HomeMy WebLinkAbout026-1165-13-000
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page/of 3
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 G
but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
include,
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. d
Da
Please print all information. Re ' wed ~ Z3
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
.5 T' ~S ' ,rc',., Govt. Lot 1 / _5 1 /4 S T30 N R E (o W
Property Owners Mai' Address Lot # Block # Subd. Name m M#
City tate Zip Code Phone Number ❑ City ❑ village'e~C!/ Nearest Road
New Construction Us • Residential/ Number of bedroom Code derived design flow rate _ GPD
❑ Replacement Public or mercial - Describe: ~1
Parent material 2Z > e- Flood Plain elevation if applicable
General cmr endas
and recommendations:
Boring # Boring
Pit Ground surface elevft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Desaip'on Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
31 Z-. m 0 r- - S
, Gtl /Y7 ~f S 4S4 n
® Boring # Boring
Pit Ground surface elev, ft. Depth to limiting factor in. Soil lication 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
6 ' lip 3j
2- - 5 k w ►C a
my
Effluent #1 = BOD > 30 1220 mg/L and TSS >30 < mg& ' Effluent #2 = BOD < 30 mg/- and TSS < 30 mg/L
CST Name (Please Print) CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 017- f~~ Q 715-246-4516
Property Owner _ Parcel ID # Page of
F31 Boring # ❑ Boring
Pit Ground surface elev. Zoft. 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 'Etf#2
t 3IZ S~ r s a~, T
0 Y,
S l L 5 I ~c n, Y -
M-31 F Z 3
Y, V
Boring
Boring # ❑
❑ `pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 '042
Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil ication 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 < 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOD, < 30 mg/_ 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 (RA(M)
Soil Test Plot Plan
Project Name William Stock/Steve Dalton Sha Bir
Address 1748 112th St.
New Richmond Wi 54017 CS #226900
Lot 13 Subdivision Lundy Meadows Date 8/11/03
N 1 /2 SE 1/4S 22 T 30 N/1318 W Township Richmond
❑ Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 100.0/100.4 *HRPSame as Benchmark
378' Property Line Alt. BM Top of 2" Pipe @ 100.2'
Id- 95'
Alt. B.M.
B.M.
Please note: Installer must 433'
verify all lot lines and setbacks 104' Property
before installation. 10, Line
102' B-2 45'
Please Note: Tested area
may not be suitable for 8%
desired building area. slope
Check system location 40' 45'
before excavating.
B-3
5 20'
Scale is 1" = 40' -1
unless otherwise
noted
Z
pro