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HomeMy WebLinkAbout036-1002-90-000r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDIN INDUSTRY, DIVIS10 LABOR AND PERCOLATION TESTS (115) MADISON WI 3707 HUMAN RELATIONS 7 (ILHR 83.0911) &Chapter 145) ATION: ECTION: TOWNSHIP LOT NO.:BLK.NO.: SUBDIVISION NAME: �/Sw '/a z /T31 N/R E7 b.1 W I 17_r*rr041 N/ ti/,f /•� MAILING ADDRESS: o i /7i, e o 7L T S-� Neu�/C�c� USE DATES OBSEftVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 2 N/� New F-1 Replace /� /3 �,9 cJ Zvi K - � y S RATING:S—Site suitable for system U Si uns tab) fb/sys� /' � !J rMS ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM: ❑u ®s ❑u as au ❑s ou os au ���ENr� � � �G�© T If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: A111f PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- jG 9�.9 Al >q6 8,s R�' sI zz�C 4� % Y4 io yjT 6/ .4,e1s B- z I No rgo 75R� ! � �s ~' B- 3 83 A > fs 'o */ M s B- 410 B- • � p " , . , "zs B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PER IO 1 PERIOD2 PERIOD 3 PER INCH 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 el ation at all borings and the direction and percent of land slope. � �T cgs SYSTEM ELEVATION aR Z�¢ `t,feA � ' LCf moL l�'o� w_ D y io A10TC &60VSP Of �� £ ��Rcc , $ >, = 6/6&p es) D�sra~.ucPS Ro rfl .= oay1� r�F 1p0) � TN /3kc.��s� o� �.K°r�aesg o P► �s�lS�i( F:R,Ib�. -fee,emr �% p A v ., © P�� �� a>QE s � -rRh, f g Ply s 7 F s r9-Kel /Q,' a` v. it 3 ` I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods sp i ie i the isconsin Administrative Code,and that the data recorded and the location of the tests are correct e t o knowledge and belief. NA (print►: TES RE COMPLETED ON: �LDUA,v e F�,Ns ADD ESS: RTIF� ION NUMBER: P ON N MBER(optionall: 4St �SIq, �R E: N DISTRIBUTION: Original and one copy to Local Authority,Property Owner an SS ster�,e���Cr. DILHR-SBD-6395 (R. 10/83) —OVER �� ( t, s INSTRUCTIONS FOR COMPLETING FORM 115- SOD -6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use suction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations.Drawing scale is prefered.A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete all apropriate boxes as to dates,names,addresses,flood plain data,percolation test exemption,if appropriate; 10. If the information (such as flood plain,elevation)does not apply,place N.A.in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10") BR — Bedrock cob — Cobble (3 - 10") SS — Standstone gr — Gravel (under T') LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Peecolation Rate med s — Medium Sand W — Well fs — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand "- — Less Than 'I — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot Mottles sc — Sandy Clay w/ with sic — Silty Clay fff few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d_ distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request t verification of this soil test in the field prior to permit issuance.A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit.The sanitary i permit must be obtained and posted prior to the start of any construction. Parcel #: 036-1002-90-000 06/19/2007 03:23 PM PAGE 1 OF 1 Alt. Parcel#: 02.31.17.25 036-TOWN OF STANTON Current X 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-COTE,WILLIAM A&ANGELA K WILLIAM A&ANGELA K COTE 1875 LOCHAVEN DR WOODBURY MN 55125 Districts: SC= School SP=Special Property Address(es): '=Primary Type Dist# Description �&d SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 2 T31 R1 7W 40A NE SW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-31N-17W Notes: Parcel History: Date Doc# Vol/Page Type 04/16/2001 642803 1618/353 WD 07/23/1997 903/202 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANDS G6 40.000 100,000 0 100,000 NO Totals for 2007: General Property 40.000 100,000 0 100,000 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 72,000 0 72,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036-1002-95-000 06/19/2007 03:22 PM PAGE 1 OF 1 Alt. Parcel M 02.31.17.26 036-TOWN OF STANTON Current X 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-ANDERSON, MICHAEL C& DORLAINE MICHAEL C& DORLAINE ANDERSON 1419CTYRDG NEW RICHMOND WI 54017 Districts: SC =School SP=Special Property Address(es): '=Primary Type Dist# Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 2 T31 N R1 7W 40A NW SW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 02-31 N-1 7W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1230/014 WD 07/23/1997 808/115 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 2.000 1,400 0 1,400 NO MFL BEFORE'05 CLOSED W8 38.000 95,000 0 95,000 NO Totals for 2007: General Property 2.000 1,400 0 1,400 Woodland 38.000 95,000 95,000 Totals for 2006: General Property 2.000 1,000 0 1,000 Woodland 38.000 68,400 68,400 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00