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HomeMy WebLinkAbout018-1083-04-000 Wisconsin~De a ~~ rce iq++ • p ~~ IS PRI ATE SEWAGE SYSTEM Safety and Building * , NSPECTION REPORT GENERAL IRMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Hniriar'a N`arr~ .: City Village X Township ~>~W'G ~ 1ER I~Riwl1'1~1oNo CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic w~ ~~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent jo Air Intake I ROAD Septic } 4 t ~U ~~ 1 t s Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Ft SOIL ABSORPTION SYSTEM ~liH RENCH Width t Length t I DIMEN 3 ~/~~~ to • SETBACK SYSTEM TO 1 P/L INFORMATION Type Of S stem: ~. 2t I~STRIBUjIOJV ~( EM m > 1~ D IS•-1083 STATION BS HI FS ELEV. Benchmark Z ~ Z• o~ •03 t ~3.~a Alt. BM Z ~~~ / '[ O •~ f Bldg. Sewer ~ 3- / o2-s~ SbHt {nlet ~:3z ol•~- ~ St/Ht Outlet ~•~ OI.2(o~ Dt Inlet Dt Bottom Header/Man. Dist. Pipe ~~,3 / ~ • / ~ / / Bot. System ,rs ~ ~ •~f Final Grade Cfl1 St Cover -~.. l Plr DIMENSIO s0 LAKE/STREW St. Croix 036 Tax No: Pits Ilnside Dia. [Liquid Depth CHAMBER OR "F~C't' ~ 7't' UNIT Model Number: I ~ It Heade ~ Distribution x Hole Size x Hole S Vent to Air Intake t Pi ' ~ ~ I Length Dia Length Dia Spacing 501E COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes I~ No -, [] Yes I No ¢ p~ S Ingluor~ cre~encies, persons present, etc.) Inspection #1: • ~ _ Location: Unknown (SW 1/4 SW 1/4 29 T29N R15W NA Lot 1 ~,~Dc S•t~ •~;~2y. Parcel No: 29.29.15. 1.) Alt BM Description = ~~O'~.A S~ ~~ • 'v,/,' 2.) Bldg sewer length = c{.; ~ _ ~ ~v 8 ~ ~ 3 r N `J4 •~ -amount of cover = ~Z ~f ~.~,~ ~j,,` ~ ~ O~yv~n (, !'~ _ _ _ - -- Plan revision Re uired? Yes No / I 7 _ ~~I tr - - _ Use other side for additional informs on. I~__?~_,D ,__ __ _ ______ _.___ Date nsepctor's Signature SBD-6710 (R.3/97) .~ ~/ __- ~ -~ _ - r--~~ i I, Cert. No. -~'. 0''r ~ Safety and Buildings Division County ` ~ 201 W. Washington Ave., P.O. Box 7082 ~ ~~O~S,n Madison, WI 53707 - 7082 Sanitary Permit Number t b C . De artment of Commerce (608) 261-6546 ~ 35 t Sanitary Permit Application S 1.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ' tnay be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) I. Application Information -Please Print Aii Information _, , ~~ ' b Property Owner'a Name Parcel # Lot Black # .~ `' Property Owner's ailing A Less - Property Loca t i o n + ~ ~ ~ ~ '/ S ti 1~ ~/ State City Zi . '' ec on ~ '' ,.~ /L ~`-- , p Code , ..._. Phone Number. T~N R ~ II T f B ildi ; ~ . ype o u ng (c eck all that apply) Q,j ~l or 2 Family Dwelling - Number of Bedrooms t~~~t Subdivision Name GSA4-A)~r ^ PublidCommercial - Descn~be Use S ^ State Owned -Describe Use 3 X ~ © ~ ^City illage~i Township of IIL T ype of Permit: (Check only one box on line A. omplete line B if applicable) - A' ^ New S tem ys ^ Replacement System ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision Change of ^ Permit Transfer to New List Provious Permit N ber and Date Issued Before Expiration Plumber Owner ~ 2O }-(o } ~ ~ Z 1 ZOp 3 IV. T of POWTS S stem: Check 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 ^ Constructed WUland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravei-less Pipe ^ Other (explain) V. Dis ersal/T'reatment Area Information: Design Flow (gpd) rgn Soil Application Rate(gpdsf) Dispersal Area Required (sfj Dispersal Area Proposed (sfj System Elevation D ~ a n~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stee) Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Facisting Tanks Tanks Septic a Holding Tank Aerobic Tteument Unit Dosing Chamber VII. Reaoo ibility Statement- I, the undersigned, assum esponsibility for installation of the POWTS shown oa the attached plans. Plum 's ame (Print) . Plumber's igna MP/MPRS Number Business Phone Number ~ Plu 's Ad (Street, City, State ip Code) -~JCiO ) i VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui g Agen`Signature o Stamps) ^ Owner Given Reason for Denial Surchazge Fce) ~-~j~ J v ~- p p IX. Conditions of ApprovaURe sons for isapproval ~ ` ~,,,,,~~ 1Nwwv~~ nn ~~ d~ ~ Mui n, Q ~- mjrlerflFauz(to the County oaly) ayste si paper aot leas th;u 1/2 it lak a l ~/ SBD-6398 (R. 08/02) - _ _210 ^_ _ ~ _ - ~ ` i \ L \ ~ b. - ---+- +---~ - --+---~-- r-r-- r- ^ _ _ _..~ --- -- ~ ~.--__-+----r--- -~-- +-- ___. -.._~. _- ____.. ~----~-- ~-'--'-- ~----~----}--_-'- ~.- ~ __~. -r_ -+~ic ~-~----. y__•._._.z ~--Qom--~r~---}~ --~~----~-._r..___-. _--~~~;-~---_'-_. \ '~ 0 ~ ~ R, Y __ __ - _ _ ~ ~ ~ ~, C -- - - _ ~ ~ -- --- -~-- - Y ~ Y cr ~' 4~ y T ,\ ~ ~---- t---- ----1----+- _ -- - - _ __ _ ~--- _ G~ ~- •-_ ? ~ ~ ~/ L ----'- _ - ~-- --- - -+-.--- ~---~- ~T- _---- -- --~----~- ~-~ -~ - - - +----~- t-- r--- -~-~--- - -- ~ ~ ~ ~, w i i - ----!--- - --- -- -- -r -~-- -- -t-- t--~-~- - ' } -- + - -+- -~ -- ~- --~----+-- - ~ ------~ -- --- ~ -- j ~ i 6 -+-- - - - --~-- - +---iY-+- ~ - !-- ~- -t _- - - 4 ''U 1 I L I ---_+---_ _-+- - i-----~r---±--- ~ - ~_ -----t- ~-- +-- ----~--__-_-~_ ~_ ~-- --r--+--r----~--+---+--+ ------r- +-_t--~ ', i ~ - ~. ~.., .. ~ -...___ _ +- __r '., Y '/ _+- -.i-.___ __.-.__+-.._.~_-___.--_-.r__-_~ _-r-.+_- t_.-_-+-_ --r_ _.. _~_ ~__..~ .-_...Y __r- ~.-~.. ~_.. -._.r ___~-_ ~ _~-- __ ~ .-_._~__- - ____~.___ ~-F-.__ -. -~-; +----r- i- .-r-. }..___~- 1-_- .h.-_._~_ -i-- ---r ___~__ III ~~/ ~-_.__~.___.. - ~-. __ ---+- - - - r-- - - ~ , ~ L~~ ~ ~ ' ' ~ ~ 1 G- y~ `iT_ __. _ . ___ ' ~ ~ ~ ~ ~ ~ r ~ ~ i i _' ~- +-- -- ~ / ~ ~ ~, ~ ~ ~. __ _~ l~ " b ~~ \ N ~' ~l, a ~, ~ R, ~ ~ W ~ ~ ' '' o ~ ~ ~ ~~ l ,~ 0 _ ~ -- _ ._ ~~ ~~ :_ ~. ~,~ Q -~~ ~, ~u ~~ . ` I a ,_ _ .. ` ._ _. _~ ._ ._ ._ Ohl _ ._ ,_. _ _ _ __ _ / t - __ ~/ _ _ i / _ ~- _ ~ , _ I ~.. _ _ _ . \ ~~ _ _ ~ ~- ~ ~_ _ .;. _ ~ ~ .. ~ ,_ ?~~_ ~ _ ~ ._ ~\ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of FILE INFORMATION Owner ~ ~ ', Permit # O Z~ ~ ~ t,~-~~~. DE51GN PARAMETER5 Number of Bedrooms ^ NA Number of Public Facility Units l~NA Estimated flow (average) gal/day Design flow (peakl, (Estimated x 1.5) al/day Soil Application Rate al/day/ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) <_30 mg/L Biochemical Oxygen Demand (BODE) <_220 mg/L ^ NA Total Suspended Solids (TSS) _<150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (GODS) 530 mg/L Total Suspended Solids (TSS) <_30 mg/L ^ NA Fecal Coliform (geometric mean) <_10° cfu/100m1 Maximum Effluent Particle Size Y8 in dia. ^ NA Other: ^ NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity al ^ NA Septic Tank Manufacturer - ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model ^ NA Pump Tank Capacity al J~NA Pump Tank Manufacturer !~ NA Pump Manufacturer l~ NA Pump Model ~ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Cellls) In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tankls) At least once every: ^ month(s) (Maximum 3 years) (~ ear(s) ^ NA Pump out contents of tank(s) When combined sludge and scum equals one-third IY31 of tank volume ^ NA Inspect dispersal cell(s) At least once every: ~ ^monthls) (Maximum 3 years) ~ year(si ^ NA Clean effluent filter At least once every: ^ monthls) C~ yearls) ^ NA Inspect pump, pump controls & alarm At least once every: ^ monthls) ^ year(s) ~ NA Flush laterals and pressure test At least once every: ^monthls) ^ year(s) ANA Other: At least once every: ^monthls) ^yearls) ^ NA Other: ^ NA 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; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify. any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y31 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Atl other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) Page ~ of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise 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 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ~. 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 protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER / Name ~ , Phone `S -- - POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone `~ ~ ~p~/ _ L/L o~ This document was drafted in compliance with chapter Comm 83.221211b11111d1&(f) and 83.54(11, (21 & (31, Wisconsin Administrative Code. Wisconsin~DepartmPntofCommerce 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: Van , Yer City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding County: St. CroiX Sanitary Permit No: 420767 0 State Plan ID No: Parcel Tax No: 018-1083-04-000 Section/Town/Range/Map No: 16.29.17.576 ELEVATION DATA FS I ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet II St/H O t Dt Inlet Dt Bottom Header/Man. '.Dist. Pipe PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil ~] Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 1709 96th Ave Roberts, WI 54023 (SW 1/4 NW 1/4 16 T29N R17W) Pheasant Hills Lot 4 Parcel No: 16.29.17.576 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ', Yes C No j i ~ ~ ~ Use other side for additional information. L_-~ i ._-~ ~_ _ ___ - - -.-~ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety and Buildings Division ~ Counry ' 201 W. Washington Ave., P.O. Box i 162 ~~%~G' a .` s ; ,S~~n~ ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be fillod in by Co.) De artment of Commerce (608) 26b-3151 X20 ~~- Sanitary Permit Ap lion stag Plan I D. Number In accord with Comm $3,21, Wis. Adm. Code, perso inf R ~rp~y~ ' ~'-V CLJ ~ address) naUin t th n if diff Add may be used for secondary purposes Privacy aw, 1: g t eren a Project ress ( i I. Application Information -Please Print AU Inforraati A P R Q 1 2003 ~ ~ ~-oq R(o~ ~+~ . Property Owtter's Na me ST. CROIX COUNTY Parcel .# Lot f1 - ' Block it ~ / ~ ~ ~ ~ ' ~ ZONING OFFICE ( Pro ty Owner's M ailing Address Property Location ~ ~i"~ srl ~k ~ a,sectio l6~ City, State Zip Code ~ Phone Number , s~ ss ~ s~-3 s- YD y jl ( // 'C ~ N; R ~7 W Ci ~7Y) S ~/ qw ++M e of Building {the 1 that apply) ~ T II , yp . ~ ~ ( Subdivision N CSM Nutnber ,w~ a ~.~.{y wc S ~1 or 2 Pamily Dwelling - Num of Bedrooms a Publics Commercial -Describe Clse ta.,+- ' v:~SLar X ^ . qq , ^ State Owned -Describe Use X l l8• ~ e.uG~.i ~ ~ ~ ^ iliage~Township of~,~,~~.,Q III. Type of Permits (Check only one on line A. Complete line l3 if applicable) g - ~ - 5/-(J~ A' New System ^ Replacement S m U "1"r~atmenrfHaldutg Tank Replacement O Other Modification to Existing System i B. ^ Formic Renewal ^ Permit Revision ^ Change of ^ Permit Tra r,New ~ List Previous Permit Number and Date Issued Before Expiration Plumber Owner f' ;~, iV. T of POWTS S stem: (Check all that a 1 (Non -Pressurized In-Ground ^ Mound > 24 in, of sui soli ^ Ma '< 24 in. of suitable 'I ~ At de ^ Sing~ass Sand F' ^ Constructed Wetland ^ Pressurized In-Ground ^ Hold' ank `Peat Fitter erob eat rut ^ Recirculating Sa r ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ine ^ Gravel- Cher (explain) V. Dis ersallTreattnent Area Information: ' Required (sfj Disper I 4 Design FEow (gpd) Design Soil Application Rate(gpdsf} ~ Disg Area Proposed (sf) S do ~ ~/S'D ~ `.,I'll ~ ~ ~ S _ 1 . ~ , ____ ' VI. Tank Info Capacity in I Total Nu ufa<aurer k ab 'te Steel Ftber tl;, Gallons Gallons of 'ts Co C cted Glass Ncw ~ Existing ~ ~, Tanks 'Tanks Sencic or Holding Tank I ~/ !/` / ` ` T ~r t J 't Y Aerobic'frcatment Unit f ~ [?osirg Chambrr ' e VII'. Responsibility Statement- 1!, erslgn8d, assume responslbUity for ' aUation of the S shown nn th ched plans. Plumber's Na me (Print) tuber's Si gnaturr P PRS Number sines Phone Number ~` if S f ,_-. ,~ ~ ~ - ~ 86 -- 8~ a ~ Plumber's Addre ss (Street, ^' ,State, Zip Code} ~7~' . ~ s ! VIII. Count /De ent Use Onl I Approved ~ Disapproved Sanitary Permit Fee (includes Groundwater . Fee} S h Date Issued ui Agent 5ignatur (No Stamps) ~ ^ Owner Given Reason for Denial ~ . arge urc ~ ~~ 0 2 ~ 3 lX. Conditions of ApprovallReasons far Dfsappraval '1F !~ ..~: ~:,~..a..w. ~ \2 ~ ~ cauv suer s.~s n~M,.. ~ ~+~ ; ~ ' (der ,nntw~'~ e~a~Q ~ d.e~er 1 1 II i Rttach complete ptans tto the County ontyl for the system on paper nut ~r~. wan o,.r~ ~ ., u+woa u+ m~ SBD-b398 {R. O1/Q3) .~ i ~~ . ~, .~~ ~' Q ~, ~ ~ -b/r/ ~ n, ~.f • t N ~~ 3 v 'o'ti ._ ~ ~~ M • Q0. ~j0 ~ ~ ~~ ~ ~ ~i d a h ~~ II~~ ~i .~ ,~ 1 .fit u e~ ~~ ~~ .. ~~ ~. ., . ~ '~ ~ b 1 --.~ N ~~ 3 v ~ ~.~~ ~ ;'~ \ h ~~' ~, ~ n ,~ L~ °~ Vi ~ . a ~ ~~ q ~ ~ d do M i` tl.\ ~i M .~ a ~ \ .,~ Wisconsin'Depaitment of Commerce Division of Safety and Buildings ORIG~~~IAND SITE EVALUATION c with Comm 83.05, Wis. Adm. Code Page 1 of 3 Certified Soil Testing Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and ercent slo e scale or dimemsions north arr ocation and distance to nearest road St. Croix p p , . , .: "`-- Parcel LD.# ! : APPLICANT INFORMATION Q11eA e~print all rl'formation . Personal information you provide may t(s. ~~i5~ second purposes (Privacy Law, s. 15.oa (t) (m)). Re 'wed By Date D2 Zro3 , Property Owner ~- ~ ~_=- ..- ~ -0 Property Location ;` Bonte, Ron ~ ~ '~ Govt. Lot SW 1/4 NW 1/4 S 16 T 29 N,R 17 W Property Owner's Mailing Addre 5_~_: t tied ~ Lot # Block # Subd. Name or CSM# 1011 170th St. -;, r~~ f, ~~ ,`~ 4 Pheasant Hills City , to Zip '` a G ~ e~lumt~r.." ~ ~ ~ City n Village ®Town Nearest Road Hammond \ I ,54 ~9Cr .2 l~ammond 170Th St. ~ New Construction • ~ ide~tial~ t~ ' er of bedrooms 3 ^Addition to existing building _ Use: __ Replacement ~ Pu mmercial describe Code Derived daily flow 450 gpd Recommended design loading rate •3 bed, gpd/ft2 •4 trench, gpd/ft2 Absorption area required 1500 bed, ft2 1125 trench, ftZ Maximum design loading rate •5 bed, gpolftZ •6 trench, gpd/ft' Recommended infiltration surface elevation(s) 24" below contours ft (as referred to site plan benchmar Additional design /site considerations insta112 - 5' x 112.5' shallow trenches on contours for 3 br Parent material till Flood lain elevation, if a licable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ® ^ U ®S ^ U ®S ^ U ®S ^ U ^ S ®U ^ S ~ U Boring# Ground elev 99.0 ft Depth to limiting factor > 80" .. Ground elev 99.8 ft Depth to limiting factor > gt" Horizon Depth Dominant Color Mottles Texture Structure Consistenc Bounda Roots GPDIftz in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ~ Trench 1 0-8 7.SYR 3/2 - sl 2 f-m sbk dsh cs if/m .5 .6 2 8-15 7.SYR 3/4 - sl 1 m sbk mfr cs if .4 .5 3 1~8 7.SYR 4/4 - s 0 sg dl as if .7 .8 4 2~ 5 SYR 4/4 - sl 1 m sbk mfr gs - .4 .5 5 45-80 SYR 4/4 - sl 0 m mfr - - .3 .4 a~f- °Iro - ~o 2~.6 63• ~ Remarks: JOme r gr m nonzonn ~; occasronai gr + rncrustons/oroxen oanas /.~ r x 4/b s m nonzon 4; occasronat gr + 1 U Y K 4/b 6t /.~ Y K 4/4 S sg, me usrons m nzon 1 0-12 7.SYR 2.5/1 - sl 2 m sbk dsh cw if/m .5 .6 2 12-32 7.SYR 4/4 - sl 2 m sbk mfr cs 1 f .5 .6 3 3241 7.SYR4/4 - s Osg dl cw if .7 .8 4 41-60 7.SYR 4/4 - s 0 sg ml as - .7 .8 5 60-81 SYR 4/4 - sl 2 f sbk mfr - - .5 .6 ~•Z ~'3. 2 Remarks: nonzon t snK occastonatty parts to 1, m pt; constderable gr ~i occasional cob 1n horizon 4; nor[zon J nas some areas of U, m, mtr sl + s er :,ST Name (Please Print) Signature: Telephone No. Henry F. Grote _ 715-665-2681 4ddress erti ie of estmg Dato CST Number 'Ref # P.O Box 57, Knapp, WI 54749 4/17/2000 222774 1079 PROPERTY OWNER: Bonte, Ron PARCEL I.D.# 3 Ground elev mnu Depth to limiting factor > 62" 4 Ground elev 96.1 ft Depth to limiting factor > 62" 5 Ground elev 98.7 ft Depth to limiting factor > 62" adt' 9V •~~ 2y to 0 Ground elev SOIL DESCRIPTION REPORT, t. ~ Page '2 of• 3 Certified Soil e'I`-sting Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft2 Bed ench 1 0-4 7.SYR 2.5/1 - sl 2 m gr mvfr cs lm .5 .6 2 4-15 7.SYR 2.5/1 - sl 2 f-m sbk mvfr gs lm .5 .6 3 15-35 7.SYR 3/3 - sl 2 m sbk mvfr cw 1 f .5 .6 4 35-56 SYR 4/4 - sl ~ O3 f sbk mvfr cs - .5 .6 5 56-62 7.SYR 4/6 - sl 0 m mvfr - - .3 .4 rcemancs: 1 0-4 7.SYR 2.5/1 - sl 2 m gr mvfr cs lm .5 .6 2 4-IS 7.SYR 2.5/1 - sl 2 f sbk mvfr gs lm .5 .6 3 15-20 7.SYR 3/3 - sl 2 m sbk mvfr gs if .5 .6 4 20-40 7.SYR 4/4 - sl 2 m sbk mvfr cw if .5 .6 5 40-50 7.SYR 4/6 - is 0 sg ml cw - .7 .8 6 50-58 lOYR 4/6 - s 0 sg dl cs - .7 .8 7 58-62 SYR 4/4 - sl 0 m mfr - - .3 .4 ttei ndr ~5: 1 0-3 7.SYR 2.5/1 - sl 2 m gr mvfr cs lm• .5 .6 2 3-11 7.SYR 2.5/1 - sl 2 f sbk mvfr cs lm .5 .6 3 1 I-21 7.SYR 3/3 - sl 2 m sbk mvfr cs if .5 .6 4 21-32 10YR4/6 - lmcos 0 sg dl cs lm .7 .8 5 32-38 10YR4/6 - s 0 sg dl cs lm .7 .8 6 38-52 SYR 4/4 - sl 2 f sbk mvfr cs - .5 .6 _ 7 52-62 7.SYR 4/6 - is 1 f sbk mvfr - - ,7 .g r<emarxs: _- -- --- --- ------~~-- Depth to limiting factor . _ ~ rr~ ~ r ~ ~ /' I c ,~ ~ s ~ l ~ ~ ? '~ .~- ~' Z `' o -s ~~ z F--- d o a J p/1 0 S ~~V a ..~ ~, ` ~ y o ~ °= a ~ .-4- 0 ~ ~~ o r 8~ v ~ o ~, Y ~ ,~ °~ ~ ~' ,. ~;: d ~ ~ a s .~ ~ ~~~ ~ d o ~ ~ ~ s a d -~ _Q ~- ~n t -~ 0 s o .. m ~ ~ ~ d' M ~ ~v ~ e` v n \r, c~ ~~ o' +~ v ~ d r_ o ~ ~~~ ~ ~ ~ .~ ~ 9 v y, ~- ,~. .~ N ., t~3i~1~ U:~ MitN 2~:~:b f'As ;`1". 3&tt 46's~3 S"Y' CF1I i:i,r ZU^~Ih{i ~ ~ ' Pt~-WTS C?it~~ER'g MJtO~NUAt & MANAt~Ai1E{~` ~LA.N s+ca~ow~ ~ ~ ~©o ~i ~, ~~:,e ,.~ c ~~ wry L/ ~c I a ~ed-va _ 3 ~ ~!A ~tutrsltar cyl' t+ulapsa Faolli sits ~~ D l~dA ~mwcad flow davetagsl " ~v ~ fM~w tpn~alcl, dfwtimest ?.5} a i3oii AitJr+ ~ ~ lr«Nuwntl~f3wnx ~lhy Monthhr avocwpis• Fa'!a. !CiN ~ t?~r~se ;P ~'~ rnpll tai Oxltttsn aid ilstlDif eZ0 rnatL Ct NA '1'a~i L;tfaj1i11dsx! tto~ala iT551 s 0 rrsprt. Rrstr>Nataq ~4uaM CW~Y M w avar++on ~inr~sfernk:sN ClxYOsn Clstnsstd tli~Dsp S3£! m Total Bossap~drti ~f1dt i't'~1 ~'~ rnp! ^ cwt CoifF01'r1h fpaontc rrsbean! 310" otu/i Maudmun'~ ~t Partktls Stee fG, h dla. hIA "'Vatusa gNotiCN fat ~ weetawaeaf end sgrtia tank p~ ~ ~ 2 iYttTSIA ~ T~nfc capac~v d o fVA '~aptfa T#nk ~at~~eatu+er ~` ~~ ~ ~ p f~tA Efflstarsi lgftw M~~ ..~z ©NA fctlfusrrt f Mew ~ /Od C NA PumA 'Carsk Capaath- ~ ~ NA Pump Tenic Manua r Q N/ti Ps~mf1 Manvt B h4A Pwnp ~ ~ ~~~~ D HA Unit ~NA ~ ravaf i~lt4r D Pens Fear L3 IcaJ Aaratron D WettaAd Or- D 4ehsr: GsfNe9 ®NA (f6~tolrlld ipraviCl-f O Irn~roclrsd tprse:curizedf C3 Qt-3nde L7 Maumd a Dun. a Other: v w+ fir. [] !dA Other. Q I~A~ ~ ua~¢ --- t;iwrn~aa ~er,~rrt ~ a e~os aY QMs~awtpn 8 >t~ A f3A tnw~ot oondiebn of taMe{ai At teawt onoa awry: Pszrnds scut oa+twrts era tarsktsf MYhee~ oarnbinad awe ~ MRS cu»~third Pyf es! tank vs3l;urw C7 W4 d~axirnua+ ~ yp~s} ©AIA tu~tr4 At f~ anaa +rv~~: r r C31JA Ctsart eRilrsArtt fifCa y: , At ~ aw --w--- DNA lnepe~ ps~np, R'+~+b +dtsntrsxEw arm At toast once evaryc D _... _.~ NA Fklsft ~ and prstsuts ~ At boest artas every;: p ,_,.~,. _,,,....,~... ~.... Q NA ~' AL terse t~Ge eVB~I: MAwMt!'~S1AtMCd~ UPS F r,~e fofluwlny tar e~rtitiaat+ar-w: trswpoatlor-it a4 tan s and s~sFparse! eefie ssMeid b read ndirklual s:as~yr ntainsr: ~sptapa $ervtss Operator- Tank ls~:s+tsr wkpnttar; ester PMumhar Flescvtccsd ~ ! actor; ra brcrkar+ hardwrra, id+ srtV crooks stir' tem. irstf-aetiot-w Ivde a vsiwe! ine+psa'cian e-f the to ` a ,~. p~df~ of at!tluasrt asr the yrarnd suri4co. maa~ltrs rho ~s5 n'te q1` rnalrtf~ined ~udae and aCU and c ak ~ The dtap~aal lMtrlV pw vfsualiy ins~botasd tG 0 e y obasrvseti0n picAli>c and W eshdtoir {'tif Yn'! p~n~ of sffl~ernt ore thrs otaxuts~ etNf'Eas7e. "i`hs grc~n+di~ ssf on d ass may indira~ a fal~n0 caanditlon end raQuif06 th4 Ussrnadiate n+atltlc~ext pf the loco! redutstorY stwt~wrhv tAOrren fire coed accuma+lat+on bF ekxlQe and accurt !n craw sank sa astathlyd tY,l ar rneKa of the tenlc wafuttsa. t NFC~11;~, C!lMLaMa Ot tlla tattle tpttalt ~ r,Mwvsd bV a Ssptays Ssrvicin~ Cfpsrettar end diepgeed erF in aaoarAarsaa rntltl~ ~ Wtsooresdn Iwdminfstre~-M Cods. A!d crttrpr sarvlgss, inethaslb+:g but net ltmhad sa they ssnrlatng pt artkiaat tlhara. tnschanieat ar preaaurlsact ~orttportanta, tafertteatn+ont untie. and a~-+Y serxiehp a! lrrta'vata- so-f rt12 rr-onths: s#tell be perFor'rned by a osRillsd P4WT>al ~4aivrginsr. A wOtvkss rapor# atttdt be prtoVldad ~ q-a local te~ufttcrrrY sruthotity wvlthiA YO Jaya eat eornplstion of •nl+ sterv+celt sNVarst. ' 1)1/71+'U3 D4~ti ~Q.25 .~'.'1.':i t1:S 388 4'4~~ 9T CRT G'G+ ~C:~I!~~ ~ ply ' STibRT UP ~n f~p~AT1e~D as ar ether ahernlaals For new ~ilnaQtiarr, peiar tp tsse of the i'OWTS c~ecec treatment rankle! for the p-~glruCe at peurtinq produ thec rr~r * '~ ~~ precast ereitar daenepe !tee ~ispe-sd aelltal. if hi6lh nanoantratlone ue detected have she contanto of the ter>k~tll rernoxed by a aoptette sarvidnq aprratar prta" to use. f,~ratern start up shed not bCaur when sail aandt~dats are traaar- fit the inflltrrtiw surface. OurM~til power outages qursap tertka may tit! ebo+ue normal h;dhwatar levels. ylrlwn power it restored tlta exaesa weatewatar +atill ba alstnplteFped tq the dtspereal telllsl In acre large dose. ovaloedin0 the aell4s! and meY rpult in the baokua or aurfrecer trs resta~fn QC lhee+tf4tuent pttrrrpt r,K haantl~C'k ipPlurnb~ sr Q i~+l ina tain~+~ist ~madtnaseperl~n9 thetP~ aontrakr c pa rNtare normal levels within tkte ~ tank. Drr na# drive or park ~ret+riatea over tar+ks and d-sporse- aeYe. Da net drive ar park aver. ar otherwise dleturiv ar compact, the area wi~-in 15 feet down elope pf any mowed ar at-erode sop ahsarptian ana. 1ledaatipn qt edrninedon of the foN4W1nQ tram the weawwetel• stream Wray in+pa'ove the parFar ca and prolong the Ilfe of tl'ts depretssr3; dental • diapers; disinfectarr#a: fat, pe;?WTl3; bntitrbtlas; baby vvlpas; cip~rette butte; rArtdomo; apttan s~bs~ grease: mwet scrape; madieetians; oit; fau-tdeEllDrt drsia tatrmp purnpi water; f~rult erx! vsastabla pealirgps; d palntfnp praduott; pe~tic.ides; eaMtarlr r-apinna; tannpans, end oyster sasxanar brine. /Itbl1lliDOiripl7" wPe1n U-a Pt"R fails end/cr is pr-rrr-anenUY takart out of service the faliowfslg ittpi sit taken rnsltre that system s properly nerd a abandoned !n ccrnplienos wiKM+ chapter t';arnrn 83.33, Witoansin Ad • Co~: • AN piplnli tenles ur+d pits ,NraB be di~annact d the abed pipe e the aorrt f ati tanks uud Pitt shall be ed d diapased of a a bperet4r. After purnplrtg, ~rsils and pttt seal! be xeav ad ar and the void spars fiNad rnrltb ~Y, Spevd or ir-ert sali4l ntatarist. CDfICI'Nilr31 ErIJu1-1 ~: ba tal<sro, to provkle a cede cornpYant It The i~M1T~ feNs end ranr- rapelred the follow atsur soil abswpt~n }~. A ariRabfe repleaemont as bean avskalated end may the l+aoetlor'- of a replaosrnent and eha~d net be 1nMrpad upon by slrsoeni. 'The r~lraernom wkl be protected from aisturb ~°n ores will repl-ked es~raaklo f-am ariating proposed stpscture. lot lines weMa. Srildiw'e to protect lent syacams must retwtt in the need Sar a new eolr a he ava-uatian to estebY ettkek-le replaaernent ~' 4lanply vv~th the r-des irl sffeeat et th e, IC7 A ~ ettplecetna~nt arm k not s le due to taaak andlar aaN limfatlans. BsrAng advances Iro POVdTB taM3f-nabpY a hakbnq e~nk may be inetaY a lent r to replace the faile'ci pOWTS. ~ p tank fl flAaund and et-grade eaN ebeorptian a may recanettctcted >n pleas foNowire~l rernovsl of the blames as the b-fMtrasiva surface. Aacanstnsatlkxls of ah systems m oampN wrd+ the colas to efteot et that clrnn. ~ ~WAt1> ~r !' I1ND OTN@i4 TRlA'CEN6~N AtIKB I~+iAY CtaNTAiN ttiai,$ffE& Aflll3f(aR ~i$tJFPK'•~ OXYGtI~I. DO N EYl6'i'!pi A ~, p/aMP qR Cf'tlfdlt "I~R~NT TAAtK tJNI~R AMf C WSTAN#"~i. INrA7H IIAAY RiRULT, R6SCUa OP t1 pg~GQN 1!9'fQfl~ TtpL ilh{T1Q~lf4 431E MAA1f !I! tStPPIOUIT !!MI f Nente ~( Q- 1 -~ ~ e Kerrte P'har+e -7~' - 38'G - ~'~ ` t Fhtone _. _ CIPR irUMPER! t.tS~CAI. ~ff4l411-Y"ORY At1~'NORI"h" t~iairne NaMS GIB (~C T ~ F~irono S. 3 86 . ~ ~ 1711q Qea>tsrt.ne wse drefid M +5oraplier~aa with ahaptm. tam e1.?Zl.~-itrl{t lidf141f- aswt r33.B411 !. t~'I 1-131, Wlraoonein /Wrr~e Coda- L MAR-26-2003 08 14 DFM CASH POSITION 612 667 0606 P.02i02 ~ SQiYT'IC TANK MA.A~'~~NANCB A.U~Ltirlrtvu~v ~ •~AND a~zst~rn c>?r~~rrnrCA,Tror~ ~o~uv~ OwnerBuyer Mailing Address . i ,Add •css '$ ~/cJaf~-~' Ate-- " ~ G ~1` ~ PI~~P SH r~ ~ ~/~~~ prop~'Y t (Verifieatlott t~tiuircd from piao~aiseg DepatYma~nyt far ucw construction},_• '"` ~ o/~- C_~ ~ S~d7K S' '2 .~ ' 103- D~F- ooE~ C S~~ ~~ i,J~e ~ ~ T~aroel Idenii ~catiot~~uber ©f $ Cary/St~tc , x~»~~r, nrsCx~rTxoN r• ~ropcrly Y.,ocalion ~~'/ . ~/a, ~ %, Sic:. ~, T,1~~_R~W, Tovim of ~•~ s~_ x1 ~~./o ..._ Suydivisipn ~~, ~ ~ ~` /ls- _ ,~.~..~ Y~at ~ _ ~~. _. CortiCed Sat'Ve~+ l~sa~z ~F ~ -- Voiun3e _~ ,Page ~~ ~- G'l.2 . ~Tolumc ~ 93c~ ~ X'age dE ~~=2 'VVaxrantpr Dt:ed ~~ ~ - Spec hota~c ^ Yes ~Q no I.at lines ide[~tifiaUle ~ yes ^ na ~1 ~#. ~altAl\~ Iulpruper use and maiatenancc of y4tu scp(ic system Could resin t is its premature failure to iwAdle wastes. Proper t'aaiateaance consists ofjputapiog out the septic tatele awry tltrce years ar soouat, if needed vy a licensed pumper. V~bar you put iattt flu system oµt afCact 1ba function of the sCptic tank 8s u treatn~aat atx$o in the was[e di;leoaai eyctaeuY. 'I1tie prapeny gamer agrees to submit to St. Croix Zoning perartmettt a ccreification fccua, t~i$tted by qto ° ~ by a mastCrplut~a4 jouneeymanplumbcr, rostrictadplumlteror A licy~scdpum~arverifyiug beat (1) flee oa-sue rvastawaacdisposal system is is proper aperatia6 condition and/or (2) a(icr inspection And Puaneing (if ttcacssaty), cite s~etic tank is less flan 1~ full of sludge. r/we~ t1tG wndartigncd have read tine above rcquitem~atts and agrac to maitietain tl~e private scwege disposal system ~¢- five staelda:ds set torti>. ]Le~~irM ns act Uy the pcpartnicn[ oC Contmmrcc and flea Dcparicnratt aC Nattua! ILesouCCes. Swett of Wisconsin. Cer<tfirmfsor~ st7d3pR, duet your septic systctu bas been rxeaiataincd nlust'~e cornplatcd and tetunecd to il~e St. Croix Counly Zotsiag O~i~ a~tlvt< 3t) days of [he ! cat expixation date. . ~ ~ a stt=t~i on l.tca~rr n~~ UWNL~t t'rTRTI~I; a~r~al~t 1 ewe) certify cleat all alaneeits on tLis torni arc tn~c lp tl~c best nCniy (out) knowledge. I (we) am (aro) ~ evvouts) of !bc ropttty des 'bee! abav y virtue of a warrrnty dcCd recorded ii1 Registet of Deeds OiTieo. , DA'CLe SIG Or Al'l' G ~ay infanuxtiGa rust is giis-represented ettay result in Arc sanita~q pcrritit bcl»g revoked by tl~e Zooiag Depaetmwt• *s.err •r~~~~ sR IoUud~C w1t13 Lhls applicattott: ~ cry ~ tl~ccttificA s~r+rrey y-Lal~ i~C gafoxa~caDcrosdc iuatLc wsmAty dead ~~ «~nn -~ ~ -,nr,`5 , r. ne r7, ~'SZOOG1r7o P . Gt7 TOTAL P.02 DOCUMENT NUMBER MN b6420 1 1930.' ?~ p Timothy 8. Hickey, a single person, Grantor, conveys and warrants to Chenq Vu and Yor Vang, husband and w1i• as survivorship marital property, Grancee, the following described real estate in St- Croix County, State of Wisconsin: of 4 of Volume 7, Page 86, Pheasant Hills 5ubtlivision, Document No. 6 4, Township of Hammond. (SEAL) Timothy H. Nickey 018-1083-04-000 Farce Identif icat on Number Tn~s ~s r~.cr 1'io:nestead property. ex ~'epCion Cp warran[iC3: All easements, rescrictions and rights-of-way of record, if any. Dated this ` \ day of June, 2002. AUTHENTICATION Signature of Timothy B. Hickey (SEAL) (SEAL) authenticated this y of June, 2002. ~~ a ~_ (sianecurel O D. Bole Nam Punted or T ed TITL MEMBER STATE BAR OF WISCONSIN (If not, authorized by 5706.06, Wis. Stets.) THIS INSTAIJMBNT WAS DRAFTED BY: Joseph D. Boles Rodli, Beskar, Boles 6 Krueger, S.C. F,O. Sox :38 River Falls. WI 54022 a i - TITLE ONS, INC. 9201 East Bloonlui¢ton F5 6846 1 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CRDIX CO. , MI RECEIVED FOR RECORD 07-22-2002 9:30 AM NRRANNTY uEEG EXEI9GT ti REC FEE: 11.08 TRANS FEE: 142.50 COPY FEE: CERT COPY FEE: PAGES: 4SEAL) ACKliOhif.BDGl~tiT STATE OF WISCONSIN ) ss. COONTY ) Personally came before me this day of 2002 the above named to me known to be the persona(s) who executed the foregoing instrume:it and acknowledge the same. ISianecutel INama Printed or Tvoad] Notary Public County, Wis. My commission is permanent. (If not, expiration date:) -~i~ O W co 3 r ~ ~ O M~ M ~ LOT 33 1.89 ACRES 82, 297 S0. FT. 13 ti~ 7- ._ SFr~~c~S- ~"~ . 2 7' M) 3 s 0 ~o 0 LOT 32 2.49 ACRES 108, 629 S0. FT. N A 0 w m w ,~ --I r5.o9'------ - ~ ~Zy• ' ~' o a w 478.36 w ~~ ~~ w 475. 82' 62, g', ` ~ o ~i ~~ . h ' --112.55`-- --_ 3e ' ~ NF 0 ~~ \ ?T~ ~' ~ 10 ~,~ N62~ ~~ ~ ETA ~ ......... ®~~~' ~ ~~~ ® ~ s 23g 9'~ 3 ~ ~ ` ~ ~ ~- , ~ ~ SF••., T~q~~ ~ ~ 3g 3\ - ~ ~~ ~ ~ ~ O au, ~~ , 9 _ ~'' y_ ~_ ~ ~5 ` ~~ '" ~ o ~ PUBL ,. - ~ 36 _ ~ LOT 4 O W ------ 4. 13 ACRES ~ 179, 858 SQ. FT. -p N HIGH WATER ELEV. -I~ O O `3 6 16 25' DRAINAGE AREA 1045. 00'-~'~~ ~ c ;' DRAINAGE 1 ~ c r i < i ~ ^ ~.. ,s 'r'. , , ~ . .-~~~ ® . „~- 30' DRA 1NAGE AREA 'S~ LOT 5 AREA 2.80 ACRES 122, 049 S0. 29. 02' (TF {'CEO IN AN UNPLATTED LANDS ' ~~'wtiERS SHOULD ................................. ' Z f0 ACT I V f T I ES BENCHMARKS ~'. EXTENDED WEST QUARTER CORNER SECTION 16= 1037.78' NORTHWEST CORNER SECTION I6^ 1052.58' NORTH QUARTER CORNER SECTION I6- 1100.79' BENCHMARK DATUM 1S ORTHO ~ HEIGHTS GEOID 96 NC. ~, ~~ .___ EAST-WES