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HomeMy WebLinkAbout020-1376-02-000 !s.•r lepartroent of Commerce J0 iND SITE EVALUATION Page of 3 ,n of Safety ar~dDuildiribs ' ,reau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 5y C..1ZC? i include, but not limited to: 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. QQd 7~-Q2 =ewe Date INFORMATION - Pie eik~__allif ation. APPLICANT Personal information y rovide maybe use 7; dary p oses ( 'vaey' w, s. 15.04 (1) (m))• I t 1P Property Owne Property Locati ~ 1 e Govt. Lot 1/4~~ 1/4,S l T N,R E (or Al rv 1J, _N Property Owner's Mailing Address (+r ) 9 2f:~ Lot # Block# Subd. Name or CSM 3 ee cflax Z - iZ City State Cade PIMW+(.imber r ❑ City ❑ Village M Town Nearest Road Z nF I ~ ~lv~ c{ s ~ In GG •E3 ~ ~von~ I _%,U y New Construction Use: FResiden of bedrooms 3 ^ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Recommended design loading rate ~_bed, gpd/ft2 ' trench, gpd/ft2 Code derived daily flow 9Pd Absorption area required $~bed, ft2 _L~cj_ trench, ft2 Maximum design loading rate bed, 9Pd/fiz'-trench, gp~ 5 - 9 S~ ft (as referred to site plan benchmark), Recommended infiltration surface elevation(s) . 6 _V 611 G f 9 ¢ ~ Additional design/site considerations C Parent material F d ain ele tion, if li bl Conventional Mound Fn-Ground P essure r tem in Fill Holdi Tank S = Suitable for system s❑ u [ s❑ u FAT-Grade s❑ u El S C u ❑ s u U = Unsuitable for system [Yr S El U SOIL DESCRIPTION REPORT ok .ko"+~ ~E$ ZoDjc Boring # Horizon Depth Dominant Color Mottles Structure Consistence Boundary Roots ~Trench Texture Bein. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -35 2. ►z 7 E9/6 z (01 Ground _ elev. ' Depth to limiting factor Remarks: Boring # 1 ~t 1d 3 ~ _ S ~ w8 w"c SS _ -i - 'Z Z iy -30 At J Li 2 31 w.5 c5 c7 +`n L Ground elev. Depth to limiting factor lot in. Remarks: CST Name (Please Print) Signature Telephone No. ~ /.11~\ Zy ~_~U~~ Date < CST Number Address Z~s PROPERTY OWNER S `rte SOIL DESCRIPTION REP . • page ~ Hof PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3 -t Z ly Z MPwq M F; G Ground 36-01 ~ b elev. vv".5 CV q~q. el- ft. Depth to limiting factor 4C2Lin. F:T Remarks: Boring # I 0-'?, to Mr ~s 1 F 9 Z y S,\ ` ZMA k 30-/ 0!X Q~ J C' Ground S y elev. Depth to ; limiting Lt-1 factor 1 in. Remarks: Horizon Depth Dominant Color Mottles Structure in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots GPD/ft2 Gr. Sz. Sh. Bed Trench Boring # ~ 0-iy I q- 5 ►~j 1:~ Z -3 7 2-ilj~ Z Y G r~s L 656- Ground a elev. Depth to limiting factor //'i in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R.9/98) r PAGE_ ~3__OF 3 NAME & f0O f- LOT# LEGAL DESCRIPTIONSE '144)jdl4 S IdT2q N R l4 E (orlLw) SCALE: F'= (QG C~ BM I ELEVATION. I Q 1 BM I DESCRIPTION}~,o L I e 10,46 I C IW - j N BM 2 ELEVATION I D U C7 x BM 2 DESCRIPTION o~ 1 Z'~uc D; Pz ~O{ (ltd/ M'IR J SYSTEM ELEVATION S 9 S ALTERNATE ELEVATION q 5 9 5 CONTOUR ELEVATION 0 l o t. pr:,nP.Y k6t I ~Z~ DATE SIGNATURE Parcel 020-1376-02-000 04/10/2007 11:59 AM PAGE 1 OF 1 Alt. Parcel 14.29.19.2263 020 - TOWN OF HUDSON 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 - BAST, KERNON J & DONALDA SPEER KERNON J & DONALDA SPEER BAST 948 LABARGE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 954 LABARGE RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.390 Plat: 2530-SWEET GRASS FARM LTS 1/78'00 SEC 14 T29N R1 9W PT SE NW SWEET GRASS Block/Condo Bldg: LOT 02 FARM LOT 2 2.390AC EZ-U-1558/119 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-29N-19W SE NW Notes: Parcel History: Date Doc # Vol/Page Type 04/01/2003 715473 2190/531 WD 08/31/2000 629124 1539/081 WD 07/27/2000 627130 1529/538 WD 07/23/1997 1081/16 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.390 55,400 0 55,400 NO Totals for 2007: General Property 2.390 55,400 0 55,400 Woodland 0.000 0 0 Totals for 2006: General Property 2.390 55,400 0 55,400 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 sroRAGAC~ sa ~o PT EMM i I ~ 1 40i.1~C • i f 1 1 i 1 LOT 2 t 3 c 104014 60 Pr 1 i M PT 1 N@"43V" 1170.1 d' • ( 1t ~e S WAS • i te-..-