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HomeMy WebLinkAbout016-1035-70-400~ o N ~ N ~ 4, w 0 0 N h O ~' C ti m '~ • N N O U, •~ O U `1~j ri O RS w MN ~! r~+ .~ e~ .. w' A v ~ ~ z ~ v z 0 3 ~ ~ ~ c (7 O ~~Zy LL T !~ M W W M O a z v >° a a N ~ U O o ~ p 3 ~ F°- ~ N -o ~~g O M o ~ (7 °' ~ a a a~ 3 v a ~ y °° I O ~ N c ~ o c ~ I ~ a~ I ~~~~ I d ~ ~ O C ~ 0 ~ G7 ca ~ ~ ~ 3Qa~ ia I ~ a~ a~ r i E I i ~ c a . . ~ T U ~ a~Eya~ I v°iocfl- ~ cv ~ O N y Z N C ~ c Z p ° c 3 I i v 3 w.~°cE= m `~ o Q ~ o c~ I 3 `~ I I ~ z ~ I ° o d I I d a m I o I v I w N Z E ~ I N ._ M C ~ ~ L C O O ~ Z ~ w Z I c y ~ ~ ~ N O ~ ~ d + ~ N ~ I i a ~g y d ~ N~ ~ ~ 3 C G a a Y ~ ~ r~r a v~ ~ o z I oaaa ~, I 3 ~ ~ o .- C9 °o °o } I \ o ~ ° E L o ,_ .° a m ~ rn v N e d y¢ rn Q Z Cn m N ~ H h p r y C ~' 3 v v ~ Y ~ S a o °o o f ~ N N N ~ M CO (D C O ~ 7 a0 w ao N M y N C C N .~ J M O Z c Y d fn Y a a ~' y c C ~ ~ ~ N V i Parcel #: 016-1035-70-400 01/05/2005 08:12 AM PAGE 1 OF 1 Alt. Parcel #: 16.30.15.258D 016 - TOWN OF GLENWOOD Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * MERGENS, PATRICK & MARJORIE PATRICK & MARJORIE MERGENS 1557 290TH ST GLENWOOD CITY WI 54013 Districts: SC =School SP =Special . Property Address(es): * =Primary Type Dist # Description * 1557 290TH ST SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 20.000 Plat: 1170-CSM 14/3983 SEC 16 T30 R15W PT SW NW BEING CSM Block/Condo Bldg: LOT 4 14/3983 LOT 4 20.000AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-30N-15W SW NW Notes: Parcel History: Date Doc # Vol/Page Type 09/30/2003 741906 2424/43 W D 11 /08/2000 633274 1557/531 W D 08/07/2000 627764 1532/572 LC 07/23/1997 902/512 ~nn~ c~ ~nnnneQV Bill #: Fair Market Value: Assessed with: ---~ _-~-~--~-- --~ 13321 200,800 Valuations: Last Changed: 06/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 12,000 161,700 173,700 NO UNDEVELOPED G5 18.000 18,000 0 18,000 NO Totals for 2004: General Property 20.000 30,000 161,700 191,700 Woodland 0.000 0 0 Totals for 2003: General Property 20.000 48,000 161,700 209,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i ~* z Wisconsin Department of Commerce Safety and Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal information you provice may be uses for seconaary purposes [Privacy Law, s~5.04 (1)(m)]. Permit Holder's Name: ^ City ^ Vil e ^ To of: Ludeking, Kelly ~enwooc~~'ownship CST BM Elev.: Insp. BM Elev.: BM Description: ~ ~ I OD • D ~ ~ vv IAIVR IIVtVKMAI IVIV TYPE MANUFACTURER CAPACITY Septic ~ ~ ~ t)m Dosing ~ r Aeration Holding TANK S~TB'4i ~CK I~~~~~IV,~A,T~ON TANKTO . - P/L - WELL BLDG. vent to Air Intake ROAD Septic »- ~,Sg' (5~1 ? NA Dosing NA Aeration Holding ~, PUMP /SIPHON INFORMATION yu~ Manufacturer ~ vb ~,~ 1,~' errand °IZ Model Number SQ'~~-p GPM ~3 Frictio ~ S stem ~o• DH Lift ~3• L '~,,`t-a ~ ,, TDH~~,I(,Ft Forcemain Length ~~f Dia. Zff Dist. To Well SOIL ABSORPTION SYSTEM ELEVATION DATA countySt. Croix $anitarx P-erglitNo.: S eS a Plan ID No.: reel T x o (~1 ~-1035-70-400 I(., 30~ r5• as8~ STATION g HI FS ELEV. Benchmark ,c~a ~,~ ~ `~ r Alt. BM ~ ~' O Bldg. Sewer q°•'n' 13, ~", ~o ~'~- ~ St/Ht InletCd~ ~~(, `fi-' S:~ I St/ Ht Outlet Dt Inlet Dt Bottom Ca ,~, 2g 8.1`F ~ x-2.3 ~ ~ Header /Man. 8'(,, 30 / Dist. Pipe ~, 30' Bot. System 8.5.62' Final Grad ..~ ~ ~ c[ (2,1.. ~~ qy St cover BED /TRENCH Width / Length ~ No. s PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N 5 O ~ DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHI Manufa SETBACK INFORMATION TypeO ~ ~ ~ CHAMB e Number: System: ^'I10 ~[ ~ ~(o OR UNIT DISTRIBUTION SYSTEM ~~O ~°~~- ~'0'"'~ ~~~ S, yY _, (~. ! ~ Header / Mani~old rt 2 O Distribution Pipe(s) ~ f/ q ~ a 2 ~ / x Hole Size x Hole Spa f- q 3 ent To Air Intake Length ~ Dia. '' Length'{" Z~ ia. ~' Spacing //6 2`~ ~_-' L 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.) Inspection #1~ ~ /~( Inspection #2• -~t~' Location: 1557 290th Street, Glenwood City, WI 54013 (SVV 1/4 NW 1/4 16 T30N R15W) - 163015258D -Lot 4 $ 1.) Alt BM Description = ~ ~ 3 2.) Bldg sewer length = ~~~" ~ ~~ -amount of cover = I ~ ' $~ ~ i l) I 3.) contour = ~ {{~ : 90 , 9 ~ $"~ g 0 ~ l ,f ~~ _ ~ rn CIE.) ~~ fk C ~ c,.~e,i, ~~. ~ 5~-, Croak S~ __ a, ~~ . ~ w~. tit ( ~'~- wai Q,ra., Plan revisio require ~ ^ Yes No .r S t,.-P,a_ 5 _ ~ Use other side for additional information. '~--~ K.k~--- 4:3D o•r- SBD-6710 (fi.3/97) Date ,~ Inspector's Syg,,~~n,,.a.,t//ure s~ ~<<~q'Ft_ No. ' r tr8~o ~/o i - ~~-ISZ~) ~ob~o/ ~s•Qa-~• ~'°'^^`-1~{A~rrD•c 1 5 ~ 290 S Sanitary Permit Application safely & Buildings Division In accord with Comm 83.21. V+'is. Adm. Code 201 W. Washington Ave PO Box 730 `~SCOIfSin See reverse side for instructions for completing this application WI 53707-730" Madison Department of Commerce personal information you provide may be used for secondary purposes (privacy Lav<, s. 15.04(1)(m)] , (Submit completed form to county if ; state owneu. Attach com lete tans (to the county co ~ only) for the svs ; ~n et;not less than 8-1/2 x 11 inches in size. County State Sanitary Permit Nwnber ^ Check re~iston to prev,pu5 flplication St a Plan 1. D. Number d ~ 77tan~ ~t1 ~ S i b/ 3 y I. A lication Information -Please Print all Information ~~. Location: ; ;;;x,;!. - .. •'~1 Property Owner Name Pr operty Location / Q' ~ ~/ , ,, , ~~ _. / SW 1 /4 LIJI /4. S T ,N, r W , ~.; _ Property Owner's ailing Address ~ ' ~ " ` ' :~ ~. t!' Lot Num er Block umber ~/ / I o2 Ci f O /Q ~~ .~ " J~\ ST CROIX -- --'~'"-~ City, State Zip Code ~ .~i~gne ~oGbvta OFFICE ;~` ' or CSM Number ~~ II Type of Building: (check one) ' -;:,, _ {~ ia- 1 or 2 Famil Dwellin of Bedrooms:~ - No ^ City ^ Village y _ g . ('Town of ^ Public/Commercial (describe use): , ~,~ ~~ lcJ Q Q d ^ State-owned III Type of Permit: (Check only one bcx on line A. Check hex on line B if applicable) Nearest Road O ~~ S A) 1. J4+ New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) Oe 6 S stem Tank Onlv Existin S stem •- Q 3 ~ °~ ~ ~ ,B) Permit Number Date issue4~ f ~ ~~ ~ Jd ^ A Sanit Permit was reviousl issued • IV. Type of POWT System: (Check all that apply) /4 -1~ ^ Non-pressurized In-gro nd t Mound ^ Sand Filter ^ Constructed Wetland ~ '~'•~~ , ^ Holding Tank ^ Single Pass D Drip Line ^ Pressurized In-ground ~(`r a~ $ D At-grade ~ , u ^ Aerobic Treatment Unit Recirculating ^ Other: D u Cam a' " 9 o 5 ~ o.s~ . -, .v s M x V Dis ersa reatment Area Information: I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) ~, Elevation 0 o y~'o .,o .' ~5 z 8~,03~ VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks e fib X o~-o f M/d~v~f7`e N ^ ^ ^ ^ /n~f M p X 6.5-'0 / P e~,~st ~oMf ^ O D D VII Responsibility Statement I, the undersi ned, assume res. onsibilit for installation of the POWTS shown on the attached Tans. Plumber's Name (print) Plumber's Signature (no stamps): MP/~~1CNo. Business Phone Number lumber's Address (Street, City, State, Zip Code) ~ '7o G~QNW ood ei 7'` G~ ~,3' 0/3 VI County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ~flpproved ^ Owner Given Initial Adverse S barge Fee) ~ - Determination 32.5• ZoaD I -1(0 IX. Conditions of Approval /Reasons for llisap royal: ~ ~~ ~r ,~,,,~~,,^^ p~;;~ `~ ~"~_~~ is ~ a. 3- re-r~~~A.tite_..~ U~~ ~pO~ ~'"~u,t~~~ ~'-~~u,~~. r,;,,. ~s ~s ~ ~.. seo9Ft ~ s ys~kw• ~ ~ -~ '"~ -~- ~w.e.~ur*ar rw.aa~- ~tia~u~ #~[. ~`~" "~ ~-eh.Q~ .n.~~ ~ ~ o~ p.~. -,n ~,~o«~.~,a.rtc~a~r~ SBD-6398 (R. 07!00) 1 Ct~p QL}It-N = ~~ C ._~, ~~~~ ~ Z~lo~~. r ~ `3C~ ~- 2 S-8 . . ~- r ~ta.Q,u. ~~~~ ~~~ ~~ ~ ~ ~ ~' N° ~ /~ ~~ ~. ~ Z~ 3 81 S Y ~~ ~ •30 P~ x'12.. -~ ___. U~' 5~-- ~,,~« /sP~``f0 ~ ~ ~scons~n Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www. commerce.state.wi. us/SB Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 25, 2000 CUST ID No.222234 GALE W SMITH 3228 HWY 170 GLENWOOD CITY WI 54013 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/25/2002 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 200939, KELLY LUDEKING ST CROIX County, Town of GLENWOOD; 290TH ST SW1/4, NW1/4, 516, T30N, R15W FOR: MOUND SYSTEM, 450 GPD Object Type: POWT System Regulated Object ID No.: 767973 Identification Numbers Transaction ID No. 444690 Site ID No. 200939 Please refer to both identification numbers, above, in all comes ondence with the a enc. , 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 2. The maintenance plan for this system must be given to the owner of the POWTS. 3. The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. 4. Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. 5. Maintain well and waterline set backs per COMM 83.43(8)(1). 6. The changes made to this plan on 10/25/00 by this reviewer were acknowledge and approved by the system designer. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to C~ inspection by authorized representatives of the Department, which may include local inspectors. All permits ~~ required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. OEP~ bl Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address +~- G' on this letterhead. SEE Sincerely, ,, ~..,. PATRICIA L SHANDORF , P TS PLAN REVIEWER Integrated Services (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM P SHANDORF@COMMERCE. S TATE. W LUS DATE RECEIVED 10/11/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633' cc: KELLY LUDEKING ~~~ e / MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project -~~=-s~`~. ~D G~-/~/ ~ ~ ~,~ ~z°~j Owner ~~ f~i ~ L1 ~/,e ~/ q Address L~`~ C`~/ x/ ~p~/ ~}- ~/,P ~ pf' ~ ~- 1yl i°~.5; ~7ti ~~~o Legal Description S~ Lc,/, ,s~~j ~'~ ~O /(/~jQ`~`-CJ Township ~~~~w pa ~ County ,sf ~ lQo / ,~ Subdivision Name ~--'- Lot No Parcel iD Number ~~~ ~ ~p_ ~S- ~'Q ~d0o Plan Transaction Number ~.W.T.S• ditiona~l~. R CIE , 1ENT F COMM ^ Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dirt. calcs. and iaterals Page 4 TDH and pump tank drawing Page 5 Pump curve , Page 6 Site pian Page 7 Soil test (a,b,& c of page 8) Page 8 ~f .~lN 7`.¢ N ~~ ...P~ s4 N p,F~e 9 Designer G~4L~. ~j s~/~~ License Number Signature Date ~D - ~-~ ~ ~ Phone No ~~~/~y~ ~~ ~~~y Notice: Tampering with this file by unauthorized persons is prohib(ted. Deliberate modification will result in disciplinary action under s. 146.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. r ,c . (.- .: Straw, Marsh Hoy, Or Synthetic Coverinq~ Medium Sand Topsoil 3• Slope E3ed Of 2~- 2 %Z Aggreqate Page .z~3 Distribution Pipe ~ G :~` ~%~: f o /n~.+ .i,~i -- l Force Moir, \f'~oY,ed Frorn F'ump F oYEr ~ ~~ i E ,03 ' Cross Seclian Uf A F~iound System Using ~ ~~~ A E3ed t-or the At,sorption ArE~c r„~ G A J~ Ft • 1 H ~, Srg n c d: ~ _L---- F t. L i c~nse Plumber : I -~-$- FL' J "f=~ F t [- Jo Ft . Fc . tr~~ . L _ . ~ ~----,r . l I OBSc~'Yaf'i"on P1pe I~----- - s_ _ _! .~- _ __ --~--- K ~-- - --~- o4-Y~~ ~ ~ --- ~ • ~~~~f•orce Moin J From F'um~ L. ___..___ __._ __.. ___.. ._ _ --•- --- -- - .. --- --- ~ I M Distribution Ded Of z - 2 i Pipe ~ Aggregate Observation Pipe i'errnonent Markers Pion View Of Mound Using ~ l3ed For The /lbsorNlion l+rcU Page - ` , ~ 1.° ~asAp ~n~. ~ O, st A ~'erforated Pipe Detail End View ~eR FoRA~~d ~.ylc~C~L q p~~ plP°• o ~~~i'e~ld~o~ ~~~0 7"yp~c/t~ .~ oN~ r"'u~4N eL~ Holes located on botto~~ of force main are equ~ii~; wnaced ~~! // ,. ~'~ Force t~,ain PVG liistributation pipe layout Im~ert Elevation of Laterals ~..~, Ft Signed a License t Date a P~t it~I nche s S~Inches X~~I nche s Y ''`Inches Hole Diameter .~ fdInches Lateral " Inches Nlanifold " aZ- Inches Force I~lain " v~ Inches # of holes pipe • ~. COMBINATION SEPTIC TANK/PUMP CHAMBER (No Scale) Approved Locking Manhole Cover W'th Warning Label Attached Weatherproof _ Junction Box Final Grade-~ 6" inimum ~ ~ ~ T i 1B" Minimum r Pag e 4" CI Vent Pipe with Approved Cap, +25' From Buildings Approve d Vent Cap --~ 12" Minimum 4"Mi ni mum Quick Disconnect 1/4" Weep Hole ~. ' AI R B C Canc. Block ~ ~ ~ 3" of Bedding Under Tank-~ Note: Pump and Alarm Are On Separate Circuits Number of Doses:Per Day ' Gallons Per Day/ o Dose s: //2-_5-'Gallons ' Volume of Backflow:...... Gallons .+ Tank Manufacturer: / E e / Total Dose Volume:....... ~~~~ 77 .=1~~Gallons lank Size-Septic/Pump : /~pQ - ds o a ons Alarm Manufacturer: ~'T / e / /- Model Number: ' ~L~~_~-R~ ~ w Capacities: A ~. inches or~Gallons , Switch Type: + BUJ _inches or ~~TGallons Pump Manufacturer: r ~c.-- + C , 6 i nches or l ~ o Gallons Model Number: ate: h Di i ~ f' + D~inches inches = ~ Q!''fotal or o,L Gallons ~Gallons or 6 sc arge mum Min _ ..... , ~ ~~~~~55 Vertical Difference Betw Minimum Required Supply een Pump Off and Distribution Pipe:/a,oFeet ........... ......+ eet3,z-~ ' . Pressure : . ~ ~+sr. t/~a~t~v a.t, ~ .. . .. pp Feet of Force Main x ,o Friction Factor/100 Feet: +~eet y c~~i ~ ~P 7w I+en• ~ZZ ~ _ ~_Inch Diameter Force Ma Total Dynami c Head :... eet Ig, z~ A. ^' ~ Internal Tank Dimensions: Length -~ ;Width; Liquid Depth I ~~L Signature License Number Date i .. ;1 Baffle *APPROVED JOINTS WITH APPROVED PIPE 3' ONTO SOLID SOIL :~.'~ x~ e~ p-lod F~~fek i i r i Alarm ~ On 6 i i Off ~' SKHD150 MAX. SOLIDS 3/4"SPHERE 1-1 /2 HP 3450 RPM • Dual shaft seals standard. Seal failure sensor capability available (to be wired to an alarm device) • 1-1 /2 HP, oil-filled motor • Rugged cast iron construction • 1-1 /2" NPT discharge • Spring loaded mechanical seal with carbon and ceramic faces • Non-clogging semi-open thermoplastic impeller • Pump-out vanes on rear shroud of impeller • For high head septic tank effluent applications • 1-1 /2 HP, 1 re 230V and 30 200V, 230V, 460V or 575V S P40 MAX. S LIDS 1-1 /4" PHERE 4/10 H PM • Available in automatic and manual • Oil-filled ball bearing motor incorporates automatic reset thermal overload • Non-clog, two-vane thermoplastic sewage-type impeller • Automatics feature reliable diaphragm switch with piggyback plug-in • 2" NPT discharge • Rugged ¢ast iron construction • Stainless steel shaft • Completely field serviceable • Residen'ial sewage ejector or high capacity sump pump • 4/10 H , 10 115V or 230V P~~eso ~.~ S E~ SP50 MAX. SOLIDS 1-1 /2"SPHERE 1 /2 HP 1750 RPM • Available in automatic and manua • Oil-filled, heavy-duty ball bearing motor • Enclosed, two-vane cast iron sewage-type impeller • Automatics feature oil-isolated level control diaphragm switch in cast iron housing • Rugged cast iron construction • Mechanical shaft seal with carboy and ceramic faces • 2" NPT discharge (3"flange optional) • Completely field serviceable • All bronze model (SP50AB1) in automatic, 10 115V • 1 /2 HP, 10 115V, 200V, 230V anc 30 200V, 230V, 460V or 575V iso~ F ~ 11 LL ~..~_ Q720 ;-'-'~ ~BU~ ~ ~ ~IiF 0 a 40 `" c ~ ~ 0 0 --~ --- ---- - -- 32 ~ W W U . _ _ ,._~,h Q 78 2 ._ o 0 20 30 40 50 CAPACITY-U.S. G.P.M. C~i] ~; I , 4~ ~~Np -; _ }. ._ .--i__ _ ...... 0 ~ ~_ _.:. 0 20 - ---- 40 60 80 CAPACITY-U.S. G.P.M. 100 `120 32 ----------T--- r j i. ~ r . ,. ,s R - - ' -- --- o .- J $ .~_. _____. __ i ...___ a ; ~ .. , o 0 0 32 64 98 728 760 ~ CAPACITY-U.S. G.P.M. e 1 "~; • - Mound System Management Plan Pursuant to Comm 83,54, Wis. Adm. Code P~~ e 9 Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of the septic tank and outlet filter, shall be assessed at least once every 3 years by inspection. Th outlet fllt shall be cleaned as necessary to ensure pro er o eration. The filter cartridge should not be removed unless proves ons are made to retain solids in the tank that may s ough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of slludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enharjce septic tank performance is generally not required. However, if such products are used they shall approved for septicltank use by the Department of Commerce, Safety and Buildings Division., Pump Tank ', The pump (dosing) tank shall be inspected at least once every 3 y'~ears. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the to kit shall be inspected and serviced as necessary. Mound and Pressure Distribution System ii No trees or shrubs should be planted on the mound. Plantings m y be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion an to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not reco mended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the inter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L ~ODS, 150 mg/LTSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this in tallation. The pressure distribution system is provided with a flushing point t the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 mo ths. When a pressure testis peformed it should be compared to the initial test when the system was installed to deter ine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for efuent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydra lic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 W .Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)j and local or state rule pertaining to system maintence and maintenance reporting. No one should ever enter a septic or pump tank since dangerous g' ses may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33,' Wis. Adm, Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers sho Id be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed waterti ht upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Expose access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or nauthorized entry into the tank. Contingency Plan If the septic tank or any of its components become defective the tdMk or component shall be repaired or replaced to keep the system in proper operating condition. if the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe le8kage occurs or removing biologically clogged adsorption and dispersal media, and related piping, and replacing said comporllents as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your county zoning or health inspector. z Q I><i~~ ~i-s-3~6 ~ y6 80 ~,~~ e ,S'~r i 7`h /~ 7i.5 =02~.~ = y~'.~~ Wisconsin Department of Commerce SOIL EVAL UATION REPORT Page ~ of~ Division of Safety and Buildings j in accordance with Comm 85, Wis Adm. Code County ~ S7[.. Attach complete site plan on paper not less than 8 112 x 11 inches in size. F lan must include, but not limited to: vertical and horizontal reference point (BM), direck tion and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance ~ nearest road. ~ ~~' /Q (1 ~ 040 Please print al! information. ', Reviewed by " Date Personal information you provide may be used for secondary purposes (Privacy Law, ~ . 15.04 (1) (m)). . ~b- Property Owner roperty Location / ~ ~~ ~ ovt. Lot ~/ 1/4 ~1/4 S!d T F ~ N R ~~' W Property Owner's Mailing Address ~ G of # , Block # -- Subd. Name or CSM# _ o City State Zip Code Phone Number City ^ Village Town Nearest Road Y e w aa/ _. ~ .S (l ) a ~ G~ e d ~ Ole New Construction Use: ~ Residential / Number of bedrooms ~ C 'ved design flow rate i GPD ^ Replacement ^ Public or commercial - Descri ^;~ ~ Parent material ~r,,~~G~ ~~,~_~ / ~ ± ~ _~~ ele pJie 'f applicable P~ _ tt. General comments ~ ~ 1 1;.: l ~ ~ r!l '. ~ ~ a and recommendations: r ,~,.'~~ cc ~ J ~ `~~ n ~ 200 Boring GL7N! Boring # Q' 7 G d rf l i>~ r A~~~F'rly 9 th 'ti ctor ~ / in ~ roun su ace e ev. Q~ Pit . ep ~~ 5oil A lication Rate Horizon Depth Dominant Color Redox Description re Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 /- s G S -, 6 S 6k ~.~' ~-- ,~~/v~S Boring # ~ Boring ® ~ Pit Ground surface elev. ~~_! ~ft. Q epth to limiting factor ~.O ~ in. I - Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 o- 6 3 -- L ' l /~ S ,• c~ a- ~, ~ ---__ S ~ S /~ c~'S V ~ _g _ VF.S S ~ ~ ~ • r=ra, ~anr tt~ = Rnn\ ~ zn ~ ~~n ,.,.,n ~n~ Tcc ~zn ~ ~ ~n m.,n l " F~~ ~onr ~~ . ann < ~n mn/I and TSS < ~n mn/I_ CST Name (Please Print) „ Si tur L ~ la ~ ~"' r., CST Number Address Evaluation Conducted Telephone Number Dat e Q ~ Property Owner /7 ~~'e~ ~ ~i0 e~/~ k e~` Parcel ID # ®/ © °% ~J " O ~'' OOO page ~ of _~ Boring # r,^~ Boring ~ ~j IGSI pit Ground surface elev. ~ ~~ ft. Depth to limiting factor _y£~` n. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eif#1 'Eff#2 2 ~- ,~ --~ e s6 F .. .. 3 ~ s. 6 f's -- -~ ~ ~~ - - ,~ dS - - ^ Boring # ^ Boring ^ Pit Ground surtace elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Stn.~cture Consistence Boundary Roots GPD/fl' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 ^ Boring # ^ Boring ^ Pit Ground surtace elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 'Effluent #1 =GODS > 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. SBD-8330 (R.6/00) ~,~ ~. Property Owner f7 ~~~~ ~ C/~2~/1/f k eh` ~PParcel ID # ~~y ~/~ -~/~'~ ~0' OHO Page ~ of ~_ ^ Boring Boring # pit Ground surface elev. ~ ~~ ft. ~I pepth to limiting factor ~_ ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. `Eff#1 *Ef{~ % d ~/z o 3 --- Nf X46 F /~ l+r! 2 ~- ,~s ---' e s6 F ,. .. 3 z S . 6 ~'.~ -- - . ~ ,. ~ - - ,~ ds - ^Boring # ^ Boring ^ pit Ground surface elev. ft. epth to limiting factor in. Soil 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 ^ Boring # ~ Boring ^ pit Ground surface elev. ft. Deptfi to {uniting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 `Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS < 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 608-2bb-31 S 1 or TTY 608-264-8777. SBD•8330 (8.6/00) _ d D 1 _ O ° ~__. _-._. ..-..- ~ -ty -- -- -- ~ -- -- _- ~' - -_- - _-_ -_ ---' --I --__~ _ --- - _ - i ~ d - ~ ~ . -, - f --~ --- - ~{ _~ f r - '. L /w D A ..__._ ~_ _.~- (~ i _ ._ ____ __ - 1 _-_ _._ ~_,. -.__ 1 __ _ f ~ ___ . __~__ _- ..__. _____ _y _.~.. _~_1 I .___ -_._. -_ _~_-._I .__i ~ / _._.. _. ~ - _.~_ ~ _._. ____. .~. . ~- 4J -. _. ._ _.~ ~ _`_f _~9 -___ -- ~_ _ _ _. _ _. _ __ _ _ _ _. _ ~ ~~ a I ~ - - ~ - - - -- __- - - -- 'te _ -- __ - _ -- -- ~-- -- - -~ _- -- --- - - 'e _ i N e ~'~ 1t - __ -- -- - - - - r-- ~ - _ . --- - , ~ .p ~ - -- ~ - -- -- l I ~ i ~ 1 , ~ '~ - _ __ _--- - -. .~ -- - -- --- - - -- -- - - - -- - -_ . _ ' - -- -- - - 1-- - i ~- I -- __._ ~ __ _ -- _ - - -- -- ----~_- - - i ___ _ __- -- -- -- -- -- ---. _. - - - ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/- Mailing Address Properly Address .~ a ©~' 5--~. (Verification required from Planning Department for new City/State GL ~~/GU o o c~ G' / 1` V Ni it Parcel Identification Number 0 ~d ' ~o ~-~~ ~0 ' O 0 0 LEGAL DESCRIPTION Properly Location '/4, ~ '/a, Sec. ~ T~Q_N-R~W, Town of G~ ~/V w oool Subdivision `-~~ .Lot # _~. Certified Survey Map # b ~ ~ ~/ ~ ~ .Volume l Page # 3 ~3 . Warranty Deed # 6 3.3 0~ ~~/ ,Volume ~5" ~' Page # 3 Spec house ^ yes ~ no Lot lines identifiable I$1 yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCrplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. .,, / a /4v SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descri ed above, by virtue of a warranty deed recorded in Register of Deeds Office. T tI l°~'lGO SIGNA OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 11 va ' sir? ~iF~> 15 .13 FA.1 ; lb X86 ~ld87 REi;ISgTER OF UEEUS YI'l. ~~~ t PPGE~~.1 , SI'A7:t t3aK U~ ~t'i5C0\'SIiv PORM 1 • 1999 Docutncnl\umber WARRa:NTY ~~:E~ x'his ]Deed, made between Robert Oberttzuellcr and 'T'heresa __ t3bermueller, husband and wife, ns survivorsh`ip,narSfal protxrh~ Grantor, and Kelly Luand T)iane N. Ladekin>~, husband and wife. xs survi~~orship nrnrttaT property Grantee. Urantar, •ror a valilable consid~ratiolr, corz'reys to Grsnr~r: the followiug described reai estate irz St. Croix ~.otutry•, State of 'W'isconsin (iftuore space is,ntseded, please attitch addendutnj: i,ot 4 o£certilied survey'rrap recordc(iin'vclitmel4 ofCertified Survey Mops ZYn a e3 983 as Document No. 632~t'19 located in W , ~ of N ~X' '/., Section 16, 'I'owuship 30 North oi'Range l ~ West, Township a>`rlenwoad; St, CTJIa Coursry, Wisconsin. Kt~?E?~rcN I-I. 4ffl1,SH f~EGdSI'EF( OF rJ~ELS 5T. CRQ?tt t".fl. v WS RE:::It+ED FiiR ftFt`URD 11-OD-E004 9;30 RI4 ~!i~RRA;rTY DEED E~Eflp r it L"l:rsT COF~Y FEE: Clip" FEE: TRRNS'FER FEE: 1?6.04 RECORDIfIG FEE: iG.GO F~AGES: 1 (~ t1 u .~ n ~' ! b ltccurding Area Name acrd IL^nlrn Addjcss l„Q ~~i 1] TITLE, (i~1C. (lvkey anJ U>•kcy .4bstrad `,,1_~ _J,~ Y.U. Aux )yG i90G ~ ::.=. - := I~pAD iJsceo~•'~'VI S4o:U NEW 61~c;~.~~~r;, id;~1 :5t~2 r. FILE NO. LS~~. Tonel'her with. all appurtenant rights, titic and interest.5. part oP016-1033-ti0-iN1U __ t~anxl ldea~:tiftcatiun Nttmbcz (}'IN? -- - 'rnis is r,ut hrxr~es~rad pmptn}'. 60,1 (is not? Grantor warrants that the title to the Property is good, indefeasible in Erne sirlple. and frcr and clcrd of encumbrances excap: easements, restrictions and ordinances of record and Will warrant and defend the same. Dsted this _ __ day of 2000 _.~_ _Sh~,ron K~4pple, _attorney-in- L~ AUTlETT1YTIC ~TTON zuthcntlc8te~ithis Say of _ ~ I:aber•t Ubcrmueller _ _ " Thccesx CrborrnuciMr ACIi1M C)'Wl,.~?t;iME1VT STA1"E OF V~'fSCONSIPI j S. Perse+naliy carne bet;lrc me this ~~'~ da)•' of i~G~QrYt.~,.ri..._:000 tl•.c above namzd * Robert Oberrrtucltcr and'!'Aeresa Obermucl;er ~.~------- ..--- ~.-.-._ r._ _-ht,`id acrd 'wri.~~ TI'T'LE: MEMBFit STATE I3AR OF U4'1SCONSIN . ,..- --.--- . ------ -----. _~_ (Ti not, tv me knoti~~n to be thr persun~s) Who cx.cz~tcd the Foregoing -- -- -------•-- - instrument t1nJ acknoivieddcd the sarrra, auih~lr'zed b'i ~ 706.06, ~K'is Stus.) ~,~~,,~,~~~,tii~nnv,tiwHn,v„o ° CA~R1tJE~1~ERR1~ .fir :~~~ ___. ;NIS 1NSTRU1ttiL-NT' VAS PRP,F'I'T>D BY ~; `J07ARY-flf9ttC--MlhflvfE59~k- ------ '-- Priscilla R. Dorn Cutler, Lxux Culler, 5.C.---_--^~- My C~.~>F~IIeYbli~af arias i W iscortsin I L08 Chieftain Street, Oseeota, YVi~54U20 ~-~ ma:lent. (if not, st~..z e:<FiruTtot: Sate: (Si6r,,,twLSmaybarrulhcnacatedor:a:isncnvlcdgcd.P.otitarcrtutn~ssary.) _ __- _.-______..-__~~.__ ....._-,___.---.'1 ~ itia.~~cs ~f j1CrS4rU~Sl fytirlg ill aF1V C3jJ3Cit~ nA1St be type Or pYlnted belOW ti7GV Sl,g[i(Srl(I'e, VROnnarion Vntnsf~orele ComPen%, Fanv ju .ac.',YI kJ0,55~r20J7 WAllIYtANTI` IJ1C£i) STATEt;pROFWIS('UNS[*I Z:'ORA~I Nu. t • t999 11~US~UU ivkai 1:i:1~', Fa3 it '+ba dU3i kk,t; ~.y LtK UY uLf..Vi ~: ~, ~,o ,. ,pig e~jp~,~, w'?~g~~ /~~ --~..~ -. b~ C7r B~ IO.f ~ /G1y \ '1~' RONALD F. '~ ~._ ~ (~ ~~~~~ _~ ~oNl~so,v ~ ~ pC i 2 6 200`J ~~ 3~ ~~~<~ ,"°~k,,.«d••'' ~p~~ \'i5 3t Croix Cn, W11 `''` L~m~deoaa~Ua ~~: E R l~" .~,~-, ~~S U R ~f E Y ill A P Lxotec~in the Northwest Qucrter ni t+ Ouorter end In the Southwest qun!'ter of the Northwest Qucrter all ir+ Sec?°or. 16, Townahlp ;SU North, Ranylp 75 Wast, Town or Glanwnrd, SL Croix County, Wiscanain. Prepared for and at 'tha raquas? of: OWNERS RaDert L and 7hgrpso A. DDermudler UNPLA1Tk0 _Ar~_US_ 2711 t:.7.H "G" - - - clttnwp°~ clty, w,. 5aU17 160 TH A VENUE 0•c'tod by. Jason M. GVStCison --------------- -----~-_ 65'x{ - ---~ N 89'23'12" W 2658.34'-----.. _ _ _ S r~~ NIJ47}i' L~Ne LK THE NPf' 1/4 NDRT1iFVFST COR,Y£R ~ ~,._-~" _ 5 89'23'11' E 7329.17 ~ - (~ 1r,OTH ,4'dF_NUE-`~~~` . (FOUND Ai.UMINUA4 ,i'~~ *'~~.. _' ...` T .._ _ ..._ .-_ __- ~S 83'2312° E 1296.07' ~~ +`- CUUNTY MGfVUNE'NT) % ~~ i-r 33.OD`' 7 ~\ N Sd'23'12' W " .. ......................... ..... t + 1329.E T ~ 33---f I- <i '" L U T 1 R-~-w r w ", .. r I b : ToTAi. ARF„! n x -° ~ v '~ rn ' ~ a3 : 87? B94 SGt FT 2 m Y t + t~ti ; 5 ° ti tw ~ ~ I m : 30.08 ACRfs ,u ui m ~ G + ti w ti .. ~ ~ ARLA L'XCL UD.'NG R- 6-~ fSf ~' m I ~ ~-.y o > ~ 81Q,SS4 SOFT. ~ ~ ~ ~ ~ C $ td I 78.60 .4 G5i'f:5' gg ° ~ I ~ I i ~3 1294.24' \ ¢ to y d u o~ ~_ ~ ~ in I x'33.00' I S 89'2T~7-4' E j327.24' Z i ~ ~`, LL ~ U N-c °m ~ ( 1~.~ j ~. a T 2 ,1 ~ ~ I ~ ~ .~ ~.' T C I ~. I :1 I ' Z ~ \ . C'. ~ ~ a o : t ;+_ ~ ; 3 j TOTAL AREAL ~. 3, ~ '_ ~ i ~ ! I n • I r 8~3, 636 SU.FT o '~ ur ;, ~ .4 /~ ~ I ~ ul ~ I `•`,~ ~ ~ ~ AREA EXCLUt71N'G R-D-W.• ~ t m 7` ~ ~ zl ~ ~ 85:,868 SG.F' ,^, a ni ~ v $ ,~ ¢I ~ t n i ~ ~ 19.36 ACRES t~ `~ w, ~I o cnS ~ ~ c of {~ I ~ I I ~ r50L'TY L/A't: Ll'' 7XE NW Y/e OF THE .v:V 1/.F ~ W E ° T M1 wi G7 i .. ~ 1292.31' _ o.__.. _ ~~ y o r.- i `° I 89'32'97 F 13 - ~ - i~ - .o ~~ ~ Ri Z t ~ I 33.00' ~ 5 25.31' N ~ er Q,t ti` G 1 ° ~' ~ v ~`~ 'J r ° 53'-~-~j t` rop- L ~ 1- 3 cy nl C a 2.~ ~ I Z {_ : O Y N c o „ ~ i I ~ ~ I m : z TUT.iL AREA.' ~ ~ , a~ r `° ~ ZV i I ~ I I H77.,,779 SOFT ~- I QJ.~ , d m r' I ;,~ ~ I w : i 20, dJ AC?ES ~ ufm, ~ ~! ~ ` ~ i u; i AREA EXCLL'U/NC R-O-+v.` I ii ~ .U n i~ I I j 850,$td Sp.FT. t m ~, ~ -~ I ~ I 13.5J ACRES ~ I 1 ~ r cr - I , r C- Q ~; ~ o I 1 Z 0.' ' ~ 3 o ~' N I S 89~15'b71 E 1323.39' '~ ~ ~^ Ci-~ ~ /+- I ~ ' 7C7TAL AREA: ~i i -~ ~ ni J ~ 811, r ' ~ SQ. FT, y z t u'i I r~i 1 2U. dd ACRES ~ ~ ~ + gY '•r.. ' r° I °o ~ AREA EX^•LUOi/YC R-O-iM1~ L ~ ~ ~ S? ~ t\ I~ j 849,E SG!FT q m i 1 ~' .L H£ST 0UAR7E'R COR7/ER ~. ~_ 33. r >9 SO AC.4£S `" j % ~ r ~° SEC~ON 75-30-15 \'. _ ~ - f r / r' z IfOUn'(7 ALUAIlNUM ..'' 1 ,46" '~:/ ` c ~ a COUNTY MONL'Mt.1ITJ j ~ ~ 3,3.00• N 89'41'2E' W 1321.48' ~~~'' `~~ 1 ~ y ~ EAST-YM-ST O(lAR7fF LlNC 39SB.2Ei;~ ~'"- O {~ County Secticn Corner Alanumert ""'-'--N 89'4'1'26" W 527L74'------- -- xo ~.r of Rtccrd ~ ~ z • Set 1" x 2d" Iron Pips weighSnq ,,,`.~.h?~A?T_-cG_LANpS_ EA5l DJARTER COF.gc:R I ~ vWi In c minimum °f 1.? 3 pounds par SEC77G>IV 16-3d-15 ~ `r ~ a ...,.• Itnaor foot. ~FOUP,D <^` !.4'(1// PiPL) w~' yr i0U' Eau lding Setback rrcm Right-Uf--Way z~= "' U cE Centerl9nE W ~ R-;]-w Right-Of-Wcy a.~PjZC1`4rC13 m z: GB gH~`010U a''ku7 ~'~~XGGU+VTv praparCd by. +~p'lSMrrp pnd Pyri~g Commitloe A& E OCT 2 6 ZPO~t 4oc u .wu LAND SURVEYING do CIVIC £NGINEFRING f._.._~J_-~ Phone No. (7713) 2hFi--A319 ftry01 1U6 cast Third Streex, P.0. Ecv. 325 idOe~ctwtnsnyp ~a ^kAPHIC SCALE Naw 4lchnicnd, WI .54017 ®I~~aa~tBheAbaf SC.4lF '.N FEET. InC>ti -^ 4L`0 far_i 5-+erat i of 2 Vol. 14 Page 39E3