HomeMy WebLinkAbout026-1165-21-000 (2)
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SOIL EVALUATION REPORT Page of
Wisconsin Department of Commerce
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
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
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percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 02
Re ' w Date
Please rint all informatron._ - ! Z 3 6
3
Personal information you provide ma be used for secondarypurpds;s (Privacy Law, s. 15.04 (1) (m)).
Property Owner S Property Location
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.5 76 Govt. Lot 'NL 1/ ~ 114 S T N R E (o W
property Own M
ai' Address/ Lot # nZ Name or /N' G2
2V V~7
fate Zi Code Phone Number ❑ City ❑ Village ~KT Nearest Road
New Construction Us Residential / Number of bedroom Code derived design flow rate _ L GPD
❑ Replacement Public or mercial -Describe:
Parent material Ty Flood Plain elevation if applicable ft.
General comments
and recommendations: tions:
ell,
EE]Boring Boring
Pit Ground surface elev. ft. Depth to limiting factor in. Soil ate
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
0-229 j/ Cis ' S
p A~X
Boring
®~n9# ~ pit Ground surface elev. ft. Depth to limiting factor / ZI ,
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
'Z D 3/_Z s C's 7- M41 5I C I✓ ~m6bh rnFr w ~r
' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
Effluent #1 = BOD > 30 1220 mg/L and TSS >30 50j(jgk
CST Name (Please Print) na re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 7- f~__ U 715-246-4516
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arcel ID # Page of
Property Owner
3 ❑ Boring
Boring # Ground surface elev /ft. Depth to limiting factor ~)n Soil Application Rate
Pit
GPD/T
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#1 -Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Z
6- s y L F
F- r
3
❑ ft. Depth to limiting factor )n Soil Application Rate
a Boring # ❑ Pit Boring Ground surface elev.
GPDIff?
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Boring
a Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil liptron Rate
Roots GPDM
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary 'Eff#1 •Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh.
=
' Effluent #1 = BOD_ > 30:E 220 mglL and TSS >30 < 150 mglL Effluent #2 BODs < - 30 nVI and TSS 30 mg(L assistanc The Department of Commerce is an equal opportunity format, service
department at 608-266y3151eord TTY 608e264-8777. services or
need material in an alternate
se0-8330 (Fe.eroo)
Soil Test Plot PI
Project Name William Stock/Steve Dalton B'
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Address 1748 112th St.
New Richmond Wi 54017 ~)ISTM #226900
Lot 21 Subdivision Lundy Meadows Date 8/11/03
N 1 /2 SE 1/4S 22 T 30 N/1318 W Township Richmond
F1 Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 93.6/93.7 *HRPSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.2'
Please note: Installer must
verify all lot lines and setbacks
before installation. 342' Property Line 109 40
B-3
45' 1% Alt. B.M.
Slope B.M.
30' B-1
Scale is F' = 4090,
unless otherwise B-2 Not enough slope
to establish
noted contours
a
0
00
N
Please Note: Tested area
may not be suitable for
desired building area.
Check system location
before excavating.
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