HomeMy WebLinkAbout038-1052-40-100 $ PAID
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page/of 3
Division of Safety and Buildings
in accordance with Comm 85,Wis. Adm. Code
C /I c
Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must ounty (. o I x
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. 1 r J
percent slope,scale or dimensions,north arrow,and location and distance to nearest road.
Please print all information. Re ' wed b / Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)).
—oft Pf operty owner o roperty Location
� Govt.Lotj`Z-,� 1/4, �/4 S/2 T3/ N R IX E( W
Property Own#s Mailing Address 2 of Block# Name or CSM#
city State Zip Code Phone Number u st
oNt // ❑�Village Town Nearest Road
Z .j7' / I Z
Construction UseyEtResidendal/Number of bedrooms S Code derived design flow rate 5<> 94 GPD
❑Replacement ❑ Public or commercial-Describe:
Parent material OL.[a�,���_ v Flood Plain elevation if applicable y YR ft.
motions: `f• �' /3 e(f rcr
System Type C-6'27 System Elevation ��a
Boring# Boring a Pit Ground surface elev.&/ �/ ft. Depth to limiting factor��in.
Soil Application Rate
Hart= 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
P-71 # 0 Boris
Pit Ground surface ele . �/, ft. Depth to limiting factor��Z in.
Soil Application Rate
Horimn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Ml 11 Qu.Sz. Cont Color Gr.Sz.Sh. •Eff#1 I •Eff#2
D
Effluent#1 =SOD >30 1220 mg/L and TSS>30 1150 TW •Effluent#2=BOD <30 mg/L and TSS<30 mg&
CST Name(Please Print) Si re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 s _ 715-246-4516
Property Owner_ Parcel ID# Page of
Fz-1Boring# �❑ Boring �
"`l,Pit Ground surface elev. �' ft. Depth to limiting factor in. Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Ef1#1 •Elf#2
O'id U �3�v � s /
Boring ❑ Boring
F-1
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal ication Rate
Horizon Depth Dominant Color Redox Description Texture SMx*ure Consistence Boundary Roots GPD/fE
in. Munsefl 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 'lepth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPDRf
in. Munsefl Qu.Sz Cont.Color Gr.Sz Sh. -Eff#1 I -Eff#2
Effluent#1=BOD5>30 1220 mg1L and TSS>30 1150 mg& •Effluent#2=BOD5 130 mg&and TSS<30 mg&
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need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777.
SS"370(8600)
Soil Test Plot Plan
Project Name Beverly and Leon Orr Sha Bird
Address P.O. Box 230
Farmington Mn 55024
TM #226900
Lot 4 Subdivision -------- Date 5/6/09
S W 1/4 S W 1/4S 12 T 31 N/R18 W Township StarPrairie
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. top of telephone pedistal
System Elevation 93.0/92.7 *HRpSame as Benchmark
Scale is 1" = 40'
unless otherwise 312' Property Line
noted
Cty Rd C
96.5'
97.5'
B-3
4% Slope
30'
35'
B-1
35'
B-2
60'
B.M.
220th Ave
150' 2,q `( St�D� �raw
RECEIVED f 1lllli IIIII'a" 8IIII I�lll IIII Ililll II[IIIII
2 907880
JAN BETH PABST
REGISTER OF DEEDS
ST.CROIX COUNTY ST. CROIX CO., WI
m VEYOR'S RECORD RECEIVED FOR RECORD
g zi m* 12/01/2009 01:OOPM
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VOL: 24 PAGE: 5673
Noo°os'S(Yw 2824.5a— — _ Nz REC FEE: 13.00
m _ NOO°o9'SO^w 4 A COPY FEE: 3.00
� 102.43' o$ 2279.50 � PAGES: 2
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1 of 2 Vol. 24 Page 5673