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HomeMy WebLinkAbout022-1003-70-000 o6uv ,~ivv~D '14.4,+eC2IIA 4 a ecX /35*7 #iv y Al, /Pal3 rs , w/S. sY,&z 3 Wisconsin Department of Indust ? ls. ¢ZS ''S .3 ry, SOIL AND SITE EVALUATION Page l of 13 Labor and Human Relations Division of Safety and Buildings in aCCOrdanc S~I ~ 09, Wis. la mue1► ounty 5.~• elf Attach complete site plan on paper not less than 8 1/2 x 11 inches' srne Include, but not limited to: vertical and horizontal reference point ticrj;j!Ir /I' IL a percent slope, scale or dimensions, north arrow, and location artd dP o nearest roan Pa,01 I.D. # V1 g.r -A 7 4600 APPLICANT INFORMATION - Please print all lnf tvh~tion. SY vN :jx ew y Date 1,9 Personal information you provide may be used for secondary purposes (Pri -~gw, s a Property 0o al ~ Property Lo p Av,y v,s CONmvAl,?,+r*A- r'mE soa ` • , 1/4 5~1/4,S Z T 2~ N,R /O E (or~ a, Property Owner's Mailing Address Su m or # //D X- ?d~ ST sv/ro es&V ' S 3S~ 7 AY ,Qd City State.* Zip Code Phone Number O e Road 7 OF 14- Del 7y//~- (!~g) Zg0 • jSD ❑ City El Village, L~~own ; 12 VA New Construction Use: ❑ Residential / Number of bedrooms Addition to existing buildin vg El Replacement Public or commercial - D cribs: ~i'•,d l(~E • O cs • .S~'t~}T/ON r...~/ ,s v ~ e• Code derived daily flow %%t4 gpd NG Recommended design loading rate gp d/ft2_trench, gpd/ft2 bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2rench, ft2 Maximum design loading rate 11bed Recommended infiltration surface elevation s) •SYST a it (as referred to site plan benchmark) Additional design/site considerations Es.S dv,4. *17 A&W S,4rVPS*-4-L47- Flood plain elevation, if applicable ft Parent material /V S = Suitable for system Conventional ,MoU's In-Ground Pressure AT-Gradde - - System in Fill Holding Tank U = Unsuitable for system ❑ S C~ u LJ ❑ U ❑ S 2",u ❑ s LET u ❑ s 173 ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft2 Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench V4 X °S ye 3/1(' L- dAs 4 dS Gs zf .S 8• Is /OVA y/e( S/L zfshe ~5 /t • S; • L Ground -3 S . Z /0 YX YIL 2,~,, ~k /1N • CS - • S ' .Co elev. I / r- S ? , • O • s. D. .C ~3 • eft. 2 • /00 yR 71 L4 0 s /o If 513kk : N 10 Depth to ~O y/Q ~l Z limiting factor ; S.S • Remarks: Boring # 0'/0 /0Y,e 1/3 - L. ,sk W 2 f • ' . S ,g 31q 3i 51cl Ground 2.5 Y C24 MOT'S UCs elev. C 241, af4s Depth to limiting factor 2~In. Remarks: / CST Name (Please Print) ,R OS e R T (b R k-4T- Signature `Q 6(R " & ~ ~~V ?/S • 3 eTelephone No. a - g` e!9 Address Date CST Number 13 • .2 ov"o 224375 Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 ORIGINAL PROPERTY OWNER LVccff S SOIL DESCRIPTION REPORT Page 2- of 3 ~ p cs.~c DoT - w %6I/~r~S v~/•C~-%~0,~, PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure Gep/ft2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench •iz iOye 2-/3 4 • q .s io 31 - 51- 1,Ash& d . y ; . s Ground 3 2-5 10 XA 5I CZ- ]CCs/tiJL. 4-% / CS • L , . 3 elev. •s [2~ LfOT.5 T J / l- ~ l~ s~ y~ a tt . WE %Iep 1er) cl Depth to limiting s' factor Z5--jin. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. , Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-6330 (R. 08/95) F 6 Y / o m t deb I s~7 d Or 30 -rot Associates 6 Y Ulbrlcht eWa~e Consultants _ O private S • 77 Rd 54016 6550 oil Nudson,,Wis. CSl 2243?S I , Cs,~~ H 2 %330 s f roc p►!, Itt~ = log' 3 M0000 S YSTA, ,e1/5 W AI 3 of3 Jack Walkky (715) 386-•7889 p,2 (C1 C 14 . -5 02.-,Cr a 34 x ~ G ~ VI 0 ° Q j~ zZ i IyK! 4;tr QA). t of 4-% ~ v~ of i SiO~ CS, r -VIRP119, t-5 s ~ Parcel 022-1003-70-000 02i28i2008 11:14 AM PAGE 10F1 Alt. Parcel 02.28.18.298 022 - TOWN OF KINNICKINNIC 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 - STATE OF WI CONS COMM STATE OF WI CONS COMM X MADISON WI 53707 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 5.040 Plat: N/A-NOT AVAILABLE SEC 2 T28N R18W 5.04A PARCEL OF LAND IN Block/Condo Bldg: N1/2 OF SE1/4 VOL 372 P247 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/27/1994 Description Class Acres Land Improve Total State Reason STATE X2 5.040 0 0 0 NO Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 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