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038-1176-70-000
" Wisconsidi Department of Industry, SOIL T _ UATION Labor and Human Relations Page of Division of Safety and Buildings in acc with s. IL ,Wis. ounty Attach complete site plan on paper not less than 81/2 x 11 in si must ,rah include,but not limited to: vertical and horizontal reference p M), ion 9 d percent slope,scale or dimensions,north arrow,and location ah ristan6e,tqnNar6st road. rcel I.D.# APPLICANT INFORMATION- Please print H ' tion. 'c c evie d b Date Personal information you provide maybe used for secondary purposes(Pri 'y, ' s.15. (m)). Property Owner E ion'- p a of �'y.0 We- 1/4,S � T3 ,N,R /U E(or)W Va 11t'4 Property Ow is Mailing Address 'of# Block# Subd.Name or CSM /�a//ate WLI r✓ City �1 S/ta) Zip Code Phone Number fd/ �4/ Nearest Road S/'C-xa..�Alo 1A/ c Noz 0 (7/.J )J'<J•3-35& City LJ Village ® Town New Construction Use: residential/Number of bedrooms �" Addition to existing bu}I ing ' ❑ Replacement ❑Public or commercial-Describe: Code derived daily flow,A)' d" gpd Recommended design loading rate bed,gpd/ft2 �2 trenc ,gpd Absorption area required AJ, 0; bed,ft2�' c?" trench,ft Maximum design loading rate bed,gpd/ft2 `J trench,gpd/ft2 Recommended infiltration surface elevation(s) ft(as referred to site plan benchmark) Additional design/site considerations 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 ❑S X U [R S ❑ U EIS 1 u ❑ S ,I U ❑S R1 U ❑ S ku SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Ou.Sz.Cont.Color Gr.Sz.SLLh. Bed ,Trench /- w OM X� /M T Ground ZZ— ®yg i�� Xis 6k TfC dS • Z 3 ez". � ft s 8- 7 SIII � '-'/ J-11 s8 Z 5' 1 ��> c� �P P Depth to limiting factor Remarks: 5 Boring# tv Z,,.,... . < A(.j — _ �t 3Z `f�! �C'� "+�V ° e� ��"'n Ground elev. VA, Depth to limiting factor J�in. Remarks: CST a (Please Print) Signature Telephone No. 7/J' - 522 -� _"Ss Date CST Number Al/S ��©�'' v, 4� ��� �-klas3 IV kvr8 9S' ,3 �i 4t"u</c- SOIL DESCRIPTION REPORT ? PROPERTY OWNER Page ^of tJ PARCEL I.D.# , Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary oo 2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. rY is �. Bed ;Trench Ground J3 .3/ d y� 7 ir4-^� ..SJ l T�T6 �„-,7`r" t� S _" L • elf 7` 31- V. . Y f a77/� ' c,� — f�iR;'`1P Depth to `r 3V S / 7.S711 S.C'I �,., V 1`i .� .�. A✓�p /✓P limiting factor '1 in. Remarks: Boring# . £< Ground elev. tt. ' 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. tt. ' Depth to limiting factor in. Remarks: Boring# Ground elev. tt. Depth to limiting factor in. Remarks: SBDW-8330(R.08/95) u A.)01C SOIL DESCRIPTION REPORT y PROPERTY OWNER Page of PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. cM ry�unsell Qu.Sz.Cont.Color Gr.Sz./Sh. Bed ,Trench 52 1/6 1"19A Ylle r Ground t� �3/ d y4 7 A-4 7 J M YY a 7�, j Depth to J— S iT 17 S y to Y �✓P. /i/P limiting factor _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# �f Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330(R.08/95) �b -b 4 rn / � w - • Parcel #: 038-1176-70-000 05/06/2005 0 1 3 PM Alt.Parcel#: 04.31.18.872 038-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 * JEFFREY M&NOREEN W MASON MASON,JEFFREY M&NOREEN W 2364 110TH ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description *2368 110TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.530 Plat: 2170-MALLARD RUN SEC 4 T31 R1 8W PI SE NE LOT 10 MALLARD Block/Condo Bldg: LOT 10 RUN 2.53 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-31N-18W SE NE Notes: Parcel History: Date Doc# Vol/Page Type 02/22/2001 638996 1590/130 WD 03/27/1998 575910 1309/382 LC 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: ast Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.530 34,700 0 34,700 NO Totals for 2005: General Property 2.530 34,700 0 34,700 Woodland 0.000 0 0 Totals for 2004: General Property 2.530 34,700 0 34,700 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