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Wisconsin Department of Commerce ECEN EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
in accordance with ~qrr 85, v11is. Adm. Code
County St.Croix
Attach complete site plan on paper n less tli18~1/7 z ~1 inches in size Plan must
include, but not limited to: vertical and orizontal reference idir ction and Parcel I.D. Pending
, scale or dimensions, no arroyq,~aadfukiao dL
percent slope distan to nearest road.
P ~ R I Date
Please ti 1 G
c
personal information you provide may be iuled (Privacy Law, e. 15.04 (1) (m)). ( s
Property Owner Property Location
AHRH Properties LLC Govt. Lot NW 1/4 SE 1/4 S 1 T 31 N R 19 E (or)
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
404 Screen Avenue 16 - Woodland Meadows
City State Zip Code Phone Number Ity Village ID Town Nearest Road
New Richmond WI 54017 ( 7 1 5-222-0169 CTH 'Somerset El New Construction Useo Residential /Number of bedrooms 3 Code derived design flow rate
450 GPD
Replacement Public or commercial - Describe:
Parent material Loess over glacial till Flood Plain elevation if applicable ft.
General comments tte sukable f % a and system cv~
and recommendations: --1 J G -
10
F7]Boring# 0 Boring
Q Pit Ground surface elev. 100.20 ft. Depth to limiting factor 21-31 in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. * *Eff#2
1 0- 10yr3/1 2 mfr as 2f 6 .8
2 6-12 10w413 sil lm 1 mfr cw if 4 6
3 2-21 10yr4/4 sicl 2msbk mfr cw if .4 .6
4 21-31 10yr4/4 f2f5yr5/8 sicl Imsbk mfr cw - .2 .3
5 31-38 7.5yr4/4 fsl Om dvh - - .2 .5
2 Boring # E] Boring 99.24 22-39
F D 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/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EfW2
1 10yr3/1 sil 9AISI* mfr as 2f .6 .8
2 6-10 1 413 sit mfr cw if .4 .6
3 10-22 10yr4/4 sicl 2msbk mfr cw I f .4 .6
4 22-29 10yr4/4 flf5yr518 sicl lmsbk mfr cw - .2 .3
5 29-34 7.5yr4/4 fsl Om dvh - - .2 .5
1 r--,
* Effluent #1 = BOD > 30 < 220 mgA- and TSS >30:5 150 mg/L * Effluent #2 = B09,:5 30 mg/L and TSS < 30 mgA-
CST Name (Please Print) Signature CST Number
Thomas C. Nelson 227387
Address Date Evaluation Conducted Telephone Number
1432 120th Street, New Richmond, WI 11/17/04 715-246-2454
Property Owner _ AHRH Properties LLC Parcel ID # Pending Page 2 of 3
Boring
Boring #
Pit Ground surface elev. 9$.70 ft. Depth to limiting factor 23-28 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `EfW1 *Eff#2
1 0- 10yr3/1 - sil 2ms mfr as 2f .6 .8
2 6-10 10 4/3 - sil lm 1 mfr cw if .4 .6
3 10-23 10yr4/4 - sicl 2msbk mfr cw if .4 .6
4 23-28 10yr4/4 flf5yr5/8 sicl lmsbk mfr cw - .2 .3
5 28-32 7.5yr4/4 - fsl Om dvh - - .2 .5
F-1 Boring # H Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -01M *Eff#2
❑ Boring # S Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
I
I
mg/L
Effluent #1 = BOD > 30 < 220 mgA- and TSS >30 < 150 * Effluent #2 = BOD 130 mg1L and TSS < 30 mgA-
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.
SM-8330Test (R.07/00)
Scab 1"a30' Woodland Meadows
BM1 Top of conduit pipe 100.00 Lot
BM2 Top of conduit pipe 100.20 16
81100.051
82 99.46'
83100.95'
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Thomas Nelson
-z227387