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1993/03/29 - SANITARY - SAN - Other
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TOWN OF LAFOLLETTE
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9343
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1993/03/29 - SANITARY - SAN - Other
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Last modified
3/5/2020 11:37:37 PM
Creation date
9/30/2017 8:54:30 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/30/2002
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
9343
Pin Number
07-014-2-38-15-04-5 05-007-019000
Legacy Pin
014220408000
Municipality
TOWN OF LAFOLLETTE
Owner Name
DAVID T & SARAH A KELBY
Property Address
4878 BERTRAM RD
City
WEBSTER
State
WI
Zip
54893
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DTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY; DIVISION <br /> LABOR AND P.O. BOX 7969 <br /> HMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> ov,t, Lc'T (ILHR 83.0911)& Chapter 145) Lc)T / OSM V. la p. �( <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/ 1/ 4 /T 38NIR 75E (oA1 LaFottette fpcf. E 1/4 SW 1/ <br /> COUNTY: MAILING ADDRESS: <br /> BuJrnett Tom Ketby 4878 BentAam Road Webeten, W1 5 893 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: R I D ON PERCOLATION ESTS: <br /> Residence 3 ----------- ONew I4Replace Manch 20, 1993 MaAch 20, 1993 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:1 ptional) <br /> ®S ❑U ®S ❑U ZS ❑U ❑SX❑V ❑S ©U Conventional <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLO ,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED ET. IGHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BA K.) <br /> 0-5" Dk Bn Pte; 5"-62" Bn med. z; 62"-64" R a; <br /> B- 1 72" 93.6 None >7211 64"-72" .2t Bn med. 5 <br /> 0-5" Dk Bn tA; 5"-64" Bn med. S; 64"-7 n <br /> B- 2 72" 92.8 None >72" 7,s <br /> B- <br /> 3 72" 92.5 None >72" 0-4" Dk Bn P.s; 4"-62" Bn .me ,s; 62"-7 n d <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERIOD3 PERINCH <br /> P-1 31" None 5 1 5/8 1 1/2 1 378---4 <br /> P-2 22" None 5 1 11/16 1 5/8 --FT 2 4 <br /> P None 1 9/16 1 7116 1 5116 <br /> P- <br /> LP_ <br /> P- <br /> 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- <br /> 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 <br /> of land slope. <br /> SYSTEM ELEVATION 91 Scate 1"=40' except whvie ioted. <br /> _ r n <br /> Ada n,oxcrl�at 16 ACA'ee <br /> 1 <br /> __. <br /> _e <br /> "IAB1 PF 83� <br /> Cr <br /> .. _ .. _ __, P2�..8�_ (Vann <br /> _W___ . <br /> l � � et <br /> r Q, Lake <br /> I <br /> f <br /> , <br /> i <br /> i <br /> 8M=_,100 0 BenchmCAk 8! <br /> _ 1', <br /> PR <br /> Bottom, g. <br /> �id2ng <br /> _1 l�aue1 d isankn9i <br /> I , <br /> ° Penc <br /> 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and meth(ds specified in the Wis nsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief, <br /> NAME (print): TESTS WERE COMPLETED O : <br /> Wade Ru ehotm MaAch 20, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: I HONE NUMBER optional): <br /> 24702 Lind Road P.U. Bax 514 Siren, WI 54872 3583 7151 349-7286 <br /> CST SIGNATURE: <br /> S�� •fa � <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395(R. 10/83) —OVER — <br />
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