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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of safety and Buildings
in accordance with Comm 85,Wis. Adm. Code / n
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County+ I 1�i�
ndude,but not limited to:vertical and horizontal reference point(BM),direction and Pare--,I D,
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0(J(p- /b g -5U -bQ I
Please print all information. Re wed by --D77atte
Persaw edonnebon you p�ae may be used for secondary purposes(Prnecy law.s.15.04111(ml) &17 L/ c_1 U" 1 I // -? 2 z
Property Owner 1 r ? / �t Property Location L +/J (1 ^J 5 , r j 1,Q 0 c,01 T Govt.Lots(,V 1/4N5 1/4 S 3 ajT 3 / N R/ 6 E(o
Property Owner's Mailing Address Lot# Block# Subd. •• Yr or
/ 6�� ( 6 -1 , Arc '' , Alt
City Stat Zip Code Phone Number O City ❑VI ge 7 own earest R
Nei J Z i rli J_i 3 O 71 ( ) J i /� l >�
Ekw constructor u esidential/Number of bedrooms3 Code deJmed design flow rate '1�L.7 GPD
/❑Replacement ❑ Public or commercial-pesmbe: �- -_.-_-- -_ _------,----------
Parent material LTI (fbN+II("�''k I--III Flood Plain elevation if applicable! /V)/� Z 41ti4 X rt.
General comments 5A o l�1�(Y z C i fP'r .
and recommendations: l'�
System Type_ ///�9T�. _- _ System Elevation / (>D
# n❑ Boring
I /-
i Pit Ground surface e1ev� `() 7 R. Depth to limiting factor in. .
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPO/If
n. Monet Qu.Sz. Cont.Color Cr.Sz.Sh. 'Eff#1 E
i 0- , K7r.3(L sI / fir- , - �1 a '
Z - ,1 o f 6/y — s;(-1 op- K 'L..) f `r ,6
3 --` 3 '7 y/6 ;7; -sy(f/L sc.I -rr'- /'1fi n/ iA N/4 N,P. I✓,P-
# ❑ Bing �y}
Q Pit Ground surface elev ! v, 7 rt. Depth to limiting factor d 1_, n. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF
n. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eft#2
1 0-g ty,31 >. sI/ /^ / 4 (s- n 6
Z /8-zo / 6/- s;( l cl),,(�(� b_J (4 % / rb
3 2v-3( 7%c rVt4 I/+� 5 //t sc," r-,�-_ ,n NA wi -ri,e N�
r r
•Effluent#1 .BOO.>30<220 mg/L and TSS> r r mI t •Effluent#2 <BOO.<30 rrglL and TSS<30 mg L
CST Name (Please Print) Al S. nature CST Number
Bird Plumbing, Inc. Shaun Bird ' 226900
,address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54.17 (;_— —/! 715-246-4516
Property Owner Parcel ID# Page of
3 Boring# ❑ BOnng
N.,pit Ground surface elev. 3/ V ft. Depth to limiting factor 1 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDfff
in. Munsell Ou.Sz. Cont.Color Gr.Sz Sh. 'Eff#1 'Eff#2
•
IOy,- 5 t I r, . (s
Z -Z I I 0 ,b L3 _ s'iCL �lw; f t1J , 4-1
3 d l-9c 7U 7/yI b 50 ,rv-- m e 1)4 rMM4 N,?-
Boring#
❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDfff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to krWting factor in.
Sod Application Rate
Horizon 'lepth Dominant Color Redox Desaipton. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsed Qu.Sz. Cont.Color Gr.Sz.Sh. 'ER#1 'Eff#2
•Effluent#1 =BODr>30<220 nrg/L and TSS>30<150 mg/L 'Effluent#2=BOD,<30 mg&and TSS<30 mg,&
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Soil Test Plot P , n
Project Name Shirley Borowicz .haun Bird
Address 1655 Hwy 63
New Richmond Wi 54017 CSTM #226900
Lot Subdivision 'ate 5/3/19
SW 1/4 NE 1/43 36 T 31 N/R 16 W Township Cylon
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe
System Elevation TBD •HRpSame as Benchmark
A
Property Line Scale is 1" = 40'
unless otherwise
noted
B-3 A 11% Slope
•-4 40' IOU 93'
35'
95'
B.M.*
50'
.� 97'
B-1 B-2
♦
100'
To 150th St.
Pond