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Home My WebLink About022-1034-60-100 QE'OART.MENT OF REPORT ON SOIL BORINGS Ak~"" S Y& BUILDINGS INDU-STR~r, DI ON LABOR AND PERCOLATION TESTS /03~ ~MADIS NnIN 53707 HUMAN RELATIONS (115) 83.0911) & Chapter 145) ~Y S LOCATION: SECTION: NS MUl'A10PA ITY: , LOT NO.:BL O.: SUBDIVIS N NAME: w'/ 5 C -d /TA-N/RRE (or W 2< C K' EW. CO ftro ~ A r n~~C MAILING ADDR~ I h r l 1 U G 1 ~/fl.. J m) USE ` `i ` DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DES R TIONS: ER ATIO ~T,ESTS: ~91`lesidence 'EQNew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CZ-,/)r ~J 10/ 2Q 3 ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FHOLDING TANK: RECOM ICOS MU MS ❑U DS [2U 10SEV DS U i2 If Percolation Tests are NOT required DESIGN RATE: If any portion o the test a is in t under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate loodplain eleva ' n: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, T T AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- Olr t N, ~e 3 L" ~~f 1~/J ISi aY-y~'~~~~r~ESf B- B- a 5,9 0 fid evs, B- B- i 36 -W ,led 5 xllr-56 " ~W /41-j e PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD -11 PERIOD P R PER INCH P- 30 P_ 3o 1XIN P 6 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. v SYSTEM ELEVATION E 1 3 •n IY! - e F Y l f 3 I l = i ' E 1 - I E , I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures ar a ,ods sp6cilA { in the ,k, fsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief % NAME /lint): TESTS WERE COMPLETE ON: Oki AA07~: ~ t CERT I A I NUM ER: PHONE N M fptional): S vnru) CST SI A RED ' t,~2JJ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - r INSTRUCTIONS FOR COMPLETING FORM 115 - SOD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use suction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 6. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols at - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate meds - Medium Sand W - Well is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand < - Less Than '1 - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water ' Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. Parcel 022-1034-60-100 02/29/2008 10:56 AM PAGE 1 OF 1 Alt. Parcel 12.28.18.191 B 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 - MADSEN, ROBERT P & THEKIA K ROBERT P & THEKIA K MADSEN 1472 STEEPLE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 72 STEEPLE DR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH I ~r' Legal Description: Acres: 43.758 Plat: N/A-NOT AVAILABLE SEC 12 T28N R18W PT SW/SE & SE/SE LOT 1 Block/Condo Bldg: CSM 10/2813 ALSO A PARCEL DESC AS COM S1/4 COR SEC 12 POB; TH N 00 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 914.45'; TH S 89 DEG E 1731.71'; TH S 01 12-28N-18W DEG W 71'; TH S 54 DEG W 200.79' TH S 46 DEG W 204.02'; TH S 31 DEG W 301.07'; TH more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1211/398 QC 07/23/1997 1104/434 WD 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 30,000 3,000 33,000 NO AGRICULTURAL G4 41.758 4,400 0 4,400 NO Totals for 2008: General Property 43.758 34,400 3,000 37,400 Woodland 0.000 0 0 Totals for 2007: General Property 43.758 34,400 3,000 37,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M 213 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n 520'782 St, Croix Co., `NI 0 ' CERTIFIED SURVEY MAP EDWIN AND EILEEN MADSEN N i Part of the Southeast 114 of the Southeast 114 and the Southwest 114 of the Southeast 114 of Section 12, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. UNPLA rrED LANDS S 01°0-5'36"W 417.37' OInc'icatQs 1" x 24 iron pipe weighing 1.13 I 1 370.02' lbs./lin. ft. set. I 47.3-5I1' W ~ / l o 2 Owner's Address: I 1520 5TH AVE. Apt. #1 Baldwin, WI 54002 ~ 33 ' O m 1? O ~ O 3 ~Q W = J M D1E 1 0 C q - o 3 o Q o This instrument drafted° W o by Laurence W. Murphy I r iQ N W c Q h q 10 O ` O Dated: July 10, 1994 N J o~~lLU 2 I I h Q - 2 Q O ❑ i Q (-r) m Q I ®P i Q Ij W o0 I J tn J Q 3 i Q Q 2 J~ W tru I I ~ ~ W -j Q JI ~ J 3 ~ I Q N 1 11 . J/ Z I I I o ~ `k11 1 I. . `SNS~~ 3 t o I Q 2 SGO ~I q I °LAU C•` W PW ac 2 I 13 I W ti m C• w o S G~ 13 r m I vl° DRIVER FALLS, J~ N Ip a I~ Q h Q to WISC. I W m I J m a f~J//11J11~~~~` I m Laurence W. Murphy o Q I \Rebistered Land Surveyor Q I0 I - NIS 114 L INE 2 R ~n h is 3990.35' I I SOO° /B' 38"E 373.75' 3F94. 9L 4.45' O --4I-7: 4 01 M ~ OFA COUNTY 66- - - - - N 00 ° 09'44 "W 5322.20' ;ffitiertSrtirewl~ttinit "tilling and UNPLA r rED LANDS R 8 W S EC. 12, P. F FOUND) / B , t / I % RON P/ 'P, E FOUNOI K k, Committee SHEET 1 DF 2 ,.•o~ rocorded a VwAi% 30 days of Vol. 10 Page 2813 AVvovat date