HomeMy WebLinkAbout036-1079-30-000 (3) c sr-aua 0 — 15o?
Wsconsin Department of Safety and Professional I Page 1 of 2
ision or Industry Services I J\.7 ILA - IL EVALUATION �� �� ,g5 tit A 16
InCounty
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Attach complete site plan on a r noti s 111>� St.Croix
p pe a x 11 inc es in size. Plan must include,
but not limited to:vertical anql horizontal reference point(BM), iredan and percent slope, Parcel I.D.
scale or dimensions,north avow,and location and distance o earest road. 036-1079-30-000] Ref#2577
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Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)). (J�IP_,V1 I / 7�Z-7_-
Property Owner Property Location LLLJJJ{{{
Dan&Roxanne O'Keefe Govt. Lot NW Y. SE Y. S 31 •T 31 N R 17 E (or) W
Property Owner's Mailing Address Lot# Block# Subd. Name or CSM#
1443 185th Ave. D Na CSM Vol.3,Pg.800
City State Zip Code Phone Number ❑City ❑Village ❑Town Nearest Road
New Richmond I WI 154017 I (763)764-2752 I I Stanton I Same
❑ New Construction Use: ® Residential/Number of bedrooms 3 Code derived design flow rate 41N GPD
0 Replacement 0 Public or commercial-Describe:Parent material Glacial Outwash Of‘A Flood Plan elevation if applicable na ft. 61-pi , O
General comments and recommendations: Evaluation completed to determine suitability of site to allow reconnection to existing diispersal cell. Soils are
suitable for In-ground POWTS with 0.7 g .design oading rate. Existi g system infiltrative surface elevatons=91.40'.
S FLer
fIuiS., a„r.olaryts
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❑Boring
1 Boring#
®Pit Ground surface elev.95.10 ft. Depth to limiting factor>86"in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu.Az. Cont.Color Gr. Sz.Sh. 'Eft#1 •Eft02
1 0-10 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 0.8
2 10-20 10yr4/4 none sl 2fsbk mvfr cs 2fmc 0.6 0.8
3 20-30 10yr4/4 none sit 1 nsbk mfr cw 2fmc 0.2 0.3
4 30-35 7.5yr4/4 none sl lmsbk ml cw 1f 0.4 0.6
5 35-82 7.5yr4/6 none s Osg ml gs - 0.7 1.6
6 62-86 10yr4/6 none s Osg ml - - 0.7 1.6
Bonng# ❑Boring
0 Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu.Az.Cont.Color Gr. Sz.Sh. •Eff#1 'Eff#2
I •Effluent#1 =BOD,>30 s 220 mg/ and TSS>130 s 150 mg/L • ftluent#2=BOD >30 s 220 mg/L and TSS>30 s 150 mg/L
CST Name(Please Print) S gn re CST Number
• James K.Thompson / ; 30021
' Address ate Evaluation Conduct d Telephone Number
340 Paulson Lake Lane,Osceola.WI 54020-5413 May 28,2020 (715)248-7767 _
SBD-8330(R04/15)
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