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Wisconsin Department of Industry, SOIL AND SITE EV~TIOTI
Labor and Human Relations Page of
Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
Attach complete site plan on paper not less than 8 1 # 1 n h jj si Plan must County
s Tc,Pa~
include, but not limited to: vertical and horizontal-t'ef~e~ce•p 'on and x
percent slope, scale or dimensions, north arrcdl, t(tvd Itication aqd dista arest road. Parcel I.D. #
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APPLICANT INFORMATION - Plebse'print all information. , Revie d y Date
Personal information you provide may be used for,, secondary p6rposes,406, acy ~ Ma 3's. m04 ( (m)). c Q
_1 I
Property9w=i r vY&7- Pr perty Locati
Govt. Lot -1/4 AW 1/4,S 30 T 1 L~ ,N,R /,0 E (or$0
Property Owner's Mailing Address Lot # BI Subd. Name or C 04 1- of
S~ /fwy 5"S ' , 2 CS.ti G- 9y tic s
City State Zip Code Phone-Nambdr - Nearest Road
/PD/,3E;v r~ 4,114 S~/o 233 ( ;715 ) Z/25 6,ee, El City ❑ Village . "Town
New Construction Use: Residential / Number of bedrooms 7 ddition t existing b 'Idin
El Replacement El Public or commercial - Describe:
Code derived daily flow (p00 gpd Recommended design loading rate / bed, gpd/ft2 - trench, gpd/112
Absorption area required SO0 bed, ft2 -500 trench, ft2 Maximum design loading rate bed, gpd/ft2 , G trench, gpd/ft2
v
Recommended infiltration surface elevation(s) /D 7.3 S ft (as referred to site plan benchmark)
Additional design/site considerations S/7~ /`-t o uAiD % W .C-- s S7~~N S _ 4Q,
Parent material ✓~Gs 1' /I j ljW-V .T>6~/o S/YT- Flood plain elevation, if applicable ft
i--VI- 7_-57
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
u = unsuitable for system ❑ S ~ Lis ❑ u ❑ s E~' ❑ s Cr< ❑ s ❑ s
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
o-/s 100e,313 d.5 s' s G
2S/-410 f 2-f sdem ~/~s/ S 2 f S,
Ground 3 1/15Au
GC `j , 5
elev.
Depth to
limiting
factor
Remarks: 30
Boring # 0-1-7 0 YR 2/;l- Z/M fie .Ys S 2 , S . G
L 2- 7--)7 lo 313 J'// 17_"sde ds s
3 /o 5// / 5ie ev
Ground
elev.
/o&, 3 5 ft.
Depth to
limiting
factor ff T 2 y 1,+ S S l S T Ip l1 r 9,4/ in. Remarks:
CST Name (Please Print) Signature Telephone No.
ROL3EY2 i ?tL-6p i'64T- 7/5-3g(o-
Address Date CST Number
Ulbdcht & Associates Consultants /o_
655 O'Neil Rd.
Hudson, Wis. 54016
ORIGINAL
1n L
PROPERTY OWNER 7dd~ 0ex,SOIL DESCRIPTION REPORT S Page Z of 3
T
PARCEL I.D.# f..SM 4LA~7z5v 1/T, /0 ~t5
Borin # Horizon Depth Dominant Color Mottles Structure 2
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
3 0- 9 513 z f sb nNl S 3 f 5
/o - / 31Lfsl~ C.5 /af IS'.G
Ground 1-3~ / 2 $ 6r i .S ,
elev.
b eft. p S, L
4
Depth to
limiting
factor
Palo;' /,r/if(/Remarks: 10if SS% 4AF- 3e)' /
Boring #
/ s 3 f 5. G
33 /o - S~ Zf 54e m 41
/D J CC% Z f`r` . O s /M N Pap
2? a al:
Ground
~ev. ,
,lev
Depth to
limiting
factor
Remarks: /~~i Z~.y lt~,f S 547& 'fiT1I> T 7D
S-s•S
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.
n.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground _
elev.
ft. ,
Depth to
limiting
factor
in. Remarks:
SBDW-8330 (R. 08/95)
f
- ~/~U~-77ov S
2 ~aG •3~ Esc , w~ sgvD
13
33-
13
SCALE : / 30 ' V\
V
/3i}CK ~r TS I U
Pe 1w
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D
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0 3 Q y ya
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Parcel 022-1088-20-000 03/03/2008 11:24 AM
PAGE 1 OF 1
Alt. Parcel 30.28.18.471 022 - 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 - RIVER FALLS SBCP INVESTMENTS LLC
RIVER FALLS SBCP INVESTMENTS LLC
3030 CENTER POINTE DR STE 800
ROSEVILLE MN 55113
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 648 N MAIN ST APT 6
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
I
Legal Description: Acres: 22.000 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R18W SW NW EXC HWY Block/Condo Bldg:
EZ-IE'-13 7 ' 9 ESC 1423/93
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/11/2006 822627 LC
01/14/2005 785024 2731/412 QC
01/10/2002 667873 1812/123 PR
01/10/2002 667871 1812/120 TD
more...
2008 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 22.000 1,300 0 1,300 NO
OTHER G7 2.000 20,000 91,400 111,400 NO
Totals for 2008:
General Property 24.000 21,300 91,400 112,700
0.000 0 0
Woodland
Totals for 2007:
General Property 24.000 21,300 91,400 112,700
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
Parcel 022-1087-95-000 04/17/2007 01:19 PM
PAGE 1 OF 1
Alt. Parcel 30.28.18.470A 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 - RIVER FALLS SBCO INVESTMENTS LLC
RIVER FALLS SBCO INVESTMENTS LLC
3030 CENTER POINTE DR
ROSEVILLE MN 55113
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
, "Legal Description: Acres: 20.730 Plat: N/A-NOT AVAILABLE
SEC 30 T28N R1 8W E1/2 NW NW Block/Condo Bldg:
1
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
- 30-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/11/2006 822627 LC
06/21/2005 798200 2826/607 CO AFF
06/10/2005 797283 2820/288 WD
01/14/2005 785024 2731/412 mor
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
PRODUCTIVE FORST LANDS G6 20.730 124,000 0 124,000 NO
Totals for 2007:
General Property 20.730 124,000 0 124,000
Woodland 0.000 0 0
Totals for 2006:
General Property 20.730 124,000 0 124,000
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
KINNICKINNIC PAGE 29 T 28 N:-R. 18 W
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RIVER FALLS
JOURNAL STATE REPRESENTATIVE
Printing - Publishing
Advertising Office Supplies CAN HELP BUILD LEO MOHN
BETTER TOMORROWS
Phone: 425-2484 FOR ALL ST. CROIX COUNTY
River Falls Wis.
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