HomeMy WebLinkAbout018-2022-12-000 (2)NOV 27 2019 ', �`
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Department of Commerce S tVALUA I 1UN R PORT I d IUSAI-crge J—of
!Attaia
. +afetyand Buildings r 0
in accordance with Comm 85, Wis. Adm. Code y�
Bete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mustCountycliot limited to: vertical and horizontal reference point (BM), direction and p� tDert +, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re wed Date
Personal frrtormsbon you p",oe may be used for secondary purposes (Pmacy Law. s. 15.04 (1) (m)).
Property Owner Property Location
Govt. LotS(.</ 1 /4/g4A/4 S T Z N R E( ) w
Property Owners Mailing Address Lot # Block # Stbd. Name or b f el, A"n
/�- Pheask& �'d e es+ Ilo`1�
City ( State . Zip Code Phone Number Cl City ❑ Village own earest Roa
& v lU l)l�yfm�i( � .". /o I /7/ i
g-New Construction Use�4lResidential / Number of bedrooms Code derived design flow rate GPD CDui F
❑ Replacement ❑ Public or commercial - Describe:
Parent material 6LO14" Flood Plain elevation if applicable 71ft.
and reconwnendatlon�: O r (S n s tl` QGL �' 17 �\ A n 4 on
M Ij/I
System Type ///f%4,<2 System Elevation 1 ED M V S � La
0
# o Boring n e" 94_ 91f "W� t
/L � G-pit Ground surface elev. �5ft. Depth to tirniting factor 3 L? in. - iption Rate
Horizon
Depth
In.
Dorrunant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Stricture
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDMf
'Eff#1
•Eff#2
�1
el
2
r
^ ;
1eAJ
fi
FflBoring # Boring
Pit Ground surface elev��7 -)h. Depth to limiting factor tn. c a o
a-
Structure
- cmuent ii1 = nw. > :w < "l."Ltl mg/L and T 55 >30 < 1 ' Effluent 02 = 800. < 30 nVL and TSS < 30 mg/L
CST Name (Please Print) CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 5 //_ Aa /,p 715-246-4516
NPam) Parcel ID #
Bo, g # ❑ Boring
gpit Ground surface elev.
Page Z of
Depth to lin itina factor ()/ / in.
Redox Description
Qu. Sz. Cont. Color
a�:•.;c�•:;;r irr•4i1i7
1-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limitino factor in.
Horizon
Depth
in.
I Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz- Sh.
Consistence
Boundary
Roots
.yaw, wuari nete
GPDRF
'Eff#1
•Eff#2
Boring
�^� # ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Sal ication Rate
Horizon
'Iepth
in.
Dominant Color
Munsell
Redox Description.
Qu. Sz. Cont Color
Texture
Strucriue
Gr. Sz. Sh.
Consistence
Boundairy
Roots
GPD/ff
'Eff#1
I 'Eff#2
Effluent #1 = BOD• > 30 < 220 m WL and TSS >30 < 150 mg& ' Effluent #2 = BOD, 130 nxA 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.
Sand7J01RbW1
•` Soil Test Plot
Name Edward Folitti
NA.
ddr. 1894 110th Ave
Baldwin Wi 54002
I.
>TM #226900
Lot Subdivision Date 11/22/19
S W 1/4 N W 1/4S 9 T 29 N/R1 7 W Township Hammond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of survey iron
System Elevation TBI *HRpSame as Benchmark
170th St.
M •
170th St.
M. *
Scale is 1" = 40'
unless otherwise
noted
106.5' 107.5'
108.5'
7% Slope 30' B-2
B-3 80'
5'
5' B-1
10'
250'
415' Property Line