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PUMP CHAMBER
• s
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, OSide, 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: C:Z Length: 6—`: Number of Lines: Area Built:
Fill depth to top of pipe: G}l
Number of feet from nearest property line: Front, O Side, O Rear,0 Ft .
Number of feet from well: ,L_ c��,�(f�11
Number of feet from building: s
(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: T 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, O Ft.
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
i
Form - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER - ,4 TOWNSHIP SEC. _ T N-R Z,;' W
ADDRESS ? ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT `�� LOT SIZE ,'Zw
' PLAN VIEW
Distances and dimensions to meet requirements of I•ZHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
�.i
�r
�f 0
o-
INDICATE ORTH ARROW
BENCHMARK: Describe the vertical reference point used a-,g
as
Elevation of vertical reference point: .. Proposed slope at site:
SEPTIC TANK: Manufacturer: ",., Liquid Capacity:, (oc &-
Number of rings used: Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,O Side,0 Rear, 0 feet
From nearest property line Front 10 Side,O Rear,Q
`� feet
Number of feet from: well , building:
(Include this information of thk 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
MXC sdim,W la 53707 State Plan I.D.Number.
SW!, NW%,S4,T29N-R19W XX CONVENTIONAL ❑ALTERNATIVE St assigned)
Town of St. Joseph ❑Holding Tank ❑In-Ground Pressure ❑Mound
Lot 7
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DA E:
i
Dale Pederson 206 Wisconsin Street N Hudson, WI 5401 �, - CL
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:
William Schumaker 16382 St. Croix 95972
SEPTIC TANK/HOLDING TANK: WARt
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: ROVIDEDLABEL PROVIDED COVER
DYES ❑NO I DYES ONO
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
ALARM: LINE: AIR INLET:
FEET FROM
DYES ENO ( ❑YES ❑NO NEAREST
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO ❑YES ONO ❑YES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY IWELL- BUILDING. AIR INLET
(DIFFERENCE BETWEEN FEET FROM LINE
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: NO.OF DISTR.PIPE SPACING. COVER INSIDE DIA. #PITS. LIQUID
BED/TRENCH / C TRENCHES: MATERIAL: PIT DEPTH
DIMENSIONS / J
GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: V NI LE FRESH
BELOW PIPES: ABOVE COVER-. ELEV.INLET 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 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.
❑YES NO
OIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
DYES NO ❑YES 1:1 NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED MULCHED
CENTER: EDGES.
❑
DYES ❑NO YES ONO ❑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 7COVER NO DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING
ELEV: ELEV.: DIA.. ELEV.: PIPES DIA.:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY ERIAL PLAN SCAL LIFT CORRESPONDS TO APPROVED
DYES. 01 NO DYES 1-1 NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF LRrOE ERTY WELL: BUILDING.
FEET FROM
�3 ❑YES ONO ❑YES ONO NEAREST
S S�
Sketch System on Retain in county file for audit.
Reverse Side. ITITLE..
FGNATURE.
DILHR SBD 6710(R.01/82) Zoning Administrator
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, us-oally every 2 to 3 years;
6. If you have questions concerning your private sewacie system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 608-266-381.5.
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;
I!. 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'/z 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 �Ster—
included the creation of surcharges (tees) for a number o: regulated practices which 1Nisco trt'S
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried real re',
is used in your building is returned to the groundwater th-ough your soil absorption o
system or the disposal site used by your holding tank pumper.
a
The monies collected through these surcharges are credi^ed 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 esteblishmE:nt of standards Groundwate,,
it's worth protecting.
:'31D-6398 M.03!86)
DILHF� SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05,Wis.Adm. Code Po
STATE hNITARY PERMIT#
•
C/S RY
—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
P ER TY OWNER PROPERTY LOCATION
l.e '/a oj '/4, S T Q, N, R E (or
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
TA so Of 7 4-1:7.5 il ` I
CITY,STATE ZIP CODE PHONE NUMBER Q CITY NEAREST ROAD,LAKE ORLANDMARK
❑ VILLAGE : 8 I
OWN OF:
II. TYPE OF BUILDING OR USE SERVED: al2l- '
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. 1X 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)
rvi
1. a. 1,N 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. Df] 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): 6�
Feet XPrivate ❑Joint ❑ Public
VI. TANK CAPACITY Site
in allons Total ##of Prefab. Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank x /!S ❑ El ❑
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) //MPRSW No.: Business Phone Number:
,y.2/fve �! �Y(o �( 27
Plumber's Address(Street,City,State,Zip Code): Name of Designer:
J Oro' , 1� =-
VIII. SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST##
CST's AD SS(St et,City,State,Zip Code) Phone Number:
Ae,LT
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater ate Issuin Agent Signature(No Stamps)
9 Approved ❑ Owner Given Initial /�� S rcharge Fee 7
Adverse Determination fou' `'- 110-3 p�`
X. CO ENTS/REA NS FOR DISAPPROVAL:
ory
C�>tir 6ew b� aas me l�
SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
APPLICATION FOR SANITARY P4RMIT
STC - 100
This application form is to be completed in full and signed by the owner(s) of the
property bring developed. Any inadequacies will only result in delays of the permit
isxuauce. 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
suld and submitted to this office with the appropriate deed recording..
- - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - -
Owner of Property -" `
Wcat Lull of Propertkz/—k L Lks Section , T N - R W
Tuwuship
MallLng Address } -7)
i
Subdivision Name
Lut Number
Previous .Owner of Property L%L° LA--A A
y
Tutal Size of Parcel 3 A
DjLe Parcel was Created
Are all curners and lot lines identifiable? Yes No
lb thlb property being developed for F2.sale (:spec house) ? Yes No
T
vulumu and Page Number as recorded with the Register of Deeds
I-It INCLUDE WITH THIS ip LTION ONE OF THE FOLLOWING:
1. Warranty Deed
. l. Land Contract
3. Other recordings filed with the Register of Deeds Office
lit addition, a certified survey, if available, would be helpful so as to avoid delays
01 cite reviewing process. If the deed description references to a Certified Survey
Map, the the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
1 (We) eeAti.6y .that aU ata.tementa on thin. oam aae taue to the beat o6 my (uuA)
k►►uwtedge; that I (we) am (ane) the ownea(a� o6 the pkopenty ducAi.bed in this
c►►6u,unati.un 6onm, by viAtue o6 a wahAanty deed a.eeonded in the .066ice o6 the
Cuwity Reg-iAten o6 Deeds ab Document No. and that I (we)
p4 ea a ttzy own .the,pno poe ed Ai to 6o,% the s ewaq p-o,6&t a ya tem (oa I (we) have
ubtai.►►e.d an easement, to n.un with the above de cAi.bed p)Lopen ty, boa the
ea atauction o6 said system, and ti►e name ha-6 been duty seconded in the 066.ice
u6 .tile County Reg-i.a.ten o6 Deeds, apt Document No.
SIGNATURE OF OWNER SIGNATURE OF CU-OWNER F APPLICABLE)
`1 �1
DATE SIGNED SIGN)?U
DOCUMENT NO. ' STATE BAR OF WISCONSIN FORM 1--1988 i
THIS SPACE RESERVED FOR RECORDING DATA
WARRANTY DEED
Boof -756PAw"174
ST. CROIX M, 1WN6
This j�ggd, made between William A. Feyereisen and Wd. for Record ibis 7th `6 I I
Th
�Iaxilyn_F_.__Fay_es�eisen.--husband._and_wi£a------------------------ -------- y of Oct. ADD. 19_ !,
4: 15 P
- - - -------- i
Grantor,
- -- -- ----
and__Dale--E- --Pederson-----------------------------------------------------
wf ON/s
----------•---------------- , Grantee,
------ -------the-•--- ------ ------------ ---- - - -consideration I i
Witness eth, That said-
aid Grantor, fora valuable •._.._ 1gS1 0 �-�A S
RETURN {I�SUC1At10 I i
________________________________________ Iw
I, conveys to Grantee the following described real estate in _St,--Croix- Syp 21p S1REE1
County, State of Wisconsin: _ ^�
�I
Part of the Southwest Quarter (SW1%) of the Northwest
Tax Parcel No: ------•----------------------------
Quarter (NWT) of Section 4, Townshi p 29 North, Range
19 West described as Lot 7 of a Certified Survey Map on
file in the office of the Register of Deeds for St. subject �Page
County, Wisconsin in Vol. 5 of C.in Vol, 697
to Protective Covenants recorded in Vol. 697, Page 541 in the
I office of the Register of Deeds for St. Croix County, Wisconsin.
!I
iit
SM
FE
I
I;
This ...-.is not homestead property.
I
oil* (is not)
I' Together with all and singular the hereditaments and appurtenances thereunto belonging;
Feyer�i. € ,_._..0............ .............
And....$xantars,--leT1111�m-A'-•Feyer��&eJ�-• a free and clear of encumbrances exce t
_ h sband nd wife
warrants that the title is good, indefeasible in fee simple and P
easements, covenants and restrictions of record, if any, II
and will warrant and defend the same.
19..---
86 I j
October = ,
Datedthis -------•-------------7th--------------- ------ day of -•------••-----•--•-----
�/5� �r y`w'--- -t/4 SEAL
II �------------------------------•-------------------•-----•-----------(SEAL) -- _ � -•------•----•---
�I WILLIAM A. FEYEREISE�d
------(SEAL)
*
.............................
-----
`
----------------•----------------------------•--------------------(SEAL) --------� +- "--- i
i ..
MAItILYN_•F.__.FEYEREISEN------------------
i * ---------------
------
AUTHENT ICATION ACKNOWLEDGMENT
STATE OF WISCONSIN
Signature(s) ----------------------------------•------------------------- ss.
I
I
j ------------------------------------------------------------------------------------------ .St.--Croix------------------
County.
authenticated this --------day of--------------------------119- PeOctobe.before'm92-6--- the above named
- -
jl;l ------------ --
------- -------------------------------- William__A.__Fa_yex�is�A_ __IS .Fs'�?
----------------------------------------------
�..,,. E...Fe_yEraiss> --------------------------------------------
TITLE: MEMBER STATE BAR OF WISCONSI o�PgY i «�h► ----------------------------
(If not, ------ - :
--------------•----------------------- --- --YNOT',,
----------------------
'I authorized by § 706.06, Wis. Stata.) E � os�ie known to be the p one._._._.____ who executed the
ent an a owledge the same.
Isr � � --------------------------------
THIS INSTRUMENT WAS DRAFTED BY -_ - -•- - - -
HURRAY & SHERBURNE v�i-
HEYWOOD:_-CARL. ----------- ---- t state expiration
„ Thom s E. Schommer
by Samuel R. Carl Notary Public --_-_-_•------
S __Cyr s to expira on
oix
����._$�.•22�i-_Hadscrtt; W -------- 4016 My Commission is permanent.(If no ,
(Signatures may be authenticated or acknowledged. Both
are not necessary.)
date:
_ 8-.14 19 )
I
*Names of persons signing in any capacity should be typed or printed below their signatures. Wisconsin Legal Blank Co. Inc-
STATE BA No. WISCONSIN Milwaukee, Wis.
WARRANTY DEED FORM
• ui
y
STG ,. IU r
y
SEPTIC TANK MAINTENA CE ACKI':liMt N'1' o
St . Croix oun� y
>
UWNEk/BUYEK _ie-
kOUTE/BOX NUMBER • ? 1�. .tlf rift'. ___h ire Number
� 1
1' .�� j
CITY/STATE 'L f� NL �5 �� �_ _-.
PKUYEKTY LUCATIUN : Section 1 .. N . V W '
Tr-
Town of � y,�,.L 5L . Croix County ,
Subdivision- -�,'1� y^?= -• Lot number-._-
, I
improper use, and maintenance of your septic hysLelll could resuli in
its premature failure to handle wastes . Proper maintenance c011 -
riat4 ul pumping out the septic tank every thl"" years or buuner ,
Lt needed , by a licensed septic tank pumper . What, YOU put inL .)
the system can affect the function of- t 4 septic tank as a tr.eat -
'Iiuent stage in the waste disposal system. „
St . Croix County residents ma • be eligible to receive a grant lur
J w.,ximum. of 60% of the cost of replacement of a failing, system,
which was in operation pt'ivc I jL I 1928--.4t . Croix County
4LCepted this program in August' of 1980, with the requirement tt►at
owners of all new systems agree to keep their systems properly
maintained.
•rhe prupurty owner agrees to subunit to St . Croix County !ui► ing a
certification form, signed by the owner and by a master ptullibe:r ,
journeyman plumber, restricted plumber or a licensed pumper veri -
tying that (1) the on-.Site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping ( it 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
y
three year expiration. 0
3C
'L
1/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- v
went of Natural Resources. Certification form must be completed
and returned to the St . Croix County Zoning OffkCe within 30 days
of the three year expiration date . _
�P��
SIGNED -LdL
t
' DATE
St . Croix County Zoning Office
P.O. Box 98
Hammond , WI 54015
715-796-2239 or 715-425-8363
Sign , data and return, to above address .
)EPARTMENT OF REPORT � � � #R1N GS AND SAFETY & BUILDINGS N
REPO► BOX 70N
'NDUSTRY, P.U. BOX 7963
I-ABOR AND PERCOLATION TESTS (115) MADISON,WI 53707
4UMAN RELATIONS (1-163.090)& Chapter 145.045)
L - WNSHIP UNtCIPALITY: OT N0.:8LK.NO.: SUBDIVIS N NAME:
SW ' N � � � ST asen%�' 7 14??
W� �� R19 (or
COUNTY:
�r - �
�&6—kSon/ 2 ►scat r�.► �IREEr c� O
DATE8 OBSERVATIONS MADE OUXTrOWITST
USE DE �q�IU CRG 1986
New ❑Replace
,R --
17-E
ILS AG,E EMC
'S(� OICS °�
� — E,a„1•Icrtr
SATING:$�Site suitable for system Um Site umultable for system �^C �M
rr'��tt - -FI L Ot�L-DtIN TANK:RECOMMENDEDSYSTEMet AnOR �� �
i S �U: M S QU 1 S UU [Is U U S COro/L�T'a��L
If Percolation Tests erg NOT required DESIGN RATE: If arty portion of the tested area is in the
under s.H63.49(5)(b),indicate: �LSS Floodplain,indicate Floodplain elevation: IV
PROFILE DESCRIPTIONS
��.
BORING A P T U AT R-INCH ARA R SOI W HICKNESS,C LOR,TEXTURE,AND DEPTH
NUMBER ELEVATION B TO BEDROCK !F OBSERVED(SEE ABBRV.ON BACK.)
B- g aZ /0-7.71 n1�ry 8 .4Z �b"8LL-rsr"8err MS ��� �'cave�2 ae �ry MS �� 4Z"
e"Bt-0-S 6 k- Re N M
13- 16.00 112,'36 rf air rG >"
g. 3 Q.Z<; l I�`3.�3 t1ECrnJ 2S 8'8c L-f5 "7„{4bRRN'Sq4 IZ 96”Seri M5 1 CC-'P-
B-4 6, 3---- 4" BLLTS /6!4Nggtfd 5'tg 2 a() 'ap'" M S
B-
a. Z6"�t.SL7S rZ"Rfl$eN Nls � 6A''8eN M5G�
LB-- J_
PERCOLATION TESTS
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'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate sea a or distances. ascribe what are the hori
ontal and vertical elevation refarence points and show their location on the plot plan. Show the surface elevation t all borings an the direction a percent
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