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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ` of
Division of Safety and Buildings
in accordance with Corfim 85, Wis. Adm. "Code County
i
Attach complete site plan on paper not less than 8 M x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal refrence point (BM) direction and parcel 1.D
percent slope, scale or dimensions, north arrow, an location and cli t ceAq nGprest read.
percent
Please print all infooation. d Date
; e
y purposes (Privacy Law, s 15:04 (1) (!n)).
Personal information you provide maybe used for seconda
i - I 40L
Property Owner property'ttion
T N R E (o W
4i I `1 5 1 C/`-~ Govt. Lot ~ 11 5 1 /4 S 30
Property Owner's Mai' Address _ Lo J Block # Subd. Name or M#
Late Zip Code Phone Number ❑ City El VillageeT _ Nearest Road
New Construction Us A Residential / Number of bedroom Code derived design flow rate GPD
C3 Replacement Y Public or mercial - Describe:
General > Flood Plain elevation if ap livable -,r~C,L ft
Parent material 2i
comments
and recommendations:
Boring # Boring
Pit Ground surface elev. ° ft. Depth to limiting factor in. Soil Application Rate - ig- 1 Horizon Depth Dominant Color Redox Description Texture
Structure Consistence Boundary Roots GPDKf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
® Bon It Boring
Pit Ground surface elevl ft. Depth to limiting fade 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
D' /u 31~ 5 a c a m
lug, y,(, - S ~ n w r~ ~ /•Z
• Effluent #1 = BOD > 30 < 220 mg/- and TSS >30 < 1 ' Effluent #2 = BOD < 30 mg/- and TSS < 30 mg/L
CST Name (Please Print) re CST Number
Bird Plumbing, Inc. Shaun Bird jP5P41 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 17- Q 715-246-4516
. I
Property Owner _ Parcel ID # Page of
3 Boring# ❑ Boring
Pit Ground surface elev. "Z-ft. Depth to limiting factor ' ~_••tti"• Soil Application Rate
❑
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
44-
10424 /t,-21 Iva -7
:Z_
a 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 # 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 = BOD5 > 30 < 220 mg/L and TSS >30:s 150 mgA- ' 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.
S1104330(KAM)
Soil Test Plot Plan
Project Name William Stock/Steve Dalton Sha r ird
Address 1748 112th St.
New Richmond Wi 54017 CftM #226900
Lot 16 Subdivision Lundy Meadows Date 8/11/03
N 1 /2 SE 1/4S 22 T 30 N/R18 W Township Richmond
Boring Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 99.3/98.3 *HRpSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.2'
Scale is 1" = 40'
Please note: Installer must unless otherwise
verify all lot lines and setbacks
before installation. noted
448' Property Line
*Alt. B.M.
B.
59 B-1 Please Note: Tested area
5 may not be suitable for
' desired building area.
5 Check system location
'
before excavating.
90' B-3
' 10%
o Slope
M 10 B-2
101' 103'
102'
510' Property Line