Loading...
HomeMy WebLinkAbout042-1048-50-000 n cn O m m n o 0 (D 0 (D 0 CD CD 3 LI (3 r' cn - I = Z ~ -,4 v oo ° • 3 d CD N N N 3 O_ (D O 0- '30 I N r7~ cn m CD :3 3i = N ? (D d n a) N N OD rti 00 N CL = O O v C-n O ( p O = (~D n Tl 7 W O O (O O 1 O O 3 N d O .Ni C O- d N (n n' G N N W O 3 Q O O\ co 3 d Q it 5 O O N) C/) i Ln O -4 O N co ~ (n O C O Q Q ~ Z (n !`~`~ill z "O < < N Z ~f 0 cn cn N a D "U a 0 (D a' - m m o Q (D d N N (D W Q I N z ° z 03 z 0 O a D `D ° 0 ( ~l • O CD N (D I C (~D N W (D CL Z CD (p -i N p Z (D O N n n A Z O v a a. W Z N w c a ID (D CL , 1 z 0 3 -;l x O z 3 m C0C N < CD W n 3 -0 D o V) a 0 o 3 V) =3 0 am m c G) Q z a 0 CD o3a (o c (D O 0 CD d y 4 n ID ID Q _ d (D d l Q Q R o u n o ~ d N O N N C (D O D O O O O O_ O D'0 V O O O ` a ~ V Parcel 042-1048-50-000 01/02/2007 10:14 AM PAGE 1 OF 1 Alt. Parcel M 18.29.18.273E 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 - WINKEL, AMY L AMY L WINKEL 1020 99TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1020 99TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.080 Plat: N/A-NOT AVAILABLE SEC 18 T29N R18W 3.08A LOT 2 OF CSM VOL Block/Condo Bldg: 1/263 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1019/106 WD 07/23/1997 780/34 2006 SUMMARY Bill Fair Market Value: Assessed with: 149361 191,200 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.080 42,800 96,700 139,500 NO Totals for 2006: General Property 3.080 42,800 96,700 139,500 Woodland 0.000 0 0 Totals for 2005: General Property 3.080 42,800 96,700 139,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 219 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 cj!: Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX 715 962 - 4030 CROIX COUNTY REFORT Die 1 25 DURTHOLGE `„T _ 3GATION14 1020-99V., Pl s R'+C.. ELECTOR: M. Jenr <TE COLLECTED: I-'- -ME COLLECTED: 93(. ii1RGE OF SAMPLE`. ANALYZED 41-2F, ~ANALYZED:2 S 0(; ORM: a >TERPRETATTOW batter o' a p ~ I S Se F.,NDEGENpf approved Lab Flo. 19 O ° t PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse `i 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 ~ The St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, 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 County Zoning Office, and mail, along with form to the above address. Testing will be done as -oon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 35.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 l/ (Determines if system is properly functioning at time of inspection) Property owner's name A C:00)"I _ Property owner's address ~G z ~'cj fl- k-. ~fr~ I CC~r Legal Description Ic ~ 1/4 of the A_,1 1/4 Hof Section T y~> N-R Town of L(ct"u a.., Lot Number Subdivision Name FIRE NUMBER LOCK BOX NUMBER j Color of house Realty sign by house? 7u` If so, list firm: -C- lc_ Ct C LL4~ w Z PLEASE INCLUDE, IF AT ALL'POSSIBLE;3A MAP,i.e,COPY OF PLAT 400K, 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. i 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 to ensure time when entry may be gained.< Firm or individual requestin5 services: Z C Telephone Number 7E- REPORT TO BE SENT TO: c-'-L LILC~I ~7' Z_ - 41i u~ L. L Closing date) i Signature 611 ' 29 WARREN T29N-RA8W o ' SEE PAGE 43 E N E • en ar', • NRE I N v c7are~rce R s ~osc R/chard Gcra/d L 5 C111711 Game /Pa'~er- Af~ES. .PoGerf 6S L. Muc/%/' • ~Tohn C 76 L/ /.;n:fed FQri>xs, l~ 7`~ 1 J~ 5. e ~ Micke/sari of""9 .y , 'i~ • 6 Derrick z7ss C/-b Inc rrx' , I Sfa e f u @ Dan W stun n. 4 /154 9 ooe • :159 ze /sz a fo/ °f`'ca H N (/ernon M 'fO" •a' Lnu/s f Ct ~D Ale/son S6./3 ncs eJ Tenn ice. 3 C ~ 2 .r9 f d , v l /a s.tifir~y Raj' 0 0 Nr3an C Ma y ° e6o.e7 Nanc v4.n°` ''cM~.. eia/ 0 -~anf - ,7i7 z•o-o r4a l h Thomas ea C Freder,c 40 Q m Par= f H/ en ~ ~ R ~ ~ /52./B Pe/er CI o Mont by ~.p SRen4yy Ma/onerJ.ZBZ4 • W AVE O W F Fnk vo TRS- /ores BncS'e V O I W W4 i ao ya/e i - ¢,J SC 131543 .r • re JefFf tTohn s ® (/i9'n:a- Pll nd 2 / nn EFrrzncIS ~a T I>oro/hy • F eo'eric.F• K farm Sri .d~ Fcy'edmor) Ner,nkLeha.rtc,Fv ,ees W/'//r¢i~7 Bo 1'~ Cl 60 9754 Friedrich 'i ex[27 / /07T 8a y O Tohn ® ,(enne/h J O • N% f Wes S Mary 9nnT f Pamela F M¢ /any Fi-e' r/bh 470 on n 60 5 ~Q~ Kurkowsk! NB iter,'ka q:%6J /4.a cfu/ 1 • B.w 17on¢/d_ Form, a O 5952 ,Pob~r'/ f CiordM I /P<nsr>xtr' a-/-/7715' F f'der',cA 2 s K;ui - Luc//% TEber Mar/yn 'rr'c' /15715 Ilan Beek 9 . ~ s se s Me/% /sa 160 /40 /si 96 •Truesd 7/ Zoo /(0 0 AYE. L O~ o /ba 1151 B9 • • O h1~ > O ~4'6a - . o • i •u Dau- f wa-/te/' cse/v 0u r u Diane Neches//e • • 0 4 u nC vb cKenna v 78.4 195 ~Sf. Craix l/a//ey C iex •7BP ~rcee!!/ ' ~9 ~oj J • (girl 460 iScouf C~' Fa omf .u /bo mF f/e.r7y z392 7 C/sa q Camp -In 3Q rr n// .I y C~ in 13 23z VLiI f'VlF/14 ~v Z y~~ )e y /h7 ea ~ R/c%fer i ~ v e ~ / 4E~9ene Fred J v v C U~ 15 15 David n o Zz O>•~ ✓ce far/ f Te/o e~ eSChu/fe, efux F / /o h 5R s a/ane y Geo z/e s E y W v c vc Corni/k Fas v~ Yw 7B/~~ /kKenn¢ v o u' 7 e/y Jar r~ aner Feda.7~e%res a u -c ~u~ /dcn b pp 3 v E .EVC;i-~ .`1 z~-o cSCfi~tte B~ 3~\i~?~ y v -U l U C O Yluar>e d ET • B/00/17 /157 915 w /so mJ V b Hatt T F M,/e// O Q uJ /4757 R 5 IJ A r4 • • ~l sM 3 P4/ • • /2 ,f, W O /2 • I br¢M 9MA41 • °,W J~ • `j u p \ O W ~ Nn ...se 3, ¢ O F ° Rahi TRe TS /o. Thelma J u 11 ti NN. v t~f 74.97 Tom /6 o rd W• U y l / app r R X10 ° i~ 649 F~on useGy q a ~ O Fi d.~ N cTor>e s,8,y, Rode¢ • J roe. zs /3904 SC'\J K He, e ta-t W d ~ 2/_9/2 ~ IRR / ` W ~ 0 .234 eo 11 4 ~$ar/ra a /aa. sre ° t / v c' ~ v F7/b/1 1 ~ 0 ,CSe42 David 1 l V u /Vewe/ graham : v //r's / Cnro/ t V ~ Jones s. /o Ear/ F ~ ~ u 'o v wo ~~i Cii b V - 4 MIR D. Pech°mon VUd ~ Q: 'Q n V ~Z F~Sric Bse Co er H h y sn6,+.c: `y dy Qv /se 715 /592e Ham/'n opt ^ E V - 10 Z1~ • O FE eryn csUv. OBE RT$ /a7e o w,Yb°. e . . vE. TT m S s 5 ' - • y ~ J~~res /Ze96 eW.ye Ph///~oN rosfie/~~: cab N F• j ~tl a ~5 tan/yCtf'/o/a. Ro 44 %aorhe O'Co ne/t NmrX' or .,o. f Peqq 631 na et O y'O 7 Dav~df 40 ar/ene 1/0 y.9.y f a 'V Cn/ ! 3 N / 6 o Nau~el' W 00 Qo nFr1 Don /d 4 • ~ d ~ I ~ bad z [~n/er7 Q ~ 30BB/ A~2 rk .brad/ey nc// 2✓✓0 /7ndrr one Bo y° _ O ~ Nam/i r1 fDe45a tl Davidf Dorre//5 4,,,'15,/fz~ rh. n .~sc,'-~ 99 /G plavtp/au f eTu/ee~ hy~v ~C Da//ene a. I c 65 F- Lenert y°'~ F a 0 x / flndersOn - I Z v Ca,y Ear/ //aukcnes O~ Caro a h ` LOye6/ ~ µ }6/ . s ~ y~ 4 F U,One uman O'r~o~Q M Leon ; rJ77 ~ a Pech pp / cS 'fS • /o Nard n V ~ C 3 o 1515 ,Qichard s 'y oe _L.or s F /bo /153 .s Hndersan /6a e/a1 I h r. Rio. Sir/e c 6 d . 70 R O 3 k ,7v- , Tc z s K'e'15 qer• b^ //O O . P1 i3 s e.2B • / ©6.43 • • • • uss r o ' orw7ds 4/ • 4 • ~ z0 rke ..4,e. z s 65 r e/e¢n~' ,33 i / L F a/ Do-•,s ~,Qado~h 5 yS a.a C/a,-a- F Dorwes ~ [on f r.e6o~ ~ ~s 9I K.eU i'9 B7 • ~y f'esA:a/- +~~N F¢rms, R. W71a,n cSC/aP° M aR. ri o Ja%-,c rFO ~C Q Sna /93.88 n 0 29776 2377 0 \ /xo L~! . v CA. 17enr7ndCarZ a/ s x v I ` $a L ® ~2obe t.e Kober` E• s era,,,c_s v < G/e K f eo N Nom- - /o7 z, f.9eskau • Pes.Ear / v \ rn><v7 //e/en EC ~ ..y~ 9//Onf e~,J 'yon Ro'9Jewef/ <Ta me.s ~Jarw:n n Penrris ~ C~r )M ,af /94 ~j' F2rT!/U h 9 c .5or- 3 ,g„r/aq A t I? nnn /F de- rnsm FoJc rrty F,9e/' = Ne/9on N n a r, Mannr ntL.on o +R ea sror o 3 0 s -b$ ~ner~ o men/ /.t9G S 32 JJ.9 Y a 2 c D s 53 l51 C-_ 9 County, °a /99/,Poo.E adrla /s,z c .+EE PAGE 17 1500 P 1000 1100 1200 1300 1400 00 Dependable Hybrids From Dependable People BE A 4-H Richard H. Kamm 1382 - 100th Avenue TM Roberts, Wisconsin CIBA-GEIGY Seed Division Call: 749-3332 ST. CROIX COUNTY WISCONSIN h ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 January 27, 1993 Kathy Smith Edina Realty 700 - 2nd St. Hudson, WI 54016 Dear Ms. Smith: An inspection of the septic system on the property of John & Anne Kurkowski, located at 1020 - 99th St., Roberts, WI was conducted on Jan. 27, 1993. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Should you have any questions, please contact his office. Sncerely 'P ) Mary J. Jenkins Assistant Zoning Administrator cj Parcel 042-1048-50-000 04/20/2006 08:35 AM PAGE 1 OF 1 Alt. Parcel 18.29.18.273E 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 - WINKEL, AMY L AMY L WINKEL 1020 99TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Pri ary Type Dist # Description * 1020 99TH ST /~i/v" SC 2422 ST CROIX CENTRAL SP 1700 WITC U ~ Legal Description: Acres: 3.080 Plat: N/A-NOT AVAILABLE SEC 18 T29N R18W 3.08A LOT 2 OF CSM VOL Block/Condo Bldg: 1/263 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1019/106. WD 07/23/1997 780/34 t 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.080 42,800 96,700 139,500 NO Totals for 2006: General Property 3.080 42,800 96,700 139,500 Woodland 0.000 0 0 Totals for 2005: General Property 3.080 42,800 96,700 139,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 042-1048-40-000 04/20/2006 08:35 AM PAGE I OF 1 Alt. Parcel 18.29.18.273D 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 PATRICK M & ANN E KENNEDY O - KENNEDY, PATRICK M & ANN E 1014 99TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1014 99TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.540 Plat: N/A-NOT AVAILABLE SEC 18 T29N R18W 4.54 A IN NE NE LOT 1 Block/Condo Bldg: OF CSM VOL 1/263 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 03/22/2002 674299 1859/98 QC 03/22/2002 674298 1859/97 QC 07/23/1997 886/46 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.540 47,000 118,400 165,400 NO Totals for 2006: General Property 4.540 47,000 118,400 165,400 Woodland 0.000 0 0 Totals for 2005: General Property 4.540 47,000 118,400 165,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/21/2005 Batch 05-39 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT` OWNER f,S'~u1 (!~3C d.~►I~Q>'y e+4. , TOWNSHIP'--)'L d SE G06-NS; T,- N, R W P.O. ADDRESS ST. CROIX COUNTY, WIS ' SUBDIVISION; a , LOTi,:tLOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM #C14% I5 O as SEPTIC TANK(S) MFGR. ` t j C:P CONCRETE /ST-Elm NO. of rings on cover A16,,gC- Depth DRY WELL TRENCHES NO. of_All width //A- length & f are ;F BED no. of lines width 4'r length ~y area x= 7'2 depth to top of pipe AGGREGATE % PERK RATE ,~Q--~, AREA REQUIRED AREA AS BUILT Disciaimer: 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 SYSTEM. INSPECTOR DATED, c4 PLUMBER ON JOB %~I dcir~ LICENSE NUMBER <f y i REPORT OF IT1SI'rCTIO'.I--l,JDIJIDIJAL SET,JAGE DISPOSi1L SYS' ' 11 Sanitary Perm it-- State Septic .,1E TOUI3SHIP t, Cz x County Sr,°TIC TA77K Sipe gallons. `vUhlDC, ° of Compartments Distance From: WeII ft. 12 0 or greater slope ii. Building ft. Wetlands ft Highwater ft. DISPOSAL SYS TL:1 Tile Field or Seepatre Pit (s) Distance From: TIC, 11 ft. 12% or greater slope ft Building ft, Wetlands f.. FIELD Fhwater ft. Total length of lines ft. slumber of lines_ Length of each line ft. Distance between lines £t. Width of the trench -ft. Total absorption area sq, ft. Depth of rock below tile in, np-pth of rock over tile in. Cover over.. rock, Depth of tile below grade _i-n, Slope of trench in per 100 ft, Depth to Bedrock ft. Depth to around water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Cravel around pit: ____yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required `square feet of seepage nit area required - Inspected by: Title': Approved , Date 197. Rejected Date 197. ' e s s Permit Application PLB67 State and County for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY (c1,;2 - 77.1 ~1/37 Mailing Address:,~QS,- 1~ , C4, r B. LOCATION: N F Y4, Section lam , T:.`/ N, R /F E (or) W ot# t')City Subdivision Name, nearest road, lake or landmark Blk# _ Village _ Township z c-7- TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) "Varianc Single family Duplex No. of Bedrooms No. of Persons ~3 D. TYPE OF APPLIANCES: Dishwasher .4~ YES NO Food Waste Grinder AYES NO # of Bathe Automatic Washer AYES NO Other (specify) E, SEPTIC TANK CAPACITY /E'Total gallons No. of tanks / *Holding tank capacity Total gallons No. of tanks New Installation 1-~ Addition Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 0 2) 3) .--R Total Absorb Area sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length _S' /Width / S z Depth Tile Depth =TA_ No. of Lines -~5 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Y Distance from critical slope :;2 -S' 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 Certified Soil Tester, NAME A-7; C~ Ali, A at c° y C.S.T. # .$-6'S7 and other information obtained from et /4-71t j 7`" h"'~`~°'~• Plumber's Signatur - MP/MPRSW# ~/~'g? Phone #;;~,f Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). /1~~ sc a l E ® Re`f' P° K7 17, el N i 5 - - - 4 .Sapr;r 7"LhK ~h-,pnsr. !3'K er JeIdd L N G cem~ Z- du ~las,e1 ZS 4ae. - 73.~ S--, Do Not Write in Space Belo% FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State/0,00 County j C ~ Date Permit Issued/RpjP ate) Issuing Agent Name 1179 - Inspection Yes--kNo Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 1 5 i.inPAR I MINI L4 t"iL-:A _ I e I ?IViSIO Or AEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 u Z REPORI ti1Cv SOIL BORINGS AND PERCOLATION TESTS LOCATION: ksZ/d, Section 1ui_, T nN R 1$ 4 (or) W Towvnship or M-_VM ►ty_ ?_ot No. Block No. ._'"_f__~"!~~Rr County _ k__ ( ibdivision Na e . Ch"er's Name: ~1_Ca.~.Q - -_~ixrci.l~_ :r-. heiiing Address: 'vPE OF OCCUPANCY: Residence _k No. of Bedrooms Other _'FFLUENT DISPOSAL SY`,JEM: NEW __REPLACEMENT_______ _ ;TES OBSERVATIONS MADE- SOIL. RORI'NC?a f PFRCOL_ATION TESTS YPE RCOLATION TEti ; CHAfF A,. fLF r,r HOURS WA v'tt, 1ST WETTED SWELLING I IN MINUTES ;;F vvATER THICKNESS IN INCHES SINCE HOLE HOLE A{ TER INTERVAL PERIOD 1 PERIOD 2 PERIOD 11IMN/Ii V .Z t ry `~Z 'L' - Z kZ ~ „ TZ~ s z_Z _ -I- 3 8 "'ts, zz s' I~ I z 1 _ i y 14 Z_ i _3 Y, Y, SOIL BOWING TESTS TEST TOTAL DEPTH ! OEPri+ TO GROW-IDVVA I-EP. INC IFS ^ G-RA'_f FR Of SOIL WITH THICKNESS, INCHES atNNBER INCHES OBSERVED IFS r IMA"( ELF HIGHESTI fDEPII'H TO BEDROCK IF OBSERVEDII _ 4P tr ' JtIO N e, C' -4 Z tU N 5 ~ ( "3c:~ " 5 Q egi Poo 1'{ '2 7 5-.i If q fs &I -71 '7 A4 S -7 I ; ' 7 £S i1A` 7S~ 2 Z s 5 511 b 7 Z. S - - - " art ILI Z 5.1 13 W-4 roe- PLAN VIEW (Locate percolation tests,soii bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Irjiicate number of square feet of absorption , needed for building type and occupancy. A. _ I C7 Indicat sple or distances. Give horizontal and vertical reference points. Indicate siope. 1 - I I j- 1- t - - - C . c O - r -Cc) - ~ i o S 12 to ! 0 31. o ee- f, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures mid nMthods 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. Certification No. Nerve (print) -A Q, Al I n' I Adds: & a O a~~ C _~_Ay _ - - v Name of installer if known = - CST Signature _4