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HomeMy WebLinkAbout032-2174-29-000 (2) t Wisconsin Department of Commerce • VALUATION REPORT Page 1 1 of 3 Division of Safety and Buildings RECEI in accordance t tF�Cismm 8 Wis. Adm. Code County 5-72. 0-01k, Attach complete site plan on paper n rt less ayn8 1/2 ;h..es in ize.Plan must include,but not limited to:vertical an horiztfrfdl•re r t(BM ,direction and Parcel I.D. 1 percent slope,scale or dimensions, orth arrow,and location and di nce to nearest road. 03 d1l - all 7 q—,2-1-6156 bT. CROIX C"LJN Pr R ' wed Date Please . 'ttt al1FRCt - Personal information you provide may be used for secondary purposes Law,s.15.04(1)(m)). _ I Oloy 0 Property Owner Property Location '/�ir) 8c/We Govt.Lot 5 jibI 1145 E 1/4 S 2 2.T 3 / N R ,q 11(ore Property Owner's M/V2c Address Lot# Block# Su d.Name or CSM# / r 1 Ce 2 y �rde or, �r q City State Zip Code Phone Number ❑City ❑Village gown Nearest Road ,S 0✓1e/feI- 11441 3.--V211(7 75*) 24/7 722x' So,i-Lei-;{t- 1 577 sf New Construction Use:(t- Residential/Number of bedrooms 7 Code derived design flow rate 6O 0 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable /�',f� A' ft. General comments �(s M � �� and recommendations: q 'A-"o Lf. tom' dtv,46l4' a / 7/-9 — LS = o,c — 080 2N Coe d ' lnte'1 Imo"-e/ a 4/1,4- 1 Boring# ❑rBoring ra. Pit Ground surface elev. r ft. Depth to limiting factor //° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 /� in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. MEff#11 *Eff#2 I 0-1/ J4 ' /Z' 4 5Z- 2 pfSA. �uF/ C Lv I/� 0,5 ®, / Z /1- 19 7<-Yv r// /V4 56 2 s Pr v f-. C '- l.' D,S- 4.q Y /9-27 7sy,(� (4, N,- LS J As • m '- c w /v F 0, 7 1, 2 V 27-Co 7 /1/4 LJ MI7 s.v` il r as l� 0,7 J, c fO-/0 #74/ 4/ /vk 5 B.:_14-- - Pi` 011 1, 2 AM%y 1 LS M514 ezi4e.t_a_ 2. Boring# ❑ Boring C$G �/ Qq Cj(�{- tia Pit Ground surface elev. U ?. / ft. Depth to limiting factor .in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 I 0-// /o)1 - /144 SG. 2sf-(1170 ., 'w In, 0,5- ay 2 1/- 1s /0XXP /72- /1/4 SZ- 241MM i vc/ C ) ' o,s 0, 9 3 j 28 75-//(Cy 4 SL 2Ai. k a►.r., t<f c w 1I/74 01.0 D 19 y 2P VC 7sr;°`* /4 ZS/e,b m�5!. y4ci c.' a /,,p 0.7 i . a .5-- '-If 2 7767- //, LS C J Inv(' CJ ©. 7 ! ,2 G - 2 z, r ,( (2Ps/i(sY%2_, jtz. o rota/ — 0.0 ©, *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L CST Name(Please Print) Ao Sign ture CST Number &la., &,-A-4// t - 2313 ly Address Date Evaluation Conducted Telephone Number 371 /72a✓e 50" xt- 6,27 12- /5---O3 7/5-0V7-32.60 SBD-8330(R07/00) 4_ 0 - 29 J Property Owner 0✓l2 1,,f/'' Parcel ID# Page 2 of 3 3 Boring# ❑n Boring 9 \ y [Ai pit Ground surface elev. '• ft. Depth to limiting factor o in. Soil Application Rate_ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. *Eff#1 *Eff#2 ! i—/l /O/ 3/z /VA .SG 2mcM 1/4,)(>- _c c° i iit 0, c 0, q 2 I/- 17 /off, ` 14 .5z. 2mskk ) ' ' C— /- 0,S- 0, q 3 17-3Y 7,3-le. y 1 s - 2 s�1c /12ak'v CU/ /Zi 0, 5 0,9 � 3X- IN 7sri v/y 15 �1/ ilz,fc. a_s- — oil ! , a S W SV 7,sr/Z - ' A44 WsL /lid /iv vc;- d s 015 a q 6 2,5,/ c z/ PX %50 Z si°L D1"1 m 1/ , -- OD 0, 0 YeY * , . , 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/ft2 in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. *Eff#1 *Eff#2 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/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 *Effluent#1 =BODS>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) • , 13,..,,,, farfie/( 0 '/.. OWNE;... , Name 7,0m Pe/Is/e cs-f. 3 13/K Address L7g — /7 a v e 5 0,41 e/-i-e 1" -L'r sYa2.5" Date /2- / Benchmark 1 Ze/a),0 TOP A7t 0 74 6'0/4 c,- Benchmark 2 11' /030 44;/ -7/2 i'CI-5-1- 43/A/L/C)7L-C°fit er- I 1 Soil BOrirLCZ Li S Liii a bit Area 1, — 40' Scale 1 _ ■ -r- , i I 1 1 1 li II 1 ' 11 . . , ■ 1 , 1 11 I ! ! I , I A 1 1 I j I 1 I 1 ; i „ ! ; • I , ; ! I , i t • : . ! I ■ ; 1 . „ I ) i i I ! 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