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Wisconsin Department of Comm ce RECEIVE§OIL VALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with Com 85, Wis. Adm. Code
~~11 County St. Croix
Attach complete sit plar>rpn of les~thin #`Id Q~inch in size. Plan must 3 3
include, li tore I g ntal reference point M), direction and Parcel I.D. 0
percent ~t og4*n an distance to nearest road.
n Review y Date
P/esse
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /
Property Owner Property Location 0 El
Steve Derrick Govt. Lot NE 1/4 SE 114 115 T 30 N R 18 (or) W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1438 County Road G 33 _ Cherry Knolls 2nd Addition
City State Zip Code Phone Number ity []Village ■ own Nearest Road
New Richmond WI 54017 ( ) CTH G
E] New Construction LiseE] 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 elevatipif applicable
General comments This site is suitable for a onventional below e s stem recom~g at a pressured system with equal
and recommendations: distribution be used so as to distribute the effluent over the entire available area due to the massive(Om) fsl. This is
not a code requirement, but rather a suggestion.
✓ r- `
6 6~2~- 1
Boring # Boring
Pit Ground surface elev. 104.10 R. Depth to limiting factor X90 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/II?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
1 0-10 10yr3/2 sit 2msbk mfr as 2f .6 .8
2 10-18 1 4/4 sit 2msbk mfr cw if .6 .8
.8
3 18-26 10yr4/4 sit 3msbk mfr cw if .6
4 26-90 7.5yr4/4 fsl Om mfi .2 .5
2] Boring # ® Boring 101.45 >90
Pit Ground surface elev. ft. Depth to limiting factor in. [Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDItf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EH#1 *Eff#2
1 0-7 10yr3/2 sit 2msbk mfr as 2f .6 .8
2 7-11 10 4/4 sit 2msbk mfr cw if .6 .8
3 11-25 7.5yr4/4 sl Om mfi cw _ .2 .6
4 25-90 7.5yr4/4 fsl 0m mfi .2 .5
* Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 rng/L * Effluent #2 BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Numb
Thomas C Nelson 227387
Address Date Evaluation Conducted Telephone Number
1432 120th Street, New Richmond, Wl 10/21/04 715-246-2454
nTT M1'.1n Tn.. inns
Property Owner Detrick Parcel ID # Pending Page 2 of 3
a Boring # " Boring 101.25 >90
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. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 "Eff#2
1 0-6 10yr3/2 - sil 2msbk mfr as 2f .6 .8
2 6-9 10 4/4 - sil 2msbk mfr cw if .6 .8
3 9-31 7.5yr4/4 - sl Om mfi cw _ .2 .6
4 31-90 7.5yr4/4 - fsl Om mfi - - .2 .5
F-1 Boring # H 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
H Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
Pit 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
' Effluent #1 = BOD$ > 30:5 220 mg/L and TSS >30 < 150 mg/L - Effluent #2 = BOD, < 30 mg& and TSS < 30 mg&
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-8330Tmt (R.07/00)
etas1"=30'Cher Knolls 2nd Addition
BM1 Top of lot corner 100.00 Lot 33
BM2 Top of lot corner 103.25
81104.101
82101.45'
B3 101.21V
Nort
dOp 7c
6
Thomas Nelson
,Z 227387