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WisronsinDepartment ofComma APR 1 6 ~ WIL EVALUATION REPORT Page
1 of 3
` Division of Safety and Buildings a
J? ^of y(y~ Fomm a , Wis. Adm. Code County St. Croix
Attach complete site plan on p Wj fft ltnches' size. Plan must
include, but not limited to: vertical and horizontal rence direction and parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Reviewed Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Steve Derrick Govt Lot WE ~1/4 SE 114 S 15 T 30 N R 18
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM9
1438 County Rd G 21 - Cherry Knolls 1st Addition
City State Zip Code Phone Number 00ity []Village . Town Nearest Road
New Richmond WI 54017 ( ) County Rd G
E] New Construction UselD Residential / Number of bedrooms 3 to 4 Code derived design flaw rate 450 to 600 GPD
0 Replacement Public or commercial - Describe:
Parent material IfS CS o over 0J1-3c-5k Flood Plain elevation if applicable 8.
44A
General co"me"ts This site is suitable for a below grade conventional system
and recommendations:
FT] Boring # 0 Boring
Pit Ground surface elev. 99.05 ft. Depth to limiting factor >90
D in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-11 10yr3/2 sil 2msbk mfr as 2f .6 .8
2 11-22 1 4/4 - sit 2msbk mfr cw if .6 .8
3 22_32 7.5yr4/6 - is Ogg mvfr cw - .7 1.6
4 32-90 7.5yr5/8 s Osg ml - - .7 1.6
F 2 Boring # Boring 98.10 >90
Q Pit Ground surface elev. ft. Depth to limiting factor M. -
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/lF
in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 'Eff#2
1 0-8 10yr3/2 sil 2msbk mfr as 2f .6 .8
2 8-23 1 4/4 - sil 2msbk mfr cw if .6 .8
3 23-33 7.5yr4/6 is Osg mvfr cw _ .7 1.6
4 33-90 7.5yr5/8 - s Osg ml - - .7 1.6
' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 rrg/L
CST Name (Please Print) Signature CST Number
Thomas C Nelson - 227387
Address Date Evaluation Conducted Telephone Number
1432 120th Street, New Richmond, W1 4/1/04 715-246-2454
Property Owner Derrick Parcel ID # Pe' A r n~ Page 2 of 3
Boring
P-1 Boring # Pit Ground surface elev. 98.45 ft. Depth to limiting factor >90 in. Sal Application Rate
Horizon Depth - Dominant Color Redox Description Texture Structure - Consistence. Boundary Roots GPDHP
in. Munselt Qu. Sz. Conk Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-9 10yr3/2 - sil 2msbk mfr as 2f .6 .8
2 9-14 1 3/3 - Sil 2msbk mfr cw if .6 .8
3 1422 l Oyr4/4 - sil 2msbk mfr cw 1 f .6 .8
4 22-32 7.5yr4/6 - Ifs Osg mvfr cw - .5 1.0
5 32-90 7.5yr4/6 - S Osg ml - - .7 1.6
❑ 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 GPDW
in. Munself Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#1 *Eff#2
a6orins# Boring
9 Pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Stnuxure Consistence Boundary Roots GPDIIP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BODS > 30:E 220 mg& and TSS >30:E 150 mglL * Effluent #2 = BODS < 30 mgA- and TSS 30 mglL
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M-8330'ret (11.07!00)
l
' Cherry Knolls 1st Addition
lot 21
ri
98' 100'
lot corner
BM2
21'-► Ml
23' J
29'
119'
B2
B1
138'
2%
slope
Nort
Scale 1" = 30'
BM1 Top of iron pipe 100.00'
BM2 Top of conduit pipe 100.2 '
B199.05'
B2 98.10'
B3 98.45'
r ■~i~' 75'
B3
Thomas Nelson
227387