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030-2088-10-000
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CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 March 8, 1995 ~j Ms. Jenny Olson Century 21 706 19th Street South Hudson, Wisconsin 54016 RE: Water Inspection for Steve Henning Address: 665 Walsh Road, Hudson, Wisconsin Dear Ms. Olson: Enclosed is the original test results from Commercial Testing Laboratory, Inc. for a water inspection of the above property. If you have any questions with regard to said report, please do not hesitate in contacting me. i incer ly, I ames K. T ompsoffi Assistant Zoning Administrator St. Croix County, Wisconsin mz 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 'ROIX CTY GOV.CTR CARMICHAEL ROAD .ON, WI - ILLECTOR: Jim } ^,TE COLLECTED.'• ME COLLECT.. ;JRCE OF :TE ANALYZEDt3-07 Pf , 1E ANALYZED.2.V.m. ~ Z i..IFORM,MFCC: 0 : ,c fERFRE." O.✓ F.NDEP(H~F of 2 9 L J PROFESSIONAL LABORATORY SERVICES SINCE 1952 5-qs ST. CROIX COUNTY s WISCONSIN 1 _ ZONING OFFICE ~II~!II~opYnUllllrur p~~~6 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road - - = Hudson, WI 54016-7710 (715) 386-4680 March 6, 1995 Ms. Jenny Olson Century 21 Real Estate 706 19th St. South Hudson, WI 54016 Dear Ms. Olson: An inspection of the septic system serving the Steve Henning property located at 665 Walsh Road in the town of St. Joseph was conducted on March 1, 1995. This inspection was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly there may be hidden defects in the system not discoverable by this inspection. Most septic systems consist of a septic tank which traps the solids and greases from the sewage stream and then allows the remaining sewage effluent (liquid) to drain into a subsurface drainage area. Once the liquid reaches this point it seeps away by percolating through the soil surrounding the system. Failure results when the soil surrounding the system becomes plugged with microscopic bacteria and sludge, which form a clogging mat. As time goes on, this clogging mat becomes progressively thicker, allowing less and less liquid to seep away from the system. When this clogging becomes severe enough, liquid sewage is trapped in the drainage area, a condition known as ponding, and results in backup of sewage into the structure or the discharge of sewage to the ground surface. At the time of inspection, this system appeared to be functioning, but not at full capacity. I noted that there was approximately 3" of sewage effluent ponded within the drainfield. This indicates that the lower portion of the drainfield has begun to clog, reducing the ability of the system to dispose of sewage effluent. Because the failure of a septic system is a progressive process, I cannot predict how advanced this clogging is, and therefor how long this system will continue to dispose of sewage effluent. Neither can I predict how soon the system will fail completely. I want to stress that I cannot guarantee or warrant that this system will continue to function properly in the future. In an effort to prolong the system's life, I recommend that steps be taken to minimize the wastewater flow from the house which enters the system. For example, repair any leaking water fixtures and/or replace them with water conserving fixtures, reduce time spent in the shower, wash clothes and dishes only when there is a full load, use a washing machine with a suds saver feature, etc. I would also recommend that the septic tank be pumped at a minimum of once every three years. Please feel free to share this report with anyone who may have an interest in its findings. Should there be any questions or concerns that I can clarify, I can be reached at this office between the hours of 8:00 am. and 5:00 pm., Monday through Friday. Sincerely, 7 es . Thompson Assistant Zoning Administrator cc: file SST. CROIX COUNTY WISCONSIN atiNUa►.:u; ZONING OFFICE .,.~6 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmlcha©I Road Hudson, W154016-7710 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Please 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 that entry can be gained. ❑.Water (VOC's) $185.00 ~(Septic $50.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $15.00 Owner: ; 91;-44), jly G' Requested by: ~'-j DISC 1 Address: ~~fp Address: 7C I9-rh~57fP~i'ciI) 'off . ZIP,Sti'U i Huy's 'xLlt >i) L I P Telephone N°: (7i ) y~j'- Ga Telephone N°: ]1~) .~-(c . ~ ACS 7 Property address (Fire N° & Street) Location- • Sec. T N, R W, Town of C7=~;-~,,f~ Real ty firm:_,~~v ,;el ' Lock Box Combo: P,0-6 Closing Date: /iob I TO BE COMPLETED DY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Water sample tap location • ,L~~ f_`. Is the dwelling currently occupied? /1'Yes 0 No I If vacant, date last occupied: Age of septic system: Septic tank last pumped by:'~~-,~~~ vatc; Previous Owner's Name(s): Have any of the following been observed? ❑Y Q% Slow drainage from house. ❑Y CEN* Sewage Back-up into dwelling. ❑Y CI Sewage discharge to ground surface or road ditch. ❑Y cam= . Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the _ .best of my knowledge. OWNERS SIGNATURE ,-DATE; 1/94 j. I { OWNERS D RA HOUSE & SEPTIC SYSTEM LOCATION RA ; 7P), 4 t TO BE COMPLETED BY INSPECTION AGENCY c System design &/or permit on file? ❑Yes ❑NO Soil series per SCS Soil Survey: sheet # Type of soil absorption system: 21elow grd ❑At-Grd ❑Mound ' Approx. size X 5?_' avity ❑Dose ❑Pressurized Ft., p$ed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank/ Setbacks: ❑House~ ❑Well lam-❑Prop. linoO , 7< ❑Other Dose tank Setbacks: ❑I-Iouse ❑Well ❑Prop. line ❑Other Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption stem 2 Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Ponding: ^311 ❑Discharge: i 7nc`- Generl comments:~r ✓ r r - \ INSPECTORS SKETCH OF SYSTEM LOCATION I a Inspector Title Parcel 030-2088-10-000 11/30/2006 10:41 AM PAGE 1 OF 1 Alt. Parcel 34.30.19.741 030 - 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 PERRY D, & LINDA M DEISS SWENSON O - SWENSON, PERRY D, & LINDA M DEISS 665 WALSH RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 665 WALSH RD O / SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.810 Plat: 1901-DEERFIELD SEC 34 T30N R19W PT SW SE LOT 1 & OUTLOT Block/Condo Bldg: LOT 1 1 DEERFIELD 3.81 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1116/064 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.810 106,800 203,400 310,200 NO Totals for 2006: General Property 3.810 106,800 203,400 310,200 Woodland 0.000 0 0 Totals for 2005: General Property 3.810 106,800 203,400 310,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 216 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 06 10:45AM Parcel 030-20$$-10-000 11/30/20 PAGE 1 OF 1 Alt. Parcel 34.30.19.741 030 - TOWN OF SAINT JOSEPH ST. CROIX COUNTY, WISCONSIN Current X 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 - SWENSON, PERRY D, & LINDA M DEISS PERRY D, & LINDA M DEISS SWENSON 665 WALSH RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 665 WALSH RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.810 Plat: 1901-DEERFIELD SEC 34 T30N R19W PT SW SE LOT 1 & OUTLOT Block/Condo Bldg: LOT 1 1 DEERFIELD 3.81 ACRES Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 34-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1116/064 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.810 106,800 203,400 310,200 NO Totals for 2006: General Property 3.810 106,800 203,400 310,2000 Woodland 0.000 0 Totals for 2005: General Property 3.810 106,800 203,400 310,2000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 216 Specials: Category Amount User Special Code Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP . SEC. T_N-R W ADDRESS-/" ' ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 163 OW-EVERYTHING WITHIN 100 FEET OF SYSTEM i ~2 i IV r I I di ate o thi Arrow l_ SC L --I ~.r IS BENCHMARK: (Permanent reference Point) Describe: - Elevation of vertical reference point _ Slope at site:.: L i SEPTIC TANK: Manufacturer: t 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 cyc e gallons; tota capacity o distribution lines gallon: size o pump head; gallon per minute horsepower ran 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 leet iar:.L'__- feet liquid depth seepage pit in et pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines width 1.5 leTigth tile depth tle SEEPAGE TRENCH: width length PERCOLATION RATE REA REQUIRED AREA S BUILT INSPECTOR DATED / % PLUMBER ON JOB LICENSE NUMBER DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR;st HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION p.0. BOX :969 BUREAU OF PLUMBING MADISON, WI 53707 ' 13 CONVENTIONAL ❑ALTERNATIVE State Plan LD. Number (if assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPE I N DATE. -~f-~.~ Steve Henning RR~{2, Hudson, WI BENCH MARK (Permanem reference point) DESCH i BE IF DIFFERENT FROM PLAN. REF. PT. ELEV.. CST REF. PT. ELEV.-. SW4 SE4, Section 34, T30N-R19W, Town of St.Joseph Name of Plumper. JMPIMPRSW No. County. Sanitary Permit Number Donavin Schmitt 3205 St. Croix 38527 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COV 1~!Z~ I J z" z J PROVIDED: PROVID -z /'0 - . / YES ENO ENO BEDDING: VENT DIA.. VENT MATL. HIGH WATE NUMBER OF ROAD. PR OPERT WELL: BUILDING - VENT TO FRESH ALARM AIR INLET / FEET FROM LI' DYES NO f DYES O NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/ HON AN UFACTORER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. DYES ENO DYES ENO EYES ENO GALLONS PER CYCLE: PUMP AND CONT,i LS OP RATIO L NUMBER OF PROPERTY WELL Bu ILDING IVVERN TOTRESH (DIFFERENCE BETWEEN ! • r FEET FROM LINE PUMP ON AND OFF) ❑YtS NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at thpth of pl n9 FO E LFN:Tf, DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, constructio shall ceas FitII MA the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH. LENGTH NO OF DISTR. PIPrj SPP CING CO INSIDE DIA. #PITS LIQUID BED/TRENCH THE MA .E JAL: PIT - DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH UISTH PIPF OISTR PIPE DISTR. PIPE MATERIAL. NO. I TR. NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH BE LOW PIPES ABO covER ELEV INLFr ELEV EN PIP FEET FROM LINE ' AIR` E I / 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- meets the criteria for medium sand. TIONS MEASURED. DYES ENO SOIL COVER TEXTURE PERM ENT M/ KEHS OBSERVATION WELLS DY S ENO OYES ENO DEPTH OVER TRENCH BED DEPTH OVER TRENCH,BED JDEPTH OF TOPSOIL SODDED r SEEDED MULCHED CENTER EDGES. YES NO DYES ONO DYES ENO r PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH No. OF jE RAyEL'DEPTH BELPW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES f DIMENSIONS MANIFOLD PUMP MANIFOLD FQ, D MATERIA I NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV. DIA. PIPES DIA.. ELEVATION AND DISTRIBUTION vEH CAL urT coRRESpovos To APPROVeo INF ORMATION HLE SIZE HOLE SPACING DRILLED CORRECOVE MATERIA j PLANS DYES OYES ENO COMMENTS: PERANENT MARKERS: T I ON WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE `I ( DYES ENO DYES ENO NEAREST f C cec Sketch System on 0C ' 1 et in county file for audit. Reverse Side. l SIGNATURE 1, TITLE. ,r/ DILHR SBD 6710 (R. 01/82) ~f/~~ 7 wlsconsln APPLICATION FOR SANITARY PERMIT DILHR (PLB 67) COUNTY - OEPRRTTT1EnT OF UNIFORM SANITARY PERMIT # WN00=1111111111111 InOUSTR V, LRBOR& HumAn RELRTIOns mss, ,,s -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 !1 fF✓ /,'~.'1. to w /c PROPERTY LOCATION CITY: VILLAGE: 1/4 51/4, S T_.°, N, R i E (or) TOWN OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER I - - / L Cat i,•j~t i-00 - TYPE OF BUILDING OR USE SERVED c 600 62 Q - ~70 1 or 2 Family Number of Bedrooms. ? ?3!!~,,(Specify): //,,4 O,A THIS PERMIT IS FOR A: X 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. X 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 jVC - Lift Pump Tank/Siphon Chamber fE - Holding Tank capacity Manufacturer: 1 ' 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): t7 - j✓{ ~ ~ ~ ~ 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): Signa re: MPRSW o.: Phone Number: Plumber's Address: Name of Designer: ~ N COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: a ❑ Disapproved t L r~ ❑ Owner Given Initial _9 A-k 6 ~ Approved 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. Form - S T C 100 O w n e r o f P r o p e r t yu Location of Property ~'l~ Section ,T,30 N R W Township Mailing Addressi tlyv Subdivision Name- Lot Number /l Previous Owner of Property~NA/--'-) Total Size of Parcel 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 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. ; 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. 110CI-Z SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED Description for Steve Henning Rt. 5, Box 20 Hudson, Wi. 54016 A parcel of land located in part of the SW 1/4 of the SE 1/4 of Section 34, T 30 K, R 19 W, Town of St. Joseph, St. Croix County, Wisconsin, further described as follows: Commencing at the S 1/4 corner of said Section 34; thence N 00-221-20" E along the North-South Quarter line of Section 34, 585.25 feet; thence S 890-27'-37" E, 429.44 feet to the point of beginning of this description; thence continuing S 89°-27'-37" E, 450.00 feet; thence N 00-25'-34" E, 321.90 feet; thence N 890-27'-37" W, 450.30 feet; thence S 00-221-20" W, 321.90 feet to the point of beginning. Above described parcel contains 3.32 acres. ~I Allen C. Nyhagen R.Z.S. 1407 S & N Land Surveying 108 Walnut St. Hudson, Wi. 54016 r-PARTMENT OF REPORT ON SOIL BORINGS AN & BUILDINGS ,NDUSTRY, DIVISION BOX LABQ2 _ Nb PERCOLATION TESTS (115) r'; e ,M D W1 53707 H ",J_l/l AN R ELATIONS • (1163.09(1) & Chapter 145.045) r; . LOCATION: SECTION: TO / WNSHIP/A~ LOTNO.:B O.: Sl1B ~AM S(J '/4SE'/a 3-Y /T30 N/R/Q # (or ris V.~' COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: 5 e,`}c STeve, USE DATES OBSERV 3 NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ERCOLATION TESTS: Residence 3 / Q New El Replace I 15, /O 9~ P 5-we 4- 0,1 C RATING: S= Site suitable for system U= Site unsuitable for system rCOkNjVENT7ff1ONAVL:Mff0UNjD: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional E]U ®S ❑U CJS xZU EIS ®U L`cfuue,~~ ~`c►~.4 (i~' sY~ 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:Floodplain, indicate Floodplain elevation: PR FIE DESCRIPTIONS ez BORING TOTAL{ DEPTH TO GROUNDWATER -FE6 CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH-+M- ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 7,S' /ao• 6' c , 6 x,7 .scY + ec~ 7e!~-B/1 s/ B a2 O ' /vU. /„w,a 7 0 Bn C • ' Sc~ Cv,. 3, `7 B.► S / B-3 .0,ivA`~ O . ,~l f 9110-11 C B4 Sc +Nv~ e,6 0 S/.Z "12 B- Y 7 S" O/, 7 ` l k UC- 81 . ~o n C y,S 9, S/ B o' 1(10A1 e- oren ~1/ a.l Bn C r ,se- 4-cv6 © s .~c<Az, -x, s~ B- PERCOLATION TESTS TEST DEPTH' WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER iNG419 AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PER INCH P- / Y. 3' 0 3 / ' aZ 7 P - -30 141- P--3 o 30 3f 3 3 / a 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. SYSTEM ELEVATION 3 ,GQG~wL - ----------1. - B- ( , Q-f of Q gr M , S ~ /re -4-,_ w` ~~s `ty G _ ST S/mPz S r. 6, s 7- - west ~A^d~Qi-TY Al, ;a e o{., E West $ a A""A F- ~ I s, ~ ~ Top D PeraS ~~ST tg~sDM /00 L [ y MRtlCsA1~+ a /,~f- C l ~t: f !li/r~S Bc rLKI~W i 1 J a{ . I AID/~ /Qh~ rr LOrs 1.~ or- 4.4--,J s0.,t( of• l d•M. Tor -U CU e- AAIIel 5/eelAsf PPS fvd OVA,6e- 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): /S__~, 7/j =-3~'~- Sp'a' CST SI ATURE: c DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - i~ - J Z\V t"_ [ z E. i .E ,.f~..7i,. fF . of;lf J= ,3aIV <,,hov,, p"I'l M r.r..4. at; .1'; ;t i 1, F;, p3 pit .t ac., ~ <1(" ~ a 1 i.'_, to : a ii (2ra d Off E r= f i .l al E .a a:r z 5" ;z. all n)',sc t Ls /V 13 It ' i IJ + I I ( 1 i ~ I /~Xs3 k 17 4,r,' ' s y sr~~~ . J c 3 cy, 1:113 -3 • 8- ~J -'ItAN.vcL t-, o i' o 4'g Z-, -Y3 1~~ l - -