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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page - of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. n7
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
evie d Date
Please print all information.
112,310,3V
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (t) (m)).
Property Owner Property Location
Govt. Lot 1/ 1 A S T N R E (o W
M#
Lot # Block # Subd. Name or.
Property Owner's Mai Address '
City tate Zip Code Phone Number ❑ City ❑ Village ~Tq~qi Nearest Road
New Construction Us Residential /Number of bedroom Code derived design flow rate GPD
❑ Replacement Public or - Describe:
Parent material ~i > ^'y~ Flood Plain elevation if applicable _ ~i,11 ft•
General comments
j /e(
and recommendations: [ ~
Boring # Boring
I~--IF-~ 1 pit Ground surface elev. ft. Depth to limiting factor in. it 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
IAIK 317,
1 0-
2 6 S l~
Boring # Boring /f
pit Ground surface elev~ J ft. Depth to limiting factor Soil Application Rate
/2 A~4 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
Z 5 I~ (k- VU 2 , 3
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg(L
r CST Number
CST Name (Please Print)
Bird Plumbing, Inc. Shaun Bird 226900 0~~ Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017- _ U 715-246-4516
31
Property Owner _ Parcel ID # Page of
❑ Boring
Boring #
Pit Ground surface elev. ft- Depth to limiting factor in Soil Application Rate
F31
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/T
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1
tD r' k Fi f 2 : 3
l~ `l/ I w
❑ Boring # ❑ Boring
Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
❑ Pit
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •EGPD/fgE
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
❑
Boring # Boring Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil lication Rate
Horizon Depth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots GPD/ff
Gr. Sz. Sh. 'Eff#1 *Eff#2
in. Munsell Qu. Sz. Cont. Color
Effluent #1 = BOD5 > 3o:< 220 mg1L and TSS >30 < 150 mglt. ' Effluent #2 = BOD5 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 (8.6/00)
Soil Test Plot Plan
Project Name William Stock/Steve Dalton Shaun B'
Address 1748 112th St.
New Richmond Wi 54017 CST #226900
Lot 31 Subdivision Lundy Meadows Date 8/11/03
N 1 /2 SE 1/4S 22 T 30 N/R18 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 100.9/100.5 *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
Please Note: Tested area 393'
may not be suitable for Property
desired building area. Line
Check system location
before excavating.
B-3
106'
45'
30'
5'
B-2 90' B-1
104'
% 150'
lope
.M.g AA
295' Property Line M•El