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HomeMy WebLinkAbout008-1014-20-000 Wisyonsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Laibor and Human Relations INSPECTION REPORT St. Croix •tafety and Buildings Division Sanitary Permit No_: ~AT~6ACH T50 PERMIT) 149080 GENERAL INFORMATION NE, wo,~, s, w s 10 PERMIT) Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: Mike VeenenDahl Eau Galle S90-40244 CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: I 7__ 73A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. I-f Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM CHAMBER model Number: INFORMATION Type Of OR UNIT System: DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over ~xx pth O f xx Seeded / Sodxx Mulched Bed /Trench Center Bed /Trench Edges oil ❑ Yes ❑ No El Yes El No COMMENTS: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. DILHR SANITARY PERMIT APPLICATION COUNTY , In accord with ILHR 83.05, Wis. Adm. Code EM. p' 1 - / V STATE SANITARY PERM T -Attach complete plans (to the county copy Aly)~for the system, on paper not less than l d" ~,~,8'/z x 11 inches in size. ❑ ~nebislo to pr sous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S 516 - a Ll!v PROPERT-r OWNER PROPERTY LOCATION Yl@ rn / lV f 4SAJ '/4, S T= , N, R / (o E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # SsTA 4 vt CITY, STATE ZIP CODE JPHONE NUMBER SUBDIVISION NAME OR CSM NUMBER a r_1 CTY NEAREST ROAD 11. TYPE OF BUILDIINZZI1G: (Check one) ❑ State Owned VILLAGE : TA MW RF: ❑ Public S i or 2 Fam. Dwelling-# of bedrooms PARCEL TAX Nu B ) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 1100 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 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.E1 New 2. ❑ Replacement 3.0 Replacement of 4. )d Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 5d Mound 300 Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ 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. EFINAL LEVATION GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 7S 3 -7--r- 7 , Z /,141-3- Feet Feet VII. TANK CAPACITY Prefab. Site Fiber- Exper. in allons Total # of Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New istin Gallons Tanks structed ~Tanks Tanks Se or Holdin Tank /DOG ic✓ Lift Pum T Siphon Chamber ! Q ONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's 'gnatu e: (No mps)_ MP/MPRSW No. Business Phone Number: Plumber's Add-rem (Stre , gate, Zip Code : IX. COUNTY/DEPARTMENT USIES ONLY ❑ Disapproved Mary Permit Fee (Includes Groundwater a e ssue Issui Agent Signatu e ( Stamps) Anr Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber DEPARIWENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING DIVISION LABOR & ~UMAN RELATIONS P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 [Slate lan I.D. Number: NE 4 , SW 4 ,Sec . 5 , T 2 8 - Rl6 gned) Town of Eau Galle El CONVENTIONAL ❑ ALTERATIVE 55 ❑ Holding Tank El In-Ground Pressure Mound D NA OLDER: INSPECTI .lG..! ME OF PERMIT HOLDER: ADDRESS OF PERMIT H f0 Mike Veenendall 2241, 55th Ave., Baldwin, WI 5400 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. L V- CST REF. PT. ELLY.: r e ly F ~.0 Name of Plumber MP/MPRSW No.: County: Sanitary Permit Number: ~~DeA Chris Lickness 6944 St. Croix 135519 SEPTIC TANK/H MANUFACTURER: LIQUID CAPACITY: TANK INLETEtEV.: TANK OUTLE WARNING LOCKING COVER PROVI eS~011- OZD eal-117 9z d3 YES ❑N0 ❑YES NO BEDDING: .KGa17 DIA.: I6EidT MATL.: HIGH WATE UMBER OF ROAD: PROPERT WELL: BUILDING: VENT O RESH i( G ALARM: FEET FROM LINE: / AIR INLET: G t~' S ES El NO &Jt ❑ YES NO NEAREST i OSING CHAMBER: 5_3" C - /~7. MANUFACTURER: BEDDING: LIQUID CAPACIIY: PUMPMODEL: PUMP/ MANUFACTURER: ARVIN OVIDED:G pROVIDG OVER ED: YES ❑ NO 660 / 1 131 YES ❑ NO YES ❑ NO PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDI VENT TO FRESH GALLONS PER CYCLE: LINE: ! AIR INLET: (DIFFERENCE BETWEEN rl_=' YES ❑ NO FEET FROO-~ PUMP ON AND OFF LENGTH: DIAMETER: MATERIAL AND MARKING: SOIL ABSORPTION SYSTEM. Check the sol moisture at the epth of plowing FORCE 55~~ / ^ or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN y~Ur✓ O[ C'~~~ the soil is dry enough to continue.) CONVENTIONAL SYSTEM: LIQUD LQIH: BED/TRENCH WIDTH: LENGTH: TRI] )IF ENCHES: DISTR. PIPE SPACING: MCOVER ATERIAL: INSIDE DIA.: LWE S: IPT DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MAT PIT OF PROPERTY L: B UILDING: VENT . AIR INLET: BELOW FRESH PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: 7 PIPES: FEET FROM NEAREST A i MOUND SYSTEM: -7, 1 Mound site plowed perpendicular to Check the texture of the fill material foL PROVIDE A DIAGRAM OF SYSTEM ON REVERSE SIDE. SHOW slope and furrows thrown unslope: mound systems to make aln th I~ 11.0 . Lv"~ " r ELEVATIONS MEASURED. YES ❑ NO .tnmeets the criteria fo o~ SOIL COVER TEXTURE: PERMANENT MARKERS: 'OBSERVAT ON WELLS; YES ❑ NO YES ❑ NO DEPTH OVER TRENCHA&Ea DEPTH OVEfI TRENCH/&&@ DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ` -(O ❑ YES NO YES ❑ NO YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM. WIDTH: LENGTH: N ERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: / BEDITRENCH IONS I ~J I TRENCHES: 4 DIMENSIONS .s CP MANIFOLD PUMP © MANIF LID DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DSTR. PIPE DISTRIBUTION PIPE M ELEVATION AND ATERIAL & MARKING: EL 113,V IZ3,7 EV.: f ELEV.' s DIA.: EL V.: 2~ PIPES:,,, DIA.: ? i/ C ;V l / DISTRIBUTION HOLE SIZE: HOL SPACING: DRILLED-CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO~ INFORMATION 0 / APPR&PL, 3T YES ❑ NO S ❑ NO PERMA NENT MARKERS: OBSERVelON WELLS: NUMBER OF ELL: BUILDING:, COMMENTS: FEET FROM YES ❑ NO POq YES ❑ NNEAREST-♦ R county file for audit. Sketch System on Reverse Side. SIGNAT E: TITLE SBD-6710 (R. 06/88) Eb= ILHR SANITARY PERMIT APPLICATION cou In accord with ILHR 83.05, Wis. Adm. Code .a.,..,..,,..,e . STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ 6r, ~jif re~vi onto pvious application -See reverse side for instructions for completing this application. STATE PLAN I.D,N/UMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. g Q ' 7 0~~ PROPERTY OWNER , / PROPERTY LOCATION I -1. -e A 'e /J or L IL/F % S W %a, S - T -2^ R, N, R E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # a P,41 / CT T' U , CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER L~IV l n s S'D© 2 II. TYPE OF BUILDING: (Check One) ❑ State Owned E3 VILLAGE : NEAREST ROAD L_ H U 6 A-`~,C SS 7h All= ❑ Public S 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 73 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 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 in line A. Check line B if applicable) A) 1. ❑ New 2. Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 H Mound 300 Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ 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) , ELEVATION / 50 3 7 3 75 / / LI`S Feet 117, .7-5-Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New lExisting Gallons Tanks Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank it ~ I [I F] ift Pum Tan i hon Chamber VIII. ESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: No Stamp MP/MPRSW No.: Business Phone Number: R ,s L kn ,es~s J,l /d11~- 6 9 L~' y > / ~8~~ 3 3© CA Plumber's Address (Street, City, State, Zip Code): A i a Y el -2 a 3 6Th 7- ~.4 G cJ , n 4,~ IX. COUNTY/DEPARTMENT USE ONLY P I ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination J X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: r SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber . APPLICATION FOR SANITARY PZRMIT STC-100 This application form Is to be completed In full and signed by the OVrlez(s) of the property being developed. Any InadequaCIOS Will only tesult In delays of the permit Issuance. -Should this development be Intended got tesalt by owner/contrect0t,(spec house), then a second form should be retained and completed when the property is mold and submitted to this office with the appropriate deed recording. -----------------------------------------------------------------___N__--__•__ Owner of property Location of property 41 = /4 s/4. Section Township " Maliing address _ L/ / SST y4v ,~j,r~ Ld 1'." ~--r oo ? Address of site -s, rn e subdivision name • Let number Previous owner of property , Total else of parcel y /-~CRe I Date parcel was created - - Art ail corners and lot lines identifiable? as 0 is this property being developed tot resale tgpgc house)? as Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION T112 TOLLOWINCt A WARRANTY D12D which Includes a DOCUMtNT NUMBER, VOLVMZ AND PAot NV"gim, and the SNAL OY THi RSOIBTER 01 DEEDS. In addition, a certified survey, it available, would be helpful so as to avoid delays of the reviewing process. tf the deed descrlPtlon tefecences to a Cestifled survey Map, the Cettitied Survey Map shall also be required. PROPERTY OWNER CERTIPICATION 1(Ve) cectlfy that all statements on this form are true to the best of my (out) knowledge; that I (we) am (ate) the ownst(s) of the ptopetty described in this lnfotmation form, by virtue of a warranty deed coca dad In the office at ; and that t (Vol the County Register of Deeds as Document no. presently own the proposed site for the savage disposal system (at I (we) have obtained an easement, to tun with the above described property, tot the coneteuctlon of sald mystsm, and the same has been d recorded in the office Of he e County Register of be ds, as Document No. ,r 1. of Owne Slgnatuca of co-Owner II Applicable) 1, lyee o Data f Signature Data of Signature SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County w n OWNER/ BUYE ~~ixt~ F'' 7- o ROUTE/BOX NUMBER Fire Number d CITY/ STATE ZIPS M PROPERTY LOCATION : k, ` Section T.7-LN, Rp W, Town of St. Croix County, Subdivision Lot number. Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 's'ept'ic tank pumper. What you put into the system can affect t rid .unction of the septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for system, a maximum of 60% of the cost.of replacement of a failing which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all news-terns agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year-expiration. H I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, asset by the Wisconsin Depart- went of Natural Resources, Certification form must be completed V and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNEI~k~~-z~`~'r DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION :INDUSTRY, LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 . MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) Y: LOT NO.:LK. NO.: SUBDIVISION NAME: 10-CATION: -SECTION: OWNSH UNICIPALIT B ME1/swI/ s /TZ8H/R16E(or GtvLLG - - COUNTY: OWNER S BU ER'S NAME: MAI N DD 7-2q/ S S •Rl AuE S1 •CZ4lX wtlk.E V~~`1J~OhAI. z3+~~owl~ s~[oot USE DATES OBSERVATIONS MADE NO). SE D RP M TIO : ns77 esidence ❑ New Replace ?b 5 - Z $ - 9 V R RATING: S- Site suitable for system U- Site unsuitable for system ❑ ENDED SYSTEM: (optional) RECOMMENDED ONVE L: MOUND: IN-GROUND-PRESSURE: S YSTEM-IN-FILLIHOLDING TA02w-~ S ~u AU ❑ S ®U ❑ S L^JU ❑ S ~p If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: • A PROFILE DESCRIPTIONS BORING TOTAL P H R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST- TO BEDROCK IF OBSERVED ISEE ABBRV. ON BACK.) z9' SLL= 1~ASE Z OF Z wT 29 z9 B- B- 7_6 l-l y B- 3 4S ti~o• 30 z~6 B- Z-7 B- S S ~Z .'1 zq zg, B- PERCOLATION TESTS DEPTH WATER IN HOLE TEST TIME DROP IN WAT R L V - N HES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. R PER INCH IJo 30 -)/e 13116 37/ yd' P. Z 2A No 3~ S Sly S/ 6 S/f3 X18 P_ 3 ?A 1IJ0 31D P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal 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 of land slope. W (TO" 01711Iave.Ii eL 1111.5 Ca~~ $ V -1~51'CTY S1 1~ O SYSTEM ELEVATION o1 Shw YA~ 115- fi.. i _ i f 1~ OF, `.._O_.._~ i I . T.. ---I- i _a_-_ - j.. I I LO S~! l 64 , I z, PM WJ0Q: 6 sv . Ss'M 1 ' 1 L14 %T%4ft i r P2 S of ~ ~ 1 s~r~ t '-roo I I, 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. NAME print : AND TESTS WERE COMPLETED ON: S -'ZS-i0 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST W409?(, 1--)1S_V2S_GjtZ5 P-0- BOX 74 401 MAIN ST_ SIGNA URE: RIVER FALLS, WI 54022 CST 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 1~6 O[= Z DILHR-SBD-6395 (R. 10/83) - OVER - r Page 1 of. 6 MOUND SYSTEM 4Q ,24 FOR A 3 BEDROOM RESIDENCE LOCATED IN THE N~V/q OF THE 22!j, OF SECTION S , T Z.BN, R 16 W, TOWN OF ST • crzc~ ~x COUNTY, WISCONSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PA GE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR 1''111c-E, V ~-~.l X1.1 D Pt l~ L--- ZZt4l SS'rrt Ave. saRvowl1.31 W1 S4.1113•-. . PREPARED BY , y'%5fN/4 i~EQEFCEFC SOS I L_ TESTING } •s • DES I G{VND~'".~- EFc4' I CE BASM)MK p ~ bi~ P.O. BOX 74 421 N. MAIN ST. S I G 14S RIVER FALLS, VI 54622 N~~l4 715-425-0165 MAY 3 1 1990 A A • O~ 1 ;'.-IFFY Y C 1_C-un,f. , Li, j. Job PLOT PLAN Page Z of I Scale 4 0 2 44 ~ o.3S MI LIZ ~ To 2ZO"M sr. SS Atue. _ N ~~EST ~~(u1PtsR.7Y LI„!8 I ABA~IDONEI~ N.% AM cote. ~ !louse ~ x- P~ J r ~ x..100 . o oiv CoglueR ~ of cpt.) cR~Tt3 2 PsZ ?M0,4tPC VRost- 1'itonafte J AS PER l6.HR 432.30 (t~Xb) 3F;S'Sa~ Z/~ PvC YS•'r~ S~.oP@ FdfC DR~W91~C1~ S p~lS1.TC S~~J`J AGE 1" ",0 jifivaAl k iv ft.sT s ti 4 s " ~ ASvD ttU ~ - Z4''~Lff~ ~ N OOrtI~EE,P~~ FENCE ~v NoT oisTu~B / I/~ SEE oR. cAr-t P~ c THIS AR~`13 ` 2s. L to ~o'IL: W O..L LO ~t''T~D ?loo IJW gS 32. . O F 1'10 V tv O S l TAE. PK~CL3L Olll h IN S zq i-f e- + CAVU; %vM e-1Lk). t%3-S ' vp9WPe ~'~6E OF "~R~cti4 NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( z- required) 3. Install 4" observation pipes with approved caps. ( z required) 4. Septic tank to be Vooo gallon capacity manufactured by W VZ-~: S ~SZ C Q C.CZ.ZJM_ QRA pu CTS L N C- 5. Bench Mark SER:~ P,~Bouq: 6. Divert surface water around mound to. prevent ponding at the uphill side. r . c~~E 3 dF S90-40244 oT= unlcoMPac.T~ S1RAw OR hARS14 W" ~iS'rRlBc3Tn PIPIE EL. ~~S_T-OO-OO CDR "PROVMO %4k3l"E.T1C CAVERIIJG A'p-p1SoV2A H~IOH SF4~D H C-7 TOPSOIt~ - us~~ F.. O CL 1ly.S~ lm V~.yLR 01 SON SLOPe LpV~ FORCE nAI-J-- hvM P C(){Z - 2" avert Pipe IAA lit~ za 'p t GS G S..fc A S F r. ' Ll i i i Luf~1111U 6 T1-~CT~ = GPI U►a. -i : g "1 S r-T. aES\GN ti k = O. ZS GPD/Sc~,1=T, I ~Gt J $ FT• K 1 C) Pr ' L Cl pt'. ' W 3 Z 1~. p~RHA1J9vT v4ARWeR S P'0 C ~l ST't19u11 C cJ - - Ptp~ VC 0 W oss~vRron~ pipe ~'au~-~t'OR~ PIPE •SECVRE~-Y~ B K gGGREGATE ~ L p~i~N V~~W S90-40244 PEPuFoRP►TEb Pl PE . DEZ A-Jf_ PERFORASEQ . P\1C Pt PE Et +o CAP -o~ T►JSTAL.L (~R.HA~JE7JT HRRIC~R AT EUO OF EA OH LA MAt- • ~FOt-ES LACATM ON. 80'rM?l Or PLO hRrn m%ji t-L.Y SPAcSm , t Q 4-'poRCE A 1 N VOe LATERAL3 FRpYt PIL3MP P%.hCE LAST ltOLl 1~ExT To IEM CAP D~S~RL$l~TlOIJ. PtP@ LALroyr.: _ . i ONai3 Si b'V 4i~E S2~sLt.~JYLGZ~ ~ X ':~k4-1N, AV Y he as,.~. ~ r,4~ 0 Y10"S ~A~ivR AND HU HALE DIRnETC-i2. DcPgRTPJ~c i ItiQL~(ttl . PJ Z LhTC-~2/4l IN. - ION Of % FOL2CE?'1AIrJ q 2 IN, SEE CORRESPQN ENCE ~ HULE$/Pl PE 3 P+-AcE l sT HUB \7i4 FRwi TAG' wmW Su C.c- Eb),Q G HOLE.s 47. 3Y 1 !J? U141~ L_~sT t-to~E ~D ~E ,~Exr ~tE Lomita CAP. i tom- AGE' S o F C- ' PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS VENT CAP a `t 0244 H'C.I. VENT PIPC frT WEATHER PROOF APPROVED LOCKING JUUCTIOU pox MANHOLE COVER WITH L5' FROM DOOR. • WARNIN6 LABEL WIIJDOW OR FRESH It MIU. AIR INTAKE I GRADE I y+puN. LILA IVAIW. COWDUIT-"' 10"AKIN. X11 ~jPROVIDE I .INLET O ~ JUAI SEAL ~?1<< I III ~ { I I v r.'" f SANS I I APPROVED JOINTS APPROVED JOINT A W/C.I. PIPEORPV W/ C.I. ►1 PC EXTENDIN4 3' yi ALARM OWTO 501.10. &OIL I I ON ~ME~. Cti o. ~L ~K ~S ~ER~~S,~a,.t • GE • ~ CLEV._ 1'6" FT.E PUMP-~ -'j ~ OFF D ` 86,sp CONCRETE BLOCK 3.. ApPRaIE RISER EXIT PERMITfEO OWLy IF TANK MANUFAGTURC.R HAS SUCH APPROVAL gB0O1~ SPECIFICATIOAIS TASEK MANUFACTURER. "SSL25 CWMET6 PRCb'cn IJUMBER OF DOSES: 3' S PER D" TANK 51ZE: GALLOWS DOSE VOLUME SYSTEms INCLUDING bACKPLOW: 186'110 GALLONS ALARM MAUUFACTURBR: MODEL HUMBER. 101 IOW CAPACITIES: A= ly INCHES OR 101-9 GALLONS SWITCH TyPE1 g - Z INCHES OK 22'y G~ LLOWS PUMP MANUFACTURER: C. 11?--ILIC14ES OR 6. 6 CALLOUS MODEL NUMBER: / 63 D • \l INCHES OR T-"'-'l GALLONS SWITCH TYPE' ~~~+RY MOTE: PUMP AND ALARM ARE TO OE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEN PUMP OFF AIJO..DISTRIBUTION PIPE.. 2,71.33 FEET t MINIMUM NETWORK SUPPL`! PRESSURE . . . . . . . . . . 2.50 FEET i. 365 FEET OF FORCE MAIN X F/oo fCFRICTION FACTOR. S'7-7 FEET TOTAL OyWAMIC. HEAD 35.60 FEET DI Aw12'iE~ Y 36 ~ ~i INTERNAL, DIMLIJSMWN OF TANK: LEkl(.,TH 4 ;WIDTH SIFT ;LIQUID DEPTH r f Zo'RvH h2 A - - z.31 = 6lt L / /"c_w 745 PER MRlJU FACTVALtt12 = ZR.•7/ GRL/ IJUCI4 SRC G of HEAD/CAPACITY CURVE Total Dynamic Head/ 163 AND 165 SERIES Capacity Per Minute 100' Series 163 165 Ft M Gal Ltrs Gal Ltm 90' 5 .52 61 t 61 Mr 10 3.05 61 231 61 231 80' es 15 4.57 60 227 60 227 20 6.10 59 223 60 227 70' 25 7.62 57 216 59 223 30 9.14 55 208 58 220 35 10.67 50 189 57 216 60' 40 12.19 46 174 55 206 c 45 13.70 40 151 54 204 0 50' 16 So es 50 15.24 33 125 51 193 c 55 16.76 25 95 48 182 c 40' 60 18.29 15 57 43 163 65 19.80 37 140 30' ( 70 21.34 30 114 75 22.86 22 83 20' 80 24.38 14 53 LOCK VALVE 66' 87' 10' 0 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 a 4 024 4 GPM CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V, 230V, a Mercury float switches are available for controlling or 460V. single and three phase systems. • Electrical alternators, for duplex systems, are • Double piggyback mercury float switches are avail- available and supplied with an alarm. able for variable level long cycle controls. • Mechanical alternators, for duplex systems, are • Long cords are available in lengths of available with or without alarm switches. 25 - 35 - 50 feet. • Combination starters are available. • Simplex and duplex basins are available. SINGLE AND THREE PHASE UNITS 163 Series 165 Series Cast Cob Irocost n Volts-Phase Wt. H.P. A.W. L-0 Iron Volts-Phase WL H.P. Amps Length M163 115-1Ph Automatic 75 112 14.0 20 ft, D165 230-1 Ph Automatic 80 1 9.0 20 ft. N163 115-1Ph Non-Auto. 75 1/2 14.0 20 ft. E165 230-1 Ph Non-Auto. 80 1 9.0 20 ft. D163 230-1 Ph Automatic 75 1/2 7.0 20 ft. 10 20 E163 230-1 Ph Non-Auto. 75 1/2 -7.0 20 ft. H1G55 200 //208-1Ph Automatic 880 0 1 10.7 20 ft. H163 200/208-1 Ph Automatic 75 1/2 8.2 20 ft. 1163 200/208-1Ph Non-Auto. 75 1/2 8.2 20 ft. Single phase 1 H.P. units are controlled by a float switch through a relay enclosed All installation of controls, protection devices and wiring should be done by a in the switch case. Three phase units require a control switch to operate an external licensed and qualified electrician. All electrical and safety codes should be followed magnetic or combination starter. in addition to the most recent National Electric Code (NEC) and the Occupational For information on additional Zoeller products refer to catalog on Combination Safety and Health Act (OSHA). Starter. FM-514; Piggyback Mercury Float Switches. FM477; Electrical Alternator, FM-486; Mechanical Alternator, FM-495; Alarm Package, FM-513; and Sump/ Sewage Basins. FM-487. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is an engineered/design part of every Zoeller pump. / 3280 Old Millers Lane Manufacturers of... 16347 40216 " OELLE/4' O_ P .O. ~ O Louisville, Kentucky (502) 778-2731 QUI[/rY PM RS flAl f Isf3f ST. CROIX COUNTY iN WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 May 29, 1990 Divison of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Mike Veenendaal property, located at the NEk of the SW4 of Section 5, T28N-R16W, Town of Eau Galle, St. Croix County, revealed suitable soils at a depth of 26 inches below which seasonable high ground water was noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Since ly. s:K. Thompson Assistant Zoning Administrator .....Ka'VnN1•_:,i.-.±a.M.i+IAK.K. m»•..w.w: .u..vr. ...ra...-...wr. REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS fNDU,MENT OF DIVISION 7969 MADP.O.ISON, WI BOX 53707 LABOR AND 3707 USTSTRY, PERCOLATION TESTS (115) HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOT NO.:BLK. NO.: SUBDIVISION NAME: ~OETION: SECTION: OWNSHI UNICIPALITY: .i 1/ sm1/ /TZ8N/R 16 E (or L'`PN COTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: -zlgl ss = A-ve S1 •C 1X r•'1 h-G V~~~ SJhAL 13 ~~1wl~l W s14 UOZ S MADE OLATIONTESTS: USE PROFILE DES ATIONN PER NO.BEDRMS.: COMMERCIAL DESCRIPTION: DATES OBSERVATION Residence 3 N , N, t ❑ New Replace S _ 2 _ C1D S - Z $ - 9 V RATING: S= Site suitable for system U= Site unsuitable for system N-GROUND-PRESSURE: SYSTEM-IN-FILL HOD:I 5] TANK: RECOMMENDED SYSTEM: (optional) CONVENTIONAL: rga 11 ❑sMu ❑❑s®u os®u as Mu *U~ Ail. S~X-1s 'rgk-,,j c H DESIGN RATE: If any portion of the tested area is in the Fder Percolation Tests are NOT required tt~~ s. I LHR 83.0915)(b), indicate: 11. Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- `44 ti10.3 ~c! , Z 9 s ~E z of Z B Z 3~ lOl. o Z~ l -1 v B- 3 4S \Lo. fl 30 z~6 B- 4S ~~4.0 Z-7 4 B- S s B- PERCOLATION TESTS MNUM DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL ES RATE MINUTES PER INCH INCHES AFTER SWELLING INTERVAL-MIN. PERIODI PERIOD2 P R O Slp, g ? 'Lo No JS t P- _2Z *.'NO a 1D 5/8, Sib P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal 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 %o"rT0" OF11tau c.H eL. 11Y . S ~'cG~ ~ S V L RS I`~TY S j of land slope. SYSTEM ELEVATION Cy~-~~►-~• o~- so~ S S 'fl+ pal) E_ i t'r ~,tz t *1'@+D qb OAS a 0 m T rite, ►Sot 1 I p-~+Q 5 t TLS. l UPI *1 -et.toa o'oN E TN LoiCh~►0 S E NR ~ ~Pr~a+b. ~ i i« Sv 1't'PC'~31.1; fR~ N__ ASS ~ h~• m,pit) v1k,.& 1l~1. e1t - /R S - b % -R 3 SC~~ l ~t=l~O t 5C'Z. I, 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. RER Soil TESTING NAME (print): AND TESTS WERE COMPLETED ON: S -Z S-Cl ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST 00097(o -)1S_VZS-01(, S CST SIGNA URE: RIVER FALLS; WI 54022 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. Ft6 e of -2 DILHR-SBD-6395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM sneetl Attac Soil Pm h le Local'- He On a 1- 11 t)A~AcL ITLIFAR L0'__-_ T 6.0 ~~RCE~I~r SY SLOPE: 6 PURPOSE: i L . W L CAL-lZC'~ nsrrcT: N 1'`~ - MERirr[oN EsY RENT AND OATE:: COUNTY/STATE: ST. C_Ij+u1X C.OVItIrl L-i VEG ATIV COVER: GtLhSS LOT DESCRIPTION:' PT• ca- `mE NCr/V-S se'zS,TU►.1RldW DRAINAGE CLASS: l~lZA/k1 LOCATION: IN l.._ GALLONS- PER S . FT. PER DAYS - S G V~I~S~Y`l 51,~ SOIL SERIES: PARENT MATERIAL(S)/DEP ll Tor HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CCOATINGSS/ PORES ROOTS P11 •90ENOARY REMARKS in. moist Gr. SS:. Sh . v-otz_GIt en s Z►~ Sb1c mv~h 1 0-4, 1.O~tl~. 31Z - L I %N s 12wl s Zak S Z 8-2 7.S`l 3J sE pi6E oh. it N • cS ftr 3 Z9 -31 -I • s 61 3 C L S Z►n S b r~'Fh Qom. ®N z f sbt 1►'L 31- 4~4 7-S~cLZ 3 L m V.ph.6Y-13N S)' ZD!Z T~' ham- 3/ Z lrl $ M V - Z 1-1-1 ~O`~lR 5 otz. ~t. '3n 6 l~-3y ~byo-_N/~ m 2 c1 Zrnsbk yn S 8U NG ~ CS V• Ott. Gy. @~ S Z M S bit M l V^ O --l L~ ~-t C~- 3 / 2 `c . s I1'F Selz m 5 w 2 7- l to~LRS/ t y-u s -1 2 m 0, m~ w s ~3O E etz. ten,. - 26.31~ s `i R 3! C Z 3 Z Ws Q61ti ah • Y. %q SC O 1R S 30 _ vS ,o~ i? 1, m Z v. oT~ Gtir ~N s i 2 wt m V'~►,- c S TZ_ ott•~~~ s l Zm Q6 m'~y. cS Q1z. i3t.~ g Zm~61~ m F~. Sw wr z8 Z)-Y) -i. S ti ll 31 C Z ate-~t• RN . S.. 37-W 1o~c ~11~ rLZ SC J pm w to 1 0 -1 tu~-c tz.3t z s i Z m r z. ~-11 ~o~icz s~ - 3 1 1 -Z8 ~ S~ R~ ~ - s ~ Z r-I ~t b ►•►2 c s s~ b S m _ Ds ~ 3i ~ z~ S I Z wl a 34 otz- ~r • w3N m`~ z S 3453 ~o-I R. 31 m Z SG ~ G 1'1 v u~1 h~ L S ~ ~ S ~ ~v i _ JI - 1 OTHER SITE FEATURES/NOTES: Date N Signature CST LIMITING FACTORS/DEPTH: HORIZON OEPTII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS in moist Gr. Sa. Shp COATINGS I i OTHER SITE FEATURES/NOTES: PnGE of-" Signature Date CST # LIMITING.FACTORS/DEPTH: REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ' DEPR.RTMENT OF DIVISION 7969 .INDUSTRY, PERCOLATION TESTS (115) MADISONP.O.,'WI BOX 53707 3707 LABOR AND HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECimRl ON: OWNSHI UNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: NE's sw 1' /TzlaN /R )6 E (or ~ G kU~~ COUNTY: OW'S U ER'SNAME: MAILNGADDRESS: ZZq/ ss )i4UE- S1 CZpUC r-111 Vt"~ J; Oh)N L syooZ USE DATES OBSERVATIONS MADE A TESTS: NO.BEDRMS.: COMM R IALDES RIPTION: Il 7175M 9 (Residence 3 N , A, ❑ New [Replace qD DESCRIPTIONS: S 1 - Z, S - 9 V RATING: S= Site suitable for system U= Site unsuitable for system CONVENTI NAL: MOUND: IN-GROUNDPRESSUR : S ST M-IN-FIL]HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S ~ J ®S ❑U ❑S ®U ❑S ❑S ~U h~v~ip w/' S'u'15' -,vcH If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: ~V •A PROFILE DESCRIPTIONS BORING TOTAL P H TO GROUNDWATER-INCHES CHARACTER TFI: OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED tzs 1. HHIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) sPksF S l~E Z Z B- 1 144 tiIo.3 LL RT z9' of z9 B- B- o~, o . i6 1-l y 3 L4S tiLO O 3o Zy6 B- ►-I S 114.0 Z - B- S S Z tZ ,'7 Z q ZS 6- PERCOLATION TESTS TEST DEPTH WATER M HOLE TEST TIME DRO IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P 1 D RI D -PERIOD PER INCH P. ~ 2.0 'IVo 30 :B P. Z _?_0 No 3\.~ -7S Estt>e s1® 71$ 3 P_ 3 "LO 11J0 31D 5/g 5/g P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal 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 of land slope. %Q'T *4 OF11uax+c.H eL 11Y.S ~~Ge'78 v\"~SkTy 5~ I SYSTEM ELEVATION s : pfd o _ P t_1 l/ S ~ 4yr o I f _97 ~.dF M Q 1311 = I a. _ -'r TN t , , ( I 174 prim.. i, -.1+uxdp ~''•y I I... I~ z l l i~~' ...._._._L.-~..~--......._.ai_ SC4k'_ llf=/001 SCZ. $ I, 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. WEGERER R011 TESTING NAME print : AND TESTS WERE COMPLETED ON: S _Z S_010 nFsiaN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST 05OS-X. -71S_VZS-o16 5 P_ 0- my 74 493 N - MAIN ST_ RIVER FALLS, WI 54022 CST SIGNA URE:~ 715-425-0168 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. Or DILHR-SBD•6395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM (Attach Soil Pro[ilo location Map On a_Suparate Shoat) GLIE T: I-A`1<I~ V ~~LNDIN-AL LINEAR LOADING RATE- 6' O Pug . POSE: tElzhi-ll Tj~* ftP. 'fL ~ ACE:ME-JT S` STCM SLOPE- 6 plc. DESCRY; LION BY: 1~~ W`GL~~wg ASPUT• N $0~1"i _ DATE 7,4 1 1 6L 0 CURRENT LAND USE- COUNTY/STATE S`C' C-'RJS 1X CYJ)%Jr?I k.J 1 VEGETATIVE COVER: GCU`rSS LOT DESCRIPTION PT ot= `MC-- Nt=t/y-Sk/Af SGLS,'t?-HQ RIdwORAINAGE CLASS: -y wL~- Z~,~I°'IIIV(SD LOCATION: ~wN C1j= V-~i~ GNU- GALLONS-PER S0. FT. PER DAY: c) • Z S PARENT MATERIAL(s)/DEPT[( SOIL SERIES, V ~-Ns NYY s l HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS in. (moist) G r. Si. Shp COATINGS $b NG V • b%t-GY an 1` GS O-~ lrz) t14 . 3J L - 5 t 1 Zwl Sbk Ynv ~h Z 8- Z S a FL- 3/ S 2in S ~1t hI S Ott g!w 5E'~~i~6E 3 i9 -31 s ~c R 3! C L ~C s Zm s b- r~ ~h cs z k. ~N.•L z s I 1 ~s~tt n~ ' 31- 4 (t 3 ~ P V•Ok-6Y.BN g ' Zri9$~1L mV~~ CS ott. ~•r. t3n 5~~' l~-3y tb~IlZ3/~o h) z e l Zrnsek yv\ 7- m4 •8 ~ Jv ~ 3 - O --1 tZ 3 S Z A S 1)k M L V C g 2 7- l 10 >rA- s i s 1'F S~lt m h 3 JU-u ~•s~R 3J w s ~ o E _ 26.30 % c ZA g ~ Z M a x1G t~tFz 2. / - si'~ ZznS~lrz L' S Z 9'-L~o .~uKL 8s~ ot-~ . i3~~ S ~ Z m R d ~ C S 3 Ib- Z~ s ~s R 3~ - w gab t) 2m -AlL ^1 atz-ti. ems, S.. 37-~1 >u~I ~t wL 2 sc) Dm' M -0 uTlr • 0-3 1 0 -1 c `t (z 3! z. - s t Z m t, 1aI V Z 7-11 to'.c%s _ S1' ZmSd J+~ ~S ate- QN C g 3 ~ t-z8 s~ i - s I Z,n 4 6 m ~,R, ~N, cs sQul~ "e S 34.53 0~ tz- 3 J 6 m Z SG O' 1rT `F wti k/s t-v t S Is M L V OTHER SITE FEATURES/NOTES: ` S. ZS- ~d ~~0 S7 6 nnGe Z of "LIMITING FACTORS/DEPTH: Signature Date CST M REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS . OF DIVISION DEPARTMENT INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHI UNICIPALITY: LOT NoA I-N. NO.: SUBDIVISION NAME: ME's sw'/4 s /TzBN/R 16 E (or t--~ G kLL~ - MA LIN ADDRESS: Z,zq SS lti-VE COUNTY: OWNE~R'SrBU ER'SNAME: Z~`~wI~J S~OOZ S - C.C' M V~~~~ ~h~ USE DATES OBSERVATIONS MADE I A ESTS: NO.B DRMS.: COMM R R IAL D S RIPTION: ❑New Replace p 5-,LS-90 S - Z~- Residence 3 N • A. RATING: S- Site suitable for system U- Site unsuitable for system rONVENTIONAL: MOUND: IN-GROUND ESSU : S E -IN-FILI OLDING TANK: RECOMMENDEDSYSTEM:(optional) ❑ MU S ❑U ❑ S ®U ❑ S ❑ S ~U VhUVU~ w/' S'u 1 S' ''RIecH DESIGN RATE: If any portion of the tested area is in the A ' If Percolation Tests are NOT required Floodplain, indicate Floodplain elevation: ' under s. ILHR 83.09(5) (b), indicate: 1113 . K. ~ PROFILE DESCRIPTIONS TOTAL DR, NUUM ER DEPTH N. ELEVATION DEPTH 0 SERVED GROUNDW EATER-INCH SHEES TO BEDROCK lF OBSIERVED (SEEI AB RV. ON BACK jEXTURE, AND DEPTH Z9' Z9 S lsL k~ E Z OF Z- B- 1 y 110.3 RT 29 B- 13- 01, o . Z6 1 -1 y 3 4S tilo.fl 30 ~6 13- 4 S Z l4. o Z -7 B- S s2, 21% B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP N WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. -PERIOD PER INCH P. N ?p 1J0 30 -)IL 1j /1L 3~/ q0 'd P- Z Z0 No -719 L). P_ 3 YJO 3 5/g 5/ g S/6 g P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the directio n and percent oflandslope. %QTMN1 OF''V-,SVC,H 1)%4.5 PcGtr?$ VLi~S'I~(TY S1 SYSTEM ELEVATION C" Q t3 00 jS, boo , I c~ sNU`rnw'►vS ►l~T V ~ - - to ~-3 B IN i i z g i I I --J-1 _ _ l _ I I s I I~= roa I 5-tm S I, 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. WEGERER R011 TESTING NAME print : AND TESTS WERE COMPLETED ON: S -Z S-~' 0 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST 0g097(, )1S-VzS-G1(, S P-00 Any 74 493 N. MAIN S!r- CST SI,GNA~URE: RIVER FALLS, WI 54022 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. k6 Z DILHR-SBD-6395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM (Attach Soil Prot ilu Location Map On • Suparat• shoot)_ - CLIENT: l~(~ V -N L~N~~llt L LINEAR LOADING RATE. 6.13 Pun POSE -UPcl.C1 T ~R ~4lRea'1C 1T SY h SLOPE. 6 Ol( (0) IPTION BY: 1 '`(1`n11Z L WLC,(gtw' R ASrrCT• N BO°w _ DATE Z T T 1 I CIO Cl1RRENT LAND USE 1 1 t-A> COUNTY/STATE ST C' 41y. COUTQry) LAJ ~ VEGETATIVE COVER. GCUt55 LOT DESCRIPTION:* N T OF `RtC KMElly-SkIl S`~`J,T 1~11RIdW DRAINAGE CLASS LOOCATION _~OI.yIL1 V_2~_kV (S LL•'e GALLONS-PER 30. FT. PER DAYS tJ ' Z S PARENT MATERIAL(WDEPTH SOIL SERIES, v ~S YY S t HORIZON DEPTII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P11 BOUNDARY REMARKS in (moist) G S:. S! !p. ~d NG ~ V • Ott-G~i BA ~S o-g VW4 31 L _ S t Zhi Sbk mvih bte.. isN Z 8-Z -)•Sb 3/ S 12wt Skirt ~4 r. `t S oh. Ala, s 3 Z9 -31 • s It R 3/ C L S ZM s b wl c S i- 2_ - 31_y~1).s~0t L ynzP sI 1fsb Y4 ' $t~ltl NG Z V • P1x 6Y• 8N Z>0-s 4s mV~M z I..~N; - st') ~3bk m'f'g s 8v AjCs 3 v. wc. GY. S ' Z M s bk 1►l v ~S ~c . ~N S 1'F 7 Silt WL w 2 , L to~t~ s/ ot<. L3,.~. s I m abk w~ 'F~, c s 3 ~U-•u s~3O -26.3n - eS 3! CZ g Z >hab►ti )'i w _ ah•~r. ~h o S 3D,VS ~o~tR- I1, m Z Sc- V.o>R~caN si I 2Mn h...mv~h cS 3 Ib.Z~ sLjR-je - sI 2m CL m w cs Z7-31 pS R 3 C Z s ~ Z»14 dlt_ M.'FI. 4h. ~I. R►v S. 3~_ ~L t o ~t ~1 rn 2 S e t o 011L_ ky. ~3o v S _I o --1 U 1( !iA' - s t Z m to v ~s L4 2r ~b 9- sly at~• DN C g 3 ll-Z$ -i.s~T - .S Zin t6 , 22* 3 y 01 ' U'R • QN n S ZA S Z ,n 4 b t' Dot S 3515'3 ~o~ c lz ~ J N m 2 SG h~, '►+'L~ 1 6 wz u r-v T S ? s e~/ OTHER SITE FEATURES/NOTES: --nn 5- zs- go 00o s~ b n~~e? of LIMITING FACTORS/DEPTH: Signature Date CST 0