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HomeMy WebLinkAbout032-2009-70-000 eC o a�i °o I o p N � c o a 0 C O O N ti N O O U � N C �L+ U 'O a) y V z c C {L c o O c 3 m m Li U I @ M i m LU E C � L o I � O Z V O a� Z c N O O c m (D •� a) 00 L_ Q Q z m z NZ Cl lot .. c d V1 O d lYC a+ ` 2 C Q m n m h O 0) fry (rA N 'o U WJ 0 3 3 m z •N R oaaa N a a rn rn Q to J U rn rn z w m N CD a LO a) c m d Q } cn Q O O CD H C y o o .a EL �Q o ~ cco a) c u a C) V C L 1 � N C N N (Y' W a) a) N c! E � ay 4f. . 7 E c • _ 0 0 CQ 2 0 Z N z H �2 (n I rte ' E o y .0 y o R m 3 R o rr�� A vat oinV �1 � y Parcel #: 032-2009-70-000 02/27/2006 10:19 AM PAGE 1 OF 1 Alt. Parcel#: 2.30.19.504 032-TOWN OF SOMERSET 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 0-WEBB, MICHAEL D MICHAEL D WEBB PO BOX 298 SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *752 170TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 2 T30N R19W 40A SW SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 08/11/2000 628047 1534/02 WD 07/23/1997 826/86 07/23/1997 814/447 07/23/1997 801/136 2005 SUMMARY Bill M Fair Market Value: Assessed with: 77534 472,200 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 184,000 232,000 NO PRODUCTIVE FORST LANDS G6 37.000 148,000 0 148,000 NO Totals for 2005: General Property 40.000 196,000 184,000 380,000 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 196,000 184,000 380,000 Woodland 0.000 0 0 i Lottery Credit: Claim Count: 1 Certification Date: Batch#: 304 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r r Form - STC - 106 AS BUUTC SANITARY SYSTEM rEPORT b L -y� OWNER er(�n -�.?C� TOWNSHIP f - -odPeHSt / SEC. _ T ?O N-R�W ADDSSSS 70 7�( lAhAe- ST. MOIX COUNTY. WISCONSIN s SU3DIVISION �' LOP LOT SIZE PLAN VIEW Distance@ and dimensions to mer_t requirements of I•I,HR 83 SHOW EVERYIIING WITHIN 100 FEET OF SYSTEM r0 7 SD ns�^ pro, del 1 INDICATE NORTH ARROW SENCOLURS Describe the vertir_nl reference rni.nt used Elevation of vertical reference ratnk: /vZ / Proposed lope�t sites se $9FTIC TANK: Manufacturer: _ _ Div �•e- I/ Uquld Capacity: Number of rings used: v Tank mnnliuLe cover elevation: Tank Inlet Elevation: -45—Tank OuLI:A. Uvvation: /6 Number of feet from nearr ► T<'n : FronL,o �c:�10 Rear, feet �� / From nclreat• pra{ic.i ;.lne I�rwnl•,(— (!1��,�Rear,O � _ feet r PUMP CHAMBER Manufacturer: 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,Q Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trr.7,ch: Width: Af Len the Number of Lines:,__ Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front V Side, Rear, It Number of feet from well: S11 v �� Number of feet from building: (Include distances on plot plan)* SEEPAGE PIT Size: Number of pits: Diameter: Liquid depths Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above Doll absorbtion sytems? (Check one). HOLDING TANK Manufacturer: 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, 0Pt.__ 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 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&HUMAN RELATIONS DIVISION PD.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: SW 4,SE 4 j Sec. 2 ,T30-R19W ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town Of Somerset ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound QJW OF PiWT HO ER: ADDRESS OF PERMIT HOLDER: INSPECTI ATE: Kerlin Hue sch 3(3 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT R N: f REF.PT.ELEV.: CS7 REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: ron Bird Jr St. Croix 12 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TTAN�KINLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: , 4 q 25YES ❑NO ❑YES b&NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH /� ALARM: FEET FROM L E AIR INLET: ❑YES 5�.NO C L ❑YES 594gO NEAREST—♦ ��� .�d DOSING CHAMBER: 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 NEAREST­111I 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: WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID BED/TRENCH TRENCHES: I MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO. TR. NUMBER OF PROPERTY WE71LB UILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: ^ PIPES: FEET FROM LINE: I AIR INLET: 1I 01 9V VV 1 1 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 I TEXTURE: P 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: WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TRENCH 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 I [--]YES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: El YES ❑NO [__1 YES ❑NO NEAREST--► -- -! i Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE: SBD-6710(R.06/88) E:ZikHR SANITARY PERMIT APPLICATION COUNTY , In accord with ILHR 83.05,Wis.Adm.Code � Gyo� STATE SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than 8% /8%x 11 inches in size. (� if tevis onto revious appiication —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER 1. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PROPERTY OW FR PROPERTY LOCATION Y0,,=_- '/4,S T V, N, R E(o PR60 OWNER'S MAILING A DR LOT# BLOCK# +C C — CITY,SMATE ZIP CODE PH NE NUMBER SUBDIVISION NAME OR CSM NUMBER I O �.� III. TYPE OF BUILDING: (Check One) ❑State Owned VILLAGE NEAREST RO o�n r Go ❑ Public 31 or 2 Fam.Dwelling-¢#of bedrooms LAX NUMBER(b) _ — III. BUILDING USE: (If building type is public,check all that apply) 1kt=3r L0 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.�q 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 1:1 Mound 30 El SpecifyType 41 El HoldingTank 12 RSeepage 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.tt.) (Gals/day/sq.ft.) (Min./inch) ELEVATION �5� G "met 0l3 Feet VII. TANK CA ACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks strutted Se tic Tank or Holdin Tank G Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plumber's lure:(No Sta MP/MPRSW No.: Business Phone Number: Plu is Address(Street,City,State,Zip Code): r/ C IX. Cora PARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(I hides Groundwater Date Issued Issuing Agent Signature(No Stamps) J Approved ❑ Owner Given Initial ` ' Qp surcharge Fee) /� Adverse Det rmin tin _T /v � 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. 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 1 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%z 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'arid establishment of standards. I i SBD-6398(R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the ownet(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 ownst/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 ey- 1 to-6srl Yn Location of property � yi/4 y _1/4, Sectlon .2-36-, T_,jj"j_N-R_La_V Township Mailing address ��5� Z k 7C0411 lP Address of site �5am fa, Subdivision name Lot number --11 Previous owner of property h T n Total else of parcel 40 ar x�5 Date parcel was created Are all corners and lot lines identifiable? —Yes No Is this property being developed for resale (spec house)? Yes x No Volume gaA and Page Number R 1-1 _ 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 ORAL 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_d`eed recorded in the Office of the County Register of Deeds as Document No. w?I42 0 ; 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 as W system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. ) . Sly atute of Owner Signature of Co-Owner (If Applicable) /&//& /k 0�' xe'-2 r 1� - ?� Date of Signature Date of Signature I, DOCUMENT NO. II St1.arE BAR OF WISCONSIN FORM 1 1952 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 4;42629 _-- _:___ ---- -- BOOK 826 PacE_ 6 -- -, REGISTER'S OFFICE ST. CROIX CO., W1 This Deed, made between ....CIAP..5-119.fi... C A.,.._a......... Recd for Record 14isiaon.sin-.Corporatiari----------------------------------------------------------- 0 CT1> 81985 i Grantor, t 11:30 A M and...... -------------- (� ----------- arti.al---Fr_oiler_t7'----------------_-- ---••--••--•--------------• --------------- Regisrerof� f I --------------------- ------------------------------------------------------ ----------------------------------- I, Grantee, Witnesseth, That the said Grantor, for a valuable consideration__._-- I - o.ne.._dollar---and---other-_v_al-Vable__consi_dera_tion -- --- ---� RETURN TO conveys to Grantee the following described real estate in ....15_tA...Cr' ix........ County, State of Wisconsin: 0 2-200 0 Tax Parcel No: -------J----------------7------i SW-4- of the SE of Section 2-30-9.9, St. Croix County, Wisconsin I I ii I 1 I' This ------is not ._- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And... --------•----•---•------------------•------------------------------•-----..------• ------------------------------------- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and covenants of record, if any and will warrant and defend the same. Dated this C� -- ----------•--. day of ----- ------------------- 19 0_ .1L> ----------- ------(SEAL) ----•------------•-••-•---••-----•--------••-•-•-----...-----.•-•-••(SEAL) vid..I3._._ r_saht,__.Pres.i -------• •---(SEAL) ------------••------• ----------------------------------------------(SEAL) --------------------_ ---------------........................... I I AUTHENTICATION ACKNOWLEDGMENT Signature(s) ............................................................ STATE OF WISCONSIN SS. 10 I -------------------------------------------------------------------------------- County.. authenticated this --------day of.......:................... 19-----. o lly came before me .day of - -- - ------------------------------- 19�--- the ab ve named ----------------------------•-------------------------------------------------- j I' *---------------------------------•-------------------------------------------- - -- �' - TITLE: MEMBER STATE BAR OF WISCONSIN I - - (If not- --------- ------------------ 'authorized by § 706.06, Wis. Stats.) to&e known to be the person ------------ who executed the fo a oing instr e t and a nowled the THIS INSTRUMENT WAS DRAFTED BV -- --- --- - ----- - - ---- ---- - --- -------- =�t = ., PubBC � ----- Notary Public ... __._County,Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expil!ir�ra 'on are not necessary.) date: E ---------•-----_-------, 19Q ..) *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. _- FORM No. t—191119. -_!: __- I STC 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER _ /anYl`Yl �OIY'��(1lJlt°_�5�- YY1011'1 ROUTE/BOX NUMBER .75 7- 70" FIRE NO. CITY/STATE L)brn�rs "�� VV ZIP Z S PROPERTY LOCATION: a�bL1/4 c� --1/4, Section T_30 N, R_L9 _W, Town of , St. Croix County, Subdivision , 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 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. /J SIGNED DATE —TI 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 :'EI,Ah_iIv1LN1,UI- f rL �( �k °� Ik r �c �r ' L(__' ` 1 NU r i_ ; , t,., , + INDUSTRY, t.���1'� J i� 4.�� �� t7� ! • 0IVI''IpN LABOR AND l P.O. BOX 7969 HUMAN RELATIONS PERCOLATION`COLAT'ON TESTS (115/ MADISON,WI 53707 (H63.09(1)& Chapter.145.045) LOCATION: SECTION: �r� w TOWNSFIIP/MU� C LOT NO.:BLK.NO.: SUBDIVISION NAME: ` SW 1/4 SE1/ 2 /T30 N/Ri9,&(or) ,1 Somerset n/a n/a n/a COUNTY: OWNER'S BUYER'S NAME: MAILING AUDR SS: St- Croix— Fdina Real ty David Bracht 1 350 Plain Somerset Wi. 54025 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMUERCIAL DESCRIPTION1 PRUMIE DESCRIPTIO PERCOLATION TES!S: �Ftesidence 3 n/a S:New ❑Replace ( Aug. 26, 1988 n/a RATING:S-Site suitable for system U-Site unsuitable for system ONVENT L: MOUND: IN-GROUND R UR. : S STEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) ®S ❑U g S ❑U Eg S CA ❑S �U ❑S A 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: Class 2 Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 26 OND2 BORING TOTAL_ DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST.—HIGHEST TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) B- 1 6.83 101.25-. none >6.83 .83bl.1. 1.67 bn.s.1. 4.33bn.s.1. J. B_ 2 6.75 101.62 none >6.75 .75nl.1. 2.33bn.s.sil.. 3.67bn.s.1. B_ 3 7.50 101.30 none ': >7.50 .50bl.1. 1.33bn.sil. 5.67bn.s.l. B 4 7.33 99.95 none >7.33 .58bl.1. 1.58bn.sil. 1.00bn.s.1. 2.67bn.l.s.&9r. B- 5 ' 7.16 100.30 none 1 >7.16 .58bl.1. 1.33bn.sil. 2.50bn.s.1. 2.75bn.l.s. B_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD P RI D 2 P R PER INCH P- P- P- P-. P_ se aesign rate 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 96.95 LI t ti 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: lGary L. Steel 8-26-88 _ ,ADDRESS: CERTIFICATION Uh BER: PHONE NUMBER(uplionel)' 1988 N. Shore dr. , New Richlriond, Wi. 54017 _ — 2298 � .715-'46-6200 – — Cs-f Sl(iNni�ilzf L / PLOT PLAN J, R'OJECT lllerlll7 hl d56,/"ADDRESS ZQ AOA&L, 5,jA/4 SC 1/4/S , /T,;;o N/R/EMI TOWN 57 r COUN 5�: Gr©i X MPRS Byron Bird Jr. 3318 DATE BEDROOM-� CLASS PERC,,,X CONVENTIONAL IN- ROUN ESSURE CONVENTi'ONAL LIFT MOUND_HOLD91G TANK SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE 1HOLDING TANK SIZE ABSORPTION AREA -�� PERC RATE ABED SIZE 1 Benchmark V.R.P. Assunie Elevation 100' r Location of Benchmark5�c �-c_ �"op * H.R.P. 0 Borehole Q Well Scale Feet O Perc Hole System Elevation Uent 12" Grade TYPAR COVERING 12" 3' 4 6' ® 3' 3' 3' 1 6" Sewer Rock 12' 18' off' �U 'x: