HomeMy WebLinkAbout038-1072-10-000
h y O 69 I
ao
av is
0 I
~o I
0
o I
N
o I
C I
I
~ I
~ I
I
I
y
N I
O
z I
~i c I
0
3 ~ I
a I
Cl)
Z I
y I
E
ro 3
co o
~ E o I
z r d a°i
ti Z a m
c
c C7 3
o z a
a~ z e ° o I
z
E a
O M
V
N m
C G N I
y O Q
O
a = -
I
z z o
0 °m
N z
M m c c
l6 E > N
r A 0
d a _C
° c c a a (op I
a 0 O N V1 U) N E L U_
Z > i 3 3 n to -6 I
~aaa z
y
CL
'11 0 U) a o °
m V rn 0 } I
~l in o ? Cl)
Fw 'N uO ~ ro ~o
I Q O ~ N
_ O E
= c a r- I
t
N 7
.fir O
N y y
0 C, 1 ~ y C
O o `o I
N CO CO
°o y ai ac c°'+a$°ornl
p n oo ! c c E y c v CO
f
k oo M ci z~ E c s
Cl) U) 1 0 C0 Z -E
o -i H U
rr`Iw~i ° 'c c 2 c
_1 A ti a ~ 0 I '
~ w
0 lV
E (D a G No
aWx
AS BUILT SANITARY SYSTEM REP n r• m o ca
O rt m 0 0
c z co
OWNER r LE 11SOA f TOWNSHIP TA~ jP/ o -5 H
rt W W
ADDRESS Jyr~ST. CROIX COUNTY, W Ln (D
Lnn o
(D
SUBDIVISION ~E~Q/►7/~//1/ LOT ( (D -P''
D -P, rv
rr
Ln rt i •
PLAN VIEW F-. ::Ej y Q
~ HC 1
(D.
Distances and dimensions to meet requirements of IL C) Ln t'' H F- Z `V
-P, O O Vt=i°
C) rt
SHOW EVERYTHING WITHIN 100 FEET o to
Co t-hOcl`~ F-1 0
f'• ~o Cn
ort M
W '
n n
n -'r
fan o~
r-" w
rt f.,.
rt n
85'
lB~C ~ 3
3g
/000 a'i
v S' ~
INDICATE NORTH ARROW
Q
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: /(10100 Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity: W D 0
Number of rings used: Nv/y,!~,-Tank manhole cover elevation: 9 9i S
Tank Inlet Elevation: U-x Tank Outlet Elevation: q~ 0
Number of feet from nearest Road: Front, t7N Side ,o Rear, O QQ feet
From nearest-property line Front 10 Side,W Rear, O / feet
Number of feet from: well , building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
s
o
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: ump Size
Elevation of inlet. Bottom of tank e". on:
Pump off switch elevation: Gal s per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest roperty line: Front, O Side, O Rear, 0 Ft.
N er of feet from well:
umber of feet from building:
nclude distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench: Width: B Length: Number of Lines:_ 3 Area Built: L/3 y
i.
Fill depth to top of pipe:
9
Number of feet from nearest property line: Front, O Side,, ~ Rear, ht.
Number of feet from well:
Number of feet from building:
(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 ny 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, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector.
Dated: Plumber on job: V
License Number : ~o2O _
i
3/84:mj
aa a~ aa~
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:
NE, SW , 17 , 31, 18W Y-K] CONVENTIONAL ❑ ALTERATIVE (If assigned)
town of Star Prairies Holding Tank ❑ In-Ground Pressure ❑ Mound
DRESS OF PERMIT HOLDER INSPECTION DATE:
LO ~IA1vJI RERMIT I~d~nain (90th
lL.. rr Dale Johnson S 1273 Hwy 35 Hudson WI 54016 O6
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.:
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Donavin Schmitt 3205 St.Croix 135496
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: f LIQUID APACITY: TANK INLET ELEV.: TANK OUTLET LEV.: WARNING LABEL LOCKING COVER
l j PR IDED: PROVIDED:
IJ G!/% t~" G7 ~ l S (Jc YES ❑ NO ❑YE NO
BEDDING: VENT IA. VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VE TO RESH
ALARM: FEET FROM J LI12:/ 5,,, AIR INLET,~
❑ YES NO ❑ YES ❑ NO NEAREST of
DOSING H MBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET:
PUMP ON AND OFF ❑ YES ❑ NO NEAREST 111111-
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING:
or excavation. (If soil can be rolled into a wire, construction shall 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
/(3 r TRENCHES: M RIAL: PIT DEPTH:
DIMENSIONS 5
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO ISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FR H
BELOW PIPES: ABOV OVER' ELEV. INLET: ELEV. END: PIP : FEET FROM LINE:G c p AIR LET:
i i ♦ / - 7 2 NEAREST 0 / ~tJ t~
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 ❑ NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: EDGES:
❑ YES ❑ NO ❑ YES ❑ 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:
ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.:
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: FEET FROM LINE:
9 7 ❑ YES ❑ NO ❑ YES NO NEAREST
'v
Sketch System on Retain in county file for audit.
Reverse Side. SIG _ TITLE:
`r
SBD-6710 (R. 06/88) Zoning Administrator
omas a son
=:7101ILtHR SANITARY PERMIT APPLICATION
COON
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 13 -51-e-1Q
8% x 11 inches in size. ❑ Check if 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 PROPERTY LOCATION
% %,S T :Kj, E(or
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
U7.3 # ~ ~ 13 -
C! Ty, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
HUD ~ 40M 5-Y4114
II. TYPE OF BUILDING: (Check one CI NEAREST ROAD
) ❑ State Owned VILLAGE
❑ Public r~O 1 or 2 Fam. Dwelling-# of bedrooms AR 46wNpF%'5;rA4 PP;j1,4ij ?10 577-,
EL TAX NUMB R( )
III. BUILDING USE: (If building type is public, check all that apply)
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
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. N New 2. ❑ Replacement 3. ❑ 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 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
y5_Feet Q Feet
CAPACITY
VII. TANK in allons Total of Prefab. Site Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank
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): Plu s Signature: (No Sta ps) M PRSW No • Business Phone Number:
i T I
Plum er's Address (Street, City, State, Zip Cod
C t
IX. C NTY/DEPAR MENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing ent Signature (No Sta ps)
Approved ❑ Owner Given initial Surcharge Fee)
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
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 Dale W. A Rita D. Johnson
Location of property NE 1/9 SW 1/4, Section 17 , T_.I N-R 18 W
Township Star Praire
Mailing address Dale W. Johnson 1273 Hwy. 35
Hudson Wisconsin 54016
Address of site 922 214th Avenue Somerset, Wisconsin 54025
Subdivision name Germain
Lot number 10
Previous owner of property Edward E. & Ann Marie Germain
Total size of parcel 10.98 Acres (478,300;Sg. Ft.)
Date parcel was created November 24, 1982
Are all corners and lot lines identifiable? __L _Yes No
is this property being developed for resale (spec house)? Yes x No
Volume 856:; and Page Number 2.81 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. 453380 . ; 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 ountty~Reg st r of Deeds, as Document No. _ 453380 ) .
Signature of ner Si ature of/Co-owner (If Applicable)
70
Date of Signature Date of Signature
DOCUMENT No. STATE BAR OF WISCONSIN FORM 1 - 1982 THIS SPACE RESERVED FOR RECORDING DATA
WARRANTY. DEED
453380 vc! _856PAGE281 REGISTER'S OFFICE
Thi.5 Deed, mlide between. Edward E. Germain andST. CROIX CO., WI
Ann Marie Germain, husband..and-wif------------------------------ Recd for Record
140V 131989
Grantor, 15 A. M
and- Dale W. Johnson and. 12ita- D.___Johnson, nn
husband and wife as...j-oint- tenants e•.
Regr of0eeds
, Grantee,
Witnesseth, That the said Grantor, for a valuable consideration------
St
conveys to Grantee the following described real estate in C...........roix RETURN TO
County, State of Wisconsin:
Part of the Northeast 1/4 of the Southwest 1/4
of Section 17-31-18 described as follows: Tax Parcel No:
Lot 10 of Certified Survey Map filed November 24,
1982 in Volume 5, Page 1233 TOGETHER WITH private
road over the North 1/2 of the Southwest 1/4 of TRANSFU
Section 17-31-18 as shown on Certified Survey Map r ,
in Volume 2, Page 404. ~ r
This warranty deed is given in satisfaction of that Land Contract
between Grantors and Grantees recorded in the St. Croix County
Register of Deeds office on October 27, 1986, in Volume 758 of Records
on Page 36 as Document No. 418531.
This _1S__110t_--_---_ homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And..... Grantors
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
and will warrant and defend the same.
Dated this 34'~-- day of 1989- (SEAL) ...........................•---.........----..............(SEAL)
* Edward E. Germain
,
- - - - -•----(SEAL) .....................................(SEAL)
* Ann Marie Germain
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) __.of Edward E. and Ann Marie STATE OF WISCONSIN
Germain SS.
-------------•••-•-----•--•--•------..County. i
authenticated this4/ day of------- May 19.8.9- Personally came before me this ................day of
19......_. the above named II
GE. Norman
TIT E• MEMBER STATE BAR OF WISCONSIN
I
to me known to be the person who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED 6Y
Bakke, Norman & Schumacher, S.C.
Y'2~0 er £age IS"rive---------•---•---.-.------••-----•
N-ew---Ri-Ehmond-,.--W.1----- 54-41-7-........................ Notary Public
.............County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration
are not necessary.)
e,,a`..• , 19.........)
s
*Names of persons signing in any capacity should be typed or printed below their signatures.
ai
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Ox,
FORM No. 1--1882 Milwaukee, Wis.
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER Dale W. Johnson & Rita D. Johnson
ROUTE/BOX NUMBER 922 214th Avenue FIRE NO. 922
CITY/STATE Somerset, Wisconsin ZIP 54025
PROPERTY LOCATION: NE 1/4 SW 1/4, Section 17 , T 31 N, R 18 W,
Town of': Star Praire , St. Croix County,
Subdivision'. Germain , Lot No. 10
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
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 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.
SIGNED
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
PEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, , c DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76
HUMAN RELATIONS
N, WI 53707
(H63.09(1) & Chapter 145.045)
LOCATION: SECTION: TOWNS HIPtSbb~kITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
NE t/4sW1/4 17 /T31 N/JiL8 (or) W Star Prarie 10 n a Germain
COUNTY: O BUYER'S NAME: MAILING ADDRESS:
St. Croix Dale Johnson 1273 Hy. 435, Hudson, Wi. 54016
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL D SCRIPTION: PR F D I ONS: 1PERCOLATION TESTS:
L:& Residence }~61ew ❑Replace jj-jj-89 11-12-89
n /a
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUNDPRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
®S 0U S ❑U QS ❑u ❑S)2 U ❑S ®U conventional
If tercolation Tests are NOT required DESIGN RATEIf any portion of the tested area is in the
unH63.09(5)(b), indicate: n /a Floodplain, indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS page 11 AMD2 h
BORING TOTAL ELEVATION __!!MB T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH I ERVED S . HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 7.00 99.16 none >7.00 .92bl.1. 1.25bn.sil. 4.83bn.s.1.
B 2 7.08 99.55 none >7.08 1.00bl.1. 1.33bn.sil. 4.75bn.s.1.
B3 6.92 99.26 none >6.92 .83bl.1. 1.17bn.sil. 4.92bn.s.1.
B-
4 6.83 98.46 none >6.83 .83bl.1. 1.92bn.isl. 4.08bn.s.l.
-
B-5 7.34 98.86 none >7.34 .92bl.1. .92bn.isl. 5.50bn.s.1.
13-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER XXX= AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R PER INCH
p-1 3.40 none 30 2 Z 2 2 15
P_ none 30
4
P- 3 3.50 none 30 1- 1 1 30
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
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 95.76
Y3 4-11- 4~ zg( 0' j
l/''' ~S
LYE )v~ /
At V)/ X oy ~sv M
)4- ) 00 5 ,
~ TN
A ~
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:
ar L. Steel 11-12-89
ADDRESS:
CERTIFICATION NUMBER: PHONE NUMBER"(optional):
88 N. Shore Dr. New Ric hmond Wi. 54017 2298 1715;7246-6200
CST SIGN E:
o !
_t... / /
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
ly" r /,v P Ti
G
op sT - _ - -
- S F
o r o,K1
- ~ s
1
s~ .
s
~ O 1
~1
~ ~ I i ~
~ , I
i 1
I ~ ~ I~ ~I ~ ~ ~ I
~ ~ ~ 1 ' ~ 'I
i ~ ~ ~ i ~ ~i
~
~ ~ i ~ ~ I
i i ' ~ i ~ ~ ~
~ ~ ~ i ~
I I I 1 I I,
I I
1
~ ~ ~ i
I ~ I
i
i ~ I I ~ ~ ~ ~ 1
'I ~ i i 1
~ _ ~ I I it 1 li ~ I
1 i ~
I ~ i ~ ~ ~ ~
~ I ~ ~
~ I ~ I
I
I , ' 1 i ~ -
i
~ I I ~ i
~ ~ ~
-1-; ~ i
I ` 1 1 I 1_ i ~ i~ I
I ~ ~ ~1
I I l~ i ~ i
~ ~ i ~ ~ ~ ~ ~ ~ I I
I
I
i , ~
I ~ ~ ~ ~ ~ ~i
~ ~ I ~ ~
~ , 1 I
fi ~
1
i ~ ~ ~
1
~ i
1 ~
I I ~
~ ~ _
~ I II - ~ ~
~ ~ _
_ ~
~ -1 ~ ~ _ - _ ~
I
~ ~ I 1 ~
~ 1 _ _
_ _ _ _
~ - I i ~
~ ~ i, _ ..1 - ~ ~ ~i
~ ~
Al -
i
1, 77
P
- ~ 1
IWO
►
L4
IVI
pip
5~
I M
r _
~ I, I i I I I I I I
' I I ~ 'it I it • '
j i
i
i
i
1
I i II
I I I
I
I
' I i I i I
I
I
I
-E- I
I
II ~I I 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 I
i
I
i I I
I I I i
I I i
I
I
i
i
I
II
I
I
I
' i I ~ I I li
,I
I I
I ~I
I I
III
' I ~ II
i
I ; I
I
III
- - -
I I II
I I ! I I ~_I _ I
~ I-r--t I II 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
II
I
I
I4
I II I I I I~ ~ II I ' I ~ I~ ~ ~I I
I I
I ~
I, ~ I I
~17-
I
Ii
I
~ I I
I
Ij
j 'I ~
'10
U) r r
jono(I
-I@Tll.13Z SE'T'
~ i c rCC~ ~L.I~ ~LI~li1,,I~SL[T S Tl[,I,
~ r$ • 981,
i
Ali" •d
i '0, C~
, 113
\
- n \ \ cf 1 ~l
7
0Z ~r r
0sz u
N \ \
N d- ,
~r
~ ' • d1 Q. 1
r 7 O1 1
+
N en r
t - O U
CD U)
to - ' 4 00 C:>
m O c) o °
Go • M r,
(n O M o
00
r 00
~r V ~ 1
C, 0
J I N CU 7 A, ~9C
c) Z
V- z
r I - `S , 9 9
;I z
\
M C)
C) o \
ca \
I - O rn
- o . c.
CD O
U-1 - \
O m 07 01 1
F o
ILI
C
h/TAMS HHL 30 V T9NT, z o~
HHI :I0 H,MIZ ZSHAI >r ttr;ri7,~ ~vrrroz mrv
1 6S. . SC A1i,~i~ i Ss oON
- -
.LO i