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030-2143-17-000 (2)
Wisconsin Department ofObmmerce SOIL EVALUATION REPORT Page 1 Of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Canty St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all infonnation. Re 'ewed by Date Personal intomwdon you provide maybe 1.15.04 (1) (m)). Property Owner L Property Location Brushy Mound Partners Govt. Lot NE 1/4 NW 1/4 s 5 T 29 N R 19 E( W Property Owner's Mailing Address , U 00 Lot # Block # Subd. Name or CSM# 1505 H 65 17 - Bluebird Bluffs 1st Addition City State Zip Coj~ e > dhO ity llage ■ own Nearest Road New Richmond WI 540 ZONING OFFICE 42nd Street St Joseph 0 New Construction Use[D Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD 11 Replacement © Public or commercial - Describe: Parent material Locss over outwash and glacial till Flood Plain elevation if applicable ft / General comments This site is suitable for a conventional below grade system, r ommend' that a ua] and recommendations: distribution be used so as to distribute the effluent over the entire avai able area due to the massive(Om) A. is rs not a code requirement, but rather a sugges on. D Boring # Boring + Q Pit Ground surface elev. 94 .a5 ft. Depth to limiting factor QO in. Sol! ApOcation 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 0-5 10yr3/4 sil 2msbk mfr as 2f .6 .8 2 5-18 7.5 4/4 sl Imsbk mfr ew if .2 .6 3 18-40 7.5yr4/4 f Om mfi cw If .2 .5 4 40-68 10yr6/6 Om mfi cW _ .6 5 68-74 7.5yr4/4 - si mfi cw - .5 90 7.5yr5/6 - s Osg ml - - 1.6 2 Boring # Boring tl Pit Ground surface elev. ft. Depth to limiting factor 710 in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. " Eff#1 -Eff#2 1 0-9 10yr3/3 sil 2msbk mfr as 2f .6 .8 2 9-23 10 sil 2msbk mfr cw if .8 5 3 23-90 7.5yr4/4 fsl Om mfi .2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L " Effluent #2 = P Z,,:5 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature / CST Number Thomas C Nelson so_ .227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 6/5/04 715-246-2454 r Property Owner Brushy Mound Partners Parcel ID # Pending Page 2 of 3 ❑ 3 Boring # Boring S Pit Ground surface elev. 94.40 ft. Depth to limiting factor X41 in. oil A 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 *Eff#2 1 0-10 10yr3/3 - sil 2msbk mfr as 2f .6 .8 2 10-23 10 4/6 - sil 2msbk mfr cw if _6 .8 3 7.5yr4/4 - fsl Om mfi - - .2 .5 F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Cot Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # 9 Pit Ground surface elev. Depth to limiting factor in. Soil -Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 rrglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material m an alternate format, please contact the department at 608-266-3151 or TrY 608-264-8777. 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