HomeMy WebLinkAboutCST-2019-076 236-1668-01-002ti
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Wiso,Al n Departinenmerc , � Q 2019 ,SOIL EVALUATION REPORT /n� rr Page j of 3
Division of Safety and �uildings i, 13 qV Flo., r {,
in accordance wi�h Comm 85, Wis. Adm. Code
County`
Attach complete site Ian on ooef'-r & s I` t §n'44, ( 14 inches in size. Plan must GJ
include, but not limit toertld�_I dii ce point (BM), direction and Parcel I.D.
--�i-
percent slope, scale o fiim`e`nsions, north arrow, and location and distance to nearest road. Z
Please print all information. Re ' wed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ,(f -
&IA 1
Property Own Property Location
!zt t �� Govt. Lot 1/4 114 S J T % N R ZOE ( ) W
jj—Property Owner's Maif ddress Lot # Block # Subd. Name or CSM#
.- ' - e-�.-- / -y-- / l
State Zip Code Phone Number ❑ age ❑ Town eat Road
14New Construction Usesidential / Number of bedrooms Code derived design flow rate �� Z7 GPD
�❑ Replacement ❑ Public o mmeraal - Describe:
Parent material 0 1,( �� � �, �/�ll'k-l- t 7� Flood Plain elevation if applicable[ �% % r 7 z� � ft.
Generalcormtents QS</Ytwt3crfs Jer'
and recornmendabons: el- 7E7
System Type_System Elevation
Boring
F-1 IBoring # �
it Ground surface elev. ! ft. Depth to limiting factor 17 �,— in.
Snil Annliratinn Rata
Qu. Sz. Cont. Color
M Boring # El ® Boring �—;
pit Ground surface elev. �� ft. Depth to limiting factor In.
Snil Annlirafinn Rats
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDN
'Eff#1
I 'Eff#2
1
6
.xily
�
r7
�}-,�
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150104t' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address i Datevaluation onducted Telephone Number
1432 120th St, New Richmond, WI 017 `� " �C; / 715-246-4516
Property Owner _
Parcel ID #
Page of
Boring#
t�BBoringq
ri
l Pit
Ground surface etev. ft.
Depth to limiting factor in.
Soil Application Rara
MMM=
IN T1
Redox IMM10j,"
• on
1:1
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
III®
� : 1 1
� • - • •
I 1 � : • I •
®®
• «:
®®
' �
a Boring # E] Boring Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
Soil Application Rate
Redox Description.
Qu. Sz. Cont. Color
• Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150 mg& • Effluent #2 = BOD, 130 mglL and TSS 130 mglL
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.
SBD-8330 (R.W00)
Soil Test Plot Plan !'
Project Name Gary Borglund Shia
Address �
25 Ivy Green
Hudson Wi 54016 CSTM #226900
Lot 1 Subdivision --------- Dame. 5/22/19
1/4 1/4S 36 T 29 N/R20 W City Hudson
❑ Boring Q Well PL Property Line County ST. CROIX
kk BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe
System Elevation TBD *HRpSame as Benchmark
Property Line
B-3
75'
? Scale is 1" = 40'
p�s�« unless otherwise
noted
MIN
35'
25% Slope
35'
2% Slope 5 B.M.*
2
Tested area is relatively
level