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HomeMy WebLinkAbout028-1032-95-000 Wisconsin Department of Commerce -L&ALUATION REPORT Page,/ of -3 Division of Safety and Buildings ill O~UIUOII~W W1111 ~Vllllll -,Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and C % S percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0Z CIV E 3 Please print all information. 7~e:vZiey Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 ti7/0 ? Property Owner 0 On L Property Location I Govt. Lot 4 14, ` t N 7 E (or _S E ~ S-f Property Owner's Mailing Address Lot # Block # ubd. © ,7 E /C'' f1. 4 U. 0~ '6t city State Zip Code Phone Number ❑ City ❑ Village DI-own Nearest Road S1000 c~ ) ~S 1~U SN ► l? L H~ 63 New Construction Use: glq-esidential / Number of bedrooms -3 Code derived design flow rate 5/45-0 GPD ❑ Replacement ❑ Public or commercial -Describe: TIT- Parent material C5 -f D Flood Plain elevation if applicable fl• General comments and recommendations: ~(s~ i~ SQL e'.A' 44f er Q ~Jc Con-~u✓qee5 Boring F 71 Boring # SCI Q Pit Ground surface elev. ft. Depth to limiting factor ~ in. Soil A 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 a- o a `I I~ t- c w 4~ O 3 7Sy2 S~- (A) 'r . Co 1. - o X162b C3D 7 sYR './o L t Boring # ❑ Boring Pit Ground surface elev. D ft. Depth to limiting factor in. _LLZ 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 A,~, b b IC U r lJ~ w~ b It o'~ b-l d l2 L to C Lo Ulf O a YR C3p~,s`►REIat►R c- s k u r o * Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Na (Please Print) ff Signature CST Number e vt V't i Address Date Ev:'uation Conducted Telephone Number , f fr_ ~orc~oh , Property Owner /7 /o Parcel ID # Page of _ D oring # ❑ Boring R'Pit Ground surface elev. q o 3 ft. Depth to limiting factor ~O 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 OY 33 L PAU -1 a y 2 `1 L 6 '(1- C c~ 8 7S j M3P, & 04,- O O Cc9` G e~ D 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/fl2 in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring F-1 Boring # Ground surface elev. 1:1 Pit ft. Depth to limiting factor in. Soil A plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Co M. 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 (8.07/00) w h ~ v of 3 71 ;01 'A 7 N O c d 0 b q a .t a Q oo ~ 4 ~ 11 ~ ~v) ~p 41 zzzl ~ ce e s 4 1:44 Parcel 028-1032-95-000 03i11/2008 09:45 AM PAGE 1 OF 1 Alt. Parcel 25.28.17.208A 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 - GILBERT, GORDON J & RORY L GORDON J & RORY L GILBERT 2076 10TH AVE 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: 10.000 Plat: N/A-NOT AVAILABLE SEC 25 T28N R17W 10 AC N 10 ACRES OF E Block/Condo Bldg: 30 ACRES OF SE SE OR N 440 FT OF E 990 FT Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 25-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 980/164 WD 07/23/1997 785/213 07/23/1997 758/220 07/23/1997 683/114 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/13/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 10.000 1,900 0 1,900 NO Totals for 2008: General Property 10.000 1,900 0 1,900 Woodland 0.000 0 0 Totals for 2007: General Property 10.000 1,900 0 1,900 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