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Wisconsin Department of Commerce SOIL EVALUATION REPORT pap I of 3
Division of Safety and Buildings in accordance with Corrn 85, Wis Adm Cade A.C.E. Sal & Site Evaluations
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix
include, but not limited to. vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemsions, not allow, and location and distance to nearest road. Parcel I.D.
016-1011-20-000, ID#5.30.15.86
Please print all infornmdon. Reviewed gy Data
Personal mformatlon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). . '
Property Owner Property Location
Marcella Prinsen Govt. Lot SE 1/4 SW 114 S 5 T 30 NR 15 W
Property Owners Mailing Address Lot # Block # Subd. Name or CSMk
2838 170th Ave. 'YO '
City State Zip Code Phone Number _ I City _I Village g Town Nearest Road l 1
Glenwood City I W l 54013 715-265-7552 Glenwood 170Th Ave. w LZ
71 f~ 7
New Construction Use: 16 Residential / Number of bedrooms 3 Code derived des(So flow rate' 450 GPD
- Describe: r t'>,_ D J
Replacement Public or commercial
na
Parent material Glacial Till Flood plai~ ik ation appl'nc
General comments ; gr
and recommendations: Mound system elev. = 99.50' at 18" above 98.00' contour.
C
a Boring # -1 Bo" r , .
Pit Ground Surface elev. 98.14 ft. Depth to limiting factor , R Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPD W
1 0-5 10yr3/2 none sit 2fsbk mvfr as 2f 0.5 0.8
2 5-10 10yr4/6 none scl 2msbk mfr cs if 0.4 0.6
3 10-21 5yr4/4 none sl 2msbk mfr cw 1f 0.5 0.9
4 21-38 5yr4/4 f2d 7.5yr5/8 sl 1 msbk mfr Cw - 0.5 0.9
5 38-56 7.5yr4/6 f2f7t2f I.50r/8 6/2 & scl Om mfr - 0.0 0.0
❑ Boring # Boring
16 Pit Ground Surface elev. 98.31 ft Depth to limiting factor 18° in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDIft:
*Eff#1
/f 1 0- 10yr3/2 none sil 2fsbk mvfr as 2f 0.5 0.8
2 9-18 10yr5/4 none sil 2msbk mvfr CS 1 f 0.5 0.8
3 - 1 10yr5/4 f2d 7.5yr5/8 sil 2msbk mvfr Cw if 0.5 0.8
4 21-33 5yr4/4 f2d 7.5yr5/8 sl Imsbk mfr cw - 0.5 0.9
5 33-47 7.5yr4l6 f2f7f2 f I.5~/8 6r2 & scl Om mfr - - 0.0 0.0
* Effluent #1= BOD ? 30 < 220 mg/L and TSS > < 150 rrg/L * E #2 = BOD S30 mg/L and TSS <-30 mg1L
CST Name (Please Print) Sig CST Number
James K. Thompson s 3602
Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lone, Osceola, WI 540 5/14/01 715-248-7767
ply owner Marcella Prinsen Parc W ID # 016-1011-20-000, ID#5.30.15.86 Page 2 of 3
IE ~ # _1 Bortng
16 Pit Ground Surface elev. 96.15 ft. Depth to limiting factor 19" in. Soil qWi Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
'Eff#1 *Eff#2
1 0-9 1Oyr3/2 none sil 2fsbk mvfr as 2f 0.5 0.8
n
I D 2 9-19 10yr5/4 none sil 2msbk mvfr cs 1f 0.5 0.8
3 19-22 1 Oyr5/4 f2d 7.5yr5/8 sil 2msbk mvfr Cw l f 0.5 0.8
4 22-38 5yr4/4 f2d 7.5yr5/8 sl 1 msbk mfr Cw 1 of 0.5 0.9
7.5yr5/8 & scl Om mfr - - 0.0 0.0
5 38-45 7.5yr4/6 t2f f2f 10yr6/2
❑ goring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Sol gppn IR
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF *EtT#1 *E❑ Boring # Boring ft. Depth to
limiting factor in. Rate
Pit Ground Surface elev. Sol Application Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots '
*Eff#1 *Eff#2
* Effluent #1= SOD 5> 30 < 220 mglL. and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 <30 mglL. and TSS <,,,30 mg&
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, ulease contact the department at 608-266-3151 or TTY 608-264-8777.
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Parcel 016-1011-20-000 04/05/2007 04:06 PM
PAGE 1 OF 1
Alt. Parcel 5.30.15.86 016 - TOWN OF GLENWOOD
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 - PRINSEN, MARCELLA Z
MARCELLA Z PRINSEN
2838 170TH AVE
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 2838 170TH AVE
SC 2198 GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 5 T30N R1 5W SE SW 40A Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
05-30N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1151/511 TI
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/26/2006
Description Class Acres Land Improve. Total State Reason
AGRICULTURAL G4 16.000 2,400 2,400 NO
AGRICULTURAL FOREST G5M 20.000 16,000 t' 0 16,000 NO
OTHER G7 4.000 10,000 36,400 / 46,400 NO
Totals for 2007: / I
General Property 40.000 28,400 36,400 64,800
Woodland 0.000 0 0
Totals for 2006:
General Property 40.000 28,400 36,400 64,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 210
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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