HomeMy WebLinkAbout038-1182-60-000 Wisconsin Departmentdfindustry; SOIL AND SITE EVALUATION 3
III'LTAand Human Relations Page of
ivision of safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 4 �•�
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. Par #
APPLICANT INFORMATION Please print all information. R dlt ed b „ . Tate
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). ? i '
Property Owner Property Location
C ar Govt.Lot 1 N44 ,r ,. l PE(o W
Property Owner's Mailing Address Lot# Block# Subd. W, CSM#
City State Zip Code Phone Number ❑ City Village To n NearesPhoad
New Construction Use: AResidential/Number of bedrooms�O� Addition to existing building
Replacement ublic or commercial-Describe:
Code derived daily flow.- SO pd Recommended design loading rate bed,gpd/ft2 i � trench,gpd/ft2
Absorption area required 6 Yabed,ft2Z 3 t ?
rench,ft2 Maximum design loading rate= bed,gpd/ft2, V trench,gpd/ft2
Recommended infiltration surface elevation(s) rf ,?� g,-,?,Q � �i It(as referred to site plan benchmark)
Additional design/site considerations A /
Parent material Flood plain elevation,if applicable /!/ ft
S = Suitable for system Zentional Mound In-Grow d Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑ U L;KS ❑ U ❑ U ❑ U ❑ S U ❑ S
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD/ft2
g Texture Consistence Boundary Roots
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh.
bed , Trench
e
Ground v_ ✓ D ��'✓ , �, , 8
Depth to
limiting
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t 7 Remarks:
Boring#
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Ground
e r
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limiting
fac or
in. Remarks:
CST Na (Please Print) // Signature Telephone No.
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Address Date C T N unjber
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C L DESCRIPTION REPORT -
PROPERTY OWNER O ` Page of
PARCEL I.D.#
Boring# Horizon Depth Dominant Color Mottles Structure 2
'WI_E R in. Munsell Qu.Sz.Cont.Color Texture Consistence Boundary Roots
a� , r. �; Gr.Sz.Sh. Bed ,Trench
Ground 3 Z� lot i
Depth to
limiting
Remarks:
Boring#
-,2 a .-4/0
Ground
Depth to
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factor
, adn.
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 # 5, !�'
Ground
V.
� ft.
�ept"Yto
limiting
f� Remarks:
Boring #
...........................
...........................
...........................
Ground
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Depth to
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Remarks:
SBDW-8330(R.08/95)
1
a
Soil Test Plot Plan
Project Name Charles Borgstrom Byron Bir
Address 2033 Co. Rd C
Somerset Wi 54025 STM #3479
Lot 6B Subdivision Country Livin Date 9/25/96
SW 1 /4SE 1 /4S20 T 31 N/R18 W Township Star Prairie
❑ Boring () Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Property Line Marker
System Elevation 97.0 *H R P Same as Benchmark
County Road C
RN
10
00
r
1%
587' 13-2 Slope 80' B-1
Property
Line Pri A
5'
B-3 40'
30'
Rep A 5
25'
B-5 80' B-4
5'
AB.M.
186' Property Line
I
Parcel #: 038-1182-60-000 03/18/2005 10:33 AM
PAGE 1 OF 1
Alt. Parcel#: 20.31.18.916 038-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
*
CHARLES H&DOLORES S BORGSTROM BORGSTROM, CHARLES H&DOLORES S
2033 CTY RD C
SOMERSET WI 54025
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *2029 CTY RD C
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: 0204-COUNTRY LIVING FIRST ADDITION
SEC 20 T31 R1 8W W1/2 SE1/4 LOT 6 Block/Condo Bldg: LOT 06
COUNTRY LIVING FIRST ADDITION 5 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-31N-18W
Notes: Parcel History:
Date Doc# Vol/Page Type
2004 SUMMARY Bill M Fair Market Value: Assessed with:
31108 45,000
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 47,000 0 47,000 NO
Totals for 2004:
General Property 5.000 47,000 0 47,000
Woodland 0.000 0 0
Totals for 2003:
General Property 5.000 23,500 0 23,500
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
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