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014-1044-50-000
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ` Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 4 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 2 Z percent slope, scale or dimensions, north arrow, and location and distance to nearest road. U C l Please print all information. Re ' we 1 Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / S Q-b Property Owner Property Location A` Govt. Lot 1 /4 A V",14 S cR ' T 3 N R /J E (o Property Owner's Mailing Addre Lot # Block # Subd. Name of City j State Zip Code Phone Number ❑ City ❑ Village 'Town Nearest R G` New construction user Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement El Public or comm cial - Desc ibe- Flood Plain elevation if applicable ft General comments and recommendations: ❑ Boring a'F"Oe n Boring # Lill, Pit Ground surface elev. -yL ft. Depth to limiting facto .'t Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consiste R`u. d~ o GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `^n *Eff#1 *Eff#2 T yd - i^ 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 . * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Na (Please Print) e / Signature CST Number O rT Addres Da a Evaluation Conducted Telephone Number jii~ ss s 6 l' Property Owner 4"YL6/t Parcel ID # Page of 51 Boring # ❑ Borii g 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 c.- o AZ A "04 11"f F] Boring # E] 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑ Boring F-1 ❑ 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5 > 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-8330 (R.07/00) Soil Test Plot Plan Project Name Randy Graese Byro ird Jr. Address 2828 210th ave. Emerald Wi. 54012 CS #220527 Lot----- Subdivision Date 5/23/01 NE 1 /4 NW 1/4S21 T 31 N/q15 W Township Forest Boring Q Well PL Property Line County ST. CROIX ,BM or VRP Assume Elevation 100 ft.nail in power pole#AltBMbase ofpower pole99.2 System Elevation 92.5 H.R.P. same as BM 210th ave ham- ~ . traile way l N 13M old sewer system PL 75' Inn, 93 40' 1320' to PL 91 25' B2 80' 25 B3 F Parcel 014-1044-50-000 09/05/2006 03:47 PM PAGE 1 OF 1 Alt. Parcel M 21.31.15.325 014 - 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 - GRAESE, RANDALL S RANDALL S GRAESE 2828 210TH AVER- ~G EMERALD WI 54013 Districts: SC = School SP = Special P s): Primary Type Dist # Description 2828 210TH AVEt SC 1127 CLEAR LAKE SP 8000 WITC UPPER WILLOW REHAB DIST 07 S(~.C 17 Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILA E SEC 21 T31 N R1 5W NE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-31N-15W Notes: Parcel History: Date Doc # Vol/Page Type 02/20/2003 710414 2147/473 WD 06/08/2000 624478 1517/434 LC 07/23/1 WD /1997 508/458' LC 2006 SUMMARY Bill M F a I r Marke a ,u-1e: Assesse i : Use Value Assessment Valuations: r,._~ Last Changed: 10/18/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 5,000 5,000 10,000 NO AGRICULTURAL G4 13.000 2,000 0 2,000 NO UNDEVELOPED G5 26.000 2,600 0 2,600 NO Totals for 2006: General Property 40.000 9,600 5,000 14,600 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 9,600 5,000 14,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 p OD ~ N ~ ti 01 II N co N N • I • • • 290th N N ry at N uy~ I i • 2057 21 Z2 t O co N 2034 2026 2030 • Ch 'Di OD • ( N~ N 200th I I • i ~ I I I I 1977 I i i ' CO) • 1963 1998 • i I i i i • 1939 i FOREST T 31 N.-R. 15 W." 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