HomeMy WebLinkAbout042-1074-30-200 2o r3
Y 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. Z
7
percent slope,scale or dimensio , Rt arrow,and location and distance to nearest road. 7 A-7
s all information. fd by Date
Personal informal y may for secondary purposes(Privacy Law,s.15.04(1)(6*/0111 4
Property Owner Property cation
1�
Govt.Lot�� 114;6'5'14 S� T N R � � E(or;W
Property Owner's Mailing Address Lot# Block*.]S4W. Name or CSM#
3 .'W Zs `i✓ 7
City fate Zip Code Phone Number ❑city ❑Village `Mown Nearest Road
i 46i?-31 ( 1 4-,.,Q C64t�4 M
New Construction Use:❑ Residential/Number of bedrooms C ode derived design flow rate—7 U GPD
❑Replacement Public or commercial-Describe: O e ell.V 4-1A0 1;14"
Parent material Flood P ain elevation if applicable ft.
General comunents �
and recornmendations: _
✓ qj a
System Type 7/ 7 f System Elevation ( i
Boring# ❑ Boring 9
/ ® Pit Ground surface elev. ` S' d 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
ol
Boring# Boring S
Pit Ground surface elJ 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 I 'Eff#2
Z
e-T— /.
Effluent#1 =BOD >30:5 220 mg/L and TSS>30 1150 '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
1008 192nd Ave, New Richmond, WI 54017 S'— 6—f 715-246-4516
Property Owner_ Parcel ID# Page of
Boring#
❑ Boring
JA Pit Ground surface elev. �� ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
-tz 34L, 6 / .,-
3 �-3F S 01 tom.) I - -7
�Yz 7v Z,s
❑ Boring# E] Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
CLEEplication 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 I 'Eff#2
E Boring# Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon ')epth 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
Effluent#1 =BOD5>30 1220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD5<30 mg/L and TSS<30 mg/L
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.
SOD-9330(8.6/00)
1
Soil Test Plot Plan
Project Name Richard Miller Shaun ird
Address 1263 Cty Rd TT A
Roberts Wi 54023 CS'r #226900
Lot 3 Subdivision --------- Date 8/6/13
NW 1/4 NE 1/4S 27 T 29 N/R18 W Township Warren
R Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Bottom of garage siding
System Elevation 94.7' *HRPSameasBenchmark
486' Property Line
Scale is 1" = 40' 11 Acre Lot
unless otherwise
noted
I
200'
Well
Shed �
B.M.*
60'
Existing
House
B-1 35'
150' 70' 20'
15'
B-2 40'
95' 7% Slope
30'
94' B-3
50'
Pro Shop with 10
employees and 2 floor 1008'
drains Property
Line
County Road TT