HomeMy WebLinkAbout026-1151-22-000
s
e Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County C
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must Y~I 1 X
include, but not limited to: vertical and horizontal reference point (BM) di-ell ce D.
percent slope, scale or dimensions, north arrow, and location and dis nce t &V ar
Please print all information. Revie d Date
Personal information yo vide may thus for secondary purposes (Privacy Law. s. (1 RMI 2(02 4~wjo--)
Property Owner Property Location
ST. CROIX COUNTY
S 4 1/4 S ZU T 3C) N R E (or)9
GoYbkJCdMicE1/4
Property Owner's Mailing Address of Block # Subd. Name or CSM# A95ZI`-7 k;
Q Road 2Z drop' M e w S
F -
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
Hud5or bj( 6i i. I (7i aV\, I iv led
New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate y G-0 l D d GPD
❑ Replacement Public or commercial - Describe:
Parent material 0 U a Sim
Flood Plain elev 'on if applicable
ft,
General comments elf-VI q5 _ , j0
and recommendations:
❑ Boring # ❑ Boring qQ
pit Ground surface elev. lL_ ft. Depth to limiting factor /16 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
-ID 1 1 2 ma lc~' r c S (v~ .5 .9
Z !0 Z~ S i l e 5
3 411 iLiirlhe'
- m.5 I _ 1.
F2--] Ej Boring # ❑ Boring
pit Ground surface elev. 99,/0 ft. Depth to limiting factor_ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/112
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 6-12 p Z 5" l 2mab rr>,r c I v g 8
Z (Z-ZO 10 y _ mS~J r ~S - 5 $
L$ r 20-1 I b l (o O fYl I - - -7 2
r-T
* 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) i ature CST Number
2-53369
Address Date Evaluation Conducted Telephone Number
SBD-8330 (1107/00)
1
t
T aa
7
r' 1 ri' Property Owner Parcel ID # Page of
131 Boring # ❑ Boring
pit Ground surface elev. 930 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
1 o_iZ io 312 5i I 2mab~, ~r ~ 5 (v~ 5 .8
2 SCI 2m6fry
3 go-III ~ M-5
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. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil Application Rate
a
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 = GODS > 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) OF 3
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