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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Later and Human Relations
Division of Safety & Buildings
in accord with ILHR 83.05, Wis.
COUNTY
<!4 -0 bc
ttach complete site plan on paper not less than 81/2 x 11 inches in size. P st inclu but `
A
not limited to vertical and horizontal reference point (BM), direction and % e, s• PARGEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. +
DATE
APPLICANT INFO RMATION-PLEASE PRINT ALL INFORMATI - r a: r Rg IFWE !Y I~W
y' r > 3 ~7
PROPERTY OWNER: OPERTYtOCAM
P CT SC~~ I Z [GIG ~J . 1 Z T N,R 116 E /
lip' PROPERTY OWNER':S MAILING ADDRESS LOCK 11 SU6 . OR GSM # a
o N 7 ~
CITY, STATE ZIP CODE PHONE NUMBER ❑C Lr NEAREST ROAD
7 Lv b0b\j t LIE (,v ► S V n 2'8 (-)IS) &98-Z'091 '~f'CV: GEt t-t_ s 1Z) Ttt At)e-.
New Construction Use LA Residential / Number of bedrooms 3 [ J Addilkr to existing building
j J Replacement [ J Public or commercial desaibe S S~'nc.e_
Code derived daily flow SO gpd Recomrrdesi lI adin rate - bed, gpolft2 0.3 each, gpol9
Absorption area required - bed, ft2 S 4 O trench, ft2 Ma m m design loa ing rate ^ y bed, gpd/ft2_trench, gpoltt2
Reoommended infiltration surface elevation(s) S ~ i~Pc6 E 3 . re erred to site plan benchmark) , Rat--s`or-► n eh, b eb~
Addtional.design / site considerations 3-nZ&J CAS - Et1 e S' x loo 0-i 6 . - P-IMC. zyk bZ112 WE IL, ~FE CD 6F .
Parent material Stl ~y opt Ov g~ ~L Flood plain elevation, fl applicable 1U, r It
S =Suitable for system CONVENTIONAL MOUND IWGROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDNVG TANK
U = Unsuitable for system W S ❑ U ®S ❑ U ®S ❑ U 0S ❑ U ❑ S RLU ❑ S RU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh
312 S 1 Z`F Solt wl a, S . S
Z $-~t e 10 3l6 - s t`) 'Lw s~k s . L
Ground 3 qb o 7 •S Y fZ '3/ _ S if o s g v~ 1 ~S 1. 8
elev. z . 3
%1.5 k 6b-6S [07 R V/
Depth to
limiting
factor
2 68'
Remarks:
Boring # 1 0,1 1b`1 Q 3 l Z - S1, Z w~ ~h cti
k~ Z Z 1-[ ~ 10`2 lZ 31L - G1~ S ~ Z.r~ S~lrt ~.`Fh c~,~, 1 , S . ~
3 16-Zg Io-1 rL31C - sl 1s ~n,v cw - .14 S 13 S
Ground
elev. 2.9 -6b -1. S \j R 3 m cs • LJ: " S
Depthfo 5 66-b~ ~•S `tlzYl~ Si. C-~
limiting
f?
Remarks:
CST Name-.-Please Print Phone.
Arthur L. We erer 715-425-0165
egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: - Date: CST Number _
`36-2L7 q- 3-°l6 M00576 -
PROPERTY OWNER so8u'T'A SOIL DESCRIPTION REPORT page Z ~of 3 1
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerd
0-9 Vb-t T2 a - s i Z. ►n ) `F1~ Ctr s , Z
2- 9-► y Lo~Q- Ely si J Z►h S~k tin `F~ C,-v S , to
Ground 3 I~!-y l0`t R 3~6 _ G~- 1 1c Sb wi vft. e,-Q
elev. ~S R 31
99-aft. ~I I-68 ~ s1 1 scl ~ ~Sb ~`F1- - • Z i 3
Depth to
limiting
factor
8 '
i
Remarks:
Boring # s) wt '~h 0.;S ! Z
o-~ v0`tR. 7-
Z- 7 zo 1o`t P- 3/6 s • 2'~Sb12 `n1'~h CL") • S ' L,
3 10 Y R 3/6 1't k s 1 C- sbk m`V1 c r,,; j 1 [ s
Ground
elev. LP-U -1 S Y R 31 - sl ~ -Sc-1 1 C--A Z IM
98.7 ft.
Depth to `
limiting
factor
> 661
Remarks:
Boring #
~ - ~ ld`'l2 3 Z 2 S j) 2.wL Sb ~C '►`'ti q.,S - 5 . ~
S Z q-ze ~o~,~- 3Ib ai Z~sb>T rn~~ e.s • 5 3
zc,- . S 31 G" s l .l ~ s h v . ~I ' •'S
3 y ~ Y~z ms s` C.S
Ground
elev. S`I2 L116 - Se,~ 1 c5~~2 W~`F1- - Z. j •3
vil _0 ft.
Depth to
limiting
L Sp
factor
Remarks:
Boring # f
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.OS/92)
• PLOT PLAN Page 3 of 3
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'~'C.~~.~:. ~L,~►~70T1S ~ 13~-~~Rl"~~iv~ 11vS''1~1.C~ 1~~'---
01-5 ) 42.5-01 65 M00576
CST Signature Date Signed Telephone No. CST #
Parcel 008-1033-70-000 03i29i2007 08:42 AM
PAGE 10F1
Alt. Parcel 12.28.16.173 008 - TOWN OF EAU GALLE
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 - SOBOTA, PATRICK J & MARY
PATRICK J & MARY SOBOTA
2845 50TH AVE
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 21.000 Plat: N/A-NOT AVAILABLE
SEC 12 T28N R1 6W NE NW EXC P1 73A AS DESC Block/Condo Bldg:
895/168 & EXC 173B DESC AS IN 510/419
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-28N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1140/219 WD
07/23/1997 1106/228 TI
07/23/1997 1077/181 QC
07/23/1997 893/423
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/15/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 21.000 2,400 0 2,400 NO
Totals for 2007:
General Property 21.000 2,400 0 2,400
Woodland 0.000 0 0
Totals for 2006:
General Property 21.000 2,400 0 2,400
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