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Wisconsin Department of Commerce Q EVALUATION REPORT Page -Lof 3
Division of Safety and Buildings p
Comm in 85, Wis. Adm. Code
County
Attach complete site plan on paper not le x 11 ust
inducts, but not limited to: vertical and horiz I ref ence poi i a rid Parcel I.D.
percent slope, scale or dimensions, north arrow, and ovation and distance to nearest r d.
Date
Please print all info af%O/~ri(~G 005 Review by
Personal information you provide may be used for seconds purposes (Privacy Law, s. 15.04 (1) ( PropOwner rty L tion
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Prope is Mailing Address Lot # Block # Subd. Name or M#
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City State Zip Code Phone Number ❑ city ❑ village -fiiYTown Nearest Road
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Construction Us • sidential ! Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material D ~'t% z e at/ T - Flood Plain elevation if applicable of ft•
General comments
and recommendations: syslL,g,`. ~l~Vurr~-~uy~ / Ir'~tol
Boring
M Boring #
Pit Ground surface elev. ft. Depth to limiting factor Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffr
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Etf#2
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Boring # ❑ Boring /
a ~ Pit Ground surface elev. kC~ft. Depth to limiting factor D tn. 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
0. 3J2 e7l 4 Y- rn C-
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• Effluent #1 = BOD > 30 1220 mg1L and TSS >30:S 150 ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L
CST Nam (plea Prirtt) re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 K17 715-246-4516
J
Parcel ID # Page of
Property Owner _
❑ ri
3 Boring ng
❑ # Ground surface elev. ft. Depth to limiting factor m. Soil Application Rate
it
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP(Mf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
0-17- ~3/z 1 2m 2 •8
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Bori
F-1 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. 'Efr#1 •Eff#2
Bori ❑ Boring
❑ng # C3 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. 'Efr#1 'Eff#2
FEE
Effluent #1 = BODE > 30 < 220 mg1L and TSS >30 < 150 mg& ' Effluent #2 = BODS < 30 mg& and TSS 130 MgIL
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 608-2648777.
SOD4330 (ItAM)
Soil Test Plot 7ja
Project Name P.C. Collova Bldrs. Inc. it
Address P.O. Box 489
Somerset Wi 54025 C M #226900
Lot 11 Subdivision 95th St. Site Date /18/05
NW 1/4 SE 1/4S 7 T 30 N/R18 W Township Richmond
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 99.2' *HRpSameasBenchmark
Alternate Benchmark Top of 1/2" pipe C 100.3' Scale is 1" - 40'
unless otherwise
noted
Property 391' Property Line
Line
B-1
5% Slo e
B-3
5'
45'
6I P-M.
50' B-2 30'
99.5' 98.5'
Property Line
110-
244' Property Line