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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of ~
Latpr and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
ST. CCz.UbC
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
PARCEL I.D. #
not limited to vertical and horizontal reference point (BM), direction and /o of slope, scale or
dimensioned, north arrow, and location and distance to nearest road. ' o l 6 _ tQ~ 6Z - 30 3
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
A- fin.(1N4tit-
PROPERTY OWNER: PROPERTY LOCATION v,3, r/z or=
C Z.ISTO P\ 'R -S. DE S1~ C(N G'i 4 /C~ (cy-3c (5 60VT-EeT SE 1/4 NUj 1/4,S Z,c~ T 3 p N,R IS E (or)(@
PROPERTY OWNER'.-S MAILING ADDRESS • LOT # BLOCK # SUBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE ®fOWN NEAREST ROAD
GLevwoob C_Vty tvl S~u~3 01S) Z6S-41y. GLQtvWOpb \~S Chi 19~1Z
New Construction Use [>CJ Residential / Number of bedrooms 3 AdditiQn to existing building
[ ] Replacement Public or commercial describe
Code derived daily flow X150 gpd Recommended design loading rate bed, gpd/ft2o• Zb trench, gpd/ft2
Absorption area required 3 "1 S bed, ft2 315 trench, 9 Maximum design loading rate 5 bed, gpd/ft2 • ~ trench, gpd/9
Recommended infiltration surface elevation(s) lo(3, n' ft (as referred to site plan benchmark)
Additional design / site considerations n Wm w/ S 'X- 1 S ~Tl l C1 f , "tr_1 "U" \ I " o r- SR7 P u
Parent material Ln sS GUM S C ] -'RU Flood plain elevation, if applicable NIA It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK
U = Unsuitable fors stem El S RU 13S ❑ U U) S OU ❑ S .®U ❑ S O U ❑ S .W U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tench
0-9 lll`IR 3/Y _ sil 2~sbk ~'I~4~- CS z S •b
k4 Z 9-zb Ib~1fZ 3/~ S~1 Z msbk ti,,, cS 1v~ .S 'b
Ground 3 z6 a'] -).S vp- ~y
elev.
Lbp-o fL
Depth to
limiting
factor
-Z6
Remarks:
Boring #
O 10`12 3 / SL Z ~s bk Yn Ft ~S Z • S L
0 ~vF -S`'6 I
CL Z 1`IR3/b - sit Zw,s6lz ►n~I CS
3 z4-1I l% -).SLY Iz- 3/y ~ L S LM 5/b S C.) ~h~ YYI t' i N1~ : 2 I
Ground -
elev.
f
qS.6 It
Depth to `
limiting
e
factor 2 COU R k
OV7Z
Remarks: 71-1 ` -
T Name:-Please Print Phone: f
Arthur L. We erer 715-42
ress:
.egerer S.oil Testing-A Design Service-P.O.-Box. 74 River Falls;WI.54.022
S" nature: Date: CST Number:
L6/ a! Wf 220254
I
PROPERTYOWNER b~SML`~
SOIL DESCRIPTION REPORT Page Z of 3
PARCEL I.D:# Olb_ 1~6Z-30
Boring # Horizon Depth Dominant Color Mottles Texture structure GPD/ft
in. Munsell Qu. Sz. Cont. Color consistence Boundary Roots
cr r £ Gr. Sz. Sh. Bed Trench
3 1 2'Fsb1,C
vvt~t- cS z~' •S
s~ 1 zrn sbk c-S
Ground 3 2,~_~3 -2-S YIZ 3/y l~-S Lf tZ S/8 Scl c~Y,~ yyt ~r _ NP .Z
elev.
9`L 0 ft.
Depth to
limiting
factor
Remarks:
Boring #
. i
rlm~?
Ground
elev.
ft. i
Depth to
IlHting : `
factor '
Remarks:
Boring #
a t
Ground '
elev. `
ft.
Depth to I
limiting
factor
Remarks:
Boring #
x
i
i
Ground
elev.
ft.
Depth to
limiting
factor'
Remarks:
P L OT P LAN Page 3 of 3
SCALE 1"= ~l0 '
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(715 ) 4 7.5 - O1 65
CST Signature Date Signed Telephone No. CST #
Parcel 016-1062-30-000 04/06/2007 09:56 AM
PAGE 1 OF 1
Alt. Parcel 29.30.15.4338 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 - DESMITH, CHRISTOPHER J
CHRISTOPHER J DESMITH
1356 280TH ST
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2198 GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE
SEC 29 T30N R1 5W W 1/2 SE NW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-30N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1083/454 QC
07/23/1997 968/184
07/23/1997 773/588
07/23/1997 511/57
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/26/2006
GDescription Class Acres Land ~mp ve Total State Reason
RESIDENTIAL G1 1.000 7,500 000 27,500 NO
UNDEVELOPED G5 15.000 11,300 0 11,300 NO
PRODUCTIVE FORST LANDS G6 4.000 8,000 0 8,000 NO
Totals for 2007:
General Property 20.000 26,800 20,000 46,800
Woodland 0.000 0 0
Totals for 2006:
General Property 20.000 26,800 20,000 46,800
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