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HomeMy WebLinkAbout030-2007-45-000 C o (D ° o p °6-t �r C d, 0. C3 C� O O li a" o I i I �o I I I �L I I p O c z c o Q I 3 co vll � I z rn z = °o Zo `m (D w a m M F U) c o Z 0 z o Z o c to F- O N ` N 0 Z m Z NZ N E m N y � O W O y d i U O ° 0 0 a - . Z N > Z 0 0 0 a IL IL CL IL c [Ai 0 N 1 O O y U j rn rn } S p O 3 ++ Q Q O N y 0 y 3 w c c E CD OL" In LO ~ C a) C N U d G � > O a M L II N O p � N Y N p 20 O y CO L C7 7 N L" N O O .L. M N Z I- C N O r.l O M £ � N p E t•.3 U • y��' O M (n (n O N H UJ O � w a • '� a s .� m y c r A v a 0 in v Parcel #: 030-2007-45-000 02/09/2007 04:17 PM PAGE 1 OF 1 Alt. Parcel#: 34.30.19.375C 030-TOWN OF SAINT JOSEPH 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-SMITH, KEVIN C KEVIN C SMITH 1261 CTY RD I HUDSON WI 54016 Districts: SC= School SP=Special Property Addre s): '=Primary Type Dist# Description " 1261 CTY R A SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 14.510 Plat: N/A-NOT AVAILABLE SEC 34 T30N R19W PT SE NE BEING LOT 2 Block/Condo Bldg: CSM 8/2118(14.95AC)REPLACES CSM 7/2087 EXC HWY PROJ 8939-03-00(0.378AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 34-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1223/530 WD 07/23/1997 845/318 07/23/1997 811/585 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 14.510 141,700 158,500 300,200 NO Totals for 2007: General Property 14.510 141,700 158,500 300,200 Woodland 0.000 0 0 Totals for 2006: General Property 14.510 141,700 158,500 300,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - S T C 04 AS BUILT SANITARY SYSTEM REPORT OWNER /i '� /T TOWNSHIP ,57, .L' 44 1/;� SEC. T tr3N-R_i 01W ADDRESS /, ST. CROIX COUNTY, WISCONSIN C6 YIA- SUBDIVISION LOT LOT SI E PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N I I w W I (illi LL NC l INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used 1174AI' P-1/227- Elevation of vertical reference point: /60"") Proposed slope at site: SEPTIC TANK: Manufacturer: (1)&Z Liquid Capacity: j,00 Number of rings used: Tank manhole cover elevation: /d `, L Tank Inlet Elevation: I(_) Tank Outlet Elevation: Number of feet from nearest Road: Front,yV Side 0 Rear, O feet From nearest property line Front,O Side, Rear,O f, �Q feet Number of feet from: well , building: _ (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER anufacturer: Liquid Capacity: Pump Mode . Pump/Siphon Manufacturer- Pump Size Elevation of inlet: Botto tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm ch Type: Number of feet from arest property line: Front, S Rear, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: x Trench: Width: Length: 6. 3 Number of Lines: Area Built:--�� Fill depth to top of pipe: Number of feet from nearest property line: Front, n Side, O Rear,O Ft .�1>L� Number of feet from well: W Number of feet from building: (Include distances on plot plan). S AGE PIT Si Number of pits: Diameter: _ Liquid pth: Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used o ny of the above soil absorbtion sytems? (Check e). HOLDING TANK Manufacturer: rapacity: Number of rings used: E tion or bottom of tank: Elevation of inlet: Number of feet from n rest property line: Front, O Side, Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: — Inspector: ,y _ Dated: Plumber on job: v , License Number: 1G'� 3/84:mj 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. SE�,,NE�,,Sec. 34,T30-R19W ❑ CONVENTIONAL ❑ ALTERATIVE (II..igned) Town of St. JosephE Holding Tank ❑ In-Ground Pressure ❑ Mound /_C - E 941IN4 HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Kevin Smith 446 S . Knowles Ave New Richmond, I BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT. L Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Donavin Schmitt 3205 St. G 135363 SEPTIC TANK/HOt *#eF"N : c =lU A10' '7 / MANUFACTURER: LIQUID CAPACITY: TANK INL TAN T ELEV.: WARNING LABEL LOCKING COV R PROVIDED: PROVIDED: a•� Q � 'v /% OF /!.� YES ❑NO ❑YES NO BEDDING: tlEfOT DIA.: AW-W MATL.: HIGH WAT NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT O F ESH C.C//. C.0� ALARM: FEET FROM LINE: i �'� AIR IN T ❑YES NO 7 Cum ZL ❑YES NO NEAREST—� l� O MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: S ❑N O — — ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF LI OPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL A R ING: or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue. CONVENTIONAL SYSTE : 9,90 7 S ern tCell. WIDTH: N0. F DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID BED/TRENCH TREN HES: i MAT RIAL: DEPTH: DIMENSIONS $ (p - GRAVEL DEPTH FILL DEPTH DISTR.PIPE�ELEV TR.PIPE DISTR. IPE,MASEF14AL: N DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPE ABOVE COVER: ELEV.INLET: .END: �i i�1,X0-'40 PIPES: FEET FROM LINE: p AIR INLET: 6 .z.7 c'SCinG ae�'U 3 NEAREST—� 7/G� © � S MOUND SYSTEM: ' 9,qo� 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: JPIE­RMANENT MARKERS: OBSERVATION WE ❑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: 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: FEET FROM LINE: DYES El NO DYES ❑NO NEAREST Sketch System on Ret ' 'n county file for audit. 1 Reverse Side. SIGN LURE: � TITLE: SBD-6710(R.06/88) "�� DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code 77, STATE SANITARY PERMIT# -Attach complete plans(to the county copy only)for the system,on paper not less than � � 8%x 11 inches in size. ❑ c eck if reAl previous application -See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION j "Ag '/4 ''/a, S ' y T , , N, R E(or PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# UL= CITY,STATE I ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER r, ITY II. TYPE OF BUILDING: (Check one) F1 State Owned VILLAGE: NEAREST ROAD NQF: S& Z)1,L-;J e7y 7,&- ❑ Public 1 or 2 Fam. Dwelling-#of bedrooms-a- AR EL TAX NUMBE ) o3a — -`�r 's,_00 III. BUILDING USE: (If building type is public,check all that apply) 3 7 S C 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. � New 2. El 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 12 30 El Specify Type 41 ❑ Holding Tank 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 ` ' o.377 30 7/. YY Feet Feet VII. TANK CAPACITY 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 Se tic Tank or Holdin Tank t r t Lift Pump Tank/Siphon Chamber FX—f—, �J 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 r Signature:(No Stam ) P/MPRSW No.: Business Phone Number: i umber's Address(Street,City,State,Zip Cod : IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater a e Surcharge Fee) ssue Issuing Agent Signature(No Stamps) Approved F-1 Owner Given Initial � 400 �� Adverse Determination V e"lizzu" X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety✓f<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 onsife-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. 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 8TC - 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 Z!4�/✓ ,sey / Location of property l/ AIF /9, Section , T, A_N-RJ _W Township sose"O'oy Mailing address S. Ne-uk F ,d, 4! Address of site lgorl'A jp Subdivision name Lot number I Previous owner of property oatz&&D &A-,zdo& S Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes ✓ No Volume k 1/37 nd Page Number !3/? 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 r corded in the Office of the County Register of Deeds as Document No. V`19' QW6 ; 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 jrhe same has been duly re girded in the Office of the County Register of Deeds, s Document No. y y q S gnature of Owner Signature of Co-Owner (If Applicable) /o C�2 Z Date of Signatu a Date of Signature DOCUMENT NO. !STATE BAR OF WISCONSIN FORM 1—1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED p REGISTER'S OFFICE :7 5PA1E1S ST. CROIX CO., WI This Deed, made between .__.Doxta ld.:E._.Maclnnis_.and......... Recd for Record ...Helen_P_._.Maclnnis-,-.husb_and__and._wi£e__________________•___-_--- •-----• -- jUL 10 989 ------------------------------------------------------------------------- ------------------------ ------- at 8:00 A. M ----•---------------------------•------------------------------------------_____------------------. Grantor, and-------- -----Kevin._C_.__.Smith-------------------------------- ----------- •------------- V ....... r' Register of Deeds ------------------------------------- ------------------- Grantee, Witnesseth, That the said Grantor, for a valuable consideration.._.__ ------ RETURN TO conveys to Grantee the following described real estate in -St-.-.Croix--------------- Kfv,,j Srrr rrf County, State of Wisconsin: I A`/7 `r° L Part of the Southeast Quarter of the Northeast Quarter of Section 34, Township 30 North, Range 19 West described as Tax Parcel No_ ___________________________________ Lot 2 of a Certified Survey Map recorded in Vol. $', Page 2118, as Document Number 449220 in the office of the Register of Deeds for St. Croix County, Wisconsin. 1T�A)*4sf' . S MITi is not This ............................ homestead property. iii) (is not) Together with all and s gul the h di meets and a tens ces they untq belonging; And grantors, Bonata E. "M[c nis and 'efts Mac�nnis -------•-------•-- ------------------------ ------------------------------------------------------••-............•-- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants and restrictions of record, if any, and will warrant and defend the same. Dated this ....--.---•--- ......................... day of ........ - - - ---•--- • ---------., - --------------------(SEAL) --- I .� -•` '\ - --- •i-- - L) id Mac nni by 8ruee PPaCI�13S jA * * hi ttorn In Fact ----- -------(SEAL) (SEAL) e ' P. Mac nnis y ruce MacYnnis * * -------------------- ------ AUTHENTICATION ACKNOWbED�GMENT Signature(s) ------- ----•- STATE OF �903I �Ild ---•- c_ --------------County. authenticated this --------day 1 1 9-------------------------- 19______ Per lly came before me this g8____/.....day of --------- - x 989 th above amed -----------------------•------------------------------------------------------- Donal E. ••aclnnis and Helen . Macnnis * by__tiie r__attorney In fz4t., 3iisWiXgaEn - -----------: �• 4P.: -------- TITLE: MEMBER STATE BAR OF WISCONSIN ! $,f�o1 ........................................... r : (If not- ------------------------------------------------------------ f�-•�\ 3�• - authorized by § 706.06, Wis. Stats.) •: to me known to be the person s•___%_-_'bvho�exccuted the forego instrument and acjni1 1edgeahe same- 0 THIS INSTRUMENT WAS DRAFTED BY .I,if� •e _ ',••� HEYWOOD & CARI ------- _ ------------- > = -----•---- By Samuel R. Cari L .,. •--•--- g-eO- Box 229-,-•Hudson-,--WI--------54D-1-(---------- Notary ublic ----- ---- ----------------------- --- -- ount y,AftL . (Signatures may be authenticated or acknowledged. Both My Co miss' � ., a expiration are not necessary.) J +�P!!!!�--.._____.__, 19--------- date- -------------�` '�.ilf4 *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 5U/l'V G ROUTE/BOX NUMBER FIRE NO. 4 CITY/STATE_ � 'f', OSFee ZIP moo/ , PROPERTY LOCATION: _ E1/4 l_1/4, Section _ , T_3D_N, R _W, Town of .ST Sasaa syt , St. Croix County, Subdivision , Lot No. Z 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 /o / T� St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date and Return to above addre s s D iTM OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INU •INDSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 537 HUMAN RELATIONS 07 (H63.09(1)& Chapter 145.045) LOCATION: SECTION: TOWNS H I P/MUWDU0=Y: LOT NO.:BLK.NO.: SUBDIVISION NAME: SE '/',NE�/4 34 /T30 N/R19)C(or)W St. joseph n/a n/a n/a COUNTY: OWNER'S/F MAILING ADDRESS: St. Croix Kevin Smith 446 S. Knowles Ave. ,New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO.BEDRMS.:ICOMMERCIAL DESCRIPTION: I R S: TESTS: Residence 3 n/a }®New ❑Replace 10-12-89 110-13-89 RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTE -IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) ®s ❑U VS ❑U 9S ❑U I ❑s [MU I ❑S ®U I conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: n/a [Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 42 SaC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTHS ELEVATION OBSERVED EST.HIG HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 7.17 103.05 none >7.17 .58bl.1. 1.17bn.sil. 5.42bn.s.1. B- 2 7,17 103.14 none >7.17 .75bl.1. 1.00bn.sil. 5.42bn.s.1. B- 3 6.92 102.44 none >6.92 .75bl.1. 1.42bn.sil. 4.75bn.s.1. B 4 6.75 100.69 none >6.75 1.00bl.1. .92bn.sil. 4.83bn.s.1. B- 5 6.75 100.84 none >6.75 1.00bl.1. .58bn.sil. 5.17bn.s.1. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES , NUMBER AFTERSWELLING INTERVAL-MIN. PERT D t —PERIOD PER INCH P_ 3.61 none 30 12 1 1 30 P_ 2 3.70 none 30 1 y 1 P_ 3 _5. Q none 30 2 4 S 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 horn 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 99.44 T_7 s ' 3 T +I I SO, 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: Gary L. Steel 10-13-89 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. , New Richmond Wi. 54017 2298 1715-246-6200 CST SIGN RE: n DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — I � I - j 'I I I I r , I t j) w 19 IL - - -- i L I I I f , I i� � I I � 6 I 1 1 _ t►y 1,15 Ys ,� - I 1 10I 7 �- IS, rl I 7-t- , I _ I I P t i 1 I 1 I 1 i , I 1 i I oT l' 1 to i Isle 1 + I I i � t I I ! I � ! 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