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HomeMy WebLinkAbout038-1116-90-300 -)ESART,'MENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, , DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 HUMAN RELATIONS \ v MADISON,WI 53707 (H63.0911) &Chapter 145.045) 03 0 —��16 '/'Q 66 LOCATION: SECTION: TOWNS HIP/N I ffY: OT N .:BLK.NO.: SUBDIVISIO NW '/Vi 29 /T31 N/1118 J6,41 w Star Prarie 3 n/a n/a COUNTY: OWNER'S AME: MAILING ADDRESS: -7 P �a St. Croix LaVina Sontag 11991 Co. Rd. #C erset Wi. 54025 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: E ATION TESTS: 99Residence 3 n/a �ew ❑Replace 6_27_90 n/a RATING:S=Site suitable for system U=Site unsuitable for system �tit CONVENTIONAL:IMOUND:OU IN-GRnnOUND-PRESSURE: SYSTEM-IN-FILLHOLDINGTANK: RECOMMENDED SYSTEM:(optional) S ❑U U S ❑U Lx S ❑U ❑ ®U ❑S ®U conventimAl If Percolation Tests are NOT re wired DESIGN RATE: Q C1aSS 2 If any portion of the tested area is in the n/a under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: decimal' PROFILE DESCRIPTIONS page COD2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEM+M, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- 1 6.91 107.40 none >6.91 .83bl.1. 1.33bn.l.s. 4.75bn.m.s. B- 2 7.00 107.59 none >7.00 .92bl. l.s. 6.08bn. l.s. B 3 6.92 106.40 none >6.92 1.25bl.1. 1.25bn.s.l. 4.42bn.l.s. B 4 6.58 103.85 none >6.58 .83bl.1. 2.25bn.l.s. 3.50bn.m.s. 2 n B- 5 6.50 104.35 none >6.50 .33b1.1. 1.67bn.s.l. 3. 5b .l.s. 1.25bl.sil. B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 CH P- P- P- P_ P_ PLOT PLAN- Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 103.59 ; t ; t �9 I t - _ � _ TN t ; ; I t t E 1 i j �� - MIN ; 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pro pr�es an rr64h js specified in the l cons in Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledg ;belief. jf ,P ..•i j.70 NAME(print): TESTS WERE PIN/n7-} c j Gary L. Steel 6-27-90 c`: ���FF! ADDRESS: CERTIFICATION �ER: PHO N (optional): 988 N. S ore Dr. , New Richmond, Wi. 54017 2298 dJ 7 T 200 CST S I G N AT4W. . - DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — V INSTRUCTIONS FOR COMPLETING FORM 115 - SR - 6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2, The use sec=tion must clearly indicate whether this is a residence or commercial project; 3, MAXIMUM number of hedrooms or commercial use planned; 4. Is this a nevv or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; C. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7, MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be users if desired; B, Make score your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9- Complete all approps,iate boxes as to dates, names, addresses, flood plain data, perccolalion tryst exernp- tion, it appropriate; 10, If the information (such as floQd plain, el€;vatio,i)does not apply,place N.A. in the appropriate box; 11, Sign the form and place your'curient address and your certification number; 12, Make lcgihle copies and distribute as required. ALL SOIL, TESTS MUST BE FILED WITH THE LOCAL AU'iHORITY'AITHIN 39 GAYS OF COMPLETION, ABBREVIATIONS FORC'ERTIFIED SOIL. TESTERS Sail Separates,and Textures Other Symbols st — Storw (ovor 10") BR Bedrock coh — Cobble (3- 10") SS — Sandstone gi, - Gravel {under 3") LS Limestone -s Sane! HGW — High Ground cater c __ Coarse Sand Pet c - Percolation Rate reed s Medium Barad W -- well f's -- Fine Sara Bldg -- 13t il(,I irg Is — Loorny Sand -- {.'treater Than sl — Sandy Loarn -- Less Than *l — Loarn Bn — Brown sil __- Silt Loam BI — Black si — Sill Gy --. Cray cl — Clay Loam Y — Yellow scl Sandy Clay Loarn R Fled sicl Silty Clay Loarn root: — Mottles sc Sandy Clay vv/ — with sic Silt', Clay ffi few, fine,faint r _ Clay cc — comcao,coarse Peat w r7 — Many, medilorn nn — muc;c d distinct p € i ominent HWL — High water level, Six general soil textures surface Water for liquid tnraste disposal BM — Bench Mark VRP — Vertical Reference Point 4 TO THE OVVN CR, ;;Oil fEpal i is thi^ first stole it)sr)mli'lig a San?tary pertnrt. Igoe cow-sty prthe Departs(writ may request ,E "Gael „i of aE)ts so,! test in ttt,-� field j)Jor to t-)ermr-t issuc)nci,, A a olnplew 301 it p3'ans for the private r €- lt",€ 4Vs i r.rrnit _3;fir ,.atlun r=sus. be stibr))"tted iek the: ai>t)roprriate local a.it,.),,r.i,y an order to , p).,;:'iri ,ne s aP army ! . nlil Lri>.htdiicwE -] ,o;d nosted imor 10 :he Start Of asiy COPIStilaCtion, Parcel #: 038-1116-90-200 03/31/2005 11:07 AM PAGE 1 OF 1 Alt. Parcel#: 29.31.18.488K-2 038-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 *MCCLUSKEY, ROSEMARIE T&DAVID F ROSEMARIE T&DAVID F MCCLUSKEY 1991 CTY RD C SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Prima Type Dist# Description Q"T- 6 SC 5432 SCH D OF SOMERSET17 SP 1700 WITC r escription: Acre 1.540 Plat: N/A-NOT AVAILABL SEC 29 T31 N R1 8W PT NW NW LOT 3 CSM Block/Condo Bldg: 8/2243 1.54 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-31 N-1 8W I Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1158/436 QC 07/23/1997 1158/435 PR 07/23/1997 1148/98 PR 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 30594 11,900 Valuations: st Changed: 10/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.540 12,400 0 12,400 NO Totals for 2004: General Property 1.540 12,400 0 12,400 Woodland 0.000 0 0 Totals for 2003: General Property 1.540 10,800 0 10,800 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 Parcel #: 038-1116-90-000 06/28/2007 11:33 AM PAGE 1 OF 1 Alt. Parcel#: 29.31.18.488K 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-HILES, DORI E DORI E HILES 861 PARK PLACE MENDOTA HEIGHTS MN 55118 Districts: SC =School SP=Special Property Address(es): '=Primary Type Dist# Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 2.110 Plat: N/A-NOT AVAILABLE SEC 29 T31 N R18W THAT PT NW NW SEC 29 Block/Condo Bldg: T31 N R18W AND PART SW SW SEC 20 T31 N R18W KNOWN AS LOT 2 CSM 7/2055 N/K/A LOT Tract(s): (Sec-Twn-Rng 40 1/4 160>1/4) 2 CSM 8/2243 2.11AC INCLUDES P352D 29-31 N-1 8W C Notes: Parcel History: Date Doc# Vol/Page Type 05/05/2006 824465 QC 07/23/1997 877/128 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.110 57,700 600 58,300 NO Totals for 2007: General Property 2.110 57,700 600 58,300 Woodland 0.000 0 0 Totals for 2006: General Property 2.110 57,700 600 58,300 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 f G " D Ile, FILED. r FILEDr JUL 191990m- '9 JAMES O'CONNELL 460622 2 sc c`roi><°co wi . 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CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): '=Current Owner " DAVID M&DORI E HILES HILES, DAVID M &DORI E 702 ROSE AVE ST PAUL MN 55106 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 2.110 Plat: N/A-NOT AVAILABLE SEC 29 T31 N R1 8W THAT PT NW NW SEC 29 Block/Condo Bldg: T31 N R1 8W AND PA 2 T31 N T 2 CSM 7/20 /K/A LOT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 29-31 N-1 8W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 877/128 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 30592 55,800 Valuations: Last Changed: 10/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.110 57,700 600 58,300 NO 7 Totals for 2004: General Property 2.110 57,700 600 58,300 Woodland 0.000 0 0 Totals for 2003: General Property 2.110 51,300 1,000 52,300 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