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f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division a INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430536 0 GENERAL INFORMATION State Plan ID No: 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 Parcel Tax No: D'ascenzo, Karen I Kinnickinnic Township ©Z 29 -&Z d CST BM Elev: j lnsp.BMEIev: BM Description: Section/Town/Range/Map No: 00• ® Iron 15.28.18.2 TANK INFORMATION I I ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Uj 1 �. � � / o t) Benchmark 0 f 6 6944A,,4" -If Dosing (��►` � b Alt. BM Aeration Bldg. Sewer S.$ q•Ot= Holding St/Ht Inlet `•� 8• lea TANK SETBACK INFORMATION ` 100 r1 1k-4-- St/Ht outlet FDo K TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet �O / Dt Bottom� ic W � � ng Head r /Man. . D6 / r • O Aeration Dist. Pipe 3 �• N /d .l .41 2S b Holding Bot. System < e C -_ Final Grade PUMP /SIPHON INFORMATION a -4vy 1 62..ql Manufacturer Demand St Cover Zoe le�l/ GPM _�7 rl 6W 4d 1.36 ��.3 ,.SD Model Number] L iz, ja /do -i� TDH Lift 11 W Friction Loss - System Head TDH Ft (� �.��,,,.,,,.,,aa (. � (N 4 4�`ly 0 , 9 a y ,ZS /p . 2D 4�171L1�v'�� 140 M I*t S. 09 8 Ir Forccemain Length ', Dia. a Dist. to Well l r 0 . SOIL ABSORPTION SYSTEM C G ( 5 BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 12 L45 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: /t�[�c> 1 / / UNIT Model Number: DISTRIBUTIONS STEM Header /Manifold � Distribution i X7 If x Hole Size r � I x Hole Spacing Vent to Air Intake Pipe(s) L l / 1• lI 3 d Length / 7 Dia Z Length Dia ' z Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only S Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched 0 Bed/Trench Center / Bed/Trench Edges ' Topsoil ` Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 5 7 _/_�/ 6� i - Inspection #2: 1 5 1 6 t, Location: 1292 Co Road J River Falls, WI 54022 (SE 1/4 NE 1/4 15 T28N R18W) NA Lot 1 Parcel No: �1 1.) Alt BM Description = P� 2.) Bldg sewer length = � - amount of cover L f y1 � I xS P r' 61AJ 't 3) 1 .25 'A&eA , OYl bMk 4,Pw& � - - - -- - - -- -- - Plan revision Required? [ Yes A No Use other side for additional information. L SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety and Buildings Division County M 1 ' 201 W. Washington Ave., P.O. Box 7162 C , k s Y ; consrn Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled iap De artment of Commerce (608) 266 -3151 Department 3� 3-6 Sanitary Permit Applicat' n RECEIVED �Sr P�ljan M ber In accord with Comm 83.21, Wis. Adm. Code, personal informa ion you provide may be used for secondary purposes Privacy Law, sl5. (1)(m NOV U 4 2003 7 ),7cc, different than mailing address) T. ROIX COUNTY 1. Application Information - Please Print All Information IV /` ,! S C Property Owner's Na me ce X B t � / /fair � cis:: ��y �a— Property Owner's M ailing Address Property Locado �' 2 Z O L � Y�,'z�� Lc. %c t. C' � / G�/ .� -A, F'IJ -- u,Sexttion / �5 A City, State Zip Code Phone Number - circle e II. Type of Building (check al per apply) & s — T �_ N; R�E otrW J 1 or 2 Family Dwelling - Number of Bedrooms 3 - ,no Subdivision Name V, I CSM Number ❑ Public /Commercial - Describe Use / �'!I �e 40 � 72� 37Z ❑ State Owned - Describe Use 2 - 2 _. O 45 � City_Elviiiage VTownship / of t ic, e C_ C�S � III. Type of Permit: (Check only one box on line A. Com A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System v' List Previous Permit Number and Date Issued B. El Permit Renewal ❑ Permit Revision ❑ Change of El Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil A At- Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland El Pressurized In- Ground El Holding Tank El Peat Filter El Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑Recirculating Synthetic Media Filter ❑Leaching amber ❑Drip Line ❑ Grav I -less Pipe ❑Other (explai V. Dispersal/Treatment Area Information: - t Design Flow (gpd) Design,$gil Application te( sf) Dispersal Area ReAuired (sf) Dispersal Area oposed (sf) yttem E evatioa c77 f e `5��� S ,.. qco q0 /OD.og VI. Tank Info Capacity ' Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank OOG /ODU / f Z7 Aerobic Treatment Unit Dosing Chamber t�jU °-" S o / tC � . VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature MP /MPRS Number T . — usiness B Phone Number i Plumber's Addre ss (Street, City, State, Zip Code) V111. County /Department Use Onl Approved El Disapproved Sanitary Permit Fee includes Groundwater Dat�j Issued Issuing Age t Si tur Stamps) Surcharge Fee) 35D r ! I V El Owner Given Reason for Denial IX. Conditions of A /Reasons for Disapproval YSTEM OWNER: n Y/'I v /1 1 Septic tank, effluent filter and 3• Leh Div b II must all a rvi ed / ma in t a i ned dispersal ce ll b se c W e per management plan provided b lumber. 2. se ac requiremen mu a maintained CAAeA as per applicpble code/ordinances,_ tjt/ Attach complete planLWthe County only) for the system c paper not 1 81/2 x 11 inches id sW f SBD -6398 (R. 01/03) •apes TTTgdn egj 2 + uTpuod auaAajd of waasQs punOJ? ZZIVA aoa ;ans 1=anta •y ' c���� -V �S � S �Izg� gouag • � 2111. - n = i ° 2s�"z 009 1 – b 4q pasnias ;nuem XiTOSdso uOTTVS 0591=1 1 aq 01 xu22 7)T�dag •£ • (paJTnbaa �� •sdeo paaoadde giTn sadid UOTIU►aasgo ,I Zlglsul •Z •pa2ou 99TAjagpo sseTun SUOTIVABIS punoz$ 8uilstxa 829 UAOgs suOTIVA • Z tt �ssaox ♦ �,� � 4 N , �•' � �j "Z.� � � „ � '1 Ta LS -MZ Aug • d Z 1Q'1 ft b z V\ 'n .x . , oF s 5s — 5 0ot C�+'�99cs -- S �e•4� � o ; b 111 Ot �v �do�sr 5► �.re► �L �TZ► RL. s 14 '�10 �d xq n I _r N N � 1� 4 5 Nv7d Iola b0 30Vd 9NI1S31 - IIOS H3d393M b989SZtGILi • - 80 :EI E06Z /IE /0i ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER f. ____ 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 EROSION & SEDIMENT CONTROL PLAN Parcel #15.28.18. ep ndint! Site: 1292 CpjW Rd. J, Lot 1 (Kinnickinnic ) — owner(s) Karen D'Ascenzo Under St. Croix County Zoning Code 17.70(3)(b)5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." Comm. 21.125 also requires the building permit applicant and/or landowner to follow erosion control procedures and maintain them until the site has been stabilized. The owner is responsible for notifying all contractors performing construction on this site that an Erosion & Sediment Control (ESC) Plan is in effect and the following activities will be required in order to maintain compliance with the plan: 1. The primary source for construction site runoff will be the house foundation excavation, driveway, and any soil stockpiled until final grading and stabilization has been completed. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Plan to apply seed and mulch as recommended in #5. Maintain existing vegetation wherever possible to minimize sediment movement. Surface drainage is southerly, >100 ft. to the road ditch; >500 ft. to Kinnickinnic River. 2. Route contaminated runoff into vegetated buffer areas on owner's property by creating temporary diversions graded ALONG CONTOUR between excavation areas and any potential receiving waters (this includes road ditches). Do not allow diverted runoff to be directed onto neighboring properties. (See specification sheet for temporary diversions provided by Zoning Dept.) 3. If builder /excavator grades the site to create temporary diversions (see #2) to contain sediment and leaves adequate vegetative cover to protect areas of concern, installation of silt fence MAY not be necessary. Silt fence or other approved sediment control products will be required if sediment cannot be contained on owner's property with the diversions and vegetative buffers. The POWTS inspector and building inspector will evaluate ESC plan effectiveness and make recommendations to owner for any action required to comply with applicable regulations. 4. Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that access the property during construction. This helps avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and/or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 5. Stabilize new topsoil cover over septic system with seed and mulch immediately after installation — do not wait for final stabilization and/or landscaping of entire site to cover exposed soils on the system. If weather will not permit seed germination, a heavy straw mulch cover will prevent erosion until grass /vegetation can get established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. The owner of record during site construction will be responsible for compliance with the ESC Plan. Please feel free to contact me with questions regarding erosion invent co 1 installation. Prepared by: Pamela Quinn, Soil Erosion Inspector #66505 Owner acknowledgement of ESC Plan requirements: — / — /2003 c-e, c6� • • Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 �sconsin www.w w ww.commerce.statemi.us/sb isconin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary October 31, 2003 CUST ID No.691727 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 10/31/2005 Transaction ID No. 938955 SITE: Site ID No. 667929 Karen D' Ascenzo Please refer to both identification numbers, CTH J L above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SE1/4, NE1 /4, S15, T28N, R18W FOR: Description: Proposed Three Bedroom At -grade System Object Type: POWT System Regulated Object ID No.: 929364 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspec tors. Co 1 liy • ARTHUR L WEGERER Page 2 10/31/03 Owner Responsibilities: • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 6046���� Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page \ of - 7 AT -GRADE SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the At -Grade Component Manual SBD- 10570 -P and the Pressure Distribution Manual SBD- 10573 -P C 2. b/aq' 'C 2. 6iq -I� LOCATED IN THE 1/4 OF THE �E 1/4 OF SECTION k S , T �8 N, R 1 8 W, TOWN OF 1z- 1lyl�l �lly�u S`T- °Lk A3, K COUNTY, WISCONSIN. of CSC - -- INDEX RECEIVED PAGE 1 of 7 TITLE SHEET OCT 2 7 2003 PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN SAFETY & BLOGS DIV. PAGE 4 of 7 PLAN VIEW -CROSS SECTIOI PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR Z3� �CtU�wAtit �T, � - t0 Z R t -r F ILLS I ki J sou ZZ PREPARED BY WEGE�ER St7I L . TEST S tVG AND . DES I (3 r4 SE1�V = CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715- 425 -0165 y ON a Fax 715- 425 -6864 ^�,•x �r ,.HT,,a, s WEGER`ES ` 6ll_S,vgNM I� GFPARTME� Vr � DIVISION OF a '•� .h.... -'' NT of COMMERCE TYANCJ BUILDINGS 's S�j G 1v'v • _� ( CORRE- l0 ZS --t3 S , VCE JOB N0. 0 3 - tR7 At -grade System'bianagement Plan Pursuant to Comm 83.54, Wis.Adm. Code Page �.of Sectic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 once ever/ 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 enc!esure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarm, s may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum 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 a triennial 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. 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 Euiidings Division. PumD Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. At -grade Component and Pressure Distribution System Z! or shrubs n E be platea or allowed to grow on the component. Plantings may perimet to be made around the' and the component shall be seeded and mulched prevent erosion and to provide some protection from fro st penetration. Traffic (other as necessary maintenance) than for vegetative on the component is not allowed. Cold weather install - ations require the component to be heavily mulched for frost protection. Influent quality into the at -grade system may not exceed 220mg /L BOD', 150 mg /L TSS and 30 mg /L FOG. Influent flow may not exceed the maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing lateral be flushed of accumulated solids at least once eve 18 When a p essure is performed it should be ecch compared to the initial test when the system was installed to determine if orifice c!ogging has occurred and orifice c!eanir, is required to maintain equal distribution wit P 1. hin the dispersal cell. g Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels should be reported to the owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring in accordance with 83.52 (2). General This system shall be operated in accordance with Comm 82 - Wis.Adm.Code and shall be maintained in accordance with it!s component manual SBD 10570-P- (R.6/99) and local and state rules pertaining to system maintenance and maintenance reporting.. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. POWTS components. Adm. Code when the tanks are no longer used as Septic or pump 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 a tank or component. Contfnoen ent c Plan - P If the septic tank or any of its Components ponents become defective the tank or component shall be repaired or replaced to keep the ' item fn 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 at -grade component fails to accept dastewater or�iegias — to discharge vastevater to the ground surface, it may be necessary to install an aerobic pre- treatment unit or . - replace the component. Additional site and soil evaluations may need to be done and additional plans may to be prepared and approved by the Department of Commerce Safety and Buiidings Division. Questions_about the operation or maintenance of this system should be directed tot The County Zoning Office at The system installer at - 23 -Z, I-LS The tank manufacturer at g-00 3 ZS -� S6 Ld lE!5 L1 The effluent filter' manufacturer at _ �O ZZ[ _ S'2gj Zj Q 10/31/2003' 13:08 17154256864 WEGERER SOIL TESTING PAGE 04 PLOT PLAN • •Page of Scale 1 "-Sr-)' N d' Y 7 _7 � J M-zl p •� w•�rrs � S ' Jpc�.�+vs�4 Pte' o F - M - B ..Ceti's Tqw CM57FIMH OM 3. A 1 0 - c a QD1 J It vC a � 3 8b� t00 SS• �� u ' 1 6 A17 kA ._ Lj G . SAS Pr-ek LJ ry s w D V LoT Z • �Wlti• z �t�U•S1 � . e� 7Z 1 1 .- Q.1 D- 0 061.) 1 ` 'WY) , l cf" P1 P IZ . NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. (q required). 3. Septic tank to be 1 JbS0 gallon capacity manufactured by w1 S CS r„ J\-P M O AZ -M R> ►.1/ A - I g oa Z."eL F'1 L7e-r 4 . Bench mark S UUN 5. Divert surface water around system to prevent ponding at the uphill. side. 10/ 13: 08 17154256864 WEGERER SOIL TESTING PAGE 05 Q) N • PAGE -1 B , > 5' 2:5` F f A: 21 Y Y ' — — --- -- — — - F 0 S l`T� a � S'ER.L r�i1Cy.J P k S 1/6 6 �611 ' i • A 1 O T w \S _ F � Linear Loading Rate= � '� GPD /LN FT L _ S Design Loading Rate = 0 • S G T PD /SQ F Distribution Observation Well Lateral . �'ti�9�u.�'�u"f tau • G.?sCt'�+xL- ` �` •!! , Soil • Fabric ��� •€� �, ,�,������ is /•; ��..12 „, ���� Cover T 7� 1 t Q / //, i � 9b s�o —tom'. � 5 w5 A 2 C A 2 Plan Vie-.+ arx3 doss Section of a Wisconsin At Unit with Two Absorption Areas With in a Single Unit on a Sjcpi:ng Site i • A 10/31/2003 13:08 17154256864 WEGERER SOIL TESTING PAGE 06 Distribution Pipe Layout P4 S of - 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and Boles. E=ad the end of etch lateral uv with theme of long that. or 45° .fitting to a point within six inches of the final grade. Terminate the ends of the Wenals with a valve, - treaded cap or . threaded plug. Provide access from final grade for the valye, threaded eaa or threaded p1* Lateral Manifold x x x x x/2 Lateraf Lencrth : • ? LAN V �Ew .._"_ P S +r, �n..n•�o `p P q q Ft. Hole Diameter It Inch S Z77 Ft. Lateral " l Inch�es� X Imps Manifold Inches Force Main " Inches # of holes /pipe Z3 Invert Elevation of.Laterals 8 Ft. �3x o;6b; 15_ Lax Z 10/31/2003 13:08 17154256864 WEGERER SOIL TESTING PAGE 07 Combination Sept.L Tank acid PUMP CWA!"1S ft CF-0 SECTlt)>v AA]Q SPI`CIFICATIOMS PAGE OF •Yl:'C CAP WCATNER PILOOI` JUUGT10IJ 8OX . 4 c.1. VC LIT PI I APPROVED LOCKIN '' -10' FatoM 000ft. WHOLE COV£R wt'M •.iIMOow OR FRCSN 1 wARPJII�G L.A.QyEL. �N54'LC10tJ C'tPE r A1K uT�ICE t wlmczT�`Etr- ` • Ft ru is�b � �. � � I GzffiroE I if3'MIi1. - � PROVIDE 1 ""— �E T AI RTI& M T SEAL. • 1 () �• ,•�� Approved pproved Approved �= �` ( 1 joint w/ joint w/ j:; -I boo 1 I AfrnR� PV`C pipe PVC pipe a .� I! I ! I ou G • 1 i PUMP OFF CLO O.�O FT --1 - -� D COAlGRETE bLOCK 3" X9PQo►tc RisEK EXIT PCRMITfED 0LJLtJ IF TAEJK MAMUFAGTURI~R HAS SUCH APPROVAL. BECOtuG S[PTIC E S P EC.IF ICA T IOMS DOSE Gc'��1 GO �3 uz" ; rr TAWK MAUUFACTUSLCti: 1313MBER OF DOSC5: V- b PI`R DAB TAWK tIZE: 1 D 16 GALLOWS DCSE VOLUME f ALAIkA MAk1UFAr-TUP r P: S'S` `- C- � � ♦ S INCI-IJI ZIL15 CACKfiCW: �� GAI.tONS MOOCL WLIM5ER: `� w CAPACITICS: Ac tit 11 r-J4[S Oft 3 ti rALLOtty swiT TUPC: MDI.CL� _ WCHWOR 1 GpLLaus PUMP ^AQUFACTURCR: 7 -k� e F , G+e WCHE5 OR Ir-> Z GALLOLIS MODEL NLIMHER: Oe 1�Z 14CH�E`SS OR ZZ - �)� G,ALLOAIG SWITCH TYPE: ►!�1 1 -0 -L z- WOTE: PUMP AuD�A ARE TO bL MINIMUM DISCKARGE RATE 11t) GYM IN5TALLEO OM 5EPARAT'E CIRCIJITS VERTICAL DIFFERCAIC>< DETWEEIIJ PUMP OFF AQOJ)I5TR18UTIOQ PIPE. 1 �'4�o FEET -I- ntu►nuM wETWOKK SUPPLY PRESSURE:.. _ . ..... . - � -Z � FLET \� �x l• �� �O 1'9q FT 2• b ID + FEET F FOR[ fRIGTtou F AL'TOS~.. O C M IN X FECT /Z 130 Ufa . TOTAL OyI.IAMIG HEAD , �5'bS F .�� As per manufacturer \ - )-O gal /in. Liquid depth 3 �" 10/31/2003 13:08 17154256864 WEGERER SOIL TESTING PAGE 08 HEAD CAPACITY CURVE MODEL "98" a 5/8 o 2 3 5/8 6 -t- + 15 0 . 4 t,47t a 3 /i6 e 10 2 5 3b 1 1/2 -11 1/2 NPr o U.S. GALLONS 10 20 30 40 SO 60 70 so LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAANC MEAD/FLOW peR WNUTE EFFLUENTANO DQWATeRING CAPACITY 12 HEAD UNITS1MIN FEET METERS GALS VIRS 5 1.52 72 273 14 3.05 61 231 15 4.57 15 170 4 3/16 20 6.70 25 95 Lock Valve 23' � SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available with - Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls, SELECTION GUIDE Standard all models - Wei ht 39 lbs. - Y: H.P. 1. Integral float operated 2 pole mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level, 9E Series Control Selection float switch. Refer to FM0477.. Model Volts-Ph Mode Am simplex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075. M9a Its 1 Auto 9.4 1 or 1 & 7 — 4. See F- M071 for correct model of Electrical Alternator, F--Pak- N" 115 1 Non 9.4 2 or 2 & 6 3 or 4 5 5, Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) float system. Des 230 1 Auto 4.7 1 or 1 & 7 -- 6. Four (4) hole J -Pak, )unction box, for watertight connection or wired -in E90 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 simplex or duplex operation, 10 -0002. 7. Two (2) hole J-Pak, for watertight connection or splice. CAUTION FalnformatfononadditionalZoelbrprodtxxs refertoeatakgonComDimlianStalter, FM451a;piggyiaack All installation of controls, protection devices and wiring should be done by a galtdied Varialtils Level Switches, FMO477; Electrical Altungtor, FM0486; Mechanical Alternator, FMO495; Sump/ licensed electrician. All electrical and safety codes shoa ldbe fol lowed Including the Most Sewage Basins, FM0467; and Single Phase Simplex Pump Controwarm systems, FM9732. recent National Electric Code (NEC) and the Occupational Safety and Nealth Act (OSNA1. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ,� ,:� M • : �fAU >n: P-0. sox +6311 1'k, KY 102$"347'x ' Manuraciwars o(.. r +„ S1V 7 :3618 C" Am Road 0 T Loulaft KY 402f 1.1961 ' „ : �&Urr' atv sear /A j 1 PUMP !O, r� z1 n6 - Z731, f (OW) W&PVary F/V(fSA?) 77t.;t62t Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code _ ' County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. tJbl fiJ G Please print all inform CCry� Revi ed by Date Personal information you provide may be used for secondary urposs �ts433a4 (1) ( ). Property Owner _ Property Lo Lion GZ- Z H `.Z) �'1 V+-0 � MAY 0 8 S 1;, 1/4 NE 1 /4 S S T N R lie) E (or) Property Owner's Mailing Address t _ y ST. L'ROIX C UN # B ck # Subd. Name or CSM # #T L CvViV —, ZONING �rC -l�S�v City State Zip Code Phone Num er []Village E? Town Nearest Road New Construction Use: Residential / Number of bedrooms - Code derived design flow rate ? GPD ❑ Replacement ❑ Public or commer al - Describe: Parent material Flood Plain elevation if applicable U ft. General comments and recommendations: -� G � S LJ ❑ Boring # ❑ Boring C� ® pit Ground surface elev. 1 Z ft. Depth to limiting factor 38 �in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 L-�4crz- Z-L Z — s 11 Z`Ps� k m`F1 -• cLV -' • s 8 Z �p Z$ L 0 `� 2 3�6 - s 1 I Z,`F k ►tiL`f7- � S . S � 8 - 2.$- -3g I D `� 2 S � $ `� 1. � - S � 1t YVTU` I Y � ' � • 6 3 � S6 1 ` el LIZ S MA — •�1 •� Boring # ❑ Boring pit Ground surface elev. 1 - ft. Depth to limiting factor S Z ' Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o -1 S l c" fL 1f Z S )1 Z s k rn.`V Gf u - , S . S L I S -Z7 1D X V 3 I� — s 2( Z S 1 W1 . C (,v 1 �01-112- tiz �nfl- eS z Z -63 to -1 P. - L 'Pt Z 1� s d to v`F ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L . CST Name (Please Print) Signature CST Number Arthur L' Wegerer oC 1�3 —S�_� .� 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, RI 54022 y - U� 715 -425 -0165 1 Property Owner �1 y L� Z— Parcel ID # _ 1 \��l 1y G Page �' of F-3>1 Boring # ❑ Boring ❑ Pit Ground surface elev. q.Q - S ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a -1B o ti P- Z - YVI 3 ill) -4 .S 2 3l ) S O S wl �c .� • `7 1"2 2 L/ ug s 8 01i rz - 71 Z e -) .SLi f? S s o w, . M u'P� - • � • � F-1 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 F-1 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 /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = 13013 : < 30 mg /L and TSS < 30 mg/L ' 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. SBMS330 (RAW) PLOT PLAN Page of 3 Scale 1'=50 ` a r l B ra if trio 3 ' ^� 37' J �'D�O lh► L � (� l00 � l up ` � ob S LET `' O1 ° S � L7`f�13 LlJ ►��1A r Dww� g , t�Z kT Gi N T2 a Se1'8 L1 N ( O N `o }- Lor Z a — �� 2 A 9, L 5 i� 715- 425 -0165 220254 CST Signature Date Telephone No. CST No. Job No. I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer - // S e--a Z O Mailing Address r' " '"" :1 ��� f1 s "�" «� Property Address C-0 PL ' s' (Verification required from Planning Department for new construction) City/State /1 l y f/ / //S , Parcel Identification Number LEGAL DESCRIPTION Property Location ' E %, v, Sec. 5 , T Z N -R-iLW, Town of e i "r n ' c Subdivision _ C i�'I D Z . Lot # Certified Survey Map # - 7 c / 3 7 .2 , Volume Page # Warranty Deed # 3 T (o UO Volume 23 D Page # 0 IF Spec house ❑ yes f no 1 D dZ;- -/ D v �d ' lines i entifia le A yes ❑ 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal 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. k4i.e� / f l SD 91qNATURE OF APPLICANT DATE OWNER CERTIFICATION (Pwel certify that all statements on this form are true to the best of my (our) knowledgeowe) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 0 1151 SI ATURE 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 Von 2390 NAB E t16 73769012 STATE BAR OF WISCONSIN FORM 11 - 1982 KATHLEEN H. WALSH LAND CONTRACT REGISTER OF DEEDS Individual and Corp orate ST. CROIX CO., WI (TO BE USED FOR ALL TRANSACTIONS WHERE OVER DOCUMENT NO. $25,000 IS FINANC AND A C O T HER NON- CONSUMER A RECEIVED FOR RECORD 08/27!2003 09:SSAtf Contract by and between Gerald A. Emholtz LAND CONTRACT i ( "Vendor ", EXEMPT # whether one or more) and Karen D ' Ascenzo REC FEE t 13.00 TRANS FEE: 127.50 ( "Purchaser ", whether one or more). COPY FEE: CC FEE: Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance PAGES: 2 of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property "), in St. Croix County, State of Wisconsin: RECORDING AREA NAME AND RETURN ADDRESS Lot One (1) of Certified Survey 24ap °in Volume Sevente D. Peter Seguin 17 of Certified Survey 'Maps, Page 4558 as Documerit 110 Second Street Number 729372, filed in St. Croix County Register of P,O.Box 469 eeds o ce on July 9, 2003, being.located in the SE 1/4 Hudson, WI 54016 of the NE 1/4 of Section Fifteen (15), Township Twenty Eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic, 022- 1042 -10 -000 Subject to C.T.H. "J" right of way. (, \`� ,I arcelIdentification Number (PIN) St. Croix County, Wisconsin. � I I i is not This homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at a place reasonably designated the sum of $ 42,500.00 in the following manner: (a) $ $8,000.00 at the execution of this Contract; and (b) the balance of $ 34, 500.00 together with interest from date hereof on the balance outstanding from time to time at the rate of 6.5 percent per annum until paid in full, as follows: monthly payments of principal and interest in the amount of $300.00 commencing j Se rF_ ctt ae, ! , 2003 and continuing monthly thereafter for sixty (60) Months. I � U q ,VOL 23 U PAS1167 Purchaser promises to pay when due all taxes and assessments levier on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payments g Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extep l -A c overa g e p s Value and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of $ 2 1 in but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premium when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified,Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of eas 'ts Ares r�'ctions and reserva�`�eens, tl�r� any, m O F recordd by Vencto agrees to su� this Lana Contract to other financing on these pr em ses. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of 3 days foll5bing the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of U days following written notice thereof by Vendor (delivered personally or mailed by certified mail); then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest In the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if Purchaser falls to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment on the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (Iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet- title action if the equitable interest of Purchaser is Insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (11) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses Including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment to a receiver of the Property, including homestead interest, to collect the rents, Issues, and profits of the Property during the pendency of such action and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long -term lease or In any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's Interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amount then due under this Contract. Purchaser may make such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving other subsequent or prior default of Purchase. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the CERTIFIED SURVEY MAP LOCATED IN PART OF THE SE114 OF THE NE1 OF SECTION 15, T28N, R18W, TOWN OF KINNICK/NNIC, ST CROIX COUNTY, WISCONSIN. SURVEYOR: S & N LAND SURVEYING, INC. 2920 ENLOE STREET HUDSON, WI 54016 PREPARED FOR: GERALD EMHOLTZ 1250 CTH'J' RIVER FALLS, WI 54022 SURVEYOR'S CERTIFICATE I, Thomas M. Healy, Registered Wisconsin Land Surveyor, hereby certify: That I have surveyed, divided and mapped that part of the Southeast Quarter of the Northeast Quarter of Section 15, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, described as follows: Beginning at the east quarter corner of said Section 15; thence South 87 degrees 56 minutes 22 seconds West, assumed bearing, along the east -west quarter line of said Section 15, a distance of 820.22 feet to the southeast corner of that certain parcel described in Volume 710, Page 357 on file in the Register of Deeds Office, St. Croix County, Wisconsin; thence North 02 degrees 03 minutes 58 seconds West along the east line of said parcel and its northerly extension, a distance of 489.46 feet; thence North 87 degrees 56 minutes 22 seconds East, a distance of 836.27 feet to the east line of said Northeast Quarter of Section 15; thence South 00 degrees 11 minutes 15 seconds East, along said east line, a distance of 489.72 feet to the point of beginning. Containing 9.31 acres, more or less. Subject to roadway easements over, under and across that part taken by C.T.H. "J' and Cemetery Road, and all other easements and restrictions of record, if any. That I have made such survey by the direction of Mr. Gerald Emholtz, owner of said land. That such is a correct representation of all of the exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the subdivision regulations of the Town of Kinnickinnic and St. Croix County, in surveying, dividing and mapping the same. COly Thomas M. Healy, S- 546 THO MAS M. Date: January 31, 2003 8„Zu HUDIKIK CO Q' ° SURGE Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Kinnickinnic for advice. THIS INSTRUMENT DRAFTED BY: BRIANA GEISSINGER JOB NO. 6240-01 DATE: 1/31/2003 SHEET 2 OF 2 SHEETS Vol 17 Page 4558 r 729372 VOL 17 PAGE 4558 RATRLMW H. MALSA' -- ' REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR kECORD — 1 Q O` IO I� 07/09/2003 09:30AH �Ic) I Qo I o I A CERTIFIED SURVEY MAP P o �° REC FEE: 13.00 1 1 ( Z i II Ig O � 'k� I o Ig COPY FEES 3.00 ► I9 I�� I�GM c � O I � I 5a Z I IU v BEARINGS ARE REFERENCED TO THE C3 EAST -WEST QUARTER LINE OF SECTION �� I 15. ASSUMED TO BEAR S87°56'a'W .� • o p � 50' � (n r to I� I a a 2 m O m fll _ H0°03'58 489.46 `T� o T' s = o a o ._ 2 .54' 234.97 —' / m a n fll r I �b 436.46 — —� ! s -A6 ; $r Q pp � I `" m c NI I $ 1 MH NO° z� 11 I �7pr N_ r N IV < S G) r �� 1 I m Z p i0 C O� P n� r ZZ l N p0 � Q $ m Z; 10 rm I V � C) � I� 1 ► 1 I — — Sp2 489.4E m > 0 439.48 '! T m y _ I 1 g 1 :c = m_ m I I17 5 n u, ► _� M X ioz x.AOZ m O r N N a g zDZTG D�o"�o o I �oC �l m I I � D y m 1 8 2 0 z "1 > CJ � �I T O sst• Z L ' {� m. gy N Oz�, �_ �I� � I ` � m��g � :II I �10 31Z2 RI P m — S42°0338'E 469.4E 4� 46 — — = �° o z C n O = — I�z 27141' zs �T C o - 22,.4, 218.05' = ' i t o s < z — r 1 APPROVED O z m o m .: ! ► y n� G) °° w � � I I ST . cltax courrtv g� E n I I$ ► 11 rlaiadrtq z orenq eso rams 1 1 �, O R C m m IO I JUL 0 9 2003 I� C) 4 I _ II n ol witliln 30 days of I� - n a shall be z r�° N j C) N (� Napp�� VdRI I� O U) to O 10 I �NC. C� 2Tc-4ACr 1 O DC)Z� I Cti 80 v m �'oD I r Z� > �o'z:c� z nv' M 0 zC�yz �1 I rm'�� l7.m�� W �pQnmOL� A A . 2ro 1 m m :.- BUILDING N r SETBACK ONES s T = N o 5(r I � EAST LINE OF .......... .......... .................. 8 O m a: I I / — THE NE 1/4 OF I 8 I � � m� m l l I — SECTION 1 SW11'15'E 439.7a ° g 221.53' I i — — 218.1r _ N 0 271.55' 33 — 218.1 T / S00 ) r S00°11'15'E 489.72' � -- �— — — 2141.27 / H 15' E 2630.94' m m'° sari i' CEMETERY RO AD - ' Z I NIO 9 C�3 PLQC G �mw b O 6 k Ply^ @G s Vol 17 Page 4558