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HomeMy WebLinkAbout020-1162-60-000 o 0 K a C7 ~ CD m ~ m -o m v t 2) CD CD ^ z 0 (;1 71 N) CD Z W 7 CO C.) C1 N Q 3 (D CD N A n• O r5 C: 4 C` Cp y c N O 0 N 7 O = O W O O 0 N W ~ Q O C tD (p N O 13 7 N v O N C O lV O CD cf) m CD D a G m O N co (D C Q Q O w N) C) CD v i z r- (n O co co C cn O C A A O_ rT 6 O 7 d O z 0 00 N• O c N N N A O O C CD Q v v O N CD O N CP .Z 7 0 N Dt N rQ ] ~1 a N Z O o D co o C) O CL 9 O N• O CD (D N (Z (D C q C CD CD - d W (D _ 7 Z (n p Z CND Q N C i T 0 O A Z v CL a 0 O Cl) N (ND CD (D O CL t z 0 3 z Z O N z < CD A W ~ (CD ~D CD ~w n C v CD G :E A O D T W c c m z o N 7 O O o m o N n y X O N N f0 CT N 4 O CD n0 3 7 0 A - 4 O P~ O NO O O CD a o b ~ a Hi O a o (D °O c(D i Parcel 020-1162-60-000 05/18/2005 11:18 AM PAGE 1 OF 1 Alt. Parcel 29.29.19.933 020 - TOWN OF HUDSON ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner MUCCI, MICHAEL MICHAEL MUCCI 728 GREENBRIER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 728 GREENBRIER RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.060 Plat: 0200-COUNTRY HILL ADD SEC 29 T29N R19W NW SW COUNTRY HILL ADD Block/Condo Bldg: LOT 04 LOT 4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 911/447 2004 SUMMARY Bill Fair Market Value: Assessed with: 49016 202,900 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.060 27,400 129,600 157,000 NO Totals for 2004: General Property 1.060 27,400 129,600 157,0000 Woodland 0.000 0 Totals for 2003: General Property 1.060 27,400 129,600 157,0000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 116 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges 00 Delinquent Charges 00 Total 27.00 . n vi O 3 v n 0 CD o C 3 a CD v y H, n 3 O S O O_ O~ Q N O Cc: y CC 7 a (p CJ O C7 N (O m m ~ N A ? e rn O CD N (D N , n N = _3 O W O ° D (D m w ° c CD m c' a 3 fA N O O .Z r- CO C-2 CD w (n z D so a ~ m n D C. CD D O7 c CD c CD- rz. (D 71 O C`1 Q Cl Z O O O A a ,0.• C O D 7 O O O ° r ccn cn cn Ap ~f N v v O O p fO D mo o C7 d ~ _ N ~ N = N ~ D co Q N z O v z D o v O o m si N CD D a 7 _ O O n C s ;o N 3 A Z v n G7 m C N O O (D a 3 z 'o z C~ 0 co N ~ < Z CD o ~ D a z a c m N T t• ~Vy y V W ~V 0 VI 7 w ~o a o cD ~ O~ ~ o ° b o Form- S T C - 104 r ' AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T N-R - 7' W 1 ADDRESS ST. CROIX COUNTY, WISCONSIN Ah' ' J1~ ~~~f1 4 SUBDIVISION LOT _ LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1Pi 1 ' I J i I 3 E I INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: i SEPTIC TANK: Manufacturer: ,/Liquid Capacity: Number of rings used: r Tank manhole cover elevation:' Tank Inlet Elevation: Tank Outlet Elevation: C Number of feet from nearest Road: r Front ,0 Sideo Rear,(7~_ feet From nearest property line : Front,0 Side,0 Rear, fer 0 Number of feet from: well building: this informal-i.on of the abcvc plot plan)( '2. refe-,-ence dimensions to ser SEE REVERSE SIDE MON.- AA 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, Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: L, Length: Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear, Fz...,?""'~_ 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, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated : Plumber on job: Lc Lame dr-,r< _ /c' License Number: ` 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 796$ PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING MAC4SO,N, WI 53707 IXXCONVENTIONAL ❑ALTERNATIVE StatePlanID.Numb- Holding Tank ❑ In-Ground Pressure El Mound I If assigned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER'. INSPECTION DATE : Michael Mucci R. R. , Hudson, WI / BENCH MARK (Permanent reference pmnt) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.'. CST REF. PT. ELEV. SE NW, Section 29, T29N-R19W, Town of Hudson,Lot#4,Country Hill Na- of Plumber MP/MPRSW N, . County. Sanitary Permit Number_ Cal Powers 1563 St. Croix 58894 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: OYES ONO OYES ONO BEDDING: VENT DIA.: VENT MATL HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING.. l VENT TO FRESH ALARM FEET FROM LINE. AIR INLET. OYES ONO OYES ONO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL JPUMP/SIPHON MANUF ACTUREH WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: OYES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPE RAT I ONA L NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE I AIR"LET' PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing ILENauf DIAMETER JMATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FIFORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO, OF DISTR PIPE SPACING CO ER INSIDE DIA xPITS LIQUID DIMENSIONS TRENCHES MAVrFRIAL PIT DEPTH GRAVEL DFPTH FILL DEPTH III STR PIPE DISTR. PIPE DISTR. PIPE MATERIAL. 7NODISTH NUMBER OF PROPERTY WELLBUILDINGVENT TO FRESH BFLOW PIPES ABOVE COVER ELEV INLE i ELEVEND LINE. AIR INLET. FEET FROM NEAREST s 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- O YES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ONO OYES ONO DEPTH OVER TRENCH:BED DEPTH OVER TRENCH; REU DEPTH OF TOPSOIL SODDED SEEDED MZE D CENTER EDGES OYES ONO OYES ONO ES NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES: DIMENSIONS - MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV.. CIA ELEV.'. PIPES. CIA DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS DD APPROVED PLANS OYES ONO OYES NO COMMENTS: PERMANENT M ANKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING'. FEET FROM LINE ❑ YES ❑ NO ❑ YES ❑ NO NEAREST 30- Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE'. TITLE. DILHR SBD 6710 (R. 01/82) Wisconsin APPLICATION FOR SANITARY PERMIT &;:V-COUNTY COUNTY (PLB 67) UNIFORM SANITARY PERMIT # ~ OEPRRT InOUST T RV, En T pF LRBOR6 HUmgn RELRTIOnS E` -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 OW ER MAILINQADDR S (n C_ PROPERTY LOCATION; vJ1 /4 /4, S 1 T) N, R V (or) W TOWN OF: LOT NUMBER BLOCUMBER SUBDIVISION NAME NEAREST R0AD,~LZXA @fi'CA1VD101At~K STATE j, AAW I.D. NUMBER TYPE OF BUILDING OR USE SERVED I~ /~cPo~- CJ L 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: 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. 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 X Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: r W G t v ~:r'l C 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): r c_.-.- / w ! 5 ~ ~ Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Pri Si re: /MPRSW No.: Phone Number: r'v > LcJ - ! 1 5- (?/5') ly/ S7 5 PI ,71ber's Address: - / Name off Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved /~t.~ ❑ Owner Given Initial t Approved gdverse 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 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 and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property C: y,C L 1 Location of Property W 14 S w k, Section 061 , T a C7 N - R _ W Township Ll UA oN Mailing Address iO L - L Subdivision Name Lot Number Previous Owner of Property, ~N C-0--ter t Total Size of Parcel 1 GClt~' 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 ) and Page Number J as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: ~--Varranty 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 1 (G)e) eentiby that aU statements on .th,i, /onm ahe tAue to the belt o6 my (oun) knowledge; that I (we) am (ane) the ownm (s) o~ the ptopenty descAibed in this injo,mati,on jour, by viktue ob a wa4Aanty deed tecotded in the Oj~iee of the County Regi.6teA o6 Deeds as Document No. 1`f t ; and that I (we) pn.e6entey own the pnoposed site bon the .6ewage pas system (on 1 (we) have obtained an easement, to nun with the above de6cA ibed pnopercty, bon the eonstAucti.on o~ said system, and the same has been duty neeonded in the Ob6.iee ob the County Regiz ten ob Deeds, as Document No. SIGNATURE OF OWNER` SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED ,00'6217 3,.69,I:.OOS V ooczt 11 Y cam' , .0000T Y o z < - 1 ~ t W z J f~I ~A V = N p \ O I Q F ¢ 2 JI A V J W O Z= y( N Q Y O Z 2s Oct CH z - -'x 4 y. W NI poN F• a 40 ` 'Q Z N n 7 A ~ 1 I \ - 7Htl fn- bn HLrloS-MIaON YI V N s r ~ 3 • e o° 4 O a o o W o mp to ,m n n O < 0 0 m 1- ¢ N r' z ~ LL c Q1 ZVry z IpN¢ Z Z tS. u rW ` 0 ~NV F F t Wf Wt Q O n A a 0 N W =(y~~, O V Cry NW N J \ O t~ I yQ P~ N V 4, O p W Z ¢V W O Z ti W cc O O n W ~ Z< O O W z z l\ ((y~~~, J,~• -N pQ .4 z Q F a "V WF '(1` V `t V O Q y W N 'OC. IT a .-7► ° 0 ? z = # Y lL z W y ? 1 p 20.26r~C co W O o F a s a F- z n N o^~ _ V N z Q ti z3 01 0 I IX -!,L d o O -t JyQ o V zo cc -8 W _ 3 m V V J J" N, ~O£,40.90H a m ¢ ° = a Yy J ¢ W I... V ~WN O O Q W p W O Z C a S Z a W JI "'i W O ¢ o ¢ W 'a N N N o N 4.1 v ? o QI O W $ 3 al W M ~ f9 1Z ~ N a.'~~y0~ 3 N V CD tl t•. M NW S~S O co m n 7 h q 2 n N W W= = W W 13sf A ♦ n ONO ~ 4 J < ~ b h 1- a~ y JI O Y N t N y NI > / W m I on N¢ ti N¢ I `¢W'I w W 2 ~ i ¢ ~ C O ~ W = it. u. s- a pR u i a z ~J dr O O W W N F U W 3 3 _ Y W V W W S 1 ,00'62f M-11,00.00N t ~ NO t a po¢ . 1 J O ¢ ID 41 1. 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H a < STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT H St. Croix County z d ~ a OWNER/BUYER / C~a{1/71 U Gc:i ROUTE/BOX NUMBERFire Number f CITY/STATE 4(,4L GtSi_*~~, VU f' ZIP S~'fC) E~ PROPERTY LOCATION: Section,) C T,~cj N, R t)O W, Town of LT (A 1C IS0" St. Croix County, Subdivision '~~a,.~r.-~ Lot number t 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 o.f 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, ,ourneyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastes:EteL disposal system is in proper operas{.r; =:.:.ui.r_ion and (2) after i.nspecti.nn ar.4 * vm-i^n (1f ncc-- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form wil•1 be sent approximately 30 days prior to three year expiration. H 0 I/WE, the undersigned, have read the above requirements and agree Cn to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- o 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 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. v . r N x to s m N L7 m 0 (~D ~ w^ N cm N N ~ i m a m x' m A A m? O co 0 C 7C `G o n C= CD 'D a (~D N p to (D U) m N N D m o » apo wo- °0 c0 co CD 0- C :3 CD CD 0 o a o 0 (=D m w o w ocO C 3oc ,<cc? g"~ 13: 0 3oao w z~ Cl QS 00 CRT 00 CL (n = m O 37m w N00 m C A_ N N ol Dc0 Q A U) G) o ° 0 10 _ w n n CD O e c =r .0 a - f yam o w 0 w o -0 m 0N~ v3owvcwn C m m m m w 9 J c'D Z = aM o 3~ m 0 CL ~ Ch CD 0 o L7 Co CD 0 0 N a m = a co Imo Cc,: o CD 3 CD t ° ?CAro 000 0. CD --CD ~cn n O .Co 15 =Mt = 0 No~=~ (COD a w0 c m~'o0 ao F cci, c c c f m w 3 w a a a a wa N M m c0CD CL cr (i Q 3' c `G t~ w m N o G) C m cD , 3 m0C -4 °cn~om0 0 n o cc C 1 m n c w m -'gym c ~ S . o n aw ~o amc 3 O oo V +hi:' w n3 am O 3 Q. o< cry `C z o 0 \13 DEPARTMENT OF T II I GS INDUSTRY, REPORT ON SOIL BORINGS AND co CEi a IV N LABOR PERCOLATION TESTS (115) ~T °"a 9 HVFJfAN RELATIONS ~ 'I~I'A~ I _ 7 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: 2 OWNS HIP/ LOT NO.: BLK. NO.: SU SION T N/R E (o) W vI»S'o w eZZ, COUN Y: OLERW"S/8tI`f-Ef 'S NAME: MAILING ADDRESS: A i .cf /i- o~lli'C~ oe . 3 1160 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DESCRIPTIONS: PERCOLATION TESTS: Residence 3 N4- RATING: ❑Replace QG RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-F ILL HOLDINGTANK:RECOMMENDED SYSTEM: (optional) ©S ❑U Fos ❑U QS ❑U ❑S a ❑S ©U *Aj0"-11-0 ,4Z 1919~12 Y'.06 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5) (b), indicate: I Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST, HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- y~3 /yz' ooze IS, .1~. s , 3 ~ N. s/ y Acv 11E'0l c S . B Z ' .7s' TAA1. CSC . 33 '7,W c •S. w ,P. V. 31 > ~ `1 it ,!N vd- Cs . ~ 45- A4 > . 5_" Ae'QN . /s, . G 7 ",13,v . S B y /3. d' 19SZ ~iU >~~3 ~j ' 75' gal De- N. /s) Is' S, 7 TAN. c ' ~9•v v B-~ /2 .C~r S y' ~ • Q o,Py,9vi c sc • 3 s 74,) :2 S" AA2 v B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERI0D3 PER INCH P- P- P- 2- 5 cS 5 P- Z M r5v v 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- 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 X67°~` ~xc~ u~rrio = FT" APPRoX. ' 150 • = Rh6k io - - . - - - P2- 3y wo,eA /ot X IWC Si Tt"s i hnkf. /5F. /0-/, ~s I TN SET oN Ffs r 1of- e3 a o 3 Al ~i--fA_T iov = /00•0 Fr• _ ' /o 30 y 13Y I, 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. NAME (print): TESTS WE E COMPLETED ON: f HOME r: tTE TESTING C 0C - "P' 7,p y ADDRES CER,TIICATION NUMBER: PHONE NU BER(optional): YVAL UATIONS (PERC TESTS S S - D 5T _ 3Pa ' - MIN`i. SG FA I.;CEfvtSE NO. 00661 OT'SIN LI "ENSE NID. 55-02482 CST IGNATUR SE: RT. 3, owaL RD., IiUDSON, W1 54016 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 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Lu PACE OF ./-~va~Sdi7 cross o Fresh Alf Inlets And Observation Pipe Approved Vent Cap Ml not 12 ' ADOV• final Grade 42" Above Pipe _ 4" Cast Iron To Final Grade Vent Pipe Mafsh Nay Or synthetic Covering Min 2° Aggregate Over Plp0 Ol alrlbutlun Pipe o 0 0 0 o - Te• Aggregate Pipe e Pertoroted Pipe Belo .w Coupling Terminating Al 80110m Of System PONt D ~tnk c~rc.c'< ~LIeJo.~ SOIL FILL D IST k EI UTIOt PIPE p,PPR 7VE0 S41JT1-IETIC FOVEA 0 ° '"*_MATF-RW\l- UP 9" OF STRAW fZuOFAGGREGAT~--~~ OR 1AARSU HA`j o nF 2 c'.'/z AGGREGATE ELEV. OF FEET DISTRIA'JTI011 PIPE TO BE AT LEAST IUCHES BELOW ORI(SlUAL GRADE AFIU AT LIL k -T ?-0 1UCHES BUT Uln MORE T14A,KI 42 IAICHES BELOW FINAL GRADE MAXIMUM DkPTH OF FXCAVATI00 FROM OKI&WAL (5KA1DF- WILL RE iUCHES M1141MUM Wt)i OF FACAVAT11W FKO/A. 1*161WQL C)RAOF- WILL e,E ~ INJ cHEID SIGAIED: ~ - L IC EtJ5E Q0MBER: 8~ I DATE: J/-/ tto n Sejo'Iz. rtw-nK S P47- 1 = Ste' SC=~~`~~ i J 71, 2d I~(1/L~ o 1 4 I .L