HomeMy WebLinkAbout018-1096-23-000 (2)
r
.Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3
Divisii+d of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must County _I 1
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 i tbrmadon. vie by Date
Personal information you provide may be used for ndaREi.GF4V° W. s. , it (1) (m)). r~~5 3 7 63
Property Owner Pr Location
JUN G. Lot N k) 114 N tJ1/4 S 9 T ?_9 N R E (or &W
Property Owner's Mailing Address Lo t# Block # Subd. Name or CSM#
ut&- & ST. CROIX COUNTY" 3 t'
City State Zip Code City _ ❑ village ® Town Neare!sk Road
>~m (1Jl 615 c I ) ~(nU - I IZC, m ~ 6'~'` eve ,
New Construction Use: DQ Residential / Number of bedrooms Code derived design flow rate qSU & 00 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material 77 Flood Plain elevation if applicable /U ft.
General comments S ys f,-_~ e4,2 v, Cj F, > 0 . 16M s -
and recommendations: L0 r 2 2 20 Ve
ly 13/
.44t I
❑ Boring 6Ytj71WA,,1 Jlxj~iyh
C Boring # 84iC~iit.
® pit Ground surface elev. `'l l 00 ft. Depth to limiting factor qt in.
Soil Application Rate
Horizon Depth Dominant Color Redo x Description Texture Structure Consistence Boundary Roots GPD/ft2
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
I Z s5 I Z bk ,~r,-~'r- S v~' FJ
Z l 1 y S• cl Z k r r • -
Z- lNg -7 J r- y
171 Boring # r❑~ Boring _
l~ pit Ground surface elev. ~ ft. Depth to limiting factor .J o in.
T- 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 0-1 (6 . Z 5i 2~bk c
15- 1 k cS L{
8 CZ ~.5 ~f L_~ 1 rn%i -
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOOS < 30 mg/L and TSS < 30 mg/L
CST Name (Please Pri ) Si ature CST Number
cakirl k t) rvt cif OP;S3.:271, 0 q
Address Date Evaluation Conducted Telephone Number
67
_~i~tniSe lit// S'yo~s'-_
property Owner Parcel ID # l~ Z Page of
a Boring # ❑ Boring Ground surface elev. it. Depth to limiting factor ' AO in.
Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'Eff#2
v - b lL s' ( 2 ,~n r c5 .5 .3
2 [4_4~ 1611'r qjq S (*o 2 k f"Ay- C5 - q
3 - ( I
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ff. Depth to limiting factor in. Sal Application Rate
Horizon Depth . Dominant Color Redox Description Texture -Structure Consistence Boundary Roots GPDfftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ pit Boring
❑ Ground surface elev. ff Depth to Gmiting 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 'Eff#2
- ' Effluent #1 = BODS > 30 < 220 mg/- 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.
SBo-8330 (R07/00)
1
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PAGE_!~_OF
I ~o T OT# 13 LEGAL DESCRIPTION axi X VW 14 ,sq~Y N R / 7'- E(o
SCALE: I"= 7 Q '
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BM I ELEVATION lO0 • 6
BM I DESCRIPTION I 12 Pe - `4- -
BM 2 ELEVATION o d
BM 2 DESCRIPTION q
SYSTEM ELEVATION q g, 3 O
SYSTEM TYPE - d -e
CONTOUR ELEVATION CI ~d
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BM 1 DESCRIPTION fp~ - p U C P e _ -
BM 2 ELEVATION l q, O O
BM 2 DESCRIPTION jn 0 c) Q,~r ae I See
SYSTEM ELEVATION q 9,30
SYSTEM TYPE A ± - LCa d -e
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