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038-1112-40-200
Wisconsin Department of Corn erce Zp�POIL EVALUATION REPORT Page ( of 3 Division of Safety and Buildings pp � MM�if.�ccordance with Com 85,Wis. Adm. Code County-S4-- 0^ ; !''• Coun x Attach complete site plan on pa r not( "A\6 �\�, in size.Plan must include,but not limited to:verti and t1�' 1=e int(BM),direction and Parcel I.D. /ri� pry , /12 Q '7_— �p percent slope,scale or dimensio ,no and location and distance to nearest road. (/ Q Please print all information. Re ' wed by Date Personal information you provi may b7 sod for nda urposes(Privacy Law,s.15.04(1)(m)). k J, 21 S Pnperty,QHmer Property Location Q Govt.Lot 11450114 S I T 31 N R E( ) Property Owne Mailing Address Lott#� lock# Subd. Name r CS? D . $1 City State( Zip Code Phone Number ❑City ❑Village &Town Nearest Road New Construction Use- esidential/Number of bedrooms _ Code derived design flow rate ys'� GPD ❑Replacement ❑ Public or mmeraal-Describe: Parent material Q ,�� � Flood Plain elevation if applicable ft. General n data and recommendations:S'ys Gc Z31? SQ e- Cis Ong# Boring Pit Ground surface elev._!_11 ft. Depth to limiting factor //0 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. nq_ •Eff#1 -Eff#2nn ®^ L S C� 1 46 .V p f ----� 172 �✓l r✓/ - 7 1 cj3-(a ® Boring# - Boring �� 9 / it Ground surface elev ft. Depth to limiting factor—�/L/ /_/ 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 Ile 3 s� 0 •Effluent#1 =BOD >30<220 mg/L and TSS>30< mgA- 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L CST Name(Please Print) / re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 _ _ 715-246-4516 I R Property Owner_ Parcel ID# Page of F1 Boring# Boring 9 pit Ground surface elev./ ft. Depth to limiting factor in. CS.'D Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Dlff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#2 0 II I, a 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/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2 I III I F-1 Boring# C]11 Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDlff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BODE>30<220 mg1L and TSS>30<150 mgA. 'Effluent#2=BODS<30 mg/_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(RbPoO) J Soil Test Plot Plan Y Project Name Raymond Fagnan Shau rd Address 973 192nd Ave New Richmond Wi 54017 C& #226900 Lot 4 Subdivision ------- Date 3/8/04 NW 1/4 SW 1/4S 28 T 31 N/R18 W Township StarPrairie Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 93.6/93.5 *HRpSame as Benchmark Alt. BM Top of 1/2" Pipe @ 96.7' 250' Property Line 12% 30' _ 0 B-3 5' 25' 98' B-2 * 10' 99,; 30' B.M. 0' AIt.20' 65' 1 - B.M. /1 2% 350' Property Line Scale is 1" = 40' unless otherwise noted 351' Property Line I 192nd Ave Ii Parcel #: 038-1112-40-200 06/29/2007 11:11 AM PAGE 1 OF 1 Alt. Parcel#: 28.31.18.476E 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): O=Current Owner, C=Current Co-Owner O-ENGSTROM, JON E JON E ENGSTROM 971 192ND AVE NEW RICHMOND WI 54017 Districts: SC =School SP=Special Property Address(es): *=Primary Type Dist# Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 2.127 Plat: N/A-NOT AVAILABLE SEC 28 T31 N R1 8W PT NW SW BEING LOT 4 OF Block/Condo Bldg: CSM 10/2811 2.127 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-31N-18W Notes: Parcel History: Date Doc# Vol/Page Type 09/28/2005 807761 2897/498 EZ 09/29/2004 775614 2665/277 LC 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.130 32,700 0 32,700 NO Totals for 2007: General Property 2.130 32,700 0 32,700 Woodland 0.000 0 0 Totals for 2006: General Property 2.130 32,700 0 32,700 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 Y � • F FILED 1 A 11 G g 0 1994► S ?+ JAMES O'CONNELL Register of Deeds 9 SL Croix Co.,Wf 520784 CERTIFIED SURVEY MAP y� LOCATED IN THE NW 1/4 OF THE SW 1/4 OF SECTION 28, T3 1 N, R18W, TOWN O STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. W 1/4 CORNER SECTION 28 OWNER & SUBDIVIDER T31N, R18W RAY FAGNAN 973 192ND AVE. NEW RICHMOND, WI. 54017 O N o rn `' U N P L A T T E D L A N D S � I o S 89°04' 34" E S 89°04' 34" E ° 250.64' 66' 250.85' cn l cn z rn h '- ol v11 L�jI vi QI � c.il�l�l J 3 QI °1 LOT 5 ° J w 1 z co 0) 1 m �o "' b 2.126 AC. f _ cO of M^ 2.127 AC. t M t– ? w ,n 92,606 S.F. t ,a w w rn 92,646 S.F. f o - ao INCLUDING TOWN ROAD U) w ^ a� I–I - INCLUDING TOWN ROAD N o Cv �' 2.008 AC. * c+� N I r„ 2.017 AC. f co a 87,483 S.F. t � 87,874 S.F. JI o EXCLUDING TOWN ROAD QI EXCLUDING TOWN ROAD o tZl N ° – – – JI °° _ _ _ o0 �I�I ZI Z �I z �v �ICDI ai �� � z I I I I 100' � 100' �IJIC71U1 m :: °q � c3 15 N S 88°49' 19" E 250.66' 1 7 __ _ N 88°49' 19" W 250.68' 250.64' 66.00' 250.65' - - - - - N 89°0434" W 567.29- - - - - - ' - - ^ — POINT OF BEGINNING H LINE OF THE NW–SW —CENTERLINE OF ROAD SOUT 192ND AVENUE Ca 1 u:1, cli Nth SCALE IN FEET ( I� 0' 25' 50' 100' 200' 1 �I� LEGEND 1 I CD COUNTY SECTION CORNER z B MONUMENT FOUND. SW CORNER 1" IRON PIPE, FOUND. SECTION 28 T31N, R18W o 1"x 24" IRON PIPE, �V�� z WEIGHING 1.68#/LINEAL Phi ROVED ¢ FOOT, SET. m _ _ 100' HIGHWAY w SETBACK LINE AUG 2 9 '941 ST. CROtX COUNTY car ixehensivo Ptaxu* Zoning and C *s ComcWtteQ THIS INSTRUMENT DRAFTED BY DARIN PLATER PAGE 1 OF 2 If not rOcorded within 30 days of VOLUME 10 PAGE 2811 4 W;u-val date app v ni-'4, 71718 w.Sonsin Department ofIndustry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division of Safety&Buildings in accord wi .05,Wis.Adm. Code COUNTY . �7- 1.i'b Attach complete site plan on paper not less than 8'7)' inches in size ust include,but not limited to vertical and horizontal reference poi t directi�and%o scale or PARCEL I.D.# '\\ dimensioned, north arrow,and location and dist nce to nea F� 'dF.'T� ~ R24490 ED BY ATE APPLICANT INFORMATION–PLEASE PRINT ALL IN ��/� I �7 PROPERTY OWNS w P TY LOCATION + . .Y... OT 1/4 /4,S T N,R E(or) �. s w1 PROPERTY 0 NER':S AILING A .r # „�IV7 9 DD SS r� �,� ' _, ,1�, BLOCK SUBD.NAME OR CSM# `y CITY,STATE ZIP CODE PHONE BAR' CITY ❑VILLAGE ,©'GOWN NEAREST ROAD New Construction Use V4 Residential/Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow ` 5d gpd Recommended design loading rate –2 bed,gpd/ft2 - ��trench,gpd/ft2 Absorption area required bed,ft2 5613 trench,ft2 Maximum design loading rate_,_2 bed,gpd/ft2 . g 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 A11A ft S=Suitable for system C NVENTIONAL MOUND IN-GROUND PRESSURE I AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem S ❑U 19S ❑U IRS El S ❑U El IZU ❑S f[II SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft .................. in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench Ground lev. ft. Depth to limiting factor Remarks: Boring# o- a Idqr 3 Ground elev. ��t. Depth to limiting factor °2 Remarks: CST Name:—Please Print Phone: ro.. — — /{ Address: Q0 ✓� r Signature:O Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page_af�_� PARCEL IX # Depth Dominant Color Mottles Structure GPD/ft Boring# Horizon Texture Consistence Boundary Roots in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. FBed ITirench y Ground elev. Depth to limiting factor �Ze Remarks: Boring# / 0-1a 3/-z �f es. Ac -S 6 .Il _ 2 Ground.. le . ?ft. Depth to limiting factor 7� 3,8 Remarks: Boring# 0-a jD "3 As z5va4 CS If— 7 e ................. Ground ,aley. Depth to limiting fact .2. 3 Remarks: Boring# Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) • Soil Test Plot Plan Project Name Ray Fagnan Byron Wrd Jr. Address 973 192nd Ave. New Richmond Wi 54017 CS 3479 Lot 4 Subdivision Date 7/13/94 NW 1 /4 SW 1 /4S28 T 31 N/R 18 W Township Star Prairie ❑ Boring () Well PL Property Line County ST. CROIX , BM or VRP Assume Elevation 100 ft.Top of P.L. Stake System Elevation 93.4 *H R P Same as Benchmark 161' P.L. 15' 15' 0' * M. 150' P.L. 0' 0' 0' 2% Slo e -2 -4 0' 0' 15' 15' B-3 ° 11% Slope o b t~ &-1 &-5 � N a C N Pro 3 Bedroom House Area 350' P.L.