HomeMy WebLinkAbout026-1165-23-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County ~ /fir ~
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. Z 3~
percent slope, scale or dimensions, arrow and location and distance to nearest road. 02
,
Please print all information. ewed Dater
Personal information you provide ma eased far,oewndary purposes (Privacy taw, s. 15.04 (1) (m)).
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Property Owner Property Location
Govt. Lot 1 / 1 /4 S T N R E (o W
Property Owners Mai ' Address Lot # Block # Subd. Name or M#
c2
City tate Zip Code Phone Number ❑ City ❑ Village .;KT Nearest Road
New Construction Us A Residential / Number of bedroom Code derived design flow rate GPD
❑ Replacement Public or Wrimmeeraal - Describe:
Parent material /~J~~=" - Flood Plain elevation if pplicable _,r_~,L ft
General comments
` ` C,~+rCZ~ 1L,7v, Z 9~
and recommendations:
;VZA
Boring
Boring # 0] Pit Ground surface elev. !s 7ft. Depth to limiting factor_ in. lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
z - "s
- s~
/yj
®ng # Boring -7L~ / h
Pit Ground surface elev ~ ft. Depth to limiting factor ~~1• 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
t~ G 'L S KY, I,- t'Z'\ FY C om °f
\4, L4
~V US c n ti, l
• Effluent #1 = BOD > 30 < 220 rng/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017- f~~ Q 715-246-4516
Property Owner _ Parcel ID # Page of
F3-1 Boring # ❑ Boring ,~L-~~
Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Pit
Homon 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 3 a do , sl ° S
U~j
F-I Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
GPD/W
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
Bonng # Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
❑ Pit
GPD/ff
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots •Efl#1 'Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
>30 _ <150 mg/_ ' Effluent #2 = BOD5 < 30 nxA- and TSS 5 30 mg/L
Effluent #1 = BODE > 30 < 220 mgA. and TSS
'
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.
S004330 (R.W00)
Soil Test Plot Pla
Project Name William Stock/Steve Dalton Bird
Address 1748 112th St.
New Richmond Wi 54017 STM #226900
Lot 23 Subdivision Lundy Meadows Date 8/11/03
N 1 /2 SE 1/4S 22 T 30 N/R18 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 100.2/99.8 *HRpSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.2'
Alt. B.M. 239' Property Line 158' Property Line
B.M.
100'
-1 Scale is 1" = 40'
5' unless otherwise
noted
8%
Slope Please note: Installer must
_ verify all lot lines and setbacks
before installation.
30'
Please Note: Tested area
0' may not be suitable for
B-2 desired building area.
103' Check system location
before excavating.
104'
a
105'
a~
a
0
o
N
N