HomeMy WebLinkAbout026-1165-35-000 (2)
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 8 112 x 11 inches in size. Plan must G
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.D
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. R ewe a Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 1504 (t) (m)).
Property Location
Property Owner ! I
.51/0 Je/ a 4 Govt. Lot 1/4 S 22T30 N R E (o W
Property Owner's Mai' Address/ _ L3ol# Block # Subd. Name or M#
City tate zip Code Phone Number ❑ Crty ❑ Village ,ffTq~K Nearest Road
. r-
New Construction Us A Residential / Number of bedroom Code derived design flow rated GPD
f
❑ Replacement Public or mercial - Describe:
Parent material ~~h7 7 Flood Plain elevation if applicable ft.
General comments ° tJ U i 1-6,r c
and recommendations:
L c~vt~~%~~ 0 i J
l
i
Boring # o g
Bnn Ground surface elev,/
iz, it. Depth to limiting factor 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 7
Boring # Q Boring
pit Ground surface elev.~~--,~- ft. Depth to limiting factor ~ in. Soil Almlication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
to S C- F~
• Effluent #1 = BOD > 30 1220 mg/L and TSS >30:E 150 ' Effluent #2 = BOD < 30 mg1L and TSS < 30 mg/L
CST Name (Please Print) CST Number
Bird Plumbing, Inc. Shaun Bird to 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017- - Q n 715-246-4516
3s
Property Owner _ Parcel ID # Page of
FT Boring # ❑ Boring
Pit Ground surface elev. 3 I~ ft. Depth to limiting factor -ate" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/T
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EffQ
r at
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor i" Soil ~Eplicafion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
❑ Boring
F-1 Boring # Ground surface elev. ft. Depth to liming factor in.
❑ Pit Soil liption Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
'Eff#1 `Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Effluent #1 = BOD_ > 30:< 220 rml/L and TSS >30 1150 mg/L ` Effluent #2 = BODS < 30 mg/L and TSS 30 mg/L
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need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SOD-8330(R.6(00)
` Soil Test Plot PI
Project Name William Stock/Steve Dalton S ' aun Vrd
Address 1748 112th St.
New Richmond Wi 54017 v STM #226900
Lot 35 Subdivision Lundy Meadows Date 8/11/03
N 1 /2 SE 1/4s 22 T 30 N/R18 W Township Richmond
F1 Boring ()Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 88.1/87.8 *HRPSame as Benchmark
Alt. BM Top of 2" Pipe @ 100.2' M.EISA
k
.M.g
170'
326' Property Line
20'
B-1
30'
35' B-3
Please Note: Tested area
may not be suitable for
desired building area.
Check system location 5% 0'
before excavating. Slope
Scale is 1" = 40' B-2 94'
unless otherwise 92'
noted Please note: Installer must
verify all lot lines and setbacks
before installation.
3
x
337' Property Line
I