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Home My WebLink About014-1007-20-000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S't• c rzf~~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must O include, but not limited to: vertical and horizontal referencep_oint (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, an51k6lriion ancf-do ance to nearest road. 1 r l --1(~ f 1 - ' f1 " 0 faU _ ~Reviewe by Date Please print allArmation. Personal information you provide may be used f condary pu~oserrivacy Law, s. 15.04 (1) (m) Property Owner .,rr Prop$rtyLocation CON 1 KR1.5T 11= 12D , -M!" - - advt.. Lot N E 1/4h1 W1/4 S T N R 1 S ;0 Block # Subd. Name or CSM# Mailing Address J Property Owners ST C ROIX 0. 2105 S,T. i1 • 1„~ City State Zip Code Phon OFFICE ity ❑ Village ~'fown Nearest Road Z ? 3 UEE1~ PAKK 5(--1001 1i5 )21, 6 F0►4t✓ 51- POIY.~ ST. Ce b\-K 1D• New Construction Uselp Residential /Numb er dr o sg Code derived design flow rate L I J GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material l9LAC fAl_ "t \ t_L Flood Plain elevaYif applicable ft. General comments Lp pti91+1 ['0'V 0 4V~~ Or U(- and recommendations. Z Moll, NO k~Q ll ~ z i_j ii -j 2 VYI-~ Ir ❑ Boring # Boring g Pit Ground surface elev. Z-7 ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oundary Roots +E GFID/ft?Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 040 10 X12 z)z S1 I 2' (=m a_V rn d~r Z -q 10 3 S 1 Z-F- m sb Cr S o. L, 1 S I - m Sh i 0 5 d, to 0 5- o.(o -Z0 1ov>2-3 LI 10\;P'L;I 5i I .7-.7rnf I L4 7.5 \1R ha '51 Z rn 5b1 s ZO-3D 10 V re 3 30 ,51`/12`A, S1 I n-bK mfr- ~ I~ ~3C F-2-1 7 .5~ Boring ~ ~ n Rate Boring # pit Ground surface elev. _ ft. Depth to limiting factor _ Z in. qE Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bougdary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eft#2 Y Z, b 3 -IZ (0`lr- ,I Zmsb yY r o a, g~ 12- -1"7 V 4 b ti sr I 1 rm5 rr~C c. - 0, 2- 5 17-z~ `7 5`t2 ~ G ~~t 5~ t Y b) rr\ l} r Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 -n and TSS < 30 mg/L CST Name (Please Print) nature CST Number /iiAAR\/ J0 H OLJ-kb7-'V-712 q 6 2-Zq K37- Address Date ucted Telephone Number V~}q$'iS ro4a~~`f~VE, )?~Ji.l~ #:nl_t s c~.0 ~,1(122~ (W-31- 00 (-1 ~IZ~I- 1 75 ~>_v 1s~t7 c~-D4~•0~ Property Owner. RDSEN , LD►) I p t lE Parcel ID # D t - 0 D J~~ - 0 Page Z- of 3 Boring # ❑ Boring F5-1 Pit Ground surface elev. ft. Depth to limiting factor g in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 11 f~ I 'y ID\IK Z - Std -m r nmJ-~r 0.S 0,5 O, 7 p ,Z 7 Z 4-$ ~3 SOY '7 5~ I Mqf a N Q.3 3 -t 23 I \1 re W L s Z. Fab K mfr C S ,S (7, b 4 12,17 P_ ~2 d f ~b S 1 1 5 b m~r GS 0, S 0 ~5 1-7-2y 7, 5Yf23 - G?h LI m 5b MJ~r 0 ,LI 0.5 F-1 Boring # ❑ Boring ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Cot.WT 0Q- st Y K>`V W 09-0 - Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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. *Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 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-6330 (R.6100) i Property Owner K 1-CN1-CN l KVO S1 IE- Parcel ID # D l y - I Q 01- J~D - Page Z- of 3 Boring # ❑ Boring )t 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/ff k in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 I (o ID\IrCZIZ SiI -mqr rmQ-~r 0.5 15 Orb L4(( Z ID O \tK 3 - SN I i ~-rn l M4-~r- 0. N 0,3 3 -12 QK3i5 1 5 L ~O~eK mfr CS ,5 (7,b t4 IZ-I'7 P-3~ F51 z ~SbK, rj J O,S ~.fo -7 -zy -7-5,4r23 / 9 'Sa (Y\\-FY- - O.LI 0,5 ❑ Boring # ❑ Boring ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 D12 ❑ Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. E] 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. `Eff#1 'Eff#2 i Effluent #1 = BODS > 30 < 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS 5 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.6=) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County <3T, C12D\ 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: t 1~4 -1 Q 6 -7- 0 - 0 0 v Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location L-ON { KR\.~)T I E )20 F_iJ Govt. Lot N E 1/41Q W1/4 S T T 3l N R 1 S Property Owner's Mailing Address Lot # Block # Sub 1. Name or CSM# 2_1D 5 S,7-, Ll . I,c3 - - - City State Zip Code Phone Number ❑ City ❑ Village 'Mown Nearest Road D~'^ ✓P K, L` Sy00, (7~J FD►2CS~ QOtx) ST,CRD~x11 , New Construction Use Residential / Number of bedrooms 3- Code derived design flow rate 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable nl,~ ft• General comments and recommendations: 1 Boring # lJ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication 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 ! 0-l0 10 \I2 Z%z - 5l 1 ~-rn ab rr\ dFY- J`S - D, S 0.lc z -q !D y>2 3h 5~ 1 ZF-ms t! -1 0\I ~4/ 5~ _ mSb rn~r S [7 , 5 O„c r lb \~P_ 7-2-0 I6 U12?toVFZ,L4 ! j~ ~~0.bK O.S 0,(o -S ZO-3.0 it vY~ 3~ 7• SyR ~Io sl 2- rr\ sbK C r rrrr, ~ ~ ~ S (o ,~-3q 7, 5 rK 31 2 , s ►2 yAG s 1 1 m ~ MN4i- F2_1 r Boring # Boring r Pit Ground surface elev. ft. Depth to limiting factor- 1Z 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. 'Eff#1 'Eff#2 } 10YR~z SI r J r 0.S ,S Z, 3-~ l0v 2-17- l~ m dr- mJ 6 S C - p~ o lO 3 -IZ (0 \4r- r ~ Z mslo rVGC 12-11 0 V loyk /I. St 1 mzslo< r'rr~' G 0, 2- 0. 5 17-2,-) 7.5`1R3 r 4 5 I msbl m r- - 8,5 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/_ and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Address Date Evaluation Conducted Telephone Number VJ9V-15 F4 JSIQ TAIL to .54 022 OS 31-OD LItS 4Zb- 1 75 J PLOT PLAN ` pAG~_0~3 Prom yOWNrr: Lwl I<vz~~~ 1E Kash L. CZNP: `/0 €XC wttE3Z-lC iuoTtD L~ A PAS t_ Lucltr o r PM-(Z411 -NA►r, w-trzEE / z o~ E -THE 1/41 OF NWT L IQO IJl l- lA /00.0"- 13 10 ►5U1 TDWA) OF FORS T 5t, C-1zo v( k 2- rATW- "AI50VG i .l6 cn ~-y tnl►5 cpNSW . ~Aj 01 ❑-501L PRING W/ 13ACKHM -7 NO COMM 835NPACK PRG%rM5 Pb~-1`l S~.CI?O~k RID- X- NOT SWT^16LP- 'PITS 0y1 r 3 ~ yto lv R G u L-113'-7 L-gq.29' 100.95 w~r7~° I Po :Lgi,2 n 4PA -X G -i511 LOCAWN: o In 1'~OLK S1,cRmx Rn. _b N x V X 1 SIGNN7 CST c ~ Q o ~ M03707 VAS: Oct-09-00 Parcel 014-1007-20-000 08/13/2012 03:49 PM PAGE 1 OF 1 Alt. Parcel 04.31.15.50 014 - TOWN OF FOREST Current XX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - ROSEN, ASHLIE A ASHLIE A ROSEN 162 BARRON-DUNN AVE CLEAR LAKE WI 54005 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2873 POLK/ST CROIX RD SC 1127 SCH DIST OF CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC SP 0038 CLEAR LAKE FIRE DIST Legal Description: Acres: 26.980 Plat: N/A-NOT AVAILABLE SEC 4 T31 N R1 5W NW NE FRL EXC PT TO Block/Condo Bldg: WD-1504/211 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-31N-15W NW NE Notes: Parcel History: Date Doc # Vol/Page Type 09/28/2006 835570 WD 04/20/2000 621584 1504/211 WD 07/23/1997 943/481 07/23/1997 850/558 2012 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/12/2009 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 4.000 400 0 400 NO AGRICULTURAL FOREST G5M 22.980 25,300 0 25,300 NO Totals for 2012: General Property 26.980 25,700 0 25,700 Woodland 0.000 0 0 Totals for 2011: General Property 26.980 25,700 0 25,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 219 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 014-1007-50-000 11/11/2004 08:55 AM PAGE 10F1 Alt. Parcel 4.31.15.53A 014 - TOWN OF FOREST Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner * ROSEN, LONI J & KRISTIE D LONI J & KRISTIE D ROSEN 2105 HWY 63 DEER PARK WI 54001 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description ` SC 1127 CLEAR LAKE 1 ^ O SP 1700 WITC J Legal Description: Acres: 41.790 Plat: N/A-NOT AVAILABLE X31 N R1 5W NE NW FRL EXC W 276' OF Block/Condo Bldg: 'IV 552.5' ~2/^, npy~•f-- ~ ,~~j I _ Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 04-31 N-1 5W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 943/481 07/23/1997 850/558 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/17/2003 Description Class Acres Land (NO Total State Reason AGRICULTURAL G4 15.790 800 800 NO UNDEVELOPED G5 1.000 100 100 NO PRODUCTIVE FORST LANC G6 25.000 12,500 12,500 NO Totals for 2004: General Property 41.790 13,400 0 13,400 Woodland 0.000 0 0 Totals for 2003: General Property 41.790 13,400 0 13,400 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