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TZ_N-R W ADDRESS �j� 1 44 ST. CROIX COUNTY, WISCONSIN 1 �'7 SUBDIVISION % .E�° C.�, - LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOWrEVERYTHING WITHIN 100 FEET OF SYSTEM ..> �. { I k i, INDICATE NORTH ARROW ,fir•..;.,v. BENCHMARK: Describe the vertical reference point used 4i3o ,E Elevation of vertical reference oint: p 1414) • Proposed slope at site: __� �►�, SEPTIC TANK: Manufacturer quid' Capacity: / Number of rings used: �_ Tank manhole cover elevation: I/o, Tank Inlet Elevation: 1 01.c/ Tank Outlet Elevation: /©g, arest Road: Front Side Rear L Number of feet from ne ,O ,� , O 7t"L feet From nearest property lino Fon'i:,OSide,ORear,n feet Number of feet from:� r , well J�Y`�--' building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE f PUMP CHAMBER 1 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: /� Trench: Width: �� Length: Number of Lines Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front O Side, Rear,Oirt .'L� Number of feet from well. �7 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 on any of the above soil 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, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: j I gyp Inspector Dated: Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 �v ! SW4,SW-4, C,S 12,T30N—R18W ONVENTIONAL El ALTERNATIVE State Plan I.D.Number: i (If assigned) Town of Richmond El Holding Tank ❑ In-Ground Pressure El Mound Town Road Awkcowa NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTIO DATE. c James P. Nelson Route 2, Lot 12 Wall Street, New Richmond, WI 54017 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV. Name of Plumber. MP/MPRSW No.. Cnunty. Sanitary Permit Number: Calvin Powers Jr. 1563 St. Croix 112668 SEPTIC TANK/HOLDING TANK: MAUNNACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED -- YES ❑NO li DYES—NNNO BEDDING: VENT DIA.. VENT MATT HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING: ALARM ' �� LINE " JVENTTOFRESH AIR INLET: �I (� FEET FRO I f _ 1:1 YES LJNO `/ ❑YES NO NEAREST!!--- DOSING CHAMBER: MANUFACTURER. rDDING LIQUID CAPACITY PUMP MODEL PU MP;SIPHON MANUI ACTlIH E42 WARNING LABEL LOCKING COVER PROVIDED. PROVIDEDYES 1:1 NO YES ❑NO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHC E TV WELL BUILDING VENT LE FRESH TO (DIFFERENCE BETWEEN FEET FROM LIN AIR INLET PUMP ON AND OFF) 1:1 YES ❑NO NEAREST-�I► SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I I N('TIf 11DIAMITE11\ M or excavation. (If soil can be rolled into a wire,construction shall cease until FORGE the soil is dry enough to continue.) MAIN CONVENTIONAL SYS7 EM: WIDTH LENGTH NO.OF ]LASER PIPE SPACING COVER INSIDE DIA -PITS LIQUID BED/TRENCH TRENCHES MATERIAL' PIT DEPTH DIMENSIONS L ov I+ GRAVEL D TH - FILL DEPTH UIST If PIPE UISTH PIPE DISTR.PIPF MATERIAL NO [ TH NUMBER DF PROPERTY WELL BUILDING. VENT TO FRESH BE OW PIPES ABOVE COVER EI EV.INL,E ELEV END PIPES LINE A INLET. //��� ��y h FEET FROM Zjl ?I +- lp t l +' 3o a r)d Nvr�{� d&1 a NEAREST»----# � C MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES 1:1 NO SOIL COVER TEXTURE PE HMANI Ni MAHKI HS OHSEHVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED DEPTH OF TO'(�SOIL SODDED SEEUFD MULCHED CENTER EDGES ❑YES. 1:1 NO 1:1 YES 1:1 NO 1:1 YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BIrDITRENGH "I WIDTH LENGTH TREOCHES LATEHAL SPACING IGHAVIL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS. .I'.MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL jNODISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV. DIA. ELEV. PIPES DIA: ELEVATION AND DISTRIBUTION NN MA HOLE SIZE HOLE SPACING CHILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS ❑YES E1 NO 1:1 YES ❑NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: I V NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE. ❑YES 1:1 NO ❑YES ❑NO NEAREST d Al,( o �.b 2 Sketch System on Retain in county file for audit. Reverse Side. A SIGNATURE: � TITLE Zonln A S dministrator DILHR SBD 6710 (R.01/82) El LHR SANITARY PERMIT APPLICATION COUNTY �v In accord with ILHR 83.05,Wis.Adm.Code STATE 577, TARP PERMIT# // a &G� —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION �(�{ EZ:1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES R NO PROPERTY OWNER PROPERTY LOCATION N, R If eE�(or)® PROf N R'S MAILING DDR SS LOT NUMBER BLOCK UMBER SUBDIVISION NAME 2rt,2 _/�-/-/'v — — 7-Z,0'.We re CIT ,STATE ZIP CO E PHONE NUMBER CITY NEAREST ROAD AKE OR LANDMARK ❑ VILLAGE : Al LFX II. TYPE OF BUILDING OR USE SERVED: d " 6403SO 516r--lod Number of Bedrooms if 1 or 2 Family. OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. 9 New b. ❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. 4 Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. 9 Seepage Bed b. ❑Seepage Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Min es per inch): REQUIRED(S uare Feet): PROPOSED(Square Feet): Feet Z Private ❑Joint El Public VI. TANK CAPACITY Site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks I Tanks structed Septic Tank or Holding Tank — ❑ Lift Pump Tank/Siphon Chamber ❑ I Li I Li VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of44 private sewage system shown on-the attached plans. Plumber's Name(Pri Plu er's Signatu e:(No tamps) MP/MPRSW No.: Business Phone Number: - .is— um is Addres (St et,C ity,St e,Zip Code): Name of Desig er: )Kleh�OAW Jr III. SOIL TEST INFORMATION Certifie oil Tester( ST)Name CST# CST's ADD SS(Street,City,State,Zip Code) Phone Number: 0,0 Z)A- AIZAJ e_1 4�0_4j,0 11)f !20 13 IX. COUNTY/DEPARTMENT USE ON Y ❑ Disapproved S itary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) pp ❑ a A roved Owner Given Initial rcharge Fee Adverse Determination (2v Ck) �S --/L5 X. CO MENTS/REASONS FOR DISAPPROVAL:awfw-d Lo SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 216,3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; Ill. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. 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; dosing or pumping chambers; 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. ----------------------------------------------------------- ------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over,2 years of steady negotiation and public debate,The groundwater bill Ground included the creation of surcharges (fees) for a number of regulated practices which Wisco can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried Teasur� is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 his application form is to be completed in full and signsd by the owner(s) of the roperty being developed. Any inadequacies will only result in delays of the permit ssuance. Should this development be intended for resale by owner/contractor, ("spec Ouse"), then a second form should be retained and completed when the property is old and submitted to this office with the appropriate deed recording. er of Property Location of Property/ _k sue/ k, Section , T_,. N-R�- p Tovnshipy�,�,�,b Mailing Address Address of Site Subdivision llama Lot Number Previous Owner of Propertyn �rrPX7L'� Total Size of Parcel Date Parcel vas Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes _ No Volume �-- and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and yage 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION i (W fl cVMU6y that att atatement,6 on tlws 6onrn she tue to the best o6 my (ocv�) kncwtedge; that T (we l am (she) the owner(a I o6 the phopen ty deh cA ibed in th,ia .inAo4mation 6oAm, by viiLtue o6 a WaAAan.tka�,61YLe'ml de d ecoded in the 066.ice o6 the Cormty RegiAten o6 Deeds ae Document No. and .tha.t I (We) pheaentty c.un tJ�a plopoa ed a c to bon tke a e<uag e d i�5 poa and I (we) have obtained an eaAeme.nt, to tun with the above deAcxkbed pnopeJrty, bon the eonathucti.on o6 aa,id ayetem, and .the acne hab been duty neconded to the 066tee 06 the County RegiAteA o6 VCC4, ab Poement No. ) , SL ATVRS Op 011 SIGNATURE OF CO—OWNER (IF APPLICABLE) �D ep DATZ"SI&ED DATE SIGNED '-d DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR REGORGING STATE BAR OF WISCONSIN FORM 2-1982' REGISTER'S OFFICE ST. CROIX CO., W1 4343mU Reed for Record Feb. 8., 1988 P M Derrick and Janice L. Derrick. husband-and---- 1! 1:45 ------ ------ at --------------------------------------------------—--------- ---------------------------- ----- ---------------------- --------------------------------------------------------------- ------- ----------------- Rsgister of Deeds 's, ----- ---- -- . ------ -- -- - --------- -- ---- - i- -------------- - - - aces P. l conveys and varrants to ......•. - eson --hu��aT4-AP� - 3as--s 6OTp p r ppe#.T grantee s?-------------- ------------------------------------- ------—------------------------ ------------------- --------- --------------------------- --------------------------- - ---------------------------------------- --------------------------I-------------- ------------------ TO James Nelson RETURN Route 29 Baas 12 --- ------------------- - ----------------------------------- -- ---------------------------- - ------ ---------------- NeW=:Ri,chmend-#-A4I -5hOl7 .... ..... .—------------------------------------------- ----------- --- - the following described real estate in ---------- �_-CTO ------– --County, State of Wisconsin: Tax Parcel No: ------------------------------ Lot 1 (=e) of the Certified Survey Map recorded on YAy 22., 1987 in volume 7 at page 1820 of the Certified Survey Map recorded in the Register of Deeds office in and for St. Croix County* T'l,is warranty dead is given in satisfaction of the Land Contract dated June 11v 1987, and recorded in the St. Croix County Register of Deeds Office on June 12., 1987, in Volume 7829 page 12s as Docunent No. L2&88- MMNS .1 SW Q 4 0 5--!;5 1 — FEF This _ is not---------- homestead property. -- --------- (is) (is not) Exception to warranties: F b 19. Dated this day of ------------- ----- --- (SEAL) ....(SEAL) Thomas E. -D!orricX----.. ......... .(SEAL) ......(SEAL? Janice L. Derrick . ...... ... ..... ---------- --------------- AUTEENTICATION ACKNOWLEDGMENT Signature(s) ------------------------------------------------------------ STATE OF WISCONSIN as. .......................................I---------------------------------------- .........St.-Croix-----------County. Personally came before me t .......day of authenticated this .._-.-.day of--------------------------- 19------ �1 ruar7---------------------1 19– f. the above named -------------------------------------------------------------------------------- .....Tj�b------- Derrick, and ice Jan L --------------------- .-------- - - -- • ......................................... ---------------------------------------------------------- ------------------- ----------------- TITLE: MEMBER STATE BAR OF WISCONSIN -------------------------------------------------------------I------- ....... (If not. ----------------- ------------------------------------------ -------------------------------------------------------- authorized by 1 706.06, Wis. Stats.) to me known to be the person ----- who executed the �t r rs upen 'no ..e same. str THIS INSTRUMENT WAS DRAFTED By P" --------------------------------------- .. ts ... .... .Michael R.-.Steren '-otziry Publ;c --- 017 St. -Croix (Signatures may be authenticated or Both My (�omrrission i- permanent 17-1- not are not necessary.) date: ex-p-Irer 2/ji'IFF, r,-% Pilrning in ar� iA!E FAT, OF F F ji, M %0 H N 9 r ST C - 105 a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St . Croix County z d a OWNER/BUYER ROUTE/BOX NUMBER L O �Q// Fire Number CITY/STATE,&,,2 �G��??��/IU7, l.�-�� 7.IPS�p�� PROPERTY LOCATION: yJ 149 SInI 14, Section _, TN , R _W, Town of A-7141VA10 St . Croix County , Subdivision :4 ,Zje41g ,&4_+ Lot number_. Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you ptlt into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix . County residents may be eligible to receive 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 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 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 . 0 E I/WE, the undersigned , have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x H the standards set forth , herein, as set by the Wisconsin Depart- u ment 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 P . O. Box 98 Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address . seal 4621' 05,7 u /079 ,►07.8 s4l xb PAGE OF C,ro S S ? mot 1 0 0 Fr46A Air In14t11 And Qbs►rrollon PJpe ---f""�"'Approved Vent cap �►! Minimum Ito Above Y .y,. 20 42'Above Pipe _4"Ceer Iron d To flnei OroOe Veal Pipe d ., MerM Ibr Or 8rnlnetk CovNlno . win 2'Aggrayal• Over Pipe y° 1 Oleltlbullon I piPe --'" 0 0.0 _'too r� x 6'AYYrego{ '^ 9Aneeib PI►a' 0 Parl0ra1e4 Pl►a Oelor a -•. _"Couplrq Terminolin4 Al Bo{lore Of Eyetem d 4 un SOIL FILL " 01$TRIBUT101.1 PIPie r s, API Rov,E a �yMPETIC COVCIR A ._.�'' '"``-14AT1!1iIA1- op 9" of s-rOAW y er � ' iF" E 0XV O i: OP!t-2f AGC+RE6AT �•,, t' �. DIS"r'ItII5UT10W PIPE TU ,DE AT,,L EAST l ----�_ UCHES 5CLOW ORIGIMAL GRADE AA1G AT 1 Ep,ST20 IIJCHES BUT 110 M'pllC THAW y2 INCHES BELOW FINAL GP.ADE f MUc6°UM DEPTH OF F-XCAVATIOP JrAoM PRl WAL 6KADF. WILL BE INCHES MtNrrluM AEPrtt of EACAVAtioM FIkorM 61kit-IMAL WILL BE IRIeNEs SIGAIED: {1 (J LICEAISE AJUMBER; DATE : 110 ,T r.Y, o 1�6=URA' ON SOIL BORINGS AND SAFETY f� BULL i':: 5 Iw�US�RY, c pIVISION LABOR A E PERCOLATION TESTS (115) MADISON WI 53707 •HUMAN RELATIONS (H63.09(1) & Chapter 145.045) t L 5 C TION: SECTION: TOWNSHI x OT NO.:BLK.NO.: SUBDIVISION NAME: SW 1%4SW1/4 12 /T 30 N/R18 FP°r)W 1 n/a T. Derrick Addn COUNTY:, OWNER'S ftlaf �C�dAME: jl.R�#I,ILIG ADDRESS: St. Croix Thomas Derrick New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE FIBEDRMS.:ICOMME7RTFA—L DESCRIPTION: PROFIL S I IONS: LA ION TESTS:®Residence na EINew ❑Replace 14-15-87 n/a RATING:S-Site suitable for system U=Site unsuitable for system ONVENTi NAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) OS ❑U WS ❑U 0 S ❑U ❑S CU 0s ®U conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.1-163.09(5)(b),indicate: Class 2 Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 3sB BORING TOTA DEPTH TO GROU NDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH 1 LEVATION OBSERVED EST.HIGR—EST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B' 1 6.26 106.00 none >6.26 1.42bl.1. 1.67bn.sil .50bn.l.s. 2.67bn.c.s. B- 2 1 6.34 105.78 none >6.34 .92 bn.s.l. 5.42 bn.l.s. 10628 .75 bl.l. .83bn.sil. .67bn.s.1. 1.67bn.c.s. . B- 3 6.59 none >6.59 B- 4 6-51 107-8TC)nP >6 51 -67bl--3-- 9-67 bn r- 9 B- . 3.-17hin:s.1. B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD PER INCH P- P P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. lnoicate's a or distances. Describe what are the non zontal and vertical elevation reference points and show their location on the plot plan. Show the surface etevattiJUVall borings and the direction and percent of land slope. SYSTEM ELEVATION 102.58 s-\ utF�rF = ti �r? E��-�4� #. ►�( 1'ry� �.. Wrw\.�- I ?�'�Ti --}.. .. �: ' i 0 111 --4 I i - c a � z y 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 4-15-87 ADDRESS: CERTIFICATION NUMBER PHONE NUMBER(opuor,di; 988 N. Shore Dr. New Richmond. Wi. - - 2 CST SIGf4ATkrRE --- DISTRIBUTION Original and one copy n, Loca ., ..; .r, t' <rirt e-