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Wisconsin Department of Commerce OPZRi~ S6)N EPORT Page 1 of 3
Division of Safety and Buildings
in accordance ' h Comm 85, Wis. Adm. Code
County St.Croix
Attach complete site plan on paper not less than 81P2 11 incdt ~jivsiii. 14ai"
include, but not limited to: vertical a on refe int (BM), direction and Parcel I.D. ending !
percentslope, scale or dimensions, rr ndi 0 ' JL Please . ZONING OFFICE Revi by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
AHRH Properties LLC Govt. Lot SW 1/4 SE 1/4 S 1 T 31 N R 19 E( r®
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
404 Screen Avenue 19 - Woodland Meadows
City State Zip Code Phone Number lly 0Village ■ Town Nearest Road
New Richmond WI 54017 ( 715-222-0169 Sopnerset CTH
E] New Construction UseE] 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 NA- ft.
General comments j j Site uitable for a mound system Q . y~
and recommendations:
F-71 Boring # 11 Boring
Q Pit Ground surface elev. 100.08 ft. Depth to limiting factor 20-30 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-5 10yr3/2 sil 2msbk mfr as 2f .6 . .8
2 dy"5-18 1 Ovr4/4 sil 2msbk mfr cw if 4 .6
3 -23 10yr4/4 flf5yr5/8 silcl 2msbk mfr cw if .4 .6
4 2340 7.5yr4/4 sicl lmsbk mfr .2 .3
a Boring # ® Boring 99.98 25-39
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-9 10yr3/2 sil 2msbk mfr as 2f .6 .8
2 9-14 1 4/3 sil lmsbk mfr cw if .4 .6
3 14-19 10yr4/4 sicl 2msbk mfr cw if .4 .6
4 19-23 10yr4/4 t2f5yr5/8 sicl lmsbk mfr - - .2 .3
5 23-40 7.5yr4/4 fsl Om dvh .2 .5
' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = B < 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, Wl 11/17/04 715-246-2454
nTT n~~n mnn Mn
Property Owner A.HRH Properties LLC Parcel ID # Pending Page 2 of 3
Boring
3
Boring # Q 97.40 21-38
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 10yr3/2 - sil 2rnsbk mfr as 2f .6 .8
2 4-13 10 4/3 - sil IM PI mfr cw if .4 .6
3 13-18 10yr4/4 - sicl 2msbk mfr cw if .4 .6
4 18-21 10yr4/4 flf5yr5/8 sicl lmsbk mfr cw if .2 .3
5 21-38 7.5yr4/4 - fsl Om dvh - - .2 .5
F-1 Boring # 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 GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 •Eff#2
a 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 GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '04M `Eff#2
" Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg1L and TSS < 30 mg/-
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.
SBD-8330Test (R.07/00)
Scale1- „-30 , Woodland Meadows
SMI SMM2 Top
p of co au t9 97.30' Lot 19
B1100.081
B2 99.981
83 97.40'
NOO
S°
o/ ~bb
Thomas Nelson
wZ 227387