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RECEIVED C S ► -
Wis. Dept. orty~4l2 sional Services 5QXWMJY8F8290 IN REPORT Page / Of
Division of SfY and Buildings
ST. CROIX COUNTY in accordance with SPS 385, Wis. Adm. Code
A~K~src ELO
FNan p~aperr not less than 8 1 /2 x 11 inches in size. Plan must County l cy A
include, but not limited to: vertical and horizontal reference point (BM), direction and F)Vrcel I.D. (J !y~a
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 5~+ $7V
Please print all information. Review by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot 1/4f /l/4 S N R E (ort~
Property Owner's Mailing Address Lot # Block Subd. Name or M#
/ / 11 ~
Y Z(
City State Zip Code Phone Number ❑ City ❑ Village Town Ne rest Road
New Construction User] Residential / Number of bedrooms Code derived design flow rate/? GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material r~,e Flood Plain elevation if applicable - ft.
General comments
and recommendations: c~ 1 rls, j t yin 7
Boring
% Boring #
Pit Ground surface elev. ft. Depth to limiting factor ? /Jr , in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
_
Z 0-5
I
Boring
Boring #
® Pit Ground surface elev. ft. Depth to limiting factor > C in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff42
i
r
7
v
'All
i
192
fflue #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < t6lmg/L ~Aluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
~pf CST Name P ase Pr- Signature CST Number
Address Date valuation Conducted Telephone Number
1
SBD-8330 (RI 1/11)
l
n
Property Owner ea- j Parcel ID # Page ~ of
Boring # F] Boring
F1 A Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2
ti
)rn -
4
1
W L-5-
09 /'144
97Y f
❑ Boring
❑ Boring #
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2
❑ Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
* Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay.
SBD-5330 (RI VI 1)
ice( 14
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CERTIFIED SURVEY MAP
LOCATED IN PART OF THE SE1/4 OF THE SW-1/4 OF SECTION 2, T31 N, R19W,
TOWN OF SOMERSET ST. CROIX COUNTY WISCONSIN; INCLUDING A PART
OF LOT 11 OF CERTIFIED SURVEY MAP VOLUME 5, PAGE 1411.
SCALE: 1" = 60' PREPARED FOR:
60 30 0 60 DAVID & THERESE BENCK
628 230TH AVENUE
SOMERSET, W154025
THE EAST LINE OF THENE114 OF SURVEYOR:
SECTION 7 BEARS SO0°28'45"W
BASED UPON THE ST. CROIX DOUG ZAHLER
COUNTY COORDINATE SYSTEM S & N LAND SURVEYING
2920 ENLOE ST. SUITE 101
HUDSON, WI 54016
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x.y. d,/may d/
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600' - -
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10.00 ACRES `
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DRAFTED BY: DOUG ZAHLFR PROJECT NO: 7447-002 DATE: 6/30/16