HomeMy WebLinkAbout018-2022-11-000CSr -do r9 - 317
n1 7 2019
wisconsinOepCi4hirtt"otCornmerce SOIL EVALUATInN RFPnRT
Division Safetyand Buildings
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, Wis.
nnment accordance with Comm 85s. Adm. Code
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Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and
Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information.
Re vie by
Date
Personal irdormatwn you ormide may be used for secondary purposes (Privacy Law, s. 15,04 (1) (m)).
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Property Owner
Property Location
Govt. Lots
1 /4/J Jd /4 S
T N R
E( ) W
r
Property Owners Mailing Address JJ
�R94 /�r4.4—
Lot #
��
Block #
'
cAjbd. Name er66� en oU
Y NP_UifLn4- EArie�l�r� 11090
stale . up was rnorle Number 0City'/ ❑ Village own Ne4Fest R
h/ u... , i I / 7/I Mti 64
Constr�Iwwuction UseResidential / Number of bedrooms Code derived design flow rate%6 Gl GPD
❑ Replacement El Public; or commercial - Describe:
Parent material Flood Plain elevation if applicable /n✓ //a ft.
G � all SK&O nok sn1�- e-pto�. ! ZOt� -A on �
System Type System Elevation 1 ED
1-11 Boring # p❑I Boring �
®--Pit Ground surface elev. /08 ' -?ft. Depth to limiting factor 4Z 0 in.
SoISdI Application
®®
a a 'n ♦ •" r
�®®®
• • 4
i��rYlYi
Ong # ❑ Boring
rr/��' 7 �
Pit Ground surface elev. I�lV, c #t. Depth to limiting factor i1.
Sod Aoollcation Rate
Qu. Sz. Cont- Color
WAIMOliMIM____
�M
FAM
WZAA�
I FM_-__
Effluent #1 = BOD, > 30 < 220 mg1L and TSS >30 < 150 • Effluent #2 = BOD< < 30 mg/L and TSS < 30 n1glL
CST Name (Please Print) i CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 5401 //_ A _/ 715-246-4516
p
Property Owner _ Parcel ID #
Boring # I❑7� Boning3L^4 Pit Ground surface elev.q ft. Depth to limiting factor 7 in.
Page 2 of
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Cu. Sz. Cont. Color
Texture
Stnx:ntre
Gr. Sz. Sh.
Consistence
Boundary
Roots
acx� r uon Kate
GPD1fF
•Eff#1
•Eff#2
L_I ❑ Pit Ground surfaceelev. ft. Depth to limitino factor in.
Flonzon
Depth
in.
Dominant Color
Munsell
Redox Description
Ou. Sz. Cont Color
Texture
Structure
Gr. Sz Sh.
Consistence
Boundary
Roots
�1 xauon male
GPDM
•Eff#1
'Eff#2
U Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BODS < 30 mcA and TSS < 30 axyL
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.
SBPJ}IO(KAM)
Soil Test Plot
project Name Edward Folitti
Address 1894 110th Ave
Baldwin Wi 54002
Lot 11 Subdivision
S W 1/4 N W 1/4S 9 T 29 N/111 7 W
❑ Boring Q Well PL Property Line
BM or VRP Assume Elevation 100 ft.
Bird d�
ICSTM #226900
ate 11/22/19
Township Hammond
County ST. CROIX
Top of survey iron
System Elevation TBIJ *HRPSame as Benchmark
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