HomeMy WebLinkAbout020-1045-80-000 -U,
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 paW W ji tlu"illi(U inches in size.Plan must /--0j
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D.
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. - 01; 1-77 12-
1 Please print all information. RZby Date
Personal information you provide may be used for secondary purposes(Privacy Law.s.15.04(1)(m)).
Property Owner Property Location
LGovt.Lot,e 1/41/4 4 T 2 N R l E(,(w)
Property 0 Lot Block# Subd.Name CSM#
34,
-"es Mailing Address
e6
City S C3 City Zip Code Phone Number City 0 Villa ?Q Town Nearest Road
171-Lf�
❑ Now Construction Use:❑ Residential/Number of bedrooms Code derived design flow rate GPD
<eplaoernent Opublic rcial-Describe: 11�
Parent material Flood Plain elevation if applicable
General comments
and recommendations:
System Type System Elevation
EBoring# E] Boring
l 0,pit Ground surface elev., ft. Depth to limiting factor A/�)—in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff _
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Efl#1 •Efl#2
-4-
kVA4
Boring#
E ring
I 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/fF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2
Effluent#1 =BOD.>30<220 mg&and TSS>305 150 •Effluent#2=BOD.<30 mg/L and TSS<30 mg/L
CST Name(Please Print) Si re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 1� 715-246-4516
r
Property Owner_ Parcel ID# Page of
❑ Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appli cation Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eif#2
❑ 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] Boring# E) Boring
1:1 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
Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD,<30 mg&and TSS 130 mg/L
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need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD8330(R.600)
Soil Test Plot Plan
Profect Name Richard Yocum Sh ird
Address 863 Tamarack Lane
Hudson Wi 54016 TM #226900
Lot ------ Subdivision --------- Date 1/14/15
SE 1/4 S W 1/4S 19 T 29 N/R19 W Township Hudson
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Base of shed siding
System Elevation 94.0 *HRpSameasBenchmark
Tamarack Lane
Scale is 1" = 40'
unless otherwise
noted Property Line
Well
10'
25'
Existing 3
Bedroom 30'
House Shed
15'
12' 20' B.M.
ST
rainfield 18' X 36
�I
is what it appears to
D W be no records
Drywell/Liftstation B-1
Property Line
10' Vent
75'