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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
1
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
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include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. QZ (p « 7
Please print all information. iewe y Date
Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04(1) (m)). 3k 03
Property Owner I Property Location
RI C LAC d r) Govt. Lot 1/4N1J1/4 SZLI T3() N R IC E (or W
Pr erty Owner's Mailing Address Lot # Block # rd~~ame or CS #
(0C2? I ✓Lic✓1~ Mec-AowS
City State Zip Code Phone Number ❑ Ci ❑ Village Town Nearest oad
ILL~ 1 LViMQ 10 HL I )7 -0 CI S's, L. U1_~ S~.
New Construction Use: q Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material I (+1 Flood Plain elevation if applicabl ft,
General comments jts~edv~ el -e- tJ - ~,t~U r.,"~rvr q(
and recommendations: L--
14/-/, e' e tj , 9y ~ ~0~ y 7♦
Ve l Z rna~ APR 2 3 2002
~haam - key ST. CROIX COUNTY
F I Boring # ❑ Boring
PO Pit Ground surface elev. ICU, ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
co 3 ~I 6 r, ~v~ , - k
l -A C
o rw
it~~ o C w~-Fr - 7
1-7
Z Boring # ❑ Boring
Pit Ground surface elev. _100) ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I - 0 io X 3 2 Zr~~ r C S L 0-
fo r y s v~vA,, C 7 it
x -17'
s
' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = GODS < 30 mg/L and TSS 30 mg/L
CST Name (Please Print) Signature CST Number
-Z z L-3 a .
Address Date Evaluation Conducted Telephone Number
211 ~U 1 s~, some rsef ('J( G2T - - 0-2 Is Z~I7 W O&
SBD-8330(R07/00)
Property Owner P k Sd Y / Parcel ID # Page of _
❑ Boring
a Boring #
pit Ground surface elev. ft. Depth to limiting factor L,7_ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
S~ ( ztMo. b k r S I F 8
to r I'm S:2 CS
~3
❑ Boring
Boring #
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Texture Structure Consistence Boundary Roots GPD1ft2
Horizon Depth Dominant Color Redox Description
Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
in. Munsell
Boring # ❑ Boring
F-1 Pit Ground surface elev. ft. Depth to limiting factor"' Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L 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
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.07/00)
i
PAGE 3 OF_
NAME LOT# Z Z- LEGAL DESCRIPTION UUJ / N~114 ,S 21 T 30,N,R /,S E(ory~
SCALE: 1"= Z/O 1
BM 1 ELEVATION IOC, U
BM 1 DESCRIPTION ~2 P o (~a c Q u
BM 2 ELEVATION 160 - O 1
BM 2 DESCRIPTION ~oP d l " ~a n eC,
SYSTEM ELEVATION 9 ~j. $ O
ALTERNATE ELEVATION 0
CONTOUR ELEVATION , O 9~ ~f0
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C)
N} g - I
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SIGNATURE DATE ~s' Z
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186.4.E 8 1 Sal
\ 186.49@
Owl 380.04' / o
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SOUTH LINE OF (LOT 2, CSM o
N FILED IN VOL.8, PG.2348 i
/ j I
41OUTH LINE OF tOT 3, CSM 8350
/ FILED IN VOL-11, PC.3153
- - °v~ B36 0113 I I
ts. N / N"' 93288/ SgFt o /
Q / 2.19 Acres r) /
Zvi " m N S N / NBA=j(2.14 Ares N /
o C4 Asa'' / M
J O °l$
M 12 _
117152 SgFt I / °`s a5 / /
2.69 Acres I ~
1,4BA=2.69 Acre4 /
r L=70
>>022_ ` N l / B34 ts~~ ¢OO I X1J2.00
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1 49.92' '4S/ / i / CS 60 / i
\ 84866 SgFt V QC%g0 k /
`<v 1.95 Acres / / / • • / /
\ \ \ NBA=1.95 Acres
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170 71
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\ \ 4 I /
\ \ \ S84*21'06`E JI
\ \ \ \ 440.61' I /
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88404 -SqF t o - _ 01
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2.03 Acres \ - 10 g g z
I+BA -2.Q Acres $ B33
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41777 /SgFt ,
S8T4 l5`E / - C, / 2 jY Acres .
X185.85' / I I in N5A=2.11 Brcres
~C plp i Ir - - - 10I N I T I~
93888 SgF(l 64'
/ 2.16 Acre
\ NBA=2.16 Acres m
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B38 44
569, ~ / ~ ~ i _ _ ~ ~ ~ ~
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--1008-- 81676
- 8 / I 1.88 A
96094 S Ft / I NBA=1.69
2.21 Acres
~j► I4BA=2.21 Acres