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014-1007-80-000
Wiscor inDepertrnenttafIndustry, SOIL A1® SlTE EVALUATION REPORT p/11„r~ti~~ Page of Y Labor a H+,/man Relations Divisio of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code 1COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # X4 01- 7 ~6 6 dimensioned, north arrow, and location and distance to nearest road. kg APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION DATE J-0 PROPERTY OWNER: PROPERTY L 4)6 R F,g a M 5 ~ /yJ~/1G $ r!/~14g45/g-7- GOVT. LOT Vj 1/4 /V t~ ,S T 3 ~ N,R ~ S E (or)(9 PROPER OWNER':S MAILING ADDRESS LOT # BLOCK # NAME OR CSM 41/4 Z? -Z~P~ 1`fd rj~. CITY, STAT ZIP CODE PHONE NUMBER []CITY []VILLAGE OWN NEAREST ROAD CC li=F+ K f ,i''y~Cav,' (7!S) 2L S t ,eva fc T- .2. & a r r+ 5 r [ New Construction Use [ ] Residential l Number of bedrooms _ (J Addition to xistblg bui ' g J Replacement [ ] Public or commercial describe s Code derived daily flow gpd Recommended design loading rate D, z bed, gmgI2 0.3 trench, t2 ~ Absorption area required ZZ SO bed, ft2 I r'90 trench, ft2 Maximum design loading rate D. bed, gpd* 0,1 t►erfch, MXVR2 Recommended Infiltration surface elevation(s) ft (as refefred to site plan benctxr lark) j'ra_; L f~2~fl? U>~/j1JuNb $/~vccry~61cJfaC S62~T. Additional design /site considerations Z y SCU j5 too -05 &1 j;_ 19 +02 eJ c ~a Parent material G~~ c L o v'+~ r c/ S N Flood plain elevation, if applicable ft S = Suitable for System CONVENT{ MOX0 IN-GROUND ESSURE AT-GRADE SYSTEM IN L MOLDING TAW U= Unsuitable for s sum ❑ S U [ff S O U ❑ S U ❑ S U ❑ S 110 ❑ S 0 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Corfsfstenoe Boundiry Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed It rt'rs°'--~;f Spi. / (T~v►2 yyf✓ c n.Z o. 09- y a. 'r Grorxx>tf ~,t ✓ L v. elev. S S GL _ ~ 351 0-y ~49.s Depth to 5' ~ %y a S K 5~ , 3 yvl C IVP t~.Z limiting S'! /G factor Remarks: Boring# IYIV ;1,> G,t 03 I-aS v y~ S~ - sl 1 Yr tf,z0. 2 I Ground? I EMV elev. /.0 ft. S Y3-s sy2 ~l L; t bj.i N VA 2M Depth to ~ f Lo . limiting sr facto( < Z NINGOF ICE J Remarks: 9 t CST Name:-Please Print Phone: __+f J Address: .Sy UJ Signatur Date: CST ftrnbmr: e: PROPERIYOWNER_ 406,0,t/ jrjf-t SOIL DESCRIPTION REPORT. pap 2-A Z- PARCEL LD. ! R„ 00. Depth Dominant Color Mottles Structure G P D/ft Boring # Horizon in. Murrell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxrhry Roots Bed Trench / O !d' 3/-X ih v ti c d, z v,3 Ground ~y-Y~ S C 3/~ L ► ,ate' )'A i, C 0. Z o3 D" to 41 Remarks: Bores # /0 31 El - I I LAO w vi-, e- :03 Ground l11w. S c C Yl~ I for„ Remarks: Boring # 13 Ground slew. it Dept to fac6Dr Remarks: Boring # 13. Ground &V. ft lo l Remarks: SOD-833o(13.05/92) 1 pc'50 r4 ENV" t w~vr G©G~t~c1 s/~~-2c Sc y rff 00% •fz e, pc~..S ' - ~ j ff •v b ,4 ov A A y ~7 rs 6 3'- zor76 S I n ~ ' ~ wr / N ~,J ' l S~ ~ ~ T~ 1 S G~✓ ~ 6 ~12 ST 44- N Owl ./1,7• fit- RFC M2 414: ma P" 7-Y 12 I I 04 40 A PoS~i~ - Al i C I I NTn $[C 2L foo -wq s S,E, 83 I t! ✓ ~ 4 r~ /1'~ 6- d ~ t `,1 1 ►~0 2 7-t v~+/ p G /1 ~ -l~if`~ 2 4f vTAr` l7~ D F A/G✓ oF`SrcT~o.</ _ F v¢Cs?' ! r4~ T`ro uS _ o. y F -r14 /~Z ~ -r" ! r CD i l - - s -P r I ' r Parcel 014-1007-80-000 08i29i2007 08:13 AM PAGE 1 OF 1 Alt. Parcel 4.31.15.55 014 - TOWN OF FOREST 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 - SUNDAY, KENNETH L SR & PATTY I KENNETH L SR & PATTY I SUNDAY 654 25TH AVE CLEAR LAKE WI 54005 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 4 T31 N R15W~S1W NW r Block/Condo Bldg: U vU-YL Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 04-31 N-1 5W Notes: Parcel History: Date Doc # Vol/Page Type 12/13/2006 840582 QC 05/31/1994 517241 1080/378 WD 05/04/1988 436949 809/552 PR 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/17/2005 Description Class Acres Land mprove Total State Reason AGRICULTURAL G4 20.000 3,100 0 3,100 NO UNDEVELOPED G5 15.000 11,300 0 11,300 NO AGRICULTURAL FOREST G5M 5.000 4,500 0 4,500 NO Totals for 2007: General Property 40.000 18,900 0 18,900 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 18,900 0 18,900 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