HomeMy WebLinkAbout014-1028-10-000 A� 0g z01%
Wisconsin Department of rre OIL EVA UATION REPORT g of
Division of Safety and comm
p�ntv
( tit. L'' r ( Comm 85,Wis. Adm. Code c74 777
Attach complete site less than 8 1/2 x 11 inches in size.Plan must
include.but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. �1 //11 �}1�'7
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. /•y-- 7,d f "/LI---27 V
Please print all information. Revie by / / Date
Personal m m drosyforsfwn you prove rosy bit used for secondary purposes(Pnrecy Law.s.15 04(1)(m)). ) /L /�//
Property Owner / Property Location /
/ /Pa. r 1 C 1/y'cdp op V a_ �, Goal.Lot NC 1144114 S 3 T 31 N R ) c E(ory1N )
Property 6 A C7 r' ✓ !!/ J Lot# Block p `-/'D9 a L�
City State - Zip Code Phone Number 0 City ❑tillage Town Nearest Road
"iNew Construction Use Residential/Number of bedrooms...3// Code derived design flow rale 5'. v/ (i a GPO
0 Replacement y4 /P,4 .7 ,1c
ublic or �real-fI/Ascdbe: .
Parent material � P -C Flood Plain elevation if applicable 1t' L4 -- R.
General comments 5 RA-J6 SA5)N-0-_-- 2617%
and recommendations:
�j 1
System Type ///c7u System Elevation / )��
Boring / 7
BOng# 93I pit Ground surface elev.?3, 1 R. Depth to limiting factor in.
Soil Application Rate
Hortzon ' Depth Dominant Color Redox Desaipbon Texture Structure Consistence Boundary Roots GPD/fe
In. Munsel Qu.Sz. Cont.Color Gr.Si Sh. 'Ent 'ER#2
I o-V /p//-3/
/� s/ 9,(7')5,7' � 3..._ 6 / v
Z y-e2/ /6y;.� r;,6/ m 9c t/ 1( • V • 7
ayl toy
v S- —mom /.,,? p Nl� , , 7
Y 3I-yg / 5/‘.(7:( .5r iV/� U t' —ri�— /rL4 N/ /✓//1 1‘7/ i 7
O � /
Bing# tm}-�
11,.l Pit Ground surface elev.7 31 7 ft. Depth to limiting factor in. 'Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/?
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Ef#2
0- 5- IO 3( L l o$ rnfr Cs • 6
Z -lo J >/y --c. /rn , ! ac- ( , c". .
3 x6-d-6, 10111111 41! Ul--- rry n! AL) ri ,
`t '�6- /1 r3/ i'/('s rrylA % /n �i4 w,,Q / , /
r
i
•Effluent#1 =BOD.>30<220 mp/L and TSS>30<150 •%� •Ertluent#2 BOD,<30 mglL and TSS<30 m g
CST Name(Please Print) :log -tur_ CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Dap Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 //- q—ly 715-246-4516
Property Owner Parcel ID# /
Page of
❑ Boring
3 Boring p / Tip
Pit Ground surface elev!11 1. 7 ft. Depth to limiting factor n. Soli Applicaton Rat
Horizon Depth Dominant Color Redox Description Texture Stru hre Consistence Boundary Roots GPDife
in. Munsen Qu.Sz. Cont.Color Gr.Sz.Sh. •Ef#1 'Eftt2
o- r 3l z,
z. 1 y j6r, >,y IJr'�_ .en Jam_ ) 1 . V , 7�
`44#'
Boring a ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Desorption Texture Structure Consistence Boundary Roots GPD/ff
in. Munson Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eif#2
❑ Boring
Boting# ❑ Pit Ground surface elev. ft. Depth to limiting factor In.
Sod Application Rate
Horizon lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDRf
n. Munsel Cu.Sz. Coot Color Gr.Sz Sh. •Ef 1 •Eff$2
•Effluent#1 =BOO,>30<220 mg/L and TSS>30< 150 ng/L 'Effluent#2=soon<30 mg,L and TSS<30 ng&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.
sewew a doo)
Soil Test Plot r in
Project Name Maria McDonough i,, , _ . t • .
Address 660 6th Ave
Baldwin Wi 54002 /
CSTM #226900
Lot Subdivision Date 4/29/18
NE 1/4 NE 1/4S 13 T 31 N/R15 w Township Forest
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 2" pipe
System Elevation TBD *HRpSame as Benchmark
Scale is 1" = 40'
unless otherwise
noted
B.M.*
Cty RD Q • 10
ir
B-2 B-1
7% Slope
0'
99'
0'
100'
B-3 241 40'
101'
200'
800' , 1320' Property Line