 -6.33 14 A<5 n o L > ~•3 fO I~L LS 1'4 f-L 3.65 BN S B- ~l Zo 751.37 I'•4 oN1- /~•2U /-009LS,L. 2.10 U, 8N LS W~GR g•OOLr$NMSt~•~G+~ B. De, t ! PERCOLATION TESTS EPTH WATER IN HOLE TEST TIME L E NU ES NttW AFTERSWELLIN INTERVAL-MIN. PER INCH 9Lino Lf - Z > TEST RF~ z 72. r.- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. qAp0~0R. ,qt the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings the dir6ction an percent of land slope, SYSTEM ELEVATION $3.4 n. . r , N 90,iG Lai ,a.) N L 730 • Csl Z r, c Y ~ Q cm r O n I l ~ T I ^ n i ~ T Y I i O j f ~ ' pi.vewa y ~ ~ ~ Irl ro o ts- I o ~ I N ~ I i I i J r 11 ~ i ~ 0 ~'av I Q~d (~e6ol a 1. A/oVvo C' Sysrem / - ~M ~ r v S S S~ c ~~o~ L4 CGS, Ivm v r 1 watflpd - - - - - - - - - Q _ - r c I floc}( PLumbe► SGc~le I'= o L: C. NO- MPRSW2739