Loading...
HomeMy WebLinkAbout008-1090-40-000 (2)wsco,,+min Department of Commerce SOIL EVALUATION REPORT Page i of Division of Safety and Buildings in accordance with Comm 85 Ws Adm Code County S C 1 G Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (SM), direction and parcel I.D, 1 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.0< (1) (m}�. m Property Owner properly Location Govt Lot !�-;F 1!4 ((/� 114 S Z T c N R E (or) V, Property Owner's Mailing Address Lot # Block # Subd. or CSM# City State Zip Code Phone Number ❑ City ❑ Village Q Town Nearest Road I j 2 5�r ® New Construction Use: [D Residential ! Number of bedrooms 3 ` Avr d design} rate G� GPD ❑ Replacement ❑ Public or commercial Describe: Parent material 7 ; r' li 'V%od Plain � te plicar ft. � � General comments _<ySj•ev►� (� �c.� .`�r� yg•90 / ; f� (r] L�' �`" Y`'�adl and recommendations: FBaring # Boring ® Pit Ground surface ele�i�• J� Depth In Soil Aoalica6on Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fi? 'Eff#1 'Eff#2 ! oS,` Z r c iv ,S Y Z i Sir 3 � s L z��b� Yn ' — ci L� Boring # ❑ Boring — / pit Ground surface ele 4 % �` Depth to limiting factor 1 in• Ste( goolication Rafe Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDffP 'Eff#1 `Eff#2 0 raj' � "I z ry'CA (LC wM` C -S v r S % J / 4r z Effluent #1, BODE 30 _ 220 mglL and TSS >30 < 150 mg1L ' Effluent #2 = BODS < 30 mglL and TSS < 30 mgtL _ CST Name (please Print) ignature CST Number Address Date Evaluation Conducted Telephone Number 2 JM .1omer 'j -54'G2 1-' -CC, I5�2 -LI Property Owner ; --,CA 'A 5� -e %(— reel ID # Boring # ❑ Bonng / f ® Pit Ground surface el4 � ft. Depth to iimi6ng factor in. Page z of Snil Anntiratinn Rate Horizon Depth in. Dominant Color Munseli Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#1 I -Eff#2 i ovq (o 2 r C-S I �S • �S E Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Aoolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fg 'Eff#t "Eff#2 ❑ Baring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIff `Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mgrL and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and 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_ SBD-alto (R 07M) �k Wtfi --�opsin Do {partment of Ckimme ce SOIL EVALUATION REPORT Page —I— of DY- Icn , ' Safety and Buildings in accordance with Comm 85, VAs. Adm. Cade Attach complete site plan on paper not leas than 8 112 x 11 inch es in size. Plan must S ` include, but not limited to: vertical and horizontal reference point (BM), dhK:fion and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. please print all lnformadon. M yal inPermnformation you pawide may be used forseeandary (Privacy Law, a. 15.WL.�/ (1) (m)).� Property Owner Properly Location V�L Govt Lot 1 /4 N a 1 /4 `d N R I Owner's Mai" Address Lot # Block # I Subd_ Name 41, CSM# r- _ iv CP LL e 1 -- — C4 Sta6a Zip Coda Phase Number [] try ❑ Village [2 Town Nearest Road r.,lnnAt,,: Ilc I wi I bHOLS( 1 (71.5—) [n9X �2,Z36 A-J 6-ch 2 S0 E [t New C,on ftuctim lose: ® Residential / Number of bedrooms Code derived design flow rate SU 116 O GPd ❑ Rep4 mmertt ❑' Pubic or commercial - Describe: Parent material O U CLS V\ Flood Plain elevation if applicable, ft. General comments :4 e vv'r e and recommendations: C �.. Boring # ❑ Bori El �J-'fait Grvundsurface 99 YO ft Depth to limiting factor %� -- ire.-.^•��._- Zvi Arnliralinn Rafts Boring*111 Elam / L� Pit Ground surface elev. 19 Y4 Depth to limiting factor / G" in. Soil Aovlication Rate Horizon Depth in. Dominant Color Munsell Redox Qu. Si. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fP 'Eff#1 'Eff#2 1 ©---1z r3/3 — 5i' �n� << Q�-s 2- i Z -I ( -o l G ,-/Z i-,, } Jr .l C S - r 16, 1-0 C Z r SL— Effluent #H = BOD > 30 < 220 mg/L and TSS >30 < 150 nVIL ' Effluent #2 = BUD, < 30 mg/L and T55 < 30 mgrL CST f Name (Please Print) iture CST Number 27 Address Date Evaluation Conducted Telephone Number Z / Ct� S Sce q -z'/ -cc'. 7/S Zv7- Yrc'i Page --ZL of Property Owner l Boring u Boring # rsd—P�t Ground surface elev. 4 �. �� fk Depth to limiting factor _—Ll-- . in. Soil lication Re Horizon Depth Qomir nt Colo Redox pescxipf on Texture Stnxtuns Consistence &wndary Roots GPp11f •Eff#2 in. Munsell ou. Sz. Cone Color Gr. Sz Sh. TIM r f !% r3/3 I V'C < Boring Boring F-1# r❑-� LJ Pit Ground surtaoe elev. ft. Depth to limiting factor in.Sail Applkation Ra Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GPD f in. Munselk Qu. Sz. Conk Color I Gr. Sz. Sh. -Eff#1 I 'Efl#2 Baring # U Boring F-1Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Hate Horizon Qepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. M insell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 'Eff#2 " Effluent #1 = BODS > 30 E 220 mg/L and TSS >30 < 150 mg/L ' Effkwrt #2 = BOD5 < 30 mglL and TSS :5 30 mg1L 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 TIN 608-264-8777. SeD4330 (A.07AU) " Effluent #1 = BODS > 30 E 220 mg/L and TSS >30 < 150 mg/L ' Effkwrt #2 = BOD5 < 30 mglL and TSS :5 30 mg1L 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 TIN 608-264-8777. SeD4330 (A.07AU) PAGE -'�, OF NAME Lq^ LOT# — LEGAL DESCRIPTION S 6 '/.nr 1A.S. 3ZTZfr N R/4� E or SCALE: I"= %©6 m BM I ELEVATION ffb • d BM I DESCRIPTION fai2e � 1 " eoppnr- ,J2,',Pe BM 2 ELEVATION BM 2 DESCRIPTION +p Q �' SYSTEM ELEVATION rod , 3 0 ALTERNATE ELEVATION CONTOUR ELEVATION ?q- `YO } { 41 A-e 2- bol E z� led r 4 ► �D ,o�, z 7, yl y M SIGNATURE -y-oI IJ r2l 00 100 RUSH RIVER PAGE 20 300 R III f lif H - 141 co ,9 C R . 13ih is Danlel A Y y $T .ti R•4++e a NJ 4 l e s p attv�q� CF p a 2Jthn r - • f y-95 $ }' t 3p1 Se[ie[ 60 ^ Y li[ebiidtic f r 0 $ • - f! wJ rt5 FF y�zxamsr `T�+`�. �Q f RU'� [ y S d 3 j` N aLie 222ntl ST>� R° •� jo h M p W 2Ltmeta[ Gibb■ LE N Y • !i L ao t S � �# 222na ST 6 r 2251h $T b J 2 bavl[Fj8 i � _ r _ Daprtt 230th ST 793 Ps[ 3 � p R• Qp pp �� y` % � � 8 w � • � R � � i '.-.] a•� E ��� tif� �'g�� � N T N+ne.n C � • E • � a - � ^`� � •QCBa � +t0a "N " • R 8 OF on C g .w. N' P. n Rim I F' ar Robert 3 67 , a T 21 r �I G •° 90 a fiavde 8o a J°hnwrt S4ve R 1Jti a s ,o f $ • i.re. Td _v, I '� Sthwab 5 6 p tR� Iep O. fN IT arF m !AM Kenn - R Rhsebk '�O ■ I.^ 40 ';Im:" S IFI Q 4 �1yC racl N 4 OY �a ttl 4 i g 'Rt+s m mj t ° N • m ir: ap i`•.en' RxY A"jig aeal A� mOt l $ S a Truli7 gm P • .1 SF� Pamela 28 .e,� R+ r- PecAuna[ WElflam A Y f aC 6 ► a a Catherine e+n. Z lP t wale • +► 20 o S Godwin Jr , '"' ii R-e • bawn Y 6 Fvde • W..- 7C3 �-ta 'View Z. ....... .. ..SFevtnOfh $T "a _ ��' N (A r� ladder[°^ mm,& Pr Mldud S-__ [a... _.1 LTnum 77 n•, �. Mder- `TO ' Fe jv. F _ •dnal.d Arlene : '�..... wa 0� 5L 1 I! i ? l9 ayne at so b o p S R Ie 67 C Aht[on Sh rend' `�"- �.► r mlit � , C s R n 0. 0 ie �Y� gk F 96 I M m W ry a & `+ r PIP 'M 40 IV rF i ■ i n w y[i��Fg. eQ t ! it Lp 'j � M+�" " 9 •_w. b' W wad C�■Gr.[`^' KlLS - =R L �y� p „._... Fr..w ,m K �$° •+ a/ram •• + a raM -�� E 00 RT�■ Fwish EAU b f3ALt R � �� � � ram•■ p � N 0° h $T NFR R, i w 7 fd R. Scott I n [' „� • Y M do ,1 s Klefineyer 1 ib w r�i R o. ■ If 0,n S r 1-. �_ • z N Rm$ o /H fit 1JVd AQVJ 270th $t 2 � O a St. Croix Countv Mar)M wt` ., r.., 1V NE ^. q NE V4NE kW, II - i, Il Yr A! w �.,.4 A. EAU cALLe i t .: .a•-ey.. 9N+tIFN119 'A.4T�: . w f 4W14 Kx' - r Y " r ^I `£ 1r4 E F a !I rry k 10 �a e •. � n fr �'p•�r"g"7'� " I 4 0. n 4. r ;. - ..GIs 4 '��� •..w NW SE NW V4 SW 1A St. Croix County Planning Department 1101Carmichael Road Hudson, WI 54016 Phone: (715) 386-4674 DISCLAIMER : The information contained on this map is advisory. Map accuracy is limited by the quality of the public records from which it was prepared. It is not intended as a substitute for an accurate field survey. AERIAL PHOTOS : Aerial photography is date -sensitive. Features that exist presently in the County may not be present in the photos. LEGEND o Structures — State Roads Township Roads County Roads Rivers and Streams Lakes Villages C 7 Townships Federal Land State Land County Land http://stcrxdmz/servlet/com.esri.esrimap.Esrimap?ServiceName=StCroixOV&ClientVersion=4.0&... 4/6/2004