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028-1042-95-100
P'A_ _L 'I'D __S*'A_"-'-~._4'',-;A_j( Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings in accordance with Comm 85, 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Zd Please print all information. viewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). f NL d Property Owner r+ o~..~oSow rocs Property Location 4.y t✓ /'Gtl RECEIVED Govt. Lot _S _r 114,5W 1/4 S 3~5_ T , N R E (o ,Q-4-y ✓r. Pfepetfy Avarner s Mailing Address Lot # Block # Subd. Name or CSM# I / 19rt'k s/. /'yes .l. ? e<-A Z City State Zip Code Pho u ❑ City ❑ Village own Nearest Road P"New Construction Use: B<esidential / Number of bedrooms 2- Code derived design flow rate 306 GPD ❑ Replacement ❑ Public or commercial -Describe: Parent material LrQYS S O k- "e /I Flood Plain elevation if applicable ft. General comments and recommendations: SE , 6 n SQHCp Gc nC~tF' `f ~ ° C P l cno (.l..l~ ® C o ~i fDcc S s-~QN.. ~~c% 98~ s a Boring # Boring 9Pit Ground surface elev. A. 9 ft. Depth to limiting factor in. =Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/H? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 )Owz d5 a- u) q-31 lour Sit< -1 ' i l o `tP_ O wt - Boring # Boring aPit Ground surface elev. 8r ft. Depth to limiting factor s3.;-) in. =Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 D- low, s' f sbk cps 01 ~ / h.. s L j r C. -3.) (o S© I U-) ! o .5-1 A to ! 7 5-k 4-L /of . 2 .3 * 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 Name (Please Print Sign CST Number ~Pv~rrtr•~ Address Date Evaluation Conducted Telephone Number 01;gq 770 +4 Ao. Sr f l Ua [-e 7 0r . 5-y.76 7 9 - a~ 77a-3~7 X ~u~t~ a r Property Owner 6,-4t, zf4-kk-G Parcel ID # Page of 3 Boring # 1:1 Boring .3 2 'pit Ground surface elev. ft. Depth to limiting factor 3 5- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 IoYR r a cz LL) cX I $ -I lamp- a 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/fly in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Ap 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 * Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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) .2 5~ 7,7 1- ckes ot, i Dh g,M, 103, yQ, 1 IFUSP 9IUC-9 TaLtJA)5M(`P sue' sw S~c.3Sfi~~Rl7~cl S4ni fY0 CXCF~' AS Sow ,o L z 3. i 3. -1. T p at= I- puc. App i I31 ~ 4Q1E+ L ivic L®ca~oh oL 614, AO-6,w ~~~Se~ a (3eo( 1357/047 r 264' d°J265B N 711/273 `P 859/138 265D Z r I 'I ~68 1032.8+/- P v CSM VOL 23, PG 5499 268B SE - SW ~ 01 1,233.2+/ p 'lot' t/- t ~268A v, 1 f S 1 /4 COR. r w z L~Zi =/r1 c j SEC. 35 Parcel 028-1042-95-100 10/01/2009 10:19 AM PAGE 1 OF 1 Alt. Parcel 35.28.17.268A 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 02/11/2008 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - THOMPSON, GP & AM TRUST GP & AM TRUST THOMPSON 11 CTY RD Y 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: 0.000 Plat: N/A-NOT AVAILABLE SEC 35 T28N R1 7W SE SW EXC CSM 23-5499 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 10/27/2008 883384 QC 08/27/2008 880644 EZ-U 02/11/2008 868685 23/5499 CSM 12/18/1989 454286 859/138 TI more... 2009 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/10/2009 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 15.150 2,900 0 2,900 NO 00 UNDEVELOPED G5 0.630 100 0 100 NO 00 AGRICULTURAL FOREST G5M 12.220 21,400 0 21,400 NO 00 Totals for 2009: General Property 28.000 24,400 0 24,400 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 RECEIVED I I~~IfI VIII G o' II ~II8 868685 MAR 1 3 2008 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI w _0 z g1'. CROIX COUNTY RECEIVED FOR RECORD co ° ° o SUAMOR'S RECORD 02/11/2008 11: 30AM z z CJ a o CERTIFIED SURVEY MAP o VOL: 23 PAGE: 5499 " m ^ BEARINGS ARE REFERENCED TO THEST. REC FEE: 13.00 o ;z 0- CROIX COUNTY COORDINATE SYSTEM COPY FEE: 3.00 PAGES: 2 Cm xz 5;0 b m n Q N .w V(Tj ° pvzmo(n ko V CA D Z g C A m „J 1+ Z m _Rt~gN RJR co m O a~?>A X401' O.H.W.M. Z m ELEV. = 1016.7' O j D c n m a m cAn px 9r0 S00°28'51 "E 244.40' Z MEANDER LINE Q p m Q Z 1 0 75 SETBACK FROM OH" I♦ -n ~n z~ lip. 0 to oA Nmym'A m 300. LINE FROM OHWM y m 9 c m m co _ v Q Z Z m 00 1 (z= ° R PROPOSED O In i N BUILDING SITE m I i~n C I~~~ NI z m CD m C 0 m (A (Al w g- n O 10 X n D vmmi m :9 I 5G•7~ W $ ~ o I So u, ~ ~ I D A 02)N j~ e ° r NI CO {p n I+ ~ o o w~ g ~~n G OD I F o ~ O " m m cnp O O ± If -n vzi m ?5 z C C v2x Q 'n G) n 5^< n z°o co) m ~ n Z 0 m D Z Z X71 T v N 5 N i; Z N 11 °z i . . Z Z O ~ a w y gO EXISTI CENTERLINE g' Z ~ I N01°10'29"E 484.70' >e NOO°01'45"E 586.09 QRTH - SOUTH 114 LINE cwt m 90°01'45"E 484.61' 00°o1'45"E 4194.34' ` Z 195TH STREET m UHUDL/ m K o ~ C0zzm _C cyi N~g tC3- -Zi°~ C' ~r~Gi Zrcz Nei ~ ~ >CC) iy~ ~0.. 1 o12 Vnl Aorro/~pg Parcel 028-1042-80-000 10/01/2009 10:20 AM PAGE 10F1 Alt. Parcel 35.28.17.267A 028 - TOWN OF RUSH RIVER Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - THOMPSON, GP & AM TRUST GP & AM TRUST THOMPSON 11 CTY RD Y BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 11 CTY RD Y SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 32.120 Plat: N/A-NOT AVAILABLE SEC 35 T28N R1 7W SW SW EXC 1A CEMETERY & Block/Condo Bldg: EXC BLKS E & F VIL OF CENTERVILLE EZ-U-1351/375 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 10/27/2008 883384 QC 12/18/1989 454286 859/138 TI 06/06/1989 448500 842/429 QC 01/01/1989 420/554 2009 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/11/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 29,700 92,200 121,900 NO AGRICULTURAL G4 16.120 3,200 0 3,200 NO UNDEVELOPED G5 14.000 4,700 0 4,700 NO Totals for 2009: General Property 32.120 37,600 92,200 129,800 Woodland 0.000 0 0 Totals for 2008: General Property 32.120 37,600 92,200 129,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 114 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00