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wraconsin Department o m e N 0 S IL EVALUATION REPORT a Page of
Division of Safety and Buit irgs r J Z35Q 6_s� 54-,
in Sri WlM1 m 85.Wis. Adm Code
Attach complete site plan n paper' let 1/2 x 11 inches in size.Plan must ry � -ram/ x
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ndude,but not limited to:v`ertital' zontal reference point(BM),direction and Parcel
percent slope,scale or di ons,north arrow,and location and distance to nearest road. O Z - /DO /-��� Lw
Please print all Information. Re by //- Daate/ (?
Personal information you provide may be used for secondary purposes(Privacy Law.s 15 04(1)(m)) /Jl' I // U G-
Property Owner i Property Location «//LL 1 !!//
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City State Dp Code Phone Number ❑City ❑Village Town Ne rest Rd
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ONew Construction UseAesidential I Number of bedrooms 3 _ Code derived design flow rate 4/_1-2 GPD
❑Replacement 0 Public« merdal-Describe:
Parent material U I L Flood Plain elevation if a �applicable /V � .-. ft.
reoornmendatons: G i (
General cornments '�F fit/ `7r��t` `n X
sndSystem Type /Ayl,(/ System Elevation /3 C`e.w_?`7 -
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I Boring 0
� //�7f Z-Piit Ground surface elev. t. Depth to limiting factor_L9
4'in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
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0 Boring
I- .Boring X
Sal-.Pit Ground surface elev./ / bin. Depth to limiting factor L (do in. Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf
in. Mtrtsel Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
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•Effluent#1 =BOD->30<220 mg&and TSS>30<150 'Effluent#2=BCD.<30 mg&and TSS<30 mod-
CST Name(Please Print) Sig a CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 �j—/--7 3 715-246-4516
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Property Owner_ Parcel ID a Page of
❑ Boring C (-�
# jaPit Ground surface elev. 1 j• y ft. Depth to limiting factor n.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPORP
in. Munsell Cu.Sz. Cord.Color Gr.Sz.Sh. 'ER#1 'E11#2
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Boring ft ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f!
in. Munsell Cu.Sz. Cord.Color Cr.Si.Sh. 'ENA1 'EfNt2
Bourg SS ❑ Boring
❑ Pit Ground surface elev. ft. Depth to Writing itirg factor in. -
Soil Application Rate
Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDNf
in. Moused Cu.Sz. Cont.Color Gr.Sz.Sh. •Efp11 'Effft2
•Effluent p1 =BOD1>30<220 mglL and TSS>30< 150 mg& 'Effluent It2=BOO,<30 mg&and TSS<30 mgll
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saD11310(16001
Soil Test Plot Pla
Project Name Russel Patrick Sla Bird
Address 5737 Peller Ave N
Stillwater Mn 55082 M #226900
Lot 2 Subdivision Date 5/1/18
NE 1/4 SW 1/4S 2 T 31 N/R19 W Township Somerset
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of steel fence post
System Elevation TBD *HRpSame as Benchmark
A
Scale is 1" = 40'
446' Property Line unless otherwise
noted
A
B-I 70' B-2
009— 104'
102'
35'
B-3 15% Slope
•� 35' 611 100'
15'
•4
134'
to 61st. St
66'
•