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032-1000-60-200
LF 200` Wisconsin Departm ent of Com OUNT801 EPORT Page of Division of Safety and Buildingce 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. I Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /ti Z7 Property Owner / Property Location AV 7 ( i2 (%L Govt. Lot 1 /4_~ &J/4 S-404~ / N R/ E (or) Property Owner's Mailing A dre Lot # Block # Subd. Name M# cl~ City tat Zip Code Phone Number ❑ City ❑ Village wn earest Road n New Construction Us • esidential I Number of bedrooms - Code derived design flow rate ys[7~6 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments r v and recommendations: vl1 r Boring # ABoring Pit Ground surface elev. -Oft. 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 F~] Boling # ❑ Boring -0-. Pit Ground surface elev. oft. 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 All fEffluent #1 = BOD > 30 < 220 mg(L and TSS >30 < 150 mg/L i ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address f Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 1.2-,L- o s- 715-246-4516 Property Owner _ Parcel ID # Page of Boring # ❑ Boring 1751 ~it Ground surface elev.9 i ft. Depth to limiting factor v 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 p-l .U e /'j j rV . J ❑ 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 F-1 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/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA_ ' 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. SB0.8330 (8.6/00) L Soil Test Plot Plan Project Name Blair Dollery Shaun Bi Address 737 Polk/St.Croix Rd New Richmond Wi 54017 CST #226900 Lot 2 Subdivision Date 12/8/05 NE 1/4 S W 1/4S 1 T 31 N/R18 W Township Somerset ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 97.2' *HRpSameas Benchmark Alternate Benchmark Top of Steel Fence Post @ 99.8' Polk/St.Croix Rd Scale is 1" = 40' unless otherwise noted 300' B-1 66' 130' 140' B-2 98' 20' B.M. 12' At1.B.M. 40' 80' - 96' 5% 401' Property Line 325' Property Line 820-9!+t:5 6 r VOL 20 PAGE 5173 t>n Q KATlTEM H. WALSH o Q N °a REGISTER OF DEEDS o ~ ST. CROIX CO. MI RECEIVED FOR ECORD 03/10/2006 10:05AM (P 2c > I $ z m ( Z CERTIFIED SURVEY MAP ° REC FEE: 15.00 3 0 02 COPY FEE: o Z ? m I~ PAGES: 3 m M OMM EFR) aW Co74G~C~G3~ I I x o i_ I I Z . WEST LINE OF THE NE1/4 OF I I ' CROIX BEARINGS ARE COUNTY REFERENCED COORDINATE TO THE SYSTEM ST THE NW-1/4 OF SECTION 1 _ _ ( ► x O Om O Q rn I . C4 00-3Q'08" m = > ~ 4 $ ~ ~ ~ n o cg 0 (n 401.98' 3 00 W O m x > a Q m N 37 N m t S o ° cn m v c~ ? n Gu ° I G) C O Z oN IS)ail c: o w % z mn m 2-1 c~ cn A~ w ~ZN~--~ ~g Icys Zak CC_ _ op C ► rOtD) ton m m mI" z 9 m O~ I~ w mcpT °rn N 2 wl m m mzb m 004 C n Q) -n cn 21 m - oil 'fit 3 DRIVEER p_ I m m m S 00°30'08" W 434.98' ~I II ' N m Q 33'1 Q I C y1 33 CA) j(D a~.ua~er rnrurrq,,,~~ ; 9 I t I i (A N °w mC It>AI0 m ~yys 0,~ Irn;~, 0 C1 = m W I CIO -n m 1, 92 ca cl) XZC 13 ~a"a"` ? ~ i Q o ~ I I A ; ~ C 1 6. 0 153 N 00 18'09" E 579.94' I I ~C'" ^rn to N CO) ► 546.94' 33.00' t7 ( I n W ► ~C-1 Z CO) A M OZ Fs~) C.) W g 5 00 o (As m N s7 n - o m ? (0 CA Fn c= w ~ DOT i m rev ql C ' CA) 70~~ m -WO Z FIX, _1pp W mm 546.94' 33.00' C I 3 00°18'091, W 579.94' cn1 A 003 r 2v rp O ' m -v ma) m cu c g z M x Z„ _ o z 1~ Ot [A]CED C3 I C~~`~tr'[ G3 I I a cn o z74 . c :0 80TH STREET_ _ ) I z m OX ' NORTH - SOUTH 1/4 LINE OF SECTION 1 7D S Q 8 M nMPdLa45PC DD C~G1MD0 O nMJG'JG© C3t7 -@)UHMG3% ~j inn Vol 20 Page 5173 1 Of 3 1 • A Parcel 032-1000-60-200 03/25/2008 09:00 AM PAGE 1 OF 1 Alt. Parcel 01.31.19.5C 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/10/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - DOLLERY, SUSAN A SUSAN A DOLLERY PO BOX 83 WEBSTER WI 54893 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 729 POLK/ST CROIX RD SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 3.000 Plat: 5173-CSM 20-5173 032-06 SEC 1 T31 N R1 9W PT NE NW CSM 20-5173 LOT Block/Condo Bldg: LOT 02 2 (3 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 06/05/2006 826747 QC 03/10/2006 820456 CSM 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/17/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 0 48,000 NO Totals for 2008: General Property 3.000 48,000 0 48,000 Woodland 0.000 0 0 Totals for 2007: General Property 3.000 48,000 0 48,000 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 I