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HomeMy WebLinkAbout042-1033-80-100 n to O 1 3 v 0 r `r1 7 _ o 3 (D o ,6 (D N # 3 ' - ;t (n H= z o 00 CA) n w A °C • A7 O (D O S Sll N N Fti CD C 3 (D N N O 00 c CD l^l O a. CD O (D 7 00 w m o 00 w (D en , - O M F'h N d 3 O 1-'1 O CD CO C) 1 CD C@L 7 o A7 O (n to 3 N m O 00 N N 0 ~ cn < D a o CD (o CD cn 4 s N C O W Cn r~ pd U) a ~ O O A~ n 3 0 ~2 O 10 0 p (D "*INA (D ~z (D n r (n P rd ~l ' r (D °O° 00° N Q C (D r7 H (n w w ^ c ri F' ((D . v V z o O OC • Id ~ o D * < z aQ w r~ ~ --l W t~ n cn cn N o D 00 4- (a cr (D 00 a o M N m v tv 3 m cn H N - -4 N rt r a -4 r z 3 r! d D D o O v O • CD CD W ~ H ~ c w Oo w g ~ w m z ? N Z p Z O H cA d M N A F-fi N C v z z I C/) N w H K 7~ 00 -0 CD CD 10 z (D Oo U) V 0 3 Z oa S D A F W 0 w 0 j ~N a (D 0 N O O O CD O (D N C CD $v o c 0°1 Cn C) CD m O Di Cn y N CD • ~ 47 Co N a CD CD 2 3 O O 60 N A V 7 CD cx CL A C) 0 3 O CD N - O - CD cn ~ CL X r N En -p, 0 O J a cu 7 A 0 A O_ DQ O O EA O ti yn (D ti CD ' ICI Al Parcel 042-1033-80-100 01/03/2006 04:39 PM PAGE 1 OF 1 Alt. Parcel 13.29.18.199B 042 - TOWN OF WARREN 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 - JAMBOR, THOMAS C & JANE E THOMAS C & JANE E JAMBOR 969 140TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 969 140TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 20.000 Plat: 3757-CSM 13/3757 SEC 13 T29N R18W PT SW NW BEING CSM Block/Condo Bldg: LOT 1 13/3757 LOT 1 20.OOAC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-18W SW NW Notes: Parcel History: Date Doc # Vol/Page Type 11/09/1999 613553 1469/341 TD 07/23/1997 1171/414 QC 07/23/1997 406/615 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 79137 Use Value Assessment Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 17.000 2,600 0 2,600 NO OTHER G7 3.000 42,500 164,800 207,300 NO Totals for 2005: General Property 20.000 45,100 164,800 209,9000 Woodland 0.000 0 Totals for 2004: General Property 20.000 45,100 164,800 209,9000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 206 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 Orr WARREN SEE PAGE 43 T• 29N-R.18W 29 11 II E • ~ USA' C/a~e~~ce P • L -en p ~ • ~i C~a,r/e /f'¢ I e/- h~RE 5 s_e W F C,,en¢/d 4 Conn/e • ~n /den CjQi', /7a ri/ H k.i/s ~ y ~f ted sms A /(ES 79.69 j oo% s9 v Y 63 Mae/% 77 s s v • G C C n • ~Tah/7 .zrx. 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ROBE RTS, ,zn- rr ~o • e BOTH ~ m. . • ~ ~ s caws: y 'i~~ ,p z Z vrd e C oro/_ 9nfh yv o h h ,j • • _ Ca / s Cavan oshen CrW Ci~ 0 M N 0 h > v Vb/a, y/[2fla?/ th /is76 G.5' oa,at d\ ~ 3 J C d S/~r7/e wrran C d dx ~ h d o z v~ a o n'ir/irr- o /oo o cone/i s tin ¢o z4z.,39 Don /d ~i 0 i.~ w QU ~y `pv~ odie • vd o x 9 , X3/0 /6o OC°r/.~e// ~ n F7nde.- n so V a =1 Fc ell p tl J ePh Darre °s aro/d Q't v eye, ir/ w° yu yh ,90 eso~n /00 ~ Y F 5X s/n/en Flndenson eii a ~K ~i 65 e~a,9 o/a,r£O/a~ O'Co ne// .ham ~h° v ap a fr~~a e~human Geo~~~ tau Ee es ~a ~~Y 4 ~~~C ¢o z ~e ~i Le LeonQ/-dE fe. s _ " ong h ~v~ 3 N 4o buck ~D/a.ne ( d-y /60 /sa s G/cxio /60 Afar//ynvA o ~ °j Tn/ e o /d i ~ zo ~ s~ ~ ~ ~ f77izt'e7snn De/2rae 1 o OT Cc 79 T tat b ` //o ■ 77 a. ss ° o o~Lanyhoff Leo a~dE - Wes/aU ~i ~r,F~ £ /row c Doris C'Rcrdo/ h We /may Dory o eboid Kre ~ 9943 ~/ar~ ~W s/ y Co e Cow/es y.o W i/.a~,i cSC/aPP e_ 94 w\v° Co H,/es a,o A' rrnyy 306 G N. ~y JQTe's /60 ~'c N /60 /57.88 ren ` OR B-/i /ss Schwa/crr ,C ~ 0 H 9> ~s71 h /6o aU6i t~ asEau . ' t~ _ ewe:/ie G x • u~ N \'0n • ~Pobt Bo of • Fes~ar cj . \ tta,7san c vp Cov KIN ^ t~ o a ° M 67 s `~c` o . t ~ ~ v ~ /rran fye/en /e , k n i o • watt U ne L¢~ :n• r f ~Lole / sen N U v ert,3 e,-.~,a~ y . `"'t Fogerty Foyart ~ _ Neison Nei- .a ~ ° z7 ~ at¢% Con t~~ _ .3 .5b ~ /59660 S /56 7z 375 39/ BFadN ``'~e ~tg 20o AVE! a c/9dT,P°c,E o d/7a~,a~ ,r ISEE PAGE 17 Dependable Hybrids , s From Dependable People ' ' ' ' • JSSOM CABINET DOORS G ► , ► Richard H. Kamm M•NrorH.woALo Roberts, Wisconsin • • • .•■o. • GAIL: 749-3332 AS BUILT SANITARY SYSTEM REPORT OWNER-~ _ TOWNSHIP SEC. T179N -R-)40 W AD1)RESS ST. CROIX COUNTY, WISCONSIN. SUBDiV1SION t LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITH 1.00 FEET OF -OF r 91 I di c at N r Tirraw BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity:J-0 Q 0 Number of rings on cover Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elc PUMP CHAMBER Manufacturer: / jj1X Number of gallons/,_.- Number of gal. pump set for a cycle /_5_E• _ gallons; Total capacity of distribution lines _ gallon; size of, pump~g70-0 LE. head ,4 l~ gallon per minute horsepower 34 ;brand name of 'pump ~ U and model number s Type of warning device__ 0AAnn!-- HOLDING TANK: Manufacturer _ Number of gallons___ Elevation of manhole cover ; Type 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 SEEPAGE TRENCH: width _ _ _ length PERCOLATION RA'Z'E AREA REQUIRED AREA AS BUILT C- INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS SAFETY & BUILDINGS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING ❑CONVENTIONAL LJALTERNATIVE State PlanLD.Number: ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound assigned) OLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE. chulte R. R. 1, Roberts, WI f®-.-3 -Q~ ~Q I ent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV. IC ST REF PL ELEV Sec. 13, T29N-R19W Town of Warren P-b, MP/MPRSW NoSanitary Permit Number Wang 3231 St. Croix SEPTIC TANK/HOLDING TANK: 38482 MANUFACTURER. LIQUID CAPACI TY. TANK INLE ELEV.. TANK UTLET ELEV.. WARNING LABEL LOCKING C V P OV?ED . PROVE L. 4.JA-1- ~~Zt. 7 "r / /aof. BEDDING: v YES ❑ NO A^~, VENT DIA VENT MATL HIGH WATER ~ ~ U~. NO C i - ALARM. NUMBER OF ROAD: PROPERTY WELL. BUILDING. VENT TO FRESH YES ❑NO FEET FROM LINE 1 LAIR INJ_ET ❑ ❑YES ❑ No NEAREST 7,5'/ I DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER _ yh PROVIDED PROVIDED ❑YES NO ! JV '+'(;'L S -5 14~ GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL YES ❑NO DYES ❑NO (DIFFERENCE BETWEEN 1 NUMBER OF PROPERTY WE LL BUILDING VENT TO FRESH PUMP ON AND OFF) 1 !,1 FEET FROM "E AIR R INLET ❑NO SOIL ABSORPTION SYSTEM. Check the soil moisture at thedepEhofplowing NEAREST DIAMETER` MATERIAIANDMARKING ~ or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN T e 3 U CONVENTIONAL SYSTEM: `l BED/TRENCH 111TH LENGTH. NO, OF DISTR. PIPE SPACING COVER DIMENSIONS TRENCHES MATERIAL INSIDE DIA. ITS LIQUID PIT DEPTH. GRAVEL DEPTH FILL DEPTH DISTH. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR. BE LOW PIPES ABOVE COVER ELEV. INLEI ELE V. END NUMBER OF PROPERTY WELL BUILDING. VENT TO FRESH PIPES. FEET FROM ,LINE AIR INLET`. _ NEAREST-► MOUND SYSTEM: Mound site plowed perpendicular to slope 11 eck the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: Ch mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA. YES ❑ NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE `J` PERMANENT MARKERS. OBSERVATION WELLS. .1 DEPTH OVER TRENCH BED D TH OVER TRENCH BEE) YES F-1 NO YES ❑ NO CENTER EDGES DEPTH OF TOPSOIL. SODDED SEEDED F F _ ' MULCH FD f YES NO YES ❑NO YES ❑NO PRESSURIZED DISTRI BED/TRENCH °TH. LEN TH. LATERAL SPACING. cRAv / T ENCHE PIPE. FILL DEPTH ABOVE CO VER. DIMENSIONS lC 7 1 AN IFOLD PUMP MANIFOLD DISTR. PIPE MANIFOL ELEVATION AND E L CIA ELEV D MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ~ j ola DISTRIBUTION ell PIPES INFORMATION HOLE SIZE/ HOLE.SPACING CHILLED COgRECTLY U I COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED 4 PLANS YES ❑NO ❑YES NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING: FEET FROM LINE YES ❑NO YES ❑NO NEAREST 7. ~7 J-D S l` Sketch System"on _ Reverse Side 1 c~ in. in-eour+ file for audit. 4 ._r,. SIGNATURE TITLE: DILHR SBD 6710 (R. 01/82) J( r/~- _ ` t' -P-AriTMENT OF APPLICATION SAFETY & BUILDINGS JDUSTRY, FOR SANITARY DIVISION _ABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) MADISON, Wl 53707 Attach plans for the system on paper not less than 8'/2 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. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailin Address: E^ 1? S Ct u I re Kt. / a b (f ms's: Property Location: City, Village ckjownshi County: /TO N/R P-E (or W rP St. d X01 Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 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 HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER 3 J X MANUFACTURER: -e S "'Ir EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New X Replacement ❑ Experimental 1:1 Seepage Bed El Seepage Pit ® Alternative (specify) P04nd ❑ Seepage Trench l Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): j Private ❑ Joint ❑ Public I! I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. N mb: Signat e: MP/ PRSW No.: Phone Number: f a 3 ( ) Plumber's Add ess: Name of Designer: /00 J 7ZO Q COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: APPROVED Sanitary Permit Number: Z ~~1 IL DISAPPROVED 3p/ /v 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- stMa?ion. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (N.03/81) rage Straw, Marsh Hay, Or • Synthetic Coverinq~ Distribution Pipe Medium Sand - G Topsoil F 3 E D -J b % Slope Bed Of 2~- 2 %Z Force Main Plowed Aggregate - From Pump Layer D I Cross Section Of A Mound System Using E A Bed For The Absorption Area F .7 1 A_ Ft. H Signed: TVA)- B Ft. License Number: PI' 5 3,; I Ft• Y~ d Ft. Date: 1S K -10-- Ft. Alternate Position L ~7 Ft. of Force Main W Ft. Observation Pipe F- A- - _--Force Main From Pump Distribution Bed Of 2 - 2 2 Pipe Aggregate I Permanent Markers _ Observation Pipe QIan,View Of Mound Using A:'Bed of The Absorption Area " Page Of _ Perforated Pipe Detail End View Perforated End Gap PVC Pipe ice a•` Holes Located On Bottom, S Are Equally Spaced X~~ ~ Q S • * PVC Force Main * From Pump P PVC Manifold Pipe Distribution 11~ Alternate Position Of Pipe Force Main From Pump Lasl HOI• Should as Next To End Cap End Cap Distribution Pipe Layout P n L. S Signed: Hole Diameter Inch License Number: Lateral I Inch(es) L~C ~ ~•y Manifold 3 Inches Date: ~ Force Main _ Inches dt~ai f Alf ' S y MP,~RWENT 0t= !NDUS-IhY, LALOR AND H'01k,':AN RELATIONS ~ UIV1Wj OP SAFETY ANIJ nUlfliNGS v A~~ :3l`da -d3ewnri 3sN-3al-l S ~ ff ~t 1. U ~ 4 ~.7 l~~ 1~ .a 3(V CIS L f? H l a 3 a ainbi -i : :'A"V-L 30 SNOIS 0 Vrq,i311V1 e 1333 19017Vd ll0ll7l?ld"li ooi ~ , ~'L6r • X (YI~1W 3~~i0.3 3C3 1.3'3 i ± , dV 13.33 S'Z 3WnSS3Zid ;-lddn,3 'A?JOM13N WnWIItiiW _ 133 "3,11,1 I`iOI1n411211S1a aIVH jj0 dWnd 1'133M13q 37MN-14-41a 3v7fl)41A wd9 ~~i 31bb 3~NdH~SId' dWnd Slln7)i l3 31Vbdd3S NO"O'3-11V1SN1 :3dF1 H,.LIM(Z 341 o.l 3)IV W11 (INV dWnd :310N f srvo~1vo--~~•ao; ! Zi =a :11j)1n1-'JbjnNdW dWnd $iV033V°J - 190 S3W)NI $ =3 :3dFl H711MS SPr0~3d`J - 110 53H-JNJ z =9 :2138Wn1`1 -i3nOW sf~aollb 5 NO s3H31Vf ~-_y :s311i~V~V3 :m3Z1n13t13n1YVw wAv-i 1 SrvOll t/ `J O ----:3wn~On 3soa sIV(711V9 - n L : 3ZIr. MNV_L Fva )13d--_ :S3s0a 30 1♦39wnn Ja :m3- l3vinnvw 7i 37 (]NV '311dr SNal1b?I.-1I'~3~s -lVA0)1ddV HOnS SVH b73bn17` ArlNYW 'AN'd1. 31 F-INO 031LIW?13d 11X3 )1391)1 Ib'Sb _ W)019 313?JDNO-) Ib 56 ---dWnd I 1 b'76 13 I NO I i 3 I I co'Lb 13 ,IOS 41'I0S Olna 11 I A 9n1o1`131X3 wae-1V _ `lI 0170S Olt'1p 3,114 /M I Ij I ~r'~b ,s 9NICJN31)13 51"10(' Cl"JAMfddV i i I 3,11,1 '7'7~M I 1fV17f C13PO~rid`d III - _ III I 'it/3S 1H9I1?JI d Wb b I 301/1OXA 131"1 rvlw„8I - --X- XZ- llnartioD .mw „91 -Nlw „ti I I - 3adb~ - I g I' S o I 13 3YV-LNI XI V f11W„ZI HS3?J_i No MOCNIM 'aoo(I Wob3 97 b3nC77 33oHivvw xoa tvo117rrnr 9WV I-)O-l 03A0?1ddb JOONd )A7H1V3M 3dld IN3n 'I'7 ti drd7 IN 3A SIV011Vj1 31J3dS afv`d iVg11-)3S SMU N3gWVH' dwnd 30 3`JVd Model 3870 Submersible Effl . ~ . 140 William East Sales Representative 120 3521 Golf Avenue Eau Claire, Wisconcin 54701 .Oy Phone: 715432-1177 tips - W 100 3 0 LL 80 x h•Pr''rs r- c BHA r , O 7 0, 60 N, p •yp 41D Wpry05, ' 4P W PM03, '/3 H.P. 20 WP03,1hH.P. I 0 20 40 60 , 1 80 100 120 Capacity - Gallons Per Minute Max. wt. q, i N ) I 1t>~ 1 ~ H.P. Order No. Volts Phase Amps RPM Solids (Iba.) wPO311 E 115 94 n t, tiUy h';; y rr< w W PM031 I E - yN n, \ 1kM St M 1, 1750 56 d tit w) (H W1 r1 . Y 2:11) 14, 4 7 r - WPM(1J ILf_ II w ° `a VYPHUbI lf_ I lb 160 ,4. WPM!, I"L 230 HU WPH-WA2E - oo ..208/230 - - ; 34 WI I I0t,:141 460 - - - I / a WPHU/ 12L- 230 11/r go WPH0732E 2081230 54 . . 30 9i WPH0734E 460 2 7 10 WPH1012E 230 1,P 116 3450 1 WPH 1032E 208/230 64 WPH1034E 460 30 32 I I~ 'wk'Ml/ r y iVr l', ri yDk i WPI1151LE 230 t., 133 f ri111A d - - - WPH 1532E 208/230 m 92 I ' 1 WPH 1534E 460 3 46 AP 80 WPHH1512E 230. 1r0 13.3 ly V - WPHH1532E 208/230 92* - 310 - IP4, Ixf WI it l 1534L 41iU 4V-ii - sIf GI ICAI IUN;, AM "AIJI-CI IIIIJIAN(A WI I' IIUll 1 NOII<:1. _ Fi S c c. 13 9 IV R 113 I J W c-r r c n 00 ~J (J o\ _ o- C C~ 1S r~ r 1 r \ 1 1 T H n' L 5, Z .4Q,t. t~3. o3C~ w~►~ o_ el\ loo, 44 VIA q'L l~ 1 1 APP 4 DEP~PTNiEN ~PR 'dr OF DIVISION F AFa~1R AA~D NVr:1A?.l aE; gtIUtVG SAFETY ~N CUILDINGS SEE COF3RE DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION / P.O. BOX 7969 LABOR AND PERCOLATION TESTS 115l HUMAN RELjA`-IONS J MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BILK. NO.:SUBDIVISION NAME: .S 0 /T2q N/Rle E (or) W 41,41 &A1 I 2- 3 i~+ rVP1 COUNTT OWNER'S/BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. B COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER OLATION TESTS: Residence N4_ ❑New Replace ~J6 Z f~ RATING: S= Site suitable for system U= Site unsuitable for system! tf! V d~ J~GT LDA~ CONVENTIONAL: rO U ND: INRE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) ❑S S ❑U DS [lU ❑S U DS ®U Mov,y [under Perc:s.H:6:3.09(5) on Tests are NOT required DESIGN RATE: _ I If an IL y portion of the tested area is in the (b), i ndicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS 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- (,U 7• y~ L Ir gN s,~, ,3 t 16-1--AV. ON c L 4, VA AOav f4,6V-4AAfO s' 1y'©f-SL w;~• `~;°sT~~JerAai~uvAt3r B ,0 - 6-Y. Mo TS, GIJf?" i4 r y/ heew A r .S® Z 7Z IdD.2z`~ Z~ ~y„ a. G; xi" av • y. s~~? ~~.~y f~ ar R6 .Mors N.. svs~ CLA L . t~1 B y SOTS,©v;•+r~s soH~ q C~ uw S,9,vy Oc'~ TS ,S•~- - ~ gT ~ i B- 3 60 !3 -/7 7' 60- Si L , / -Y- 3 9 ~j'~dt SL ~u ids ~`vti moo. fAi u op M o S '7 ' B- SF~PA g rr~ „ PERCOLATION TESTS 5r 46j6- ~ I TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODI PERIOD2 PERIOD3 PER INCH P- P- P- Z 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 tho ho-- - zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction an of land slope. 130r7am of M4U.UD 6co (IPock) ioZ,t, /eoc& /Alneh me F4 s 40101f- S4,0D SYSTEM ELEVATION lAye<,A~ /~e- P ,G sir /,oD Fr. A~ov~- E~EU r~o~ lwrieltz_ All '107-- r-~e cep ~>E-r- fti y,~ovti .v'xr- 70 FT- fgo ~N ter- 1A) 77-11 a E E 3 3 ,E I , E . r , I, the undersigned, hereby certify that the soil tests reported o h~Ts' form were made in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the locati ,the tests correct t best of my knowledge and belief. NAME (printTESTS WERE COMPLETED ON: ~Po6cQ r ~l/d~Pic h7 - -~Z CA, ADDRESS: ~.,f~ 50 RT-3 i/ V~N~ W~7' ✓ 70~~P - \)~~t\ FICATION_N UMBER: PHONE NU~~ (option 1). CST SIGNATUR I IQj~ r L bV P . o_ a ti 4- L2 $'L v, _K k2 f ,t', . . i....F r i c vvn, and ttt` i r e E !.g ~z€-f$'! t 3o'fi g~aa. L31_tr, iPh e not Ae 4i, tiler a'p Sc d{ !ate { T 13P r3 kj,3 _e t E~7e I ,r I DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS \ / MADISON, WI 53707 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: 1/ 1/ 13 /T~1N/R/eE (or) W 4,4 RED 23 Arse f COUNTY: OWNER'S/BUYER'S NAME: MAI LING ADDRESS: /U/S USE • NO. BEDRMS.: COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE LN esidence ` [PIROFILt DESCRIPTIONS: IPERUULATION TESTS: ❑NewReplace ~i-v" » ~ / I~~ RATING: S= Site suitable for system U= Site unsuitable for system ~ CONVENTIONAL: MOUND: IN SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) ❑S ~U ®S ❑UT IS (4vj1U EIS ®U ❑S CX.JU Maaup If Percolation Tests are NOT required DESIGN RATE: under s.H63.09(5)(b), indicate: If any portion the tested area is the 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.) 11, 1 w. B Q /Oft. 6 F 1__1118A.) : ` 26 -p r~' s J7 i`S e O 6' . M O T S 34" A ~SO B Co/~.3. „ N /C> "L/ o'P S L wig ew . 9,f. 1-f'47-s Z1 13,v e- SA,0,0 C6A B- ly► Ar3VA)DAcJ i -Dil'StjOcr OW-66,Y. A40 ;5;, A 7- B- B- SV,Vf4C,r_ F11 0+71041 OF )WC 1161-ES PERCOLATION TESTS TEST DEPTH 1I{gLE TEST TIME DROP IN WATER LEVEL-INCHES NUMBER INCHES INTERVAL-MIN. RATE MINUTES PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- , L y p_ tiff " 0 1-1 of- P 5 / tro 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 9yi,f7 f totet 44~s y 75-"7 / oP1•i3M = C~.P~E2 I~vn~ f~eoAf re- / EAR 4C,4.f of= Fe.vG- pos r I 5/, u~~E /f©~yt QC 6 0 ! S tN so' z ©1 A) " 3 P fi A ~ J , J II 3 tS GA N 1,0#71 "T 'Vof ceps • /3o,PEj I, the undersigned, ereby 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 Cod d, 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: AGI 'DRESS: CFI 0 r~ try CERT F~~ATION NUMBER: PHONE NUMBER (optional): %F I W6 _ CST SIGNATU E: _I Zown OF~itE - - - ti 'o,w use sect jc~,~~ ya X 1 M`j a car ,F,r IIJ 'Y P if, ij2c' ~s t~ #Ic]t~ t- '3'~~ rc r.~ _".i ~`ac iF3. ePalcr - k,ii E- i it4 i s zi£ -ho"41 .t,c " sH iij)l is to poic Milo tt €r , ; _Ft is }Iao ,?1 aP - a- 3s 4~a a , n ! ( 3 xF~: , L lit, j-i n 3 , , Y_ =rte: t i Y`ai G F =!<r 4a' `t r I " c~4a.ti-'3 kEf{~ 11F~ r ,vg u1 PF~1 c%>SE TO he)Vsr T~sTt-I~ to~P 416 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS I N DUST~i Y, LABOR AND PERCOLATION TESTS DIVISION P.O. BOX 7969 HUMAN RELATIONS (115) MADISON, WI 53707 r (H63.09(1) & Chapter 145.045) SSE a/,E`i~V.41 T~s% CF 9 _-2- LOCATION: SECTION: TOWNSHIP/MUNICIPALLY: LOT NO.:BLK. NO. SUBDIVISION NAME: r W 1/4 1/4 /3 /T11N/R/ E (or) W GU4iPiPn/ COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 ^ ❑ New Replace I q4 ~L RATING: S= Site suitable for system U= Site unsuitable for system 0 tJL CONjEN TIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILLHOLDING TANK:RECOMMENDEDSYSTEM:(optional) ❑ [K~ Q S QU ❑ S ®H ❑ S ®U ❑ S 0U MOUmup If Percolation Tests are NOT required DESIGN RATE_ I If an IL y portion of the tested area is in the under s.H63.09(5) (b), indicate: 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 ]O,~BSEERRVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- ( ~1 00, qA t) 3 • J;, I y-' GI 6_A_1_ _S; L IC_ „ L~-130. -0R, ~ SL- f , lAi4 Q)-G MO s a . B- FB - ~,Tj;~ I/) B SFp B IpN~NC j9g~ Sc'RFAI~' /cvATio'VS, OV -fErr PERCOLATION TESTS CF ` TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL- RATE MINUTES NUMBER INCHES AFTER SWELLIN INTERVAL-MIN. PERIOD t PERIOD 2 - I D PER INCH P- P_ P- ffa~ ' 7/6 %!v / P-62 2 /ov, . U U 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. 1307-CM of liwvd /j-D y (oke,,e AP61,k, IN7FRfilflEf ca, SA,OD 1_4yj ;Q yz"e SYSTEM ELEVATION Aerfo h4ty ser /,00 Fr. 13vREht Fr coq 0~ .a ~ j ~IS1G~~ ffa 6A 01 x coo ~l PAS l3Z = 13~~,K,/:,t 1~~TS 3 w 1~ • 0 0 ~ ~y ~ j Ns1ND Dvy l~o,P~ v o _ Moowo -/U LSE /.v l~~i x = /~E,Pc sT~s w 13 -13 Boo-c- a4 PER c S; TE- fs n. Z~Z y l ,SST "--Gvs-& fio y~ovtiy . w ,-'4 /v.~rroNS 7~kg~tJ G~oM oG sE w ~ ~ p DES 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: ICERTIFICATION NUMBER: PHONE NUMBER (optional): - a-E'E'L ST SIGNATURE: