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HomeMy WebLinkAbout018-1015-90-250RECEIVE wisoonsin DepaMlerRtSf meme SOIL EVALUATION REPORT Division of Safety a cOUNT'� S� N pVELOPMOIdance with Comm 85. Wis. Adm. Code minty Attach co site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but rat limited to: vertical and horizontal reference point (BM), direction and Parcel percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revi Personal mformetion you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ° H age Of Q� Govt. Lot A 114 �%� l l S T Z. N R E( ) W Property Owners Mailing Address Lot # Block # Subd. Nar6e or CSM# t o--� a Sa-. 5 _ o� CjRy� �(�) State Zip Code' Plane Number Cl city ❑ VI ge �/T�/can Nearest Road / I IZ. n inns"' I I. '% I <gt)1 New Construction Use:,t9.Residential I Number of bedrooms S/ Code derived design flow rate 6 o GPD ❑Replacement /�❑ Public or commercial - Describe: Parent material mil Jr — Flood Plain elevation if applicable General comments Z - x and recofmrendations: n System Type rAe System Elevation / FT 1� # ° Boling rrr��� a pit Ground surface elev. � ft. Depth lo limiting factor � in. aBoring # Cr�] Bones y/y"/ a U Pit Ground surface elev. � ft. Depth to limiting factor � in. ; . Cont. Color s_ .ion ® MOM "IMMIMMIRM ©WMWA MWAl!►7I WA e FI/� , ILIIt�Ial•li%/�'� A --- W —___—_ • Effluent #1 = SOD. > 30 < 220 mgll- and TSS >30 < 1 ' Effluent #2 = BOD. < 30 mg/L and T55 5 30 mg/L CST Name (Please Print) nature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54 17 S f �' 715-246 4516 Property Owner _ Parcel ID # Page of ❑Boring # r Boring �, i Pit Ground surface elev. �� ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Stricture Gr. Sz. Sh. Consistence Boundary Roots GPDIff 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Sail Application Rate pit Ground surface elev. ft. Depth to limiting factor in. 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 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ ❑ Pit Soil AoolQtion Rate Horizon ')epth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Cdor Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDKIF 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg1L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 rng/L 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. SBn`9330 (RAM) Soil Test Plot Plan Project Name Ron Bonte Shau Address 1070 170th St. Hammond Wi 54015 Lot Subdivision --------- NE 1/4 NE 1/4S 8 T 29 N/R17 W Boring 0 Well PL Property Line BM or VRP Assume Elevation 100 ft. �STM #226900 Date 10/25/15 Township Hammond County ST. CROIX Top of survey iron System Elevation TBD *HRpSame as Benchmark