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2008/06/25 - SANITARY - SAN - Other
Burnett-County
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TOWN OF SCOTT
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18321
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2008/06/25 - SANITARY - SAN - Other
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Last modified
3/6/2020 8:37:23 AM
Creation date
10/4/2017 5:04:17 AM
Metadata
Fields
Template:
Property Files v2
Document Date
6/25/2008
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
18321
Pin Number
07-028-2-40-14-20-5 05-004-013000
Legacy Pin
028412004100
Municipality
TOWN OF SCOTT
Owner Name
LAWRENCE SCHAEFER
Property Address
28205 ELLIS DR
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 WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION`. SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> N 1/4 Sr; '/420 /T4c 111/111),�h6ylW SCOTT 2 N/A N/A <br /> COUNTY: MAILING ADDRESS: <br /> BURNT= LADONNA LYON RTl BOX228 HINCKLEY, 11194 55037 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.:1COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PFHCULATIQWTr9Tn <br /> Residence 2 N/A I P' New ❑Replace 110/02/90 10/03/90 <br /> RATING:S-Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUNDPRESSURE: S STEM-IN-FILL OLDINGTANK: R ECOMM ENDED SYSTEM:(optional) <br /> ®SS ❑U ®S ❑U EIS ❑U EIS ❑XU EIS ©U 410 sq ft CONY. <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)it indicate: N/A Floodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALP H TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 6o 94..6' NONE 60 5"7.5YR3 1 sl ts ,5-18"7.5YR 91, 18-60" <br /> 7.5YR4 4 med s ,W/fff5YR5/8 mct�-60" <br /> B- 2 60 94.6' NONE 60 SATL AS ,�'l <br /> B- 3 58 94.4' NON:? 5g 5"7.5YR3 1 sl ts ,5-1 "7.5YR s1, 16-58" <br /> 7.5YR4 4 med s ,W/fff5YR5/8mot'358" . <br /> "7. YR3 1 s s , - s - <br /> B- 4 6 9 .8' NON:F'; 54 7.5YR4/4 med s ,54-56"5YR4/4 C. <br /> B- 5 56 93.8' NONE A54 SAPE AS ;;f4 <br /> B- 6 58 93.6' NONE 56 5 .,7YR4R4 medlst4 <br /> 56-585YR4 RC.it D sl,l - " <br /> PERCOLATION TESTS <br /> CTEST DEPTH WATER IN HOLE TEST TIME -DROP1 WATER LEVEL-INCHES RATE MINUTES <br /> F NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D 2 PER INCH <br /> P- < 3 <br /> p- 8 23 NONE 1 < <br /> P- 21 NONP 1 <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate stale 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 92.7' ALTI RNATE IS IN-GROUND PRESSURE (92.51 ) <br /> _ -1 <br /> , t <br /> NCTE .NO �CA'LL _ <br /> — E nbsrlr r GBPI 4E,V. :. 1CO.0' _I <br /> rl'08 Or P Nbi" POST SE ) <br /> } % p/t1f r CORN}.R _07 LOT <br /> �P 0 IVT LL ` <br /> �q <br /> 5¢ P . t�l.TE2YIATE ,�ofu_f�'U <br /> ai Wiz.; -Fo2 Izx 43" rA ?.. IN <br /> I. <br /> 3. e - - - <br /> �, dao -I �Stt,. . }- �• ' �µ h - _. - <br /> yT, _ <br /> I,the undersigned, hereby certify that a soil tests reported on this form were made 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): ITESTS WERE COMPLETED ON: <br /> DFL J. '_'7,,RGUSON 10/03/90 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NMBER( ponal): <br /> HCR59 BOX4780 '3POONER,_3I -4801 3669 715-X35-M3 <br /> L Sir = <br /> 7ag IGNN/jA�T E: <br /> DISTRIBUTION: Original and one copy to Local Authority.Property Owner and Soil Tester. <br /> DILHRSBDS395 (R. 10/83) —OVER — <br />
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