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Wisconsin Department of Commer ST. CROIX WLSUL ALUATION REPORT Page of
Division of Safe'y and Buildings ZONING OFFICE
omm 5, Wis. Adm. Code
7 c
County C
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must J
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
road. Z it, qL 6P '
percent slope, scale or dimensions, north arrow, and location and distance to nearest ~ f
Please print all information. R •ewed Date
Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). C [J J
Property Owner Property Location 1/ ~~T30 N R/6_
Govt. Lot 1/4 S E
Property Owner's Mailing Addr ss Lo# Block # me CSId# y v
City State Zip Code Phone Number ❑ City ❑ Villa e 'VTc)wrf' Nearest Road Ald
New Construction Use~Residential ! Number of bedrooms Code derived design flow rate _L,.il1 f--PD
14 ❑ Replacement ❑ Public o/r c~om'merce Describe:
Parent material _ ~l C)GI"TU/ Flood Plain elevation if applicable
General continents
and recommerKhations:
Boring # Boring
Pit Ground surface elev. l) ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
d') Z- L
Z 2- a s- c vJ l
i
Fa-1 Boling # ❑ Boring
Pit Ground surface etev.~7• D ft. Depth to limiting factory 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
5- ! 31~ i r' t'Yr F Y S o2~ d
Effluent #1 = BOD > 30:E 220 mg& and TSS >30:E 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signa CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conduc ed Telephone Number
1008 192nd Ave, New Richmond, WI 54017 ~l 715-246-4516
Property Owner _ Parcel ID # Page of
Boring # ❑ onng l
pit Ground surface elev. ft. Depth to limiting factor `O in.
Soil Appi igdon 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 •Efr#2
I~ ✓~z_ i am r c5 m ~[a
10,11 4
Z, 2- SJ c l a s Ic w
411
22
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/fF
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ett#1 'EtT#2
i
I
Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
❑
Soil ication Rate .
Horizon Depth Dominant Col Redox Description. Texture Structure Consistence. Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Efr#1 •Eff#2
I
II
i
III
Effluent #1 = BOD$ > 30 < 220 mg1L and TSS >30 1150 mg1L ' Effluent #2 = BODE < 30 mg/L and TSS 130 mglL
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.
SOD-8330 (RA=)
a.
i . Soil Test Plot Plan
Project Name Environmental Holdings LLP Shaun d
Address 706 19th St.
Hudson Wi 54016 CST #226900
Lot 16 Subdivision Lundy's North Date 1 11 /04
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 98.0 *HRPSame as Benchmark
Alternate Benchmark Top of 1/2" Pipe C 100.3' A1t.B.M.
175' B.
282' Property Line
70'
97' 98'
B-1
0'
4% Slope
40' B-3
59'
Property
Line
50'
B-2
15
Please note: soil test
may not be suitable for
owners desired Scale is 1" = 4~'
building location, Soil 534' Property
test was done to unless otherwise line
satisfy zoning noted
requirements, please
verify system location
before excavating.