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HomeMy WebLinkAbout030-2047-50-000 o m c 2) 0 LOP) c CD > ID 3 CD ~ ~ CD ~ m 'o cD m ^ N ~ m Ui C L W Ir C 1 CD 7 O CD W O 0 O rf) "h n m n N f CD p A O /1 _0 -4 O "0 n O (D > S --I N c O O O O ~p ~ 7 (n v 7 O O 4 N C a O (D N) cn D (D fl' N (D N a S -0 N Q c a O o i 3 0 ir- (b N 'p ID K5 i~3 x i - -t, 00 O lei CD CO O N 0 co -4 cn 0 0 6 1 O O O C O N 177 < , Z fn N fn 41 ° D m U 0 0 o o tO O v v w .4. CD CD m N (n `p Q) n ~ N D CD o O (DD v o co m :p N (D C N (D W D C1 Q Z ' Z CD p Z (D i O I,f C j ~ n O A Z - m o P N W O W Q C Z 00 3 °r. rQ O . N O 3 Z CD W F v o-(° D D 0 N v a U) c Spa y o' ? a CL O O <n rn ~l x O J o v m.v t lam' n N 6 0 N n Cn O C) ~A s Ln 0(D 1 NO OCO (D S p N 1 ~ D0N' q 7 W N O . CD CD CD ~ O. I A Vv ~ o { o a r • AS BUILT SANITARY SYSTEM REPORT e m }ER f4cwAKh 1T,0, TOWNSHIPs4, SEC. _2 Z_ TN, RAW 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. 'BDIVISION T LOT LOT SIZE PLAN VIEW Distances b dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Y_ JU 59 r S57 i , i 0 I~ I~i I I I n 14 17 1 I - - I - - I-- I - I - c _ I 7 - - id cafe North' Arrow - i ! I i iscAU . 'ilk=~ T TIC TANK (S) MFGR. C- / S f' ,Q /y p, CONCRETE STEEL NO. of rings on cover _3 Depth DRY WELL 4V F ~lS tLNCHES NO. of width length area EPjC f{ . no. of lines width length area / 340 . depth to top of pip u?~EGATE ' f( if r9A RATE AREA REQUIRED A, ' AREA AS BUILT _ isciaimer: The inspection of this system by St. Croix County does not imply complete o),pliance with State Administrative Codes. There are other areas that it is not possible 0 i.nEpect at this point of construction. St. Croix County assumes no liability for ,Stem operation. However, if failure is noted the County will make every effort to ?ermine cause of failure. SASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM./ `INSPECTOR;~~ DATED ; ! PLU11BER ON JOB ~i LICENSE NUMBER 01 (1 T Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itan. y Penm.i.t State Septic NAME.. rownsh.ip St. Cno.ix County Location Section. SEPTIC TANK Size ~ ga.Z.Zonb. Numbers ob Compan.tmen.tb D.c„atance Fnom: We.Z•Z 12$ on gneaten a.Zape it Buitd.ing A t? WettandA ~ • Highwaten~it. DISPOSAL SYSTEM D.La.tance Fnom: We.Zit. 12% on greaten z Zope it. Bu.i.Zd.ing~it. Wet•Zands Ft. • H.Lghwaten it. FIELD DIMENSIONS: Width o6' then ch it. Depth o6 no ck b e.Zow z.i•Ze in. Length of each ne it. Depth o6 rack oven t.i•Ze .in. Numb en . o 6 tine-67 D pth o6 ti.Ze b e.Zow grade .in. I To#aQ Zeng Ve_ fined Lit Stop o6 .trench in pen 100 it. D..atance be i nea I De h to bedrock it. To.tat ab.bonbt.ion aAea_ 6t2 Depth to gnoundwaten it. Requited area it 2 Type of Coven.: Papers on Straw PIT DIMENSIONS: / Lr Numb en of pit-6 Gicavet around p.itz_,~( ye.a no T Out-6.ide d.iame.ten'7 it. Depth below .inZet it. 2 Tota.Z abdonbt.ion anew it z A Axea eq uined it2 rn INSPECTED B TLE APPROVED DATE oZ 19 f-V . _ REJECTED , DATE 197 PLB 67 State and County State Permit .f Permit Application County Perm t #J for Private Domestic Sewage Systems County 'DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 11610,f,pi) 1,4mE T w- 5- t71, 13oX //U S, Of 2- B. LOCATION: M5'/4MA-'/4, Section, T N, R E (or) W Lot# City Subdivision Name, / nearest road, lake or landmark Blk# Village f/s,4 7E- //bu/ by Township C. TYPE OF OCCUPANCY: 'Commercial 'Industrial "Other (specify) 'Variance Single family Duplex No. of Bedrooms 3 No. of Persons 2- D. SEPTIC TANK CAPACITY 10VT) Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete x_ Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length Width Depth Tile depth (top) -No. No. of Lines Seepage Pit: _XInside diameter Liquid Depth No. of Seepage Pits / _ Percent slope of land 0- ~ 1L, Distance from critical slope .w WATER SUPPLY: Private Y" Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the 4r,fied Soil Tester, y NAMEC~t/dT ~fh/~/~f9C.S.T. # 3T~02 and other information obtained from!~Ci, 2ESZ~~X (owner/builder). / Plumber's Signature <'_t MP/MPR W# Phone #713'' ~ Plumber's Address 241' . ,c /4t1rtT/ 722- A/O,v nE . • 00, w PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. 1AJ 1 1 9lan?y AjneA LaT ~FST /g -C-,fS • , pv4y jlVgly //frT 1 PiQqbSE D 010 r ~ Dig r ox 3M f0RtF101f 5 MOON AT S/o~E y j ILI x-30' .47- 644A6- Do Not Write in Space Below J-7 - FOR COUNTY AND STATE D~aPARTMENT USE ONLY Date of Application Fees P~ State Count ate , r Permit Issued/Rejected (date) l;z Issuing Agent Name, s .~,1 tJd~ Inspection Yes No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. Plumber (canary copy) Revised Date 7/1 /78 E H. 15 Rev. 9/78 fE UC- REPORT ON SOIL BORINGS AND PERCOLATION TESTS `,f WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 ~ L1 _ LOCATION: -'/4, ,Section 1 T -3~N,R E (or) W_, Township or Municipality ✓ r " `~osEpf~- Lot No. / Block No. G'`~ ~E.Ca7U~~ _5'6 5e.OlUl,$ eO 4L County Y'7 Subdivision Name Owner's/Buyers Name: Z4 UEti Tf~.PE Mailing Address:_Rr 13o)(110 SNI al rah ~Y1 i'~~''' SSA ~Z TYPE OF OCCUPANCY: Residence - No. of Bedrooms "3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT G ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS OFC'fy '1 ~r a y PERCOLATION TESTS - l2' I LIG fU//~14~t'/~ S SOIL MAP SHEET/ NAME OF SOIL MAP UNIT PERCOLATION TESTS ~s TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- S~fMt /f5 E4ji jeF 5M4,~ + , P- & 6,8" fo 6Y" ~s cs P- L S S F-rvf/A'E 37`i~ 4 of 7y' I -o ' < l P- 3 Ile 411,C A5 13- Evfii,- Ski ft,Aj - d < P_ 10 IA lelA,15- I g~ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 9 Ndit1~ IN uyget, 73 a "/Sv- 15 ZU"Gf• `S `'3;' '/-/3.v B- fv -k /'fats 1_4mcyre,ve Rk 4r / B- 12- © No-vE /p"ZCAIE (iyAvec 10'&V. /s ZZ `t I?Al /t 2 " -,8,) fs B_ lO3 " 011 eloMM . ,2®"iNS,vr 0-6 ko>Y /L" s ay„ s w B- 3 169 ®V~ /C3'zd~vE e7wtF i "9N. is /s i "fs ,y"sci ,a B- $ ."&4 " COQfA/ut 0-6 Aeo is '/0 0 " LS ' wfo7, cee,- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy44 ~ fO~ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. PROP, 4UF1/ SEE/ F P/TS 1=avR ~y'' Di cT I /'iTS ~pE4rvi,PE1~ Fa,P n/ANS' Nt~.% T[2 S~-AIE, 3 I 0 D1`5fAweE3 14,Af0AED ro ti I C~ o~ E~ cft paa ~s~v N0?E" rf/F /tizFr ~"4~ 0 Play v, I ~oV3E I PERM4a/E T)e~Yf/4 y I y~ CEP' v~,l:v alp gekv w, r us r \VN 1. I (•n~ SET .4 r Le,4.f T 8y C-4, A `3 I I i 1 o~ i.~ R S /pck fs7ipu ED . H' ~ u a. v I • w SFE,p,4 GE /mi r To G/E N `t ~tl ,u i q 0 ~ c i ~ i~ FT4?EE.V , c~Q BS. , 6 s V..4x ~ tij G Q y Z,_~ Asr ` p I • F--- IBM= SW S0,ev5yQR_~ /Rov _--IEotr~oA, eF AV +r ye'fA! =/ao' Jew/ %'#TF APP. I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Name (print) nIbh"axr lhlel ~ r Certification No. Address T~oPo y - Name of installer if known ,7u a ,PnS Copy A -Local Authority CST Signature__ _~f l EH 1 1 5 Rev. 9/78 ' 7 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 l 3C~ Zl? V U LOCATION: , Section ,T_N,R_E (or) W, Township or Municipality Lot No. , Block No. 4AVAE u71;et County 5~. 6e01)( Subdivision Name Owner's/Buyers Name: I&W"yy G,q Uk~uTvec:- Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL I EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- A M7 v eO /46, P- _ 42,4 ~4O A S © oA-0 ,tl 6- ~P T S P- %,,J /E3S 7XfA.) ~iP Gt~t eiP R E-Si1~E P- Mi.t1i.~T~ 1,,V E C/7t og Cvi i'E /A/ . P- T T /c S . P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 6.R /UNuE /Q"Moil W w e&,, /7'' Qv /s 13" f /S 1? 64) -o fs 7 se-/ B- 6, 16 /V ~~rE " Ma fS ` /s . 16 " Lf, 4V fs -4,• s /O "Scf B- l~Z Wte , S " 4v/; /0-C,' ieoH. COMr~t/O J /~1G>fl ~..~'iu~ /f B lp ' OHO " 7 / lJ~ CS LtJ ✓ vvlj- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ZMPp^AA/ i AM ?t - r IDI'r 71 A/'T 2. = f~~P s ,a1'r 3 = 6,~ AF dEfV1(, 0155; Roe-D 7.0 /y ' 121 T 410 A T iE-,~sT" fv ~P ~ r1F ~ f fs~ 7-- N 21,t 131? %'SE, 1e D 47- 16f IN6 ~{Es , s i E I - j a I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Name (print) A 6' 40- Zj% Mel ?,,11~7- Certification No. 0.1 yf` Address )er 3 #UZ D0/ / Name of installer if known Z Of rZA1 6- - AW M- A - Local Authority CST EH M Rev. 9/78 AT lL,67 1-). TES 7- S1 7-Z-3r - me,~6- / e/, 27 REPORT ON SOIL BORINGS AND PERCOLATION TESTS '10A6ES WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: Section 2 7 ,T3aN,R~~ E (or) W, Township or Municipality sf 7as50 f-- Lot No.Block No. Lt V~if'E Z-4 LC-A-2 r Uif'C-- 5*U/3101'11800.. County ubdivision IQ Owner's/Buyers Name: & 11) 4RjJ a me L,4 ~E"~VTUk~ir-' Mailing Address: Pr1 13 ox 11o lltm,,w 5 f U TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT -ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 'D'E,'. 3 PERCOLATION TESTS F, 7 SOIL MAP SHEET__ SZ 5 / / NAME OF SOIL MAP UNIT&5 PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RA7 NUM- SINCE HOLE HOLE AFTE INTERVAL BER INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 MIN/ 1ST WETTED SWELLING IN MINUTES P- P- P- GE .Sla y P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- l 7z I " z eN. , " o. f=,t Is , D. fs 13 "All /3,v. s'c/ or Ai 1- 6-6 , M0 f-f, 10 Frr.c W67 S. -J o. MOT'S B- 77- ~vo v~ Z `f GA Is /a" <<c l .;A pa. r~o t B- /r - S./ r SC' W"t~ ccHhOM . 0-B.,.) Aeo/LS B- 7Z il/a&vL SG " y" & l3 3"-'L1.:.e 0- BA L 15,G" s/ l f"Z-e G-,81 /s e- 1 ")"C,0, s 2_2" P4 1c- 4,1 W 'A Co,wrl . a_Gy . nC is PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy moT U.4 /iFicy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. E'0,4~ A fUR,0t-io.ti I fir- - - - - - - _ - _ - - - - - - - - - - - - - - - - - - - - - - - 20 NoR I Z-0 7- I'VC y C) -67 I f _ 13Al = lAOoA-) JSUlfU16y6le!`' 5'rf/' err r - LaT Cc~°,~E~. 3. I~ 4- - a. ti 3 to E i ~g I N w I _ T I 14 i pelv~ E 131 ~s 31~ I y 13 - - - - t "~oA'UA 62wE Z- A&O A-v I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Name (print) a6~ipT 'Zel~,el th7- Certification No. J 5 -02 Address pr .3 w)SO'U l • '7'C7~ (o Name of installer if known- i ®~y A -Local Authority CST Sinnature__._C`&-' 11140, ~ _ _r Eli 115 Rev. 9/78 /454/ IE-p 2 0! REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: /UC '/4, ` 4,/ Section 2) T LN,R E (or) W, Townsh"s or Municipality ' JUSc Lot No. , Block No. L , L.'{ UE,vTv~ E 5013 il) / Lo/-S"'n~ County S f C~~~ ~ u Subdivision ame Owner's/Buyers Name:_#6W )eV GLI Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOILBORINGS- 4t -PERCOLATION TESTS d6 *7 SOIL MAP SHEET 5`5I / NAME OF SOIL MAP UNIT / S M08a^ W_ D PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- P- P- P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 72- NPA1 E /1$N . /o ,H /D " 4AJ. IS , l0 B- L 0/c 6V , -c'tAy` w)'A loa4M. 01S;r1vc7 0-6V loots B- /C?~ /3AG' iloo~7~ ~Ee' ~R 50 2~E~~icilt To Q o 7.1", +ke- iko^i 7-1" . B- /3t?,QE /Z" CS i • 6 hC-Ijn p I/M~STD.UE O B- 6 to k fl4c* E Novo 2-6 /v,-.unc.4 c, 46 CR o 25L' e!F B- /ja,P R , i1 " ~ACaMt=.~JTED IiMES ro. c~E PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy NQT 570i, A-R/4 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. FbiQ 1+/3S&A0,0f/o,V 4,eCA . l~ - 7 6,v G _ m m e , F 3 ` s 6 w fi W's Y 71 - . S . E E i > a 1 . r I i 3 .P sm 1 3 f , ' e a s t c • , 3 t 1 N E • . w x . 3 . E , . f , . i t } e r I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. Lhe~r 211h,P/ctii s s =oL Name (print) Certification No. Address R73 Name of installer if known 6Copy A -Local Authority E 1. DA _ i5 Rev. 9/78 P,16 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES 11)A GES P.O. BOX 309, MADISON, WISCONSIN 53701 'f Tose p /7`" ' /4, •~1 LOCATION: 1 J ic1',/4, Section 27 , T N, R _25) G (or) W , Township or Municipality .S Lot No. Z Block No. LA UttiFV&_ County f~_ ubdivlslon Name Owner's/Buyers Name: _ffew-u J 1,4 VEVT O Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW_REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 7I PERCOLATION TESTS SOIL MAP SHEET-51 S 7, NAME OF SOIL MAP UNIT HS PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- P- P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B 1z" 9425- '~dN /s If . 0 S 13 d, ff (6-6 ~p7's B- LA-r1 c ate-, h! 0A.1 Aj . B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy IVO OAIndicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 4/3SO, 0 f ig;t~ 5'17 . h3~~E SITES 6eV )5fl PEl1 SCL . ~iC~ C14y -144t lc~,f S S~~ISnv~tr Sef T~'iPrtT~~ N~ 4JjtT~ ~A.PSE ~ftE,t-S W ck'E ~`E? 307,1// E n f} fl s 2-6 ' /,eo -I S #s die S~~fit« . ~N T~Esv~-k'E C©U~~yiov~ i~rsQ~ittifr TES~it~'E~f F~~2 I AV ff/SSo~'~'f%bti' d~C'A rvfi'~Gfp Ali®i 'l1~ME.vT~D ~/i:~EsTo vim) F SE~E,e T~ IftPP0R7 . - ` 4CCEPrA111,6- '5V7E II S 7% -14L WES% aoF AP1'V, Gt)>t1y. I I, the undersigend, 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 location of test holes are correct to the best of my knowledge and belief. OheRl - Zlb,' CAT Name (print) Certification No. Address ffuDSo A.) u)\ S Name of installer if known- known- LI _ CST Sicn.±urets(Y?_1 lz,-~._.. LCopy A -Local Authority Parcel 030-2047-50-000 03/08/2005 12:13 PM PAGE 1 OF 1 Alt. Parcel 27.30.20.510J-1 030 - 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): * = Current Owner LORI A LAVENTURE PATRICK PATRICK, LORI A LAVENTURE 22 HILLTOP RD HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 22 HILLTOP RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.350 Plat: N/A-NOT AVAILABLE SEC 27 T30N R20W 1.35 AC IN GL 2 LOT 1 Block/Condo Bldg: OF CSM IN VOL 4 PAGE 916 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 27-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/22/2004 769493 2621/638 EZ 07/23/1997 1004/47 QC 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6114 249,100 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.350 53,400 191,700 245,100 NO Totals for 2004: General Property 1.350 53,400 191,700 245,100 Woodland 0.000 0 0 Totals for 2003: General Property 1.350 31,200 157,700 188,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00