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HomeMy WebLinkAbout020-1164-10-000 ST. CROIX COUNTY WISCONSIN . y~f w" f ZONING OFFICE ~Y = 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND, WI 54015 April 25, 1985 State of Wisconsin, DILHR Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Attn: Carolyn Haag: Dear Carolyn: St. Croix County is rescinding permit# 58951 (permit attached) due to the fact that the drainfield had to be moved. Permit #58951 was issued on 3-28-85 and is replaced with permit# 64857 issued 4-23-85. Should you have any questions regarding this, please feel free to contact this office. Sincerely, 9 U Mary Jenkins, Secretary St. Croix County Zoning Office Attachment _ y 0 N Z ;~tz C/) co o z z m O co OD -n M 00 N C=) m ~ CIO* -0 y m m Cl) C Cut) 04% n r ,\1 n ccs m A% Now o W o0 r r 00 C 0 Z = { c D r 0 m ~p z C) Q M m i N U) o z0 O o C Cf) -n c M r~~ Z C) o 3:0 m o G) U) o C~ ~ ~ cnn ~ z O Zz m C 1J/ m o n o. o Q a d m D _ m y _ O m ~c g_ ~m off. ms3m d~ me = r o F• o CDS c 3a ^`°`°a N•° 3o m 0 (4) all= 00 co a a• 73 m °D c m C . H d - ll " ID -n CA) < o oo m ut m~ dd ca o ~ d ~ ~ 0 ca c H s m 3 ~N'o. °i ~ ?3 3 3 < ma is m IS ~ ° Z Z o N o m 2 H o N H o -1 o < 3 5. C D r 0 = a = = a °i co o = 3 m m Q ? 3 3 3 y; m y Ul o- < .o o 00 D o, 30 KO'd o H a f ~ cn CD m c p v1 fD 3 (D m c • T A \ 1 CO N JET of O -4 p7 C O N !O' • m= O co y N ~ C 1 a ro n. N Cn = p ".1 4 C N 001 p CD Cp A O _ \ i13 0. = < 0 -U p CD m O C )A c m m °o o A+ 3 3 a ° ro rA CD 'a o y a 0 U) i W (D m a a 3 O r. c m iz t - o CO 00 a 0 r to N cn cn 0 CO p tr N ry~~ _ z O O O c N w m 0 s = cn a CA cn Ch v0C' WCD v d w Vl C O N A M p N N O m 3 d N CD rn CL ai m z 3 N o C: co z Q ~ a ~ 0 o m 3 m N ~ c CD m a a 3 z m C6 fn o , A z m N C CL A z 7 to M co 0,3 z C r: Z I y z ~ ~ I F ~ w I s a V) a v 0 m c N o 0 I N y y p ti w Q A ~ W b Cn w I 90 rn a ti ti I k-j °o I i a ti o ;v m oro l~ 0 0 a 0 CD 4 Parcel 020-1164-10-000 12/14/2004 07:47 AM PAGE 1 OF 1 Alt. Parcel 7.29.19.965.966 020 - TOWN OF HUDSON Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner LINDA ELLIS * ELLIS, LINDA 318 EDGEWOOD DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 318 EDGEWOOD DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.128 Plat: 1929-EDGEWOOD ESTATES SEC 7 T29N R1 9W EDGEWOOD ESTATES LOTS 35 Block/Condo Bldg: LOT 35 & 36 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 952/107 07/23/1997 735/305 07/23/1997 726/557 07/23/1997 726/555 2004 SUMMARY Bill Fair Market Value: Assessed with: 49031 217,200 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.128 34,100 133,900 168,000 NO Totals for 2004: General Property 1.128 34,100 133,900 168,000 Woodland 0.000 0 0 Totals for 2003: General Property 1.128 34,100 133,900 168,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 215 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-STC- 104 + AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. " TN-R Sri' W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION e r' ,i r • ,i' LOT =~'~y c7► a , LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM J i V J f ` r r , c INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: r_V Proposed slope at site: SEPTIC TANK: Manufacturer: 4.1/ Liquid Capacity: Number of rings used: ' Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road.: Front 10 Side Rear, From nearest property line s Fror;t O 10 Side. ORear, ao Number of feet from: well , building: g (Include this information of the above plot plan)( 2 reference dimension: I~_ SEE REVERSE ; 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 Bed: Trench: Width: Length: Number of Lines: d Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, Rear,OFt . Number of feet from well,: xt/ Number of feet from building: m., (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, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: X9L Dated: r< ;7 ' . Plumber on job: License Number : _ P J DEPARTMENT OF INDUSTRY, , INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HI!MAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.~t aX 7-969 BUREAU OF PLUMBING MAdISON, WI 53707 P CONVENTIONAL CONVENTIONAL ❑ALTERNATIVE Slat, Plan l D. Number: ❑ Holding Tank El In-Ground Pressure ❑ Mound (11 assgned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: B & H Development P. 0. Box 541, Hudson, WI 5401 / w BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: V , REF. PT. ELEV.: ST REF. PL ELEV..- SW NW, Section 7, T29N-R19W, Town of Hudson, Lots 34-36, dgewood Est 1e~f Name of Plumber: MP/MPRSW No.. County: Sanitary Permit Number: William Schumaker 6382 St. Croix 74965 SEPTIC TANK/HOLDING TANK: MANUF CTURE : LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET E LEV.: ARNING LABEL LOCKING COVER y PROVIDE.: PROVIDED: YES LINO DYES LINO BEDDIN IV ENT DIA.: VENT MATL: HIGH WAT BER OF ROAD: PERTY WELL: UILDINGVENT TO FRESH ALARMrFM FRO~~ AIR INLET1-40 YES LINO DYES LINO EAREST /10 DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFAC IRER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES LINO DYES LINO DYES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: Nt=,,, %FPROPERTY WELLBUILDINGVENTTOFR SH (DIFFERENCE BETWEEN FEET FROLINE: AIR INLET: PUMP ON AND OFF) DYES LINO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 111111,11, DIAMETER 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: WIDTH: LENGTH JNO.Of` DISTR. PIPE SP/ACING: COVER INSIDE CIA.. *PITS LIQUID BED/TRENCH TRENCFIj~ > M L:T DEPTH: DIMENSIONS /Qf /V =H E' OLE I H FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO- 11 - R OF PROPERTY WELL: BUILDING: VENT TO FRESH I ) a P, BELOW PIPES: 1A V ABOVE COVER: EL V. INLET. ELE .END: ` PIP FEET FROM LINE AIR INLET: {!V/ NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAMOFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES ONO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES LINO DYES LINO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL DDED. SEEDED. MULCHED: CENTER EDGES: DYES LINO DYES LINO DYES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO-OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NPIPE ISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.DIA.ELEV.: PIPA.: ELEVAT"M AND DISTRIBifFroN HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED lMFflRNIlkT 1 QT1 PLANS: _ DYES LINO DYES LINO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: DYES LINO OYES LINO NEAREST Sketch System on Retain in county file for audit Reverse Side. S NATU TITLE D I SBD 6710 (R. 01/82) / B & H Development SW NW, Section 7 P. 0. Box 541 T29N-R19W Hudson, WI Town of Hudson Lots #34-36, Edgewood Estates San.Permit#74965 10-23-85 W. Schumaker Conventional, New INSTALLED - 11-27-85 3+4 5 `are. e n ~cjoecNoc_~j briu-~- .~.wlsc°nsln APPLICATION FOR SANITARY PERMIT _nhio~p .~=D 1 L H R COUNTY °EVaaTmenr ov !N InOUSTRV, LRBOR 6 MUTRn RELRT (PLB 67) UNIFORM SANITARY PERMIT # IOnS q ('15 -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 7 y d-114 4L PROPERTY LOCATION CITY: 'V 1 /4,U4J1 /4, S '7 , TjqN,RjC1 Jr E (or)(l TOWN OF: d /Z LOT NUMBER BLOCK NUMBER UBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED DZ 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: New System ❑ Tank Replacement ❑ Repair El Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ual 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 /iet Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: 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): 3 Li / >4 Private ❑ Joint ❑ Public 1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: 17MPRSW No.: Phone Number: Plumber's Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing (/7 Agent: Fee: Date: ❑ Disapproved /j~~_ ❑ Owner Given Initial v o" 14 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 issuance. Should this development be intended for resale by owner/contractoiz,("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 Location of Property 14, Section , T c;LJ N R CW) Township uc~ISoo Mailing Address P- Box -Z:> `T Subdivision Name E-C(Q t (mac. 00d Ems S Lot Number' 35 3~p Previous Owner of Property Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable?` Yes No Is this property being developed for resale (spec house) ? Yes No Volume lQ and Page Number Vas- 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. PROPFRTy OWNER CERTIFICATION I (We) ce4ti.jy that aU statements on this Jonm ane t ue to the best of my (oun) knowledge; that 1 (we) am (cute) the ownen-(s I o6 the pnopenty da tt,i,bed in this in4onmati,on jotun, by viAtue of a wa4Aanty deed %eco&ded in the 0jjice of the County Register of Deeds as Document No. 02~ ; and that 1 (we) pnesent2y own the proposed site bon the sewage poaa, system (on I (we) have obtained an easement, to nun with the above descA bed pnopenty, bon the consttcucti.on o4 baid system, and the same has been duty %eco&ded in the Oj6ice os the County RegisteA of Deeds, as Document No. ~~~,11f ) . SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) /C) DATE SIGNED DATE SIGNED 1. H ' 7. • y 9 - ST C- 105 r r 9 H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d 9 OWNER/BUYER ROUTE/BOX NUMBER 0. E o)( ~5-q / Fire Number a CITY/STATES-/J SON ~r~ , ZIP ss~ /-6 PROPERTY LOCATION: 10014, Section '7 , Tt,29 N, R W, Town of OQo(Zr4 lac c~J S00 , St. Croix County, Subdivision &,QC LJ06 Q ~ot' number .34/"3(o. 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 put 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 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-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. yo I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- ro 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 JCS DATE `V ~ff~r 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. o 4) c m ° 3 o Zg~ = m O d F O Cl O c j~ O E L NL cc CL r N C7~L 3: 0a C N m c c ca W o 0'0 > > vmi 3 ov c~°.0 0 -b Ecm D 13,> _m 3 00 Q m - i, N ° 0 1 V Lym°'-ooU)N 41~ F-cOCNN_,0 4)E o'er a N 3:0.0 v v`°L A c c 5 4) 2i oL0L =~cc N W co~3Lm.o 4) Q Q vsmaNE UNV m 0 0 4) 4) Cc U. Z 0 O U 3 O FL- N `m Q 0 3 cc 0 .m+ ~ N N C U) cc q N a c 0) 4 o~ O 324)(D tvL.Cf Ck p -OO- a U 0 U O ° N C7 V 0- O Q ""N O N m m > 7 m V O N C C U a a L- co c0 m 0) (a C m'a O° m C O Y 4) N rr rr s C L C a 7 L Z c Nc°»0 0:3 0E :3 cc p C C L L C C i O ca O rn L. V a U C7 O O p Y t C O .L„ V i rn J~ ry~4) s Nm mac'c- `tc0c°vmY°' m3a~i ro rncmvom c5,0 -CO a 13 1' :3 ~3 vN~3a) Nm° o 1 - C O m m C a m~ pL 200 Z E L.. Y N °f =O O ,p i p O! >'tOLL ~a E.0 L: O w m cm~~ Y mma;3 c c-4 m e L. 3 N m ° O E EN v=i v3i~:d ca cc O1 J N O DEPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) HUMAN RELATIONS MADISON, WI 53707 (1-163.090) & Chapter 145.045) LOC TI ,N- a 1 N; TOWNSHIP/ tOT NO.: BLK. NO.: SUBDIVISION NAME: S i/ )/k J/ 7 /TzgN/R/%E (o lm PL4&__0P\/ ;:6 - 644Eh/o3A C,r4TE s COUNTY: W MAILINGADDR ,f " T.C~otx. L5t/4 INE_y~O~PME 836 Si.~koVtSi l(Ot'^rH Nt kA-1311 I S~OIb ' USE DATES OBSERVATIONS MADE dIS.: COMMERCIAL DESCRIPTION: TS: FiAResidance UN ~ T-- WNew Replace I QCT. ~4 IIJ6S I~LT S, L~ c~ " p1 _s P,00 AbL 4(. S So►tt. - J-5 - .,CwETT ~J RATING: S- Site suitable for system U- Site unsuitable for system ONV . : IMOUND: IN- § -IN-F LL OLDING TANK: RECOMMENDED SYSTEM* (optional) CNVS ❑Y QS ®U . 0S 0U ISEIS MU ❑ S ~U CoNJC: ~t0~1r41 If Percolation Tests are NOT r uired DESIGN RATE: If an portion of the tested area is in the X under s-Fi83.09(51(b), indicate: CLASS I Floodplain, indicate Floodplain elevation. r v C. -T. PROFILE DESCRIPTIONS 01 BORING AL ELEVATION DEE A -INCHES H RA CTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH V TO BEDROCK IF OBSERVED ISEE ABBRV. ON BACK.) B- / 05S L LTS 0•20y 5 /,2D' A ti I5 W /6k 11.45 /00.Sc °7.4S' S.SO C.y&CS-+k%'to' S w OCUIS ' 61W R, Y <1 VT AACL"% Z 7G~ ' " o.so' L Ts /.4o' 4 N S L Lr, Uc q.zo' A ti B- LS /o2.~sE No - > 760' Y6e -5. so "G tc4 5 w ccc, Y S. , kA L k. 9,4 C-. t 3 Ott," 8t, L T-S 0,40' AAgn MtmS -,4Q o,%v Qt N S.L w/c r- B 7.73 ,oo.o6 Ne > 773 /.o0-e Meth S V Cs w Z6 1!, 4, e S'4tGr.•.co1 s { ~s /L; ,e; B OAS' 9L L -1`5 0,'10' RA PItA 5 w/4 it 2.~0'L,4y he45 f S w /6P, - b •S`i 7:15 ~ ~'6 •gS ^ 0•~s' leg M~sLS 6e/,7o'~eQ ~S ~ R~6ni S; _ B- 6 $S+ 0.40' L LT wto' k A N 1; 0Z,0'LriSovIPEas D.So'RhA#V 00.7E NQIJ 6 ?~•E3~ I-S W/Le got /4(4s 4C-S z.~s'GV)%0*QL,, B- Dit,` t~.l• PERCOLATION TESTS TEST DEPTH W T R IN HOLE TES TI E DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 11>3CWS AFTERSWELLIN INTERVAL-MIN. PER INCH P_ ! S r SO o' '4 > < P. Z 3. .13' -A > 3 P• 3.40 .AO >6 P- P-~ 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 hori rontal and vertical elevation reference points and how their location on the plot plan. Show the surface elevation at all borings and the direction and tiercent of land slope. SYSTEM ELEVATION 9~ oo' : . I . f r ~ L cbT !3 s . -z 16. L ccr 35 ' I t qy, y ? , 441 let. Yir rvI f q ! ! P 1' / - 30 k-A w~~ l I BM- ►"s.P. ....e y` i { ` EilDLil~44061~ ~QwE ELEV.. 100.06' 3~ I as I, the undersigned ,l hereby certify that the soil tats reported on thls form were made ncco wt t e prose urea an met oL s-fpecilece n t ie uconsin Administrative Cods; and that the data recorded and the location of the tests are correct to the best of my knowledge and belief, i i NAM (wind: TESTS WERE COMPLETED ON: 'd Sd ©cT /t /S% ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIG TORE: DISTRO13UTION: Original and one copy to Local Authority, Property Owner and Suit Testui. f - . 'J~ ~ ,~..z-,✓~+--s.~ SC ~ /`f G~7 Si L✓f ~f~ a L+.Cr~i.+~- L G" r .C.c.¢" ~ G y 60" 10 ~ -yam 3 ~ rr f1l/•-~ CD A SAFETY & BUILDINGS 'fkPA~(,?.IMENTCF' REPORT ON SOIL BORINGS AND DIVISION ' INv(h1STRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HtJAAAN RELATIONS (H63.090) IN Chapter 145.045) p( AATIC,Pd: S CTION TOWNSH IP/ OT NO.:BLK. NO.: SUBDIVISION NAME: ___6 - LaUCh/c~~ C~rnT; sw %W/4 a 7 /Tz9N/R~9E to W /L ,eso►q COUNTY:! WN R S MAI S: 836 SI,Ckouc`~? ~o" uuA~IV 1 S.G1~ III MF DATES OBSERVATIONS MADE USE NO B CO M T ON: I N A ION TESTS: Residence P4New ❑Replaca ►~s fit; A6L d.S `,,,.oIL - ~sB - Jewtrr RATING: S- Site suitable for system U- Site unsuitable for system O(NNVVETIUNN L: M(O)U'(ND: {MI6^, IN-GROUN : S S E -IN-FULL OLDINGT~A1NK: RECOMMENDED SYSTEM, (optional) ri~.~ J F L..J S E'1JY S ❑V ❑ S MV ❑ S U111 CcN~fl:n(TlONAl '[mot k 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: CLrQSS ' Floodplain, indicate Floodplain elevation: N ' 1 PROFILE DESCRIPTIONS DEC C-1' , BORING AL UNQqA~ER-l NCHES HA ACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER Hj3rf, ELEVATION V TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ogS L LTS 0,20 y 5 1.2D'~A~ti TA; 100•S61> -7.4s' S.-,a &y$wL.S-f Mrod S w OGC,SoC>Nric y t!L^r Rntc:~ ^C2,,6 B- ! 0.50' & L rS /.40' h $rv 5 L. IA it t7.Zn' h h Ls W/6 P 0'G, .~.toi S t..1 O-: C, Y S, -r LI j? B Z 7~® o.ts' 8t. L Y-s p.qo' RAen 4e B 7.73 1t3o, U6' Na E' } 7 73 I. Of'), MEJ S 4 CS W16 t .A. S'4,,6Y ^cd S ~ 0.6S' LL -rS 0.90' RA III PithS 440k Z.'WLi-4y htA-sf S k-, Act B- 4- b 7.r~ r X6 5 0.-M, RD heplS w 6C1,70,k6 TS 1. 06 Ra►it 5; - OW AL LT 0,30' k 4 N Si 0.2019,y EA D.SO' 4>EI►J B` ~ 6 •$5 t0~.7Z ~ ?C•E1~ is w z.zo'C,Y ME4S res z.7t'GvMehs tCtw t-- lE tl " 4 PERCOLATION TESTS T D PTH A7 R IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUTM13ER'4# S AFTER . INTERVAL-MIN. t PER INCH_ 1 P._ 1 s ri® OIL, 0, Z C) _ i L46 16 jQQ. 174' < 3. 1 P- P' r 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 ~ontal and vertical elevation reference points and how their location on the plot plan. Show the surface elevation at all borings anti the direction and Irercent of land slope. SYSTEM ELEVATION 9-7 00" r { rt t f _ I , o P - P.erM Aw 4, 4- l I > 3 'S`/9 t-A a~ Kea rte , tNrsi - i j Q • _ 'D i i 1, the undersigned; hereby certify that the soil tests reported on this form were mede by a in accord with Me procedures an methods pecr re m t -e rsconsin Administrative Code; and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: 44' E So N ocT /S /g"i< _ [ADDRESS~ CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIG TUBE: 1 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Testei.