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Home My WebLink About026-1294-38-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 563890 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: Richmond Acres LLC, c/o Gerald J. Smith Richmond, Town of 026-1294-38-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /1A ( GST 28.30.18.1520 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark L)~~ ter. i~a y.3 ia. tl"L I~es;rtg n e Alt. BMr; I z. /sZ I Aeration f~ Bldg. Sewer 7.35 9G-9 Holding St/Ht Inlet 7. S TANK SETBACK INFORMATION St/Ht Outlet 4 7(,• Z TANK TO P/L WELL BLDG. ent t Air Intake ROAD Dt Inlet \ Septic d i Dt Bottom 2_7 Dosing Header/Man. ys, Aeration Dist. Pipe 9 •9 9S,i5 Holding Bot. System Ei6 9 ; S yc. 5 1A let% in, -1-1.,3 PUMP/SIPHON INFORMATION Final Grade 3• (O 106 • 7 Manufacturer Demand St Cover 2 GPM /d Z Model N DH Lift Friction Loss System Head TDH Ft Force Dist. to Well I SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~6A SETBACK SYSTEM TO / P/L BLDG WELL LAKE/STREAM LEACHING Manufactu=: INFORMATION /O~ CHAMBER OR ' / a 4-', TYPeG QK✓t: is 5 3 l{4_ ~/(~W UNIT Model N fiber ~c.r S1 /j DISTRIBUTION SYSTEM z3 f-Z 3 = -A, b J Header/Manifol~ Distribution x Hole Size Ix Hole Spacing Venj jo Air Intake Pipe(s) pac4-~ Length T 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 hed Bed/Trench Center / !y Bed/Trench Edges ____1 Topsoil _ xx Mulc l0 ( No -'es~Ej No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1140 132nd Ave. N r Ric hm?, WI 54017 (NE 1/4 SW 1/4 28 T30N R1 8W) Richmond Acres Lot 3 Parcel No: 28..30488.1520 1.) Alt BM Description = ( "0 e", 2.) Bldg sewer length = 166 - amount of cover Plan revision Required? Fll~ Yes No b 2 Use other side for additional information. - SBD-6710 (R.3/97) Date Insepct s Sign ure Cert. No. S it Test and System PLOT PLAN PROJECT Gerald Smith ADDRESS 11160 190th Ave NW Elk River Mn 55330 NE 1/4 SW 1/4s 28 /T 3 N/R 18 WITGOWN Richmond COUNTY ST. CROIX ~ 9/18/13 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL )00( IN-GR D PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Base of Survey Stake ASSUME ELEVATION 1001 Filter BEAR Filter ❑BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.5/95.2 6.5' below grade All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Vents 45 -2 30' 2-3 X 92 cells I with >3' spacing 5 B-3 337' Property Line 5% Slope 0' B M.* 10, Pro 3 Bedroom House 35 B-1 ST 102' 101' Vent 132nd Ave 444' Property Line >6)1 Quick4 Standard Leaching Chamber 105' P.L. of Cover with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12" 34" Grade at System Elevation - - - County c w die.. y>;<:;•• Industry Services Division { "r'r 1400 E Washington Ave Sanitary 1'ennit Nuir~(to be filled in by Co.) S P E P.O. Box 7162 4a4 S Madison, WI 53-7 7162 w ~ " /1 State Transaction Ntfr r - ~ ry Permit ApplicationocT nn gA kj~ In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the approprntte,~rv; mental unit - is required prior to obtaining a sanitary permit. Note: Application forms for state-oruUletl vow-S dr y t>/itrtte l to Project Address (if difl'ere~ t h-an mailing tjdress) the Department of Safety and Professional Servies. Personal information you provide 6yay be used for secondary 3 tun c ses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. I. Application Information - Please Print All Informat' n Parcel N Property Owner's Name C&5 - - r G, Property/Ownei's Mailing Address Property Location /7L _ Govt- ot City, State Gtp Code Phone Number Section fW ( r on / v 3:30 Il. Type of Building (check all that apply) Subdivision Nai ❑ 1 or2 Family Dwelling- Number of Bedrooms Q~rrJ~ - ❑ Public/Commercial -Describe Use-____- t = ❑ City of - CSNI Number Village. of/ ~ _ ❑ Slate Owned Describe Use wn of//~=llL z z a - - - - - lll. Type of permit: (Check only o _box on line A.-Complete line B if applicable) A' ew system ❑ Replacement System ❑ Tfeanrtent/I lolling Tank Replacement Only ❑ Other Modification to Existing System (explain) - - - List Previous Permit Number and Date Isr .red B. [I Permit Renewal Permit Revision ❑ Change of Plumber Il Penn it Transfer to New Before Expiration Owner IV. Type of POWTSstem/Component/Device: Check all I Non-Pressurized In-Ground L1 Pressurized In-Ground ❑ At-tirade ❑ Mound 24 in, of suitable soil ❑ Mound < 24 in. of suitable soi P t 47~_Ie oldmg'1'ank Other Dispersal Component (explain) Pren'eatrnent Device (explain) Fl V. Dispersal/Trea cot Area Information:_ _ - Etvai Sri, V11. g Tank Info n Flow (gpd) Design Soil Application Rate( t) Dispersal Area RequireDip rsaa.rea used _ ufacturer~Z. Gallons - - Gallons Units _ L New Tanks Existing Tanks 6461 Fn (f) w C7 0. Septic or 14oldingTanl< - t%V _1_------- - - llosing Chamber - _ - VII. Responsibility State►nen - 1, the undersigned, a' a responsibility for installation of the POW TS shown on the attached plans. Plu is Signature MP/MFRS Number - Business Phone Nu r Plur r'' Name (Print) Piu ibe 's Address (Street, City, State, Zip od e Vill ouut /Department Use Only - Perncii~C Fcee Date Issued - Issuing r t Signature ppraved U approv tJ ✓ ~p - - - - Owne n Reason for De at 17C. Condital p=EJ1l~J Masons for Disapproval TBt3 a ~'p~ . 1. 5eptlc tank, effluent MW and dispersal cell must all be services (mainfairleisl as per management plan provided by plumber, g. , A saQ k regttlrements mtxt bt .ls aNMalltid - ss pIr ap to code nor - - Attach to complete plans for the system and submit to rite County only on paper not l ess than 8 112 x 11 inches in size SBD-6398 (80313) Niiisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Cod ,.County Attach complete site r ess than 8 1/2 x 11 inches in size. Plan must indude, but not lim ertical d horizontal reference point (BM), direction an Pa ~I►p 2 f~ percent slope, sca A. b~siiinen ' ns, north arrow, and location and distance to nearr dC a 6 ✓V Please print all information. 1 ST 00 V viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1 P Property Own r Property Loc'Wti UN 7e Govt. Lot 1/ /4 S ~O T D N R E (o W Property Owners Mailing Address Lot # Block # Subd. Nam or CSNW 3 R;~ City State Zip Code Phone Number ❑ City ❑ Vill JZ~Townfi Nearest Road ( ) 2 J Z ~i IMP-A 5553301 I New Construction Use Residential / Number of bedrooms Code derived design flow rate J~ GPD ❑ Replacement ❑ Public or~p mm~ercal - Describe: Parent material 1921/C6 Flood Plain elevation if applicable General cormients 6' s -13,? f L and recommendations: /lam System Type Ly ti~ _ System Elevation 4 Boring FT] # Bonng- pit Ground surface elev. ~ ft. Depth to limiting factor - /3~-n. 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 p -/Y l C 6 Z ~ 1-3 i S Y//,- 0 ® Boring # ❑ Boring / Pit Ground surface elev.lo2, eft. 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 p-~ 31v Z.. s- D s' ~ < D Jl ' Effluent #1 = BOD > 30 < 220 mg/L and TSS > 1150 %UZ ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715-246-4516 tProperty Owner _ Parcel ID # Page of Bodng # Boring J?4it Ground surface elev. ft. Depth to limiting factor ~n• 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 S b 3 s Ds l 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 F-1 Boring # ❑ ❑ Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon ')epth 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 = BODS < 30 mglL 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. SOD-8330 (8.6100) l Property Owner Parcel ID # Page of n Boring # ❑ Boring J?I_pit Ground surface elev. =~ft. Depth to limiting factor / in• Soil Application Rate E Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 S l'~ cam' b r 2- 12-4a All AIM 3 s J -J F-1 Boring•# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ Pit Soil Application Rate PD/fF Horizon 11ePth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODE < 30 mg& 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. seD-8330 (n.6=) i j3N/R it Test and System PLOT PLAN PROJECT Gerald Smith ADDRESS 11160 190th Ave NW Elk River Mn 55330 NE *1/4 SW 1/4S 28 /18 W/TOWN Richmond COUNTY ST. CROIX ~ZZpy~D MPRS Shaun Bird 226900 DATE 9/18/13 BEDROOM 3 CONVENTIONAL XXX IN-GR D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Base of Survey Stake ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. SameasBenchmark SYSTEM ELEVATION 95.5/95.2 6.5' below grade All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Vents /45' -2 30' 2-3' X 92' cells 59 with >3' spacing B-3 337' Property Line 5% Slope 0' B M.* 10, Pro 3 Bedroom 10 House 3 B-1 ST 102' 101' Vent 132nd Ave 444' Property Line >6„ Quick4 Standard of Cover Leaching Chamber 105 P.L. with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12" Grade at System Elevation 3491 r - County C j ✓C~1~ Industry Services Division rt - - 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P P.O. Box 7162 Madison, WI 53707-7162~~0 lei 3 A _ ~~er✓ - -~f tate'Transaction Numb r - - nitary Permit Application C In aocordanc SPS 383.21(2), Wis. Adm. Code, submission of this form to the aPpropr' govar t' unit - is required prior to obtaining a sanitary permit, Note' Application forms for state-owned PO TOA4re subn htAl~ Project Address (if' itTerc than t rtddress) the Department of Safety and Professional Servies. Personal information you provide may be u Q,f' r smoudv 3 r purposes in accordance with the Privacy Law, s. 15.04(1 )(m), Stats. 'Cp I. A Ii ion Information--Please Print All 111601" tion Parcel t{ Property) rjV' s Name- L Prope y Owner's Mailing Address Property Location Govt. Lot City, Stat - c Zip Code Phone Number All 11. ype of Building (check all that apply) Lot Subdivision Name Family Dwell ng - Numbei ofBe~jroomj- r~ _ - - # - 9 1z I ❑ Public/Commerual Des ibc: Use ❑ City of C5M Numbe ❑ Village of ❑ State Owned -Describe Use. Ill. Type f-rr L_ (Check only one box o ine A Complete line B if' r _ A' New system r' ❑ Replacement Syst n TreatmentA~Id eplacemcnt Only ❑ Other Modification to Existing System (explain) _ - - t Previous Permit Number and Dale Ts` - Lis B. ❑ Permit Renewal Permit Revision ❑ ha 1' in er 0 Permit'rransfer to New - Before Expiration Owner IV. re o if POWT'S S stem/Com onent/Device: that a~pl - - ressurized In -Ground 11 Pressurized In-Ground t-Grade ❑ Mound > 24 m of suitabh soil t 1. i lVlintn d 9 ur of suitable soil r J9rm +yr rN re r anent D vic ex _ -L [I Holdmg 1 ank LI Other Dispersal Component (explain}. c - - _ V. Dispersal/ reatment Area Information: - Dis c r> tl Area Proposed (sl) Sem aevat on Design Flow (gpd) Design Soil Application Ratt pdsf) Dispersal Area Required (s1) l P' ~ Capacity in Total Hof Manufacturer Y, V1. Tank Info , Gallons Gallons Units b y v v v a New Tanks Existing Tanks Septic or Holding Tank - Dosing I1,miber V11. Responsibility Statement- If, the undersigned, assume r nsibility for- installation of the lpowTS~showPn on theumbei attached l asiness Phone Number Plumber's Name (Print) Plumber's S' ore Plumber's Address (Street, City, State, Lip Code} _ ~ - V11 Count /De artinent Ilse Only ---r Permit Fee Date yIssued yssumg Agenl'ignature j f Approved ❑ Disapproved ❑ Owner Given Reason for Denial ---01, Ix. C s of A roval/Reasons for Disapproval ~I OVER: j e✓f rl t',r'' r y 1. Septic tank, effluent filter and f ,'rr;x-~ (•Cc~ dispersal cell must be serviced /maintained 4~ r7 as per management plan provided by plumber. !,!s'ki' 2. All setback requirements must be maintained_-- _l as per app I-Pcableraedeebo iin~lwtr s fur the system and submit to the Countyamdy orr laper not less than 8 113 x 11 arches N gize far SBD-6398 (8031 _J) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 8/28/13 ~ Owner.Gerald Smith /Z1Location: NE1 /4 SW1 /4 S28 T30 N,R18W Lot 38 Richmond Acres Richmond System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Shy t 8.-10. Soil Test r Signature License number 216900 PLOT PLAN PROJECT Gerald Smith ADDRESS 11160 190th Ave NW Elk River Mn 55330 NE 1/4 SW 1/4S 28 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8/28/13 BEDROOM 3 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of 1/4" steel pipe ASSUME ELEVATION 100' Filter BEAR Filter O BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM ELEVATION 91.9/92.1'6' below qrade All piping shall be SDR 30/34, within 10' of tank, piping shall be Schedule 40. Pro 3 Bedroom House 2-3' X 92' cells with >3' spacing 10' -1 337' Property Line S B-2 20' B.M.* 10 0' 50' 15' 4' Vents .4 10 B-4 % Slope 90' B-3 Vent >6" Quick4 Standar 98, of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 97' 4' Long 12" 3 4 Grade at System Elevation " 444' Property Line 132nd 105' P.L. Ave 2 Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft 2 pair of end plates Finish grade elevation Typical Installation 97.9' Vent Al Grade Vent 3' 4" 3' X30/34 Septic Tank 5 Long 119 5' g V1 ` 3 6" Grade at System Elevation 5 Lon Grade at System Elevation Spacing 5' 2-3' X 92' Cells Same on other end Observation tubeNent At end of cell A B 23 chambers per cell System elevations: A-91.9' B 92.1' 2 ~epoOt f:W, 3 , Wisconsin Department of Commerce SOIL EVALUATION REPORT Page J_ of y Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code County St. C i Attach complete site plan on paper not less than 8 112 x 11 inches In size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. (22 r ! (G,. 3f percent slope, scale or dimensions, north arrow, at a oca oad. 77 Please print all Ink rmat on. Reviewed Date Personal Information you provide may be used for secon ary purposes (Privac Lew, s. 15.04 (1) 7 U~ Property Owner party L cation er-r~) ' Lot 1/4 1/4 QJJ T30 N R IS E ( W Property Owner's Mallin A dress 14 Lot # lock # Su . ame or CSM# 1111.0 90 Av c.. N L rat F 2 t rg s CFIK, State Zip Code Phone Number ❑ City ❑ Village [Town Nearest fi. 9•0)e:r MA) 533 (14j) y 1- f 113 v%, o v% 9,- 1 13 (;a New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: - - Parent material _0..)t.. ► C'. S ` Flood Plain elevation if applicable fl General comments vsC~ S I q1N for e_' and recommendation ; ~g3,79°> -..Y 4 IN1 a 1 y -Tr 1J T.ZL (93,yS') S' L 3L -r's 191.5~'~ ~~G • (93,15') 'T,b F P Boring # Boring pit Ground surface elev. ft. Depth to limiting factor a _In. Soil liealion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C>- 19 1 nj 3) SL sSit r y\ Fr aw .10 1 P. 0-31-7,s YO K1sbW. r w .7 3 31-56 161 ?A x.512511 5 d- L' w ~ 1a~lb? Daly 5 ` FSb r ouY TA Boring # Boring ® pit Ground surface elev. - 9713 ft. Depth to limiting factor ' oZ O In. Soil Application Rate Horizon Depth Dominant Coior Redox Deswpuon Texture Structure Consistence Boundary Roots GPD/tf In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 I - 3 L aEsw_ Pn 1~ F 1. b -`l ~tRs) FSbVC VV% Fr w 1 I D y5 Y I \)E5 ar-Savt r w v • K ' wot 5 Fr ' Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 5 150 mg/L ' Effluent #2 = SOD 5 30 mg/L and TSS : 30 mg/L CST Name (Please Print) Signature - CST Number ark. a~ 17 '~f at Evaluation Conducted Telephone Number _ -a 7 s-~~8-358 ~!7~e "v- i- C7 Le 1 Property Owner rA22"J Parcel ID # Page ~ of IS] Boring # ❑ Boring V-73 - - pI( Ground surface elev. ft. Depth to limiting tailor I ab in Horizon Depth Dominant Color Redox DescdpUon Texture Structure Consistence Boundary Roots Sorl GPD/ftr n Rate In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Elf#1 'Eff#2 o- ID `P 3 c FS v. n Boring # ❑ Boring ~Q l L I ~ pit Ground surface elev. _ D ft. Depth to limiting factor ( oAV in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ro~R3 . L M, F w a I, o 11, r a Boring # ❑ Boring ❑ Pit Ground surface elev. Depth to limiting factor In, Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soi(AGPD/lff Rate In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg& 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 608-266-3 15 1 or TTY 608-264.8777. Sao-8)30 (R.6=) L R"Rmb3 Riz ~ T 3 Y Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code l Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan must County E-t~ c / G _ 3 r/ Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, a oca dfv~l oad. I / Q Please print all Ini"rmat on. Reviewed Date Personal Information you provide may be used for secon ary purposes (Privet Law, s. 15.04 (1) Property Owner pertyl-cation c7 erc.) r► Lot 1/4 1/4 SD-~g T 3L-) N R o E ( W Property Owner's Mailin A dress Lot lock # Su . ame or CSM# City State Zip Code Phone Number ❑ City ❑ Village [Town Nearest RaLd E. New Construction Use: 9 Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: - Parent material _Q~ L ) G.. 5 Flood Plain e:evation if applicable ft. General comments vs t °"t : r a_ C r ` For P. c. r t . .a . 4 . and recommendations: T 031791 j' I/ 'T, 11 q r . S r ~ 4- J64c, f , T.Z (q3.VS ;L -r '5 (qf.5=''~ LG4~ l• a Boring # Boring - .3 7 Pit Ground surface elev. ft. Depth to limiting (actor 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 v' 01 3 s L s-%,w to Fr au--> a • + ]o c + { Q3/ -7, s I rz' f P 94A., `t ! rns.6kL r 1 J ! a f 37-sg is Iw/h, 1►'ns~rt- ,r, ~ F y ,'7 C' VV .7 1. Lo , s If s 1;-/t D'7,5 ~ Z 1q ~r5 try r r D 01", Boring # D Boring Q ® Pit Ground surface elev. 7.8 3 ft. Depth to limiting factor / D 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Desorption Taxture 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& ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Signature CST Number Address Date Evaluation Conducted Telephone Number -tlN *7 (V ;L D Q r .217 5 L/ V a D) acre. ' o4- 4' ! N ti ~ Sw w} sack. at T Soo, x.14 L-6-3 hit i4 lvs 1y~ - cs-~ - - I- o .31 f 4F 73 _ i-- S.- ' pis ~.i..-~ ~.-...~i~3~1 +nn~~ .2111 - ' j POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page. at: FILE INFORM IQIN SYSTEM SPECIFICATIONS O__ w-nn er cfeptir,'tank Capacity 4al._ f I NA Septic Tack Allanutac,t(rier 171 NA { ermrt # DESIGN PARAMETERS Effluent Filter Manufacb firer 'I NA 1-1 NA Effluent Filter Model Ll NA Nrunbc~i of t3edroorriS Units A l'crrnpa'Tank Capacity coal Nurnber of Public I-acfity / I stinnated flow (average) aUcta Purnp "Tank. Manutartur .r Design flow (peak), (trslirri rted x 1.5) coal/day Pump Manufacturer - - `soil Application flare /tiz Pump Moclel - - - - ;standard Influent/E=ffluent Quali ty Monthly average" Pretreatmont Unit Fats, Oil & Grease (FOG) 530 mg/L El Sand/G"avel Filter fJ Feat Filter Biochemical O:(ygen Demand (E OD!i) <_220 ing/l. 11 NA C:l Mechar ical Aeration 1.1 Wetland -total Suspenderd Solids (T'SS) 7 5Q mg/1... 1-1 Disinfection U Other:__ t~rec:t reated Effluent Quality Monthly average Dispersal:ell(s) 1-1 1 NA - y - - Biochemical 0,xYen Demand (1301),1) <_30 mg/l,_ -(around (gravity) I._.I In-Ground (pressurized) Total Suspended Solids (T$S) 530 ing/L. Fl At-()lade El Mound Fecal Coliforrn (geometric mean) 5,1.14 cfrrllQUml 1 I Drip--t.ine U Other i Other: Maximum Effluent Particle Size Ya in dia LA NA l._l NA (Aher, Fl NA Other. I=7 NA _ r --rt._....._.-___----.. _ "Values typical for domestic wastewater and septic tank oftluent. Other: I:'I IAA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition oi tank(s) At least mice every: month's) (Maximum 3 Years) I--] NA ~ i'urnp out contents of tank(s) When combined sludge and scrim equals one-third (3) of tank volume Ll NA mantha - : earls (Maximum 3 Years) 13 NA Inspect dispersal CIA(s) At least once every s) Clean effluent filter At least once every: morithi s) t. NA year (nth's} I 1 NA Inspect KxrrnK, PK um r controls & alarm At least once every: El 11:11 month(s) s' I:] monthis) I. I NA I-lush laterals and pressure test At least one every. El years; Other. At least once every: - - fl rnonthis} C NA Cl year(s) - C)ther: I A MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWPS Maintainer; Septage Servi(:ing Operator. Tank inspections must include a visual iruipection of the tank(s) to identify any missing or broken hardware, identify any cricks or leaks, measure the volume of combined sludge and scum and to check for my back up or ponding of effluent nr the ground si irface. Ehe dispersal cell(s) shall he visually inspected to check the effluent levels in the observation pipes and to chect: for any ponding of effluent on the ground surface. The ponding of effluent on the ground surfa::e may indicate a failing condition and requires the immediate notification of the local ieguiatory authority. When the combined accurnulatlotr of sludge and sc:uin irr any tank equals one-third (13) of rriore of tl ie tank volume, the entire contents of the tank shall be removed by a Septage :-;ervicing Operator and disposed of in accordance with chapter NR 173, Wisconsin Administrative Code, All other services, including but not lirnited to the servicing of effluent filters, mechar ical or pressurized components, pretreatment units, and any servicing tat intervals of s12 months, shall be performed by a certified POWT3 Maintainer. A service report shall he provided to the local nagulatory authority within 10 clays of cc,rnpletion of an,, service event. q Page of START LIP AND OPERATION For new construction, prior to use of the POW S check treatment tank(s) for, the presence of painting products or other chernicals that may impede the treatment process and/or Barrage the dispersal cell{s). If high caricentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are fraren at the infiltrative suriaae. During power- outages pump tanks may fill ab:we normal highwater levels. When power is restored the excess wastewater will he discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent, fo avoid this situation have the contents of tho pump tank removed by a Septago Servicing U)erator prior to restoring power to the effluent pump or contact a Piumber or POVVl'`.; Maintainer to assist in manually noerating the f,urrip controls to restore normal levels within the pump tank. Po not drive or part( vehicles over tanks and dispersai eels, Do not drive or park over, or, othenroise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the PO\NTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (surnp pump) water; fruit and vegetable peelings; gasoline; grease; herbicides:; meat scrape; medications; oil, painting products; pesticides; sanitary napkins; tampons; and watt~r softener brine. ABANDONMENT When the POWT S fails anti/or is permanently taken out of service the following steps shall be taken to irosure that the systern is properly and safely abandoned in compliance with ahaptor Comm 113.33, Wisconsin Administrative Code: Ail piping to tanks grid pits shall be disc:omiected and the abandoned pipe openings seale-:l. I lie contents of all tanks and pits shall be removed and properly disposed of by a Septagrt Servicing Operator. ro After pumping, kill tanks and pits shall be excavated and removed or their covers rernoved and the void space tilted with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POVVTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: -/,I, A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system, The replacement area should be proiected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. I allure to protect the replacement area will result in the need fora new soil and site evaluation to establish a suitable replacement area. Replacement systems trust ccxriply with file rules in effect at that time. U A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POVVI-S technology a holding tank may he installed as a last resort to replace the failed POWTS. 0 The site has riot been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation rT,ust be performed to locate a suitable replacement area, If no replacement area is availithle a holding tank may be installed as a last resort to replace the failed POWTS. C.I Mound and at grade soil absorption systems may be reconstructed in place following romovat of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTW, PUMP AND OTHER "T REATMEN"i' T'ANKS MAY CONTAIN LETHAL GASSES AND 0H INSUFFICIENT OXYGEN. ISO NOT ENTER A SEPTIC;, PUMP OR OTHER TREATMEN'T' TANK UNDER ANY CIRCUMSTANCES. DI': ATH MAY RESULT., RESCUE OF A PERSON FROM 1'H>E INTERIOR OF A TANK IAAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS P(.)VV'rs INSTALLER POWTS MAINTAIN R ' Name yPhone l ~J 'a~~? ~ ~ ~ ~ f'Irone /~~~b ~ ~.__m . a_•_.... SI p'`IAGE SER1/ifi:iNC; OPERATOR UMREt2 LOCAL. REGULATORY AU"r'HORI'R'Y Name Name Phon ~s Phone 96 Min document was drafted in cornpliame with chapter SPS 383.22(2)(b)(1)(d)&(t) and 383_54(1),(2) & (3), Wisconsin Administrative Code. ILTER CARTRIDGE INSTRUCTIONS ~~~rr!!>~1~~lIN'l S'ri Y fury fit the rfNter case artttr tiro mid of tha outlet pipe to errrrure it• it clehtarud under the arcceras uprnbrg. If not, than aftfiar Insert triure pyre rata the tank through tiro outlet or evivant weld (glue) bdditlunal lrfpe onto the outint pipe. . 'vFP a While time raise Is still try f 4vd orl the outlet irlr►e, rnebture the length of 46-Inch ylpu neoded to brac v the filter to the tank gild wall it utlMny the upNonal supplemental side support, If side support rrmathed it nut utilked, protwed to stsp trf►tir s•- k•r• :a Fw'iclatateatious utllixirig the uptlunai fsupplerrmantal side supi►ort: solvent VAW tite sY.-+tch pipe ord:o the filter rasa. If ride support trtethdd Jr. hot utfRlad, proceed to step four Selvaht Weld the filter case unto tht nutlet pipe. Xnaart the fifrxt °.c~h:i cartridge into the rase, p►dusin l dawr► until the filter lacks Ititn the butttrtrl of thn rasa. „t sb :Y if m VftS iCwltcir is utNi:ltrrd_ insert tutu lire niter and tack by turning clockwise 90e. I~a~nlterilarrlC'~ 1. The effluent filter should be etaenud every thne Lire septic took fs serviced. 2. Open the outlet access openirap to Inspect the tank land Wet. 3, frump the septic tank xwrreploit'aIya making sure to ratnt►Ve the sludge leyer on the battatn of the t.;irtk acrd not jurt the safari ahd offluvnt, a, once that efriuent level has t•IVap towered below the irrvdrt of the f erutlet pipe, firmly pup up an the filter handle to dlWudge the certrklye train the c"e. 5. Slide the cartridge up and at it of the cuss fmw deatting. G, it a VAS swftth canne clad tv <ur alar•tn Is prdaent, the switch shirurld he romoved by turnintp cauhterduckwiss 901 and duetted with water "lily. ti r'.. 7. While holding the tmirkr'fdgs 6P its side {lame flat surf*ce talclnp down) ever the access alsonbtg, rinse ah'tho rsrlxidue with wilkae 4~. only, rnakirtg aura alt simplallo. tarateriai Is thtsed batik Into the tack. e, sf vRs switch is utilized, replwx by limartlhg into ffiftter cartel ` turnitV efockwlie Sit) r `rl 9, Ytrsert the filter cartridge back into the rule, liretsssirag d*Wrt until the filter locks. Into the hattorn tit t'he calla. 41 .I,F. I. 'Y 1n.leepiace arid secure the 8cceiis sitlshing on the tuft. Z::1:'•:f,:, •","'Yt~"wS Cq:dr :7►frd .{I-J;"t 1'.,: lies 1.r.'`. :•Yi7iiM1t.1!1". A. • W wwbe amnidto.ctrsm 107-A"WI (653-4583) <0-2C32~ Cr ..'.K l.a'~-.% rlZ': ZG ' ..•."~.C_~~R~ 2~2 S'T', CROIX COUNTY SHITIC TANK MAINTENANCE AGREEWNT AND WNERSHIP CERTIFICATION FORM O~vntrr/buyer _-~~l I7?/ _ _ Mailing Address 70 .5A-~l~~vw~ ~J 3_30 Property Address 2n W //~~(Verrification required from Planning & Zoning Department for new construction.) t City/State) Le,..l/~-~~", Parcel Identification Number DoZb'- LEGAL DESCRIPTION Property Loc`ltior:A'/, Sec , T ON R -LLW, Town vf~~lN~ Z~?. Subdivision Plat: 2, Lot # Certified Survey Map # } Volume Page # ty Dee d # 9r1 V / (before 2007)Volttrne Page # ~n Spec hous ye no Lot lines identifiabl yes no SYSTEM MAINTENANCE. AND Ow )&R CERTIFICATION Improper ;tgr_ a;~:l tai ;te::arce ofyour septic system could result in its premature'.'aiiure to ltandi"Wastes. Proper maintenance consists of pumping gut the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system :.an affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in SComm. 33.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property rwner agrees to submit to St. Croix County Planning & Zoning, Department a certification form. signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( i ) the oss-site -wastewater disposal system is in prui>cr opcrntiatC condition andior (2) after inspection and pumping (if necessary). the septic tank is less than 117 full ofsludge. Uwe, the undersigned have read the above requirements and agree to maintain the privets sewage disposal system with the standards set faith, herein, as set by the Department of Commerce and the Department of Natural Resources, StEte of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the thres year expiration date. Vwe certify that all statements on this form are true to the best of my/our knowledge. 11we anVare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms A 4W-3 DATE ~ SIGVATURP QTR APPLICANT(S) i ***Any information that is misrepresented may result in the sanitary permit being revoked by t:ao Planning Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certh''ied survey map if reference is mode in the warranty deed. i (RirV. 08105} 2 8 51 P 0,7 7 80 1 423 State Bar of Wisconsin Form 3-2003 KATHLEEN H. WALSH QUIT CLAIM DEED REGISTER OF DEEDS ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 07/26/2005 10:00AN QUIT CLAIM DEED THIS DEED, made between Gerald J. Smith and Jeannine B. Smith, husband and EXEIWT # 10 wife REC FEE: 13.00 ("Grantor," whether one or more), TRANS FEE: and Richmond Acres, LLC, a Wisconsin limited liability company COPY FEE: ("Grantee," whether one or more). CC FEE : PAGES: 2 Grantor quit claims to Grantee the following described real estate, together with the rents, Recording Area profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Name and Return Address See attached Exhibit A Kristina Ogland Attorney at Lw P. O, Box 359 Hudson, WI 54016 026-1082-40-000:026-1083-10-000:026-1082- 70-000: 026-1082-40-000 Parcel Identification Number (PIN) This is not homestead property. Dated (SEAL) (SEAL) erald J. S eannine B. Smith (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF UU;fr=0r 6f eA ) C rd) x ss. COUNTY ) * TITLE: MEMBER STATE BAR O ONS Personally came before me on (If not, e above-named Gerald J. Smith and Jeannine B. Smith, authorized by Wis. Stat. § 111 usband and wife o me known to be the person(s) who executed the foregoing THIS INSTRUMENT DRAFTED B instrument and acknowledged the same. ,STATE Ck Kristina O land Estreen & O land 304 Locust Street, Hudson, WI 54016 NotaY Public State of 9 S 1 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. QUIT CLAIM DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 Type name below signatures. INFO-PRO- Legal Forms 800-655-2021 www.infoproforrns.oom U 2851F o?8 M EXHIBIT A The EastHal£ofthe East Halfofthe Southwest Quarter (El/2/EI/2/SW1/4) ofSection Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, St. Croix County, Wisconsin, EXCEPT Lot One (1) of Certified Survey Map filed April 24,1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest Quarter of the Southeast Quarter (SW 1/4/SE1/4) and part of the Southeast Quarter of the Southwest Quarter (SE1/4/SW1/4), both in Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West. Parcel 2: The West Half of the Southeast Quarter (Wl/2/SEl/4) of Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West, Town of Richmond, St. Croix County, Wisconsin, EXCEPT the following described parcels: 1. Lot One (1) of Certified Survey Map filed April 24, 1990, in Vol. 8 of C.S.M., pg. 2199, as Doc. No. 457843, being part of the Southwest Quarter of the Southeast Quarter (SW1/4/SEl/4) and part of the Southeast Quarter of the Southwest Quarter (SEl/41SWl/4), both in Section Twenty Eight (28), Township Thirty (30) North, Range Eighteen (18) West; 2. Trot One (1) of Certified Survey Map filcd August 13, 1981, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, being part of the Southwest Quarter of the Southeast Quarter (SW 1 /4/SE 1/4) of Section Twenty Eight (28); Township Thirty (30) North, Range Eighteen (18) West; 3. Commencing at the Southwest corner of Lot One (1) of Certified Survey Map filed August 13,198 1, in Vol. 4 of C.S.M., pg. 1093, as Doc. No. 372738, for the point of beginning; thence N89°59'15" West 20.00 feet; thence NO°01'41" East 262.00 feet; thence S89059'1511 East 224.00 feet; thence S0°0141" West 15.00 feet; thence N89°59'15" West 209.00 feet; thence SO°01'41" West 242.00 feet to the point of beginning; 4. Commencing at the Northeast corner of the Northwest Quarter of the Southeast Quarter (NW1/4/SE1/4) of said Section 28; thence South 16 feet; thence Northwesterly to a point 10 feet West of the point of beginning, thence East to the point of beginning. Parcel 026-1294-38-000 08/28/2013 04:41 PM PAGE 1 OF 1 Alt. Parcel 28.30.18.1520 026 - TOWN OF RICHMOND Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 11/10/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - RICHMOND ACRES LLC RICHMOND ACRES LLC 7935 STONE CREEK DR STE 10 CHANHASSEN MN 55317 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1140 132ND AVE SC 3962 SCH DIST NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.010 Plat: 10-086-RICHMOND ACRES LOTS 3/49 026-05 SEC 28 T30N R18W PTS NW SE & SW SE Block/Condo Bldg: LOT 038 RICHMOND ACRES LOT 38 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-30N-18W NW SE 28-30N-18W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 11/10/2005 811739 10/086 PLAT 2013 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/17/2013 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 2.010 300 0 300 NO 10 Totals for 2013: General Property 2.010 300 0 300 Woodland 0.000 0 0 Totals for 2012: General Property 2.010 400 0 400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~m R sso 2 $ ; Si SSC a` ~ni V=1 firm% o~ $ g e..9t Ln. o/ tn. h )v 111 SE t/.6 LANDS 2353.31' ~ I rn .QO ,90.OG 190.00' ,90.00 19&23' y M / \ 116B.M' - 196.13 ~ g ~ I V I H _I. ° k$(~ 1 OI OI i YN o: ~ 1\ ~I~$ I i ! o ~ ~R J1~1OI I ~ ~I~I r 4l0 9. .o Q ' ~ ° N aWi ~ rx (p o h ~ h ~ 'L` (W=sa07~ x" 1 I I ' R` y + ti O N O q O b o N 50099.33• E 262.00' ~a ^ r` Q ,v b `y N a - zx9.ar w 1 nylj - r : N `n Co _.G \ 2 jy~ of cV ~ ~ O 0 ^ ~ ~ N ~ ]J.00'r \ ~R I.4~ r„ N~ .q rv ~ n a I I 11 I O, t .a. \ t> C3 m ow9 w x03.26• • -dJ R b c e - \r9t / I / ,6• - -fASTHN PIREr-~ \ I......... 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I (a-NOaTNI 1 :gyp .26.eY NozzJ'at'E 500'10'49•E - - _ _ _ u u E41y 1 NOSV9'H-W u 0x3 R. 2tM1 ] 135.0 1 .ol o n ~a X ~O 1 RI NI jig:zum3 l("~ 111 ~ ° 111 ~ o o IP vil; ~ 6 b 3 2 N00n9']]'W 572.07' 1'^ 1 N'l'1 h"o 1 E I w 3: WI NI$4§€FZ 11F 11 v' ~ ba ta9'o'zl'a'i ~ a u°i h Efa ~ ~ p~ hltil°j; \ 'R. 1 ~ a m0 \ ~ n a °f ~~§ke I ~ Vj OJI X83 3~W~ . N gr. 11 b ual S4fl aN r €Qg,{{{19A -5v 1 ~1s)xe6•- 429.37' aaQ 2170.22. a03e• I^ - ~/y~M'<~$ €Cl \ - - - - LaJI ¢ ~ 9~5,`vl_, $ o?l UNPLATTED LANDS Z~'=111 yi $ Ml IRS