HomeMy WebLinkAbout038-1056-30-100
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, GG DIVISION LABOR,
P.O. BOX HUM N REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIP Tn/a T NO.: BLK. NO.: SUBDIVISION NAME:
SE 1/4$E1/ 13 /T31 N/Rl8*(or) W Star Prarie n/a 2R4a5256
COUNTY: OWNER'S FLVXWXKNAME: MAILING ADDRESS:
St. Croix Patrick Seidling 1384 210th. Ave., New Richmond, Wi. 54017
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER TION TESTS:
Residence 3 n/a ❑ New Replace I 8-12-91 8-12-91
RATING: S= Site suitable for system U= Site unsuitable for system
r ONVENTINAL: MOUND: IN_ -GROUNDPRESSU SYSTEM-IN-FILL HOLDING 4:1 RECOMMENDED SYSTEM: (optional)
®S ❑ U 0S ❑ U [ S ❑ URE: ❑ S Em ❑ S conventinal
If Percolation Tests are NOT required DESIGN RATE:
n/a ~ If any portion of the tested area is in the n/a
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS page 12 BXB
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH I LEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 7.25 98.58 none >7.25 1.25bl.1. 1.00bn.sil. .67bn.l.s. 4.33bn.c.s.
B-2 7.34 98.95 none >7.34 1.25bl.1. 1.17bn.sil. .67bn.l.s. 4.25bn.c.s.
B 3 7.00 98.55 none >7.00 1.08bl.1. 1.00bn.sil. .42bn.l.s. 4.50bn.c.s.
B-
B-
B-
decimal' PERCOLATION TESTS
TEST PTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P PER INCH
P_ 3.50 none 3 6 6 Q
p- 2 3.77 none 3
P_ none
P__ 7' tr, G r 5,~
J
P_ C
n r-_
p_ O Z p co
t *1
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indi t I r distanw. Describe are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface eleva ' all borings and the ec n'and percent
of land slope. `
SYSTEM ELEVATION 95.08 Z
.
t 4sm~c_ _
o
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L_J
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A,
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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 COMPLETED ON:
Gary L. Steel 8-12-91
ADDRESS: CERTIFICATION NUMBER: ]PHONE NUMBER (optional):
1554 200th. Ave., New Richmond, i 01 229 1 8 -246-6200
CST SIGNAT .
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
INSTRUCTIONS FOR COMPLETING FORM 115 - SB® - C~ w+
To ,mplete and --:urate soil test, your report must include:
1. leg =.I de.
2. T' n iT~ ly indicate wh -`iis is nce or commerci t;
3, Mi, .i, lrooms or use p d;
4. Is it system;
5. C t ng boxes TE IS SU.: _E FOR A HOLDING T. ULY IF ALL
-R SYSTr RULED c_ SED ON ti ~CINDITIC7N6. f` SE use t itions sho `or writir descrii *_he plot plan;
A LEC' Iram accu-. iuk,atilfg y( i,),ations. f preferred. A
I .)te Silent i. desire(,.
;r k and v -t I „legation refi ce point are clearly shown, r.; d are permanent;
-c7xes r~s (larnes, oad plain data, percolation test exemp
flood ation) do "'In- in the appropriate box;
11 . _ -it, cur t and yo ,n our
cop distribute ~ dred. A TESTS " ST BE FILED WITH THE
UTHORI ; AIN 30 D (',omf f
_ _'IATIONS FOR CERTIFIE- TESTERS
Sail Set =:.r - etures Other `
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Form - S T - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER PhTJ?1e& s S~101--/A/X-TOWNSHIP (57
a ~~1?&- SEC. 13
T 22LN-R W
ADDRESS ST. CROIX COUNTY) WISCONSIN
SUBDIVISION AIA LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H 63
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
w ea
000
IY SIT`
y~sE
SX S9 77?Eac.#.a S 1 13v77om eMr SLAB,
L-At
Ale T N i4U~
lot
CA UF
. INDICATE NORTH ARROW--,
BENCHMARK: Describe the vertical reference point used L707M '7 C re LAB )=One 574~0,
Elevation of vertical reference point: A010 Proposed slope at site:
SEPTIC TANK: Manufacturer: /jalc~_CiLiquid Capacity:
Number of rings used: 0 Tank manhole cover elevation: 9,p/
Tank Inlet Elevation: Tank Outlet Elevation: 9
Number of feet from nearest Road: Front,0 Side10 Rear, O /1090 feet
From nearest property line Front,0Side,® Rear, 0 ~OQ feet
Number of feet from: well building: 33
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
r
r
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of to elevation:
Pump off switch elevation: allons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from neares property line: Front, O Side, O Rear, ® Ft.
N er of feet from well:
Number of feet from building:
nclude distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench: J
Width: 15 Length: 89 Number of Lines: Area Built: S90
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, Rear, 0 Pt 01
Number of feet from well:
Number of feet from building: _ 76
(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 o any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: evation of bottom of tank:
Elevation of inlet:
Number of feet from earest property line: Front, O Side, O Rear, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
o Inspector:
Dated: Plumber on job: `
License Number:
3/84:mj
4q / > zz-
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT St. Croix
SIfety and Buildings Division
(ATTACH TO PERMIT) Lot 2 Sanitary Permit No.:
GENERAL INFORMATION SE'J, SEJ, Sec.1 3,T31-R18, 8,21 0th Ave.
Permit Holder's Name: ❑ City ❑ Village Town o : State P a o..
Patrick Seidling Star Prairie
CST BM Elev.: Insp. BM Elev.: Description: Parcel Tax No.: % UJ 6-0. BM lJ , tai 38-1056-20-100
TANK INFORMATION ELEVATION DATA d
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 1C. rp'Ql, Benchmark (N.Z5( 01 it '2G~
Dosing
Aeration Bldg. Sewer /d ' , 27~
Holding St/ Ht Inlet 6,79' , zlS
TANK SETBACK INFORMATION St/ Ht Outlet
Vent
TANKTO P/L WELL BLDG. Airito ntake ROAD Dt Inlet
ir
17
Septic } t r ~ NA Dt Bottom
Dosing--- NA Header /o? L
Aeration NA Dist. Pipe 27' , i7L
Holding Bot. System r / 9, 25Z
PUMP/ SIPHON INFORMATION Final Grade
Manufacture _ Demand CZ' ,Lys -'5-, 40, 8- 9~/ 01
Model Number GPM
TDH Lift Friction stem TDH Ft
Forcemain Length Dia. st.ToWell
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMEN I N
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM
INFORMATION Type O C cAd . , CHAMBER Mo el Number:
17 70 OR UNIT
System: eR
DISTRIBUTION SYSTEM
Header / Manifpld Distribution Pipe(s) • x Hole Size Ix Hole Spacing Vent To Air Intakg
Length _ Dia. Length s7 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 Fxx Mulched
8ed-FTrench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
5ca - 40 PdG- u4k- C1 d: OLJ s,T.. 39'
Plan revision required? ❑ Yes 2010
Use other side for additional information. Iv U~
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: j
I
D'JLHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code couNTY
~~Rs
STATE SANITARY PERMIT It
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ~f l (14
8% X 11 inches in size. Ch k if vi on 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 PROPERTY LOCATION
I_-- '/4 S 13 T3 ,N,R / E( W
PR ERTY OW ER'S MAILING ADDRESS LOT If BLOCK It
1,3 g 1/ 0 7-1`A 615F
CITY, STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
Maw Qd&sV _0
11. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) ❑ State Owned VILLAGE ~ ,4 7'
IQ r4,g A;1A] X,/10
VA;'
LTAX NUMBER(S)
❑ Public 9Q1 or 2 Fam. Dwelling~# of bedrooms AR
III. BUILDING USE: (If building type is public, check all that apply)
-JQS4o -.ZC A00
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 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. ❑ 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 El In-Ground 42 ❑ Pit Privy
13 Seepage Pit Pressure 43 1:1 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 Feet Feet
VII. TANK CAPACITY Site
in allons Total It of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Hold in Tank El Fj
Lift Pump Tank/Siphon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plum ' Signature: (No S s) MP PRSW TBusiness Phone Number:
Plumber's Address (Street, City, State, Zip Code
9G 19AI-tg~6 rzc*l "!M"5 s-
IX. C UNTY/DEPARTME USE ONLY
Disapproved Sanitary Permit Fee (Includes Groundwater a e Issued issuing gent Si ure No S m
Su harge Fee)
Approved 1 ❑ Owner Given Initial Q /O
Adverse De rmin tin 000
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS r
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
11. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The A_
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served, B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information,
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
+ 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 rY J. a b L S
Location of property :119'J 1/4, Section , T 2L N-R W
Township
Mailing address z/O
Pew ~'ch moo. A)/ 5"~0l
Address of site A (fi , X)6 )
Subdivision name Lot number Zzl~ Z
Previous owner of property. 1
Total size of parcel
Date parcel was created /qq l
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house)? Yes No
Volume and Page Number _7.5_ 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 (ate) 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. A~~ . ; 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 County Register of Deeds, as Document No.,
Signature of ner Signature of Co-Owner (If pplicable)
Date of Signature' Date of Signature
fTATL !AR OR WtfGONfIN-IORM
-MASRAMT Dow
DOCUMENT NO. Tw,s e.arL RL.cRVCO FOR R[=ommo DATA
dA~k 165$101 13
l{ 4:M _RCIE
YOWIM Of
f. CROIX CO-, W&
. hu.' bind and ,wife psCrd. for Record 3-Is t
'"86
Daniel_.J.__CaseY..and. Betty D...CaseY.~--- s Dec. A.D. 19_
of
conveys fad warrants to . PatriCk . J.... Se l dl ing _ s3~ld. , DebOxd~ l. --bow of-wom
i'
. surviyorshi.... al property-r
_ _ Century 21
New Rictmtond, Wi.
.....St..~rpiX ................County,
the following described real estate in -
state of W immin t
Tax Rey No
That certain parcel of land located in tie Southeast 4 of the southeast t and
West,
the Southwest k of the Southeast 4 of Sections13 , Township 31 described North, Rang follows;
Town of star Prairie, St Croix County,
Commencing at the South k corner of said Section 13, thence East on the South
line of the Southeast td of sai3 Section 13, a distance of 666.00 ft. to the POIS iOF
BEGINNING, of the parcel to be herein described; thence North pe pe ruael to said
South line of the Southeast a distance of 700.00 ft.; thence East pal
South line of the Southeast ' a distance of 1306.80 ft; thence South perpendicular f the
thence
70
West on to said South line outheast k aedistanceaoft1306.80 ftOtoOthe,POINT OF BEGINNING,
South line the
containing 21 21.0 acres, being subject to easement over the Southerly 33.00 ft thereof
for town road purposes and also being subject to easements of record.
VFF
This iS not homestead property.
(is) (is not)
Exception to warranties: Recorded easements and rights - of-way.
.
Dated this 30 th day of December '1986_
• G/ ' ~'~T~4~. ~7 ~ .(SEAL)
Betty T".: Casey .
J_ Casey
• Daniel
(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signatures authenticated this day ` IVl3i-n\'Slhi '
19 1
St Croix tl,u„cy.
! t::oiinlly came he!ore nip. this 301A day of
Pecember 1986 t.w ar,,,.e nnmed
• Daniel J. Casey 'nd Betty.D. Casey.
TITLF;: NIF:~IIIER SI'ATF, BAR uF- RVI.-ZC0 StN
(If nnt,
:wtnr,rltcd h} fi iOt"A(t• Wis. .
n •o bf the 1•er-•,:! S who executed the
,r.i9 IN4TRUMPNI WAS cRlls*cr r- ,1 !!t nnl nrkn~«'led¢c he ! me.
Jo}ut D. Walsh t f
►M'
%
SL Croix
npt. 'state e~1f,~ittn
;.,.1 ,('y It L'(~ Ira•1'he•nit!-1!f Nr i:'1't 'I ~ , !...1
t0 i 989 r•.
`PUBLIC; i
RTA n•n (1P ~l tti(r:•'CIV 1t:-,,•„fn I..MRTatilrtfa~' IT,
W ARRANT• DRRD / n.. 1°71 ll w"k-, Ni••. U^!+q~t!
i
ST C- 105 r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County z
d
a
OWNER/BUYER A"tr1a, U~v ~ Or l Z 7~vul/)3
ROUTE/BOX NUMBER ~j CXJX / Fire Number < Zi
CITY/STATE060 / mop 6(2z ZIP 6-z kl 7
~ J
PROPERTY LOCATION: Section / T, I/ N, R W,
Town of (t~ 10/St. Croix County,
Subdivisi f, 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 septic tank pumper. What you put into
the system can affect the function of the 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 veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), t}ie 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. Ho
C
I/WE, the undersigned4, have read the above requirements and agree
maintain t}le private sewage disposal system in accordance with x
to, H
~a
t}ie standards set forth, herein, as set by the Wisconsin Depart-
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNET) _
i
DATE - -j-
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.
CERTIFIED SURVEY MAP
PATRICK ANDiDEBBIE SEIDLING
Part of the Southeast 114 of the Southeast 1/4 and the Southwest 1/4 of the Southeast
1/4 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix
County, Wisconsin.
UNPLA T TED LANDS
N 90.00' 00"E 1306. 80'
360.05. 746.73'
' O
O
O
O
A
3 y
C4 0
LOT o Lor2 zl
2- -
Q`
J O 9.000 ACRES A /2.000 ACRES h O v
O O 392, 035 SO. FT. M 522, 726 SO. FT. b O
Q ^ 8.521 ACRES EXC. ROAD R.O.W. k v /1.390 ACRES EXC. ROAD R.O.W. O Q
W N 371, 156 = M 496, 127 SO.F7.. WI
~I W b % O b to k
r24
O
O
Q O O BARN Q
o v
JIo
ZIO y 1
J O SHED 2
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Dated: August 5, 1991 •.I.AND•c',
"falls Vol. Page
Certified Survey Maps Laurence W. Murphy
St. Croix County, Wisconsin n gistered Land Surveyor
SHEET / OF 2
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
AND ' A P.O. BOX 7969
LABOR
AIBORI R,EDATIONS PERCOLATION TESTS (115) MADISON, WI 53707
HUMA4
(1-163.090) & Chapter 145.045)
LOCATION: SECEC71O TOW_ IP/RKXj'jIRAXNX: LOT NO.:BLK. NO.: SUBDIVISION NAME:
SE 1/4SEI/4 13 /T31 N/R184(or)W Star Prarie In/atj n/a a
COUNTY: OWNER'S Rp[XWX1NAME: MA G ADDRESS:
St. Croix Patrick Seidling 1384 210th. Ave., New Richmond, wi. 54017
USE DATES 088Ei4VATIONS MADE
ERCOLATIDN TESTS:
NO.BEDRMS,: 10MME-MmAL NSCR P 101 : F O~BE~S~TPfiTOT3 78
Fic Residence 3 ri/a ❑NewReplace $-12-91 -12-91
RATING: S= Site suitable for system U- Site unsuitable for system
ONVENT ONA'tMOUND: IN-GROUN6:ME.SS E: S S E -IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optIona1)
®S ❑U I QS ❑U [aS ❑U ❑ S ®U IE] S gU conventinal
If Percolation Tests are NOT required~ES n/GRATE: L If any portion of the tested area is in the n/8
under s.H63.09(5)lb), indicate: Floodplain indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS page 12 BXB
BORING TOTAL LEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH 1 OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 17.25 98.58 none >7.25 1.25bl.1. 1.00bn.sil. .67bn.l.s. 4.33bn.c.s.
B 2 7.34 98.95 none >7.34 1.25bl.1. 1.17bn.sil. .67bn.l.s. 4.25bn.c.s.
B 3 7.00 98.55 none >7.00 1.08bl.1. 1.00bn.sil. .42bn.l.s. 4.50bn.c.s.
B-
B-
B-
decimal' PERCOLATION TESTS
K~TEST P WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER INCHES
AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2
3.50 none 3 6 6 6 <3
3. 7 none
3.90 none 3 6 6 6 <3
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 95.08
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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:
Gar L. Steel 8-12-91
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
1554 200th, Ave., New Richmond. Wi. 54017 2Z90 , 792-246-6200
CST SIGNAT n
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester,
DILHR-SBD•6395 IS. 02/82) - OVER -
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