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2008/07/02 - SANITARY - SAN - Other
Burnett-County
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TOWN OF JACKSON
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5287
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2008/07/02 - SANITARY - SAN - Other
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Last modified
3/5/2020 9:20:16 PM
Creation date
10/1/2017 9:51:55 PM
Metadata
Fields
Template:
Property Files v2
Document Date
7/2/2008
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
5287
Pin Number
07-012-2-40-15-13-5 05-005-016000
Legacy Pin
012421306450
Municipality
TOWN OF JACKSON
Owner Name
ADAIR LIVING TRUST
Property Address
3565 RIGBY RD
City
WEBSTER
State
WI
Zip
54893
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON W 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP OT NO.:BLK NO.: SUBDIVISION NAME: <br /> 1/ 1/ 24 /T N/R )WOAD <br /> COUNTY: MAILING ADDRESS: 612-341-7299 <br /> BURNETT lGeorge MacDonald 14574 58TH AVE N. BROOKLYN CENTER MN 55429 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: II�� <br /> Residence 2 N/A IkNew ❑Replace 19-19-1989 19-19-1989 <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:Io In <br /> ®S ❑U MS ❑U ®S ❑U ®S [:]U ❑S ®UICONVENTIONAL B�D - 12 ' X 35 ' <br /> If Percolation Tests are NOT required DESIGN RATE: If an <br /> q y portion of the tested area is in the <br /> under s. ILHR 83.09(5)Ibl,indicate: N/-'� Floodplain, indicate Floodplain elevation: N/'4 <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST—TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 88 199. 4 ' NONE >80 6"B1 s1-74 "Bn s <br /> B- 2 69 98. 7 ' NONE >60 6"B1 s1-54 "Bn s <br /> B- 3 72 99. 6 ' NONE >72 7"BI s1-65"Bn s <br /> B- 4 61 98. 6 ' NONE >61 6"B1 s1-55"Bn s <br /> B- 5 89 199.3 ' NONE >80 7"BI s1-73 "Bn s <br /> B- <br /> PERCOLATION TESTS <br /> lTEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> i NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI D2 P PER INCH <br /> P_ 1 44 NONE 3 1 . 5 1 . 2 1 <br /> P- 2 24 NONE 3 <br /> p- NONE <br /> P- <br /> P- <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. o 9 /a • r7 I <br /> SYSTEM ELEVATION y <br /> I RIGBY ! ROAD <br /> 1 <br /> SCOLE: IV s 40' FIRE s D56S --*> <br /> 4 ETL BOTTOM OF SIDING NW CORNER OF GARAGE (E4. 1000 DRIVE <br /> B SOIL HORIWS , <br /> P PERC TESTS i <br /> - ---------- <br /> I N <br /> ! <br /> ---sx}--s <br /> , <br /> WELL TO BE >50' IRON DRAINFILD <br /> �IRQI ISLQI y <br /> n this <br /> 1, the undersigned, hereby certify that the soil tests reporte oorm were ma LAKE <br /> a by me in accord with the procedures and methods specified in the Wisconsin <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 fTESTS WERE COMPLETED ON: <br /> KEN STRABEL F 19-28-1989 <br /> ADDRESS 7735 AIRPORT ROAD WEBSTER WI , 54893 CERT,IE,21TION NUMBER P / TI5 N{�f yRjpptgl): <br /> CST tS'1lIGNA URE: ��1" 34TJ1 LJ IU711111V� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. J <br /> DILHR-SBDb395 IR. 10/83) —OVER — <br />
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