HomeMy WebLinkAbout010-941-25-2223-CST-1978-245,
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Soil Test Data Sheet �
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Owner Gary S. Inhoff n
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Ad�lress P•O. Box 153
Hayward, Wisconsin 54843
Certified Soil Tester James Bolen o
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Date soil test received 6 September 1978 �
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Land Use Permit No. 8-267 a
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Date is�ued 12 September 1978 �,
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Sanitary Permit No, 8-149 �
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Date issued 15 September 1978 h ,.'"'i,
Plumber LaVern Dennis �
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Zone District R-1 r'
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Volume 297 Records PagP 1 � I
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CS Vol 5 Pg 398 1.55 acres ' � �
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LUP 91-152 issued for bedroom addition , � �
on 23 July 1991 �
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EH 115
(�D-�S�3 �jg� �5 � WISCONSIN DEPARTMENT QF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH,BUREAU OF ENVIRONMENTAL HEALTH
5� r!v //! O P.O. BOX 309
MADISON,WISCONSIN 53701 -
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: 1��'/4,/��'/4,Section � T�jN, R� F�sr) W, Township or-AA�i�rr� /T�1,��� � _
Lot No.�..1�;Block No. , County - Z/�w �f�
Owner's Name:
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Mailing Address: � � ��^3 /� J9✓W� 2 � 1�✓�S � sy�y�
TYPE OF OCCUPANCY: Residence � No.of Bedrooms �� Other
EFFLUENT DISPOSAL SYSTEM: NEW � ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS__ l- � -.�_Sz__PERCOLATION TESTS `j- �� 7 �
SOILMAPSHEETCr=����'Z Soi�C Ml�p SOILTYPE__ /� � C.11�� UF )'+�� _
SI� 'C�� (D °J 3 4 PERCOLATION TESTS ? _�2 -S���"
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES RATE
NUM- SINCE HOLE HOLE AFTER INTERVAL MIN/IN
INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
BER
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3 S�o,�p,r2,E (µ.r� S�l�. SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER,INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
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I3�d 8'S 5'$[�IV VIE1N'"(Loc�e p�olationtests,soil bore holes and suitable soil areas.)
Indicate on the lan the location and s uare�f et,,o..f�s,u,�i able area . Indicate number of s uar feet o bso t�' ,n, r�����
�� needed for building type and occupanc�y. _�¢_.__,.2__� j,�i,v'� Q �����In ic�te�le
3�' f �'Por distances. rizontaf and vertic eference po� t I i�ate slope.
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I, the undersigned, hereby certify that the soil tests repo ted on this�fo/were mad� in accord with the procedures
and methods specified in the Wisconsin Administrative Code,and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Name �print) ��M �s �n�r'N , Certification No. ��' ���
Address T r w 'w'T�2- w� � Sy —
Name of installer if known �Sd��$ �z� —
CST Signature
C�3�'Y A—LOCAL AUTHORITY �
TOWN O � HAYWA R C
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