HomeMy WebLinkAbout026-1165-19-000 (2)
WisconsinDepartment.ofCommerce SOIL EVALUATION REPORT Page k of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County i
Attach complete site plan on paper not less than 8 1/2 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. ~(s!/ S ✓
eviewed b Date
Please print all information. /
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z
Property Owner Property Location
Govt. Lot 1l 1 /4 S T N R E (o W
Property Owner's Mai' Address I. Lot Block # Subd. Name or M#
Road~ C
Gty tate Zip Code Phone Number City ❑ Village T NF
New Construction use Residential I Number of bedroom Code derived design flow rate _v GPD
❑ Replacement Public or,CCOtnmmeercial - Describe: -
Parent material Flood Plain elevation y applicable
General comments nti `~rZJV~/~ ' ' O
and recommendations: G~
J e
Boring
Boring o~J
pit Ground surface slaye v ~it. Depth to limiting factor/ ~ID 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
2 /Z- S 3
3
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
lu 3 - S ~ ~s ate.
2 ib - I~ w r
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address ell~ Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017-- j/__ Q 715-246-4516
A
Property Owner _ Parcel ID # Page of
5 Boring # Boring
Ground surface elev. ' Depth to limiting factor in.
Soil Application Rate
Pit
Roots GPD/T
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary .Eff#1 'Eff#2
i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 ~D f 3/~ L
2 0' OU 51y- al - F
3 i ~S d $G r
❑ 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 GPDIff
•Etf#1 *042
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.
Boring # Boring Ground surface elev. ft. Depth to limiting factor in.
Application ate
❑ Pit M.Eff#I*Eff#2
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
7~1
' Effluent #1 = BOD; > 30:< 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BODS < 30 mg& and TSS 130 mglL
The Department of
an alternate formate opportunity department at 608-266-3151 eorr TTY 608-264-8777. services or
material Comminerce is an equal
need
SB68330 (R6100)
Soil Test Plot Plan
Project Name William Stock/Steve Dalton Shaun Bir
Address 1748 112th St. " / 1
New Richmond Wi 54017 CSTM #226900
Lot 19 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 97.0/96.9 *HRPSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.2'
it
Scale is 1» = 40>
N unless otherwise
noted
Please note: Installer must
verify all lot lines and setbacks
before installation.
B-2
a
Please Note: Tested area
may not be suitable for
o desired building area.
c Check system location
90' B-3 before excavating.
N
5' Tested area has <I%
Slope and thus no
contours
B-1 30'
30
Alt. B.
B.M. 225' Property Line
20'