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HomeMy WebLinkAbout030-1086-80-100 (2) 0 ui 0 3 p C7 r� O c ft `r1 > > On 0 cn Q n L 3 y O O N� � p W �• s 3 3 0 co n m y c - C 0 0 cD cn N N N N a 3 a a w 3 ? OD a O O O O Q m °a o 3 0 > >° a '', o m o o 7 N C O O O * C Q O CD m cn < D e �. (b \ N CO N N w j a = S O N O A - 0 N N N 3 Q .. se a O O O i j N (T w c i i \ m m co rn A r y co � N ° Q 3 I o 'v O O N� O O O I tr o A fR N N a o D O p v o v m o CD 3 d o j to A? p OZ Z O ZL" O O N O O CT CJ 7 N p fD = C O N OI Q n a 3 m 7 CD a 0 (° p Z m N O sl A Z O � �'', � 3 O O C < CL � � Z 0 A T7 C * Z CD I i D CL c p' - O -n N C z C1 O Z N O fi 5 A O+ I a N N N O ti w.. A 0 ti O 'b < H ffl •+ Cu OO ti CROIX COUNTY ZONING UEI'AIt'I'MENT AS BUILT SANITARY RE1 Owner .S /4iti it (� L. C � pC__ Address 13 City /State Legal Description: Lot 5 _ Block — Subdivision/CSM l/ 1 7� �V' �Y• , Sec. , T N -R W, Town of PIN sl 02 /C 4• - l c� S EPTIC TAN -- DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer �/�/ / rC.. Size ST/PC / ©G / Setback from: House Z- 3 " Well (r6 P/L 17 c Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: IN F /LT RAT Width 3 � Length 41 7 ' from: House 5 - 7 ' 1 Za' - Number of Trenches Well P/L � Vent to fresh air intake 1 2 5 " ELEVATIONS Description of benchmark 1 "' P V L ; 1 / c7 y , o .0 ' y0 Elevation 10C) Description of alternate benchmark t c P c iF �, Ic�� (< f Z� 1110 Elevation I 3 . Building Sewer G ST/HT Inlet �; �? Z' / 7 6 ST Outlet PC Inlet — PC Bottom - Header/Manifold e d, Sf � - / To p of ST/PC Manhole Cover Distribution Lines (,) $, $0 9 S (W) g. 7 Bottom of System( ) it), O f -s! : - ( ) Final Grade ( ) to, = `� 3 ( ) (, : f g, I ( ) Date of installation it 1 ,qj Permit number S State plan number Plumber's signature " f � License number lh el l 1- 3 So D Date // /2f// �1 Inspector Complec plot plan r Wisconsin Department of Commerce County: PRIVATE SEWAGE SYSTEM Safety and 15uildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar : Personal information you provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)]. Permit Holder's Name: ❑ City n Villa e Town of: State Plan ID No.: ILLER, SAM ST. JOSEP CST BM Elev. - - Insp. BM Elev.: BM Description: Parcel Tdi%_1086-80-100 TANK INFORMATION ELEVATION DATA A9800446 (110- VAI_e' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �: St / C� (,cOc Benchmark �/d / . 60 Dosl ng 1 Aeration ° j Bldg. Sewer Holding St /FK Inlet (�.. 2� 9a. off TANK SETBACK INFORMATION St/ I Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > / (6' 2-3 YIA NA Dt Bottom i Dosing NA Header / &zo Aeration A Dist. Pipe - -- Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade r Manufacturer Demand Model Number M TDH I Lift F ' on a ,....�. T�2_ ' Fo e n Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No.Of PIT' No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 S�.ZS DIMEN 1 N ,, SYSTEM TO P/L BLDG WELL LAKE /STREAM G Manuacturer: SETBACK INFORMATION Type Of n�aC��� HAMBR Model Number: System: 1'(14,'L o „ > S3 5 - 7 '� OR UNIT DISTRIBUTION SYSTEM Header /Manifold c / Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length / Dia - T Length Dia. � Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Muk}ied� Bed / Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 1 3 0. 3 0 . , SW , / N p W 1361 COUNTY ROAD V — LOT 5 ��,e,' Gt,.ra.� -rn � � /Y� C1� ='L cc.' L { *�^:j '� �- ?"G�7� .u,. C' ✓ez�.F..'�:e�� Plan revision required? ❑ Yes 3 Use other side for additional information. (� Z Qr 9 SBD -6710 (R.3/97) Date Inspector's Signature Cert. Np Safety and Buildings Division SANITARY PERMIT APPLICATION A6 201 W. Washington Avenue In accord with 83.05, Wis. Adm. Code P O Box 7302 h I Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County / than 8 1/2 x 11 inches in size. S*• Cew y • See reverse side for instructions for completing this application State Sanitary Permit Number 3 Z0S9� 1 Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law s. 15.04 (1) (m)]. ' ' .L C / 7 Rd V o _ate Plan I.D. Num I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Propert Owner Name Property Location U J 1/4A(q) 1/4, S �? p T '3 a, N, R 19f E (oe Property Owner's Mailing Address Lot Number B lock N umber City State Zip Code Phone Number Subdivision Name CSM N 3 Sw - J-7 -;• C S l 3 h wn I1. TYPE F BUILDING: (check one) E] State Owned !t� Nearest R ea d w 3 ❑ VII age H Public 1 or 2 Fa Dwellin - No. of bedrooms Town OFS'fi,TOSC T V 111 BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo "' 0. 30 • ! ' 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1, (V New 2 ❑ Replacement 3_ ❑ Replacement of 4 ❑ Reconnection of 5_ ❑ Repair of an System ---- ------ System __ _____ ____ __ Tank Only_______ __ Existing System ____ -___ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 aSeepage Trench S /b-E W ❑ In- Ground Pressure J. i 42 ❑ Pit Privy 13 Seepage Pit ,1 t INFII'►1i:il & X 3x $L.= 5 ❑ 43 C] Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min_/inch) d Elevation s� SAO S7 Z • $ /r Feet q..t Feet VII. TANK Capacity in gallons Total # of r Prefab. Site Fiber- Ex per INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel Plastic p New Existin structed glass App. Tanks Tanks eptic Ta rHvlttirnrT 0 icio w e 4 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's S nature: (No Stamps) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): 07a Hv T ,C- ki=II44? Y ,0 4 ,5 A W IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issuin Agent Signature (No Stamps) k Approved ❑ Owner Given Initial /p� on Surcharge Fee) Adverse Determination ! Do /°0 q /Z�gB X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber �.._ ., a .. �....:. �, :_...._....�...,...... <�..�.... a p � N � w A IE Ll r� r U tv A —c t m 3 O cc Q ON • M' Z 00 rl W vo R ti n Z� o mti� m (D N d j T `G c J cr 03 "_ O a $ �, s Coo a CD Z X v 3u T o rn Cl. A O In D z a s Q� cr a) 3 :a" A C) m ' O —{ 0 ca a a / U $ ° ' , w m ' a co ! g 4 \ g► n� `° . IN � ��E D a LA an 2= 03 r o m o< N to O (p ° O c -nw p Q gyp' CD CD CO a� w 3� 2L a c �. co m x Ll N 3 _� ❑ X CD O O 1� CD O c _ C `J (\ CD m o o' =w o CD En - o 0 0 ( x cQ ,< w CD ° vi E 0) ` x 0 Q N cn v n 3 CD w a T' a; 4 S C CD 8 • WiLV � n De p nRentofInustry, SOIL AND SITE EVALUATION REPORT Page of 3 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY ( ` . G� Cj \K Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but I not limited to vertical and horizontal reference point (BM), direetiennd % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to neatest road. pEI.A)N� APPLICANT INFORMATION— PLEASE PRfNT ALL INFORMATION REVIEWED BY DATE 5 �y1cm PROPERTY OWNER: S E • " t t„ kEz y PROPERTY LOCATION G L o Wl l l l )vl A eeV° -tM Sw 1/4 f,3W 1/4,S M T 30 ,N,R E (or W PROPERTY OWNERS MAILING ADDRESS n LOT BLOCK # I SUBD. NAME 0 CSM / CITY, STATE ZIP CODE`,, R 10 ❑C ❑VILLAGE ®TOWN NEAREST ROAD l�vn�rJ wt S4�t6 ts 69:-.. rsT. - 6S'1� 1 QQ New Construction Use Residential / Nu `r 6Cbgd (] Addition to existing building (] Replacement (] Public or commercial dot Code derived daily flow `l SO gpd Recommended design loading rate bed, gpd/ft • % trench, gpd/ft Absorption area required bed, ft S (.Z. S trench, ft Maximum design loading rate 7 bed, gpd/ft • % trench, gpd1ft Recommended infiltration surface elevation(s) 9 (4 _ p ' It (as referred to site plan benchmark) Additional design/ site considerations %\E!� fJp jp 1 f\J STfV\.Lk Okl VZ'3 3 Parent material s L o v yz s yc p p d G u Flood plain elevation, if applicable 3­3 A It S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem S❑ U W S ❑ U M S ❑ U 0S ❑ U ❑ S o U ❑ S Lau SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD Ench] in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed €: >t ] ] O-tQ 10`'I�Z 31 Z 5L� Z`f5� cQS L s - • S • 6 .:..... Z 10 - S 10` (Ci. 3l - S1 Z `F 3bIr vn - • s Ground 3 3S_6� 3jy - S d G1 O S V". 1 6 s � elev. ° i 8•� ft. Depth to limiting factor Remarks: Boring # ;.: ) O-q �o�cZ 31z sit z�s�`>2 ash �S - •S S ' I sblrt till �S • S - uN. e 3 Z6 -61 1 .SYtZ3 /Y — S d 6 O S� w►� CS -' -Z •$ Ground elev. ��_1R3 t0`iR y S v 1�g m Depth to limiting factor y Remarks: CST Name: - Please Print Arthur L. We erer Pfwne' 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022' Sgnature: 8— ! ^ Date: CST Number: �- �'� - `j, M00576 PLOT PLAN Page "3 of 3 SCALE 1 "= Ll0 ' , PvC" PIPE wlL�! / L.o'j' L1NI, 1 461.119 t zoo # k*L tL 9.a a- . B•S �,qg? U' J a 1 - E�L. \, o -o o►v N t \,\ !� \GN , 3Iq Otfl• ►�t� Zo 1 u sT�.��. O\z z ctt�s C�1 3 `K S b• Zs ' uw G , wry -V . I tk \61`1 Q-f C 1T� S L DE W t �vp�l - 2, L�tl1 � 1 `�'Pt'►"L3flZS . Mvv s3 E 'tU �3 F' '1�'� lk'YtsT 2 5 PRo� Y1ZO�c1} �s , `• , � �j �- ( 715 ) 425 -0165 140 0 5 7 6 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 45 M ( L L. ,6 (z-- Mailing Address o .2t / / Property Address 3 c-0 1 C T H e/ V / (Verification required from Planning Department for new construction) City /State 14 OP.5 o N W ( Parcel Identification Number a 3b 10 5G - 4 6 d • t o 0 LEGAL DESCRIPTION Property Location w %4, N U ) ' /4, Sec. 3ep, T -R /9 Town of 15T.' J Subdivision `.� S (oQ 9 © Lot # Certified Survey Map # -S , Volume , Page # 3 Warranty Deed # 'S" [c 1 0 O '3 Volume Page # Spec house yes ❑ no Lot lines identifiable )ryes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 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 da s f the three year expiration date. co" ` Z 2,98 SIGNATURE F AWLICANT 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. - Mv� / Z 2/ 9-8 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 556990 CERTIFIED SURVEY MAP LOCATED IN PART OF THE SW1 /4 OF THE NW1 /4, o SECTION 30, T30N, R19W, TOWN OF ST, JOSEPH, W � NW CORNER ST. CROIX COUNTY, WISCONSIN. N � w' SECTION 30 o W OWNER 00 SAM MILLER U � ° o co P.O. BOX 282 OJ z3 �r HUDSON, WI 54016 � zw z s FtLE'D ,o W W SEP 1 4 1998 0. I ------ - - - - -- ww�t► '�~ r -- — �° Deeft < 33'331' LQl _1 I IN �' W mW 3 c VOL__ 2. -PG. 511- II FENCELINE IS 4.4' +/- NORTH NORTH LINE O THE SWI /4 OF THE NW1 /4 S89'03'30 "E 820, NCELINE IS 0.8' +/- NORTH V 50,00, . 737.51' 33,00' �I 3 50' 0 3 r� z - - - - - -- z � Li ACRES INC. R/W t° Qi � 00 N 2 56 ,083 SO. F T. PARCEL - 1 5.278 ACRES EXC, R/W V) C.S.M. Oj z 229,897 S0. FT. oo In VOL. 2 337 �i N8 . 39'08'W 517.49' - 0 to Qi 50.00' : 467,49' ;� o O 3 N ' nj 3.321 ACRES INC. R/W 270.00' 33.00' z ` 144,679 S0. FT. � N89'39'08 "W w N N co .000 ACRES EXC. R/W N I z PARCEL 2 00 130,700 S0. FT. ;o c6 303.00 I ---- - - - - -- to _ _ - I w C.S.M. _ I N �I > M N85*39'08'W 517.49' LO r-i c0 i I Q V�L- 2 337 I n W �i O.00L 467.49' 3 0r0 O Ld \i I - Cr -- - - - - -- o Ef . cn Z' co 5 zo co Of QI Q 1—j LQ L M 3.321 ACRES INC. R/W M v O '� Oj j U n � o• 144,679 S0. FT , o ^ O I Q LLj o (n J; V)i N� N a z 3.000 ACRES EXC. R/W N N > UI i I ' 50.00' 130,700 SO. FT. i cj� I a —II ". 467.49' - - O' - N89'39'08 "W 517.49' I I J o o I - - - -- CD A PARCEL 1 w •z �1 ---- - - - - -- �. Uouu,AS J. cn a 3'50'1 PARCEL - 1 i 51 12/468 co zAr� W 512/468 < R , co ' ,.t o 85 LEGEND:: .: S(/RV� - 1 SURVEYOR'S CER TIFICM I, Douglas J. Zahler, registered Wisconsin Land Surveyor, hereby certify that by the direction of Sam Miller, I have surveyed and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of the SW1 /4 of the NW1 /4 of Section 30, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin; further described as follows: Commencing at the W1 /4 Corner of said Section 30; thence N00 "E, along the west line of the NW1 /4 of said section, 473.00 feet to the P.Qint of b Jinninrr thence continuing N00 "E, along said west line, 841.86 feet; thence S89 "E, along the south line of Lot 1 of Certified Survey Map recorded and described in Volume 2, Page 511 at the St. Croix County Register of Deeds office, 820.51 feet; thence S00 "W, along the west line of a Certified Survey Map recorded in Volume 2, Page 337 at said office and being the centerline of a private road easement, 365.36 feet; thence N89 "W, along the north line of Parcel 1 recorded and described in Volume 733, Page 436 at said office, 303.00 feet; thence S00 "W, along the west line of said Parcel, 468.00 feet; thence N89 "W, along the north line of Parcel 1 recorded and described in Volume 512, Page 468 at said office, 517.49 feet to the pint of beginning Described parcel contains 12.522 Acres (545,446 Sq. Ft.). Above described parcel is subject to right -of -way for County Trunk Highway ( "V ") and all easements, restrictions and covenants of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix and the Town of St. Joseph in surveying and mapping same. Douglas J. Zahler aF � S & N Land Surveying, Inc. / Q 212 Walnut St. DO UGLAS J. ZAHL E Hudson, WI 54016 l N W 9 v suR TOWN OF ST. OSRPH CRRTIFICUR I hereby certify that this Certified Survey Map is approved by the St. Josep Town o r Cie k Date / Each parcel shown on this map (plat) 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 Countv Znninff nffi = "A m..___.. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pa � 3 Labor and Human Relations ag — Of QivWon of Safety 8 Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Sr ~ GR� not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. PEloO)ti C APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: S t' E , l l PROPERTY LOCATION G`p MLt -km, k't eew.tm Sw 1/4 NW1 /4,SnT 30 ,N,R 19 E(or W PROPERTY OWNER' :S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # P. O. lz�lOk \S I - Caw► CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD - s - T. ` vDSDIv kJl Sg616 hlS) 31�1b.z769 . TaS N • � I V J, P. New Construction Use kj Residential / Number of bedrooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow \A Sp gpd Recommended design loading rate bed, gpolft • % trench, gpd/ft Absorption area required bed, ft SLZ. S trench, 11 Maximum design loading rate 7 bed, gpd$ • % trench, gpd/ft Recommended infiltration surface elevation(s) 9 q - O , ft (as referred to site plan benchmark) Additional design/ site considerations S Wb'T'� }M I fy ST0'\.L.�M Oyu � 3 Parent material s t o v Ft2 S PN"D d Flood plain elevation, if applicable 'N A ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 19 S ❑ U W S ❑ U WS ❑ U ®S ❑ U EIS ®U ❑ S [�U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bard3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trer& 10 -3 S 1 R- 3/(0 S ti Z`F SUk V'y 1- cS • 5 Ground S d s i s wti 6S elev. � $ � • ft by - 11 !O`t R Y Depth to limiting factor Remarks: Boring # :.: r .:. s i I shirt �>1 `r �- �S • S atii'v?:.nuvnv.� 3 Z6 -67 1,SYtZ3 /y — S$.G O S� wt1 CS -Z• Ground elev. t)- `0.3 t `1 R y /y - S :� s 9 rat '1 L 8 Depth to limiting factor > 10� Remarks: CST Name: - Please Print pa Arthur L. We erer 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022 8- ] Signature: �� ^ Date: CST Number: � ,, , PLOT PLAN Page - 3 of 3 SCALE 1 "= \ (Zi ' ON 7 51 q" blA PvC' PIPe W ` Lfnw a.y i I s� ��8�� fl tZ Po2 1,� ►1� 19rt ro . eL � J \X M \GH , 3 01 l►J S`I�tcl,L. 1 Ttz ��Cl�t , 3 X 8 •, S.' l 0U G o2 'Z �t l Ctrs Ili �� 3 K 5 b ZS l o,✓ G w\7RA - q: ! tG ` C NTq 1 X - L k " 4 h Sol F 4 LuT Liu@ gB -t�i3- 1 ( 715 ) 425 -071 65 1400576 CST Signature Date Signed Telephone No. CST #