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HomeMy WebLinkAbout020-1071-20-000 1 0 cn 0 3-0 n d m 3 3 Aw.,, y C CD m ' ! C YP m T X to 0 -"*A n O U) O O 00 00 m C rn N • S A = 0. K) O ~C CD (D 11 z UU) O p O ' D m n O O = Q0 C.0 O R ~y w v O 3 O N W f0 Cl O. v g a F. p ~r m v> D a w m y v, a W CL N 3 0 = ~ o Q 25 a) =I O a C OD rn Co rn o l ca °rf a Cl) lr. 3 CL z 0 0 0_ z O O O r a 0 3 3 col N' g' D v o 11 2. - CD Ao co i UI O V N 3 O. 7 COO w z OR = O N O 7 = =r 0 ~ 3 0 O ~ = d/ Ul CD Cn ,17 N O° 7. C (fl CD w m =D- a a 3 = p O A Z CCD 0 a A z ; o _ z rn 0(D m CD o z o' 3 M ° z - w m CO CD A Z I w E i I 2 O to n O a I I CA R I A I b I ~ I a I ~ I V^ N o = b I ~ i oo ,°ia I En O ! w C:, CL 1 Parcel 020-1071-20-000 12/15/2004 07:58 AM PAGE 1 OF 1 Alt. Parcel 26.29.19.278D 020 - TOWN OF HUDSON Current 1XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * HALL, GARY D & MARGARET S GARY D & MARGARET S HALL 783 BADLANDS RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 783 BADLANDS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 6.689 Plat: N/A-NOT AVAILABLE SEC 26 T29N R19W NE NE COM NE COR SEC 26 Block/Condo Bldg: TH W 900' TO CL RD & POB; S 190FT; E 200FT; TH S 122FT; W 266FT; N 309.4177; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TH E 66' TO POB ALSO LOT 1 CSM 6/1709 26-29N-19W EXC PT TO TOWN HUDSON FOR ROAD PURPOSES (DESC 888/351.061AC) & PARC COM NE COR more... Notes: Parcel History: Date Doc # Vol/Page Type 08/27/1997 564504 1260/343 W ID 07/23/1997 764/574 07/23/1997 707/415 2004 SUMMARY Bill Fair Market Value: Assessed with: 48196 233,300 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.689 68,100 112,400 180,500 NO Totals for 2004: General Property 6.689 68,100 112,400 180,500 Woodland 0.000 0 0 Totals for 2003: General Property 6.689 68,100 112,400 180,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 213 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 / AS BUILT SANITARY SYSTEM REPORT Form S T C - 104 OWNER TOWNSHIP _ SEC. T _N-R W V" ADDRESS ~u'`~ I ST. CROIX COUNTY, WISCONSIN `~~~r1(/V I 1 ~t` 5 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM e e4x~ 1 , e:5 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: rcry Proposed slope at site: % SEPTIC TANK: Manufacturer: LtJ 2e ki Liquid Capacity: /'CJZ7C Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side" Rear, O ~ feet 9 From nearest property line Front 10Side,~Rear,O ~ feet Number of feet from: well building:. t/ (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE r► 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, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM r Bed: Trench: jC Width: `J Length: Z & Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, O Rear,0 ht. Lfi s Number of feet from well: r/ Number of feet from building: c;Z (Include distances on plot plan). SEEPAGE PIT Size: lU Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box /711111 or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: 44- 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, QFt. Number of feet from well: Number of feet from building: Number of.feet from nearest road: Alarm Manufacturer: ~i Inspector: Dated: Plumber on job: License Number: ~~f 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 D. Number. ned) l ` [CONVENTIONAL 1:1 ALTERNATIVE (lf State assigPlan I assigned) ~ ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION A E: ~j Gar Hall Rt. 1 Hudson WI 54016 .7 ~G i BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. EL V.: CST REF. PT. ELEV.: NE NE Section 26, T29N-R19W Town of Hudson Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Roger Timm 22 88400 SEPTIC TANK/HOLDING TANK: - MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET E EV.: WARNING LABEL LOCKING COVER P IDED: PROVIDED: -1 J. IP YES ❑NO ❑YES <NO BEDDING: LVENrDl VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH ALARM FEET FROM LINED AIR INLET ❑YES NO ❑YES NO NEAREST v DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAP C V JPUMP MOD JPUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER - PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: IM VTROL PERATIONAL: NUMBER OF PROPERTY WELL BUILDING: JVENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) S ❑NO N EAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. IIf soil can be rolled into a wire, construction shall ease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: ILENGTH. NO. OF JDISTR. PIPE SPACING: COVER INSIDE DIA. *PITS LIQUID BED/TRENCH TRENCH S MA AL' PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DIS R. P F DIS IP DISTR. PIPE MATERIAL: NO. NUMBER OF PROPERTY WELL BUILDI NG. VENT TO FRESH BELOW PIPES-. ABOVE VER: E EL PIPE V /7 FEET FROM LINE / K AIR INLET. NEAREST--s l~ ✓ MOUND SYSTEM: Mound site plowed perp i to slogs ~eck the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown ups `O IL °a}~.'~nd systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- 'Qeasts the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER TEXTURE' PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED. MULCHE U. CENTER. EDGES. ❑YES ❑NO ❑YES ❑NO ❑YES ❑N 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 MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL ✓y MAHKIf ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES DIA.: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APF PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: MBER OF PROPERTY WELL: BUILDII EET FROM LINE: ❑YES ❑NO ❑YES ❑N NEAREST Ago r Sketch System on+ ftain in county file for audit. Reverse Side. IGNATURE. TITLE: DILHR SBD 6710 (R. 01/82) , L''' 'I SANITARY PERMIT APPLICATION COUNTY r TUILH~ In accord with ILHR 83.05, Wis. Adm. Code .~.;a ,..e ..,....~,..o. STATE SANITARY PERMIT ~ d v Z~ -Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER ' 8% x 11 inc§es in size. l -Seer reverse side for instructions for completing this application. PETITION f 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ NO PROPERTY OWNER PROPERTY LOCATION /Uf % A!~F S Z& T N, R (or)!W PROPE OW ER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISIOONN NAME CITY, STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAK OR LANDMARK O VILLAGE : II. TYPE OF BUILDING OR USE SERVED: - /M ~ 0O20 407 I-,;20-do 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. A 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. K 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. 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): 3 I76 & 0 <7 4;' -4d Feet K Private ❑ 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 kS ❑ ❑ ❑ 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) -W/, EE=No.: Business Phone Number: art 7w-+..~~ 3~ 7/5 -77Z 3 Plum is Address (Street, City, State, Zip Code): Name of Designer: / It-hArbel LJzl 6 z ,e VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST ~Cc NI' S SG CST's ADDRESS (Street, City, St te, Zip Cod) Phone Number: o ~,~al Gds a ♦ 3O ~D IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing gent Signature (No Stamps) Approved Surchgarrgge Fee /yr p~ ❑ Owner Given Initial 6u Adverse Determination 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: 1 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. 1. Property owner's name and mailing address. Provide the legal description where the system is to be installed; if. 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; 111. 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 a// 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 charge in statutes was the 1.. result of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater - included the creation of surcharges (fees) for a number of regulated practices which Wiscori,-in's can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried :gal: _trk is used in your building is returned to the groundwater through your soil absorption 1 system or the disposal site used by your holding tank pumper. The monies colie tef thr oug,`: the se surcharges are credited to the groundwater fund adminis- tered by the Departmient of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination in,.estigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398 (R.03/86) ' APPLICATION FOR SANITARY PERMIT 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/contractor',("spec house"), then a second form should be retained and completed when the property is sold a,,d submitted to thi_a office witti the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property 0-14 k)/ - n`t ~G} fiL- f N 24L Z Location of Property Section' T N - R glyW Township 1(, CD iV Mailing; Address 6,4PL 4 u pi Subdivision Name N t tiJ G 5` l .tr C t Lot Number f Previous Owner of Property 13L e,21 4 ~ lJ /17.4 ~ ~ iZ C= ~ ~ c Total Size of Parcel - Date Parcel was Created ~ f,t / i-ie Are all corners 'and lot lines identifiable? Yes No Is this property being developed for resale (Spec house) ? 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 Map, the the Certified Survey Map shall also be required. W PROPERTY OWNER CERTIFICATION I (We) cu ti6y that at Statement6 on this 6o4m aAe tAue to the best os my (ouA) knowledge; that 1 (we) am (are) the owneA (s) o6 the pnopeh ty da c4 ibed in thi6 .in6onmation 6onrn, by vi/tue o6 a waAAanty deed neconded in the 066.ice ob ,the County RegizteA o6 Deeds a3 Document No. D O 531 and that I (we) pnesentty own the proposed site bon the sewage posa2 system (oA I (we) have obtained an easement, to nun with the above desc ibed pnopenty, {ion the eon,StAucti.on o6 said system, and the same has been duty neconded in the 0'6i.ce o6 the County Reg.csten o6 Deeds, as Document No. ) . SIGNATURE OF OWNER SIGNATU OF CO-OWNER (IF APP ABLE) r DATE SIGNED ! DATE SIGNED / r :J S 'r C - 105 II SL.I'T LC 'L'ANK MA I N1 L,'NANCF AG It L:LML'NT o St . Cro i.x Cilitit C'aP y fT,~2 - - It U UT 1' L. / It O X N U M B E K Fi r e N u tr t, e r _---yo/ C ITY/S'CA'LE //C'4 S0_!_ GL _ - I'1<U11 EI:'1'Y L. 0 CAT 1 UN A! c t i it N , K St. Croix County, Subdivision Lot number_ I t iIli i)ropr-- r uSe atiil tit aiLA trriLI1 kr 01 yu;ar sel)L is 7ystelit con Id result in its prewature'lailure to handle wastes. ['roper inai.uteuauce cull- sists if puitipint, out the septic tzttik every three years or sinner, t You put into I if needed, tty 1 icetised •s j>t ik: tank iitm ter. What. i - Litt, system cart ~ttiect the fu11CLiiu of the SupL ic tank as a treat- lilt-lit stage in tilt! waste disposal System. St. Croix County residents ma_y btu vLIgibte to receive a gYarn tot is nit.ixituuut vY 60Z it the coat of replacement o1. a fit i1.ing system, which was iU ol,uraLion prior to July 1, 1978. St- i;ruix County accep-ted this prigratit it Aktitast 0f 1980, with the rt•ciulre.ttierit tliat owners of ali nCw s secli:, -;ree r o keep t.hui.r systems properly ma in tit itled. The 1) r u p e r t y owner agrees to submit to St. Croix County Zoning a ctertifiCatiun furIlk , signed by the. owner and by a master plumber, jourIt eymait plumber, restriCtL!d ii lumber or a licensed 1) um1)er vuri- fying that (1) the otl-site wastewater disposal. syateut is in proper 0peratIni; cunditto it and (2) after inspection and pumping (if tiec- 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. ° l/WE, the undersigned, have read the above rcyuirements and agree to maintain the private sewage disposal system in accordance with the standards, scat forth, herein, as set by cite Wisconsin Depart- 'U meat of Natural Resources. Certification firilt must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. s SIGNED D AT t' - - 7`~ _k - - St. C.-oix County ZoaLng 'Office P.O. tiox 9~ Hamino'jid , W 1 54 015 IJ 715-7 16-2239 or 715-425-8363 Sign, date and return to above address. D~RT OF REPO` ON SOIL BORINGS AND SAFETY & BUILD" INDUSTRY, DIVIs LABOR AND PERCOLATION TESTS (115) MADISON WI 5,' HUMAN, RELATIONS 41) S ChmpW 146.0461 RIME -OT NO. DIVISION NAME: . N R I T SvR,v. M r. OUNTY: Vol ( P619/6 "m & 17 C' ISRX / ZI --AVQ&2a W. T (I< i,R- fJ E DATIS O1111111E6RVATION= MAIN Residence UN"a N At Alm °R'0'01 -I b Z. -M / / D 11.. a~ (i ~oILS : $~CC'>. ~URK*h14bT RATING: a She M imla for"" U-N"WrAwh"f*t K: E M rNOED SYSTEM:(optional) oul Qgs l . ou S U S S 1 Nv. SED o~ *14CASS PS If Percolation Tests are NOT radiutred A E: it any portion of the tested emit In the ^ under s.HB3.09(t5)(b), tridicete: G 3 Floodplain, Indicate Floodplain elevation: M EcIMpL P F E S PTI Al.'s IEt..N SY`TArAl Fri ET BORING L • -i H CHARACTER OF SOIL WITH THICKNESS, C LO TEXTURE, AND C' T 8 OCK IF OBSERVED EE ABBRV. ON BACK.) NUMBER ELEVATION EST EST, HIG : . 0-7S31- r • 00' 1--r Bj L.3 -65- L50 0.4-0 D.j B- 7.80 /035,5' 0~ o caw > 7, 8o LS; !•so's4 Maps >roFS 6P- • Z,so'8N C5 G f ,~s't~~c.s; i.as g..►Sr'-; 1070 Mb ©W LS; o.Q c B-2 l.7 /03.7 o~E >X75' w P- ors' L 4 cp S-m CS O.®C L j ,ZO eA f $„1 S;L; o. -TRp 13.J I__ . 8-3 7.70 C)9- DNE .3•/8 ZS' M>ru S To Cr S sxgA;*u1..41t POG.K-CTi of v •f / B- P- t 0• d' 81- 0%., L, O' R. b 1&.,1 . L j ,70 04 M go 4- B- 1~-- Pj . !S / oS • O tit ~ 7 g, / irr 3 < ► cr ~~t. . w/ ti~ r o,Bo' 8 i. s t 1.70' 1rD D..l Y BtJ S. L 6-0d /00.00 ICJ O r i as 0 M o ra C P- r R a ..,1.. DtSGIMI+L PERCOLATION TESTS PE' I S'o' 9W C,S tN GIC, 'rEST DEPTH ATERINHOLE TNE TIME DROP IN WATER LEVEL-INCHEZ RATE MrM~` NUMBER . AFTER SWELLING INTERVAL-MIN. PFRI0132 PERIOD PER IN_ C O g 4. < P. p c._.. P. ¢ .4 ~K P- P- PLOT PLAN: Show loatlons of percolation tats, soil borings and the dimensions of suitable soil emu. Indicate scale or distances. Desc 6b+r who' as :ontal and vertical elevation t+eferenda points and show their location on the plot plan. Show the surfm elevation at all borings and tmA dived;:- a; < of land slope. CsR-161NA I,- ° 9g• S0 / 5-40 'SCR, is r, St'1TArb p SYSTEM ELEVATION A.L.- F1r_mArff = 96-00 01LI61Nki• Arita A%.TEv-~V ` .1 'or I + I i ~ i i r r . I i IV! s~ 71Z/o PG .C'rrn~y M fCi{AOti~/v!in the N; e, dhe undersigned, herby certify that the soil tests ePol t on this form were made by me in accord t, the pro Ares od nnministrstive Code, and that the dew moo, dled and the looetlon of the tab we correct to the bat of my knowledge and belief. • $UN-Vr>L Y*R's IRaPj f CEO ON: _ tc.r' •li _ , : CERTI ICATION NUMBER: PHONE UMRE1, #±~ATURE: n°STRIBUTION: Original and one copy to Local Authority, Property Owner and Soil TAter, JOB imm SHEET NO. ._L]1 - ' /moo. Mpt DATE Excavating C CALCULATED BY UA%R- BOx y192, Wilson, WI SQ27 CHECKED BY. • 1 _ SCALE 4-.won•r.-x,...b~..r,..,:.,.,: r P d _ - 0sc~ IOOU yk,rl ~yIle g l 0 L 1h S~f 6~M 7 Tr'~~ 4,~ FGA`` Dyr es~L~rte ,II _ I • h/ re P 144 e ~B { ar - B3 = J 71nc., G,", Mee. 01411 '-Timm JOB CAYCf 7z- SHEET NO OF • CALCULATED BY DATE 16 • [=xcavating Co. fv.R BOX )92, Wilson, W' 5027 CHECKED BY SCALE i I - _ Is, ~ ~q, 50 41 Ohl N/ _-,J ix„ GMm, MAO. 01111.