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Home My WebLink About008-937-19-4206-CST-1988-210 ' ,/ INDEX • r 0 0 rt � Soil Test Data Sheet , 0 M � � i d � Owner Beverly A . and Ronald 0 . Baribeau � a Address Route 1 � tr� � Birchwood . Wisconsin 54817 � — Certified Soil Tester Georee Nelsen o O Date soil test received _ l�_November 1988 � �s Land Use Permit � � v� w Date issued a' � C ~ .7 r• � �n w Sanitary Permit 89 -006 o G. � Date issued 16 March 1989 � w Plumber Kenneth Cole � '-' o p. � Tank size 2500 No of bedrooms :o � w � i Zone District RR-1 Acres �� Z7. �z o � I � Assn . o rw L . 0 Volume 397 _ Records Page 3qq ,� I � Certified Survey Volume Page _ � LUP 93-123 issued 26 May 1993 for storage bldg to owner 'T� v' w �V�oy9— 3iS !o/a �/P5 �� '� n � ! m � r H i � W L� J 1 � z � x i I � , E 3 �itc�/tRA 3 y So a � DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISICIN LABUR AND PERCOLATION TESTS (11J) MADISON , WI 53707 HUMAN RELATIONS (ILHR 83.0911 ) & Chapter 145) . � LOCATION: SECTION: TOWNSHI /MUNICIPALITY � OT NO.: BLK. NO.: SUBDIVISION NAME: . w, '/ s � '/ /T37 N/R � E �o � d �,�.1 :- :- s�,9- r N .� 1'� ' ` COUNTY: MAIL NG ADDRESS: � , � Fb�` �• � �� w t' � � � � �- � � � ' ' � � � � - � , . , Ih �. S ' � ' ! 4 .� ; :- _ � ` - ., � � � �, USE OATES OBSERVATIONS MADE NO. BEDRMS. : COMMER IALDESCRIPTION : r� � R S: ER LA I TE 'TS: ❑ Residence r� L> • ❑ New LLNieplace l U ` - � `, :� .y .. a � � I) c"'.SC ,H�`A / 16 - '� `I -- � � � U ' � - � - C� r; �=r RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUNaPRESSURE: SYSTEM-IN-FILL OLDING TANK : RECOMMENDED SYSTEM: loptional) �'S ❑ U � S ❑U L�J ❑ U ❑ S C�J U ❑ S � U �. � N ':' e' t�T! � %'- T- .; J DESIGN RATE: If Percolation Tests are NOT required if any portion of the tested area is in the under s. ILHR 83.0915)Ib1, indicate: � � Floodplain, indicate Floodplain elevation: �/ It fJ ''T PROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED T. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) m �T , , , � ��, �a r , t� � , � �s- „ . M rr1 , B- -��' r „ 1 �, i � � l . � � . " ' r Q Ac j � A � o� � � D � aT� � E' I'� l'�"i /� l � ' � 7-a7� �� B- J"� r �., .�--►1.!� [. " + r�:� B- � - � ,�< i �� , � � 7� � � r , �, . � .. ] Yy , dj !� � � � rt , B- �{ � .� � : ze , ` . .� � � c 95 � � ' + B' t, � L r' 1 i \ / � U ' L7 � 4 � � � / A B- _ PERCOLATION TESTS �� TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES � NUMBER INCHES AFTERSWELLING INTERVAL-MIN. pERIOD 1 PERiO 2 P R PER INCH p_ n f, ' ! �• E � � . _ � p- i'' r ' � w �'4/ .v� •_ � P -� i � � r D_ 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 elevaticn 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 (1 � !-- � ' ' . . i ;. i F j $ ��. � , a e { i � � � _ . , e..�,.asm—�—_....a..�.m.._�vy..._._. ,F .�..�_ .� � � � � � _.. _.. . � .� _. ?_ � � . __i � _ � t__ . _�..�,..m. � --« _ v� r �-s-_--�i�'. ;.L r�tQ' � l ( `"'• � �l� °�.. ,.� � � 1 � ( � � � � � � i . ( ; I � S ' � � + � __ �_ _ —_ _ . �� _ ... �___ . __��. � _ _ _ � _ � _ �__ � � � � _ i � ( � � � � G ' � _ � 3 � r � i � i i , � ��-_��__ �_�� ' j � � � � . � I s' � � � 1 i —}�{--- f � .. �_.y.._-.— � � ` .. � I � � �_ ` v.� >_ � � � R , i I � � � � � � i i I � i ; � ... � e __—�—. ! —;-__.�__..�__. .,.._ ; �.. ' _��.__.�. �...��.�_ N ; a I j ' s E i � 3 � i, y o �.—�,-�,_..,._ ....., ----b--......�__ .t_ o-._. ^^^^t--�"--^—`—�---._..'�.�.'_ . —.�^...�—r"'w'—i—�----^�:. � � � � � � ` � I � f � � � �� j t �, .—�—�'{—.—�� ._.....«--- .�_..a.:p....a....+.v... � �...._..j__.......w.—.� ' ' � + f ' � i : � d � � i � i � 3 E S _ � .. — - . � _,_,,,.,r_ _ i .{— Y— . ... — -- : __ ; _--,--.. .� i �_ ; � € � _._, 4 j _-- , � — ; i 4 � � t � ; j � � : ; i ! E I - i --�---i- ; - ; ; � �� i I � ! 4 { � _ �—�--- ' ' i , � I � , 'I , , , ' �_ ' ' + 1 : I i � _..� ___;_ _�� _ _�- .. ! �— ---.--�-- ; � � _ _ ! __� f _ . ' �� _. _ � _ I , the undersigned, 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print) � 1 TESTS WERE COMPIETED ON : � C; C�� h � G�,� , �� C. L. S � '� — - p �-- `� - �' a- _ ADDRESS: f CERTIFICATION NUMBER PHONE NUMBERIoptional) : , � L� � e E' � ` '' , (�, �� , � C` � x'^ :� • 1 " CST SIGNATURE: , � � , i ' , � � , ., . 1, �. .i. �_ DISTRIBUTION : Original and one copy to Local Authonty, Property Owner and Soil Tester. - DILHR-SBDFi395 (R. 10/63) - OVER - • INSTRUCTIONS FOR COMPLETING FORM 115-SBD-6395 � To be a complete anG accurate soil tast,your repoA must include: � 1. Complete legal Aescription; • 2. The use section must clearly InCicate whether this is a residence or commeraal project 3. MAXIMUM number ol be0iooms or commeroiel use planned: � 4. Is this a new or replacement system; ` 5. Complete Ihe suitability retinq boxe5.A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SVSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS: 6. PLEASE use the abbieviations shown here for writing profile descnpfions anC completinq the plot plan; 7. MAKEALEGIBLEdiagramaccuratelylocatingyourtestlocations.Drawingscaleispreferad.Aseparatesheet may be used il de5iretl: 8. Make sure your benchmark end vertiCel elevelion relerenCe point are clearly shown,antl are Dermanent; 9. Complete all aproDriate boxes es to detes,names,addresses,flootl plain tlata,percoletion test exemption,if appioDriate; 10. ❑the informatlon(such as flood plain,elavation)does not apply,place N.A.in the appropriate box; 11: Sign the form and place your current adtlress and yur certificalion number, 12. Make legible copies and distribute es required.ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITV WITHIN 30 DAVS OF COMPLETION. . ABBREVIATIONS fOR CERTIFIED SOIL TESTERS - Soll Sep�rtla�end T�aturos Olher Symbols st — Stone (over 10") BR — Bed�Ock cob — Cobble (3- 10") SS — StandStone gr — G�avel (under 3") LS — Limestone 's — Sand MGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate meCs — Medium Sand W — Well fs — Fine Sand Bldg — Building Is— Loamy Sand � — Greater 7han 'sl — Loamy Sand � — Less T�an 'I — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Sllt Gy -- Gray cl — C�ay Loam V — Yellow scl — Sandy Clay Loam R — Retl sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Ciay If1 — tew, fine, taint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — tlistlnct p — prominent HWL — High water level, surface water ' Six general soil texWres BM — Bench Mark br liqwd waste tlisposal VRP — Vertical Reference Point TO THE OWNER: This sod test ieport is the I�rst step�n secunng a sanrtary Dermrt The county or Ihe DeDartment may request venhCetiono�Ihissoiltestinthe�ieltlpnortOpermit�ssuance Acompleteseto�pians�orthepr�vatesewagesystem antl a permrt application must be submittetl to Ihe appropnate local authority in ortler to obtain a permit.The santlary permi�must be obtametl antl posted prior to Ihe start ol any consiructwn � \ ' �� z z � � � � c� � � � � ' � . o o � �- �- Z- � � 11� - - � i� 2 �4 C '9 � �1 r � 0 cy_ C� � � � A � `, ` _ � Y �_ � `� � D �0 °� � � �� l � � -- -ct' T- ' ; .� z 3 �, �� N b- � � �. � —� � '� � ° � t,� � D r, -� �- D tL � �- � ' � �.. � r � c Z � � � � �Y � � � � � � �. � t� �" �- � b, O�a `J '� --{ � i '- � ri; _ � . � ' , mn .i j � . � � � U'� n � � � T v � tr, -+,� " � � ` - z _ z Qa , b r� o �( � O N � � ,' � �'' � � o Z � � � n � � � bo i- j `►l � � � �{` � � � � � i I� O �O � c � \n � � ie �� ` ' a � � n tc � � 2 �- f - � � � 'r� � � 2 re � V �J � t�r � z' � � s Q r� y o 0 � T rn � � � � Y /o X �� '1� o Z � � �� _ � ; � � � b n 9-� � � � A � p i - �o .: Z y � � � � (� � Q Ep � T � �_� T � �' � � y� � m � �D p ' .'-' o � G 3 _ �. - -- � � ,., � -- �� w -0 � �.' � � a q� c� _ � �I' v . 4 -,' �=�� . � � C� � �a�Q p � ;�' tA�-,�� _ � -D'h 6 0�� W _ QNI . V� �� }S v 'F- � A� � � �_ � �/N�, t�d 'r �� _� � '_ ._ � _��- � - � 'J.IL ` �� ` � � 5. �5.1i�`�, ' =4.5 i 3.3 �5.i =46 ! ` �.8 `5.9 BlRCH �4.7 .f44 � LAKE ��+ �� S.2 � PENNY ISIAND J3.1 � �tu�AM� �6.3 � � • - . .14. �6.1 .�. , 1 w�ooa.allo .141 I pa�c .6.4 / ♦ , / r �7.5 �7.4 �7.8 �fi6 / 3 2 � �7. S.8 .16.1 :T� � � �6.9 �6.7 .I SJ �72 �6.5 � � .16. =7.3 �15. .16. SC : 1 INCH=400 FEET fOR ASSESSMENT USE ONLY Nd'4 DRAWN BY: DATE :7�-9-$4 INTENDEO TO SHOW GONClUS11fE COLON (:) INDICATES GOVT. LOT EVID�NCE OF OWNERSHIP OR BOUNDARY LOCATIONS