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Home My WebLink About030-1027-40-000 0 Ct c 0) 0 (9 < O W G 7j H c = 0)0 ..r sy C7 CD m A v 4 r• (A N H CD ! (D rt O " ll 3 >v _ rt rt " rd 7 r• ~C r• " y O o W N ~ m N N (D (D H N 0 Q) O i (D 7 N - 4D 7 O ~ O H Ul fJ td ~ ~ d n N N ~ N 1 O " r• m N (N\O C 3 W 0 N 1 H. O CL ~d N N sCL j O A rt oa H °0 0 000 m m ° O rP rn m rn cn M ; _ ~ I : m C) H jJ u o o W r~ O l7 M CD Z D CD (f) (D N N Z D a ° C W (D C~ fD N 3 p c°`fl rn o m Or m cn w co r0- -I N cD co v o r c/R N c N ON 1,0 (D m m "NA I Z z O O O F I O a> = ti N n I v N Cf C A (Oil h ONO Q' O) PO 1 ~ - m rt 0 cn C: N `Z ~ Dt I, Q ~J 7 L' ° Z A 0 O co z co z o y (D 0 (D N ° O a ,.J N yam} O j CD N N D (D C N C CD CD a 3 M C -1~ 7d td z ? A Z m w H. r• P TJ c;' Ei 0 a p rt N O U: 0 W Un --I m ° " oo m ~ r. $ r z E td p ~ ~ A H O (D OO ;w C/) x n 3 m N In F + A Fj- W W w rt O a1 m 4- =r 0 CL 3 f ~ x m~ F N cn co 0 -P- N O H ~0 N ono 0 =3 T F- s=r p o m c C)o N r\ Cnca0 x v Z o N O ~N Z~.7 O 00 Cn ID r cn (a SON V c. L~J ~JOOQ v 4- 3 0 ry (O C A l7i O N w a p0 m o (n - n N rt 0 7 r• c 0 ' o 0 W a 0 ;I U NO O CD 07 O a a F 0) ? 0 ° rt N O 0 V O O m r y cn 0 Parcel 030-1027-40-000 01/03/2006 10:19 AM PAGE 1 OF 1 Alt. Parcel 06.29.19.106E 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 - STEINER, ROBERT L & JUDITH A ROBERT L & JUDITH A STEINER 351 TROUT BROOK TR HUDSON WI 54016 = Districts: SC School SP Special Property Address(es): Primary Type Dist # Description " 351 TROUT BROOK TR SC 2611 SCH D OF HUDSON wr~~~ C SP 1700 WITC i Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 6 T29N R19W SE SE QOM 08 FT OF W Block/Condo Bldg: COR, TH S 226 FT, E 385 FT 226 ST , TH W 385 FT TO POO* D WITH P10 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 06-29N-19W I~ k~( ZI ) w - ~'4 Parcel History: Date Doc# / Vol/Page LC Type 07/23/1997 495/36 s~/sue V~( `06 2005 SUMMARY Bill Fair Market Value: Assessed with: 83342 264,400 Valuations: -Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.750 86,400 % 154,100 240,500 NO i Totals for 2005: General Property 2.750 86,400 154,100 240,500 Woodland 0.000 0 0 Totals for 2004: General Property 2.750 86,400 154,100 240,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 113 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 _i ONNERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 ` 800 - 962 - 5227 cz: ST. CROIX ZONING REf"'PR, i NO.: 18078/01. PAGE 1 ST. CROIX COUNTY RFPORT T)ATE: 2/13/92 COURTHOUSE HATE RECEIVED: 2/12/92 HUDSON, WI '54016 ATTN: THOMAS C. NELSON it OWNER: (ob S to i ilea' I~ LOCATION: 351 Trout Brook Tr., Hudso:, 1 COLLECTOR: Jim Thompson DATE COLLECTED: 2-11-92 TIME COLLECTED: 10:30am SOURCE OF SAMPLE: Kitchen faucet DATE ANALYZED:2-12-92 TIME ANALYZED:2:00pm COLIFORM: 0 /100 ml INTERPRETATION: BacterioLogicaLLy SAFE NITRATE-N: 2 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 mi; Nitrate-Nitrogen, mgR I .e\ ~n r F+ trc$:1 676 fie " S .Of.\NDEPEN,p Hr o` ~P WI Approved Lab No. 19 Means "LESS THAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 o2-~CrQ.Z C35 I~ ST. CROIX COUNTY ZONING OFFICE / 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAME: PROPERTY OWNERS ADDRESS CITY: Legal Description-)" T1/4, _ 1/4, Sec. T L<i N-R, L~ W, Town of Lot No. Subdivision FIRE NO. / LOCK BOX NO. (J "'G i~G' -7-G' wc- ? lbC~i~ Color of house t et Realty sign? Firm: - PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e.,. COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office o ensure time when entry may be gained. Firm or individual requ stir4 services: y, ~ ~(ti c rtt Telephone No. REPORT TO BE SENT CLOSING DATE: Signature• 1 .OOW AS BUILT SANITARY SYSTEM REPORT OWNER ~Q TOWNSHIP S'4- <Osf NSEC. jT~/N-RaW ADDRESS kL-,1- j~ J/iUf ST. CROIX COUNTY, WISCONSIN. 77 L1 t~ S.44/ r-. - f, SUBDIVISION LOT 0~ LOT SIZE ~Od PLAN VIEW Distances and dimensions to meet requirements of H63 RING WITHIN 100 FEET OF SYSTEM ~ U ` c 1v " k 1 " L W I dia e o th Ayr o S&&-, 1A o n A ~ _F 44TI-tt f1oRZ B.N. ~ G2f~N PNoaF G~X wtrr+-.. $ANCHMARK. (Permanent reference Point) Describe: Rco Do-r 4l*Vation of vertical reference point: co .6 Slope at site: SEPTIC TANK: Manufacturer: 5 r_j Liquid Capacity: fC-~ 00 ;;umber of rings on cover Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Z1ydP CHAMBER ~ Manufacturer : .S Number of gallons, S Number of gal. pump set fora cycle gallons; total capacity o distribution lines gallon: size o pump head; F' gallon per minute horsepower "bJ ran name of 'pump and model number Type of warnir4 ev ce ,$?LDING TANK: Manufactur~x Number of gallons Elevation of manhole cover Type of warning device. PAGE PIT SIZE: - Number o pits eet diameter ' feet liquid d4pt seepage pit in eft -pipe-elevation bottom of seepage pit E, evat on feet. SEEPAGE BED SIZE: number of lines__ width 24e7l length_~/o'tile depth/,off SEEPAGE TRENCH: width length EI RCOLATION RATE z= ARE REQUIRED !9 RE BUILT 1 INSPECTOR ATED ;;,P PLUMBER ON J B ,c < r LICENSE NUMBER_ DEPARTME7! : OF INDUSTRY, INSPECTION REPORT FOR. SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISI01' P.O. B6;1 :969 BUREAU OF PLUMBING. MADISO;1, WI 53707 J CONVENTIONAL ❑ ALTERNATIVE StatePlan D Number. (lf assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME PER IT HOLDER: , ADDRESS OF PERMIT HOLDER: INSPECTION DATE. BENCH MARK (Permanent reference pomtl D CRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PL ELE V. NIF Na,- of Plumber. MPRSW N Couniy Sanitary Permit Number. SEP 1 TA HOLDING TANK: MA ACTURERLIQUID CAPACITY . TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER } - PROVIDED. PROVIDED. .J ❑YES NO ❑YES ❑NO -/J 5e BEDDING: VENT DIA.. VENT MATL HIGH WATER rNEARUMBEST ER OROAD. PROPERTY WELL BUILDING(VENT TO FRESH ALARM LINE AIR INLETEET FRO❑YES ❑NO ❑YES ❑NO DOSING CHAMBER: DOSING CTUH A BEDUING. LIQUID (.APAC.IrV PUMP MODEL F'UMpi SIPHON MA NUFACTUREH WARNING LABEL LOCKING COVER p /J yt PROVIDED PROVIDED YES ❑NO / ❑YES ❑NO ❑YES FIND PH OPE RTV WELL BUILDING. VENT FRESH GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL (HUMBER OF INE I AIR INLET (DIFFERENCE BETWEEN / , FEET FROM 8 PUMP ON AND OFF) t 'a NYES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the so I moistureat he depth of plowing ~FTO - 1) METER MATERIAL AND MARKING or excavation. (If soil can be rolled into aire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH NO OF DISTR PIPE SPACIN( OVER NSIDE DIA xpl TS LIQUID BED/TRENCH THE CRIES p MATERIAL: PIT DEPTH DIMENSIONS GH.',. F I OI '-7 t F I L AB q11 STR PIPE DISTR. PIPE DISTR. P PF MATERIAL. NO ~,...~H NUMBER OF PH OPERTV WELL. BUILDING. VENT FRESBF l J If OVE CEV INLF r ELEV END E PIP `:I f FEET FROM uNE AIR INLET . NEAREST ` lJ MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES FIND SOIL .`OVER. TEXTURE PERMANENT MARKERS. OBSERVATION WE LLS ❑YES ❑NO ❑YES FIN( CHED DEPTH OVER TRENCH BED DEPTH OVERTHENCH.BED DEPTH OFTOPSOIL JSODDFD SEEDED FOYES CENTER GES ❑YES ❑NO ❑YES ONO PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER I~,.)TH LENGTH NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MAT EH I AL ND. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV ELEV. DIA. ELEV. PIPES CIA ELEVATION AND DISTRIBUTION vERncAL uFT coRRESpoNDS To APPROVED INFORMATION HoI. L slzE HOLE SPACING DRILLED CORRECTLY cvER MATERIAL. PLANS ❑YES FIND ❑YES FIND BUILDING. PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL - - LINE COMMENTS fI FEET FROM ❑ NEAREST YES ❑NO ❑YES ❑NO Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE _ DILHR SBD 6710 (R. 01/82) " A DE)'ARTMENT OF APPLICATION SAFETY & BUILDINGS INDI~lSTRY, 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'/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. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: kvhERT" STS/,v ~r z PWr RW6,1- Property Location: City, Village or Township: County: 'aS /T Z1 NCR I? ~'Or W S'f T SEptt- S 41; Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (lf assigned) NAr TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. .3 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY /0-0-0 i-i/j 26 56 k HOLDING TANK CAPACITY A/ A`e LIFT PUMP TANK/SIPHON CHAMBER Q X MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental Lev Seepage Bed ❑ Seepage Pit 20 9c~rJ.~ tVfrx yOFr ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signa e: MP/MPRSW No.: Phone Number: Plumber's Address: Name of Designer: 72Z ti1DVRaE" ST ryUDS04 4~ S . COUNTY/DEPARTMENT USE ONLY ignat a of Issuing Agent: Fee: Date: Sanitary Permit Number: 1470 fi' APPROVED V~ ❑ DISAPPROVED V1 ea on 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) DFP4RTM OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 7969 LABOR H HUMAN RANEDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 HUMA LOCATION:,5i SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: ~ 6 '/a & /T 2f N/RH E (.,7W sf COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: 5~ - 61,0 i USE DATES OBSERVATIONS MADE I NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROF: LE-D-EMM TONS: ER LA ON TESTS: ( w Replace !v SGo~r`S RATING: S= Site suitable for system U_= Site unsuitable for syst CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑SNU I _I ❑S,IU []S U ❑S U ZS DU If Percolation Tests are NOT required DESIGN RATE: SYST/E~M ELEV. If any portion of the lot is in the under s.H63.09(5)(b), indicate: ZeL/ IlFloodplain, 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. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B ~D" 9D f F ~D io' 12A S, 6 , 1~' g- N -6-Y- -sr'Lj'1 2_) " 4Q0 R~ J? . Ao S A-T M6 " WKE AE 4'? B j~ y r 36 9 ,ol!~ 5-1, /6 G~ G'v-G1. 5 L /1 6ry. -/,?1) f T p. B- 36 41 Y B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES 1 6_NUJMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH f 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. SYSTEM ELEVATION N a 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: ~o bCP'T" Z(1her'e- /I ~ f 2 ADDRESS: CERTJ ICATION NUMBER: PHONE NUMBER optional): SIGNAT E DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 IN. 03/81) of- Sri-/-vM Z--)7-. )R7f6-C-16 F Z [TtrpkRTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, G DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS LOCATION: 40 SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: Nc I/ 1/ /~2y N/Ri9 E (or) W S{: COUNTY: OWNER'S BUYER'S NAME: MAIL! NG ADDRESS: 5~ Gto/~ L 5 %~i~t1E,e% Z Rink ~~D c ,00eeGQ• 1%UDSo~v USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMERC AL DESCRIPTION: I TONS: ER LA ION TESTS: Kesidence ❑New Replace / (j~L y~/~ RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILLHOnLDINGTANK:RECOMMENDED SYSTEM: (optional) ❑ S CSU ❑ S 2 ❑ S UU ❑ S EU D S ❑U ePt 7-,-5 7- 07k-z- MO.< of /AoP~~T~ ! If Percolation Tests are NOT required DESIGN RATE: SYSM EL V. If any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS 5L 5 ~y vA QvE,vr GORING 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 9~, y FT. ~ / 71116A) s4, 6"' OP. S'l- 2- G.0- ak). 5'/ 60 Z _57e/_ ` -Aj .Sc L -;-A . 'ow 5- .yols fie,a" 0 fa G o B- , 3 y. s4, -ate s~~ y. f 3 3 -7-Av '5Z_ 1 i w ; 4rrl4~ c& 4r 3 s/- 4,),A T 40rr'Vo.ti oe-(% /05P.0',' B- B 3 -22 y/ `r .s/- s" Z_~ ,Q&. 5-4 31 6fy s'<< w> ` rfyc D ' M ,Po yo to 7 B- fee,, !io - 7/o 7a. ~-/...1'd 5 L y,~GE PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P- 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. ~ 1~5 • SYSTEM ELEVATION R D. TA1Ni rQ 4 1 GAS r $ RoX / i AREP 3 PP 1 ` SEp i c , , ~ f~Q T a .t ~k0Z /,y = C6P~vE,e_ Tit' If, V, 00,0 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: Ahe'er ?lyh1x-1i', k 7-- / y If f -I- - ADDRESS: CERTI ICATION NUMBER: PHONE NUMBER (optional): C SIGNATUR : DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) G Ff & IN N DEPARTMENT OF REPORT ON SOIL BORINGS AND rr INDUSTRY, ION LA60W AND PERCOLATION TESTS (115) . REcFJVQ. Wf 909 HUMAN RELATIONS ~Ut.'M jgy2 LOCATION: s SECTION: OWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: S' VISIO /V' 1/ 1/a /TN/R4 E ( r)W 5f -1656ptf- of COUNTY: - OWNER'S BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: R FILE TONS: ER OLA ION TESTS: XResidence 3 A14 ❑New Replace 2-1 /lj~Z JPN~ .23-/M.4 l RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING T`AxNK: RECOMMENDED SYSTEM: (optional) 12( J- S❑U S❑U DS ❑U ❑SRU ❑S~ T AL „~Fr S fT If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V. If any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS ~5- MgRy ~ps},~ ok BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH T NESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 30 50'1 v,P-1(~4e 5L B- B- z 9o N. y ' 90 ~ 15,V . Z-, 8 6N . 5;L -7 L/- (.~,d. ,1, log„ Aq. SL B- B 3 97.~'Fr ~~/3A/ - 4, ly,.09A, (P L) le _ 1V, 574_ ,r- 0 >3 L B- /E Vgpoa5 of t,Q6 '!f PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLIN INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- q 30 -3 91-1- 3 17 P- P- ' G Co 2 d P- P- / 2-0 37, 7 1 1 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. / Q, / FT ~iP~ /N 0Y40L, U)01?JP5 , /j 0 rm m SYSTEM ELEVATION E"'O ri-Y r Fr. /3P- iazv- ve4rie.1f Z_ /?EF. Ad/') /44 IL ~ZD l U f3fe 009 b i /-V a_ e. o~ TH ZIC, x w 1, the undersigned, ereby certify" 24thALI 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 (prin TESTS WERE CQIVIPLETED ON: ADDRESS: C~;TIFICATION NUMBER: PHONE NUMBER optional): 12,1r. 3 0 tiEIL 5 =0z 41Y-2- CST SIGNATURE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) and CRO55 II , o ctrl cn;k U ( F,^,.~ c/jl 6HA-IlIeR To + um~ v~ ~vyE off" /s~1> > 75 fT. h ~Ja4S Tt~ 7'0 JV i ef; _a ~ ~ ~ ! by 1'/.QM y.C~Od(Jl Z ` ~ m 1 I ! ~ wER G,.Jf P c' ~oTlo"1 ".3 71Y tiG- l Fresh Air Inlets And Observation Pipe 9i 'L) 64) Approved Vent Cap Minimum 12" Above ~7ros1 r•Jc Final Grade 4" Cast Iron 20 Above Pipe t i o Final Grade ja Vent Pipe gay Or Syntherio Covering, \r" 1', vain. 2" Aggregate Over Pipe , L/iar.Ji~iQn z Tee Pipa 0 0 0 0 0 3 'ggregota Pertora;ed Pipe Below i Beneath Pipe po Coupling Terminating At Bottom 0 System