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HomeMy WebLinkAbout040-1207-60-000 / + 77 7 � j & � g u 0 \ � a 0 § f � $ c 2 § � � E � {c � 2 0 % Z © 2 0\ < e � f 4) i § E « ; @ ) « / § a 2 \ 2 :t 2 \§ • ■ � 5 ; t ■ e / & \ j / Q U) .� $ § f ) k 2 < ] ) C 2 § � kIg § $ J c § 3 o a E § t £ _ _ E o 04 ] k K K if ® } - t2 a a a U) j § coo � k k k � � \ k § § 2 � co = k 2 n CD\ % a ¥ m co ) CD ; � § $ C) ' 4 — — $ E § ° 2 § a S g § B §_ $ ¥ _ , e S ` = o cc n = 2 5 ® E - • � 2 2 c - ® 2 � o ^ 0 § E E m f � o e / � � � o z / ■ A � E ) "E k a . k J a 2 0 U) Q Parcel #: 040-1207-60-000 07/21/2006 04:10 PM PAGE 1 OF 1 Alt. Parcel#: 16.28.19.980 040-TOWN OF TROY 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-KEMPER,JOHN F&PATRICIA L JOHN F&PATRICIA L KEMPER 370 MILWAUKEE RD HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description '370 MILWAUKEE RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.410 Plat: 1993-GLOVER STATION SEC 16 T28N R1 9W 2.41A GLOVER STATION Block/Condo Bldg: LOT 26 LOT 26 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 16-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 11/25/2002 699949 2060/247 WD 08/25/1997 1259/399 WD 07/23/1997 1110/521 TI 07/23/1997 805/426 more 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/06/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.410 90,000 315,600 405,600 NO Totals for 2006: General Property 2.410 90,000 315,600 405,600 Woodland 0.000 0 0 Totals for 2005: General Property 2.410 90,000 315,600 405,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 06/18/03 WED 08:40 FAX Q oo1 Cf � 1 u 1 I� ' r• Y-I,►� ovw CA W VLt V fH -�o ro h� s o r �e 4�f �, +k� s �r� 6 -�� ut ��I � sue- c�.�� � � w�N •��`' � • �ur��$� �l(14 ydJ i 6) C16 o7- �o ood ' Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER , TOWNSHIP SEC. /lo T N-R IF W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION �d/f/ c��GC/A t LOT LOT SIZE i PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I i �ji y r vt ,$C' t c. c 1 , r INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used t C Elevation of vertical reference point: !f,•}d:_` Proposed slope at site: /8!a SEPTIC TANK: Manufacturer: Liquid Capacity: /dUe Number of rings used: -V Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side,&Rear, O /U U '� feet From nearest property line Front 10 Side 10 Rear,0 , feet Number of feet from: well �;, , building: > (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE ' r PUMP CHAMBER Manufacturer: �l/ 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, Ft. r t, Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Iy Width: 15 Length: 6Q Number of Lines: 2 Area Built: I Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, n Rear,O Pt Number of feet from well: SY, - Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: �yr Number of pits: Diameter: �► Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box/17N 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, 0 Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Z Z Plumber on job: - � -- License Number: 3/84:mj DEPART ENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LAB6R&AUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING P.O.BOX 7969 MADISON,WI 53707 NW%,NE%,S 16,T2 8N-R 19G1 CONVENTIONAL Stare Plan I.D.Number:ALTERNATIVE (If assigned) Town v6 Tu y ❑Holding Tank ❑In-Ground Pressure ❑Mound Lot 26 GtovelL Station NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DA E: 1 JetvL Rademach Raute 3 Hu6on W1 54016 a A-$$ 3• BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber MP/MPRSW No.: lc*umy: Samrary Permn Number. Ra eA Timm 3224 St. -cuix SEPTIC TANK/HOLDING TANK: MANUFACTURER. JILIQUID CAPACITY. TANK INLET ELEV.: TANK OUTLET ELEV_ PROVIDED WARNING LABEL PROVIDED OVER DYES ❑NO ❑YES ❑NO BEDDING. VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD'. PROPERTY WELL: BUILDING.(VENT LE FRESH ALARM LINE: AIR INLET FEET FROM ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUF ACTIIRER WARNING LABEL PROVIDED OVER PROVIDED'. OYES ❑NO ❑YES ONO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH'. LENGTH. jN0__0_F____TD_1STR.PIPE SPACING COVER INSIDE DIA rtPITS LIQUID BED/TRENCH TRENCHES MATERIAL' PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH UISTH PIPF DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PR OPE PTV WELL BUILDING VENT TO F HESH BELOW PIPES ABOVE COVER. ELEV.INEET ELEV.END'. PIPES FEET FROM LINE AIR INLET NEAREST 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. OYES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS OfiSEN VATION WE LLS : YS NO ❑YES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER. EDGES. DYES ❑NO ❑YES El 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 N PIPE DISTRIBUTION PIPE MATERIAL&MAHKINf, ELEV.. ELEV.. DIA.. ELEV.. PIPES A ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS ❑YES E1 NO EYES E NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING FEET FROM LINE: DYES ENO ❑YES El NO NEAREST Retain in county file for audit. SIGNATURE. TITLE Zoning Adm-i.vi%s an R.of/62► ((��y SANITARY PERMIT APPLICATION CO C3 DILHR In accord with ILHR 83.05,Wis.Adm.Code UNTY� C w STA7 SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBE 3 R NUM 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES F9NO PROPERTY OWNER PROPERTY LOCATION f �4 ekye- &U& & '/a, S T ;?8, N, R C( K(Or W PROPE TY OW ER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CITY,STATE ZIP CODE PHONE NUMBER ❑ VILLAGE CITY NEAREST ROAD,LAKE OR LANDMARK � ye 0/X- : ✓D e I Le3Le u K.GE II. TYPE OF BUILDING OR USE SERVED: O Number of Bedrooms if 1 or 2 Family. O R d Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. 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. Conventional b. El Alternative C. 1:1 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. ❑ seepage Bed b. seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):7-1 io 3 $a 3 rZ /dc+, d Feet Private ❑Joint ❑ Public Vl. TANK CAPACITY Site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New xi sting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank 1 k-_Is C. P Lift Pump Tank/Siphon Chamber ❑ ❑ I ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/ PR W,N� Business Phone Number: 7 7 7- 5Z Plumb 's Address(Street,City,State,Zip Code): Name of Designer: e- Vlll. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# ✓ve .3v&91 CST's ADDRESS( treet,City,State,Zip Coded) Phone Number: , IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate I 'ng Agent Signature(No Stamps) fp Approved ❑ Owner Given Initial 41 jet,,% S�{Ccharge Fee Adverse Determination (.J T ,rn X. COMMENTS/REASONS FOR DISAPPROVAL: i�ah Of-pr&-ld 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 build'fng 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 2 to 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 owners 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; III. 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'/2 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 rnains/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 at3r included the creation of surcharges (fees) for a number of regulated practices which Wisco in can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried I aura is usgd in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. The monies collected through these surchar9es are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- 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 signdd by the owner(s) of the roperty being developed. Any inadequacies will only result in delays of the permit asuence. 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 ��,,rr�( &1.4, 4r" Location of Property W J k k, Section , T Z g N-R W Township Mailing Address 3 Address of Site Subdivision Base Lot Number s 24 revious Owner of Property Total Size of :Parcel ; LI A 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 - 8 6 — 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 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION i (We I cexti6y that as Atatement�s on xlws ahm cute thue to .the best o6 my (oun) h►ncwtedge; that I (we) am (ahe) the ownen(,s� o6 the pnopehty de�scAi.bed in thiA .tn6olma.ti,on 6o4m, by viAtue o6 a wcwcan.ty deed kecoided in the 066ice o6 the Coaan.ty RegiAten o6 Veeds ai Document No. ; and that i Wel phedenLty cRen I p4opo6ed site bon the sewage di�spo dya em (oh I (we) have obtained an CdAc +ent, to tun with the above deacAibed pnopeAty, bon the consthucti.on o6 aaid aystee+, and the name has been duty necohded Xn the 066.tee o6 the County Reg•i.e.teA o6 Veedb, ab Doceneent No. ) . ATURB OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DAIS SIGNED DATE SIGNED MPRS 3224 WI M PCA 696 MN doe SHEET NO. Z OF Z jim. m - �� CALCULATED BY 674 DATE tq Excavating Co. CHECKED BY DATE- R I Box 192 Wilson WI 54027 -- � � � SCALE 71086.5443 ROGER TIMM 715.772-3214 , 1 ' : b.. l.,. ..., i .. .........: .y. .., :......... ....�...... .:. .. :... .:... .. J04l !V1111 raw .. Ka k .._. C /oo..: .......... .. ....:_,.... a. ._. .._ i Q o _ E e f , reoW mob®ice.(�ft,wa 01471. MKS 3224 WI MPCA 696 MN JOB - e,re �r�� ryii cL.iv Ti m m SHEET NO. OF Z CALCULATED BY ate' DATE CHECKED BY DATE Excavating Co. --- R I, Box 192, Wilson, WI 54027 SCALE 715-386-5443 ROGER TIMM 715.772-3214 . )tsc ....fct� nJ'eIl .. .> ...j . L in T 2 i ... ... , ;..... ..., iS /ljptS aTitic. L , 4 - V r � 72r 4� t as o� o ? , of �... 0 /y i y 0 ,... .. ... i......... ........ !.._ .....:.. ...... ...... ... ..... ._ O' .- ... l N H 9 r STC - 105 a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a COWNERPBUYER ROUTE/BOX NUMBER Fire Number CITY/STATE 4u, I calls ZIP PROPERTY LOCATION: / 1&, Xe It, Section, T ZFS- N , R /9 W, Town o «j St . Croix County , Subdivision 6114 fe✓ �OLI , Lot number. Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- I sists of pumping out the septic tank every three years or sooner , I if needed , by a licensed septic tank pumper . What you put 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 . Ho C. I/WE, the undersigned , have read the above requirements and agree En to maintain the private sewage disposal system in accordance with H the standards set forth , herein, as set by the Wisconsin Depart- 'v 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 "7— 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 . REPORT ON SOIL BORING AND SAFETY& BUILDINGS DEPARTM4NT OF DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 HUMAN RELATIONS 0911)$t Chapter 145.045) LOCATION:ft WNS UNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: �,.� �/c �/ Tz4 N/R191�►(o W I Qo ZG - GLOv&I�S-�-i-loA/ CrQUNTY: OWNE Y' NAME: I R !( f 1 1 A QU vi C DATES OBSERVATIONS MADE USE 11- ERCOLATION NO.B'DR CO R IAL D PT PR FILE 0 : �/ ' ❑ �Residance ,�N New Replace 14641 Z jolts K A<bt EA Lc - 60,rt.BRT RATING:S-Site suitable for system U-Site unsuitable for system ex ti- UP K h/4 Ra r 1 a$(��S DU. MOUND:a� IN- S ❑� ��a�L iO�LDING TA K:R�COOMMENDED SYSTEM: �'V A` .lo�n��C 11 e� BQX If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the tinder s.H63.09(5)lbl,indicate: C L/4S5 ( Floodplain,indicate Floodplain elevation: iVA PROFILE DESCRIPTIONS ROBING TOTAL R U D ATER-INCH S CHARACTER O SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTHII. ELEVATION OBSERVED H TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- o•9Z �.4 n/�N� > /a.9Z- z" 26"9,kNS-t4,* 9,"$QN MS IB-El- PO.S6 /6/ .0(3 f\jo q > /O.So '' uTs 261 L, L zg"h 90-J 2 4G1e 6 "ARN MS t• 3 9.q_Z� i2-0 ofv F >9.q 70" RNMS >/6•S® "Q�ln z " QN L Z6" 1NMSf4k7S`$gNY�S B- 11',92 )%.8v N L >//.9Z 6'1LL.T'S /6y 94*'>gaNmS B- pLc PERCOLATION TESTS I TEST DEPTH WATER IN HOLE TEST TIME D ROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER S AFTER SWELLING INTERVAL-MIN. PER INCH P. ► 3. o No E 1107. L �>2 >Z < 3 P. Z .-so %,3 3 1> c 3 P. 3 L > > Z < i P. L L T10 N A-T a t P- 'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. UPPa0, -TiQ&w-+1 /D I.$O SYSTEM ELEVATION LoT I7 � 96� �, :hKNMr►RK-TOP OF ILLevoMc tic I-�! Et6v4zlou= /dc' Lor Z 4 �✓ ' N, . tN 3 _ 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in acc'Srrd 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: r'- V )G"NSUN PUSci,l INC /,�u4srS-T 2 /9Tsk AO CERTIFICATION NUMBER: PHONE NUMBER optional): 4o7 SL<ow S, ILlu�so�, ► Sdo / � % 31x4-4o 80 CST SIG TUBE: DISTRIBUTION:Original and one copy to Loral Authority,Property Owner and Soil Tester. n1I.HR-SRD-6395(R.02/82) - OVER -- �i�.Mr•.»wMw.wy ; ...md"sit b -Jk&..tkgls............. ra""0'. Tm low see o.."" di-I 6- 0, "T1161"O located is dw W and M% of s8, . 1! Mat, ftm of ft". it. Grads Oor•",__11{to�o�f1., `z did i/�i�r w bmadOmmwla aM awurbmwa IfwwaI bdw4 iti ' �M�li�la fra sf�la�sar tew aai wlMr d e�eaaaa eMyt ..... ..» y qtr, aM swtrictlir of record. ; r :I «'' ,;......... .. rant .......... ....March............................................. ........................ .......(��L� �y •J•L.... L..�.., ' ......... .. . .................. ` Dome" i. Molts ....................... • .......... .....................................+........... n p altar •osxowLMID*I tu>r ,� U .......»...�.. stAU W WIMOOM x k'k st .,.....»................................. ft.. Croix z,p, .....».».............. ....riw..L be....................«»................ �a .y J1 y .do �IIW '� d t