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HomeMy WebLinkAbout192-1030-40-000f a INSTRUCTIONS FOR COMPLETING FORM 115- SBD - 6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new 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; 6. 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 scale is prefered.A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete all apropriate boxes as to dates,names,addresses,flood plain data,percolation test exemption,if appropriate; 10. If the information (such as flood plain,elevation)does not apply,place N.A.in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10") BR — Bedrock cob — Cobble (3 - 10") SS — Standstone gr — Gravel (under 3") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate med s — Medium Sand W — Well is — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand < — Less Than '1 — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay fff — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance.A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit.The sanitary permit must be obtained and posted prior to the start of any construction. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, .DIVISION L')MR AND PERCOLATION TESTS (115) P.O.MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALI LOT NO.:BLK NO.: SUBDIVISION NAME: SW 1/ �1/ 3� /TZ9 H/R t6 E (or)W woow � – — -- COUNTY: MAILING ADDRESS: l(4 q S,&f"r TE S,T_ Fa Pl\�_pw)ti I w I SY00 2 USE DATES OBSERVATIONS MADE ��y� NO.BEDRMS.: COMMERCIAL DESCRIPTION: R A I TESTS: 2TResidence 3 _P_ LS�New D Replace 6 -Z_�-9 a RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM;(optional) ®S DU D S Elul S ®U ">— S X�tso,�w If Percolation Tests are NOT required DESIGN RATE: r If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: C4CS$ Z 1"1l�U. Q Floodplain, indicate Floodplain elevation: 'v PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST— TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- -? °L-). S 1Vo+uL ? �6 S� I GE Z OF B- Z Z 017,S a ? 71 Z B- $O °l�•3 u b'o B- -3 a�• 2 4 3 � �� B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES "CIC,flATE MINU NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P R PER INC P- - P- P_ 1-�0 ; w s u_ "0 2C 3 D U 1JSl.oPE �1J GE, 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. 1Q qS.? (�:) 4 V.4 L -� O►��hr? l Fl l�li1� SYSTEM ELEVATION © a S' 3 ® 9V.S - _ ' �* a c l�Ts-,�._ .E--........... ..... `'V t [ ,.gyp ^tt ..4 Z0 l.wvyL � E 6` � Soy b S. I F __ !6o �. stsc 3(, 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. VVEGEBER SOIL TESTING NAME print): AND TESTS WERE COMPLETED ON: DESIGN SERVICE b-Z3-90 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): X 74 421 N. MAIN ST. C-57000 S"7(o S RIVER FALLS; WI 54022 CST SIGNATURE: 715-425-0165 pt C, o I= 2 DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. �p _ DILHR-SBD-6395 (R. 10/83) -OVER - SOTL DESCRIPTION FORM (Attach SoiI Profile Location Map On a Suparate Shaetl Cl E T• 1V� GUtV ZSC�h7 LINEM LOADING RATE. Z• ZS PURPOSE Lv�LUHTE C=SR So1L "-%Te-P SL/sTt�! SLOPE• Z%, DESCRIPTION BY L - �����ZER ASPECT' DATE: 2z )9 9 O CURRENT LAND USE: aL COUNTY/STATE: ST` 0-\-,wN-k CpV7-)T W VEGETATIVE COVER: G SS LOT DESCRIPTION: PT-QF SW �'� SK,3S,T259IJs RAw DRAINAGE CLASS: LOCATION: ' ll—N GL CI'F WOO>11U!�,L GALLONS PER 5 . FT. PER DAYS PARENT MATERIAL(s)/DEPTH SOIL SERIES: RIZON OEP1H MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS HO in. moist Gr. Sz. Sh COATINGS �p A16 7.S'-f R 3 S GI-• ZmSblz My Fh- N C S 66 io-tl? s16 - s 1 �Sb �►v F} 0 - e S s r � v � Io�t - O CZ-3 1 Z 1 s i) Zm s b1z m-" _ c S vi ew 37_SO lb` R 31 H? S O S �''1 CIS to / S J b�2 ?►1 V S s o=iz �ctis 6 � 1� Z 7 .3-Z 1b`�R �1/ - S1 � ZmS yvI , _. cS d-4-) -).S f fz 11 Y S eiGH Z M s bbz hn V �- ^Ll ib4R S/6 'Fs sbk )VA cs lb`9R.31 - rno.�S o S m p G Zp+73bk 3 1�- bo 7•S�/R 3/ S �Gh Zmsbk m Mfr-'f� �s 4 6b-�3 �u r tt s l r, — `�s '�'S bk m V'F►^ _. go G S to-IR 31 Z — S 1 1 2m s bk M U'F�- Z -'y 1f,�1-fRL V/Y - si ) '2 M's bk m `4�j 3 ZY-S6 -,).SLfP-31Y S Et zm Sbk lrn\), -=� � -- 56-80 1b-12 S)6 - `F s )'�s bk 3 S 13�11J ��h tut ski w� L lovo 5 F OTHER SITE FEATURES/NOTES: l_ 6,Z3-9b obn s7 6 nn�t Z of Z LIMITING FACTORS/DEPTH: Signature Date CST M l _ � Parcel #: 192-1030-40-000 04/01/20P E I OF AM 1 PAGE 1 Alt. Parcel M 36.29.16.300E 192-VILLAGE OF WOODVILLE Current [� ST. CROIX COUNTY, WISCONSIN Ma # Sales Area Application# Permit# Permit Type #of Units Creation Date Historical Date p pp y 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-VILLAGE OF WOODVILLE VILLAGE OF WOODVILLE 102 S MAIN ST PO BOX 205 WOODVILLE WI 54028 Property Address(es): *= Primary Districts: SC =School SP=Special Type Dist# Description SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Notes: Legal Description: Acres: 0.000 ALL THAT PRT OF SW 1/4 NW 1/4 SEC 36 T29N R16W DESC. IN VOL III PAGE 798 CSM, Parcel History: EXC LOTS 1,2,3&4.THIS IS STREET AS Date Doc# Vol/Page Type SHOWN IN CSM 679/27 07/23/1997 679/27 Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *N/A-NOT AVAILABLE 36-29N-16W 2014 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/09/1996 Description Class Acres Land Improve Total State Reason OTHER X4 0.001 0 0 0 NO Totals for 2014: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2013: General Property 0.000 0 0 0 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 00"3 ti:3-e�r e X10 , aOA'ananS pueI paaaISL6aa `MS3nN '9 SHWO 1 Q" '6L6 L 30 AVO t� 22 SIHi ORVO •awes 844 6uLddew pup 6uLpinLp '6uLRanans UL XLOaO •qS jo k4unoO aqj pue aLLLApooM JO 96eMA aq4 jo suolIpLn6aa UOlSLnLpgns aqj pup sa4n4p4S uLSUOOsLM 844 J0 9£Z aa4deg0 jo suoLSLnoad aqj qq.m p@LLdw00 A'LLnj aneq I jegl •apew joaaagq uoLsLALpgns 944 pup paRanans pueL aq4 JO sa Lappunoq ao LA)4X,3 L Le JO uoL4e4uasaadaa goaaao0 e SL 4p Ld Bons 4eq.L •q4 LwS weLLLLM 10 uoL40aalp aq4 Rq 4eLd pup uOLSLALp pupL 'A'anans qons apew aneq 14e41 •ssaL ao aaow 's9a0e 00' L suLe4uO3 Laoaed pLPS '6uLUUL6aq JO 4u Lod aq4 oq '4aal WON "M „85 .b0 000 'N aouagl °IaaJ 00'SVL "M ..Vt .6Z 098 'N a0ua41 °4aaJ Lb'00£ ' '3 „89 .to 000 'S a0u841 !4aa�. 00'SVL ' *3 „bb .6Z 098 'S 6uLnuL4uOO aouagl !6uLUUL6aq JO 4u Lod aqq oq '4aal 90'LLL ' '3 ,Vt .6Z 098 'S a0u841 °9£ UOL409S pLeS 40 a8uao0 V/L 4saM a44 qP 6uL0u9wwoO :sMOLLOJ se pagla0sap RLapLnOL4aed aaow 'uLsuoOSLM 10 ajp4S 'XLoaO '4S jo 44uno0 'aLLLnpOOM JO 96elllll `M9Ld `NRi `9£ uOWaS JO th MS a44 JO V/L MN aq4 jo ;apd a paddew pup papLALp paA'anans anpq 14pg4 kjL4aao Sgaaaq 'aoA'ananS pueg paaa4sL6aa `MS3f1N '9 SHWOHl I SaNTI a3.l.lV-IdNn M b 6Z u99 N ..•N�ns ON wb �•�, 0962. p\�4o O s j• 'S SIIMIONI •i w_ Z. 3 Z: d-/8-1 Z09'I ONIHOOM 008 O 3 J� w Q. NOW ONnOa,0£x„b/£ 13S � � g - to O - 0WO �gMgl S Q: o g *SMIOd 00'1 M o WoOZI 09 0£ 0 Wwwoo to ��tl w� 8 l0'1 z �� at cc� a: a: a J; Z: V Z: �' 3„99,bO WS'ONIMV38 Oj s 03Wnssv'M918'N6Z1'9£ '33S 30 3N11 ISM 3Hl p13ON383338 DNIad39 w0 ,F ............. ..... ,. 098 S ' 9O' , 09SO 3„” o noe.S••••..• CV08 d ' 19£'O3S .a O b/I M ................... ,9 9 o • 097—'ON 90nanS pa L_4 L4J@O se o9g a6ed 'sdeW RananS pa LJ L4aaO _46 7 awn LOA UL paq LaOsap 'uLsuoOSLM JO a4e4S 'XLOaO '4S jo k4uno0 'aLLLnpOOM JO 96pLLLA '4saM 9L 86ued `44aON 6Z uMOl `9£ uOL4OaS JO M 4saMg4nOS a44 JO th 4saM WON 944 JO Wed 0 dHW A3Abns 03IJIMO 0 CERTIFIED SURVEY MAP 798 Part of the Southwest 1/4 of the Northwest 1/4 of Section 36, Town 29 North, Range 16 West, Village of Woodville, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, page 7�': ' as Certified Survey Number 798 t el 356679 I UNPLATTED LANDS g 33.07' N 860 22' 15!'W 1304,28' f i B¢,° 350.00' 954.28' 84 of b*04 w LOT 1 0 °- LOT 2 .Z 9 .84 ACRES* .11.93 ACRES* •':'U - Q C ,r p :o o •Z gO W EXISMNG HOUSE Z : 0 0 r— •m T N p ;> 0_ '^{ m :M 'r •� ACFQ9E o Z ;O ; 1 N�Z o?ZZ 00 M :N •0 w ,D •D °' _ .Z •p N w :p • w ;cn O P Y O A8° I0 4c/ 1 ^ 0 6 10,8 1 ACRES* A) 0 I S89°55' "1V' z X100.00 ��� °o 0 0z100.0o• - °m o N89 055'02"E LOT 4 L,, o 1 5.92 ACRESI o 600 91' 789.65' 510.00' ;U S890 29' 44'E 1299.65 (n. 33.06' yjNPLATTED••. LANDS .0 n .............. m 0 X RADIUS CHORD ARC CURVE NO. LOT NO. LENGTH LENGTH LENGTH CHORD BEARING CENTRAL ANGLE TANGENT BEARING 1 — 2 1 177.34 157.36 163.04 N.63034 144"E. 52040'34" N. 89U-5-5770211 E. ' M 3 — 4 60.00 ' 66.00 307.11 S.52 45 32"E. 293015'58" N. 19u 23 31 " W. y 1 90.43 102.42 N.29030'42"E. 97048'26" : D 2 80.55 88.32 S.59 025'08"E. 84 019'54" 3 60.00 98.97 116.37 S.38 0 18 38"',,,J. 111007'38" 38 5 — 6 4 243.34 215.93 223.72 S.63034'44"W. 52 4O'34" S. 370 14' 28" W. 1, *w AIN BEARING REFERANCE TO } • q10- THE WEST LINE NW 1/4 jpp�s$ y LEGEND SEC 36,T 29N R 16W • ASSUMED,BEARING • 3/4"x 30' IRON ROD N 00°04 58 W kqmp# i S-130 � WEIGHING L502 LB/LF SCALE I"=200' • RR SPIKE , 0 100 200 400 ICI S � ♦♦♦ ♦� 61fors 6�� Volurle 3 Page 798 SHEET 1 of 3 0 CO) O it' 3 v n d _1 o S, c o A A. 4t C: ft C z O 3 N O , O oN J o C 7 CD S N v S W � I•I !V• M O ►yf `A\ CL < w @ O O_ O n N (-0/1 (D < C, 0 A N O = 7 O N CL S 3 f%1 a ':, < O C N (D w cn � D V-azo�o W O CD y 'i W W N) 3 - : N 3 O c lot L 3'z L y rr C Z � 3 c I �_ O d lV• ou 0 0 < r 000 <• U) r-3 � � � � < N Oro v tnv, �n � 0 0 0 CL _ o C- m 0 ww r. CD A _ m o m a � 0 0 z -1z N o O D , CD CD rn 7 7 m O c (a a m m CD (6 47 I • C� N a) < (O CL z •� A T1 C r: Z m z Q A O d a G QCD C O N t `� z a aDo 0 �o I -a c 0 3 o m y N .0 C Qp i C O ti (p N CD ti Q b N � tv O a Parcel #: 192-1030-10-000 04/01/2014 09:53 AM PAGE 1 OF 1 Alt. Parcel#: 36.29.16.300B 192-VILLAGE OF WOODVILLE Current ❑X 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 0-GUNDERSON, RANDY W& ROXANN M RANDY W&ROXANN M GUNDERSON 200 SQUIRRELS RUN WOODVILLE WI 54028 Property Address(es): *=Primary *200 SQUIRREL'S RUN Districts: SC=School SP=Special Type Dist# Description SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Notes: Legal Description: Acres: 10.930 SEC 36 T29N R16W PT 0 L 69 11.93A LOT 2 OF CERT SURVEY MAP IN VOL III PAGE 798 Parcel History: ORD VIL WOODVILLE Date Doc# Vol/Page Type 07/23/1997 1037/264 WD 07/23/1997 746/501 07/23/1997 746/500 07/23/1997 746/499 Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *0798-CSM 03-0798 192-79 36-29N-16W SW NW LOT 02 2014 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/22/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 11.930 82,300 157,000 239,300 NO Totals for 2014: General Property 11.930 82,300 157,000 239,300 Woodland 0.000 0 0 Totals for 2013: General Property 11.930 82,300 157,000 239,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 149 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00