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Wisconsin Department of Industry, SOIL AND SITE EVALUATION /
Labor and Human Relations Page of 3
Division of Safety and Buildings in accordance with s. ILHR 83.09,Wis.
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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 ✓s zwa/X
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.#
APPLICANT INFORMATION- Please print all information. Rev 7y Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)).
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Property Owner VYa S: Property Location
�/Ew3 &.,a 7TE AP-1 13 P�I /J 5 O L Govt.Lot 1/4 SAC) 1/4,S 9 T 2 9 ,N,R E(or(2)
Property Owner's Mailing Address Lot# Block# Subd.Name or CSM#
19ZO 145PE,v PX - .9pr-7#-- 303 z CSAf 07
City State Zip Code Phone Number Nearest Road
�V pS0 W I, SgoI(p ( -71S)38(0_//&0 ❑ City ❑ Village [/Town
Lv_jNew Construction Use: residential/Number of bedrooms `� A ditionto a�f''s�ting building _
El Replacement ❑Public or commercial-Describe: W_r T
Code derived daily flow y�� gpd Recommended design loading rate ' bed,gpd/ft2 '' trench,gp
Absorption area required 37 S bed,ft2 315 trench,ft Maximum design loading rate ' 7 bed,gpd/ft2 ' y trench,gpd/ft2
Recommended infiltration surface;V;/3 S=,05 . 3 ft as referred to site benchmark)
Additional design/site consideratiorTParent material / /I Flood plain elevation,it app ica e ft
S = Suitable for system Conventional �Mound In-Ground PPrresssuure AT-Grad-e,/ System in Fill Holding Tank
U = Unsuitable for system ❑S U2'(J LrJ 5 ❑ U ❑S Ld'U El 5 ❑s [Blu' ❑S
SOIL DESCRIPTION REPORT
Boring# Horizon Depth Dominant Color Mottles Structure GPD/ft2
Texture Consistence Boundary Roots
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench
o- /o IR 3/1- Cs /ro . 7 .8
z W-25 7,s y� �//,Y s 4m YA Cs 1W 7 :_8
Ground 3 7 S Y �� 1�sj� 40
elev.
y/r, kin-ft. -G 7 7,5 yid 5160 IC 14 /?!! /Iyf 7el'
Depth to
����� �v s�E� •� a
limiting 7 yk C L 'ltit
factor
2LY In.
5
5,5- Remarks:
Boring#
/s
2.. o oe 313 An f.40 et�s
3 3l- io G s 11C,5Y,,e /m vy'
Ground 7
elev. Koe
Depth to
limiting
factor SSS
4'�In. Remarks:
CST Name (Please Print) Signature Telephone No.
12 013ER7— ?4L-13RiC:kT - 7� 38C.-aces
Address Date CST Number
5-'1- t[P CSrM 2. y82_
Private Sewage Consultants �-
655 O'Neil Rd.
Hudson,Wis. 54018
ORIGINAL
7�PUESDi/ - SOIL DESCRIPTION REPORT
PROPERTY OWNER / Page Z of 3
PARCEL I.D.# GO 7-
Boring# Horizon Depth Dominant Color Mottles Structure 2
In. Munsell Qu.Sz.Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots
4A Bed ,Trench
Pbl
IS
Ground Z
elev.
Depth to
limiting
factor
in.
Remarks: 14C7-111E- .sib 1vi46� s Fj �T 6f
Boring#
ve
m
u T ,8
Ground _ S t S/ (� ilyj 41,T r✓� / � 3 ' �T
elev.
o s/4/ 919ZM AW, S, d, Y4 a.
Depth to
limiting
factor
Remarks:
$515"
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2
in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ;Trench
Boring #
Ground
elev.
ft. '
Depth to
limiting ,
factor
In. Remarks:
Boring #
Sy
Ground
elev.
ft.
Depth to
limiting
factor
in' Remarks:
SBDW-8330(R.08/95)
# y a
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I3,1�1, Fo u.v f}� supUEYD,t�'S
XP Ar P,W Lo T-
�c QN R 61 tol _ 100.0 ' S3
90 PoU-,JD SYSTEM
Uuf FaRH Co,&J7o uR 0'4E7
rq, (00, -
f3 I
10
If/�HESi TE I
3 /3�it'iys. I
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/3Ae&Aoe. P i rs
E/EV'i TYO.vS
1
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CERTIFIED SURVEY MAP
GORDON TRUESDILL JR.
Part of the Southeast 114 of the Southwest 1/4 of Section 9, Township 29 North, Range
18 West, Town of Warren, - St. Croix County, Wisconsin.
O Indicates 1 x 4" iron pipe N1i4 COR. SEC. 9, T 29N, R /e w,
" 2
,
�� l3/4 X 25 IRON BAR SFr/ N
weighing 1. 13 lbs./lin. f e
R( ) Indicates previously UAI PL A T T E DLANDS
recorded data.
Indicates
N 89 4 4 ' 34 "E 436.00' y 4i
.�--� 2
218. 00' 216.00,
J
Soi 1 $oI/ T�51�
oI �
T m o
LOT QI m M, LOT 2 �
w,
21166 ACRES N 2. 166 ACRES „
� N
o 94, 351 SO, Fr. P 94, 331 SO.Fr. J
WI 3 2.00/ ACRES EXC. R.O.W. 3 m 2.001 ACRES EXC. R.O.W. M M �u
q 87, /58 50, Fr. a 87, 158 50. Fr. m r 4
� rn� ♦ °, N �+ ♦ W
I fn I
Q h 7 M N
^I O h WA rERCOURSE O l� I
`i p �` • c Q
Z ROA .' sErBACK LINE -_ N
o'LP
N 89. 44' 34 "E -�
0 -- -- -- — --- S114 COR. SEC.9, T29N,
2220.60 p 218.00' 218,00
^� 218.00' 436.00' 218. 00' b ,&R/8 W, IRA ILROAG
R/N90.00'00'Wl S89 44 ' 34 "W 2656.60' b SPIKE SErFRom
R1NB9.31 '00"W1 /00TH AVE. COUNTYT/ES/
14 SW CO R, SEC. 9, T 29m, R /8 W,
/COUNTY SURVEYOR Is MONJ U N P L A T T ED LANDS hi,
This instrument drafted by Laurence W. Murphy ��� �
i �LAU EN 40
• ae
m HY
Dated: September 18, 1995 713 Y
N RIVER FALLS
Owner's Address: � F9'••. WISC.
1112 100TH AVE.
Roberts, WI 54023 010 LAND'S,,++�
aurence W. Murphy
Rec stered Land Surveyor
Vol. Page
Certified Survey Maps
St. Croix County, Wisconsin.
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