HomeMy WebLinkAbout020-1122-80-000
St. Croix County Planning and Zonin
Detail Sanitary Information Thursday, March 31, 2005 at 3:15:45 PM
Computer 020.1122-80-000 Page 1 of 1
Sub/Plat: Eagle Ridge Section: 7
Parcel 07.29.19.545 Lot: 16
Municipality: Hudson, Town of TN/RNG: T29N R19W
CSM: 1/4114: NW 1/4 SE 1/4
Owner: Sededund, Galen 385 Krattley Lane Hudson, WI 54016
State Permit: 88420 Issued: 10/28/1986 POWTS Dispersal: Non-Pressurized In-ground Permit: New
County Permit: 0 Installed: 01/12/1987 POWTS Detail: Bed - Seepage Bedrooms: 4
POWTS Pretreatment: NA Fund:
Notes
Inspector As Built Plumber Other R_eouirements
Tom Nelson Yes Hopkins, Richard Additional Notes Money Owed
Signed Off: Yes 23'x56' bed with 1200 gal. Weeks tank $0.00
Maintenance
Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification
7/12/2005
Parcel 020-1122-80-000 03/31/2005 03:12 PM
PAGE 7 OF 1
Alt. Parcel M 07.29.19.545 020 - TOWN OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
* SEDERLUND, GALEN R & CHERYL R
GALEN R & CHERYL R SEDERLUND
385 KRATTLEY LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 385 KRATTLEY LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.200 Plat: 1925-EAGLE RIDGE
SEC 07 T29N R1 9W EAGLE RIDGE LOT 16 Block/Condo Bldg: LOT 16
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 770/260
07/23/1997 757/08
2004 SUMMARY Bill M Fair Market Value: Assessed with:
48633 260,100
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.200 29,600 171,600 201,200 NO
Totals for 2004:
General Property 1.200 29,600 171,600 201,200
Woodland 0.000 0 0
Totals for 2003:
General Property 1.200 29,600 171,600 201,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 149
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER G ~IQ N ('t~QIC' u fV TOWNSHIP u ? O 1 SEC. T ~N-R~W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION El LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•LHR, 83
n,
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
`3 Be de
Home
~ ~ ~ ter(
a JQ,
,
~ Qtks'~
d
i
Omftle LANt
INDICATE NORTH ARROW"
BENCHMARK: Describe the vertical reference point used r0 3owm uX
~ T
Elevation of vertical reference point: '0 Proposed slope at site:
SEPTIC TANK: Manufacturer: l,.,CKS Liquid Capacity: ~0 l
Number of rings used: Tank manhole cover elevation:
Tank Inlet Elevation:_.WU Tank Outlet Elevation: 4g,7y
Number of feet from nearest Road: Front,OSideoRear, ~a0 feet
' From nearest-property line Front, 0Side 10Rear, 0 w.55 feet
Number of feet from: well building: Lwitk _DO' _P1 (Include this information of the above plot plan)( 2 referen a dimensions to septic tank)
SEE REVERSE SIDE
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, O Rear, Q Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan). eADQR Q ,
SOIL ABSORPTION SYSTEM
141*- I3.S3
Bed: Trench:
Width: a4 Lenth: S3- Number of Lines: ! Area Built:
Fill depth to top of pipe: 4Z
Number of feet from nearest property line: Front,) O Side, O Rear, Ft.
Number of feet from well: V
50~ t.' 7*
Number of feet from building:
(Include distances on plot plan).
4
SEEPAGE PIT t
G i
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 soill rt,Y:
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:
3/8.4:mj
SAFETY & BUILDINGS
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR DIVISION
LABOR & HUMA"RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING
P.O. BOX 7969
MAD ISOIW! W 153707 ❑ A LTE R NATIVE Stets Plan I.D. Number:
-CONVENTIONAL assigned)
'f ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
INSPECTIO~~-~g ^ / 9 ~ O
Krattley Lane, Hudson, WI 54016 CST R EF. PT. ELEV.:
tNWZE,, MIT HOLDER: ADDRESS OF PERMIT HOLDER:
REF. PT. ELEV.:
(Per maneent referencepoint) DESCRIBE IF DIFFERENT FROM PLAN:
Section 7, T29N-R19W, Twn. of Hudson, Lot 16, Eagle Ridge"nary Permit Number.
MP/MPRSW No.: County:
er. $8420
rd Ho kins 1059 LOCKING COVER
LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING L
SEPTIC TANK HOLDING TANK: P V ED: PROVIDED:
MANUFAC uRE e7? YES ❑NO ❑YES NO
• ROAD: ROPERTY WELL: BUILDING: AIR TO RE H
r;-
n o
BEDDING: VENT DIA.: VENT MA TL.: ALARM LINET:
A FEET NUMBER FROM F rrC J
C ❑YES NO NEAREST
❑YES NO
DOSING CHAMBER' PUMP ISIPHON MANUFACTURER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
MANUFACTURER BEDDING: LIQUID CAPACITY: PUMP MODE L: ❑YES ❑NO
❑YES ❑NO
❑YES NO pUMPANDCONTROLSOPERA TIONAL: NUMBER OF PROPERTY W LL BUILDING : AIR i i ET: s
LINE
GALLONS PER CYCLE: FEET FROM y
IAL AND MARKING
(DIFFERENCE BETWEEN
PUMP ON AND OFF) LENGTH IAMETER MATER ❑YES ❑NO NEARES
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE
I
MAIN
or excavation. (If soil can be rolled into a wire, construction shall cease until
the soil is dry enough to continue.) SPITS uoulD
CONVENTIONAL SYSTEM: INSIDE DIA DEPTH
NO.O STR. PIPE SPACING: M VE IAU
WIDTH: LEN DI
TRENHES: l//f s
BED/TRENCH PIT
DIMENSIONS l~ NUMBER OF LIROPNEE TY WELL. BUILDING: V NT FRESH
Al"
AV L DEPTH FILL DEPTH Dill STR. PIPF DISTR. PIPE IS R.PIP MAT RIAL NO FEET FROM (Jj,
BELOW PI 5: ABOVE COVER: E V.1 LET ELEV. END PIPE
7 .2, ' 1`2 NEAREST--=~
M UND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
MEASURED, SHOW ELEVA-
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.
meets the criteria for medium sand. TIONS ❑YES ONO
L PERMANENT MARKERS OBSERVATION WELLS
OVER TEXTURE.
❑YES ❑NO ❑YES NO
SEEDED. MULCHED.
SODDED
DEPTH OVER TRENCHIBED EDEPTH DGES: OVER TRENCH/BED DEPTH OF TOPSOIL. ❑YES LJ NO ❑YES ❑NO
CENTER: EIYES r F- Kin
PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER
WIDTH LENGTH. NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE.
BED/TRENCH TRENCHES:
MANIFOLD MANIFOLD MATERIAL: INO DISTR DISTR. PIPE UISTHIBUTION PIPE MATERIAL & MARKING
DIMENSIONS
PUMP MANIFOLD DISTR. PIPE PIPES DIA..
ELEV.' ELEV.: DIA.: ELEV.:
ELEVATION AND COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED
DISTRIBUTION SPACING: DRILLED CORRECTLY PLANS
INFORMATION HOLE SIZE HOLE ❑YES ❑NO
YES ~NO
COMMENTS: F NUMBER OF PROPERTY WELL: BUILDING:
ERMANENT MARKERS: OBSERVATION WELLS: LINE:
EET FROM
❑YES ❑NO NEAREST
/ YES ❑ NO
In,
7.? r
~t l etain in county file for audit.
l ~k ~h stem on
ITLE
Ile Side. ^ SIGNATURE:
DI ILHR SBD 6710 (R. 01/8`2)
p'~ SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
STATE SANITARY PERMIT #
y D
Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER
8'h 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
C786 S-c-culdwA (J '/4 '/4, S 7 Tl , N, R E (oro
PROPERTY NE MAILING ADDRESS LOT NUMBER BLOCK MBER SUB VISION NAME e
I
LA m4e
CITY TAT ZIP /D 1E PHONE NUMBER CITY NEARE T ROA, c i KE OR LANDMARK
Uf` TOWN s J U VI`J'AG F: UI~SaN rill 1e Ci
O
II. TYPE OF BUILDING OR USE SERVED: A&tei - CJO~ d " J
Number of Bedrooms if 1 or 2 Family ORE] Public (Specify): CQNV j16N
III. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable)
1. a. X New b. E1 Replacement c. ❑ Replacement of d. E1 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. ABSO,RdP,TION SYSTEM INFORMATION: (Check one)
1. a. CK Seepage Bed b. ❑ See a e 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):
30 'A 3•(PoFeet DO Private ❑Joint ❑ Public
VI. TANK of Prefab. Site Fiber- Exper.
;New ACITY
allons Total Manufacturer's Name Con- Steel Plastic
INFORMATION xistin Gallons Tanks Concrete structed glass App.
Tanks
Septic Tank or Holding Tank e e S
Lift Pump Tank/Si hon 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:
s G lw S' 7/S' 3g' DSO
lu er' Address (Stre , St =ZipCode): Na f Des' ner:
~
7-1/, , o i
VIII. SOIL TEST INFORMATION
Certified Soil Te er (CST) ame Q~
` ~ , 1 ~ CST ~Q
i cef~` V W
CST's E S (Stree GjLA State, ip Code) Phone Number:
-C~ T, saU u s 0 9 3A-03
IX. COUNTY/DEPARTMENT USE ONLY
X❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps)
Approved ❑ Owner Given Initial Su charge Fee
Adverse Determination t~0 S a
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION ' •
TO THE APPLICANT: I
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` 64.-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:
1. 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 (.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwE]Iing;
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'/2 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 Groundwater - ~
included the creation of surcharges (tees) for a number of regulated practices which Wiscori'sin's e
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
system or the disposal site used by your holding tank pumper. R
The monies collected through these surcharges are credited to the groundwater fungi adminis-
tered by the Department of Natural Resources. These funds are used for monitoring g-ound,..u,
water, groundwater contamination investigations and establishme' t of standards. Gro.indwatei,
it's worth protecting.
SBD-6398 (8,03/86)
APPLICATION` FOIL SANITARY PE'RMI'T
S T C - 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/contractgr,("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.
c - - - - - - - - - - - -
k~ -
Owner of Property G-A[CM Sthlz
v~
2°. Location of Property Section T N. R W
t
Township fia sotj--
Mailing,`Address KKA e NA LAMS
Subdivision Name ' C 'f
ds: 11 t
a,
Lot. Number
~J V 1~1 G
Previous Owner of Property /n
Total Size. of Parcel Z AC +'eS
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale spec house) ? Yes X10
Volume 1 and Page Number O 0 as recorded with the Register of Deeds
INCLUDE WITH`THIS APPLICATION ONE OF THE FALLOWING:
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) ee%ti 6y that aee 6tatemext6 an .tlua 4oui aAe thue to 'the but os my `(oun)` .
know edge; hat l (we) am (ane,) the owr~eA(4) 06 the pnopeAty dedcAibed in -
.injonmati.on;jo)em, by vvitue o~ a wanAarty deed n.econded in th.e 066iee:'o4 the
County Reg4A ten o j Deed, ` ab Document No. ~ 3 S1 and that 1 (we)
puzentty oun the pnopobed bite 4on the sewage poa dy,tem (o& ,l (we) have
obtained an eaaement, .to. Aun with 'the 'above de6c/Li.bed pnopenty, 6o&the
con-6t ucti.or, o6 6aid bybtem, and the bame haz been duty Aeeonded in the 0j6.ice
~ 1 .
o6 the County.RegizteA o6 Deeda, as Document` No'. '411113
(.7A
SIGNATURE OF OWNER SIGNATURE 0 CO-OWNER (IF APPLICABLE
g`(e
DATE SIGNED DATE SIGNED
r-+
y
ST C-.105 r
r
y
H,
SEPTIC TANK MAINTENANCE 'AG ItEH'MEN'1' '-'o
St. Croix County
- I o
OWNER/BUYER C~A~£'.lU SPA l U III
ROUTE/BOX NUMBER Fire Number
i
CITY/SPATE 'Llp, syoj~
PROPERTY LOCATION A_}E, : Sect inn W,
Town of < 'K St''. Croix County,
Subdivision JC Lot nu'mber_.
Improper use and maintenance of your. septie system: could result--in
its premature ;failure to handle wastes. Proper mx"intenance coii
silts of pumping out the septic tank:evury three y,,ears or soone.r._
if needed, by.,a licensed septic- tank LmLer. Wllat, you put into
the system can affect the function of the septic tank as a treat
mer►t 'stage, in the waste disposal system.
St. Croix County residents iuay be eligible to receive a grant for.
a maximum of 60% of the cost of replacement of a failing; sysCem, :
which was in operation `prior`to July 1, 1978. St. Croix County
accepted this prugram in August of 1980, witll' 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 'Lonin.g; a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber u,r a licensed pumper veri-
fying that (1) t"lie 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:ful1 lof sludge and scum.
Certification' form:will be sent approximately 30 days prior to
three, :year expiration.
0
E
I/WE, the undersigned, have read the above requirements and agree CA
to maintain the private sewage disposal system in !accordance with x
the-standards set forth,.herein, as-set. file Wisconsin Depart- ro
went.of Natural' Resources. Certification form must be completed
and returned to the St. Croix County Zoning; Off:Lpe within 30'days
of the three year expiration date.
SICNED~
. DATE .T` 5, zql~ '
St. Ctloix C-Junty Zoning; Of f ice
P.. O. f•ox 98
Ilammoi d, W1 54015
715-7S'6-223 or 715-425-8363
Sign, date and return to above address.
i
T°, F REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
' DIVISION `
7969
,R AND PERCOLATION; TESTS, (115) MAD P.O. ISONBOX
3707
,4AN RELATIONS \ / , W1 53707
(H63.090) & Chapter445.045)
CATION: SECTION: -0 SHI /CM~UNICIPALITY LOT NO.: BLK. NO.: SUBDIVySIO,NN NAME:
ll~ 50 T N /R (or , ,
OU TY O S /BUYER'S NAME: MAILING ADDRV S
;E DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMER AL DESCRIPTIU : PROF ONS: ON TESTS:
Residence- 3 rgNew, ❑Replace
%TING: S= Site suitable for system U= Site unsuitable for system
)NVENTIONAL: MOUND: - IN-GROUND RESSURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
S ❑u_ ' S DU S ❑U DS U 0S U ;v
Percolation Tests are NOT required DESIGN RATE(' If an portion of the tested area is in the
nder s.H63.09(5) (b), indicate: a o Floodplain, indicate Floodplain elevation: AV
PROFILE DESCRIPTIONS
DRING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND-DEPTH
UMBER DEPTH ELEVATION OBSERVED EST. GHE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
-4, rj P, 56 an . 40 m 1=.F IOO. ~f 1100S 75 ys f 03 n S
of belDw r]. ,m7 6y Si 1, ,W7 S -,to IF 5,61 w 6,7
3 g .5 l~~ SY wed s I-
& lc 5 WC741 ~n s, 4,y ,r
3 JO 7, D . 51 6 6i l
l.a d~ S ~ r- J5' wef ~n 5 . ~
3-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
DUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD RI D2 P PER INCH
a 51" Woe s s~ `q 16? 0
.3
o', on e- 6- yl P-:
P-
P-
.OT PLAN: Show locations of percolation tests, soil borings and the dime semis suit ~blQs I areas. Indicate scale or distances. Describe what are the hori
ntal and vertical elevation reference points and show their location on th plotJiR."Show t surface elevation at all borings and the direction and percent
land slope.
3. (00
SYSTEM ELEVATION Ss'
17~
3 23
r
~00. al
rkt - 3 - - - 1,
C# ..to t
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.
RE C MPLETED ON:
7R
JAME, ~pArmtl: TESTS W
kDDRpt. f~~ nn CERTI CATI N MBER: PHON NUMBER( tiona0•
CST SIGN UF1
1
ASTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. " -
)ILHR•SBD•6395 IF. 02/82) -OVER -
Ova'
O viELL
P-SPED
t{ W S~t.
SE.PTtC
O ~
D2i l t c~_c~
Ct i ! '
45
D N
!
~ i \
.'1:.. 67 PLOT Ardr•► CI~OSS SECTION
E2
' L O C AT 10 LICENSE.// ' Sfpked
TI!
w
n '
0,. 3
w ,
03
_ ass
►rt~l x
Top ~P
R■■■•,//,,1
V8• ,
~j~' I~ I) nle t~s u m } Kra n f f
e►Nts VRc,r ~ fANC
172 L Qx'VkVJ Ilk
AN) 1)
FRESH AIR INLETS AND OBSERVATION PI.PB '
CROSS SECTION
U
_ Approved Vent Cap
~a~
f
Minimum 12" Above A►(l
' i nat, C,raS1~ V''
a
Lbao
Above Pipe".'jJ 4" Cast Iron
F-- Vent Pipe
To Final Grade-
Marsh Hay Or Synthetic Covering y
Min. 2" Aggreg~a l
Over Pipe , tY
Distributio7, Tee -
Pipe
I
Aggregate Perforated Pipe Below
Dene.ath Pipe Coupling TerminatiAg At
e~lt► Bol-t-om of System