HomeMy WebLinkAbout026-1290-19-000 (2)
FECEIV
Wisconsin Department of C ]th
L EVALUATION REPORT Page of Division of Safety and Buildi mm
85, Wis. Adm. Code c.
County
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. (,y
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Re ' ed b Date/,,
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).jyvy~ C/ (/J
Property Owner Property location
e r Govt. Lot 1/ S 1/4 S OC~T N R16 E
Property Owner's Mailing Addr ss Lot Block # Mhd Name CSkt#
12 42,1K, A/Z2
City State Zicp~Coda Phone Number ❑ City ❑ villa a To Nearree~st Road
74
New Construction use.,grResidential I Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commerce Describe:
Parent material z'L Flood Plain elevation if applicable /~/`T - - ft.
General comments }J~
and recommendations: syf~~ V /
7~ 12
' Boring q /
# i Pit Ground surface elev. ` ' ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
L4 -0
0-,/l< k' /Y7 OV -34-70 Pl ik 'vl
❑ Boring
B«i #
® A Pit Ground surface elev. ► J ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
7- 1- Iv rS c! w I 1 0
3 Z~/ L 6 1,5-1 r y1 l - rh ' i n a rl a , (a
• Effluent #1 = BOD > 30:5 220 mglL and TSS >30 5150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please PrinU Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conduc ed Telephone Number
1008 192nd Ave, New Richmond, WI 54017 Z ---1 715-246-4516
Property Owner _ Parcel ID # Page of
Boring # ❑ oring
IS-] ) Pit Ground surface elev. V O' ft. Depth to limiting factor 3 v in. SoI Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDflf
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 •Eff#2
3 1 3rrn rnC-S
2- 5-34 r-7 Cm Ic 5~ r'~~~ F S V I - q
F-1 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/If
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '011#1 'EM02
L
Boring # ❑ Boring
F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
' Sal Application Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPD/f!
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD; > 30 220 mgr. and TSS >30 1150 mg/L ' Effluent #2 = BOD, < 30 mgll. and TSS 5 30 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 608-266-31 S 1 or TTY 608.264-8777.
SBW330 (8.6M
Soil Test Plot Plan
Project Name Environmental Holdings LLP Shau ird
Address 706 19th St.
Hudson Wi 54016 C M #226900
Lot 19 Subdivision Lundy's North Date 2/1 /04
S 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 101.4' *HRpSameasBenchmark
Alternate Benchmark Top of 1/2" Pipe Cam? 100.3' B.M. */A1t.B.M.
429' Property
Please note: soil test
may not be suitable for 45'
owners desired 4% Slope
building location, Soil
test was done to B-2 100' B-1 45'
satisfy zoning 99.5' L -1
requirements, please
verify system location
before excavating. 35'
100.5'
B-3 50'
253'
Property
Scale is 1" = 40' Line
unless otherwise
noted