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HomeMy WebLinkAbout020-1398-21-000Wisconc~in Department of Commerce 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 Bast, Kernon Hudson Townshi CST BM Elev: I D D ~ O Insp. BM Elev: ~ o G~ ~ BM Description: ~>~ 9" y4~ ~ sue-/ ~-f ~Nz~'l TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ /~ / lD Dosing ~, ~ ~ /yl ~/~ (~V Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent t it Intake ROAD Septic LL / J ~ / 1 ~ ~ / ~/ h Dosing 0 i Aeration Holding PUMP/SIPHON INFORMATION Manufacturer and Number lain Loss System Head SOIL ABSORPTION SYSTEM BED/TRENCH Width Length DIMENSIONS ~ l fJ ~ S f SETBACK SYSTEM TO b INFORMATION Typ f System: V ~~ DISTRIBUTION SYSTEM _ P/L ,BLDG -la~ }moo` ELEVATION DATA county: St. Croix Sanitary Permit No: 420470 0 State Plan ID No: Parcel Tax No: 020-139821- 00 STATION BS HI FS ELEV. Benchmark .gyp ~~~ 100.E Alt. BM ~/ Bldg. Sewer Y~ U b 9~- ~ Z SUHt Inlet 8.S 9~ LG SUHt Outlet p~ ~ 9 ~ ~~ Dt Inlet ~ ~_ Dt Bottom ~-- eader/Man. ~ Y6~; a f~ q - o Dist. P' e ~~e~-Q-( w~ ~- a.18 9~ ~ Bot. System ' !3- 3 9~ PP Final Grade ~J ioa-Z3 St Cgver f ~~ 9~ G '~ Of LEACHIN CHAMBER UNIT Dia. Liquid Depth ~ur~~ .S- Number: t-~O_~ Header/Manifold ~ t Distribution ~1 Pipe(s) p ~ ~r~ IZ~fS / f x Hole Size x H Vint to Air Intak 7 5d~ ~ ~ Length,_ Dia_ /' / Length o Dia Spacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv Depth Over / „ „/ Depth Over xx Depth of xx Seeded/Sodded BedlTrench Center 7 ~ ~'" _ Bed(rrench Edges Topsoil ~ Yes ~ No r- r~ ~~ Yes ~(~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: f ~i ~ I ~ Inspection #2: i 1 Location: 847 Ross Road Hudson, WI 54016 (NW 1/4 SE 1/4 22 T/29~N R~1,9/~W,), ~P~h~e/asa~toRun Lot ~~ Parcel No: 22.29.19.2481 1.) Alt BM Description =~~'t~0~~ ~N+'`-a'S "'" v "'~ 'f n, "L""~~~ ~OQ~~~u dk~3~'~d~~~SaPu~C,~~ 2.) Bldg sewer length = Z~ ~ ~ (if/~4~ ~~1 ~j) /- fa~L~~~~,tii. 2~~- -amount of cover = ~, ~,~,~~ ~-- ~ ~Q „ , _ „ f;...~i. 6b - _, ., F. ~ ~ Plan revision Required? ~ Yes No ~ ~ ~~ ~ ` ~- 6 ~ I Use other side for additional information. I ~ ~ -~ ~ Q~" ~ ,( ltiYV~-~ ~ ;__L~~ ~? / 1~ SBD-6710 (R.3/97) Date Insepctor's Si nature Cert. No. r ...b ,Id C'L~,bo~ xx Mulched C • Sanitary Permit Application sarery °G °""°"~' >,r",~." In accord with Comm 83.21, Wis. Adm. Code See reverse side for instructions for completing this application `~ 201 W. Washington Avc PO Box 730 WI 53707-730 ~ be used for secondary putpores rovide ma sea-nsin ou ti f l i ~ y p on y n orma Persona (Submit completed form t0 county if nc Department of Commerce ~riy~r Law, S. IS 04(lxm)] ~ O ~ State Owned. o ` Z lans (to the county copy only) for the system, on paper not less than 8 lete Attach cmm -1/2 x 1 l inches in size. p p County State Sm' Permit N ^ Chcek if revision to pnwiorrs applicrdiar Plan I. D. Numruu ~ ~/ I. Ap lication Information -Please Print all Information i ~ - Location: ~ 6SS Owner aria Y Low , ~ f L l~Y ~ Address Lot Number BMclr Number ST. ~, .~ ~;?_ ~ ~, , ~ _i,i,. - ._- ~ City, Zip Code ' ' ron Name or M Number ~t u n~ - (3 6 ) II. Type o BnilSling: (check one) / drooms :~ y ~~ f B lli N il 2 F D (~ O City ~ ~y7 ~~~ ~ _ e o. o ng - y we 1 or am g n of w r D Public/Commer+cial (desca~ibe use):_ L ~ ~- __ - -~` S-7'• ,~71~7t ~ State-owned ' z c~'LLt ,3 ~X S7 J r .~ Nearest Road 6 - Parcel ax Num s + ~S7• / i " 3/, d = 2 ~ "' IIL Type of Permit; (Check only one box a A. Check bo line B if applicable) ~-) 1. ew 2. Replacement 3. ep acement of 4. S. 6. Addition to ~~6 SY~ Systeart System Tank Onl B) Permrt Number Dau Issued O A Sanitary Permit was previously issued ~ " IV. Type of POWT System: (Check alI that apply) ~~'"~.~ j~ ~~ i /.Ci d d ~ ~ 0 Censwcte O Sand Fr ter ti C9'IVon-pressurized In-ground ^ Mound (~ p~py~ Tn_ground O Holding Tank ^ Singk Pass . D Drip Lined 3j ' ^ At-grade O Aerobic Treatment Unit Q Reciccxttaxing O Other: C/G~''(r Y.1Dispersal/Treatment Area Information: 1. Design 2. Dispersal Atea 3. 'spersal Area 4. 'Application 5. Percolation Rate 6. 7. Fi ~y ~ Required Proposed Rate (Galsldaylsq. lt.) '(Mint nch) C- / Q2 ~" r Elevation ~'~'" ~'«' -r • 7 t~ 2 93.0 r y'7.O r VII, Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crave ~~ Tanks Tanks 117 ^ O ^ ^ ^ ^ ^ a ^ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the PO shown on the attached plans. Plumbers Name (print) umbers Signature (ra stamps)- 113WMPRS No. ~~ Phone umber' ~ ~- r .~2./ d 635- Addras(strew, cuy,state, zip Cone) z z 8v/ c,Et.~ 6 ~- o~- ~io6 IX. CoantyiDepartmentUae Only ip Disapproved Sanitary Pemut Fce (Includes Groundwater Date slued t S' o stmups Approved O Owner Given Initial Adverse Surcharge Fa) ~. a~ S, dJ /b 4/0 2 Determination t,~~N/+v X. Conditions orf~Approval /Reasons for Disapprovald ~ ~~ d~.c( ~~- ~~s S~ ~ ~ ~. d~:rn~Cu, ~~/ ,t, very=~tnq Soil ban' ~l bench v+~G'irl~s IoC'd~etit,S / LCS~ P y ~-~ S~lu,-lzeri ' /"jy dis-funs-J o~ tad' urns -(i-rrn• Sov-{-h Er 1 -1rti v~eway 2ase•',~on-f corner ; 's+eei ran +~' d i fCvt l y Sctt1M ~ ~hG 5 t` ~ 0 ,rn ad `ac~n~f' P ra(aerd-w ~ a''~ ra~c. 3oC7 ~elcs~' o~ N v~l 1~' Cor na-r,r ,So! 1, jZ~}'p~Lrl~'t~ ..~ a i-, i nn~ CST ~ /1~i,u~,~ =~t~r be RM~~ by i ~s~,~. t c~ r-b V r•~ ~s~s -t c~.~ -+-sns -~ y ~v s.. / I n _-- nn n .._„ ~..-,. ,i .~--n n nrr~i L~ _A/ hA/.nw/ f/i f.~a- lit ~ Nn /~. ~/Jli~ CI ~ QL ~GI t111! /"tT (~I/~D• ~ ~ U ~~.~~c~¢.4-~ ~lw~-'b.~t~ ~~,o~a~a- y.Qt,J ~-WhaJ't, iN/Cam of ~?~-r>u~F ~{ P~7g` /u5-h ~~ v ~ ~-+~ C Eo m~~. s 3~ m~1~ d ; ~3~., #00 Cti ~ ~ p rl ti 00 ~`~ N N ~` V Z `~ ~, ~ , ~+~ ~ . ~ ~ . ~9 3 ~~ v (n~ M i ~`~ C d s Z S ~_ ~~ ~ Z ~ 4~ 0 q ~ ' N b a° ~ - ~ a '~ ~ a °~ ~ ~ ~ i~ ~ = i ~~ ~ ~ ~ ~ u "~ ` _`~ ~ ~ ~- ' ~ ~ 3 ~ ~ 4 N v ~ 4. ` ~ li- rt h ° ~, ~- ~ ~'- sp ~ ~ \, ~ V ~ ~ ~ ~ ~~ ~ V 8 N . ~~ a ~~ ~ •,~ k • O © ~ r- ~ I ~N ~,~~~ a c4 ~ ~~ ~~ 3 ti b .~ yj ~ ~ p, Q N v.. ~ v °~ a. ~ ~ ~ 0.1 0 C ~~~ /1 ~ ~ tl 6 ~. ~ ~ ~ Q A V •-+ Y 3~ {~ ~ ~ ~, v q 3 v ti aN0 N " ~ (~~, ~ ~- N p`~ a d ` ' ~ ~ ~, ~- - - I A ~ " ~~ ~'Z N ~. ~ # q Q 1 ` ~ 0 l 1 :`W v w! ~ o ~~ ~~ ~ 3 ~` b "Y ~~ ~ ~ r! ~' ~ ~ . }C~. ~ ~~:' f '~ ~ ~% _.i .. J, ~ ~~:t1 ; ti ~ ~ .'' ~ ~ `,, ~,. ,,r der ~ # ~` PARCEL DESCRIBED IN YOIUME 1531, PA .~~ ~` ~ ~~ _ ~~C' L" ~ 1 1 ~{" ~ ~ ~~ a~ ~ ~ ~b o ~ ~ ~ ~ J 9 ]l C/~ 2 ~ gl A2S3 x , x 971.7 9-./ .. -.~_ x ,- /~ ,~ ~Q ~~' ~o ~ ,fib ~ ~~ t~ ~ ~ r(y ~~. 4 1 , ' ' ~. ~` A G~ T q~Q } 9~ 'I' %~~~o; ~ ~ / , f f a~ °r i f / ~' ~~ ~ ~ ~ ~~ O + ~ q~9 ~' / • ~yll~ !/A q~b a~~ 927.5 x 928 35.T4 TOTAL ACRES -''~ Vt~iTH OF ROAD = 1808 FEET ~L ZONED AG•RESIDENTIAL ~~ A ~~~ ~,~ p'~T p~T ~F. OF ~ ~~ Q- O~s~ R~r ;,~~ a~~'am~, z~NED q(~ ~'~ °saN 'BT% CA ..`mac ._~'~ --__' T' yIa y r Q V "~'~ yet., ~~~FNT~A~ x r ,"'^ r t ~ ' `- ~ r X22.0 ; ~ ~, .TaX gJky ,/ "^-../' ~ , ~ y ~ y .t 1F r, ~ -,.._.fl It, ~ ~ a r ~ t ~ ~p~ ~ ya~.s ~ ~ '~~c . `. x ~,,,~ ~ - - _, ate, , ~° ~ ~_~,, yes 2 ~ - ,., a o"' ~ '~t' ys~sx ^Orrnr~sa /~ r ~' " $ ~'q' yst S `` ~ ~ ~~~ : x a % f~ ~J ~~~\ '~ / ` a J A( A yJl. t y~ 1 ' 926.0 • ~ a Gam' ~ e • ~ I a i r 2y 9ra'2x j ~, "a-~.~..- yI?a w. . a. k x y2d6 ; y,}~6 ; _ k .a ~C, ` ~x ~:-~ ~ fb t a yI x ytS.s ..___ ~~ ~_~ _~ _ ~~ ii~_yxra \ , ~ ~6 ~~ ~~___ __~ -- 9 a ~ x y1j? yj/+~ i //~~ i a • a tQ7aa •• ^~ 6 V i ~ i `~ ~w x ($ ~ 1 ppx ( 1 % ~ `x 1 O ~ ~ S ~ I ; r ~ ......... : i a i ~ 1 t t ~ y2'~. 92a.1' ~,~ lily ~ ¢. ...,,t.Tlg,'• ••`Y~' ~~ ~ s x • ate. '~ ~.~.~ d831 i ~ ~ ~ • l~~ Y 2 T ~ +~ x 9zy.o r j ~ HW, ya tyy~o x. ~ 1 ~ I ~¢ Z Z o ya s y07-0 x yzsr ' ft. -~ x I ~0 1 x ~ `~ ^~ 1 !as x r `"l~l C < ~~{ ~ ~ s ~ _n~F r ~ ~ 5 a ~ taQ7 'fig ~'J ~ 2 . t ~ t , ; i 227w ykt> ~ r as ~a ~:, ~ ~ ~ l x x y2J, a aa` i ( y S,~~Saa >tDt .~ ~\ a • ~ ,~if,~a aa, a a ard7 ' x M t y28.) • a ~~l~ aay •y',s. e `"''~/'J~. a ! ~ x ••4z a'a O a x y 8.` yt)S a a~ 3 \, ~ ~ 2 ac ~. s7as (2, J q ,~ y2y.s a_~ C .g x e x ~ ysso ~s eu ~ ~ 2a~5. p,,,.~ ,~ &f ~ a~C - ~RyJ _; x ~.'~ ; i srss x '~. 1 + yJI B +• i k ~ +~ 9„;e 'Wr~Orisin Department of commerce SOIL EVALUATION REPORT 'Page 1 of 3 'Division of Safety and Buildings In acxoroarve wiu- wrrurl 0.7, rr1~. rw~~~. a,wa County ~ Plan rr>ust er not less than 81/2 x 11 ~c~res in s¢e a Att it l h l t O1 ' p an on p ac corq~ e e s e p . l t7f" Zl include. but not limited to: vertical and horizontal reference point (BM) percent slope, sple or dimens~s, north arrow, and location and di nce t~~E , _p. Q~Q-~ j 3 ~} ~ ~/• ~~~ P/ease print all information. Re ' Date i ! U ~ Personal information you provide may be used for secondary purposes (Petra ~3~t ~'• s J V I V ( ( )• d party py~~r Properly Location I~ierr~on ~~ r~/a ~~11 1/4 Su. T z~ N R E(~)~OV Property Owner's lin Address ~ Name or CSM# ~- e City State Zip Code hone Number ^ village ~ Town rest Road Q New Consbuction tlse: (~ Residential / Number of bedrooms v?" Code derived design flow rate ~-/ a ~~ c? GPD ^ Replacement ^ Public or commercial -Describe: Parent material ~ V ~ t S h _ . Flood Plain elevation if applicable ~(i / /~' tx General comments S~ C~, M P~GI/~ '~~ a ~ r'" ~ r 9 Z. 2 G~ and recommendations: ~ `7 ` e~Cv' ~ /_ (/ O tJ L U w e r 9'f7, y 0` Boring # ^ Boring ~y f J ® Pit Ground surface etev.`17.t:~Q ft Depth to limiting factor ! in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsefl Qu. Sz Cont Color Gr. Sz Sh. 'Eff#1 'Eff#2 ~ 0-10 10 ,~ 312- - s' I Zrnabk m-~ ~ S I v • 5 . g 2 ~~-3B I y ~~ _ s~ I 2rY,a.>~c r c s -- 3 -1t~ 1 y~ _ ~S I _ _. - . ~ ~- Z ,o a'~ `~ `~ Q ® Pit Ground surface elev. 97•~U ft Depth to limiting factor ~ 2d in. ~,~ # ^ ~~ Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz in. Munseii Qu. Sz. Cont Color Gr. Sz Sh. 'Eff#1 'Eff#2 -1 (.0 (O . ~ BIZ _~ S'I 2mabk -~ ~ ~ l ~~ - S ~' Z f '`1 f I - ' I Z I ~r ~~ - . 5 . 3 y~~ t4 rye ~" s C) mI - - .7 l.? a ~~S ~ ' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/i. ' Effluent #2 =GODS < 30 mg/L and TSS _< 30 mg/L CST Name (Please 'nt) S' nature ~ CST Number a.m h mo, k~r ~ z 53 3 09 Address Date Evaluation Conducted Telephone Number. 2113 &j-~ ~. ~. 2~_ /-rp-c~Z ~~c5)Z~f~_~UO~ .,. _ ~ .,~ Property Owner l.~S~ Parcel ID # /OT Page 2 of 3 U 3 eoring # 95, ti~ ft. Depth to limiting factor ~ ~ in. Pit Ground surface elev. Horizon Depth Dominant Color Redox Description Texture Strudure Cauistence Boundary in. Mansell Qu. Sz. Cont. Color Gr. Sz Sh. ~~-yd I ~~ -- S. ~ 2l-no~ m-~ c g Soil Applicat~n Rate Roots GPDt'ftz *Eff#1 'Eff#2 -' - 5 Boring # ^ Boring D ^ Pit Grourxl surface elev. ft. uepm m umrong racror ~~. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Mansell Qu. Sz. Cart. Color Gr. Sz. Sh. Soil Application Rate GPD/ft2 'Eff#1 'Eff#2 ^ Boring # ~ Boring Ground surface elev. ft. Depth to Gmitfng factor in. ^ Pit Sal Application Rate t Ca Redox Description Texture Structure Consistence Boundary Roots GPD/Rz Horizon Depth in. or Dominan Mansell Qu. Sz. Cant. Color Gr. Sz Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L '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 department at 608-266-3151 or TTY 608-264-8777. ssn-a33o cRO~roo> . .• '• PAGE 3 OF 3 NAMMF 1~a s ~ LOT# Z ( LEGAI DESCRIPTION.U~.~/ ~Sr ~ ,~ Z Z T Z Q ,N,R, l q E(orY~ SCALE: 1"= ~~ 0 ~ BM 1 ELEVATIO / • O BM 1 DESCRIPTION ~ % ~~ r ~Q ~ ~~/-~ BM 2 ELEVATION ~- BM 2 DESCRIPTION -~P D-~ %y „S~e e j iC,ac~ ~, ~ ~~~ SYSTEM ELEVATION~~3, O U 1,owerq Z. Z D ALTERNATE ELEVATION }v p Q j. OU ~ w@ r %0. L d D ~• CONTOUR ELEVATION~~~' ~~ ~ W~5i1o eC . Z ~~ ~____ -~- 1>k ~/~ SPIs r' Co ~~~ ~Q~ ~~~16 I~a12~-( LOfi L(l~1 ~ {" t2 , ~ ~`~ ~ ~' v ~__ ~~ 1sb ~~~~ ~ ~~ ~~ N c ~ ~ ~ b '~LSI~r ~ ~ ~D; 4~+R/~ 6 ~ ~ I ti ~~ ~`, ~~.~~ 2 ,fie t ~~2' g~" o ~~ ~ ~ ~ ,~ ~ la-~~ SIGNATURE ~~ ~~ ht~~' .mss ~` ~ t~ bob ~ ~~~a~ ~ q ,. ~ ~ ~ k kw~ DATE .~ "~ ~ Z n PAGE 3 OF 3 NA_M ~a s ~ LOT# Z ~ T L DESCRIPTION ~/~.~/ `4 St' `4 ,S Z Z T Z q ,l~I, R, / q E( rY~ SCALE: 1"= ~'IO ~ -- BM 1 ELEVATIO / • Q BM 1 DESCRIPTION ~' % ~~ G ICo~ BM 2 ELEVATION ~_-~y + `• p sec . Z _BM 2 DESCRIPTION -~dP O-~ /y S~e~/~Cac~ G l~.'~;%, SYSTEM ELEVATION~~3, O U Gaw~rGf Z. Z D ~( ALTERNATE ELEVATION ~z, p q j. OU ~ w e/ 90. Z d CONTOUR ELEVATION ~' 1 ~ "~ w~5~1° su~P I sway ~f C'rz•S+A-(cam ~Q~~1~6' i~Dl~~-( l.Ofi l~~J ,00 a ~ ~ ,~ ~ ~ S~~ v ~, ~ cry _ 2 ~Z Ft r r~ ~ ~ N `,fie Ste- ~ ~c ~ '~• ` o~ b~ ~` ~,~ g ~~~~° ~s~~ ~ ~ , o~ ~ Ie Jai ~k ~ ~ ~ ~ ~ k kw~ ~p0 r~ ; S Z • i ~~ . ~ ~~~ . ~~ "~ a~`~ ~ ~~ d~~ SIGNATURE ~ - DATE .3 "~ --~ Z ~' ~ .~ - -- ` RVAV - ~ -- m ---------------- 0~ _ - ,~ --.__ _ ~~ 9 .• ~ - ~` _ N ~~ ~o ~~ ~~ ~, ~ ~_;] ~~ u ~~ ; ~1 (~j ~ N v ~ GJ ~O ~ i N~ ~ // ~ fns ~ .~ ~C5 p o ~Z ~ ~ N ~~ / y 3 m ,~Y ,y w zoo ~ NOO°56'19"VV Z, /~ / 4 II C ' 59.38 3~ ~ / / ~ ~ SON ~ /~ /„ iZ --~c----' _--=~. a (71 ~ ~ /~ / nT2 LT ~ ~p , ~ i D ~p / C /~ ./ ~ ~n / / ~ 7 / / Z / / ~ ~~ ' / / m ? p o 4 a z o .' c~ ~ 1 = m °" ~e '~'L\^~9~1' j .II y ~ ~ I 1 y •~~ N Z \ w 9_ / ow,~ ~' ~ ~'~ w N o ~ ~ ~i / r ~ ~~ ~ _ m m 'Q _ ~. -- A i O ~P ~ - ' ~o _ ~ CSC , ~. ~ ~ ~ ~ ~+' co m ~ ~ ~ ~ ~ ~ ~ o ~ ;~ ~ Otn x W ,oo _ ~ ~ `w ~ry 1 (~ ~ vo ~ ~ w~ ~ ~$ ^ ''I~ ~ ~ ~~ ~o ;o ;~ o~ ~ ~ ~~~ ~o ° ~mv o ~ ~ ~ ~~ x N D O~ ~~ Z °° ; ~ w ~ ; p ~ ~ ~ ~.-- - ~O ~ _ - -- ; ~ SO1 °05'48"E ~' ~ ~ 'I $0.00' EAST uNE OF THE NW1/4 OF THE SE1/4 '~ ~~ 'c~° ~Q° I ~, ; ~ ~ ,~p -~~ , _ _ /Q~• ~- . J ti o ~.. W a el h __ ti ~~ ~~ r N n ~`~ ,~ ~ ~ h h r ti ~ ~ •. ,~ 8 ~ ~ ~ ~ n v ~ ~ ~ ~ ~ ~ `.i ~ ~ o ~, b` 1' ~ ~ ~ w ~ ~ ~ \ Q ~ ~: ~~ ~ ~ d ~ ~ ~ r ` a R °v Q ~~ s ~ ~ ~ ~ ..~ a i= b ,v M ~ ~ 1 a a x a W ^.a N o~ 00 ~i ~ ~ ~ N 1~® },. ', i ~ C V ~° ~,' 0 3 '' ~ ~oRNI Owner Permit # 11FCI[SN PdRdMETERS Powys owNER•s Number of Bedrooms ^ NA Number of Public Facility Units ~NA Estimated flow (average) al/d Design flow (peak!, (Estimated x 1.5) ~ al/d Soil Application Rate al/da /ft2 Standard Influent/Effluent Qual'uty Monthly average• Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand tBODsI x220 mg/L ^ NA Total Suspended Solids ITSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand IBODS! 530 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Col'rfomn (geometric mean) 510` cfu/1OOml Maximum Effluent Particle Size Ys in die. ^ NA Others ^ NA "Values typical for domestic wastewater and septic tard: effluent. & MANAGEMENT PLAN sv~. sPECr~canoNs Page ~ of 7"' Septic Tank Capacity ~ ^ NA Septic Tank Manufacturer . ~ ^ NA Effluent Filter Manufacturer - O NA Effluent Filter Model ^ NA Pump Tank Capacity ~ ~.~ Pump Tank Manufacturer Q ~- Pump Manufactures CJ ~ Pump Model ~ b 1JA Pretreatment Unit ^ Sand/Gravel Fiker ^ Mechanical Aeratwn ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: Q NA Dispersal Cell(s) In-Ground 19m~tY) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ ~~~ Other: ^ NA Other. ^ NA Other. ^ NA MANY? Et11A19(:C a~ncuu~ Service Event Service ~ Inspect conditi~u of tankls) At least once every: ^ rrwnthlsl (Maximum 3 years) (~ earls) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third (Ys) of tank volume. ^ NA Inspect dispersal cell(s) At least once every: j ^ y~~ s) tMaximuuru 3 years! ^ ~ Clean effluent finer At least once every: ^ month(s! ~ - Z, yearls) ^ NA ^ month(s) -~A Inspect pump, pump controls & alarm At least once every: Q years! ^ month(s) Q NA Fkrstt laterals and pressure test At least once every: ^ year(s! Other. At least once every: ^ monthtsi ^ yexls! ~(, NA f)ther. Q,NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following I"~censes or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintain; Septage Servicing Operator. Tank inspections must include a visual uispection of the tankls) to identify any missing or broken fiardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up w ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and regvi~ the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY3! or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent fihe~rs, mechanical or pressurized components, pretreatmem units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Lof Z' ~~~UP AND OPERgT10N For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentre~jions are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the 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. Oo 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 property 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 shalt 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: Cd~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 wilt result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ~. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name ~ I G~ i' x tv'~p~ttAl ~ ( ~l1 / Phone ~'(S -- This document was drafted in compliance with chapter Comm 83.22(2){b-{11{d)&{f) and 83.54111, (2) & (31, Wisconsin Administrative Code. $DOOner wt ~stffZ POWTS INSTALLER PoWTS MAtNT~uNER (715) 635-9609 ~ Name I ~i~~v Name Phone S- .3(,j~ ~~ e -. r ~ I ~ ~ O ' ~ U Q ~ ~ ~ CD , ~ ~ ~ r~ r + ~ ^ O ~..r ~ ' ~ Q + ~ ~ ~ CD O ~ ii ~ II ~ . ~ j C "''' ~ ~. ~ ~ ... ~ ~ p ' . ; `'1 ~ ~ II A. ... :' ~ ~ • ~ ~ ' ° o. ~` ~ H ~ ~ , ~ ~ ~ c,•, ~ :~; c~ ~ ' s j.~. ~ ~ ~ ~ ~ • ~ ; I ~ 4 ;. I e ~ ..•.. •~ ec ~ ..• ~ ~ i ~ • • • \~ \Y - •~ ~ .. c ~ y ~ ? . ~ ~ •~ ', ~ \ \ a ~~ i ~ . ' .. ~ .: .. .. ~ ., . _ _..~ , ;b .~ . ' is o ~~ .. ;, ~ ~ ~ • ~ .. ~ is ~' ~ . ~ -b ~ , •. : ~. .. ~ ~. _ ~ ~ ~ ~. ~ • • r ~ . ~; a ~ ~. ~' . t~ ~' ~ . Y ~ ~ ' ~ ' `_ ° 5 - - .. a ~ ~ II ~« ~ ~ , fD ~ O W ~ ~ (~ ~ d ~ W ~ ' ' .. ~ ~ a ~ a • . c, . ~ . ~ II ~ ~-.. ~ C ~ ~ O~ ~d c~ h N O ^~ O N ~ O ~ ~ ~ a " ~ ~' N ~ ~k G's - n N M w~x--~y ~ ~ ~ ~ . ` ~ O~~• a. ~o~ r p, OQ n n ~• r~ ~• r~~- ~. N C~ ~ ~ ~ --t Q+ 0 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~1 ~p~t/ ~/1~3'T Mailing Address ~~fp ~Ct/ ~a~ ~.1~,yj~~ uiS S'~/o/` Property Address. ~'~'-~~ U`~-~ (Verification required from Planning Department for new City/State /~,G~lo~ ~.cstt SYfO/~i Parcel Identification Number ~~D - j~9~' -?~/- d©d LEGAL DESCRIPTION Property Locations '/., S~'~ '/4, Sec. 22 , TAN-R~_W, Town of ~(.r~~'/" Subdivision V ~`~-Q`y~-yL~' ~~c ~ J ~ ,Lot # ~~ Certified Survey Map # "~ ,Volume G©L 7 ,Page # l~9/ Warranty Deed # G27s'/D ,Volume ~.'S'3 f ,Page # x/33 Spec house O yes C9 no Lot lines identifiable CC9~yes [~ho 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 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 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. 1i ~~~ 9 /gyp / ii SIGNATURE 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. ~' ~~ ~~ q !jd /D L SIGNATURE OF APPLICANT 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 reference is made in the warranty deed f53~ P°5~ `-1~3 ~ r _. • STATE BARS\'V~~~t~ p~yl~t~9 ?2751 O ~ Y,F) i HLEEN H. WAl_5H Document Number WARRANTY DEED REGISTER OF DEL"DS ~T CROIY GO WI . ., This Deed, made between Marie A. Shimon, a single person, RECEIVED FOR kECORD --------------- uti-02-2006 3:00 PM WAkkANTY DEED Grantor, and Kernon J. Bast and Donalda J. S er-Bast, husband Pe Ei(E!IPT M CERT COPY FEE: and wife, COPY FEE: ikAHSFER FEE: 846.00 RECORDING FEE: 14.00 PAGES: 3 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. C_r_oix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area See Attached Exhibit "A" ~ ) Name and R~ur~gddye , l str 0 7.,ilzr & Ogl D~ E en ~' • O. Box 359 Iiudson, WI 54OI6 02o-1os9-go-ooo Parcel Identification Number (PIN) This is not homestead properly. Ot) (is not) Exceptions to warcanties: Easements, restrictions and rights-of--way of r ecord, if any. Dated this ~ d 4ti` day of J 2000 AUTHENTICATION Signature(s) Marie A. Shimon, a single person, 1 autheAt~+l K~ ~{/" ~d y of July _ 2000 a;wrysuna ; ••- - : y,_ + Mattis A. Shimon w ACKNOWLEDGMENT STATE OF WISCONSIN ) ) SS. County ) Personally came before me this day of _~ __- the above named TI'T~•• ~g,5'fATE BAR OF WISCONSIN e-.t•• i~(• to me known to be the person(s) who executed the foregoing - ------ instrument and acknowledged the same. autho § 706.06,Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY .T Attorney Kristine Ogland __ Notary Public, Stale of Wisconsin Nudson, W 1 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) , ____.__.-•) Names of persons signing in any capacity must be typed or printed below their signature. ~mom,erm Pruteslonals compem. Fora a~ tx, tnn STATE BAR OF WISCONSIN eco~asszozt WARRANTY DEED FORMNo.2•t999 rY voi• 1531Pac~ 434 EXIIIBIT "A" A PARCEL OF LAND LOCATED 'IN THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER (NW 1/4 OF SE 1/4) OF SECTION TWENTY TWO (22), TOWNSHIP TWENTY N7.NB (29) NORTH, RANGE NINETEEN (19) WEST, MORE FULLY DESCRIBED AS FOLLOWS: • 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; thence North 89 degrees 57 minutes•16 seconds Went 750.00 feet; thence Westerly 450.4T feet along the arp 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.minutea 54 seconds West 135.86 feet to the point of beginning; thence continuing 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 Weat 295.88 feet;. thence South 53 degrees 22 minutes 28 seconds East 409..87 feet; thence South 0 degrees 15 minutes d6 seconds Sast 687.10 feet to a point~on the South Iine of the Northwest Quarter of the Southeast Quarter of said Section 22; thence North 89 degrees 57 minutes 16 seconds West 1269.69 feet along said line to tha Southwest corner of said Northwest Quarter of the Southeast Quarter; thence North 0 degrees 16 minutes 35 seconds West along the North-South Quarter Section line a•diatance of 1296.23 feet; thence North 89 degrees 50 minutes I7 seconds Bast 651.01 feet; thence North 0 degrees it minutes 41 seconds Weat 22.40 feet to the Southwest corner of the Certified Survey Map 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 the Southeast Quarter a distance of 129.94 feet to the point of beginning. ALSO subject 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 NUMBER 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 450.87 feet along the arc of a 905.17 foot radius curve concave Southerly whose long chord bears South 75 degrees 97 minutes 19 seconds West 445.83. feet; thence South 61 degrees 31 minutes S4 seconds Weat 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 degrees 59 minutes 58 seconds West 295.88 feet; thence South 38 degrees 28 minutes 07 seconds West 100.00 feet; thence Southwesterly 381.99 ~~~. ~.531PA6E4J5 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 West 546.65 feet to the end of said reference line. RTsFPsRENC6 LIMB NUMBER 2 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 a distance of 40.00 feet; thence North 89 degrees 57 minutes 16 seconds West 750.00 feet; thence Westerly 136.81 feet along the arc of a 872.17 foot radius curve concave Southerly whose long chord bears South 85 degrees 42 minutes S7 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 Weat 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 Weat 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. PH EASAI """86CTION`~'"ffi LOCATED ~N PART OF THE R19W, TOWN OP HUDSON ~~ N ~~ $g ~S~ ~~ 4~ ~.s ~~`-~ ~~N9~ ,,`` ~~ , 20 ~ ~`'` 2.58 ACRES j »2.a2e sa. Fr. , ~ + ~- 1 I 1 I I ao~ ~ «~ c~ea ail ~tA;j 1 --------------------------~ 1 t~~ '~ ~ a~a 170~_99,PCo3e B99Q ~~~~ -------------------------- €~ ~ 1 ------ ~ ~ L~OO4 ~ : io on i ~ ~ ~~ n ----------- ToroF,•na, rrE 1I Z U.8.0.&wTUr of taaa fEES1Al) 1' NON PPE FOUND gEVATgN . 900A9 Nsrm~iw,o.eeFEEr -~~ N86°69' ' 'E 660.67 R10M Car,PUrEO POSffION ,e ~ eENCw.wuc H.W.L s i $ ~ b ~'~ TOP OF i' IRON PPE u.s.o.s wnn~ of ims 825.0 ~ sEV~T10N . eza.u - 14 - ~' n 0 0 a O ~ ~ EASTUroo,r+f Nom" aF wT CONNFA (~ --- tl,,~i 1 Mfn1PL~l'~`tTi7I~DD 6~DD g ~ - 1 1 ----- ---------------- ------- ~a~~aa~ av~o~ 1 - ~ ~ a - - ----- oc>~~ orr -off ~~ arr o~la~ 1 FEET r = ~ ar ---------------- - ----------------------------------- 1 ,ao ~ ~ LOCATION SKETCH fHE NWIn ur u~ ~~~ ~a~~~ ac~o~ c SHEET 1 OF BOUNTY PLAT OF: RUN FIRST ADDITION VV7/4 OF THE SE1/4 OF SECTION 22, T29N, .T. CROIX COUNTY, WISCONSIN. / 1 / 1 / 1 / 1 / Lo~7Q ~ ,6 _~~ o~ 1/00 6.8,PC~3._ 9 X99 NORM VYE OF71E NWIµOF71E 8£/M CsJCI ®4~111~ ,~~~~ .~~ ~~..0 ~o ~ o ~~` L_- ~~a~____$-ate ~~~ ~e~ @, _ , ,, ~~ ~ dOO4 9 ~ 6~3GA UI~ ~ ------- N/OO G_ 9.OO~,PC~a ~8_~~__ E AO ~ __ ?r~ S~~~S~t~ A ms iES W O. FT. O 3 y~ SF .- 1 1 ~ ~aaac•~ ac~loa 1 po tld7pC~DD C3~T ~1~ OWNER X&iNON BAS7AND OONALDA SPEBi•8AS7 918 LABMil9E noAD HUDSON. YN b1016 SURVEYOR EDYVIN FUNUAA .~. BSBA HWY'~' / P.O. BOX 71 .~ PHONe 7,574&,7,9 FAX: 715749.1719 ~~r~ ~sT~~~-rS ~ ~~b~U~L ,HS.+sw.~r anrsl®er wcrua erci®oN .b9 No. aoas o~,E: sa.o, PAGE 3 OF 3 NA MF l ~ ~ } TOT# Z ~ T F L DESCRIPTION.U~./ ~S~' ~ .S ZZ T Z q N, R,~~j Flc,r~~ SCALE: 1"= ~ O ~ BM I ELEVATIO / - ~ BM 1 DESCRIPTION ~ % "~ ~ ~oc~ . '"~(.~ BM 2 ELEVATION ~-SY~ BM 2 DESCRIPTION -~p_O-~- %y`S~e~/add (, ~,'q[', SYSTEM ELEVATION~93, o ~ ~~~9 Z. Z D ALTERNATE ELEVATION }r,p q ~. oU f,,o,.~,e ~ 90. l d fo.c CONTOUR ELEVATION ~ ~~~"~ w/5~~o i ~i~way ~Q~ ~ U~1 C{,r I~b' ~bl'~TI~( 1.0~r 1 ~~. °~ ~ m ~ ~~ ~ ~c . Z ~~ ~.. `r A~X /Sb ~ ~~~ ~ too ~Z A r r~ V \` S~ ~ N ~~ _ a c ~!l, ~ b~ b~ ~L b-~- ~~Y-'IPi~'I.S~~r ~~~ ~~~ ICJ ~ ~ ~ 1 ti~ o~ 5 ~/~'~~ ~~ ~ . v~ S~ ~~ ~ o-~ 2 ~ ,~ a ~ YO ~ ~~~ ~~ ~ ~ ~~~~ g~" ~~ ~~v,~~ ~ ~~, ~~ +~ h~~ .mss ~" ~ ~ bob to ~~a~ ~ q ,, SIGNATURE ~ , = _ ~ ~ DATE .3 ~~ ~ Z U' ~ , 3 "' 0 .~~ ,'~.~ J Q Z W ~_ W _~ C'3 Q 0 W Z O N ~~ ~g 5~ ~~~ p OIAiVE DATA 71181E NUNB91 C1 MDIU6 70.00 DELTAANOIE 9S'WS7 C11010OSEC710N NN,OO'.dE ClIOIID IENGIN 496.SB' ARC l8Ki7N tB7JY TANOBITM SS0VIVBW TANOBRdif S77'5156~,1 LEGEND AIU~WUUCOUHLTSECI1DNCORNER MorAnlaTr rolMo • r Mon PME Pa1ND m LA~SONfT1 NAlL. FODNO __.__.__._ 12 nISJfY EASEMEM ~.....••••••~ B0lg110WAT 8ETBAd(l1NE X 918.6 SPOT L3EVATION -1010- ~~ ~_ ~~ . . Wf6M1EdATEwNran PnoPas®omve E706t1N8 M31CElNE r_-*~- -. .~ i- I ~' ~j/ 12-EO PEI1OEnf 8lAPES 70 PEIICENf AND GREATER SLOPES (7.8 AC) ~A FI.W.L= S101M1 WATER RE7T3l110NN1FA 70 NK81 925.0 WATER lNE l3EVATgN ~TION ~ ~ , ~~~~ y ~~i i ~ it r r '~ i ' ~t ~...- 1 ( OW ELEVATION k w 7 j > i t ~/. ~ f ..~ ~~' l ~ ~,/~- (1611'i"~ ~~~ .-~.C' , ' r '' . ~1.~'~atCrtf _ ; ,. ~~ ,'ii t E' ~_~ ,_4 a t; i -yl~j U t1 R R19W, TOWN OF HUDSON. ST. CROIX COUNTY. WISCONSIN. I ~ I :NTIAL I I 1 -x,04-9 I :C6~„ ~~_ Z-OC~ -, --_ ~ o ,oo ~_ ____ n.e LNBrRIMFlTrI%NPTED arwc,u1a 17tlONSON JOB NO.99ae DAIS LI6QI _ ~~ ,~ . ~ ~~`~ dF, 'c .~~ `_\ f. C' /~~\ .7(?'-fir . .> ,~.~,,.,,,,s~rf~ LOCATION SKETCH L PA t, ed wp bou aECnan~ ~ PRELIMINARY PLAT OF: ^+^'^ CA~~^r ^ LOCATED IN PART OF THE NWl/4 OF THE SE7/4 OF SECTION