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HomeMy WebLinkAbout020-1056-80-130 O a 0 VN 4 � I N b � � I i � I =o I � I I I � I z° c _ U. U. c c o I Q I Cl) CL) z '^ w E U) C t E z T a m 04 I O E ( •O U O z d c w z d z !n F- r N c E •2 "0 T M N 0)I6 N cn o N _ o m O Q w Z m z o N N z co E o N r N � 0 a °' w c C }� a M r N C o °v 0 C a` - °- Q o ,I "' cnNy o Q z >v a 3 3 5 I c 0 0 0 z •N m o M a a IL N _ } M a 0 o ° _ o E M c p m aNi Wss `fry' o '6 d Q > m U 0) O OM N C O N c O N > c c 0 (L 0 .� -' V M G ° E o z m ~ O N m C y 0 cu tT3 U CN '0• ?a O N 2 Q W O F- Cn 0 • vi w a rrte�• Rt a w .� w m c �1 E L c o m 3 w? o A va o v PUMP CHAMBER " Manufacturer: / Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: pump ze 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. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: 15A v4w'j i, 4/ Trench: Width:_ Lei Length: 3 r,, Number of Lines: Area Built:(�qy 5j Fill depth to top of pipe: o�� Number of feet from nearest property line: Front, O Side, O Rear, Pt .9 • Number of feet from well: //O Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: kW 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: Inspector: Dated: Plumber on job: License Number: ✓ '"� �� /` / 3/84:mj Form - S T C - 104 AS .i' SANITARY SYSTEM REPORT OWNER J a S TOWNSHIP SEC. Z / T 217' N-R�� RESS /3c)7 f� S� ST. CROIX COUNTY, WISCONSIN r SUBDIVISION LOT LOT SIZE Z� R✓ 5 PLAN VIEW Distances and dimensions to meet requirements of I•JHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM �Sr IY- = 92.0 SCCt�cL �/4� = ��� ( �'�� t✓�r+h .Sow., ) � �t to r3� Gds o,_ up WO s da 3 SS N Q �S nnnn 4V � p/iJa 2 Wo.y INDICA E NORTH ARROW BENCHMARK: Describe the vertical reference point used / /of�,d� N w Corha✓ Elevation of vertical reference point: IL06 C�' _ Proposed slope at site: '6-10% Lq 5f SEPTIC TANK: Manufacturer: L, .LL' Ste✓ Liquid Capacity: 000 5�d �. Number of rings used: Tank manhole cover elevation: /so, Tank Inlet Elevation: 3. Q _ Tank Outlet Elevation: 3 .y S i Number of feet from nearest Road: Front,0 Side, Rear, O 7.S feet From nearest property line Front,O Side,©Rear,O /"!�)O� feet Number of feet from: well qo , building: 27 + SS S (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MAQISO�I,W 1 53707 state Plan I.D.Number: ADISO#,WI 537 T29N—R19W CONVENTIONAL E]ALTERNATIVE (tale Plan I. Town of Hudson ❑Holding Tank ❑ In-Ground Pressure El Mound Lot 4 Co. Road "W" NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Steve Adams 1307 6th Street, Hudson, WI 54016 /e, -cf 7 r' 0 BENCH MARK(Permanem reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. of) e - lv (..a+ eorriillltr - same 5 1 Od Name of PI tuber. MP/MPRSW No.: County: Sanitary Permit Number: Douglas Strohbeen 5432 St. Croix 99062 SEPTIC TANK/HOLDING TANK: MAN UF AC URER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PIRObV�IDED: PROVIDED: rrco�t1 93- 90 _1-5 NYES 1:1 NO DYES 9NO BEDDING: MEMf DIA.: VENT MATL. HIGH WATER NUMBER O ROAD: PROPE RTV WELL: BUILDING: VENT TO FRESH ALARM: LINE. C� 7 AIR INLET: FEET DYES kNO 4 II CX ❑YES NO INEARES' �' ' O' -+s 0/ 1 , DOSING CHAMBER: MANUFACTURER. BEDDING LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ONO DYES ❑NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER+O� PROPERTY WELL. BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑YES ONO 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.) ' t MAIN CONVENTIONALSYSTEM:S L U.A—V J� ' J,2•6 f� : .WIDTH. LENGTH INOEOF DISTR.PIPE SPACING COVER .INSIDE DIA.: #PITS. LIQUID BED/TR� ,04 TRNCHES: MATERIAL: PIT DEPTH: 13fId�EfiIC�NS — r _' _ GRAVEL DEPTH FILL DEPTH DISTR.P I P F DISTR,PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER OF 'PROPERTY WELL: KIV72_5 NT TO FRESH BELOW PES AB VE COV R ELEV.INLET ELEV.END PIPES LINE: AIR INLET: _ FEET FROM C I I O / // © r 9 a 9-0 3 NEAREST J 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 ONO SOIL COVER ITEXTURE PERMANENT MARKERS: OBSERVATION WELLS OYES ONO ❑YES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED: fj�YES HED. CENTER. EDGES. ❑YES ONO DYES ONO ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. ° TRENCHES: t}IMEI�SIO1tIS h MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. �y ELEV.: ELEV: DIA ELEV.: PIPES. [7ITf3I#llItfl�' !HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED 11�IFORMATION PLANS ❑YES ❑NO ❑YES El NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: flIUMB,ER!Q, ROPERTY WELL: BUILDING: f INE: EFT❑YES ❑NO YES ❑NO NAiiST V 11th 11,60 INL'�T — I o OUT IJT- 10-"5 1' 0 Sketch System on Retain in county file for audit. Reverse Side. SIG TURE: TI E: Zoning Administrator DILHR SBD 6710 (R.01/82) Ly INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT, APPLICATION s s 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 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 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; 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 i-i 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 rto 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 a per included the creation of surcharges (fees) for a number of regulated practices which Wisco iP1rS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried r>?c'ISUr$ 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. o 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) ((�� SANITARY PERMIT APPLICATION C (.],, z -DILHR In accord with ILHR 83.05,Wis.Adm.Code `-�' ` Oki/ STATE SANITARY PERMIT# 99a(o —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 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ® NO PROPERTY OWNER // PROPERTY LOCATION 5f�v� Wa4 w 5 �4J'/a S� '/a, S �2 PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER I BLOCK NUMBER SUBDIVISION NA �_—7- /yf�f� s Q S CITY,ST/ATE ZIP CODE PHONE NUMBER CITY NEAREST OAD,LAKE OR LANDMARK 1250 kJZ, $ l�l�i 3g� S ❑ VILLAGE: #11 dSoi// 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family —3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. p 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. X 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. M Seepage Bed b. ❑seepage Trench c. ❑ See a e 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): 9 3 6O (S� 5 r!o y$ S� 7T / Z-0 Feet EffPrivate ❑Joint ❑ Public VI. TANK CAPACITY Site in Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strructed Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank 0a� Lift Pump Tank/Siphon Chamber 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/MPRSW No.: Business Phone Number: jov l 5 tr o G P k �- 4- ,t 1 3 Plumber's Address(Street,City,State,Zi Code): Name of Designer: f �t/nw fc, 4Pr . ti ,r � 6t'. e VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Q �s9 � � � �� � � �d Phone Number: CST's ADDRESS(Street,City,State,Zi Code) 4-7-u c-- Sao 7S- IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuin Agent Signature(No Stamps) til Approved ❑ Owner Given Initial (yQt� S charge Fee 71 a Adverse Determination �v. X. COMMENTS/REASONS FOR DISAPPROVAL: n SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber APPLICATION FOR SANITARY PERMIT STC - 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 �.* Al-5 Location of Property 5 4J k S , Section Township Hailing Address /20 7 (L- :S 170'4e 1-co Address of Site Subdivision Name /1/fQ f Q s Lou CZ S _ Lot Number �{ Previous Amer of Property _ �/ �Vrl Total Size of Parcel S Date Parcel was Created 3- 3 �� Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes No Volume 7 9 7 and Page Number -1/911 _ 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) ce ti.6y that att atatements on this 6onm ane true to the beat 06 my (OUA) hnoweedge; that 1 (we) am (a&e) the ownen(a) o6 the phopehty deAcAi.bed in thi.6 .in6o"aLion boron, by viAtue 06 a wann.anty deed neconded in the 066.ice 06 the County Reg"teA o6 Veed6ah Vocument No. Z £f0 and that I (We) pneaentf.y own .the pnopoaed e.i.te bon the aewage dis poa a ya em (on I (we) have obtained an easement, to nun with the above d6 embed pnopenty, bon the eonatnuction o6 said by6tem, and the dame has been duty neconded in the 066.iee o6 the County Reg•i,aten o6 Veedd, d4 Vocument No. y 2 T SIGNATURE Op OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED H z a r ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a H OWNER/BUYER ✓� pa low 5 ROUTE/BOX NUMBER 3D /pfd S Fire Number 's CITY/STATE Aftgsopi �-L ZIP PROPERTY LOCATION :StO !4, S,67 k, Sectiono2 / ToZ9 N , R Town ofcc�so/'l St . Croix County , Subdiv is ion 180'ks L�0Cl�a5 , 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 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 . 0 I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein , as set by the Wisconsin Depart- ro 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 qq 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 . = ENTPM OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS DIVISION BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.090)& Chapter 145.045) LOCATION:1 s, SEC�N- N (� TOWNSHIP// .:BLK.NO.J OUBDIVISIOY NAM/4 / d_/ /T�/ N/R/9 for / cc Q s sill v�� , e.�•C f-y 4'1�;1�eiv Wy COUNTY: OWNER'S ER'S ME: ADDR SS: f Crn ` ST�v� s /.3 0 6 s DATES OBSERV IONS MADE USE NO.B DRMS.: COMM R L D CRIPTIO R O S: O TESTS: Residence -3 New ❑Replace I Soy M/¢ RATING:S=Site suitable for system U=Site unsuitable for system (!- A ONVENTIONAL: MOUND: IN-GROUND ESSURE: S STEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) [�S DU ®S ❑U ®S DU S ®u E S U cd o 6' DESIGN RATE: if Percolation Tests are NOT required If any portion of the tested area is in the Al under s.H63.09(511b1,indicate: Floodplain,indicate Floodplain elevation: PROF LE DESCRIPTIONS BORING TOTAL P H T M GR UNDWATE - el IE9 CHARACTER F SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH ELEVATION OBSERVED T. I HE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- q,d� tOr e, > 6A 44 s o s s B- -I- St01 .o 90 ii s S B. 3 ,0' 9j. `7 ' Wdn« > �, 0 ' , A , S LS #Aj Ile B- PERCOLATION TESTS TEST DEPTH* WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 44011ES AFTERSWELLING INTERVAL-MIN. RI R D PER INCH P_ 6.o' 0 3 �' 3 P _Z— • o 3 G 3 P r �G 3 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 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 I . 1yl __. ------ -- - _ _ i . - -- Br 10- _� ., _ �.__ - _ _ _..�__ - .__ TN IrT i 3 . 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 COMPLETE ON: At,e.4w.�r -ee ara 1 s s-Id 97 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): ve, o ` . Syo!G / CST TU E: r DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — DFI'AllWi.iVT OF Ru ."ORT ON SOIL BORINI , AND SAFETY&BUILDINGS DIVISION INt;US•tRY, DIVISION BOX 7969 LABOR ANN PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (1-163.090)& Chapter 145.045) WNSHIP UNICIPALITY: OT NO.:B NO.: SUBDIVIS O E: I I Tz9N zJ Wl(or I/uiasor�/ 4 MET>zs # OOIJ � / U NAME: MAILING b"6R€ ' / 1 C��Ix � � gtNoy �T I p11EALClw rv� 9UASON W I 546/t;1 USE DATES OBSERVATIONS MADE + rPN1 FOR C RCIAL 09901PTr p Residence New ❑Replace C3eT 7_7 //g� Ocr 2� 19&� lc)rLS x�K ►�L>C SQ So►�S - p "/� �U 'KNARQ'r RATING:S-Site suitable for system U-Site unsuitable for system Bk C1_- r �ONV N I�_�: MOUND: � IN_G � Q� Ms-a�L G TA K:RECOMMENDED SYSTEM:lopti all U 0_dNV4^rr10N AL it Percolation Tests are NOT required DESIGN RATE: II any portion of the tested area Is In the under s.H6109(51(b),indicate: Nn InLNSS Fioodplain,indicate Floodplsin elevation: rtt 1-_,, _ PROFILE DESCRIPTIONS BORING T(TA P f N TE -INC O SOIL WITH THICKNESS, OR, EX URE,AND DEPTH NUtv1BER DEPftIT$. EL.EVAlION OII ERV D TO BEDROCK IF OBSERVED SEE ABBRV.ON BACK.) -- /a'BLLT•s iV18A,ISL /S B¢r4SL RN St e. B 9.Z� QNMOO.2S 0IV t S !: _ _ V >e- /Z 1Z.2'z; 97.09 ntsNL g �� IZ~gLL?S /9"/3Rr,►SrL �S''BRN MS 53"L•r RrJ MS WIRLL7-, ra"BR�1Sr L 16" MS 8 81LM MS''t6 R B-13 7 97- 9,k <0 /VGNt �7 9Z Y7y -r$RtJ Ms '7"gRNCSiC,R. S" T$+trJ MS -_. — k"8aN So L �C�'B+ieN S�A$RN btNS B-A 7.f33 q%.0 NcIrVL >7.8 47rLTBQwM / e CSY r L <I n"�zLTS l4'�8wu5rl rz''Bar�M� /0 l&iu Od•n►s M5 �'GR �, 8.Sf3 q75 73 140IVIf >g.58 41c"Lr$RNMS Z"BQn1 CS*G%% +. PERCOLATION TESTS IEST OEPTIf WAI ER IN HOLE TEST TIME { NUMBER_ I' S AFTER31YELLING INTERVAL-MIN. P R INC 1' P. I -- _._ _ r._._...... — — _4:✓t 1tLQlaC.rt. ..S.�S- i.�C w-c 1 '•aL'r Lr -- •�, P PLOT PLAN: Show locations of percolation tests, sail borings and the dimensions of suitable soil areas. Indicate scale or distances.Describe what are the hors. i .,ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. Pk IMs1R'J - 915-1-06 - ' SYSTEM ELEVATION n�TE�N��� - 94.30' Pt f,r_ \ • 95 I � i ' ��• .. : g_►S , � � say- - �. � Lis 3 n `\ t i 7 ALTL 414 A=c i •fir Z'"Et.M: LoTLrN� 'Of SS` r BM- I"1 ROIv PrPC I P�2fM,tley Z �/ 3dtr rr ! �v�sTE M LoT 4 �►T Jr a-A T 1.9,N ON led i &ASic i r --� (jc>vn1 fY• -rpuN K 14,61IWAY "00" 1,the wr�lersigrrecl, tetchy certrly that the soil tests reported an this form were mode by me in accord with the procedures and methods specified In the Wisconsin -� Administrative Ctrde,and that the data recorded and tire location of the tests are correct to the best of my knowledge and belief. NAh1E (trine► 1 �� r TES S RE COMPLETED ON: fl•teveYJOH^j sjq OcT 27 Af)DAES5 _` -r _ CERTIFICATION NUMBER: PHONE NUMBER Ioptional : 407 34'i4 38G-4o to CS, I TORE: DISTRI HUT I("IN:rtnyrnrrl aorl m-miry to 1;niril Author try,Property Owner rind Sod Taste,. I UII Hlt tit)t)f't'I'. tit IYrJR7; -•(IVFP - ' _ s 0 0 � � a s - c H u.- d � ad • 0 T � Q J- o d '~ = H Fri r v r• ' J d N 'r d � v o— 3 � a a a � o- H /r 410 N°i-'"� 9! qS lip . -!S Biz B 3 V i Ma f, i A S t V /0 44 aqx2s 2$ vy6 L 5 ot # y o Ma1c Locrn � ubdiV► slan `� d 6 tM i < t h a- Vast. + H cn r i z R J, 0, N i ASS c. ni o_ r/ EIY - 0 brm d--s- (8efe A'Od- Chrr'SopAe.rs , n 0 PQr (Ls (ficS�' Bo om•. 7- N0-r6 �hc L'nri So � h,�r -Sto ia-Lt IS priri^ar�. � u+ 4P � fop� SrNL �o /Y%.'h /aey� Vtrf. Z), Ffti j- �u;r �rH¢rl � �. rE�r�aP�' c„hc„ AcTJ i Common Driv q way 2 3v'No spa Q� 42' 227 CERTIFIED SURVEY MAP Located in the SW 1/4 of the SE 1/4 of Section 21 , T29N, R 19W , Town of Hudson, St. Croix County, Wisconsin Owner and Subdivider: N l Verlyn & Catherine Benoy UNPLA,?TED---�.ANOS- — 0 Rt. 1 Meadow Drive S 00'51049'E - Hudson, Wi. 54016 EAST LINE OF THE • 3g' 33' SWI/4- SEI/4 479.28 $ 5 7; a �z � Oo UV W (n N 9 1987 Z W w 2 I"" A =W FEW Y Ot f- (r • a WIC '?O W 00 WON cow"'. p�OtM11 a ,J M J -, JAMES E. V OVY NVQ ,X I I 4 N "-'W '-z; cOiP of R$-= �ix w S 01'36'09" I MI o Ir Hudson 4; D_ 0 353.26' 3 3.-- OI %''S+� WIC �� in o y 320.00' --- t� - � 1 W W W Y _ Q •AO�' ��Y U)(9 N N N .+mA O ' -J 0 ZY K,z _ APPROVED z Ay' WSX V T V W Z �WO �ZO (U O JAN 0 8 1997 W. S 02' 10'27"E " � I Z' I m, z• 548.94' ; a; 515 33 .23 � • 1 ST. 10;x COUNTY -' .71 In N MI COMP::cHENJIVE PARKS ?LA�r:iNG � U. W I ANO 200ING CO)AMI7IEE O O 1"• F' W =W N 0) M 1 LEGEND C; ,may N W O Ft 0 U OD =1 V LL..R'V SI'�I SECTION CDR. MONUMENT a; �� 0 c) Oc�a O W Z o,Jl 2. e J Z'n V) Q I WI OI dp O t" IRON PIPE FOUND �O '�09 Wur W-jY .z 2" IRON PIPE FOUND •��• OW mz3 W m W rk24" ROUND IRON PIPE WEIGHING v F- I Nz ' tG 0 i 1.68 LEIS . /LI N. FT. SET - t W N- p V u o-- M z M 150 100 50 0 150 900 450 _ o O50. 6 0 W T_l_�1_ qEN_— z LANE_ SCALE'IN FRET N i,Q•08' tO W 1 Bearings referenced to the South line of the o . 0 3 ;: -- -- SE1/4 of Section 21, assumed S89023151'IE. tiZZoo " Y Y .1 m O o to .9 4 - Oo 41 z i 0 - r J A h I- W O U. = 3 N I z� O O M 5 N 'n 7 N • =2i J J W J _ O) F-i- \v N-SI/4 SECTION Ox '_z O I OWN z�Wp LINE - 'V Z tnN!- 4645.72' 550.00' N 00'51'27'W 33 583.01' I volw2e 6 Pace 1763