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CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road r Hudson, WI 54016-7710 (715) 386-4680 7 V~ March 30, 1994 I, Pat Collins Department of Natural Resources 990 Hillcrest St., Suite 104 Baldwin, Wisconsin 54006 Dear Mr. Collins: Enclosed is a copy of the VOC water test results for Al & Mary Connors located at 396 Brookwood Drive, Hudson, Wisconsin. If you have any questions, please feel free to contact our office. Sincerely, `Jackie Stohlberg Secretary js Enclosure ST. CROIX COUNTY WISCONSIN - 1 A B IIIIN IItl B ZONING OFFICE ■ u~~~h I ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 ==y (715) 386-4680 March 30, 1994 Ms. Jenny Olson Century 21 706 19th Street Hudson, Wisconsin 54016 RE: Water results for Al and Mary Connors Address: 396 Brookwood Drive, Hudson, Wisconsin Dear Ms. Olson: Enclosed is the original water test results from Commercial Testing Laboratory, Inc. and the VOC's results from SERCO for a water inspection of the above property. If you have any questions with regard to said report, please let me know. ,,~~ncerely,~ Mary Jenkins Assistant Zoning Administrator js Enclosure COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 ,WiX CTY GOV•i;YR l0Ri I+AfLE 3 i CARMICHAEL ROAD ATION4 396 Brao4: 'LLECTCR: M. Jenl9 ATE COLLECTED: 3-21 ME COLLECTED: 1.3;: JfiCE OF SAMPLE: -C "-;7- 4'.7 .1 IfIc>j 349 F Sr f9~ ~s lop F. ~1yC,Ayy` OF.NDEGENppNl. '✓t i s . .1-ppr oved Lab No, 19 ;v . O y F 1 -SS PROFESSIONAL LABORATORY SERVICES SINCE 1952 SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 40973 PAGE 1 of 3 03/28/94 St. Croix County Zoning DATE COLLECTED: 03/21/94 1101 Carmichael DATE RECEIVED: 03/22/94 Hudson, WI 54016 COLLECTED BY : CLIENT DELIVERED BY : CLIENT SAMPLE TYPE DRINKING WATER Attn: Mary J. Jenkins CLIENT'S ID: Connors SERCO SAMPLE NO: 35874 SAMPLE DESCRIPTION: Conners I ANALYSIS: Benzene, ug/L <1.0 Bromobenzene, ug/L <0.2 Bromochloromethane, ug/L <0.4 Bromodichloromethane, ug/L <0.2 Bromoform, ug/L <0.5 Bromomethane, ug/L (Methyl bromide) <1.0 n-Butylbenzene, ug/L <0.3 sec-Butylbenzene, ug/L <0.4 tert-Butylbenzene, ug/L <0.5 Carbon tetrachloride, ug/L <0.2 Chlorobenzene, ug/L <1.0 Chloroethane, ug/L (Ethyl chloride) <0.4 Chloroform, ug/L <0.5 Chloromethane, ug/L (Methyl chloride) <0.6 2-Chlorotoluene, ug/L (o-Chlorotoluene) <0.2 4-Chlorotoluene, ug/L (p-Chlorotoluene) <0.2 Dibromochloromethane, ug/L <0.4 ~t 1, 2-Dibromo-3-chloropropane, ug/L <1.2 1, 2-Dibromoethane, ug/L <0.2 ,~•,~w' (Ethylene dibromide) Dibromomethane, ug/L <0.2 71 1,2-Dichlorobenzene, ug/L <1.0 (o-Dichlorobenzene) 1, 3-Dichlorobenzene, ug/L <1.0 _ ~:r• (m-Dichlorobenzene) < means "not detected at this level". 1 mg = 1000 ug. n MEMBER Ira 7 SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 40973 PAGE 2 of 3 03/28/94 SERCO SAMPLE NO: 35874 SAMPLE DESCRIPTION: Conners ANALYSIS: 1,4-Dichlorobenzene, ug/L <1.0 (p-Dichlorobenzene) Dichlorodifluoromethane, ug/L (Freon 12) <0.5 1,1-Dichloroethane, ug/L <0.1 1,2-Dichloroethane, ug/L <0.2 (Ethylene dichloride) 1,1-Dichloroethene, ug/L <0.2 cis-1,2-Dichloroethene, ug/L <0.1 trans-1,2-Dichloroethene, ug/L <0.1 1,2-Dichloropropane, ug/L <0.1 1,3-Dichloropropane, ug/L <0.2 2,2-Dichloropropane, ug/L <0.2 1,1-Dichloropropene, ug/L <0.2 cis-1,3-Dichloropropene, ug/L <1.5 trans-1,3-Dichloropropene, ug/L <0.9 Ethylbenzene, uq/L <1.0 Hexachlorobutadiene, ug/L <0.3 Isopropylbenzene, ug/L, (Cumene) <1.0 4-Isopropyltoluene, ug/L <0.5 (p-Isopropyltoluene) Methylene chloride, ug/L <5.0 (Dichloromethane) Naphthalene, ug/L <1.0 n-Propylbenzene, ug/L <0.4 Styrene, ug/L <1.0 1,1,2,2-Tetrachloroethane, ug/L <0.2 1,1,1,2-Tetrachloroethane, ug/L <0.1 Tetrachloroethene, ug/L <0.2 Toluene, ug/L <1.0 1,2,3-Trichlorobenzene, ug/L <0.2 1,2,4-Trichlorobenzene, ug/L <0.2 1,1,1-Trichloroethane, ug/L <5.0 < means "not detected at this level". 1 mg = 1000 ug. MEMBER Ica, 7 SERCO Laboratories 1931 West County Road C2. St. Paul. Minnesota 55113 Phone (612) 636-7173 FAX (612) 636-7178 LABORATORY ANALYSIS REPORT NO: 40973 PAGE 3 of 3 03/28/94 SERCO SAMPLE NO: 35874 SAMPLE DESCRIPTION: Conners ANALYSIS: 1,1,2-Trichloroethane, ug/L <0.1 Trichloroethene, ug/L <0.4 Trichlorofluoromethane, ug/L (Freon 11) <0.7 1,2,3-Trichloropropane, ug/L <0.2 1,2,4-Trimethylbenzene, ug/L <1.0 1,3,5-Trimethylbenzene, ug/L <1.0 (Mesitylene) Vinyl chloride, ug/L <1.0 Total Xylene, ug/L <1.0 ~fFthose This sample's analytical results arbelow the U.S. EPA's SDWA Maximum Contaminant level of 1/30 requested compounds which are also on the SDWA MCL list. The analytical results in this report pertain only to the items tested. All analyses were performed using EPA or state approved methodologies. Samples that may be of an environmentally hazardous nature may be returned to you. Other samples will be stored for 30 days from the date of this report, then disposed of by SERCO Laboratories. Please contact me if other arrangements are needed. This report may not be reproduced, except in its entirety, without prior written approval from SERCO Laboratories. Report submitted by, Diane J. A Berson Project Manager < means "not detected at this level". 1 mg = 1000 ug. MEMBER ST. CROIX COUNTY WISCONSIN ZONING OFFICE HINDU d ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road - - Hudson, WI 54016-7710 (715) 386-4680 March 21, 1994 Ms. Jenny Olson Century 21 706 19th Street Hudson, Wisconsin 54016 RE: Septic Inspection for Al and Mary Conners Address: 396 Brookwood Drive, Hudson, Wisconsin Dear Ms. Olson: An inspection of the septic system on the property of Al and Mary Conners located at 396 Brookwood Drive, Hudson, Wisconsin, was conducted today, March 21, 1994. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Also water samples were taken. Once we receive the results we will forward the same on to you. Should you have any questions, please do not hesitate in contacting this office. Srcerely, Mary J. Jenkins Assistant Zoning Administrator mz 's C~(us ncc L4/2 /2C) C, LA ST. CROIX COUNTY j ~r WISCONSIN h 1 U _ - * •---ZONING OFFICE ST. CROIX COUNTY COURTHOUSE Al-.;.~. ate.-+,. <•r . ;Y 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. ~outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. Water VOC's ( ) $185.00 ~ septic $ 50.00 a; Water (Nitrate & Bacteria) $45.00 (Visual inspection) ~f Owner: Pl w tnrtrx ~c?n~~eis Requested by: JennV (°~/~c 7 Address: Address: -700, 11177- Si •Sn City & State: /~z.'c?cSc-~~ , to/ City & St. /4--r/sc-) , GL>, Zip Code: cic~~co Zip Code: -S~ ic~7c c Telephone N°: 7(c,-)i Telephone N°: ('7/;)4lr 61'20-7 Property address (Fire N° & Street) : -359(r Location: Sec.", T N, R__~q_W, Town of tfrcwsn St. Croix Co I. Tax ID ~cParcel ID N° ~Gu r %~1°~ ~ House co or:$)oze^j) Realty firm: E'~il<c,zcj -LJ Lock Box Combo: Water sample tap location: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMIC Is the dwelling currently occupied? Yes ❑ No If vacant, date last occupied: Septic system installed by: no Year: Septic tank last serviced by: 191 ~WL<'5 5( e:~ Previous Owner's Name (s) : L kv_, Fu 4 1~ Have any of the following been observed? ❑Y U44 Slow drainage from house. ❑Y UW Sewage Back-up into dwelling. ❑Y 191'4' Sewage discharge to ground surface, road ditch or body of water. ❑Y Slow drainage from the dwelling.. ❑Y Mil' Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. , OWNERS SIGNATURE: ~C DATE: /2 Z i OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION Ali 1 1 TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? []Yes ❑No Soil series per SCS Soil Survey: sheet Type of soil absorption system: Melow grd ❑At-Grd []Mound Approx. size 'X []Gravity []Dose []Pressurized Ft.' []Bed []Trench []Dry Well []Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES []Other []Unknown Septic tank Setbacks: []House V, []Well []Prop. line t- []Other Dose tank Setbacks: []House []Well []Prop. line- []Other []Locking cover []Warning label []Pump/Floats []Alarm []Elec. wiring Soil Absorption System Setbacks: []House []Well []Prop. line []Other ❑Ponding: _ []Discharge: General comments: ~t INSPECTORS SKETCH OF SYSTEM LOCATION _ i III Inspector U' 4) i o Title rt a AS BUILT ;)AI I •I ARY SY'STi-:M It1:1'OR A U W N 1': It ' 1' U W N 1j It l I cull, AUUKL•:SS~ s'1' . C1tU 1 X I:UUN'1'Y , W 1 :~t:UN:; 1 N _ ' SUBDIVISION LUT-- v~./- LOT 11; LZL I' IAN V lLW 1)Lataneea and dituenaiona LO utcct ru.IuiruutuutL, ul 116-A -L 1 "THING WL'111IN 100 FLEA' OF J"E -1 T- -I I - - j < I t I i OW I tl otthi AL r a e I rw SiCALL V-" r - t .--3- ---~-J BENCHMARK: (Penuanent reterenci~: Put.nt) I)euci--Lb J -7-no °rooI/ Lievation of vertiCa,,l,.retCrence point at ~At SEPTIC TANK: Manufucturer:~~s - Ltclu.ld Lap,i i t y -,X~0C~ bluutber of ringa on cover j Tank matiltole ..+)vc,t uloval Ioli 'rank Inlet: Elevation: "1•uttk Out Ic.! I;lc•val t,-+n PUMP CHAMBER Manufacturer : NLuab~ i uI ~a ( l ultu IJumbrr of gel. pump bet for 4t Cycle__ I;al lent;, tut'tl cal,~,~ l l y of diutribution lines ha1lou o-3icu of pump gallon per minute horaupower I~t tlt~ ntuu.• ,I 1) L11111-) and u►oda l nuutber Type of warning, device HOLDING TANK: Manufacturer Nuiulic•1 I L;aIluii:. K?levatlon of manhole cover I'ytt,r_ cif warnln6 device SUPAGE (PIT S LZE : Numbc• r t) t p-1 1 I l 1 i .tnu 1 feet liquid d~pt1► tiuupatte pil lnlul I,ipc c tcWtl tun bOLLOul Of denpaKe p1t elevat 101k Lc.~l i d.,I)t It SEEPAGE' M'D SIZE: r►ruttl~ur Of I t ++ca ~ w t +11 l+ SLGYAGIL TR LNCti . width tune t PERCOLATION itArE A!' IW I LT DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P, 0. BOX#79i9 BUREAU OF PLUMBING MADISON, WI 53707 R1 CONVENTIONAL ❑ALTERNATIVE IS,,,, Planl.DNumber: Ilf assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. F4DDRESS OF PERMIT HOLDER: INSPECTION DATE. Dave Crawford ~~2, Willow Ridge I, Hudson, WI l- ~o BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN T own Q REF. PT. ELEV.: CST REF. 'T ELEV. SE SE, Section 18,T29N-R19W,Lot2l,TroutBrookWoods, Hudson Name of Plumber. MP/MPRSW No.. County Sanitary Permit Number. 1614 St. Croix 38451 I A. a a SEPTIC TANK/HOLDING TANK: e MANUFACTURER. w LIQUID CAPACITY. TANK INLET ELEV„ TANK OUTLET V WARNING =LAB LOCKIf~G C E P EPRO pE r+ ' \ 7-1 NO EYES BEDDING'. VENT DIA.: VENT MATL.. HIGH W NUMBER OF ROAD PROPERTY WELL JBIILDING. VENT- FRESH ALARM FEET FROM LIN ^ i I f Al I ❑YES NO S NST i/A' DOSING CH MBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP M DEL PUMP/SIPHON MANUFACTURER i' ARNING LABEL LOCKING COVER KAT PROVIDEDPROVIDED❑YES LINO ❑YES LINO ❑YES NO GALLONS PER CYCLE PUMP AND coNTR s pE noNgL NUMBER wELL BuILOING JvENT To FRESH (DIFFERENCE BETWEEN FEET OM AIR INLET PUMP ON AND OFF) S NO REST SOIL ABSORPTION SYSTEM. Check thesoil moistureat the depth plowing EryGTH MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construct; IT shall ease until J4~~ the soil is dry enough to continue.) CO NVENTIONAL SYSTEM: BED/TRENCH WIDTH n L NGTH NO DISTR PIPE SPACING COV ~fL UE DIA #PITS LIQUID TRENCHES . MA~F IAC v PIT DEPTH DIMENSION I " ' t l- . H FILL DEPTH DISTR. PIPF DISTR. PIPE DIST PE TERIAL NO GRAVEL DEPT . DIST 'NUMBER OF PROPERTY WEWILDI ENTTO FF FEET FRO LINE BELOW PIPE A V COVER ELEVINLET ELEVEN - ) PIPES i . I NEAREST-M ► - ~ MOUND SYS EM: Mound site plowed perpendicular to slope Check th Etexture of the fill material for P VIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound, stem to make certain that it REVERSE SIDE. SHOW ELEVA- mee he triter; for medium sand. 'IONS MEASURED. ❑YES LINO SOIL COVER TEXTURE ! PERMANENT ARKS S JOBSERVATION WELLS jf YES LINO ❑YES LINO DEPTH OVER TRENCH BED DEPTH OVER TRENCHBED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES r° S C O ❑YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. / NO.OF LATERA SPACING. G y DEPTH BELO PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DIST . PIPE M IFOLD MATERIA NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.'. ELEV.'. CIA ELE PIPES DIA.'. ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT V COVE MATERIAL PLANS ❑YES NO ❑YES LINO COMMENTS: ftA ERMANENT MARKERS: OBSERVATION WEE S: NUMBER OF L PROPERTY WELL. BUILDING. FEET FROM IN E I C j ❑YES LINO ❑YE LINO NEAREST- f 1 O Q Aex- "Q" E , ti 1 Sketch System on t' ✓ is RetaiV---C-ounty file for audit. Reverse Side. SIGNATURE - a.-~ TITLE. DI LHRSBD6710(R.01/82) I DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY ~ DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/z x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: ~ Mailing Address: 1? d ~'~C`4LtAlVP h r. Z Zt)l j T C. -5~~ ,~1 Lc;t f Property Location: 5'E' t~4 SE t~4S ~ ~ City, Village or Township: County: iT 4 N/R [ E(or W 1fllp.SCiA.) Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: z.../ r- t1 State Plan I.D. Number: TieCty /~+PnQ~ Ct7Dd~,/f 1! r IMOO& 40S / (if assigned) TYPE OF BUILDING El Public* . ❑ Variance* 1:1 Other (specify)* Number of Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE STEEL FIBERGLASS INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY /r HOLDING TANK CAPACITY NA LIFT PUMP TANK/SIPHON CHAMBER - MANUFACTURER:J EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA tls~ (Minutes per inch): PROPOSED (Square feet): ,r>> New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit ❑ x Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public F e undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. e of Plumber. Sign r(vLK~ MP/MPRSW NQ.: Phone Number: Plumber's d dress: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: FFe: Date: ( Sanitary P~F/ mber: / ^ C1 )9-a -3 :PPP ROVED {P PPROVED 'dj~ Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) Form - 5 T C 100 Owner of Property (,l Location of Property 5L, 4 ~ ~4, Section f ,T_3 N R_'q_W Township l c Cy Mailing Address n~ uitlir Subdivision Name C10 Lot Number Previous Owner of Property )4. Total Size of Parcel -2,2q Date Parcel Was Created Are all corners identifiable? Yes No Include with this application one of the following: ,4, . Certified Survey Map .Deed .Land Contract, or .Other I:egal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed-record g in the Office of the County Register of Deeds as Document No.. and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of th e County Register of Deeds, as Document No. 5 TUBE OF OW ER SIGNATURE OF CO-OWNER (IF APPLICABLE) A E SIGNED DATE SIGNED F FETY & BUILDINGS ~ ~ INDUSTRY, ENT OF REPORT ON SOIL BORING DIVISION 1 19(8 P.O. BOX 7969 LABOR AND PERCOLATION TESTS( ; 5) 18 HUMAN RELATIONS ADISON, WI 53707 (H63.09(1) & Chapter 145.045) U©N/N6 r LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: L jVO.:BLK. SUBDIV,I N NAME: SF '/a '/a /T)qN/RI E(or W Se~~,1 T COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER LATION TESTS: Residence 3 ! / / New ❑ Replace e3 , JI 1 5,"2,Z - fall" S•~. /T• (1,9;e`3 Aele 3 8eWovAjs~ RATING: S= Site suitable for system U= Site unsuitable for system NIS VENTIOll MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) ❑ S ❑ U $ FA U ❑ $ U EIS Z eaveE.o id~tJ L : ep • a- DESIGN RATE: ' I~~--• R` If Percolation Tests are NOT required _ ~ I If any portion of the tested area is in the /ICJ under s.H63.09(5)(b), indicate: 1SJrae. Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS '7'Y/DE5 ~ ~iC' l 7 J f. BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH b NUMBER DEPTH IN, EgLEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- /~0.2 ft ,/(v b" Die, $p. LS, <(c" /U, 1-5, /yN "'f//"OrP.SL (NO Mdls PdL SA "De y Z C Ff lI ° 515444011 Y WFT (D" 50-6y. 45, f3N. 1-6, 26p " 0, L5, /1" SitTy LoRM 101441 ~ 1)157'A e'T 0 B B ~7 9~ 2, ~~tJ` f3~4w~r. 41"- s 12-6Y Mors 9 - RA3.:9 cs 3 91 ~bv 10" SEASor OY 6" 13N.-Gy. 1-5' 23" 0,345, 3/"OR,fllCck/' SLR /0"&,PAY $iir m B- 17o tmr GQ•l W~RM Wi'li PRomi"toT cOJ.05E oQ-6y MOTS lop a(y-RAJ 9R C5; too _ F ~..~N„G~/ G5, 10"oR- N GS, /(p /3A/. $L, II "Gt /3,~.G5, r ~ B-~ lea 9y oo- 9i 1 Pelt U C5 , FT ~j 8' 5Eg5omily 7"6,V,-6y tS Z/ "6'V'L5 OR-A/i. 5Z_ /3" N FBT 80 q l 776 Tr/%q'AV 5.4AVY 54r wo444 yh aiSTIr CT 0Q-RJ-9Y Mors Pale -B w -DQy CS - N B- Pac DEPf% /N )OrireT PERCOLATION TESTS TEST DEPTH WATE IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFT SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH b P- C~(n. Z S. 2 ~i l , iv y P_ EE e, ~nA 4 # iV V rES~ 'h P_ 2- o Z, 0 Z < o P- P- 3 S3 / r i 2- 1} 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. /3DrTOM ~ ACP E-V-AJ rlov Aill Pe y-~y Fr flow ~FRr1cRj "EF REUI~ SYSTEM ELEVATION Poor, Ar E IEvAT)00 o f q Fr• I Imo" ' aP - 5Lof3 EAs f 70 20 f m ~ E €~mm 1 So oR ' 32 ~ E OPP M 'No o f IR; ~x 3 3 r C 5 _ o~► F $ AIldir ✓ _ _ Lo[AT G vE fi~til L'E R~.vcE 'oi uT /3 n,t£ # , ~r~~ Pf-ky3 54Ar* JAA).If 19,'3 REpoer- ~o~ F. f. o s~PF 8 Sat TEST l~1n4~'t6~u mS in f~l7i D I, the undersigned, hereby certify that the soil tests reported on this form were made by accord with the procedures and methods specified in the Wisconsin Administrative Code, and that th data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: /V 11.03 ADDRESS: a CERTIFICATION NUMBER: PHONE NUMBER (optional): 02 ipzo CST SIGN R E: b. DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 50 L SV jll f"AJ & To SE' C0117 Or&" 0411A* DI_HR-SBD-6395 (R. 02/82) - OVER - gRANr 0A.1 MOP 7-1, F AIV, q nr4p (Aec'4 o~ z 13oPr 4~ 5= Oa~ 7 1W .~wth,._~:u`T,C~.-~C?~ P~. Cl~~ •'~~1~~~~ V~.`~ ~ ~.~t~d'4~3. 7'~'~.~~~.~.'f~`~~`'!` 1~•~~. '~;~°7 J.`~ 'S K', E =sF,= Iod C I D VI , 5 P'; - t =iii i3 y ( ~ rt u r ~ =t ,••°r i t'E tr L'47113 o f2~ /r A C/:~-+j GEG~"~~s` 1f'~~95 t'r Z/ / fVlE' /e£/9~ lri/,-t DFPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N, WI 7969 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: t SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: N AME: C a a / / /T ~/R E (or) W C OUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: ~ C 1'.~` /'A ""J .c t ~P(a, l -il c 7 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence XNew El Re lace LlAd. RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUNDPRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED _SYSTEM: (optional) OS U ®S ❑U DS MU ❑S~U ❑S [9U U. If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the nor under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: I-% JCtC~.'C~ 14Q0kkE-.1 rZ Yr] PROFILE DESCRIPTIONS &vk1k,1 9/- ~,f g ty e, /C?c~/L 5 _ BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- Ae- i[_ tap d_1 fP, "el-el-x. fac°rs fif'G.y Sc Gy O f.Fo.-, B Ir /C% dC S~'IT h A P ?~'e~,,;Oe_A;T- e T Ce)y-1 e,v B A411/3 V I~'.~. r r. (•e.yAyCv a-& fCrS l3 ` Ps.>QC -80 e ;N- 5-, 7"c„F, S I- / 0A S.LT &u yY, B- T (L' .Mars ~i°fT~;cr[c!yH0.1 oQj f\ -4 14 BO yZ-, ~,"64, ~J -16.4, S1- d-ve . S f ck' , Mer AI' fL qr " -lo 73" fd&t 5/L/' jVJ;Y, iDk'ORt,`,U~ f1i ~c"flMc~,v y ~ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER EVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PE D2 PERIOD3 PERINCH P- P- P- W4 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- 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. 44 r_ SYSTEM ELEVATION t" ) q. - Ta IPA 5 LVAF _L Aj ~ i ~ i gyp' ~ ~ I Al 'Id Zk f It 5 t e' poi i 41AJ C c Sze N E r1 - _ e. 3 _ 3 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 thq54a.-~,ibcgrtWckand the }gcivion of the tests are correct to the best of my knowledge and belief. NAME (print): ~iC~R6 . TESTS WERE COMPLETED ON: 5 Co V 2- ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 0W ~ITZ_ 4% _FC fON r .a r CST SIGNATURE: Gfftje' DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER -