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020-1400-06-000
f7 S ~. CD SU G ~ !A C? ~ ~ ~ a CD O rn a~ j O p N to ~, N i N N< At ~ 7 Q 7 N ~ c ~ ~ ~ ~ N ~~ A N I A -~ cz? ~ ~ ~ f N c N 3 c~ °o ~ _ ... O ~ L ~ -~!` ~ ~ Z ~ ~ o c. i m a I a ~ m cn -a ~ c ~ ~ N I m I ni ~ aay ~ N N fD O N fD fD (p a cp N I ~ ~ ~ Q ~ w C ~ _ N O i 3 ~ n .O w ~ 3 'O fD a I m c o a i cN ~ . Q~ f 3 N ~' a I + ~p ~ 'o Z ~p Z ~ w ~ O < ~ Y a m a .-. ~~: a~ n m a y N fD p' ~ ~ N o N ~ m a ~ A ~ n ~ ~ ~ O W N O ': O j o Q N N ~ = ~ 7 'O N ' _ (n N ~ O O - ~ ~ < O ~amfDOo S K O = I O •- ~. t ii 7 c fD N < ~ ~ N (~ 3 ~ I N CD (p y~ N p 0 t N Q i C ~c° 'm v - c i ;+' ~ O ~ N ~p 'O ~ d ~ N ~ N ~ (~D O o' m ca 3 ~ ~ m - ~~ ~ s - o i ~ m 0 0 o :. ny0; jg ~n j 3 ~ R ~ O N ~ I ry A 'O ~ ~ ~ ~ d ~ C/1 1 3 - ~, C o _ -r . ~ ~ y a N o ~ C ~ ~ N li O f0 A ~r N ° i' ~o i c -1 N O ~ ~ ~ ~ ~ ~ 1 N N V O ~ C 1 N d o> a ~ fD rn o ~ M ~ ! ~ ~ N 1 0 o ~ ~ W N N. 'i y O C ... ~ 3 ~ '' ~ ~ ~ O O O ' ~ ~ ~ ~ rn = d y y y o 0 ~ ~ vv rn ° , O ~ N ~ r i ~ ,', ~ ~ m , y ~" N ~ 3 ° ' _ °' ~ ~ m y f z ~ z ~ t D =, o !I ~ - ~ v ~ ~ ~ o O ~ N 1 C nj a ° ' _ a ~° ~ A Z m f0 7 a .p Z O .. ~~ N .n y N 00 ~ ~ m co m ~ ~ Z 0 3 I A ~ c r: '~ m ~ N ~ N ~', A ~ w c i ~ ~ ~ O. fi C C„ 'm 0 w N O A b ~ 'I ~ w ~ ti 'r v a ~ , uinn Subject: 420482 Revised - Schumaker Location: Lot 6 Hopkins Est, Hudson Start: Thu 6/5/2003 11:00 AM End: Thu 6/5/200312:00 PM Recurrence: (none) REVISION -issued Wed. by Pam ADAM WAS SUPPOSED TO FLAG THE HIGH WATER LINE @ 882.8' on the west side of the system. __ __~ ~`S~ c'~ v1 L c~ 1 ` 'ter --= dwi~consin Ue~argment of~~mmerce 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 Fassino, Mike Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~ ~ ~~S 5 Aeratio Holding TANK SETBACK INFORMATION U TANK TO /L WELL BLDG. Vent to Air Intake ROAD Septic 3 ~ r ~~ f Dosing , ~ Aeration Holding PUMP/SIPHON INFORMATION Model Number ~i D TDH Lif ~ Friction Loss System Head .~- Forcemain e Dia. ~ t t Dist. to well SOIL SOR SYSTEM OY BED/TRENCH Width Length No. Trenches DIMENSIONS 3 / Z SETBACK SYSTEM TO /L DG INFORMATION Of System:. DISTRIBUTION SYSTEM PM ~ b'yb i Ft ~0 ELEVATION DATA county: St. Croix t Sanitary Permit No: 420482 State Plan ID No: Parcel Tax No: 020-1400-06-000 STATION BS HI FS ELEV. Benchmark D.on ~~~ 1 (ro .v Alt. BM Bldg. Sewer ,4 °j4i•3Z ~- !L g0.t(Dt l St/Ht Inlet g• 3S o' q~9~ f D SUHt Outlet ~ S • sb ~ ~°1 •~ Dt Inlet /~ l.~ ~.zo c~.12' Dt Eottom ~Q 3 , D $,~ . ~ 0 Header/Man ~ Dist. Pipe Bot. S ste j Q ~ 9• ~~ ' Final Gr e C. St Cover ~ ~ ~ Q. • ~. ~ y. °~{ s,~, C / G L ' ~~Z~.uc.v( PIT DIMENSIONS No. Of Pits nside ia. Liquid Depth .LL LAKE/STREAM LEACHING M fa ~ ~e~ p CHAMBER OR L C~ 7~/~ UNIT Model Number. ~~ ~. Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~' Yes No '~~', Yes I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspe ion #1 ~~~_~~J Inspe tion Location: 757 Packer Drive Hudson, WI 54016 (SE 1/4 SE 1/4 11 T29N, ,R,/19,W) NA t 6 ~~ ~~U-'r'`~- P cel No: 11.29.19.2496 1.) Alt BM Description = I~Q~-~ hA~IJs~~~. ~ ~ ~ 2.) Bldg sewer length = ~Z / ~ ~(/ 4 ~~. ` ~ ! !~'. ~° -amount of cover = ~ .1Z`15^ l ~~~. ~ ~ 3 , lD~^/ _tt ` - -L- -_- _ - _ - -- - - - - _ -- a ~ -T-- ~"""~ -- Plan revs ion Required? s ..' No ~ ', ~ ~ ~ I Use other side for additio ation. ~~____ L ~_ ` ~ : ~° _! r' ' ~____ --- _ ~_. Date ~~ nsepctors Signature ~~ Cert. No. SBD-6710(R.3/97) ,~~~ ~~~~~_ C/r~,r1~ ~~~ Safety and Buildings Division County ~ ~ ' 201 W. Washington Ave., P.O. Box 7162 1/ < it ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ~ ~~~~5,,~ f ~ {608) 266-3151 Z(~ ~O oZ De artme~t of Commerce Sanitary Permit Application ber - um State Plan I.D. N , f ersonal information you provide Code Adm Wis d with Cottua 83 21 o I r" , p . . . , n acc r may be used for secondary purposes Privacy La s1S.04(1)(m) Project Address (' different than mailing address) ~ ~ ' ~ ~n lie.. I. Application IIrtformation -Please Print All Information ~ `/ ED Property Owner's Na me MAY 1 9 Parcel # O~~ot stock ~ ~" 2003 f r ~ 42t}~/ _ `~. Q Q Property Owtrer's M ailing Address /`' CRO;X COUNTY ONING OF Property Location ~ ~ if~~ Ii '-1 ,,~~ /~~ , .`.d ~ FICE / e° ~ ,~~~:,t,Section lI ~ City, State Zip Code Phone Number .- I `~ 4` ~ ~ ~ (circle T ~~ N. R~E o~ k all th l ) ildi t f B d h II a app y ng c ec u . Type o ~ ~ ~ L2Q u Subdivision Name CSM Number mber of Bedrooms • - or 2 Family Dwelling -N ~ ~ r i D ibe Use l /C ^ P bli 0 i S escr c a - omme u c CI~IG~-~ Gv l ~ ~Viilage~Township of~_'~~/ C7City . ^ State Owned -Describe Use _ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' (~ New System ~ ^ Replacement System ^ TreatmendHolding Tank Replacement Only ^ Other Modifwcation to Existing System B. ^ Permit Renewal i tion E B f Permit Revision ^ Change of ~ Plumber ^ Permit Transfer to New Owner Ltst Previous Permit Number and Date Issued (!pl /x`260 Z ~ O (~~ ~ xp ra ore e . / IV. T of POWTS S stem: (Check all that a 1) ~ ~ Non -PtBSSUrized In-Ground ^ Mound > 24 in, of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Fitter ^ Aerobic Treatment Unit ^ Recirculatng Sand Filter ^ Recirculating Synthetic Media Filter Leachttt Chamber ^ Dri Line ^ Gravel-less Pi ^ Other (ex lain) V. D' ersai/Treatment Area Information: ~ Design Flow (gpd) Design Soil Applicat' n Rate(gpdsf} Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation G~ D„ ~~-~ ~ ~ ~ ~y3 ~ o VI. Tank Into Capacity in Gallons Total Gallons Number of Units Manufacturer Prefab Concrete Site Constructed Steel Fiber Glass Plastic ` New Existing Tanks Tanks Septic or Holding Taulc S- ' E eS' C Aerobic Treatment Unlt / a- Dosing Chamber -.. ,,i..,.~ VII,']tes usibility Statement- i, ih~ lnadersigned, asstnne responalbility for iestallation of the POWTS shown' oe the attached fans. Plumber's Na me (Prier) Plumber's Si gnature PRS Number Business Phone Number '°I °~rm. S Lill.vn.ad~iy '' ? ?lS-3 - la P Plumber's Addre ss (Street, City, State, Zip Code) ~ r. III ount /De artment se Onl Approved ^ Disapproved Sanitary Permit Fee (includede©G~undwater e) f Su ha F Aatg~u Y asuing A ent Signs o tamps) ~ ~ rc rge e ~ ~ / a ~2i~Z ^ Owt~r Given Reason for Denial IX. Conditions at ApprovaUReasonsfoc Disappr vaI ,S sit. G~cC-Q~ G ~ v~.iS~ - l i h-2 ra Q~' E"~ST ~ . ~ ~ ~ py,-, u s (3S -+0 7 S S-(~r-~ vl~ 2 ~ ~ S - U . u. t u a, y ~G ~I~(~(j~ .!~ C%Li.~in- I/h- ~o~ ~r'e~~ Qi~.2~- - Q.~ ~y-GL.~i~ ~, d ~ ~ ~' GI ~~ /f'~1~ ap ~~ SBD-f398 (R. 01/03) Attacd comptera plans (to tde County oaty) roc ate system on paper nor teas rasa ei,~ x ii mcnea n, a,zo 2S~ 2S. ~•1/-~ F~c ss-;aa ~~~" ~ ~p,~.;vs FsT" row~yo~~~so.-r/ .S`r-=tee ~ G 1 ~: Y~ ~ ~i~A/a< ~ ~ ~ T~~ ~ f~~ o y ~~ ~ CsT- Aaq~~-d ~V ~,J ~ ~v ~. c~" 8~ 2 .Y6 avl d YVIILa S u.r-?.d 1'a (,~ ~vU L l~5 -~1~~5~ -~`° V~ £ ~g5"-SOS. ~~ ~ `Z,~ \ S~(`,d`~ ~. r~~ \' ~~~ s, ' ~`~ C6~ ~s ~~f ~~1 0X'~ U y SO mil' l~ ~~~ -~ 7 ~~ ~ ~ V ~~ Ins iB~6 s~~~ ~ p 1 d ~z 6 G7 •7ti ~ ~ C k'~ 0 n 4/ ~~~~~ r ~ i Dom,,,, -.~'~ n ~r ,~ r,, ;: ~~~ ~~ - - '~ y--~ Fd ss: ;a o ~~~ ~ gip,`, ;vs ~sT' %w,c/ o. ~ r /Y ~,~~~-r``~, :~ T~~ ~e 1~B r ~ y dam- ; csr- Aa~~~-~ I" ~ ~. aid Yvt:~asu,~ ro~ ~n~r I cam. ~ s ~~~he c~ ~W L acs -~1~~~~ -~° ~ N2~ ~ ~z. ~d~£( ~8 5"~So `. - ~ ~ X~ --- .3A BENCHMA ~ -- ~1TOP'O~2•O PI ~ © / % ~~ ~' ,~1 U DI G ~~ 6A, ~ ~ ~~ % ~ ~ E _ j \ / " 8 3. . s ~ '~ / ~ • _ ~ 896.3 ~~~/ ~-- ~~ \ / ~ , ~ ~A~ 895.8 33 X ~ //i,, ' / 882. ~ 880. • \X d ~ i X • 880.3\ 873. / ~ ~ J4 H.W.L. = 882.80 ~ • ~ \~ / ~ / ~'• • . X 886.5 878.4 ~ j ~ D4 M b .~ ~i~ r ~ 893.4 X ~/~ G 88 .2~ - _ ~ - 887.60 X, ///~ ` .5 A ~~ (16 ) x 895.0 ( ~~ .n / i i 2 883.9 l"~•~~ _ ,, ~ 8 7. O EL '. FIM ~ ~X 886.9 -~ , / i i / i X 877.5 236' 9°51'32' 912. ' NO LINE OF THE OUTH 1 EET ~ X 889.8 M ~ s d _®~ _o ~ O o ~ - - - ~ o - ~ EI S LIN OF TH SE ~ 1 X 8 7. _, _. _ hat the ~~ direct X 885.5 S1/4 CORNER SECTION 11 888. X 886.4 © / 900.1 °° 882.8 X 887.5 .W.L. ~ 886.1 886.8 X PAGE~OF 3 NAME: ~z S-~ LOT# ~ LEGAL DESCRIPTION:SE 1/4~ I/4,S // T~,N,R~E(or~ SCALE: 1"= y0 ` ELEVATION: /Q~ 6 BM 1 DESCRIPTION: /la: ( i'!~ (0 " e%t V ~ *~ BM 2 ELEVATION: !~}~ ~~ ~ , BM 2 DESCRIPTION: Y1 a ~ ~ ,~n (~ ~`e/r~ SYSTEM ELEVATION: ~~,~U SYSTEM TYPE: ~o~~~~~b~a( i _ ~- - - i ~ t C' ~6'D , ~-10o su f L' S~ ~U SIGNA /~ ~ ~ ~ f ~y ~~ _ ~ "S ~ ~ o0 ~ra~ boo a-~ 9- k, ~~ O ~L~ ~~ ~~~ ~,~ ~~ ~y ~~ i ~~~ ., ~~ /8'-a ~_ , I ~/ X10 ~ ~~S ` ~ J„" S~/~~03 ~~~e amass„~o ~~r~ ~l,~~r,:.vs ~sr io~~ a~ ~~sd~ /~~~ ~~ / ~uS ~ 6!'jG Y f Q~ '~B~"y ~/o fi G 1G 0 + ~$op S ~b~~f~ 4 ~ ; ~-h 2 ~ ~ o ~ y ~~ ~ ~~ V ~ ~, =. M ~ ~\ ~ ~ ~ Y~ t w c~ ~ SOIL EVALUATION REPORT Drvr~on s~tr ~, wrUr Comm ss, w~. ~. Cade Attach cwmpiete sire plan on paper rat bsa than 8112 x 11 irw:Ms (n size. 'Plan must inckrde. but not ~rtYad to vertir~l arrd ttodaorrtal Dint (~. directlort and Panel tD. ~ ~ _ / ice, s~or~, n~ ~-, "~. Please pr+ir+r mr V ED R ),/ Peraw~d iNa you pwide ~y be used fo- (Wtra~y Lair, s. 15.04 ) (m)). ~' ` Property Owner L.OC~flOn 2 j( d~ _ ST. C Govt, of 5~ 1ras~ 1!4 S ~~ T NI N G l.ot # Bbck # Subd. Name ar CSMfF p~rtyOwrter'sMaNirtgAddre~ ~ OFFICE / 1 i_ „L ,' _ Ctly ~~ S vv~b6 -~~ Date N R /9 E (or) w Nearest Road I-~~cQ S~/~ I wl 1 ~~o/fo I t?i ~J- 3£~ -7775 I ~~urX s"''~ ~4~ `.~ `~.-` / I _ , .~. ~ New Carrstrrxtion 1>Se: ® Residergiaf 1 Number of badroorns ~~_ Code derived design flow rate ~~~ ~ GPD I] ~t ~ Q Public or conrnarciai - DaBCxif~e: -- ft• Flood Plain elevation i apple --~! /~- r ~ 1J`t S (' Parentmateriel - General oorrsrteMs d ~, d Sys-F« 6~ev. ~~• d C~ ~ ~ Q/~,(J ''~" '. _ an ~t~ ~'~~~~ ~ ~ c~ o GA~~~~ ~ # ~ Pit sum elev. ~L~- ft: Depth to tMtlnS facbr -'L- "'• ;,~ Rate x>ts R D~ t(ori2on Depth in. Dominant Cabr tdurseM Redox Description Du. Sz _t.ont. Color Texture Structure Gr. Sz. Sh. Consistanoe Boundary t 'Eff#1 'Eff#2 l o /L /o r ~/ z _ ~~ ~ ,~ ~ m ~ / . S . _~~ _ ~ S ~ •o S~ (v` a ~ ~ P~g Ground surface elev. ~~~ fl. m factor ~~ in. ~ - Rate tiorizan Depot Dominant Color RedoxDesaipflon Texdrre Strwiure Cam Y Roots GPDfffr ~, (2u. Sz. CaM. Cabr Gr. Sz Sh. 'Eft#1 'EffiR2 ~ ov~~ is Z - SL nt5b r. ~ ~ l . ~ ~ ~~-~ Z -l o /p~ ~/ ~ ~ ~ 5 s . ~-, m i v .~ < z fZ .M..Y •.~'t:3.~Q•/:~~C`~ir1~:~laTS~J~i7U:c.)9Urf1~l(, G~wrc~wws.- ~ ...q~ .__~__ __~_ CST Name (Please irriny .:%f' mature 7 n _ ~ _ c _ ~ , .. ~ mil' 'Z~~~ oT~ S~.Sc~merse-~ t,ut 5`toZS `f- `7 - v3 ~7t7~2`f 7^`rO~ ~.... .- eahs '~~ ~'` , ~ ~~ . ` ti a~ ro ~ ~~ °~ proper-y owner _ - o ~# o ~ ~,.rds,a~ceeler-. ir. ,~,~~ ~. Texhx+e Strtrt:Wte Corrsielatroe Boundary Roots GPDpf Horizon Deptlr Dorrrirrant Color Redoz Dew `Eti~1 'Ef~2 in. Uihrnsefi Qu. S¢. Cant Color Gr. Sz. Sh. o~~ o ^ Pit Horizon Depttr Dominant ~ a-. lMrrnseY ~eh~r. _ ~ ~b~ ~. ~, Redoz Desaiplion Textire SNrxdrrre Corrsislerrce Batedary Roots GPOIiI~ (lu. Sz. Coat. Cobr Gr. SZZ. Sh. 'Eti~'I `Ei~12 a ~9 # ~ 8odrrg Ground surfaoa elev. ft Depth b ~r8 lector ~. S~ Ra ^ Pit Horizon Depth DortrirantColor RsdoxDeeatptiom tezWre Strut~rre Cornisbnce Boundary Roots GPDIIf in. NurrseM Du. Sz. Cart Cobr Gr. Sz. Sh. ~1 'EfpE2 ' E9luent #1 = BODs > 30 _< 220 mgll and TSS >30 <_ 150 mgiL ~ C--t ~ _ CDs ~ ~ ~t end TSS ~ ~ R-9~ The Department of Cotntrierce is an equal oppottntrity service provider and employer. if you need assistance to aceess services or need material in an alternate format, please contact the department at 6~-266-3151 or 7'i'Y 608-264-877'I. ssa-o3otR.er~eo- ~ - f ~ ~ PAGE~OF 3 NAME: (R S-~ LOT# ~ LEGAL DESCRIPTION:~E 1/4~F I/4,S >~ T~,N,R~~E(or~ SCALE: I"= y~ ELEVATION: (Q~~ 6 BM I DESCRIPTION: /la-=' ~ ~ `1L ~0 u ~~/yl BM 2 ELEVATION: ~~J[) • G ~~1 r" J~ ~ ,~ ~~~ BM 2 DESCRIPTION: f? a r ~ . •/l. ~9 e%+'~ ~~,.~ y~ -' SYSTEM ELEVATION: ~ ~ , O V ~ ~ Y SYSTEM TYPE: ~o~t ~ ~n ~ +~ ~ x( _ ;- - - i ~ 1 !~' ~ -~ 9y ~~ ~-~ ~~ SIGNA TE: I S' /~-Q o° S © % ~ / / . r, r . \ ~ g~`~ ~ 896. ~_-- / ~ , , ~- ~ 895.8 1~ i ~~ ~/ / / ~- X 886.5 M p _~ ~~ 893.4 X~ // ~/ ~/ j ~ ~ / / .~ Gf" 8 3.~ • 6 ~ ~ ~ • ~ ( "~~i/ ~~ ~ 3 3 \ /~ • ~ 882• \X •H:W ~ 880. ~ i / X • 880.3\ A \ \ • 873.0 i H.W.L. = 882.80 \ ~ ~ X 87 .4 ~ j ~ • •i / \~ / ~ 4 / ~ _ _ 91 6 ~ // ~ _ ~ - • O ~ G 88 .2 X - 887.50 , - • / • .5 A (1 6 ) i~ " 8 •2 883.9 N•~L. _ ' , 8 7.s~50 ~..• . ~ x, %, 895.0 ~ ` , © ~' 900.1 /i ~X 886.9 X 877.5 R 236' ' 2'j'O' 9°51'32" 912. NO LINE OF THE OUTH 1 EE M - ~ ~ Q X 889.8 r 882.8 ~ ~L (,e 9 ° DD © ~ --- o ~ o ~' ~ that the p ~ ~ _ _ - ~ ,y direct X 9 X 887.5 •W.L. 885.5 O 885.5 ~ L S LIN OF TH SE 1 ~ S N X 8 7. S1/4 CORNER x i ~ SECTION 11 888.1 - 886.8 \ X X \ _ ~ / ~ r ~~ 886.4 ~/~ ; ~i, ~~ _ __ ,~_ X 888.7 ~~ ' ~ ~~ ~ X 893 n. ~%, ~ I , ~, _-- ' ao~ ~,_ _ _ ~ ~ ~ r Woarsht Deparitirrent otCan,rrrstoe SOIL EVALUATION REPORT ~ ~ ~ 3 livision at SabK- and b acoordsrrce wNn Comm 115. vYb. Adm. code ~0`~ ~ ; t'o ti Attach oon~plsis sila plan on paper not leas thar- 8112 x 11 irrctMS b elu. Pan moat ircArde. but not lLtrited b: vertical and horheonfal raletarroe point (BM), dNecOon and Parcel I.D. ! ~. scale or Dee. oath snow. and location and datairoa b nearest nand. P/earte pt7iM sf/ Infforn~aFiion. Rariawad by Data Per.orrrr iatornrYfon ra+ ts'~de ~ bt uad itrvo4 {+) tmN• ~ C'(' Or~1 ~ ~.SE 1/4$EV4 S~~ T'~CI N R (g E{ W openly OwnePs Maidrq Address d Block ~ Sutxt. or CSMAt ~-1 r• _ Igo K' n S ~s 1`o•~'PS `t ~ ~'~ 1 ~~ { 1 ~ FFICE ^~h ^ ~ Tam t"Cxt. KR~ ~ !'. +~•• use: ~ ! Nurr~ of N cone deriNad design itow nNe yS ~ ~ b VV cPD ~ Repboerrrent ^ PrrbNc or camreraal - Dsaaibe: rwN _oC~~' c.JO-.S ~ Flood Ppin elevation if app~caas '~ tt neral cormrcnts s~ y<c r-~ 4°! e v • q/ •Q 6 d ~q.~f. et cv • gp.av i~d ~ rR ~...-..r ~-....w ...... ~ ~- ~ - - vow.. w .w.wry wrrnw - ww ccaJw pay ~7{iw xbal Daplh DorNrrant Redorr Desaipion Texture Slnicpus cooe Boundary Roots CP OJIP b. Clu. Sz. Coat. color ~ Gr. Sz. Sh. 'Efid1 'Eil~ tZ o 3 2 ..._. ~k r CS I ~~ ,ts' z _Z Z ~- t Z rat r ~ ~` • S- -t 0 0 --- GS . 7 t• Z i t # ~ ~~ orJ ai- _ _ 11 C ~,~ W ~-µ v.w.w. ~w....w.v vws.. S l ~ •.. .rqn.. w w.wvy www . ww ~ e xtmn Depth DOminaM Redox DeeplpllOn Tenure S1rucWe Consistence BOtndary ROOtS GPI b. AAunseN t1u. Sz. Cont. Color Cx 3i. Sh. 'Etfd'1 'E1td2 t ~- 6 to r 3 -- t Zw~c,SK MFr CS - v ~ s- . 8' '' ~ ~ ~- QJ -'• 1 ~ ~ r ~ ~ ~ 1G(~v -S S fir" ~ Z ,0 ~ ~ `~ 3 . (~ " /Z -- ' rmuent iF7 = BtJDs > 30 < 220 melt. arrd TSS >30 < 150 ngfL ' Effluent #2 =BODE < 30 npfL and TSS < 30 trryl. irMess ~ Date Evaluation Conduded Teteptrone Number ~3 8o t4 sf. ;owlerst7f- (,~I S'~lo2S" t-IS=O ~1+5"Zy7 x{008' . ~ ~i~ ~ ~~~ ~, --- -~ ~ PO (310Ur1~1 sUAaOe elev. r~ a ~/ 1k Dep011D am~ang ~acor ~ ~ .~~ ~~ HoriVon Depth Dominant Cobr Radooc DesaiPWn Texlune Slrudure Cara~lenos Boundaq- Roofs in, rN~~ ~Qu. Sz. Cont. Color (3r. Sz. Sh. 30i Ft81e QPDVItt '~ '~ 1 t r -- ~~ K ~'-^~ ~~' C s ~L ~ S~ K 3 ~ _~~ d -- v~5 os _- -- , ? r. Z ^ p~ Gia~nd su(soe elev. ~6 R Oep~h to imi6np isctor ~- ,gyp Raie a~~ ° ~ . tiocinon Depth Dom6mnt Color Redooc DesalpMon Texture Struch~ne Corasistenoe Botrwiarlr Roofs ir1. Qu. Sz Cont. Color 6r. 3z Sh. - 'EL'I 'i~2 d=(Z S,) ~ 5~ '~{ Bofirg # Q ~ Qround surtaoe ebv. .s?~ it Daps b Imitlrg factor n- Soif Rabe ~ Horizon Depth ~. Dominant Color M~ Redorc Description Qu. Sr. Coat Color Textune Strucare Cr. SZ. Sh. C.ora~enoe Borrrdar~t Roots C,P 'Efilf'1 WIt 'EtI~2 -ri S L- r t~ z LS ~ ~I1 EMuent ~1 = BODs > 30 < 220 mpA. and TS5 >30 < 150 rtgll. • Effluent i2 : BODs < 30 mglL and TSS < 30 mpft 'f he Deparf~ent of Came is an equal opposttmity sezvice pmvide~r and e~loyer. If you neod a::istamx tD avows services a need utatielial in an alternate fomoat, please contact tlu at 60&266-31 S i or T1Y 608-2b4-8777. :~ PAGE~OF,3 NAME ~aS I' LOT# ~ LF.[3AL DESCRIPTION S~ ~ SE~ ,~ J ( T Z Q .lV.l~ { ~~[ar~ SCALE: 1"= ND ' BM 1 ELEVATION. /OG • 0 BM 1 DESCRIPTION. /~e,' / ,~.~ G ~~ ~~m BM 2 ELEVATION fdp• O n BM 2 DESCRIPTION 4,~1_ ~ ~~ ~9 {~~ SYSTEM ELEVATION `'~ /_ ~S O ALTERNATE ELEVATION ~6. O Q CONTOUR ELEVATION. QS• QU ~' ~~• ~~ ~~ e . _ . ; _ i DATE ~ _ zG - ~'~' ~~ 9 6wisconsin Uepar~mF'~nt o+ ..~mn,erce PRIVATE SEWAGE SYSTEM safety acid Building Division r - 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 Fassino, Mike Hudson Townshi ~ST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ S«'Z Z, Dosing t,,.~ ~ tS 5 Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 3 5 r ll 1 ,r Dosing , ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~D TDH Lift Friction Loss System Head .~- TDH Ft Forcemain Lengtl}, ~ Dia. t t Dist. to well z 501E ABSORPTION SYSTEM BED/TRENCH Width Length No. Q€Trenches DIMENSIONS l/ Z!\ SETBACK SYSTEM TO INFORMATION Type Of System: DISTRIBUTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 420482 State Plan ID No: Parcel Tax No: 020-1400-06-000 STATION BS HI FS ELEV. Benchmark D, O p ~ t7v ~ / c~-o .~ Alt. BM Bldg. Sewer ,4 ~ ~b3L ~-. IL ~ 90 • Of SUHt Inlet 8.3s ~ ~•~~ SUHt Outlet ~ S •~ t v (•~ Dt Inlet ~~ `I•Z~ ~.12~ Dt Eottnm CQ ~ • ~ ~ Zg Header/Man ~ Dist. Pipe Bot. System q: O• Final Grade L St Caver ~ ~ ~ ~ a I `~Q2~ s y~t IT DIMEN; ~ ~! Liquid Depth AKE/STF 1 '2 ,. Header/Manifold Distdbution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil [] Yes ~~ No i , [, Yes j, No COMMENTS: (include code discrepencies, persons present, etc.) inspection #1 ~~~/~_~~3 Location: 757 Packer Drive Hudson, WI 54016 (SE 1/4 SE 1/4 11 T29N R19W) NA Lot 6 1.) Alt BM Description = 2.) Bldg sewer leng±h = 2 -amount of cover = ~ .~Z`t5~ ~ C~t7v~! Plan revi ion Required? ., YLs . No !, Use other side for additional information. SBD-6710 (R.3197} Date Insepctor's Signature Inspection Parcel No: 11.29.19.2496 '[ ~~+! 5~ 3° _ 6 S ',~3 -~ ~g~ ' ~. -- - ~'~:~T - - i i ~ ~~ Cert~ N Safety and Buildings Division County .~- ' ~ ~ ~ 201 W. Washington Ave., PA. Box 7162 ~~ ! _ ~ ,~~0~~,~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.i ~ De artment ofi Commerce ~ (~$) 266-3151 Z(~ ~o or` Sanitary Permit Application stau Plan I.D. Number personal information you provide Wis. Adm. Code In accord with Comm 83.21 , , tray be used far secondary purposes Privacy La si5.(14(1)(m) Project Address (' different thanmailing address) / ~n1~4 ~~ . ~l.C~ I. Application Information -Please Print All Information ~VErO Property Owner's Na zne MAY 19 2003 Parcel ry ~Yot Block ~ d2v /~~~ ~ Property Owner's M ailing Address CRp)x COON TY Property Location ~ ', `~/_ ~ "( 5° T7 ~,/~ ZONING ~1 /`~ ~ .`~11.`~~ Ct, OFFICE / ~'~ ~~ 11 ~~` Section ~'~' Zip Code ~ City, State Phone Number =~- =~ ` L ~~"G~-GG- d` ~f1 ~ I ~ ~ (circle N; R~B a~ T ~ e of Bulltiing (check all that apgly) II T _ .. yp ~ ~1 ar 2 Family Dwelling -Number of Bedrooms ~ ..~~ B'~a1Kix.~ L2k Subdivision Name CSM Number _ ^ Public/Catnmerciai -Describe Use o .~ S' J ^ State Owned -Describe Use ~ /~ .~Q~-- ^City_I~Viltage~l'ownship of~_G"!~i„Q/ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. (~. New System ^ Replacement System ^ Treatment/Halding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal Before Expiration Permit Revision ^ Change of Plumber ^ Permit Transfer to New Owner Ltst Previous Permit Number and Date I`ssued ~dZ ~ (p/~S ~~~ / ~lJ 4 / / U IV. T of POWTS S rem: (Check all that a I) Non -Pressurized ln-Ground ^ Maund > 24 in. of suitable soil ^ Monad < 24 in. of saitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ ReeircuIa[ing Synthetic Media Fitter Leaching Chamber ^ Dri Llne ^ Gravel-less Pipe ^ Other (explain) V. ersailTreatment Area Information: Design Plow (gpd) Design Soil Applica ' n Rate(gpdst} Dispersal Area Required (sf) Dispersal Area Proposed (st) System Elevation Gi O„ y3~ ~ ~ ~ ~' y3 ~ 6 ° Vi. Tank Into Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass ~ New Existing Tanks Tanks Septic or Holding Tank ~ ~ ~` eS' e ~- x Aerobic Treatment Unit Ding Chamber ....y....' VII.'Responsibility Statement- I, thtt tmdersigtted, assume responsibliity for installation of the POWTS showa'oa the attached fans. Plumber's Na me (Print) Plumber's Si gnature PRS Number Business Phone Number "1 "a revs S ~ili.vnaa;ti~ '' - ? 715-3 - l a P Plumber's Addre ss (Street, City, State, Zip Code) ~' /~ d~ ~' !~ d Q III ount !De ent se Qnl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater O tj Da Issu ssuin ent Signa a tamps) Surcharge Pee) ~ ~7t ~ ~ v ~~~ a ~2i~~ic ~t ^ Owner Given Reason for Denial . , ~ IX. Conditions of ApprovaUReasons for Ilnsappr vaI ,~ s.~.eryt Uu,C.Q~ ~ 2 vYi.S-~~~JC'~ ntres-r!- 13S -~--~ 75 ~ar~ E-~ST~ ra~2r~, I i n-e... ~ ~- v ~ s ~ G t y wl - [ z u, KX,U~~~~ ,~ C'-GcG~irt-. (/h ~o~ y~e%~e~ ai4.t? ~_ - Q Q~ a~-GtA~~ ~+'n- _ ~ ~,~ ~ D ,,~, rti.' Gl yam. ~~~ed ~~ SBD-6398 (R. 41/03) Attach Mmpkte pieta (io the County only) for the system on paper not less tttaa 81/Z x 11 tacbea to sue /,:'~ 1~~ ~d ss~;ao _ ~~~ ~ gip.` .:vs ~sT" ~~~,yo~~~~s©<,r1 ~ ~ 4~~~ 1 r- yG ,~ma,~.~il;'ti- r~~ toe. ~~ ~` ~~~ (~ I,cJ c, c~-t" B 8 2.X6 aKd mna.suxe~ road ~ W L acs -~/~~5~ -~ ~ ~~ ~~~,~, ~ ~~C~ ~ ~S 5'~-So'. $~ ~ C -~ 5 ' x((35' -~~ ~~ ~~ v ~'1 v~ ~~ n `' s.-~G 1 ~S ~. ~- a~ is ~~ti ~~,~~ ~ ~n~ ~ w ,~, y ~ ~ 1 ~~,,, C~ w~= S _~ ,~ r„ ,,~~, a ~ ~` I I f I ~ n O m~ O S < '+ O d ra O~ N N a 3 Q O O ~ n y ~ G lD C ~ cn Z D m co D ~' v G m~ c_ ~ r. a O I o ~y. I o ~ .o ~+ ~ c v c ~ I o ~ m N -. a ui ~ OZ ~ ~i ~ ~ O ~ ~ ~ n N y O ~ C W fl. ~ ~. Z ~ O fD N =' a rt N I ~~ a N I ~' 7 I a I ~ Q N D. ~ N N O fOD tOp I O O ~ O ~ c~~ 3 d o C ~ ~ ~ ~' ~ ~ A~ ~' g ' ° ' ~ ~ e o 3 - '~ ~ ~ O A T N C7 2~ 0 G ~ N t~ !~1 • p ? !Nd G- N 'O 1~1 c 1 N p N (~ ~ ~ A ~~ Q ~+ N O o ~ f~D ~ ~ O O O O ~ V ~ O ~ 7 Vl C T~ fR tll V ~ ~ a ~ ~ ~ ~; m rn ~ o ~. `~ n cn m c° O ~ ~ ° ° n o c o o a W N N 3 .' O' h • O 7 ~ lll~~~~)111 << e~ D ~ O C ~ O O O ~ v v rn ~ ~ ~ H .~i y 3 °-' °' ~ 3 .. ~ N ~ o ~ ~c - ~ v ~ 0 ~ f A C ~ n N ~ O. I ~ ~ j A ? n ~ ~ ~ ~ e: !'A d A ~ j j W ~ m N CO <D ~ 0 3 ..., Z ~ ~ ~ r: fn 3 m ~ z tll ~p W ~' ~ A f C G C 7 a 1I I O I ~ i 0 ti O A ti N O ;n 0 a ~ A ti CN I ~ -~ ~! Safety and Buildings Division Count - ~ y ~ P.O. Box 7162 Washington Ave. 201 W /~ lrs~onsin . , Madison, wr 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ~ (~8) 266-3151 Z(~ /a oZ De artment of Commerce Sanitary Permit Application state Plan I.D. Number " ersonal information you provide Code 21 Adm In accord with Comm 83 Win r , p . . , . may be used for secondary purposes Privacy Law siS.tkt(1}(m) Project Address (• different than trailing address) ~ ~ ~.~C~/ ~n 1J~f.. I. Application Information -Please Print All Iffiormation ~ V ED Property Owtter'a Na me MQY Y 9 Parcel N n~ .1'ot Block M ~ ~ // i n 2003 r cP OZO~/ a O ` ~ ''s Property Owna M ailing Address CROfX COUNTY ~o~~ Location ~ ~~ f~~ `~ ,~~ ~ONINGOFFICE ~y ~ ~~ ~.~' l~,Section lr fi Ciry, Stain Zip Code Phone Number - r ~ ~ ~ / !G, (circle T ~~ N; R~E o~ e of Bull iiint (check all that II ) a l E . p t pp y ~ ~ ~ L2Qit~m'~ d ~ - / ~~ d'rt b f B Fli C 'f Subdivision Name CSM Number . rooms • , in. rtg - Num er o e 1 or 2 Family Dwe iA nerci l -Describe Use bliGC D P a f -- e onu u _ ^ State Owned -Describe Use '7~~.~E%K.~i~r,,6o !~c! /~ ~~. ^City ^Village~Township of~u~.~1d1 III. Type of Permit: (Check only one box oa litre A. Complete line B if applicable) • A' (~ Now System ' ' ^ Replacement System ^ Treaunent/Halding Tank Replacement Only ^ Other Modification to Existing System B. ^ Perron Renewal iration Before Ex Permit Revision ^ Change of Plumber ^ Permit Transfer to New Owner List Previous Permit Number and Dare Issued ~~ (p/~s/2QOZ ~~O p / N. of POWTS S fain: (Check all that a 1) Non Prcssutized ln-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ SinEla Pass Sand Filter I ^ coasu,rcted Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Fitter ^ Aerobic Treatment Unit ^ Recirculating Sand Fitter ^ Rxirculating Synthetic Media Filter Leaching Chamber ^ Drip Line ^ Gravel-less Pi ^ Other (e lain) V. ersal/Treatment Area Information: Design Plow (gpd) Design Soil Applies n Rate(gpds~ Dispersal Area Required (s0 Dispersal Area Proposed (sf) System Elevation G~ O, y~-a ~ ~ ~ ~ ~y3 , ~' o VI. Tank Wo Capacity in Gallons Total Galioas Number of Units Manufacturer Frefab Concrete Site Constructed Steel Fiber Glass Plastic New Existing ~ Tanks Tanks Septic or liohling Tank ~ t CS' C Aeroblc Treatment Unit 13osing Chamber VII.'Res nsibility Statement- I, the uladersigaed, as~~~ responaibllity Por installation oP the POWTS shown on the attached lane. Plumber's Na me (Print) Plumber's Si gnature PRS Number Business Phone Number "1 °.~ crs S `it~..~cl,~is~ ? 71.5-3 -- /a f r's Addre ss (Street ry, State, Zip Code) Pltunk x , Ci // ,~ er y l/' .s d 7 / G~ d Q ount /I)e artment se Oal Approved ^ Disappmved Sanitary Permit Fee (includes Groundwater Surcharge Fee) ~ ~/1 ©d 7 ~ Da Issu (l~t-,~ O ssu' A Signs o tamps) ~2i7rZ~ „//~ ~t~- ^ Owner Givw Reason for Denial . / IX. Conditions of ApprovaUReasonsfnr Disappr vat S 5-1~-r~t Uu(.~,~ ~ ~viS-~~-~ ~la C~ ~° ~ad~`'`~" y b 1 Y ~ ' ~ ~.a,.`. - a~ z ,1 t~i •(, e 1~-v i~ !M ~~ ~ 3s +° ~S ~Om E~ST~o ro~~~'~ lin-~~ s ~ [ ~ ~ S - S wt -~tu . ~ ~ ~~~ 4 h~ ~, ~,~' Gi y~ /~~,c~.ed ~~ wtraca comptnte pleas (to the Cotmq cosy) for tha system oa paper not rasa rasa auz x u tacaea m sae SBD-6398 (R. 01/03) f /7?~ 1/~-e F~ ss; ;a o ~~~ ~ ~p,~ ,:vs ~s~" %,c/ ~~` ~~~.J o..r1 w ya ~ yO.f-~- ~ Csr Aa~~~d ~J ~ ~~L ~ g~2.Yb ate, d rvucQ s u,~-ed ro a-d ~.~e~trl ~ha.. ~ s a,~~-e c~ ,,~~,r.er.,c~.- ele~2-~~sr-- ~w~ ~5~~~~5~ -~ ~ ,,~.~ C -~ 5 ' x((35' -~-o~ ~F .\ 1 S ~~~~~~ ~~G /Dd6S~ ~~~ pl~dZ~~~ Iyl~ Y~,,,~% '"1 Y,~ n~~ Safety and Buildings Division County ~ P.4. Box 7162 Washington Ave 201 W ~ ., . Madison, WI 53707 - 7162 ~ Sanitary Permit Number (to be filled in by Co.) ~ ~ , 1~~~~~5l ~ (608) 2~-3151 Z(~ /o oZ De artment of Commerce ber um state Plan I.D. N Sanitary Permit Application ~ f ersonal information you provide Code 21 Wi Adm I 83 ith C d r" . , p n accor w . , s. otttm may be used for secondary purposes Privacy I.a siS.04(1}(m) iling address) r a Project Address (' different than t -- yy ~~ ~~ G'~C~/ ,L.~f71J~. I. Application Information -Please Print All Iffiormation ~V _ Owtter'a Na mC MAY 1 9 Farce- ~ ~~ Black ~ ' ~~~ t r 2003 f d20 ~ ~ ~ O Pr Owner's M ailing Address CROIX COUNTY ~o~' Location ~ ~~1R~ " "i n ZONING OFFtCE ~P f/ ~~ ~ .`.d ~ / ~~ lf,~l[,Section 11 City, Stage Zip Code Pbone Number ~~ ~1 ~ / (circle ll th l ) t f B ildi h k I T y ng (c a a app u ~ ., ype o i 1~ ~ ~ ~ ~ ~ b f ~' Subdivision Name CSM Number / ' ~ er o Bedrooms ' 1 or 2 Family Dwelling -Num Us D ib i l ^ P b C a f e escr e omtnerc tl - lic/ u ~ ~ti~' ~ ~'o W~ ~~~'~'(~ ^City ^Village~Township of~~~~~~ ^ State Owned -Describe Use ~ w + III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' (~ New System ~ ^ Replacenunt System ^ TreatmendHalding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal E i i B f Permit Revision ^ Change of 1 Plumber ^ Permit Transfer to New Owner Ltst Previous Pennit Number and Date Issued L ~ O ( ~ Q ~ (D~/ S/2Qa Z xp on ore rat e ~ , , , / / u N. T of POWTS S rem: (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 Wetlarrl ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Utut ^ Recirculating Sand Filter ^ Recircula ' Synthetic Media Filter Chamber ^ Dri Lire ^ Gravel-less Pipe ^ Other (explain) V. ~ eatinellt Area Information: pe3iga Plow (gpd) Design Soil Applica n Rste(gpds4 Disperse! Area Required (sp Dispersal Area Proposed (sf) System Blevatian G~ O, y3`!~ ~ ? ~ ~ ~ %3 6 0 Vi. Tank Info Capacity in Total Number Manufacturer Prefab ~ Concrete ~ Site Constructed Steel Fiber Glass Plastic Ga11Qaa Gallons of Units New Existing ~ Tanks Tanks Septic or HoidiaE Taak S c CS C Aerobk Trraaacnt Unit Uosin~ C'hsatber YII.'Res usibility Statement- I, th4 uutdersigned, assume respondibllity for installatton of the POWTS shown on the attached fans. Plumber's Na rtte (Print) Plumber's Si gnature PRS Number Business Phone Number "'1 °4 cos S tia"~a~ y ? ?! s' S '- / ~ I ty. State, Zip Code) Pltmber's Addre ss (Streei , Ci ~ y ,r 7 ~ d7< C,c. Q ~ ~/ ount /De ent se Onl A roved ~ ^ Disapproved Sanitary Pumit Fee (includes Groundwater ~ ty~u ssuing ant Signs o tamps) Surcharge Fee) ~ ~ d / a /Z i~2~ ^ Owtter Given Reason for Denial T1L. Conditions of Approval/Reasons far Disappr val C~ ~ ~. Sys-~»t_ ~~~ ~ vrs-~:~~ ~( f ' a~- z ,~ 11a~~-~. - ~!M' .L e t~-v Q 13S~-+~ ~ s ~-~r1rY, Ef4ST~ ro Q~ I i n-~ ~ s~-~ d~ c ~ n s c S- rn ti ' ~l![- ~ d ~ .~ ~ ~ ~ D h,~ ,,~;, ~ y~ ~~,~fa.e ~~-- wttaed eompkte plane Ito the Cortrtb Doty) ror ute:yatem on paper not ttaa rasa aa,c x as ,ncow m sue SBD-6398 (R. 01/03) Safety and Buildings Division County h ,~, ~ ~, 201 W. Washington Ave., P.o. Box 7162 ~ Yo ~ X ~seons~n Madison, wI 53707 - 7162 Site Address De artment of Commerce iv -. 7 - a z 3 v s'~ rk-KE~~12- Sanitary Permit Application N"mbe` i t sanitary P`r'n~ ' 2 - { ~ ' ` ~ In accord with Comm 83.21, Wis. Adm. Cade, personal info on you provide - ^ Check if Reviston ma be used for sew ses Priv Law, s 5. I. Application Information -Please Print All Information i`, "~~ State Plan I.D. Number .-.---- Property Owner's Name S E P 2 Parcel Number 6 2002 '~~ ~ ss ~~c/ . ,", ,: %~d - Ol.~ - OHO ,-O DU Property Owner's Mailing Address ~ CROIX COIJf~~TY~ Property Location ZONI?~G OFFICE ~ 4 ~ odd ~ ;tis ~~-~ ~ ~ .'k.S S4; S l To? N. RIB City, State Zip Code Phone Number Lot Number Block Number Subdivision Name CSM Number /~ ~ ,/ II. Type of Building (check all that apply) 0,5~.~iw~ dNS, ^City ^ 1 or 2 Family Dwelling -Number of Bedrooms ~ ^Village ^ Public/Commercial -Describe Use _ _ r r w s „ r /l /1 ~~l ~ ~ o hip ~u ~~~~ ^ State Owned "^~n ~ ( ~' Z2 C2~ 3 ~ ~S"l ~- ~ Nea t Road x . - rrek n c~-~5 . c e III. Type of Permit: (Check only one box on line A (numb g scheme for internal use). C plate line B if applicable) A' 1~New 2 ^ Replacement System 3 ^ Replacement o 6 ^ Addition to For ounty use. - S stem Tank Onl xistin S stem B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for ternal us _ ___ _ _ __ 44~ Non -Pressurized In-Ground 21^ Mound 47 ^ d Fil 50 ^ Constructed Wetland ` 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Sing ass 51 ^ Drip Line 45 ^ Ai-Grade 46 ^ Aerobic Treatment Unit 49 ^ Re cu g 30 ^ Other V. Dis ersal/Treatment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Applic on Percolation Rate System Elevation Final Grade Required Proposed 6$~.L Rate(Gals ayslSq.Ft.) in./Inch) Elevation DSO 4'y3 ~ ~'~~~ ~l a ° ~3~5~ VI. Tank Info Capacity in Total Number Manufacturer refab Site Steel Fiber Plastic Gallons Gallons of Tanks oncrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~ _ ~ ~ ~i G.it! v Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibiL'ty for lion of the POWYS shown on the attached plans. Plum er's Name (Print) b Plumber's Signature PRS Number B Phone Number u sines s / / ~,rl (a`~tI~C ~L~ c/~rc V O2P~ / ^ ~ 7 / J 3 l~ t Plumber's Address (Street, City, State, Zip Code) 1~~ SCcs~ ~cJ ~~ VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued I ssuin Agent Signature (No Stamps) Sur+cha a Feej ^ Owner Given Initial Adverse ~/- 's-,~~ ~ Detenninadon . ~ ~ .Conditions of Appro easoas for Disapp ~ lval ~ ~ ~ / ~. Attach plate plans (to We County ontyl for we ryatem on pap~r not ieu wan >i1R : u inches in aiu ' - S~~ ~ ~- ~~. ~r. t,1. ~. al,~tzn~ ~S. s o -~~- t S S~~-v~ o-,.` P.QaI~-. 1' L Oi~1~ ~-S~ diA. Q ~~ 4,.L.~. o~ t ~ P.~,,, f~o~t ~`~^~ s ~CS~) s~ w~ r ~`'~ ve,.~ `e-1.S e ~/~" ~- s~~ .- ~3~ /~~ J ~, ~(~ ~~b~ ~f o ~~~Ma .~~~~ ~, -, ems' r' J .~ c~~z ~ ~Ye B/1~/.v~.•~,c M~..~. is ~~% `~ ,;~..d s. ~~c ~^ /.^^ - N ~"~ ~~ d 'f ~ ~tb~ g // / l/,/ / ?~ ,f ~ h' ' /i33 ~ ~ ~ l 4 `\„'.1 • '•~VI ,~ `l c ~~ ~~ o_ ~ ~ M ~" ~ ~ s- ~ ~YJ a d ~ ~ i. ~ N y~ ,~ ~'~ G~~.. ~ ~~ 01 M N ~ ~ ~ ~n ~ a~ ~ ~ ~ ~ ~ ~ ~ N ~~ -o 0 1 s s \~ ~~ q~ ~ ~ _. ~ J a° ~ a 3 r ~ E ~\ ~` ~ ~~ ,\ ~ ~ ~ ~r rh ~ ~~ °j M N~ ~ ~ ~ ~~ ~ `J L '~ ° ~ !.n ' ~ - O J ~ T ~ (~ ~ ~ G1 v ~~~ ° 13- 5 , .~1 ~` S:3 ~, y rt V 4 0. ~t N ~~ . ~~ ~~~v T~ .` .,~ b v l .S S ~ ' uSrsconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings 111 aware aacn la,c ~ilYl vV11N11 ./~, .•W . .'WI1,. WVG County ~ C r 0 X Attach complete site plan on paper not less than 81/2 x 11 inches in size Plan must i . include, but not limited to: vertigl and horizontal reference point (BM), direction and Parcel l.D. percent slope, state or dimensrons, north arrow, and location and distance to nearest rced. Please print all information. Reviewed by Date Personal information you Provide may be used f 15.04 (1} (m)). ~ p/fS~'a Z Property Owner operty Location C~ (~ ~ O i~ 5 ~ vt. Lot ~ ~ 1 /4 ,~ E 1/4 S ~ ~ G T 2 '1 N R (c1 E (orb'/ Property Owner's Mailing Address ' of # .Block # Subd. Na I-~ or CSM# ~ ( ~'~ C' N~ L a~ _ o ~ S ~s ~ S City State Zrp Code Ph FFICE ^Ciry ^ Vllage 'Town Nearest Road ~5~~ lvl UOl (iS) ~~~~s~n F~c~<er fir. Q' New Constnrction Use: ~ Residential /Number of bedrooms•3,~ N Code derived design flow rate y~~ ~ ~o OG GPD ^ Replacement L ^ Public or commercial -Describe: Parent material d V T C,JC'~.$ ~ Flood Plain elevation if applicable ~, f~ ft. General comments s~~ c Y/~ e ~ ~ V ~ ! ~ •Q 6 and recommendations: ~. ~„ f , E' I t V ~ ~Q . 6 C~ Borin # ^ Boring 9 9 ,-, o~- -~ n _. I I I ~J ~ rit Vlvullu AVI IG{.C 61GY. ~ ,~ • ~ - 11. .,6~J111 .., .111111111a la~..,l 111. Solt Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eti#1 "Efi#2 ~ ©-~z 'o r 3 2 _ ~ "(I zwta~k r CS Iv ,S 1~ Z -Z Z o y - r z wts K wt r c S , S- 2-I IO U L - Vti GS I - . 7 I, Z x-91-fl ,~--- Boring # ^ Boring _ d~ v~1 _. _ 11 C" ~J ~x ~ ~t VIVUr1V ~W IG{~G GiGY. ! / - Il. /G~JYI W ININUI Ia IGNIVI 1 ~ 111. So~I Appl~(~b~n RatQi Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 I ~- ~ ,o r 3 Z -- c Zwic~SK r~1~'r CS i v .. ~ 1 ~ Z ~~ I Z o -- zv~s r C S - , S- ~ g' -~~s ~ y - ~S ~ - - 1~ ~,z r-F,S+(~ A'(~ (. ' Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL Address ' Date Evaluation Conducted Telephone Number 2113 ~o t4 sf. owters~- ~ I Sya 2~ I- Is~ O Z ~1~5` Zy 7' ~0©8' : , • Property owner -3 a S ~ - Parcel ID # Page ~of,~ Boring # ~ Boring Pit around surface elev. p~ g ~ ~. Depth to limiting factor ~_ in. Sal ApPlicatice Rate horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GPD/ftz in. MunseU Qu. Sz. Copt Color Gr. Sz. Sh. *Ef!#1 'Eff#2 1 ~ r -- S~~ K rti ~~ C S ~ . S , K Z 3 - I~ I -I1 0 ~ r -- - V`nS Z r~S dS ~ C S _~- - - ~ S , ? ,~ I, Z 33•b 6~- ~~ # ^ Bonng ^ Pit Ground surface elev. ff. Depth to limiting factor in. Soil p Rate Horizon Depth D~rsinant Color Redox Descriptron Texture Stnx~ure Consistence Boundary Roots GPDVft~ ~. MunseU Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft Depth to dmiting factor in. Soil AppGgtion Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/ffz in. MunseFl Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Etf#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/t ' Effluent #2 = BODS < 30 mg/l. 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 deparizrtent at 608-266-3151 or TTY 608-264-8777. SBD-8330 (807/00) 1 ~ ` PAGE 3 OF NAME 4~c 5 I~ i OT# ~ LEGAi, DESCRIPTION S~ ~ St i4 ,S ~ I T Z~ ,N,B„ ( ~ SCALE: 1"= W p BM 1 ELEVATION /DG • ~ BM i DESCRIPTION ~4, • ~ ~ • ~ G ~ %'1'1 BM 2 ELEVATION /~p• d BM 2 DESCRIPTION i14. ~ ~ ~ ~~ ~~ ~ ~~I~/l SYSTEM ELEVATION y ~ (~ d ALTERNATE ELEVATION_gG • C3 O CONTOUR ELEVATION ~S• aU ~- ~y C3~ ~eG. - -I- -- 1 i / d"~ r ~ .S ~~ .~~ q S' D r, " ~ ~~ Z ~~ ~ -r~ -'' c ~~ ~_3 ~~ ,` `~ f SIGNATURE ~ ~_;- t ~.-----~•---~ ~ / ~ DATE ~ `- ZG - G~ r Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity in-Ground Soil 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 Cornm 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: Svstem Desicn Sgecificatfons Sanita Permit Number 0 Z Number of Bedrooms Desi n Flow -Peak ( pd) .S~ Estimated Flow - Avera e ( pd) Se #ic Tank Ca acity { al) Soil Abso tion Com onent Size (ftZ) `~ Ty a of Wastewater Do stic Table 2: Soli Absorption Component -Limits of Reliable Operation Se tic Tank Component Soil Abso tion Com on n Desi n Flow -Peak d be~o K Maximum influent Particle Size (in) 1 Maximum BODs {m /L) 220 Maximum TSS (m IL) 150 Table 3' Maintenance Schedule o ---- Septic Tank ---- ----------------- Inspect and/or service once every 3 ears Outlet Filter Inspect once a year and clean at least once eve 3 ears Soil Absor tion Com onent inspect once eve 3 ears Se is T,~nk The septic tank shall be main#ained 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 septi and outlet flter steal! be assessed at least once every 3 years by inspection. The u et filte shall be cleaned as necessa to ensure proper o tion. The filter cartridge shou not be remove unless proves ons are made to re am solids in the tank that may slough off the filter when removed from its enclosure. if the • ~ Maraagen~ant Pian y~. a Septic Tank era 5pi: Acsorpuon Compor~snt ....., ., a ,~ ~ fiitdr is equipped calm an alarm, the fiitgr than pe serviced if the alarm ~s activated .antlr-uaus~y. Intarnlttent fluor elprmt mpy Indipata tuna flows or an imp+tnding contlnucut alarm, The septlo tank shall have its oontetttt romawd when the v~utre of scum and siudpi in the tank exooedr 'i/3 the liquid volume of the tank. it the oantenb of the tank an rwt removed at the time of an aeeetament, nteintenance personnel shall advise the owner of when the next aeroica needs to be pe+1'omwd to maintain leaf than maxirnurn team and tludpe acx~uiatlan in the ttirtk, Manhole titers, access risers end carvers should be lnipeated for watarr ti~htneis end ioundr}eaa. A~Caas ope~ntnQt used for teroloe and asaeiement ih~lli be teah-d watier~ght open the carnpltlart or . Any apenin~ deemed unsound, detective, ar subject to tenure moat be nrpiawd. , Exposed aoce~a opanin~s greater than S-Inches to dkt ;h~i be tacurrd ~y an eil''ioll~s soddny drwioe tQ p»vent •oaicientel ar unauthor~ed entry into the tank. Rio one ahouhf enAa a sep-f1c or o trwbmar! or 1~ote~M~ bnk for alny,wson wlthewt beM~ 1a l~u11 ooaplbnoe wlfp o ~~ ~+'" •tttWlt~ a oallltMMd fie. Tllo i~b7t0ip~Mh t+M~tfNin ~! ayaNa or ofhN' tl~bMeMt! ol1h ~t Daly eor~ln t~1 tt+td n-~w elsf a person trar» the lei~rlor etas Iwltk »ury~ ~ ar tfMp-oauah. Tank abandonment shall be 1n aooortiar~ar with Comrn a3.33, Wis. Adm. Coda when tree tank ii no breast cared ~ a POWTa companert<r, The soil sbsorptton oomponant serving this sbvoture it deslpned to accept domestic wastswet®r Pram s rsildentlal faciiily Tha limits of operation of thl~r oampor~nt era shown ire Table 3. Ti's iony~rvity of a toil absorption ~mponent depends greedy on proper an~i tirrl4iy maiintenanae, and system use wi#htn or t~bw the limits of roilable operation, Qood water oorsservotbn praoticet by ri1 aot~ants and the lnttallatlan of caster conserving plumbin~ ffxts~res an stay factors b esdatdlr~a the useful life off the oraent~ The sell absorption oomponent`e opar4don moat be srreaged by lrupaction at feast once awry three years. The Inipsction ihal! include noordina the levels of pondlnq~ if any, in thr vtuervstior~ piper, and a viswl Inipeotion for any evidence of surface seepage or ds$char~e from the component 8n steeply siopina sitei+ erase of erosion should be fdantFhsd #nd reportrrd tti tie owner br »palr. The iurhra diicharQe at domisti+~ wastewater ar aewa~e ts~rt the system is prohibited and considered a human huith hazard. Trai'tia eraurui ar owr the soil absorption ccrnponent should be avoided partiouiarly during winter months. Ttte compaction or romovai of snow covet owr the ~mponsnt may lead to hydraulic fsulurrr by freetina. This type of failure >; usually temporary, but is dlfflcult or impcasslbte to repair until weather candWans improve, !n general, ski Oorttp~tion over this cxfmponent will reduce dinuiton of oxyaeri into the soil and dliperael call, which nLay lead to nuue intenae- end earner, or~sntc cloggln~ of the call. x I' Management Plan for a Septic Tank and Boil Absorption Component Plantings of deep-rooted trees and shrubs directly over of within ten feet of the component should be avoided since root intrusion into the component may obstrudt wastewater flow. Contingency Pian in the event of system failure, a new system could i'e installed in an alternate area. With the installation of a diverter valor, the existing system could also bs reused after a period of three to four years, k is the property owners responsibility to maintain the aitemate area free from any plancirp of t»ss, shrubs, etc. Incase Of failure of the original system, the alternate area will be needed. ii any trees, shrubs, etc. have been planted on the aitern:te area, they will haw to be removed at property Owners expense, If aitmate area is destroyed, there are other aitemative systems that pn be used, in which, could result in added expense to the property owner, Any tank abandonment shat! be done in acco-dance with Wisc. Code 83.33. Any questions regarding this cads, please contact your kxaai Zoning Offiw ar Contact the inetaliing plumber. Sc~v..rr+oll~~.'R. ~ `v~, m ~ t N4 ~ ~ ~ S~ 3 ~ Imo' 3 t ~ S FROM : Schumaker Plumbing FAX NQ. 7153~~121 Sep. 26 2002 11:36AM P1 ST CROIX COUNTY SEPTIC TAIr'IC MAINTENANCE AGREEMENT AND 4'WNIrRSHIF GERTIFICATIpN FOR1Vt awner/Buyer ,rn ~ ~~- ~S s _ ~.vo Mailing Add G ~ p! v s ~a c Property Address (Yar~iScatlon raqufrad from Planning Dagar4araat for Clew G~tyJState Parcel IdwtiStsation Nutn6cr o 2O ` ~ `F °p ~ 0 6 - vn,~ I 1 ~P~Y Locatiors S~ '!+, S~ Y/~, Sec. ~ T ~9 N-R.,~,.'W, Taam of ~u-~S ~ . sllbd2Vi6r0r1 _ . ry~~r ~.~$ •~ ~' r __ .___.~ Lot # Ce~[ed Survey Map # -"` . Volume ,Page # warranty Deed # r0~~ ~9 `~ Volurne I~ ~ 3 _. Page # 2S Spec house ~ yes ^ rio Lat lines identifiable ,dyes C7 as Ytapropor use sad maiatjeaaaceof your asptic syaoem coµld result ~ its premaaae faslu:e to handle wad. Props msiaxenarace cottta~sts of pumping sat the tank every three years of . if treaded try a liceassd ptmopet. What you put rota the system ~ afitict the Amction of the septic tsalc as a tireatatent stage iu titia warts diapoanl system• The prnperiy owner agt~ees to sut~mit to St. Croix 7.ottiag papaztmeAt a carti$icadoa~ signed by tine Durant and by a mssterplttmbet, joauraeymanphartber, restriatedpluffiber a a licensed P~p~ vsriijrir~ that (1) the ot~site wastewaterdispoaal system is is proper op~sting coedition. atidtor (2} after iaspecGiau attd ptterping (if necessary), the septic tank is loss rhea 113 full of sludge_ Uwe, tha undersigned have sand the above rsquirammts and agree to maisttrtin the privato sewage di~osal ayatata rvfth the sGtndards net forth, herein, as sat by tha D~ad~nt of Coanuraxsx and tho Department of Natural Resources, State of W9acoasitt. Gartiticatiom statist that y+ottr septie ayst+errr has been maintained. nuts! 8e eomplet+eci and mturaed to the St. Csoilc County Zoning Office within 30 /days of the~ar expiratio~u dato. SlfitNA'ILIRE QF AFPLIYCANT DA'Z'E UVH1•iER CER'CA~Ol~i I (ws) cattify- that all statstaerrts oa this farm. are true to fire beat of my (onr) latowledge. 1(wo} sus (aro) the owner(s) of rite ~ desaribad a by virtue of a warranty deed rrseoxded in Register of Deeds Office. d~~~v ~-- ~ ~'J ~2G101 SIGNATURB OP' APPi:ICANT l7ATlz ««««•1- ,may istfarraatian that is mirwrepreatptcd raay:asult is the sanitary permit Ming revoked by the Zoning Dopartnrezic. «.««s. «« Ynctnde with this appltcattoa: a stampe8 warranty decd #ana tlu Eegister of Deeds ott*iee a copy of the certified surrey map if reference ig made irr the warranty deed 19?3P 25'i STA11'. BAR OF WISCONSIN FORM 2 - 1998 689894 WARRANTY Dl3ED KATHLEEN H. MAL5H REGISTER OF DEEDS ST. CROIX CO.. NI )IJCIIInP.l ll IJUI11bP,f RECEIVED FOR RECORD '1-hisl)eed, madebetwecll__~€~~9.?1-s7 -B-dot---d.nd-------_-- 09-i1-2002 8:00 AM _.TDQnalda -Js---Sp.~~r_-~a.~-t-- -. _-----.__..___--------..-..-.--- WiIRANNTV DEED _ - --.. ------ --------- .----, Grantor anll Michael .Fassino... ______ ..._..-... _...-..-_ REC FEE: 11.00 TRANS FEE: 206.70 _---...- - -....-- -_ _ _ _. __._._._ _ COPY FEE: __ _ -_ _ _ __ _ CERT COPY FEE: _.-_.-_. _ Grantee. PAGES: 1 t.~rnltur, li,r a viluallle cunslderaltun, conveys and warrants to Gr:nllec the following ~le-aibrd Iral rslale in St. Croix -_- County, Slate of Wisconsin: _. ---- -- r4acnnlil>47 Alen Lot 6 Plat of Hopkins Estates, Town - - u son, Saint Croix County, Wiscon$in Name alW Return Atldress Michael Fassino 697 Old Hopkins Place Hudson, Wi 54016 ,, i oao-ice-off-~ ' Parcel Idenliric2tion Nwnber (PIN) ~j "fins 1S not homestead property. (Is) (Is not) F I F.xcepiluru to warranties: Utility easements, rights of way,or covenants haled Iw5 -- 6~.h__- . -day ~r .-S~/~p~t~-~.._ -- _~~"!" ~~."~ - (SEAL) __pQnald_a._J_.__S~eer_Bast _ _ - ----------- --- --- (SEAL) AU'I'HENTiCA'I'ION authenticated ibis -___--_-_ day of ___ , __ ---.. _ .. t I~111111 -- --.-. .n _ --- ---- -- ---t----- frl'LL~ R1GMUER .; fA'r'E BAR OF WISCONSIN (If out, _._._..._..._..- ----- authorized by §7011.06, VJis. Stals.) f Hli IMSiRUM[NI WAS DFlAF'IED OY _-_ -_.Kernon_ J,__Bast__-...__--_- ACKNOWLEDGMENT (SEAL) (SEAL) State of Wisconsin, '. I: ss. i1 St. CTO1X County. Personally came before me this 6th day of September ,2oC2 ,the above named i Kernon J. Bast and Donalda J. Speer-Bast _ '' - I~ ----. - - tO ~' nle known to be the person s who executed the [ongoing hlstrumenl and acknowledge the same. ~~ No ry Public, Stale of Wisconsin My commission is permanent. (If not, slate expiration date: SCONSIN Wiscalsn Legal Blmlk Co., Inc. 1998 tn;wo.,mm w:. (Slgnallves play Lm anlllenticated or arkrlowledged. Both are not nccess;u y.) ' tl.~r,~,...t I,i~~. „~..ry;l~i,~t~ lit ~~ly cat~ulty nlll:l hr. lyt,.vl nr In lnUrl ln•.Imv Ilwlr sry,llalln c. srnl•c enx ur• w1 1VA Ii Rf\I•ffY UF.ha) FORM No. 2 _ ~ ~ ~ ~ i O ~ ~9 ~ ~ ___ ~ z ~ eENCHww~c ~ roP of s i~ APE u.s.as. a-n~ of ~s~ ElFVA710N ~ e94.7Q ' ~~ ~'~ IOMESTEAD INCUJDING r S WITHIN THE ROAD ~ ; '~ / ~ ~,,,. ~ - ~?° ' ~ y , y _..._._ ~ ~-~~~ ~ ~ ~ ~~~--~ ~ / / ~ m / h / :~ ~ - f o~ / W ~ ~/ / ~ ~~ %~ / .; ~ ~ ~ Q~' ---- / / ~ z ~ /~ ~ ~ ,/ ~ ..- ~ / ~ ~ ~- ~ ~ -~" ~ ~ ~ ~ --~~ ~ ~~ ____ ~ MIN. BUILDING ~LEI% _ X7.0 I~ A N 2.58 ACRES I 112601 SD. Ff. MIN. BUILDING 1 •~N _. ELEV. ~ 982.lIO ~` ~ • ., •. • . • . ._, ,, -, •.. •`.~ ~ • • ~ . s - •'•~. '• .... ,. ,., , . ~ .~ ~~ `~ ~ ..., . ~ ` ` ., .. \ '~ , •~ ~ ~. H.W.L. _ J~ ~•~ -''~ - •, ~ ~ 882.~ ~ •~ ' • ~ ". MIN. BUiLDINO ~' ELEV. = ee.so 3.56 ACRES 154716 SQ. FT. "j. ., ., N.W.L. ~ ~.s0 aD ARC •'771 ~ I". ~.'-91 ~ TA\IP!G\IT 1\I Tw\I~e~\rY I'N R .- - ~ ~`~~~ \~ .' 1 ~ 8 66' 3.9 ' ~~ - ~ %~~ ~ ~ _/ ~ -, 1 896.3 ~ t \ ~\ ~ i ~~~/ /i / ~ \ _/ 895 8 3' . 3 ~ X / \ • H W 880 Vii,. \ ~ \ X •880.3 ~ x \ A : \ • . j i 873.0 • X H.W.L. = 882.80 \ ~ % , ~ / • • X 886.5 878.4 ~ j i ~ ~ •~ D4 . . / 91 6 \ _ ~% ~~ 893.4 X ~/\ G 88 .2~ _ _ ~ - 887.60 X• // \ .5 (1 6 A •'' .n / ~ i, . 8 .2 883.9 H•~L. _ 1 IL 1 C3 . e 7_ e FlPo /~ ~X 886.9 X 877.5 236' ~- ~ ~ ,- 882.8 © ~ .at the ~Irect X X 887.5 .W.L. 886.6 C 885.5 Si/4 CORNER SECTION 11 888.1 886.8 X X 886.4 l X 89 1 X .~ 892 Q , 900.1 ~ ~ y / 0' 8°S 1'32 812. ' NO LINE OF THE OUTH 1 EET O © X 889.8 8 M ~ o a D~ p o~ ---o ° -o - 0 - Er S LIN OF TH SE N 1 X 8 7. '~ r ~ X 888.7 , ~" .3 A BENCHMA ~ , ~ ~ ~~ ~ STOP Oat' O~i f'IF'~ © ~ 1 . B D~ G o ~ © j X /~ ~-, 8 3.• ~ ~ 2 6 •- d, / j 896.3 ~~~~ ~-- i 3 895.8 3 X \ Vii,. / 882. • H.W 880. ~X \ ~ i . \ X .880.3 873. A ,~ \ / H.W.L. = 882.80 \ • ~ ~ / ••~~_• • ~~ i X 886.5 878.4 ~ j ~ . D4 ~ - ~ . / 916 ~~_ __ ~~ 893.4 X ~/ G 88 .2~ _ - 887.50 X. .5 A ~~ (16 ~ . .~ iii 883.9 ~"~•1~5,~ _ ',_ i 8 7•P' \ FiN /~ ~X 886.9 X 877.5 236' hat the ~~ ~~ direct X 885.5 S1/4 CORNER SECTION 11 888. \~ X 886.4 D4 882.s Q x 887.5 •W.L. ~ 885. b i .~ ~i~ r ~ X 895.0 G ~ EL 900.1 ~ ~ , ' ~ / O' 9°51'32' 912. ' NO UNE OF THE OUTH 1 EET C Q X 889.8 E M ~ o _DD ~ 0 - ~ EI S LIN OFX ~E _ -• 1 886.8 X