HomeMy WebLinkAbout020-1028-70-000 (2)
Wisconsin Department of Go re 6 SOIL EVALUATION REPOR ~ Page of
Division of Safety and Buildings
;l{+~ aaggp*nce with Comm 85, Wis. Adm. Code County I 71- T.
7 c'" t
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
vartical and horizontal reference point (BM), direction and Parcel I.D. 1
include, but not limited to:
n
scale or dimensions north arrow, and location and distance to nearest road. e
percent slope,
. Please print all information. Reviewed by Date
Personal information you provide may dra used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location _
Govt. Lot f~ 114 /4 S TL N R ` E (o W
5- 1 "A Property Ownets Mailing Address Tot # Block # Subd. Name CSM#
L
C41Y State Zip Code Phone Number ❑ City ❑ village MTown Nearest Road
c
ew Construction Use. RessdenYial / Number of bedrooms _-M_ Code derived design flow rate JW _ GPD
❑ Replacement ❑ Put,lic~ commercial - Describe: - - - -
Parent material Flood Plain elevation if applicable ft.
General comments - So/►''Q- G~c~-11 1C ` 4 6 8,elo v r Q.
and reconwnendabons:
0n/lJw System Elevation _
System Type
Boring # Boring
pit Ground surface elev. L r ft. Depth to limiting factor in. mil Application Rate
Horizon Depth Dominant Colorl Redox Description Texture Structure Consistence Boundary Roots GPD1ff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Etf#1 'Eff#2
Z /1-Iff
3 y8~ l S D~s in C ~l /
i
Boring
Boring # Pit Grot,nd surface elev. ff. Depth to limiting factor - in. Soft Application Rate
El n
~ .
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ig
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, 'Eff#1 'Eff#2
1 0 ? S f" Fr Gj t% I.a
vo IG
oo~
• Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 E t #2 = BOD < 30 mg/L and TSS < 30 mg/L
- CST Number
CST Name (Please Print) 226900
Bird Plumbing, Inc. Shaun Bird
Address ate Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, 54017 ~ - ,i ~ 715-246-451
(Property Owner _ Parcel ID # Page of
I Boring # ❑ Boring
-W-Pit Groui id surface elev. A _ ft. Depth to limiting factor / in.
Soil lication Rate
Horizon Depth 4om nt Color Redox Description Texture Structure Consistence Boundary Roots GPDlff
in. sell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
3 ~j✓' _
F-1 Bor ing # ❑ 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 GPD1ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
E] Boring
Boring # ❑
pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODE > 30 < 220 mg1L and TSS >30 < 150 mg/- ' Effluent #2 = BOQ, < 30 mg/L and TSS < 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an atemate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (RAM)
• Soil Test Plot Plan
Project Name Travis Waldschmidt Shaun Bir
Address 476 Cty Road A
Hudson Wi 54016 CSTM • 26900
Lot 5 Subdivision Date 8/31/12
NE 1/4 N W 1/4S 16 T 29 N/R19 W Township Hudson
❑ Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of survey iron
System Elevation TBD *HRpSameas Benchmark
M. 100' 303' Property Line
pool 10.
40'
B-1 30'
0'
80' B-3
1% Slope
Scale is 1" = 40'
unless otherwise
noted
B-2
320' Propety Line
McDonald Lane