HomeMy WebLinkAbout014-1027-60-000 (2)
Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page of
Division of Safety and Buildings
Bureau of 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 n
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # L
91/ YCIA%_4I,
J
APPLICANT INFORMATION - Please print all information. Re wed by Date
Personal information you provi may be used fors condary rposes (Privacy Law, s. 15.04 (1) (m)). ,
Property Owner Property L ion
l Govt. Lot 1/45 1/ S /,,2 T N,R 151( W _iJ
Property Owner's Mailing Address R Lot # B # Sub a or CSM#
su r/~ - ~ 0,SM 230'51/D
City State Zip Code Phone Number El City 1:1 Village Town Nearest Road
'0-
LJ
0-New Construction Use: Residential / Number of bedrooms- Addition to existing building
Replacement Public or commercial - Describe:
9
Code derived daily flow gpd Recommended design oading rate bed, gpd/f trench, gpd ft2
Absorption area required bed, ft 2_„trench, ft2 Maximum design loading rate _ bed, gpd/ft2Z_trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design/site considerations _7rV/y1cQ s S7~"'~ 2/
Parent material i Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑ S Q U 5A Q ❑ U S W U f S QS U ❑ S P;LU ❑ S L U
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
/
Ground C I~~Y'Q
JM
B/
elev. /
3'7ft.
Depth to
limiting
factor
in.
Remarks:
Boring # ` G
Ground
elev.
~~ft r r .
Depth to
limiting viz, "yrv r,
factor C)p
in. Remarks:
CST Name (Please Print) Signature Telephone No,
Date CST Number
Addres ~ _ a~0 j d2
cf.-e /yL~i.^
PROPERTY OWNER / SOIL DESCRIPTION REPORT
Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Structure 2
in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots
Gr. Sz. Sh. Bed , Trench
Ground
/
elev.
1
Depth to
limiting
factor
in.
Remarks:
Boring #
Ground
elev.
ft. ,
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Structure
in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots GPD/ft2
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 Byron 'rd Jr. w
Address
CSTM 0 5'"02
Lot Subdivision Date a
'~1 /4SZZT ? N/RlS-W Township
❑ Boring ()Well PL Property Line County Gro
BM or VRP Assume Elevation 100
System Elevation 9`. * H R P Same as Benchmark
ig, /
r
Parcel 014-1027-60-000 04/02/2007 03:12 PM
PAGE 1 OF 1
Alt. Parcel 12.31.15.191 014 - TOWN OF FOREST
ST. CROIX COUNTY, WISCONSIN
Current X
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 - ZAMZOW, MICHAEL
MICHAEL ZAMZOW C - YOUNG LORENE
YOUNG LORENE
350 150TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 1127 CLEAR LAKE
SP 1700 WITC
Legal Description Acres: 40.000 lat: N/A-NOT AVAILABLE
SEC 12 T31 N R15 SW SE lock/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-31N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
10/07/2003 742853 2430/558 QC
08/11/2003 734948 2357/359 WD
07/23/1997 1226/238 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 29.000 2,400 0 2,400 NO
UNDEVELOPED G5 1.000 100 0 100 NO
AGRICULTURAL FOREST G5M 10.000 9,000 0 9,000 NO
Totals for 2007:
General Property 40.000 11,500 0 11,5000
Woodland 0.000 0
Totals for 2006:
General Property 40.000 11,500 0 11,5000
Woodland 0.000 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