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HomeMy WebLinkAbout020-1445-02-000I I I I ~ ~ O ~ ~ ~- ~ C ~ fD ~p N O. Gf O ~ ~ v C ro I ~ i o I 01 m I ~ ~ L I I I o_ ~ o. I N ~ ~ O. I Z 0 I I o I I W Q Z =i 00.. j I I I I I I N N ~ n 'S t ir O C n N C D N ~ O O O N ~ N n O Q C ~ 7 ~ N O ~ ~ v Cn v VS Z D ~ ~ ? co D v' m Q o a W c O ~ O ~. ~ fD ` a y ~. o (D n n c m c c v C w ~ 3 n a ~ W W a n ~ ~ ~ ~ D O m ~a m O vfD-, 3~~~ CD O ~ c N ~ N ~ 7 O O N y -m .. y S N Vi ~ O m a~ ~o°- ~ ~• a .0 0 (D ~ a m~a~coo~ mNd~~ao y n < n ~ ~~ y n ~• N (D O D ~ ? f y N ~ fD O' Q O C 7 N ~ d y0 ~ N ~_ (nD Z N ~ < _ O ~ ~ a ~ n O ~ N m a ov 3 ~ ~ O ~. ~ N N S O 3 d v a o m ~ ~ D m - ~. 3 ~, ~ av o-a ~ 7 3 N (O ~ 7 = (D `yG O Q fFD D ~• O f 3 ~ c 'm d ? O- N N S fD O 7 N O O O O ~- Z 0 o~i 0 N 7 n Z 0 ~i 0 W d Z O M .~. 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A ~ 3 Z ~ ~ ~ cNo A .Z1 ~ ~ m ~ A d ~: m A'+ O b ~1 0 ~• O • `i y A b A A 4 O N O i ti Cu pA O ~ ly N y Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH ~ PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.0a ~1)(m)]. Permit Holder's Name: City Village X Township Bast, Kernon Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: /v ~ C 5'? ~ .nom :~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing .-- - Aeration Holding ~ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic `~ ~~ ~ 1 ~~ ~© ^~ / f .._... _.._ Dosing Aeration r-•--~" ..-- . Holding ,.' _ -. PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Nu r ., "~~ TDH ift riction Loss System Head TDH Ft Forcemain Length Dia. "" -~ - - .__ Dist. to well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 453433 0 State Plan ID No: Parcel Tax No: Section/Town/Range/Map No: 11.29.19. STATION BS HI FS ELEV. Benchmark I ,`7 ro~.7 ~an<c~c~ A . BM dg. Sewer ~ Q ~d•. ~ d St/Ht Inlet St/Ht Outlet Z 98.0 Dt Inlet Dt Bottom "~ Header/Man. 7.1 y~.~ Dist. Pipe S -7 •~t' ~• SS 93.8a ,SZ Bot. System 5 ~ Q~L' ~ v ~Z 4~-F3~ Final Grade y.~ ~~.3 st Cover -~ G !03 -® 2.. BED/TRENCH Width _ Leng No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 ~~ ----~-----~ "-"` - SETBACK SYSTEM TO P/ BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ INFORMATION CHAMBER QR Type Of System: h ~' iV2 'E ` --- `~ •'+"~ar A N Ty UNIT .. Model Numbe ' ~} ~ ~ O ..~.~ . ~ ~ ~• . DISTRIBUTION SYSTEM ~~~ .~ ~~! ,~' ~~~ ~,~,p„~- Header/Manifold Distribution _ ~ x Hole Size x Hole Spacing enYto~Afr Intake ! et Length_~L Dia ~ k Pipe(s) a "' '. Length ~ D Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems OnIV Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center w Bed/Trench Edges -- Topsoil L~ Yes [~ No ',`vJI Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:L/ ~ / ~! ~ Inspection #2: / / l0 (0 3~~~L~ n1 w [ Location: P~ndia ( 114 SE 1/4 11 T29N R19W) Sunset Hills Lot 2 ~~ ~ ` l.~ ~-.~ ~ ~- Parcel No: 11.29.19. 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = "~j /~/ ~I ~.3 ~. Q _~_ ~~~,t _ In /~ /~__ Use othesis de foruadditional in Yesy =~ No I I ~ ~ ~ ,J ~ ~ _~ ~I II ~! _1~Y `~ `2-'l_L -'ll formation. L__ ~__ U~" - ` Date Insepctor's ~gnature Cert. No. SBD-6710 (R.3/97) l~~i~~6y /vim ~~ ~~,~ Safety and Buildings Division County ~ C/~~- 201 W. Washington Ave., P.O. Box 7162 d t ` i i Madison, WI 53707 - 7162 Sant Permit Number (to be filled in by Co.) n seons (608) 266-3151 53 `f 33 De artment of Commerce I.D. Number Sanitary Permit Applicatio R ~ ~' ~ ~~ .-. I infottnation Ad C d Wi 83 21 C u provide m. o e, s. omm . , In accord with may be used for secondary purposes P ' w, .04(1 ) Project ddress (if differatt than mailing address) L Application Information -Please Print All Informatio ~ ~ ~ " `'~ ~D J ~- Property Owner's Name _,d i:, .•.w u r ZC)NlN~ CP,F'~` rcel Lot q Block 11 "7 ner's Mailing Address w Property O //t / Locatio rt y Pr o p e / ~ C ~ / ~N / / y ) l ~ ~~ /"w`Y., `~~'/., Section City, State Zip Code Phone Number ` ~E Fr-- Q nn 7~S" L~ trcle e) T ~N; R E o~V II. Type of wilding (check all that apply) ~ / ms y d f B N b lli Subdivision Name CSM Num e roo er o um ng - or 2 Family Dwe Z s ^ Public/Comtrtercial -Describe Use ~ ,, n ^ State Owned -Describe Use ~ ~ ` ~ 3 ^Ciry ^Vjlsage ownship of ~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - ~~ ~ A' New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B. ^ Pennit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T of POWTS S stem: Check all that a 1 Non -Pressurized In-Ground ^ Motmd > 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 Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ er (explain ~ ~ ~ ~ ' V. Dis etsaUTreatment Area Information: Des;grt Flo~pd) Design Soil Application Ratelgpdsf) Dispersal Area Required (st) is ~ ~ Proposed (sf) System Elevation C y (I J , ~~ VI. Tank Info Capacity 'n Total Number Manufacturer Prefab Site Steel Fiber Plas[ic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~ O .~ ~~ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for fellation of the POWTS shown on the attached plans. PI 's me (Print) ~% „ ,~ ^ Plumber' tgn re M PRS Number Business Phone Number ~/q lumber's Address (Str~eet1City, State Zip Code l~ ~ v ~ .~ VIII. nun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date 1 sued I mg Ag t Signature ( mps) Approved ^ Disapproved Surcharge Fee) ~j~ ~ ( (~ O ~-/{ ~ ^ Owner Given Reason for Denial iX. Conditions of Approval/Reasons for Disappr~ova~l Q .~ ,,,-,/ L/ ~~yy, GG~i~L !/yt.T C'/~/ 1~~ s~-~~ l~~ Gl~~ ... ~...i.... ar n . t r t...~t... t~ :tom. nmcn eompwa pwm pu urc a.o~nq ....y, .........J.......... rr_. SBD-6398 (R. 01/03) _~ ,, ~j3-I 9 N~ r'= yc ~~*~ s~ u~ / ~-G ~yN -y~ 9y 5Y yz, s; Rug 10 04 05:41p LISA ANN KROLL 715-246-5700 p.3 NAhll':~ Cc~.~ /~ I.Ol7/_a- i.l'.ti~~l. t)1'..`it'I SCALE: 1"-_ /v/. ~MI GLGVn-1-IOiJ: ~U, .Q...--- -- - ....--- - --. -... . tint - u>:s~itn' ric,i•,:.~,o~ a~_.3.~y ~~~~-.~~..~~-L... . 13N1 2 UGSC;IZfi'-I'iUt•!: __~__'~ _-~_,_^____ Sl"S~1'Eh! i:L1:Vi\ Il~'il: Z. ~O SY$1"1:1`1'I.1'I'i~.: ~u~tv~?.,c~~joral -- ~. ~~ ~, D~' ~/ u~ `, 7 - ~ f 1~ ~ Q., z ~. ~_ ~~ 8~ ~ ~3 .... / i ~ ~ ~ i~~~ _ s B-~ _ ~IGNAI"UIZIi:__~ .~/ ~ --___ . ~...__I1~"f(~.:_...7~...~.~0 _U_ f' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~c~^/g~ ~~~Sj' Mailing Address Property Address ~ /0~~3 _ ~~~ rT~ ~. ' ~~-I ~ r~ ~ y (Verification required from Planning Department for new construction). ~ `a;~` ~~~ f -City/State ,Y// !/-~ Parcel Identification Number OZa-/~/3 -?o -c~~ 'LEGAL DESCRIPTION ~ ! / ~ tv ~ ~. ~~ Property Location /L!~%., ~ i/4, Sec. ~, T~N-~W, Town of Subdivision ~~/,SEr yi~~ Lot # ~- Certi£ed Survey Map -# ~~ Volume ~- .Page # ~~ Warranty Deed # 6 (D ~c~~ y Volume ,~ L~ ~O ,Page # (v Spec house yes ^ no Lot lines identifiable yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result is its prematurafailure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic task as a treatment stage is rho waste disposal system. The P~rtY-Q~ agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterphunber, journeymanplumber, restrictedplumber or a liceasedpumperverifying that (1) the on site wastewatezdisposalsysrem is in Proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commence and the Deparhnent of Natural Resounces, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date, / S/ /~ arm MATURE F PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described abov by virtue of a warranty deed recorded in Register of Deeds Otlice. /Zi Dy IGNATURE OF AP ICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. «***** '~~ Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if referoncc is made in the warranty deed Rug 10 04 05:41p LISA RNN KROLL 715-246-5700 p.l w~~~cu„sb, t>epeltmerlt of Coo,nlerce SOIL CVALUATION REPORT~~J U ~~~ /t~dt~i~i~ Uivisiun of sorely and Buftllings . in atx:onlalrue wiUt Carxu 85, Wis. Allen. Cvde Cvuray S`j" ~; • ~ Mt~d+ otarq:l9le alts plea orr Pvpel trut Mss Ulan 0 1/2 x 71ardres b, size. Plan nwnt .- _ ..____._ . ._._ -_. _. Hldude, Ir,t not titrrlted tn: vslllcal alyd ttaizoraal refe+elrce poirrt (DMA, dkecl(w, anJ Pmtpl I.U. percent r Dupe, scale or Wrnvnsbns, uvrpl anew, aril bCdlbn and dlsbllce to nearest road. Please print afJ lnfurmadvn. ReviewoJ l,y ~ ~ Judo Peraone+ klrotnrwUOn Ptnracy lsw, s. 1 S.DA t t I+Itooetro er l o. .n.Ivl .,~~li,.., LG ~_ ~~}.~ 'wl Lut t/~ 114 S ~I' N It E (vr) W MelUrlgAdtlress L p flkltk# SuW. Narrre 1 LShlft -~-~~ State Zl~ CixJv F'llaie Nwlrber. Lj Cyy ~J VillayB (~} I uwn~ Nearest Rv:sl _i ('~ New Corrsbu~li Use: (~ ResiJerltial/ Nurllberot rlls _~ - - - / - 'udo doliveJ desiyll lluw raly ____G,~ Sa .__(~ ~._____ _ Gf'U (] RePtacertlent unalcial -Describe: _r...-^------ --.....- .... - Peres! rneterlet __~ e.~ cam- _,--____- ¢borj p~pl ebvaliure i(apt _.._- - - --- -- -- -- - --- --____..~_ n- Wtrelal pDrnmer119 /~ 51.e.-~t .2 4 (/r ~~ ,~ :Irld raoonxlrernlaticxlr 7 y 77 . / - -- -- 8otiae ;7 ^ Bwing -- -~ ® Pit (i:uund swlaco dov- I_%! ~ ft. Uc~1U1 to IHldliny tacwr _/? S in. - ------..~. ----- - _ _ _ _ - Suil Apyliu'7iiun Rate I Iatuwl Depth Uwniuenl Gotur Redvx Description Textwo SbuGvre Cunsisimn;c Einund:uy Bunts GF'UI(P_ -_ in. Murlcpll Qu. Sz. Coral. Culor Gr. Sz. SII. 'Efflll 'EIfN2~ _z 11z~ ~ y --' L sl ~_ ~S_ _ ~~ ~ --~- IG " ~ `~ v ~_ -- _ - _~ ~~ l Bainy ^ 8uritlg p JJ ~ I /~ '/ I XI P11 tirOUllf~ 4ul-ACA PIAV_ I'V O ~ O II Ilun11. M t:...b:.... f.......- I Z 75 Etnuerq rt•t = BOD > 3V < 22U rng/~ aril T >30 < 1fiU t.S T Name (Please Print) S• _ ~ .! ..~- /1ckiless ~~~_ _ _~....~ _...._..~ ......... _T ~ __ .... - Soi Application Ralo intizon Uepul Uwninalll Cobr Redox DescrQtion Texture SWCtuie Consislencv Owrxlary Ruuto _ GPDIf1' __ in. MwlseN Ou. Sz. Cent. Cobr Gr. Sz. Sh. 'Elfdt •Eff#2 °' Y 1 ~ x.3/3 5, ~ ,nsb .~ ~~' C S Llr-~ ,.S" ~ _ ll - ~ _1~ -- ___~_- s m l _ _ _ -- -~ , z _~/~ ~ - table rrZ = 6UU < 3U n1y/L a11d 7 SS < ~(1 rng/L r CS_T Nlxrlbw its Evalua " n unducie~l --'~SeleplNurirbcr Rug 10 04 05:41p LISR RNM KROLL 715-246-5700 p.2 2 t'~orerty Owner .lLL `_~G~ ~__ Parcel ID 1l _ 0__~ Boring I Borerg!! _ t ~J 1 b} Pit Vto~rJ surface Nov. ,~~ 11. UepUr w 6nnGng laclur ~Z - Nt. Sol n r icafiar Ra I lurizAn Ueptlr Uominaul Color Redox f]essai{rtion ~ Texture Struwure Consistonce ©ourrdary Roots GPDIIP _ in. Mtxrscll Qu, Sz. Cart. Cobr ~ (~r. Sz~Slr~. r ~. _~ 'EftAI 'E1tp~2 ~~ Boring A ^ Boring LJ Pit Ground sw lace elev. ~_ It. Ueptlr Io lirni6ny factor _-__ _ _-_-- ~-. iu. Soll A licalion Race lroriZpr j ~ peptlr In. Donunant t:olor Munsetl Rorbx Description Uu. Sz. Cent Cobr Texture SUudure Gr. Sz. Sh. Consisldrce Boundary Routs GADRP _ 'Elfgt I 'E1fA2 8odng Boring A Pit Ground surface elev. _,_- ft. Depth to IirTritirty taclur -,_._,.,.",."_..... irt. __ _ __ _ Soi A Ircatiar Rate rlorizar Ueptlr Domatatrt Color Redox Description TexUne Strudun: CvrtSiSfen~ Boundary Roots GP D/-P in. Munset{ Ou. Sz. Coral. Color Gr. Sz Sb. 'Eifgt •HRA2 ' Efltuerrt tit =BUDS > 3U < 220 mgll erxl TSS >3U < trip rnylL ' Etltuent tit = DUUS ~ 3U ureyrL and TSS < 3p mglL "I he UeparUnent ofCunuuerce is an equal opportunity service pruvir{cr and enrploycr. If you oCCd assistauee to occess scrvice+ or need matctia{ io an attcrnatc format, please cvnhCl dre dcparttncnt at GU8-2GG-3151 or 'I'I'Y GUS-2(iM1-B'177. s nn sr ~o rR onvnr . Wi rconsin Department of Commerce ~ =VALUATION REPORT payv _ ~ _ of Uivis'an of Safety and 8 ifdktgs in a rdarrt.-e wiUr (,or ~ Adrn CvJe /~ ~ ~ County ~i` ~ ~~ ~ ~~` Altacfr cvnrptele slte[prar Qn r t ©1,~ k~'f n~lres trr size. Plan ust trtdude, hart not Ilmlteri to: ta'ertisaL;~rid r 1 referencb pglri~DFglh,~ becibn nd parcel I.U. percent ~ bpe, scale or dirnonsfons, nor t w, a~rtllJoptlon and a to n aresl road. __ __ Please pr/nt fvt3U~~~~UUN y, Levi ~ uate T / Personal Iorormalbn you provide maybe used Ior secondary ~~'(~ law, a. S.OA (l) (m)1. 1~ ZZ Properly Owner ~ ~ opertyLocati~n /,J~,~ S GvvL Lut ~W 111 SL_ 114_51 ( l Z ~(N Il ) al E (or)(1 `~ - - -- - ---- - - - - Properly Hers Mailing Address Lo # tJkrc:k # Sulnl. Name or CShif1 City Sl to Zlp Ccx1e Pl+une tJunrber I_J Cily [.] Villaye ~} Iown fJearest Ruad Qr ( 1 ~~'n I Gt/~ l~~~c~~ {'~ New Construciivrt Use:l~ Residential I Number of bedrooms _~~_ Crxlo dorived desiyn Ilvw raie ____L,L-} U~ v~ _GPU ^ Replacement ^ Public or commercial - Uescribo: ___ -------------------------- ----------- Pa+e++t material ~~ ~~~ _________ Fbod Plain elovalion it applic:abin __ ~'(/ General comments ~y5f~ ~ .2 ~ (/ r QZ , ~ S~/..S'~/VY~ ~ ~ arxf recommendalia+s: 7 // // t ~ ~ Boring # ^ Bvriny ~, --77~~ ~ III "' III ® pit Ground surface elev. I ~! TU_ fl. UepU+ to Ilndliny factor ____-______ in. -- _ _ __ _ Horizon DepUr UorninanlColor RedoxUescription Texturo Shuclure Consistence E3oundary ht. Munsell . Qu. Sz. Cont. Cobr Gr. Sz. Sh. _ z ~~ z ~ y - sG rns~ ~ < s `-- -- _ ___ Sol Applic;alion Rale Rrxtls GPU/f t' _ 'Eff#1 'Eff#2 - _ ~ . ~ Boring # ^ Boiiny pit Ground surface elev. h~ ~ ®__ ft. Depth b IimiGng factor ~ z~_ in. Sort Application Rate Florizon DepUt Uaninartt Color Redox Description Texture SUuctuie Consistence Boundary Roots GPDIft= in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Efl#2 ~ Z ~ ~ ~ Zl 21-1 l~ r3/3 l4 `_ - 5,' ~_- _~_ ~,~ ~~ ~_ ~~~ ~'VL~ ~ C S ~_ -- - ~ - , ~ _ r ~ ~ ~- . ~ 1. G ~ Z Ellluent rMt = BOD > 3U <_ 22U nry/L and 7SS >3U < 15U rny/L • ERluent #2 = BOU < 3U my/L and 7SS < 3U mg/L CST Narne (Please print) Siyr Lure CS_T Nun+ber Address jj Uale Evalualior~onducled 1 elephon~ Nm tber ~ ~ ~ X~v-~ ~7~ty l • S `f62.~ 7 ' Z~ ' ~'_ `_~ _---- --- --7/S-tea a z ~ f ~ f s~~ ~* ~ ~~_ --~ Parcel ID ll _ !0~ ~--,------ Page __~ ul~ Properly Owner a-~i-= I--1 n Rnrina .~ i Boring # ~' It Pit Ground surface elov. , D epUr to Gnetiug t adur F~ _ in. Sod A r icalirnr Rale t i Bounda GPDIFF Roots Horizon DepUr in. Dornlnanl Color Murrsell Redox Desc.~iption Qu. Sz. Cant Cobr Texlwe _ Slruc~we Gr. St. Sh. ence Cons s ry _ . 'EIf(t EFFg2 t - ~ ~6_ d3/z ~ 5 ~~6 ~-~ ~ U ~ ~ _ . ~ _- - U Boring _ Boting # .Ground surtar:e elev. __ FL Ueplh to IimiGny Factor ____-- irr• --gull ~ IicaUon Rate ^ Pit Ilorizar UepUt Dominant (:vkx Redox UesaipGon Texlwe SUudure Cvnsisterrce Boundary Rvvls GPDItF in. Munscll (]u. Sz. Coat Cobr Gr. Sz. Sh. _ 'EFf#1 'ER#2 U Boring Boring # Ground surface elev. __-___ Ft. Depth to limiliny Factor __.-___-___ irt• ^ pit _ _ Sod application Rale Horizon DepUr Dominant Cofvr Redox Description Texture SUudurt: Consislonce Boundary Rcwls GPD/fF in. Munsell Qu. Sz. ConL Cobr Gr. Sz Sh. __ 'E((#1 'EFf#2 'Effluent #1 = BODS> 30 < Z20 mglL and TSS >3U < 150 mylL 'Effluent dYL = BODS < 30 my1L and TSS < 30 mylL 'ftte Ueparttnent of Commerce is an equal opportunity service provider and cu-ployer. If you aced assistance to access services or necd material in an alternate fomtat, please contact the deparUnent at GU8-266-3151 or '1"1'Y GO8-2titi-8777. SAD-!V 301R.OLOO) ~. r A PAGE 3 OF~ I ( T 2q,N,R ~q E SCALE: I"= BM l ELEVATION /OC3 (,~ BM I DESCRIPTION -~' ~-~ f -~ ~~~ ~ BM 2 ELEVATION BM 2 DESCRIPTION pf SYSTEM ELEVATION / z' ~~ ALTERNATE ELEVATION CONTOUR ELEVATION k~`~'¢ ~ ., ~8- ~~ ~ (q~~ ~ ~ r " ~ ~ fo Si i : ~ L Q/~• .7~~p-a Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 ~~, ,SCOn~,~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)`2i~1S~1 3 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04,,,Sl~m) ,-„~,_.. Project Address (if diff nt than mailing address) 3 ~ ~1 / `~ . dto I. Application Information -Please Print All Informati Property Owner's Na me ~ ~ ~ ~ ~ ~ Q Q 4 -_ ar N Lot Block rY Property Owner's M ailing Adore "' "' rty cation S d ~'k v ~ ' I a , ec on ' ~ , City, St te Zip Code Phone Number s / 7~ _ ~ ~circlepttp) W T N R E II. Type of Building (check all that a ly) ~ ~ ; 1 or 2 Family Dwelling -Number of Bedr tns Subdivision Name CSM umber ^ Public/Commercial -Describe Use ^ State Owned -Describe Use ^City Villa a ownship of III. Type of Permit: (Check only one box on ' e A. Complete line B if plicable) _ ~ O A' ~ New S stem y ^ Re lacement S stem p y ^ Treatment/Holding nk Replacement Only ^ Other Modificati t 'n s B. ^ Permit Renewal ^ Permit Revision Change of ^ Permit Transfer to New List Previous Perm n Date Issued Before Expiration Pl ber Owner ¢ Z C s ~ (• 1V. T pe of POWTS System: (Check all that ap ly) •- ^Non -Pressurized In-Ground ^ Mound > 24 in. of suitable ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filler ^ Constructed Wetland ^ Pressurized In-Ground ^ Holdin nk ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber ^ ip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Trea nt Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal A Required (sf) Dispersal Area Pro (s S stem Elevation ~ ~ Yr ~ a y 7 _ q - ~ ~ ~, Ic ` VI. Tank Info Capacity in Total tuber nufacturer a Site Stee Fiber Plastic Gallons Gallons f Uni ~~~~ ..l ~ o Crete Constructed Glass New Existing ~ Tanks Tanks Septic or Holding Tank / Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the un rsigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum is a me (Print) Plu is Si tore MPRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Z ' a~ s VIII. Count /De artment Use Onl ~pproved ^ Disapproved Sanitary Permit Fee i ncludes Groundwater Date Issued Issuing A Signature ( ps) ^ Owner Given Reason for Denial Surcharge Fee) ~~^ 17z IX. Conditions of ApprovaUReasons for Disapproval ~` ~ ( SYSTEM OWNER: 1 _ ~ I 0 ~ ~ ~ l ~ / ~ ,~ 1 S , . c~ _-_^n ~ ~""'~ "'"'"' "` eptic tank, effluent filter and ~ dispersal cell must all be servlce~dl.l~lalbtaiRed ~ f~ ~~ ~N~ as per management plan pr®vlded by plumber. r 2. All setback requirements must be maintained as per applicable code/ordinances. tt[taca complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD-6398 (R. 01/03) s' { f ~ ,' s. [! r .. ~~ _~ _ ' .. j • ~. ~ ~;`{• ~~ a .~ ~~,. ., .: fi ~ . a~ ~o (~3 e„~ a ~,~ X 1 = ioo ; ~.~ ~~ yS ~ ~ ~~~~_ T = a = a~ ~~.~~ r~ s~~~.~y~ I18 z-d RECEIVED, Nl~eoorrsirr oepartrrreM of JAN Q 9 2 0 D 4 SO~L EVALUATION REPORT ~ p~ / ~ 3 Div~lon ~sat~yand . ST. C14~M~ m 85,111.5. Adm. Code ~ ST ~iPot K. Attach complete site ptart i F in size. Plan must 1e. btR not r to and horizor~al reference point (BMj, dhectian and Pane) I.Q. tin , scale ordrnrer>~orrs, riarf}r arroN-.and lor~ion a+a di.5tanoe to rrairest road. 020 • /d/3. 70 • d'~D h/ease print at! htfwmatJon. ~ t~ Perronar wbnnaua~ you provide my es aced tarsaconwry prpor<as (Privacy Law. s. +sot (1) tm»• . - ~ip~/l~iV /~A•GE'IcJ ~ corr.t~ot NW ~~e Siva s ~~ T Z~ la R /g ~(«~w Propaity Owner's t4ta~ Address ~ t.ot # Bbdc # sebd Name a t io 3 0 7~-,tJ,vE ~.~ • Z sv~usc r- off- ~l S ~UOSa~ stye 7~ Code phone Numder C' ~ ^ ®.Town t Road Sul. 5 yo/G ~ 71s~ 381 • ~~S U ~o ~t! T,~~u~y !.•~ . ~~ ~ tJse: ~ ~ / Nimiber d bednoorr~ Code deriMed desi~r flow rate d `~ ~ G'PD O ~ ~ Pr~c or oorm>araat - oe~ribe: pstant rtra~erlat ~ Ab1"~~,4~L,. ~ f=lood Plain elevation if appri~bte /V~_ fit Cenerat aorrrrneri~s _~.__., j and ~ ,~"~~.~- T~T~?.~ iS SG !),,~'Q L~ " y~iP !f.(l /~V fjPdU,uD o zg > . Bores ~~ GrornrdsteRaoeelev. ~ ~ • . >t. oeplh to Grrr7sig fec6or. ~~ ~. s~ Ra6e tlorimn depth t?orninant Redoor Despipflon Texdsa Stn~iiire Come Boundary Roofs ~. > flu. SY. Conk Color Ctr Sz. Sh. 'E~t 'F.l~2 •3 ~5 s ~ ~, .--• (. aGt- `~~ • 2 `~ z~. ~f8' ~, . ~ a~# ° -o~.2y ~~ ~~ ~, ,,. _ ,~~r..~:~. so, Rate ftorizon Oeli@r Dorrrirreirt Redaoc Desaiption Texture Shuctixe Consistence Boundary Roots OP DAt~ irr. >uurnefl tau. Ss. Conk Color Gr. Sz. sh. ' '~11 'Eitfl,2 y ~0 5 --- siL ~ 5 . Z. . 3 --~ s / Z ~ l r!' i g' BW ~ Vy ~ (.GV ~ aM t a7 '~.7{i ~ ~I JrO rr~A_ ~ CAIraSI ~ E Qw_ 'C .~ ~ gp T~! ~ A{! ROIL ~ . ~_ ~2o~a Z1Gf~i2i cL~7r- / C. 3~, r Smear Address Date Evahralior- Conducted Telspirorre Ntiyrr6er ©w ~_ Associates ' ""°"C JeWa9e Consultants 2812 10th Ave. Spring Valley, WI 54767 r ,~,e%~rw RR~~-~~ ~ > ~, ~ ~~, °''y ~D'~R L 1•Fs ~ w 3f - Cv id' Z3 ~~ --~'- ~ L s --. , Z . 3•s ~ - - ~ ,F -- z 3 ~ . Q ~~t cas~v n. ~s - ~ ~. Soil Rafe ftor~vn Redaac D~ai Tesctere S6~citre Con~ertoe 8aatdaty Roofs in. #,~ tie. S`t tad. Color t~. Sz Sh. ~ 't `E~K1 P'sE t~ourid sufaoe elev. fl. Dam 40 factor in. ~ ~ ~~ Sul ~ i ~ Rcdaoc _ Ta+ulure ~ Roofs ' in. i f2ce. S"t f:ot~t C.odor ~ 5ir. 1 'Ei~2 ,~"' .S~,vs~ f ~i~fs ozo-l6~3. 70 - ~ ~~ Gof ~- Z t~ Z ~. 3 ff. flee'' '~exUae a Corsi Gr. Sz. S'h. • EtRttern #t = gppa > 30 < ~ ~, ~ '[~ >30 < i50 mgiL A +de+Y Roots f ~ 'tai '~2 ~ 1 v -` M GA~ ~ 23Y .._ _ D ; s ~,P~EYp/~ S -f`p (!N Gor.~Z . ~M~ _ E~ ~~ s ~- P ~~ st ~ ~ ,. ~©% ~ ~ --- ~ ,a ~ ~~ `--1 Sb ~~ s~~ ~ ~(~~S ~~~ . ~~ ~ 'i ` ~~ ~~ ~11- ~ ~z D "-- ~' ~G --~~ v d /OI. S~ / - . a ~~,6 ~~~``Y ~~~ d 9l~~d f ~~~ ~~ ~o ~~~' v 2.-~ GD ~- ~~ ~ -N ~~ ~ ~ r `'- 3 n ,~ 1 /~ ~ ~ S.~ ~.~ ~a ~_a _oa Cam` Ina,3a ~~ j' f' ~ ~~a ~ Ste- ~~ ~/- ~' y~s-~' .r_ 1 _____-~- ~~. ay% l ~~ t ~~~o~"' ~ ~~o3s > I~ ~~~ ~~ a-... ~a Y:~~ r ~Y~ ># f ~- may.: ~F ~ J: H ~i '! • ~~, ~ ~ ~ '" 4 ~~ ,.~ " ~`~~ A ~; ,;~ ;` ~ •~ +~ ~ ~~r~~ .~ `'~~r, ~ ~ ~ ~ ~~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of 2 FILE INFORMATION Owner ' Permit # 5 3 3 3 DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units ~IA Estimated flow (average) (~ al/day Design flow Ipeakl, (Estimated x 1.5) 0~ gal/day Soil Application Rate L al/day/ftz Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) S30 mg/L Biochemical Oxygen Demand (GODS) 5220 mg/L ^ NA Total Suspended Solids (TSS1 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) S30 mg/L Total Suspended Solids (TSSI <_30 mg/L ^ NA Fecal Coliform (geometric mean) S10° cfu/100m1 Maximum Effluent Particle Size Y8 in dia. ^ NA Other: ^ NA *Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity ~ al ^ NA Septic Tank Manufacturer ~.~ ^ NA Effluent Filter Manufacturer ~ ^ NA Effluent Filter Model - QQ ^ NA Pump Tank Capacity al A Pump Tank Manufacturer NA Pump Manufacturer 1~;1VA Pump Model ~ ANA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ~A Dispersal Cellls) In-Ground (gravity) At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tankls- At least once every: ^ month(s) (Maximum 3 years) earls) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third (Y31 of tank volume ^ NA Inspect dispersal cellls) At least once every: ^ monthls) (Maximum 3 years) yearls) ^ NA Clean effluent filter At least once every: ^ month(s) yearls) ^ NA Inspect pump, pump controls & alarm At least once every: ^ monthls) ^yearls) ^ NA Flush laterals and ressure test P At least once ever y~ ~ ^monthls) ^yearls) ^ NA Other: At least once every: ~ yea~rs~1s) ^ 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 tank(s) 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 cellls) 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 IY31 or more of the .tank volume, the entire contents of the tank shalt be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of X12 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. Page y of y 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 cellis) in one large dose, overloading the cellls) 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. ~~ T alua ' a o m9 ank b e ai a ~RD4.118>7~1~ ~0~2 A/,6L/ L'OfVSTRt1~?1.DN ^ 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`" .- ~ S.- ~ ~ ~~ SEPTAGE SERVICING PERATOR (P ER) Name 4 [ n -_ c n _ POWTS MAINT INER Name (ft~ Phone LOCAL REGULATORY AUTHORITY Name s-r, 4~' ( (~ ~ 201J1 >~ Phone ~lS- 3~(O- (p (~ This docu ent was drafted in compliance with chapter Comm 83.2242-1b141-4d-&lf) and 83.54(11, 421 & (31, Wisconsin Administrative Code. UTGARD PLUMBING & HEATING 112 KELLER AVE. N. SUITE 2 AMERY, WI. 54001 715-2G8-6995 FAX: 715-2G8-G095 TO: ~ "- FROM: ~! , - ".~ FAX-KU~IBfai~;- r~ DATE: ~ -,. ~ 1 ~ 4' _~ a ~ •; ^ ~.~ ' _ tip. ~., ~ ~ I ~ '~. COMPANY: TOTAL NO. OF PAGES INCLUDING COVER: PI-IONS NL'V1BER: SEtiDER'S REFERENCE \iUI~iBER: RF_.: ^ URGI'.N"I' ^ FUR ]ZIsVIL"•W ^ PLFASlt COMMGN'1' ^ P1.IeA5i{ RI?PLY' ^ PLFSASLi RCCYCLG NOTES/COMI~tEI~TTS: 11[) KF..Ll.13R AVL--. N. - :1 hlf;kY, 1i'l. S4o[[l PI10N1?: 715-3GR-(,9')5 ~ F.1%; 715-2GN-Gtl93 T -d ., ~~ zses~ zls STATE BAR OF WISCONSIN FORM 1 - 2000 Document Number WARRANTY. L1EED This Deed, made between Brian H. Raleigh and Michelle L. Raleigh, husband and wife, Grantor, and Kernon J. Bast and Donalda J. Speer-Bast, husband and wife, as survivorship marital property, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): See attached Addendum A. 764514 KATHLEEN N. MALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 06/02/2004 89:15AM MARRANTY DEED EXEMPT # 8 REC FEE: 13.00 TRANS FEE: 1268.00 COPY FEE: CC FEE: PAGES: 2 Area Parcel Identification Number (PIN) This is not homestead property. Together with all appurtenant rights, title and interests. ~i~ (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Dated this ~~ day of May 2004 AUTHENTICATION Signature(s) authenticated this day of GheC~~ is ~{Nttota~ cons~n TITLE: MEMBER STATE BAR OSC ONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Brent R. Jobnson Lommen Nelson Law Firm, Hudson, Wisconsin (Signatures maybe authenticated or aclartowtedged. Both an not necessary.) /~ * Brian H. Raleigh * Michelle L. Raleigh~+ Name and Return Address Edina Realty Title, Inc. 400 South Second Street Hudson, WI 54016 ~''~?-~o l ~l 9 020-1013-70-000; 020-1013-60-000;OZO-1013-50-000 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX County ) Personally came before me this ~ ~ day of May 2004 the above named Brian H. Raleigh and Michelle L. Raleigh, husband and wife, to me known to be the person(s) who executed the foregoing instrumen d acknow edged the same. * Notary Public, State of WISCONSIN My Commission is penman nt. (If not, state expiration date: ~-~~-dam .) ~~ • Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 - 2000 INFO-PRO (80055-2021 www.infoproforms.com S U 2586P 217 ADDENDUM A TO WARRANTY DEED PIN: 020-1013-70-000; 020-1013-60-000; 020-1013-50-000 GRANTORS: BRIAN H. RALEIGH AND MICHELLE L. RALEIGH GRANTEES: KERNON J. BAST AND DONALDA J. SPEER-BAST Legal Description Located in p of the NW '/4 of the SE %. of Section 11, T29 9W, Town of Hudson, St. Croix County, Wis nsin; including part of Lot 5 of Joshua Hills reco at the St. Croix County Register of Deeds Office; e ' Commencing at the S %a corner of said Section 11; thence North 00 degrees 33 minutes 37 seconds East, along the west line of the SE '/4 of said Section 1325.63 feet to the south line of the NW % of the SE'/<; thence South 89 degrees 55 minutes 50 seconds East, along said south line, 13.67 feet to the point of beginning; thence continuing South 89 degrees 55 minutes 50 seconds East, along said south line, 876.02 feet to the west line of Lot 1 of the proposed Plat of Sunset Hills; thence North 00 degrees 18 minutes 45 seconds East, along said west line, 347.77 feet to the north line of said Lot 1; thence South 89 degrees 27 minutes 39 seconds East, along said north line,-377.45 feet to the west line of a Town Road (Tanney Lane); thence North 00 degrees 18 minutes 45 seconds East, along said west line, 33.00 feet; thence South 89 degrees 27 minutes 39 seconds East, along said west line, 19.14 feet; thence North 00 degrees 35 minutes 36 seconds East, along said west line, 33.00 feet to the south line of Lot 10 of said proposed plat; thence North 89 degrees 27 minutes 39 seconds West, along said south line and the south line of Lot 9 of said proposed plat; 434.50 feet to the west line of said Lot 9; thence North 00 degrees 36 minutes 12 seconds East, along said west line, 511.98 feet, thence North O 1 degrees 19 minutes 09 seconds East 74.93 feet; thence North 89 degrees 44 minutes 56 seconds West 831.70 feet; thence South 00 degrees 54 minutes 40 seconds West 1003.69 feet to the point of beginning. Page 1 of 1 OWNERS BRigN RALEIGH DAVID M0NiBR1AND BILL 6 UZ FEWNG 1030 TANNEY LANE 602 OLD MILL ROAD 1026 TANNEY IANE HUDSON, WI54016 HUDSON, WI54016 HUDSON, W154016 71S38S90D5 SURVEYOR EDWIN FLANUM NORTHLAND SURVEYING, INC. P.O. BOX 11 ROBERTS, WI 54023 PHONE 71574.41716 FAX 715749-1719 ENGINEER HUMPMREY ENGINEERING T it ROGER HUMPMREY NIN CORNER 145 MAIN STREET 1 P.O. BOX 252 SECiUN 11 WOODVILLE, WI 54026 N ~I ~1 o;~ ~;~; i I ®I QI I ~~ ~,o~ ~m/. lOl • ~~3 3 IC51 ~I ~I g~Q ~I ~I g ~m ~ ~ COUNTY PLAT OF: sun~sE-r H~~~s LOCATED IN PART OF THE NW1/4 OF THE SE1/4 AND IN PART OF SECTION 11, T29N, R19W, TOWN OF HUDSON, ST. CROIX ALSO INCLUDING PART OF LOT 5 OF JOSHUA HILLS RECORI COUNTY REGISTER OF DEEDS OFFICE. cuRVE DATA TABLE TEMPORARY CUL-DE-SAC DETAIL i / \ / / I \ 1 ~~ ~ 1 LOT 7 LOT 6`` ~~ ~I t ` 7` ~ ~. ............................................ W fiADA157EWKNIARI ...1 `• CUL-DESAC ~ .,". -I 1 1 ~ LOT 6 ~ - W ~ ~ 2.tl ACRES ~, A w.711 so. Fr. _ "nl ~" a/ O~ $ ~I d' I ~ ~~ ~ of ~3~®~ mow= m all a~~~ o~~~ I 1 7, 911 OiDi ~~ ~i~3 I~1 e,l I a~;~' a ~ a '~ `~ ~ OO i ° 8 of NUMBER LOT NUMBER RADIUS CENTRAL ANGLE CNptO BEARING CNORO LENGTN ARC LENGTN TANGS C1 233m 79•ar49' Nx9.36'Ix3'V 298b5' 321.16' N89'2 3 233m 37.56.27• N70.2925sN 151.x9' ISa29' N89•Z TLOT 1 233m 16'17'M• Nx3'2rx0'V 66m' 662r N51.31 4 273m 25'29'IB' N22'29'29•V 102.90' 1W.65' N75'1~ [2 167m 80'00'06' Mx9•a4.53N 2Ix.70• 237.18' ND9'x C3 233m 35.47.15' Szr3B273•E 143.18• 115.53• 515.3 [a 167m 79•xrx9' S49.36•lxs'E 214D5' 232.3x• 509'4 d_Mn_P6G\44L~D_~l_1G1 21775' .... 1"4~~ lOT 7 p, 1 ~ x5. ACRES ~ ~ ~~,A.. 1 1 f o.Ta S0. Fr. I 1} ~ ~ ~ ~ LOT S 1 i 2.B0 ACRES _ .:..::::::: i 3 121,w9 s0. Fr. g i ~, L1A ~ ~11M1 ~ ........... . 1 I 1 ! ~ ~ o ::-::.. :: .: .......... 1 a 1 1 . .. .. .... .. . . 3228Y/981.16 1 i ~ ........ b .. q ~ a 41" ~R 1 Y Q.:: : 3 :::: 1 . 1 ~. = {! I 1 ::: " 1 . :: ~ ....... :: ::: ~.:~.::.: :. .. .. : - .... ..... . 13:~ I 1 ~~ ~ :: :: - Lor s ` N i 1: ::.:::: :: _ , . : . 1sACRES z ~~ ! I 1 " :: : :::::::: :: '.:: -.: ~~ :::::: LOT 8 . 995711 SO. FL 1 l ~ y 8 1 , '1 ~ :: 1 :: - :~~ . 11 .1 ~~~ •~ ,... ,.. ... szb~ 1 ~ -.: ~ 1 ` .. .... .. ........ . ....... .... ..... . '17 LOT 4 ~~,~ // ® \ _- ~ 2.szux~s --WILD TURKE1f TRAIL ~ .~ \ '... w~:. m - - D d '` _ Oo 4 ~dp~ifelM&1 I}~0 --- ~ -- '~ - a•Bi5' 233. L.ff THE sEVa aE~ , \ ,9.51' i i \ ~ ~ i i \ i \ i ao~a~ ~~a i \ ~~g a I • i 90 \ C~:' ~ 1 I \ w"~ ~ I n \ ~9 ~ 1 \ \ / ~ - \ ~ _ _-_ \ ~ -~ \ + .~ ~ - - \ SI/a CORNER / / 'THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON ~ SECfpN fl JOB NO. 01E6 DATE 2-16-04 SHEET 1 OF 2 SHEETS I I I I I I _ a ~ C ~- r~+ s c so CO ~p ~ I N a ~ I o ~ ~ I v I I ~ I I I o I o• I N I ~ a I Z 0 I I o I I w I °- Z O ~i I I I I I I I I I I I I I I I I i I I I I I I I I N m N O ~ 41 m ~ n m ~ O pl . o N ~ ~. ~ O C ~ ~ ~ f~D ~ 3 v to v u~ Z D ~ co ? co D ~' fD J Q ~ .D C ^ ~ . O ~ ~] ~ fD L O c O m a n c N C C ~ c ~ m 3 a a ~ ~ ~ v w ~ ~ ~m'm'D~y<D__O ~a','o°'Om~;v ? 0 7 C (A N a~ .Z7 'C O Q~7 ~~ ~ y d (~ ~' ~ `G y (D o ~_-~ N ~ v ~ ~ ~ C N ~ d ~ ~ ~. 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Z f A m C a 3 m o ~ c~ B n ~? a d ~ o 2 C a IV O ~ ~ ~ O S y :'! Q 3 ;.. N (p c N 2 N A ? n ~ .'f7 A Z O O Z ~ -' ~ ~ ~ Z A :U ~ ~ m ~ A ~_. O "T C ~1 • O ~y,,,~ • `~ y a a H A O O 1 ~.1 VV N 0 0 c,,, vro v f0 0 ~ o N