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HomeMy WebLinkAbout030-2122-60-000 X, -3L wsconsin Department of Commerce SOIL EVALUATION REPORT Page of DIII 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 mudt 'S include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. D~ Z~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. (O ]:RR iewe Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property LOwner Property Location 110 Govt. Lot itl W 1 /4 S W 1 /4 S Z 3 T 3 d N R/ E (or)d@ tra Property Owner's Mailing Address Lot # Block Of Subd. Name or CSM# 76,S- c G R"35 GG Z-e Ou. c1cv-aS City State Zip Code Phone Number ❑ City ❑ Village BTown Nearest Road t S-1716 L42 (7/5- ) Sy - S"? ;Z 7 S~• a s~ W r ~o •c 1~/ New Construction Use: @ Residential / Number of bedrooms , 3/ Code derived design flow r \ tQ Q GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material o U-- -y c, ~ Flood Plain elevation if ap cable ft. General comments 5Y S-~Pkv-\ ~'e t/• and recommendations L~_ e) GV ~9.yo 4 .1111 10 -C ST CRDX CQUN^( cp Boring a Boring # ® pit Ground surface elev.o ft. Depth to limiting factor 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 Z I &-13 /U 3/ M y r )v f -7 Z f - r / r LS ms r - •7 A4- Boring # Boring pit Ground surface elev. ft. Depth to limiting factor / O d in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.. / p *Eff#1 *Eff#2 Q-) Z. /0y r3/ S( 001a., 014!- ' C 5 v F * Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ignature CST Number G `w H? eIS Z✓a III Address Date Evaluation Conducted Telephone Number z /~3 Flo 71 S~ ~,Le Grp • S a~S G -Z~Y o/ ~S aye- o0 Property Owner CO U o J Parcel ID # jo 6 Page Z. of 3 Boring # ❑ Boring Pit Ground surface elev. 9 Z, Sy ft. Depth to limiting factor 1/0 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 C.5 3 -l/ ~ S L ors ~ - - , S 9' ❑ Boring # F] 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 GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ❑ Boring # E] Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 *Efr#2 ` Effluent #1 = BOD5 > 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) Property Owner Cc I l 0 Lr-~ Parcel ID # '~'/o CO Page Z. of 3 a Boring # ❑ Boring pit Ground surface elev. 90- Sy ft. Depth to limiting factor y/0 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 O-l Z t7 ✓ 3/ - S,'~ Z~Ytoh/G r C S ~ • 5 ~-+r - . s 9 ❑ 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 # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 = 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. SBU-8330 (R.07/00) PAGE 3 OF .3 NAME (1y110 Jcr LOT# (a LEGAL DESCRIPTION Vwl/,S ,,SZ3T-k ,N,R l i E (or) SCALE: I lef/0 BM I ELEVATION /Ors. 6 BM I DESCRIPTION via; n y "c,I ~-rc c BM 2 ELEVATION l0 0.0 sec. 3 BM 2 DESCRIPTION y1a.c'( t',~, /a" SYSTEM ELEVATION V. 3C) + ALTERNATE ELEVATION 8 9. ye 1 CONTOUR ELEVATION_QZ. SO, qy. SO a B- ■ 13- ISM- A V ~ 9Z. Sv 83 SIGNATURE DATE - - o~ Parcel 030-2122-60-000 03/22/2005 04:02 PM PAGE 1 OF 1 Alt. Parcel 23.30.19.996 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner P C COLLOVA BUILDERS INC ' P C COLLOVA BUILDERS INC PO BOX 489 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 709 W SHORE DR SC 5432 SCH D OF SOMERSET SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 3.009 Plat: 0075-BASS LAKE MEADOWS SEC 23 T30N R19W PT GL 7 LOT 6 BASS LAKE Block/Condo Bldg: LOT 6 MEADOWS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 23-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill Fair Market Value: Assessed with: 6666 64,100 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.009 63,100 0 63,100 NO Totals for 2004: General Property 3.009 63,100 0 63,100 Woodland 0.000 0 0 Totals for 2003: General Property 3.009 37,100 0 37,100 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 999b-99£ (5 LL) XB=l • 099b-99£ (9 LL) OLLL-910b5 IM `uospnH pBoa loop uaae0 LOLL H31N301N3WNH3AOJ AiNf100 XI0u0'1S ..~n..~~ NISNOOSIM ~`~.!!l AlNnoo xiokm '1S rtment SOIL EVA AT ION REPORT i ~`P~e I of 3 m Division of Safety and Buildings . in accordance with Comm 85, We Adm. Code County Attach corr~te site plan on paper not less than 81/2 x 11 inches in size. Plan must ' Crnl include, but not limited to: vertical and horizontal re6erence point (BM), direction and Parcel LD. percent slope, scale or dimensions, north arrow, and location and distanoe to nearest road. Please print aB inforntA00n: Reviewed by Date Personal information you provide may be used for sewnda ixoposes (PLWIICY . Liiw,.et t p4 (1) (m)). Properly Owner r0 PM Location 1/4 1/4 S~ T N R E (oqg Property Owners Mailing Address ¢ ILot Block # Subd. Name or CSM# Pe d' City State Zip or* Number ;AUNTY 11 Village SaTown Nearest Road ( a p New Construction IlselikResidential / Number of beskoom Code derived design lbw rate y.SO 4 C) GPD ❑ Replacement ❑ Public or commercial - Describe: Patent material :k; Flood Plain elevation if applicable ft General comments SYSffe r#\ e-I e J . 1V P q Z. od GoW a ( q /•s'0 and recommendations: o4L f, eleNr• .(-o P w. p0 1,6w--e r 4lo-sl0 5 Boring # F1 Boring Pit Ground surface elev. S. Q ft. Depth to limiting factor in. Sol ApplicWqn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM in. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. •E •Effili2 s i yr . 3 z -~s • y • ~ • 1,2- 1 14 1 11 - r-F- Boring Boring # ❑ ® Pit Ground surface elev. q3-SG ft. Depth b limiting factor ( in. r Sod Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Muunsell Qu. Sz. Cont. Color Gr. Sz. Sh. •EMM •Eff#2 t A-11 10 7- cJ • ~l 2 l- D 14 5; 2 r,nab m i C-• 5 3 4b 1 s• 3CSb ~f 1 • A -j.2 's * Effluent #1 = BOD > 30 220 mg/L and TSS >30:5 150 mg/L. ' Effluent #2 = BOD 130 mg& and TSS < 30 mg& CST Name (Please Print) Signadu CST Number C~Q UVVL k e y 0-5-3309 Address Date Evaluation Conducted Telephone Number a-1 1,21 -SO lle~me (A 4 S~ r 0 Z ~ S` O C~ /-!T Property Owner C6 ((O y ct Parcel ID # Page Z of F31 Boring # ❑ Bow s~ d Pit Ground surface elev. t 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 *011#2 _~2 v Z 10- C-S 3 i 3~ Ls to L5 -5 .7 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil is ation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff; in. Munseil Qu. Sz. Con. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Bormg # Boring ❑ Pit Ground surface elev. -ft Depth to limiting factor in. Souk Application Rate Horizon Depth Dominant Color Redox Description Texture Struchue Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. MINI -EfW2 Eftiuent #1 BOD9 > 30:5 220 mg/L and TSS >30:E 150 mg/L ` Effluent #2 = BODS a 30 mg& and TSS 130 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) ~ J r PAGE 3 OF NAME Co LOT# LEGAL DESCRIPTION l1ASwY4 Sz3Ta6N R 19(E (or) SCALE: I"= y0 BM I ELEVATION ( Cn O BM I DESCRIPTION ha; I i~PQIsZ w/aa-cs BM 2 ELEVATION /(~C •6 BM 2 DESCRIPTION bc,; I ~ n I SYSTEM ELEVATION 4oP QZ•oo Low« ~(I •SO ALTERNATE ELEVATION {v p 9 l •DO G a w e rya S~ CONTOUR ELEVATIONg3,oo, gy.oo3 I? Qo • a3 <A Bryl Z ~ . s BL 0 B~ X2' 0 aa° oa Svc SIGNATURE C-~ DATE /S G