HomeMy WebLinkAbout018-1096-09-000 (2)
'visccyrsin Department of Commerce SOIL EVALUATION REPORT Page / of
Division of Safety and Buildings
` in accordance with Comm 85, Wis. Adm. Code
County C
Attach complete site plan on paper not less than 8 12 x 11 inches in size. Plan must
Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. vie by Date
Personal information you provide may be used fo seconp V Law, s 15.04 (1) (m)). a
Property Owner . operty Location
ovt. Lot /V 1,j 1/4 No 1/4 S 9 T 29 N R E (or
Property Owner's Mailing Address t # Blodc # Subd. Name or CSM#
011 - 12 ST. CROIX COUNTY q p RI
City State Zip Code LRb-on6WbW&r0H-IUF- ❑ City ❑ Village aTown Nearest Road
4dmff&d 1 (Z! )7 -(l ZOO { Il 2 x-
8-New Construction Use: a Residential / Number of bedrooms - Code derived design flow rate 5U GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Z; / I Flood Plain elevation if applicable _ i ft.
General commentsej 2(/ r 100. 00
and recommendations
' Sv ~ 53
P Boring # Boring
® pit Ground surface elev. _ ft. Depth to limiting factor q5 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
-(Z 2 r r C 1v~ 5
2 1 -2 Src.l ~ err ~5
Z~ -q 3 j()-4v-3j(0 - 1 2-mnb~ rn f- cS _ Y
4- L
F-2-1 Boring # ❑ Boring
® pit Ground surface elev. ft. Depth to limiting factor ~C in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
S 8
i b-114 z s+ i k rr^ ~S 1-r
3 I -'SI C2 llD LI mfr -
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
wtoL o-r - o
a JJA
ddress Date Evaluation Conducted Telephone Number
1 Z
~6T 9
Parcel ID # Page of 3
Property Owner
Boring # ❑ Boring 20
B-Pit Ground surface elev. 100•11) ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
-IZ I z S~( CS !v 5
- I i' Zn-)5 r
IZ
2
3D
F-1 Boring # ❑ Boring
in.
ft. Depth to limiting factor
❑ Pit Ground surface elev. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2
Boring # ❑ Boring
F-1 ❑ 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/ftz
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff42
• Effluent #1 = BOD., > 30 < 220 mgA- and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 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 TTY 608-2648777.
SBD-8330 (R07100)
r
_,3 OF 3
PAGE
NAME Qo A t -C T OT# 9 LEGAL DESCRIPTION A/ti! Y d/w X ,s q T,;>,, ,N,R, 1 E(or U
SCALE: 1"=
1
BM 1 ELEVATION /60.6
BM 1 DESCRIPTION ,fc)P p
BM 2 ELEVATION
SPC, q
BM 2 DESCRIPTION 4-,p,4 c- &e
SYSTEM ELEVATION-/00, O
SYSTEM TYPE fljno A c~
CONTOUR ELEVATION SCE
s
rV
0
~o I
1b °~Z
ICa •Q
qq,,)o
I
SIGNATUR DATE
r vc-. v.\/'~G
NPL A TED L NDS
x
1095.3
_ o
is 0
------r
31. S 24 01 2 4. 4 174.
x
b $ 1095.2
M 8-33 N L OT 17 9-480
LO T h
L T 1. T8 ACRE 1. 68 CRES 1.
N :
io ACRES
o M ~
,
NP,3o20' M M 3~9
0.409 4.`.
i p
1.3 ACRES ,
hi Q 9 ~
O'
,6, 54 NN w;Ily%
LOT 11 W ST60
1.52 ACRES cr 'p~ ~S, 3 r E
40 4551
LFE 1072' 51 , ?g'
6
2
co
L0 10 Z ,g3ok
~F .54 ACR ; ► 7g.
a
fASF T 1070' 6 9 i
L E 1072' 0 50
94' 0 3 w
~ • /V a S a~ 6 ~ °
sy
6,/60 `-~6O-
COO
w h0 i6'?' 83 30
LOT 2 -ao ® - - - - - q. 182.8
1. TT ACRES ~v OT . •
n°j V. er.RFS W N;