HomeMy WebLinkAbout026-1290-03-000 (2)
RECEIVED
Wisconsin Department ofCommer \ J;AN 0 3 258IL ALUATION REPORT Page l of3-
Division of Safety and Buildings
5nfa&W A~e-~mm Wis. Adm. Code c
ZONING OFFIc County e
Attach complete site plan on papa Inc es in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.D Z N0U
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. R "W
Please print all information. eview Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). `
Property Owner Property Location
r° ! Govt. Lot 1/ S 1/4 S Oo T`r N R J g E
(069-
Property Owner's Mailing Addr ss Lot # Block # Name CSM#
J
city State Zip Code Phone Number ❑ City ❑ Village 'W'Towrl' Nearest Road
74
New Construction Us Residential / Number of bedrooms Code derived design flow rate GQ GPD
❑ Replacement ❑ Public or commerce Describe: ,~j -
Parent material~~ Flood Plain elevation if applicable ft
General comments /
and reco nmendations:
a Boring # Boring
Pit Ground surface elev/ ft. 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
67 ""o
Boring # E] Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Fa 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
•-1 ~ 3 i S! m~ c 5 (o
S , S' , v
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 n)PYI ` Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L
ST Number
CST Name (Please Print) CST
Numb
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conduc ed Telephone Number
715-246-4516
1008 192nd Ave, New Richmond, WI 540t?"
3
Property Owner _ Parcel lD # Page of
Boring # ❑ oring
pit Ground surface elev. O i ft. Depth to limiting factor in.
Sal ication 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 •Ef#2
O' lb f~Z l r n Fr C S o2 ✓h - ro
Z - Z ~r s/ l mS bl= m
FY ow lF
3 U- r y/6 a d y/ s n, r,- n cc
a Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil AWppl' Rate- I
Horizon Depth Dominant Col Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Boring # ❑ Boring
F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate .
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPD/f!
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eft#2
Effluent #1 = BOD, > 30 1220 mg/L and TSS >30 1150 mg/L • Effluent #2 = BOD5 130 mg/L and TSS 130 mg/L
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S868330 (8.6/00)
Soil Test Plot Plan
Project Name Environmental Holdings LLP Shaun Bird
Address 706 19th St.
Hudson Wi 54016 CSTM e15900
Lot 3 Subdivision Lundy's North Date 12/1 4
S 1/2 SE 1/4S 22 T 30 N/R18 W Township Richmond
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 106.0' *HRpSameasBenchmark
Alternate Benchmark Top of 1/2" Pipe @ 100.3'
129th St. Scale is 1" = 40'
B-2 unless otherwise
133' Property noted
Line
100' B-3
9% Slope
30'
A1t.B.M. 40'
90'
20'
B-1104'
t 106'
~4 Please note: soil test
may not be suitable for
owners desired
building location, Soil
test was done to
satisfy zoning
requirements, please
Line Property verify system location
Line before excavating.