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032-1008-95-050 (2)
RECEIVED WIScInsin Department of Commerce o k I L � flu Page J_ of Division of Safety and Buildings inacc rdancSivitbl�ggr)i7"U�f�YAdm Code County 5 { R Attach complete site plan on paper not less tha Z NI G r I n m st + t F include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. p t�s _ O percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Qa 4 S Please print all information. R wed b Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). ProperllyOwner Property Location Jay ZD �1 Q f G h D Govt. Lot N E 1/4 Pik) 4 S T 3N R Cf (o W PropertyOwner's ailing Address Lot # Block # Sudd-Nome CSM# 4431 R a City State Zip Code Phone Number ❑ City ❑ Village [4 Town Nearest*ICYE r4 !�. SYS (�t) t.9N-391 No. S CIS`` jig New Construction Use: �B Residential / Number of bedrooms 3 Code derived design flow rate— / S C7 GPD ❑ Replacement ❑ Public or commercial - Describe: — Parent material -L_Q" S_ 1 Q C r 1"j' , [ E Flood Plan elevation if applicable _ ft General comments ZSUssa 5 1 / rX 75 r /J�� ��D��J ' 1%1ou wpc �—t 4 �b�. and recornmendations: ✓ (O / ( 64..5eS c`ri A1.%S � CoH•+Dv•- 6, 5 -5—'L L-" P'd--- �1 J Boring # ❑ Boring t ✓ lj� Pit Ground surface elev. I c)33'0 ft. Depth to limiting factor 3(4 in. Soil Application Rate Horizon Depth in. Dominant Color I Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF `Eff#1 I `Eif#2 F-^ Qom,, 5k'rM . co Ire � L-! �•5 its! a Sb�t- wrF,� t_ r� f Em .`� `i a �3 7,5 yN y ----� "` .s� ( FS 6)2 5`1t2`I q+i �,5wp sr SL- Boring # j—❑ Boring f l I ij J, 5 g ft. Depth to limiting factor � in. 00CC o:. Qround slrrfare elev. Horizon I Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIff 'Eff#1 `Eff#2 - ���3)a -- L a�S�V- P4-�'-, �,s� lbClyci �-- - L a�syK ���=w r - p f -7,is IK1lly --."""".__.._..... 5c—L ilk r k1a ` Effluent #1 = BOD > 3U < 22U mg/L ano I SC >oV � "I DV mgn. ouuc, n oc - .•.+.+ _ • • •y- -• • - • -- _ -- - T Nalne (Please Print) f Signature CST Number _Td dresV� , �^' JK� y ate Evaluation Conducted Telephone Number J Y Va"'lIr > Property Owner C tu,PGhc e- Mov4 DHi Parcel ID # 7Boring # Boring I / 3 Pit Ground surface elev. 9g.D� ft. Depth to limiting factor 3 in. Page 'M2 of � Cnil Annlirafinn Rata Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Eff#1 'Eff#2 f o-5 yR31a — 5; L aFS51,1 w 4CI 1,3 a .1, . f 5,)a S ---------- S t L cDFS b It Mf r ftl , 4o r 9 g� 2 3 T 5 fp- Y1q Sc L oIMSI) It wi fr C V i Boring # ❑ Boring z © pit Ground surface elev. 1bI .75 ft. Depth to limiting factor 3�_ in. Cnil Gnnliratinn Rata Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Eff#1 I 'Eff#2 1 0-10 R38 jv,=r . Se-L on5,�1� ( fe- G VF ❑ Boring ❑ ❑ Boring # Ground surface elev. _ ft. Depth to limiting factor in. Pit Soil ADolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-5330 (R.6=) eu� r /� �ir6YglrYkl'W{Y�MIw/rYtl rYYla:fUN1YMtRiMi[)ID�KCC4CY69'A`yw� ii:{�AN{L.mrw�wa�fnen9i-Y'erilf YY}11IrY*wY�q.awrf. kl�wus:�bt�YY�:vefp�4.- W.••�.h+.w11�i•.wMY,AY{I'YIPN:Y/SYt;:•yy{�•wabi{;LMiuuaiilYY;11-wYffMf!✓O�tYp}YdIY/MI:Y'a4i�YY{ISYO.44 r /^^tj L 1 p r K..V V / r� r D rNx JOB # WI0575U184 LoEhl� Prepared for and nt the request of: (((��� + \ `i Prepared by L1 Seciiai Carrwr Muriument Clarence Morten \�,/' - a( Record �1 Polk/5t Croix Read V J Somersct, WI 54025 J_ _.ft qzw, wSei 1" x 18' O.D Iron Pipe Weighing Urofied b T R 1.13 p°unds per linear foot Y Y Ue fte Phone No. (71b) 246-4319 49 teund 1-1/4" O.D. Iron Yipa 6, Fax No. (715) 246-3830 h:.RIH 7/4WNEH a. NOR7NeC5r OGRNEA P.C. Box 325 .bukdlnr Setback Line r'W from Right at Way) :L Aw 4-J!1-19 5fr.'7KJN 4-J!-19 !Vr PK vA& FROM P.ES,+ New Richmond, Nt 54017 (75 buffer from wetlands) t'�''A'IVAR tRLM! WS) 1 ` '� LCT 19 WCOUHI I_CT 19 LOT 1 LOT-1 0r + l r to 11_ - 58951'U4'E 2619.3T f;. M V(Y_6 (A(,_F 151 C.SM H7L.6�(ACf: 187 C, '- i ---1- — 1 - -- —_ L _ __ _ -�"5M _/DL1U PAGE —_-'_ q 158790'.. _ — - 3— — --- - 3 -- _ , 395.94' _.* / 1 1 5/8+9�'91 D�4y'L 1983.93' ion `k 1 O ' + t: o w� tix» car t rA;w;14� $ `ilM1JIA �� i 'S i 1 nT — ..T 1( aZ z Lori 1 2 , t l TOTAL AREA # '' a� 1.444,722 sq. fl fi i ri'¢ 33.17 acreabo � AREA E%C. R-O-W:i tr7 s $$$ C '3 b i- 1.497,124 sq. N. +' R ♦ oar'. P i 34.37 acme ui TI -•. ..��� yp, �#�I � IOC D 200 * 00 is ' Z t GRAROC SCALE h r SCALE IN FEET: 1 inch = 230 feet ( i/ i -g.."la, I� N N07E: The aarcclx sham on this map are �`� } 4?* �`� io < 401 W �u : ( sabjecl to State. Canty and TownlAp laws. �.�\ ^\ 9y ` ' n / �x•� r 1 + cola;+ rules and regulations ((e. wetlonds, rnlnIrnum lot size, access to parcel, etc.). Before prrchasiio or developing my parcel. contact the St. Croix ( Cf ! I M 01 I W St + County Zoning Office and the oppropriute Town "� i �,i LOT2 s T + V: io LY I Hoard for advice. NO TH --1 ` % u, Ir o - . TOTAL AREA: �. a ° z v' BEARHIGS ARE REFERENCF17 TO 1FE - + �� •"• 360,515 se- ft.t � j ".= m m z •,r , - �� 8.28 -s •« a 1 NORTH LINE OF THE NW 1,4 OF "`. � ( c, IJ inW SECTON 4, TOWNSHIP 31 N., RANGE 19 J \ -' j AREA EXC. R-O- W, WHICH IS AS5JMF0 To [FAR ` I 435,951 scl. f . o �" •°-—$,Q9'S1'Q4"E.--_.----_-_�/// i985.9T. = 1 L_ 10-Q1 acre m V o nP3 1590.06' 395.9a f«w 462.00' NO3'06't3 F., _ VNl'LAT If t1 LANDS a 240, to wwxt ArAs Weh 4t�?-63'I u rias'as'2s'w ao5,.ns' 0Y CEPTIREO SURVEY MAP VOL_2 PACE_55h .�CDQY 4-3t-r9 oar � Z 1 (FOUND KIIMNVUII CO1lNIY MOAJUAkNTJ t