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PUMP CHAMBER r
Manufacturer: Liquid Capacity:
Pump Model: p/Siphon Manufacturer: Pump Size
Elevation of inlet: . Bottom of tank elevation:
Pump off swit elevation: Gallons per cycle:
Alarm Ma, acturer: Alarm Switch Type:
Nu r 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: Trench: v
(Z)Width: g Lenth: Number of Lines: Z Area Built: JrOc>ja
Oa
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side,Z Rear,0 It 4rce—? '
Number of feet from well: , .0
Number of feet from building: �G
(Include distances on plot plan).
SEEPAGE PIT
Size: Numb€r of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built
Has either drop box O or distribution box O been used on any of the above soil
absorbt n sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings,- used: Elevation of bottom of tank:
Elevation o inlet:
Number o feet from nearest property line: Front, O Side, O Rear, OFt.
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: 32
y
3/84:mj
T � 1
Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER V S TOWNSHIP 5 ;J /7 SEC. ]` T d Q N-R l!�' W
ADDRESS z- �rl��,rc���_ ST. CROIX COUNTY, WISCONSIN
SUBDIVISIONS(i.7d,-p-,Cf,_ LOT d LOT SIZE
I
PLAN VIEW
Distances and dimensions to meet requirements of IZHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
24,
,&rip
v 60f
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: Proposed slope at site: ?
Z_
SEPTIC TANK: Manufacturer: ��LsA—(-5 Liquid Capacity: 4j'7B 500 _
Number of rings used: Tank manhole cover elevation: J� g
Tank Inlet Elevation:— �✓ Tank Outlet Elevation:
Number of feet from nearest Road: Front, Side, Rear, O Ap: fee,„
From nearest propert.r line Front,O Side Rear,O feet
Number of feet from: well building: Z T
(Include this information of tt-.e above plot plan)( 2 reference dimensions to septic tan:)
SEE REVERSE SIDE
DEPARTMENT OFANDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
ON
I
LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMB DIVISING
P.O.BOX 7969
MADISON,WI 53707
SE4',NW ,S4,T29N-R19W MtONVENTIONAL ❑ALTERNATIVE (if assigned)
D.Number:
Town of St. Joseph ❑Holding Tank ❑In-Ground Pressure ❑Mound
Bluebird Lane
NAME OF PERMIT HOLDER'. ADDRESS OF PERMIT HOLDER: INSPECTION DA E: //
Wm. A. Feyereisen Route 2 Bluebird Lane Box 250 Hudson,WI 54016 �7` 1
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV..
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number
Gar L. Steel :
3254 St. Croix 102832
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. ]LIQUID CAPACITY: TANK INLET ELEV.. TANK HO�UTLET .. WARNING LABEL LOCKING COVER
PROVIDED PROVIDED1® O6 I� �� �.( K O ❑YES NO
BEDDING. VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD: ERTY WELL. BUILDING VENT TO FRESH
ALARM /1 IAIR INLET
❑YES O G ❑YES ISNO NEARE TM °,
DOSING CHAMBER:
MANUFACTURER BEDDING'. LIQUID CAPACITY . PUMP/SIPHON MANUFACTLIRER WARNI LOCKING COVER
PROVIDED: PROVIDED❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMLS OPERATIONAL. NUMBER OF PROPERTY WELL IIIUILDINC7TVENT 70 FRESH
(DIFFERENCE BETWEEN FEET FROM uNe AIR INLET
PUMP ON AND OFF) 1:1 YES 0 N NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING
f 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 NO.OF DISTR.PIPE SPACING COVER INSIUE DIA si PITS LIQUID
BED/TRENCH TRENCHES / MATERIAL' PIT DEPTH
DIMENSIONS (0
GRAVEL DEPTH FILL DEPTH UISTR PIPE DISTR.PIPE DISTR.PIPE MATERIAL'. NO.111UR. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
BE/�O_W PIPES ABOVE/CJOVER. ELEV INLET ELEV.END'. n /^ PIPES FEET FROM LI/NE AIR INLET
t 'u4— �'f I1 JIB l 7 NEAREST !/ ��
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
1:1 YES ONO
SOIL COVER TEXTURE PERMANENT MARKERS OBSEHVATION WELLS
1:1 YES ❑NO DYES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED
CENTER. EDGES.
YES ❑NO —1 YES ONO DYES 1:1 NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH. LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPF. FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR PIPE DISTRIBUTION PIPE MATERIAL&MARKING
ELEV.. ELEV,. DIA. ELEV.. PIPES DIA.:
' ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANSCAL LIFT CORRESPONDS TO APPROVED
DYES El NO DYES ❑NO
COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPER TV WELL: BUILDING
FEET FROM LINE
(Q El YES El NO ❑YES El NO NEAREST
�� '0A4 II.5 (�
2
0
Sketch System on t1 Retain in county file for audit.
Reverse Side.
SIGNATURE. TITLE
DILHR SBD 6710 IR.01/82) ZOnln
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 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. Prcperty 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 D!!LHR;
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 Biz 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 GroundatBr--
included the creation of surcharges (fees) for a number of regulated practices which Wisco in s a
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure'
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.
a
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 COUNTY
I .HR In accord with ILHR 83.05,Wis.Adm.Code St. Croix
STATE SANITARY PERMIT#
—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 El NO
PROPERTY OWNER PROPERTY LOCATION
Wm.A. Fe ereisen Se '/4 Nw '/4, S 4 T29 , N, R19 �(,or)W
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
R.R.4#2 Bluebird Lane Box 250 A n a n a
CITY,STATE ZIP CODE PHONE NUMBER 77 VILLAGE NEAREST ROAD,LAKE OR LANDMARK
154016 : St. Jose h Bluebird Lane
11. TYPE OF BUILDING OR USE SERVED: 036-/0/5—_ 30
Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify):
111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable)
1. a. 0 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. ❑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. ❑ seepage Bed b.U 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): 12.25 upper
class 1 495 500 t RgPrivate []Joint El Public
10-75 IaWf=
VI. TANK CAPACITY Site Fiber- Exper.
in allons Total ##of Plastic
Prefab.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strr cted Steel glass App
Tanks I Tanks
Septic Tank or Holding Tank 1000 1 Weeks Concrete S]
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 ' lure:(No fg�MPRSW No.: Business Phone Number:
3254 715 246-6200
Plumber's Address(Street,City,State,Zip Co Name of Designer:
988 N. Shore Dr. New Ri chmond, Wi. 54017
Vlll. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST#
Gary L. Steel 2298
CST's ADDRESS(Street,City,State,Zip Code) Phone Number:
988 N. Shore Dr. New Richmond, Wi. 54017 715 246-6200
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater ate Issuin Agent Signature(No Stamps)
charge Fee
CK Approved ❑ Owner Given Initial ,`\�
Adverse Determination ��V'w ��• / ��I
X. C MENTS/REASONS FOR DISAPPROVAL:
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 A7 -+- @U'2i Sr
Location of Property Jam_ it k, Section , T Z °� N - R W
Township f
Mailing Address
r
Subdivision Name -
Lot Number
Previous Owner of Property (°`q !jv4,f l±1l u.eV-
Total Size of Parcel
Date Parcel was Created - l Cl 9
Are all corners and lot lines identifiable? X, Yes No
Is this property being developed for resale (spec house) ? Yes X No
Volume �o �� and Page Number � as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
2. Land Contract
3. • Other recordings filed with the Register of Deeds Office
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 the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
I (We) ce4ti6y that aU atatementa on thiA 6onm ane true to the beat of in (oun.)
knowted e• that I we am (ah a the owner.!b) o the o dea ch i.bed in th"
g . ( 1 ) 6 pn p�!
injonmati.on Jonm, by viAtue of a wauanty deed xecon.ded in the 06jice of the
County Reg,idten o6 Deede as Document No. / .�_, and that I (we)
pheaentty own the ptopoeed ci to jon. .the eewag��poaax eyd.tem (on I (we) have
obtained an eabement, to nun with the above dedeh.%bed pnopenty, jot the .
been n.econded in the 0 .cce
canetnucti.on o ea.i,d a stem and the came has ee duty ��
of the County RegiAteA of Deede, as Document No. ) .
1 . J
SIGNATURE OF OWNE SIGNATURE OF CO-OWNER (IF APPLICABLE)
It I lqllq,3
DATE SI NED DATE SIGNED
DOCUMENT NO. ii STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA
ii WARRANTY DEED
387168 11 i 'VOL 671 Pb"E 35�
This Deed, made between ---Kenneth_J,__Bauer, __sing],P__ REGISTERS OFFICE
person-- ----
--------------------------
--------------------- ------------ --- --------------------------------------------, Grantor, Recd. for Record this 22nd
and-----William._A.._-FQ_yereisen-_ansl__Marilyn._F....F-eyexeisen.-------. '' dcty Of Aug A.D. 1983
husbaladand_wi£e._as.-J-Qint..tenants.............................................. t 3:00 P M.
----------------- ---- Grantee,
Witnesseth, That the said Grantor, for a valuable consideration___... Rpbt• of D«dl
conveys to Grantee the following described real estate in ..St-.-Croix.............. RET N TO
County, State of Wisconsin:
The East Half of the Southwest Quarter of the Northwest
Quarter, Section 4, Township 29 North, Range 19 West, Tax Parcel No: ..............
St. Joseph Township, St. Croix County, Wisconsin.
Approximately 20 acres, more or less.
is not
This ------- ...... ....... homestead property.
(is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And-----Kenneth.J_._.Bauer
----------------- -
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, covenants and restrictions of record, if any
and will warrant and defend the same.
Dated this
----------- -------------------- ----- day of ----------August-•- -------- --------• 19.$3..-.
-----•-----•------- -------------------------------------------------(SEAL) 1-- ------ --- `!Ll2�cL�S -------(SEAL)
* --------------------- --------------------------------------- * KENNETH J.' AUER
-•---------•--•-----•----•------•----------------------- ------------(SEAL) ---•-------------------•----•------•-----•---- ---------------- ---(SEAL)
*
------------------------------
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) -------------------------------------------------------- STATE OF WISCONSIN
-------------•-------.._... ss.
St. Croix
----•---------------------------------County.
authenticated this 1 ` ay Of.._.r ,1. f 19__ �� Personally came before me this ____
� ------------ -------------- August - day of
A06fS 1. - cr_z:__ _ 19.83.. the above named
A. HURRAY ' '1
..........Kenneth--j-.Bauer
-- - ------- ' � -• ------------------------
TITLE: MEMBER STATE BAR O1�WISCONSIN --------------------------------------------------------------------------------
--•-----------------------------------------------------------------------------
(If not- -----------------------•------•-----------------------------
authorized by § 706.06, Wis. Stats.) --------------------------------------------------------------------------
to me known to be the person ------------ who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
HEYWOOD.,---CARI--& MURRAY --------------------------------- ----------------------------------------------
by Lois A. Murray -------------------------------------------
ray
P_:0-:--Box--229;--Hudson-;--Wd......5#{&ib"-------------- Notary Public ------------------------------------------
(Signatures may be authenticated or acknowledged. Both MY Commission is County, Wis.
are not necessary.) g permanent. ([f not, state expiration
date
- necessary.)
- --
- --- ---------
----------- ------- ----
i
*Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Ioao a
FORM No. I-_ Wisconsin Legal Blank Co. In
l
cn
_ H
9
ST C - 105 r
r
a
' H
SEPTIC TANK MAINTENANCE ACREEMEN'r o
St . Croix County z
t�
OWNER/BUYER. I-S rn
ROUTE/BOX NUMBER /pS� SC4v�N� _w/ASS Fire Numbe6
CITY/STATE �� / , (�/ ZIP / 4,
r T z°j N , R �� W,
PROPERTY LOCATION �� '�, /U C!) �, Section
Town of St . Croix County ,
Subdivision 44eyj_1S q__`r Lut 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. HH
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with ?C
r+
the standards set forth , herein, as set by the Wisconsin Depart- ►o
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
DA•r E til 11
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 .
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
1NDUST�RY, DIVISION
LABOR HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON,WI 53707
(1-163.090)&Chapter 145.045)
LOCATION: O TOWNSHIP/ TY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
SE '/ / 4 /T29N/Rlq)F(or)Wj St. Jose h I A n/a IFeyereisen
COUNTY: .
St. Croix Wm. Feyereisen R.R.#2 Bluebird Lane Box 250 Hudson Wi.54016
USE DATES OBSERVATIONS MADE
NO.BEDR : COMMERCIAL DESCRIPTION:
=OFILE N S:OResidence 3 n/a UNew ❑Replace 7 1PERCOLATION TESTS:
n/a
RATING:S-Site suitable for system Ua Site unsuitable for system
CONVENTI AL: MOUND: IN-GROUND URE: S STEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)
®S ❑U S [:]U Ox S [:]U ❑S �U ❑S ®U I step down trench
If any port
If Percolation Tests are NOT required DESIGN RATE: ion of the tested area is in the
under s.H63.09(5)(b),indicate: Clas3 1 Floodplain,indicate Floodplain elevation: n/a
t PROFILE DESCRIPTIONS
BORING TOTAL_ PTH TO R UNDWATER-INCHES CHARACTER OF SOI I SS,COLOR,TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED EST.HIGR—E_ST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
B- 1 6.67 115.75 none >6.67 .25bl.1. 1.92bn.sil. .42bn.l.s. 4.08bn.c.s.&gr.
B. 2 6.92 115.90 none >6.92 .42bl.1. 1.33bn.sil. .50bn.l.s. 4.67 bn.c.s.&gr.
B- 3 6.67 114.25 none >6.67 .33bl.1. 1.67bn.sil. .42bn.l.s. 4.25bn.c.s.
B- 4 7.00 112.25 none >7.00 .58bl.1. 1.92bn.sil. .75bn.l.s 3.75bn.c.s.
B- 5 6.34 112.49 none >6.34 .50bl.1. 1.67bn.sil. .92bn.l.s. 3.25bn.c.s
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PER PERIOD3 PER INCH
P-
P-
P-
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. upper trench=112.25
SYSTEM ELEVATION lower trench=110.75
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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 -16-87
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SIGNAT
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER —
1
Wm. Feyereisen
SF4- NW-4 S4 T29N. R19W
St. Joseph, twonship
t ate,
5a �
13o'
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-� S`I•�i1lE �;� l00 r b 15+r%6kA LO r)
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Gary L. Steel
988 N. shore Dr.
New Richmond, Wi. 54017
MPRSW 3254
11-30-87