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040-1065-90-220
C�tnp' c��0 3�n G T 7! I t G • CD eD i cp 0 IM a• ^_' 3 N cp w j y Er .G N Q F [ c fCD z o N a 7 o CJ 0 CA c A 7 ?. 7 M. 7 fN C 7 fA C, W W !V W N W v (n Z D F a - cn G D A a 0 f CD m D y d � y W ° a IW o o< a o o< 3 O Z� °—' O a 0 o o 0 CD co 0 m do 0o a l y N N X N W W I 3 w C CD CD w z OOO OOO Y �• z z SS S CS y � y D =i CD O C � 3 � v w 3 y ( C D r co Si -0 c7 ' Si V N . O N N O) III p cl <D O N z M rt N O =� D D o D CD o v p" m a C lV • CD ur A CD l�l C c N N n 3 3 7 Z (D CD O "'' Z ID p a y � A z O CL w � co I v I v a CL CL z A FD I W g a 3 �o 'm'o a m � 0 v o') c c CD m — z c CD o, z a O d - o 0 N C , :1 (n y :E o . 5D F @ N ?1 fD D) O N A 7 5 m 0v b CD (D tn0 • x V Q U1 0 1 00 7=C CL N N j U1 C 0 0 D N p ti 40 ;� 69 O CA O O O a ° oa °o ,, .onsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix oafety and Building Division INSPECTION REPORT Sanitary Permit No: 404990 0 GENERAL INFORMATION (A TO PERMIT) 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: Finstad, Dennis Troy Township 040 - 1065 -90 -220 CST BM Elev: Insp. BM Elev: BM Description: k d -rl-'2 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. I� •Z9 Septic � / � Lc,��es 10 D 0 Benchmark N6.62- U Dosing - Alt. BM b 51^ Cov eve 7V 77 Aeration BldgSewe` �x�� �-• 16.3 7_ Holding S t Inlet 3. "7 St/Ht Outlet TANK SETBACK INFORMATION TANK TO ` P/L WELL BLDG. [Vent to Air Intake ROAD Dt Inlet �yy� Septic to ! ' / 7- � Q ! Dt Both 7 Dosing / { Header/ n. d Aeration Dist. Pip 3 -,J U SS 10 V3 Holding Bot. System Fina �rade PUMP /SIPHON INFORMATION { . O • Q 3 Manufacturer / Demand �1 S GPM Model Number Q y � — . O �� •�� to, �s 'G TDH Lift Friction Los v System Head TDH t - d 2.8 (0- 1 Forcemain Length Dia. �! Dist. tciWel ©h SOIL ABSORPTION SYSTEM J lJ BED/TRENCH Width Len th No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 44.e SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEAC Manufacturer: INFORMATION Type Of System: CHAM NIT OR Model Numbe . Mc�d . > 01 CD )p DISTRIBUTION SYSTEM Header /Manifold Distribution ! ! x Hole Size x Hole Spacing Vent t it Int e Length Dia L en Dia _,_ Spacing 3 / (/ ' SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only th Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched B rench,Center I Bed/Trench Edges Topsoil Yes aI No ] Yes 710CINo COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / - Inspection #2: :7 Location: 303 Townsv Iley Rd. River Falls, WI 54022 (SW 1/4 SW 1/4 16 T28N NA Lot Parcel No: 16 ) Alt BM Descripti shy wV-L l W�// 6 L S� �T` Gk r v ed � 44e, Bldg sewer length = Fx 79"j ¢ 4 - o� 1 \ e Uk ' r — - �' n� - amount of cover = '� Y� Pik {v ,)ntour =S.o N.gZ �dL 01. 2-0 q I= N o vision Required? Yes ^' g ! ?1-! 'r 6 side for additional information. � I 'R.3/97) Date Insepctor's 5lignature Carl. No. I Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 5r. (,K0 1 K Viscd Madison, 3�� - 7162 Site Address Department of Commerce -30 ,,z Sanitary Permit Applica 'on Sanitary Permit Number in accord with Comm 83.21, Wis. Adm. Code, personal ' ❑ %Y ' " 0 May be used for secondary purposes Priva Law, I. Application Information - Please Print All Informs a State Plan I.D. umber Property Owner's Name APR 0 3 2002 Parcel Number 16 . ?-9' 19 , 2$'0 6; '� �- , '� �...,,,�..� � e'b'b -- / 4 to •-- p'© -- ��O Property Owner's Mailing Address OFFICE Property Location 323 �Ga'ec� n ZONING C 1 City, State Zip Code Phone Number Lot Number Block Number /a ! � /I�, ) � J 5 - � � � � '7/ S ''�'•Z S� � � �5 Subdivision Name CSM Number H. T ype of Building (check all that apply) ity 1 or 2 Family Dwelling - Number of Bedrooms ❑ / age ❑ Public/Commercial - Describe Use ownship ❑ State Owned L 1 O O Nearest Road III. Type of Permit: tGheck only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. For County use 1 ❑New F�p la cement System 3 ❑ Replacement of 6 ❑ Addition to stem Tank Only stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply) umbering scheme is for internal use) 44 ❑ Non - Pressurized In-Ground 21 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ pressurized In7Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' rsal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals: s/Sg.Ft.) (Min./Inch) Elevation �) I VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Dosing Chamber g0 p 1 1 1 1 L — VII. Responsibility Statement - 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature RS Num r Business Phone Number 7iS- 7-Y9 -ss�Z Plumber's Address (Street, City, State, Zip Code) VIII. Count / epartmedtUs e Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ,K Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse 3Z� �v Determination 1X. Conditions of Approval/Reasons for Disapprov n y�,u c aWl >em on than 8 x 1 inches in SBD -6398 (R. 05101) PLOT PLAN Scale 1 •Page 3 of 7 "= SO' Bra_ i ez: I o o =o.' o�, : eU�0-7 -Z Fu u2. = — a�^?:i+2- �..LOU,- 6'_.p,� _Tllp OF T�ZL _1��, CIP i 1 MIS of _ _ _ ,o t ►v G – L 3T- t Z k O � "IV 4 6 TZ Yom- up :. o ILIA �m G Z Dq� `%%0 4PtL. ts'OF g C S s otl� �b � �*hs o �oMP�er � D ESN 1za PU Sat C F `S'f I00 2 , G 3 0 10 a lot • 0 N NOTES- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be Z.z.t3O gallon capacity manufactured by Ci�5t�sT-. 'Loco c +> \ 2b0 /$D0 1- 11 QSt!K Tftj)r– w/ Pr-1$00 ZP'C13Q. Fl OR- -Z 4. Bench mark S • Sip 5. Divert surface water around system to prevent ponding at the uphill side. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 er \ *6consin www.wisconsin.gov . wis c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor - Philip Edw. Albert, Acting Secretary November 19, 2001 CUST ID No.882902 — -/ r i - .� A7TN. POWTS Inspector ZONING OFFICE DENNIS FINSTAD �(P5 �` I ST CROIX COUNTY SPIA 303 TOWNSVALLEY RD ° t ° 1101 CARMICHAEL RD RIVER FALLS WI 54022 ` ,� ",/ HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/19/2003 Identification Numbers Transaction ID No. 690534 SITE: Site ID No. 638927 Dennis & Ann Finstad Please refer to both identification numbers, 303 Townsvalley Rd above, in all correspondence with the agency. Town of Troy St Croix County SW1 /4, SW1 /4, S16, T28N, R19W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 820969 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 "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The mound area must be deep chisel plowed to help break up the platy soil structure that was reported at the site. The county may, at their discretion, request verification of the plowing prior to continuation of system construction. • 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. I DENNIS FINSTAD Page 2 11/19/01 • mm 2 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the Co 83 5 p g operation and p maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • 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. • 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. 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 inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. 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 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@conimerce.state.wi.us i TITLE SHEET Page I of MOUND SYSTEM FOR A ( 4 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD 10691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01 101) (N.01 101) LOCATED IN THE S1N 1/4 OF THE SW 1/4 OF SECTION 1 6 , T Z$ N,R 19 W, TOWN OF ST_ O tX COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR bNZ!-1 N LS n-'t - A J Q F1 xd S`c`Pc ) 12o�p -- 1c�U k�-- F JQ%, wl SILOZ -? Fc 'cF G 1 s ? 0 Oy PREPARED BY WEGEFcER SO I L -TESTS G AND . 401k DES 3 CS" SEFZW S CE P.O..Box 74 421 N.Main St. River Falls, WI 54022 Phone 715 - 425 - 0165 "� Fax 715 - 425- 6864��`a C'. 315 P ConMmraffy �' ELISN /UHT j APPROVED OF OF SEE CORMSPONDENCt JOB NO. ', e = �;.» a; � v4�,� >� �.. � ' '3 � �, "fit Mound System Management Plan page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code - 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. Th erating condition of. the septic tank and outlet filter shall be assessed at least once every 3 Y ear b s Y in Th outlet fi Ite s hall be cleaned as necessary t9 ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may pug o e i er when removed from its enclosure. If the 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 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 Buildings Division. Pump 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. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and 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 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow 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 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system Y shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual {588- }gy� -ggand local or state rules pertaining to system maintenance and maintenance reporting. S 8D - IZ6q 1- P 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. Adm. Code when the tanks are no longer used as POWTS components. 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. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the 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 wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning at 46BO 1 5r. C.k 1.X The system installer at C 1 SE5 G 9 � The tank manufacturer at `isQtJ, 3Z_ _ 8 S� I-IJ1 The effluent filter manufacturer at - z Pr The _pump' manufacturer at PLOT PLAN Scale 1"=5()" •Page 3 of 7 $►"1�} _E�;IDQ:O `01 cU+ueRt''__5.1:.EQUti2._ WY 2:1}2 -_ fit:. LOU -::6_ _: ONX'Mp OF TzLep H'0 X)E _ T 1- kZl_ L LS - wt ou�vp -1S 7 -S PIU : C4r. Lur°_ c c U T yA ME r _ ' L4 S %J J�rj r~VOM / o E`! -1ST W G ti ts'or y ° DV c S \ _ L7O ►JOT CO1�1PPse -T' �rLOLb s oll"C ip orc D�SNt�a l ZY WU $ Q. 8 t t01 83. 0 1 � to. d D Zt( N CeL /0 L6�' ir NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required).. 3. Septic tank to be ZZbO gallon capacity manufactured byCtEg�,ST-. Looc) cfj, +> \Z6 0 1boo kit e� T�'o�,� 4. Bench mark S . SE�E A13UlJE 5. Divert surface water around system to prevent ponding at the uphill side. 1 Page Of 7 Approved Synthetic Covering _ ASTH C33 Distribution Pipe Medium Sand H G (o(JI Topsoil r -- F Elev. 6 —�I E p. 3 � - i -3.% Slope Distribution Cell of Force Main Plowed 2" to 2 Aggregate From Pump Layer D 0 -67 Ft.' E o - Ft. CROSS SECTION OF A MOUND SYSTEM F O -b Ft. G 0 -S Ft. A Ft. H 1 - O Ft. Linear Loading Rate= %- ° 1 6 GPD /LN FT B 6 - 7 Ft. Design Loading Rate =d - GPD /SQ FT Ft. J 6 Ft. K 1 2� Ft. �1}#�► -n::n oa '�; . L $3 Ft. - e-r--- Fv; ?Z° Ft. -Observation Pipe E � K A o-- - - - -�-- - - -- - Pi -- - - - - -- -------- - - - - -o --- - -- Force Main - -�_ -- - - - - - -- - - - - -- - - - - -- _ - L — - - - - -- so x Distribution . to 2 pe Cell of z 2 aggr egate Observation Pipe (Anchbr secv=elY) PLAN OIEU OF A MOUND SYSTEM + UM 1JETWORK SUPPLY PRESSURE , ; ... , 6 SO F EET (S.ok L. 3� FEET OF FORCE IM X 1 • �� FT . o FI FRICTIOU FACTOR.. 3 OB FEET MA - TOTAL MWAMIL HEAD = Z _ I "�� FE T of As per manufacturer 2y D gal /in. Liquid p h 2 Ft h M? NCR FOVLM 1C�. G 1 0 ►= - Goulds Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for . for efficient heat transfer, following uses: Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor. and float switch attachment • EPO4 Single phase: 0.4 HP, manual operation. Automatic p oints. Heavy duty sump g p models include Mechanical • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty RPM, built in overload with • Dewatering preset at the factory. rated oil and water resistant. • : - •' automatic reset. ■Bearings: Upper and lower R 115 V, 60 Hz, 1550 RP SPECIFICATIONS • EP05 Single phase: P M, , FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • Solids handling capability: automatic reset. ■ EPO4 Impeller: Thermo - 9 p tY� plastic Semi -open design AGENCY LISTING 3 /a" maximum. •Power cord: 10 foot with pump out vanes for ? Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Co. Canadian Standards Association ! ' Dal heads: up to 24 feet. with three prong grounding 0 EP05 Impeller: Thermo - �• Discharge size: 1 NPT. plug. Optional 20 foot plastic enc losed design for (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with end in F or "AC".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged Temperature: thermoplastic design provides 104 1 F (40 °C) continuous superior strength and 140 °F (60 0 C) intermittent. - corrosion resistance. Fasteners: 300 series METERS FEET stainlesssteel. 10 I I • Capable of running Z1z.o6 dry without damage to s 30 ►�. '5 GPM components.' Pump: EP05 e • Solids handling capability: c 25 %" maximum. a LU • Capacities: up to 60 GPM. 6 20 • Total heads: up to 31 feet. g i Discharge size: 1 NPT.. z 5 • Mechanical seal: carbon- r rotary/ceramic- stationary, a 4 15 I I EP05' BUNA -N elastomers. o 17 1 Temperature: 1 - 3 10 104 °F (40 °C) continuous EPO4 140 °F (60 °C) intermittent. 2 5 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m °/h CAPACITY ©1995 Goulds Pumps, Inc. Fffertive May. 1995 Wisconsin Department of Commerce SOIL EVALUATION REPORT e \ 3 Division of Safety and Buildings P of in accordance with Comm 85, Wis. Adm. Code County M L C- i Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must ST'• X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, sale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location IS ffkA:) IrivN Ft t 1rev4 SW 1/4 Sw 1/4 S I (- T _Lb N R IR E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 3C) a _ t� u S V City State Zip Code Phone Number E] City ❑Village 4 Town Nearest Ro d Ous ❑ New Construction Use: [@ Residential /Number of bedrooms Code derived design flow rate GPD �J Replacement ❑ Public or commercial - Describe: Parent material — Flood Plain elevation if applicable General comments , and recommendations: ) - OUQIO t J// q `� 6� ' 1j L S hZ (B U`R O>v C L� L • , .` \ '� ) "�► � `' o � S Pmt 1=-1 �� , eavR�vtZ. C�': 1 QI 1 ;Ai j, c`N >,._ Boring # ❑ Boring ,.+ C r' ED Pit Ground surface el L ® elev. LC) ft. ST Ct Depth to limiting factor �- � \ _ P 9 m. COUNT" I Ap'AcMon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oUrtdery Roots `f;W /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.`" " + Eff#'I' 'Eff#2 Z $ -�7 ` o ° v/6 `� — sal ads sstl m -�4 cS l v-� • s • 8 3 1-7- S l bK R.V /� \� e.s\O k M V*-- �l S7 1 U'1 t�3 L3 � l`�'1 �S K IZ S � >� S • I o w, wl.�- - . p . Z S o t s t_1- I wn o;,j R..p� r L_ I ZA i j I 1.s h E_'tl CO)k a w 7— s i;�' ww t Boring # ❑ Boring ® pit Ground surface elev. l�J b - S ft. Depth to limiting factor. jn, 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 Z a io�R�l6 — �s �s I te�bk vrt v�Pa z!_s 1 • �l 3 Z g - 10 `1 R Z-L `�` l� � •S �c Q. S 1 � sit � °i—S b K w1. - �-'-!^ - Z . 3 • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS _< 30 mg/L CST Name (Please Print) Sign re CST Number Arthur L. Wegerer 220254 Address W e g e r e r S o i l Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. 14ain St. River Falls, WI 54022 715 -425 -0165 Property Owner S -rpvt> Parcel ID # 9 () X Z 2p Page �'. of 3 Boring # ❑ Boring ® Pit Ground surface elev. Z • Z ft. Depth to limiting facto 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 I o -9 ltJ`t2 j[s - si 1 Z�Fsb�c ti►�. H cs l� •S . 8 Z q J o`�iz 3lY s J Zvn Sbk m >- a.s ��� • S • S 3 Z S 31 l O`'! 2.31 - S► s I wt S b WLf(^ CL S 'Z • 3 31 -uy Io'tRYlb 5 qq -s" sa ow\ vyr - „t3 . z r 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 1 St t� 1% YUIWP FLIU \) A(Zut� , Nh7s k3 r.1 S Z U _ I, S OU g Ndj sv �3 ov -LUW. F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. P •Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 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. SBD -8330 (X6100) PLOT PLAN Page 3 of .3 Scale 1'= Sp' LL.Loa -o arm -00Nj- m- F�Ouk 3wi.t+Z L00 -6' ON - MP OF 7ZLL - Y? "KJE nQD moulvp 19 7 S r- t-k.4 - r _ Lur . L11VE., $ p� J A� Q . 1 8 3 ' ts• X00 to L 2q 30083. 10 . (> p DCJ�LL1ZLgUT�ON 102 N I MZ - 715 -425 - 0165 220254 CST Signature Date Telephone No. CST No. Job NO. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM (; U Mailing Address o Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number CIO LEGAL DESCRIPTION Property Location Su) V 5 ` V Sec. , T 2L N -R � W, Town of Subdivision Certified Survey Map # , Volume , Page # Warranty Deed # 3 7 .5 - 3 , Volume , Page # 3 D�f Spec house ❑ yes Lino Lot lines identifiable ff 'yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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, journeymanplumber, restrictedplumber 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage 4isposal 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. SIGNATURE OF APPLICANT 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 owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. _ '� / 3 / 0;k - 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 1 . I a { STATE BAR OF VJ�Sc". G`a 51�. — FORM ' (�OC'U�SE'� NI) 1O4 WARRANTY DEED 3'75363., � 3-7- 3i2. - ThiB :Norma E. Hines, RE ro — VS OFFICE eea mad, het%v,en a sing a pr;rson ST. CtiC'X Co., Wi S. -. Gran wr Rec'd. f . r r::.7. i +`.i; _l _1th and Dennis J Finstad and Anne M. Finstad, husband and ,\ day Of Jar:. n ^ 19 62 _ wife as joint tenants , Grantee, Witnesseth, That the said l;rart or a valuable consideration V .. WN i7 mce a ;s to ti�ntee the t'oliowing described read estate t Croi x QE " te in [JEYt"D, CAR1 f, NURRAY Counts, State of Wisconsin: Micklesen ?uilding, P.O.Box229 Hudson, Wisconsin 54016 Tax Rey No. -- --- - - Part of Southwest Quarter (SWt -;) of Southwest Quarter (Shy ;) of Section 16, Township 28 North, Range 19 West, described as follows: Commencing on SiDuth tine of said Section 16, 1040.5 feet East of Southwest corner thereof; thence North 2S 47' West on centerline of Town Road 462.0 feet; thence North 69 East 2S4.0 feet; thence North 86 Fast 243.0 feet to East line of said Southwest Quarter (StY',) of Southwest `carter (qv-s) ; thence South on said East line 520.0 feet, more or less to South line of said Section 16; thence West on said South line 280.0 feet, more or less, to Place of Beginning. Subject to existing Town Road right -of -way. This - is _ - -_- homestead property. ' t i t hUCx!dQ j Tot; Aher wah all and singular the hereditamerts and :a, ^purteea :ces — erecnta t,elonging; And grantor, Norma E. Hines. warrants that the title is good, Mlcfesible in fee simple and free and ciear of ercur brames except existing Town Road right -of - way. A AS BUILT SANITARY SYSTEM REPORT OWNER k/1Z� 1 15 / l y1� f Q QI TOWNSHIP Irov SEC. TARN -R/I W ADDRESS ST. CROIX COUNT/Y, WISCONSIN. 1� 1►12 r S� L.S SUBDIVISION LOT LOT SIZE ' QC e&t PLAN VIEW Distances and dimensions to meet requirements of H63 EVERYTHING WITHIN 100 F1:1:T F SYSTE14 0 -- — -- -- - - -- - -- - It-A 61 • - /L:!h i a e Ott h � A r��Hr I 9C Lk: i_ BENCHMARK: (Permanent reference Point) Describe : laf rad J' p l a Elevation of. vertical reference point: et J00 Slope at site: _ SEPTIC TANK: Manufacturer: � t Liquid Capacity: p a0 Number of rings on cover , manhole cover elevation: Tank Inlet Elevation: 9 9 X Tank Outlet Elevation: PUMP CHAMBER p�a� Manufacturer: Number of gallons Number of gal. pump s t or a cycle gallons; total capacity o distribution lines gallon: size of pump head; gallon per minute horsepower �; ran name of pump and model number Type of warning device HOLDING TANK: - - Manufacturer A Number of gallons Elevation of manhole cover Type of warning devic SEEPAGE PIT SIZE um er ot pits - feet diameter �_ feet liquid depth seepage pit inlet pipe - elevation bottom of seepage pit elevation feet SEEPAGE BED SIZE: number of lines _ wi th - length��tile depth SEEPAGE TRENCH: width length k PERCOLATION RATE U G/& BU LT - -- INSPECT --G� PLUMBERON JOB DATED /,- LICENSE NUMBER /.56.3 DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR y I a a SAFETY & BUILDINGS LAB & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS =� d DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 El CONVENTIONAL ❑ALTERNATIVE SUUPIan1.D.Number: 7--] III eeeiw�ed) ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound i NAME OF PERMIT HOLDER: TRR# RESS OF PERMIT HOLDER: INSPEC ION A r Dennis Finstad 3, Townsvalley Rd, River Fall BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: SW SW, Section 16, T28N —R19W, TroyTownship ?Name of Plumper. MP /MPRSW No.: County: nitpY rmn Number. Cal Powers 1563 St. Croix 34821 SEPTIC TANK /HOLDING TANK: '' MANUFACTURER: LIOUID CAPACITY: TANK INLET ELEV.'. TANK OUTLET ELEV.: WARN( LA LOCKI VESfe! 5 4 OR 1 O � PR V ED: PROVI - / /s Y �� ES ONO El BEDDING: VENT DIA. VENT MATT HI H NUMBER OF ROAD: ROPERTY WELL: BUILDING: VENT FRESH I ALARM: LINE: O AIR INLET: FEET FROM t�0 ��� '7 S m ❑YES FIND ❑YES ❑N NEAREST DOSING CHAMBER: gg MANUFACTURER: BEDDING: LIpUIOCAPACITV PUMP MODEL. J PUMP /SIPHO ANUF 1 ER. WARNING LABEL LOCKING COVER p PROVIDED: PROVIDED: ES NO 1 ❑YES ONO I DYES ONO GALLONS PER CYCLE: PUMP AN L oN ER Op PROPERTY u BU ILDING. VINTTOFRESH (DIFFERENCE BETWEEN F T FROM LINE AIR INLET !PUMP ON AND OFF) ❑YES N AREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing L ENGTH IAMETER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire, construction Ehall cease until FORCE MAIN the soil is dry enough to continue.) C ONVENTIONAL SYSTEM: WIDTH LEN H: N 015 R. PIP SPACING' INSIDE DIA P LIOUIO BED /TRENCH TRENCHES MAIAL: P DEPTH DIMENSIONS / L FILL DEPTH UI I DI TR PIPE 1 1 MATERIAL NO. N MBER OF WELL: BUILDING: VENT TO FRESH ,BELOW PIPE,S� ( BUVE COVER ELEV. INLF I EL ENU PIPE FEET FROM LIN I AIR 1 ET. �� l,• 8 s `j f. 0/ / •S T 7 NEAREST , MOUND MOUND SYSTEM: Mound site plowed perpendicular t slope AChk th text ure the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: s ms to make certain that it ON REVERSE SIDE. SHOW ELEVA- criteria for medium sand. TIONS MEASURED. OYES ❑ VER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS ❑YES ONO ❑YES NO DEPTH OVER TRENCH /BED DEPTH R D OEPTH TOPSOIL SODDED SEEDED: MULCHED ( CENTER EDGE I DYES ❑NO ❑YES ONO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: 4 BED /TRENCH WIDTH LENGTH At F L ERAL A IN(: (iHAVE BELOW PIPE FILL H ABOVE COV DIMENSIONS I MANIFOLD PUMP N L D TR. P IMAMMLOMATEHIAL I NOISTH 11 OIS i, UI HIBU11 N 1 MA EHIAL a MARKING ELEV ELEV., A LEV. PIPES DIA.: ELEVATION AND DISTRIBUTION i INFORMATION HOLE s11F HOLE SPACING 0141 LE OI EC LV PLANS COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED i ONO DYES 1:1 NO COMIMENTS: EfiMAN N OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING: FEET FROM A- G r 7 D YES I.1N L � DYES NO LINE ( -72- s. 8 s3ketch System on Retain in c my file fo udit. Reverse Side. :)tLHR SOD 6710 (R. 01/82) - II DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Pro erty Owner: Mailing Address: J 3 / q - Property Location: Township: 1 County: J W 1 % S U_AS j i7 N/R i O (or W Q. Lot / be r: BI Subdi i i n Name: Nearest Road, L ke or Landmark: State Plan I.D. N m�er: S (If assigned) TYPE OF BUILDING Number of ❑ Public ❑ Variance ❑ Other (specify) — Bedrooms: 1 or 2 Family * State Approval Required. TOTAL NUMBER PREFAB POURED -IN S STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK /SIPHON CHAMBER MANUFACTURER: T EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit El Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Lis ad on Soil Test Report (If other than present owner): Private Joint ❑ Public I, the undersigned, hereby assume responsibility for installatigrfZOf• a private sewage system shown on the attached plans. Name of Plumber: Signature: I /MPRSW No Phone Number: PI trsddress: / � Name of Desi er COUNTY /DEPARTMENT USE I 'ONLY Sign toe of Issuing Ag t: Fee :: ,y Date:: APPROVED Sanitary Permit Number: (P V/� — ❑ DISAPPROVED Reason for Disapproval: I • i Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White- County, Canary- Bureau of Plumbing, Pink - Owner, Goldenrod - Plumber DILHR -SBD -6398 (R.07/81) I Form - S T C 100 Owner of Property DeNNrs NN m T iN c� Location of Property 1 �4 Section — � N R� W Township_lr.p Mailing Address R Sox , 51 40 w0 fl��kX a� R i u its w; . Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel q ACR(Zs Date Parcel was Created 113 80 ` Are all corners identifiable? i\ Yes No Include with this application one of the following — .Certified Survey Map .Deed .Land Contract, or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) o erty described in this information form, by virtue of a warrant eed recorded i he Office of the County Register of Deeds as Document o. 315 3 0 V, ),and that I (we) presently own the proposed site for the s age disposal em (or I (we) have obtained an easement, to run with the above property, for the construction of said system, and the same has been duly record#* in the Office of the County Register of Deeds, as Document No. ). SIGNATURE OF OW ER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED / I , 6 -cl LowJ00 ulaotis 9.Ig u08�TGgT , pa. p paglaossp e•aoqu ago JO SGAa zs B epSM eA 1 2up- .112eq ,To q. 1170t qT o $ -0 -�Pj 40 "OM * jGgj 083 3o OOUVM B euTt t;lnoS pTvs OU01v -�sam GOU041 '9T UOI'l000 Pisa 30 ouTl - glu os aua of SSOT .xo oz - on t joaj 033 T3'�nos Q0UGT4J "9Z U0140e3 PTBS ao .ze -Iaanb Ji3eAgJnoa 9qJ ja j'1 - eg -ouo Isom ©qJ JO QUIT rive etJ4 oa Joe; eta 3 e0uvJ8Tp B 498a 6 81 0 98 L14JON eOUagj t %aaa Via ao eouegaTp 8 %$ga ,tit 069 uJ -101m q - zu *ur4 las3 z9v ;o ®ouv sip upBOa UA01 etIl jo ®uTTse4ue0 044 9u0 jr Isak 4L3 :i2 u1sOH eo vagl 6 91 U07109S pTISS 3Q Jouaoo IS®M�� nos a'qY TO Gva -489; �i'OWT ad GomJ010 v 91 uoTYoaS pTre To eu .n^ = r, h Ts�d u 4u 8u : SgotZoj aB pegTaosap aotll.x ij g u ovoo Ta ^OO ,jo-TO 0 *do•zs 3o tziA ° is GT U `N. 8Z I 6 0 T I:oT� 3a .xe�� b 142a'alanos suq 30 jZ - euwauo �caa eq,. UT pa,.`SOO- 8 o0 9 30 -4oz3:IT V a.... ` .5•�ot�r f � Z i \ ,M \ l� e 3 IV r do.O.T" " nua _..� Al o .FOS7 DEPAI;TMENTOF TY ILDINGS INDIJSTv`iY, REPORT ON SOIL BORINGS AN Mq F IVISI �Ag °RAN° PERCOLATION TESTS (115) 1 �� � SO% F/ 53909 HUII+4AN RELATION$ F N /,� (H63.090) & Chapter 145.045) 0/ LO I N: SECTION: T OWNSH IP /MUNICIPALITY: OT NO.:BLK. UBDIVI ON NAME:., r�(f '/4 1 / /p IT I, I I V E (o 7'�oy r - COUNTY:. OWNE BUYER'S NAME: MAILING ADDRESS: JSE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: P"IA( OFIL D S RIPTIONS: . PERCOLATION TESTS: Z)Residence N !! ❑New Replace z_ f!2 / 0,0, �_P S &v / M ` C URAA I Q A5 .7 C'f/ETE� — /S MATING: S- Site suitable for system Um Site unsuitable for system cI ���� f�6W -f y 1L/ 1,0F1 - 1� L.64i 4 ,s AU_)- CONVENTIONAL: MOUND; IN- GROUND - PRESSOR : S S EM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) &� SQ• FT ES ❑u [Is MU ©s au as au a a u ouvE.�T /ol�� - o E 6 Gk % B414 L iIf Percolation Tests are NOT required DESIGN RATE: ,//�� If any portion of the tested area is in the (under s.H63.09(5) (b), indicate: X l Floodplain, i n di ca t e F loodplai n elevation: O 11T '! PR r. VILE DESCRIPTIONS J GORING TOTAL P H GR UNDWATER- ItIeHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION —O BSEFIVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) G , S o S' N. x/15' /3�v.)W.5, B- 0 D0.8� >� Q 1(o 'Mix . f ht-d. , c o,P sL B-3 0 02.&6 QN . SL O 1 9, 4144 8N • /► . B- B- B- Ff PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEV L- INCHES RATE MINUTES NUMBER IA}A#ES AFTER SWELLING INTERVAL -MIN. PEPIOD 2 PER INCH P P Y P- P- — P- OLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent -if land slope. - 7 /3 oM of QE1�XcAtl�9T/o�v ShA6L L'- EXACT SYSTEM ELEVATION U E,P/%141 – �I � fi ow 400, J 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. BOB ULBRICUT NAME (print): TESTS WERE COMPLETED ON: 140M it r Sricv cc�. 7�ca� 6,4, 2 - ADDRESS: CERT NUMBER: PHONE NUMBER(optional): HUDSON, WITS. 54016 — CST SIGNATURE: 1 DISTRIBUTION: Original and one copy to -Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) — OVER — I b , REPORT ON SOIL 130RiN&S PERCOLATION TESTS PLor PLAM PROT r. D. ,e 7- ,vet DRrE >l a,e at 7, HOMESITE TESTING CO. t R . 3, o'Nll. ROAD BOB :; 4 y a ll US ON, WIS..— 54016 :.. C 5 7 SS- 02. yez PROPOSED M oo sE mosr u E Z, Fr. oR MORE "oAt .41u- TEST PRo posf,.Q wel.t,. MVs LIE „SD FT oe , 4 ,0,f F�PdH i 9cc TEST i9�E/FS, 1 AEveC. y,4, 909CAW o p 54 0dEL 134r5 r s //oe; z .►M �F�1'ic�►� ' 7" y7' A,�b A Gi v S 74,p -, 5 "/ , 51, ' 1 4t 3i 2 LE GE N D elE01,64w o` 11aY. PeF Pr. /o o, o FT. ,UOre T /U . ��ST 74 1 ,9 5 f of L ll i S EXCESS, f1 «o,PVi� t dirP To �41,) - 7 13q GK TD i9.c�y vi - •a \,q P, 4 3 . of Rlf�xv` �i,PE rod, of P;1)E . �iE Toj� of 19Ar / 0-0 /s �OD, /Q f A 014-L