HomeMy WebLinkAbout026-1292-32-000 (2)
Wisconsin Department of Commerce RECEIVM EV LUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with ComnpL Is. Adm. Code
Cry St. Croix
Attach complete site plan on paper less t(r{$11~2 ~(j11aIQ i t D -
I, d Parcel I.D.
include, but not limited to: vertical an horizontal reference point ( 11
percent slope, scale or dimensions, rthagv,0llRr "ista cetonearestroad.
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Please int alreft (~1f1bF E Datt d~
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l) (m)).
Property Owner Property Location 0 0
Steve Derrick Govt. Lot NE 1/4 SE 1/4 15 T 30 N R 18 E (or) W
Property Owner's Mailing Address Lot # lock # Subd. Name or CSM#
1438 County Road G 32 _ Cherry Knolls 2nd Addition
City State Zip Code Phone Number ity Vllage ■ Town Nearest Road
New Richmond WI 54017 ( ) CTH G
New Construction Use Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD
Replacement Public or commercial - Describe:
Parent material Loess over till Flood Plain elev ti If a ~"ble ft
General comments This site is suitable fora ;nv;;en;t onal below ade s stem rec~ o, mnTing tha pressurize system with equal
and recommendations: distribution be used so as to e t to effluent over t e entire available area due to the massive(Om) fsl. This is
not a code requirement, but rather a suggestion.
f DEC Is/fsl* is with fsl continuous bands, .5" to V wide
a Boring # p Boring
Pit Ground surface elev. 93.00 ft. Depth to limiting factor ~0 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPD/f E
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0-12 10yr3/3 is Osg ml as 2f .7 1.6
2 12-21 10 3/2 - sit lrnp mfr cw if .4 .6
l 4 .6
3 21-39 10yr414 sit lmsbk mfr cw
mfi .2 •5
4 39-90 7.5yr4/4 fsl Om
Boring >90
a Boring # 95.20 to limiting factor in.
Pit Ground surface elev. ft. Depth g Soil A ication Rate
l f
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E~GPD/f E
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0-9 10yr3/3 is Osg ml as 2f .7 1.6
2 sit 2msbk mfr cw l f .6 .8
9-24
10 4/4 2 /5
24-40 7.5yr4/4 fsl Osg mfi cw -
.5yr4/6 ls/sl* Osg/Om* ml/mfi - - .2 .5
F4440-90
7
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS << 30 mg/L
CST Number
CST Name (Please Print) Signature
Thomas CNelson 227387
Date Evaluation Conducted Telephone Number
Address 715-246-2454
1432 120th Street, New Richmond, WI 10/21/04
Property Owner Derrick Parcel ID # Pending Page 2 of 3
a Boring # Boring
E] pit Ground surface elev. 97.40 ft. Depth to limiting factor X92 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
1 0-9 10yr3/3 - is Osg ml as 2f .7 1.6
2 9-25 10 4/4 - sil lmsbk mfr cw if .4 .6
3 25-52 7.5yr4/4 - is Osg ml cW - .7 1.6
4 52-92 7.5yr4/4 - fsl Om mfi - - .2 .5
F
❑ 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/iF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
❑ Boring # 9 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#t *EfW
* Effluent #1 = BODE > 30 < 220 mg/L. and TSS >30 < 150 mg& ' Effluent #2 = BODS < 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-8330Tea (R.07/00)
N
Cherry Knolls 2nd Addition ~
f
Scale Na
BM1 Top of lot corner 100.001 Lot 32
SMI T
BM2 Top of conduit 87.70'
8193.001
82 86.20'
133 87.40'
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Thomas Nelson
Z 227387