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Wisconsin Department of Commerce ORIGINXAND SITE EVALUATION Page I of 3
Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Certified Soil Testing
Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimensions, north arrOWTer►d- Lion and distance to nearest road. Parcel I,D.# VP 7 14
APPLICANT INFORMATION please Print N t ormation. ~ 7d
Personal information you provide may be used for secondalAi~,rposed,iPrrvaoy Law, s. 15.04 (1) (m)). Re ' we Date O _
Q 'M -7
Property Owner f Property Location
Young, Robert Govt. Lot NW 1/4 NW 1/4 S 31 28 N R 15 W
Propert Owner's Mailing Address P[:JcityD![~~] !Village Subd. Name or CSM#
2692 ~oston Road r 1
~C~ityy tale Zi eNumb y' ®Town Nearest Road
U( V41le__. ;5 1 8 Cady Boston Road
t' Wilding.
Irma
New Construction se: _ si~~hiia A r of bedroo s 3 ddition t
Replacement Public or commercial describe
Code Derive ow 450 gpd Recommended design loading rate •5 bed, gpolft2 6 trench, gpolft2
Absorption area required 900 bed, ft2 750 trench, ftZ Maximum design loading rate .5 bed, gpolft2 .6 trench, gpolft2
Recommended infiltration surface elevation(s) 99.6 ft (as referred to site plan benchmar
Additional design !site considerations Install 5' x 75' rock bed mound on 98.6 contour as upslope edge of rock w/ 1' sand fill
Parent material loess Flood lain elevation, if applicable NA ft
S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U=Unsuitable for system ❑ Z U Z S O U ❑ S® U ❑ S® U ❑ S ®U ❑ S X U
Depth Dominant Color Mottles Structure GPD/ft
Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots ged Trench
1 1 0-5 10YR 3/2 - sill 2 m gr ds cs 2171m .6
2 5-11 IOYR 6/3 - sit 2 f sbk dsh gs lm .5 .6
Ground 3 11-24 1OYR 4/4 - sil 3 m sbk dh cs lm .5 .6
elev
98.6 ft 4 24-29 10YR 4/4 - sl 0 m dh cs if .3 .4
Depth to 5 29-38 1OYR 4/4 7.5YR 5/3 sl 0 m dh - - .3 .4
limiting
factor
29"
Remarks:
2 1 0-5 10YR 3/2 - sil 2 m gr ds cs 2flm .5 .6
2 5-11 IOYR 6/3 - sil 2 f sbk dsh gs lm .5 .6
Ground 3 11-26 IOYR 4/4 - sil 3 m sbk dh cs lm .5 .6
elev
98.6 ft 4 26-32 I OYR 4/4 - sl 0 m dh cs 1 f .3 .4
Depth to 5 32-40 l OYR 4/4 l OYR 6/2 sl 0 m dh - - .3 .4
limiting
factor
32"
Remarks:
CST Name (Please Print) Signature: i ` Telephone No.
Henry F. Grote 715-665-2681
Address Certified of Testing Date CST Number Ref #
P.O Box 57, Knapp, WI 54749 11/4/1999 222774 1006
PROPERTY OWNER: Young, Robert SOIL DESCRIPTION REPORT 2 Qf t- 3'
PARCEL I.D.# PCereified Soil eg
Horizon Depth Dominant Color Mottles Structure GPD/ft2
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh, onsistence Boundary Roots
Bed Trench
3 1 0-7 10YR 3/2 - Sill 2 m gr ds cs 2flm .5 .6
2 7-13 l OYR 4/3 - sil 2 f-m sbk ds gs IM .5 .6
Ground
elev 3 13-30 1OYR 414 - sit 3 m sbk dh cs lm .5 .6
97.3 ft4 30-37 1 OYR 4/4 - s1 0 m dh cs 1 f .3 .4
Depth to 5 37-44 l OYR 4/4 1 OYR 6/2 sl 0 m dh .3 .4
limiting - -
factor
37"
Remarks:
I
Ground
elev
Depth to
limiting
factor
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
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Ground
elev
Depth to
limiting
factor
Remarks:
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Parcel 004-1074-70-000 03/28/2007 09:09 AM
PAGE 1 OF 1
Alt. Parcel 31.28.15.487A 004 - TOWN OF CADY
ST. CROIX COUNTY, WISCONSIN
Current X
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
0 - WOOD, RICHARD A TR
RICHARD A TR WOOD
606 SYME AVE
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 21.640 Plat: N/A-NOT AVAILABLE
SEC 31 T28N R1 5W 21.64A NW NW EXC P 487B Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
31-28N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/19/2005 806845 2891/268 WD
03/07/2000 619280 1494/217 WD
07/23/1997 890/188
07/23/1997 637/573
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
PRODUCTIVE FORST LANDS G6 21.640 64,900 0 64,900 NO
Totals for 2007:
General Property 21.640 64,900 0 64,900
Woodland 0.000 0 0
Totals for 2006:
General Property 21.640 64,900 0 64,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00