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Home My WebLink About014-1035-90-000 RECEIVED SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Ivil'sco 0 C T 3 Y SEC ION REPORT Chippewa Falls, WI 54729 / www.commerc(715) .&sb (715) 7226-252544 Department of Commer e ST. CROIX COUNTY L_ orrict Date of Inspection: October 8, 2003 Plumber Name and Address: Project Name: Wallen Use: New Residential Legal Description: SE, SE, 16, 31, 15W Site Number: Certified Soil Tester Name and Address: Subdivision: Byron Bird, Jr. CST 220527 Municipality: Town of Forest 896 68th Ave County: St. Croix Amery WI 54001 Plan Transaction Number: Owner Name and Address: Sanitary Permit Number: Ivy Wallen 2828 210 Ave Wastewater Flow: 600 gpd Emerald WI 54013 Persons Present: K. Grabau (715) 263-2794 This onsite was requested by the county inspector to help determine the suitability of this site for a A+4 mound site. It is my opinion that the soil conditions are not suitable for a mound system utilizing A+4 criteria. ` Redox features were observed in the A-horizon at CST B2 and immediately below the A-horizon at CST B-3. CST B-2 00-11" 7.5YR 3/4 sl w/7.5YR 4/6 Fe Conc along root channels. 11-22" 7.5YR 4/4 sl w/c3f-d 7.5YR 5/6 and 6/3 rmfs Estimated highest level of saturation is 0" Areas with redox features in the A-horizon are not acceptable for mound systems unless a soil saturation determination using observation pipes monitored during a normal spring season proves that there is at least 6-inches of unsaturated soil. On the other hand, additional soils work may define a possible area in which to conduct an interpretive determination pursuant to Comm 85.60(2), Wis. Adm. Code. An additional onsite verification would be appropriate should this second option be chosen. If there are any questions regarding this report, please contact me. r 'Z'Z~ /11 (Iew.~ - Leroy G. risky, W tewater ecialist Ljansky c@i ommerce.state.wi. E-mail 715/726-2544 Voice 715/726-2549 Fax cc: eounty ❑ Plumber (j'CST ❑ Owner ❑ Other i Parcel 014-1035-90-000 02/13/2008 04:43 PM PAGE 1 OF 1 Alt. Parcel 16.31.15.256 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - TUMM, DAVID D & LAURIE A DAVID D & LAURIE A TUMM 2863 210TH AVE GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 16 T31 N R1 5W SE SE EXC S 50FT OF E Block/Condo Bldg: 30FT Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-31N-15W SE SE Notes: Parcel History: Date Doc # Vol/Page Type 11/12/2003 746481 2455/258 WD 07/20/2000 626701 1528/42 WD 06/08/2000 624479 1517/436 QC 07/23/1997 1107/558 WD more... 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/18/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.000 6,800 0 6,800 NO UNDEVELOPED G5 1.970 200 0 200 NO Totals for 2008: General Property 39.970 7,000 0 7,000 Woodland 0.000 0 0 Totals for 2007: General Property 39.970 7,000 0 7,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 tp Wis _trnent fCommerce SOIL EVALUATION REPOR Page of bf~ty and B ildings in accordance with Comm 85, Wis. Adm. Code ' County ~ £i i ~C Attach ogmQ~ ite pl on paper not less than 81/2 x 11 inches in size. Plan must u* (E' ut not limited t vertical and horizontal reference point (BM), direction and Parcel I.D. Spercent slope, or di ensions, north arrow, and location and distance to nearest road. &Z C4 Z 0 4AO12 ~X LO -~0 SCE c, FF lease riot all information. Reviewed Date S. O P S LNG mformabon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). O Property Owner Property Location . 4 e r Govt. Lot /4 C1/4 S T N R` (049, Property Owner's Mailin Address Lot # [gio-& # Subd. Name or CSM#,, 3'5 0 'J/ City State _ Zip Code Phone Number ❑ City ❑ Village own Nearest Road 00 - ( New Construction Use: I~kResidential / Number of bedrooms Code derived design flow rate B?O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments ~JGt~~tri/~o r ra, n 14o ` le ~t ~f p. / 'if,C~~ S • and recommendations: ~nezelC / -CAS/ ~r t> G/`1C~G`~ .HOC ~6a ~l0 /d~,, 71,e i + ~fD~c ~16r 14.;D ° ca f ~J /may L s /J O ~c /A uJd Lei F-/1 Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor T in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 G - - y- it y'df-,-c-- 5 h /97,1 geE J- 26 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/W in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Efr#2 01( 01 7 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature o CST Number 13 1k on g2 1-1 Address ate Evaluation Conducted Telephone Number Property Owner-,9v Q Ch Parcel ID # Page of FBoring # Boling F 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/tF in. Munsell / Qu. SSz~. Cont. Color Gr. Sz. Sjh. 'Eff#1 'Eff#2 ( Jow- loll 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 # Boiling F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth 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 = BODS > 30 < 220 mg/L and TSS >30:< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS 130 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 608-2648777. SBD-8330 (R07/00) i~ -77 A-!w A37 b~ ~o ~~h~s 13a~ ~©o 4 Alt or V 17P ° 020 yi /3 g'° ST. CROIX COUNTY WISCONSIN • ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER / / N 19 N rn■. 1101 Carmichael Road Hudson, W 154016-7710 r Phone: (715)386-4680 Fax (715)386-4686 Fax To: e - ( S 5c. 1, From: C-V ! /U Fam Pages: 0 Phone: Date: T -Zz `3 Re: 50(( r CC: 201 .210AA VA- T I - Csn'► 2/s/01 ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Dl~-/ 3S- mod •25-27j, a-C S S - VL PCL S's PA ~zA~ . ; r3 3 8:1 k- $86 VOLVO PAGE 5109 REGISTER OF DfiEDS CERTIFIED SURVEY MAP NO. 5109 RECEIVEDxFOR•kECORD 11/23/2005 02:30PM VOLUME 20 PAGE 5109, CERTIFIED SURVEY MAP REC FEE: 13.00 THE WEST HALF OF THE SOUTHEAST QUARTER COPY FEE: OF THE SOUTHWEST QUARTER PAGES: 2 3.00 SECTION 16, TOWNSHIP 31 NORTH, RANGE 15 WEST, TOWN OF FOREST, ST.CROIX COUNTY,WISCONSIN aaP UNPLATTED 9 20X LANDS ~ " 67i (,l i C! N86233'43"E 688.35' t r West line of SE/SW OWNER/PREPARED FOR: LOT 1 Randall Graese 2828 210th Ave EMERALD, WI 54013 N 0 830,632 sq.ft. ° N 19.07 acres incl. r-o-w m UN PLATTED - LANDS 807,934 sq. ft. U_NPLATTED - 18.55 acres 00 o not incl. r-o-w -LANDS v r O A N N DRAFTED BY: outbuildings sheds Joel A. Brandt JB SURVEYING LLC Q well barn I South 114 966 Rustic Rd 3 Section 16-31-15 Glenwood City, WI o septic. hour buiidin setbock fine - - rd 2' Square Iron Pipe f 33.04' 33.04' ex, driveway $ ~JQIh_AVe_ - _ 644.68' rn ~85'5-6 38 W 6$7 $2 P.O.B S85'S6'38"W 1332.48' _ - - I t- - - ~ 585'56' 38"W - -687.79 / W 2664 .95' centerline S85'56'38" Southwest corner SW corner Section 16-31-15 SE/SW Found Alum Monument UNPLATTED LANDS Note: Each parcel on this map is subject to State and County laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. LEGEND .........Government Corner (as noted) JMLA. DT o.......... Set 1" x18" Iron Rebar weighing * ewa.or 1.502 lbs./lineal ft 3-2003 OLEMWOM CITY, J l9 VVI North is referenced to the SCALE: 1" = 250' South line of the Southwest t Quarter of Section 16-61-15, 0• 250' 500' ` t assumed to bear 585°56'38"W (St. Croix County Grid System) Page 1 of 2 Vo1.20 Page 5109 10/17/03 FRI 10:53 FAX 715 386 4686 Q001 *aBxc ERROR TX REPORT s** TX FUNCTION WAS NOT COMPLETED TX/RX NO 1682 DEPT. ACCESS CODE 1245 CONNECTION TEL 917152632644 SUBADDRESS CONNECTION ID ST. TIME 10/17 10:53 USAGE T 00'00 PGS. 0 RESULT NG 0 #018 ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT \ 130111i, 3 0111 ■ rwr ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road y _ - Hudson, WI %oj6-7710 Phone: (715)3$6-4680 Fax (715)386-4686 Fak To: 8 ert s -")From: l /U Fam Pages: 00, 1 J _ Phone: Date: Re: 5o1 f CC: ❑ Urgent ❑ For Review 0 Please Comment ❑ Please Reply Q Please Recycle v LU ~,,,~-~Ct,~~ ~5 cry-e-Q i S ~ze•~ ~e I~.e,~ - ~,~,,,w,.e,c,~,~ Parcel 014-1035-50-200 07/14/2008 10:20 AM PAGE 10F1 Alt. Parcel 16.31.15.252-20 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/08/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner LUCAS J MILLER O - MILLER, LUCAS J 52 20TH AVE CLEAR LAKE WI 54005 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2828 210TH AVE SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 19.070 Plat: 5109-CSM 20-5109 SEC 16 T31N R1 5W SE SW LOT 1 CSM 20-5109 Block/Condo Bldg: LOT 01 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-31N-15W SE SW Notes: Parcel History: Date Doc # Vol/Page Type 03/10/2006 820480 WD 11/23/2005 812886 20/5109 CSM 02/20/2003 710414 2147/473 WD 06/08/2000 624478 1517/434 LC more... 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/23/2008 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.570 2,100 0 2,100 NO UNDEVELOPED G5 0.500 100 0 100 NO 00 OTHER G7 2.000 10,000 138,800 148,800 NO Totals for 2008: General Property 19.070 12,200 138,800 151,000 Woodland 0.000 0 0 Totals for 2007: General Property 19.070 12,150 138,800 150,950 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 014-1035-50-000 07/14/2008 10:20 AM PAGE 1 OF 1 Alt. Parcel 16.31.15.252 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/08/2006 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GRAESE, RETIRED NUMBER RETIRED NUMBER GRAESE Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 1127 CLEAR LAKE SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 16 T31 N R1 5W SE SW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-31N-15W Notes: Parcel History: Date Doc # Vol/Page Type 02/20/2003 710414 2147/473 WD 06/08/2000 624478 1517/434 LC 07/23/1997 1107/558 WD 07/23/1997 508/458 LC 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 02/08/2006 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Kevin Grabau From: Jansky, Leroy [Ijansky@commerce.state.wi.us] Sent: Monday, October 06, 2003 9:21 AM To: 'Kevin Grabau ' Subject: RE: Byron on-site OK we're on for Wednesday. I pushed Nelson's onsite back to 1 p.m. We need to set a time. How about 11:30-11:45 a.m.? -----Original Message----- From: Kevin Grabau To: 'Jansky, Leroy' Sent: 10/3/03 3:55 PM Subject: RE: Byron on-site ok, sounds good. Wednsday will work. -----Original Message----- From: Jansky, Leroy [mailto:ljansky@commerce.state.wi.us] Sent: Friday, October 03, 2003 3:33 PM To: 'Kevin Grabau ' Subject: RE: Byron on-site Let's set a date if this onsite is still needed. Probably next Wednesday 10/8 late morning. I have an appointment with Tom Nelson at the Seim site in SE-NW-5-29-15W at 12:30 p.m. (might push it back to 1 p.m.) then back to an Adam Schumaker site we were at last year in Twp. Baldwin -----Original Message----- From: Kevin Grabau To: Leroy Jansky (E-mail) Sent: 9/23/03 4:30 PM Subject: FW: Byron on-site Leroy, I fax'd a copy of Byron's soil test to you. > -----Original Message----- > From: Kevin Grabau > Sent: Tuesday, September 23, 2003 4:26 PM > To: Leroy Jansky (E-mail) > Subject: Byron on-site > Leroy, > I will need your expertise on this site. It is in the SE/SE, > S.16-T31-15E, town of Forest. It is just north of the intersection of > 290th St and 210th Ave, off of 290th St farm-field entrance. When could > you meet me there? > Kevin Grabau > St. Croix County Zoning Department > 1101 Carmichael Rd > Hudson, WI 54016 > 715.386.4680 > keving@co.saint-croix.wi.us 1 z _ T-31-N • R-15-W 1 See P ~ e 112 For Additional Names. / 3000 3100 3200 N Piua & 0, a Sandra Carol Cormitan 5treif &Janet mqu Ruth 'toZ ofu 102 47 i Scepmek I; 3 y ~q a gcg CREEK 733 c Cormlcan 224 a.: r Lonnie Chad Beau- F cGo Y260BIomberg a Arisen -4 Sandra& 11 ea re, IOos- o w 40 ka° 4o Gerald uFred CHearn lemas . Stella & Ilia Nitchey g0 39 40 156 230TH VE $ James & Pete & - Sandra I- Phyllis 40 Shirlee 7j Vayne IU Harold & Brooks Philip w- 440 0 rly Bradley Shirlee Ander- & Dena an 120 I Cress 60 4 4 Brooks 120 160 son 60 oleo N Karen gg it & Pete & r Walana 38 Nilsen 15 _ 160 & Eileen ysl, I 6°40 dith o Thom 60 ch 160 147 FR-&w- William & CV s o Bergmann d Z Y Igeson pd;n DaNd Cl- me mn Patricia 40 & Kathy & Tracie 80 Z y~0~ g Ly Gale 4 40 ~RFfK s`~ Richter Heibeld & 0mt Hall g Eggert 96 Steinberger 160 if 79 39 av & `,w 80 e16e1 80 195 All I ma N 3 z a r 220th AVE Neil & Deborah Lorelei Q Amin Staoiey N N s3eane- ri. obernack 97 Pocks 40 dti o Sanfhiers 7 I 1 Ti A Ahles s Ulriclia Nilges ,w Sam& 39~ N N `d u Ma David D~~ & a m & Krefts x & Doris Sc'a & A Cress .1 LE Anderson 74 140 20 160 Schmidt 80 \ leffrevlaR 160' A u U m etal a o' O O O Aq "b q 158 2 s Edgar & u^ . m PP ace m ao i x R 1 s x N o0o Luella v a E q Inc ° O 270 '3 1 q u D Farm 'i .ygg I bu n~~ afC~ _ ~m Inc °n eOw +d 1 ~U ailt o~x vaQ 48 E35 I F q Monty & C7 6g Kurt ® 160 o~c E 340 1 wMe o ll 1 2 m 220 V ~eK Edwards 0.di °o m 52 ert C Z cu Robert R&5 20 Kurtis 1.oni & J 21 Ol g 6 Sh-AVE O t d & - . 240 2 p Hirer ~OO1ef Eggert Rie David & Rita 0DZ 51 40 q0 .}0 4 a osen Lorel Buhr rnard Ellis David & Bernard S=Oel aoLEN & Ellevold Dennis La-e Lucille 11 1 & Debra Moll 112 80 155 A 160 osen iu 0160 40 160 40 bn ^ee Eric& Ne6& a°dre.. j na"~ o°° o 205th VE Moll Melissa9 ;d 0m ke john I 198 .o ~a0 40 °°eo- o q Lo a e' o 'n 40 g a„a, I Inc N m o TeIB' n N '3 8 c q k Ijames & all 116 NN q a0~N 'Laura Florence F o 5 o°i, 3la3 Paul Duvall 1 5 168 0` Uaric o 160 160 78 _ 80 0 Terrance M F atc6ard- Jg_ ~~usseI- 200th AVE inga & e°o w r' Brad) & Lawrence man & Rhea Dob- df Tthh& ro Lawrence 49 LMkl 40 u A 80 J ~.J Bazalle 76 :o0 40 Deboer Q' 160 40 q u Alice _ &C amen & Keith om re0gnhn Alfred & 2 b Voeltz- zo O Z G n' & McNamara oho I 0 Jeannette ert Da" Lucille u e s Ma Strom 0 40 m< y0 Krig 200 O> 233 s°errkk. ~'B Jackelen 75 si 160 111 EBason 80 L d Orville K nth Todd & Otto Jaime & shUhl ]21 a 6 a capis- Bormet bert & aurern & Ted o q m I rT1 Kuhn b.5 1? mm 4o tr>nt 40 Annette er Do* Bethel u q F III e8 Sc Lisa & iM,-. rv3 E i Jt &Fantes _ MiII Rouin ~ a ~6•~ 229 Q ot's a 19i 201 u 80 nma Hein buch 120 120 0 131 - 40 80 41 ate' x s en O -ak ^ °O° 1 i3 v 00 s Dale & & Arlene Diamond w 3 x Shelley u " a $ r 34 Susan r gp Hill 80 Incas E a! I Endres 60 E A ^ d6 a ° Riba q .g~.hfF2 Z Vwx uZN „6 0 80 155 40 C7 u.S 220 12 128 240M 80 q4 35 0 N D Norman Ran & o Gary & Gerald & s Sheldon (Allen & Melvin & S g de Forest ' E Karen 0D M Sandra N t ro & Ruth Ard ° I Ridge N m 15 Ss Laura Micle 100 m" o Ludemann qo Carufel Simonson a m ia~an3 Warner Simonson Kenneth CI bt °u Harol , r Y o; Schmidt O" s zs &Ida la 120 255 o s&c way 158 160 80 3 160 c:a.rma 6 79 121 40 40 1:j 4 N)5 EMERALD PAGE 54 GLENWOOD A Ilk - A 1, GUNWOOD CITY, WI 54013 (715) 265-4429 (715) 265-43 (715) 265-7255 FAX (715) 265-7 72 a 11.e O f~7 r AF 737 S p2~ O 5 7 Qm d'LQ , % ~ n U p"'c ^ -c__ loo ' I-Jo es 13a~ 00 a?)o i !.s D i ~ o r ~a /3 Wis ant f Commerce SOIL EVALUATION REPORT Page of and B ildings R in accordance with Comm 85, Wis. Adm. Code County Attac~i oq. Re pI on Ku paper not less than 81/2 x 11 inches in size. Man must S u t limited vertical and horizontal reference point (BM), direction and Parcel I.D. ercent slope.," or di ensions, north arrow, and location and distance to nearest road. fjl b j 51 GR NG pFF\GE Reviewed by Date lease print all information. information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 1/!N >d r I GovL Lot x1114 C1/4 S T N R Property Owner's Maili Address Lot # Block # Subd. Name or CSM# City / State Zip Code Phone Number ❑ City ❑ Village own Nearest Road New Construction Use:I5kResidential / Number of bedrooms- Code derived design flow rate ~~9?D GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. and recommenldations: u / / r r . n . -itcl/C / -CAS/ q /.Sa X10 APe-e 71 ,e i r+ hD~c /~1B F 71 Boring # ~ Boring O~ E] Pit Ground surface elev. / ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D-/o -f2-, / -5 - 04- An 56 Boring ® # Boring / ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 '01#2 i 06C2 If a XZ sb &4v - Effluent #1 = BOO > 30 < a > < 150 mg/t. ' Effluent #2 = BOD < 30 mg/- and TSS < 30 mg/L CST Name (Please Print) Signature CST Number /3 If t D Address ate Evaluation Conducted Telephone Number Property Ownerv a h Parcel ID # Page of Bori Boring # n9 F-3-1 I ❑ Pit Ground surface elev. ft. Depth to limiting factor Z4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 IZP- Boring ❑ # ]Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#'t 'Eff#2 O 02.312._ ; 2 9-3 13 -r ~fl 2 ❑ Boring # Boring ❑ Pit Ground surface elev. ft Depth to, limiting factor in. Sod 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 •Ef#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 1150 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 die department at 608-266-3151 or TTY 608-264-8777. SBD-030 OL07/00)