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WisoonsinDepartment ofComme RECEIVIiLL ALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in rdance with Comm 5, Wis. Adm. Code
NOV ~ 2p~3 County St. Croix
Attach complete site plan on pa r not less than 2 x 1 Indies i size. Plan must
rt. d
rid
include, but not limited to. vartl
Plea s Parcel I.D. , /2
percent slope, scale or d mensi s, no ace r) an it (B
d , nce to earest road.
ONING OFR 'E Re ' b fj Date( _
Personal information you provide may be used for secondary purposes (Privacy Law, s_ 15.04 (1) (m))_ / 26
Property Owner Property Location
Richard/Robert/Loren Derrick G~ Lot NW 1/4 NE 1/4 S 22 T 30 N R 18 EE (or)
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1310 Hwy 65 42 Pond View Meadows EL
City State Zip Code Phone Number Village ■ Town Nearest Road
New Richmond WI 54017 ( 715-246-5425 CTH G
New Construction useE] Residential / Number of bedrooms 3 to 4 Code derived design lbw rate 450 to 600 GPD
Replacement Public or commercial - Describe:
Parent material Loess over outwash sand and till Flood Plain elevation if applicable NA R
General comments These are massive soils with the need for extremely careful installation techniques of the system being used by the
and recommendations' installing contractor. My recommendation would also be to consider a pressurized system, where the effluent can
be dosed over the entire distribution area, Not required, but recommended
This site is suitable for a below grade conventional system.
Q Boring
Boring # Q
Pit Ground surface elev. 106.02 ft. Depth to limiting factor >96 in.
Soil Application Ram
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1#1 -EfE#2
1 0-10 10yr3/3 - sil 2mgr dsh cw 2f .5 .8
2 10-17 1 Ovr4/4 sil 2msbk dsh cw if .5 .8
3 17-24 7.5yr4/4 - Is Om ds cw I f .5 .7
4 24-36 7.5yr4/4 - ifs Om ds cw - .4 .6
5 36-69 7.5yr3/4 sl Om dsh cw ' - 5
6 69-96 7.5yr5/6 - s Osg dl - - 7 1.2
F 2 Boring # Boring 107.50 X90
El Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication Rabe
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 0-10 10yr3/3 - sil 2mgr dsh cw 2f .5 .8
2 10-28 l 0w414 - sil 2msbk dsh cw I f .5 .8
3 28-38 7.5yr4/4 - is Om ds cw _ .5 .7
4 38-65 7yr4/4 - A 0m dsh cw - 3 .5
5 65-90 5yr4/4 - sl Om dsh - ' - 5
Effluent #1 = BOD > 30:S 220 mg/L and TSS >30:S 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) - - Signature CST Number
Thomas C Nelson 227387
Address Date Evaluation Conducted Telephone Number
1432 120th Street, New Richmond, WI 10/31/03 715-246-2454
Property Owner Derrick Parcel ID # page 2 of 3
11 17~ Boring
Boring # E] pit Ground surface elev. 100.31 ft. Depth to limiting factor X90 in. Soti ADMication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef#1 'Eft#2
1 0-10 10yr3/3 2mgr dsh cs 2f .5 .8
2 10-27 1 4/4 - sil 2msbk dsh cw if .5 .8
3 27-38 7.5yr4/4 - is Om ds cw _ .5 .7
4 38-66 7.5yr4/4 - sl Om dsh cw - .3 .5
5 66-90 5yr4/4 - sl Om dsh - - .3 .5
❑ Boring # P Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/Iti
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Effl/1 'Eff#2
❑ Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Stnx*ure Consistence Boundary Roots GPD/tti
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'E1f#1 'Eff#2
' Effluerd #1 = BOD, > 30:5 220 mg/L and TSS >30 < ISO mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
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MD-8330Teat M07/00)
l
POND VIEW MEADO S
LOTS 42 & 43
/i
Nol 108'
L
T BM1 TOP OF CONDUIT 96.65'
O
BM2 TOP OF CONDUIT 101.00'
B1 99.00'
BM1 P OF CONDUIT 100.00' 6% B2 101.09' LOT 43
BM .OP OF CONDUIT 106.00' E SLOP B3 96.78
B 06.02'
107.50' LOT 42 BM
3 100.31'
B1 B 2
2% .*2
SLOPE B
144'
1.75 1.77
ACRES 127' ACRES
139'
145'
108• B3
1 46'
61 3
9,
L CO ER
106' 102' 100' .96' 94'
TOWN ROAD
SCALE 1'=40'
THOMAS NELSON
227387