HomeMy WebLinkAbout038-1223-01-000 (2) S Set clil !� Qu'►.�a 0
ALUATI R PO T ` gad of /
Wisconsin Department of Commerce I�' a b'"�l Y►l p I�P� i.
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Division of Safety and Buildings s (/ S
in accordance with Comm 85,Wis. Adm. Code Canty
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Attach complete site plan on paper not less than 8 1/2 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. Reviewed by Date
Please print all information. 3 Z a
Personal information you provide may be used for secondary purposes(Privacy Law.s.15.04(t)(m)). is
Property Location /
Property Owner � /J �'�- � � N � E( W
Govt.Lot 1/4 S T
Lot# Block# Subd.Name M# '�
Property Owner's Maili ddress �.. r OLL r^
City Late Zip Code Ph umber ❑city�L ❑Village I�Town Nearest Ro
GPD
New Construction Use Residential/Number of bedrooms Code derived design flow rate 1,
❑Replacement Public or commercial-Describe: Flood Plain elevation if applicable f `r ft.
Parent material 00',
^� �� L/ ��. ,� g, 17 JUL 3 1 2003
and recommendations:
J � ST.00 I
Boring �b
Boring# in.
Pit
Ground surface elev. ft. Depth to limiting factor 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
l 0-- 2 Al
3 �, L
# Boring
PQ
Pit Groun7Redox ce elev. ft. Depth to limiting factor in. Soil lication Rate
Horizon Depth Dominant Color Description Texture Structure Consistence Boundary Roots .E GPD/fFEff#2
in. Munsell u.Sz. Cont.Color Gr.Sz.Sh.
1 0/� 3l L
Z v s Z
s �vl
Effluent#1 =BOD >30<220 mglL and TSS>30< `Effluent#2=BOD <30 mg/L and TSS_<30 ml
CST Number
CST Name(Please Print) Signature
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
715-246-4516
1008 192nd Ave, New Richmond, WI 540
F
Property Owner_
Parcel ID# Page of
[311 ❑ Boring
Boring# in.
Pit Ground surface elev. I ft. Depth to limiting factor Soil ligtion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots fE GPD/fgEff#2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. _
0-
F-1 Boring# ❑ Boring
�^•
E] pit Ground surface elev. ft. Depth to limiting factor 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
Boring
Boring# 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 'EtT#2
Effluent#1 =BOD5>30:<220 mg/L and TSS>30<150 mgA- 'Effluent#2=BOD,130 mg/L and TSS<30 mg/L
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SBD-8330(8.6/00)
Soil Test Plot Plan
Project Name 6-G Corporation Shaun d
Address 58 Dunbar Way
Mahtomedi Mn 55115 #226900
Lot 1 Subdivision Woodland Hills Date 7/24/03
W 1/2 NE 1/4S 4 T 31 N/R18 W Township Star Prairie
n Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1/2" Pipe
System Elevation 99.5/98.0 *HRPSame as Benchmark
Alt. BM Top of 1/2" Pipe @ 99.0'
Polk/St. Croix Road
Scale is 1" = 40'
unless otherwise
noted
Please Note: Tested area
may not be suitable for
desired building area.
Check system location Please note: survey was not
before excavating. completed at time of testing,
setbacks from lot lines may
change. Installer must verify
150' all lot lines and setbacks
before installation.
45' B-3
104'
102'
i LAIL
>, ,� 100'
a�
° 20' 13-2 90' B-1 98'
0%
`r' Slope