HomeMy WebLinkAbout018-2022-10-000 (2)NOV 27 2019
Wisoons:. Department of Caren County
Division ofSafety arxlBuildings . y Deve!op-menx
SOIL EVALUATION REPORT
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(U� Page _L of 3
County
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Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.
Plan must
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Parcel I.D
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information.
Revi by
Date
Pwaonal inform tr You provide may be used for seconftry purposes (Privacy Law.
s. 15. b/ (1) (mi).
Property owner
Property Location
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Govt. Lot
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T Z N R E( ) w
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Property Owners Mailing Address
LoLA
Block #
Stabd. Name or-68 a ndi n�
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city State Zip Code Phone Number
❑ City ❑ Village own
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Conslruk�on usegRResidenbal I Number of bedrooms
Code derived design flow rate zip
Z'6 CZa GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material
_ ______
Flood Plain elevation if applicable 0;4
//� Zi7111�i ft.
Gerwalcomr,ents 5p;IS shall ftk 1>wt2Pe- 1p j(o,:!
and reconrnendations.
System Type
System Elevation
1 3,L/
BMN # ��Ljl Bong
m—Pit Ground surface elev. ft. Depth to limiting factor Ji� in. Soil iced Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ff
'Eff#1
'Eff#2
—
(7 t
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2-
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, �(
# E] Boring %
Pit Ground surface elevlPZ` -7 ft. Depth to limiting factor in.
tmuem ii1 = UUU, > 3u < rn, MWL and TSS >30 < 150 ' Effluent #2 = BOD, < 30 mgt and TSS < 30 mg1L
CST Name (Please Print) a re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 5401 //_ okay 40 715-246-4516
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Property owner _ Parcel ID #
Boring # Q Bones 1 , Pit Ground surface elev. �• ft.
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Depth to limitim factor '� ( in.
Page �f
ON
Redox Description
Qu. Sz. Cont. Color
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Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Effluent #1 = BOD5 > 30 1220 nxyL and TSS >30 < 150 mglL . Effluent #2 = BOD, < 30 mgtL and TSS < 30 mglL
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.
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Soil Test Plot P
Project Name Edward Folitti
Address 1894 110th Ave
Baldwin Wi 54002
Lot 10 Subdivision
S W 1/4 N W 1/4S 9 T 29 N/R1 7 W
❑ Boring O Well PL Property Line
BM or VRP Assume Elevation 100 ft.
6TF
STM #226900
e 11 /22/19
Township Hammond
County ST. CROIX
Top of survey iron
System Elevation TBu *HRPSame as t3encthmark
5,6