HomeMy WebLinkAbout014-1047-80-000
;r RECEIVED
Wisconsin Department of Commerce N 0 V j 3 EV LUATION REPORT Page ~ of
Division of Safety and Buildings
inrdance with Comm 85, is. Adm. Code minty n
i • t;K01X COUNTY C~
Attach complete site plan on paper less t861td O(50~ es ins e. Plan must
include, but not limited to: vertical a irection and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
. Please print all information. R Date
Personal kdorrimbon you provide may be used for secondary purposes (Privacy Low, s.15.04 (1) (m)). 6
Property Owner Property Location
/lcp d re e GovL La ,s 1/4$ 1/4 S, T3 N R /S-rjcW
Property Owner's Mailing Address C z Lot* Block # Subd. Name or CSM#
city State Zip Code Phone Number ❑ City ❑ Village (Town Nearest Road Z
M A a~ 0/3 (9W) a~5= a e ~o f'~ v~
New Corrstrudion Use: Q( Residential / Number of bedrooms Code derived design flow rate T_5yo GPO
r
❑ Replacement ❑ Public gr commercial -.Describe:
Parent material G~ A /A L 7`/~ L Flood Plai? elevation if ap ble
General comments
and recommendations: C
/
❑ Boring
FI B.ing # Pit Ground surface elev. . /.Z ft. Depth to limiting factorin.
Sod Applicilbort Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. PEW1 'Eft'#2
19-20110YR Q 6 Iy c C
v
a Boring # ° Boring /r
Pit Ground surface elev. 9y-~ ° °-6 ft. Depth to limiting factor T in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
In. Munsed Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'Eff#2
' 45 0 e7 L G'' 6 Al M V✓ v
s
i
Effluent #1 = SOD > 30 < 220 mg& and TSS >30 < 150 m%& ' Effluent #2 = BOD 130 mg& and TSS < 30 mglt.
CST Name (Please Print) S CST Nu tuber
6 :Ale za
Address Date Evaluation Conducted Telephone Number
T y~
t
Property Owner AIC4NRa✓ :r/ e6+e~Q r Parcel ID# 0T d~/ ~O-Oo'4 Page 9 of
Boring # C] Boring O'
F271 ® Pit Ground surface elev. 9 ,1k ft. Depth to limiting factor in. son kco Rate
Hortaon Depth DominantColor Redox Description Texture Structure Consistence Boundary Roots GPDff
In. Mtmsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
v- 1 a Af 56 yG .2M ,
YjV //T
4- IQ dS-
•~6 v~ - 6
S
I
❑ Borg # ° Boring
❑ Pit Ground surface elev. fL Depth to limiting factor in. Soil -Application Rate
Horizon Depth Dominant Cok)r Redox Description Texture Structure Consistence Boundary Roots GPDlfg
in. Munseli Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Sod Application Rate
Horimn Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP
in. Munsel Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
Effluent #1 = BOD6 > 30 1220 mg& and TSS >30 < 150 mgA- • Effluent #2 = BODS 130 mgA- and TSS < 30 mglL
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.
SW4330MAW)
MIESER 88181ETE
RT. 2 (Hwy. 10) MAIDEN ROCK, WI 54750 • 715-647-2311 • FAX 715-647-5181
G' •4- c Re
_---L" ~ u~~
v
9a= 7'
0 96~~ o ~ ~ _
83
3
_r
,
M`/Q~ v?A w s
RA A~
r Parcel 014-1047-80-000 09/05/2006 04:04 PM
PAGE 1 OF 1
Alt. Parcel 22.31.15.352 014 - TOWN OF FOREST
Current Xj 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 Cio-Owner
O - TIBERG, RICHARD E & LORNA A
RICHARD E & LORNA A TIBERG
2017 CTY RD P
EMERALD WI 54013
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2198 GLENWOOD CITY
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 22 T31 N R1 5W SE SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-31 N-1 5W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/18/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 28.000 4,300 0 4,300 NO
UNDEVELOPED G5 2.000 200 0 200 NO
AGRICULTURAL FOREST G5M 10.000 10,000 0 10,000 NO
Totals for 2006:
General Property 40.000 14,500 0 14,500
Woodland 0.000 0 0
Totals for 2005:
General Property 40.000 14,500 0 14,500
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