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HomeMy WebLinkAbout018-1096-13-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division . ~ ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 Boru, Paul Hammond, Town of CST BM Elev: Insp. BM Elev: ' BM Description: - I ~ 9 ~ ~ , GS ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 5 ~~ ~~c. ~ R: ~, 5 /ao a Dosing OEM, ~~ F ~ ~, l~ Holding ~~- TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ / ~ ~ / ~ f / '\ 1 _ Dosing t ~ ~ (D~ r ,~ Aeration _ - _.. __ ____ Holding PUMP/SIPHON INFORMATION Manufacturer Z f Demand b~, GPM / Model Number 1 / 1~ ~ /~ V TDH Li t Friction Loss System Head Ft TDH 5.z. Forcemain Lengt f Dia. i Dist. to Well o ~ ~~ SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CrOIX Sanitary Permit No: 479441 0 State Plan ID No: Parcel Tax No: 018-1096-13-000 SectionlTownlRange/Map No: 09.29.17.788 STATION BS HI FS ELEV. Benchmark 3 ~ ' 03 ,' `17.3 Alt. BM (` 1 SC 1 O DtT ~ou w~l t'i ~ ~ Bld .Sewer b ,55 ~j~9 ~ !~ SUHt 1n1et ~. 75 ~ ~ ~. ss'S St/Ht Outlet ~_ Dt Intet ~_ ~'~- Dt Bottom Il. cP 4J . 5 Header/Man. 2~o IOI~ Dist. Pipe ~ ' ~ ~/ I r l Bot. System Z `7 CVO. Final Grade b."3 io2•S~' St Cover Ca 1f~~o.i n 3.1 BED/TRENCH Width ~ Length / No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S[ vv ~ Q ~ t ~'^~ SETBACK TO SYSTEM P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ~_ INFORMATION CHA uNER OR Type Of System: f ~(Z ,~ f ~ A )~ Model Number: I~ISTRIRIITIC~N SYSTEM Header/Manifold ~ , DistributioGn C,L I t ' Pipe(s) ~ (, ~ x Hole Size ' ~ x Hole Spacin~ VerJP~p Air Intake ~J Z ~ Length Dia J Length Dia Z.- Spacing 3 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 ` ~ , "" es ~_} No es I~ No COMMENTS: (Include code discrepencies, persons present etc.) Inspection #1: ~ / ~ 3 / 0 s Inspection #2: / /_ Location: 1095 170th Street Hammond, WI 5(~ 15 (NW 1/4 NW /4 9 T//~~2 17W,,)pp~~P~~heasant Ridge Lot 13 ~ ~; Parce9.29.17.788 1.) Alt BM Description = ~`~ `~~ ~ou ~ d~c~'~~dr~ G-~ 47~~ SUGJPJ~. ~ID~ 2.) Bldg sewer length = ~~ ~ ~ ~ -amount of cover = ~ `J n revision Required? q! Yes ~No ~ ~ ~j~~ll other side for additional information. I- lJ-~._I Date ~ - - --~ i Cert. No. Safety and Buildings Division County C ~ j ~ ashina on Ave., P.O. Box 7162 J ~ ~ ~ I`1~ I ~ ~' \'V a ~ n, WI 53707 - 7162 ' itary Permit Number (to be filled in by CoJ ~scons~n ~ ~~ ~ y~ QepartmentofCommerce ~ ~~~ S PIanLD.Ntunber Sanitary Permit Appli n , ,,~ ~ -n2q~S 1~. In accord with Comm 83.21, Wis. Adm. Code, personal inform 'on you ArF~~~e `I; ~ ~Gu ` pro t A dress (~ ifferent than mailing address) may be used for secondary purposes Privacy Law, s15. (1)(m) ~ 5r [. Application Information -Please Print All Information ZONING, pFFICE 1096 ~ ~~ Parcel # ~ Block # property Owner's Name / ~ Property Location - ~~ -~ 3' ~ Property Owner's Mailing Address ~, I 9 - t~ ~ ~/-.Q~ ! ~1~'/., ~/., Section _/~ ~p / Zip Code Phone Number ~ Ci~~ fate Z ucl n d rln. 1 S T I N; R~E W II. Type of Building (check all that apply) 3 S-2 -ll- 72 lti ~ Subdivision Name CSM Number '~I-oL2 Family Dwelling - Number of Bedroom ^pnbliclCommercial-DescribeUse ^City_^Village'~owns i of ^ State Owned- Describe Use ~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ew System ^ Replacement System ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System ~_.--. List Previous Permit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision ^ Change of ^~ertnit Transfer to New ` ~' Before Expiration - Plumber dh IV. T of POWTS S stem: C ck all that a 1 ' ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter Q Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ~ i ~ `' ^ Leachin Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) Recirculating Synthetic Media Filter g V. Dis ersaVTreatment Area Information: Dis ersal Area Req fired (sf) Dispersal Area rop ed (sf) System Elevation Design Flow (gpd) Design Soil Appli Lion Rate(gpdsf) p ~ Manufacturer fab Site Steel Fiber Plastic VI. Tank Info Capacity n Tota Number Concrete Constructed Glass Gallons Gallons of Units New Existing Tanks Tanks Septic or Holding Tank /~ J~ Aerobic Treatment Unit Y" ~ v v Dosing t=hamber j VII. Responsibtlity Statement- I, the undersigns ume responsibility for installation of the POWTS shown on the attached plans. MP/MPRS Number Business Phone Number Plumber's Name (Print) Plumber's ~ Lure 7 ~ ~~ oc ~~~ = z~G- ~f ~~«u~3;, Plumber's Address (Street, City, State, Zi ) '~ i~ }' / ~ ' LJ s) VIII. oun /De artment Use Onl ~ Sanitary Permit Fee (includes Groundwater Dpa~te Issued ing Agent a Approved ^ Disapproved Surcharge Fee) ~ ~ j 4 / / ~ Q ^ Owner Given Reason for Denial Y~ '~:riv" " ~2 (~- IX. Conditions of ApprovaUReasons for Disapproval C-y'1 n Q~` ~~ //,,, ~ ~1L2~ STEM OWNER: ~~d~~ (,~t~ih Yr~° /~~~. (Y ~ So~ ~~~' 1 eptlc tank,, event filter and ~ " U ~ .• ~ LOS' dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinance . Attat6 complete plans (to the County only) for the system on paper not less than 812 x 11 inches in siu SBD-6398 (R. 01/03) PLOT PLAN PROJECT Paul Boru ADDRESS 1654 87th Ave Hammond Wi 54015 I~IVV 1/4" MN 1/4S 9 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX SYSTEM ELEVATION 100.5' BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XX)OC SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1" pvc pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL sH,R,p, Same as Benchmark 170th St. Scale = 14/"= 10' Pro 3 Bedroom House Well is to meet all setbacks found in Comm. 83 Huffcutt Combo Tank B:b4~ B.M. #2 is Top of 1 " pit~e_.@ 99.3 ~~ B-1 2% Sloe - p ~ Area 15' below system is to remain undisturbed 109th Ave Grading is to be done to divert run-off away from system 100' ~ g - 2 Tank is to be properly bedded and provided with lockdown covers 99 5 ~ with approved warning labels 9 9' ~---- ,~-= ' Designer _ No Date J~ Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric ASgi G-33 Sand --` " Topzoft ~'. Stope Distribution. Pipe i -~ H-== ---__ F G Bed Ot sf~ 2 %2 Drain Rock r F towe d Layer .. ~ / D ~. i ~ '~ i f ,, G --i---, .~ k Forct Hain From Pump Cress Section Of A Mound System UsenQ A Bed For The Absorption Arta p ~ Ft. _.__-- 5 ~ Ft ~ d~ ~ ~kr~w~s s ' J ~ ~ Ft. ~~ .~ K.L~ Ft. 11._., _ k~~ r'Ft. L ~.~Observotion Pipe--~ J ~ ._._ --. ____e- - - - - ~- - --- - - - -- - ~ - K r -------------------------------------------- ~ - ~ A ", ~ o i ~ __ _ 1 FOrtt Moin W ~' l° _._.~_.------------- ------~--- - -- From Pump - - t ---------- p° Diztribution Bed Of %~- 2 %2 Pipe ~ Drain Rack I ~-rObcervotion Pipe `~,:~ct..~c~ permanent Marker ~S~"~ l ~~ (S ~r~~ .6s~~~~~,P„ ~ Pe or Rods P1on VitK Ot Mound Ut;1nq A Bed For The Absorption Areo ~~ PAGE, OF C%~ iotatsd O:• Bottom. e Stte+any Spocea iRST MILL uti.XT to GaRAtC7' Ft. ~~. S i gnec! i. ~ cense lYumber Gate: Y <- 7 „ IRGh85 ~// ~ 111 Ho?e Diameter 3/14 Inch . --- Latera~ ~" ~ Inch{es~ ~.an i fol ~ ~- Inches Fprce Main 2---- Inches ~ of hates/pipe ~ ..~_ Invert Fievatior~ of Caters;s~~Ft. -. perfCro!t0 Pict Detoii . CTiO'~'t f+ND SPELLt FCATTU~S Er?,QSS S£ g~pTIC T~K ~ Pl3!'gr C;:p;~'lBF.g ~£AtHE~LPit00F APPRQV ED .. ~g~. asoyE ~RADC ~ Ji33~CTI0i~ BOX n ~£NT PIPE iZ 0~ €3R WITK CC~iDU;T MANHOLE COMER ~ FGA DOOR. btlN~ t~/ ppjpLOCK ~ y ~~` ~`ttOl1 WARiiIIIG LABE:. FREd~Y ... ~ t(t ~y ~ ~ ( _~ii HZ~. £IR~~;;;-~~ GRADE. / ~~, - _ .~. D. ~$u Mf1~ r....,. ... - s1 i8" iii-• ~ ~ i t , ... ~ INLET .-. _ CAS- ~ '~RpVED ii~A'T£R TZGH'T SEAT'S A ~~,L ~ • • ALdi APPRO~ gtPE ~3 LT £.R "~-- ~ ~ 3 ` 0~ ~_ i ~ ~,IQ SQIt 5fl ~ a FF CpNCgETE pAfl ~ APPROVED SEDI~Ti+tG tT1+tI?ER TAPFK • SPECZFZCI~,TI01+F5 ~ - ,'ZOSES ?£R DAY ~ ._.------- DOS£ ~ AN 3'S SER gEpTZC ! ~~ . ~' i Z~cLC~D~~ 9 ~~ cAL- Tlal+iiC ?4AI+RIFAC'T~'REFL: Dfl5£ Yf3.~3ME ~,~4t$ACIC: _,_.-------~ GAi.. TRIiK SIZES = 5£P'TZC % ~I,. ~~~~--;FICHES = ~'..~ GAL, DpSEs~,z= ~-"" ~ C~~o CAFACiTE£-' ~ A ~ ~ GAL ALARK I'tl~'~RIF~-C1t3AER;~ ~ ~ r ,,,'" L ---"' MGDEL ~~ E ~ ./c~- C ~s INCHES =lam Gt' BITCH ~_ -~~ ~L FACTfJR~ = ~`~ ~ ~~ n ~ Y1~CIiES P[7 M~ ~~ N/' ~ ~' ~/` G 15.23 ~ HSfnTZ'2'CB~~~ ' l 's" ~ idIRT NG AS PER I LHR ~ PunP £ ~ ~'~ ~ FEET D~gCHt,1tGE RrATE _~___...c~ CPti 1~,£'i~ pYP£ ~ ~-~-----~ £EET REQ~T~tEt! IIZSTR . <5 - T~ Pv~~ Oi F ANn / FE£T V ER'PZCAL DIFFERENCE BETir7EEN ~ F'T/ IO Q . fT. ~ gc~;CTION FACTOR . + M;pltftJ~i N£T~1'ORKR~~ZM KR~_..-----~ T~3TAL DY'~A~IC M~ ~ FEET ,~ ~~~ FEAT FO -- ~ - DZAMET~ MP TANK ~ L£?~G~ I pT£Rt~AL D Il'~£N5IDM~ 4~ ~ SFGMED- _ LICEI~S~ ~M$~Fi DR':E= if&~ 1 0 i U ~' a z r 0 0 ~- J U oU IOU.. LYV JGV FLOW PER -MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • limed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for'tlutdoor installations. See FM1420. • Over 130°F. {54°C.) special quotation required. 1521153 Series' 1521153 MOOELS Control Selectron Model Vohs-Ph Mode s Sim iex Du lax N152 115 1 Non 8.5 1 2 or 3 8N152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 t Auto ' 4.3 included 2 or 3 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters Gal. Liters Gol. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 2fi5 15 4.6 53 201 61 231 20 6.1 44 167 52 197 25 7.6 34 129 42 159 30 9.t 23 87 33 1;?5 35 10.7 -- I -- 22 85 40 12.2 -- -- 11 42 Lock Voive: 38c0 Fi. (ll.6m) 44.0 Ft. (13.4m) 3 27 t2 ~/a 5 t /. ^L u~aauo S2 sz H N153 115 1 Non 10.5 1 2 or 3 eN153 Its 1 Auto 1os Inducted 2or3 SELECTION GUIDE Et53 230 1 Non 5.3 ~ z or 3 1. Single piggyback variable level float switch or double pggybaCk variable level float BE153 230 1 Auto 5.3 included 2 or 3 -. switch. Refer to FM0477. v caurroN 2. See FM0712 for correct model of Electrical Attemator E-Pak Ali installation of wntrols, protection devices and wiring should be done by a qualified 3. Variable level Control Switch 10.0225 used as a Control activate, speafy duplex (3) licensed electrician. AU electrical and safety modes should he followed including the most recent National Electric Code {NEC) and ffie Occupational Safety and Health Act{OStfA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: A.O. BOX ?6347 ~ Louisville, KY 40256-0347 ManuJacfurersof. . © SHIP T0: 3649 Cane Run Road , ® Louisville, KY402f1-19s1 Q~4urrP~PS,piYCE/9~i9~ PL//1/IP !O. (502J 778-2731.1(800) 928-PUMP httpJ/www.zoellercom FAX (502) 774-3624 © Copyright 2000 Zoeller Co. All rights reserved. ,~ commerce.wi.gov ~scansin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 26, 2005 CUST ID No. 226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/26/2007 Identification Numbers Transaction ID No. 1188858 SITE: Site ID No. 703607 Paul Boru please refer to both identification Numbers, 170th Street above, in all corres ondence with the a enc . Town of Hammond St Croix County NW1/4, NW1/4, S9, T29N, R17W Lot: 13, Subdivision: Pleasant Ridge FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1036034 Maintenance required; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-1070b-P (N.O1/O1); 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 or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/01). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • 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. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(71- A co~y of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,l~iCla~i~yde local ins ectors. Cc~nc~iti~o><~ally SHAUN R BIRD Owner Responsibilities: Page 2 Sl26/2005 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance bf the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. 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 number listed 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services. (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: ?633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~`~~ ~lVED ~,~_~c 19 2005 Cover Page ;, ~ ~: ,,;~~~~.~iNGS oy!"aC' " Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 8/16/05 Owner:Paul Boru . Location:NW1/4 NW1/4 S9 T29 N,R17 W Lot 13 Pheasant Ridge Hammond System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01 /31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. So Shaun B Signatui License j DEPARTMENT OF COMMtRCE DIVISION ~ SAF 7Y AND BUILDINGS • SEE CORRE ONDENCE ' ~ ~ PLOT PLAN PROJECT Paul Boru ADDRESS 1654 87th Ave Hamrn NW 1/a' NW 1/4S 9 /T 29 N/R 17 w TOwN Hammond SYSTEM ELEVATION 100.5' CONVENTIONAL AT-GRADE CONVENTIONAL LIFT MOUND XXX)C SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE and Wi 54015 COUNTY ST. CROIX BEDROOM 3 HOLDING TANK DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 1" pvc pipe ^BOREHOLE O WELL *H.R.P. Same as Benchmark 170th St. ASSUME ELEVATION 100' Filter Zabel A-100 Scale = 14/"= 10' Pro 3 Bedroom House We11 is to meet all setbacks found in Comm. 83 Huffcutt Combo Tank B.M. #2 is Top of 1 " pipe C~ 99.3,E B-1 2% B-3 `~ Area 15' below system is to remain undisturbed 109th Ave Grading is to be done to divert run-off away from system 100' ~ g - 2 Tank is to be properly bedded and provided with lockdown covers 99 5• with approved warning labels 9 9' ` ~s~~ Department of Commerce • SOIL EVALUATION REPORT Division of Safety and Buildings in acxordance with Comm 85, Wis. Adm. Code County ~ , Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must indude, but not limited to: vertipl 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. ' w e y Personal intomnation you provide may be used s. 15.04 (1) (m)). Page ~ of -/3 ~o Date 3~c~/ 1 (.~ Govt. Lot J~j (~ 1/4(~J1,~1/4 S '1 T 2~ N R (~ E (or 1N Property Owner's Mailing Address ~ ~ Lot # Blodc # Subd. Name or CSM# ' ~ (~ Pf ~ ~ ~ +3 ~ ~ ~ Ci State Zip Code P eb F I ^ City ^ Vllage ®-Town Nea t Road ~lew Construction Use: ~~-Residential / Number of bedrooms Code derived design flow rate ~ ~ ~ GPD ^ Replacement ~ r ^ Public or commerdal -Describe: Parent material `~ ~ Flood Plain elevation if applicable (~--- ft. General comments ~'~/ ,eh1 e~-2 V ~ /00 • GO /itQ?,vyt c/ ~/~ ZCF "SOi`/ p. SSG lif- ~• and recommendations: Coh~v/ E,~2(/ , ~Q~ 5~ R3 ~ ~,~- HVV ~ ~~' Sys!-~'K I'i7" i ~ , S/~~i i7 L° ""_ /7/!,r/~ I~ 1 Boring # ^ Boring ~ pit Ground surface elev.~~ fL Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsefl Du. Sz. Cont Color Gr. Sz Sh. 'Eff#1 'Eff#2 -2-z~- (~ I~ - s~~l ~, ~s -~ ~ _ ~ ~ - f0 31 - s~ 2 cS -- . y .~ Boring # ~ Boring pit Ground surface elev. ~ fL Depth to limiting factor ~ _ in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munseil Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I b-(~ ( 3I2- ^- ~~~1 2 n~ G ~ . 5 . 8r 3 ~-.~ 1 ~ -- sal ~ ~ ~ - - r~ ~~ ~ . r `t ~~ - - ~ . ~ 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) ~ ,Signature ~, ~ CST Number Address Date Evaluation Conducted Tel phone Number 21.3 ffi~'~. ~C~,t~ 5~z5 --- ~ - s--- P z C~~~i-y~~ Property Owner Parcel ID # /~`~-/3 Page 2 of Boring # ~ Bonne ~ . ~- pit Ground surface elev. ft. Depth to limiting factor 3~ in. Soil Appliption Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GPD/ftz in. Mansell flu. Sz. Cont. Color ._ Gr. Sz Sh. 'Etf#1 'Eff#2 I o--~ ~ Z ~o s ~ 2 ~ ~~ i ~~ . 5 ~ 2 ~ ~ ~ /` t \ ~ -y-, S ~ ~ ~ CS 3 ~_ ~ ~-3 SLI Z c~ 3~-^ i D 3I ~ 2F ~1 ~ Sc~ ~, ~ ~ '- ~ ~ ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth . Dominant Color Redox Description .Texture Structure Consistence Boundary Roots GPD/fi2 in. Mansell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 .... R Boring # ^ Bonne ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appliption Rate Horznon Depth Dominant Color Redox Description Texture Sure Consistence Boundary Roots GPD/ft2 in. Mansell 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 mglL and TSS < 30 mgA_ 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 departrnent at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R07/00) t PAGE .~ OF~ rT,,~,~ ~~ LOT#~~ LEGAL DESCRIPTIOI~N~ ~ ~/ ~ ,S q T 29 ,N R. ~ ~ E(or1C~ SCALE: 1"= 7~ r BM 1 ELEVATION /OD. ~ / BM 1 DESCRIPTION G-~ / ~/(/C~~~ BM 2 ELEVATION 99~d BM 2 DESCRIPTION ;6~~ ~ N G ~' ~ SYSTEM ELEVATION /DU, C~ SYSTEM TYPE 1110u /l ~ S~S~ rj'I CONTOUR ELEVATION ~ 9 SQ N 1 -~ ~ 9 ~! ~ _(~an ~, ~ Sd ~- ~9°C' TUBE .i~~--r~-'<<- ~--~ ~~ a, v DATE G ' ~~ aZ PAGE .~ OF~ IyelKli~-~ ~~ LOT#~~ LEGAT_ DESCRIPTIONAI~ ~A~v 14 ,S ~ T Z~/ .N.R, ~ ~ E(ot?~ SCALE: 1"=~~ ~ BM 1 ELEVATION /G{~. CU BM I DESCRIPTION 6-~ ~ %~G ~p~ BM 2 ELEVATION I9~3d BM 2 DESCRIPTION ~Q~-~ ~ ",OtiG ,~'~~ SYSTEM ELEVATION /DU, d SYSTEM TYPE lYlOu !t CJ~ S~S{~ n'I CONTOUR ELEVATION ~ 9 SO I _ --{ ~ 9 ~s ~~ v~ as 9 r ~~~ ~. N /6 0. o ~n~= 1st ~~ bo` TUBE >~ 190 ~~ DATE ~ - ~ Q~ l~o ~' v GU '09Z ~ , ~ x M M.Z£ .bb LQS ~ ~ ` s`P ~ Q ~ I • / / • , ~ ~~ i ~ h ~ 4c b as a / ~ • V a~ , y Q a ~ W `;~ MAO tp ~ ~ ~~® .S '£lZ i M ~ti a~ '9£ ~£ •pF/ Z/ i / ~ i~o• h .Os •~,. •£ ~ ~ ,ry Ch. N a V a ;~ O• ti ~ ~ ICI 1 ,91 o I OS 3 M N tl~ ~I' alN / O .61 •/ .L9 '8b ~ ~ r o ~ ~ 3" b . ~ So ON ,~ ~ • ~ ~ _ sa -,p~ •~ ~ bar i ~ / y ~ h ~ ~R ~ ~ ~ O ~ ~ • y ~ ~~ :'Q~ y W J 1, 1 4 til ~~ ~ / ~ d` sz.SZoZ/N , ~ ~ dp ~ni: / , ~: ~o ~ ao N m ~ a N~ '..o i, s ~ .• ~ a a O ~ N ~ ~ • ®O•li / , / ~ M -= ~ ~L~ i C O // 1 f ~ ~ / Op f ~ •cc~c~ m X g • ~ a~ X11 N ~ i 1 '~ ~.. 4i '~ ~ , a' cp M ~ w ~~ I O ® M - p 1 ~ W ~~G p • ~ I t~. V -. M o ~. N ~ Q b lV o 1 ` ~ - ~ t= OdJ A X M ~ X 00 ~~ M ~ C p ~ e :3 M 1 to CO cd'; ~-Ix , .... ~ P T.1.. .. .... .... .-dr .... ~ .~ ~. ..... ~z t z ~ ............. o n ......~. .N .............. .~. lvM ` ~ V ~.1 _ _ ------- -- --------- --- 85~- ~- ~--+ Pa~~~~ y ~-~ P~.AN ~ME . MANUAL 8~ NIANAG QOW'TS a~r(ER'S SYSTEM SPECIF(CA"~NS - ~/Tl7D at 0 NA _ " t9c Tank ~~~ ~ t,lq ~ uaa=owKa'nvK 3 ~ ~I p tic -rack Manufa~er -~ ^ [vA ~r Effigy Fitter t+tian'~ 1 SiGK PARAM ~ ~- D t~A Tank C2ipa~ mF- P ~ ~ C7 D tVA NA Number of @edr~s Units ' ~ Comm ~~ a}Id u . p,,,nip TanK Manufacturer ~~~ ^ NA Numb •~ed taw t~'~} ~ ~ ~z~ air -• .Pump Mar~ufiad~ / ?~+,Jl sue--- D ~ , tEsUma~ x 1~ ~n ftow {P~ S / v "~:da. ~x ~ Pump Model _ Pte~~~i untt . p Peat Flfter SoD AFP~°r' ~~ Monthly svera9e ~ ~ A~~n 17 S~ p Wetland uetrt QuatitY G) tnftu F ts O~ ~ Gt~e ~ S30 m9n- Q20 m9n• i ~ ~-~ on ~ Q Oisinfec~i d Other. a Bipd{1erltkat Oxy9~'' Demme iB{T DS Total SusP 5'f 50 rn /L Monmiy average" Man ~ cet[(s) ~ - end {pressured} Qts ground (gravttY) p t and Pt ~~nt QuBfctY ODs B',ochemicat OxY9~ Oernand (B d Solids ~~) 530 mgn- 53o m9 SQOmt fu! i Q gtgrade p Oti ne h p Other- yer.ne i^o~°°~~ TOtat Suspende Fecal CoCtfo[m (9eornetric mean) St 0 c y, tnchdiameter l~at for do ~~ ~u@ni ~ r,rastewster- for tJ~a es Ma~~ ~flUent PgrtidB Siza . ..• Values typ -- ..,.uenULE Service FCeQuencY r(s) (Maximum 3 yrs.) "",•• . -" - Event Serrtre tnsy'>e~ COndrSon of tanks} ntents pf tank(s) Pump out aO In~..~l~ C G~i~ Cle2in went filter J Insy~ pump, PAP controls ~ alarm ~~ Iaberats and pr~~ tes't ~ ^ mon a-third (~} uals ~ of tank volume At least once even' a and scum e4 When combined syudg s) (Maxirs'um 3 yrs.) p months q yeast once every px yeast once every ~ (east onoe every ~ yeast once e~nr qt least once every' At least nn__ every ^ monu» - ~s a p months r(s) ~ ~` p month tvA Q months l-3 Year(s) 0 p moms II year(sT DNA ~. licenses ar ONS ~ gone of the ~lyowin9 ~~ ~ broken CE 1NSTRU~ tls shorty be made by an iad'tvldual~SIntnsPe~O~ POWTS AAam MNNtENAN and Q-,~c~ay ce R~y~d Sewer. PO tp tdenSfY anY rn~ back uP tnspe~ of Maw plumber: t+Aaster Puiusmt ir~ud de a Dual inson~ '~ ~,e and scum and ro d' ~e eMuent tenets a~• r. Tank mspecdons lure -the volume of ~ shy ~ ~uaity insP~ ~ nd~irx3 ~ efftu~t on the Serrfdn9 anY ~,~ of Leaks, -rne dispeC~ ~ll{s) The po round surface- ndin9 of effluent on the ground Sure' nor of ettiuent on the 9 for anY >~ notifica5on of they ~ ~ ~ voK ivrne, the r and to checK d requires the tmmedia~ ~ in the obi P to ~~ a farTtn$ r~nd'~n an ua{s one-fhirC (3~? or more ance with NR ground ~Y of sludge and scum in any tank eq for and dcspo~ of in acco~ mutation oved by a SeP~9~ Ser~n9 ppera When the combined a~ shall be rem ~ nt cornPonents~, and anY entice oonte~ of the ~ t'rve Code- pOYYCS components, pretteat~ . POD 1Naintainer. 113, yYysconsin Adtninistra ressurized ~rrne~ by a ~ mec~tanicat or p ny Ietion of any semce e5rent ,ihe se~n9 ~ went fibers, at th~cvais of 12 months or less shall ~ ~ of ca P other matntenan~ or monitoring ~ the local regutatorY au#~ority tin 1 Q days A rout shail-be pr~~ ce of painting P~uds or other treatment flank(s) ~ ifie p~nif (ugh oonce~bations ~ START t1P ANO OPt RA770N ~ ~ PO~y-rS check. ~ ~11(s). t=0r CtENr ODCtStN~n~ ~°i ~ uSe tinent Process andlor damage #fre lisp nor to use- dt that may i~tpede the trey moved by a septage senrtcyng operator P dt~tetxed have the contents of the tan"k(S'l re ~_ ~ Page~~ Z ~~,., ~ e StIrf3Ce- r ~ oondiiions are frozen at me infilfraiN the excess - ~~ std up shall not occur when ~! twater leyets, y~hen ~ ~{S~~ maY result in the g - ~ above normal hEg ~~ ~outa9eSd~~~ ~a-~persal cents) in one large dose, ovetioadng ~,nP ~ removed by a t Ta avoid t#us sihtation have the contents ,aft ee ~ ~ t~OWTS tklalntainer Lo ~~oe d'e of ~~~ e< tD the effluent pump ar contact t>a~ gervidng O ~ c~mrs ~~ t~,o restore normal levels within the pump ~-. - assi~ in ,manuariy ~~ .. Dells. i?o nat drive or park over, or othertivise disturb or compact. over ~~ atzd dispel t2on area- po ~ drive or park ~ of anY mound or at-grade coal absQrP e . ~ and prolong the Glie pe th .the area ' ~5 feet dosKr- stream may improve Pe ttoa cf the io!lo~ng fT1Dm the rvaste~v'dter ~tton swabs; degeeasecs: dentalfloss; ~pers: Reduction or-ei'rmtna ' dgaretie brltts; condoms, eGn S: g~°rme; 91'l~se;• ttetficcides; meal ~ ~ ppWTS antibiotics: d~.~ ~~ ~~} yya~~ fruit and vegetable Pe g-alb yv~' ~~ner fxine. ~w~~plt _ sari napkins; tarriPOIYS: es ~Y '~ _ d - ~ ins; 011; ioa<nbng Products: t~~ - t tfre irssune tha ABANt~[~E~ taken out of service ~e foUo~sr(rnJ steps sha11 be taken t° ~~ }wren the POWTS fills andfor is 1?e~~n c~omP~~ ~` ch_ Comm 83.33. v+(rsccxrsrngAdmut~ systsnt is proPedY'azrd safeh" aban ~~~ ~~~~~ and the abandoned P~ oo ~ a Se~3e ~cvicing Operator. Ali piping to tanks and P~ d-spo . The mntenfs of a[[ tanks and P~ shat! be removed and property and the void space giber pumping, .air tanks and pits shaII be excavated and removed or tf-ielr rivers remo+red ~~ W~ ~!!, gradd ~ another inert solid rnateriaL measures have been, oc must be taken. to Provide a code Cpt1T(MGENCY PLA11t ~ fo![owing tf the pOWfS trans and cannot be repay Dement soil ent systems evaluated and may be utilized for the location of a repta and should not compliant teplacer~'r t•area has been compaction p A suitable repaaceren ent area should be protected from disturbance and a~pbon system_ The neplacem dcs from existing and proposed structure. Cot Fuses anti welts. Failure to be infringed upon by requin~t setba _ lacement area ~~ reesult in the need~o ~ a~~ the~n~ es in effect at that time~blish a suitab e protect the rep ms must co F Y Repta~ent syste advances in POWTS reptacx'rnent area- ~ not avagable due to setback and/or soil ttmitations_ gauring p A suitable replacement area ~ idled as a last resort to replace the failed POIfYTS- technol~gy a hotd"mg tank maY ~ ~~~ a seiRable replacement area Upon faii+~re of the POWTS a sod.artd area is available a. ' ~~he~~,e has not been evalr~ated ~ locale a su"~tabte replacement area_ if no rePta~~t `/ site ~e-ratuatian must be performed - ~~ ~ the biomat at 1 tank inay ~ ~~~ as a las , lace frorfowing e Snit stzsorptron systems may tie reconstructed in P the rules in etFed atthatlirne_ c~ions of such systems must comply with the filtrative surfac+e.. Recorlstr'u <cVVARiitNC» ER'1'REAT'MENT TANKS MAY CO{riTA1N LETt-IAI- GASSY pN1310R tNSUFF[CtENT 07C1'G~- SEPTIC, PUMP AND ~TFI CIRCUMSTANGES. Di:ATH MAY DO PLOT ENTER A SEPTIC, PUMP QR O'fi-CER. N~j,,E~'~ R OF A TANK ~Y g Dt1=FICULT OR iMl'OSSIBt~. RESULT. ,RESCUE OF A PERSON FROM "~ gpptTtONAL COMN[E~17 S . - POWTS i1llAlNTAiT[ER POWTS 1NSTA1.I.ER Name ~r t Marne cL Lc:~.-~ f (~y~ 6 ~J j j r'll~nP+ ~~ `~ Phone ~~ ~''--~~- ~~ ERVICING OPERATOR pUMP>+ i.OCAL REGIl1-ATORY AUTHORfTY , SEPTAGE S ,~y~ p~en~, ~ .~ ),}~. / O~ Name ~~ /~/ ~ /~ Phons ~'1 ~ J'f b ~ ~ ~ D Phone ~-~, / ;- j ~-' "',~1~"f ~ ~ meet and Sanltatian .- T~ do~N of rho Green Lake, p+larquatte and Waushara Co~:nty Zonrng fie.. Use of thrs daurr~[ does not Zlrfs dowmeac was dratts6 b!• the ~~ t and 83.5601 ~. (2) &. 03}, W+sconsin A~Cfrnrntstra~'° ~Myy 0vot 1 me rr,in;mcun rrxtv~e^~ of c!L Canm 83.72(7?(b)0 }Cd)a<Cfl guarantee the perlormaaoe of the pOV1ft5. w " ~ ST CROIX COUNTY SEPTIC TANK MpINTENANCB AGREEMENT AND OWNERSHIP CERTIFICATION FORM pwuerBuyer p ~ ~~r~ Cl~aJ0.~.~.~~ ~bm.~S_ ~~ Mailing Address Address '~~~ ~ ~~/~` Property (Verification required from Planning Department for new consttucnon~ W~ Parcel Identification Number ~ (~ '- ~ v ~ ~ ~ 3 - ~~ City/State 0.`m ~D i Ft;AL DESCRIPTION C• Location %4,1~0~/ '/4, Sec.~____, T~N-R~ ~ W, Property -~ ~ Subdivision ~I~es~~-v~-t' \ ~8S) ~O,m >~~ Town of I,ot # 13 . ,Volume ~ Page # Certified Survey Map # 1 ,.~ ~_~y Deed # ~ b 3 ~~ ~ .Volume 2 g Page # / Spec house yes D no Lot lines identifiable yes ~ no SYSTEM ~'IAINTFNANCE improper use and maintenance of your septic system could result in its bremat p t~°peL ~~~ u p~ into the sy~em consists of pumping out the septic tank every three years or sooner, if needed Y can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrxs to submit to St. Croix Zoning Dcpartmesrt a ccrti5cation foam. signal by the owner anb b em lumber, restricted plumber or a licensed pnrnper v°1ff7nIIg that (1) the on-site wastewater dispose yst mastCrplumbor, journeymanp aRer inspection and pumping (if necessary), t~ septte tank is less than 1/3 full of sludge. is in proper operating condition and/or (2) is and a to maintain the Private sewage disposal system with the standards I/we, the undocsig-od have read the above roquiremen ~ ~ of Natural Resources, State of Wisconsin. Certificatio^ out of Commerce and the Deparirn Office within 30 set forth, herein, as set by the Dtpartm feted and returned to the St. (~['oi7c County Zoning stzting that your septic system has been maintained must be comp days of the three year expiration date. .,,+~s,~/'~' - DATE SIGNATURE O LICANT OWNER CERTIFICATION our knowled e I (we) certify that all statements on this form arc true to the best of my ( ) g ther~ropcr~. 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF AldT I (we) am (are) the ownc~{s) of -~--~.~ DATE •••••• Any information that is mis-represented may result in the sanitary permit bcmg revoked by the Zoning Department. •• Include vrith 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 decd ~ S~C~\ ~ .«...~ .~ ~ ~ 2 8 6 9 P 1 4 3 aQI~~~-~ ;l I STATE BAR OF WISCONSIN FORM 7 - 1999 Document Number TRUSTEE'S DEED Dine M. Bonte as Trustee of Kart M. Ulferis and Katharine G. Ulferts Family Trust for valuable consideration conveys without warranty to pa„1 tom„ Grantee, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 13, Pheasant Ridge. St. Croix Cotulty, Wisconsin. KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. , YII RECEIVED FOR RECORD 08/17/2005 02:00PI! TRUSTEES DEED EXEMAT # REC FEE: 11.00 TRANS FEE: 111.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Returt Address Estreen & Ogiar a 304 Locust Street Hudson, WI 54010 15Z~z ('~ 018-1096-13-000 Parcel Identification Number (PIN) Dated this 'r~~ day of Aii~,ygt 2005 - - - __ - - -- - - -_~~-- - ~~r1~?`PeJ * * Dine M. Bonte Trustee Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) Dine M. Bonte, Trustee of Karl M. Ulferts and Katherina G. Ulferts Family Trust / _~ 2005 cut sated this 11p day of August ______ __, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson, WI 54016 STATE OF ) - --- - -- - ---) ss. County ) Personally came before me this _____ _ day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) .) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac. WI STATE BAR OF WISCONSIN 8d(1-655-2021 TRUSTEE'S DEED FORM No. 7 - 1999 ,. titid Wdbi:OZ b00Z bT 'aaQ ZgZ~ti£SSZL: •ON Xki.~ OTl S~IOH ~il?l3~130: W021~ } i i~'~ ~_ ~ c ti - ••_1 © ~ 0 1 r~ ~ 1 oa Z8ZTT£SSSL: 'ON Xtid 0~~ SBWOH JNI?J3t1~0: WOa~ zSd Wdi?~:OZ p00z bT Q V WITH DRAINAGE AREAS SHAL OR WINDOW WELL ELEVAT/OIV FEET A80VE THE H l GH WATE -GRAD 1 NG THAT WOULD AL 1 1 I S70RM WATER DRAINAGE ARE NW CORNER OF I SECTION 9, T29N. R 1 TW. (FOUND I COUNTY SURVEY NA f L.) ~.L~.TH I 133 I I Z O o 0 IN ~~ zl :n+ :m~ :o~ ~Z~ :v ~y W R~ ~y N ao. oc ~_ ~--------265. 47' p -- ----- _. ---- ~ ~ ~ ; ' ~ 8 0 ' ' :,.• ~ , - ~, ' :'V ~ ...................... ....... N ....:,~~~ ' :O ~ :LOT 14 O m , ' h~ I ~ !~ ~ l . 72 ACRES ~ b ~ ~ ~ 33 oo o : T5, 069 S 0. F T. ' N ao ; ' ~'; h ~ ~ ~ HwE r oTO w =1 ; ~ 1 ~ LFE 1 OT2' ~ 2 ~ , ' O O i ' ' ' o ~ 1 / ~ i l l ~ ; l N i N8~° 32' 59" W j ; N ~ :264.80' ,, ~ ~ ~ r; 2 ® i ~ 1 ' Vi ' ~ '2p 20~ Q 1 ,~ ~ ~ °~ 'N L0~ 13 ;~ 1 `_ Q . o ~. z DED 1 CA7ED _~_ -r ' - ----~------- ~ 236.23 231. o ............................. 0 .................... LOT 15 "' 1.57 ACRES 3 LOT 68 . F r• 9 p 1.60 ACl HwE oTO' 69, 492 SI LFE 1072' ~p 0 N84°22' 34" Hr 230, 41 ` /90 4. 4,3 ~ ~ 1.5 f ACRES %' MI LOT 12 ,,q ,, Q w 65, 962 : SO. F T. ~ o ~ t O 1.61 ACRES W ~ ~ HWE :1070` ; ~ tit W 70, 292 S0. FT. o~ ,LFE :ro72' z ' ° HwE ro7o' `~ ~ ~ OT ~ ~ tij ~ 1 ~ 1 3 LFE 1072' ~ ~ f . 52 ACRES ,z ° n~ 66, 232 S0. FT. O ~ ~ o ~ „~ •.- i TOP. , OF ! " 1 R ~ Z~I ~ ~ C') ~ P f PE : ~l 068: OU' • 1 • • „~ 2 ~ ~ 589° 49' 38" W r ' • m ~-- -- --- -r-----__----~ ~`` O ~ 3 6/.34 is ;, `~ ., O o ~ g' Q9~ ` As'- - o N83 61 34' ~s ~\-`` irk FAfNT~ -_ _ = r -__-1-40.114-- -_ _-- - --~~ ' - ~~ -c? /QL'gg R1 ; N89°49' 38"E _~ 30' `` -~ ~ p -\- `````~' ~ i,' DRAINAGE : ............ :. •, Ts,~ ~ - _, RA/NgGF F \- N~3°S), /5" O ~; EASEMENT: ~ d. ~'o. ~ X98• ~ ,~' -_~ ASLc~NT ~~-\ ~^- t ~ ~ $ cnn n ~4~h - S~3°5 , i f t r~ - ~ a ~ 66~ 53 - _ u i ~ 100' ~ Z G~ ~ ' ` - L0~ 19 30•°°' LO? 20 ~ ~ • ~•~ • '~' 1.60: ACRES ~-- - -- rs_oo----' ,~ v/O/NT ~ . Z ~ ~ 69, 800 SO. FT. ssa•a ar•F 108, oo' 1. T9 ACRES t~ R/VEwq `~ ' ~ ~ HWE; 1070' W 78, 051 SO.~FT. ~ ;~ ~ LFE~1072' = HWE 1070 = ; -~~ p LFE 1072' N 8s. z`, O S89°49' ~iBKW p p~ M ~„' N ~ 15.00 - ~r ~ ~, 0 0 ~ ~ N O O a'