HomeMy WebLinkAbout018-2011-83-000 (2) ~ I
• whconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildntgs
in acx ordarne wiU1 Comm 115, Wis. Adrn. Code County
Attadl complete site plan on paper ltin' res irr sPlan must
6ldude, hid not Ifmlled to: v r pair t (BM), direction and Paluel LU.J
percent r• lope, scale or dime islonsl . ~rRT►iS tition a id distance to nearest wad.
Re sewed Date
P1 ase print aft h4iruntt t
Peleonal information you provld may b rol~ecbndU a s privacy Law, a. 15.04 (1) (ill)). p~
Property Owner Property Location
ST CROIXCOUN 17 Gcrvt Lot f 111 114 S 1' 2N R E or
"Ric- ~ 4. N6 OFFICE f•J ~ Nf 3U°I
Properly Owner's Mailing Addies vt # Bivck # Sulnl. Name or CSM#
r~ ~-~~s mss- ; °o>•-,
13 s 3 ~w~ F~ ~-{e 1r•
City State Zip Code Phone Number ❑ City U Village {►T~' +own Nearest Road
l-•l ud 56 za ! 51 a M q-1,73 1-~a m o Ac4 T
[New Construction User-Residential / Number of bedrooms _ - Ccxfo derived design Iluw rata GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent materiel Fk)od Plain elevation if applicable t.
General comments
and recommendations: I.
Boring # ❑ Bvriny 7 i 1 - -
1 I ® Pit Ground surface elev. L_ ft. Uepllt to Ikniting factor in.
Soil Applicalion Rate
Horizon Deptil Dominant Color Redox Description Texture Structure Consistence Boundary Rcxlts GPD/fl' _
in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2
( 0-2,Z [O 3IZ ?nob
Z 22-45 I nl~cl 2-rn-ibk- (0
Boring # F1 Boring Q
Pit Ground surface elev. it. Depth to limiting factor Sob A I'rcaGon Rate
Horizon Depth Doininant Color Redox Description l-exture Struduie Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sir, 'Eff#1 'Eff#2
0-20 ( 3 i I 2m-!) L r y-C .
- ( 0-113 • Li m ~I
- i
Effluent #1 = BOD > 30:< 220 nxi/L and TSS >30 < 150 mg/L ' Effluent #2 = BOU < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
d&xa, h.~rv.a1~e,r' 49f " Z537)01~
Address Dale Evaluation Conducted Telephone Number
I
- ~ Page of
Properly Owner _ ` ~ L- Parcel ID It
~l Boling # Boring
L J~ Pit Ground surfac a elav. _'f 11 It. UepUr tv GnMGng factor 5 in• Sol Application Rate
Horizon DepUr Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDf(F
in. Munsell Qu. Sz. Coat. Color _ Gr. Sz. Sli. 'Ellitl TIM
2 -2? t Sic- cs
3 c~-la s~ I ~ mom;
u Boring # Boring
E] _
u pit :Ground surface elev. it. Depth to limiting [actor Sol_-A IicaUon Rate
Florizar UepUr Dominant color Redox Description Texture SUudwe Consistence Boundary Roots _ GPD11F
'Eft#1 'Eff#2
Ill. Munsell Qu. Sz. ConL Color Gr. Sz. Sh.
a Boring # Bonny
pit Ground surface elev. __----It. Depth to limiting (actor -
A rlicalion Rate
Sol
Horizon DepUr Dominant Color Redox Description lexture Structure Coosistenc.~e Boundary Roots GPD/rF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD, > 30:S 220 rngiL and TSS >30 < 150 rngfL ' Eftlueol 112 = BOD, < 30 nrgfL and TSS < 30 nrgfL
The Ue artme tit of Count nercc is an equal op} rorturrity serv ice Iwovider and e m IrlvYer. If You need assistance to access services or
P
need material in an alternate format, please contact the department at 608-266-3151 or TIN 608-264-8777.
SRD-N301R.071Orr) '
I'AC;E3_ur 3
NAME: S --Lo I'll 1i11~rIr~1~:&,Ji~INw CV)
r
SCALE: 1"- - - - -
~m C ELEVATION: (0 U U
Bh1 1 DESCRIPTION: Fo d P UC_
BM 2 ELEVATION:" ~`-36
BIv1 2 DESCRIPTION:
SYSTEM ELEV/VFIt)t UU-
SYS"1'L'M "1'ti'I'I;: 4 -(9YaoQA_o[_-Wild A
- - - - 1.
-
D
~a
e' Epj-
o p, ,
r
301 Q(AjAce~ lstserttiarJ
SIGNATURE:_-
NOTE - 60 ft. wide area disked and seeded
for drainage easement. Does not appear to
have damaged POWTS sites _