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038-1223-05-000 (2)
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 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. ? r/J/ )—_3 percent slope,scale or dimensions,north arrow,and location and distance to nearest road. © jj a' —c� Please print all information. Reviewed by /� Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner r _ Property Location Govt.Lot El4 S T,3 N E(o/ ()W Property Owner's Maili ddress Lot# Block# Subd. Name, NW City State Zip Code Ph umber ❑City ❑village Town Nearest RoOd New Construction Use* Residential/Number of bedrooms Code derived design flow rate GPD ❑Replacement Public or commercial-Describe: ___----_ ---- -- Parent material Flood Plain elevation if applicablE fl• General corrxnents and recommendations: % �� ��� 1✓ JUL 3 1 2003 14 I Boring# a Bones -1 Pit Ground surface elev. vft. Depth to limiting factor in Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM,f in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 0-13 3/L e _ ' 3 a _ ---- m � N ® Boring# Boring Pit Ground surface elev. 0 ► 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 •Effluent#1 =BOD >,,30:5 220 mg1L and TSS>30<150 'Effluent#2=BOD _<30 mg/L and TSS 130 mg/L CST Name(Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Date Evaluation Conducted Telephone Number Address 1008 192nd Ave, New Richmond, WI 54017 Z _e% � 715-246-4516 ef� 7 Property Owner_ Parcel ID# Page of ® Boring# ❑ Boring pit Ground surface elev. D"' ft. Depth to limiting factor��in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .Eff#1 'Eff#2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 0—IL Myfli_ 45t___ M2�__ F-1 ❑ Boring ���# ❑ Pit Ground surface elev. 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 DBoring Bonng# 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 I I Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/_ `Effluent#2=BOD,<30 mgA-and TSS<30 mglL 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(RAW) Soil Test Plot Pl Project Name 6-G Corporation S ;� ird Address 58 Dunbar Way Mahtomedi Mn 55115 M #226900 Lot 5 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 1/2" Pipe System Elevation At-grade *HRpSame as Benchmark Alt. BM Top of 1/2" Pipe @ WW Scale is 1" = 40' unless otherwise noted 105' B-3 103' 35 101' B-1 10' B-2 45' 80' 100' 10' /10% B.M. 10' Slope Alt. M. 0 0 3 0 H 0 Please note: survey was not completed at time of testing, setbacks from lot lines may Please Note: Tested area change. Installer must verify may not be suitable for all lot lines and setbacks 250' desired building area. before installation. Check system location before excavating. 814' Property Line