Loading...
HomeMy WebLinkAbout020-1398-20-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division • , INSPECTION REPORT GENERAa~INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. ermit Holder's Name: City Village X Township Bast, Kernon Hudson Townshi ST BM Elev: Insp. BM Elev: BM Description: '4NK lNF~RMATI~N ELE ATION D TA TYPE MANUFACTURER CAPACITY Septic a~ ~ ~-/~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L LL BLDG. Vent to Air Intake ROAD Septic L ~ ~T ~~~ ~ ~ ~~ ~ l~r- Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand Loss Forcerz~n Length SOIL ABSORPTION SYSTEM ~~ C:~GIQ~r-+~,~~-!i BED/TRENCH Width ~ ~ Length / No. Of Trenches DIMENSIONS ', SETBACK SYSTEM TO u P/L BLDG INFORMATION Typ f System: ~ DISTRIBUTION SYSTEM County: $t. CroiX Sanitary Permit No: 408205 0 State Plan ID No: Parcel Tax No: . 00 O2b" l3yY, _~o,. obv a a. a9, ~ 9, a~{~o STATION BS HI FS ELEV. B hmark d.o br s, ~ ~ l o l .~1 ! GL~ • v Alt. BM .~ ~ ~ -S ?~ Bldg. Sewer '~ 1 7 SUHt Inlet f,{ py, SUHt Outlet • yb y~o. ~ Dt Inlet ~ ~_ D ottom ( / Header/Map. 1 ~ c /~- d ~ S 3• Dist. Pipe T g. a` 43 . 2 . Bot. System / Z . Z q a Final Grade J~ ~~ ~ ~~ 1 I sty k ~ .s 9i 2- PIT DIMENSIONS No. Of Pits Inside Dia. . ~~ ,~d~ LAKE/STRE LEACHING Manufactu CHAMBER OR ~ / UNI Model Nun d ~~. Header/Mani~Old Distribution x Hole Size x Hole Spacing Ve Air Intake /i PiP L L 1 s) ~ ~ / ~ ~ f S ~ `- 20 r Length Dia 9 Len th Dia pacin ~ 9 SOIL COVER x Pressure Systems Oniv xx Mound Or At-Grade Systems Only Depth Over f Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center [~( dOT~O' ~ Bed/Trench Edges Topsoil i~!, Yes !_! No ~ Yes ',! No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ ~"'/~ / ~~j~~ Inspection #2: / / Location: 841 Ross Road Hudson, WI 54016 (NW 1/4 SE 1/4 22 T29N R19W) Pheasant Run Lot 20 ""' ` ` Parcel No: 22.29.19.227A 1.) Alt BM Description = S~ ~ ~~~Z ~ v+~..t? a , ~a~ --fa ~~G'v ~'-~7~ 5/6~ ` ~ ~ s o w`1 I ~~"rts~r ~ ~L>z-- 2.) Bldg sewer length = ZQ,~' ~ ~-~,~ ~ S ~ r `~'~G-~ o~-'"l ~~~a.V ~ ~l"0 3(0 `/ ~e ~u'~,cl SyS~ -amount of cover =~ t , r ~ ~: ~ n _ ~L~ ,, LA'o I d~ ft~ /' crf- ! 1 ~mR, ~ i - -r - i - ---__- - ---- -, - - _ _ L Use otherlside foruadditional information, No ~ 1a ~ M ~ G~~" ~ I! /- Date `/~ Insepcto Signature 1~ Cert, o. SBD-6710 (R.3/97) pL h, cs ,be.,- u, pp~ ~-~ D l~-055 RA . ' Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. `~ See reverse side for instructions for completing this application PO Box 7302 SCOffSin Personal information you provide may be used for secondary purposes Madison, WI 53707-7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] I/-/ k -OZ 3 f 0 -jU ~ (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number heck if revision to previous application State Plan I. D. Number ~' ~-X' o ZdS' .~--.-----_~_---- ~----. I. Application In ormation -Please Print all Informatio ~ p_~:• ~_ i ~ x-a Location: Property Owner Name Property Location , / ~/V /~.~ ~ ~ 2~1~2 !t/1/41'~ 1/4, S2Z T2~',N, (or~ Property Owner s M ailing Address Lot Number Block umber // ,, ~~ G/l' ~ ~~. ~ ` ~: i .Zg ~~ City, State Zip Code Subdivision Name or CSM Number > II. Type of Bu ding: (check one) ~y^ ~ / ~7"F ~ ~~ I 0~ ^ City ^ Village - i I or 2 Family Dwelling - No. of Bedrooms : ~f own of L ~ _ O ^ Public/Commercial (describe use):_ ^ State-Owned ~,~GLS ~# ~7 ,~ r ~e.r/~ " ~ fB.V Nearest Road ® a. P Tax Nu b III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) p _ /~ ~_ za _ d a a A) 1. ^ New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) l~A Sanitary Petmit was previously issued Permit Number O Z© Date Issued B L IV. Type of POWT System: (Check all that apply) ®'IVon-pressurized In-ground ^ Mound ~ ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass , ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating D Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevations 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) '(Min./inch) ~, „ / 9 f. ` Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks [I1~ ^ ^ ^ ^ ~ T.Z'G 2mv - Gvdi~ 1 ^ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the PO S shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): fvtPfMPRS No. Business Phone Number ~/ ~-/~i i L i ~ d v 7/S-7 ~- 36 S-~ tuber's Address (Street, City, State, Z p Code) `" z e~ ~ ccz~ Gs i- y~1 _ IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued sui Agent Signat (No staz~ips) ,Approved ^ Owner Given Initial Adverse Surcharge e) - /' ~ Determination ~ '~ o Z 2/ X. Conditions of Approval /Reasons for Disapproval: ~ - .n -_ _ ,A, /) 1 ~^/"S ~-~ r ` _ ~ ~ 0` l•Q~t/l~tb~1 '~p tRt ~~ ~ ~s a ~, ' n (~ SBD-6398 (R. 07/00) i ~ ` ,, ~ ~$ ~ 4 0 ~~ _~~ ~ ~ ~ ~'~ o~ ~ ~ ~ r ~~ ti ~~~. ~. _ __J___ ~ / .~' ~c `v'' ,~ T ~ \ f a n ' ~ 'n A ~ '~ ~°~~A ~~ /~ ~- ~' ~ I I. 3 :y V ~ '~ . ~ ~ ~ ~ 3 o w ~ ~~ 0 ~M $ ~`~ c~ 3 ~~ ~, ~ ~ ~, W , ~ ~~~ ~ . ~a.~ $ ~ v ~~~~~ ~~~~ ~g~~ ~~ ~~~~ u~~ o~ ~ ~ ~~ .. -t ~. .,i _ -- .. _ ._~ _ ~~. ` -~`~ `n ` ~ K ~ \ ~M a Nr~''~ ~ ~ C~ ~ ~ a • ii. (V N 1 ~ i ;, . - ~ ' ` ~' ~ a ~~ ~°. P,t~, ~. ~~ ~ -- - __ ___..._____._ _ i _._ _ __J___ ~ ~. ~..~~ 3 I ~° i ~ ~ ,~ '~ s' 3 v ~ 3 `~ ,- '~ ~~ ~~ ~ ~W~ ~ I a; o v ~ ~~ ~ ti .~~ ~~ ~ ~ ~~ n ~_ Q ,~ , - " ~~ ~~~~ ~~~ a~ ~ ~~ ~ ,~ ,, (U~ _ tl g ~ ~ ~ v ~ ~ .- w 4~ry~ ~ aocordarroe widr corran as, wls. Adrn. tide - oo~.rh- Plan muse dres in eiae a u2 11 i t l th l • . en x rr ess ait on paper no Mdach oorryrlele site p Irwiuda. but not timltad ea varlirxt and hot~oniai reterertoe point (BYQ, dUection and ParoeF LU. pen;ants(ope.~etaardima~ions.noAl~ancw.andlocalb~,anddfs~a~oewnea~est~oad. r ... ~,~ ~ i _ r r6 - V -~- P/e~ase prfilt a~ ~ 3'{v 3 o S~ ~ Date lI Mtama~ioa rou ao~rid. airy et Head ror iaw, s, as ftl f~ /Z~l O Z PropertyOrlater ._ _ ._ S i.°ca'r~rx' Lot ~ 1N ,~„='U4 ~ 22, T,Z N R / E plapetlyt)wrre~ i~!siitg Address a -' c.„~_• 81ock p S16d Pierrte or CSfN/ ~• ~ IV / /, Ci~t State Zip node ~ Phone twitrlter ~ ^ ^ ~ Town trearest Road (~ f.~~ vV~oonsin Oeparfnrent of Cananeroe SOIL EVALUATION REPORT ~ / d _ 3 OiriSiorr of Safety surd BuYdirrVs (g''Atew Con~ucliat Use; 1~'Rasideniat / t~krmber of berinorrts Cade denied design flow mte OPO Q F~ePiaoament GG--~~~,,,.. a oonrnemial - Dube: Parent utalariel ~l~i~~+ Rood Ptain elereition if applicable ~~~ tt. r ~~ ^ (~ Pie e~aatdsu~faceelatr..~_ R Oeptlt ~ ~ ~aor~,~ in. sole Rate tlorixon Oeplh Darrdnartt Redox Desaiplim Tardue Slrt~tie tortsistertoe Botrtdary Roots in. td~ t]tr. Sa Govt. Color Gr: Sz. Sh _ •E>fpt •EIGR ~~ s • 3 ~ , _ .rnc ...-- --- . ~ 93• ro 0 (~ 1 ~ I tiariao l3orirtg f ^ e°'ire ~ pd clarrd surtaoe elev. ~..Z_ ~. d ~ ~ ~ ~ rt Oeptlt Oominard Redox Descxip~fort Texture StnrcMre Car~fertoe Hoteda in. tiiiu~ W. Sz. Cont Golor Gr. Sz Sh. s~ RsAs ry Roots GPQI~ •E1~1 't~2 ~ ~- s - s r, z o - y L '-' t ' EiAue<tt 01= 80D > 30 < 220 mgR. and TSS >30 _< ! 50 mgA. • ElRuent *2 = 80D _< 30 mglL and TSS _< 30 mgll. rg ~ Ptedt TtMttq Itiddress . Wt 5401 Ogle Etralualiort Cartdrrclad _l~ ~ - tea- ~.~' - Telephone tJ~seber /- /~""~3~ -..~~0 ~_ d~~_ ~b2 :~„c and c property Avrner _,~~ Paroet ID # B.2O .. l0 ~'r "'~D "'~.'J page ~ of S tiorirg ~ ~ t3orRg Pit ca surtaoe elev. p3•T ft. Dep~- b ~n9 farlor ._l~c.L-- in. Soi Role ° Fl i th D Dorninad Redox Desaip6on TexAre Skuclttte Carroe Boundary Rods t3P DV1l zon or ep in. (lui. Sz. Gant. Color Gr. Sz Sh. ~ ~ 'E1~1 'E1f#'t /. Z _ ... eon ~ O eoring pit Ground surface elev. tt. Deptn to lirrr~ng taaor ~ Sd Role Ftaizon Qepih Dominant Redox DesCriplion Texture Struchrre Cor~lenoe 8o~xdary boots GPDJII' in, t~+Naue1 Qu. Sz. CorM. Color t1r. Sc. Sh_ 'Efpl1 'EINR2 ^ # ^ t3orrteg (~( Pit Grotrt><i surface elev. 11. Depth b tirililg taciar ir. J`-' Sol Rafe Fioriaon Dept Dominant Redox t7esaipiion TezMre Slrucluna Coroi~enoe Bourlary Rods in. tLlur-seM t]u. Sz. Cant Color _ Or_ Sz. Sh. 'EQtt 'E1~2 Efikient #1 = $AD5 > 30 _< 220 mglL and TSS >30 ~ 150 mglL ' EtikteM #2 ~BOD, _< 30 rngiL arx! TS3 _< 30 trlgll. The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608319~t or?$'Y 608-264-8777. maa~xt3otrt.b+ao! b ,~ y r ~ ~, ~a ~, • ~r F, tt ~~ ro ~, ~o .~ ~ r ~ ~ ~: a ~ ~~ z a ~ fi ~ ,~ ~ ~ `v 1t ~ ~ ~ ~ ~ ~~ N ~E--` ; ~- x ~~ ~- N w VON p 00 s o~ ` N ~ ~~'SN~ N 1 O C ~-~ ~~3 ~ ~~® tea' d ~ `°°Q w h `~ A ~ N ~ V wi~l WI O U ~' On ~~'~./ s~ ~ --.~ U ~ ~ U ~ O .Ha ` ~ bA 4-~1 0 •~ U N 0 U ~ 'C7 ~ ~ a o ~, E o N Lf) OD ~_~ ~~ ~~~~ ~ ~ :~ ~~~ ~~ ~ ~ p ~' {i ~ Q v ' ~ ~ a~ a a 0 .~ O of a I~ ~r~ V ; b ~~ w . ~~ .U '~ ~~ ~ N rn-... ~~ V b .s .~ w 0 0 `~ y ~ a . - .. '~ II ....~ ~ II . , ~ - .. ~ ~ ~~ ~~ ~ a o a~ ~ 0 ~ U . ~ •~ - II ~ w o ~ r 1 ~ ~, W FI ~ ,\\ ~ ~ \ M 1`` !1`. ~~ ~ ~ ~ .~ ~ • ~• . . . ~ o , ~, ~~~ `~ ~ ~ ~ ~' i e~ ~ ~ . N ~ :a : ~.. ; _ 3 3 , ., . _ . . a Q• !-~ 'i Qa ~a ., ~ . ' '';• ` • ' ~' ' ' v Q .~~. ~ ~ ~ ~ .. I _E..,.~..~ .:e _ ~ ~. ~ a ~ _ , ~. . . ~. a. ~~ •v -.. ~~ _ ~-. .. ~ ~ ~ ~ 1 ~~ •.• ~ ~• : v I .. ~~ ~ , : , ~: 11 ~ If . II u ~ , ~' ~ © . v; ~~ ~ ~ i U a~ 'a~'"io ° ~' '~ . ~ `~' - t Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 is~onsin Madison, WI 53707 - 7162 Site Address i De artment of Commerce - 7-d3-aZ S~z/b /~ t! Sanitary Permit Application s~~y P~ermitpNumberC_ • J In accord with Comm 83.21, Wis. Adm. Code, personal information you provide [] Checll if Re isio~ • ma be used for seco ses Privac Law, s15. 1 m I. Application Information -Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number Property Owner's Mailing A dress Property Location ~x, i ~/T ~~. ST. CROIX COUNTY /rJk/~ ~,~, S 22T2 N, R City, cafe Zip Code Lot Number Block Number 0 ---- Subdivision Name CSM Number / 0/ v L ~ © V ~~~~' ~ r~ II. Type of B 'ding (check all that apply) s~ Sw ~~ ^Ciry (•xs . ,,,, ~ ~ ~ s P , or 2 Family Dwelling -Number of bedrooms ^Village ^ Public/Commercial -Describe Use ~ ~L- /~ ` ~Od ~wnship ~ l ^ State gv6ned~ ~~, ~ t~ ~ ~ ~ z ,~/, O = 27• b ~' ~ Nearest Road / 3' .r' ~ v ~ D. III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A 1 ~iew 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Exis ' S stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued pe of Permit: (Check all that apply)(numbering scheme is for internal use) ' IV. T y .~- 44 Itrtvon -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurised In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. D' ersaUTreat Design Flow (gpd) me t Area Informati ispersal Area on: Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min.Mch) ~~~ ~~ ~ Elevation 6mv s7. ~ ~ ~ / ys~ 7 ~.~: 92. y ~7. o ' VI. Tank Info Capacity in Total Number Matntfacturer Prefab Cocerete Site Constructed Steel •Fiber ~ Glass plastic Gallons Gallons of Tanks New Existing Tanks Tanks SCpUC O~ _ .~ '1 Ifi1 ice/ L•~ fi ~ / V Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibilfty for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature .~/MPRS Number Business Phone Number yr / . ^~~z .mot 2 2 ~id'd 7i~ -1 Y9 -3 ~ r~ Plumber's Address (Street, City, State, rp Code) ~~ G ~ i- y o ~ - ~~ o G ' / ' o c~ dctl ~ ~/zs,C' ~ ar~l~ VIII. Coun /De artment Use Onl roved A roved ^ Disa Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) pp pp Surc ge Fee) ~ ^ Owner Given Initial Adverse 22~ -- ~ ~ ~ .~ Determination lX. Conditio of Approval/Reasons for Disapproval ~ ~ i ~ .M.. ~ ~ J, _ . _ _ ry ~o ~~~,,,~,t t~t~t.QILS • (~ __p__ ~ ~_ ~, '1-t.C.. -t~^'~-- ~ ~ `~~c+u ~a / ~- - . rn cXR~ ~e~nnt~*~^~ ,rv,,,~. Attach complete plans (to the Comty ody) for the rystem on paper not leas than 81/2 z 11 lnehm in size SBD-6398 (R. OS/Ol) ~ ~~~ mv$~ ~ x 3 c'Yi ~~ rN~ m^ 'V, O#N$,,v~ ~ NN . ~ ~~ 3 r f ~ /~ .Q °~ ~ L~^ W ~~ ~ M I 0 . '~, ~ ~ 4 '~ ; 0 ~ ~ ~~ ~ ~ ~ a '~ I~ ~ N~ ~ ~ ~ ~ ~ e ~ ~~ ~ ~ . '~ to J ~ ~, ~ n ~ ~ ~ a a ~ ~ ~ v .d ~t ~ «, I i~ T~ 1 ~ t I I I I ~ ..~ ( I .h t H W R ~ - h .j N V ~ a T .~ ~ I ~i 09 ~ ~ ~ ~o~ , a ~~$~ tJ ~ o ja~~3M v ~~ h ~p d # ~ O ~ ~ c N av {i N ~ 1 ~'~ V 3 ,,~ 5 .` v W M t~ I p °r ~ li ~ ~ ~ ~ "~ '0 ~ ~ ~ 4 0 ~ ~ ~v ~ ~ ~ ~ ~ ~` a ~ I~ ~ ~ ~ ~ a ~ ~ ~ ~ a v ~ ~ p U ~~ II O ~ ~ x ~ , I 1~ .q ~ 1 MII ~ i3r T~ 1, ~ I ~ ~ I f I i 1 1 ( I ~ i ~ J .~1 t H W R n v • I` N ~ ~ V ~ .~ ~ I •~ ,wissc~fwsiri Departrnent,of commerce SOIL EVALUATION REPORT Page ( of 3 Division of Safety and Buildings rn accoroarrce Nnur wrrnn oa, vvw. rwrn. wuc ' County ~( ~ I Attach oompiete site plan on paper not less than 81/2 x 11 inches in e. PIaRq~+s ^~4 - - ire oint (BM) izontal reference ! d h ti t t li i d t ~ j ~r di ~~ ( , p an or o: ver q no m te include, bu , percent slope, scale or dimensrorrs, north arrow, and location and dista. ce to nearest road. Please print all information. P i JUN f~ 3 ? 15 04 (1) (m)) OZ b'' Date ' ~' r vacy Personal information you provide may tie used for secondary Purposes ( . . s. . 1 Property Owner ~/~ 1 ?-1~ ~f ~ ' ' ~ i~IG f-rr~ ,,,_ G ,~/ _ 1/4 STi Z T Ti ~N R ~ ( E (~r('J Property Ownel's Mailing Address ~ Lot # Block # Sutxi. Name or CSM# d . ~? $ ~a 2 2 o eot an City State Zip Code one Number ^ City ^ Village Town .Nearest Road ~-}~..,t~lSon ~ L~~ ~__ L I 0115.) ? ~ 7~ u S o a GPO ® New Construction Use: ~ Residential / Number of bedrooms Code derived design flow rate y ^ Rephacement ^ PubC-c or commercial -Describe: Parent material O V ~ lit ~ ~ Flood Plain elevation if appiipbie _ //j ~ ft. General comments sy~fJ~ ~•~V . "~'U f Z~ gQ GO w t +! GJ~ . Q e '~ and rewmmendations: /~~ J7, ~'.2 ~ C (/ ~ ~O P ~a tS0 l~0 rv e / ~9 ~ 0 I Boring # ^ Boring ~ Pit Ground surface elev. ~~ " ~ ft. Depth to limiting factor ~ I Lo in. Sa'I Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsefl Qu. Sz Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2 Z~ Iy- - ~ ~ --, s~ 2 s k Sr ~5 •~ ,~ 3 ~-11(, IC~~ ~' S m ( "" ~ ~ ~ t-Z . ~o' ~O. ~o • ~2 Cam. pit Ground surface elev. ~1 ~ ~~ ft. Depth to iuruting factor 1 ~ U in. Sa'I Application Rate Horizon Depth Dominant Color Redox Desaiptron Texture Structure Consistence Boundary Roots GPD/ftz in. Munseii Qu. Sz. Corrt. Color Gr. Sz. Sh. 'Eff#1 'Eif#2 ~ a-~a ~o~. 312 ~ S ~ 2ni~bk h-~~f" ~S I v~ . 5 .g 21-r lu f I ~c~ '-- mS J ~ -~ v l ~ C. ~~ • ' Effluent #1 = BODS > 30 < 220 mg/t_ and TSS >30 < 150 mg/t_ 'Effluent #2 = BODS < 30 mg/l and TS5 < 30 mgrt_ Address ~ ~ Date Evaluation Conducted Telephone Number 211 ~~ ~. _ ~(_ i ~~D_?S_ ~-~D~Z property Owner Parcel ID # /O 7`" Z ~ ~ ! w ~~ -~ B~n9 p 3 B°'~"' # , ®- pi{ Ground surface e,e,,.~ 7~. yU ft. •}.lorizan +E~far ~ . , ,6ted~+pes8ription Texture in. Mansell t1u. Sz. Cont Color ~ -- S F I Depth to limiting factor ~ ~ in. Structure Consistence Boundary Gr. Sz. Sh. m3b~ ~s Soil Application Rate Roots GPD/ft~ 'Eff#i 'Eff#2 - . 5 3 -u t~ r~ - cis -- - .-( i . Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#'I 'Eff#2 ~, .. m Ground surface elev. ft. Depth to limiting factouZt'~ .~ .' ~'.in. ~~ # ~ Boring f ^ Pit Soil Application Rate dox Description R Texture Structure Consistence Boundary Roots GPD/ftz Horizon Depth in. Dominant Color Mansell e 12u. Sz. Copt Color Gr. Sz. Sh. `Eff#1 'Eff#2 `Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgJL ' Eff~uer-~#2 = BbCSSk~30 mglt. 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. saassso (RO~roo~ PAGE~OF 3 NA_1vIE I3 C. S 1 LOT# Z~ T.FGAL DESCRIPTION rL~ ~451~ ~ ,S~ Z T Z~ ,N,R,) ~ E(or~ SCALE: 1'" = W O ~ BM 1 ELEVATION /~X~ - O BM 1 DESCRIPTION ~Q o -~ ~~~ See ~ ~"oc( ~9 ~ ~~ ~ ~ .rBM 2 ELEVATION ~J9.30 BM 2 DESCRIPTION ~~~~ ~~ STec) ~c~ (o ~ /-~~'a~ ~, S ~ C ~ Z Z SYSTEM ELEVATION -'c, ~ qZ, SO Lc~w e r" ~ I • ~ y ~ ~ ALTERNATE ELEVATION, Q 9p • SO L~ e ~ $~- ~~ ____ --~- - CONTOUR ELEVATION 1 ~ SIGNATURE DATE ~ - zo -d Z z morn :a ~~~ ?~ ~~rn n.~~~m ,~+ ~#~ c~ 4°. ~ °'`~ N N Q a~ O U ~~ ~ ~ ~U ~ ~ U ~ ~ E'' ~ O •~ 0 .~ U 0 U a~ a a a s .o O 'O ~~ it .- . ..~ ~ ~ ~ ~ ~ (7 II II ~ -d a~ ~ , , v .~ N 'C1 a ~, O N w ~ U ~ d II ~' ~ a o o , O a > ~'-~ ~ .~ ' o ~ c~ _ ~` ~~ ~" W ~ ~ ~ ~ ~ -~,~ ~ ~ ~ a ~• ~ \ ~ y . ~ ` \~ \ C/1 ~ ~,. .,. o ~ .; ~ y ~ ,~ U ~ : ' a 'a ~ ; .r 3 ~ , .. a ~ ~~Q~ ~~" `i ~_ ._ ~ .. . a b . ,~ ' ~ ~ ~ ~ . O . LJ ~ 'TT• . .. • ~ (~ ~ . ` /'~ ` . f . ~ ~ \ ~ 1 ' ~ ~ . / a ~ \ ~ d . i ~' i ~ ir1-+ ' I .. U .. ~ ; ~• . ~.Q .' _ ~ i N ~ : ~ ~ ~ . .~ ~.. :I .~ ., b ~ I 7 }.1( 1 I ~ ~ F.,.; :.a.~ ; p II ~ ~ •a .. , ... a a~ ~ ~ a. . a ~ ... . ~ ~ ~ II ^ '. ~ ~ ~ ~ ~ ~ .~ ~ ti G~ a ! ~ ~ '~ ~ I ~ p, II }I II ~ v ~ ~ ~ p . , c7 ~~ ~ •~ ~ ~ o ~ . ~ O ~ ~ ~ ~ , 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 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: Svstem Design Specifications Sanitary Permit Number ~?s~ Number of Bedrooms Design Flow -Peak (gpd) Estimated Flow -Average (gpd) Septic Tank Capacity (gal) m Soil Absorption Component Size (ft2) s ' Type of Wastewater omestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance 5cnetlu~e Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least 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 septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the s ' Management Plan for a Septic Tank and Soil Absorption Component filter 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 tank shall 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 afmosphere within the septic or other treatment of holding tank may contain lefha/ 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 all 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. 2 ~ Mound System Management Plan SeAti_ c Tan-k The septic tank shall be maintained by an individual certified to service septic tanks under-s. 281.48, Stars. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least onre eveho Id not be removed unless provisionsearehmade to reta n solids en the tank that ensure proper operation The filter cartndrle s may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, tpe (filter shall be serviced i he alarm is activated continuously. Intermittent filler alarms may indicate surge flon thertank epceeds9113 the Iqu d volume of l scum f stud a and lume o g v its contents removed when the vo rsonhel shall advise septic tank shall ha e the tank. tf the contents of the tank are not removed at the time of a triennial assessment, maintenance pe the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Puma Tank ~- The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be teste to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mglL GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent (low may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 mofiths. When a pressure test is performed it should-trd' compared to the initial test wt~n the system was installed to determine if orifice cloggi0g~ has•occurred and if orifice Meaning is required to maintain equal distribution within the dispersal cell. • Observation pipes within thh dispns dered as alnbmpending hydeaul'rc faipu a requiring arddiGonall morleb equenl motnitor ngwner, and any levels above 4 Inc es co General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with tts component manual [SBD-10572-P (R. 6199)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever a etnt shallpbe nrac o danceswith Comme 83 33 aW s. Adm. Code when the tanks are nolongesusetd asd pump tank abandonm POWTS components. Septic or pumdp for sere ce andrassessme tsshalrbe sea ed watertight upon the completion of services Any open ng deemed ss openings use unsound, detective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter sha be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continoencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep t e system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wasten abasal area f toe leakage occurs or by remov9rg biologically clogged adsor'pGon or replaced in its' present location by increas g and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system mto proper operating condition. ~'" Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. Fogerty Plumbing #221180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635-9609 ~ ~~~~~~ Maintenance The interval for servicing septic tanks is seval shou d be, butamost reguhatory agenc es uggest two tohfive years. wide difference of opinion on what this inte The Zabel'" filter, which does not increasrne ed f However our filter) sv irtuarlly self-cleantingbTheeconanued action septic tank is normally inspected and pu p of the anaerobic organisms on the ZaFe efrlt aia ~useos I wilgl be no field by ani alarm when the f'llte~ needsosentic g. the tank. If your filter contains a Smart Y ~"J i Remove the tank cover and pump the tank if necessary to prevent any solids from escaping to the field when the filter is . While holding the cartridge over the access opening rinse off the Cartridge with fresh water, being careful to rinse all septage material back into the tank. 'Note: It is not nece 'spotless'. The biom aides in the pretreatn be IeR on the ~Iter. (Il maybe disa: i~ j Firmly puff the filter handle and slide the cartridge out of the case. 'Note: A tee handle may have to be used it the tiller is too tar. below ground level to reach. Contact'Zabel for into on tees handles ` ?'...~, Insert the filter cartridge back in the case making sure the filtec.cartridge,is completely Replace ~w /_` woe w The product(s) shown are covered by one or more of the lollowtng patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683,577, 5,582,716, 5,779,896.5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5.482,6 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand:-264824; +. Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1-800-221-5742 - Website httpJ/www. I M 6i To service the filter: 'Servicing any zabe! filter should only be done by a certified septic tank pumr installer. Locate the outlet of the septic tank. ~~ /~ ~. ~~ .~ 1NSTALLF.,R'S NOTES: RECYCLE GREASE! Do not pour grease down the drain. Your septic tank and filter will not handle it. NO BLEACHES! Do not introduce bleaches into your system. The bacteria in.your septic tank is what makes your system work. Bleach kills the bacteria. When that happens, your septic tank will no longer function correctly. This will cause premature failure of your system. WATER SOFTENER! Do not run the brine solution into your septic tank. This solution "' has a high concentration of lime (that's what makes your water hard). The lime tends not to settle out in the septic tank but goes directly to the drain field. Lime is an excellent • sealing agent, and yes, it does the same thing in your drain field. Think of your sewer system as you would your car. Treat the attached information as you would your car manual. Remember, also, that your car requires regular maintenance. 'Cate must be exercised as to what you put into it. And like your car, your system eventually will wear out. The question is -how quickly. If you have any questions, please call: Dave Fogerty 715-749-3656 -Roberts 715-635-9609 -Spooner If you have an emergency, and you only get voice mail at these two numbers, call Keith Knutson at 715-796-5436 -Hammond I have read the attached information regarding the construction and maintenance of my sewer system. Owner's Name Date r ST CROIX COUNTY SEPTIC TA1~K MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ,l~p,r/ /~i Mailing Address Property Address City/State (Verification required from LEGAL DESCRIPTION Parcel Identification Number fJ1D -lGtl'~- PD -~ Property Location 1~ `/,, ~ '/,, Sec. 22 . T 2~N-R~V>>, Town of /~G1ase,~~. ~i~it~/t/r- .~i.V ~f Subdivision ~ ! Lot # ~. Certified Survey Map # .~~;/,~ .. Volume 'r- ,Page # Warranty Deed # ~.t J,~"! O ,Volume / .S-3 ~ ,Page # 5~~.3 Spec house O yes ~o Lot lines identifiable [~es O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure 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 tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 Commerce and the Department of Natural Resources, 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. IG ATURE OF 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 above, by virtue of a warranty deed recorded in Register of Deeds Office. D :~~ ~ ,,~,pz% SI ATIJRE OF LICANT DATE «««««s 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 reference is made in the warranty deed f53~ P-5~ `l~3 . ~, STATE BAR~1V~~~(~ Ovcumeat Number WARRANTY DEED This Deed, made between Merle A. Shlmon, a single person, Grantor, and Kernon J. Beat and Donalda J. Spcer-Bast, husband and wife, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): (See Attached Exhibit "A") 62751 O KA'iHLEEN H. WALSH kEGISTEk OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD OA-02-i'.000 3:00 PM YARRi1HTY DEED EXEMPT M CERT COPY FEE: CORY FEE: iRRRSFER FEE: 816.00 k=COkDIH6 FEf: 1.00 PAGES: 3 Recording Area Nane and R~,~ldass. _A OGLAND Zilz, ~ElsltVreen 8c Ogland ~' • O. Box 359 Iindson, WI 54016 ozalos9-ao-ooo Paral Identirtcation Number (PIN) This is ant homestead property. 0€) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~d tom" day of July 2000 • Ma19a A. Shimoa AUTtIENTICATION ACKNOWLEDGMENT Signature(s) Marie A. Shimoa, a siagle person, STATE OF WISCONSIN ) ss. g County ) autnetttf~ ~ Kq ~, day or Jaly 2000 ~ • •: Personally came before me this day of the above named £ y :H ' • 7(I'i5tl~ Ig{ :~~ __. TI't~•• ~~~5'TATE BAR OF WISCONSIN ~~ .r•• to me known to be the person(s) who executed the foregoing --- instrument and acknowledged the same. autho y~§ 70ti.06, Wis. Slats.) THIS lNS'rRUMENT WAS DRAFTED BY Attorney Kristine Ogland _ Notary Public, State of Wisconsin Hudson, W 151016 __ My Commission is permanent. (lf not, state expiration date: (Signatures may be aulhcnticated or acknowledged. Both are rwt necessary.) > ___..-') • Names of persons signing in any capacity must be typed or printed below their signature. u,lan„r~a, v~oras•bivts comv.m. Ford d+t•4 WI rzozt WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2. 1999 ~Y . ~ ~ Ya~~ 1531P~~ 434 EXI~IT "A" A PARCEL OF LAND LOC~-TED'IN TH8 NORTKWEST QUARTBR OF TB8 SOUT88AST QL1AEtT8R (NW 1/4 OF 5S 1/4) OF SECTION TMBN'PY TWO (22). TOWNSHIP TWSNTY NIIi6 (291 NOtITR, RANGE NINETEEN (19) WEST, 110RE FULLY DESCRIBED AS FOLLOWS: • Commencing at the East Quarter corner of said Section Z2; thence•North 0 degrees OZ minutes 57 seconds East along the Bast line of the Northeadt Quarter of said section a distance of 40.00 feet; thence North 89 degrees 57 minutes•16 seconds Weat 750.00 feet; thence Westerly 450.47 feet along the sr¢ of a 905.17 foot radius curve concave Southerly whose long chord bears South 75 degrees 47 minutes 19 seconds West 445.83 feet; thence South 61 dcgrees 31.siinutee 54 seconds west 135.86 feet to the point of beginning; thence co~ntinuinq South 61 degrees 31 minutes 54 seconds West 150.12 .feet; thence Southwesterly 297.89 feet along the arc of a 740.00 foot radius curve concave Southerly whose long chord bears South '49 degrees 59 minutes 58 seconds West 295.88 feet;. thence South 53 degrees 22 minutes 28 seconds Sast 409..87 feet= thence South 0 degrees 15 minutes 46 seconds Salt 687.10 feet to a point-on the South line of the Northwest Quarter of the Southeast Quarter of said Section 22; thence North 89 degrees 57 minutes 16 seconds west 1269.89 feet along said line to the Southwest corner of said Northwest Quarter of the Southeast Quarter; thence North 0 degrees 16 minutes 35 seconds Weat along the North-South Quarter Section line a•diatance of 1296.23 feets thence North 89 degrees 50 minutes 17 seconds Bast 651.01 feet; thence North 0 degrees 11 s~inutea 41 seconds Weat 22.40 feet to the Southwest coser of the Certified Survey asap recorded in Volume 7 of Certified Survey Maps, page, 1891; thence North 89 degrees 50 minutes 17 seconds East along the South line of said Certified Survey a distance of 651.09 feet to the Northeast corner of the Northwest Quarter of Southeast Quarter;~thence South 0 degrees 15 minutes 46 seconds West along the East line of said Northwest Quarter of t•'he Southeast Quarter a distance of 129.94 feet to the point of beginning. ALSO sub3ect to that part of a 66 foot wide easement reserved for Future township road included in the above described parcel, said easement being 33 feet equidistant and at right angles to the following described reference lines: REFERENCE LINE NUM88R 1 Commencing at the East Quarter corner of said Section 22; thence North 0 degrees 02 minutes 57 seconds East along the east line of the Northeast Quarter of said section a distance of 40.00 feet to the point of beginning of the following described reference line: Thence North 89 degrees 57 minutes 16 seconds West 750.00 feet; thence Westerly !50.87 feet along the arc of a 905.17 foot radius curve concave Southerly whose long chord bears South 75 degrees 47 minutes 19 seconds Weat 445.83 feet) thence South 61 degrees 31 minutes S4 seconds West 285.98 feet; thence Southwesterly 297.89 feet along the arc of a 740.00 foot radius curve concave Southerly whose long chord bears South 49 flegrees 59 minutes 58 seconds Weat 295.88 feet; thence South 38 degrees 28 minutes 07 seconds Neat 100.00 feet; thence Southwesterly 381.99 ` + Yoe 1531P~~435 Exhibit "A" - Page 2 feet along the arc of a 427.00 foot radius curve concave Northerly whose long chord bears South 64 degrees 05 minutes 43 seconds West 369.38 feet; thence South 89 degrees 43 minutes 25 seconds Weat 546.65 feet to the end of said reference line. RBFBRENCE LIMB NUMBER 2 Commencing at the East Quarter comer of said Section 22; thence North 0 degrees 02 minutes 57 seconds East along the.•Sast line of the Northeast Quarter a distance of 40.00 feet] thence North 89 degrees 57 minutes 16 seconds WesC 750.00 feet; thence Westerly 136.81 feet along the arc of a 872.17 foot radius curve concave Southerly whose long chord bears SQttth 85 degrees 42 minutes 57 seconds West 136.67 feet to the point of beginning of the following described reference line: Thence North 269.97 feet; thence Northwesterly 350.77 feet along a 500.00 foot radius curve concave Southwesterly whose long chord bears North 20 degrees 05 minutes 50 seconds Neat 343.62 feet; thence North 40 degrees 11 minutes 41 seconds West 70.00 feet; thence Northwesterly 158.46 feet along a 227.00 foot radius curve concave Northeasterly whose long chord bears North 20 degrees 11 minutes 38 seconds West 155.28 feet; thence North 0 degrees 11 minutes 41 seconds West 500.06 feet to the end of said reference line. All in St. Croix County, Wisconsin. sl _~ 1 1 1 1 ~ g ~ ~ ~ ~ ~~~~1 ~ i 1 ! ~~ ~~~ ' ~ aar~oz ffii 1 1 1 L t ; ~ O~ 1 ! 1 _~ ' ~ 1 '`~ - 1 x x ~x 1` 1 ,~ • ~x ~ ~ g ~' ~ ~• 1 O! xx ~F ~" ~x 1 -------- a. .` `~ ~" wx 9 ~ x~ ti~ x ,~ ~~ I ~ ~' ~ d ~ I ~'3 ~~ i '~ ~ L i 1 1 N L----- ~ ~ x~ f = a ,~ ~ ~ x~ ~ G~OU # ~ ! ~ ~ ', F N ~ x¢ ~ °x9~ a ~ $ f~ i~ ~ ~ qit~ ~~ y ~x •^ ~ ~ ~ e,,,_ ....~ . . ~sr x """'airy! ®HOZ ~ ~ x := a f E ~ ~ -~ ~ a ~ ~ x ~~ ~ ~ ~ ~ ~, ~ ~ _ ~ ~~ ~ ~~ lpsp~ ~ ototir•~ ~~~ ~~ ~~ ~~g ~~ ~~ fi V F i ~, x ~~ i ~~ x ~ ~ ~`' ~' x L i x ~ !" 1 0. ~x ~x t ~` ~~~ ^ ,~ ~v a ~=i~ ;~l, ~~j~ ~i~~j i(( {fi ~lf!,! u1~~