HomeMy WebLinkAbout022-2000-30-000
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT P
Labor and Human Relations ~@ of Z
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
G~pi X
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Si
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.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R IE "ED DATE
PROPERTYOWNER: Irv y& PROPERTY LOCATION
" f E7~r'.S'OA/ GOVT. LOT ,fjr 1/4 s-_ 1/4,S 3 y T 2-P N,R /,p E (a) W
PROPSERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SnUyBD. NAME OR CSM #
CITY, STATE ZIP CODE P ONE NUMBER ❑CITY ❑VILLAGE EVOWN NEA
REST ROAD A
ffwy-
New Construction Use [ J Residential / Number of bedrooms -3 [ ] Addition to existing building
j j Replacement Public or commercial describe
Code derived daily flow yJ~y gpd R rte /v bed, gpd/ft2 /U _ e , ft2
Absorption area required trench, ft2 Maximum design loading rate bed, gpd/ft 2
Recommended infiltration ace elevation(s) ft (as referred to site plan benchmark)
Additional design / site nsiderations IVv E)(,f R1AEP NW Vg 51 ~ ~ /5 7
Parent material G ZZ' (/l AT + j ~ i u ph /'G T L Flood plain elevation, if applicable 41,4- It
,
S = Suitable for system ENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM I FILL HOLDING ANK
U = Unsuitable for system,, ❑ S ❑ S 4LI ❑ S ML ❑ S U ❑ S U ❑ U
SOIL DESCRIPTION REPORT
GPD/ft
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence WRoots
/093/3 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rench
/dye y3 sr sib f -Z _3
.S yj y# m, 3 P C iWtASS~'vF r~.Q-f l ,v
Ground 1 y I
elev.
/
Depth to
limiting
factor
Co
Remarks:
Boring #
, f ,oars s
Ground
i,
'e I
elev. ,V, *7- T
e"o s7t
ft.
Depth to
limiting r~
factor
> Z
Remarks:
CST Name:-Please Print
PTIC PLUMBING CO. '
Address: 855 O'NEIL RD., HUDSON, WIS. 54016 j C'STit 1Q 2-
~ ~
` Signature: M. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. Date: q CST Number:
V6~ 4&W4,~ 1tNN, ",STALLER & DESIGNER LIC. NO.00883
ND T 'D/~ lD-c /or v7- r~£ti rel'e '4
QhJ'~
-100 ifT 7*37-
Ir~/S ®f
/mss r
- ,sue Tc s ItI4/e d /
T
V k%vv 0jr_7 S'r~f c
"Ve pre e,
ST
7e 7
Parcel 022-2000-30-000 12/13/2005 03:34 PM
PAGE 1 OF 1
Alt. Parcel 34.28.18.541A 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): 0 = Current Owner, C = Current Co-Owner
O - GRIMM, GARY A & JUDITH
GARY A & JUDITH GRIMM
1404 CTY RD M
RIVER FALLS WI 54022
II
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
nr~
SP 0100 CHIP VALLEY VOTECH Caju-
M3
-~P~ I I
Legal Description: Acres: 39.000 Plat: N/A-NOT AVAILABLE
SEC 34 T28N R18W NE SE EXC 1A Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
34-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill M Fair Market Value: Assessed with:
88911 Use Value Assessment
Valuations: La Changed: 06/11/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 39.000 5,500 0 5,500 NO
Totals for 2005:
General Property 39.000 5,500 0 5,500
Woodland 0.000 0 0
Totals for 2004:
General Property 39.000 5,500 0 5,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
A '
may. M
v
HOMESITE SEPTIC PLUMBING CO.
6550'NEIL RD., HUDSON, WIS. 51016
ROBERT ULBRIGHT
WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S.
MINN. INSTALLER & DESIGNER LIC. NO.00683 k1l
c5ry19 IV.P.) NOT To sc~t~ W
?1AF-Gi:o E
i
y\I
ov cy
P~Aae- Ar wIdr
i
,Vldlf,g Y,
loco
i
~i
~.afs~'rE
r-
1 ,
I
#ImpeoodaS S,q Lo 7- L~.vE