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028-1049-80-000
Witconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations o=vision of safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code r COUNTY _ S Cr ZA L-X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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. 028 - 10\4 4 - Zt,', 3 v, 80, 4 O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION TE PROPERTY OWNER: PROPERTY LOCATION C L,1v„e>\J C.~ A,-~Q \Z:, >S ll►v -ee E6T t-~L 3 114 SW 1/4,S 3S T 2-16 N,R 1"7 E (o V~i PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 3 Z ~°ll S T 5 ~N $ "C" PLP~' OF >u~ 0- `RzEvtt_t.~ CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE BOWN ST ROAD ~f ~jR-Lbww1v Lvl S t0oz- (71S) 6ffu_ 37~ TZ v (ZIV c pQ New Construction Use 14 Residential ! Number of bedr s Z []Add ' to wdsting building j ] Replacement [ ] Public or commercial describe vraJ - f 13. Code derived da!'hr flow 3%13 gpd Recommended design loading rate , 9 e , gpdfit Absorption area required bed, ft2 Z S13 trench, ft2 M-Wmtxn design loading rate - bed, gpcW 2. S trench, gpti Recommended infiltration surface elevation(s) doz. y t I Z 9. y ft (as referred to site plan benchmark) Additional design / site considerations Z- P 'TRZN C eS - ti_'~tj S ' x S' Lwc, 'i Q!,c)v Parent material t- r, S v u~i1 s r~cr•,a S m rj e Flood plain elevation, If (cable ".N' It S. = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM W FlLL HOLDING TANK U =Unsuitable for syste ❑ S ®U 0S ~ UU IR S ❑ U IRS S ® U 'ML DESCRIPTION REPORT " R' lb 't G R.fYD S `mot S Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ftin. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ranch E,3 Z~sb~c~~ 2 11- 3Y twj; z_ 31t/ - S l J Z'f Sbk wt `qi- C GO G- S 0-1- Ground 3 3~-38 Lu ~riZ~I(, - s 1 C_ Sbhc W Ui ' 0-S elev. 1 S-LVL Vl6 qci.4 ft. y 38-So LO`t.Q -AIL d S 6!I S owN vh 4 g- Depth to S 5o-61 w`-LIZ 3 ! b e O Vvt i _ - - limiting factor Remarks: - Boring # 0-8 ZO`'t~. 3 t .Z S t ~ Z `FS>,h m ~S ~ S 6 Z Z g-Z1 log-fcz 31L - S i J Z'FSbk vn Sw o.S o, b 3 27-39 t l~ t-t2 SJg 1 S 1. c.Sh1"~ vn v~~ C .t 0. 6 Ground elev. y 39-61 l01t1> Sli3 ~~~~~t~z 6 tZ 1`s C3 r,.. 1.01.`1 ft r © °~av S ~.j ~ ylt. om s 4 s -L-JQIKVZ w Depth 110 limiting laft 39 " Remarks: TName:-Please Print Arthur L. We erer Pine' 715-425-0' egerer Soil Testing.& Design Service-P.O. Box74 River Falls,WI 54022 Sgnature: Date: CST Number: qV-1SCI 8-t0-~1 M00576. I I PROPERTY OWNER ~~VO SO►J SOIL DESCRIPTION REPORT Page=`of r PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Bou daty Roots GPD/ft Boring # Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench M s )blz m 0-S b.6 0.6 - Et3~~ o b 9- zb tz 316 - S Z M S bh Ugh cw .s u. Ground 3 zb-\6 ~O`12S1b - ~S o S9 S _ 0•S 0.(, ,elev. c s - : 1o Sft. L) yb-Sb lk)4R s1b owV% imv~►~ ON oS Depth to s 1,S&-6-5 t v `-r R Sig Is(` S LI ~ !i6 -01 v Lh-JIL limiting r i factor svS S Lf ~l~6 0+~► , w ~y e--j T~ 58, Remarks: Boring # ED3 Z S -Z Z ti u \-l, R 3! 6 S L Z S b k vn `E^r - p• 5 0- 1w-1Q- Sze) Qq~- 0- Ground c z s ktz y 16 elev. S~ ~u L U Lf R s!g s r, 11 1 ~s o m m 1\ 1Vl ft" ~2 S S T~ L t'~ti1 } M, rt 01.E Depth to limiting i lactor s-) u Remarks: Boring # S Z g-ZS tio~~ 31 - s1 ~c.3b>z Mv~,~ ~S S 3 ks-sb Vb\-M s15 Own vn vet- CS - 0.`1 0•s' Ground elev. y Se-6b 'L mot. 2 s ! c s ~t R 16 'F z v wt w► v'F - - v0t 9 ft. Depth to S'PCr'l ~ lv UY.~~ f~S j'r"T 8 y • limiting factor, 5$ Remarks: I Boring # I ~ o - 45 to`~t cz ~ r.i - s 11 Z- ~FS ~1z m ~-S o- S o. b Z $-3~ ~vH2 fly ~'sl ~esh>z vhv~v- ~-S o•q.5 El 3 3)-S,6 Vw-t, r sly - i s vw, wi U fl- eS 0-1q 0-S Ground elev. S $ - L S 1,z) -m -wL s y. R q/ C) v-r, YA U '~h - - Depth to limiting factor I Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 c SCALE 1"= qQ) ~y Sl D 6. tup Sk sTI&J l S: QFY-LTTwmG VNv Sin 1'1~iP~iZ1-t~ S ►'tR~ ? SO' LVr 2 1~Z Owl S`iJ1 P~t2 S . i i ~rec- fty-e-ft ~ S Pt\~ to`r tl'BaU~ ' Citt.OV 1!V So~s-u L~r 8 LuT 9 S D~ 0~ l8 DIlI. 'TL* tti"a4 4 1 wiVvr rp S`iS'C ~ M-QrD, r i l aV ~ ~ 1 ~ ~tR,Wh • 6 co~ltovtL ~i.. 10 3 , S ~ mss' S' 8e1^.o~`t'R~otl loZ.y ------euTOF'T~ 0-tt C!L. 103.4 Is, 8.3 iN,GR~ ~t~l3Su u Prth~'~ s 6-S ~-L v Cl~'S , 15 " M_ 144, - 'Lola tt-lob SST `3 z.~ - L O't- LW ~ a 4_ISOI d -mow.` 8 -LO Gi~ (71 ) 425-0161; 1:x100576 CST Signature Date Signed Telephone No. CST # Parcel 028-1049-80-000 03/22/2013 08:26 AM PAGE 1 OF 1 Alt. Parcel M 35.28.17.318 028 - TOWN OF RUSH RIVER Current ❑ 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 - HUDSON, CLARENCE E & AUDREY E CLARENCE E & AUDREY E HUDSON 32 191 ST ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Legal Description: Acres: 0.000 Plat: 01-047-NEW CENTERVILLE 024-1856 SEC 35 T28N R17W LOT 8 BLK C VIL Block/Condo Bldg: CENTERVILLE ASS'D W/028-1049-30 (313) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 2012 SUMMARY Bill M Fair Market Value: Assessed with: 0 028-1049-30-000 Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason Totals for 2012: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2011: General Property 0.000 0 0 0 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 Parcel 028-1049-20-000 07/28/2006 09:32 AM PAGE 1 OF 1 Alt. Parcel 35.28.17.312 028 - 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 CLARENCE E & AUDREY E HUDSON O - HUDSON, CLARENCE E & AUDREY E 32 191 ST ST 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 LOT 2 BLK C VIL Block/Condo Bldg: CENTERVILLE ASS'W/ 028-1049-30 (313) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 425/243 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 Parcel 028-1049-30-000 07i28i2006 09:35 AM • PAGE 1 OF 7 Alt. Parcel 35.28.17.313 028 - TOWN OF RUSH RIVER Current XI 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 - HUDSON, CLARENCE E & AUDREY E CLARENCE E & AUDREY E HUDSON 32 191ST ST 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 LOT 3 BILK C VIL Block/Condo Bldg: CENTERVILLE ASSM'T INC 028-1049-10 (311),028-1049-20 (312) Tract(s): (Sec-Twn-Rng 40 1 /4 160 114) 35-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 425/243 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 20,300 31,900 52,200 NO Totals for 2006: General Property 1.000 20,300 31,900 52,200 Woodland 0.000 0 0 Totals for 2005: General Property 1.000 20,300 31,900 52,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 216 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 028-1049-40-000 07/28/2006 09:35 AM PAGE 1 OF 1 Alt. Parcel 35.28.17.314 028 - 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): 0 = Current Owner, C = Current Co-Owner 0 - HUDSON, STEVEN M & DENA M STEVEN M & DENA M HUDSON 31 CTY RD M BALDWIN WI 54002 Districts: SC = School SP = Special Property Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC CeA_ F Legal Description: I Acres: 0.000 Plat: SEC 35 T28N R17 LOT 4 BLK C VIL Block/C CENTERVILLE AS M'T INC 028-1049-50,-60,-7 (315,316,317) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 734/288 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: I Last Changed: 08/30/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.800 17,400 80,300 97,700 NO Totals for 2006: General Property 0.800 17,400 80,300 97,700 Wooland 0.000 0 0 Totals for 2005: General Property 0.800 17,400 80,300 97,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 206 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00