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HomeMy WebLinkAbout034-1028-70-000 F, v Wisconsin Department of ��,, SOIL EVALUATION EPORT Page l ofz Division of Safety and Buil s in 4'ce rWth rode v�'� county Attach complete site plan on p aper not less than 8 1/2 .Plan must O--SAO include,but not limited to:vertical and horizontal refer �d� n Parcel I.D. �'�ov�'�'� 7 percent slope,scale or dimensions,north arrow,and I t road. /.S Please print all informRe ' wed b Date u OUr Personal information you provide may be used for secondary })§: Property Owner Aqgirby Location Govt.Lot k) 1/4 k/1/4 S 3 T;2- N R .5'Wo W Property r s Mailing Address Lot# Block# Subd.Name or CSM# — — City State Zip Code Phone Number ❑City ❑Village W Town Nearest Road ® New Construction Use:00 Residential/Number of bedrooms !- _ Code derived design flow rate 4D GPD LJ Replacement 0 Public or commercial-Describe: Parent material- _ Z Ad Flood Plain elevati on if a pli ble _—�1 ft. General comments l�� li �e/Gll L r/ f" 9 and recommendations: l a Boring# ❑ Boring /O/ / f� [@ 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 O,-/D 10 R 313 S1,1 d M tv F HfC,.F l C 3M A6! Fz" R ❑ Boring 1 Pit Ground surface elev. ft. Depth to limiting factor / in. 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 'Eff42 040 /0 - s 1L ym 576 Af FR 14 r 0.-M MY R 'Y// VM sd M rr 16 41 8 // d .2,.5 `t f 91 al Gl 2M 4Z M LT -- � -6 Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS 130 mg/L CST Name(Please Print) re CST Numbw A?4r7i) )0 :2 -,.?_-2;2- Address Date Evaluation Conducted Telephone Number Wisconsin Department of Commerce SOIL EVALUATION REPORT Page a of Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must C 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. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Property Location Govt.Lot � 1/4/)//yl/4 S T.2 / N R W Property is Mailing Address Lot# Block# Subd.Name or CSM# City State Zip Code Phone Number ❑CriY' ❑Village a Town Nearest Road 91 � 177 d C o.. �� S e Gv 0 New Constr union Use: Residential/Number of bedrooms Code derived design flow rate cz O GPD 0 Replacement 0 P1blic or cornmerc!a!-Describe: Parent material G/-47e/4-4 Flood Plain elevation if applicable ft. General comments and recommendations: aBoring# Boring pit Ground surface elev. D 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 0 1.4 V k CMS r-)? w 1 / 2- - _r C .2 AJ,4 6 d Boxing# Z� ! 4..rM, .. O !`.. IA L i pit Ground surface elev. ft. Depth to limiting factor, tn. 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. •Etf#1 •Eff#2 1 Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg& •Effluent#2=BOD 130 mg/L and TSS 130 mg/L CST Name(Please Print) - - Signature CST Number Address Data Evaluation Conducted Telephone Number .mot _p ____ __ _:_ _ � __ ___ __ __ — ____ __ ____-_ 9)p 1_- � 47 r-T Parcel #: 034-1028-70-000 01/14/2014 01:32 PM PAGE 1 OF 1 Alt. Parcel#: 13.29.15.198 034-TOWN OF SPRINGFIELD Current [-1 ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner 0-WYSS, MELISSA MELISSA WYSS 1037 CTY RD W DOWNING WI 54734 Property Address(es): '= Primary Districts: SC= School SP=Special Type Dist# Description SC 2198 SCH DIST GLENWOOD CITY SP 1700 WITC Notes: Legal Description: Acres: 40.000 SEC 13 T29N R1 5W NW NW Parcel History: Date Doc# Vol/Page Type 06/20/2012 958575 TI 10/12/2010 924480 WD 10/12/2010 924479 ALC 12/15/1998 593833 1387/243 LC i Plat: "=Primary Tract: (S-T-R 401/.160%) Block/Condo Bldg: "N/A-NOT AVAILABLE 13-29N-15W NW NW 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 238449 Use Value Assessment Valuations: Last Changed: 08/07/2012 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.000 7,600 0 7,600 NO UNDEVELOPED G5 2.000 200 0 200 NO Totals for 2013: General Property 40.000 7,800 0 7,800 Woodland 0.000 0 0 Totals for 2012: General Property 40.000 7,800 0 7,800 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