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018-1090-67-000
/* Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes (Privacy Law, 8.15.04 (1)(m)]. F~r~F~pl~~Vame: ^ City ^ V'I~~1't~1b11~d' ~OWnSh CST BM Elev.; f Insp. BM Elev.i BM Des ription: ~ t TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. vent to Airlntake ROAD Septic > ~p •~ as- ~ ---~ NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufa Model N TDH F"orcemain I Length ia. SOIL ABSORPTION SYSTEM I GP TDH I Dist. To Well County rolx SanitarSB$®$~Io.: State Plan ID No.: -__ Parcel ~>9i~090-67-000 O . p ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~~. fp 6o.d . ~ . I Bldg. Sewer ~,(~O . ~(jt St 1 Ht Inlet a• (b ~• C r St / Ht Outlet $,3D Q3• (o f Dt Inlet Dt Bottom Header /Man. 12.05' 8q. 3~ ~ Dist. Pipe E ~ 1Z.~b ..lo X9.30/ Bot. System W ~ 3,~0 ~ O f F~ a~ ~,~, rI .___Jesn.r no. ~........~_ $E$/ RENC Width Length r N .O Trenches + PIT No. Of Pits Inside Dia. Liquid Depth DIMEN ~13•~ DIMEN 1 N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING M n ~ purer: [ t' ~ 5~~~~ SETBACK' ~ INFORMATION Type O ~ ' i f ~' ~ ~„~_ CHAMBER OR UNIT Mo a Num ~r- ~: ~ wa System: ~ ~ D .I- ~Cb - f]ISTRIBUTInN SYSTEM I ~t~` ~J.~Q.d•~' i(A•it~ Header / M enfold ~ Distributio e x Hole Spacing Vent To Air Intake 1 ~, Dia. Length Length Dia. Spacing ! SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~~ Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center ~ + Bed /Trench Edges Topsoil InS ectl0 #'Q Yes / ^/No I ~f@n #Qk No / >~aMMENTS' (Include code discrepancies, persons present, etc.) ~•S~~ Location: 1751 96th Avenue, Hammond, WI 54015 (SW 1/4 NE 1/416 T~29N~R,17W) -162917732 ,,n Pheasant Hills 1st addn. -Lot 67 ~~2n. _ L 5' ~C'K,,~,~ s o..~t~ P~L C-w~" 1.) Alt BM Description = "t~'Pi °~ ~`° ~ ec~lr`~o.~P o,#' r1g~c~CeM -~-7'w~~. \'~ `~-~e~pp ~ 2.) Bldg sewer length = 3 O -amount of cover = `FZ ~ ~" ~~~ 6J t~ ~ ~ Mr,P.M 3) ~~>~ - raap~ ~~" .,t ~ e ~ ~t~- pQ~,,,~L~-_- ~s I~o.~ ~a,w. w~c S 4~0. Plan revision required? ^ Yes ~No ~ ' Use other side for additional information. o$ p SBD-6710 (8.3/97) Date Inspector's Signature Cert. No. ~ I ~-S I ~ Ate- ` Sanitary hermit Application safety & Bw'ltlings Division In accord with Co _g.3,~,;, ,is. Adm. Cock 201 w. wagnin >5oon Avo, yy. ~~~p~, Scc reverse side foY i it re~~~ng this applicadan ~i~s ,or. PO Box 7302 Dapart~nenz of GQmmer~ Personal information CitTBy be u.,o~fprsccondary piuposeF Madison, WI 53707.7302 • I.aw, s, 15.04(ij(rit)] 'ti (Submit compktcd form to cowty if not Attach eom loco tans (to the co Gounry von sum, 6n not loss than $ state owned. -112 x 11 iachea in siu. G.r e ~©~ ~ S u ~" p r eek if rcr~on to -~ ( apphcndon State PJsn 1. D. Nwttbor 1. A lication Information - $lease ~'rint al! atioa Locatlolt: P ropcrty Owner Nemo j ~ IJ~~~2,. ~ 5~ ~ ~~F~ Property Loearion ProperCf Owners Mailing Address IrV 114 114, S ~~ T ~~,N, ar 1011 17 0 '~ ~ ; ~ ~ -~ ;~~. . •' , l:,ot Nurobcr Black Nurobar ; ` ` C,, ipp~~, Statz +K ~i~btA r zip Codc P1 ' - Subdivision Naroo or ~M brs r . an L a o 1 S tS 6l 52~Fo ,~~ ~4-~its,ENr f>d-ills ~ t liY. Type of $uilding: (check one) 1 F ~ ~ City or ~ iunil y Dwelling - No. of Bedrooms ; - ^ Vi7lagp W(CiA1~ ^ PublidCammerciul(dcscribc uso)~ O S ~'Townof `~ tate-Owned ~ ~~ Ncarust oad ,,,, nn nn r ~ '~ . t c~CX S - D- Z -700 Pacr N l T .. g nz uett s TTI. ~' a of permit: Check onIY one box on Iine A. Check box on line )~ if a lic~ble) A) i. Ncw 2, O Replacetuant 3. ^ Replacement of 4. 5, 6 ^ Addition to SYStem 5 stem Task Oni $) P ~ . Lxisoi S m cmiir, lvm r ^ A Sanity permit vt>as revious] issued Datelesued l•V, Type of pOW'r Systeut: (Check e11 that Apply) -IOU i~Qort-prvssurizcd In-ground ©Matutd [L_~~ Pressurized In-gound p Sand Filter C~ Conatxucted wetland O Holding Tank D At- ^ Aerobic Treatment Unit ^ Single Fars ^ Drip I,iup ^ Ttccircu2atin O OLl1Q: V. D!s ersaVlYeatment AreaYnformation: 1. !?csi tow (gpd) / 2. ~spersal Arcs ReQs>ucd 3. Dispersal Aica osed Pro 4, 5oi! AppUcaoon R , Percolotion Rate 6, System Blovstion 7. Final Grade ( D Soo p 50 ~ ace (GalsJduy/sq. f1.) ' (Minhnoh) L'levation v t. L K Z_ P VII. Tank Capacity in Tota] # of Manufacturer Frcfab Sitc Steel );ibCt- Plastic 1nfoTmatioa t9a 1)ons Gallons Tanks Can- Con- g]ass New Tam`s Existing Tanks Crete strutted Tic. IZoo -- Z~ ~ ~~~ cT' © ~ Q ^ ^ ^ ^ 'VxZI, Responslb911ry Statoment ! the undcrsi assume nsibili fqr N o e POWTS shown on the attached lens, Plumbofs c (punt) P umber's n stamps); tv1PM};p o . Busiutsc ae Number Plumbers Address {5U'cet, City, State, Zip s~ s ~. ~ ~ ~ tS ~~~ Ili. GountylDe~ar-cment Use Only '~Appruvcd ^ Disapproved G Uwner Given Initia! Adverse Sanitary Pcrrt~it Fee (lncludas Groundtivater Sic Bo Fx) dD Dnte Cssvod ' g Agent Sigaaatre lNo stamps) Determination 225-. ~ Zq ?_f!D 1 X. Conditions of Approval /Reasons for 1sa na~v"al~: ~ ~ A-u Ie~F-,w~,t.avetMet~s tx.,,.~ ~ "` "`` sysle.H... _ /-^ ~ieC.Q.. l~l.ts-E-~se lhs , t ~. ~-.w• ~ . ~ll.~,. - I ~-. s r . Csee- P~~ U 58D-6398 R07100 r n ~+ d'~~ l S r1~d~1A~ t hX C ~ ~ A - ~ w~ ~-t ~ G~D ~^ .. - re ' / ~ _ n 41PX aDt't S b~t~1~1 ~ l ~~ /W~Q.IY~"~`. ~ ~ I~.egA,lll'~ S l5 . , , s-C il , ~ (Ga ~v L~ a N i ~ t~ Lo i (~Lv~-~J ~oT 6-1 ~~k.S~-~.JT ~ l~S ~r ~~~ ~D. T.L. Sinz Plumbing Inc. E5609 708th Ave. Phone: (715) 235-2644 Menomonie, WI 54'751 Fax: ('715) 235-2592 I ~ ~ `j-`-` ~--~` ~~i~ i~ lore /~wt*Z~~a u~~ ,N lZ~ i '1 i"e< ~~~ -s ~a'~ ~ ~ d~4 n~ ~j "_ Go ' ~~„~ ~~ (C.a,v l~o N i ~ ~Lo i tom/-~-~ ~, l~S '~~c i D ., ~T 6-l ~kS~T `}-~ T.L. Sinz Plumbing Inc. ~ ~4, t~ a~ ~~ ~ ( w ~~ E5609 '708th Ave. Phone: (715) 235-2644 Menomonie, WI 54751 Fax: ('715) 235-2592 I~~~ ~- /~~~I =~~ -JMi.- 1+J (Z~ ~~tn~ -1'fiet ~~ ~ Go ~~ ~~~ ' • {i~corisin Deparvnent of Commerce SOIL EVALUATION REPORT Division of Satety and Bui~ings ~ ~ ~~ in accordance wnn t.;ornm tsa, vws. twrn. woe County - t Attach oomp~e site plan on paper n~ lei than 81/2 x 11 inc~les in size. Plan mus inducts, but not IimiGed to: vertical and hori¢a~l refers direction and to nearest road. scale or dirtrensions, north arrow, a peroeM slope parcel I.D. ~ , Please print aN ~~tion -. --`r. ! , ~ ,, . by . , Date . ~ Personal adormatior~ ya, Provide may be wed for rew~ry Law:..~,15~4 (1) (m)). ~ f„ < I PropBf~l ~r - 1. _ __ r~ .• ~' 1 ' LOCabon - " r-:. Q r ~ '~ ^' r 'act ~ . 1 /4 E 1l4 S ~ta T Z N R~~. E (or~ Property t)wner's Mailing Address ~ `':, sT CR03x +C1 ~ ~ Block # Subd. Name a •~. ~- ~.~ ~ ~, ,, ~, uniTy City Stolle Zip Code 'City ^ Vllage Town Nearest•Road. ~y [p New Cor~trudiorl Use: ~ Res~ti~ / Number of bedrooms Code derived d esign flow rate ~t ~ ~ GPD ~] Replacement 11~ Public or commercial -Describe: ti l i ~ cable R l if eva o Food Plain e Parent material T app i n General comrrier,ts 5 V s~ c w~ -t 1 '~. ~ • ~ 8' • ~/ ~ and reoommenaations: '/~~f . ,E.~t J • gd' • yU ' Boring # ~ Bofi~ ~ 2. $ in. ~ Pit cxa,na surface env. q Z• ~R Depth to limiting factor ~ R~ tion De i R d Texture Structure Corlsisbenoe Boundary Roots GP D/fP Hor¢on Depth in. porriinant Munsell ox sg p e Giu. Sz. Corrt. Cobr Gr. Sz. Sh. 'Ef~1 *Eifft2 Z ~ ,.._. - m~-'' cs - .8 ~8. 0~ 52-g ~~~ a Boring # ^ firing ~~~ ® Pit Ground surface elev. ~~ ft. Depth tD limi~lg factor _~5a! _ in. Sod Rate n H i th De Dominant Redox Descxiptiori Texture Structure Cons Boundary Roots GP D/fP or zo p in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. '~ "E~ ~ J2 -- St ~' 10 S rr~ c "" 1.2 M 'Z. ~O 1ST -i * Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 1 50 rng/L * Effluent #2 = B~ <_ 30 mglL and TSS < 30 mgll. CST Name (Please Prrlt) Signature CST Number as3~ ~~ Datie Evakration Corldcrc~ed Telephone Number propertyOwner,~Q~-e. Pan~ellD# Page ~ of~„ Boring # IUD ~~ 3 W Pit Ground surface elev. • ~ f't• ~ m i~h^g ~-~- in. Soil licafion Rate Horizon Depth Dominant Cobr _ Redox Destription Texture Structure Consistence Boundary Roots GPDlff? in. Mansell Qu. Sz. Coat Cobr Gr. Sz. Sh. "Eff#9 'Eff#2 ~ 2 ~~ Z 12- l ..7 ~ ito ~ `- a ~ .. Z 6 Y•8 w• ~ ^ Boring # U Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. S~ Rate tion cri D d R Texture Shvcture Consistence Boundary Roots GP D/If Horizon Depth in. Dominant Cobr Mansell p es e ox t2u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 ^ ~~ # U ~9 Ground surface elev. ft. Depth to lani6n9 factor in. ^ Pit Sod ication Rate tion Descri ct R Texture Shuctcme Consistence Boundary Roots GP D/fF Hor¢on Depth in. Dominant Color Mansell p e or Qu. Sz. Conk Color Gr. Sz. Sh. 'Efflfl *Etf#2 ` Effluent #1 = BODE > 30 < 220 mglL and TSS >30 _< i 50 mg/L ' EffiueM #2 =GODS < 30 mglL and TSS _< 30 mglL 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. S8D$330 (R07/00) PAGE~OF NAME ~c7~1~-~ LOT#(,P ~' LEGAL DESCRIPTION~J '/4Alt-'/4,S/(~ TZR ,N,R/'~E (or~W~ SCALE: I "_ ~ Oo BM 1 ELEVATION /QU.O BM I DESCRIPTION Y1C<i I ~ ~ IC)~~ Ua.k BM 2 ELEVATION /6~ . U BM 2 DESCRIPTION ~ a ; ~ i r.\ ~7i ~~C~, fry ~r-~ ~ SYSTEM ELEVATION ~ b • yD ALTERNATE ELEVATION g ~ • y~ CONTOUR ELEVATION ~f x 1 /,~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soi(Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number 3 3 Number of Bedrooms Design Flow -Peak (gpd) Estimated Flow -Average (gpd) ~ ~,GS~h Septic Tank Capacity (gal) 'Zpp Soil Absorption Component Size (ft2) SOb G ~r Type of Wastewater Domestic Table 2: Solt Absorption Component -Limits of Reliable Operation Septic Tank Component Soii Absorption Component Design Flow -Peak {gpd) Z,~p Maximum Influent Particle Size (in) NA 118 Maximum BODS (mg/L) NA 220 Maximum TSS (mg/L) NA. 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Should inspect once a year and clean once every 3 years Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se tic tank and outlet filter shall be assessed at least once every 3 years by inspection, The utlet filte shall be cleaned as necessary to ensure proper nhP~ The filter cartridge shou no a removed unless provisions are made to retain solids in the tank that may slough off fhe filter when removed from its enclosure. If the ftfter 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 ~P~~ ~. Z Management Plan for a Septic Tank and Soil Absorption Component tank shah have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an 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. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, -and rescue of a person from the interior of the tank maybe difficult or impossible, Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation,of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by alt occupants and the installation of water conserving plumbing. fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. DD SrlU~- ~ - '~-lS-_235- 2~`f~f p ls~.g~e.: ~ Owner/Buyer Mailing Address Properly Address ST CROIX COUN'T'Y SBPTIC TANK MAINTENANCE AGREEMBNT AND OWNERSI-IIP CERTIFICATION FORM C ~ r~~ th S~ J~orr~yY~O~ , wZ ~7~ {Verification required from P}anaing Department for new eonsbnrctioa) Y~~~ ~ Z Parcel Identification Number V I $ ~I~~~D ~ ^~~ City/State ,~; ________~ 1~,a~,i7,~3~ ~E~A i. DESC'RrPT'ION ,~ i ~ I "~ '/., Sec. ~ 1° . T ~ N R f ? w. Town of ~''m ~ pt+operty Location /~, Subdivision t' r t'S'~ `;°t c o Y~ Lot # ~~. ~--_ Certlfied Survey Map # ~- .Volume ~- .Page # Warraaty D-ced # ~ `~ `~ ~ S a .Volume ~ ,Page # Spec house ^ yes ~1 no Lot lines identifiable ~ yes ^ no ~YST~M MAINTENANCE use: and anceaf your septic system could result in its prrnoabtu~e failure to handle wastes. Propcx a coasists of ping out the septic tank every three years or soon, if new by a liocased Wbat you part mto the system pIQ affect ~ function of the septic tank as a treatment stage iII the waste d The property owner agrees to submit to St. Ckoix Zoning Departuuent a eerb~ication f~- ~ the owner and by a p~p~q~~,~~raeymanplumber, restrictodphunbex or a Iicenlsodp~Y that {i) the oa-site vvastawauxdisQosal sys~a iS ht proper operating condttt~ arullor (2) aflcx inspecti~ and pmnpirtg (if }. ~ c tank is less than I/3 full of sludge. ~, ~ have read the above:rquiiraleuts an+d agree to maims the prime ~ with the standards set forth, herein, as set by the Depattmcat of Co~ec+ce and the Departme~ of Natural R,esouroos, State of Wisooasm. Certification g~ y,~ optic system has been maiatnu~ed must be completed and rcturn«I to the st. Croix County Zoning Ofl3co within 30 of 8ie year lion te. ~, ^-~ Q I DATE SICibTAT[JRB OF APPLICANT ORfi1L~,R CERTIFICATION I (we) cettifj- that all statements on this form arc true to the best of my (our} lo:owledgc. I (we) am (are) the owner(s) of rho property dcaca'bed abo by of a warranty decd recorded in Rtgistar of Deeds Office. ~ ,jai SIt3NATt3RB OF AI'PLICAN'I' DATE s«s««~ ssssss Any information that is mis-rcpreseatodmay result in the sanitary pcmv-t bein8 nwokedby the Zoning Ikpartment. s« Include with this applicattan: a aquaped warranty deed from the Register of Doods office a Dopy of the certified survey map if referonoe is made in the warranty ~ 05/07/2001 12:55 FA7[ ?15 684 2824 FNB OF BALDI!'IN ' _ va.1~2Q 93 .~ UocumcatN~mbc Rebnrt J. Rtd-ardsou ux Trua~+e nF ICusde4t Ciftrilrbic Rcan~der U«~rast cre~tex! Mnr 1d, SN?0 YOl A valusblt cOaSJdC2i210A CoaYty3 witltanti watroaty [Q Roaald G IlOatt snd (.lens KwwdlsQn Graaicc, the fauowlt~ dcscrlbcd rca! caxstc In $t. Crva Cnut+ty, Stele Of W iyactnyin (if mts*e Ric +s tw;eckd, plrnye stlrc~t abaendum). IVJ:'f., zxeept [ha totlow~att t-srtals: { 1 } Nast 38 t'ods of tt~ Narth 21 rods of SE % N!r'h (2} Sc+urh t9 *utb uPtha F,a,t 38 *uds of NEy NE'/• (3} NoM d61 tact nPthz Fact i 134.53 Plat n~1J'h lrtr'f (4} L.ot i, Yof_ "2", (;dtitttd 5ttrvay Mar, ('~ 4l ~, t-e«+q trait of the SEV. N!; r, nu u: s~~a Is.av.l~. 018-1033-1i. 811F1i3d-00-10~, M6-1034-19,211,38 Po-ccl ideM~ficetion Nutabet (PIN) Dsted this J _ day [>F aa~ . , ..__ , 2000 Ro ardsoa AUTNxNT1CATi01~t S-Bnatxve{x} Itoberl J. RiNardson nu-brntirstcd tttia ~(i day of 3unt~ ~/_~, 29tM + 7"~fi'~MA S ~ ~ 5 cst~~ n~ u~>EL TITLE: MEMBER STATE BAR OF WiSC(}NSIN (if not. autf+K~ri2ccl by ~ ?tlb.lt6. Wis. Stara.) Ti u5 tNSTRUMEN7 wA5 DRAFTED i3Y Thomas R S~s®lacber lbkke Normrlle. ~ (Sit~alurGS msy bm suthc~ntxatesl pr etkrtowleJ~ed. Stdk ue nnl ~Y.) ~uuz ~',. ~.:a ~~scaQ~ KATH<,E~N H. YALSH R~~IS7ER QF D£EDS ST. CR4IX CQ., WI RECE7tlED Fti1t AECdED 06-19-2000 9:30 AM El~lMrT N ~ CER1' O~Y FEE: covr F'EE: T f~Ei 900.00 DI115 FEEL 1A.OQ d Raum Addtass~ ~ ~ ~. - ~FiOMAS A. McCORMACK Attorney at Law 1.02© 2.t7~'" Ave. Pa aos 21ao $aldwin. WI 59002 ACKNUWLI"sDGMICNT STATI; O! Wimoasia j ss, St. Gras ` C.'aunty 1'ersnnaNy came betm~ me this day oP Juae ,3000 the shove Hamad Robert 3. Rs~bardsaa m me knawn w bo the pcrsotlts) who executed rho forc8omg instrum+~tt anti acknc~wtcd6tti the same. M Notary Pt~#lk, S~iG of wtsteasta ~., .. ._.... My Cotnmissioa is permsncltt. not, cram azptlon ate: STA 1 E BAR O1: WiSC03~rS1I3 Ft~iM T - 1994 TRI3STTE'S DEED Reeordia~ A:ca Trustee • Naa-~s u[ pasoas signiltg in stry c~h7' awst be typed ~ ptlnrsd bek+tr their sigrtMtRC. uuaa~aa+ rrawsta+w tknw.ry, faa ou ue, vw ECO~eSS~'~C24 PA'[! BAR 41 tiYt$['taAl.4iiV 'E'R1fS7EF, :S dRF.13 FORM iVe- 3 - i999 HAD I AG -TFTE 12 TO SERVE TO AREA. `. r ~ ' SHEET LEGEND _ _ ~ - FOUND I " 1 RON PIPE !. EV. • 1 127. 75 • FOUND 2" IRON PIPE O SET 2" X 30" 1 RON P 1 PE WE 1 GH 1 NG 'O~ 3. 65 L BS. PER L 1 NEAR FOOT ~2' ~ ~ ~ NOTE: SET 1" X 24" IRON PIPE WEIGHING 1. 13 LBS. PER LINEAR FOOT AT ALL ~_ '~_~ OTHER LOT CORNERS _ N /2' ~~ 43' ~ ~ -o UT 1 L 1 TY EASEMENT (TYP. ) --t--- ••••••••••• SETBACKS ® DR 1 VEWAY LOCATIONS ( ) - RECORD DATA HWE HIGH WATER ELEVATION 100-YR - 100-YEAR FLOOD ELEVATION L~ o c ~#" fo ~ ~ 9 S ~ LOT 6 1 sr,,t~td~ •'~ ~ ~ ~~ --- ---- ~A - ~QQ 2 ~~:~..~ _ ---.-----. BEARINGS REFERENCED TO THE EAST-WEST QUARTER LINE OF SECTION 16. MEASURED AS 588°2T' 17" E. (ST. CROI X COUNTY COORD 1 NATE SYSTEM) 100 0 100 200 300 GRAPHIC SCALE -FEET ~_ ~~• ~ ~' , ~ ® N / i ~ ~ ~ ', S88°25' 14 'E 243. 68` ' ` LOT 51 °0-'"' .~ '. 05' _-~ ~ G ~ ' i~ 2.81 ACRES ~ ~: \ ~ < , 122, 531 S0. FT, / ` '~ 3 ~ ~ 6 ~ co -e ~"' `°m \`~ o LOT 53 y $ ~~ ti~e\ ~.~~® ~' 0 ` ~,a2' 39 N 4.49 ACRES U 0 ~~+± `` ~~ ~ ' ~ ~• E y 195, 615 S0. FT ~ ~ - a~ v~ F ~~ ` e 6 NT2 O m `~ LOT 4 7 ~~ ~ \ ~ ©~ ~ DRAINAGE AREA 3. 62 ACRES ' ~ • \ ~ O1 157, 840 S0. FT. `~\ ~ ', °1 ' ~ \ ~ .D ~ 8 v, OO ; ~ ~ ~® LOT 52 50' ~ 33' 133' ; 2. 34 ACRES "' DRAINAGE AREA ~ z y ~ 50' ~ 101, 983 S0. F ~~~-~ E t Q I O ~ fIWE~ 10tl8.3 m A e °, SETBACK L 1 NE A ....... •~ e ~ A ................... .......................: N 41 I W N ' D/~ g / ~' ~' . .. . .. . 7 ' i --•'~. a~'------- ---- ---- o „ . . •.. SETBACK .. w S88°25' 24"E 418.33' PURL 1 C e------- ' " -- --- I ------__-__ .°, ... __ _ ~ S88 25 24 E 352.78' 226.55'---__ _ - - w sra•oI'~e•w 34. IP' NB8°25' 24'W 834. 44' - _ _ _ - -`~_-~B3°31 ~ 28'E __ - 332 Y IE7. 00' __ IOD. 00'--_ ,,liii 23 . oo' ~ ----- -- 240. oo'--------- -------- 240. oo' -------- 5 ' -~ N83° 31 _!-~ " HwE- ~oeo.o +~ 296.05' ... ... 4 ~ e4 DRAINAGE AREA ® o ........... ............................ ® .... SE 8.39 ------ ®° ® .... """""""' - ~ -106. l9'--- -_ W 28 -- 332. --226.6 r~ , ~,,a m ~ s° z ' 81' ~ 4+ ~ ~~~~ ~'1 ~T I ~ m c ,~ ~ ~~ • ~ ti TBACK LINE ..............1•~~~ ................... ®. d N x,//11 ~ „ i A ~ LOT 68 3. 17 ACRES -+ ~I w 138, 112 S0. FT. y~ ~ ~ 2. 46 AC. EXC. EASE. ~ 10T, 293 S0. FT. ~ ( i 50' a ~' o ' ~~ ss' ~ ~~ 5. 05' i :286. 05' 230. 00' CENTER OF SECTION SOUTH QUARTER CORNER SECTION 16 -FOUND COUNTY SURVEY NAIL DRAFTED BY JIM WEBER DRAINAGE AREA z o a o LOT 65 Z g BENCHM4RK ELEV. • 1097. 36 A A 2. 43 ACRES `~ • N 106, 002 S0. FT "- A LOT 67 ~ LOT 66 ~ `: ~ 2.57 ACRES ~ 2.57 ACRES a ~ ~ 1 11, 927 S0. FT. .°f 1 11, 895 S0. FT. m o - ~ A ~ A DRAINAGE AREA OS7.3 U a // Ioo-vn 1697. 36' ! T~y(J S SHEET 22s. 211~~~~~~~i UNPL ATTED LANDS EAST-WEST QUARTER LINE ......................................... NOTE: THIS PLAT IS LOCATED IN AN NOTE: BENCHMARK DATUM IS AGRICULTURAL AREA. HOMEOWNERS SHOULD ORTHO HEIGHTS GEOID 96 NC. EXPECT TYPICAL FARM RELATED ACTIVfTIES THAT INCLUDE SMELL, NOISE, EXTENDED HOURS OF OPERATION ETC. L 0" 2. 30 100. 02 i j