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HomeMy WebLinkAbout030-1088-60-003 i N y p s°A 0. o ~ I o° a•°i a~ N 00 i °2 o c 0 E o a~ 00 aZ c (6 E °rn o o 6 c _Z ~ E °O ° E o M N LL a. 3 y 2 a R( I Q -co m nl U i ` 41 04 3 m z w O 0) W E W 8 Q En p z ~l W M O M H Z a m z H H c t7 00 ° Z ° v _ w rn CUr Z d' w ® N : c E ` n O 00 1(~~ N a EL q [ p Cj) O Z m z R F-I OD ^ co, N z 3.. C: 4-J 'CON 0 Q) r1 ` _ R ^ _ v a N a'm L co c o q o co w m m o Z F,, pa c o a E r4 r. z H H H co cri w ~ ' cn cn v O O O ZI Co O a a a a' O 0 g ° p m n 3 to 2 V1 J V W m~ O Z AV - ~ N U O O E I m W ll Ch W Q , O ! J N N M C I._ N N C © O O E •d E O O I- r O (OOO C CO M L N C_ LL O Op CL n ~c E _N (o tp w O N O C N N O) V' N N O N O 0 ~ L~ O co OU) W co O N Z fn CC •E d a a`,aw I A ciao ointo Form -STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ✓z,-~ ~I wE ~n..s TOWNSHIP SEC. T ~D N-R-l9 W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILUR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Le~.= /G1,3.0 (lam \ ,~,i 9°' C R ~SV nn INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: 4L2, 3 Proposed slope at site: SEPTIC TANK: Manufacturer: 1AJiE S Ee Liquid Capacity: /l.` G Al, Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side,O Rear, 3p~ feet From nearest property line Front 10 Side,O Rear, O feet Number of feet from: well building: / 7 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE f r R j:.. a 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 liner 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 Bed: ~P-Trench ~ r Width: / S Length:_ 3lo Number of Lines:_ Area Built:-c/,,V9MA Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear, 0irt. Number of feet from well: Number of feet from building: ~O 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: 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, OFt. Number of feet from well: Number of feet from building: Number of.feet from nearest road: Alarm Manufacturer: Inspector: Dated: y Plumber on job: License Number: ~~140 Z 3/84:mj r PARTMtNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.Q. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, IN 5e,07 BUREAU OF PLUMBING UCONVENTIONAL OALTERNATIVE stale Plan LD Numberr ❑ Holding Tank D In-Ground Pressure ❑ Mound (IF asslgneA) NAME OF PERMIT HOLDER. AD HESS OF PERMIT HOLDER. INSPECTI N DATE. Jim Swenson Rt. 1 St. Joseph, WI 54082 -/t1-V /'-oo BENCH MARK IPermanem reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. P7. ELEV NE SE Section 30, T30N-R19W, Town of St. Jose h Name of Plumber. MP/MPRSW No.. Co-, Sanrtary Perron Number: Gar Za a 3300 St. Croix 83816 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV WAR NIDED NC; LABEL L ROCKOVIING C O VER PROVI PDED BEDDING VENTDIA. VENTMATL_ HIGNWATER OYES ONO OYES ONO ALAHh7 NUMBER OF ROAD: PROPERTY WELL BUILDING (VENT TO FRESH FEET FROM LINE AIR INLET OYES ONO OYES ONO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING L D CAPACITY PUMP MODEL PUMP: SIPHON MANUI ACTOHEH YWARNING LABEL LOCKING COVER DEDPROVIDE U YES ONO ES L~NO OYES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHOPFf+iY wf Hun u uwG vENr ro Fl:lsn (DIFFERENCE BETWEEN FEET FROM LINE VI NT PUMP ON AND OFF) OYES NO NEAREST SOIL ABSORPTION SYSTEM. Check thesoil moistureat thedepth of plowing LFNCTH D1nmFiT; MAIIHIAIANUMAHKIN(, 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 UISTR PIPE SPACING covEF7 Nsnlfi)iri - TRENCHES MATERIAL' =PIIS FN DIMENSIONS PIT (,RAVEL UEPTN FILL DEPTH UIS1N PIPE UISTR P OV f IPE DISTR. PIPF. MATERIAL NO DISiH NUMBER OF WELL HU LOIN( HF L LOW PIPES ANE COVER I f V INI 1 I ELEV ENE) LINE TV LO PIPES FEEFROM ' LINE NEAREST-s MOUND SYSTEM: Mound site plowed perpendicular to slope Check thelekture of the fill material for PROVIDE ADIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- OYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER Tf-xIOHF PE HMANI NI MARKf HS t111Si I+VA I I(IN WI I I S UEPTI-1 OVEHTHENCH HED DEPT EI OVF H TRENCH BEU UEVTH OF iUPSOl7 _ SODUfD OYES ONO _ OYES L_.1N0 CENTER EDGES SEE 1111) MUL(:11f O OYES ONO OYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LE NGTI+ 'NOT-0 _F LATERAL SPA(:I N(i (.-qA VFVFL I1f1'TH Hf LOW VIPj TRENCHES- F It L DFPTH ABOVE CUV[ H DIMENSIONS MANIF OLU PUMP MANY OLD DISTR PIPE MAN IF 0 LU MATERIAL Nll UISiI+ I)IS T1+ PIPF DISI RIHII IITN PII'I ntAlI I+IAI Kni11r7K IN(, ELEVATION AND ELEV ELEV CIA ELEV PFS UTA DISTRIBUTION INFORMATION HOLE SIIF 1107E SPACING DHILLEOCOHHfcII Y COVFH MATERIAL VFI+T(:Al I.If T COHHFSPONDS IO APPHI)VI U Pt ANS COMMENTS: OYES ONO OYES ONO PERMANENT MARK EHS: OBSER NATION WELLS: 71NF% UMBER OF PROPERTY WELL BUILDING OYES ONO EET FROM LINE OYES ONO EA REST Sketch System on Reverse Side. Retain in county file for audit. SIGNATURE I TITLE DILHR SBD 6710 (R. 01/82) WIC`°nsln APPLICATION FOR SANITARY PERMIT COUNTY DILHR P -Zd~~ ` 111111111 DEPgRTmEnT OG ( LB 67) InPUSTRV,LRBOq UNIFORM SANITARY PERMIT # 6 MUTgn gELRTIOnS eJ GJ • -Attach complete 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 PR PERTY LOCATION t 1/4 1/4, Sip , T ?Q N, R E (or TOWN OF: LOT NUMBER BLOCK NUMBER SUBDIVISI N NAME NEAREST ROAD, LAKE O LANDMARK STATE PLAN I.D. NUMBER s (c TYPE OF BUILDING OR USE SERVED ~O_ CQ G- X 1 or 2 Family Number of Bedrooms: Public (Specify): THIS PERMIT IS FOR A: N New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. 19 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 Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity -1 Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: - co fVt_/LF'T'C O IF THIS IS AN ALTERNATIVE SYSTEfJI COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic 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): GlJ L7 ® 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: ili4P/MPRSW No.: Phone Number: -Z"RA .996 O (7JS~ l~P - ~dSO Plumber's ddress: Name of Designer: ,r 4 COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent* Fee: Date: ❑ Disapproved l~,tJ ~~~v -flap Fi Owner Given Initial w~ Approved Adverse Determination Reas n r D' p v Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber a } 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 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property .3A4y\5s L. . S62E&jSo 0 Location of Property N E 14 S E , Section 30 , T 30 N-R 9 W Township ST. Josg:f ti Mailing Address RG15 ASIATIC- Ave LAVER- CiL0Vf_ HTS Mo 5S07S T Address of Site RT 305 iW14 I S. Subdivision Name Lot Number Previous Owner of Property U)i i..LI A M K 11JSJ~IJ Total Size of Parcel Date Parcel was Created ~IAeC N q ~Q g 7 Are all corners and lot lines identifiable? Yes No Is'this -property being developed for resale (spec house) ? Yes No Volume and Page Number /1'01 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 CtRTIFTCATION I (We) ceAti,6y that att statements on thi,6 6onm cute tAue to the best ob my (ouA) knowledge; that 1 (we) am (ahe) the owneA(,s) o6 the pupenty descAi.bed in this in6anmation 6o4m, by viAtue o6 a waivcanty deed Aecotded in the 066.ice o6 the County RegisteA o6 Dee& a6 Document No. 05/,37; and that I (we) puz enemy own the pupoz ed ~6 to 6o& the sewage &6Toz Ty- em (oA I (we) have obtained an easement, to Au.n with the above danibed pupenty/ 6oiL the con6t uction ob said .6y,6tem, and the .same has been duty %ecotded in the 046,ice a6 the County RegisteA ag Deed6, as Document No. A TURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) OSIz 7 / DA E-SIGNED DATE SIGNED H z y H a ST C- 105 r a SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z d a OWNER/BUYER JAme-s L. Swewc,o J r~ ROUTE/BOX NUMBER RT Fire Number .CITY/STATE ST. )CGSPH LJ Ise ZIP PROPERTY LOCATION: NE- k, SE k, Section 30 , T 30 N, R 19 W, Town of ST, JGISEPN St. Croix County, Subdivision Lot number- + I 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 pit 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 for a maximum of 60% of the cost of replacement of a failing system, which wag 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-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 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 I/WE, the undersigned, have read the above requirements and agree to to maintain the private sewage disposal system in accordance with x 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 Zoning Office within 30 days of the three year expiration date. SIGNED DATE 7~t GO 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. 1;1 C) ~6• F t.~ O rl in oc 47" SITE PLAN ;,ALE : "L" IpG' 0 15 50 75 ~ 100 r I,ASI,MENT ACREEMi,N'I' Whevetis, William N. McKinnon and Phylli.s M. McK.i.nnon as Vendors and James L,.,Swenson as Vendee entered into a bind cont_racL dhited September 12, 1,984 conveying the property described as follows: Lot 4 of Certified Survey Map, recorded i.'n Vol.. 5, Page 1401 of. Certified Survey Maps in uhe office of the Regi.ste'r of Deeds, SL. Croix 'County, Wi sconsi:'n. Together w_i.Lh perpetual nonexclusive easement for a private sewage disposal. system to be used by Lot 4 of 'Certi:fi.ed Survey Map, Vol. 5, Page 1401. Said easement i.s located _i.n part of the NEISE4 of` Sec L i.on 30-T30N-R1.9W further described as follows: Commencing at the SE corner of Lot 4 of Certi.fi.ed Survey Map, Vol., 5, Page 1401, thence N.45°05'03" E. along the Sr' ly li.ne of sai.d Lot 4 229:90 feet to the point of beginning of. Lhi.s ease- merit description, thence continuing N. 45°05'03" E.' 174.78 feet, thence`S. 16°48'57" E. 1.28.30 feet, thence S. 70°06'20" W. 126 feet, thence N. 44°54'57" W. 59.81 feet to the point of beg.i:nn:i.ng. St. Croix County, Wi.scons.i.n. Whereas, the aforesaid parties mutually wish to establish an access easement for the above-described property, Therefore, for a valuable consi.derati.on Wi_11iam N. McKinnon and Phyllis M. McKinnon hereby grant and convey unto James h. Swenson, his hei.rs and assi.gns a perpetual nonexclusi.vEa easement for ingress and egress described as follows: A strip of land 66 feet in wi.dth ad- jo i ni.ng the SE' 1y 1:i.ne of said Lot 4 j Page Z commencing at the-.centerline of County Trunk Eli.ghway :r►I,►► and continuing' along sLa.i.d S1:' 7.y line N. 45005'03" E. 300 feet. Lo Lhe point!of termination IL is understood and agreed LhaL James L. Swenson, h i s 1) i i s, ass i g n s and bra nL'ees sha7 ,l share w.i Lh ad jo i n`i ng pr(:)perL.y owners in the iniLla.l cost, maintenance and .i:m provernenL of Lhe easement as herein described. Da Led this ~(q_ day' of June,_ 1986. 4 1 Ja es L. Swenson c i.lliam N. McKinnon Phy*l/-Vj,s M.' McKinnon Signatures of James L.` Swenson, William N. McKi.nnan and Phyllis M. McKinno a nticated thi.s a o June, 1.986. COc David J.' Estreen Title: ember SLate``Bar`of W i scorns i n' f _i i This i_nstrurnenL was drafted by: Attorney David J. Estreen 621 Second St., flu'dson, WI 54016 p x ~ x m N S N N N C N m (SD ' m 30 0 N m a A A (D A 7'SN 3 a to to c , c N CD N O O y~ N' m a 0 A W 00 tD wv o'~m avw ?m ~.A ~cG 0 A 3 a O - ° Co 0 W omc o0o~' 0) » > > o Sac ~Cae rr- A c rn O m o -o oao 0 - m 1 -0.0 N Q? m c 0 - 000 oDw sr M c O c~ vo~a= a wow 0 aaM 0 O om(a oCo a CD Co CA mA=r CD Z amA 3omm?a D -i CA ` N V. Ncm c OA o m »7 a ♦~p~ ~0 =o Q N cD - A O j a m N? a to W (A v, 'w ac f ~m 3(D vMM o j~!? N m am o ~y C1 -..o N.o ~=~to a ~oto0 o 3 a c cr0 F* a► O wow mE•=CNo rn ana cr y go Q3 asu; c ~ S.- co ~ =r 3 ~ N o c m m tD A c d O N. A m 0 0.0 7 o to C N o. c-4 tv ,m-1mc Qc a - aw 0 0 9s M3 09 oo °Qo as a* 0 9a a'm' o o # 3 CD vi 3' o. o < \ - t° S Q NLlUSDUS TIVI OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IN`WY; DIVISION PERCOLATION TESTS (115 P.O. BOX 7969 HUMAN-RELATIONS ) MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATJON: SECTION: TOWNSHIP LOT NO.:BLK. NO.: SUBDIVISION NAME: )vE 114414 Ai /T3o N/R/Q R (or) W s;; 1 r. ~n~►.o COUNTY: OWNER'S WY E+N6 NAME: MAILING ADDRESS: ♦ h/fj~r v~ ~Cr Sr. eeorx 11/t11/An~ /~~iY/YDi!/ aO ~'Jy t'rt~ s~►`: /Sri6~ r~'.~rE.P /!?.rV ,s,5 82 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: rb~ PROFILE DESCRIPTIONS: PER CATION TESTS: Residence New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: lEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) S❑ U S❑ ®S ❑ U ❑ S U ❑ S U U .V~D f"rC~~SS' U BE If Percolation Tests are NOT required DESIGN RATE: I If an L any portion of the tested area is in the under s.H63.09(5)(b), indicate: /1/ /4 Floodplain, indicate Floodplain elevation: s'4' C2 PROFILE DESCRIPTIONS B ING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF O SERVED (SEE AB V.ON BACK.) 72, 72 Az Ald A1,6 B-1 1Z.0 lel, Al e7W 7 /20 ' a. Brt ; 2 g, B-n 66~ An a-. B-11 99 /op 6 /VoN.E 7 M1 66, !fin zo B- S' Ae J leg, 9 &0*45" 1:7 Ile 11:7 /ZO CLASS / PERCOLATION T STS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERM 1 PERIOD2 PERIOD PER INCH P- / 2 / 3 P- P- P__ I 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 . Z ri5W Al A715 /0.7. e ~P_Ir: .SSC/ ;e.57 ',!F &117W 7Z_ i , _6ta_r r,! .S!mU.~'E rsc,- _ t-s!s'r" oe _ se_rn~,yti~~.rr J D' . yE ; ~_~P1 G'i.r✓ AL S;0".4 E IDU~dfr ~y ~,Q,4 ~ir I E N /s _~Pao~tsEl~ ,4~D F F - - sy-s'T.E/rJ S .:q ___~D,e E C' /IJ~!/~'/J/7~✓O.~/.4G_ ~.E'.~..s". , i I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and ds speci~4Q V71m isc Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. _ #1 yf NAME (print): TESTS WERE COMPLET I1/,O_/7" ;ewng. P 9 ~71k.0 ADDRESS: CERTIFICATION NUMBER: UMBEL al): ELiw 517. 10A E 'e LmL1 s /4/i .r¢o z z S.f=.s"g8 CST SLUR D~S R;SU=N C iqina anH y copy to Locai A hD ✓d~ /V e -T4-1~9 -;sty, f 'rope Cvvoe qnr Tester. c ,_s a i '.y-'s T/ o f S y •c r y r 'T '3: 11 - D - 6395 To 4n~ a ('r • real project; 4. - ALL i 1 Y OGDEN ENGINEERING CO. Civil Engineers & Land Surveyors 123 East Elm Street RIVER FALLS, WISCONSIN 54022 s . 1 i I ex, + } E 1 s ! ~ I f , { , r ; p Or~ .v ~y QN N ~ ~ ! i ` .5-1 i . f -tom 0 1 I I I f + 4 ~Jx , 01 -t--~ _ t lei 207 RK, Gll STiL L f~//3 TE.P IV Al ~ 7 m ~ X92 -ry~,ET 2 0,~ ~ 7S Q N E Lo7 Co2,vs2 pL07 ANO CI axs 4i ►SFA WEU .SECTTuti PLA of /32tll~OSk 0 /nom-S.YO~NGE E'~I 1'` I 7bA p"F l~ I°~'~ _ /LU7EGT ~E /0 ~fill.PBSED 5' Qb VS1'1 SL./3CiVSbY~ C AAGE ° ,('T_ C/Zozk Cou ,.Ty / o ASS 006 UAL _ _3 EpTZC- TAN s P/loAoS Q ALT. OR1VEE/Ay S2T Top o►~ `f y. 319 .6 " ? . /VO SCALE lrFntr S7NCK Z"5 LOT r1D7RTY ° (~NL ° x g•i- 'yam : ' „n. W. 14/.aL?~f2- r)! lJf~~F,✓t A E; 4~•~'v? ,s- - . YZAOt 1, . , / % CX + l et Y14-C VIC~ 111104S)4' o/L Tic'' {y~ A &_6 16AT ' Tyr- D6 • GGal=GAlk = 2Fv/VrtEd I~YA1~ ~~Lvw p 7? i r►~ Px~,2 .1Q7 / ` f ~r , ~ PrA ~ Q ~ t days ; . w C~~,~ y T zVA tsNb R,- SYTTLIM