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Parcel 020-1261-10-000 02/10/2006 12:46 PM
PAGE 1 OF 1
Alt. Parcel 21.29.19.1263 020 - TOWN OF HUDSON
Current X' ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - GRESMER, JEFFREY E
JEFFREY E GRESMER C - GRESMER CYNTHIA P BURAK-
GRESMER CYNTHIA P BURAK-
553 STAGECOACH TR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 553 STAGECOACH TR
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 3.636 Plat: 2355-PRAIRIE VISTA 2ND
SEC 21 T29N R19W NW SE LOT 24 PRAIRIE Block/Condo Bldg: LOT 24
VISTA 2ND ADDITION TOWN HUDSON
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
21-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/21/1998 587425 1358/395 WD
07/23/1997 902/72
07/23/1997 /134
07/23/1997 /110
more...
2005 SUMMARY Bill M Fair Market Value: Assessed with:
93085 299,700
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.636 81,500 224,200 305,700 NO 05
I
Totals for 2005: II
General Property 3.636 81,500 224,200 305,700
Woodland 0.000 0 0
Totals for 2004:
General Property 3.636 38,200 170,000 208,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 223
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
FORM - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER ,~u,vc~•~l vi- ~~/TI1 y l/~~ TOWNSHIPS
SECTION ' y' T_g'9' _N-R_ If W
ADDRESS 5`S3 ,di`r'e- f•~ ST. CROIX COUNTY, WISCONSIN
7
SUBDIVISION- /YYa f~ ~~i Ta LOT LOT SIZES Gtrc-~t9
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~s 4
3
1 w
V~O
~ o .
i
INDICATE NORTH ARROW
BENCHMARK: Elevation and description: 5&44 ° -r
Alternate benchmark 16)01L-Ae
SEPTIC TANK: Manuf acturer : jj jd D~,,~=~ quid Cap.
T -
Rings used:__C)Manhole cover elev: Final grade elev:
Tank inlet elev.: Tank outlet elev.:
No. of feet from nearest road:Front X , Side , Rear Ft.
From nearest prop. line:Front-AK, Side, Rear Ft...
No. of feet from: Well Building: --2:K`
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufact.: Pump Size
Elevation of inlet: Bottom of tank elevation
Pump on elev.: Pump off elev.: Gallons/cycle:
Alarm: Man.: Switch Type: Location
Distance from nearest prop. line: Front_, Side_, Rear-Ft.
Distance from: Well Building
SOIL ABSORPTION SYSTEM
Bed:_ x Trench: Seepage Pit:
Width:-4;2 Length 3 2 Number of Lines:__-Z_Area Built4'e"5'
Exist. Grade Elev. Proposed Final Grade Elev. S'¢ 4t--c_
Fill depth to top of pipe: ,5G1 `
No. feet from nearest prop. line:Front AC, Side Rear Ft.
No. feet from well: 16,,f feet from building ~S
HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front , Side , Rear Ft.
No. feet from: Well , building , nearest road
Alarm Manufacturer:
INSPECTOR:
DATE: PLUMBER ON JOB: LICENSE NUMBER: 6/90:cj
County:
Wisconsin Mpartmentof Industry, PRIVATE SEWAGE SYSTEM nty:
labor and Human Relations INSPECTION REPORT St. Croix
~iafety anti Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERALINFORMATION NW4,SE4,Sec. 21,T29-R19,Lot 24 149069
Permit Holder's Name: ❑ City ❑ Village K] Town of: State Plan ID No.:
Randy & Kathy Yule Hudson
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
20-1261-10
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Benchmark
Septic (Y1 ~ D rS
b
Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
ventto Inlet
TANK TO P/L WELL BLDG. Airlntake ROAD Dt
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 rDia. Dist- To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING manufacturer:
SETBACK CHAMBER
INFORMATION Type O Model Number:
System: OR UNIT
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 Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) 2
q
3
7 l~ 2- 1A -1 El I I I
\ Plan revision required? C] Yes C] No
se other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
- SANITARY PERMIT APPLICATION - Co~N 1
DILHR In accord with ILHR 83.05, Wis. Adm. Code
~wN ° sw,w.,~w,vo
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ~Z~j
8% x 11 inches in size. ❑ Ch i#revision co pre ous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
{ ~'/4-r4 '/4, S o? T O, , N, R 1pr E (or
PROPERTY OW ER'S MAILING A DRE S/ LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: (Check one) INEAREST ROAD
❑ State Owned ❑ VILLAGE: ~-aLB
❑ Public P1 or 2 Fam. Dwelling-# of bedrooms PARCEL TA N MB ( )
~.Z lP l D
III. BUILDING USE: (If building type is public, check all that apply) aL
1 ❑ ApVCondo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 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 4.0 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 ❑ 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
,1 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Q ELEVATION
, / S 2 t 72 6V Feet • ~ Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsits sewage system show on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number:
ill 3? 3~'c ~l2 e
Plumber's Address (Street, City, State, Zip Code):
4 zl~ So P ` YO!
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue ing Agent Signature (No Sta ps
- Surcharge Fee)
Approved El Owner Given Initial ?!!P/
Adverse Determination I 167
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 ( rmerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
1
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
Location of Yropert j~~ 144'5wlq Section , T~N-R~ W
Township DAIS On
?tailing Address J-S 9 QGlaP1uA 14Lf 2o
/U w_o T0 1 2)61-
Address Address of Site
Subdivision Name Pra St0i
Lot Number
42
Previous Owner of Property jje_rjt~ii _j 20 i
Total Size of Parcel 3, 4q~~rcam
Date Parcel vas Created I K(O
Are all corners and lot lines identifiable? / Yes No
Is this property being developed for resale (spec house) ? Yes _ No
Volume, and Page Number -7 a 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (We) eenti.6y that att atatements on this ortm cite trtue to the best o6 my (ours)
know.tedge; that I (we) am ( arse) the owner (a f o6 the pnopehty des embed in this
.in6o&mation 6o4m, by vi tue o6 a waAAanty deed 4eeo4ded in the 066ice o6 the
County Regi4teh. o6 Deus as Voeument No. ; and that I (We) prteaentty
own the proposed site bon the sewage dispoa system (on I (we) have obtained an
easement, to nun with the above deA cA i.bed ptopen ty, bon the eonstrtuction o6 said
6yztem, and the same has been duty keco&ded in the 066.ice o6 the County Register o6
Deeds, as Voaument No.
SIGNATURE Oif E SIGNAT F -OWNER (IF APPLICABLE)
71
DATE SIGNED DATE SIGNED
a.
I
iI ~ II
, I~~ THIS SPACE RESERVED FOR RECORDING DATA
DOCUMENT No. ESTATE BAR OF WISCONSIN FORM 1-1982
WARRANTY DEED
46925"7 902PAGE i REGISTER'S OFFICE
a,
E. and
d- an d wif ST. CROIX CO., WI
made between -
Deed,
This
Catherine A. Benoy, husban y _ I ReC'd for Record
- - -
t
- - . , n o r,
Gra 9:20 A. M
- - - II at r,~
-
and Randy---J.---and--Kathy J. Yule, husband•_and_ I 4.
wife as -survivorship marital property,--- I!W'
j ReoWer of Deeds
- Grantee, II
-
Witnesseth, That the said Grantor, for a valuable consideration.---.- II'
of one dollar and other valuable consideration _
-RETURN To
conveys to Grantee the following described real estate in St. Crolx_ -11
County, State of Wisconsin:
Tax Parcel No:
I
Lot 24, Prairie Vista Second Addition to the Town
of Hudson, St. Croix County, further described as:
being located in the NW 4 of SE4 and SW 4 of SE 4 of
Section 21, Town 29 North, Range 19 West, Town
of Hudson, St. Croix County, Wisconsin.
B NSF
i
ii
is--not homestead property.
This
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
Verl n E. and Catherine A. enoy.
And--------------y------ ------•B
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, restrictions, and covenants of record, if any,
and will warrant and defend the same. 0 4h
Dated this - - - day of
-
I' Y _
(SEAL) (SEAL)
* _._Ve .lyn_E..•..Henoy
(SEAL)
(SEAL)
Benoy
* Catherine A.
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) erl n__ E_..__Benoy_ and____ STATE OF WISCONSIN
of V _ _y___
Catherine A Benoy ss
p County.
auth d is 10+hday 19~~- Personally came before me this day of
1 19----- the above named
-
* Robert--F'---Wall-----
TITLE : MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Robert F. Wall
WALL--&-.-MILLER--
x,22 Secnna Street
S'rC-105 r
;v
SEPTLC TANK MAINTLISIANCL AGREEMENT
St. Croix l:uunty
o
Y
W N: 1: / !i U Y L•' tt _ . Ql_T : _`~~A.•~... _ rn
ROUTE/ BOX NUMBGIt j /7itr~L 2> Fire Nu~nhcr - - I
1110;t'ERTY LUCATION:N__,40_1411ASEYItied Loi► I ► .I---N' K W
't'own of St. Cruix CuunLy,
taut it umber
improper use and maintenance of your septic system could rusult in I
1LS premature"lailure to hai,dle wastes. Proper maintenance con-
siscs of pumpi►tg out the septic tank every three years or soutier,
it needed, by a licensed suit ic_ tank pointer. What you put into
the System can at`1rCt the fUnctlUll of Lite septic tank as a treat -
Mclir Stage in Lite waste disposal system.
St. Ctuix County residents ntay- ho eligible to receive a ?;rune ►ur
it maximum of 60% ut the cost of replacement of u failing system,
which was ilk uperatinn prior to .luly 1, 1978. St. Cruix County
,lcculiLed this prograw ill August of 1980, with the requirement that
owner:; of all new sCeu►S agree to keep their Systems properly
The property owner agrees to submit to St. Croix County Zoning a
curr iiicatiutt turn, sighed by the owner and by a waster plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
€yiug that (.1.) rite ou-site wastewater disposal system'is in Pruper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic tank is less than 1/3 lull of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. o
fNE, the undersigned, have read the above requirements and agree u,
r.u maintain the private sewage disposal system in accordance with M
Lhe standards sec forth, herein, as set by the Wisconsin Depart-
meat of Natural Resources. Curtificatiuu form must be completed
and returned to the St. Croix County Zoning Offl,ce within 30 -days
of the three year expiration date. y
C
SIGNED G
DATE_--- 3 =i-
St C .•o ix County Zoning Office
.
1' . 0. - o o x 95,
llamino'jtd, WI 54015
715-7 r6-2239 or 715-425-8363
Sign, date and return to above address.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
UA ANa PERCOLATION TESTS (115) P.O. BOX 7969
3707
HUMAN RELATIONS MADISON, WI 53707
(ILHR 83.090) & Chapter 145) '-~S3 LANs
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
vi 1/ SE_ 1/ Do /T29 N/Ri9 E (or)W /vim Sony 2Ll RAI V/. r-A
COUNTY: OWNER'S BUYER'S NAME: MAILING DRESS:
Y l~ >9r~Y Ss3 t A L~'Jl` ,~c)dsoNLJ) S4oi{~
ST C~alx YULE- Ar
USE DATES OBSERVATIONS MADE
INO.BEDRMSICOMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS:
Residence l,N ANew ❑Replace ri / IVA I 199
U _:S':Y,L1, vYJ C; 1 I L S 14 - /LLO i
RATING: S= Site suitable for system U= Site unsuitable for system ~
C N ENTIONAL: MOUND: IN-GROUND-PRESSURE: NYSTEM-1N-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
S❑U S❑U "SOU SOU DS U Nv'C T/ Aj,a~vsTCh~
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the A
under s. ILHR 83.09(5)(b), indicate: t 455 / Floodplain, indicate Floodplain elevation: /V/A
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.)
Z" 'n/ 5 ' Zir~s,F~.E
, In E06 RQ
B- 1 7, 5 O 91, 7 Nr `7 501 e ",LSZG! 20 ~&A
B- ;Z 6,6 7 /00,/0 A/ 617 /y"&_t TS / 't4 Ak y l3RN/YIS ~G~ rcob 6e Z,,~IZDAIE
,Q "Al B- 8, W, 03 "NJ x,17 [ 1-5 / 15 _r441" Z/ " RAB d M_, Peeb 3Ze
U -,ZMo r
B- /000 99, 73 )OV6 /0' 00 Yb T_-' 3Z •BeNI :,G. C4ri''~ 1EI PM " - ,eN - C S f~be
/0 36 NoA16 ~',d ~ 3"~SLCTS % 'igovt Z(v~~~OBenS ~Ge /6" B~,v'ms Linsskme
LB-_i
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER D PER INCH
P_ 1 3,ZQ 140 NE 99,30 10/ %z /Z 7
P- 'Z 3-S O N' /00, 0 l0 /Z. ,L
Z 7-
P- A1061 L /00./V 0 Z
P_ leVA71 tj AT 11'.r
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.
~aNf
SYSTEM ELEVATION 9&. so
s
I/`?AkK I i.zotJ
v+l ~t5 Kf-c'mMEt~bS. h F 4 PJ L o d
fi
- _
1 ~~HU~%G 5~rs~~ !h Rs Ffi Grp z~ Co~n~ 2
P3
izp~
IOC
E 3
Z 7
_ F r
Lok
E
3
.
I 6
• S
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedur s 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 elief.
NAME,(plint): TESTS WERE COMPLETED ON:
NAME (p Jc'Ht561,~ '(oIjNSC)n/ SUr_\JEyIN(r -511191
ADDRE~► CERTIFICA ION NUMBER: PHONE NUMBER (optional):
f/0. So X 9 -lu~)~50n1 ~l1 S yvi 34814 3e& - 41090
CST SI ATURE:
06-
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
q~t/~ pt ~,Ec ~ N S F 2 R ~ C 4
40op? P
« sr
&
4
if big
r~ ` ` . r 4~n"'" 9G o.
DEPARTMENT OF REPORT ON SOIL BORINGS AND . SAFETY & BUILDINGS
I ~aFiLi3'1-F~i', DIVISION
P.O. BOX 76
LABOR ANT) PERCOLATION TESTS (115) MADISO
N WI 53707
HUMAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
LOCATION: , SECTION: T p r W OWN HIP LOTW0.: BLK. NO.: S pDIVISSION NE:
r 7~IC, I ST/V
NZ Z1 /1 1 /,9L (or 1) z4
COUNTY: OWNER' YER'S NAME: MAILIN ADDRESS:
1
~a L L
ci- C
USE DATES OBSERV TIONS MADE
PER O ATION TESTS:
N0. BEDRMS.: COMMERCIAL DESCRIPTION: PRO IL DES RIPTIONS.
New =Replace
KIResidence UNK PRO II
MAY
,s' 4 St Sons T'Ird' P~
RATING: S= Site suitable for system U= Site unsuitableorsystem
YSTEM-IN~FILLHO❑LDING Ed ED JOB SYSTEM-(Rtl)
CMOUN S• 11U IN-GR1.0ND-PRESSURESEA: S f 7JS
~I(jjp~~( jlj SS UU UU SS ~u1
DE
wired If an portion of the tested area is in the ~A
F ercolation Tests are NOT re IGN RATE:
er s. ILHR 83.09(5)1b), ind4ate: iv Ld55 I Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH"ll. ELEVATION OBSERVED - EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 1 17-5-6 9~ I 146,%j Lr 7. S-O A lkc rs zo 44 52'& M S44k 47cal g c, z
B- Z 6.67 Ob. I D o .6 7 t4 ""BELTS l~"8aN 4 +$a M S ~ce~cbb 1-+kr~ro►.,
~ MTS
B- 3 '6,1-7 00.03 1\16NE (7 ,7' Lcr.S13"9taL /s L.-r A!S z,'R~8 3z"r&'Pa &
'04t 08'r
B-4 10-00 ~.1$ Non1E lo-00 gOBct-rs 32'$e~l 8 <<~ ra h a1rJ_ 46P,
B 5 >~.00 lOO 3~ I~aN .OV 3"~L~rs i L zek 5 ,~c ! ~ da
B-
C PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD l P RI D2 PERI D PER INCH
P_ I 20 No 91.1t, !O i L 1
P -L 150 Nor 11 too-00 /"/-Z- 7
P- 3.60 Now - 11 _ IDO.1b 16 Z 'Z Z
P. -
P_" Elf Tlb)J A-r E~
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. LANLr
SYSTEM ELEVATION ~.S-o
7-1
S ' W-,g 11114kk- l ~l+~ou
o ~
_ N ~ ~ ~ z1 ` ~ Ca2N~ee
~fCs_ ~YS.-rrn. __AS Sour
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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 COMPLE ED N:
1448 * J~ .Jola~so~, Sv>,ev~v,N 5 4l
AD ESS: CERTIFICATION NU BE • PHONE BER(optional):
,Box 3AZ4 CST S ATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
DEPARTMENT OF REPORT ON SOIL BORINGS AND . SAFETY & BUILDINGS
IN JSiR'4, 1 1 DIVISION
P.O. BOX 76
LABOR AN'D PERCOLATION TESTS (115) MADISON WI 3707
HUMAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: OWN HIP LOT NO.: BLK. NO.7ANA/Ru, DIVISION NAME:
'/'5 IF '/a 21 /T29 /9E(or W /vS6 N z4 ESTA
COUNTY: OWNER' YER'S NAME: MAILING ADDRESS:
S~- CQa k ` L L
USE DATES OBSERVATIONS MADE
NO. BEDRMS : COMMERCIAL DESCRIPTION: PR IL D CRIPTIONS: PER A N TESTS:
Residence UNK New ❑Replace 1AR1 LMAY )Ls RATING: S= Site suitable for system U= Site unsuitable or system
CON ENTIAL. MO UN J~~ I❑ULHO~LDING TA K: RE OwDED SYSTEM:( l)
lJ
If Percolation Tests are e NOT required IDEiIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: LdsS I Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH "t ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- / 99 1/0 7. S76 &'<S 7Z'e L S Z'8q M S 44 c" $ L„
B- 2 6.67 pp.I0 0 6.67 A"BLLTS !L~'BQ>v ` 8 $Q/vMS ~~e-~cb6 $Q L~~trsia►.
B-3 '6, 1'7 00.03 NONE F. r-7 ,-7'&LLTS13°8fWLISL.TB MSZ►'R~B,,P►s~cs ~"YBQ~~ge
B- 4 10-06 99 .7% NONE /0.00 g08~LTS 32"3e.,1 8 Cl- r 4o NM-C ~G~2
B-rj >~,00 I0o•3~ I~ON~ .Ob 3~~&z-rS J L 26~~d S~G~e $Q
B-
C PERCOLATION TESTS
TEST DEPTH WATER IN HO.IE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D2 PERT D3 PER INCH
P- I 20 No 91.1c, /0 / z z-
P- z 3.s0 N0 r 100.00 / z Z -7
P_ 3.bo r0o.lb 'L . 'Z
P -
P- ~I.tLf "FIOtJ A-C i
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. 1 RI~I~t
~ LbN~
SYSTEM ELEVATION ~.Sy
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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.
NAM"E,J`print): TESTS WERE COMPLE ED N:
Wlidd- ~6I~n/'sa~ JONNSa~ Sv>Q~~YJ>\J 5 41
AD ESS: ~Ox Vuhso)Q ~I S 4 61 CERTIFIC Fj4? NU BE A: I PHONE N OM R(optional):
CST S 3ATURE: jJC06
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-8395 (R. 10/83) - OVER -