HomeMy WebLinkAbout038-1223-04-000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page/of 3
Division of Safety and Buildings
in accordance with Comm 85,Wis. Adm. Code
County
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. �Q���U
percent slope,scale or dimensions,north arrow,and location and distance to nearest road.
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(l)(m)).
Property Owner Property Location
�� r 4 ✓i'a� Govt.Lot
1A 4AIF,
/4 S T_5/ N E(o W
Property Owner's Maili ddress > Lot# Block# Subd. Name. M# ,
City State Zip Code Ph umber City ❑village Wown Nearest Ro
i I'
New Construction Use- Residential/Number of bedrooms Code derived design flow rate GPD
❑
Replacement -Mil Public or commercial-Describe: -------- - �}-- --
Parent material Flood Plain elevation if applica le ft
j�
General comm JUL 3 1 2003 ents
and recommendations: �G" 1 T.CROI OUN Y
622N IN
for
FT Boring# Boring l�L---
Pit Ground surface elev. 1. 2 ft. Depth to limiting factor in Soil lication 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"
F21Boiing# C] Boring 103
Pit Ground surface elev. ft. Depth to limiting facts; 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
3 �-- S e''
Z 6,:;f
•Effluent#1 =BOD >30 1220 mg/L and TSS>30:5 150 Effluent#2=BOD _<30 mg/l-and TSS<30 mg/L
CST Name(Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
"' .✓ 715-246-4516
1008 192nd Ave, New Richmond, WI 54 "7---�,/
Property Owner_
Parcel ID# Page of
❑ Boring n
F3-1 Boring# lV Depth to limiting factor in.Pit Ground surface elev. Soil liption Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •EGPD/ffEff#2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh.
0-1 My"31L
F-1 Boring# E] Boring
❑ pit Ground surface elev. ft. Depth to limiting factor �n• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/fFE
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh.
Boring
Boring# Ground surface elev. ft. Depth to limiting factor in.
F-1
❑ 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 'Eft#2
Effluent#1 =BOD5>30<220 mgtL and TSS>30<150 mglt- 'Effluent#2=BOD5 130 mg/L and TSS<30 mg/L
The Department of Commerce is a n equal opportunity service provider and employer. If you need assistance to access services or
q pp tY
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SOD-8330(8.6/00)
Soil Test Plot Plan
Project Name 6-G Corporation Sha rd
Address 58 Dunbar Way
Mahtomedi Mn 55115 M #226900
Lot 4 Subdivision Woodland Hills Dat 7/24/03
W 1/2 NE 1/4S 4 T 31 N/1318 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 At-Grade *HRPSame as Benchmark
Alt. BM Top of 1/2" Pipe @ 100.0'
376' Property Line Scale is 1" = 40'
unless otherwise
noted
300'
B-3
25'
106' Alt
�
6 B-1 * 1D A
50' 10' 10, 30' a
104' 0
B- o�
102' 15% Please Note:Tested area
Slope 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
all lot lines and setbacks
before installation.