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gam WisconsnDepartrnentof Commerce, SOIL EVALUATION REPORT
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Division of Safety and Buildings
nce with Comm 85,Wis. Adm. Code l/�
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must may,}' ` ��i
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. n -y /,�
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0416 -/O'?c^e '/.'L?
Please print all information.37' /h `�-ckQQ Q. Reviewed by Date
1 / /
Personal e dormabon you pro ale may be used for secondary purposes(Privacy Law.Law.s.15 04(1)(In)) Zi„ �7 / I 0 -Z 2—
Property/Owner n /�/1 Property Location n
Ike, ()I)v 72 p a Gov.Lol)E. 1/45E 1/4 S /7 T 62i N R 17 E( W
Property Owner's Mailing^^^ �Adddrrree+ss VVV l Lot Blocit it Subd or{CS{MN
.41 3 h z<a )i � r il- u4 1�/e �s
S to Zip Code Phone ❑City ❑Village Town Ne t Rolle"
n n
F5[ne:it I fl b-�S 1'37( ) �� 4 _ I i l .C.I�C
New CoASWction Us sidenbal/Number of bedrooms _ Code derived design flow rate 4 7 GPD
0 Replacement 0 Public or commercial-Describe: ________. _--_ . —
PareM material �l/i/,/Li/li(.,t��`-I-' Flood Plan elevation if applicable /+/J ZD� ) - n.
General contntents `v✓F1 f Vf/IiL ce cI s
and recanmendationa: \�7� `^,
System Type 74 Y 9T i Nig_ . . _ _ System Elevation I U
IBorYg# / 9'7
pig Ground surface elev. / / , lt. Depth to limiting factor n. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. ns Mtel Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2
I O-e, .//O ,3/L - Si/ Amyx r1 (yr �y._. CD.- - 0
Z 61� fd/_ 13 - .-)// ,dfi m ti`� - 6 , 67,
3 /6-3i ,i( ,--4 3 ; / 40, ii �� g , vc_
Y 3 S-Y 3 Tf r, 2'(�/o ,- s,/ �44 )4- ,,� A'i, /-,, ,�,�
,, �l
Bortng« Boring �' 7
® 2, Pit Ground surface elev. /i ft, Depth to limiting factor J 7 in.
Shc Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/R
in. Mtrtsel Du.Sz. Cont.Color Gr.Sz.Sh. 'Etta'I 'Eff#2
I o - 5- Dy 3/L Li/ ' k-- Al / ,i i— , 6 -
2 5-/3 JO' 4/'. �- sr/f ;�/_ i.d f' , , 6
-3 13- 3 14- 3 S,' ,,?r b� �n ,> , 6
`l i Y$2 /4 6/( si// —,r-- - �,vi� ✓✓1,1 .v,/J N,,o
3 yrf�r�
•Effluent N1 =BOO->30<220 mil_and TSS>30 1 or/ . 'Effluent#2=BOD,<30 mg(L and TSS<30 mg/L.
CST Name(Please Print) ,l/) ature ..._ CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Co ed Telephone Number
1432 120th St, New Richmond, WI 5' : e -?-G—J 715-246-4516
Property Owner Parcel ID# Page of
.a6onng
3 Boring#
C(, (^/
Pit Ground surface elev l ft. Depth to limiting factor -) in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell au.Sz. Cont.Color Gr.Sz Sh 'Eff#1 'Eff#2
/o-zo/0f G13 5�`/ t ,�f� /-, .,c4) 1 4 G 1
o- l64,w
(0/'3 --- 5�/ fmslo//- /�. n2f `!�vl� - �� ,
/0�61( s f f —r^— .v i1+ tied N,-P r%O
Boring it ❑ 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 GPDNf
in. Munson Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eft#2
•
Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to inviting factor in.
Soil Application Rate
Horizon lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDRf
in, Murfseil Qu.Sz. Cont.Color Gr.Sz.Sh. •Eft#1 •Eft#2
'Effluent#1 =BOO,>30<220 mgrl-and TSS>30<150 ngrL •Effluent#2 2 BODE<30 rrgrL and TSS<30 ng&L
The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access set-vices or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
58DJ330(R 6401
•
Soil Test Plot Plan
Project Name Kenneth Bednar Shaun :I .
Address 4-11rXavier Road J
f/3 Bloomington Pi&55437
frW CST #226900
Lot 6 Subdivision Trebus Valley Date 8k 4/18
NE 1/4 SE 1/4S 19 T 28 N/R19 w Township Troy
Boring O Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of power box
System Elevation TBD *HRpSame as Benchmark
Scale is 1" = 40'
Property Line unless otherwise
noted
70' S
'
B-2
a 45'
25'
1.5% Slope : .M.*
70' 98'
■
B-1
97.5'
Mitchell Rd