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Home My WebLink About014-1018-90-050 rfisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page L of BureaMof Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purpo s (Privacy Law, s. 15.04 (1) (m)). - 7J °j Property Owner C Property Location Govt. Lot 1/45 1/4,S '6- T_~ N,R E (r W Property Owner's Mailing Address Lot # Block# Subd. N e or CSM# / City y State Zip Code Phone Number ❑ City ❑ Village -a Town Nearest Road `New Construction Use: Residential / Number of bedrooms_ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: / Code derived daily flow d gpd Recommended design loading rate A & bed, gpd/ft2 1 • trench, gpd/f12 Absorption area required- j ;71.r bed, ft2 1325-trench, ft2 Maximum design loading rate 2' bed, gpd/ft2 I I O'er trench, gpd/ft2 Recommended infiltration surface elevation(s) g g > V ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, if applicable lv),,9- ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S Z U 14 S ❑ U ❑ S Ku ❑ S ®U ❑ S j4U ❑ SA SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft2 Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench :2 - 119y" 711., Ground 3 Cle, ev 9 -5 ft. Depth to limiting 91-L- act r in. Remarks: c,2 A~d Boring # -~7 i~ 01 Ground ci ?7~ Ed ft. " ,t „r Depth to ST C limiting COUNTY fa or c~2,4_in. Remarks: ZONING O' CST Ne(Please Print) Si ure Addres Datee CST Number fir" SOIL DESCRIPTION REPORT PROPERTY OWNER _ Page of Y PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 10-01, OQ Ground Depth to limiting f Remarks: Boring # Ground elev. n. Depth to limiting factor in. 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 # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) • Soil Test Plot Plan Project Name Joel and Roxanne Horky Byro ird Jr. i Address 2748 200th Ave Deer Park Wi 54007 CSTM #220527 Lot Subdivision Date 12/13/98 SW 1 /4 SE 1/4S8 T 31 N/R 15 W Township Forest Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Power Pole System Elevation 98.0 * H R P Same as Benchmark Alternate Benchmark Top of Steel Fence Post @ 100.0 0 3 Bedroom House N O 0' (C -1 Alt. B.M. 0' 15' 40' 40' 40' 5, B-2 % B-3 B.M. Slope 200' 1320' Property Line Parcel 014-1018-90-050 04/02/2007 03:06 PAGE 1 OF 1 F 1 Alt. Parcel M 8.31.15.127A 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 - BERGMANN, RICHARD J TR RICHARD J TR BERGMANN C - BERGMANN, EILEEN R TR EILEEN R TR BERGMANN 5580 LAKE ELMO AVE N LAKE ELMO MN 55042 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 2748 220TH AVE SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 8 T31 N R1 5W PT NW SE & SW SE BEING W Block/Condo Bldg: 1/4 OF SE 1/4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31 N-1 5W Notes: Parcel History: Date Doc # Vol/Page Type 12/04/2006 839947 WD 12/04/2006 839946 WD 04/05/2000 620762 1500/501 WD 07/23/1997 1007/51 PR 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/17/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.500 5,300 0 5,300 NO UNDEVELOPED G5 0.500 50 0 50 NO PRODUCTIVE FORST LANDS G6 4.000 4,000 0 4,000 NO OTHER G7 1.000 5,000 44,300 49,300 NO Totals for 2007: General Property 40.000 14,350 44,300 58,650 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 14,350 44,300 58,650 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 Parcel 014-1018-80-050 04/02/2007 03:06 PM PAGE 1 OF 1 Alt. Parcel 8.31.15.126A 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 - BERGMANN, RICHARD J TR RICHARD J TR BERGMANN C - BERGMANN, EILEEN R TR EILEEN R TR BERGMANN 5580 LAKE ELMO AVE N LAKE ELMO MN 55042 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 8 T31 NR 15W PT NW SE & SW SE THE E Block/Condo Bldg: 1/2 OF W 1/2 OF SE 1!4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-15W SE Notes: Parcel History: Date Doc # Vol/Page Type 12/04/2006 839947 WD 12/04/2006 839946 WD 01/10/2001 636576 1574/83 WD 04/05/2000 620762 1500/501 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/17/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.500 5,300 0 5,300 NO UNDEVELOPED G5 0.500 100 0 100 NO AGRICULTURAL FOREST G5M 5.000 5,000 0 5,000 NO Totals for 2007: General Property 40.000 10,400 0 10,400 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 10,400 0 10,400 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