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HomeMy WebLinkAbout030-2039-10-000 Wisconsin Department of q�+y 20\% SOIL EVALUATION REPORTl ` Page of Division of Safety and Build Z Z I (fly RI t� in accordar{ce with Comm B5.Wis. Adm. Code � ,r Attach complete site plan an paper no 12 x 11 inches in size.Plan must C,/ni _ include.but not limited to:'veAi zontal reference point(BM),direction and parcel I.D. percent slope,scales dimensions,north arrow,and location and distance to nearest road. 03 L7"'a D37—it)-ego Please print all information.?f �' Revieyred by / Date m Persona mfoubon you provide may be used la secondary mp secoary purposes(Privacy Law.s.15.04(1) /�( Property Location Ply 61//es S`/t-i f f Govt Lott) 1/4)1/4 S 2 �?0 N R E )!(c Property Owners Mailingle it Lot p Block it Subd. Name or CSMN / City State Zip Code Phone Number 0 City 0 Village own Near t Road n r,.yrI, /o n D 33�`f . ( ) Sj/, �O j� ✓ i t� jE o New Construction seX.I esidential/Number of bedrooms 3 Code derived design flow rate -12., GPD taaeplacement -1 0 'Public orr�ommeraal-Describe: --_----. ,,yam ---IPareM material /47-41.Z{.C/n✓t.a-C/� � /� Flood Plain elevation if a cable N /rT __ -_ —ft. General continents D p Pitt? /'$ eta t and recommendations: /�` / � 2 System Type h System Elevation 3 /] Baring Boring 1 it Ground awl-ace elev."'?. 0 ft. Depth to limiting factor A/ v in Soil Application Rate Horton Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/fl In. Mursel Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eifel 'EfUt2 -2-- og-3(0 l y<,l/ C . $$/ v . l-4- ' y - Ls-O Boring r 0 Boring ❑ Pit Ground surface elev._ ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/?P in. MLnsel Qu.Sz. Cont.Color Gr.Sz.Sh. *Oft) •Effit2 •Effluent it1 =BOO.>30<220 mg&and TSS>30<150 /Of 'EflkrerM t2=BOD,5 30 mglL and TSS<30 Illg✓L CST Name(Please Print) /442----- CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Dale Evaluation C ucted Telephone Number 1432 120th St, New Richmond, WI 54017 /—37—/ 715-246-4516 Property Owner_ Parcel ID# Page of 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/ff in. Munson Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsel Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 # ❑ Boring Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. rSci Application Rate Horizon ')apth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDRI in. Munsel Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 'Effluent#1 =BOD,>30<220 mg1L and TSS>30<150 mg/L 'Effluent#2=BOO,<30 m g/L end TSS<30 mg/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. sao-i»o(I ern) Soil Test Plot Plan Project Name Wendy Stadler Shau• �ird Address 179 LE Grand Lane /� Summerland Key Fl 33042 if #226900 Lot 2 Subdivision Dat-/31/18 S W 1/4 N W 1/4S 25 T 30 N/R20 W Township St. Joseph - ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of septic tank manhole System Elevation 93.2 *HRpSame as Benchmark Cty Rd E Scale is 1" = 40' unless otherwise noted Existing 3 1'•Well 180. Bedroom House 20' 200' 0 45' A ,B.M.* 100' Vent B-1 • 20' s Property Line