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HomeMy WebLinkAbout018-1000-40-000 Co ~y ~ O M ~ C eve ii O N ti O II i ~ I N N ~ C z L N l!. o a ¢ M I' 3 co m w z E Z : « c m N a co o z m a~i Z$ 'S c m ~ N rv ! O c It o `o 0 N ~ • C L U .U N O 0 m z z O o Z o N o co' LA m - N C W d N tv 3ooa O y a y v y to to m y E m F- I- H ° V~ ' CL = •N 000 a > o r rn O) m N U rn rn 0 r- O N O O O O O - N N N C, co N co to a O N N N O„ a m ¢~tn u a H 00 03 N N C V N CO qi 7 w O v rO IT M~ f6 O E Q' C z N N N! O C N E O d f- N e- f' W O O O " O O N 00 N\ y F~1 N L N 70 H C L W O co a) N U O U) O E t6 U • o 0 2 lq O z z to E C # ~ ~ ` € ar a 75 C CL .2 4) `~1 A U n. m! O U) U Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT St. Croix Sa~fet„~=anosuildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION SW4,NE4,Sec. 1,T29-R17, 250th St. 149071 Permit Holder's Name: ❑ City ❑ Village ❑KTown of: State Plan ID No.: Daniel Shmit Hammond S91-40058 CST BM Elev.: Insp. BM Elev.: Description: Parcel Tax No.: VZ) , Cz &D , 60 ,7 TANK INFORMATION ELEVATION DATA /27191 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 3 , O ' Dosing GcJ ~S-~. _ r, 3-03. /d3, 1.33 Bldg. Sewer Holding St/W Inlet 1z'4 ~ S~lLO -zo' ' TANK SETBACK INFORMATION St/tW Outlet 1-2..59 r TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet Septic > 1 ? 11 ' } NA Dt Bottom 17,60' 4 $ ~D Dosing NA Header / Man. ?lily j ~ ~ v2 3 Aeration NA Dist. Pipe 4'.' 7 S' Holding a Bot. System PUMP / Pd INFORMATION = IZ' G = Final Grade Manufacturer Demand 0,9U -7 26 .7,5 Model Number l I YA GPM ( k,,1 z0 ~d D~ TDH Lift q, ' System TDH , (Ft OSS Forcemain Length Ua Dia. H Dist. To Well LJ SOIL ABSORPTION SYSTEM ~jy-~~ t. llfJ y CY . BED/TRENCH Width Length r No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIME SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Tilaraufacturer: SETBACK INFORMATION Type Of CHAMBER Mode Number: System: c2~ -q~/C OR UNIT DISTRIBUTION SYSTEM . an told Distribution Pipe(s)r Hole Size,, x Hole Spacing Vent To Air Intake Length 2kz Dia Length Dia. Spacing ( / ~Q y v SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over i, Depth Over u Q,r xx Depth Of , f xx Seeded xx Mulched Bed / T4erK-h Center 8 Bed/ frewh Edges - '0 Topsoil ~o es ❑ No es ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) V i.f ^ c ~ . _ ~ ~ip-i ~~jC.C t--.t ~ ~C.~_~ ..-I ~'t~7~~ . ICJ CYl ✓ ,.'..-E:' C-ciG a;7 ~~L CC,~ ~ ~ - vvvl ' /T~~' F1G"~C/Y4,. ~ CC. ,ri•~~ ' ~d.-4- ~ Ln; ~ <-r ' • _ .4. i _CtiT r 7 "J a 9/6,-' Plan revision required? ❑ Yes El-No Use other side for additional information. a "1 ~A 411 SBD-6710 (R 05/91) Date Inspector's Signatu a Cert. No. Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER f y= TOWNSHIP s rre SEC. / T N-R,/ /W ADDRESS'„ fl~J7 l~ ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR.83 SHOW EVERYTHING WITHIN 100 FEF1T OF SYSTEM i i 1-IE~_, lid BENCHMARK:. Describe the vertical reference point used `00, Cc; lc ? oew Elevation of vertical reference point.: 0,& Proposed slope at site: S~v SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: < Tank manhole cover elevation: L•; Tank Inlet Elevation: 0 Tank Outlet Elevation: Number of feet from nearest Road: Front,G_ftde,O Rear, O '>7 feet From nearest-property line Front, OSide,ORear, O feet Number of feet from: well building:e (Include this information of the above;:plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER pp~~ Manufacturer: 2-e KS' Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O0 Ft. 7 Number of feet from well: Number of feet from building:_ (Include distances on plot plan). SOIL ABSORPTION SYSTEM j Bed: ✓ Trench: Width: Lenith: C 3 Number of Lines: Area Built:_32_L_ .Fill depth to top of pipe: 0 Number of feet from nearest property line: Front, ✓&Side, O Rear, 0 Ft Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT' Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: ^ Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer-.---------- Inspector: Dated: Plumber on job: ~<x~1'~/~~ r; License Number: 3/84:mj 4 ~ILHR SANITARY PERMIT APPLICATION UNn In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERM I~ # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 /1,51f 8% x 11 inches in size. re is on to(previous application -See reverse side for instructions for completing this application. STATE LAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. G( PROPERTY OWNER PROPERTY LOCATION S TZ9, N, R / 7 #(or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # FeZ y), C<2 /fly /1~ CITY, STA E ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER . i~ eve`✓~ lei, S~/noZ 71 60` -Za II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE NEAREST ROAD • ❑ Public O 1 or 2 Fam. Dwelling-#~ of bedrooms--? PAR EL TAX NUMBER ) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPPE1 OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.101 New 2.E] Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5-E] 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 JM Mound 30 ❑ 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 Z/_50 _375 7 6Q ~7 `1 !~~IZ - j Feet Feet VII. TANK CAPACITY Site in gallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank Oct 0 Ck'>O ( S Lift Pump Tank/Si hon Chamber on 00 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 Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: t ✓u So1~l, f" f 7/S Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Iss ' g Agent Signa re o stamps) Approved ❑ Owner Given Initial Surcharge Fee) ((((~~~T Adverse Determination -<-ql 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 l APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office.. with the appropriate deed recording. Owner of property _moo "7 Location of property X1/4 /t4r 1/4, Section , T &I-R/ 7 W Township Mailing address YZZ W'(10V ~ Iq h edz Address of site Subdivision name _ Lot number Previous owner of property Total size of parcel Date parcel was created I Are all corners and lot lines identifiable? _ Z Yes No Is this property being developed for resale (spec house)? Yes No Volume and Page Number 3~-)9 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. 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) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. ~S,2 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the linty Regis} of eels, a _D4sumen No. ) I c G~ Sig ure of Own Signature o Co-Owner (If Applicable) 3- 3- Date of Signature Date of Signature rrH'' 4 4 H ' 9 ST C- 105 r r SEPTIC TANK MAINTENANCE AGREEMENT H 0 St. Croix County z OWNER/BUYER ~1 1 9 ROUTE/BOX NUMBER Fire Number ~Z CITY/STATE 15~~~~c>i'~ Gc~; 7.IP StwDz_ PROPERTY LOCATION: Section , T N, R / 7 W, Town of St. Croix County, Subdivision ///~y Lot number 1 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 septic tank pumper. What you put into i the system can affect the function of ttie septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, 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 new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper ve.ri- 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 0 I/WE, the undersigned, have read the above requirements and agree z to maintain,..the.private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the threet exp rat on dat . I SIGNED un•rE St. Croix County Zoning Office P.O. Box. 98• Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign,,date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RtLATIONS MADISON, WI 53707 (H63.090) & Chapter 145.045) ~CA ~I ,/i1SECTIO~TZIN/R (or gOWNSHIP/MUNICIPALIT LO~N9 - BLK. NO ]SUBDIVISION ME: COU TY: /V OWN///E R'S 'BUYER'S NAME: D DRESS: / J C?r" S hl USE DATES OBSERVATIONS MADE NO.BEDRMS:: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ERCOLATION TESTS: Ix Residence ? New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system / r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (notional) asou s❑u as u asOu ❑sOu If Percolation Tests are NOT required DESIGN RATE: / I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: /v XFloodplain, indicate Floodplain elevation: / PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWAT R-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH tht ELEVATION OBSERVED E T. HI HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) , B / ~~/J • 173 / d % 11 /Vl7~iC c2-71 1q" '7~ p/Sl I , ' Der!sC r • B- 7- 13,97 0/27" p 7 / 25", 7 of Z7 - B- 3 3!7 .J ! m t! at ~ i?1c B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCW69' AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD 3 PERINCH P_ 1 : p' P- 2- 210" ne 2 sue' s P 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. SYSTEM ELEVATION g tp { ( g i } 7 ( I • E i E . TH t I 3 ~ w 3 1 ( i ~ 3 P 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. NAME (print : TESTS WERE COMPLETED ON: > ? ADDRESS: yy-- CERTIFICATION NUMBER: PHONE NUMBER (optional): 72' 5~k CST SIS NATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - rf r, +r Page Of q Straw, Marsh Hay, Or Synthetic Coveribg Distribution Pipe Madiam Sand Topsoil _ _ G $ E b . AG% SEW u ONSITE Slope • tt Bed Of 2 % Force o in Plowed ~ct~' 2 z , M C 6o O Aggregate From Pump, Layer ED ~ AN •R~~pS10iJS OR A S D /,0 r lA8 p p1~1G F ~NpUOFRSA~ ss Section Of A Mound System Using E D~QARZM V1StOR F j75' ~NaENCE A Bed For The Absorption Area SEE ERR G It O w A Ft. H _ Signed Ft .License Number: I fn rs) - sL Ft; Date: J 71 Ft. K/_-_ Ft. Alternate Position L Ft. of Force Main W Zy-D G i=t . 4 0 Observation Pipe'-, K . TAT... T~.~ - - - - - - - - - - - - - - - - - W (o -j-------- Force Main _ From Pump Distribution Bed Of Pipe z Aggregvte Observation Pipe Permanent Mprkers Plan View -Of Mound Using A Bed For The Absorption .Areo tSi. JE Rage .i? Ofl~ lfi 7af + r I r / ,X Perforated Pie Detail t ~ t ,v ,t,r , it En Vlew , Perforated f nd Gafx PYc Ptbe J{} *I ~y~A~`., / HQlpa,~G4t~d Qn BottOrn, Igrf.fally 8p04 r I PVC'Forc4 Maln 1 { ' ~ ,y, lS Y • 'r 1 ' ' i X;, PyC ss 1 s Mpnlfoid {~,pe ,i\d , e} A~tprno!4 Polltlon 4t< }Qtsir,put on Forp~'>vtaf~ PIP9 f , LoFt; t}a~A &hRuio ee Nast Tg ~'nO Cop I ' Eri~ Cpp R! 's Pipe layout P R ~1 + r .X ` ' Z7 T n V. • ~ 1e Oiam1'tsr IBch ratf?ra) " / Itic.h(es) r r Manifold n finches at.4 F`Qrce h zncheS. t # of' h0 /pipe t3 RE1~A~1 #SSTRY ~pRN OARTME~1 r OF SA + RpENG'~ ~ , SEE (`,ORRE + • PAGE `3 OF L. PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' VEWT CAP 4'*C.I. VENT PIPC WEATHER PROOF APPROVED LOGKIhIG JUWCTIOAI BOX MAWHOLE COVER 25' FROM DOOR, 12"MIU. WINDOW OR FRESH AIR INTAKE ILL GRADE I LL7e ( ' MI I J. CONDUIT 18"MIN. • INLET ,~;:ONSITESEWAG'E nPROVIDE I - - - j C~ TIGHT SEAL I III - APPROVED JOItuT A I I I APPROVED JOl►J1 cm,10'a I III W/C.I, PIPE W/C.I. PIPE ML VED EXTE01MC, 3' CXTCPJDIN6 3' Ato RELAT10NS I I I ALARM pNTOWSOL D fi01t 01170 60L10 SOIL i 11 a 4NDLiSTRY, LABQR ( I N S PARStJ1ENT ' N ~ I I oW C ''I I L L E V. FT.-- SEE CpR pONOENCE PUMP OFF D COMCKETE BLOCK 3" APPRO K15ER EXIT PERMITTED GWL'J IF TANK MANUFACTURER HAS SUCH APPROVAL. 6E001NE SEPTIC E SPEGIFICATIOUS - /1 0 8 DOSE /de- TAWKS MA►JUFACTURER: IJUMBER OF DOSES: PER DAy TAWK Sac:-Zoo GALLOWS DOSE VOLUME C, 2 ALARM MAUUFACTURER: INCLUDING OACKFLOW: f J'~'J GALLONS MODEL WUMBER: CAPACITIES: A=, 7 INCHCS 0lk'I f GALL ON5 SWITCH TYPE: P_r Cesar )V g c Z INCHES Olt-3'1'0 G(LLOW5 PUMP MANUFACTURER: IIJCHE5 OR/ 3i3 GALL0W5 MODEL NUMBER: D=_L=INCHES OR ,Z GALLONS SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO OE MIWIMUM DISCHARGE RAT GPM IN5TALLED OW SEPARATE CIRCUITS c~,F Z SPti'4"UlI4►~ 7 VERTICAL DIFFEKEWCE OETWEEU PUMP OFF Au OISTR BUTIO PIPE.. FEET ♦ M++IW,IIMUM WETWORK SUPPLY PRC$SURE , , , , , . . , , , , 2.5 FCET ♦ 1S+L FEET OF FORCE MAIN X - r F~UFT.FRICTI0kj FACTOR.. "57 FEET TOTAL D%JUAMIC. HEAD FEET IMTERAIAL DIMEWSIOWt OF TAWK: LEWGTH 7 ;WIDTH ..,;LIQUID DEPTH z1 = SIGMED: A y~~~crrr~ LICEhISE WurleER: ~~l_ 3 DATE: Performance er`sible Effluent Curves Pumps ~ y METERS FEET ~I 90 25 0 SI~EE% 1/4" Solids p WE15-1 70 Z 20 WE10H J 60 1 ° WE07H 15 50 WE05H 40 I - - - - 10 !03 M 20 WE03L 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 1 1 i ~ 0 10 20 30 m'/h CAPACITY 891 X- 4 Q Q 5 8 [qGOULDS PUMPS. INC. 58,C-a FALLS NEW YOWL 13149 METERS FEET 120 MODEL 3885 35 110 WE15HH SIZE 3/4n Solids r. ~ 100 0 . 30 m 90 25• v- . m p "5 70 X 20 o 60 50 WEOSHH 15 40 . 1 10 I J 30 I~ 20 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM • 0 10 20 30 m'/h 01985 CAPACITY Goulds Pumps. Inc. Effective July, 1985 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING: INDU5TRY, , A DIVISION LABOR AN P 0. BOX 7 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON, WI 370 (H63.09(1) & Chapter 145.045) L~04CAT10~q / SEC 0~ /D ~j (or W TOWNSHIP/MUNICIPAL : LOT Nq,:BLK~~r:SUBDIVIMME: ...77 ~ I Tl / ~ I1 1111 COU TY: OWNER'S /BUYER'S NAME: MAILING ADDRESS: 21 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE P I S,: PERCOLATION TESTS: _ 0' o :Residence - New ❑Replace I //J _ 11-20 /S,1-4 . RATING: S= Site suitable for system U- Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM.-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(op Tonal) DS,©U S❑U ❑S vu 1EISOU1 ❑S®U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the /G under s.H63.09(5)(b), indicate: x,1/1 I Floodplain, indicate Floodplain elevation: AW PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND.DEPTH NUMBER DEPTH I.N, ELEVATION OBSERVED EST. HIGHEST-- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) In o7L B- 11 .1 1 x/m, e" ','77" e / ' 17~' Irlz. /77/,72 H "not Af B- 0-t 27 Z,'A4 7 A0_-/' A e16 2a-L/ B- B- B- ,t PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IN"SS- AFTERSWELLING INTERVAL-MIN. PERIOD P R D PER INCH P_ 1-7 P- 3 2 s~ s v„ Q 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 hor 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 percer of land slope. SYSTEM ELEVATION 3 i , I I i. • ' i i i 1 Illj t I 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 TESTS WERE COMPLETED O/N~: ADDRESS: i Z~_ CERTIFICATION NUMBER: PHONE NUMBER (optional) : S~ NA/URE: ' CST 1. T~/•/~•✓``~ I DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 IR, 02/82) - OVER - A °rH~ P2cP;cs~P vuCur LecAricxi m;;s►- 3E £ 25 Ft. M Mtn M-V, FKCOA T WC, TIWKS i PG~S ONS it 00 n o of , Q `S~QN ES ND $~ti K ~ o ~ 7 a N O o u d. .o ~ - ~ h D o 0 1 -40®58 o Z -AP-1--A 25 Ft:. Bet-ow 'C'strz 'Pmt''-L. S 'fit: of= THL Mavtlt> Q V v CI Ir h v 0 . N o h v~ DO N M Cs v A s o s, ' cr a -c 0 A A IS, ~1 b b C1 "h ca IL ' ~S < St ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Mar. 4, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Dan Schmidt property, located at the SW 1/4 of the NE 1/4 of Section 1, T29N-R17W, Town of Hammond St. Croix County, revealed suitable soils at a depth of 27 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. Sincerely, Thomas C. Nelson Zoning Administrator cj