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HomeMy WebLinkAbout042-1079-40-100 1;> / 1 Vtsconsin Department of Com er 3 • ► L EVALUATION REPORT Pag'b of Division of Safety and Buildin �' �� 'A�draance with' `o m 85,Wis. Adm. Code - Attach complete site Ian rr {v' County 5'T Cie0l X p ¢ p�per s�s��8 11 i els in size.Plan must include,but not limited to:i/erfiol a igbFizori I erence ABM),direction and Parcel I.D. 007 �/� 4 S percent slope,scale or dimensions,north d locati an distance to nearest road. q y • /07?, •.gyp Please`pri ��Ea ' il. Revi ed by Date Personal information you provide may lie•USe .t r seco s(Privacy Law,s.15.04(1)(m)). �16 p Property Owner Property Location W .!�0o D E R so,,S _ Govt.Lot W 1/4 1/4 S 2 ( T 2-! N R /,? L-(per)W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# s 9 /D 3 ,e p -5V csm City State Zip Code Phone Number City ❑Village 0 Town Nearest bad �OBe#PTS ��• s�6 z3 pis) ? • 3 35L Gv,F,eAe /o 3 q,4 ST• New Construction Use:&Residential/Number of bedrooms Code derived design flow rate 6ptTO GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable A11,4= ft. General comments S'r�7E TSS -4 ��¢01;f ,9 LO,06-- /lam ,PjPac�j and recommendations: `f 11 ova p S ys72�,4 .5:� 3 © Boring# ❑ Boring /0�• 37 .1_ , lon,��' ' Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 o•8 16 /,e 3/ _ G. HSAk f"? es -- - ,Y • (t., 2 •z3 /0 YX — 51 1- L f shy /j►'1�iP — s,, 3 i3 -39 ioYR l(o nom• S. o 7 i z •5o /0 YIP/ 5/47oeAT SL /f s �i' Q S _ . y S O 11. /O 1-f fi S 7S q, — Z- f .f• H oYS D Z a Boring# ❑ Boring /0/' J 2 5 f� 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/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. -Eff#1 •Eff#2 o'16' /aYX 2 /fslt A,+-tc,e w - Y 3 3 S 10 YRY f 2"S,/J /h, G GcJ S.z • ioYR ` Czv /10 s CG /�'S AA-fl, 1 • 3 io y,C 4;12- y Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature CST Number 'Rog e ?1— 7f1Q1?1'C1j% z.2_4! 37 S' Address Date Evaluation Conducted Telephone Number of 7tS • 386 �i Ulbricht&Associates Private Sewage Consultants 655 O'Neil Rd. Hudson,Wis. 54016 0 1 r Property Owner J• A u s Parcel ID# /O7 T D Page Z of Boring# ❑ Boring -Pit Ground surface elev. � ft. Depth to limiting factor fn. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 / D 12 16!112 Ll L Z f.s,lh S> / .2 /o yk 3/3 /f s It*7 CS -7S /oy19s Gz Mors c� /�sl� '� �a V G/Z s YR /lam ❑ 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/ftz In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 i i I i i F] ❑❑ Boring � Boring# Ground surface elev. ft. Depth to limiting factor In. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 I I Effluent#1 =BOD6>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD5<30 mg/L 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(R.6100) i ft • - 3-of - — 5 Ulbricht&Associates Private Sewage Consultants 655 O'Neil Rd. Hudson,Wis. 54016 i I . 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Parcel#: 29.29.18.451A-20 042-TOWN OF WARREN Current ❑ ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-ERICKSON, QUINN T& BRENDA L QUINN T&BRENDA L ERICKSON 1320 4TH ST HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description "776 103RD ST SC 2422 SCH D ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 7.260 Plat: 4125-CSM 15-4125 042-2001 SEC 29 T29N R18W PTS SW NW&SE NW BEING Block/Condo Bldg: LOT 04 CSM 15/4125 LOT 4 7.260AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-18W NW Notes: Parcel History: Date Doc# Vol/Page Type 11/21/2008 884595 EZ-U 09/11/2006 834190 EZ-U 07/02/2002 683296 1921/331 WD 11/12/1979 361093 604/220 WD 2011 SUMMARY Bill#: Fair Market Value: Assessed with: 149351 75,400 Valuations: Last Changed: 08/06/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.260 61,200 20,500 81,700 NO Totals for 2011: General Property 7.260 61,200 20,500 81,700 Woodland 0.000 0 0 Totals for 2010: General Property 7.260 61,200 20,500 81,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount 018-RECYCLING SPECIAL CHARGE 37.06 Special Assessments Special Charges Delinquent Charges Total 0.00 37.06 0.00 Parcel #: 042-1079-40-085 07/27/2007 05:12 PM PAGE 1 OF 1 Alt. Parcel#: 29.29.18.451A-07 042-TOWN OF WARREN 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-ANDERSON, DONALD D&EDIE R DONALD D& EDIE R ANDERSON 736 107TH ST ROBERTS WI 54023 Districts: SC = School SP=Special Property Address(es): '=Primary Type Dist# Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 47.465 Plat: N/A-NOT AVAILABLE SEC 29 T29N R18W 40A SW NW EXC CSM Block/Condo Bldg: 15/4125 EXC AS DESC IN QC-1771/134&EXC CSM 16/4355& EXC AS DESC IN QC 2252/258 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) & EXC CSM 17-4543 ALSO INCL SE NW EXC 29-29N-18W SW NW CSM 12-3263& EXC PT TO CSM 15-4125& EXC PT TO CSM 16-4355 Notes: Parcel History: Date Doc# Vol/Page Type 09/02/2003 738334 2396/299 EZ-U 05/23/2003 722741 2252/258 QC 08/19/2002 687457 16/4355 CSM 11/26/2001 662986 1771//134 QC more 2007 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/22/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 31.465 7,600 0 7,600 NO AGRICULTURAL FOREST G5M 16.000 24,000 0 24,000 NO Totals for 2007: General Property 47.465 31,600 0 31,600 Woodland 0.000 0 0 Totals for 2006: General Property 47.465 31,600 0 31,600 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