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' Parcel 020-1035-01-000 08/29/2006 08:59 AM
PAGE 1 OF 1
Alt. Parcel 17.29.19.150C 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): O = Current Owner, C = Current Co-Owner
O - MOERKE, THOMAS C & JUNE L
THOMAS C & JUNE L MOERKE
910 RIDGE PASS
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ' 910 RIDGE PASS
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.794 Plat: N/A-NOT AVAILABLE
SEC 17 T29N R19W SW SW 1.794 AC LOT 74 Block/Condo Bldg:
CSM 6/1657
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 748/631
07/23/1997 748/630
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.794 64,300 211,700 276,000 NO
Totals for 2006:
General Property 1.794 64,300 211,700 276,000
Woodland 0.000 0 0
Totals for 2005:
General Property 1.794 64,300 211,700 276,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 105
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 00 0.00
Parcel 020-1035-01-000
Alt. Parcel 17.29.19.150C 06/07/2006 PAGE E 08:41 AM
I OF 1
F 1
Current X
ST. 020 - TOWN OF HUDSON
Creation Date Historical Date Map # Sales Area Application # Permit # CROIX
permit Type WISCONSIN
00 0 Type
Tax Address:
Owner(s): O = Current Owner, C = Current Co-Owner
• THOMAS C & JUNE L MOERKE O - MOERKE, THOMAS C & JUNE L
910 RIDGE PASS
HUDSON WI 54016
Districts: SC =School SP =Special
Address(es): * Primary
Type Dist # Description 910 Property RIDGE PASS
SC 2611 SCH D OF HUDSON * rY
SP 1700 WITC
Legal Description:
SEC 17 T29N R19W SW SW 1.794 AC LOT 74 1.794 Plat: N/A-NOT AVAILABLE
CSM 6/1657 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-29N-19W
Notes:
Parcel History:
Date Doc # Vol/Page T
07/23/1997 748/631 Ype
07/23/1997 748/630
2006 SUMMARY Bill
Fair Market Value: Assessed with:
0
Valuations:
Description Last Changed: 10/25/2005
Class Acres Land
RESIDENTIAL G1 Improve Total State Reason
1.794 64,300 211,700 276,000 NO
Totals for 2006:
General Property 1.794 64,300
Woodland 0.000 211,700 276,000
0 0
Totals for 2005:
General Property 1.794 64,300
Woodland 0.000 211,700 276,000
0 0
Lottery Credit: Claim Count: 1
Certification Date: Batch 105
Specials:
User Special Code
Category Amount
Total Special Assessments Special Charges Delinquent Charges
0.00 0.00
Form-STC- 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP r s~~ SEC. _ 7 T 2LN-R2?W
ADDRESS Sv.Q w ST. CROIX COUNTY, WISCONSIN 02V' ~J 3 r" 01-tY~
-7. LSD (f,
SUBDIVISION GJ~ /`vw LOT LOT SIZE--
/Utrf- .Cod- q3
PLAN VIEW 9 ( ~~/gyp
Distances and dimensions to meet requirements of I1HR, 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
ti
a T
K
R
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: ~d8 Proposed slope at site: 3
SEPTIC TANK: Manufacturer: Liquid Capacity: ld« d
Number of rings used: _2,,- Tank manhole cover elevation:
Tank Inlet_Elevation:
!lf Tank Outlet Elevation: (?9^
Number of feet from nearest- Road.: Front,O Side,Q Rear, O feet
From nearest- property. line Front,OSide10 Rear,0 feet
Number of feet from: well, building: 13
`
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
h
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, Side, O Rear, 0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: x Trench:
Width: f~2 Length: SeL Number of Lines: Area Built: /s
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, Rear,0 1't.
Number of feet from well:
Number of feet from building:
(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: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, n Side, O Rear, 0Ft.
Number of feet from well: l
Number of feet from building:
Number of '.feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: Plumber on job: Ai/A~r
License Number :
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS
P.O. BOX 7 PRIVATE SEWAGE SYSTEMS DIVISION 7e,169 MA;JISON, WI 53707
BUREAU OF PLUMBING
UCONVENTIONAL 1:1 ALTERNATIVE State Plan I.D. Number:
~ El Holding Tank ❑ In-Ground Pressure 1:1 Mound (If assigned)
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
B & H Development 836 St. Croix St. N., Hudson, WI 54016
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT ELEV.-
SW SW, Section 17, T29N-R19W, Town of Hudson,Lot 74,Willow Ridge III
Name of Plumber: MP/MPRSW No. County Sanitary Permit Number:
William Schumaker 6382 St. Croix 79156
SEPTIC TANK/HOLDING TANK: S-
MANUFACTURER. , LIQUID zz? /Z
CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER
-I PROVIDED. PROVIDED:
In YES ONO DYES ONO
BEDDING: - VENT DIA.. P [VENT MATT HIGH WATER NUMBER OF ROADPROPERTY WELBUILDING: VENO FRESH
FEE .~4
0
LINE AIR INLETK YES ONO "DYES ONO NEARESTOM-
DOSING CHAMBER:
MANUFACTURER. BEDDING LIQUID CAPACITY PUMP MODEL PUMPISIPHON MANUF ACTUHEH WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED:
DYES ONO DYES ONO DYES ONO
GALLONS PER CYCLE: PUMPAND CONTROLS OPERATION AL NUMBER OF PH OPEHTV WELL BUILDING VENTTOFRESH
(DIFFERENCE BETWEEN FEET FROM uNE AIR INLET
PUMP ON AND OFF) OYES ONO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing H ~1InMFrER 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:
BED/TRENCH WIDTH LENGTH NO OF- DISTH PIPE SPACING COVER API NSIDE DIA -PITS LIQUID
DIMENSIONS C4 r) TH :M(\ ES / T HIAL: DEPTH'.
✓`J 7/e (r~_
F?\`rEL GLFTII FILL DEPTH UISTH PIPE UISTH PIPE DISTR. PIPE MATERIAL
INJQ1%1IIS1_ I- H NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH
BE LOWES ABOV OVER EI EV. INLFI ELE V.ENU FEET FROM _
IP LINE AIR INLET.
dGi NEAREST-i
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-
DYES ONO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE PERMANENT MAHKF HS OBSERVATION WELLS
_ DYES ONO OYES ONO
DEPTH OVER TRENCH BED DEPTH OVFH TRENCH BED DEPTH OF TOPSOIL SOOOF O SEF DED MULCHED
CENTER EDGES
OYES. ONO DYES ONO DYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
LATE HAL SPACING GRAVEL DEPTH _11E LOW PIPF FILL DEPTH ABOVE COVER
BED/TRENCH WIDTH LENGTH TRENCHES
.
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEV.. ELEV. DIA. ELEV. PIPES DI
ELEVATION AND A.:
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING ORI L LED COH H ECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
DYES ONO _ DYES ONO
COMMENTS: PERMANENT MARKERS: ERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING:
FEET FROM LINE.
DYES ONO OBS DYES ONO NEAREST-
Sketch System on Retain in county file for audit.
Reverse Side.
SIGN U E TITLE.
DILHR SBD 6710 (R. 01/82)
i ~ W19C°nsln 'APPLICATION FOR SANITARY PERMIT
ILHR COUNTY
~r~ [tERRRTrnEnroc (PLB 67) UNIFORM SANITARY PERMIT #
InQUSTR V, LRBOR 6 HUn1Rn RELRTIOnS
9 /s4
-Attach compNte plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
06 ye, 1~ env yn~ F_3 G/ d %.r w cd /
PROPERTY LOCATION CITY:
G) 1/4 CJ1/4, S 17 , TN, R / E (or V
W OWN O :
LOT NUMBER BLOCK NUMBER SUBDIVISION NAM REST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
TYPE OF BUILDING OR USE SERVED
4-1 or 2 Family Number of Bedrooms: 3 ❑ Public (Specify):
THIS PERMIT IS FOR A:
N New System ❑ Tank Replacement ❑ Repair
J Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM (`COMPLETE THIS BLOCK.
Seepage Bed ❑ Seepage Trench ❑ 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 Concrete Constructed
Septic Tank Capacity
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer: t
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 SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
/s lax 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): Signature: /MPRSW No.: Phone Number:
Plumber's Address: Name of Designer:
f'1 ~ s v^ 'TA Ljz
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date:
❑ Disapproved
(j~ p ❑ Owner Given Initial
7✓ / _s7 ~a J ~p v Approved Adverse Determination
Reason for Disapproval:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include: '
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.) ;
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
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
iss uatice. 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 B. & H. Development Inc.
Location of Property SW -k SW k. Section 1 T 2Q/- N - R 19 W
Township Hudson
Ma II ing Address. P.O. Box 541
Hudson, Wisconsin 54016
Subdivision Name Willov, Ridge 3
Lot Number Lot 74
Previous Owner of Property B. & H. Development Inc.
't'otal Size of Parcel Acre Plus
Date Parcel was Created
Are all curners and lot lines identifiable? x Yes No
is this property being developed for resale (spec house) ? x Yes No
Volume 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
Mal), the the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
(we) ceAti.6y .that aU statements on this 6onm aAe t&ue to the best o6 my (uuA)
knuw.eedge; that I (we) am (ane) the owner(s) o6 the p&opehty de6CAibed in tlu,6
cn6utunat%on 6onm, by vi&tue 06 a watvutnty deed %ecokded in the 066ice o6 Vie
County Reg.i.a,teA 06 Deeds as Document No. ; and that I (we)
pheae.►ttty own .the, p&opoaed site bon the sewageMp-oaazsya.tem (on I (we) have
obtained an easement, to &un with the above descAibed p&ope&ty, bon the
eutotAuction o6 said system, and the same has been duty &eeo&ded in the 066.iee
u6 the County Regi4 teA 06 Deeds, as Document No.
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
CERTIFIED SURVEY MAP
Located in the SW 1/1 of tike SW 1 /4 ofSection 17,
11 29N, It 19W, '!'own 0f Hudson, St. Croix County,
W i~worlsirl
allrvvy,..11 krr: B (I I)I:vc 1ctprtrrn! 100130804020 0 !00 200 30C
8 i6 St . C:roi x S1 . No. tow Pon
lludson, Wi. 54016 SCALE IN FEET
( R N esp 590 5o" E
Ng,4°4e41"E
170-000
LOT 42
a <
~ Lo(~TIQN L~~ ~pAOSI~P r \ ~
GIA or~, LcT. tea- \o
z
I ItLoN PIPE `=oUN D ; \a
oN LIw1E ON Sl.Uff~LW~~~~ LOT 74
PCpt1~0~
LOT 43 y',,\ `}4►0
' 0
A
/ LEGEND
SFCTIOK CO"", OERNTSEN CAP
0 2" '*ON PIPE FOUr•(p
/ Q I"X24" NOUNo IRON plee
/ "1014IN0 1.60 l65/r r ^pt
D.F.SCRIYTION
A I~;Irr'c I o.1' laud located in the SW 1/4 of the SW 1/4 of Section 17, T29N, R 19W ,
'!'warn of fluckon, St. Croix. County, Wisconsin, described as follows: Beginning
at. 14ie Northeast corner of Lot 43 of the plat of Willow Ridge 2nd Addition; thence
11 4 3015'Z9"W (recorded as N 3800210011W) (bearings referenced to the Wisconsin
State 1'2 at;,- System, Central Zone) 342.25' along the Northeast line of Said Lot 43;
Lhe~rtre• N 19055r4311E (recorded as N 25009112"E) 115.851; thence N 8404614111E
170.00'; thence S 24c'15100"E 316.391; thence S 30033108"E 66,001; thence South
Nvosterly 70.30' along the are of a 317.001 radius curve concave Southeasterly
wl ose chard bears S 53005141"W 70.151; thence S 46044131"W 50.00'; thence
N q:,olSrlyllW (recorded as N 38002100"W) 66.001 to the point of hegirtlting,
cortt.xinirtg 78, 137 ;,quire feet or 1.794 acres, and being; subject to a
tneotti, restrictions and covenants of record.
MM.N~
James E. Rusch s-1376 JAMES E.
Rusch Surveying, Inc. RUSCH
407 2nd St. S-1376
Hudson, Wi. 54016 Z` Nvdn%
Q'
1IL
Sel~tcrttberl5, 1985 2,1#1 40.0
~O ft 4
v
r
• STC - 105 r'
v
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County
d
9
M
OWNER/BUYER
ROUTE/BOX NUMBER P.O. BOX 541 Fire Number
Hudson, Wi. ZIP 54016
CITY/STATE
PROPERTY LOCATION: SW P'4, SW !4, section 17 P 29 N, R 19 W,
Town of Hudson St. Croix County,
Subdivision `~i, ' -Ririe Lot number_?4•
I
Improper use and maintenance of your septic system could result
con_in
its premature failure to handle wastes. Proper maintenance
of pumping out the septic tank every three years or sooner, I
if needed, by a licensed septic tank um>er. What you put into
the system can affect the function o'f- 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 1.978;-- 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-cite 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
H
three year expiration. °
E
z
IfWE, the undersigned, have read the above requirements an agree x
to maintain the private sewage disposal system in accordance with H
the standards set forth, herein, as set by the Wisconsin Depart- "o
menu 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 f~ -Alai
DATE
St. Croix County Zoning Office
P.O. Box 96
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY; DIVISION
LABOR AND PERCOLATION TESTS 115) P.O. BOX 7969
HUMAN RELATIONS MADISON, WI 53707
(1-163.090) & Chapter 145.045)
LOCATION: N: WAISKIP UNICIPALITY: T NO.: BLK NO.: SUBDIVJSIONr ME:
~4.Ad ~ 11 /T z4NjR~(orl TO
ud~, 74 ~fuOtnl rri
COUNTY: W E
s~ . c10oix ki N &Eve.toPNtEwr 836 'ST- CkOIY ST. Nolerw uI& SON (~/i 54o/b
USE DATES OBSERVATIONS MADE
O
[?'Residence UN New ❑Replace
MAY 7, /986 MAY $ /.)66
5A►~s$ooe; G~ 58 So/Ls $x$ - R~1aa>eor
RATING: S- Site suitable for system U- Site unsuitable for system
im : M UND: IN - 1 L OLDING TTA{{NK: RECOMMENDED SYSTEM: (optional)
S CCU S E rnrn S U ❑ S ~IU U C6NVENT/6NAL
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the '
under s.1-163.09(5)(b), indicate: CLASS Z Floodplain, Indicate Floodplain elevation: ^ V A
bill c FT PROFILE DESCRIPTIONS V 11 BORING AL DEP H TO GROUP A -INCHE CHARACTER L WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER pEp1HMd, ELEVATION g TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B' 7-so 99.74 > 7-' 0Cl LLTS 0.9-3.4 BRN L 3.4-4.0 &ftjLsi,6k
4•o-7,S &N-5 w
B- Z 7.25 N L > j•2S 0-/.S $LL7S /'S-7.o &WSIL 7.6-2.S ReNSL-l 6P,
7.4t--S-1i P M i6eq YSS,&c:s %40A►A 5,3-7.Z LT$RNM_$
o-QA &&NLTS c:1H-Z.Z $itu(. 7.2-2.7 $eN S~t6p_
B. 7.SO /00,76 NniqE
> 7.SO - s
,1 . s~ re
B- 4 7B6 02 ,64 ot4L, > 7.80 g«TS 6.9-2.0 $eN Sit 7.0-3.0 ge~i S L 10-3.7
SAC, ~ S, &A- •7- .1S* r aC*M3 Cie
B- 7 30 /OZ•OZ. n/t > 7.30 0.S-Z,6 BeNS,C 2.G-3.0 QxNCS,E~,R
G M S .7- .3 ase G
B-
p F PERCOLATION TESTS
DEPTH WATER IN HOLE TEST TIME DROP H
rNUMBE-INQUCS R AFTER SWELLING INTERVAL-MIN. I- EBLOILt- RAPER INCH S
3.66 ~►C /v/.68 3 > 3
P- 6 NaN~ i 2.4 > z > I G
P-
P' I.LtWAT16t.i
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 hor
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 percen
of land slope.
r rr
SYSTEM ELEVATION
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1, the undersigned, hereby certify that the soil tests reported on this form were made by me in ai~l d 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 knowledge and belief.
NAM printWERE COMPLETED ON:
Y~4NQ 'SVA1 MAY
8 /986 j
ADD R CERTIFI ATION NUMBER: PHONE NUMBER (optional):
407 ~ECOM "r /lob-,ON W1
6-4ogc5
CST SIGN URE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
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