HomeMy WebLinkAbout032-2049-95-200 • ����M � 1' AI 11 C sT- oa i - /�7
.. W . Dept of Safety and Professlbrrelf rvt es SOI EVAI I IATION R=P T I Page 1 ef 3
Division of Safety and Buildings 3 cdo�ai2r; i 7n71 �
tch SPSI385,Wis. Adm. Code
I County ST CROIX
Attach complete site plan on paper not less 6,3/2 x•11 inches in size. Plan must
include,but not limited to vertical and f irizo j fwrerlca t-(BM).direction and Parcel I.DPAr-i--�'032-2049-95.999ZOO
percent slope, scale or dimensions,no nn ,arttTocation and distance to nearest road.
Please print all information. Reviwwed by Date
Personal Information you provide may be used for secondary purposes(Privacy Law. s. 15.04(1)(m)). n //t /GG I 147// Z I
Property Owner Property Location
DAVID AND GLORIA GAZDIK Govt. Lot S 1/4 141j)/4 S ill T —10 N R yl E(or)W®
Property Owner's Mailing Address Lot# Block# Subd.N or AA#
1556 75TH ST a 31 - 701 6
City State Zip Code Phone Number EICity OVllage grown Nearest Road
NEW RICHMOND 1 WI ( 54017 ) ( 71)5-410-8657 SOMERSET 1
160TH AVE
G New Construction Use Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD
0 Replacement El Public or commercial-Describe:
Parent material LOESS OVER LOAMY DRIFT Flood Plain elevation if applicable Zo rn.. X ft.
General comments Ayt).1.9p $7/71- 1ei.", USE A .5 LOADING RATE CONVENTIONAL SYSTEM .
and recommendations:
.. Y/l Itn;no%vL
59 .L)J` '47c- CoyAr.Kl-nr►ej SfSkJAI .
J )tor.,' 60n)-w wh
es en 1 kS h.)h, rl/S-)-c w, .
1 Boring# ❑ Boring 6
o pit Ground surface elev. 98.29 ft. Depth to limiting factor 96" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/ft '
in. Munselt Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 'tfl#2
A 0-24 10YR3/2 SIL 2MBK DSH GW 2F .6 .8
B 24-54 10 YR 4/4 CL 2MBK MFI CW IF .4 .6
C 54-96 7.5 YR 4/4 SL/CB 2MBK MFI .6 .8
4:Z1/I -:S- or 5
2 Boring# 0 Boring 97.04 96+
0 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/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. •off#1 'Eff#2
A 0-13 10 YR 3/2 SIL 2MBK DSH GW 2F .6 .8
B 12-34 10 YR 4/4 CL 2MBK MFI GW I VF .4 .6
C 36-96 7.5 YR 4/4 FS/CB 0 F SG ML .5 .7
fi
(.ob .S
•Effluent#1 =BOD s>30<220 mg/L and TSS>30 < 150 mg/L •Effluent#2=BOD s<30 rng/L and TSS <30 mg/L
CST Name(Please Print) Signature CST Number
PAUL R KOEHLER 225410 •
Address Date Evaluation Conducted Telephone Number
321 WISCONSIN DRIVE JUNE 14TH 715-246-2660
SBD-8330(RI Ill I)
Property Owner DAVID AND GLORIA GAZDIK Parcel ID# 032-2049-95-000 Page 2 of 3
2 Boring# 0 Boring
CI Pit
Ground surface elev, 98.64 ft. Depth to limiting factor 964 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 •`ff#2
A 0-8 10 YR 3/2 SL 2MBK DSH GW IF .6 .8
B 8-24 10YR4/4 CL 2MBK MFI GW IVF .4 .6
C 24-96 7.5YR4/4 FS 0 F SG ML ---- ---- .5 .7
Boring# ❑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/11 '
in. Munsell Qu. Sz. Cont Color Gr.Sz.Sh. •cff#1 •Eff#2
Boring# s Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
1 Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr. Sz.Sh. •:ff#1 •Eff#2
•Effluent#1 =BOD s>30<220 mg/L and TSS>30 <150 mg/L •Effluent#2=BOD s<30 mg/L and TSS <30 mg/L
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format,contact the department at 608-266-3I51 or TTY through Relay.
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