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Wisconsin Department of CommercORIGINALOIL AND SITE EVALUATION Page I of 3
• Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
Certified Soil Testing
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
- Parcel I,0 #
APPLICANT INFORMATION - ~arsla print 'a iiWQrmation. G _3 '
Personal information you provide may be ed fibf dcondary urposes (Priv.* Law, s. 15.04 (1) (m)). Review Dat ` P
Property Owner
Property Location
Bont S / } Govt SW 1/4 NW 1/4 16 T 29 N R 17 W
. Lot S
Property Owner's Mailing Addres Lot # Block # Subd. Name or CSM#
1011 170th St. 34 Pheasant Hills
City tate Zip Coin. tPb'ooeNumber ' ❑ City L] Village ®Town Nearest Road
Hammond I 5{x. ]j4.- ZZ96-5240. ammond 170Th St.
Z New Construction Use: Residential / Nt et/of bedrooms 3 ❑Addition to existing building
Replacement ❑ kb]Iic <x-commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate -3 bed, gpd/ftz .4 trench, gpd/ftz
Absorption area required 1500 bed, ftz 1125 trench, ft2 Maximum design loading rate .5 bed, gpd/ftz .6 trench, gpd/ftz
Recommended infiltration surface elevation(s) 24" below contours ft (as referred to site plan benchmar
Additional design I site considerations install 2 - 5' x 112.5' shallow trenches on contours for 3 br
Parent material till Flood lain elevation, if applicable NA ft
S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U=Unsuitable for system ® ❑ U ® S❑ U ® S❑ U ® S❑ U ❑ S® U ❑ S Z U
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftz
Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed I Trench
25 1 0-4 7.5YR 2.5/1 - sl 2 m gr ds cs if .5 .6
2 4-29 7.5YR 2.5/1 - sl 2 m sbk mvfr cw if .5 .6
Ground 3 29-50 l OYR 4/4 - sl 2 m sbk dsh cs if .5 .6
elev
96.3 ft 4 50-56 IOYR 4/6 - s 0 sg dl cs - .7 .8
Depth to 5 56-68 5YR 4/4 - sl 0 m mfr cs - .3 .4
limiting 6 68-88 10YR 8/2 - fs 0 s g - - 5 6
factor g
> 88"
Remarks: 7.5YR 4/4 sl band @ 73-76"
1 0-7 7.5YR 2.5/1 - sl 2 m gr mvfr cs if .5 .6
2 7-22 7.5YR 2.5/1 - sl 2 f sbk mvfr gs if .5 .6
Ground 3 22-40 7.5YR 4/4 - sl 2 m sbk mvfr gs if .5 .6
elev
98.2 ft- 4 40-51 7.5YR 4/6 - is I m sbk dsh cs - .7 .8
Depth to 5 51-70 7.5YR 5/4 - s 0 sg dl - - .7 .8
limiting
factor
> 70"
Remarks:
CST Name (Please Print) Signature: Telephone No.
Henry F. Grote 715-665-2681
Address Certified of Testing Date CST Number Ref #
P.O Box 57, Knapp, WI 54749 416/2000 222774 1075
PROPERTY OWNER: Bonte, Ron SOIL DESCRIPTION REPORT, page -2 3
PARCEL I.D.# a Certified Soil'restirfg
Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 1 0-5 7.5YR 2.5/1 - sl 2 m gr mvfr cs if .5 .6
2 5-15 7.5YR 2.5/1 - sl 2 f sbk mvfr cs if .5 .6
Ground
Gro 3 15-37 7.5YR 4/4 - sl 2 m sbk mvfr cs if .5 .6
elev
98.5 ft 4 37-44 7.5YR 4/6 - Is I m sbk dsh cs - .7 .8
Depth to 5 44-84 l OYR 6/4 - s 0 sg dl - - .7 .8
limiting
factor
> 85"
L
Remarks: s ' -
4 1 0-6 7.5YR 2.5/1 - sl 2 m gr mvfr cs if .5 .6
2 6-23 7.5YR 2.5/1 - sl 2 f sbk mvfr gs if .5 .6
Ground
elev 3 23-40 7.5YR 4/4 - sl 2 m sbk mvfr cs if .5 .6
96.8 ft 4 40-45 7.5YR 4/6 - Is 1 m sbk dsh cw - .7 .8
Depth to 5 45-72 l OYR 6/4 - s 0 sg d1 - - .7 .8
limiting
factor
> 72"
Remarks: • s a" 62-63
1 0-5 7.5YR 2.5/1 - sl 2 m gr mvfr cs if .5 .6
2 5-15 7.5YR 2.5/1 - sl 2 f sbk mvfr gs if .5 .6
Ground
elev 3 15-38 7.5YR 4/4 - sl 2 m sbk mvfr cw if .5 .6
96.5 ft 4 38-43 7.5YR 4/6 - is 1 m sbk dsh cw - .7 .8
Depth to 5 43-69 5YR 4/4 - sl 0 m dvh - - .3 .4
limiting
factor
> 69"
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
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Parcel 018-1083-34-000 02/19/2008 04:02
PAGE 1 OF 1
F 1
Alt. Parcel 16.29.17.606 018 - 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 - DESTASIO, SCOT T
SCOT T DESTASIO
751 WOODCREST DR N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1708 96TH AVE
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 2.580 Plat: 07-086-PHEASANT HILLS 2000
SEC 16 T29N R17W PT SW NW PHEASANT HILLS Block/Condo Bldg: LOT 34
LOT 34 2.580AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
16-29N-17W SW NW
Notes: Parcel History:
Date Doc # Vol/Page Type
07/30/2001 652358 1689/326 WD
05/05/2000 622544 7/86 PLAT
i
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/22/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.580 27,700 0 27,700 NO
Totals for 2008:
General Property 27,700 0 27,700
Woodland 0.000 0 0
Totals for 2007:
General Property 2.580 27,700 0 27,700
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
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