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HomeMy WebLinkAbout014-1030-20-000 St. Croix County Planning and Zoning Friday, February 02, 2007 at 5.09:01 PM Detail Sanitary Information Page 1 of I Computer 014.1030.20-000 Sub/Plat: 40 acres Section: 14 Parcel M. 14.31.15.210 Lot: TNIRNG: T31N R1 5W Municipality: Forest, Town of CSM: 114114: NW 114 NE 114 Owner: Scher, Sam 3061 Cty Rd. Q Clear Lake, WI 54005 State Permit: 88405 Issued: 1011411986 POWTS Dispersal: Non-Pressurized In-ground Permit: Replacement County Permit: 0 Installed: 10/22/1986 POWTS Detail: Bed - Seepage Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuerlinsoector As Built Plum r Other Reauirements Additional Notes Money Harold Barber Yes Murray, John N. check owners - former Sam & Mary Scher & $0.00 Tom Nelson Signed Off: No Eugene Jax, now Sam & Jeffrey Jax co-owners Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 1012212006 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SCHER, SAM/_ 1668 Portland Avenue NW NE, Section 14 1 St, Paul, M 55104 T31N-R15W, 4 Town of Forest San,Permit#88405 Conventional, Replacement0-14-86 John Murray INSTALLED 10-22-86 Parcel 014-1030-20-000 02/02/2007 05:03 PM PAGE 1 OF 1 Alt. Parcel 14.31.15.210 014 - TOWN OF FOREST 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 SAM C SCHER CO - JAX JEFFREYC JAX JEFFREY 1668 PORTLAND AVE ST PAUL MN 55104 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 3061 CTY RD Q SC 1127 CLEAR LAKE SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 14 T31 N R1 5W NW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-31 N-1 5W Notes: Parcel History: Date Doc # Vol/Page Type 08/07/2006 831616 TI 03/08/1999 599053 1409/193 QC 11/21/1997 568817 1278/157 QC 07/23/1997 832/514 2006 SUMMARY Bill Fair Market Value: Assessed with: 160529 Use Value Assessment Valuations: Last Changed: 10/17/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 10,000 31,200 41,200 NO AGRICULTURAL G4 10.000 1,100 0 1,100 NO UNDEVELOPED G5 1.000 100 0 100 NO PRODUCTIVE FORST LANDS G6 27.000 54,000 0 54,000 NO Totals for 2006: General Property 40.000 65,200 31,200 96,400 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 65,200 31,200 96,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 A Croix County Planning and Zoning Detail Sanitary Information Monday, February OS, 2007at 8.36.-52 AM Computer 014-1038.20000 Sub/Plat: >35 Page I of I Parcel 18.31.15.274A acres Lot: Section: 18 Municipality: Forest, Town of CSM: TWRNG: T31N R15W - 1/41/4: NW 1/4 NE 1/4 Owner: Fouks, Stanley 2661 220th Ave. Deer Park, WI 54007 State Permit: Issued: POWTS Dispersal: Non-Pressurized I - County Permit: 0 Installed: pOWTS Detail: NA out Perrot: Replacement POWTS Pretreatment: NA Bedrooms: 0 WI Fund: Notes Issuerlssuednsoectw As guilt Plumber ther Re Not determined O NA ther Unknown Additional Notes Not determined Mone~pwed Signed Off: No no permit on record for this older farmhouse - Maintenance existing since <1979 plat book $0.00 Scheduled Pumo Date Pum ~ 6/1/2006 dLt Notion 2nd Nook 3rd Notification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Parcel 014-1038-20-000 02/02/2007 05:10 PM Alt. Parcel 18.31.15.274A PAGE 1 OF 1 ' Current X 014 -TOWN OF FOREST ST. C Creation Date Historical Date Map # Sales Area Application # Permit # Permit COUNTY, Y WISCONSIN 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner STANLEY S FOUKS O - FOUKS, STANLEY S 2661 220TH AVE DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2661 220TH AVE SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: sa- T1 NOT AVAILABLE SEC 18 T31N R1 5W NW NE EX CSM 11/3186 Bldg: (Sec-Twn-Rng 401/4 1601/4) Notry: Doc # Vol Type 891/ 2 ,3 6, 2006 SUMMARY Bill Fair Market Value: Assessed with: 160606 Use Value Assessment Valuations: Last Changed: 10/18/2005 Description Class Acres Land Im rove AGRICULTURAL G4 P Total State Reason UNDEVELOPED G5 35.180 4,500 0 4,500 NO OTHER 1.000 100 0 100 NO G7 2.000 10,000 148,300 158,300 NO Totals for 2006: General Property 38.180 14,600 148,300 162,900 Woodland 0.000 0 0 Totals for 2005: General Property 38.180 14,600 148,300 162,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 212 Specials: User Special Code Category Amount Total Special Assessments Special Charges Delinquent Cha 00 0.00 0.00 • - ~~-y 0-P Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER .54th SCfff.(. -~bEal~4x TOWNSHIP ~jl _ST SEC. T N-RCS _W /G 6 8 Pore 7 t'a N © '04 ut- - &JjWj/(-ADDRESS S7-, P,4UL, N?d 5StoL sT. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•T.HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM lEk~Sl'!~ 3 a /Z f/aa sr Up17ti /L' ( po tzc 4 4 1 W Y Pvc P lec ~r1 c i t wrr14 So+l~ INDICATE NORTH ARROW (/APE 2,ASA(G 0r-cvv<ArTLTIA6 AT 13~s~. oa- cE'~cR~ boot BENCHMARK: Describe the vertical reference point used & Elevation of vertical reference point: 1,0,9•0 Proposed slope at site: SEPTIC TANK: Manufacturer: Hareo-r Z' Liquid Capacity: 1000 G A- L--- n l G- ~ Number of rings used: e9 Tank manhole cover elevation: = F Tank Inlet Elevation: 0Io V;S Tank Outlet El vation:1+ ~s f Number of feet from nearest Road.: Front, Side(~Rear, ~00 feet 7x00 feet -From nearest-property line Front,Side6Rear, Number of feet from: well 1building: C+-~ ffOUst (Include this information of the above plot plan) ( 2 reference SEE REVERSE SIDE septic tank)" PUMP CHAMBER 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, O Side, 0 Rear,0 Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM ` / Bed: Trench: V o1 Width: f Lengjth: Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, (2~Rear, Ft.~ Number of feet from well: ~ Number of feet from building: ///0 Ii Qim-#VV5t-- (Include distances on plot plan). SEEPAGE PIT / Size: Number of pift: 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 AJ Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: i i 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 Uuilding: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: Q'r~ License Number : 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING MADISON, WI 53707 aCONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number: El Holding Tank ❑ In-Ground Pressure ❑ Mound of assigned) . NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION T SCHER SAM/ JAX EUGENE 1668 Portland Ave. , St. Paul, MN 5510 / BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. EL NW NE Section 14, T31N-R15W Town of Forest Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: John N. Murray 4821 St. Croix 88405 SEPTIC TANK/HOLDING TANK: MANUFACTURER: C~ LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LA LOCKING COVER - G~ 7 q PROVIDED: PROVIDED I 61yo 0?.1 g~ OYES ❑NO ❑YES ®NO BEDDING: VENT DIA.: VENT MATL.: HIGH WA NUMBER OF OAD: PROPERTY WELL: BUILDING: IVENT TO FREH ALARM: LI p AIR INLET: -7 1 ❑ YES NO ( ❑ YES NO REST t FROM f I 7 0 DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY IWELL- BUILDING: IVENTTOFRES- (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR. PIPE SPACING COVER JINSIUE DIA *PITS UOUID / TRENCI O f MAjf~R ya L: PIT DEPTH11 fir : DIMENSIONS ( \7 CL~ L DEPTH FILL DEPTH UISTR. PIPE DISTR. PIPE ISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PR E TY WELL, BUILDING: V NT TO FRESH BELOW PIp S:f c ABOVE COVER: ELEV. INLET. ELEV. END ~ ^ PIPE FEET FROM LINE. /s AIR INLET: /,p r r O' ~IJUp' 3 Q_'/~ 7 NEAREST-s 7 //O //a/ 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- ❑YES ❑NO meets the criteria for medium sand. TIONS MEASURED. IL C VER TEXTURE: PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES FIND DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED THOF TOPSOIL SODDED SEEDEDMULCHEDCENTER: EDGES: rp ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH: NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE M : N0. DISTR. DISTR. PIPE ELEVATION AND DISTRIBUTION PIPE MATERIAL & MARKING ELEV.: ELEV.: DIA.: ELEV. PIPES. DIA.: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. ❑YE ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: 1BUtLDING; FEET FROM LINE: S~ ❑YES ❑NO ❑YES ❑NO NEAREST ~S Z \ L 11.7r° 1 y qty' O Sketch System on ain in county file for audit. Reverse Side. V - SIGNATURE: TITLE : DILHR SBD 6710 (R. 01/82) L// w,s~°nsin APPLICATION FOR SANITARY PERMIT Ez! D I L H R (PLB 67) 5- I C20 1K COUNTY WVDUST Y,LRBO UNIFORbA SANITARY PERMIT # rOU5Ti74, LRBOR 6 HUTRf1RELRT101-IS ~ - if vQ L//IT(J'r -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/:x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS S c - u iA /6 L ' P.014t °C A A./J) i4 vE. , 5r Atu L t" Aj, SAS-/a PROPERTY LOCATION CITY: MLLAG N 1/41fA,1A S C~, T 1,N, R ICE (or) TtF F oe< LOT NUMBER 111LOCKNUMBER SUBDIVISION NAME EST R OAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE BUILDING OR USE SERVED 1 or 2 Family ?!Number of Bedrooms: Public (Specify): THIS PERMIT IS FOR A: ❑ UWSystem Tank Replacement ❑ Repair [Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF TH!..%4 9 A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench E I Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total *of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concre Constructed Septic Tank Capacity p Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: Aity F . IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total *of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER PPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Tr*tC vC H if -1,5 L1 Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signa MP/MPRSW No.: Phone Number: o .J AJ 04.V 1 X/1110 4s 24 (71) 5FYZ Zts Plumber's Addres : Name of Designer: c~X qc 7-a COUNTY/DEPARTMENT .USE ONLY Si a of Issuing Agen : Fee: Date: El Disapproved Phh -~6 ❑ Owner Given Initial kV Approved Adverse Determination Reason r raWc,1014 Alternate course(s) of Action Available: 0, 0V DILHR-SBD-6398 (R. 5/82) , DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, lumber 6~ 7 00 APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owners 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - S,41-11e~~ Owner of Property Location of Property Section N-R 1,5'- W Township Lo ~e - Mailing Address 166Y N i4L/E. S Sl o e-A MA) Address of Site ~b L(: LL-( 66 y x ~S ftR 4L}Il---- VV~L Le Subdivision Name Lot Number Previous Owner of Property 2X/ Ayo mss. Total Size of Parcel 160 Q C /I 4t s Date Parcel was Created ~q 7 n Are all corners and lot lines identifiable? ✓ Yes No Is this property being developed for resale (spec house) ? Yes No Volume ,~6 0 and Page Number 143Z-2- 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) cexti6y that att statements on this joxm axe txue to the but os my (out) knowledge; that 1 (we) am (axe) the owner (s) o j the pnopenty deb ch i.b ed in this injoxmation 6onm, by vi tue o6 a waAAanty deed neconded in the 064ice o6 the County Re9i,6teh. o6 Deeds as Document No. 0 7J Z and that I (We) pxe a entfy own the proposed .6 to box the sewage dispoays em (ox I (we) have obtained an easement, to nun with the above ducA bed pxopexty, box the constkucti.on o6 said system, and the same h,66 been duty neconded in the 046ice o6 the County Reg.iaten o6 Heeds, ab Document No. 1. too' Uof SSIGNATJME OIL OWNER SIGNATURY OF TOWN R (IF APPLICABLE) DATE SI D DATE SIGNED .~.r H ' z ' N H . a STC - 105 H SEPTIC TANK MAINTENANCE AGREEMENT c St. Croix County z e~ OWNER/BUYER SA 0. 9 c- M ROUTE/BOX NUMBER 4-re- alC 5 Fire Number CITY/STATE ZIP moos PROPERTY LOCATION:jyLk, Y_k, Section , T3J_N, R ' W, Town of C'o St. Croix. County, Subdivision , 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 pdt 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 Cor 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-eite 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. y 0 I/WE, the undersigned, have read the above requirements and agree y to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- b ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zonin Offi:re within days of the three year expiration date. o G SIGNED DATE lO 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. unscormon SANITARY PERMIT ~DILHR M tea,-,,,,I„ GROUNDWATER SURCHARGE , Sanitary ~it No On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com- monly 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 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. 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- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. Ground k SI ture of Issuin Anent: ` WISCO a _ 9 Groundwate!ee: Dale: . s5r burled .a.,, F k[~. I DILHR SBD- 89 th. 184)5" i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, - DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS 1 / MADISON, WI 53707 (1-163.090) & Chapter 145.045) PUSE SECTON: u p TOWNSHIP/MUNICIPALITY: OT NO.: : SUBDIVISION NAME: A7f /T31 N/11 Is E (or PO ej, c- sr W ER'S BUYENAMMA N ni 5'CH -~vaFKd fax /t4RTCOO/ s.Sro COMM R L DES R PTIO DATES OBSERVATIONS MADE ❑New &Repiace I r+~ ~I~O r . G/ S: RATIN . Sa Site suitable for system U= Site unsuitable for system •i O a!p ON NT 0 AL: MOU IN-G ST.- N-FILL OLDING TA :RECOMMENDED SYSTEM: (optional) S ❑u s au s ou " as au as ecovNU If Percolation Tests are NOT required DESIGN RATE: under s,H63.09(5)Ib1, indicate: if any portion of the tested area is in the Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH '9T. HIGH NUMBER DEPTH IN, ELEVATION OBSERVED E TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 0~11 ' ~l2. ~F /VoNE ~a~•, fop 8 L_rg,► LTAI S-L _7~ ATirrrA B- Z O,1 9l, 331 ~t/o•~1~-- ~/o'I DK 11i Sl - 3`f "IF), WIS rotaTir-/Ci Q G S N B- /s" y1.33 ~O~E. Isar SL_ Z," 137t sl _ ~o,fs,r,-it?&'rI F11.6 ►~.~1 B- W►t'tt ~NIt/t• Ca~uSoG D^ Tie A B- ~~vc mere- Jt'ra/6-C va,/c 4S 7 -wi s is B- iy ~cson/ ~S e 4 t It g] A/S ~C~ Iiielitiq ,ft1 y<we so.<vz /wd r co7-ro pescrea - SrtvoSr6A1A-134r-o2ocK *4 -,2y"7 yo PERCOLATION TESTS 40,t4rbttbf7/o,) Fuv4/1, W4_r 1334r7 NUMBER INCHES AFWATER LUNG INTEST TIME DROP I WATER LEVEL-INCHES RAPER IINCH ES P nI O r oo 40 3 h o P- r. r S r y P P- e L T 0 P- Scr it G W /1C to rL°la S Lo K 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 6 61 r 7' n E IAt o x Cry S _Wt D ff vS = 9 ,O' ` y' - 1 _ Sc~ ~ L iC N fr K 8 ' CC 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. TAME print TESTS WERE COMPLETED ON: ~DDRE d ' CERTIFICATION NUMBER: PHONE NUMBER (optional): 4 4e no/ d/ s,a~ CST SIGN T E: ISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil.T~ , ILHR-SBD-6395 (R. 02/82) - OVER - ` + Ae- r-oo! , m fie 5< ty /f~ ~ r ~ / ~v ~ _ /~1.~i~' ~,~5"~ /G 6 ~ Pa,~rc ~•~p fI vim, ~ y: uc,~ ~jl~ ,r'~"~ ~ l N 7"ow~c/ v r-' o ~2 6"s'~ ST. L~,PV i x C'~ NT `1i ~r1 ~ln (fS re 2- rx E. ~S o x (2. [ 09 4~ 7-o Al, &Lj/~e ''r /o . I~x~ 5T 3 Brrp, • Hovs~ vp,~ca Ecs.E~ ~~~ar r~tc a e 47" 8asE-o G 4 "L,4R Dc,.k /vE'w /coos ac PEE«sr S,r,--~ i1, 'u~/ ~'y 1 3S Qapo-ttwue ~N~il?~ S 38 =--j~ Wa- NtW EFFuiter7 ,Ex rsri, v 8C1~~- SEwE.C l~Arvi?~i~) -r, bi ire too. Sttn~D ~ ~~STi~r,Nrty Luc?-r~o~✓, r 6 ~ <P~SSeet y SEpr~c t:~ak o~ S,~-~~a~•t. ~~r~ D3 ~Exc~vrv~~. -~~M~ - •4~vc1 ~G~ Ta.o s K so' vc H $C.4 gOgAl oev C~ySS SECTION/, 131- ficEV ~ 63 Ec~~,- gt ?3 DD +f / ~ ' ~ ~r,D~ tlErh s41' ~'Csayt Fcc✓ --Rtfo~ PrtrN -?.33 ~oflan, of P,p t S SIQpt tcc ~ - l0.33') 9'K.0' 1 loo ,