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Wisconsin Department of Corn erce AL TION REPORT Page r of
Division of Safety and Building 4
RECEZiAd r
County
m aecoVnd(sdi Wis. Adm. Code
Attach complete site plan papesr~o A ,t~aze. Plan must
indu de, but not limited to: v rtical a 6flt'adirection and Parcel I.Dd(,~~ L~
percent slope, scale or dim nce to nearest road.
Pleas e print all information. Review y ;TZ c~
Personal informalion you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). O Q
Property Owner Property Location
Cj Gc r- b &P Govt. Lot L' 1/451/4 S T ~N R l E (or W
Property Owner's ailing Addre Lot # Block # Subd. Name or CSM#
City State p Code Phone Number ❑ City ❑ Villa e Town Nearest Road
c,v, -5 Voo~- ( q- 3 ws 6 I
ew Construction Us sidential / Number of bedrooms Code derived design flow rate GP
❑ Replacement 1❑ Public or commercial - Describe:
Parent material 12 ~l Flood Plain elevation if applicable / 19- ft.
2
General corrxnertis
and recommendations:
~~7 ~i ~Jf✓
M Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
® Boring # Boring q
~it Ground surface elev. ` ft. Depth to limiting factor" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
-3 t Inr , 6 ~
16-13L , 5
3,6 -12 l r--- cS /71/0
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:E 150 mg1L ' Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L
CST Name (Please Print) - - Slgna CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address el- Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 e`"~~ J~ 715-246-4516
Property Owner _ Parcel ID # Page of
Boring # Boring l
Pit Ground surface elev. ft. Depth to limiting factor / in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff##1 'Eff#2
2- j- r
;
2-
,I
Boring # ~ ❑/Borin/g
F-1 ❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Ong # Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg& 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-9330 (8.6/00)
J
Soil Test Plot Plan
Project Name Danyiel Vanbeek Shaun ' d
Address 200 Hwy 63
Baldwin Wi 54002 CS'P4 #226900
Lot Subdivision Date 8/31/05
SE 1/4 SE 1/4S 24 T 28 N/R17 W Township Rush River
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe
System Elevation 95.1/94.9 *HRpSameasBenchmark
1320' Property
Line
B-1 99'
Scale is 1" = 40' 100'
unless otherwise
noted 3% Slope
40'
20' B-3
40'
175'
A1t.B.M. is top 10' 10' -2 50'
of 1/2" pipe
C 99.6'
800'
Hwy 63
Parcel 028-1030-80-000 03/11/2008 09:26 AM
PAGE 10F1
Alt. Parcel 24.28.17.192 028 - TOWN OF RUSH RIVER
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 - VAN BEEK, DANIEL
DANIEL VAN BEEK
200 HWY 63
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 24 T28N R1 7W SE SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-28N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 920/253
07/23/1997 906/38
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 04/12/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 30,000 249,100 279,100 NO
UNDEVELOPED G5 16.000 11,500 0 11,500 NO
PRODUCTIVE FORST LANDS G6 22.000 77,000 0 77,000 NO
Totals for 2008:
General Property 40.000 118,500 249,100 367,600
Woodland 0.000 0 0
Totals for 2007:
General Property 40.000 118,500 249,100 367,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 566
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 028-1030-50-000 03/11/2008 09:32 AM
PAGE 1 OF 1
Alt. Parcel 24.28.17.189B 028 - TOWN OF RUSH RIVER
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 - VAN BEEK, DANIEL
DANIEL VAN BEEK
200 HWY 63
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description " 200 HWY 63
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE
SEC 24 T28N R17W S 1/2 OF NE SE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-28N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 920/253
07/23/1997 906/38
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/02/2005
Description Class Acres Land Improve Total State Reason
UNDEVELOPED G5 11.000 11,000 0 11,000 NO
PRODUCTIVE FORST LANDS G6 9.000 31,500 0 31,500 NO
Totals for 2008:
General Property 20.000 42,500 0 42,500
Woodland 0.000 0 0
Totals for 2007:
General Property 20.000 42,500 0 42,500
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