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HomeMy WebLinkAbout032-2071-10-001 i 0 cn p 3 m n C7 _ 1 O y r O eD ,3.. O O CI ~ •O A~ `G 'U C 3 0 a o o w ° cC • w rD CD 0) CD CD N co N a K) N n CD n V O M lA\ i5 Z P -4 A O ET 0 O j 1 CD -4 0 0 CD 3 0 CL 0 O W O O n j O ice.. ~1 N_ N < lV 0 m <D N m cn D a T C N C Q C O C> 00 W i O w d O Z s CD O OD 00 CD N C n Q ~ 0 Z v m v o (n o ~y~ cn to CO 3 0 D q o '0 a a ° O O CD ID N T1 Cn CD m o a CD _ C X N C O 41 N Z o 7 =3 c o o ° co t n h N ~ 77 N m c M. o 3 m 1 0 OZ p p Z CD A Z O N O C 7 O 00 'U m w w 0 C Z CL :t O Z Co y M ~ < Z CD p Q Q C N C z a o m z I a: a z A N N O O H A O CD A W C ~ O A 0 ti O i a . Y Parcel 032-2071-10-001 01/28/2005 08:30 AM PAGE 1 OF 1 Alt. Parcel 13.30.20.773C 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner " TODD R & VELVET H PETERSON PETERSON, TODD R & VELVET H 230 ANDERSEN SC'T CP RD HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 230 ANDERSEN SCOUT RD SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 13 T30N R20W 3.000A NE NW LOT 1 OF Block/Condo Bldg: CSM 5/1448 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 694/214 2004 SUMMARY Bill Fair Market Value: Assessed with: 11177 165,700 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 92,500 140,500 NO Totals for 2004: General Property 3.000 48,000 92,500 140,500 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 48,000 92,500 140,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-2071-10-002 01/28/2005 08:31 PAGE 1 OF 1 F 1 Alt. Parcel 13.30.20.773D 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner PETERSON, TODD R & VELVET H TODD R & VELVET H PETERSON 230 ANDERSEN SC'T CP RD HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 16.990 Plat: N/A-NOT AVAILABLE SEC 13 T30N R20W 16.99A NE NW THE W1/2 Block/Condo Bldg: OF NE NE EXC CSM 5/1448 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 694/213 2004 SUMMARY Bill Fair Market Value: Assessed with: 11178 Use Value Assessment Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.990 800 0 800 NO Totals for 2004: General Property 16.990 800 0 800 Woodland 0.000 0 0 Totals for 2003: General Property 16.990 800 0 800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n~ 0 3 m n d O y f C d O fD 7 ~ n 3 -r I ~ ~ ' O O C CD V *k v 61 (o i A 3 ~ ~ ~ ~ 11 X ^r O A7 Cl h W W ~C n v N cn O O A N O O (D 7 O (D D ~ (D C O N ►~~S lA\ J O Cl (7 N W O N N O A (D W 7 ('D CD -0 m 0 (Oj N d p O V O O N C1 O K 1~~1 b N_ N < O !r O LTJ p d CD N o W ((D LTJ (D Q (D m d a i 7d N m w m °O (D (D (D O N 3 j co cO\n w a rt n Z °o CD w { m H• CO 00 0 H. CD co ~:l rt CD (n W z4 ~ d N A A 3 v !r F In d Cn `fl 1 z O O O co (n v < z v r o f (n to 3 o D =r -u (°n o CD v v Z ( ~ to = A x cn Oo co m i O z 0- 00 z N cn w O C7 a y m o cn W w O a o r H H o N• CD C~ D N z (o v C (n N 0 CD V Cl DD rt Cl) (o E N z (D fn O C) o o z .On. U) i~ rt D rt (D N • e A z 0 O v n O (n p rt z (D W co '0 m Wo W (D m CD t a z 3 p 0 o z NJ 0 C) m z CD A W o a N 0 v o - O_ T C O a Sr CD (D n C1 O 1\ - Q ~ n ~ p. e N O i O A i 0 p CD Q O taO * ~ O O (D C) a Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP-SoMq_f S4,-- SEC. 3 T .SON-R ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION. S ~ci ~a,y ~a LOT LOT SIZE Z a_p, S PLAN VIEW Distances and dimensions to meet requirements of ILH.R 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM o~ c l ~ ,~~F ZC~ d s Al Q oil r v 3~ 3 /io ' ,35 ?5 /)i gA 1 w WA0 I _r 57, - INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used rau.cc 1~A nA, F"J, ((6r(- ~ Elevation of vertical reference point: /ODD Proposed slope at site: ~ o SEPTIC TANK: Manufacturer: 7/ Liquid Capacity: / 00 Number of rings used: 1 Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,~Side ,0 Rear, _57 0 (7 feet From nearest property line Front,0 Side,0 Rear, O feet ~ % building: of feet from: well / (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER ,Q 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: l y 3 Trench Width: <C L'eng'th: ~2 Number of Lines: 3 Area Built: Fill depth to top of pipe: 2 Number of feet from nearest property line: Front, O Side, © Rear,0 Ft./SO i Number of feet from well: Number of feet from building: 3 / (Include distances on plot plan). SEEPAGE PIT / Size: I~/ 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 X4 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 buiiding: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: 3/84:mj DEPARTWENT OF.INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING MADISON, WI 51007 • P~kONVENTIONAL ❑ALTERNATIVE StatePlanLD.Numb- (If assigned) Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HO LDER. ADDRESS OF PERMIT HOLDER INSPECTION DATE : Todd & Velvet Peterson RR#2, Box 203, Somerset, WI 54025 11--47V ~ 'fjc) BENCH MARK (Permanent reference poiml DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT ELEV NE NW, Section 13, T30N-R20W, Town of Somerset Name of Pl-nher. MP/MPRSW No.. County Sanitary Permit Number. Douglas Strohbeen 5432 St. Croix 54968 SEPTIC TANK/HOLDING TANK: r ' ' L~ MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLEPRI ARNING LABEL LOCKING COVER v, ROVIDED. PROVIDED. YES LINO ❑YES O BEDDING: VENT Di VENT MAIL . HIGH WA ER NUMBER OF ROAD: WELL. BUILDING. VENT TO FRESH Lk4, ALARM FEET FROM l/ LINE LAIR INLET 17 YES LINO j (*y ❑YE S NO NEAREST ~J g a j DOSING CHAMBER: MANUFACTURER BEDDING . LIQUID CAPACITY PUMP MODEL PUMP/SIPHON ~MANUFACTORER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: ❑YES LINO ❑YES LINO ❑YES LINO GALLONS PER CYCLE: PUMP AND coNTnoLS OPERATIONAL NUMBER OF WELL BUILDING VENT TO FRESH ' (DIFFERENCE BETWEEN FEET FROM AIR INLET PUMP ON AND OFF) ❑YES LINO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing JLFN(4TH JDAND 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 O DISTR PIPE SPACING COVER INSIDE DIA #PITS LIQUID / G TREES / M~~)_T~y4Lat: PIT DEPTH. DIMENSIONS Sicc`u.J GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO DISTR NUMBER OF PROPERTY WELL. BUILDING. VENT LE FRESH BELOW PIPES ABOVE ~sCj~OVER ELEV INLET ELEV. END Q PIPE LIN AIR INLET OL ILK/ A •JA / ,0,- 1 NFEET EARESTO---s /J S lqj MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES LINO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES LINO ❑YES LINO DEPTH OVER TRENCH BED DEPTH OVER TRENCH: BEU DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES ❑YES LINO ❑YES LINO ❑YES LINO 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 MATF_HIAL & MARKLNU ELEV. ELEV.. CIA ELEV.. PIPES DIA.; ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES LINO ❑YES LINO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE ❑YES LINO ❑YES LINO 1NEAREST----liiiH Sketch System on Retain in county file for audit. Reverse Side. eNURE TITLEDILHR SBD 6710 (R. 01/82) - - wisronsin APPLICATION FOR SANITARY PERMIT . md~ ~L H R (PEB 67) OUNTY EnT OF UNIFORM SANITARY PERMIT # InOU5TR4, LRBOR 6 HumRn RELRTIOns -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 FOP -~.?~je W7., I60 Z PROPER-l' NF_ Y L CATIO may; So 2.r 5&.f / 1 /4 1 A S 13 , T20, N, R Z C E (or OWN O r 5-/ n Z~- LOT NUMB R BLOC ,A MBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK r ATE PLAN I.D. NUMBER I~~ e MAR JG l ca TYPE OF BUILDING OR USE SERVED rat-6. C~c~oZ o~U7 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 Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure A/ A Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Purnp/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Gcs ~ - X 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: MP/MPRSW No.: Phone Number: #0- fiq z- 47-tv Plu s A dress: ' Name of Designer: OT L COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved Approved ❑ Owner Given Initial 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 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/contractgr,(11spec 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 4'r Ale P.- Location of Property '4 //.z , Section 13 T :U N - R Cam' Township Mailing Address Ste, ,nt✓ 14/,' ,i y~ `L 5 ~ ~ C~ { 2 C3 Subdivision Name Cd vt. S u r c /'1 f Lot Number xd / Previous Owner of Property ~~c~ •~y~~= T Total Size of Parcel 00 Date Parcel was Created Are all corners and lot lines identifiable? X, Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number --~--f- 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) eeAt4 6y that a'LL statements on this jonm aAe tAue to the b" t o~ my (ouA) knowledge; Xhat I (we) am (oAe) the owneA(s) o6 the pnopeAty desehibed in this in6onmation jonm, by v,ihtue_ o6 a waAAanty deed neeonded in the 0~6ice o~ the County Regii teA o~ Deeds as Document No ~ z- ; and that I (we) pnLaentey oun the proposed site bon the sewage posa.Q. system (on I (we) have obtained an easement, to nun with the above descAibed pnopeAty, Jon the eonstn.uet%or o6 said system, and the same has been duty neeonded in the 066ice o6 the Coun4 y Register o6 Deeds, ad Document No. 3i_S-Y j1~!^) . ~'A 2 ~ P~ZL"') "/Y--,- SIGNATURE (F OWNED: SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED z U1 r STC - 105 r y SEPTIC 'L'ANK MAINTENANCE AGREEMENT o St. Croix County 0 y H OWNER /BUYER £ Fire ROUTE:/BOX NUMBER Lufio/ Number - CITY/STATE Q '1j ZLP 5 P Z~ PROPER'L'Y LOCATION: i., Section /3> _0 Town of St. Croix County, Subdivision Lot number--1 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 m_ia be eligible to receive a t;raut 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 stems agree to keep their systems properly maintained. The property owner agrees Co 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 in in proper operating condition and (2) after inspection and pumpiar (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. CD :;r I/WE, the undersigned, have read the above requirements and agree u, to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- to 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. S E G N E UG~. DAT E 571 St. Croix County Zoning OfILee P.O. Box 91£ Hammuld, W1- 54015 715-06-22A 9 or. 715-425-8363 Sign, date and return to above address. SANITARY PERMIT L03"I L H R County GROUNDWATER SURCHARGE s . rx.yr~.v..s~u~xaa.~vrran~i~rrwor~s. Sanitary Permit No. Ll On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com- monly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. Ground Later migat reof Issuln Agent- groundwater Fee: Date: Wisco $Ws l~- Y X21' fI buried tro kauro ILHR SBO-7289 (N. 05184) o i i rE7P lq~ t3 f'i~f)?iv1ENTOF 6RT ON. SOIL.. CGS- AN SAFETY& BUILDINGS 11~1i1S-I-fY, t+9~'~, ( DIVISIOty ,A AN RELATIONS PERCOLATION 8 MADISP.O. BO ON WI 53700 W61.090) & Chapter 145,045? 1LOCATION SEC I ION: Q1tiNSH1 UNICIPALITY: LOT Np. BLK. NO.' SUE3DIViSiOiJ NAME: ! ~'/41'44 t3 SIT 3 o N j$~yv E I r) r--r: -je-ye. N1r~ AUNTY 0'.VNEltSfE3UYEk'S NAME: Tv1AILiNG ADDRESS. y. / + !r{Z C~_Jt ' `+r Y~1.~C-~-ice USE _ DATES OBSERVAT; ONS MkUG STS: r Etl> (~p'~~1ERCIALDEo~RI?TION N„ [ kePiace - OFrscUF`CF 10 JS r ~ ,7 L- RATING: S Site suitable for system U= Site unsuitable: for system OwVEN"iIONAL PIIC JiID: IN GRQUNDPRESSUF E: SYSTEM-IN-FILLHOLpI N- TANK: REC.Oh111ENU,ED5YSTEM:(op oral} I~ S 0 S ❑u , l.C_ `Js ❑U ~ ou ,mss NU CA u%1~4 i M -71 + Pepcolation Tests are NOT required DESIGN RATE: ~ [Floodplain, any portion of the t-,,,d aces is rn the der s.HG3.09(51(b), nwc 111 in dica!eFloodplainc-~levatwn: 4Acn PROFILE i)i SC:IPT!O NS STS; Nir E JRiNG TOTAL T~ i- DEPTH TO GRQUNDWATER-INCHES CHARACTER OF SOIL 4VITai THICCCfYE5S, COLOR, i X'TLJRE, of , f3F:P71} j %!-j'1.TER DE-TH *o4 ELEVATION p3SERVED_ EST. HiGHEST~ TO BEDROCK IF pBSERVED (SEE A13RV. ON BACK.) _ _ _ _ O~33 ~i L~Ga,77' SrI-LaN- ,Y2" TO llz f{a~t7:tbv5 3 c9~7°o NoNC 617' a Z. _ / /.50SL S'L- D•75 i34 1 L w Cr57. ~13n/ 1.,5 FCa~ y~ NJI~~ 7~_ `NI 0,31, J w G R.. J>, 4 SL W 4~4 r :J ~r~a d'7 I ✓ .J ; '•.l Z J ~.-u~-! 2 )\,j o ..r { I y S'CJ 3 ( r, -S wl S`(ST`N\ r44•rVATrmar/ r~GltJ1~>eS S` E dtt1MBE1~- GOfFA: St Oovs~S tir rVO ,F UJfiC.Ce-fo- PERC;0lATION 1 EST" ^ XCyn +l ~Y) t~ It/ ^r P tEST DEPT )1 VJATER1NfiOLG TEST TIME DROP IN UVE17E9ZLEVEL-INC~itS RAF `tMIND lLS T- BcR INCHES AFTER 5WELL.If4G INTERVAL-MIN. - FEF3tOD 1-_„ PEHi,2 - PEA :DER INCH C) "i Ir ru PLOT PLAN: Sho=:v locatic-ir of percolation tests, soil borings and the dimensions of suitable soil areas. Indi¢ade scale or di stances._Ii.scriLa2+.vhat are tae hc-ri- il and vertical elevation reference points and show their location on the plot plan. Show the -,urface elexr~toon at sat! borings ar-dtf--, 6E ction an p:--c-4 slope. at STEM EILEEVATION i i f sr, I T A_: V, Y ) I x:/ t OE,6fns~t l ~cp e _ . i w , r 1-7 ± tGour- CA M rs })`~..UrF;] - signed, her?by certify that the soil tests reported on this forrn were made by me in accord with the procedures arO method .sp)ecified in'ttt-:!t~li;txnsin +i .+strativa Code, and that the data recorded and the location of the tests are correct to the hest of my knowledge- and belief. c'print):~ - - - _ TFSTSWERECOMPLE E0,0M: )iiritSS: ERI IFICATION NUMBEW P}-10NIE= NUGhG3FR(a,•E-onai):I .r ~ I y _ __-~'~_.e~ r~ ~ ~ ~ ~,Sa - _r.. 5,TSiGNATURE: _ i :)ISTRIBUTION: Original and one copy to Local Authority, Properly Owv;ler t)nd Soil If=,:j `-IR-48f>?'395 (R. 02,82) Eh? - :1 1 $ j J rt ~ d'"(4l C -TJ V ! J ~ .l -rn 14 11 r y~ 3 y ~ ~G h R r I ~ J JJ nd q~ n bcnc14 ,K - 5?IK ~ tAi i EN L Po t s i ~j }'J z y S t. O i -l r h J .J To J a k VcIvQfi ~-torso►~ c Q , SAY YLr Ma L LC, E No ~O:d HCIc- IQ.SI b ~~rcctot T<s•t 3a' tc X'c `-~1' Fc..^ tj .-o K r n 1 'h a- S .y~ .tom = ~ $6 r c 1, /Vi a r K l A1tfR~ugr Div y~~ S Y s•tt. VVI E 1 V = $ 2. 30 y~ ~WSJ`c'I ~r: il% 1d I h Prd i i V O U ~s• 3 ` ti Q q, a L y' T~>S i~Natl4l,;tC;,~~ BcncM M«+K -5?IK~ th! FEWt Post L;t ~t h1sc. ~~t i'r Z`iV 5•taur ROAD - - - - - -