Loading...
HomeMy WebLinkAbout020-1149-50-000 n cn O C v n m m ° 3 r. m 0 h v c (D m # co m 3 - 3 sv C7 O N cNn o w p c W N `C • A7 Co _ n p 00 rl) D 07~ C lD Z n D p 7 ~-h A fJ (D f N 0- a O Co N 7 . CO° O \ 1 CD C-n CD 0 :D CD (OD 0 Cn C ro v ~ O 3 O 3 N n O O• N C C`S ~ Q d ~ 7 m D a 2 N a N cn x ~ C"1 m cfl N W n O N l b o m c CD co (.n lot m ~d O 1 ` (D rt n N D m 00 co c m e N t N w w° ~ 0, *t m H O E N L~ Z ~j W H CT] v fl: N L7 W vo !2i z O O O ~r H H 00 rt O N-0 cn a N ° ~-c-~A ~o t v cn to N o c t'i Z ~ r_- v av v v rn~ trJ (D O ° m m v m t7 £ m m 11 :3 Z m a N O w G 3 N v, z D z m 00 1 = ° z W zQ1 W D O O lV W O n co @ cD N W x n H 'm .Z7 -0 ~ 0 G O N Lei ° CC N R. G c N n O rt I fl rt ~1 Z (D -j cn O p Z CD H U1 ~D C/1 A Z O p (D Cn N m m N w W .3' C O GW Z p b b H p - U U) w F-- m O v N Z QQ (D ? (D w a o Z3 c o a m N w Zll I A a I i w N O O a O O A r O 6q m '69 q ° o G `°y a Parcel 020-1149-50-000 02/23/2006 10:04 AM PAGE 1 OF 1 Alt. Parcel 33.29.19.803 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - COIL, ALLEN & BARBARA ALLEN & BARBARA COIL 607 COUNTRYSIDE LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 607 COUNTRYSIDE LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.940 Plat: 0215-COUNTRYSIDE VILLAGE SEC 33 T29N R19W COUNTRYSIDE ADD LOT 17 Block/Condo Bldg: LOT 17 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 92671 262,900 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.940 78,800 189,300 268,100 NO 05 Totals for 2005: General Property 2.940 78,800 189,300 268,100 Woodland 0.000 0 0 Totals for 2004: General Property 2.940 34,700 167,000 201,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 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 i i' PLOT an8 C 5 STIO PANS QoR~ ~3oR~ Z i 4 i ~ f fl l T{ n 71- z y 11'C~ VIC m - _ 510 5 z5 r -~Y f ISO 30 yar~yi II Pao J F67- Vi,V ,fic, 7 ~ ~ - - - - - - - - - - -i - - L l Coo ~""kj 7 vj25oJ '/tuVS~1 . ST C,~o1,ts' q'7 reef. PT 4por / 5 rp ~E v cur y Trv= c ycM F's 1r' oN -pPiOcWA'/ /.CAVED Co 7- CZ~ .TEA TE rrj VA-1-100 = 137.37 Fresh Air Inlets And Observation Pipe N0'0fi{' Lv7" Approved Vent Cap Minimum 12" Above Final Grade 4" Y)-" Above Pipe Cast Iron Vent Pipe -ro Final Grade pQ~ Marsh Hay Or Synthetic Covering c~ TE5T Min. 21' Aggregate Over Pipe distribution Tee < UAT IOQ o 0000 cf✓ ( C rJ Pipe Aggregate a q L I Beneath Pipe Perforated Pipe Below 0 Coupling Terminating At I IU Bottom Of System AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC .T-RjW ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 1463 W_ EVERYTHING WITHIN 100 FEIE'T OF SYSTEM o~ t P ~ ? - - - - - WE _ i N oni v nPlZ - - - I di ate orth~ A roe 4 b_. BENCHMARK: (Permanent reference Point) Describe:: Elevation of vertical reference point: Yj J / Slope at site: b /do D SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings on cover : Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cycle gallons; total capacity o distribution lines gallon: size of pump head; gallon per minute horsepower brand name of pump and model number ; Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number o pits feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines s width length,, the depthAj! SEEPAGE TRENCH: width length PERCOLATION RATE, AREA REQUIRED AREA AS BUILT / INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER t> 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% 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 +11X. /V Property Location: City, Village or Township: County: '/a 5E '/.s 33 J Z7 NCR E (or) ~~C11 SG;<.l Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I D Number: j '~T (If assigned) l / ftt~~~L~a~'" jv- TYPE OF BUILDING U/ Number of El Public* ❑ Variance* ❑ Other (specify)~~~`~Lf/Y Bedrooms: 91 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY y( r) HOLDING TANK CAPACITY a. LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: t T'Lr_Y.. EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental Seepage Bed El Seepage Pit 0 ' . ,f1, N Alternative (specify) ❑ Seepage Trench J r } Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): 4Private ❑ Joint ❑ Public VC/"57 J grI,V I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: SignatuS MP/MPRSW No.: Phone Number: (JrS'T 3 z~sc Plumber's Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signat re of Issuing Age t: - J Fee: 4 Q Date: APPROVED Sanitary Permit Number: In 10 4~~ ~f 3_jy3 ❑ DISAPPROVED 7 G P 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 - S '1' C 1 00 Owner of Property A!! ira~ Z Location of Property_9 _t c 4i Section- T 2-y N Rj_~_W Township Mailing Address Subdivision Name_ 1* >Q ~ Z,/7-,CC/ E Lot Number r 7 Previous Owner of Property 1i 4&n;- 5'6-m)-- Total Size of Parcel 2 . Date Parcel Was Created Are all corners identifiable? Yes No Include with this application one of the following: .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 recorded in the Office of the County Register of Deeds as Document No. _~L_~_~M ; 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 the County Register of Deeds, as Document No. MNATGRE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED JEPAR _MENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUS.[ RY DIVISION P.O. BOX HUMAN RELATIONS PERCOLATION TEST) (115) MADISON WI 53707 LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: SE ~/4SE/4 33 /T 2911/11 19EM) W Hudson 17 - ountr side Village COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix Francis H. Ogden 1123 E. Elm St. River Falls Wi. 54022 USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMERCIAL DESCRIPTION: Residen New PROFILE DESCRIPTIONS: PERCOLATION TESTS: ce 3 ❑Replace I 7/26/82 None RATING: S= Site suitable for system U= Site unsuitable for system rCONVENTfflONAdL: MOUND: -GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) 0 SEs ❑ UIN ❑X S❑ U ❑ S[EU ❑ S EJU Conventional Bed If Percolation Tests are NOT re uired DESIGN RATE: SYSTEM EL V. Q I If any portion of the lot is in the under s.H63.09(5)(b), indicate: 10 932.4 Floodplain, indicate Floodplain elevation: N/A CLASS 2 PROFILE DESCRIPTIONS PagQ 66 BxD2 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- 1 105 936.5 None a 105 18, Bn sl; 19, Bn is; 68, Bn s $ Gr. B- 2 103 935.9 None '>-103 19, Bn sl; 21, Bn Is; 63, Bn s $ Gr. B_ 3 111 936.9 None > 111 15, Bn sl; 16, Bn Is; 80, Bn s & Gr. B_ 4 106 935.4 None 106 7, Bn sl; 13, Bn is; 86, Bn s Gr. B- 5 101 937.7 None > 101 16, Bn sl; 07, Bn Is; 78, Bn s & Gr. B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P- P- NONE RE UI PER H63.09 5 b P- P- P- P- PLAN VIEW: 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 slop. " iron pipe at the end of curve. SYSTEM ELEVATION 932.4 Be 4 LEGEND o • 211 IRON PIPE FOUND. 6 6~ B-2 1 40r ° - - - B-8 BORING NUMBER AND d T _ o ° SITE. LOT 16 6 0 40 o / B°3 LOT 17 0 5$ , 0 SS Bas GIATAL Z6 _2, 55? 00 7% . 3% gSo 47.7? B~1 3 BENCHMARK 937.37 I BLUE MARK 0 TOP OF. 2' IRON PIPE AT BEGINNING OF CURVE NORTH END 0 CULVERT APPROXIMATELY 55' NORTH OF SW CORNER. I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative 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: James T. Swanson 7/26/82 ADDRESS: Ogden Engineering Co. CERTIFICATION NUMBER: PHONE NUMBER optional): 123 E. Elm St. River Falls Wi. 54022 55-2152 (715)425-7631 ~ CST SIGNAT RE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) I7~ DEPAR_WERIT OF REPORT ON SOIL BORINGS ETY & BUILDINGS INDUSTRY, r' DIVISION LABOR ANj?. PERCOLATION TESTS (11 ; 'In' P.O. BOX 7969 HUM,yN RELATIONS \ r ~ZISON, WI 53707 AMENDED (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT t . N0.: N NA E: 1~ ~ /T 29N/RLq1(.,)W1 Hudson 17 unt sdVilla e COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: St. Croix Allen Coil 409 Second St. , Hudsof~c?-"' "l USE DATES OBS ADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: ~PROFILE DESCRIPTIONS: PERCOLATION TESTS: ®Residence 3 New ❑Replace 7/26/82 7/28/83 None RATING: S= Site suitable for system U= Site unsuitable for system tl-- CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOfvIMENDED SYSTEM: (optional) ES ou E S ~U x0 S El U S ©U 1:1 S EEO Conventional Bed DESIGN RATE: If Percolation Tests are NOT required If any portion of the tested area is in the NSA under s.H63.09(5)(b), indicate: 10 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- 1 8.7 936.5 None > 8.7 18, Bns 1; 19, Bn IS; 68, Bn s & gr B- 2 8.6 935.9 None >8.6 19, Bn sl; 21, Bn Is; 63, Bn s & gr B- 3 9.2 936.9 None >9.2 15, Bn sl; 16, Bn Is; 80, Bn s & gr B 4 8.8 935.4 None >8.8 7, Bn sl; 13, Bn 7_s; 86, Bn s & gr B- 5 8.4 937.7 None >8.4 16, Bn sl; 07, Bn Is; 78, Bn s & gr 934.1 None >8.0 13, Bn sl; 19, Bn Is; 64, Bns r - 7 8.0 933.9 None 8.0 14, Bn sl • 21, Bn is • 61, Bn s PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P- P_ NO REQUIRED PER H63.09. 5 b _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. Original 932.4 U) ono 0 2" iron pipe at the end of curve. SYSTEM ELEVATION Alternate 930.5 B-6 Q) t✓ to B-7 LEGEND RON PIPE, FOUND. 2'' I C~TFE 6 1 6' B-4 TE 150 B-8BORING NUMBER AND SITE B-2 LOT 16 • f 6 % LOT 17 - ORAG-INAL _ N / 53, - 74.6'/ 10 B-3 38.4, r✓ so ° B-5 8 N less oo B-1 _ e BEN 937.37 / w • BL MARK ON 4CVERT / i 2" IRON PIPE AT BEGINNING OF CURVE TH END OF APPROXIMATELY 55' NORTH OF SW CORNER I, the undersigned, hereby certify that the soil tests reported or 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 (printl: TESTS WERE COMPLETED ON: James T. Swanson 7/28/83 ,ADDRESS: Ogden Engineering Co. CERTIFICATION NUMBER: PHONE NUMBER (optional): 55=2152 (715) 425-7631 CST Sly NATURE:,! ~J r i s, r .4Ctt,E £ t C.~t ;fiy _ . SIT!- a€r 1P.A,BLE FF i ~HN TAI N_ A ittb (.igf ~a., ¢a a..,i r+l t..('. _146 S>l? v'7.1 t t{9i ,j atJ F"te S)~, a E.., ..€a~,-:.i€~~€. f?1{ €xia 3l,.]ii2P 3 iPt€ t2I mot, r. c4 tt; ,cafe A t,etnnyhl nj?ia tr f as 3'.i. ft:.' €;°6 no; j0c, F< A Q,x ft PIt k Ji l,azF t=.,; 4`.[t. F' F ,.ca ~1. ..~-)U r0 , - 'x F e• c" c S, oo-, E z _se E ,`r e" sE DEPART',lEN1' OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 EXCONVENTIONAL ❑ALTERNATIVE StatePlan1.D.Numb- (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Allen Coil 409 - 2nd St., Hudson, WI -o?43 l ;3Q BENCH MARK (Permanent reference pointl DESCRIBE IF DIFFERENT FROM PLAN. Hudson own s 1p REF. PT. ELEV.. CST REF. PL ELEV.. SE SE, Sec. 33, T29N-R19W, Lot 17,Countryside Village Name of Plumber. MP/MPRSW No.. Cou my Sanitary Permit Number. A. Zappa 1614 St. Croix 34824 SEPTIC TANK/HOLDING TANK: MANUFACTURER . LIQUID CAPACITY. IT A INLET LEY.. TANK OUTLET ELE IWARVJ IN LABEL LOCKING COVER PD. PROVIDE A 9_J5 o C J YES ENO EYES ENO BEDDING: VE DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL . BU DING. VENT TO 7FH ALARM FEET FROM EYES 0 Np NEAREST n e DOSING CH MBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LAB~fo LOCKI COVER PROVIDED. PROV ED: EYES ENO EYES ES ENO GALLONS PER CYCLE: PUM P AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUI DI ~O FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) EYES ENO NEAREST 30 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LEN(,TH DIAMETER JVATIHI AND ARKIN or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH. LING TH NO. OF DISTR. PIPE SPA ING. COVE INSIDE CIA #PITS LIQUID BED/TRENCH !J TRENCHES MA IA : PIT DEPTH. DIMENSIONS ((1 GRAVEL DEPTH FILL E H II PIPE DISTR PIPE DISTR. PIPE M ER)NO. T NUMBER OF PROP TV - WELL. UI G: VENT TO FR H BELOW PIPE ABO C VER II LE i EL V E PIPE E LI N -A At N)IE T: L~ 2 FEET FROM f NEARESTs 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 m ke certain that it ON REVERSE SIDE. SHOW ELEVA- E meets the criteria for edium sand. TIONS MEASURED. YES ENO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS YES `ENO DYES ENO DEPTH OVER TRENCH: BED DEPTH OVER TRENCH/BED DEPTH )F TOPSOIL SODDED SEEDED MULCHED. CENTER EDGES. YES Le<Nol EYES ENO EYES ENO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERA SPA I GRA EL DEP BE OW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIP 17/ OLD ATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV. ELE V.. DIA. ELEV PIPES. DIA.. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MA ER AAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS EYES V ENO EYES NO COMMENTS: PERMANENT MARKERS: ICIII61-HVAIION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE EYES ENO EYES ENO NEAREST l~ C. Sketch System on Retain county file for a Reverse Side. SIGNATURE: TITLE. DILHR SBD 6710 (R. 01/82) T Y, OF REPORT ON SOIL BORINGS AND SA ETY & BUILDINGS IN@(JS NDUSTRY, DIVISION LABOR AND 1 P.O. BOX 796 ) HUMAN FELATIONS PERCOLATION TESTS (115) AADISON, WI 53707 - AMENDED (H63.09(1) & Chapter 145.045) LOCATION: SECTIWT TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: ',ION NAME: )N/R191(or) W Hudson L__j_- Co>mt ide Village 2c I SF. /4 SS /T COUNTY: OWNER': BUYER'S NAME: MAILING ADDRESS: St. Croix Allen Coil 409 Second St., Hudson, Wisconsin .-1401() USE DATES OBSERVATION', MADE NO. BrDRMS.' COMME(TCTAL DESCRIPTION: _ PR I I E DES( fil l( FR 0-EA~IC) TESTS (Residence 3 -INew E (Replace 7~26~82 7/,~8/i None RATING: S- Site suitable for system U Site unsuitable for system CONVEEi WIGN-A-l MOUND IN GROl1Nf}PREtiSIJIiI'. -VTU /WI-IN FILI t-T-is utinu.dl [_a S A s c-juu I S lu L as [X Iu clu C(,Ilv('Rt 1,011:11 Ik',i If Percolation Tests are NOT equired DESIGN RATE: If any portion of the tested area is in rile under s.H63.09(5) ( tl, indica e. l(~ 1 I Floodplain, indica e Floodplain elevat )n: N/A PROFILE DESCRIPTIONS F30RING TOTAL -D EP 111 TO GROUNDWATFR IN('HE`; CHARACTER OF S011 WITH FHICKNES:;, COI R. -T I X 1 RE, AND DEPTH NUMBER DF1'1H IN. ELFVA. IOIV~ (WSrRVU) 1 7T--TTI(m `j TO BEDROCK IF OW;I-ItVFD 1:,1 I /\I I1V ON I. CK.l B- 1 8.7 936.5 N'me >8.7 1.8, Bnsl; 1.9, kii Is; A, Ian s gr B- 2 8.6 935.9 N )ne >8.6 19, Bn sl; 21, Bn 1s; 65, Bn gi- B 3 9.2 936.9 None >9.2 15, Bn s-1; 16, Bn Is; 80, 13n s t; gl- B 4 8.8 935.4 None >8. 8 7, Bn s 1 ; 13, Ni Is; 8b, Bn s t; gr B_ 5 8.4 937.7 None >8.4 16, Bn sl; 07, Bn ls; 78, Bn s $ gr Bn' s r l None >8.0 13, Bn sl; 19, Bn is 64, 7 8.0 933.9 None > 8.0 114, Bn sl • 21 Bn 1s; 61, Bn s F3 r_. PERCOLATION TESTS TEST DEPTH WATc-R IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE r.11NUTES NUMBER INCHES AFTERSWEI_LING INTERVAL-MIN. PERIOD 1 P RIOD2 - P Ri-- _ PER INCH P- - P- P- NO UIRED PER H63.09. 5 b _ 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. Original 932.4 N 0 2" iron pipe at the end of curve. SYSTEM ELEVATION Alternate 930.5 B-6 tj 1 B- LE(;I ND 3~Zr 1`~ 2'' IRON PIPE, FOUND. i 6 ~6' B-4 ALTEIMTE is % B-3 BORING NLNBER ANTI M B-2 SITE. LOT 16 • Sri' t32 O LOT 17 ~jNar. - t N E q 14,6y1 Sir le ti 1 B-3 38.4' ' .9 B-5 ,p~ sso d Tess rr- cg N ono Nl -2-~ B-1 BBNCHV, = 91 rv • BL MARK ON TOE' OF/ 46 2" IRON PIPE AT BEGINNING 01: CURVE TH END OF Ci VERT APPROM ATELY 55' NORTH OF SW CORNER I, the undersigned, hereby certify that I :e soil tests reported of this form were made by mein accord with the procedure and methods spe Aied j r) the Wisconsii Administrative Code, and thr,t the data n corded and the location of the tests are correct to the best of my knowled le and t, ,lief. NAME (pi intl' ~ICEEST RT-I S WERE COMPLETED ON: ~ James T. Swanson 7/28/83 j -FI CA VI O N N UMBEHN NU A D ~~R ESS -Ogden Engineering Co. - - .-B F R IP t1 E l _ MrB-E--R(op tl-o-nel 123 1-Elm St~,--Rive -.Fall s,-Wi-,- 5402x------- S5-2152 715 42.)- 7631 ' ~~.;;_r SCI N' ORE: