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HomeMy WebLinkAbout018-1082-10-010 (3) ~ J Wisconsin Department of Commerce EVKVKf f4P0 T Page of J Division of Safety and Buildings in accord a wi m 85, A C ty XY X14 Tfle 06 Lu Cot Attach complete site plan on paper not less than 8 1/2 x ch s in size. Plan must a / a include, but not limited to: vertical and horizontal reference point BM),~iferOd OUf~TY P I.D. CI~J/~' v v ~O percent slope, scale or dimensions, north arrow, and location an distance o near^es`( roa s~ Please print all information. ie d by Date C Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ✓ ZJ b Pro arty 0 ner Property Location ? Govt. Lot SF 1/4 S 1/4 T a g N R/7 E (or e Lot # Block # Subd. Name or CSM# ' Prof 7 Owner' Mailing S O'v' Address 5+, 6 1` i P J Or city State Zip Code Phone Number ❑ City ❑ Village F&To n Nearest R a 7 - k 1, ( W A:SCJ ftlonQ. LAO 5Y2( 71 p 1` =-5) New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑[:Public or commercial - Describe: Parent material -slakN . [-fate- "rc4 - k Flood Plain elevation if a ica~ ft. General comments G 5 c ~5..~ Q- C 7S r ns ~a M o v v~ Q.•"} 9 7 q-) and recommendations: J J ~bk~ o.~ 9 ~.qat E] Boring FT Boring # La Pit Ground surface elev. 510ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 '(0 e D sZ SY .Y/ 5 C. rt1 ~k. IM~r vv 84 to hq S/ v L) W Y" I Boring # Boring ® EAPit 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 16 IPPAX d 7, I N c w"S ~C rw VV i to V- too CS "t Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 5150 mg/L ' Effluent #2 = BOD 5 30 mg/L and TSS 30 mg/L CST Name (Please Print Signature CST Number Tale hone Nu Date Evaluation Conducted mber P s~ -715 -a'-i - 3 F M. i'Property Owner V ftf` Parcel ID # _ Page C;~ _ of ❑ Boring 131 Boring # 9s# Pit Ground surface elev. 0 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 b-) / 01R- ;Z F htFr a w IF • (o L r w t . b f -7,5PS S ; v k F-1 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 i Boring # Boring F-1 ❑ 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 Effluent #1 = BODE > 30 S 220 mg/L and TSS >30 5150 mg/L ' Effluent #2 = BODs 5 30 mg/L and TSS < 30 mg/L 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. 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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 - BEDFORD, BRIAN L & EMILY S BRIAN L & EMILY S BEDFORD 911 SOUTHSIDE DR WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 701 159TH ST OR SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.000 Plat: 07-010-MEADOW RIDGE LOTS 1/12 1998 SEC 30 T29N R1 7W PT SE SE LOT 1 MEADOW Block/Condo Bldg: RIDGE 2.OOAC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/31/2006 830970 WD 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 2.000 23,400 0 23,400 NO Totals for 2008: General Property 2.000 23,400 0 23,400 Woodland 0.000 0 0 Totals for 2007: General Property 2.000 23,400 0 23,400 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