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HomeMy WebLinkAbout020-1028-70-000 (5) Wisconsin Department of U91+ ~0 1 ~ SOIL EVALUATION ,~,EPORT Page of Division of Safety and Buildings It r Z0 V'hy din accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must 04 rr / include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. f percent slope, scale or dimensions north arrow, and location and distance to nearest road, it . Please print all information. Reviewed by Date Personal information you provide may oe used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Property Owner Property Location ^ 1 , $ r Govt. Lot 114 /4 S TL N R E (o w Property Owner's Mailing Address Lot # Block # Subd. Name CSM# City State Zip Code Phone Number ❑ City ❑ Village ETown Nearest Road &A11\,1 ~;Aq_36-922% 1 1 me Do J_X 40a~ ew Construction Use:%-ResAential /Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public commercial -Describe: Parent material!~~ Flood Plain elevation if applicable f~ ft. General comments and rec onwriendations: System TypehOf✓U System Elevation _ j Boring # Boring / 1 pit Grou+id 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. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. i'Eff#1 •Eff#2 1 0 0 C5--- C Boring # C] Boring 0 pit Grot rid surface elev.///.~- ft. Depth to limiting factor ~n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 10r3z e.s t.v y/6 S m/ . 3 l7s o 7 awr • Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < #2 = BOD 130 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Nurnber Bird Plumbing, Inc. Shaun Bird Z2~~ 226900 Address Evaluation Conducted Telephone Number ~ j ~ 715-246-4516 1008 192nd Ave, New Richmond, W'54017 Property Owner _ Parcel ID # Page of LS] Boring # El Boring / Pit Ground surface elev. d 4 ff. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. 5h. 'EffJ/1 'Eff#2 C- 5 2,6V -30 3 c / d 5 O~ l . - - - F-1 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. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ❑ Boring Boring # ❑ Bo pit ring Ground surface elev. ft. Depth to limiting factor _ in. Sal Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 ' Effluent #1 = BOD6 > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, < 30 rng/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 aitemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. seo•8330ca.61aor • Soil Test Plot Plan PrOject Name Travis Waldschmidt ShauY$ d Address 476 Cty Road A Hudson Wi 54016 CS #226900 Lot 6 Subdivision Date 8/31/12 NE 1/4 N W 1/4S 16 T 29 N/R19 W Township Hudson Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of survey iron System Elevation TBD *HRpSame as Benchmark B.M.* 304' Property Line 3 0' 5% Slope 80' B-3 104' 3 0' 105' B-1 45' B-2 Scale is 1" = 40' unless otherwise noted[ 289' Property Line McDonald Lane