HomeMy WebLinkAbout022-1015-80-200 Wisconsin Department of Industry, SOIL AND SITE E V A L U AT 10 R T Page of 3
Uabor and Human Relations
of Safety 3 Buildings in accord with ILHR 83.05,
r \ NTY 11
Attach complete site plan on paper not less than 81/2 x 11 inches in size can must i Aut
not limited to vertical and horizontal reference point (BNQ, direction and T dope, or PARE I.D.
dimensioned, north arrow, and location and distance to nearest road. 6
DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMAT CPN,+ *y JREVTBY
PROPERTY OWNER
PEATY LOC
BAR Z~ ( ~"0 S~ T 1/4
,S 6 T Lg N,R IS E (orC
-OV
PROPERTY OWNER-:S MAILING ADDRESS • L ' AME OR CSM 4
51S CLo T-W s, . Z t~b C-, I~ 3~ca
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE EU1 OWN ' NEAREST ROAD
VVA: w j S gO16 n►~ q?-6= b'3) 1 u,IVIJ1,c\g-wU1C qb `I'ti- ST,
~Q New Construction Use 6(J Residential / Number of bedrooms y [ J Addition to existing building
j J Replacement [ J Public or commercial describe
Code derived daily flow 6bQ~ gpd Recommended design loading rate - bed, gpd/ft2 trench, gpd/ft2
Absorption area required S t~O bed, ft2 S 60 trench, ft2 Ma:amum design loading rate . S bed, gpd/ft2 • trench, gp&7t2
Recommended infiltration surface elevation(s) 1- Z\, S ft (as referred to site plan benchmark)
Additional design / site considerations _"'\Wmlc W /5 'x m i kul "Uwt ~ Z 4 Ors- Stet-) Fu-L_
Parent material LOSS 0 V l~ 2 G t- rc tti-1- `1'I ~.L Flood plain elevation, if applicable tr ft
S = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for system [IS JRIU ®S ❑ U ❑ S O U ❑ S ®U 0 S O U I [Is O u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color I Mottles Texture I Structure Consistence Botnddy Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I I Bed rend,
~ 1 0-9 ~D`-1cz31Z si) Z~sbk rn'~- ~S z~ •S
Z q_z~ 1o`tfz~C~ sib Z b~ ~nFI- as v-
Ground 3 t{ 35 -z , 3`1 rz r{l6 - s 1 co s o k 7vi U Q1 a _ `1 . S
elev. t
loZ.oft 35-SS •S~(2 31~r •5 trL,51g Si Sc
Depth to s `1 s L3 S1,
limiting
factor35y
Remarks:
Boring #
1 1J-t0 ID-trz-3Lz - sil 2'g~b~r `M'F1- cs Z`q ,S
Z Io Z9 vO,-t VZ 316 - S11 Z~nSbk yn`~`l- e-S 1~ . Si .b
3 29-3 Z - S ` VZ. 3 ly - L t eS~ k 1vL' cS
Ground
elev. 33 -60 S `I P- ~l
-S `1RS~8 Se 1 O~ h1V t i ►~p - 2
49- 5 ft -
Depth to
limiting
facttor~
Remarks:
T Name:-Please Print - Phone:
Arthur L. We erer 715-425-0165 '
VePglirer Soil Testing & Design Service-P.O. Box 74 River.Falls,WL 54022
Sgnature: O - ! y J Date: / ! t !00 CST Number:. -
C 220254
z.
PROPERTY OWNER S'nH~J SCIIJ SOIL DESCRIPTION REPORT Z 3
Page
_ of
PARCEL LD. # t~ib1 u G
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots
3 D- 10 t 2 31 z _ s i t 2`~5b Bed Trench
a-z to~tZ 3/(, - s; t z`C'sbk h2'~ cs (-F 5
Ground Zb 3Z S `l S 5lg S i d`'~ Yr1 ~7 N1~ N p
elev.
48- S ft.
Depth to
limiting
factor
Z 6 ,
Remarks:
Boring #
..:...3
Ground
elev.
-ft.
Depth to
limiting
factor
I
Remarks:
Boring #
Ground
elev.
it.
i
Depth to
limiling
factor
Remarks:.
3oring #
around
Nev.
if.
)epth to
imiting
actor
Remarks:.
•h n7•inif+ r.r
r
PLOT PLAN Page 3 of
SCALE 1"= O '
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_ t.~ LLLL 1ST
00
9 L-5 - 6 _ zi- zzoZSy
O 0 (715 ) 425-0169
CST Signature Date Signed Telephone No. C' ST #
Parcel 022-1015-80-200 10/17/2005 08:22 AM
PAGE 1 OF 1
Alt. Parcel 6.28.18.91 C 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 - JOHNSON, HARRY E
HARRY E JOHNSON
540 BOUNDARY RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 90TH ST
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 32.708 Plat: 3910-CSM 14/3910
SEC 6 T28N R18W SW SW ING LOT 2 CSM Block/Condo Bldg: LOT 2
14/3910
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-28N-18W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
12/18/2000 635459 1568/265 WD
07/23/1997 1176/588 LC
2005 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 32.708 3,900 0 3,900 NO
Totals for 2005:
General Property 32.708 3,900 0 3,900
Woodland 0.000 0 0
Totals for 2004:
General Property 32.708 3,900 0 3,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 209
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
SEP I 1 2
FILED Sr CROIX COON r
JUL 2 6 2000 ► SI.MR MIrSRECORD
aar},L Ii.wa~s~ 62"!(~99
RegisterotD
' ~ Certified SurveX Map
ti
~ Harry Johnson
The SIN 114 oftite SIN 114 of Sec: 6, T 28*V, Rte W, Town offannickfnnic, SL Croix County, Wj-sconsitt
containing Lot 1 of that certified survey map recorded in Vol. 9, Page 2646 of St Croix County Certified
Survey Maps. 3
'4
UNPLATTED LANDS M o
$0203'S0"E 1321.50' E LINE SW 114 SW //4
Z ~
b 4
N Q
V
Owner's Address
540 Boundary Road 3
h Q
xugsoN, yy/ 54022
a
This instrument drafted by Laurence W urphy~ ?
Dated. June 5, 2000 h W
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a
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Q I a O Z Z V `/\I3 O Z W r~l \,,I - b R
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14
V
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y 2 \ W Q 0 0 Q
p y ~~I I h p C~ `p to n ROAD SETBACK LINE d y
a to Z-- 3 W f_,J a O o z
too,
3 .-$01.52108"E 1310.29'.•_ 'o y m
` 0 O 4 p it4ii 3
F.ff
b m t O N 6 -
1318.23' N o 1029.14
223. /0"n N W L/NESW/I4
0
33' _
9Q r/7r S•TRE~-T b - _._,.I-NO/•32'08"W 2636.46' R/N 02.00'/4"E 2638.62'!
APPRO1l~LA TIED LANDS
Lo r C.S. M., V( L. 7,
- I ST. CROIX COUNTY
PAGE / 8 7 / panning Zoning and Par4s r-n icon
Legend ; JUL 2 6 2000
w.
&A--jc- Indicates fence. It not recorded within 30 days of
• Indicates I" iron pipe found. approval date approval shall be ftffim "
C Indicates 1" x 24" iron pipe weighing 1.13'Ibs3#r?"kv0Af_ IM
R (10.0) Indicates previously recorded data.
• Indicates soil boring location for sewer system site. LAID
9
Sheet 1 of 2
,
Vol. 14 Page 3910 -7
Parcel 022-1015-80-200 12/21/2012 04:26 PM
PAGE 1 OF 1
Alt. Parcel 06.28.18.91C 022 - TOWN OF KINNICKINNIC
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - JOHNSON, HARRY E
HARRY E JOHNSON
540 BOUNDARY RD
HUDSON WI 54016
I
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 540 90TH RD
SC 4893 SCH DIST RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 32.708 Plat: 3910-CSM 14-3910 022-2000
SEC 6 T28N R18W SW SW BEING LOT 2 CSM Block/Condo Bldg: LOT 2
14/3910
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-28N-18W SW SW
Notes: Ulnu.c.m J A Parcel History:
Y v ~ Date Doc # Vol/Page Type
12/18/2000 635459 1568/265 WD
_ 07/23/1997 1176/588 LC
lY
1-7
2012 SUMMARY Bill M Fair Market Value: Assessed with:
197733 Use Value Assessment
Valuations: Last Changed: 09/07/2010
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 32.708 5,200 0 5,200 NO
Totals for 2012:
General Property 32.708 5,200 0 5,200
Woodland 0.000 0 0
Totals for 2011:
General Property 32.708 5,200 0 5,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M 209
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
RECEIVED
DEC 2 8 2004
Y
CERTIFIED SURVEY MAP Z SONING OFFICE
ZONIN
OFFICE
Lott of the Certified Survey Map, Volume 14, Page 3910, which ~..fl...
is located in the Southwest Quarter of the Southwest Quarter
of Section 6, Township 28 North, Range 18 West, Town of
Kinnickinnic, St. Croix County, Wisconsin
' Found West 114 Corner I AREA LOT 1 AREA LOT 2;
I Sec. 6- Bern tsen 28-18
NaT/ Including R.O.W. Including R.O.W.
205,604 Sq. Ft. 109,292 Sq. Ft.
4.720 Acres 2.509 Acres
Lot 2 Excluding R.O.W. Excluding R.O.W.
C. S. M. I 190,279 Sq. Ft. 102,142 Sq. Ft.
~ I I Volume 15 4.368 Acres 2.345 Acres
of Page 4104 I AREA LOT 3
o Lot 4 Including R.O.W.
= I 65,575 Sq. Ft.
l'- Lot 1 C.S.M. 1.505 Acres
01 a,l C.S.M. I Volume 15~L Excluding R.O.W.
J I Volume 15nL I Page 4104 61,285 Sq. Ft.
U i Page 4104 1.407 Acres
West Line of the Southwest Quarter `North Line of the Southwest Quarter
of the Southwest Quarter
00 ~I I 33' I Commisioned by.
" Mark Uetz«®
pII I 844 P2 E N74'3558"E 515 90TH Street °o
O ~ I I 85.24' Hudson, Wisconsin 5401 v AREP~iCE E.
»S
118.09 HULTZ
% II iN26.04'i l i .2031
_ i N87 4813E W
HUDSQN,WI
175.90 ow
olvil Lot 2 °{1''•0~~®U
I~o; C.S.M. IV~
I~ I~:~LOT 1 Volume 14~
to
1-I LO
\
0, I Page 3910
I
oil el/~
F
I Drive
I ° X,,tingl D Lot 1
M to
N N I 31 N
o i 00 LEGEND
C14 3: I °zl milllm C. S. M. ooo 0 Set 1" (O.D.) X24" Iron Pipe
;n
00 -26.02 O weighing 1.679 lbs./linear ft.
o
z O I ' i 371.68' CV
i C4 ;n • Found 1" (O.D) Iron Pipe
I S89'414 22 E 397.70
I r►100' O O Section Corner
z I of , Volume 14, 3
100 Building Setback Line v 3 ao
l i I N I~ I LOT 2 N to
(397.72') Record Data c o 'o N
z L- cn o
J i I 26.02' Soil Boring V:P °z
04- V)
I
371.68' N' L- 0 4- `o
DI I 0
S89' '22"E 397.70' 200 100 0 200 q c o
QI~ Ig Pa~Ce 3910 o
~\66.05' ~\\1 ~~`O2 O~ `(3371 7d~) c`nc SCALE: 1 INCH = 200 FEET .0 3 a~
Z I J: 371.68 4) v
89'44'22"W 397.70' South Line of the Southwest Quarter
(397,72') of the Southwest Quarter
P.03 - - - - - - -C - - -
Found Southwest Corner
Sec. 6-28-18 UNPLATTED LANDS
Aluminum Monument - - - - - - - - -
Drafted by. G. Nill MELCHERT WALKKY
Drawn on: IDecember 28, 2004 landscape architecture 749 fUghway 12
Project No.: 24051 civil a meeri Hudson, W1 64016
Phone ((716 388-773
Field Book: St. Croix County No. 16 land surveying Paz (7115) 86-7889
Sheet 1 of 2 ;
MINORS BDIV S PPLICATIO
RECEIVED
ST. CROIX COUNTY @
%hon, D Q
The submittal deadline for certifled survey maps is the 4tn Tuesday of the month two months pr h opresegntatlo0nfor
approval by the Planning, Zoning & Parks Committee. T. CROIX COUNTY
Property owner 1' Wc~ u r Agent (if not owner) ZONING OFFICE
~v rr~l L3 ~ tA.J
Mailing address 516- Mailing address
~
Daytime phone 1 5 5540 Daytime phone r=
Surveyor T' -Sc a31~" ~ Address 7/+9 4W~-l 172 4W250N.,2 LQJ 54-a to
Phone - t :5 e(g " -7-7 ~5 FAX
Property IocationSW 114114Sectionj~TZe_N-R_jl~)_W,Townof I1~?l~~1 (~iJ~J 1('`
No. of lots ^Total acreage of lots T ~t s Size of original parcel & . 4
Parcel Identification no(s). Zoning District of parcel
MAKE A SKETCH IN THE BOX SHOWING HOW THE NEW LOT(S) FIT WITHIN THE ORIGINAL PARCEL
9=2
x.-114 _ I
Page number of the St. Croix County Soil Survey
Soil types
Limitations
A "concept" certified survey map is to be submitted for staff review. The applicant/agent will be notified of any required revisions.
Once the "concept" corrections are made, an official minor subdivision application may be submitted.
NOTE: ONLY COMPLETE SUBMITTALS WILL BE ACCEPTED.
SUBMITTALS MUST INCLUDE THE FOLLOWING:
Submittal deadline is the 4 Tuesday of the month
• .e~ One (1) copy of the preliminary certified survey map
,Pl Applicable fees (noted below)
❑ Township approval (a copy of the map signed by the Town Chairman or a member of the Town Board)
❑ A copy of the soil test for all proposed lots not having a residence on the lot (soil test location to be shown on Individual lots)
SY General Zoning Notice Statement (see attached for wording)
❑ DOT certification letter if the proposed lot(s) is on a state highway
❑ Road plans (if new roads are proposed)
_Z" Check list from County Surveyors Office
❑ Ap licant shall flag all p operty/project corners and mark flags accordingly
A final rfiap, reflecting all requested revisions, as well as town approval and soil test if required, must be submitted 10 days prior to
presentation to the Planning, Zoning & Parks Committee for approval. These deadlines are firm.
The committee may approve, approve conditionally, or reject the certified survey map.
PLANNING, ZONING & PARKS COMMITTEE ACTION
Approves Rejects IZC Conditionally approves
Conditions
Signature of Committee Chairman Date
COUNTY USE ONLY.
Application accepted and complete. / / By Map number
FEES PAID
*Application Fee $200 .19Z)0 *County Surveyor Review Fee • $50, per lot oroutlot
*Escrow for park purposes $250 per vacant buildable lot yam. 00 Road inspection fee - $250
Erosion control inspection fee $100 Re-submission fee, $209
Variance application fee $400
TOTAL FEES PAID 5g~, DATE PAID
These fees are mandatory at time of submittal ~~""7" Yfoo7y
Revised December, 2001
W sick Jepanmem or t"TwwNce J V IL C V t L-UP% I "im RCr VR 1 Page 01
Dmswn of Safely and BuMing5
' in aCcmdar1Ce with Comm 85. Wis. Adm. Cade
. County
Attach complete site plan on paper not less than 8,112 x 11 inches in size. Platt must
include. but not lim iced kr vertical and itolh r I, l reference point (8114direction and Parcel I D. oL - ` gv - GDS
percent sops, scale or north amow. and ovation and dLstartce la clearest road
Please p and alt . - " F Date
AN I I~j
I toPadde may be -tree Ito. woArla.►: s 15~4i (t) fmyl ,
/ 7
172
Properly Owner n 5 Pa"ay Wcatlan
> (1 s 1M r&,114 -S T..j N R F E (CC
Property Owners Mailig Address # Block a Subd. Name or cSMls .:C~ / I 3q IO
Coy Stale Zip Number ❑cay ❑wage own 4idwest
sr
~aA cvr/ u.1L o 6 t 7 s) ss - s- c
New Coreorucson Use: (YResatentiai / mumber of bedrooms 3_ Code d8dVed design low rate Mfv GPI
Replacement ❑ Public or commercial - Describe:
Parent material E GT e C Z Food Plan elevation if applicable - ft
Ge conrnents /6rBGliY/~ - 40 O-)k
am ADMINIM go. y~Gla 15 nod yet
Boring # ❑ e -
[E" Pit Ground surface elevr. 9f! ft. Depth to limiting factor n
soa Application Rat
Horizon Depth Dominant Colov Redoac Desafpton Texture SMx a Consistence 8auldary Roots GPW
in. Mansell Qu. Sz Cont. Col" Gr. Sz Sh. 'Eff#1 'Eff#2
/ -z 9
-2V - -7- L . J01 ;9,ov- M4 A/Z his
3
Le- 7,P e- L
Pit Ground surface elev. p f, 3 ft Depth loin0 g facw in-
Soil Application l1alf
Harmon Depth Dominant Cdw Redol Description Texture Struclure Consistence Bculdary fools GPW
in. Mansell Qu. Sz. Cant. Color Gr. Sr- Sh. 'EfDf1- TIM
O -2 / L eS
2 - Y . J - SG C
3 A--/7 - - Sl- -
J 7-.20
Efffm d 1111= BODs > 30 < 22D mg0l. and TM 1-30 15D mg& 42 = 80% c 30 mglL and TSS 30 ngll -
PST (Please print) CST Number
a&4r b- 13 e ^ s d
Address Fogerty Plumbing & Perk T ng Date Evafualion Conducted TeMptweNumtM
09e4!aw
28M McKenzie Rd- B' o A
Z Property Owner Parcel ID # Page -Z of
❑ n9
Boling # ~ Ground surface elev. 22. 7 ft. Depth to lan" factor in. Sol Rate
Pit
Horizon Depth Dominant cobr Redaoc Description Textue Structure Coroblom Boundary Ru>ois CP
in. Mrxrsel Qu. Sz. Cont. Color Gr. Sz Sh 'Eff#1 •Eff#2
-
2 - 3 - P
BorinEBodm
g#
b9 factor rr Sol Applicabon Rate
Pit Ground surface elev. ^ ft Depth
Texture Structure Consistence l o y Roots GPO ff
Horizon Depth Dominant Color ;Re:d:ox:: iption Ef t#1 Eff#2
in L4uusel . color Gr. Sz Sh.
V
c
s Bofkv ❑ Borutg # (7(P Ground atrfaw elev. S Rate
Horizon Depth 1z-'Dominant Color Redox Destxipt Roots I 7-
au. Mrntsel am sz. cont. G
r
Effluent #1 = BODS > 30:S 220 mglL and •TSS > TSS < 30 mglL
: to access services or
The Department of Commerce is,an equal opportun to access
need material in an alternate format, plc
SOD-6330 (R.6100)
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RECEIVED
DEC 2 8 2004
Y
CERTIFIED SURVEY MAP Z SONING OFFICE
ZONIN
OFFICE
Lott of the Certified Survey Map, Volume 14, Page 3910, which
is located in the Southwest Quarter of the Southwest Quarter
of Section 6, Township 28 North, Range 18 West, Town of
Kinnickinnic, St. Croix County, Wisconsin
Found West 114 Corner I AREA LOT 1 AREA LOT
.2
Sec. 6-28-18 - N~ ,
i I Sec. 6- Nall Including R.O.W. Including R.O.W.
205,604 Sq. Ft. 109,292 Sq. Ft.
i 4.720 Acres 2.509 Acres
Lot 2 Excluding R.O.W. Excluding R.O.W.
C. S. M. I 190,279 Sq. Ft. 102,142 Sq. Ft.
I-1 I Volume 15 4.368 Acres 2.345 Acres
~I Page 4104 I AREA LOT 3
001
V)1 I Lot 4 Including R.O.W.
o
= I 0 I 65,575 Sq. Ft.
I ~ Lot 1 C. S. M. 1.505 Acres
O
a, I C.S.M. I Volume 15n.L Excluding R.O.W.
J I Volume 15~ I Page 41 04 61,285 Sq. Ft.
U ( Pa e 4104 1.407 Acres
West Line of the Southwest Quarter `North Line of the Southwest Quarter
_ of the Southwest Quarter
00 i I 33' Commisioned by. ~~g*a~
~i
188*40'212"E Mark Uetz ~~®•m,••° 0 %
~I I N74.35'58"E 515 90TH Street 00 '
p1 I 144.1 > 85.24, Hudson, Wisconsin 5401 v a' ARENICE E. %
r
I m
118.09' HULTZ
% II IN26.04 i 1 21231
r-1 ~1 i I 3` I I N87 4813E HUDSOA1,W1 ~,:4:
0!
of vil 1 a , 175.90 Lot 2 40
--J1 (31 j U C. S. M .
Ia3 I~NK°, LOT 1 Volume 14~
~I`oo° X I , Page 3910
'c~ I a;l NWeII ~ co
Drive Lot 1 00
ExlStin9 d-
N N 1 31 $ N
3 O 1 O
0 $
oo LEGEND
zl C.S.M. 200 0 Set 1" (O.D.) X24" Iron Pipe
o -26.02'1 O weighing 1.679 lbs./linear ft.
O 00 I I 371.68' N
z i to • Found 1" (0.1)) Iron Pipe
N I S89'41422"E 397.70
;r I r-F100' O O Section Corner
z I of I Volume 14, °
I o I 1 0° - - - - 100 Building Setback Line v 3 ao
01 I LOT 2 3 N r- q Z I i 1 N IN I N (397.72) Record Data N c
J i i ~26 02' i Soil Boring t °z 10. . 10
p l I 1 371.68' 04- 0
~ I 1 1 S89' '22"E 397.70' 200 100 0 200 c o 0
Pa
o 0° 1 3910
TIE" = -J t
Q1 0
~ Iii -q-e
J 12 LOT' 3 'c SCALE: 1 INCH = 200 FEET a Cy E
Z I \66.05'\\ 1!2 \ i lt26.02' (371.70,) `r° 3 y
371.68
J- FE
r o
" South Line of the Southwest Quarter
89 44 22 W 397.70 - - of the Southwest Quarter
(397.72')
P.0.B ,
• - - - - - - - - - -
Found Southwest Corner
Sec. 6-28-18 UNPLATTED LANDS
Aluminum Monument
Drafted by. G. Nill MELCHERT WALKK'Y
Drawn on: December 28, 2004 landscape architecture 749 Highway 12
Project No.: 24051 civil a ineeri Hudson, W1 54018
Phone (716) 38e-775
Field Book: St. Croix County No. 16 land surveying Fax (715) 388-7889
Sheet 1 of 2
air weutanr
Wisconsin uepanmem or ga to JUIL C V/1LUH 1 RlJ1V rRG1-UR 1 Page Ot
DMm of Safety and BwWmgs -3
in accordance with Comm 85. Wis. Adm. Code
Canty s
attach compete site pan on paper Fiat less than 8'112 x 11 inches in sine. Plan must - v
indude. flat not MMed la verkai and horizontal reference pons tom}. dreclion and Parcel I.D. 0~~--/Ol D ~1-
Percent slope, scale or dimensions, north arrow. and loeatian and distance b nearest mad. AM
Date
Please pint all '
persa~al:rronna6oa + P ~1r eeyea 'MI_
tom. , /0// 7 0i
177~.
Property owner 11 Prbpeft4,1=lidn
)1 ? 11t p
if C z = Go t Lat IM 1148 T Z8 N R E (oro
properly owners Mating address 8fodc fsl►tbF ~Y) C f~
see
"
l V .!//f ls1z~®LF.f~ S T, Coy .ny nw w LOT / ~/6L ll~
CRY StMe ZP OCRy O VOW RTarn (Pm sr.)
oN cot m (7/s} 5-.S-6 - 6 ~ .y .vrrs~
alNew Const uchan Use: (r RResidentlai I M xnber of bedrooms _J_ Code derived design Oow rye YS'D GIM
Replaoelrnent O Put16e or commercial - Describe:
Parent rreaterial T AIoix,,,m - rJl//k~i7/v~ Flood Plain elevaion if applicable ft
Gemral comments T/ ; xrs 6~NMI- A+44// ,t ` w~ Ep X:,O ` str~ l~ (JL~
and iyro~,rr1~ ~ Qi~C["r~1~rj L-UT I ~ Cf~ /'~3e1 to
# Q -
F/I E Pit Ground sti face elev. 97.7 R Depth to ilmMng factor 3 3 n Sal Application Rat
Horizon Depth Oarinant Cokw: Redact Descripim Todure Sbrlrsve Consistence Boundary Roots GPON
in. Munsei Ou. Sz. Cant Color Gr. SL Sh. 'EWI •EfW2
2 s :3 ssL ~c W - . 8
L o - - z
LEI I
0 W.M,r ❑ eno
0 pE Ground surface elev. !a Z 2. DOPM b liirisg factor Z.3 in
Sod Application Rats
Horizon Depth Dominant Color Redmr Desawon Team Stnrclure Ca mistence Boundary Roots GMW
in. M msell Ou. SL Cad. Color Gr. Sz. Sh. •E l - •Elfii2
l
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i , s 2 -.31Z
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• EMuerrt B1= BOO, > 30 < ZO mg& and TSS >30 190 moo. ;Pmt 82 = W% f 30 mol. and TSS < 30 tnglL^ -
PST (Please Prime CST Nurnber
Air -2 a d
Ad*= Fogerty Plumbing & Peru T ag Dale Evaluallm Conducled Teteptione Nurnbor
09rj~W :7/
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28288 McKenzie Rd.
1 ~
Parcel ID # Page ~ of
Property Owner ; L -
Boring F-31 # (a' Pit Ground surface elev. y s ft. Z Sal Rate
Cor~tenoe Boiridary Roots GPDJff
Horizon Depth Dominant Cox Redox Description Texdre Stn3coure '12111#1 '121102
in. Munsell ()u. Sz Cont. Coto Gr. Sz Sh
,o
S- / J - 2 a s - Z tires - _ F
Z. 4-
Boring # ❑ Boring in.
Ground surface elev. Depth to ~9 factor Sou Axfta*m
Pit Rate
Texture Struchse Consistence Boundary Roots GPD/fP
Horizon Depth Dominant Color Redox Description Gr. Sz Sh 'Eft#1 'Etf#2
inM resell Uu. Sz Cont. Color
❑ 8onng # Boring Grotind surface elev. ft. Acation to 9 r
Sou Rate
Pit t
Texltre Structure Consistence B;; ary Roots GP[?AF
Horizon Depth Dominant Color Redox Description Sz Sh. 'F~Hf1 'Eft#2
in MMMI ()u. Sz Coat Color
r
Effluent #1 = BOD, > 30:s 220 mg/L and TSS >30 < 150 mg/L - ' Effluent #2 BODS < 30 mg1L 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
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