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Wisconsin Departrnent of Industry, SOIL AND SITE EVALUATION REPORT Page 'i of 3
Labor and Human Reladons
Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
• COUNTY
• Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Sr.
not limited to vertical and horizontal reference point (BNB, direction and % of slope, scale or P k _ l p o S - to ;
dimensioned, north arrow, and location and distance to nearest road. u~-x-1011 S -30 o zz -lous -YO
LL INF MA ION R WELI BY DATE
PLICANT I FO MATIO -PLEASE PRA AAA It j
4 9P
PROPERTY OWNER: V L/ 47'j PRO ERTY LOCATION srv- E tr
r . _ wh~li GOW..tOT SF 1/4WIr 1/4,S 3 T 2-8 N,R 18 E(o0W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Vol 1-1 4 3ro 1
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ETOWN NEAREST ROAD
Cr"C.f\60 1L 66618 l ) ~\fJ1VtC~l~>vlC ~3 gT
P4 New Construction Use [x] Residential I Number of bedrooms ? [ ] AdditiQn to existing building
j Replacement [ ] Public or commercial desaibe
Code derived daily flow gpd Recommended design loading rate -4 bed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 ? trench, ft2 Maximum design loading rate • S bed, gpd/1`12 •6 trench, gpd/ft2
Recommended infiltration surface elevation(s) -M 'Ia I IV eT-**) It (as referred to site plan benchmark)
Additional design/site considerations V) 4Q k4s w / M iN i mtim ~Z' OF Stlz Fit-
Parent material L• o v~%S _ov k`1L T► Flood plain elevation, if applicable P It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ❑ S O U 0S ❑ U ❑ S O U ❑ S ®U ❑ S RU ❑ S Rif
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed rends
4w'9K
0 - ~ ~ `Z ~ 1 Z ~ s~.l Z,'F s bh v~'Fr ' es • s • b
I
.b
Z S-314 lD`tR ~l6 sll Z:ms6k w1'Fr Gtil -S
Ground 3 y-~L2 1 mot. R ~1 L - s 1\ 1 ~~~►L `~h , C S - , -i. . 3
W1`~1- - ►•►1~` •Z
CIM It. y y2-b3 S`~1~ 3Cy -i•SLlLz SI`d Se.l (3"I
Depth to
limiting
factor
k4 Z h
Remarks:
Boring # yv`~ cS `
p_8 Ip`t1Z 31Z ~ Si ~ Z~'S~ . S
Z Z 8-Z8. 10`11L 3/.6 - S1 t Z~sek 1N1'~l- ~~S S _ 6
1 Zg-uy SLi ~rlt; P1 sy ti s1S si~l o~ 1v1 t- - ~ a , z
Ground I o~ ~/3 $ e 't s r' °
elev. L/(/-6L to~1z"71. s `12 Y1 6 s om
10Z.zft
Depth to
limiting s0
factor
Z Z'
Remarks:
T Name.-Please Print Phone:
Arthur L. We erer 715-425-0165
ress:
egerer Soil Testing & Design Service-P.O. Box. 74 River Falls,WI.54022 '
Date: CST Number:
signature: 2 2 0 2 5 4
PROPERTY OWNER M U Z
_f-PrJZ SOIL DESCRIPTION REPORT Page?- of 3
PARCELI.D.# ~ZZ_lopS-l0; OZZ-\OOS-30; 02't_IOOS'-q0
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
in. Munsell Qu. Sz: Cont. Color Gr. Sz. Sh. Consistence Bourxby Roots
0-9 1p~t~ 3L2 Bed Trends
Ground 3 3'L-~l to `-I R 3 - TO 1 L°_Sd wrF - C -S
• 2. 3
elev.
q`l•7 ft. y y~~6s S`1 R 31Y ~~S-tR5I8 sl ~'h H'1'Ft- - .3 f .y
Depth to
limiting
factor
i
l
i
Remarks:
Boring #
Ground '
elev. '
ft.
i
i
Depth to
limiting
factor
T-, I
i
Remarks:
Boring #
s
13
Ground
elev.
ft. j
i
Depth to
limiting
factor
i
f
Remarks:
Boring #
i
Ground j
elev.
ft.
Depth to
limiting
factor
Remarks:
Cfl l1 n~'1Nf-7 nr 'n~_.
• PLOT PLAN Page 3 of 3
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(715 ) 49,5 -o 1 6 5. 1400 5 7 6
CST Signature Date Signed Telephone No. CST #
JUN 2 1 I^9
SUR EYOR S RECORD
CERTIFIED SURVEY MAP
Abdul and Shams Muztar
Part of the Northeast 1/4 of the Northeast 1/4, the Southeast 1/4 of the Northeast 1/4
and the Southwest 1/4 of the Northeast 1/4, all in Section 3, T 28 N, R 18 W,
Town of Kinnickinnic, St. Croix County, Wisconsin
SEA RINGS ARE REFERENCED 70 THE SO(/TN ' S1yo3? s;;
LINE OF THE NE//4 OF SECT/oN J. ASSUMED . E
SCALE /NFEET +5001 BEAR/NB Se7°04'32'W.
WEST L /NE NE 114 - NE 114 i .v
0 50 /00 200 300 Sao UNPLATTED LANDS N 00° 1712511E. 'Oe3
277./41 ` h
NORTH LINESW//4-NE//4
/3/3.92
a N 87054'33"t
w
s N
5-7 D
o N
W ~
LOT 4 Z~
S y
2 N / o4%5o2 s0: Fr. OR24.093 ACRE v
1 (/NCLuo/Ne R/WJ 41
3 J:'t /,047,324 $O. Fr. OR 24.043 ACRES ~l .
y' W o (EXCL(lowe R/w) Q h s oo'/ s5 4 O
C11
? 2 W J'
Qi v $Our 4
vl /9,73% S 85",.3-9' 24"W 679.86 ` ~a~:~~•
W /2' 941 1
3 0 UNPLATTED LANDS ..wy53°~~~~469
S 87'0 4W'32 32 W I s87°
fai
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175 117
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wEsr 114 caT.vm S 7 o p 3211 W 3763.87'- SOU rH L /NE NE 114 SEC T (ON 3
sEC.3, r28 R/ew - LANDS
UNPLATTED
LEGEND
Indicates X 24"Iron Pipe Set ``u~~ \~jG NSA f2'~,
Mi/L Wt. - /./3 ft. vv
• /ndico%s I-Iron Pips Found ~••LAUREN
Indicates Fence M W M R Y; s
N
(R=) Recorded as
S 1 3 Y
Indicates County Surveyors Monument VER FALLS:;
WISC.
Dated: January 21, 1999 ,~~i ~Q••..•... .CO
Revised: March 19, 1999 0 LAND Th/s Instrument Drafted by Mork W. Peavey SHEE T 2 OF 4
Vol. 13 Page 3618
a
Q M L7 O U R
JUN 2 1 r
ST. CROIX COUNTY
SURVEYOR'S RECORD
CERTIFIED SURVEY MAP
Abdul and Shams Muztar
Part of the Northeast 1/4 of the Northeast 1/4, the Southeast 1/4 of the Northeast 1/4
and the Southwest 1/4 of the Northeast 1/4, all in Section 3, T 28 N, R 18 W,
Town of Kinnickinnic, St. Croix County, Wisconsin
NORTHEAST CORWIM
SEC. J,TtBN,R/IW
OWNER'S ADDRESS- BEAR'I ARE REFERENCED To THE SOUTH
4 345 N. AL BANY ST. L /NE OF THE NE 114 Of SECTION 3, ASSUMED I
CHICAGO, IL. 60618 BEAR/N8 $87°04'Jt" W. I
L OT
yo Z . C S A/, s
.s`+. I
WEST L /NE NE 114 - NE 114 `TF 3S fie- F~~•~ Or
0,01 N00°/7,2501, a3g9l35.4Y It .yeti Iy0~
277.14 - " 669.!6' Z eP• `
N 83,ZS,p9 E *a : rN00' I b
N e2, S9' 13"E S 7s • 2o•ao ..E aes ~`7" ~N: ' =~p~~~ O
2N a M ~ZI=~04 ~ s 34i
V N i h H~ Q)
M !
a sss°+t't9ME w ,
to-
N 796.I3` b ;z C Q QI
1. H O O -4
SCALE /N FEET / " +JOO' Q W s 00° I t' 34" w . '
N51-00,
V 1 \ m H
•7
O So100 !OD 500
"
~NPLATTED , y' • ,1 69 El
A D,S :a'o+ w 1ct~F o W
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(vt v ..M• 111.~2~. - N 844.
VV
3183.87'
S 87°04 32 W /508.22-
WEST //4 CORNER N N ~ti
SOUTH LINE N~//4 SECTION 3 trios r 114 coRNER
see. J,rzem,R/ew C. T. H. N
---5 87004'32"w 5`272.0`_ sre-J,TtBN,R/Bw-
UNPLATTED LANDS LQrl, P.96
VOL.9 P „¢70.
,``,~\SG O All
4i
LAU CE %
W RPHY 1. o: %0
1713
':.AIVER FALLS:
LAN
•
,,Revised this 19th day of March, 1999."
Dated: January 21, 199
Vol. 13 Page 3618 SHEET 3 Of 4
This /nslrt/meni Drafted by Mork W. Peavey
Parcel 022-1005-30-000 11/11/2004 12:29 PM
PAGE 1 OF 1
Alt. Parcel 03.28.18.35 022 - TOWN OF KINNICKINNIC
Current 0 ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): * = Current Owner
* HOOK, BRIAN L & JACKIE M
BRIAN L & JACKIE M HOOK
3924 CLOVER AVE
VADNAIS HTS MN 55127
Districts: SC = School SP = Special P operty Addre s(es): * = Primary
Type Dist # Description 570 KINNICKINNIC RD
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
~~gal Description: Acre 24.093 Plat: 0826-CSM 13/3618
SEC 3 T28N R18W SW NE NE NE & SE NE Block/Condo Bldg: LOT 4
BEING LOT 4 CSM 13/3618
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/16/2002 684317 1928/281 WD
07/23/1997 1117/431 LC
07/23/1997 842/213
07/23/1997 833/494
2004 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 06/11/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 16.000 1,900 0 1,900 NO
PRODUCTIVE FORST LANC G6 8.093 20,000 0 20,000 NO
Totals for 2004:
General Property 24.093 21,900 0 21,900
Woodland 0.000 0 0
Totals for 2003:
General Property 24.093 21,900 0 21,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 12/29/1997 Batch PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00