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WiisconsinDepartment ofCOmmeroe S IL EVALUATION REPORT Page I of 3
Division of Safety and Buildings
t i~aabo~"with omm 85, Wis. Adm. Code
Attach complete site plan n pap~.n County St.Croix
$f st
include, but not limited to: ertica`Pin A~' d Parcel I.D. Pending
percent slope, scale or di ension~ stroad. 71 _ -d Z)
-b- I Please print all Information. Revi by Date
Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). T/
Property Owner Property Location
AHRH Properties LLC Govt Lot NW 1/4 SE 1/4 s 1 T 31 N R 19 E(or)W
E(
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
404 SGreen Avenue 14 - Woodland Meadows
City State Zip Code Phone Number fty ro illage ■ Town Nearest Road
New Richmond WI 54017 ( 7f5-222-0169 CTH
E] New Construction LlseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
0 Replacement Public or commercial - Describe:
Parent material Loess over glacial till Flood Plain elevation if applicable
General comments Site suitable for a mound system
and recommendations:
❑ Boring # 13 Boring
Q Pit Ground surface elev. 99.15 ft. Depth to limiting factor 24-27 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
1 0-5 10yr3/1 sil 2msbk mfr as 2f .6 .8
2 5-12 1 4/3 - sil impl mfr cW if 4 .6
3 12-24 10yr4/4 sicl 3msbk mfr cW if .4 .6
4 24-27 10yr4/4 flf5yr5/8 sicl lmsbk mfr cW - .2 .3
5 27-36 7.5yr4/4 fs1 Om dvh - - .2 .5
F2 Boring # 11 Boring 99,90 17-24
El 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. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-4 10yr3/1 sil 2msbk mfr as 2f .6 .8
2 4-9 1 4/3 sil lmpl mfr cw if •6
3 9-17 10yr4/4 sicl 3msbk mfr cW If .6
4 17-24 10yr4/4 ftf5yr5/8 sicl imsbk mfr cw - .2 .3
5 24-38 7.5yr4/4 scl Om dvh - - .0 .0
* Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:E 150 mg/L * Effluent #2 OD a 30 mg/L and TSS a 30 mg&
CST Name (Please Print) Signature r~ CST Number
Thomas C. Nelson 227387
Address Date Evaluation Conducted Telephone Number
1432 120th Street, New Richmond, WI 11/17/04 715-246-2454
.r r
Property Owner AHRH Properties LLC Parcel ID # Pending Page 2 of 3
3 ❑ Boring
Boring # E] pit Ground surface elev. 99.79 ft. Depth to limiting factor 16-19 in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-6 10yr3/1 - sil 2msbk mfr as 2f .6 .8
2 6-14 10 4/3 - sil IMP] mfr cw if .4 .6
3 14-17 IOyr4/4 - sicl 3msbk mfr cw I f .4 .6
4 17-19 10yr4/4 flf5yr5/8 sicl lmsbk mfr cw - .2 .3
5 19-36 7.5yr4/4 - fsl Om dvh - - .2 .5
❑ 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 GPD1fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
Boring # Boring i
❑ 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/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BODE > 30:5 220 mg& and TSS >30 < 150 mg& * Effluent #2 = BODS < 30 mg/L. and TSS < 30 mg&
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SM-633"eA (R.07100)
Scale 1„=30' Woodland Meadows
BM1 Top of conduit pipe 100.00' Lot 14
BM2 Top of corMult pipe 99.90'
81".15,
82 99.90'
83 99.79'
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Thomas Nelson
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