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HomeMy WebLinkAbout030-2028-50-000 0En0 K-00 C7 r~ o CD `o1 o. 0 C W # C co z ~ ° 03 0 ~ N ° 0 O N Nn o W `C O' 3 C ~2 3 L Co Q h--I ~c~lll N V Q. Z Q. N ° O N N O h'h 3 W C O N O? O (D DI N tll N S A 0- o O O (CD n 3_ O O c A~ O N 3 1-. 7 N ? Z O O c"r ra Z3 C• N N N O `rS (p 2 C u3 C D N a C O N D. 1 N W O W 3 ° -h C:) C) n o ` co 10 0 CD fD i d O td N O c0 O n a r- c !V (D N w o W y ✓T phi ' t~ cn cn N w O s N ° o D Z oo 3 w 3 cr v v o cQ f/~ z u, 9 0' m ° y Cl) r- m v N CD $ O~ _ (o k. 00 El R N) :3 CD N) CL N (i > C° o ~ y n d 7 I F-+ nJ Fh'4 00 I-+ 4 ' R O ' ju On 1 O (D N • OO O ~o (n W H (D cl) O cc C (D CD ~f cn co C7 W CrJ A, a (3D 7 -i fn O p p O A Z (D n rh Cn N °c A n n A Z O rt d v •n• r. rt N a O W Cn w N rt v) t~ 00 v m ° o n n a z d O r• p A M N 0 to (D r• fD rt ~y 1 N ~ N CD 4' U) rt o N v d N 2 CC N d ~ ~ C 3 z o O O O _ CD (n m ~ D =3 D I CL S 0 co N X v J It O A 6 A N a j' O W ti (=D O O Ol 7 a O O A v cfl O v V a 0 (D Parcel 030-2028-50-000 01/13/2006 08:57 AM PAGE 1 OF 1 Alt. Parcel 22.30.20.440F1 030 - TOWN OF SAINT JOSEPH 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 - LOMAN, WILLIAM & KATHLEEN WILLIAM & KATHLEEN LOMAN 1402 HILLTOP RIDGE HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1402 HILLTOP RIDGE SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.600 Plat: N/A-NOT AVAILABLE SEC 22 T30N R20W GL 4 LOT 1 OF CSM 3/822 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill M Fair Market Value: Assessed with: 84338 605,600 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.600 333,000 217,800 550,800 NO Totals for 2005: General Property 3.600 333,000 217,800 550,800 Woodland 0.000 0 0 Totals for 2004: General Property 3.600 333,000 217,800 550,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYS'PEM RI+:POR`P a OWNER I~Ii ffl) L,`1`114 /V TOWNSHIP ~.~_SEC . ~ T~--N-RAC W ADDRESS ..S j, ,7ts~niy ST. CROIX COUNTY, WISCONSIN. Ze/z c~Cd 7 SUBDIVISION-'- LOT-- LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 1.00 FEET OF SYSTEM S fl, via 6: 3 kof & 04 14 o F ti si r r. o J ~ G S 1 i Cit. Ii di at N r h rr w . E tr o BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: " /O SEPTIC TANK: Manufacturer:-_WELiquid Capacity :__MO6 Number of rings on cover A[pAeR Tank manhole cover elevation: `l'ank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: _ Number of gallons Number of gal. pump set for a cycle- gallons; Total capacity of distribution lines g llon• size of pump- head; gallon per minute h sepower ;brand name of pump and model number Type of warning device HOLDING TANK: Manufactu er Number of gallons Elevation of manhole cover- ; 't'ype of warning device- _ SEEPAGE PIT SIZE; Number of pits _ feet diameter feet liquid depth- - seepage pit inlet pipe-elevation- bottom of seepage pit elevation _ feet. SEEPAGE BED SIZE: number of lines width-~" length tile depth `t it SEEPAGE `TRENCH: width- _ length PERCOLATION RATE ZAREA REQUIRED Q AREA AS BUILT ~Yp yy. INSPEC`l'OR_ DATED PLUMBER ON JOBQ ~/i~/r//TrT LICLNSL NUMBER DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR &,HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7909 . BUREAU OF PLUMBING MA'DI SON, WI 53707 ` CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number (If assigned) ❑ Holding Tank L:1 In-Ground Pressure D Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER'. INSPECTION DATE. Wm. "Brad" Loman RR#3 Hudson WI -v too a 8 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.'. CST REF. PT. ELE V. SE SW Section 22, T30N-R20W Lot 1 Town of St.Jos eh Name of Plumber. IMP/MPRSW No.. JCounty Sanitary Permit Number: Don Schmitt 3205 St. Croix 38510 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL ILOCK!N GVE C` P OV DEDPROVDED l Q OLI /GL G YES ❑NO ❑Y NO BEDDING: VENT DIA.: VENT MATL. HIGH WATER NBER OF ROAD JPINE ROPERTY WELL. BUILDING. VENTT FRESH ALARM T FROM 1~~ LAIR INLET DYES NO L' DYES ❑NO DOS ING CHAMBER: MANU FACTURER. BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON M F CTUREH WARNING LABEL LOCKING COVER PROVIDED PROVIDED. DYES DNO / DYES ❑NO DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPE T ONAL. V R OF PROPERTY JWELL BUILDING. I VENT TO FRESH (DIFFERENCE BETWEEN ROM LINE AIR INLET PUMP ON AND OFF) DYES O ST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth plow W L DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction sh cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH ]ABOVE EET NOOF JDISTRPIPE SPACING COVER INSIUE DIA 'PITS JLIQUID ~ TREN \ES APIT DEPTHDIMENSIONS /l GRAVEL DEPTH PTH ERIALNOIS NUMBER OF PROPERTY WELLBUILDINGVENT TO FRESH BELOW PIPES OVE t EN5D PIP/ LINE AIR INLET F EET FROM ~ NEAREST-►- 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- D YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE JPERMANENT MARKERS JOBSERVATION WELLS DYES ❑NO DYES ❑NO DEPTH OVER TRENCH BED DEPTH OVER TRENCHBED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED CENTER EDGES DYES ❑NO DYES ❑NO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTH JD~SATR P IPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVELEVDIAELEVPIPES D.'. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED DYES ❑NO COVER PLANS DYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL BUILDING. FEET FROM LINE ❑ YES ❑ NO ❑ YES El NO NEAREST o~ t 4 =It . _ l ~r > Sketch System on Reverse Side. Retain in county file for audit. SIGNATURE. TITLE. 7 DILHR SBD 6710 (R. 01/82) bscons'n APPLICATION FOR SANITARY PERMIT ILHR COUNTY oEaRRTmenT OV (PLB 67) UNIFORM SANITARY PERMIT # in ousTRV, LRe R 5 Ruman RELRTIons E=7 -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 PROPE TY LOCATION CITY: VILLAGE: 1:.. J'iZ 1/4 X1A S,1 , T t, N, R,Jc` E (Dr)IU~ TOWN OF: _ F LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER I Z Z-/" i i TYPE OF BUILDING OR USE SERVED - 1 or 2 Family Number of Bedrooms. Public (Specify): IVA c~ 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 l I7j ✓ Lift Pump Tank/Siphon Chamber A/ A Holding Tank capacity r-- Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic 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): 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): Signs r MP PRSW No`. Phone Number: %f 17-l' r Plumber's Address: Name of Designer: COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ~fr ❑ Disapproved 01 ~3 ❑ Owner Given Initial Y Approved Adverse Determination Reason for Disapproval: ,ate course(s) of Action Available: d (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber ~ f 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. Form - S T C 100 Owner of Property Location of Pro ert ' IT L1" 1 P Y 4 _ 4, Section s T30 N R; (C Township- s U-:1' Mailing Address ,,no nL w Subdivision Name Lot Number 1 Previous Owner of Propertyj(__ _0\f~g~, Total Size of Parcel > I-~L2C5 Date Parcel Was Created Are all corners identifiable? Yes- No Include with this application one of the following: ,r._. : Certified Survey Map .Deed .Land Contract, or -Other Legal 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. 3 `2 ; 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. SIGNATURE OF OWNER SIGNATURE OF CO'-0WNER (IF APPLICABLE) DATE SIGNED ~ 1 f`• , DATE SIGNED so txo b0. ygw~ p Qc~3W. 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SO4e p~pGt^CQ~ 0 Cm M0,0.0 '~M- .uW.E2 ~-84 S3 €s3 X53 i :i3' u a° w S3 ~ k~ `o ua^-1 moo w a_ c o- v $o ,~4 `~emv -aWO2u3► r v'e °c ° oco r, o w . «~Q f E z Isle 9irA - - 0Y~ V ~V~ V O~~x W4 C. 01, OO~; ='OC rSN C~~tRw AptO] ~..ou. no ~~r1'~ OCR o ,SIL" 9gd «c LL us `Woaa:;i g°eel QN«..+fl~~wg oQ Ol~~' tC Qa~•~o 0.VU'~O; GF3Y CERTIFIED SURVEY MAP S I/4 CORNER UNPLATTED LAND SECTION 22 ,CENTER OF SECTION 22 T30N,R20`Y - Ncy, 3- 20-E EAST LAVE GOVT LOT 4 - S 7.H...64. 8.. 7.13.60• b`-C~Nr R rrrE 64580 _ _ ~ - - - No°,o'zo' NE CORNER OF 13cL47 I r GOVLO r ENT ~z POINT OF BEGINNING WESTERLY ~n\ ?8. RIGHT -:.`F-' a ` ` \ Apo 'LINE OZ, b~ 3p . 91° l ti HOLCOMB~ S ~d N { o S'JPP>=R_CLUB UN' TTED N ti Q{ n I O AND w L CV U m PAR ~ ° I ~ Cl- = 1211, To O M p Ys -r_ x OF , N Co 0 3 nd I d 2 d 4 ti N w Scale in Feet N o~ P/ M Ej9o A I w N °2 •E o 9on N 250.00 \ p lZ 0 2 j Not'-10'2( E A o sue- NOTE: Dr'iveW~ly en -0,-Aches 244°3d~d~ u,l ~n t a_ 1 t~ ~ 1L1 lkl~h to ell QI 121.0 6A LS -80 3 - IS8.70• 1 ~ - a s7bo 4'w ~I I c ' I ca . 2?',3 9_ lsll ( rn -?OA p v, N I ' I lD L-iA~?~ ~1 I zt F I I.~ I POT -4- 1 -a-- SEE ("r1Z1J) B1J~RI,NG) { i { ° 1 I z SHEET2 OF I { dl 1,U S_C:ONTAINS 11.0 ACRES, OR LOSS, AND INCLUDES 2 Mqs. I { I wl 1- . ~ ~ ~ ~~S~rnlr~ I al EDGE~ I 1 I I I Epp E \~J A~ ERA S Dra~t•~' by .Tulic };r:Irl:u.r. LAKE ST CR01;C sl,cut 1 o: j c t y 1 1) ~ ~ ~ ~ lam. ►ti.. t l ' w. \ ~J r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR r"RELATI PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS \ 1 MADISON, WI 53707 (1-163.090) & Chapter 145.045) LOCATIONS SECTION: OWNSHIP LOT NO.:BLK. NO.: SUBDIVISION NAME: 1/4 u)1/ .2,;?, /T3c) N/V 3a 4r -5 ie co S/-. use 9/, COUNTY: OWyER'S/ UYER'S NAME: r'C. G +~.Ler MAILI G ADDRESS: C v~ 65r A-1 1& Cv ` s- USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE $CRIPTIONS. PERCOLATION TESTS: Residence New ❑Replace -e A Som.`/~O s C- RATING: S= Site suitable for system U= Site unsuitable for system "n scc~, S i h CONV E NTI ONAL: MOUND: ❑Yl I' IN-GROUNNS DPRES'S1URE: SYSTE(►M- N-FILLHOLDI(NG T ANK: R/EpCOMMEN_D/ED SYSTEM:(optional) 1,2 . W, c(M K, ®S EIU®J 1 ❑ Y ❑ J ®U [:1 J ®U l 6 <f r/P~1 T c+.ta / ~'c? 7° ? R..c ,for Pr 4 2 7~i /tGQui ~t~-eerf If Percolation Tests are NOT required DESIGN RATE: 6U+« SeAJo,~.t If any portion of the tested area is in the A114 under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:~4- e PROFILE DESCRIPTIONS t .r l1011//1 s ~•~e~K. BORING TOTAL' ELEVATION DEPTH TO GROUNDWATER-1*6+}E3 CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH+f OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-'3 S E E 17~9 c-/ e- J G H SJ IC J? a- jp z- B- `l -5 E C- , e I-e- J/ dl- B-,S' S tct 19 ltwcl oPS .2, 0, /o6.6 7 B F/s 3 z t - &,a6 /j, loo, 41, , 7 8n F/s ,C t - 6:Y IS 1CF1c d .R T~s/s e r' y I,~ //t/ „u,~ e PERCOLATION TESTS Are--A v." /y '9'e- a a. ,qtr C TEST DEPTH,' WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER tA}6H•ES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PEER INCH , P- 6 Flo / 3 3 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. dh 9N-c, Et =/OCY SYSTEM ELEVATION q~6 vt/ on 6~, /x,3 i. ~eGek 13M p~ -6yls ~.:/Ce) ~.,~r/1•z,~Fcr'~ E~. wqs Set 3' ~G•v~ j`-.~~ i I I B~ ' I V '/Vtd17~~eS /~ePcf ~~d '1` ~Sl e+cS TA4eN /~Cexrdiv~ll~ L1 e Ue` fieF 2 S. L . L 116u V~f S.E, .C o Cc~}avr t ~P k~.- l e l3Arr~ b/.t F S~f BAG/G NIA/ r r~ © \ 0 Ot+ ~[Pt I - a2s~~~0 ~SSlc,r.►Pic~~,~ lOc9"o Q 5 V Q; pr2rl~ S (lett~o}~pn, ;,9J b3 0res ReF,~EA(11S-~ j S~ ~'A reA ~(5' 0- ~~tsl~ E~~~oFR~~ ~ k 4( 7, euce i ~.~.r~ ° R F i ~ 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 WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): CST SSJG T RE: C DISTMPUTION7 r), cl-al anti nne ropv to I -cal Authority, Property Owner and Soil Tester_ E , 6 722 INT OF REPORT ON SOIL BORINGS AND g. DINGS INDUSDUSTF?Y, RR~ , ~ ISION L.J\13OR AND PERCOLATION TESTS (115) MAR 18AN d 7709 HUMAN RELATIONS G() _ lUN I~ICnTIoN p~ lrr >LCLION - - lOWNSEIIP/MU ICIPALITY: 07NO.:BLK.NO.: IVISlA 'AMM ~c 1/ /T 311 a~ tor) W h4 - COIJNTY-• OWNEH"Ai YER'S N E _ MAILING ADDRESS: t _eeer. USE - DATES OBSERVATIONS MADE NO BEDIIM'. COMMERCIAL DESCRIPTION - - y~ T'FiZSKIZ~b~~CitIP~1(SNS: NCRMEATJ_UII 'ESTS: I iesidence New [ARaplace V f.O !3/ HA I ING: S- Sue suitable for system U= Site unsuitable for system t 0NVENTI0 NAL M 60 ((~ND IN-GROUND-PRE'"FIE .SYSTEM IN Fll L II(OII bING(TAII ItEi OMMENDED SYSTEM ((optional) [AS CCU-~ S CCU I ®S C]U S L~IU LJS yU 5N~t~ TiPE~ULl,eyn - wir~L. 1~~Po~D X S - - 'V IC. FT L` J~-FT' er1GI I I Percolation Pests are NOT required DESIGN HATE: SYSTEM ELEV. If eny portion of the lot is to the under 5.H63.0915)ib) indicate: Floodplain, indicate Floodplam elevation: UpUGGI jr Fd/' RBI 5 PROFILE DESCRIPTIONS er i3c)rc I OtT ~ so,* s rk ; rr ELEVATION PIr-I TO GFiOUNDWAI E It INCHES CHARACTER OF SOIL INII ii NUMBER DLPIEI N. - ICKNESS, COLOR, TEXTURE, AND DEPTH I OBSERVED E~ HEST LU BEDROCK IF OBSERVED (SEE ABBHV. ON BACK.) B- 7b FT ,W-2-:w- w pv S ~ , , G • " ~w~I 5a,.~'c t T 4, r A,a ~ l~ i 5 T. ~cQ_ ar B`y 7lo ,6 V. /311. -nom B- -3 93, 5 F r. 7 11 ~N s y ~~-~y s w/ P16 dj St/,ucT- 0,e ~15-. ey 13N. ~ s 3a /3,~ ~o N - - - - t; a~ . A,0 - - - B d i0 Fj ~r~ GS /(o c/4~-Gy ,ESL a'O" hr~ k_Q t~M ✓ S ~U IE ~ 2(G/ S i L T Cu rd'f. MA u y STi-vc'T 7"S . PERCOLATION TESTS - - II I fil I I H r WA I EH IN HOLE TEST TIME 1 DROP IN WATER I EVEL INCITES i RATE MINUTE' rtr-S a itN iWti_1_INIi IN"rEHVAL MIN b - fl-VA iion_L_-- D_3_.' PER INCH % o- 'LAN VIEW: Show locations of percolation tests, soil burmgs and the dimensions -of suitable soil areas. Indicate scale or distances. Describe what are the hori- mmtal and vertical elevation reference points and shovetthelr lucatiun on the plot plan. Show the surface elevation at all borings and the direction and percent ,I land slop, N Slta S r 70,c v", = Y f LD 4?E 5 J T~Peuu` = y y f r . 'j SYSTEM ELEVATION ~o~t~ T~EUC h = 95; 5- f r r 3= Ac,~~/n P%l ~EAS~ 1&el'.2.)/,9L PIILI'Hhji; ,dl lit) .0 M oN (der I/€Ci k'.c~. '~5 pvlu'1~ S ~EVATi 1 e I= c E- ~r P1uE~ ~hi5 5po 1 - 5 ENV I IfJC~ C Fr. i j Vt t ~ o r I ~ r I i ~ V C x ! a _ t li K! / R 2 . at.,.,dL VeQ rt'~A L ~'t F~Oi,U r the undersigned, hereby certify that the soil tests re tort on I. s or rr~ylii♦w made by me in accord with tfta procedures methods specified in the Wisconsin dmirnlstrativa Code, and that the data recorded and the I eatioia pPt18e 0 cur act to the best of my knowledge and belief. FAME iprin7 TE44WERE COMPLETED ON: bbRESS: _ CERTI I ATION NUMBER: PHONE NU ER optional►: -5~r".~o~'~i' Z- 3~G -'/~'Sr l~l/ Sy4/ CST SIGNATURE: f~~t ? f'f~ p~E`ir `/cam rj~ Iif'hA"FilllNI REPORT ON SOIL WRINGS AND ~MVAUIL cs !\130li AfVI) PERCOLATION TESTS O cDl Niraj`P.t7BOX'~ y i IUMAN I ( I 1_A I ION!, ~ . ~ I~p1~l:ilJN, W 1 7 I IL SFC7IOIV I OWNSHII /MU' C If At I1 Y L O F NO.:IiLK. NO. bUt3 lVd~,ION A ME: UNl Y U Nf 1{'S/RUYI Ft'S NAME- - - MAILINGA[]DHLS - V NO [iEDEiM 1COMMERCIAL DESCHIPTFON DATES OBSERVAIIONS MADE i PROf"1EC DE"SCRIPT 10NS P-E-R C0"F.A'fl-ONT ESTS: 1lleaul I , New [ Rti lac f fur 1 IN(, :;uu 5unabiu lei system U° Situ unsuitable for System Ii nNVENIION +I IMOHNI) IN C,NUUN(.?Pf~IS Uftl Y;Tf M IN Fit I Ot DING IAIVK, F({ CUMMENULD SYSTEM (oftlional) 1XjS _)u F(IS lU I ~lS -1U J L`_~S ~ IH ~ii l uii, l„inn fc I die N(11 inquired DESIGN HAIt:. ,YSTEM El FV~ I any pot uon of Uw lul is in I.he nlur s.Hb i.(19(bilb), )ndndte: 1 lain indIca - - I- luurpta f-loudplain alevation: PROFILE DESCRIPTIONS I, /MbEH ut PIH Irv Lt t-VAIION 1) I fH f0 GROUNDWATER-INCHES CHAHACT Ell OF SOIL WI III THICKNESS, COl_UH TEXTURE, AND DEPTH OBSERVED - ES'T~ Ij[Sl _ TU 13EUHOCK IF t-)USEHVED (SEE ABBHV. ON BACK.) li - B- f ~tt)4 ji _tuS _ ~I- - B 13- S )t Z- Z- S7---" . PERCOLATION TESTS TE' T lit I' III WA I I It IN I lOt E I E ,T I IMI= DROP IN WA"fFR I EVE! INCHES (NUMlit Ii INCHE > AFI LH SVVL1 1-ING IN H H VAt MIN " ~ RATE MINUTES _..__~_1:+_12 -Elililo~ PER INCH - PLAN VIEW. Show locations of Iwicolat)un tests, soil I'minys anti the ftiniensions of sultable soil areas. IndiCaLe scale of ftistwicus. Describe what ate the hon- t"nital dnd vertical eluv,ulun lefeiencu point„ and show their location on the plot plan. Show the surface elevdUOn at all borinyS and the attention and puicent of land slop" SYSTEM ELEVATION L ~ /4 4/f of- j ~n l ~)t6i r hi It l'w0C%A 17 ~c>AIf7~ S~rvRrrTic'~v of 6$S'7 Apt A Sw; W 4 I' u i N U rn - 3 % ~jGf~ E A k~ A ~G /l i~2 vet t K~~r/ ~1~ t TS It - i j ~ ~~='mot-tom`" /D~,q T~ L •vt ~ L r~~`"~- ~ Gv t .PA~Q ~i /t~EE 1 ;{C' I~- lJMl>> Z` h> DIES? S~ f 1, the undersigned, hereby cattily that the soil tests fuported on this form were made by me in accord with the procedures methods specified in the Wisconsin Adnurnfsuattve Coda, and that the data recorded drift till locaboo of the LestS Will Coftect to the best of my knowledyu and belief. I ESTS VVEHE COMPLETED ON. ADDRESS - C.E11111 1CATION NUM-TL-I PHONE NUMHER optional) CS SIGNATL) E: . . ~ ~~-~.,ti/N 7 ~ q / L r~ f G ~ i t/ / C / `J~' _ J, _ l ~ `1 ~i' a i i i { ' j I i `c r of ~ r y~s;E~~~Iv~~sr D 3 ooo 6- -X 20 ~ ~~~A~'~ LJ rte" i3 OD ,At fE2NA 1 ' A P« N~ e- rc P i pe l ry PA f? CC) ham! , `W`,r =f''P u~ ,ysrz~%f fZrf_ - I a crN =Se,"/r7- #3~Gcy 1 i