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HomeMy WebLinkAbout010-1018-90-100 Wjsconsin Apartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 514973 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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: Buda, Don Emerald, Town of b d -- CST BM Elev: Insp. SM Elev: BM Description: Section/Town /Range /Map No: Op GS 08.30.16. I TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ",''. _ 1400 Dosing Alt. BM . n j I Bldg. Sewer g � r.� Holding SUHt Inlet D �� of Z • y� _ TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' Dt Bottom or / Dosing i r Header /Man. Aeration Dist. Pipe 93. Holding Bot. System ° PUMP /SIPHON INFORMATION Final Grade 1 Manufacturer . ff j Demand St Cover GPM �� �_.0 ._: t_ `3. l C / �• Model Number r : w d`r O TDH Lift Friction Loss ISystem He d TDH Ft Forcemain Length Dia. I Dist. to Well ' SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length ! No. Of Trgnche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r f ..j l._ SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type System, ( i UNIT i Z -1 a Model Number: DISTRIBUTION SYSTEM G' =+ Header/Manifold IDistribution j / x Hole Size j I x Hole Spacing I T Air Intake Pipe(s) � < Length , Dia Length tl • Dia c..- Spacing '� '� �._ �'�' SOIL COVER x Pressure Systems Only xx Mound Or At Grade Systems Only ` " ~ `� -- Depth Over 1 IDe pth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center i Bed/Trench Edges Topsoil j � -;t Yes Igfl No Yes n No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: M / 2 1 Inspection #2: Location: 1651 220th Street Emerald, WI 54013 (SW 1/4 NW 1/4 8 T30N R16W) NA Lot 1 GI�'� � Parcel No: 08.30.16. 1.) Alt BM Description = �•' 1 ' T t ' "` j` P! D� D r� 2.) Bldg sewer length - amount of cover = ,J r Plan revision Required? il Yes ( No Use other side for additional information. ` Date Inse r Signature i Cert. No. SBD -6710 (R.3/97) t // 1 coffvnerce vA gov Safety and Buildings Division County t 201 W. Washington Ave., P.O. Box 7162 r C ■ ■ s n S to spounent of Madison, WI 53707 -7 Sanitary Permit Number (to be filled in by Co.) I 97 State Transaction � Sanitary Permit Applica on .. --�"' In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form ropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned PO Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you t on 2 ses in accordance with the Privacy Law, s. 15. 1 (m , Slats. 1 C C (p I. Amplication Information - Please Print All Informatio it Parcel # Property ow Name SEp 0 3 2008 pebperey Location property owner' Mailing Address ST. CROIX COUNTY I, to ZONING OFFICE Govt. Lot ) City, State Zip Code ne Number f� y Nit/ % Section 7v N; R b(circ l T (W) 1 cam ✓ � E W II Type of Building (check all that apply) CK erh Loc # Subdivision Name or 2 Family Dwelling - Number of Bedrooms �- j Block ❑ Public/Commercial - Describe Use ❑ City of CSM Number ❑ Village of ❑State Owned - Describe Use 1 7 1 /9 0 S Z ATown of .� III. Type of Permit: (Check only one box on tine A. Complete line B if applicab 1A. w System ❑ Rep List Previous Permit Number and Date Issued lacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Renewal ❑Permit Revision ❑Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS S stem/Com onent(Device: Ch k all that a 1 C1 Non - Pressurized In- Ground 11 Pressurized ln- Ground t -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treatment Area Information; Design Flow (gpd) Design Soil Applicatio te(gpdsf) Disper Dispersal Area Pro st) System Elevatiip VI. Tank Info Capacity in Manufacturer c Gallons U g h New Tanks Existing Tanks / • / , = ran 2 w C7 Giw __ Septic or Holding Tank x Dosing Chamber J VII. Responsibility Statement - I, the undersigned, aguy4e responsibility for lastallation of the POWTS shown on the attached plans. Plumber's Name (Print) PI ignature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, 'p Cod �► s i VIII oun /De aliment Use Onl Approved Disa d Permit Fee Date I ue Issuing nt Signature ven Reaso vial b'$ DL C for Disapproval 1. Septic tank, effluent filter and 3 ) G.W1dGi�"►0vts + �� cxr�C . dispersal cell must all be s��/ maM�maMa die... 1A t.° �`��- f,�Jl,�.r�yj ��•�wa � ss per management plan provided by phlmbe, ` 2. 0 odbackrequirements must be MOWAkOd system and submit to the County only on paper not less than 8 V2 z 1 t inches In size SBD -6398 (R. 01/07) Valid thru 01/09 PROJECT Don Buda PLOT PLAN ADDRESS 166 6th Ave Baldwin Wi 54002 SW 1/4 NW 1 /4S 8 /T 30 N/R 16 W TOWN Emerald COUNTY ST. CROIX SYSTEM ELEVATION 92.5' BEDROOM 3 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1125 # of chambers none BENCHMARK V.R.P. Top of Steel fence post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE WELL H.R.P. Same as Benchmark 5 Acre Parcel Scale = 1/4" = 10' Property Line (not to scale Tank is to be properly bedded and provided with lockdown covers with approved warning labels 91 Huffcutt combo to 92' . 92.5' 93' -4 Pro 3 bedroom house B -1 6% Slope Well is to meet all Grading is to be setbacks found in done to divert run - Comm. off away from B-2 83 Area 15' below system system is to remain undisturbed B.M.* -3 16C P)r 220th St. PLOT PLAN PROJECT Don Buda ADDRESS 166 6th Ave Baldwin Wi 54002 SW 1/4 NW 1 /4S 8 /T 30 N/R 16 W TOWN Emerald COUNTY ST. CROIX SYSTEM ELEVATION 92.5' 3 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 125 # of chambers none BENCHMARK V.R.P. Top of Steel fence post ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑BOREHOLE O WELL * II. R.P. Same as Benchmark 5 Acre Parcel Scale = 1/4" = 10' Property Line (not to scale Tank is to be properly bedded and provided with lockdown covers with approved warning labels 91 , Huffcutt combo tank 92' 92.5' 93' B -4 Pro 3 bedroom house B -1 6% Slope Well is to meet all Grading is to be done to divert run - setbacks found in off away from B - 2 Area 15' below Comm. 83 system system is to remain undisturbed B.M.* -3 220th St. ' Safety and Buildings ' 3824 N CREEKSIDE LA commerce.Wi.gov HOLMEN WI 54636 TDD #: (608) 264 -8777 isconsin www.co www.wisconsin.go/ isconsin.gov Department of Commerce Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary August 27, 2008 CUST ID No. 226900 ATTN: POWT5Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/27/2010 Identification Numbers Transaction ID No. 1584482 SITE: Site ID No. 741873 Don Buda Please refer to both identification numbers, 220 Street above, in all correspondence with the agency. Town of Emerald St Croix County SW1 /4, NW1 /4, S8, T30N, R16W FOR: Description: At -Grade / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1198255 Maintenance required; 450 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original grade; System: At -grade Component Manual, Version 2.0, SBD -10854 (N.03/07), Pressure Distribution Component Manual- Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy oruse: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the COMB component manuals listed above. APP • The changes made in red to this plan on 8/27/08 by this reviewer were acknowledged and approvedby the system designer. PAMWENT Ulm d L'Z • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component arm. SEE CORREI Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SHAUN R BIRD Page 2 8/27/2008 • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone numberlisted below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 This Amount Will Be Invoiced. When You Receive That Invoice, Charles L Bratz Please Include a Copy With Your POWTS Reviewer II , Integrated Services Payment Submittal. (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday WiSMART code: 7633 charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 8/22/08 Owner: Don Buda Location:SW1 /4 NW1 /4 S 8 T30 N,R16W 220th St. Emerald System type: At -Grade Manuals Used: At -Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706 -P(N. 01/01) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Cont' e y plan 9 -13. Soil test NEED 0 ERCE ILOJNG Shaun Bird 'ONDEN� Signature License number 226900 i vt„ j > 51 B '` 5 PYt FOULMAI u r �E rup"i' - Lips _: " LEA w STI�StLtZ�D O�L•`�ltTSO ifu�ELL ir > J r 1/6 B l./6 B '--'� 1 /2 B A' L = 1 .3 {. CE Of %z'Z� A�G6RE.fa�TE v�l = 2 7-- pt. �b SYUTftML Fdbr;Ic Distribution Lateral STAI iWmr b Observation----- --- 5aii Cover Well t ,� �" .��� =mot ' Pf.SVVED L AUA > A �2` '—` 5' No t Uzti t with pima Vise and Croaa Section of �.7iscor►sin At� srsd� a Sjogle Absorption Area on a Sloping Site Li -i : i • I Page of Distribution Pipe DeWl For Lateral #etwork �QC'Ce s t�T . TuRH -UP (C.LlRhout) _ PVC Force Ma in PYC Distribution Pipe P i * Last Hole Should Be Next To T" "- u p P �` Ft.. tole Dia;neter /� Inch(es) 4`7`'_"" �"��hes Lateral Dia meter I es Fore Main Diameter Inches # of Holes /Pipe Invert El evation Of Laterals / i'� 0 Ft. Signed' License dumber: Date: I f i I i C I t�N ANI3 SPECii ICATIONS S £P'fXC TANK PUMP CHAMBER CROS S SC wEATH PRWF N. GRADE £ ,�UNCTTflN BOX MMHOLE COYER .. • �I ABO� E p�{QLE � V ENT PIPE 12 NDOW 4R WITij CONDUIT jd! PADUMK 6 G £BOM DOOR , iA$£.. NAR�i ;NG FRESH 'IR INTAKE � �� � � o -- T t� 1 14IN- e Iry T s INLET GAS ` a + '�P4RQIfE0 ---� TIGHT s �tNTS VITH Wj4TER T:EGHT SEAZS 1 SEAL' � PIPE 3 ` F1t£fi s ON S OLID IL AppROVED C. t FF PIpE 3' o m , g{A.ID. F _--DFT - SOIL pump OF DIRG UNDO TANK f �'' ,-CON BETE PA's Y ED SPYCZI'ICA'TI4N5 � . NUi'f8� DpS£S ? DAY: ----"" ! gosE C vD F uov H£ GAL - SE ACT RER = D45£ GA IAN L- nAKUi' GAL. s � A SEPTIC � GAL . y �ZracimS TANK S ;Z£S? DOSE . ���`� -G=' � ��pPRGZT2�" A � ��- S _ 2 INCHES ,C _ � `' INCHES 00 � / GAL SWITCH �i ZL PER Z I t1g 15 pgKP .23 ytpC � ' �' � �� MODEL d ZiG A' /9 FEET Ntf1�8ER ' WIR £ p,{,piRH ; fig TYPE= Kati pLE3iP FAT 'ET� FIP£ h - D3:SCHARGZ Z8�1 _ FEcT RsciulREV 3N" ` PUi4P OF F AttB D1STR - • FE ET EEN 55 FACTOR • VERTICAL D IFFERENCE g F - : T1 I�3 g FT - - AL �YINAMl H£ • + M ;NIM�3N NETWORK > d O T FEET FflRCEM� N ----- DIAMETER _ ---- -- + / TA3�tK : L£S�iGTii I.0- rERNAi DLMENSIflNS LICENS flF PUMF LIQUID 1180 Sent By: , may - - vo L. Wrma HP LaserJet 3100; 1 715 55� duie i ' IL Jr 9 EH 'SERIES SUMP/EFFLUENT PUMP 11.65 8.95 0 _ 0 S icativns Ii1+4Q OW ,� r9aaR. 4 ru Aaw ■ mm CID. IKNR P ll8s � W MP&WM 9 If a " Z4 9t1�x1161x89 4i a 8 Wo 4r'0 115 3A 1x0 lom 79 55 32 t39 t a g 2 24 9.11 x11.61 :8.94 01-cm sm 4r') 230 39 " 1 78 6A 5S , 32 73.8 27 2 s.11 i ±t•H =991 - sm.c RF6 50m Wo 4 115 3fa ±3A ,a)o m " 41 1 27 11 01. it L" 1 s adlr banlWYAW1 "'IN PAW oWbrened lo►tNaewmos' Conensou _j ft19aaW+sls+i WpWW s.rseeconanuous FLOW- u TERS /tiouR COnstmction E xy Coated Cast Iron o A000 2000 3000 Motor Housin._. 11 Material Poly CarborAatc Impe....... Im 11e , Closed Vane 30 AQ VOIitLe ABS -- - -... Power Cord S1Tw -A 7 5 W Nittile with carbon and W tj Mechanical Shah Seat Cerami faces 1 20 _ — 5 A Fasteners Stainless Steel W = Shaft Stainless Steel A0 z.3 Ups Stecve and Lower Bearings Ball Bearings 0 TM 0 0 20 40 60 8o FLOW- GALLONS /NiNUTE Little Gtiant Ptnnp PUMP PERFORMANCE CURVE p( ,, IM212@1r _ okb k_Chy,pg73157 — 115v 60A4Z P►oste.40.".,jS11'Faa.4a5.Z2L1SN Form 945236 — 07103 wwW UttleG1antPUmP.com YSTEM C�W1'1ER,5 �pf+3UpL 8� ftttANAG M 9OWTS S SPE CIFICATIONS film al 0 NA s Tank Capacity � NA 1lPiFORiMA V Tank Manure r"+er 11 O t� r✓ Filter y trer > o NA t � E ffluent v NA PAR�� Effluent Fib' v 0 NA — -NA Pump Tank CaPa NA N�Of A rta+ unl� alld Pump Tank � er tto�r {a3 �.r'U Pump Lw ul Eih 0OW Pump _ Pcatnt Unit - D Peat FAMer Soi<MP�e �� Monthly ave e p San& 3C 1 D Wettand influei Quality G) � Mg& ❑ Meow a Other. Fats, Off & Grease 80D� 420 mg/L p Disinfeaon MUTdcal Oxygen De gods tODs) Ss 50 m /L Manu� a —duror Blod TOW � Monthly average" atsper�i C uca D in -ground (pressur¢ed) P Eft QuatltY ❑ 1 .� nd p Mound en Demand (8OD5) :5, 30 mgt -gee C3 Other_ Bit oirffz t OxY9 SS) :530 I cf Q D no Total S S mean) s1 t3` guts oomt f d«� t� "��` W d Fecal C K inch diamete sepw � elnuem wnsawacer- Maidmum Effi rrt pjwW Size •• values tYP'cal. ftr Service Frequency NTE NAH� SCHgDULE �s) (Maximum 3 yrs.) Service Event ---� Cl month's A2 feast once every one -third (K) of tank v olume eondnion of tank($) When combined sludge and scum equals - 7> 0 months r(s) (Maximum 3 yrs -) PUMP out contents of tank(s) At least once every v r(s) inspect dWPe� �(s At least once every f ©mom p NA ©morrttta" s) Clean e ffl ue nt der er A t least onoe every s) p NA I Pump. Pump controls & a At lei Once every ? D months Flush bowlas and Prosuro tog At least once every Q tenths 0 Year(s) p NA Wier D months At least Once every odwr- the ef foBo rioenses or "NUANCE INS MUCTtONS ii be made by an individual catrytn9 one of Me tsiru�ar: SO~ sha tpec6or. POV1tTS ltrspe s yer Plumber Restricted Sawer.. POWTS s � or On of the tank () bade up car" Tank i,,, must include a visual inspe� a and scum and m dredt for any ger�ldr4 Opera• ur+e the volume of comnbied sludg to check fluent levels idersBiY any le aks j ' The dispersal oeIKG) shaft be �s�Y. i '� s � pond of eMuent on the ham%vWvk or p of e[tkrettt on the 9 for any ponding of effluent on MO ground sulfa of � local Mu�Y in the obi P and m aidon and req ups the immedras7s notifrca tank volume. the g m � may ind cage a faring tank � 5 ona.Mird M of rnOre o the NR udge and Scum f wy When go pptnWned �"n'u�on of s remove by a Septag� Servicing Operator and 01. ond of in Once with Ch entire of the tank shall be rem and any mintstrat ve Code re �tpmtnt components: 113. nica! pressurtzed POWTS Co mponents. p a * POD MaintaineE The WVW9 of eHlue� • � r 42 months or less shall be p?jfoR"ed by event Olfiertrlainterian� or a local regulatory authority w�ln 'IQ s of corr+Pte9on of any service A service MPott shd'be provided to tti the r of pa�tttyrig Prodtrd�s or other START UP AND OPF.RA710M use of C. POWTS checK tr0Ment tank(s) for P �d am Fo new �• P s and/or damage the d- !f high rsPessal Celt {s�. d c h an icab that may kniode the hate ft Goat of ttre � by a septage servleing operator Prior to use i is start u p shall not oc= umea soli condition are frozen at the infWative surface. i mess • S�4P,sy es 0 gj7oYe nom�at htghwater teYels. Y�hen �� result in the ou i> r Imp finks may over ailing the c caett{s; in one tangs dose, h eks) and may tank removed by a yA dtsdwuged ao tfie dt P this soon have the con or of the p tillaintakw to y�eraoa�� d 9e of �, To av oicf W the effluent pump or contact a Plurs w Pty t � Opecaw pdor.M t l to note Hornier feveLs wfMl r tfw Fume tank-. € tilatl Y tOW P�F Co- ow or (� raise disturb of compact, gla 2 a teus. ao not drive In park Do not &n of pafk vetlioks end or at -grade Sol absQCpbon ama- #h � F��'� and P' � the arm W RW is feet down sbpe � � f rom the vraste�rrat�er stream may imps ion or - � of the folfvwin8 . teasers; detest Ems: �P Reduct ; m . retie buds; condoms, ootban swabs: ; � � of the POIAtTS: dsatt (scs V PUMP) * � and v"etabl �� �er bdne- d� {at; . pdesi �ry napkins: tampons; wraps: rne� ' strait tr taken to Insure that fie ASAIIU taken out of service the fnifarMng steps Admbbtt$6ve Code: when the POWTS fails snd/or canoe with ch. Cornm 83.33. Wtsoonain system is pro W* and �doned to compy be disoonnect�ed aria tie abandoned Pipe o oh .Sens Opera qi< p>t g to tents and Pits shag _,tali -� re moved and property disposed Tt�e contents of all finks and �� be excav ated and removed ar their oovets mmm'dand the '"'d spas • After pumping. aH tanks tsdaL Per Inert solid rna t with soil, gr CONTINGENCY PLAN foItowtng measures have been, or must be faicen4 Pnn� e a code if the PI tas and =K10t be rcPall'ed fie comprcant replacement s evaluated and may be u tilized for the location of a replacement should not area has been p A _,unable t area should be protected from disturbance corn cfure. tot tines and wells- Failure to a � fri system The �� m from existing and proposed d si te ev uation to establish a suitable, be infringed upon � �tvilt riesult in the need for a new soil and scai that time. grated the re area ins must corn ly with the rules in eta at advances in pOAf rS en syste p orts. Barring replacement area ReptaOern 0 A suitable fePtacement area Irssralled as a last resort o place soil the •railed iOWTS- eiogy a holding tank May n failure of the POWTS a sod.and ,pechn e site has not been evaluated to identify a suitable re pl ace m e nt area upon anme is avar"iatse a foca�t_ a' suitable repent area- ff no replace site evat tank must be P ternoYl of the biomat at holding tank rrsay be tnst a fast resort to replace the faired POWT fntlow�g n s be reconstnicted ' P the trr51II +� Sum- R�Qns of Bch sys� must comply with the- rotes m effect at fiat tirr �� OXY+GEN- <<WARNING >> TANKS tilfAY CC)NIAIN LET14Ai- GASSES AHDIOR INSUFFICIENT gEpTiC, -E- NTE AA S OTHER u i l OR OT HER TANK UNDER ARTY CHZCUWTANCEs. DEATH MAY DO NOT ENTER A SEPTIC: PUMP OR M T HE Tt�EA T ENT RESULT.. RESCUE OF A PERSON FRO T f ��flR OF A TANK MAY BE DI�Ci,1LT OR It�OS� ADDMONAL COMNMNTS POWTS MAINTAINER POYHTS INSTALLER � � Name � • n..a/ Karns ,z...� �✓ Ptlone Phone i_Ot .AL REGULATORY AUTNORfIY SEPTAGESERVICINGQPERaTOR MP e.,�,r,. , j L , _ D I� L©iz It - 2 s� o �� 71 � �? Wisconsin Department of Commerce SOIL EVALUATION REPORT pap 1 of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST CROIX Attach complete site plan on paper not less than 81/2 x 11 inures in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location SHERMAN KICKHOEFFER Govt. Lot SW 1/4 NW 1/4 S 8 T 30 N R 16 E(r)® Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1669 220th ST.. N/A N/A N/A City State Zip Code Phone Number ally []village ■ own Nearest Road EMERALD WI 1 54013 ( 715- 684 -4534 -- 162-AL 220th ST. n New Construction UseE) Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material GLACIAL TILL Flood Plain elevation if applicable 44 ft. General comments RECOMMENDED SYSTEM: AT - GRADE OR MOUND and recommendations: 1-71 Boring # 11 Boring pit Ground surface elev. 92.67 R Depth to limiting factor 51 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PDW in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. - Efr#1 *Eff#2 1 0 -12 10YR3 /2 - SIL 1MSBK MVFR GW 3M .4 .6 2 12 -36 7 5YR5 /4 -0- SL 2MSBK MFR CW 1M .6 1.0 3 36 -51 7.5YR4/4 -0- SL 2MSBK MFR CW IF .6 1.0 4 51 -60 7.5YR4/4 C2D 5YR4/6 SCL SL 2MSBK MFR N/A N/A .6 1.0 F 2 1 Boring # ® Boring 91.67 51 ] Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 -13 10YR3 /2 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 13 -35 7,5YR5/4 -0- SL 2MSBK MFR CW 2M .6 1.0 3 35 -51 7.5YR4/4 - SL 2MSBK MFR CW IF .6 1.0 4 51 -60 10YR4 /6 C2D 5YR414SL SL 2MSBK WR N/A N/A .6 1.0 * Effluent #1 = POD > 30' 220 mg/L and TSS >30 5 150 mg /L * Effluent #2 = BOD _< 30 mg/L. and TSS _< 30 mg/L CST Name (Please Print) S' Was CST Number ROBERT J HARDINA� 824825 Address Date Evaluation Conducted Telephone Number 477 170th AVE. TURTLE LAKE W1. 54889 10 -15 -07 715- 986 -2508 Property Owner KIE KH OFER Parcel ID# Page 2 of 2 �.I Boring ❑ Boring # E] Pit Ground surface elev. 91.67 ft. Depth to bnnbng factor 54 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I Tff#2 1 0 -14 IOYR3 /3 -0- SIL IMSBK MVFR GW 2M .4 .6 2 14-33 IOYR5 /4 -0- SL 2MSBK MVFR CW 2F .6 1.0 3 33 -54 7.5YR4/4 -0- SL 2MSBK MFR I CW IF .6 1.0 4 54-65 7.5YR4/4 C2DSCL 5YR4/4 SL 2MSBK MFR N/A N/A .6 1.0 ❑ Boring # Boring ■ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cart. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring F-1 # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soft Vication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 * Effluent #1 = BOD,, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 2648777. SOD- 8330Tes! (R07/00) HARD NA SEPTIC SYSTEMS _ - WRS /CST'824825 41,J, O rj Ed ZJ t �y i WisconsinDepartment ofCommerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code minty 64 , Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must r include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal inforrimbon you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Property Property Location Govt. Lot ,SCO 1/4^/14 S T N R E( 4W Property is Mailing Address Lot # Block # Subd. Name or CSM# cit State Zi p Code Phone Number ❑ city ❑ Village own Nearest Road RJ 2 vim, d . a ( ) f Construction us esidential / Number of bedrooms Code derived design flow rate f �W7 GPD Replacement Public or commercial - Describe: — + - - - - -- - -- - -- -- -- Parent material Flood Plain elevation if applicable ti ✓� ft• General comments and recommendations: L� S stem T pe _ System Elevation Y y Boring # /, © Pit Ground surface elev. ` ' ft. Depth to limiting factor / v in. 1 Application Rye Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#? IQ2 y_ rn 1� 1V 1 E �# C) Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor a►• — ,lioi — Azolication Rate Horizon Depth Dominant color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I i Effluent #1 = BOD > 30 I= mg& and TSS >30 _< 150 mg/L ` Effluent #2 = BOD 1 30 mg/L and TSS < 30 mglL CST Name. (Please Prix tt) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 715- 246 -4516 1008 192nd Ave, New Richmond, WI 54017 8 — Z-) ` Soil Test Plot Plan Project Name Don Buda Shaun Address 166 6th Ave 4# Baldwin Wi 54002 CS #226900 Lot Subdivision --- -- --- Date 8/ 22/08 S W 1/4 N W 1/4S 8 T 30 N /R W Township Emerald F - ] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of steel fence post System Elevation 92.5' *HRPSame as Benchmark I 5 Acre Parcel Scale = 1/4" = 10' i Property Line (not to scale I I 91' 92 1 93' -4 B -1 % Slope El B -2 B.M.* B -3 i 220th St. i Wisconsin Department of commerce S O E ATION REPORT Page I of 2 Division of Safety and Buildings in accordance with Comm Wis. Code County ST. CROIX paper not less Attach complete site plan on pap th n 8 1/2 x 11 inches in size. Ian include, but not limited to: vertical and horizon I refe nd Parcel I.D. percent slope, scale or dimensions, north arro ,and i ton est road. Please print all information Review d y Date i r Personal information you provide may be used for ndsSE1Ro&s�@ %&-, s. 1 .04 (1) (m)). Z. Property Owner Pr erty Location ■ SHERMAN KIEKHER O ST. CROIX COUNTY ZONING OF Go .Lot SW 1/4 NW 1/4 S T 30 N R 16 E (or) W Property Owner's Mailing Address # Block # Subd. Name or 1669 220th ST. N/A N/A City State Zip Code Phone Number [] City Village Town Nearest Road EMERALD WI 1 54013 ( 715 684 - 4534 220th ST. El New Construction User Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement 1:1 Public or commercial - Describe: Parent material GLACIAL OUTWASH Flood Plain elevation if applicable 41 -A ft. General comments and recommendations: F] Boring # 11 Boring Q Pit Ground surface elev. 92.67 ft. Depth to limiting factor 51 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 0 -12 10YR3 /3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 12 -32 7.5YR5/4 -0- SL 2MSBK MVFR CW 2F .6 1.0 3 32 -51 7.5YR4/4 -o- SL 2MSBK MFR CW IF .6 1.0 4 51 -65 7.5YR4/4 C2DSCL 5YR4/4 SL 2MSBK MFR N/A N/A .6 1.0 2 Boring # ❑ Boring 91.67 ❑ 51 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10YR3/3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 12 -30 7.5YR5/4 -o- SL 2MSBK MVFR CW 2F .6 1.0 3 30 -51 7.5YR4/4 -o- SL 2MSBK MFR CW IF .6 1.0 4 51 -65 7.5YR4/4 C2DSCL 5YR4/4 SL 2MSBK MFR N/A N/A .6 1.0 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign CST Number ROBER J HARDINA 824825 Address ate Evaluation Conducted Telephone Number 477 170th AVE. TURTLE LAKE WI. 54889 10 -15 -07 715- 986 -2508 Property Owner KIEKHOFER Parcel ID # Page 2 of 2 3 Boring Boring g Q pit Ground surface elev. 91.67 ft Depth to limiting factor 54 in. Soil Awlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -14 10YR3 /3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 14 -33 10YR5 /4 -0- SL 2MSBK MVFR CW 2F .6 1.0 3 33 -54 7.5YR4/4 -0- SL 2MSBK MFR CW IF .6 1.0 4 54 -65 7.5YR4/4 C2DSCL 5YR4/4 SL 2MSBK MFR N/A N/A .6 1.0 F Boring # Hpit Boring g Ground surface elev. ft. Depth to limiting factor in. I Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I F Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mgA- and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD- 8330Test (R07 /00) HARDINA SEPTIC SYSTEMS MFRS /CST 824825 zc- LA b 5 _ d - -- Wisconsin Department of Commerce SOIL AL O REPORT Page I of 3 Division of Safety and Buildings in accord nce p m. Co 6 County Attach complete site plan on paper not less than 1/2 x 11 iriches i s� n mus include, but not limited to: vertical and horizontal ference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, nd loc eVnI stance to neare t road. D `! l �r� 6 ) Please print al! i ormatioon LU�C Reviewed by Date yn Personal information you provide may be used for s ndary 15.04 1) (m)). Property er C Prope Location N r i R Govt. Lot S(,-) 1 /4 NJ /4 S T N R E (o W Property gwner's Mail A Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City C3 Village 1 Z own Nearest RoadQ L 0 �Kn �7 . '99-New Construction 1.196—Residential / Number of bedrooms Code derived design flow rate '7W-L_ GPD ❑ Replacement Public or commercial - Describe: Parent material Flo2d Plain elevation if applicable ✓� ft. General comments ` and recommendations: System Type T a C "' "" System Elevation q7� F Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor / v in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 3 y'Y i 1� i i►/! F -1 Boring # C] Boring El pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 1 150 mg/L ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L CST Name (Please PnnO Signs CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 . — v2 715- 246 -4516 Soil Test Plot Plan . ,Project Name Don Buda Shaun Address 166 6th Ave Baldwin Wi 54002 CS #226900 Lot - ----- Subdivision -- - - -- -- Date 8/ 22/08 S W 1/4 N W 1/4S 8 T N /R W Township Emerald Boring Q Well PL Property Line County ST. CROIX lk BM or VRP Assume Elevation 100 ft. Top of steel fence post System Elevation 92. 5' *HRpSame as Benchmark 5 Acre Parcel Scale = 1/4" = 10' Property Line (not to scale 91' 92' 93' -4 B -1 Slope B -2 B.M.* B -3 220th St. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OVVNERSHTP CERTIFICATION FORM owner/Buyer ?Z (OL �J' S Mailing Address _ (� (� ��-P�. � �- fan � �1 �! Property Address a artment for new constriction.) �dT1fiCSQOII required from Planning & ZOtnn Dep City /State Parcei Identification Number — 0 0 — I Q X70 r LEGAL DESCRIIP'r'ION s — property I,ocation 1 /a , Sec.___, T Town of Lot # Subdivision Certified Survey Map # 0 , Volume �- Page Volume Page## warranty Deed # � 7 , Spec house yes no Lot lines identifiable no SYSTEM N TENANCE AND OWNER CERTIFICATION and maintenance of your septic system an use em could result in its premature failure to handle handle Proper proper b ears or sooner, if needed, by a licensed pumper. What you put into maintenance consists of pumping out the septic tank every three y yStem. Owner maintenance the system can affect the function of the septic tank as a treatment stage in the waste disposal System responsibilities are specified in §Comm. 8352(1) and in Chapter 12 - St. Croix County Sanitary ordinance Planning & Zoning Department a certificaIIOn�form, signed by the prop owner a gree s to submit to 'St Croix County v that (1) the on -site necessary), the septic owner and by a master plumber, jomrneyman Plumber, restricted plumber or a licensed pumper verb (if c tank is wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if less than 1/3 full of sludge. stem with the IJwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal sy of Natural Resout+ces, State of Wisconsin. standards set forth, herein, as set by the Department of Commerce and the Departmmen 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. temaats on this form are true to the best of my /our knowledge. I/we amtue the Owner(a) of the I/we certify that all *ta property described above, by virtue b a warranty deed recorded in Register, of Dew 01 fiC 0 •. - ,- i � SIGNATURE 91 P CANT(S) DATE ** *.Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning MParoment. ** 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. 48J05� ! 1!11!! !1111 1 1111111! 111111!11111!1 IIf111 I!!I 111! State Bar of Wisconsin Form 7 -2003 * 8 6 6 3 4 1 TRUSTEE'S DEED 876634 Document Name KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 06/12/2008 11:45AM THIS DEED, made between Sherman J. Kiekhofer TRUSTEES DEED as Trustee of the Sherman A. Kiekhofer and Mary L. Kiekhofer Family Trust dated EXEMPT January 1 1993 REC FEE:. 11.00 ( "Grantor," whether one or more), TRANS FEE: 30.00 and Don J. Buda and Elysia S. Buda husband and wife, as survivorship marital PAGES: 1 property - ( "Grantee," whether one or more). Recording Area Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix Name and Return Address Count State of (" Property ") if more ace is needed lease attach Hendrik W. Van Dyk Y. S f Wi i ( P P Y') ( P P VAN DYK, WILLIAMSON & SILER, S.C. addendum): 201 South Knowles Avenue Lot l of Certified Survey Map recorded in Vol. 23, Page 5522, as Document No New Richmond WI 54017 874180, being located in the S`.Y 1/4 of the NW 1/4 of Section. 8, Township 30 North, Range 16 West, Town of Emerald, St. Croix County, Wisconsin. Part of 010- 1018 -90 -000 Parcel Identification Number (PIN) Dated June 11, 2008 (SEAL) 0 2 < -' e k ke ge r (SEAL) * *Sherman J. Kiekhofer, Trustee (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Sherman J. Kiekhofer aut a icate on June I1 20 1)8 STATE OF WISCONSIN ) - ) ss. l�J S T. C ROI X COUNTY ) * . ttendrik W. Van Dyk TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on , (If not, the above -named authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: ' Hendrik W. Van Dyk VAN DYK, WILLIAMSON & SILER, S.C. Notary Public, State of Wisconsin 201 S. Knowles Ave., New Richmond, WI 54017 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED CD 2003 STATE BAR OF WISCONSIN FORM NO. 7-2003 * Type name below signatures. INFO -PROTM' Legal Forms 600- 655 -2021 www.infoproforms.com 1 of i I JllJll llll�'' "'' 111 JJIiI J1lJJ 11J11J1111 JlI1 Jill 0 ) 3 0 2 874180 Ki,,rHLEEN H. WALSH REGISTER OF DEEDS ST. i _ R.OTX CO., WI RECEIVED FOR RECORD 05105!20bc 63:13OPM CERTIFIED SURVEY MAP VOL: 23 PAGE: 5522 CERTIFIED SURVEY MAP COPY FEE: 3.00 13 LOCATED IN THE SW Y4 OF THE NW Y4 OF SECTION 8, T30N, R1 p 6W, TOWN OF 3 EMERALD, ST. CROIX COUNTY, WISCONSIN OWNER LEGEND SHERMAN & ROXANNE KIEKHOFER 1669 220TH STREET SECTION CORNER MONUMENT EMERALD, WI 54013 (AS NOTED) tu p INDICATES V X 18' IRON RE -BAR WEIGHING 1.502 LBSILIN. FT. SET NW CORNER, �" mo SECTION 8, = o ( MAG NAIL FOUND NOTE: THIS PROPERTY IS SUBJECT TO A FARMLAND PRESERVATION AGREEMENT ~o CHECKED WITH TIES) W N U G W K 2 O_ W l W d 2 v cc W m W i3 m - UNPLATMO - - - - - - - - - - - - - - = I W i- S87 672.79• 03' 639.76' ® i F� ,, iag ' IWI In LOT 9 218,010 SQUARE FEET ® � L TEION ( 5.00 ACRES) NV W m INCLUDING R tv Z PROPOSED ® 207,307 SQUARE FEET �+ DRIVEWAY (4.76 ACRES) f 61 LOCATION EXCLUDING R/W EY. CORNER, SECTION 8. 33.03' ( ESTABLISHED FROM 639.7(r TIES OF RECORD) N87 °5720•W 672.79' N87 °57'20'yy EAST- WESTY4 SECTION UNE W Ya CORNER, 4657.56 SECTION S. ( ESTABLISHED FROM Umpumn LANDS TIES OF RECORD) --------- - - - - -- o Iy * : • � r G • BE 1 i PREPARED BY: s NEW RICHMOND i STEVENS ENGINEERS WI jr 1680 LIVINGSTONE ROAD S uF v y0 HUDSON, WI 54016 PHONE (7`15) 386 -5819 0' 150' 300' 450' SCALE IN FEET 1• = 150' THIS INSTRUMENT DRAFTED BY: KRISTIN J. GRANBERG SHEET 1 OF 2 1 of 2 Vol. 23 Page 5522 i ARTCRAFT Production No 40776 A Product of Wick Building Systems, Inc. P.O. Box 530 - Marshfield, WI 54449 - (715) 387 -255 HOME SysWn - RPT Sal"O"wrpt kttach Print on this Page Y o D ;® Ygis ••_ • HldB__ t Z�� n ) ® _- _--- _ -_: -_ r-- r--� ED c� o Z i — v Q LLIS rn5 rc ....... . _ 4 r n - - - -- --z- - Q - -- - -- - - - -- - rna -_ -_ -_ _ - _ -_ °P J - -_ - - -_ Z� ♦♦ W z_ _ I f - _ _ - •� J F-ii O Ha 1:18 0 = - _: ¢ a C.1 tp - m O:c D -__ CHAo .LZ d9 -_ _ -_ _: UN e1Jsb9 O M a CL _- - Jog J Q LL a = J V 3 o W M LL W m m W 00 P 2p M T I '