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HomeMy WebLinkAbout006-1025-70-100 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q 1-7tl Q n Please print all infVEM; viewe IL02 Personal information you provide may be used f r s nLaw, s. 5.04 (1) (m)). ` Property caner P perty Location Z41111'1- 7 o c/ VEB 13 2009 G Lot W 1/4 AIIA14 S/' T N RE4w} W Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# Y COUNTY 20 : $~t dud ` JOG' ST. CR City State Zip Code Phone City ❑ Village Town Neare d 5Wo -7 1 (712 2,612 4C So 5 f ❑ New Construction Use: Residential / Number of bedrooms Code derived design flow rate JrQ GPD P -Replacem t ❑ Public or commercial - Describe: J erial Flood Plain elevation if a~~' 1' able / Y ft• General comments ovd!s ~~2 (31e v1~1/ Qy( s ~'(.C ~PQ and recommendations: y ~ / Boring # 0 Boring L_ (3 pit Ground surface elev. ft. Depth to limiting factor- in. _ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 /N - _ / - - - 7~ < 11ji 73& Boring # El Boring J ® pit Ground surface elev. ~ft. Depth to limiting factor- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture LStricture Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color . Sz. Sh. *Eff#1 *Eff#2 6 -7 k4' * Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) SCW M ITZ, Signature/ CST Number -qppfir Sy v Address MPRS/CST 224173 Date Evalu on Conducte Telephone Number P.O. Box 160 lQ D , SHELL LAKE, W1I 54871 468-2434 n-^'^ 1- r z Property Owner /,/i& -O/y Parcel ID # l/06 Page of 7::5 F3-1 Boring # ❑ Boring 2g pit Ground surface elev. lF, w2N ft. Depth to limiting factor qY in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~J *Eff#1 "'Eff#Z el~- 57 3 l1 s , -7 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicati Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~I Boring II F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Sal Applicati cn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BODS < 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-8330 (R.07/00) Pro perty Owner Parcel ID #15V6 A0 Page of ` Boring # Boring / 131 ® Pit Ground surface elev. lr~ ft. Depth to limiting factor 15Y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 el- f 7W 7 3 14 7, ,7 Boring # ❑ Boring F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil licaticn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD6 > 30:< 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BODS < 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-8330 (R.07ro0) I KEN SCHMITZ INC. Septic Systems Design & Installed MPRS/CSTM 224173 It P.O. Box 160 SHELL LAKE, WI 54871 (715) 468-2434 /¢L AI A' 5~We) 7 z' Ala, ~ ~ *C•P~~x Cv 1 ` l l /i► owl j 7-3 a °o A Wisco&',q Dqa rtment of commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in Pk. mus unty include, but not limited to: vertical and horizontal reference point (B ; d ctio M r `jam C i percent slope, scale or dimensions, north arrow, and location and e to nParcel! I.D. # J f t a frt~~, APPLICANT INFORMATION -Please print all info* ;on: , 1~ ' to ° Dat Personal information you provide may be used for secondary purposes Pnva go 4 NHS, s. 15.04 `'_)4 A(" v Property Own dC A', , 'Govt Lot... r 1/4 1/4,S T,3/ N R E ( ) W Property Owners Mailing Address} of # " 066K I ame or CSM# City State Zip Code Phone Number ❑ Ci Vi age own Bares w Construction Use: esidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Pubic or commercial - Describe: Code derived daily flow gpd Recommended design loading rate ° bed, gpd/fF trench, gpd/ft2 Absorption area required 'S bed, ft2_2,'S~trench, ft/2 Maximum design loading rate bed, gpdtfi , O trench, gpd/ft2 Recommended infiltration surface elevation(s) 7 ft (as referred to site plan benchmark) Additional design/site considerations h Parent material Flood plain elevation, if applicable /v ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable fors stem S F-1 U El U 19--z El U ❑ S ~U ❑ S ,~-u El S U Y SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench I L1- o2. ~sf Y, , Ground ~b b -5 ~ft. @fev ' Depth to limiting factor I L 7 Remarks: Boring # 4 Ground 9~Iev ft. ' Depth to limiting fa for ~ in. Remarks: CST N me (Please Print) ignatur-e Telephone No. Address Date CST Number PROPERTY OWNER~h-~ W I S Z~ SOIL DESCRIPTION REPORT } Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GVpjft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 1 3 s- ~s ,r• , s• b Ground /J Depth to limiting ct r Remarks: Boring # Ground ~elpy. Depth to limiting fa r j~n. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # - 2 b - s -,3 3 9 s Gl- Ground v Depth to , limiting f or . %~Remarks: Boring # L Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) - SOIL DESCRIPTION REPORT PROPERT F OWNER Page of A PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench 13 6-~ ~za rr, s f Ground c ot~~ ; Depth, to - limiting ct r Remarks: Boring # / Al -4 , Ei Yr I //A/) P _9 T 4Z~ 4- Ground ~~f Depth to limiting fa ' Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # - ll)vr 2 C a (a Ground pjevl Depth to limiting f~o/r ~r te'n' Remarks: Boring # E3 Ground elev. ft. , Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) Soil Test Plot Plan Project Name Patrick Wilson Shaun r ` Address 2281 250th St. Deer Park Wi 54007 STM #3922 Lot Subdivision Date 6/25/98 NW 1 /4 NW 1 /4S 12 T 31 N/Ri 6 W TownshipCylon ❑ Boring ()Well PL Property Line County ST. CROIX 1 BM or VRP Assume Elevation 100 ft. Top of Wood Corner Post , t. System Elevation 91.7 * H R P Same as Benchmark Alt. BM Top of Wood Fence Post @ 98.7 it. Property Line B . M. 15' V14 0/ B-2 ' r B-2 5' S' _4 c~ 0% Slope 5' 75' ~P-3 B-1 r30 '0' B-5 40' 410 C - Pro 50' X 11ol / ,ti S~ 3 Shed with future 4 I L / J L, jBedroom Living t Quarters 250th St. 71- 4" s rt -qqqq Parcel 006-1025-70-100 11/21/2008 03:05 PM PAGE 1OF1 Alt. Parcel 12.31.16.172A 006 - TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WILSON, PATRICK C & CONNIE J P 2281 ATRICK C & CONNIE J WILSON n / 250TH DEER ~b ~j / C eG62.OV DEER PARK W WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2281 250TH ST SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 12 T31N R1 6W PT NW NW THE N 1/2 OF Block/Condo Bldg: THE NW NW WD-1020/199 GIVES GRANTOR INT FROM R MARQUARDT TO MICHAEL R DAHL Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 12-31 N-1 6W Notes: Parcel History: Date Doc # Vol/Page Type 06/22/2000 625171 1520/579 WD 07/23/1997 1020/199 WD 07/23/1997 2ti 07/23 /1997 , more... 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/12/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 30,000 106,000 136,000 NO UNDEVELOPED G5 18.000 18,000 0 18,000 NO Totals for 2008: General Property 20.000 48,000 106,000 154,000 Woodland 0.000 0 0 Totals for 2007: General Property 20.000 48,000 68,000 116,000 Woodland 0.000 A 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00