HomeMy WebLinkAbout002-940-23-5305-CST-1991-013 � �
�
INDEX o o �
rr �
Soil Test Data Sheet �
, o
rn O�
w �`
m
r �Owner Agnes and Lowell A. Bashor w
x
m
Address Route 2 Box 2020
m
Havward WI 54843 x
Certified Soil Tester Ronald Spreckels
0
Date soil test received 15 April 1991 �
n
Land Use Permit �' o
� S
m
Date issued a: r
C �'
r•
m
Sanitary Permit 91-021 0�
�
Date issued 19 April 1991
0
Plumber Ronald Spreckels �
Tank size 1000 No of bedrooms 3 0
N
W
Zone District RR-2 Acres 4.48 �
v� i c�
w i r
o �w
Volume 94 Records Page 635 �
Certified Survey Volume Page `��
�'d U.
w
� N
n �,
m
r
y
w r
0
`" z
z
�
�:
3c��� ,
, „. .
. � _
�
` INSTRUCTIC?NS FOR C{��PLETING FORM 115 - S�Ct - 6395
� �o be a campiet� and acc,urate scail test,your report must include:
1. Cc�mplete legal description;
2. The use section �nust dearly inclicate whether this is a residence or corrrmercial project;
3. l��AXIMUM raumber of k�ec�roorns or c��rnmef�cial use plan��ed;
4. 1s this a new oe replacement systei�n;
5. Complete the suitabil�ty rating boxes. A SITE IS SUITABLE FOR A HO�DING TANK ONLY IF AL�
tJTHER SYSTEMS ARE RULED OUT BASE� ON SOIL CQNDITIONS;
6. P��A5E 4asf��the abbreviati«r�s shown here far���riting prof�le descripCions af�c� complrtir�g the p(ot plan;
7. IV]RKE A LEGlBL�E diagram accurately locating your test locations. Drawing to scal�: is preferred. A
, separate she�t tnay be used ii desired;
$. Ma!<e sure your benchmark and vertical elevation reference point are clearly shown,and are permanent;
9. Cc�mplete a!I a��propriate baxes as to dates, names,addresses,flood �lasr�da[a, percolation test exemp-
tion, if a�propriate;
10. lf the infarrnatiz,n {sucl� as flood ��(ain,elevation)does not apply, place N.A. in the appropriate box;
11. Sign tt�e form and pface your current address and your certificatian numt�er;
i2. Make �eyihle co�ies and distribute as required. A�L S�IL TESTS MUST BE FILED WITN THE
LC�CAL AI.tTHC}RITY WITHIN 3Q DAYS OF COMPLETi�1N.
, .;
ABBREVl�lTION5 Ft�Fi CERTl�[�D SC}EL T��TERS
Soil Separates and Textures Qther Symbols
st — Sfone {over 10"} BR — Bedrock
cob — Cobble (3- 10"� SS — Sandstone
gr — Gravel (under 3`1 LS — �imestoE�e
'�s — Sand HGUV — High Graw�dwater
r.s -- Caarse Sa��d Perc -- Percolatior� Rate '
�� med s — M�;dium S�r�ci W -- Well
#s — Fine Sand , Bidg — Building
Is — �oamy Sarici � — Greater Than
�sl — Sandy Loam � — Less Than
*I — Loam Bn — Brown
*sil — Silt Loam BI Black
si -- Silt Gy — Gray
�cl — Clay �oam Y — Yellaw
scl — Sandy Clay Laam R — Red
siel — Silty Clay Lo�m n�ot — Mottles �
sc:— Sandy Clay wl — with
sic — Silty Clay fff — few, fine,faint
*c - Clay cc — common,coarse
p�t — Peat rr�m — Many, medium �
rr� — Muck d — distinct
p — prominent
HWL — Nigh water level,
` Six ger�eral soil textiares surface Uvater
� - for liquid waste disK>osal BM — Bencl� Mark
" ' � VRP -- Vertir.al Reference Paint
� ' ...; ,
�
�'
Tt�is sail �test repor�t is the. first str� in securi�7c�a sanitary perrr�it. ?he county t�r the pepartrncn��T�ay req��est
v�r�ificatic�n of �his sc3�) test i�s ��ie fi���i<� pi�ior �c� permit issuance, A r,o�n�l€�tf� sE��t of pia��s for the p�ivate "
se;�vac�e system a��d a permit aGplicatir�n must be subrnitted tr� the apE7ropriate local autl�ority in order to
obtair� a penTiit. The sanitary perrnit rnust t�e abtained anc� postec! prior to the start of an,y consTruction.�. '
:�_E�;#`' _
E. . . . .... . � � .
��<-
DEPARTM�NT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (��J) P.O. BOX 7969
HUM R LATIONS MADISON,WI 53�07
�,r �� (H63.0911) & Chapter 745.045) � � ,�
LO TION: SECTION: TOWNSHIP/M�}iY: LOT NO.:BLK. O.: S B VISION NAME:
�/ �/ /T�,�oN/R �W fi �
COUNTY: R'S/BUYER'S NAME: MAILING A DRESS:
- •� �_ 7
USE DATES BSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PR FILE D SCRIPTIONS: PER LATION TESTS:
�Residence � ❑New ��Replace
� � /
RATING:S=Site suitable for system U=Site unsuitable for system
CON ENTIONAL: MOUND: IN-GROUNaPRESSURE: SYSTEM-IN-FILtLHOLDING T NK: REC,OMMENDED SYSTEM:(optional)
S ❑U S ❑U �S ❑U ❑� J�.0 ❑� �U �t2J1�r�� ►n`� �cT rn p - .
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the
under s.H63.09(51(bl,indicate: Floodplain, indicate Floodpiain 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- � g' C�0-$ � '78' r , „ S ,� ,
w
B- �p� (�i � � � �? �c � .i��r i � � � S 9C � v�� 1 �
B-� �0� ',3 � ' �� ` •�.,� L � S ,
.i ��
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTE_S
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERioD 1 PERIOD 2 PERIOD 3 PER INCH
P- I o � � 1 '3 ' '�31�,c
P_ , �� • y ��
P- � � s s
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 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 ��- 5 �`
— —_. ��T" �� i�� S�Q vF e �Q k�
---�__
1.� .�` fl c r�s' _ _ —
__ ��� �_ � - - _�_
___._. . _ __ .
�
; r ,� � � . �---�--�- -�--
,
� � � � �8 � � � � � �
� ,
� .
_ _ �___.____ __._ _�_ �
, �
��� i , �� �� �
�__ __�_ � _.? � � _ _�._ �__ ._ _ � ���
�, �
-;--�---! ;`e. s�t a�c ,�� ���`''�K
" ; � � � �N
. - � � �
t �"�-� � -I---_._ ��� > �-s� a� ��� �� � '�°���°��� ��
� � � , � �y�
, , �
� ,�
�, �� _ � � � �
��� � ' ' ' ; 7 �c ���� � ���-�-��, � �
.. ._._.._
` ��D � bJ� ��
� d �11� �y, �l�'�,
__; _�___;_. o n�; f�, + c��, _
� . � ; ��, .�y _
, �
� � _r _ �
� � � .�� � � � � ��� �� � � �
� � � e f h t the soil tests re�orte � � �
�Y �
I,the undersigned, hereby c i y t a p d on this form were made by me in accord with the procedures and methods specified in th 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 WE E COMPLETED ON:
4 � - v' � '
AD RES : CER IFI ATION N MBER: PHONE NUMBERIoptionall:
� � v'c� � `�
C T IGNATURE:
.��� �
DISTRIBUTION: Original and one copy to Local Au�hority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVEFi —
� �� ���� `��� :/ 7 NUT G'SC-�i:;
� TWP 40 N . R. 9 W.
"1.6
�1.5 °1.2
�
z�"' ,, �1.4 I
:1.15 � �
y �i
.is :1.13 �
;f.i7 :1,19� � I .8 �1.10 ��,
:I.II .�3
:1.16
.5.1 :�.�
:1.18 :s'
z.• .1,J
✓ 'l.12 �
,.s
�2.8
�;; :2.3
�2.9
�2.5
�2.4 °2.1
�2.1 I
�2.12
.8.I .3.2 =2.7 �
�2.2
ROAD .3.I
�2.1 i
�2.6 ,
��
� .14.1 �3.1
�3.6 ,,s
�
�3.3 '
.9.1 .14.2 � 3.4 :3.:
�� �3,
" �3.7
�3.5
�pP� `4� � GRINDSTONE
�4.2
.
'.`° L AKE
/1/4d�
.12.1 � 0 �4_3 �