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HomeMy WebLinkAbout022-1006-80-110 o cn O 0 Cl) O E v n d `r1 p C O 3 A- M V A 1 m CD 3 3 3 ; " A7 rr " ~ O o o O w N O m S o W C O` Q= 3 (p N N° O O N y O~ N. N j ( • N C_ lD S Z W d v n 77 O ~Xl CD M =3 co co S. po CD O cD n = -O O N N to 'on T yy ~'S \ 00 C) cD 0 0 o = n (rD l m m n ° D° r~ O cD a 3 g m o z o o 3 N N 7 N ° :E O C l~~ CA U) cn 3 :3 1 O r`3 l\I d N A CO cn Z D a n cn D a= D (a O (n O. O CD (n a v m W N W v p n O N 3 Q O o o 1 o o 0 V CD N 0 c rn Q O w° ~1 cn co (0 CD 0 r, CD Z N eo OD :U I fn p C !r X 0 0 a Q) n v o Z O O O O O O A " ~O z o CO a 4 -1 -A o n' E N N N m~ N N N~ ° N D Q N O' v o G? O' O O fn C) CD CD 0 N ' fD ¢ 2 y 3 y " cn CD cn P. N 3 m 3 m N 4~ D a w V ` ~I oZ O D D o O D a= O' a ::r h m • m ~y m N N c(D c(o w N o N. C C (D W ~ I ~ a I n 3 I 3 = Z m m cp -I cn = Z (D CL p z o' 3 o W W m w CD M CL a z Ip 3 0 3 a - p p r: Mm o CD CD -0. W n N O O N o fi-° D 3 (~.~m D 3 72 0 CL CD CD CD 9:~ CD m m f ° O ° cn ` o X Z) cD 3 c:,' -n CD -n co Z) n mCD z a o~'< o a O CD ° m N O co * m m 3 nm CD l 3•y CD sa-(n m CD O - µ N > ~ < o CD cn cDd cn (7 v n m m cn cn C~ 3 ~c s c -(n ° ~aN ro N 'on aoo~ Ili m n° o ° 3 z v° O = (D o O (D Ci. I ao= ° I ~cn~ z cfl f N o w co N m I s~o 3-°m o om~ o 0 a O i O O ',.I b ~ v CD m v o * o O a o a ' Parcel 022-1006-80-110 10/03/2006 01:18 PM PAGE 1 OF 1 Alt. Parcel 3.28.18.45A-10 022 - TOWN OF KINNICKINNIC 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 CASEY A & KAREN L HOWELL O - HOWELL, CASEY A & KAREN L 1279 CTY RD N ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1279 CTY RD N SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 16.854 Plat: 4117-CSM 15/4117 SEC 3 T28N R18W NE SE BEING LOT 2 CSM Block/Condo Bldg: LOT 2 15/4117 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-18W NE SE Notes: Parcel History: Date Doc # Vol/Page Type 01/30/2002 669776 1826/238 WD 07/23/1997 1033/377 WD 07/23/1997 842/213 07/23/1997 833/494 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 70,000 223,200 293,200 NO PRODUCTIVE FORST LANDS G6 12.854 66,000 0 66,000 NO Totals for 2006: General Property 16.854 136,000 223,200 359,200 Woodland 0.000 0 0 Totals for 2005: General Property 16.854 136,000 223,200 359,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 307 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 N.KI ~N NNICKINNIC T28 N--R. 18 W ~d SEE. 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G3orx s,,,e.,_ o y an - °n° y ti o IS Bo 3~ s ~~V >Pos y n.Eer 379vy C°~.7f5. so~z¢ w ~ a~ eel or ~ - HD~~ " ~ R;o Lub:c s4 s.G 27 da - ,PS rc w o ha 0 him/cy F ~.a szs 9/vnnQ u//er 70 Big /.7 ~ LeSF- /ck~e f/arrc~ 8 C/ar nce Vernon ~Su/h Q do F/ rrY .a C •pasko.r F~eskar v 8GG 40 ska/' EU ene l-a //3e/ - Lac.Et i.~ r/<. 7e / 7 ~mm~// 7 /zo ~To y E 9Beff~< 79 qp 9 Pes Far e f7 <s ve son • 65.S- /a,0 o174o `b •X e 177 10o w Paa/ John 7 ` C dd .Qan6arQ • 79 Pen,-;~ Bo Uohn 40 40 40 • 73 0 P do G° •.Dor•af/i 2<o L-d. 4 tfi ESP Qt Tho s_5.3 n X Leo a.d G ud' h ,E~ufin y r/is Le / a ,vvmm m• <rB cimm 2/fc er' E P~ec /80 f/a,7 ~s r7 U.<. ~ EmE .sor7 akk ~n CS F 7is is . h • x • q.,for7• N ~y<c 3 37 -•-7¢ TC. h /99. ~s •~o ^ /zo Bo waf R.ch- tl(~ /zo X11 LLS Lic ~c Les/.e CF wv~ 3v'y so ~J` Luci/ 4 ~0 0• IX if ~.d C F l C ~Tam~¢s SMQ E/in er ' 1/ J Cnn on ~ 0 =Then J s tiJ a~/s or7 o~ 13er se/7 Peclicece 4 778 40n Nonrnan n/e/sar7 z 9 ke// z,s8 w (~/9T2 ~a ~kf°rd M P b/s,I c-, Rev_/97g P/ERCE COUNTY ~S/ C"- /Ns. y RIVER FALLS COURTESY OF JOURNAL RIVER FALLS SURPLUS CITY Printing - Publishing L UMBER CO. Advertising - Office Supplies CLOTHING - FOOTWEAR - FURNITURE PHONE: 425-2484 North Main Street WHOLESALE AND RETAIL River Falls, Wisconsin RIVER FALLS MOBILE HOMES WISCONSIN 54022 "The Ppne! People" RADIO SHACK 425-2563 PHONE: 235-0466 - MENOMONIE, WISCONSIN AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP kt:4-vL,,, SE(':. 'T~N, R~W ADDRESS ST. CROI COUNTY WISCONSIN„ SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOV EVERYTHING WITHIN 160 FEET OF SYSTEM - i ZT- i3 . 7- Vt 1 I di, a e o~thj Arrow j SCAL I i SEPTIC TANK(S)h+6 MFGR.CONCRETESTEEL NO. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines width length area dept to top o pipe NUMBER OF E PA E ITS Outside i.ameter total pit area AGGREGATE PERK RATE ARE REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR DATED ~V d PLUMBER ON JOB LICENSE NUMBER Jrs S . 1 ~S REPORT OF INSPECTION - INDIVIDUAL SELVAGE SYSTEM Sanitarp.y Pe`.nmit 194, State Sep-tic,2rk6___ ANQ Town.bhip _St. Cno4'x County r: t-%ori S S'Z Section 3 Lot # Subdivision I PTIC TANK S2ze gaEtond Numbers o6 eompan_.tment,6 5 Lance nom: Wee-e >Building I) 1.20 .6tope - Highwa.ten dMVING CHAMBER Sr ze.y gaUons _ Pump Manu6ac-tunen Model Numbers 1-UI Ntj l A N K _ti4 ze _ gaZion.6 Numbers o6 Compantment.6 ' PumPetc~ AZanm Sy.Stem tance 6kom: LVe.CZ Buieding 120 6Zope_ Highwa.teA. ;~;nRPTION SITE 8cd ✓ Tnench toned 6nom: LVett { BuiZdin,q .S 12% sfoao - Highwa-ten ;SOI;I'7ICN SITE DIMENSIONS U i d t h o6 t.4-en-&h. -6t 6 -t R e q u-- n e. d a n e a - 6 t I on~j.th a 6 c aek~ ne 6-t Depth o6 nock betow tite i Z_ ~.n Nambch- o6 . yes Depth o6 noch oven -tide. Z_ i.n tat ngth o6 Zine6 _6t Depth o6 tite below gnade (4 in G) c.,~ tane_e. between tinea 6t Scope o6 -th-ench- _-2- in. pen IOU At l o to abb on ,tion area 1 l p 6-t`- Type o6 Coven: Pape4 on. ~-tnaw I I UIMI NS IONS Numb e n o 6 Pi to Gnavet anoun& pits yea nn oiAt,sk'de. diameters 6x Depth below in.Eet 6t To-tak absorcp.t.i.on ane.a6t A ,c e a lt cq ui- tc e d 6t L~, TI 111 CH D BY -TITLE I'I'KOV1 D DATE 19 8 i Jl ICD DATE 198 l A'ON V OR REJECTION 1 REPORT ON INSPECTION OF SANITARY PERMIT # v-,'946 (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Tns V,)'A.13 e~ c-lz~ t Name, ress, lcense No. o ns a Ong Plumber Time of Inspection 3 INSTALLATION CO TS OF: © Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ® Seepage Bed ❑ Holding Tank ❑ Fill System (4)BENMT9TR7T7-ermanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: i'D TAoK s CVAT (6 )SEPTIC TANK: Manufacturer: t~_~Fast Liquid Capacity: 'hoo Tank Inlet Elevation: q 3 ' 6" Tank Outlet E1 ev : q a ' S # ft to lot or property line: > 5 / # ft to well (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO ; 8 HOLDING TANK: Manufacturer o gallons construction depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ N0; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ N0; Diameter of vent and material ; Distance from building to vent -(9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: (17 ft width; &3 ft length; 4 Z"tile depth.; 1 i.neal feet tile; zS ft to residence; 574 ft to well ft to lot or 0 property line; > 5U ft to ordinary high water mark of lake or stream; > Z o ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed 112''i'/z," ft. 11 SEEPAGE TREN H: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ]YES ❑ NO (13) Has system been installed in floodway? ❑ YES EINO Floodplain? ❑ YES ® NO DILHR-SBD-6095 N.05/80 =~1 X1.4!,;.- ' Pry i Signature of Inspector: L8 State and County State Permitm # # P 67 Permit Application Y - 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: 011-1 AA )l V / -s Pei i et - B. LOCATION: 11,fYQ_ Section _ T---) N, R/W- E (or) V1) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Townships C. TYPE OF OCCU ANCY: 'Commercial "Industrial 'Other (specify) "Variance Single family Duplex No. of Bedrooms -3 No. of Persons _ D. SEPTIC TANK CAPACITY D ~ Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement X Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation RateZT`S-Total Absorb Area 5 sq. ft. New Replacement---k Alternate (Specify) Seepage Trench: No. of Lineal Ft. yVidth Depth Tile depth (top) No. of Trenches Seepage Bed:_ Length_ A -Width L_E_Depth Tile depth (top) 3'~f No. of Lines -3 Seepage Pit: Insidegiameter Liquid Depth No. of Seepage Pits Percent slope of land y 7e Distance from critical slope VON WATER SUPPLY: Private 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 Certii ied oil Te ter, ! 1 NAME / 1, 7A ki 1-)e (Z `fi'r er C.S.T. # `✓6, and other information obtained from F Y~ (owner/builder). Plumber's Signature MP/MPRSW# > Phone Plumber's Address 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. i ` 1 E E s E ~ 3 e 1 .._„a-a a m ..,z sF e. e "a ~..m w. .g e m...-- ~ ...g „.m «.,.e....... ,-4s'........».ro i mom a=te s . . ..m e ..ems m m v mae u..U. ~ A . u.~ ra ~ xm } t ( 7 rm e ~ en. e sue= b~.. a-- E ~ j i i ~ a E I 3 i I m~ t e a ~ r + I .e e-.. mss........ e ..m.., e . w..~ .E. .t ate. a. K 3 3 F I j E c 3 7 c s } } Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State_iL_S_ 13-6) County Date Permit Issued/Reje-ted (date) Issuing Agent Name 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 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 T 17 N "T t H ~v ~`nfi N'S CYy~ e s; S e~~-~ c ~r~zl 8.. rr-I #O tt T-ce o- EH 115.,Rev.9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: N ' _ L /4, Section T_'N,R_E-Eer4 W, Township arMo" ipali~y Lot No. , Block No. County Subdivision Name Owner's%Btiyefs Name:` er~ C ).S re'-3 -S vZ , ~ `SFo Mailing Address: 4 FF/ TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL f EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM E' DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT S 1 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- 1 4b Sly Z 3 Inc 3C: .3/V 3/y/ 73/v Vrte P- Z `c) '13Q>iZJAje, Z ~C: ZC IV/(. jt/" "-I/b y 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- 1 It> la, >v~:>j _ 16- S T.- B- r1 Zz. LT- eh r B- lUC hSG~:~ iC~. r*C i 1 jJ ~h S% 5" hs'/! -7 ; B- sh sG 1 8• s 'en 6 c-,,,, B- 9`+S ~ uL i ns' is II` nsl Z; l~nC~ -7 h S ► . B- 1 ~3► ► 5 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 L • F3(4 ~ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ~uw 0 IF l R . pxt"41. 5 2 lDw-r weu p I 91 o- e - s w I 0 - - - It's R► a _ i I _P3+vLR.I. N • 5v 'Ch'cw~11C Surrtt'w.E L Q, C.NI=-t~ 3 5 c~ >l '15 \Zl?O N 13M , S NvJ W2~ 9 tJE~/t~-SEA/y TT2EL -1'q b L-~~ k-~et~:. C' ar~ t ti3 3 } I W i i I W E Lk- i x ; E ~ - - _ SC.NLE 0, _ 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. ZT)4 V lZ L, X12 Certification No. 5 6 Name (print) Address ~Z~- 2 SLQC lam'?7Y~ G~VI • 5yt5 % % Name of installer if known ,Q Copy A -Local Authority CST Signature ~-[4j42- RUVOR I ON SOIL BORINGS i~.N D PE11Ct.a9_ATION l ES US VVI`CON';;IV D( VAI11MLIV 3CIAL ".1ERVICES s'.O. bif ix 3019, ivi _ , N, I~1 - r^ 1,°-1Y+OW, (uwnshtN ,tr,-NfH•.rn.ei#rt+Fi•ty _ _ . W ri A gllvi ion N.uit , No. of Itutlrooms. t'C)MMI 1WIAL__ -~V-4- M J N! VV ftr'IACtr~1FNT AL.rLHNAf` f-"Y I M---'\ tw Jt s1 ral I't'IiCULAf ION I Es1';--. b _._NAME 01' SOIL. MAI' UNIT..__ PERCOLATION TESTS tinlint,ILtiOF5Oil. 1101-111; wAILHIN That IIMI ~L111t)l'INw, i_FtUVLJ,INi.'HL.i RnIIl IIli:KNI y; IN INi I11.'S IIV I H(I 11(111 nl'Ila IN7litVi\1 !r~' i 1'A' VVI 1-1 (71) ,wi I LING IN MINUI L i i i itltiit I u~ r?I~ ~MIN/ ~i { ~ ► l...._.~~wf.t.._►_'~r.~''~ Sc~ l 'AW.1:.L..: 6...E__~ _ ....~r_{,I,_~.i. ~i ~~.a~- tiOll_ BORING TESTS taiAl-Inc (Lc1-t c)r SOil. wl-I Fi 11~Ir~h.Nr i..r Ii,'1, -I ~;I.I~t II I I,t l>I II rO (iliuuNUwnlt li INCIli I - } - - It.XIUItF M011`1.IN( AND III III It iUIII IIIlii(.I< i~~(tll tlaiVl 11 ~I~b I IIVIAI t I, I Itl it I4 , I Ii )l I fiVC_U IIV INCI It i 1VN..31._._ Aft `Y /t,t-, )`1Y1r.~' l~ h r~nC f r3 !]9 S'/~ 7 - ti> r3~,~ t~ 4' f n s, i I n z. l n c l "7 1. t n s t 13 itt: hrui(;uidUui lusts, $oll bure holds arld suitable soil areas.) indicate oil the plan thu Ioca4lort irtd siluillu Ivt!i of sill t '~'F31~1 ,.l I'll it Irur dlruri,Uun 11 off nuudud ft,I i~)uliduul tYI,,G and ui-t.ul,etncy _.lu(ilt;,iic ,r.,Ili• Of %hr,t,ui(-i i.,; _~,itl vur ucaliyului}unce i.,plntS.,irYCUaille dra)s. J LG. k,, tN'vl71,` P a , T3~. ' b `►a L ~ _l (K,AJ C.C'c,t 'Y E~ t .x ~Y t .11 o~i NL4 ,7- k3 V, 7, i 1 } 1 / v. y,L -It w w t, Afs_t 41 ~,I,~^ } St + f c c:.r* `mot a f ►~1tt~ Jl; OF N L~ u~}C.1lF »~C{ • ✓F tip l 1 , t i 2 S(~Prl ~ '\~i` ~l~t ,i,iita,I,yuntl, hereby certity that the soil tests ruhurted on fill', ti,tiil wbfi! trtoitc by M0 tit wcurd with the. pvoi:cttiais aiut octt+:,,,E, ihctl In Ilii' wIbcoosill Adttiliti'„ttdtlve Code, did Ih,d 1118 (Idt'i 10"G0104,6 and :l,Cii•Il>II of tu- holes ,.irti co{Iitc! IU tht' I,c',' „I ,.iv wid hullut l _ ~I 1. r jy T` 4...r e_ l ) Cetoticatiori No,-- J y _ccQd 4t;Ide i EH 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: We'/4, `E '/4, Section 'I ,T.a6N,R 1(6 E-44 W, Township ofR44ewisipali4y- *M'lAJ i C' YC- hi bile Lot No. , Block No. County Ste" ~~bZY Subdivision Name Owner's%Boyaz>: Name: 1' (Q stn Mailing Address:- TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT 1,► ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS al24 SOIL MAP SHEET NAME OF SOIL MAP UNIT KnIk PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- SINCE HOLE HOLE AFTER INTERVAL BER INCHES THICKNESS IN INCHES 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, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B Z.iJ >NC~u~ "7 1 ZS/ Ak s" 1 L~ 51 b` A ►p° 12A' B- Z J"j 720 B- hk hjvi In, 14 my's I. B- 1~S uox. -7 i 1 S `f y Z • 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. d ~ ~ X65 - f~E' e w~ i N e t i a 1 F fl i i g 3 w 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). s ~ Certification No. S7 Address kZ6 S]" 2L ~2 C✓C~1~- Sell Name of installer if known Copy A - Local Authority CST Signature