HomeMy WebLinkAbout038-1223-10-000 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of
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 I
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. T,r
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. (� 3�'�Z Z 3
Please print all information. Reviewed byl� Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)).
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Property Owner 7 Property Location
Govt.Lot :�114 S T,3 N E(o)W
Property Owner's MA ddress )) Lot# Block# Name M#
City State Zip Code Ph
OV
umber ❑City ❑village Town wrest Ro
d r Z
New Construction Use- Residential 1 Number of bedrooms Code derived design flow rate ' GPD
❑Replacement Public or commercial-Describe:
Parent material _ Flood Plain elevation if a ft.
�i QECE,
and recommendations: ��f�" �'h p�C'�r� i/ �/ /9 U ' ''
Boring#
M
UUU
Boring ST' N OFFICE
it Ground surface elev. ft. Depth to limiti
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
12716— 4e
® Boring# Boring
Pit Ground surface elev77 7_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
Q�J Zale
'Effluent#1 =BOD >30 1220 mg/L and TSS 44 1 mg/L `Effluent#2=BOD <30 mg/L and TSS<30 mg/L
CST Name(Please Print) Signature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 <r—e�� 715-246-4516
I .
Property Owner_ Parcel ID# Page of
3 Boring# ❑ Boring f
pit Ground surface elev! v v ' -off Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIT
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 'Eff#2
F-1 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
F-1 Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil 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
F-i T-
it
Effluent#1 =BOD->30<220 mg/L and TSS>30<150 mg/L `Effluent#2=BOD5<30 mg/L and TSS<30 mg/L
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need material in an alternate format, please contact the department at 608-266-3151 or 717Y 608-264-8777.
SBD-8330(R.6100)
Soil Test Plot Pla
Project Name 6-G Corporation Sh B' d
Address 58 Dunbar Way
Mahtomedi Mn 55115 STM #226900
Lot 0 Subdivision Woodland Hills Date 7/24/03
W 1/2 NE 1/4S 4 T 31 N/1318 W Township Star Prairie
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1/2" Pipe
System Elevation �j, *HRpSame as Benchmark
Alt. BM Top of 1/2" Pipe
Scale is 1" = 40'
unless otherwise
noted
Please Note: Tested area
may not be suitable for
desired building area. 722'
Check system location Property
before excavating. Line
97' 10% Slope B-1
98' B-2 55
99'
15'
100' 25' M.
10' k
B-3
Please note: survey was not
200'
completed at time of testing,
setbacks from lot lines may
change. Installer must verify
all lot lines and setbacks
before installation.
113' Property Line