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Wisconsin Department of Commerce wQJ(BM), ATION REPORT page 1 of 3
Division of Safety and Buildings
in aooordanoe with CoAdm. Code
County St.Croix
Attach complete site plan on paper not I that'81s2 x l iln an must
include, but not limited to. vertical and h nzontai reference poiion and Parcel I.D. Pending
percent slope , scale or I ionno arro -pr19AV0miKAonearestroad. Re ' Date
Personal information you provide me dary purposes (Privacy Law, a. 15.04 (1) (m)).
Property Owner Property Location 11 AHRH Properties LLC Govt. Lot SW 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 z Z - Woodland Meadows
City State Zip Code Phone Number Ry~Ilage ■ Town Nearest Road
New Richmond WI 54017 ( 715-222-0169 CTH -4- Somerset El New Construction Use[] Residential / Number of bedrooms 3 Code derived design flow
rate 450 GPD
Q Replacement Public or commercial - Describe:
Parent material Loess over glacial till Flood Plain elevation if applicable #A ft
General comments This site is suitable for a conventional below grade system, recommending that a pressurized system with equal ~P~V►`
and recommendations:
distribution be used so as to distribute the effluent over the entire available area due o the massive(Om) fsl. This ' S i
l✓~ ~1,d~ not a code requirement, but rather a suggestion. 0 Z 22~ d
❑ Boring # 0 ring _
El Pit Ground surface elev. g 9.7 Z ft. Depth to limiting factor >86 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "042
1 0-8 10yr3/2 sil 2msbk mfr as lm .6 .8
2 8-26 10 4/4 sil 2msbk mfr cw - .6 .8
3 26-3010yr4/4 sil 1 k mfr cw - A .6
4 r30-86 7.5yr4l4 fsl Om dvh .2 .5
2 Boring # Boring / >88
❑ Q Pit Ground surface elev. 97-V ft. Depth to limiting factor in.
[Soil 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 10yr3/2 sil 2msbk mfr as lm .6 .8
2 10.19 10 4!4 sil 2msbk rift cw _ .6 .8
3 19-76 7.5yr3/4 cos ml cw _ .7 1.6
4 76-88 7.5yr4/4 sl Om _ - - 2 .6
" Effluent #1 = BOD > 30:5 220 rrg/L and TSS >30 < 150 mg/L " Effluent #2 = B2 S< 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 11C Parcel ID # Pending Page 2 of 3
Boring
31 Boring # [D pit Ground surface elev. OZ39 ft. Depth to limiting factor 88 in.
Soil 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
1 0-9 10yr3/2 - sil 2msbk mfr as lm .6 .8
2 9-2 10 4/4 - sil 2msbk mfr ow - 16 ,8
3 21-86 7.5yr3/4 - cos Osg ml .7 1.6
65 Q a- 6 1 `
<3
❑ Boring # HBoring
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 bu. Sz. Cont. Color Or. Sz. Sh. `EtY#1 +~ff
F-1 Boring # Boring
pit Ground surface elev. ft. Depth to limiting factor in.
Soil iration Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "EfW1 •Eff#2
Effluent #1 = BODS > 30 < 220 mg/l- and TSS >30 < 150 mgA- " Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mgA-
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need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SM-8330Test(R.07100)
scale 1o,:30, Woodland Meadows
BM1 Top of conduit 100.00'
BM2 Top of conduit 97.32' Lot 22
8189.72
B2 97.41'
03102.39'
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Thomas Nelson
-Z 227387