Loading...
HomeMy WebLinkAbout020-1240-10-000 ~ I ~ C ~Y O N 0 6 o~ O Qr O ts O N O d d Q I 5 ~ I N v z c ti c o I 3 a I i I co I z y i m uj E U) O O Z M d m N F- Z O C z m O ZC (n I- r Z c ~ v I N M C y (D C .0 d v 0 L O p C c '0 .14 Q O y C O 40' Z m D o c ur Z N f0 O) d m N V 10 -i O C y y d a0. N O D c0 O O a L m r r E ~N ,u ~ 0 nni333 a aA Z N ~ ~aaa ~i a g o o N v rn rn v~ J V rn rn " v o v x O N - O E N " O N O O 3 N co a 00 o ~ y rn a~ I cA m p m ~j O L = tl! U, U, a C IV CR O N y N O 47 ~ co N o co to O o u a ° rn o l O a C N` N 0 O Oj 1C N 0 0 C N d' r 0 75 W N y N N O N ~ C co • ,~y~ O N 2 O Z C= fn SO t 4i V1 d a CL ) c m `y • rr~~ vic 0 a. Il0 _1 A i A Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER /e, TOWNSHIP" S SEC.c_ T 1z),`1 N-R l9 W ADDRESS Y,ST. CROIX COUNTY, WISCONSIN 2.4 SUBDIVISION ~t co~S LOT 20 LOT SIZE Z• y ql/5 PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM l i t ~ I t ( lP..~4 d.., J 36 rp e"I v~v`~ CEO . o ~1~~ / ~ E{ou. 6a.. J 3S t I I V t ' v Sm~rt"~ low 1 w@-- INDICATE NORTH ARROW CC BENCHMARK: Describe the vertical reference point used-Cop 1$ C~\VQft uynDyL~fi.~o ~ Elevation of vertical reference point: Proposed slope at site:`f___f~' SEPTIC TANK: Manufacturer: &o1 ~S/ Liquid Capacity: 4Q0 Number of rings used: 1 Tank manhole cover elevation: t,(~Z Tank Inlet Elevation: _7 Tank Outlet Elevation: -4 Number of feet from nearest Road: Front,o Side,o Rear, l ~r feet feet .From nearest-property line Front,OSide,QRear,~^ Number of feet from: well building: ZS~ (Include this information of the above plot plan)( 2 reference dimensions to septic tank) cry PryrDcr QTInr J PUMP CHAMBER Manufacturer: z a y 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, O Rear, © Ft. Number of feet from well: Number of feet from building:- . (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed:"mow Trench: Width: 1 Length: 36 / Number of Lines 3 Area Built: /Ir Fill depth to top of pipe: D Number of feet from nearest property line: Front, O Side, ® Rear,O Pt zk~ ' Number of feet from well: l0 S Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: 1111X 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: W~ 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: License Number: 3/84:mj i INSPECTION REPORT FOR SAFETY & BUILDING DEPARTMENT OF INDUSTRY, DIVISION LABOR & HUMAN RELATIONS ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION P.O. BOX 7969 MA ISON WI 53707 [State lan I.D. Number: NW , SVk , Sec . 21, T29-R19 gned) Town of Hudson Lot 0 CONVENTIONAL ❑ ALTERATIVE Hol ing Tank ❑ In-Ground Pressure ❑ Mound H r 1 INSPECTION DATE: NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: Sam Miller Box 289 Hudson. W1 54016 REF. PT. ELEV.: C+. } manent reference point) DESCRIBE IF DIFFERENT FROM PLAN: BENCH MARK (Per Cry ' Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: . ,Doug Strohbeen 5432 135425 SEPTIC TANK/HOLDING TAN MANUFACTURER: LIQUID CAPACITY: TANK INLET EL TANK OUTLFPROPERTY V.: WARM PROVIDED: LOCKING COVER 70/.,YES ❑NO ❑YES O BEDDING: VEiNF DIA.: V~ MATL.: HIGH WATE UMBER OF ROAD: WELL: BUILDING: VENT T FRESH ALARM: FEET FROM AIR INLET ❑ YES NO r +w^ ° ❑ YES [__1 NO NEAREST----* 715 , `5~ DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARM EDLABEL LOCKING COVER PROVID ❑ YES E:1 NO r--1 YES r-1 NO F-1 YES ❑ NO PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH GALLONS PER CYCLE: AIR INLET: (DIFFERENCE BETWEEN FEET FROM LINE PUMP ON AND OFF E] YES ❑ NO NEAREST LENGTH: DIAMETER: MATERIAL AND MARKING: SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: r':7 . r~ to LIQUID BED/TRENCH / TRENCHES: : DEPTH: WIDTH: LEN NO. OF DISTR. PI E SPACING: ?DISTR LOF Lr~2PEFRT # PITS: S: BUILDIN : VENTTOFRESH ' DIMENSIONS 36 & rr GRAVEL DEPTH FILL D H DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NUMBER Y WEL / AIR INLET: BELOW PIPAS: ABOVE COVER: ELEV. INLET: ELEV. ENDFEET FR~ it 3 r°la/yq I NEARESLi- !M~! 1,L/ry e MOUND SYSTE . S j Mound site plowed perpendicula tD Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MART : OBSERVATION WELLS; ❑ YES NO ❑ YES ❑ NO FIEVER TRENCH/BED DEPTH OVER TRENCH/BED ]DEPTHS OF TOPSOIL: SODDED: EDED: MULCHED: EDGES: ❑ YES ❑ NO ❑ YES ED] NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEETFRO A LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST SGk - 4d pile Retain in county file for audit. Sketch System on TITLE: Reverse Side. sIGNAT Re f SBD-6710 (R. 06/88) 7Y! R SANITARY PERMIT APPLICATION t a=1L In accord with ILHR 83.05, Wis. Adm. Code COUNTY, ~v STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 / 8% x 11 inches in size. Ch/ec f revisl n 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 S- i A 4/'/a S 4/'/a, S Z/ T Z9 , N, R ! E (ot> PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ~ m Z ZO CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER s W S O/ri Z G Ltco6s II. TYPE OF BUILDING: Check one CITY ROAD ( ) State Owned VILLAGE /Avr ; dc~J IC Oe. ❑ Public nn [J 1 or 2 Fam. Dwelling- # of bedrooms--a 'PAR GEL A R() J~EAREST III. BUILDING USE: (If building type is public, check all that apply) © z © _ Z y0 - /O 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 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. [y] New 2. ❑ Replacement 3. ❑ Replacement of 4.E1 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 ❑ 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 5 O AS 6 y (o 3 9 t. SDFeet l'O 90 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank ~or~O / ~C/ a i S ✓ X1 El [_1 I I 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): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: zY7 3 z 33 -Do c-4 im s S-tv alnba.a•%.- Plumb 's Address (Street, City, State, Zip Code): ~le~ V.W '2~c~ ~vtOn KJ = S~~D/ 7 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Si nature (No Stamps) 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 r INSTRUCTIONS 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. II. 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 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 Ai,&e r Location of property 1/4 Section T Township X1405 0n Mailing address Sgny 2 2. /~k e/so.~ k .Z -'r- xo d. Address of site W-r7. Subdivision name Tg-ED b s /-Rh 5~, Lot number 7 e Previous owner of property l/ • . s % H ~-CS' s o --7 Total size of parcel Z- 3 Tv e c-r s Date parcel was created 3 - 2 Z - $8' Are all corners and lot lines identifiable? ~C as o Is this property being developed for resale (spec house)? Yes _ No volume 10S and Page Number G 2-- 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. -,e135-411'7 - ; 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. V3 Sy I7 c Signature of Owner Signature of Co-Owner (If Applicable) f U Date of Signature Date of Signature noc.tlP6IfN1 No WARRANTY DEED 101111 SPA t wtt,twvan row wTl.nwnlNl. w1A tiT.\TF: It,111 OF OWISCONSIN FORM 2-1982 REGISTER'S OFFICE 435 417 j:. ~fQJP►sc ST. CROIX CO., W Recd for Record Virginia M. Hanson, a single woman MAR Z2 $95 M 8: 00~~JJ A 0~MQ~ rau~r}: :611.1 %%.1 Fillet., In Sam E. Miller. al sitll,le mall ~b~ltlp t.1 Moi ' 1+, I,;nN IA the f1,11•,~~'•nt dewithrd real elate in St. Croix Stale: u! Wo.4con!ifo: Tax Parcel No:... West Half (W'je) of the Southwest Quarter (SW's.) III Section Twenty-one (21), Township 'T'wenty-nine (29) North, Range Nineteen (19) West, St. Croix County, Wisconsin except that part South of the nubile highway and except Lots S, 6, 7, and 8 of Certified Survey Map n Vol. 6, Page 1747, Doc. No. 419479. That part of the West Half (W%) of the Northwest Ouarter (NWI&) of SectJon Twenty-one (21), Township Twenty-nine (29) North, Range. Nineteen (19) West, St. Croix County, Wisconsin lying South of the right of way of the Chicago, St. Paul, Mlnneapolic. and (hnaha Railway Company. •f'13ANSt* Eh EEF This is not hnort+te:ul prnl,erl;:. Jbilk Its foot) F:a1tl••i:l•r tl. a,•rrantiex: easem,:nts of record and pro►ective covenants and restrictions of record, if any. ' S• 111114.11 forte I dad „r M ~ c , ll188 . VIrginla M. Hanson AUTHENTICATION ACKNOWLEDUMENT Signature(s) STATE OF WISCONSIN f 1111.b1 Countio. authenticated this day of , 19 1•orson:dly rams before nee this 1 vk 411ky of M A L , 19 88 , the a1N1ce nan o4l Virginia M. Ilanson • TITLE:: MEMBEIt STATE 11Alt 11F Wl.':('f)ti::IN (1 f nest. authorized fly 704.06, Wis. Stat.a.) In nN• Lnm1n to he the pcr:on 1c1u, rserulcd the fureeoin • .lrunlenl lots) ni'luintrle111'e lire :141,14•. T•1 i INSTRUMENT WAS DRArT[D nV V' Lois A. Murray, .Heywood,. Carl S Murray 11.0.' Box 229, Iluds•rn, W1... 514016 • I,ta• u111~c Pf7 ~ ~4 f I t'nunlc. Wi•. 1, .1l` l11,,AAail/rrol.I If ant, Aale e•:n[raliw% (Sirfontures still- he :m:thenlicalyd Nr aeknNe'Ird;ed. Itolh >I,' t'•• •11,10 V, 'l nrr lint neceaeory.) d:d,••;~'. KT 10` / .1 •lQunro nt t,•twonsi rioninit to any r.i•st.it, •L•w••1 I« 1,1.., . 1, a1•d 1 ,1..• r• . WARRANTT Dl:r.D STAIR, nAn or V6r;voi vlV Nr+••,1+•1, 1•:,.I 1•I:, , . STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER -5&-,917 ROUTE/BOX NUMBER FIRE NO. CITY/STATE ZIP .SyO/b PROPERTY LOCATION: Nty 1/4 6 Ul 1/4, Section TAN, RZf-.L Town of r/!iso.-. , St. Croix County, Subdivision SacgL s Lot No. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists 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 treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation accepted this prior July 1, 197. rSt. Croix SYSTEMSpagreemtonkeepustheir 1980, with the reququi 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 verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), 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. 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, as set by the Wisconsin Department 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.' SIGN 0 DATE St. Croix County Zoning Office. St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS . ,I"IVDUSTR'Y, c DIVISION LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX 76 HUMAN RELATIONS ON WI 53707 (H63.090) & Chapter 145.045) LOCATION: _ E ON: TOWNSH P/ LOT NO.:BLK. NO.: S BDIVISION NAME: NW 1/ 1/ 7-1 /TR N/R19 ) uAsaj 20 ~bco8s ~4N,~r COUNTY: OWNER'S MAILING ADDRESS: -S~ C,ad►x 5ar~1 h'I ►2 Aso r S o~ 6 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DES R PTION: PR F DESCRIPTIONS: 1PERCOLATION TESTS: Residence uNK. New ❑Replpace AN 25, /990 3.04 W, /71}6 56 1 L.'s k~~ 1A RATING: S- Site suitable for system U- Site unsuitable for system L C ONVST❑U . M20S. []U IN.GRp juc E~ RESSURE:SY 10 I DP -I❑ULHO~LDING TANK: RECOMMENDED NVEA/'r/6A/#4L.( t na~l) N I CO If Percolation Tests are NOT required DESIG/N1 RATE: I If any portion of the tested area is in the • under s.H63.09(5)(b), indicate: C~dsS / Floodplain, indicate Floodplain elevation: /yN &C rT PROFILE DESCRIPTIONS BORING TOTAL PTH TO R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHIS, ELEVATION OBSERVED EST. HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / " N .s~ sz r4oNg > $ ,5$ s~~ DTs z fks,E C 36 "gar cs~G ~io~n B- Z `6.67 ~os.z~ iqcwf. > I;1 6'~s~'r~ ~~'BaNs~ 9zi~~.,cs~f~e 4sBaNn~s c, B- 19-37 /02.SC 140 > 9.33 3'$L:s is Z?"8eN,c s. r%"&a_StGQG6G-% ~g"$RNnrS~GR B- a 1J.9 Z ipo.~(7 F > 92 9'8cs1?s Is 60,4A?S46c jl 8t ucS*4k 7/'64 NMS ;_4 B- S 19,41 1o7.Cu' Ne > Q.4Z"B«.-rs ~o' sc l2''8a.~czfG~ ~Z''~~,►~as B- 3r,''$e~cSG~Col~Cor►• ~2"$avrS~Gc QeC. ~7T PERCOLATION TESTS TEST IPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD D PERIOD PER INCH P- ► 4.10 0 107./.6 >2 <3 P. 3.90 nby 7.40 P- oo rlo 60-s 3 Z ? > 2 < P-. P- ~ L.~V T 1~C 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. SO SYSTEM ELEVA IO T ~ CNWgy rI,y'' T-' I Ae~ CtjW -TA Pc' uNt,'E a I~wz1Ja~W~`/. i; r . _ ELL V QT I ON _ loo, Uv rb g=S ~ - w a-~ TN - 2S,3. Q 2 (kON P1 PC A-7 sW cope CR OF rf OT Z~. 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: N+ INC/ Ivir4sO 3w4 soev A. L-y A4\ ,aNuAP,y 24 /990 ADDRESS: CERTIFICATIO NUMBER: JP NUM ER(optional): a7 5se-C.Np's' 14UASCWj ► S~4o16 34 It %6- ORA CST I NATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - Sam M;114tr 312~ c.s~ ion .'ate c o b s ~ a kdh, ~ o'r Z~ S y s'~~.u 6 1 V- = 9 S. So s ~a.~ct. ~y"= ~ o' C ~-x~a-p-l' l3{oK~►•. ~►~,,,a,s A B. M. - o LtvLgcV- A( UL wa/ t lv- = /oo.o n -Rord-s eaackk,.,) A ~a c s T~ srt" aptotti. G ly, . -I V. so') A Z-~- Id V M ®w~.ll !f e N s ~ ~~o I 3o'rHo' M ZY'x z,f' ~ d X10' 3d ~ ( 16~ lZg RH Q o /p~ y S ``~_'C 211 lvo ~ _ , B-y GG~ ZT2_ 3c' 1 V f s d 1-4 Vq + _v 7 J -r Ca- I s Jo I a r w t d nJ H ~ d N ~ ~ ? d vi C ? %v `i ,d OA