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-3J13 Vliisconsin Department of Commerce SOIL EVALUATION REPORT Page ( of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must CY 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. a percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 02-&-- I l 1 3 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / !r Property Owner Property Location V e~2 Y Govt. Lot 5, 114 SC- 1/4 S 1_ T N R / E (or)o Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 3 U I<-~- ~ j (YA C V-k r, k A0 S, lIl~ City State Zip Code Phone Number ❑ Ci ❑ illage I? Town Nearest Road L.c.w e- k - ri„ AD 1 -1 (A 1 syo/? M5-) Z Y& -3fZO hvvto A V- I C ~r [ New Construction Use: Residential / Number of bedrooms Code derived design flow rate 41 O' G GPD ❑ Replacement ❑ Public or commercial - Describe: ft, Parent material 4(11 Flood Plain elevation i applicRIIE (01116-1 V General comments Sy54< YK G 1-. J and recommendations: Cah k,~ r e~ e v_ 9 g S a MAR 1 3 2002 ST. CROIX COUNTY © Boring # f❑ Boring I,? Pit Ground surface elev. 996 ft. Depth to limiting factor ZO in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 b-IZ. SL ZmSbk a c t -C .5 .9 Z i Z-2o 10 ~3/ S L Zrn c5 - 5 3 20 --`309 10 l / c 3p ^1.5 r ctho ~S l m m - 1.2 Boring # ❑ Boring Pit Ground surface elev. (751&c) ft. Depth to limiting factor 2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 o-i2 tb ~y - st- 2.nsbk m cS Iv 5 9 Z r2-zy 10 - 5L- 2msb k r '--5 - s 3 2-'4 ~3 (U r C3 P .5 r ~lo L s rr,5 - 1. 2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print ~ ignature CST Number rrK:jKQ ky-\ ka-r 4 Z L GG~r" s'330 Address Date Evaluation Conducted Telephone Number SBD-8330 (R07/00) L Property Owner 1" rl Parcel ID # Page of F3-1 Ej Boring # ❑ Boring g C Pit Ground surface elev. 9V,?4 ft. Depth to limiting factor Z / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 6-1z tb 3l - sL 2 b mfr cS )v V 2 i 2 Z1 1 sl_ Zms I'Y T( CS - 5 y -56 .5 1_S I ms M'q ~ e ► . 2 ❑ 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # ❑ El Pit 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5 > 30 < 220 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 (R.07/00) PAGE 3 OF 3 NAME r r `c LOT# 3 F LEGAL DESCRIPTION SG XSG X ,S /S- T 30 ,N,R,IJ- E(or)(O SCALE: I"= y0 - BM I ELEVATION /Co. O BM I DESCRIPTION -be c3 ~ I y Qdc BM 2 ELEVATION Ljq. 7-0 BM 2 DESCRIPTION SYSTEM ELEVATION 101.20 ALTERNATE ELEVATION CONTOUR ELEVATION ~9 fJ0 0 aAq ~ v k s `IQ Cer U 91,E V SIGNATURE DATE / z ` 3 0 -0/ Wisocinsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q 2 (o I '0 3 Please print all information. Reviewed byK,> /e Personal informatlon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 0 Property Owner Property Location 11 El Steve Derrick Govt. Lot SW 1/4 SE 1/4 S 15 T 30 N R 18 Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1438 County Road G 13 - Cherry Knolls City State Zip Code Phone Number !ty Q Village • Town Nearest Road New Richmond WI 54017 ( 7} 5-246-3120 County Road G 1 Richmond, New Construction UselE Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 IT F N GPD Replacement 0 Public or commercial - Describe: - Parent material f .nPaa over till Flood Plain elevation if applicable General eral comment endations: Site suitable for a conventional below grade system system to be installed below restrictive layer 93.37 E Boring # ~ Boring L' 1 Pit Ground surface elev. _ 98.37 ft. Depth to limiting factor 55-60 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. *Ef1#1 'Eff#2 1 0-10 10yr3/2 is lmsbk mvfr cs 2f .7 1.2 2 10-25 1 4/3 Is lmsbk mvfr cs If .7 1.2 3 25-45 7.5yr4/4 scl Imsbk mfi cs - .2 .3 4 45-55 7.5yr5/6 is lmsbk mvfr cs _ .7 1.2 5 55-60 7.5yr4/4 flf5yr5/8 lfs lmsbk mfi cs - .4 .6 7 1.2 6 60-100 7.5yt5/4 s Osg ml - - r I I T q 2 Boring # Boring 100.40 Pit Ground surface elev. ft. Depth to limiting factor in. Soll Application Rate E Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/3 Is lmsbk mvfr cs 2f .7 1.2 2 11-23 1 0vr4/4 is lmsbk mvfr cs if .7 1.2 s 23-33 7,5yr5/8 s 0sg ml cs 7 1.2 4 33-125 7.5yr4/2 s Osg ml - - .7 1.2 I * Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L * Eftlu = < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signat CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 9-25-02 715-246-2454 l ~ PW 3 y ~ www.th yilOhNrth tAl6~l~tsiSh.CpNr ~~5-246-2454 CHERRY KNOLLN O! LOT 13 D) loci' To ? S ~A Cwh e 2 Qna. x$,12 o p,,F e_c~er-t' Can hem Q .1 00.q p s=_-~ r 9S 37 ~ 10 I° r Thomas Nelson Scale 1" _ 4D 227387