HomeMy WebLinkAbout018-1096-04-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code __II. Cr
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 4
Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. p /
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. --0 , W6
Please print all information. R ewed by Date
Personal information you provide may be sed f % N dva Law, s.15.04 (1) (m)).
Property Owner Property Location
POn N 2002 Govt. Lot NE 1/4 N w 1/4 S 9 T 29 N R( -j E (or
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
ST. CROIX COUNTY 1 Pheasa
City State Zip Colle ❑ City ❑ Village Q Town arest Road
a W1 540KS (jI5)1W-1 Z 102' vc -
®-New Construction Use: (o}Residential / Number of bedrooms _LaLj_ Code derived design flow rate 1450 606 GPD
Replacement t I Public or commercial - Describe:
Parent material 1 Flood Plain elevation if applicable Ai 14
ft.
General comments S e rm e V q?, cd VIA- m.au- c~aac/ eG~Qld .
and recommendations:
F71 Boring # Boring
1 Pit Ground surface elev. m ft. Depth to limiting factor 29 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 -Eff#2
o `b ID r31z 1( ry)-6L k- C5 J4 .5 3
t 51c] r~r c 5 - -
Fz-1 Boring # ❑ Boring
® pit Ground surface elev. W96
ft. Depth to limiting factor '40 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence 7poundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. tjtfc~l •Eff#1 'Eff#2
- 10 5ld ' C 5 Id
3 3 I C-5 - - -7
2
'No-66 b P•5 ! rnS - r Z
~sA S "
- 611,(,d M"41 C
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
&dam ,-h ker ' ' - ZS- a
Address Date Evaluation Conducted Telephone Number
ZII _ b 5 . SornC~r-se C~11 (UZS - 6,; -`r -(DZ t.7/5) ?-q7-V00
Property Owner Parcel ID # G/ Page 2-. of
a Boring # ❑ Boring
Pit Ground surfaces elev. t ~u ft Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2
I 0-(b C) 2 Sf I 2 rv,~ C- \ V. 5 .8
2 t 5 r ej 2r,-,sbk C- S - .44 n4r UQ -3 tC~ w C3 0 5 AID 5j 3m5 k "fir CD
Boring # ❑ Boring
F-1 ❑ pit Ground surface elev. R Depth to limiting factor in. Soil Application Rate
Horizon Depth - Dominant Color Redox Description Texture -Structure Consistence Boundary Roots GPD/1`12
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Strud(ue Consistence Boundary Roots GPD/112
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 = BODS < 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-8330 (R07Po0)
PAGE_OF~
NAME LOT# y LEGAL DESCRIPTION k F XAAll X,S 9 T Z ~ ,N,R, 1- E(or)~
SCALE: I"= yO
BM I ELEVATION
BM I DESCRIPTION ~ a-~ / vc1 - -f-' 1 N
BM 2 ELEVATION f q /6)
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BM 2 DESCRIPTION o o ~~~QvG Z,%JQ
SYSTEM ELEVATION q`/, UO
SYSTEM TYPE n'10.) /L~ S~S~tvti
CONTOUR ELEVATION Jf~, Q
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