HomeMy WebLinkAbout024-641-13-1305-CST-1991-046 U
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Soil Test Data Sheet � �
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Owner Margo Jane and Derek L. Gifford r
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Address P.O. Box 12 m
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C1am Lake, WI 54517 'J
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Certified Soil Tester ponald Thompson
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Date soil test received 17 May 1991 �
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Land Use Permit G �
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Date issued "' �D
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Sanitary Permit o� �
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Date issued �
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Plumber F
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Tank size No of bedrooms ,�
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Zone District RR-1 Acres 2.98 ,�
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Volume 451 Records Page 398 �
Certified Survey Volume 13 Page 158 �
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (�1J) MADISOfV WI 53707
HUMAN RELATIONS
(1LHR 83.09�1) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
� w �/ ti F �/a l3 /Ty� N/R � E co� �au.�� .� 1�,�.. oZ Uol � 3 �.58
COUNTY: MAILING ADDRESS:
au. e i` �f'O t�e X t C � LQ �' . � � �
USE DATES OBSERVATIONS MADE
NO. BEDRMS. : COMMERCIAL DESCRIPTION: IPROFILE DESCRIPTIONS: PER OLATION TESTS:
I QResidence �New ❑Replace I / / 9 / /�/
/l/� ,9 l S / ( � /
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDIN TANK: RECOMMENDED SYSTEM:(optional)
� s ou � s au �s ou ❑ s �u as ,�u �� �,�� �, ��
If Percolation Tests are NOT re uired DESIGN RATE:
q If any portion of the tested area is in the
under s. ILHR $3.0915)Ib), 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.1
4 „ .,
B- � C� �v 8Y " - ia '� �o= 30 �.s � 30 •= " �! �r�r - &y �2oc r-
B- ,�. g � Y (p A� N > 8Y" - o " �u "- 3o /�.5.' 30'= SL �/Y-" y.. Gt-.��' Co
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B-3 y � �U � � 8y `� _� „ /o „ �../ . `/ 30' �i SG YY-�Y r -�. 4�
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B- y �V 7v 8�i " -�o `� �o'= 30""/'� S.'/ 30 �� yY SL. 5'Y--��"y� G- r. �f c'v �
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B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. pERIOD 1 PERIOD 2 PERIOD PER INCH
p_ � c � It/ !� p S/ � 5/ S�� `/
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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.
SYSTEM ELEVATION 9a� s
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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 JVisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (printl: TESTS WERE COMP�ED ON:
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A DRESS: CERTIFICATION NU BER: PHONE NUMBERIoptionall:
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DISTRIBUTION: Origlnal and one copY to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) — OVER —
INSTRUCTIONS FOR COMPLETING FORM 115-SBD-6395
To be e complete and accurate soil tast,your raport must incluGe:
L Complete legal tlescriplion�,
p. The use soction must clearly indicate whether this is a resitlence or commercial project:
3. MAXIMUM numbe�Of beCrOoms or commercial use planned;
4. Is Ihis a new oi replacement system;
5. Complete t�e suitability rating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONLV IF ALL OTHER
SVSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6. PLEASE use ihe abbreviations shown here for writing profile tlescriptions and tompleting the pbt plan;
7. MAKEALEGIBLEOiagremeccwatelylocatingyourtestlocations.Drawingscaleispreferad.AseDaratesheet
mey be used i1 Gesiretl;
8. Make sure yow benchmark end verticel elevation reference point are clearly shown,and are pe�manent;
9. Complete ell apropriate boxes es to dates.names,addresse5,�lood plain data,percolation te5t exemption,if
eppropriate:
10. If the information(sucn as flootl plain,elevation)tloes not apply,place N.A.in the appropriate box;
11. Sign Ne lorm and place youi current address and yur certification number;
12. Make legible copies and distribute as required.ALL SOIL TESTS MUST 8E FILED WITH THE LOCAL
AUTHORITV WITHIN 30 DAVS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soll S�p�ntn and T��turo� Other Symbob
st — Stone (over 10") BR — Bedrock
cob — CoDDIe (3- 10") SS — Standstone
gr — Gravel (unGe�3") lS — Limestone
's — Send HGW — High Groundwater
cs — Coarse SenC Pe�c — Precolation Rate
metls — Medium Sand W — Well
Is — Fine Sand Bldg — BwlCing
Is— Loamy Send � — Greater Than
'91 — Loamy Sand � — Less Than
'I — Loam Bn — Brown
'sil — Slt Loam 81 — Black
sl — Sllt Gy — Gray
cl — Clay Loam Y — Vellow
scl — Sandy Clay Loam R — Re0
9icl — Silly Clay Loam mot — Motlles
sc — SanOy Clay w/ — wi[h
sic — Silty Cley ifl — few, tine, laint
'c — Clay cc — common, coarse
pl — Peat mm — Many, Medium
m — Muck tl — Oistinct
�. p — prominent
HWL — Hlgh water level,
sur�ace water
' Six ganeral sod textures BM — Bench Mark
�or Ilawd waste OisDosal VRP — Vertiwl Relerence Point
TO THE OWNER:
This coil test reDort is Ihe hrst step in securing a sanAary permit.The county or the Depariment may request
venhcefion o1 this sod test in the Iie10 pnor to permd�ssuance.A complete set of plans lo�the pnvate sewage system
entl a permit aDplication must be suDmittetl to the approD�iale local authority in ortler to oblain a permit.The san�tary
peim�it must be obtainetl and postetl prior to the start ol any construction.
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SAWYER C]�OUNlTY CERTIFIED SURVEY MAP
FO 3/4"I.P. `SW4 — �'41 .52C. �3� T. �� N.� H. 6 l�.
N. 1/� cor. ,c,ac.13
SO � �p���y 13E7.3b'
N.85'�ot BeoNln9
SCALE I"= 200'
gose
F0, I"�.p 0 200 400
- S BS°27'3i"E
795.92' 1315.60� FD.II/2^� p
I 519.68' �
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360,796sq.ft. �
828 ac. �
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{V V b
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ti N 289�i88 $f.
r 6.64 ac.
W m
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�-23•IT'09" N ��596 6� p
op, 5�42 E �a
W tan.-122.94' m o�c ;y.?�p5'�� � ^�
I -p �,—19•17'23" ra0.-596.67' � tb 516 E 9
1 0 ton.-152.47' arc-242.50' Z
raa.-897. 19• cli.-240.83' ch'��a CIL 66' �'o
• O af<-302.05• g c�.Drp. N69•48'31"E� � —iy m .
O ��-300.63' O9'S — -- �aa_ 100,00'4 TOWN ROAD ma�
c N78' �f�— — _ _ �
<h.Dr9.NW•4837'�p3.82. 5�3,36q'q9� a�e ��8.6 �
_ 9 N N
cfl ' I9 72, m
O '____ _ _ ' b,v� NO•00'00••E e ��•�^Y.SBPjzp9.
D Z 51i '�;� \`7.69' � '=��SB9•27'IB" E 3
ia �y 2 'g J��`g10 'n \\; 2G1:41' -N
' � 129,985 sq.ft. 2�i�/ � NJa.2� ,,� �
� N Z.980C. .1�/ � � _ 4.0� �� �
Iz � o�� — � °'•W� 127,514 sf. o
I� ti�i /�� 3s� 2.93 ac. " N
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iy s`'�'� c.se y v �
IIY N88_28'12"W 270.78' �� / \\ \Q. - 4••\� O
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.i �d�:s ��•g• �1
o _ _ ��SE �q'S"F �°2.'d" ,°'S �;;
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�__�� ' e S e t 3/l F° x 2!y" ra r o 3, �--�� � ��a
wt. 1 .50 lbs/ft. � `�f
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STJRVEYOR'S CERTIFICATE �` Fo `�
I, L�'LF L. ELLI�T, registered land aurveyor hereby certify that by the ,•
direction of JAMES HADLEY, I have surveye3 and mapped the land parcel which is \
represented by this Certified Survey Map:
The exterior boundaries of tha land parcel surveye3 and mapped is described as followa;
A part of the S4J� of the PIE4, Sactioa 13, Townahip 111 North, Range 6 llest, To4m of
Round Lake, County of Sawyer, State of Wieconein, axid more particularly described a�
follows: Commencing at the North auarter corner said Section 1j, theuce S ^v°00'00° tJ
1347•36 feet to the puint of beginning; thence S 85°2�'j1" E 1j15.60 faet; thence
S 0�16'25" 4! 898.99 feat to the ahore of Ploose Lake; thence N 2�°09�01" 4J on a �peander
line of eaid Lake 233.ly� f2et; thence S �0°30'1(}° lJ on eaid meander line 1(�1 .5j feet;
thence N l�0°30'39" W on said � ander line 103.02 feet; thence N 58°2l�'00° ll on eaid
meander line 396.68 feet; thence S �1�1+0'06° iJ on said Yneander line 18�.03 £eet;
thence S 52°22'Oj" W on said meander line 2�O.1y9 feet; thence N 88°26'12° W on sai3
meander line 270.78 feet; thence N 0°00'00" E �73.2Q feet to the point of beginning,
said parcel containe 20.8j acres more or leoa, inclu3in� all land from said meander
line to the waters edge, and euh�ect to any easements or restri::tions of record.
T have £uliy complied with tha provisi�r.s of Section 2j6.31� of the lliaconsin revise3
Statutes and the subdivieion ordinance of Sawyer f;ounty in surveying anci mapping same.
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'"a v° "o � �l�'a � + t� LYI I�. ��'LI,SO'["P, laiid suiveyor
�, ,,� M � ��q'� � lYlf L. E11k7fy . Registration 5-1300
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� � tl o � SF"Oi�JEk pyl g Date: June 23, �99�
� �, ' � � a I hereby certify that this curvey is correct
v oI '� o � � 3 to the best of my know7edge and belief.
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