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Wisconsin Department of Commerce SOIL EVALUATION REPOR /)/ R j/�of 3
Division of Safety and Buildings T 1% F--��
in accordance with Comm 85�w9_,Adm. Code-----
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Attach complete site plan on paper not less than 8 1/2 x 11 inch s In sii�li must` "
include,but not limited to:vertical and horizontal reference point BM),direction and Parpel I.D. ''��
percent slope,scale or dimensions,north an-ow,and location a distance to nearest road;, p)?� .7 _ ..—t0 t)
Please print all Information. -i Reis- ''-`' s�I - Date
Personal Information you provide may be used for secondary purposes(• acy Iri4r.s.I l l), (1)(rfl , i Ova f/� 5-J
Property Owner (li ttyll tt in__ 4LIMP 19 6/Abet- (JEFF') 80,4 PM4A) Govt.Lot 1/4 1/4 `3a N R 1 t(or)W
P rty Owner's Mailing Address Lot# Block# Subd.Name • '• lk 4
"° ,zz /(v0 4-L�- Ava • /2 - . , .
City New State Zip Code Phone Number ❑City ❑Village/ 53 Town Nearest Road
Rfavio,vp 1 Cv/. 1 S9Oi71 ( 715)296 '5384 se,t,E-R,ce--r-' , /640)14 4 u- .
If New Construction User Residential/Number of bedrooms 3- y Code derived design flow rate 1/50 &ar, GPD
❑Replacement ❑ Public or commercial-Describe: ____.
Parent material S4-,.Jp y Q / K'A Flood Plain elevation if applicable ft.
General comments
and recommendations: ' ,pe* 7J7 j) so/7'', g Le, Th/e 4 co,t9ye-Aorta-4i 44—
i.v y 2 o vAID Re. 0. r5. - /3ioi ti j• ' Ce //.S .
/ Boring# El Boring f j� •
pit Ground surface elev. ��� .ft. Depth to limiting factor>0 in.
Soil Application Rate
Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Mansell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
I 0-1,6 /0083$ — L I-FSh/ ' Asti w 2 -f- . y . 6
2- /o ye i� ■ 5/L- /74 444 fk) /� . • z .3
3 k1y4e /60f4 ' s/Lzfsh,� ,�; 1.5 . s • sr'
✓! i I ' 44. '. O
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2 # ❑ Boring c v
A. Pit Ground surface elev./ ft. Depth to limiting factor in. Rate
Soli Application Horizon Depth _Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff
in. Munsefl Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2
/ D 's) /O#'3/� L _Ifithe .4(54
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S. o . d,e • •7 /. 2.__.
•Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/t. •Effluent#2=BODs<30 mg/Ler1d TSS<30 mg/t.
CST Name(Please Print) — — Signature A CST Number
R o/3eR T 7/4 g/a — 2 2.Co 3 7 5
Address Date Evaluation Conducted Telephone Number q
Ulbricht & Associates /,— yD-z 3 7/S• 77),.• 3'11 '2.
2812 10th Ave.
Spring Valley, WI 54767 IAI 4/g/sg Sec. // 03 2.- 20 gel• tyo •0 TO
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For issuance of permits and designing Stv/Sw SEC /2___ 03 2- 2016• 5-°• 02.5
Contact:Ulbricht&Associates
Registered private wastewater consultant and plumbers
2812 10th Ave. No A—, tiw/sw se-e. /2_ 3 Z _Z oys_ o
Spring Valley,WI 54767 r
715-772-3442 & v754) ? S ifi//V(,J .see'• f 2-,9
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ORIGINAL
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c• 50,RM ,4,J 60 71. # / z
2— 3
Property Owner_ Parcel ID#, Page of
Boring# ❑ Boring �Ju s /
t kr Pit Ground surface elev. / /' 3 ft. Depth to limiting factor >f c in.
Apidication e
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
�
10 /0/Z3 ------- L / d , w 3 f • C.
MINI FIITILMEEMil■NUIDWAPPEglIANINIMMIn
RIMIEMEIIMIMAIIIM o AIIIM /•
•
Boring ft ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
l 1 Ssod A Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff
In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
Boring# a Baring
CI Pit Ground surface elev. ft. Depth to limiting fad. in.
I Soil Application Rate
Horizon I Depth Dominant Color Redox Description. Texture Structure • sistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Eff#1 'Eff#2
I
❑ Boring
# ❑ Pit Ground surface elev. ft Depth to limiting factor In. I
Soil Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
In. Munsell Qu.Sz. Cont Color , Gr.Si.Sh. ¶11111 'Etf12
•
•
•Effluent#1 =BO;>30< r mg/1_and TSS>30<150 mg/1_ •Ef luerd#2=BOD6<30 mg&L and TSS<30 mglL
The Department of Commerce i. 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.
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POND \ 7(...--N88°57'31"E 599.05' y NORTH LINE OF THE SW1/4
N1/4 CORNER \ / •
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sECnoa 660.05'
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` LOT 13
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3.5 ACRES N
3.0 ACRES+1-TO WATERS EDGE
`565.61'S; C.B.A.=2.3ACRES
L.B.O.=893
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:R ELEVATION 881.7 / •0 ow
ON 302 / 3w
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AREA=0.13 ACRES
5815 SO.FT.
OUTLOT 2 TO BE DEEDED TO OWNER TEMPORARY ROADWAY EASEMEN
31.89' OF LOT 1 OF CERTIFIED SURVEY MAP I
IN VOL.10,PG.2951 BE USED TEMPORARILY FOR ROAL
I
PURPOSES AND TO BE VACATED L
OUTLOT 2 ROAD CONTINUING TO THE EA
..'ppi,, 0.28 ACRES
W N88°57'31"E 660.05'
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• 328.24'I
• LOT 11 rgtit 44• 20$$ /al
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• 4.5ACRES y 7 ` — — X7.00'—
► 3.3 ACRES+/-TO WATERS EDGE 79 0 --
•• C.B.A. 2.5 ACRES
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LOT 14
3.s ACRES
•
® C.B.A.=3.5 ACRES
• 607 6s., • ® `'�
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- w. 564.63'
LOT 10 • 66 00' i •
•
3.1 ACRES •
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��yr C.B.A.=1.4 ACRES '
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C.B.A. 0.9 ACRES .,
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N LOT 15
0 3.0 ACRES
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SO1.51. ® • ® ® :® f C.B.A.=3.0 ACRES
tt. N 570.18'
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LOT 8
3.6 ACRES $34t •l LOT 9 •
?ES+/-TO WATERS EDGE 3.0 ACRES '
•
IES+/-TO WATERS EDGE C.B.A.=2.3 ACRES
TLUOING EASEMENT 0 '
B.A.=1.4 ACRES OA
L' R n=R°9 .� _ ® LOT 16
•® •lrl •® ® 3.1 ACRES
C.B.A.=3.1 ACRES
. ® I I I
278.09' •L .
•
F�coFSS 477 • ® 575.47
�SFtiFi�T 27' / I
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Parcel #: 032-2176-12-000 03/26/2008 04:57 PM
PAGE 1 OF 1
Alt. Parcel#: 11.30.19.1497 032-TOWN OF SOMERSET
Current X ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
01/28/2004 00 0
Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner
0-TI MAGNUSON ENT INC
TI MAGNUSON ENT INC
1638 83RD ST
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description * 1636 83RD ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: 09-099-LAKESIDE ESTATES 1/22 032-04
SEC 12 T3ON R19W PT NW SW LAKESIDE Block/Condo Bldg: LOT 12
ESTATES'04 LOT 12 (3.00AC)
Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
12-30N-19W NW SW
Notes: Parcel History:
Date Doc# Vol/Page Type
10/13/2004 776914 2675/70 WD
01/28/2004 752813 9/99 PLAT
08/22/2003 736985 2385/383 WD
09/27/2002 692047 1991/540 mac._
..
2008 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Changed: 08/10/2005
Last Chan
Valuations: g
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 75,000 0 75,000 NO
Totals for 2008:
General Property 3.000 75,000 0 75,000
Woodland 0.000 0 0
Totals for 2007:
General Property 3.000 75,000 0 75,000
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