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Wisconsin Department of Commerce Sal VALUATION EPORT Page ! of
Division of Safety and BuildRns-
acxxordance 'h c 851w4. AW Code
County r
Attach complete site plan on paper not less than 8 1/2 11 inches in size. Plan y
include, but not limited to: vertical and horizontal refere poir,~(0Qg1~,CdII~~lR Parcel I.D.
percent slope, scale or dimensions, north arrow, and I tion and distance to nearest ro L Q
Please print all inforrna on. Reviewed by Date
Personal informabon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Own Property Location
, Govt. Lot 1/4 5,671/4 S I-3T N R E (or w
Troper(y Owner's Mailing Address Lot # Block # Subd. Name or CSM#
0_5 - S~
City State Zip Code Phone Number ❑ City ❑ vil ge own Nearest Ro
S (
I~X
ew Construction Use: esidential /Number of -311.41 Code derived design flow rate a GPD
❑ Replacement ❑ Public commercial - Describe:
Parent material Flood Plain elevation if applicable !!L' ft.
General comments
and recommendations:
System Type System Elevation
F/]Boring # Boring r
Pit Ground surface elev. ft. Depth to limiting factor /l U in.
Soil Appl ication 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
-t Z r Z- S diull-, m- L?.j- 1-7
® Boring # ❑ Boring
it Ground surface elev. CO ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description jTexture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
V-) 2 3 r n Cie Cs r &rrh (o JD
✓I F
3 3~-rr D rz s Osci 01 in I& /r2 --7
L_
/Al
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mlg/t-
CST Narne (Please Print) CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evalu tion Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715-246-4516
Property Owner Parcel ID # Page of
® Boring # ❑ Boring
Pit Ground surface elev. 1 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
C-Q ,(o /.0
a~,z p 3~ sf
Z IZ n,,r c-1
Meg
-Vj
3 3 IUD/ g -
❑ 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 # Boring Ground surface elev. ft. Depth to limiting factor in.
❑ Pit ~ ication Rate
Horizon 7epth Dominant Color Redox Description_ Texture Structure Consistence. Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30:S 220 rng/L and TSS >30 < 150 mgA- ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mgtL
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need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD$330 O W00)
Soil Test Plot Plan:
Project Name Hudson Holdings LLC Sha , iir
Address
703 Pine St. N.
Hudson Wi 54016
226900
Lot 5 Subdivision Yellowstone Valley Date 26/06
S W 1/4 SE 1/4S 13 T 29 N/1119 W Township Hudson
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 93.5/93.4 *HRPSameasBenchmark
Alternate Benchmark Top of 1/2" pipe @ 100.5'
Scale is 1" = 40'
unless otherwise
noted
382' property line
Area of poor soils
B-2
45' 30'
~k
40' B.M.
0% Slope B-1 AtI.B.M.
90'
B-3
290' Property Line