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* Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code
County
Attach complete er not less 8 '/z x I I inches in size. Plan must St. Croix
Include but not li o: v orizontal reference point (BM), direction and Pazcel I.D. w10- O-/010
Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road.
Re ed by Date
n
Personal information you provi may p (Privacy Law, s. 15.04 (1) (m))
Property Owner Property Location
James Clements MAD. r Govt. Lot NW v. NW v. s 35 T 28 N R 15 w
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# _
3109 Hwy 29 Sr. CRON COUNTY 1
City sta 0 City 0 Village 0 Town Nearest Road
Spring Valle WI 54767 715-772-4524 Cad 31 G ! H 29
New Construction Use: 0 Residential / Number of Bedrooms____3_ Code derived design flow rate 450 GPD
C7 Replacement 0 Public or Commercial - Describe:
Parent Material Loess over Till Flood Plain elevation if applicable N/A ft.
General comments and recommendations: _ 3 nod
1 Boring # Boring
0 Pit Ground Surface Elevation 100.5 ft. Depth to Limiting factor 16" in.
Soil Agmfication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2
1 0-9 10YR3/3 - SIL 3-f-gr mfr as 3f 0.6 0.8
2 9-16 10YR4/4 - SICL 2-m-bk mfr gs 1f 0.4 0.6
3 16-20 7.5YR4/4 5YR4/6 f-1-p SICL 2-m-bk mfr gs 1f 0.4 0.6
4 20-30 7.5YR4/4 - SL 0-m mfr gs 1f 0.2 0.6
5 30-36+ 10YR4/4 7.5YR5/3&5YR4/6c-2-p LFS 0- mfr - - 0.5 0.6
2]Boring# Boring
OPlt Ground Surface Elevation 100.0 ft. Depth to Limiting factor 42 in.
Soil A iication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
1 0-11 10YR3/2 - SIL 3-f-gr mfr as 3f 0.6 0.8
2 11-19 10YR4/3 - SIL 2-m-bk mfr as 1f 0.6 0.8
3 19-26 5YR4/4 - SCL 2-m-bk mfi cs - 0.4 0.6
4 26-42 5YR4/4 - LS 0-m mvfr as - 0.7 1.6
5 42+ 7.5YR4/4 7.5YR4/6 f-1 -f SL 0-m mfr - - 0.2 1.0
* Effluent #I = BOD5> 30:S 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD5 30 mg/L and TSS 30 mg/L
CST Name (Please Print) Signature CST Number
Mark Iverson 46672
Address Date Evaluation Conducted Telephone Number
P.O. Box 155 Hammond, WI 54015 March 14, 2011 715-796-5664
Y
Property Owner James Clements Parcel ID# new Page --Z --of 3
Boring # 0 Boring
Rlpit Ground Surface Elevation 97.9 ft. Depth to Limiting factor 18 in.
Soil ADDlication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-9 10YR3/2 - SIL 2-m-bk mfr as 3f 0.6 0.8
2 9-18 7.5YR4/4 - LS 1-m-bk mfr CS 1 f 0.7 1.6
3 18-38 10YR4/4 7.5YR4/6 c-2-d LS 0-m mfr CW if 0.7 1.6
4 38+ 10YR5/6 - S 0-sg ml - - 0.7 1.6
❑ Boring
4 Boring # OPit Ground Surface Elevation ft. Depth to Limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKe
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
Boring # 0 Boring
OPit Ground Surface Elevation ft. Depth to Limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
* Effluent # 1 = BOD5 > 30 < 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BOD5 30 mg/L and TSS 30 mg/L
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Need material in an alternate format, please contact the department at 608-266-3151 or TFY 608-264-8777.
Pro erty Line
Page 3 of 3
0 ft. 24 ft. 40 ft. 80 ft.
N
LOT 1
v
0
-o
m
t:
^O ~
O M
O
B-2
100.0
B-3
0 97.9
0
-O~
B-1
BM#2 - Top of 3/4-PVC Pipe 100.5
100.0' ~Ir
9g BM#2 - Top of Comer Post
150' to property corner Property Line 94-7'
• = Ground Surface Elevation
BM# & Description
Elevation = Bench Mark B"1 = Boring Location & Elevation
100'
Owner: James Clements Site Information: Completed By: Mark Iverson, PSS #197
3109 Hwy 29 NW1/4, NW1/4, S35, T28N, R15 680 Larcom Street
Spring Valley, WI 54767 Town of Cady Hammond, WI 54015
St. Croix County 715-796-5664
Phone: 715-772-4524 CST# 46672
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2.5 ACRS~
47
Parcel 004-1085-90-100 04/09/2012 04:14 PM
PAGE 1 OF 1
Alt. Parcel 35.28.15.551A-10 004 - TOWN OF CADY
Current 0 ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
05/09/2011 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - CLEMENTS, JAMES P
JAMES P CLEMENTS
3109 HWY 29
SPRING VALLEY WI 54767
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 3101 HWY 29
SC 5586 SCH DIST SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.980 Plat: 5767-CSM 25-5767 004/2011
SEC 35 T28N R1 5W PT NW NW; BEING CSM Block/Condo Bldg: LOT 01
25-5767 LOT 1 (2.980AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
35-28N-15W NW NW
Notes: Parcel History:
RETIRED 2011 FOR 2012; TAKES PT Date Doc # Vol/Page Type
004-1085-90-000 (551A) FOR REMAINDER 05/09/2011 935977 25/5767 CSM
004-1085-90-050 (551A-05) AND CSM 01/09/2001 636502 1573/488 WD
25-5767 LOT 1 004-1085-90-100 (551A-10) 07/05/1996 546436 1188/396 QC
& LOT 2 004-1085-90-200 (551A-20) 03/19/1986 410285 735/161 LC
2012 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/23/2011
Description Class Acres Land Improve Total State Reason
Totals for 2012:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00