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038-1042-95-100
o °C) an p °va M C N o w ~ ~ I N aD C cu U t N O C I I O N (0 O I t6 ~ Z v c Li c w O 3 -0 C O I Q N I M Z y O Z d y o~ N II a m ~ o I O z a c a0i z rn H z ` c E ~ I N M N 0 ~ • N G L O N _ t d U C O ~Q Q Z H Z I~ Z N CJI > y co > m r a co f~N y d 0 O N E U) M vr> E o w N t t t a s a a a Z o l •N m ~ 0 o N m 0 a) m C. O co J V 0 m rn Z co (D (D Q E O O p m y c a 1 W - 0 .2) o .U+ Q f0 p o 0 O N _yI/! C O O p N O 'p C E O m~ ! y U N O 41 :3 N t!5 N O C 0 U CL C 01 N Ali E F O. C -p N 04 w 0D o N c a~ o c 5 7 Lo a) -D a) 00 • M G p L CvOj O O E U o tq U o z_ Z 2 fn ~ I 0 :U E L Est a `aa ~Iffti E E c t A ciao Oav Parcel 038-1042-95-100 08/18/2006 05:29 PAGE 1 OF 1 F 1 Alt. Parcel 10.31.18.188B 038 - TOWN OF STAR PRAIRIE Current Xj 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 - CHUTE, JAMES A SR & DEBORAH J JAMES A SR & DEBORAH J CHUTE C - CHUTE, MARCUS JAMES A JR DARYL MARCUS JAMES A JR DARYL CHUTE 2210 GOOSE LAKE RD NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2210 GOOSE LAKE RD SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 20.600 Plat: N/A-NOT AVAILABLE SEC 10 T31 N R18W SE SW THE S 680' OF SE Block/Condo Bldg: SW Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 11/03/2004 778851 2688/452 QC 07/23/1997 790/207 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 20.600 92,500 104,900 197,400 NO Totals for 2006: General Property 20.600 92,500 104,900 197,400 Woodland 0.000 0 0 Totals for 2005: General Property 20.600 92,500 104,900 197,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 125 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 PAL i • Form-STC - 106 •i AS BUILT SANITARY SY8TEM REPORT TOWSHIP SEC. T N-R-a-p = ADDRESS ► • ' s aN . • • ST. CROIX COUNTY, WISCONSIN 1 4$.8 , t SUBDIVISION LOT LOT SIZE PIM ♦iEW it •14 Distance s»siad dim- '`''r1''i t• # enaions to meet requirements of ILHA 83 SHOW EVERYTHING WITHIN '100 FEET OF SYSTEM ~ taeq tit , t : ! • . , . . ' f t r•i •rr i~.11•••„ , ' ' ;~lC:~ 1. d ! • . 4t 0.1 • a. a•,«.» Z•I ILa :ti . i ••..i •a1 '•I.~.~Q• ~ /j Z• INDICATE NORTH ARROW . a = Describe the 'Vertical reference point used Elevation of vertical reference points Proposed slope at site, • BUTIC TANKs Manufacturer "squid Capacity, ''•O"NuMbet of rin p useds • Tank maehole cover alevation, --7 • Tank talat Elevations - •d Tank Outlet Slavartont d ' Number of feet from nearest Roads ' _ • ~ • , . , , • • Front,O Mao Rear, O-_ , .~~feet •:role nearest-property line s: • Front, ©Side , ~t Rear, 3 ,c ii Number of feet fromi'Iwall f • • / O feet (Include this information Of-the above plot iplsn) , 2 reference dimensions tb septic tank) a SEE f{ t/x7cp 1 r PUMP CHAMBER Manufacturers Liquid Capacity: Pump Models Pump/Siphon Manufacturers Pump-size Elevation of inlets. Bottom of.tank elevations pump off switch elevations Gallons per cycles Alarm Manufacturers Alarm Switch Types !'---.Number of feet from-nearest property lanai.Fronts OSLdes O Rears 0 it•_~ 'Number of feet from wells_ Number of feet from buildings_ (Include distancos•on plot plan). SOIL ABSORPTION•SYSTEH Trench: Widths Lengths~`;;~ Number 'of Lines: Area Builts_&2Af ,r Fill depth to tj of pipet . • Number of feet fIom nearest property lines Frpnt, O Sides 0 Rearso 1t. Number of feet from wells , • N 'bar of feet from buildings l F1 %-N (Include di Lances on plot plan). SEEPAGE PIT Sizes Number of pits: Diameters Liquid depths Bottom of seepage pit elevations Area Built: _ f Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytemst (C eck one). • r HOLDING TANK Manufacturers Capacity: } Number of'-rings Isedt.Elevation of bottom of tanks Elevation of inlets Number of feet from.nearest property lines Fronts O Side$ O Rear. OTto~ Number of feet from wells Number of feet from buildings Number of feet from.nearest roads ' Alarm Manufacturers , Inspectors. Dated: - Plumber on jobs License Numbers 3/84:raj . DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: SV 4 7 S10- Sec . , T317R18 (It assigned) Town of Star Prair~g ❑ CONVENTIONAL ❑ ALTERATIVE LJ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION ATE: a - 90 - ~~;~a James Chute T256 S. Cre n, New Richmond, WT 54 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: Name of P ber: MP/MPRSW No.: County: Sanitary Permit Number: Cal 1 owers Jr. 1563 St. Croix SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: 67W L_ 000 0-3 p o-6 EPOS ENO ❑YES'f7rNO BEDDING: VENT DIA.: VENT MA~- HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH (I ALARM: FEET FROM LINE: U AIR INLET: EYES NO L/~ EYES O NEAREST >20 0 ~ZoO 78 DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MOD -61 MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PU ND C RATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF K S NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil mois re a We ept of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, c struction hall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH. LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: / M TERIAL: PIT DEPTH DIMENSIONS Z 1I GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. ISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER ELF .INLET: ELE END: ~y PIP S: LINE: / AIR INL T: i z 7 2 / NFEET EARESOT 0, /76 Z d I8S S $ MOUND SYSTEM: Mound site plowed perpendicular to 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 MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES E NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO E YES ❑ NO EYES ❑ 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: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: R MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS El YES E] NO COVE ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST b Sketch System on ✓ Retain in county file for audit. Reverse Side. r IGNAT RE: TITLE: SBD-6710 (R. 06/88) i ISANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COON STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 1,r~ 8% x 11 inches in size. Check rJ) sion to revio pplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER OWNER PROPERTY LOCATION 4~9~/ t/a S T- T/, N, R Q (Ora PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK CI , STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR M NUMBER 0 T7-9 11. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE : NE ST ROAD, Q_ QF~ ❑ Public Lai 1 or 2 Fam. Dwelling-# of bedrooms PA RCEL TA 111. BUILDING USE: (If building type is public, check all that apply) ~p r~ `G V 1 ❑ Apt/Condo O ~U 2 ❑ Assembly Hall 60 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 120 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.E1 Replacement of 4. ❑ 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 420 Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/d y/sq. ft.) (Min./inch) 3IS' ELEVATION 7"- //s•'Feet O Feet VII. TANK CAPACITY Site in gallons 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 Holding Tank Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installati of the onsite sewage system shown on the attached plans. Plum er's ame (Pr* t): PI tier's S gn e: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumber' Address (Street, ity, State, ZI ode): IX. OUNTY/DEPARTMENT SE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued suing gent Signature (No S p Approved ❑ Owner Given Initial /q Surcharge Fee) Adve 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 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: I: 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. Ill. 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. - - - - - - - - - - - - - - - - GROUNDWATERSURCHARGE 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 9TC•100 This application form 1s to be completed in full and signed by the ownet(a) of the ptoperty being developed. Any inadequaCieA will only tesult in delays Of the permit Issuance. Should this development be intended got resale by evner/eontzectat,(spee house), then a second form should be retained and completed when the property to sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - J-- - - - Owner of property . ~-.I~I.E'S Location of property /4 ~S d /4, section 46.,_ Township Mailing address 7 Address of site subdivision name Lot numbet Previous owner of property Total ■ise of parcel 4!- x'~=S jz= Date pascal was created Ate all corners and lot lines Identifiable? Y:20)? s o I$ this property being developed 9z locale C per Go a volum 7?c0 ind Page Number 77 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION 711E FOLLOWINCt A WARRANTY DEZD which includes a DOCUMRHT NVMBRR, VOLUMa Mo PAOR NVKBRR, and the Bt AL OF THt R9OI8TER OF DRID89 In addition, a cettIlled survey, It available, would be helpful so as to avoid delays of the tevleving process. it the deed description references to a Certltied Survey Map, the Cettifled Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) cattily that all statements on this form are true to the best of my (out) knowledge; that t (we) am (ate) the owner(s) of the ptoperty described In this lntotmation totm, by virtue of a warranty e d record d In the attics of the Covnty Register of Deeds as Document No. X991; and that I (we) presently own the proposed site for the sewage disposal system (at I (we) have obtai d an easement, 'to tun with the above described property, tog the const etion of sold my em, and the same has bee~~~recorded in the office et th County Rolle s d -Document No. oil tote of Owner Signature of Co-Owner Its Applicable) Date of Signature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-19821: THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED ~zs8s~t QQUK 73 0 ,ASE X07 OFFICE u,.x CO., WIS. This Deed, made between ____Bradley N. Peterson, a single man sir 'rz a r Re-card thI'33rd SeRt. A.D. 19 8: Grantor, 8:30 James A. Chute and Deborah J-- Chute, and -sband • and - s u---- • -rvi v - - o--r'- _ orship- hu wife , as marital property, < Yea rf Grantee, witnesseth That the said Grantor, for a valuable consideration-_____ One dollar and other valuable consideration r NOMONIE FARMERS CREDIT UNIW conveys 455 South Knowles to Grantee the following described real estate in St_.____Croi___ P.O. Box 269 County, State of Wisconsin: ryew Richmond, WI 54017 Tax Parcel No: The South 680 feet of the SE14 of the SW'34 of Section 10-31-18. Subject to recorded easements, reservations, and rights of way. _ -70 is not is n This - homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Bradley N. Peterson_ - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except ;i no exceptions and will warrant and defend the same. is Dated this ~►d September i! - - - day of , ~ 19---- , ---•------(SEAL) - (SEAL) ra ey N. Peterson ---(SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN St. Croix ss. - County. authenticated this day of 19 Personally came before me this day of September . , 19-87_-- the above named Bradle N. Peterson TITLE: MEMBER STATE BAR OF WISCONSIN (If not- authorized by § 706.06, Wis. Stats.) ii to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INgTRUMENT WAS DRAFTED By Erc ..:Lundell, Box 157 e ~ - • - - - - - - Gerald F. Harvieux New Richmond, Wisconsin 54017 9E CYO~X - Notary Public . - - - - County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: May--8-'-----GERA'L~*D--F..-MARVIEUX19--$$..) 'Names of persons signing in any capacity should be typed or printed below their signatures. NoU, -PUbIiC stme of Wteoa» I STATE BAR OF WISCONSIN aye H.C'MVIIerCompany~ FORM No. 1-1982 Stock No. 13001 , N SEPTIC TANK MAINTENANCE AGREEMENT ~ St. Croix County r OWNER/ BUYER ROUTE/ BOX NUMBER eE,( Fire Number_ ty CITY/ STATE ZIP PROPERTY LOCATION:_k',,ed k, Section TN, Rf$_W, Town of St. Croix Count , Subdivision Lot number . Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover 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 or the septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents may be eligible to recieve 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 system properly maintained. The property owner agrees to submit to St. Croix County Zoning a 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- 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 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with N the standards set forth, herein, asset by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed b and returned to the St. Croix County Toning Office thin 30 days of the three year expiration date. w SIGNED ck DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. r i DUST OF REPORT ON SOIL BORINGS AND SAFETY & BUI~DIN DUSTRY, _ DIVISION N \BOR BOX J MAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.090) & Chapter 145.045) )CATION: SECTION: SHIP~Y: LOT NO.: BLK. NO.: SUBDIVISION NAME: 3E 14W 1/4 10 /T31 N/W8 $ (or) iMtar Prarie n/a n/a n/a RUNTY: OWNERS R' NAME: MAILING DDR SS: 3t: Croix James & Deborah Chute 1256 S. Green New Richmond, Wi. 54017 ;E DATES OBSERVATIONS MADE Residence N. B MS.: COMMERCIAL DESCRIPTION: 3 n/a ©New ❑Replace 8-5-87 8-6-87 %TING: S- Site suitable for system U- Site unsuitable for system )NVENTIONAL: MOUND: IN-GROUND RESSURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ®S ❑U ® S ❑U ❑ S ®U ❑ S 0U conventional step down trench Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the nders.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 3 AND2 D R I N G IOTA DEPTH T GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH JMBER DEPTH ELEVATION OBSERVED ES GHE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) t- 1 6.83 120.04 none >6.83 .58bl.1. 1.00bn.sil. 5.25 bn.s.l. 9- 2 6:58 119.95 none >6.58 .75bl.1. 1.00bn.sil. 4.83bn.s.1. j_ 3 7.08 119.03 none >7.08 .58bl.1. 1.17 bn.sil. 5.33bn.s.l. 4 6.17 115.99 none >6.17 .75bl.1. .42bn.sil. 5.00bn.s.l. 5 6.33 115.61 none >6.33 .58bl.1. .67bn.sil. 5.08bn.s.1. decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES (UMBER IMDBf76 AFTERSWELLING INTERVAL-MIN. PERIOD t P R PER INCH 1 3.59 none 30 2 13/4 13/4 17 2 3.50 none 30 2 13 13/4 17 3 3.50 none 30 1 4 a. .OT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori ntal 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 land slope. upper trench=116.45 YSTEM ELEVATION lower trench=115.53 Y~j 1 o L) tii ; . t3-~- L p o: i i i ; Iv: i 5 , 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 dministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. ;AME print : TESTS WERE COMPLETED ON: Gary L. Steel 8-6-87 "UESS: CERTIFICATION NUMBER: PHONE NUMBER(optional►: TJ. Shore Dr. New Richmond Wi. 54017 2298 715-246-6200 CST SIGNA J-0 0 IL )riginal and one copy to Local Authority, Property Owner and Soil Tester. (R. 02/82) -OVER - fi- - 1 _r - - i --E -I t I I I 1 i I I - I I I ; ; I I z t I ! I I I I ~ I I ! , I ! I I i f ! ! I , T _ I ! I I I I I I I! , ~ I ~ I ~ I , I I I I I ! ~ { ~ I f ~ ' I;~ I I! I I I I I ~ i ! I I -f - j I ~ t ! I I i I~ ! ~ ~ ~ ! I I I 1 I I j ! I I ~ I i i oll I I I I I I I ~ j I I ~ I I ! i j I I I I I , i I I , ~ I I i I ' - x-1-1- I I ~ I I I I I I- I , ~ ~ i I I I I I ~ ~ ! ! T i ~ I i j I -r-- _1 j I ! ~ ~ I I I ! ~ I 1 I- ! ~ I i , i I 't I , I ~ I j I I ! ' I I ~ I i I ' ! ~ i I ~ I I ! I ~ I i ~ I t I-I I I i I I I i! I I! I I ! I i I 1 t I I i ! j I I', ! ~ ~ I i I I , ' ' I ~ ' ' ' I I I I I I i I I I ~ I I I I ; . I ~ I i ~ ~ ~ I I i I I i I I j I ; I I I I t~ I I I l t I I ! I I i r i ! I i I I ! i j I ~ I I I I I ~ i I ' : : I I ~ I ~ I I 4i - I I I : I i i i I I - - - - - - - - - i I 1--- I I i I ' i : I I - ~ - ~ ~ I - - - - - - - - ~ Imo- ~ I I I I I I i I r : - I I I -t -t- i I I i I ~ ' I - - - - - - - - - - - - - - - - - f t I - - - - - - - - L - - - - j I i -I F 7, - ~ 1 I I I. ' PAGE OF CrUSS Stzc~lon Or A ii;~ Sys~en-) Frd1h All Inlay And Obwwation Pipit ~J" v J ~jS,tEjV Approved Vent Cap - Minimum 12' Above final Grade 20- 42" Above Plpp _ 4" Case Iron To Final Grade Vent Pipe Mar en Noy Or Synthetic Core.lnd min 2' Ayprepode . . Over Pipe 0461116 'lion pipe o 0 0 Tee - 6' Apptepale Beneath Pipe ° Perlo/oled Pipe Belo. o -Cavpilny Te/minallnp At Bollom 01 System P~p~o~eD ~Ine-~ 19r~.c~t ton SOIL FILL DISTRIBUT101.1 PIPE APPROVED Sw"(HETIC COVCR KI: 0OR 4" OF STRAW 20 OF/ 1,GG9EGAlE OR MARSH HAy 2t/2 AGGREGATE rP ELEV. of FEET-.. D15i-RIBUTIOM PIPE TO BE AT LEAST INCHES BELOW ORIGIMAL GRADE AkJU AT LEAST t0 INCHES BUT MO MORE THA" 42 IMCNES BELOW FIMAL GRADE MAXIMUM Mrvi OF EXCAVAT1,00 F%(0M OKIGWAL 69ADa WILL BE ~IMCHES 1'immuM AEPrti of EXCAVATION f-KOM 0~14114AL CRAuF- WILL BE INCHES 51GMED: LICE►JSE AJUMBER: DATE: , l o