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HomeMy WebLinkAbout002-1083-40-000 (3) Wisconsin Department of Commerdri SOIL EVALUATION REPORT Page of Division of Safety and Buildings 4 r R + Ihlodcdrtl rice with Comm 85, Wis. . ode t E , County C Attach complete site plan on paper not less thar AX "q C 1 inches in size. include, but not limited to: vertical and ho,~f~t~rital ?eference point (BM), direction And Lp, V percent slope, scale or dimensiop~fdOdl~f1 arrow, and location and distance ton ore oad. © 3 Please print all information. Re 'ewed by Date ,^wwc Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). r G~N r V , Property Owner Property Location t~ Govt. Lot 114 A S ~J3T Z N R E (r) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# a 7 z- a 3a 7 f Z • f~ 3" City j State ode Phone Number ❑ City ❑ Village Town Nearest Road / cJ ( ) rl s ❑ New Construction Use)C Residential / Number of bedrooms Code derived design flow rate '56`12 GPD Replacement ❑ Public or commercial -Describe: Pa material Flood Plain elevation if applicable yI ft. General mrr coments < A4- „ C01 and recorrwnendata datlans: System Type ~a System Elevation / / ~tPn r7n Boring a Boring # I Ground surface elev S / ft. Depth to limiting 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 a Boring 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 I L/I I I I I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 1 ' Effluent #2 = BOD 130 nVL and TSS < 30 mg/L CST Name (Please Print) - - CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation 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. 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 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 F-1 Boring # ❑ 11 Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon -tepth 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 = BOD, > 30 1220 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. SBD-8330 (8.6100) 7 Soil Test Plot Plan Project Name Fannie Mae Shaun B' Address 2327 Hwy 12 Baldwin Wi 54002 OK4'#226900 Lot Subdivision Date 11 /19/12 NE 1/4 N W 1/4S 33 T 29 N/R16 W Township Baldwin Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of siding System Elevation TBD *HRpSame as Benchmark Scale is 1" = 40' unless otherwise noted Property Line Property Line B-2 30' DW with pump inside ST pumping to location unknown Garage Property Line Existing 3 Bedroom House 24' Well 96' B.M.* 40' .4i 20-d C, 24' 4% Slope 50' 85' B-1 II 213' of frontage Hwy 12 I i O I 3 0 a ~ 0 `q v o O c Q+ 0 ~ I N C h ~ ~ f0 a U v m r~i Q d 0 w aNi O 0 Z co c LL c E Z- 2 v ° a Q 0 0 o I ~ N N 'D E 4i 0 Z O 0 C C d 0 M N W G. co cn H Z E m o o Z c N U ~ ~ 7 w o I Q v c E `o 2 (D 0 N _~J N O C N O C N N • N L_ 0-5 d O v1 L Z Z Z N ~I I O 04 N O7 Cy 1~£6 ~i a o y _ y a c w E Q c a n o N U) N C c H H F- 32 0 0 0 a 7 IL arm;. o N N U rn rn z° 2 0 Oo M O O - O O O M O cN c` N O O 'a (O 7 a 0 9 y Q m N tf Q Z U) o 0 'V Q O J y C o a O ~ O m c - O ~i N 3 O ~ v p ,n 3 t c c tOi d 00 0 (D V f- vE 9 N Y y N O N p 00 ID c aD a, c 7 C ° ai 3 V a~ v v o o l O 7 L • ~1 O m l D O Z Z Z E co O ~ i w E r%1 y 'a € a L: CL 7 7aj r`1~l +r E ` c r A U a O N 0