HomeMy WebLinkAbout042-1045-90-130 INDUSTRY, OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, C DIVISION
LAtbR HUMAN AND PERCOLATION PERCOLATION TESTS (115) MADISON BOX I 7969
(1LHR 83.0911) & Chapter 145) G Lfa l o -old: 30 �Z�B y
LOCATION: SECTION: OWNSHIP UNICIPALITY: OT NO.:BLK NO.: SUBDIVISION NAME:
s� �/� 1/ 1-? /Tz9 N/R1s E (o wt'rtz-tz 3 — FVZI:X s® cs
COUNTY: MAILING ADDRESS: 1OS`7 NI13TB- STT
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USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PERCOLATION TESTS:
�fiesidence 3 New ❑Replace
_90
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AT :S=Site dX- o r sy i m = itlnls.itabVl/s�i
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CONVENTIONAL: OLDING TANK:RECOMMENDED SYSTEM:(optional)
®sou as ®sou Ds ®u Ds �u Z � �- .�� Srxaop' L0JQC.
b`1� s jUE SLOPE
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the nn
under s. ILHR 83.09(5)Ib►,indicate: M•A. Floodplain, indicate Floodplain elevation: N`A .
PROFILE DESCRIPTIONS
BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHES T TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- 68 $�-2 �iulVE > (`d s PAGE Z OF Z
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B- It
B- S -? (. 0/
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PERCOLATION TESTS
TEST DEPTH . WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 PER PER INCH
P_ 1 2 �Qi0 3 Nz� 3/ 5/g 5l', 413
P_ 2 Z l_1p 3p LI/!6 51cb y8
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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. ® 4 Z.(� $�• Z � GE 57 �Pl� RS �UR1Z �T SPrY��
SYSTEM ELEVATION g�•y �� o
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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 prin AND TESTS WERE COMPLETED ON:
—17-°IO
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST (113 o S-)6 y2 S
RIVER FALLS; Wt 54022 CST SIG N A URE:
715-425-0165
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. O F Z
DILHR-SBD-6395(R. 10/83) —OVER —
1
INSTRUCTIONS FOR COMPLETING FORM 115- SBD -6395
To be a complete and accurate soil test,your report must include:
1. Complete legal description;
2. The use section must clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedrooms or commercial use planned;
4. Is this a new or replacement system;
5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER
SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram accurately locating your test locations.Drawing scale is prefered.A separate sheet
may be used if desired;
8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent;
9. Complete all apropriate boxes as to dates,names,addresses,flood plain data,percolation test exemption,if
appropriate;
10. If the information (such as flood plain,elevation)does not apply, place N.A.in the appropriate box;
11. Sign the form and place your current address and yur certification number;
12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL
AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
st — Stone (over 10") BR — Bedrock
cob — Cobble (3 - 10") SS — Standstone
gr — Gravel (under 3") LS — Limestone
's — Sand HGW — High Groundwater
cs — Coarse Sand Perc — Precolation Rate
med s — Medium Sand W — Well
fs — Fine Sand Bldg — Building
Is— Loamy Sand > — Greater Than
'sl — Loamy Sand K — Less Than
'1 — Loam Bn — Brown
'sil — Silt Loam BI — Black
si — Slit Gy — Gray
cl — Clay Loam Y — Yellow
scl — Sandy Clay Loam R — Red
sicl — Silty Clay Loam mot — Mottles
sc — Sandy Clay w/ — with
sic — Silty Clay fff — few, fine, faint
.c — Clay cc — common, coarse
pt — Peat mm — Many, Medium
m — Muck d — distinct
p — prominent
HWL — High water level,
surface water
Six general soil textures BM — Bench Mark
for liquid waste disposal VRP — Vertical Reference Point
I
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TO THE OWNER:
This soil test report is the first step in securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance.A complete set of plans for the private sewage system
and a permit application must be submitted to the appropriate local authority-in order to obtain a permit.The sanitary
permit must be obtained and posted prior to the start of any construction.
SOIL DESCRIPTION FORM
Attach SolI Profile Location Map On a Su orate Sheet)IA E7 )� LINEAR LOADING RATE:
CLET -
PURPOSE: LU �R SbI�- 11� SL/3 SLOPE: ZD of
DESCRIPTION BY
R�{yZ L LyEGL12 ASPECT: S L) E
DATE Sv\'L/ 11 199 o CURRENT LAND USE:..,
COUNTY/STATE: �� .�1X QoUkJ � � VEGETATIVE COVER: G2ASS
LOT DESCRIPTION:" T c /'IJ�1� SN,C i7,T 2-cw,RiBw DRAINAGE CLASS: L`)CII-L"
LOCATION:
`jwU QF GALLONS PER SO. FT. PER DAYt jz).y S
PARENT MATERIAL(s)/DEPTH SOIL SERIES:
HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P11 •BOUNDARY REMARKS
in, n)1st Gr. Sz. Sh . COATINGS
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1 ►� �p�rR Z1Z - s i I 1 9� r^
Z 10-31 �o�tZ 316 - s 1
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OTHER SITE FEATURES/NOTES:
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LIMITING FACTORS/DEPTH: Signature Date CST H
TXNt120N OEPIII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS
in. moist Gr. Sz. Sh COATINGS
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OTHER SITE FEATURES/NOTES:
PA GE_ oR
Signature Date CST B
LIMITING FACIORS/DEPTH:
a � i
IL I N
DEC i91�390'°'
JAMES O+CONNELI
Register cl goods
St.Croix Go.,WI Q
CERTIFIED SURVEY MAP
LOCATED IN THE SE I/4 OF THE NE 1/4 OF SECTION 17, T29N , RIBW,,
TOWN OF WARREN, ST. CROIX CO., WI. OWNED BY: KEN HERINK ' 1
R T. 1
ROBERTS, WI 54023
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NOTE: BEARINGS ARE REFERENCED
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4�J0.7.081 IYO. 00 ' 2'4 334,06' 383.00' 33.0 '
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E- W OUARTER SECTION LINE
30'34'12"W I
�te��`�i1flglNj 17. 47'
rti•'�Of� �'�i UNP'LATTED LANDS E1/4 CORNER SECTION 33' 33'
• • . 17.(COUNTY MONUMENT
. . .LANDS I
�r FOUND. SET NAIL FROM
4Z JAMES M. TIEs1.
a �.
WEBER � O = SET 1 "X24 " IRON PIPE WEIGHING I ..
1.13 LOS. PER LINEAR FOOT.
w SPRING VALLEY I? �• p,,,
Wis. �l�y y Or 1" IRON PIPE FOUND.
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'W-4 S U SCALE 1 150 '
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JAMES M. WEBER S- 1804 SHEET .I OF 3 0 75 150 300'
t` DATED —N""v- SO t°�90. VOLUME 8 PAGE 2303
lit THIS INSTRUMENT DRAFTED BY �a. wep �., \ �`
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Parcel #: 042-1045-90-130 01/28/2005 05:06 PM
PAGE 1 OF 1
Alt. Parcel#: 17.29.18.2601330 042-TOWN OF WARREN
Current �X ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): *=Current Owner
*
KENNETH J &PAMELA F HERINK HERINK, KENNETH J&PAMELA F
1057 110TH ST
ROBERTS WI 54023
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description ���
SC 2422 ST CROIX CENTRAL ///��
SP 1700 WITC ( v
Legal Description: 3.670 Plat: N/A-NOT AVAILABLE
SEC 17 T29N R18W SE NE LOT 3 CSM 8/2303 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-18W
Notes: Parcel History:
Date Doc# Vol/Page Type
2004 SUMMARY Bill M Fair Market Value: Assessed with:
38178 200
Valuations: Last Changed: 07/19/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.670 200 0 200 NO
.''
Totals for 2004:
General Property 3.670 200 0 200
Woodland 0.000 0 0
Totals for 2003:
General Property 3.670 200 0 200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00