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C7 RECEIVE[ WiisconsinDepartment of ommdrbec 16 ?0O5 V LUATION REPORT Page J Of-F Division of Safety and Bui ings i rdance wi mm is m. Code ST. CROIR d%NTY County c Attach complete site pl of less than 8 1 /2 x 1 inches ize. 5,7' - - 7 include, but not limited to: vertical an on point (BM), ' ction Parcel I.D. e>46-v40---A= r percent slope, scale or dimensions, north arrow, and location and distance earest road. i , -gyp 8 e Please print all information. Reviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ,Z 2-716 Property Owner Property Location vi /f q/ RA aq~Lo do" Govt. Lot 1/4 1/4 S 5 T <'o N R 5~ E (or) Property Owner's Mailing Address Lot Block # Subd. Neommir CSM# 1 o -V S/ City State Zip Code Phone Number City ❑ Village ~ own Nearest ~ Iv (l ) Z - `7,4-18 6:1- e d 1 ---4- Aelp-j New Construction Use: a Residential / Number of bedrooms Code derived design flow rate. GPD ❑ Replacement ❑ Public or commercial - Describe: _~~1____ Parent material Flood Plain elevation if applicable Nrl ft. General comments Q _ e J and recommendations: or 0-7414- G a ~ Joe- 4-6 S~64t,--- ~t Tp ` WtCA- M060C- 6Q.., ~cc.~+ie . V /Al 7` b Q Q -/r Boring # 1:1 Boring F-/] •tp1~lt~ltUf > ® Pit Ground surface elev.l~~ ft. Depth to limiting factor- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 e-~ o L 1, GAS 211? Y , YA1 6 C -S G . ,t L ® Boring # ❑ Boring ® Pit Ground surface elev. / i ..Z ft. Depth to limiting factor ✓in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD > 30:E 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) „ Si ature CST Number ell G= P as ,3 Address Date EvaluationConducted Telephone Number oZ Gy X74 Letr6v a a~ ~ i ~.2 -o,.S' •~=2~~3 = ~r38' f w Parcel ID # d ✓ /O.~•z ' J~~~ ~~D Page of Owner ® Gr Rhin, e,5 Property Boring # ❑ Boring Depth to limiting factor ~-3- in. ~ © ®Pit Ground surface elev. ft. Soil Application date Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Aj- v 0 D fl 3 S 2 L JAIJ k C- S y 110 ❑ 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 E] Boring El 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 I ' Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 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. SB"330 (FtA=) r I I + I y Jrl~l_ i i 1 1 40 7j, I i Able - - i i---- - - - - - - - - . - - - I h PIP, i RECEIVED 622330 VOL 21 PAGE 5187 KATAL1s~ R. WZESH REGISI OF DEEDS al(G 2 3 REECEIVVEEDIxFOR fiECORD v-, 04Ie6/29M e2:1OPI! z *8rCERTIFIED SURVEY MAP F} (9FX'COUMY COPY FFEE: EE: 300 c OU_11i MOBS RECOFO PAGES: 2 vNi~ O w ca ~ ~1 N Y t0 t0 ~v S N V p N `I S' a 22 Cp 52 J!: a r z z z z m jv1;' \ I ri rn m' Mo WEST UNE OF THE rSE 1/4 OF THE NW 1/4 # R F, a 4\ cm r z O 8 1 1 j ` . \ \`O j,,A^ ~D III W ~ to z ; N I•!' r4 { '2° m Co C,- m i ,y' y M ~4~ ASST ~ w ~ w 3 0~ 0 0 !q 1 , r,, f+1 CC1111 J CC''777~ +t~l~ ^ m p Z ` n °y ~~wy v O 2~,y ZZ j -n 59 OR m N C3 a 1t c rri rri .J a _ N I{ C) (n , !►-d,C!C~ o c') g~~ E 0 cr O ~ _ so- m cn ! I Z Ila m 2t C) 12 N THE EAST-WEST 1/4 UNE OF SECT10 ~ a 4 S A - BEARS N89.54'15'E AS REFERENCED TO THE 11 r _ A ST. CROIX COUNTY COORDINATE SYSTEM N v' w ~O O SHEET 1 OF 2 C) of P Vol 21 Page 5187 . Parcel 016-1033-10-040 02/14/2008 02:16 PM PAGE 1 OF 1 Alt. Parcel 15.30.15.244A-15 016 - TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/06/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SHIELDS, CULLEN G & JENNIFER J CULLEN G & JENNIFER J SHIELDS 1725 W SUNN FJORD LN #J104 BREMERTON WA 98312 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 9.307 Plat: 5187-CSM 21-5187 016-06 SEC 15 T30N R1 5W PT SE NW CSM 21-5187 Block/Condo Bldg: LOT 01 LOT 1 (9.307 AC) - - Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-30N-15W SE NW Notes: Parcel History: Date Doc # Vol/Page Type 10/16/2007 862471 WD 04/06/2006 822330 CSM 02/06/2006 818002 EZ-U 10/27/1995 535460 1146/109 WD 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/18/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 8.307 1,100 0 1,100 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2008: General Property 9.307 1,200 0 1,200 Woodland 0.000 0 0 Totals for 2007: General Property 9.307 1,200 0 1,200 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