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HomeMy WebLinkAbout006-1039-60-110CSTaaao-38y n(�EC `08 2020 it X Wisconsin Department of rtg SOIL EVALUATIONREPORT Page _ Of Division of Safety and Bug ings St. CrC1 acdlf6iaNce with m 85, Wis. Adm. Code Attach complete site pla Communi Development County < ctl_ < es in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Phi I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. QQIa — I639 O ^ If, - Please print aff information. Re wed by�/1 JI / Date ona Pent infomration you provide may be used for secondary purposes (Pri Mq Law. S. 15.04 (1) (m)). i�� /Ti Property Owner Property Location GovL Lot 6 114 114 S J T 3 J N R 6 E(W Property Owner's Mailing Address Lot # Block # Ad. Name or CSM# oCDSi 2 1(2-`1,5�,7 Zy State zip Code Phone Number ❑ City -❑ Village own Nearest Road Construction Llse esidential / Number of bedrooms Code derived design flow rate `/J"1Jy GPD ❑ Replacement ❑ Public qFfommercial - Describe: _ Parent material /t1.e,L�J Flood Plain elevation if applicable N Z /)a Oevt X fl. General comments nbU L y i e _ and recommendations: s: System Type �tJYI tJ /a^a Jr� i f "�' System Elevation / 3Z 7 0 Boring Borft apit Ground surface elev. 9 ?1 �— ft. Depth to limiting factor in. —0-0— Soil Application FiM7e ©� .>_..ArJMMMWM a WAW ©Mr*AUA ©�� % ==QW Boring # 0 Boring Pit Ground surface elev. r ft Depth to limiting factor in. Rrvl Gnnlir..fity. R.,to ®® 1111,17"MM."TI, : = e Cont. fi.. Effluent #1 = BOD- > 30 < 220 mgA. and TSS >30 < 150111W' Effluent #2 = BOD, < 30 mg,L and TSS < 30 mWL CST Name (Please Print) ature CST Number Bird Plumbing, Inc. Shaun Bird 2269M Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017 / ,,2 — 7,- z J 715-246-4516 Property Owner Parcel ID # rJ Boring # ❑ Boring 9 nx v P-Pit Ground surface elev. �-A Depth to limiting factor L= in. Page of Cu. Sz. Cont. Color ©'ltlM!/ �,lid= AMW IMIUAW� soft# ° Boring Pit Ground surface elev. it Depth to rsniling factor in. I Sod Application Rate Effluent #1 = BOD$ > 301220 mgrL and TSS >30 1150 mg& . Elfluera #2 = BODs 130 mg& and TSS < 30 mg& 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 = 608-264-8777. secuw(R W) Soil Test Plot Plan Pr&,ect Name Thomas Hemauer Shau Address 2058 215th Ave Deer Park Wi 54007 Lot Subdivision SE 1/4 NE 1/4S 18 T 31 N/R16 W ❑ Boring Q Well PL Property Line BM or VRP Assume Elevation 100 ft. 12/7/20 Township Cylon County ST. CROIX Top of 3/4" pipe System Elevation 94.3/94.0 *HRpSame as Benchmark