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Wisconsin Department of Commerce [#LUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service, Inc.
County
Attach complete site plan on paper not less than RYo A 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale pr dimernsions, north arrow, and locatiorj and distance to nearest road. Parcel I.D. - lei
P/eases print pN information. R revved By !Date
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1) (m)). ~ A/J
Property Owner Property Location I 'N
Hieb, Matt Govt. Lot na NE 1/4 NE 19 S 16 T 29 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1271 140th St 4 na Willow Fall d
City State Zip Code Phone Number J City J Village v/ Town Nearest Road
New Richmond WI 54017 715-381-5277 Hudson Grange Rd
._f• New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
_,J Replacement Public or commercial - Describe:na ~S S
Parent material outwash Flood plain elevation, if applicable na
General comments
and recommendations: Conventional system, system elev on 96.80ft. Trenches spaced and depth to code 4.75ft b low grade.
A~L
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Boring # J Boring K6--,7
1!m Pit Ground Surface elev. 101.55 ft. Depth to limiting factor 100 in. 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
1 0-12 10yr3/1 none sil 2msbk mfr cs 1 f .6 .8
2 12-36 10yr4/4 none sicl osg ml cs na .4 .6
3 36-100 7.5yr4/6 none cos osg mfr na na .7 1.6
r
a,-V 8b
s-+ /q3
Boring # I Boring
sm Pit Ground Surface elev. 100.55 ft. Depth to limiting factor 100 in. 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
1 0-14 10yr3/1 none sit 2msbk mfr cs 1f .6 .8
2 14-30 10yr4/4 none sicl osg ml cs na .4 .6
3 30-100 7.5yr4/4 none cos osg mfr na na .7 1.6
X16
447 g
Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS <30 mg/L
CST Name (Please Print) ignatur CST Number
David J. Steel t~ 248956
Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number
994 200th St., Baldwin, WI 54002 11/8/2004 715-684-5680
Property Owner Hieb, Matt Parcel ID # Pending Page 2 of 3
3 ]Boring # Boring
V1 Pit Ground Surface elev. 101.35 ft. Depth to limiting factor 100 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-13 10yr3/1 none I 2msbk mfr Cs 1f .6 .8
2 13-48 10yr5/6 none Sid osg ml Cs na .4 .6
3 48-100 7.5yr4/6 none Cos osg mfr na na .7 1.6
❑ Boring # Boring
J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
❑ Boring # - I Boring
_ Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
J
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P Z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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.
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STEEL'S SOIL SERVICE INC. 3 of 3
David J. Steel Matt Hieb 994200 th St.
CST-POWTSM NE1/4,NE1/4,S16,T29N,R19W Baldwin, WI 54002
Lic. #248956 Town of Hudson, St. Croix Co. Bus.(715) 684-5680
Willow Falls, Lot 4 Fax.(715) 684-3449
Legend N
1"=40'~
Q = Benchmark Ele. 100.00 ft
Top of 3/4" pvc pipe
= Alt Benchmark Ele. 100.45 ft
Top of 3/4" pvc pipe
❑ = Borings
Boring Elevations
B1 = 101.55 ft
B2 = 100.55 ft
B3 = 101.35 ft
B4 = 0.00 ft
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