HomeMy WebLinkAbout026-179-02-1500-CST-1993-377 . r
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Soi1 Test Data Sheet �
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Owner Steven A. Friendshuh z,
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Address P .O. Box 432
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Savage , MN 55378 x �
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Certified Soil Tester Clarence Metcalf
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Date soil test received 02 November 1993 �
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Land Use Permit 98-690 G �'
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Date issued 12/1/98 new dw °: �
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Sanitary Permit 94-223 -l�b'��� o
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Date issued 27 July 1994 3� j�D 'J ��{�(�6 Nc a'
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Plumber Clarence Metcalf � n �
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Tank size _1,000 W/lift No of bedrooms -3- � � �
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Zone District RR-2 Acres � rt
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Volume 4$7 Records Page 471
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Certified Survey Volume Page w
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BU �LDINGS
INDUSTRY, DIVISION
LABOR AND 1C P.O. �OX 796�
HUMAN RELATIONS ERCOLATION TESTS (�1J� MADISON , Ihll• 537CJ7
(ILHR 83.09( 1 ) & Chapter 145) LOt 1 —�6-17 •
Victory Hgt. Origir�l Plot -
LOCATION: SECTION: TOW HIP/ U I IPALITY: OT NO.: BLK. NO.: SUBDIVISION NAME:
�/ �/ 3 /T39N/R9 E co�� W '�arr "� "�e.�lce y'j(v_� � Zl,'cl`o��ylf�lv`�'/z/< ' ,��A��
COUNTY: MAILING ADDRE$S:
�awyer �teve Friendshuh P.O. BoX ��32 ��g�� �`�• 55378
USE DATES OBSERVATIONS MADE
NO. BEDRMS. : COMMERCIAL DESCRIPTION: IPROFILE DESCRIPTIONS: PER OLATION TESTS:
I �Residence ,Z ❑ New � Replace I lm� ��Q3 10���93
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RATING: S= Site suitable for system U= Site unsuitable for system �e�-� ' � � � ��� �
ONVENTIONAL: MOUND: IN-GROUNaPRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
� S ❑ U � S � U � S ❑ U ❑ S KJU ❑ S L�U Conventional
If Percolation Tests are NOT re uired DESIGN RATE:
q �f any portion of the tested area is in the
under s. ILHR 83.0915)Ib1, indicate: Floodplain, indicate Floodplain elevation :
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATIGN OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
g_ 1 84 100 no 84 0-7 cl.te. 7-�4 sl. 21+--371s. 37-8�+ gr�, 8�
B' r. �. r •
6� 7I0 �— C 1 "fi8• � 81• 2�" �S• a'Y'� 9•
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. pERIOD 1 PERIOD2 P RI D PER INCH
P_ 1 38 n 10 21 2-1 4
P_ 2 38 n0 l0 2 2 2
P- 3 8 no 10 1 1'- 1
P-
P-
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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.
SYSTE LEVATIO 9�•5
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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 recordeci and the location of the tests are correct to the best of my knowledge and belief.
NAME (print) : TESTS WERE COMPLETED ON:
C la r er�c e ���etc a �,f 10; 30/9 j
ADDRESS: CERTIFICATION NUMBER : PHONE NUMBERIoptionall :
RT. 6 Box. . 69o1 HagWard, Wis. 5�+843 0471 71 -6��+-8077
CST TURE:
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DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. I 1 — ��— q.3
DILHR-SBD-6395 (R . 10/83) — OVER —
� INSTRUCTIONS FOR COMPLETING FORM 115-SBD-8395
To De a complete anC atwrate soil test,your report must inClude:
1. Complete legal description;
2, The use soCtion must tlearly indicate whether ihis is e residenCe or CommerCiel projeCt;
3. MAXIMUM number of bedrooms or commerciel use planned;
4. le this e new or replecement system;
5. Complete ihe suitability�ating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONIV IF ALL OTHER
SVSTEMS AFE RULED OUT BASED ON SOIL CONDITIONS;
8. PLEASE use the abbrevietione shown here for writing prolile descriptions anC completing the Dlot plan;
7. MAKEALEGIBLEdiag�emaccuretelylocetingyourtestlocetions.Orawingscaleisprelered.Asepa�atesheet
mey be u900 il Cesiretl;
B. Make sure your benchmerk and verticel elevation relerence point are clearly shown,and are permaneM;
9. Complete all apropriate boxes es to detes,names.atltlresses,flood plain data,percolation test ezemption,if
appropiiate;
10. If the inlormation(such as flood plain,elevation)tloes not apPly,place N.A.in the approDiiate boa;
11. Sign the torm and plece your current address and yur cenification number,
12. Make legible copies and disiribute as required.ALL SOIL TESTS MUST BE FILED WITH THE LOCAL
AUTHORITV WITHIN 30 DAVS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soll 8�p�ntn anA Tutum Oth�r Symbob
st — Stone (over 10") BR — BeCrock
coD — Cobble(3- 10") SS — Standstone
pr — Gravel (unde�3") LS — Limestone
's — SanG HGW — High GrOunCwe�er
cs — Coarse Santl Perc — Precolation Rate
meds — Medium Send W — Wall
fs — Fine Santl Bidg — BuilAing
Is— Loamy Sentl > — Greater Than
'sl — Loamy Sand < — Less Than
'I — Loam Bn — Brown
'sil — Silt Loam BI — Black
si — Slit Gy — Gray
cl — Clay �oam V — Vellow
sU — Sandy Clay Loam R — ReC
sicl — Sllty Clay loam ' mot — Mottles
sc — Sandy Clay w/ with
sic — Silry Cley �ft — few. fine. faint
'c �— Clay cc — common, coarse
pt — Peat mm — Many, Medium
m — Muck tl — dlstinct
� p — prominent
HWL — High water level.
surtace wate�
' Six general soil IezWres BM — Bench Mark
br liqwtl waste tlisDosal VRP — Veniwl Refeience Point
TO THE OWNER:
T�is soil lest reDort is Ihe Ilrst step In securing a sanrtary permit The county or the Department may requesl
venficetionolt�issoilteslmlhe�lelCpnorropermilissuance Acompletesetotplanstorthepnvatesewagesystem
9�tl a permit appl�cat�ion must be submitted to Ihe appropriate local authority in ortler to obtain a permit.The sanitary
peimit must be obteined and posted pnor to the starl ol eny construction.
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