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Parcel 036-1027-90-000 06/19/2007 03:10 PM
• PAGE 1 OF 1
Alt. Parcel 12.31.17.177131 036 - TOWN OF STANTON
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 - WILSON, VERNON GERALD & DEBBIE
VERNON GERALD & DEBBIE WILSON
7240 200TH ST
DEER PARK WI 54007
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ' 2240 200TH ST
SC 0119 AMERY
SP 1700 WITC
Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE
SEC 12 T31 N R1 7W 2.5A NE SE LOT 1 OF CSM Block/Condo Bldg:
3/747 587/147
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-31 N-1 7W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/31/2006 826484 WD
10/28/2004 778276 2684/367 TI
2007 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/05/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.500 20,000 211,100 231,100 NO
Totals for 2007:
General Property 2.500 20,000 211,100 231,100
Woodland 0.000 0 0
Totals for 2006:
General Property 2.500 20,000 211,100 231,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 106
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department Industry, SOIL U A T I O N REPORT Page of
Labor and Hyman Relations Division of Safety 8 Buildings rd with ILHI~ 33'10$ Wis. Adm. Code
i COUNTY
Attach complete site plan on paper not les 8 1/2 x o~ OCh~a^ ¢e Flanl.must include, but
not limited to vertical and horizontal refers t (BAA~, ditioi % af`sloe, scale or PARCEL LD. #
dimensioned, north arrow, and location an b rtearegProad.-` ~GCG
s a REVIEWED BY DATE
APPLICANT INFORMATION-PLEASE T*1 `t$1F6#MATIQ,h}ti'
PROPERTY OWNER: ?PROPERTY LOCATION
GOVT. LOT 1/4 1/4,S T N,R F(or)49
PRO TY O NER':S MAILING ADDRESS LOT # BLO K # SUBD. NAME OR CSM #
[CIA STATEIP CODE PHONE NUMBER ❑CITY VIL GE MOWN NEAREST ROAD
.7 ( )
[ ] New Construction Use PK] Residential ! Number of bedrooms [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow ZDD gpd Recommended design loading rate bed, gpd/ft2_',_~trench, gpd/ft2
Absorption area required S'R bed, ft2 SD trench, ft2 Maximum design loading rate ___7_bed, gpd/ft2__.2_trench, gpd/ft2
Recommended infiltration surface elevation(s) /125/~ ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material 4 - FI plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ® S ❑ U WS ❑ U OS ❑ U 0 S ❑ U ❑ S O U ❑ S Oil
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. ont. Color Gr. Sz. Sh. Bed Trench
'Q ",114 -2 Ld
Ground _
e7" -9
lev.
5$LZ ft. S w
s -
Depth to
limiting
factor
}9q
Remarks:
Boring #
"V '14
lk_2
Ground
eley. ,
- 7
9ZLft.
Depth to
limiting
factor -
7 9~
Remarks:
CST Name:-Please Print , Phone:
Address:
Signature: l Date: CST Number
PROPERTY OWNER SOIL DESCRIPTION REPORT Page-.2- of
PARCEL I.D. # }
Depth Dominant Color Mottles Texture Structure Consistence Bouxlary Roots GPD/ft
Boring # Horizon in. Munsell ()u. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
S?nLi....,..v...-. ~~7
IV 1,4
Ground
elev.
9~
Depth to
limiting
factor
> y~
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
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AS BUILT SANITARY SYSTEM REPORT
OWNER ,'~a.; TOWNSHIP ~.J
SECTION_.ZL2 T .~i N-R 2 7 W
ADDRESS 0~0~~0 ~iDU~-1• '~,I.ST. CROIX COUNTY, WISCONSIN
ZJ'
SUBDIVISION LOT__L_LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
A
/B'
INDICATE NORTH ARROW
BENCHMARK: Elevation and description:
Alternate benchmark
SEPTIC TANK:Manufacturer: Liquid Cap.
Rings used: Manhole cover elev:,~J,5 R Final grade elev: ZLd
Tank inlet elev.: Tank outlet elev.: 5L-/S7
No. of feet from nearest road:Front , Side_,(, Rear Ft.
From nearest prop. line:Front , Side Y_, Rear Ft.
No. of feet from: Well_ 8.5, Building: if
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufact.: Pump Size
Elevation of inlet: Bottom of tank elevation
Pump on elev.: Pump off elev.: Gallons/cycle:
Alarm: Man.: Switch Type: Location
Distance from nearest prop. line: Front_, Side_, Rear_Ft.
Distance from: Well Building
SOIL ABSORPTION SYSTEM
Bed: ,-Trench: Seepage Pit:
Width: -Length a:2^ Number of Lines: _ ~ Area Built 9w?
Exist. Grade Elev. &;2 Proposed Final Grade Elev. ,91-f'-7o
Fill depth to top of pipe: -;;Z~
No. feet from nearest prop. line:Front , Side , Rearx_Ft.~
No. feet from well: D No. feet from building---,,,,,2--,2 HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front Side , Rear Ft.
No. feet from: Well , building , nearest road
Alarm Manufacturer:
INSPECTOR:
i
DATE PLUMBER ON JOB :
LICENSE NUMBER:
6/90:cj
I
Lr0lQBr' ,jQjiartr+"t#i'i s ry12.31.17.1 7-g NE S&, T 1 200TH Count
Labor and Human Relations P~IV E S~wA►G SYSTEM County:
,Safety and Buildings Division INSPECTION REPORT ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No.-
INFORMATION 186536
186536
Permit Holders Name: ❑ City ❑ Village [Town of: State Plan ID No.:
STANTON
ev.: Insp. BM Elev.: / BM Description: Parcel Tax No.:
.C~ 0 6-1027-90- 00
TANK INFORMATION ELEVATION DATA A9200420 (9ple
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 'L Z(4 d~ - r
D
-
Aeration Bldg. Sewer
Holding St/)g Inlet G Al 96, ZS
TANK SETBACK INFORMATION St/ 0Outlet (P..3 7 /
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic / NA Dt Bottom
Dosi aq- NA Headers Q~ 66 IF
Aeration NA Dist. Pipe , t9,5- "
Holding Bot. System 3 _3,9s
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand°
Model Number GPM
TDH Lift Friction Syestem TDH Ft
oss Forcemain Length Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O I CHAMBER Model Number:
System: >25 OR UNIT
DISTRIBUTION SYSTEM
Header Id- I Distribution Pipe Ss) x Hole Size x Hole Spacing Vent To Air Intake
Length j Dia. Length el% Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ,v /1 Depth Over „ 0 1 xx Depth Of
ter /g Bed / Trenc xx Seeded/ Sodded xx Mulched
p
Bed /Trench Cenh Edges ~D - Topsoil E] Yes El No E] Yes ❑ No y
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: STANA 12.31.17.177B1 NE,SE, LOT 1, 200TH
C, 25-0 C
Plan revision required? ❑ Yes n_fl
Use other side for additional information. /,2, DY ~2
SBD-4,710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
t
I
1701LH 0 SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUN )
1,:2 STATE SANITARY PERMIT #
Attach complete plans (to the county copy only) for the system, on paper not less than
8% x 11 inches in size. ❑ 111 4(!:`b~f
v ~ o revlousapplication
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPER OWNER / PROPERTY LOCATION
rl~i )AJXi 2 lix~111~. Y4 Y4,S T ,N,R E(Or
PROP TY OWNER'S MAILING ADDRESS LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: (Check one) 11 State Owned 0 VILLAGE ' NEAREST ROA
OF:
NUMBER(S) 46L J
❑ Public 91 or 2 Fam. Dwelling-## of bedrooms PARCEL TAX
Ill. BUILDING USE: (If building type is public, check all that apply) 7 f ~iGL?
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2. ® Replacement 3. ❑ Replacement of 4. El Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # _ Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 M Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
V1. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 14. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSE/D/(sq. ft.) (Gals/day/sq. ft.) (Min./' ch) , ELEVATION
OC6 o+~ Feet Feet
VII. TANK CAPACITY Site
in gallons Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete strutted Con- Steel glass Plastic App
Tanks ks
Septic Tank or Holdin Tank 8 -
Lift Pump Tank/Si hon Chamber
Vlll. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installatio of the onsite sewage system shown on the attached plans.
Plumbe 's Name (Print):, Plumber' i ature (No S p:Y) MP/MPRSW No.: Business Phone Number:
-
Plumb 's Address (Street, City, State, Zip de):
IX. COUNTY/DEPA TMENT USE ONLY
❑ Disapproved Sa tary Permit ee (Includes Groundwater Date issued Issuing gent Sj% =(NS
App
roved ❑ Owner Given Initial Surcharge Fee) Adve a Determin X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safetv x a..:u -
INSTRUCTIONS
1. A-sanitary permit is valid for two (2) years.
2. ` our sa44y~permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems mustbe properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary'permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
Ill. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in #1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of '
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) sQil,test data on a 115,form; and F) all. sizing information.. _
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
Water contamination investigations an'`dlestablishment of standards.
SBD-6398 (R.11/88)
STC-100
This application form is to be completed in full and signed by
tthe owner(s) of the property being developed. Any inadequacies
will only result in delays of the permit issuance. ,Should this
development be intended for resale by owner/contractor,(spec
house), thenia second form should be retained and completed when
the property` is sold and submitted to this office with the
appropriate deed recording.
owner of property-422.,.)')1,'.4.0 Location of'property~_l/4 x_1/4, Section_, T N-R W
Township
Mailing address
Address of site
Subdivision name Lot no.
Other homes on property? yes-- --No
Previous owner of property
Total size of parcel
Date parcel -was created :-JC, y~
Are all corners and lot lines identifiable? --./-Yes No
Is this property being developed for (spec house)? Yes _X No
Volume .S-3?7 and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes
a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER & THE SEAL OF THE REGISTER OF DEEDS.
In addition, a
certified survey, if available, would be helpful'so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I(we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of
the property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. ; and that I (we) presently
own the proposed site for the sewage disposal system or I obtained (we)
an
easement, to run
the above described property, for
the construction of said system, and the same has been duly
recorded in the office of County Register of deeds as Document
No.
Signature of applicant Co-applicant
Date of Signature Date of Signature
64
STAY'S UR'AF
w~MRf~ : S r + ► > rC~17 THIS SPACE NEUIRMWO. POp w
1 _ REGISTERS
` f rai r ST. CROW',;0:~
Rdc'd. for RatatfLi1`'~'
t,
day of LPco
Nancy of 8:30
METURN TO
X County,
a + Tax Key No._.
8u vey Map filed in the St. Croix
3~'in Volume 3 of Certified Surveys f;
t So. `353871, being a part of the
Ott quarter (NEC of SEk) of Section
(31) North, Range Sev'endte ,
above described property y.
-WWI
ate,.le4rf liecember 19 78
= aymond Sy ra
Linda Sykora
k ACKNOMLEOGMfNT
@E STATE OF WISCOT(M t
county.
Pors*mdly come before oaf, this dey
4 the above named, .
i* w are kne" to be the person = wlr4r
SoinQ instrument und,ackne ledSaed the s s~IS+ 3
r t?
1~yy . 3~
L -1 •
a t7r ~arr''Pubf is - -
4 . , Y Co"issiou is permseest (K sot. afMrt
v dater
use 4~'i
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/ BUYER_ zlj.4;.,' ZF
ADDRESSr FIRE NUMBER
CITY/STATE__xd 1~. ZIP S
PROPERTY LOCA///TI/ON:N _1/4,_1/4, SECTION ) , T_,,~)_'/_N-R_LZ_W
TOWN OF,.* , St. Croix County,
SUBDIVISION , LOT NUMBER_J_.
Improper use and maintenance of your septic system could
result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three
years or sooner, if needed by a licensed septic tank pumper. What
you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system. .
St. Croix County residents may be eligible to receive a grant
for a maximum of 60% of the cost of replacement of a failing
system, which was in operation prior to July 1, 1978. St. Croix
County accepted this program in August of 1980, with the
requirement that owners of all new systems agree to keep their
system properly maintained.
The property owner agrees to submit to St. Croix Zoning a
certification 'form, signed by the owner and by a mater plumber,
journeyman plumber, restricted plumber or a licensed pumper
verifying that (1). the on-site wastewater disposal system is in
proper operating condition and (2) after inspection and pumping (if
necessary), the septic tank is less than 1/3 full of sludge and
scum.
I/We, the undersigned have read the above requirements and
agree to maintain the private sewage disposal system in accordance
with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be
'completed and returned to the St. Croix Co. Zoning officer within
30 days of the three year expiration date.
SIGNED: u
DATE : / /
St. Croix co. Zoning Office
911 4th St.
Hudson, WI 54016
.
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
n
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
This is to certify that I have inspected the septic tank presently
serving the n /1,'A.J f x residence located at:
//1/4, _Sr 1/4, Sec. T,_/ N, R_2,~_W, Town of
of Upon inspection, I certify that I have found the
tank and baffles to be in good condition, and it appears to be
functioning properly.
i
Last: time serviced ,I z/1 J.
Did flow back occur from absorption system? Yes No>~(if no, skip
next line)
Approximate volume or length of time: gallons minutes
Capacity: S- S't/
Construction: Prefab Concrete Steel Other
Manufacurer (if known):
Age o Tank (j f known) :
(Sigriatu a (Name) Please Print
( itle) (License Number)
4 6,/-Z2
(Date)
Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes)
or Licensed Disposer (NR 113 Wisconsin Administrative Code)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank
condition, I certify that the tank to the best of my knowledge will
conform to the requirements of ILHR-83, Wis. Adm. Code (except for
inspection opening over outlet baffle).
Name Signature MP/MPRS
5/88
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of
Labor and Human Relations
Division of Safet*& Buildings in accord with ILHR 83.05, Wis. Adm. Code
~ r COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. - y
C z 16,272 Le c
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT f- 1/4_- Z 1/4,S T ,N,R E (or)49
L - i'A' Ayaz _7
PRO TY 0 NER':S MAILING ADDRESS LOT # BLOT K # SUBD. NAME OR CSM #
I
CI STATE zIP CODE PHONE NUMBER ❑CITY VIL GE DOWN NEAREST ROAD
,K. G l+7' ( )
[ ] New Construction Use [k ] Residential /Number of bedrooms [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived dally flow Z60 gpd Recommended design loading rate _,I_bed, gpd/ft2_,S_trench, gpd/ft2
Absorption area required 95'R bed, ft2 7s'0 trench, ft2 Maximum design loading rate -7 bed, gpd/ft2_trench, gpd/112
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design / site considerations
Parent material - FI plain elevation, if applicable it
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem ® S ❑ U 0 S ❑ U ® S ❑ U Jos ❑ U ❑ S ®U ❑ S o u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxtd3y Roots GPD/ft
in. Munsell Qu. Sz.)COM Color Gr. Sz. Sh. Bed Trench
]
Ground
elev. S w
9 9 7
Depth to
limiting
factor
~v91
M
Remarks:
Boring #
v,4tx':
A-1 7 _,Q
Ground
elev. _ 7
91Al /W ~ ft.
'7 ~7
Depth to - /
limiting
factor "
> 9~
Remarks:
CST Name:-Please Print Phone: LA)
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Address:
r
Signature: )l Date: CST Number:
PROPERTY OWNER SOIL DESCRIPTION REPORT Page,') Of_
PARCEL I.D. #
Depth Dominant Color Mottles Structure
Boring # Horizon Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
•v
-3
'V14 A
Ground _ ?
elev.
Depth to
limiting
factor
> y~
Remarks:
Boring #
~iw:i
~ ~ri•.{idtiiriv
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft
Depth to
limiting
factor
Remarks:
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REPT131 STANTON ST. CROIX COUNTY ZONING PAGE 1
12/09/92 15:28 REQUESTS FOR INSPECTION WORK SHEETS FOR: 12/ 9/92 -AREA: -JT--
- Activity: A9200420 12/ 9/92 Type: CONVSEPT Status: PENDING Constr:
Address: STANTON 12.31.17.177B1,NE,SE, LOT 1, 200TH
Parcel: 036-1027-90-000 Occ: Use:
Description: 186536
Applicant: PARNELL, DONOVAN R & NANCY Phone:
Owner: PARNELL, DONOVAN R & NANCY Phone:
Contractor: O'CONNELL, KIM A. Phone:
Inspection Request Information.....
Requestor: O'CONNELL, KIM Phone:
Req Time: 15:12 Comments:3:30
Items requested to be Inspected... Action Comments Time Exp
00012 FINAL INSPECTION
Inspection History.....
Item: 00012 FINAL INSPECTION