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HomeMy WebLinkAbout038-1112-20-110 (2) +Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ( 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 ' include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel LD. 2 percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 3J Please print all information. Re ' wed Date Personal information you provide may be used for secondary purposes(P4� (m)). Property Ow:�,X_� _ perty ion .(����GZ.(�^J Govt.Lo /&/� 1/4 �4 S T N R E( r)W Property Owner's Mailing Address zbpt# Block# I Subd.Na or CSM#. City State Zip Code Phone Number r❑C. 1-1 Village 1Z17own N rest Road W�New Construction Use esidential I Number of bedrooms Code derived design flow rate 3 G'6 GPD EJ�Replacement ❑ Public or com ercial-Describe: Parent material 0 Flood Plain elevation if applicable /►//� ft. General comments and recommendations: 1/74 © Boring# ❑ Boring Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fP in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 -Eff#2 F-1 Boring# a Boring E] pit Ground surface elev. ft. Depth to limiting factor in Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BOO >30 1220 mg1L and TSS>30<150 mgA_ 0 ' ffluent#2=BOD <30 mg/_and TSS<30 mg1L CST Name(Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 -C� `— �� 715-246-4516 A Property Owner_ Parcel ID# Page of 1-1 Ong# ❑ 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] 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# ❑ pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/N in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BODE>30<220 mg1L and TSS>30<150 mgA_ 'Effluent#2=BOD5<30 mg/_and TSS<30 mg1L 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. SB0.8330(8.6/00) Soil Test Plot Plan Project Name Shawn Cain Shaun Bird Address 1040 192nd Ave New Richmond Wi 54017 CS #226900 Lot 2 Subdivision ------- Date 6/9/03 NE 1/4 NW 1/4S 28 T 31 N/1318 W Township Star Prairie F] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Vent Pipe System Elevation 94.5 H13PSame as Benchmark 104th st. 100 20' Existing 2 bedroom house 30' 0' 15' a 5' X 70' Cell T Vent 15' 0' 80' B-1 5' 5' B. 10' Vent Shed c y p y m 0 tz d O 3 3 3 n V 3 d cr /\ CD 3 3 I � cn Z O m C (n co w o a C- Z m 0 v � � h zt zt N = N N 0 O N ^t 1 OQ N J 7 7 W <, D -4 p O O C N .n.• 7 0 ! O 7 y O 7 D O EL C:) O '� m A m a cn N 3 W 00 ov D C CD ` N co 00 :E 0 O C �M -4 -4 A F 'fl M °1 �y�• -4 � �v a o N D n m " v v v v `may O t�o m (D N rn to d o D) N 7 V ! a ,. N z z D CD o 0 O = < ww CD 3 m �• CD o CD w m m M 3 m c w (D w Q0; CD a a c � F z > > CD -1 Ln CD - m m o ," z o' m o o ° 3 b a o -I Z N m w T m w 00 CD CD °o cn N N Z _ d CD N O " $ � y CL a CC � CD j d Ul n T C (D, X N 7 to Q) J Z d N O O p 7 _ N � 4 r_ ° p e m=3 CD N N O N b CD fD m O nd N 5; CD O C N V � = A O ti (D J EA 0 w CD O CD a p L r