HomeMy WebLinkAbout038-1176-30-000 4 -Niscgniafn Department of Industry, SOIL AND SITE EVALUATION Page / of-2
Labor and Human Relations
Division of Safety and Buildings in accordance with s. ILHR 83.09,Wis.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include,but not limited to: vertical and horizontal reference point(BM),direction and
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parce
-7&
APPLICANT v
APPLICANT INFORMATION- Please print all information. R 'e ed by n`_ .};;;.; Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 1 S 6
Property Owner 04 w ,j d F_ Property Location " ` `_� •
Ua ( Govt.Lot 1/4 �i,tT �� E(or)W
Property Ownerls Mailing Address Lot# Block# S m
City State I Zip Code Phone Number
• vik /lS / Jyd2� i V.� ?d d Road
Cty ila a j Y83—'?3Z8
c�af �iC-
New Construction Use: JgResidential/Number of bedroomUmen 3 Additio to existin building,
❑ Replacement El Public or commercial D tribe: 1
Code derived daily flow 01•gpd e ig oadin rate ed,gpde • J trench,gpd/ft2
Absorption area required — bed,ft2 " trench,ft Maximum design loading rate " bed,gpd/ft�P3 trench,gpd/ft2
Recommended Infiltration surface elevations) ft(as referred to site plan benchmark)
Additional design/site considerations cx d 014 d h�� e
Parent material Flood plain elevation,if applicable �� ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system El Lg U As El ❑S �U ❑ S &U ❑S KL ❑ S ® U
SOIL DESCRIPTION REPORT
Boring# FHodzon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench
13
Ground Z 7 S`� .'e ✓�` I S �P
elev.
/a Z n. o y,R i� 1 7 % L/7'0,'
Depth to
limiting
factor
o�min.
Remarks:
Boring#
D T13 210— ;7 W - .
Ground Yv S if SC' ✓7` °P
elev. o
Depth to
limiting
factor
=�'Sgin. Remarks:
CST N (Please Print) Signature Telephone No. Q,'Ja,
Addre *� Date CST Number
/-6/.r o?bd c X -y _3 0� / 3?d
SOIL DESCRIPTION REPORT L
PROPERTY OWNER Page of f`3 :
PARCEL I.D.#
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench
3 1 - '1110 yr{ %s �' �d .�., � 6 LJ 4
Ground 2 Z?- A Y�/ .1
elev. 1> J T
to �.ft. yl 3�" � Sr( ✓�', — -- ��'P.
Depth to ,
limiting
Z f�jor
��j' in.
Remarks:
Boring#
:.:,
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench
Boring# ;
Ground
elev.
ft.
Depth to
limiting
factor
'n' Remarks:
Boring#
i
G�a4«�sij` i
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBDW-8330(R.08/95)
f 1
yy ��
ar
� r
z �
o
� 2
s w
, �
Parcel #: 038-1176-30-000 05/06/2005 02:34 PM
PAGE 1 OF 1
Alt. Parcel#: 04.31.18.868 038-TOWN OF STAR PRAIRIE
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
"STACKEN, DANIEL W
DANIEL W STACKEN
507 E 7TH ST
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): '=Primary
Type Dist# Description 2357 CANARY DR
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.740 Plat: 2170-MALLARD RUN
SEC 4 T31 N R1 8W PT NE E LOT 6 MALLARD Block/Condo Bldg: LOT 06
RUN EZ-UT-1354/437
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
04-31N-18W NE SE
Notes: Parcel History:
Date Doc# Vol/Page Type
01/30/2004 753110 2501/278 WD
08/14/1998 585071 1348/428 WD
12/03/1997 569373 1280/465 QC
1218/78 LC
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: __ _ Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.740 30,200 24,700 54,900 NO
Totals for 2005:
General Property 1.740 30,200 24,700 54,900
Woodland 0.000 0 0
Totals for 2004:
General Property 1.740 30,200 24,700 54,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
,. Wisconsin Department of Industry, SOIL AND SI VALUATION
Labbr and Human Relations Page of
Division Of Safety and Buildings in accord E 09, Wis.
05 1�
Attach complete site plan on paper not less than 8 1/2 x 11 inc ize. PAM`wfkt ounty
include,but not limited to: vertical and horizontal reference po ), �ir°tiwd' f a
percent slope,scale or dimensions,north arrow,and location stancMarest 3 rcel I.D.#
APPLICANT INFORMATION- Please print a/l in atldk ; " viewed by Date
Personal information you provide may be used for secondary purposes(P w,s.15.04
Property Owner u,✓ rope c // 3� /�
E- f /'H�F3 / ,�� '0 % /(/�1/4,S T N,R E(or)W
14 j Property Ow is Mailing Address Lot# Block# ubd.Name or CSM# l
la / /U Of•c' C''f CD / ,C r/ ?t4 A,)
City State Zip Code Phone Number �. �� 1';l Nearest Road
SyoZ r ( 7j rW3-33� ❑ City Village Town �� 1
New Construction Use: KResidential/Number of bedrooms /�' d• Addition to existing building
❑ Replacement ❑Public or commercial ascribe: ?
Code derived daily flow ✓tf, d. gpd Ir Recommended design loading rate bed,gpd/ft2 J trench,gpd/ft2
Absorption area required bed,ft2_ Vnch,ft Maximum design loading rate bed,gpd/ft2 -3 trench,gpd/ft2
Recommended infiltration surface elevation(s) �1 ft(as referred to site plan benchmark)71
Additional design/site considerations O i 7 dhl.
Parent material Flood plain elevation,if applicable ft
S = Suitable for system Conventional I I Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system
El Z U WS ❑ U ❑ s [k U I ❑ s lE'U ❑ s k u ❑ s Xj U
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fl2
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench
41 16 /f 3/ `iceJb�C �, r G' 'Z e
Ground J 77 '7. S`1/; �7� .C �,-�-, t/?,' c�.5 AJ P
elev. V
Depth to
limiting
factor
��in.
Remarks:
Boring#
13 J ,Sys i� .C� �-. ✓A, d s _ 114K lip.
Ground
elev.
/9 ;
ft.
Depth to
limiting
factor
..2-la--in. Remarks:
CST N (Please Print) ignature Telephone No. /
� �
71dcv '_A/J 1 `
` 7' 7Z
Addre Date CST Number
</ SOIL DESCRIPTION REPORT 7- 3
PROPERTY OWNER Page- -
PARCEL 1.D.#
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots =112
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Jrench
rV
Ifel Y-V e w ItI7
Ground
'9 elev. & :A
<V&
Depth to
limiting
factor
Remarks:
Boring#
Ground
elev.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture structure Consistence Boundary Roots GPD/fe
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench
Boring#
14.0MM.-M,
Ground
elev.
Depth to
limiting
factor
in. Remarks:
Boring#
..........
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBDW-8330(R.08/95)
NI\ `
�
Z Zx
0
a
cmz
W
I
I
l