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HomeMy WebLinkAbout018-1001-80-000 nA ►Msconsin Department of Commerce SOIL EVALUATION REPORT ' ►Ivision of Safely and Buildings Page / of in accordance with Comm 85, Wis. Adm. Code Altach complete sile plan on paper riot less than a 1/2 x I 1 Inches in size. Plan must County s' V. Include, but not li►nlled lo: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. O/ /00~• O . CJZlb Please print all lnforma(lon. Revie eti-b Dale Personal information you provide e y • used /o econdary purposes (Privacy Lew, s. 15.04 (1) (m)). , Property Owner , Property Location s o UST- W $6U Govt. Lot 1/4 1/4 S T 29 N R! E (or) W Properly- wner's Mailing Address . Z O 12- d ~j~, v~ Lot # Blo u ame or SM# city 14 y0 ~44r2 S Stale Zip Code Phone Number City ❑ Town earesl R0811 715 7 11AMMO~vD o o r, VQ New Construction User Residential / Number of bedrooms ❑ Replacement Code derived design Bow rate GPD [j Public or commercial - Describe: Parent material __,D_S OVER D~yf JCi N~ Flood Plain elevation It applicable ,1 U L O l ? 0~ n. General Comments 5,IZW 0WY 1007- 4~~//~ and recommendations: • s. r~ T~-s7- is sv~r~t uH 7 y xd ; `'G ~4- Atov,uv sysre-,~, -Xrsl%06- 0.7, 6) -If &.1= -54-Avo M Boring 0 ❑ Boring 9 f •L ~ ..s • Pit Ground surface elev. fl. Depth to limiting factor jf in, Horizon Depth Dominant Color Redox Description Soil Application Rate Texture Structure Consistence Boundary Roots GPD/ry: In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. YR 3 •En#t •EHA12 /3 L Z/* shk •;vfp V 3 f r S L ~p .~L h L ~//1Yl ,S/J 4w6gq C S 3 O 3 A 79 QOM 11.4 7CR cs !/Y~ , y ~••S yiP ~o si 5 L / ~-f-e Z - . CP S .yo ~.syR s • ~ rtoT s SC / f sb~ ~ ?C/' , 2- • 3 1 Z I Sodng # ❑ Boring 111 111 q Z S•SS. Pit Ground surface elev. ft. Depth to limiting factor 16e in. Horizon beplh Domfnanl Color Redox Description Texture Structure Consistence Bounda Roots Soo Application Rate In. Munsell ry GPD/fl' Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 /0 Y1#01 31S Z- 2,Mf 44t 3 4 C.5 IT- Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L CS1 Name (Please Print) - _ T 711& 21 Signature /~T/ t~ p /C CST Number Address Z Z6o37S Date Evaluation Conducted Telephone Number Ulbricht ssocl MA 2-/ • 715' ' 366 •9/ ZJ s Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 ORIGINAL l . I EVE/SBA) SAM. C Property Owner T/WyT Parcel ID # 00 /44t / 3 r Page Z of l301111g # Boring _ ~q. a i~ ss s Pit Ground surface elev. _ it. Depth to limiting factor In. Soil Application Rate Horizon Ueplh ;0, minant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2 In. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'Eft#2 Q• l ~ y R ~ 3 2,~fsb~ /Wf iP y L 14" u{ C-5 3 y 3 3' /L i8 % y s~ s {Acs k R ~ y Ig•L3 7 s y y el.- MOT-5 56 Z2~& 4M ti- L3. 5d 2 . sy/f s 2 MOTs S ~ /Shy ~i • Z . 3 Ao VA G/2- Boring # ❑ Boring ❑ Pit Ground surface elev. fl. Depth to limiting factor In. Soil Application Rate Horizon Depth ~M:unsell nant Color Redox Description Texture Structure Consistence Boundary Roots GPO/(l' In. Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r a Boring # ❑ Boring ❑ Pit Ground surface elev. it. Depth to limiting factor In. Soil Application Rate Ilorizon Depth Dominant Color Redox Description Texture Structure C nce Boundary Roots Gpp/(l' In. Munsell Qu. Sz. Cont. Color Gr. Sz. •EH#f •E((#2 I Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 1SO mg/L • Effluent 02 = BODE < 30 mg/L and TSS < 30 mg/L r The Department of Commerce is an equal opportunity service provider 4nd employer. If you need assistance to access services or need.material in an alternate format, please contact (he department at 608-266-31 S 1 or TTY 608-264-8777. snn.e»o (R Rmo► a~ a-u5 0,4 ~ c~ oo~~7J y~ ~~es or/z~ T~ P Pip /oo- a No0 a~~ b D ~ o 132- 70' = co.vyav~e 15 Af odvv -Nam; 40 AJ -XeVR S 1220 ✓ 99. S ? ly (000, T'a kA y G-6-~s TL~D ,4214 v,v LD 7~ p o F 5 ys T ~ UHF T~/o.~ ~u P ► h-e 9 9. f/ N For issuance of permits and designing Contact: Ulbrich & Associates Registered private wastewater Consultant and'lu IMS 655 O'Neil Road Hudson, WI 54016 715-386-6115 or 715-772-3442 30~3~ Parcel 018-1001-80-000 04/06/2007 04:50 PM PAGE 10F1 Alt. Parcel 01.29.17.10 018 - TOWN OF HAMMOND 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 - VANSOMEREN, DUANE L & DIANE L DUANE L & DIANE L VANSOMEREN 2020 110TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 01 T29N R1 7W 40A NW SW 423/56 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 08/26/2005 804560 2875/201 WD 07/02/2002 683230 1921/05 TD 07/23/1997 855/586 07/23/1997 423/56 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/13/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 36.000 32,200 0 32,200 NO PRODUCTIVE FORST LANDS G6 4.000 12,000 0 12,000 NO Totals for 2007: General Property 40.000 44,200 0 44,200 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 44,200 0 44,200 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