HomeMy WebLinkAbout012-1012-10-000MAR 2 9 �021
Wisconsin DeoartmentofCommerce OIL EVALUATION REPORT
DMsior of Safety and Buhdincs i Cro,x our:i
�o murity a COMM 85. WIS. Adm Code
t tta& complete site pian or paper not less than 8 r x i t inches in size. Plan must
include, but not Arched to: vertical and honzorftW reference point lBMi, direction: and i !.D.
percent slope, scale or dimensions, north arrow, an,- Vocation and distance tc nearest road. `
Please print all Information. Re wed
Persona, 1!rrorrnatiaF roU o: ovi3E mey be used for sxanoan purpmft (Pnvan taw, a. 15.04 ?) (m); f
property Cowner i Propert, Location
t)
.�, i
�Go44.Lot�% rajL
Csr-;;Ic,al — 6rs7
Page _ of
1 ( I
-1012'10-DOD !
Date
20 �l
ELot # Block # I Subd. Nwrig.Or CSN
31-(ogi5
ne Number City ❑ like
0 /,1J , e c I x::7- )D_... . �- s (7-
T ON R
1135
Nearest Road
0—Nelh Construdton :;se,Z.Fesidental i trumber a` bedrooms Code derived design flow rate ZzZI GPD
Replacement 1:1 PUNIC or"r�rrInrnW.ca - Describe -- ---
Parent materiat e-V Ficod Plain eievation if applicable � r M ft
j General oo mrnents lj a F%�e S ; I � I "1v% Pes S o;� v" U n Peep
and necarrcrwridations: g hlai-C In 4 6944 ! off we&L
y/hich i5 �17ita(,�� ����'4 /y�C S�
System TypeSysiern Elevations/4/ ! e�C
Baring
# ® Pit Ground surface elev. c ` �R. Depth to limiting -actor � ) in.
Soil Application Rate
H=on
Depth
in.
Dominant Color
MtmseA
Room Description
Qu. Sz. Cons Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPOM
'Eff#1
'Efr#2
/
)
I
111v-1nn
/h
1 .S
i+ ;0
il'4
/"�
P Boreg # 0 eo l D t L
n ` Depth hff&V
?1 Pit Ground surface elev. t eft. to ' factor in.
�(�'Q�y�,������/RAJ
®Io111.7iFWA
��
�MMM
EttkJert #1 = BOD- > 30 < ZLa Mg& and T55 >30 51 b( anuem sr = rsvu. � au mgrL ana 1 a0 - xJ ngrL
CST Name (Please Print) ture CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, Wl 5 ' 715-246-4516
Property Owner
Boring # ❑ Boring
13 Pit
Parcel ID #
Ground surface elev �0�� ft.
Depth to limiting factor � in.
Page of
Sail Aor&r lien Bala
ion
: . • -.:�. �Color
M
�
�C%/1
�
�
MM
WA
MAN
o�ng # ❑�
❑ pit Ground surface elev. ft. Depth to firnbV factor in.
Sob Aoolication Rate
Redox Description
Qu. Sm Cont. Color
we M My
❑
❑ Boring
Boring # Pit Ground surface elev. R Depth to limiting factor in.
❑
MM
Effluent #1 = BODE > 30 1220 mgrL and TSS >30 1150 mg& ' Effluent #2 = BODS 130 nV& and TSS < 30 nxA
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.
SBD4330 (RAW)
i Soil Test Plot Plan
Project Name Tyson Lybeck Shau
Address 1747 170th St.
New Richmond Wi 54017 M #226900
Lot Subdivision Da 3123/21
N W 1/4 S W 1/4S 4 T 30 N/R17 W Township Erin Prairie
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of steel fence
System Elevation TBD *HRpSame as Benchmark
Scale = 1 /4" = 10'
h0f 4on-fu (
• fyeeS 2
Yxkm Fes?,
170th st.
106.5'
104.5'
B-2
B-3
60'
6% Slope
30'
30' 60'
B-1
ird
B.M.* 500'
Z
500'
1320'