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Home My WebLink About026-1290-20-000 (2) LR CEw o N 0 3 2.00 ROIX CO ON' ING OFFICE OIL EVALUATION REPORT Page of Wisconsin Doartment Division of Safety and Bin accordance with Comm 85, Wis. Adm. Code c County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I•DO Z percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R ewes Date/ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). C W Property Owner Property Location Govt. Lot 11J.5,015'114 S 0t~T0 N R/9 E (4 Property Owner's Mailing Addr ss c Lot # Block # jC9111d. Name CSlid# S v city State Zip Code Phone Number ❑ city ❑ Village 'KTowl' Nearest Road New Construction Us Residential 1 Number of bedrooms Code derived design flow rate GQ GPD .00 ❑ Replacement ❑ Public o1rcommeraa Describe: _ ,/j - Parent materials Flood Plain elevation if applicable /~i`i`r" - ft• General comments / Q and recommendations: /L✓, Boring © # Boring ~ pit Ground surface elev. 6 ~ 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 Z 1 -Z`I 1.5'6 L~ 200 ZS-VI~zUt: F2]- Boring # Boring r1- Ground surface elev.( ft. Depth to limiting factor in. Pit 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 0 )0 If C- I Effluent #1 = BOD > 30:< 220 mg/L and TSS >30:E 150 mg/L Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig 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 LJ y Property Owner _ Parcel ID # Page of Boring # oring q❑ 3 Pit Ground surface elev. Depth to limiting factor 4 in. Shc ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/k in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. E//ff#1 Eif#2 S7 C i m5 ~r w I C ' y Boring # ❑ Borng 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 GPD1F in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 I II a Boring # ❑ Boring E] Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate . Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDIF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Efr#2 • Effluent #1 = BOD, > 30 < 220 mg1L and TSS >30 1150 mgA. • Effluent #2 = BOD, < 30 mgll. and TSS 5 30 m91L 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. Sar}8330(R.M) Soil Test Plot Pla Project Dame Environmental Holdings LLP Sh n Bi Address 706 19th St. Hudson Wi 54016 TM #226900 Lot 20 Subdivision Lundy's North Dat 12/1104 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 100.8' *HRpSameasBenchmark Alternate Benchmark Top of 1/2" Pipe C& 100.3' Scale is 1" = 40' unless otherwise noted 303' Property Line B-3 40' 0-0 Not enough slope to establish contours, slope should be considered flat and sysytem elevation should be based upon highest elevation in 0' mound system 570' Property Line B-2 80' 0' B-1 90' Please note: soil test may not be suitable for owners desired building location, Soil test was done to satisfy zoning requirements, please B.M. verify system location */AIt.B. before excavating.