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Parcel 022-1053-90-000 04/12/2007 04:59 PM
PAGE 1 OF 1
Alt. Parcel 19.28.18.295A 022 - TOWN OF KINNICKINNIC
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 - LUBICH, PAUL J & SANDRA A
PAUL J & SANDRA A LUBICH
909 CHAPMAN DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 909 CHAPMAN DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 40.010 Plat: N/A-NOT AVAILABLE
SEC 19 T28N R18W SW NW EXC P295B Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 941/482
07/23/1997 710/578
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/10/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 22.000 3,000 0 3,000 NO
UNDEVELOPED G5 2.010 200 0 200 NO
AGRICULTURAL FOREST G5M 14.000 28,000 0 28,000 NO
OTHER G7 2.000 20,000 139,100 159,100 NO
Totals for 2007:
General Property 40.010 51,200 139,100 190,300
Woodland 0.000 0 0
Totals for 2006:
General Property 40.010 51,200 139,100 190,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 205
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 022-1053-90-100 04/12/2007 04:52 PM
PAGE 10F1
Alt. Parcel 19.28.18.295B 022 - TOWN OF KINNICKINNIC
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 - LUBICH, JAMES H LE-TR
JAMES H LE-TR LUBICH
903 CHAPMAN DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 903 CHAPMAN DR
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 1.390 Plat: N/A-NOT AVAILABLE
SEC 19 T28N R18W PT OF SW NW COM Block/Condo Bldg:
INTERSECTION CENTERLINE CHAPMAN DRIVE TH
S 300 FT; TH E 210 FT; TH N 275 FT, MOL Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TO CENTERLINE OF CHAPMAN DRIVE; TH NW 19-28N-18W
ALG CENTERLINE OF CHAPMAN DRIVE TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1199/589 WD
07/23/1997 1194/607 LC
07/23/1997 1066/526 TI
07/23/1997 710/578
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/10/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.390 30,000 129,000 159,000 NO
Totals for 2007:
General Property 1.390 30,000 129,000 159,000
Woodland 0.000 0 0
Totals for 2006:
General Property 1.390 30,000 129,000 159,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 314
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
D ~TRY,NT OF REPORT ON SOIL BORINGS A ND ETY & BUILDINGS
If iJSTR f~ BORINGS /'1 DIVISION
P.O. BOX 7969
LABOR AND PERCOLATION TESTS r115 `
HUMAN RELATIONS \ ) 41SON, WI 53707
(H63.09(1) & Chapter 145.045) jO.
LOCATION: SECTION: F~WNSHIP/Mk3f`4feW-Att7Y: LOT BLK. ~ IDT-y N NA E:
1/4 1/4 T /:RV~7--' E (or ~W
COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS:
77,
USE DATES OBSER1fAT101VSMADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: r~,~~ PROFILE DESCRIPTIONS: PERCOLATION TESTS:
D.Residence Phew ❑Replace
RATING: S= Site suitable for system U= Site unsuitable for system
Mfff~vffi : IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
ou as ou ❑s ou ❑s au~ T
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: " Floodplain, indicate Floodplain elevation: N
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-IrVCrt-6 CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH W. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
l~~ 3-3' y' 17k Bn`~vSLS~ (fir~~hiTC' t s
rnC moT- z o.~' ~\cr?n siE ; o.L/ i~nsj( C2,-9' Sn SI , 0•V' L7'.
B - \•Z'}r j 3.1 ' ttiktTQ S W b~~'S~ 4L
3Pch~S
` T t J) e 0. 7` ~J\Z r v3~iytik~l) i•'~' ~ ✓ 1./' LT'
B- lob-S
S.8 L,'.~ ' F- Zs ; o•s'D}z$njD~>> o.g,' i~c~h~t~ 4`,
fir. a J, i J .
br art s I ` -15
- - 1
B S fib` ,5 3• ' 1N"hIT(2 a), 'DFz$n offl.
B rj 5.0 1U~. C~ n,oi O 6' Dl~ Lf TS) ).~'vy
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH
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
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I, 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.
NAME (print): TESTS WERE COMPLETED ON:
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST SIGNATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
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