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HomeMy WebLinkAbout030-1026-40-100 S -0 O° M " p °v3 ti ' I r. I 0 N I 0 ~I I ~ I ti II ~ I o z c _ LL c LL C o I Q I 3 M a ° 3 w z E rn i' O v N d m o I c z ° v o z v I o i in Fz- c E -21 ° 2 M N O O O N c N O O z w Z .Q z co N d m M E O N ~i N to wi a 'A aci c co CO L N g °O O D O IL L N Z w ° ° Z M > - N 10 o O O O z ° •N is "t a m m m CL g to J U o rn rn -100 ~1 o Q~V N to c O = rn L N 0 ° m m_ a N N 'p N Q CI} t0 O O O_ C ' ~ H C .v O 3 r O ~ O W O c0 O 3 a) o V 1- co N C U) a- O O y fr l`/, O N O 'q E C m N C N E N Lo o oi cn ~ N O 75 N ~ ° o ° N M O O IN a) N N (9 E U C~ ~ y ) a 3 ~t _a u a w ~w• C~ O. 01 V d O i`v 3 O £ U C 0 A U d2 O N U i • r r Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: LaVor'and Inman Relations St. Croix Safety and Buildings Division INSPECTION REPORT Lot 3 (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION NW1,SW4,Sec. 6,T29-R19, 115th Ave. 149200 Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.: Sam Miller St. Joseph CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 104E 10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /•c~~P~r ,,D 2 4, Benchmark Dosi ng Aeration Bldg. Sewer / 09 Holding St/Ht Inlet 6. -6 TANK SETBACK INFORMATION St/ Ht Outlet 9 ell 7,57 TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom NA Headers g r Dosing Aeration NA Dist. Pipe r , Holding Bot. System ,0 PUMP/ SIPHON INFORMATION Final Grade 29, 0/ Manufacturer Demand Mo Number GPM TDH Lift Lrictio System TDH Ft oss Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION N I N LEACHING Manufacturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type O Crs'1) _ CHAMBER Mo Num er. System: ,,,4 OR UNIT ~ OS~ ~70 DISTRIBUTION SYSTEM Header /.QAah64e4d Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length __L_L 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 25CJ - o Bed /Trench Edges Topsoil C] Yes ❑ No E] Yes E] No COMMENTS: (Include code discrepancies, perso s present, etc.) ,rte ~-C 112 ,i 1 Plan revision required? ❑ Yes B_rt Eq- SBD-6710(R Use other side for additional information. S 05191) Date Inspector's Signature Cert. No. FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP5-t- .a s pk. SECTION_~TN-R W j ADDRESS o~( ?'Z-- ST. CROIX COUNTY, WISCONSIN ± XS r SUBDIVISION W. LOT LOT SIZE ~g I~ PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Krx. y o > Z6 /C- SySfdoli d S /f 110 P I" R D is sLL'~'/~= lU . Na 1..,5 v aSky~ INDICATE NORTH ARROW IF, B CHMARK:Elevation and description: To of / ~7 Id F/=/°Oo r,<<j, Alternate benchmark SEPTIC TANK: Manufacturer: k~ Liquid Cap. bow Rings used:_a.=Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: ~_Ft./y 3 No. of feet from nearest road:Front , Side , Rear,- From nearest prop. line:Front , Side, Rear Ft. No. of feet from: Well Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 'I PUMP CHAMBER J~ 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 4 Bed:,/ Trench: Seepage Pit: W t 'h / k , Length yd Number of Lines 3 Area Built 72 S~ r Exist] Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No.-.feet from nearest prop. line:Front Side X , Rear Ft./ 14 feet from well: No. feet from building ~OS TOLDING TANK ...JJ .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 PUMP CHAMBER Manufacturer:ev 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 I SOIL ABSORPTION SYSTEM Bed :4 fin . Trench: Seepage Pit: Wnr. Length w Number of Lines 3 Area Built -72 Exist Grade Elev. Proposed Final Grade Elev. Fill,depth to top of pipe: - r No. feet from nearest prop. line:Front Side X Rear Ft.~ 7 .'Nct. feet from well: l No. feet from building /OS / FOLDING TANK Manufacturer: Capacity: 4 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: .u LICENSE NUMBER: _ 6/90:cj ~J S' ~~2Sf 2 * i //IrW WODp 'P -f ~Q RiVOR IFOU . u>'-so, Foxe ~f/9~fr n • e 'sC i4,L6 ! loo ° 3 VEA)Tz rd x T~ ~,td ' AaT 8~K X33 /r-- F7 f I `L Zt' 3 ®3~! ~~t U M I '•L: ~i y ' 'M, as~w iA( Txt,L ~A3E g2, / ~yQ, 9 N R.~, M~ las.eo 83 93,io 8y 9Y G, ~ 93.za -3 C all qL.p . s/. q2.z 157 qa.d' .~7M~ [ SANITARY PERMIT APPLICATION CO Z UNTY _.'J DiLHR In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ N94 d in 8'f x 11 inches in size. check i revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPE TY LOCATION SQ ~i 1 ~Q.V /a 54,,1/4,S o T •Z`) , N, R I E 0069 PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ~y Z 3 m X _1 CITY, ST TE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER S©n Sc70 (la 3 V(lP z7<c 5 C,5 f4'f . 7 3 s-- 05C_0e NEAREST ROAD II. TYPE OF BUILDING: (Check one) 1:1 State Owned C-1 VILLAGE : _TA ❑ Public 121 or 2 Fam. Dwelling4 of bedrooms PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) /0 119 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 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 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. ❑ 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 130 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 T 5o ' 7-2-0 -7 Zt~ 0.4 Z S (o IM-'IS' Feet /O Feet VII. TANK CAPACITY Site in alIons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 000 i S Lift Pump Tank/Si hon 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 Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: Strop P x Z s 3z Plumber's Alddress (Street, City, State, Zip Code S o/ C'u 3 T- IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary ermit Fee (Includes Groundwater Date ue Issuin Agent Signature (No Stamps) errl Surcharge Fee) Approved ❑ Owner Given Initial / Adverse D t rmin tion 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 S T C - 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 sue,,, ~j,`/~dy Location of property_"1/4 5A-/l/4, Section 4P N-R Township Sf. Soz Q, 74 Mailing/ address _~aY zpZ, - ~4 s oin Ltl S ID //i Address of site S- ft A ya_ Subdivision name g-1 Lot no. other homes on property? yes X No Previous owner of property ~~usu r Total size of parcel _ y S5~ /~c a f s Date parcel was created 4- - Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)?-* Yes No Volume and Page Number Z z 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 & 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. 7 ZZ own the --------3~~ ► and that I (we) presently proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. q7 Z7, as 4S1aZtdu2r1e- of applicant Co-applicant 9► 2q-q j Date of Signature Date of Signature DOCUMENT No. jl WARRANTY DEED THIS SPACE RCf[RV(D •os RccDROI»o DATA l~ q STATE BAR ON WISCONSIN FORM 2-1982 4'72239 ~ REGISTER'S OFFIr- Edward R. }causer and Cool A. Hauser ugu ak~a..Cmrol A s a ST. „'ROIX CO., Wi c' i R„~ d for Record eouct;.: marl t _rr:wts toy F.. P1Llle. rigle. I oI 35~P M r a si rson II i ; RegFster of Deeek II n[11111 r0 St. Croix the foltoµln); described real estate in ...Count), - State of Wisconsin: Tax Parcel No:....... - A parcel of land located in the NW of SLk of Section 6-29-19 describc.•j as follows: Lots 2, 3 and 4 of Certified Survey Map filed July 22, 1991 in Vol. "81', Page 2380. Tovether with an easewnt for ingress and egress over the v6 foot access easement as shown on said Certified Cumey Map, r4aintenance of the Fasteriv 100 feet of raid acce.~s ea:7u:.tNnt s;Iali bf, prorated equally between the owner of Lots 1 and 4 of said (;e ti'':u- 1 K1-, , their heirs, successors and assigns. '11)e ownern of at 1 )f Certified 'purvey Map, their heirs, successors and assigns, stall be respon.rible exclusively for ` e re:lairdng pcr*.ion of said access easeiirnit. 10. ao is riot honrectrad (,rr t,r•rtc. (is) Ill not) f:xrePtion to warranties: east!:ient, vestr1cti,1n.-, ~utd I'ii }ltS-Of-Y i" Gf . _ ~0~;4sr / W da> of . I9aAu),ast l (S E A 1.) - _ -<shat.t :,i.ailrl E'•. E:'IUStr' t.='!;+'_ A. iiit..:~. f tSEAL) tSEA?) AUTHENTICATION ACKNOWLEDGMENT t uaturels) S1':\TI: OF WISWNSIN ~Y l pun'y'. autl:' nUcatrd this d&%. of. 19 I r r na,:y cause h.•for•• rue ti rs _ da% of I;t1--. :he al•oce nar;t'i TITIA' MEMBER T%TE RAR l)F 11I r'llti IN not, 1 If :ulti,•rvr•1i ! ;oolmo;, Wis. t..t=.) Q~ Io me know, i tcho CNOVattll the ( r ill i r it nd~ e tic Sarre. ;u. v; ~a Cr¢arsl a P• ` w \Ota".- him (tiiRrt:ltu-. n}:n hr :urthlntir:rtr•d or a1'kn wir+lcl•!. 1'-'li \l~' l',•nuui<"mror t tr• \ :Pre not r.•r•cr.:arc. t f• m,t• 'tat, e\t•:rttw'% rr date ,~~Q _ lq a i sNat- nl• p- .ns sreruns n •oy un.cttt sh-14 lM I.1-4 ur a•: u,l•d M4nr tM•ir .eRns:.. r~•. WARRANTY DEED XTATR BAR O! WISCONSIN w'grv.a~iR LwRA1 RMmk /'ef Ir•.y~ SEPTIC TANK MAINTENANCE AGREEt1ENT w St. Croix County OWNER/BUYER o aqt• ~ ROUTE/BOX NUMBER_.p z Jf Fire dumber - sY o i6 - CITY/STATE ZIP . PROPERTY LOCATION: Section T1-y N. R / T W LIB k', Town of St. Croix County, Subdivision C• y7e Lot number ! Opsystem could r enanceesult in Improper use and maintenance of your septic con- its premature failure to handle wastes sists of pumping out the septic tank every three years or sooner, if needed, by a licens•ed' 's'e t'ic tank um er. What you put into the system can a ect t e unct on o. t e septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents'-may be eligible to recieve P. grant for a maximum of 60% of the cost.of replacement of a failing system, whi.c 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 's't'ems agree to keep their system properly maintained. The property owner agrees to. submit to St. Croix County Zoning a `1 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- less than 1/3 essary), the sepc~illkbe is Certification form three year expiration. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as.set by the Wisconsin Depart- S ment of Natural Certification ~ and returned to the of the three year expiration date. SIGNED gzm= -hill ~ DATE N St. Croix County Zoning Office 911 4th St. Hudson, WI 54016. 386-4680 Sign, date and return to the above address. fT OF REPUK I UN WIL DUM11 1U, AVIV DIVISION'- D BOX 7969 AND PERCOLATION TESTS (115) MADISON, W1 53707 ~tEIWATIONS' (ILHR 83.09(1) & Chapter 145) ;OCATION: SECTION: TOWNSHIPp ITY: LOT IBLK. NO.: SUBDIVISION NAME: Sw ' 6 T29 N/1119 (or►W St. Jose h 3 n/a n/a (L /4 r) rv• OWNER'S NAME: MA LI AD D RS : LPL. Croix Edward Hauser 1616 Pinewood Lane, Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE E TS: NO. 3 BEDRMS : COMM R AL DES R PT ON: (New ❑Replace n/a IX_licsidence n/a 17-16-91 RATING: S= Site suitable for system U- Site unsuitable for system C0:`JEtVT10NAL: MOUND: IN-GROUNDPRES SURE: SYSTEM-IN•FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) I j_ ~ S ~U ®S ~U [S DU S S 9U conventional DESIGN RATE: If any portion of the tested area is in the colation Tests are NOT required .6 nu•:i s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 49 SIB BOitirdG TOTAL PTH TO GR UNDWATER•INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUr:4hi R DEPTH I ELEVATION pgSERV D EST. HIE HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 6.50 103.58 none >6.50 1.00bl.l. 1.00bn.sil. 3.50bn.l.s. &gr. bl. . bn.s. n.s. . 7.25 103.48 none >7.25 3.67bn.c.s. B-- - .75 less .75b1.1. .50bn. sil. w/occ,. mot. 5.92bn. 7.17 104.28 none, than 1.00 - .67 less 1.00bn.l. .67bn.wil. w/occ.mot. 5.50bn.l.s.&gr. B4 7,17 105.68 none 5 6.92 none 1.25 to .58b1.1. .67bn.sil. 1.67 bn.s.l. &gr.w/occ. mot. B-5 105.17 be removed sil.areas 4 00 n c s IB- if alt. a ea to b used top 1. 2' to be re oved & backfilled to code PERCOLATION TESTS 1 FIT DEPTH WATER IN HOLE TEST TIME DROP WATER LEVEL-INCHES RATE MINUTES PER INCH NI INCHES AFTER SWELLING INTERVAL-MIN. 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- zoni_ end vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent +,i liral slope. 100.48 101.28 for alt. area S\W SYSTEM ELEVATION ~ I 4z 5,- I, 10 _ ~y7 ~o~S _ F t T, S 60, r~ i . ' - _ I 1 i V/ r + r_.T_ ~ ~ f 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. TESTS WERE COMPLETED ON: NAME (print): 7-16-91 Gary L. Steel ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optiona1): 1554 200th. Ave., New Richmond, Wi. 54017 2298 715 46-6200 CST SIGNA DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DEPART:~/IENTOF DIVISION IN6`JSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) TOWSHIP~XITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: 11 LOZIO SECTION: 3 n/a n/a 1/4 6 /T29 N/R19A (ar) W St .N Jose h MAILING ADDRESS: COOWNER'S NAME: St. Croix Edward Hauser 1616 Pinewood Lane, Hudson, Wi. 54016 DATES OBSERVATIONS MADE USE (PROFILE DESCRI TIONS: P TESTS: liNk:!,.BEDRMS.: COMMERCIAL DESCRIPTION: ~lew ❑Replace n/a aResidence 3 n/a 7-16-91 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTION MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILL HOLDINGTANK: RECOMMENDED SYSTEM: (optional) S S '41jjj7 U EaS ❑U ❑ S ®U ❑ S 9U conventional r Percolation Tests are NOT require DRATE: If any portion of the tested area is in the ' J6 under s. ILHR 83.09(5)lbl, indicate: Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 49 SIB BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B-1 6.50 103.58 none >6.50 1.00bl.1. 1.00bn.sil. 3.50bn.l.s. &gr. bl. . .33, S. n.c.s.&gr. n.s. . B-2 7.25 103.48 none >7.25 3.67bn.c.s. .75 less .75bl.l. .50bn. sil. w/occ,. mot. 5.92bn. B-3 7.17 104.28 'none, than 1.00 -4 7.17 105.68 none .67 less 1.00bn.l. .67bn.wil. w/occ.mot. 5.50bn.l.s.&gr. B B 5 6.92 105.17 none 1.25 to .58bl.1. .67bn.sil. 1.67 bn.s.l. &gr.w/occ. mot. be removed sil.areas 4.00bin c.s.& B- if alt. a ea to b used top 1.92' to be r oved & backfilled to code PERCOLATION TESTS DROP TEST DEPTH WATER IN HOLE TEST TIME IN WATER LEVEL-INCHES RATE MIN NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER IN P- P- 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 t 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 of land slope. 100.48 101.28 for alt. area SYSTEM ELEVATION: F E r E , 3 _k --I E _q I E w ~ F PIP p n r1- g OZ 3D 1 FBI b _ .__J _ V 1, the undersigned, hereby certify that the soil tests reported on h' were made b cord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location o e s est of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7-16-91 ADDRESS: CERTIFICATION NUMBER: PHONE ER (optional): 1554 200th. Ave., New Richmond, W. 54017 2298 715 46-6200 10 CST SIGNA DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R, 10/83) - OVER - Soxrr► ~I:/~~r e-S, In "47173S- B • /'h , -Fa ~ a ~ /m'f +~~"~'e. •e.~" Gf,.y Lo ro.p••-r ~ l = /00.p ~ - 8ocas o, ~ 8,~• c~~~° ca~ p'~ch s~oPs rv /Vo~7k~o~ _ 1~l~ry Zlp7,po' lo, sg, 3,Ir8 5 S ~ ~ so' 1 1'l So . g z G s Y 8_ ti; q~U O Q ~ 3.5 ~,r'xt y 45' N v~ YR, r~ P 1• N 3 i N 1 a. V U Lj x O e~ W LLI o LL. W >Z d, y L.1 O y C ? ~ ti ~ F-E U Y ~ U C) z O a1 ~I w Ti l III r- LLJ U 1. si ii p . 4- !i V) ' ~fi iII 1 1. ~fI jl 11 ~ .I 3 I flf ~ f) ~ II~ ff II I I ~;f 1 1fi I II W iii I ! I iil+ if l I+ I ~,j Q f'j ! p I m LLI i f{°i it U O I 11 CL ! Ij I' I` ] U ~ ~ z0 - ~i ` i1 h 'd` ~8a I 1= CL i+