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HomeMy WebLinkAbout038-1223-03-000 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page-�—of Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must County include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. n J 11 n t' distance to nearest road. d-3 t1 J WU percent slope,scale or dimensions,north arrow,and location and d sta ce Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). G� 2 p Property Owner r Property Location e Govt.Lot tAj '—/4 S T,3 N E(o)W Property Owner's Mailin ddress L! I Block# Subd. Name. NW City State Zip Code Ph umber ❑City ❑Village own Nearest Ro / - �r r .l' ALIC-4 New Construction Use, Residential/Number of bedrooms Code derived design flow rate - GPD ❑Replacement Public or commercial-Describe: -- T1 ---- Parent material Flood Plain elevation if applicab u ft VE General comments and recommendations: f1i �� I�/��� %G� JUL 3 1 2003 y el� � G�%/C�`�/ : ySTg4wf� i I f lr Boring# a 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. •Eff#1 'Eff#2 2 3 , ® Boring# Boring Pit Ground surface elev. ` ft. Depth to limiting factor m 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 z 3 L --- f C'J" S z, , S Effluent#1 =BOD >30<220 mg1t.and TSS>30 1150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 M91L CST Name (Please Print) Sig a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 raj `�-a - 715-246-4516 Property Owner_ Parcel ID# Page of F3_1 Ong# Q Boring •7`� Pit Ground surface elev. Depth to limiting factor _�!��• Soil liption Rate Horizon Deptt Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff; in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 /ZL 2 MLI, 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. '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/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1=BOD,5>30 1220 mg/L and TSS>30<150 mg/_ 'Effluent#2=BODS<30 mgll.and TSS<30 mg/L 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-8330 pt.6(00) Soil Test Plot Plan Ppoject Name 6-G Corporation Shaun B' Address 58 Dunbar Way Mahtomedi Mn 55115 CST #226900 Lot 3 Subdivision Woodland Hills Date 7/24/03 W 1/2 NE 1/4S 4 T 31 N/R18 W Township Star Prairie Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation At-Grade *HRpSame as Benchmark •• Alt. BM T op of Steel Fence Post @ 99.6 234' Property Line s`� Please Note:Tested area �°°�'' "'' may not be suitable for Scale is 1" = 40' desired building area. Unless otherwise Check system location before excavating. noted B-2 10' Please note: survey was not completed at time of testing, setbacks from lot lines may 250' change. Installer must verify all lot lines and setbacks before installation. 13% Slo 100' B-3 120' Alt. 40' M. 749' 10' Property B.M. Line 35 B-1 60' 100' 102' 104'