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020-1260-40-000
a r 1oti F. . Wis.Dept of safety and Prlorraal QMEN� SOI L EVALUANORT page 1 4 Division of Safety and Buildings O\'r. `'�\. C GR VENn accordance with SPS 385,Wis. Adm. Code___ 5 \� County St Croix Attach complete site plall� per not less than 81/2 x 11 inches in size.Plan must include,but not lim vertical and horizontal reference point(BM),direction and Parcel I.D. 020-1260-40-000 percent slope,scale or dimensions,north arrow,and location and distance to nearest road. -- Please print all information. e-viewed/by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Property Location ® Hermes Land Company LLC Govt.Lot NW 1/4 SE1/4 S 21T 29N R 19E(or)W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# Ago(. 523 Roselawn Ave.W 7Trq A 1�vrS�-rA ZAJD /�- o(. City State Zip Code Phone Number ®Village UlTown Nearest Road Roseville I Mn 1 55113 1 ( ) Stagecoach QNew Construction Uses Residential/Number of bedrooms 3/4 Code derived design flow rate 450/600 GPD ®Replacement © Public or commercial-Describe: Parent material Outwash Flood Plain elevation if applicable N A R General comments Conventional System and recommendations: System elevation 95.00 Trenches spaced and depth to code Boring# D Boring Spit Ground surface elev. 99.00 R Depth to limiting factor >120 in. Sal plication Rate Horizon Depth Dominant Color Redox Description Texture Structure ence Boundary Roots GPD/fl 2 in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. ff#1 ff#2 1 0-16 10YR2/2 — sil 2msbk mvfr as 2m 0.6 0.8 2 16-27 7.5YR3/3 — 1 2csbk mfr cW if 0.6 1.0 3 27-42 7.5YR4/4 — A 2msbk ml ew -- 0.4 0.7 4 42-420 10YR5/3 —" s Osg ml — — 0.7a 1.6a ® Boring 2 1 Boring# 0 100.00 >128 Pit Ground surface elev. ft Depth to limiting factor in. Soil Aloplication Rate Horizon Depth Dominant Color Redox Description Texture Structure ce Boundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 11.01 1 W2 1 0-12 10YR2/2 — sil 2msbk mvfr as 2m 0.6 0.8 2 12-34 7.5YR3/3 — 1 2csbk I mfr Cr if 0.6 1.0 3 34-41 7.5YR4/4 — sl 2msbk ml cW _ 0.4 0.7 4 41-128 10YR5/3 — s Osg ml -- — 0.7a 1.6a Effluent#1=BOD >30:s 220 mg/L and TSS>30_<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS <30 mg/L CST Name(Please Print) Signature CST Number Thomas W.Gedatus 1A 62178 Address Date-Evalt Conducted Telephone Number Stang Plumbing&Electric P.O.Box 263 Woodville,Wise.54028 05/05/2014 715-684-5166 SBD-8330(Rl l/11) Property Owner Hermes Land Company LLC Parcel ID# 020-1260-40-000 Page 2 of 4 3 Borin # Boring g Pit Ground surface elev. 99.75 ft. Depth to limiting factor >126 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. fF#1 02 1 0-10 l 0YR2/2 --- sil 2msbk mvfr as 1 m 0.6 0.8 2 10-26 7.5YR3/3 --- 1 2csbk mfr cw if 0.6 1.0 3 26-38 7.5YR4/4 --- sl 2msbk ml cW -- 0.4 0.7 4 38-126 10YR5/3 ___ s Osg ml -- -- 0.7a 1.6a Boring# F-1 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/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. Eff#1 02 Boring F-1 B°ring# 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/ft Z in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. ff#1 02 T- 1 -7 *Effluent#1=BOD s>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD 5<30 mg/L and TSS<30 mg/L The Dept.of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 608-266-3151 or TTY through Relay. ssn-833ar«t cxi iA i> 1�'�vn rlS �• �1��.�`�-� 4 c r.w rS d Co ems►c a^j G T S2 3 QoscLcti �--� Ave W Gs-r b 2 c �,8 PoS -u.%tc- I -n SCI 3 IV w it S C- IN 77 C1 N R Iq w N v RT N� -T, D 021_ iin— � 0 '- 000 Sc\C\C_ /00,00 qa 3 qq� I a I- I � E L /oo• o I .t a-r ' •t v G4.00 q .o0 was r4 C.7 QI � N 07 to „mom , wo CD c cis: N > � bF m s a WL 9 PG kft _.. .,_........._.__ __.._ CP awl y � s � y i O f.r A t7 d Z ' L.... _...._........................... ..._-....._.............. n m t _...:. ........... r y tea 7 mm 41 v f_. C7 RIM i Milo ,NINE= G i � y