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Wis.Dept.of Safety and ProfessiorAPS1?rJit 201 SOIL EVALUATION REPORT Page 1 of 5
Division of Safety and Buildings
ST.CROIX k9JQ X with SPS 385,Wis. Adm. Code
COMMUNITY DEVELOPMENT County St,Croix
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 . 8-1069-10-050
percent slope,scale or dimensions,north arrow,and location and distance to nearest road.
Please print all information. Rev ed by Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). ✓ `� l S
Property Owner Property Location
Richard Gedatus Govt.Lot NE 1/4 E1/4 S 24T 28N R 16E(or)W
Property Owner's Mailing Address Lot# I Block# I Subd.Name o CSM#
298 270th St.
City State Zip Code Phone Number City ®Village ■ own Nearest Road
Woodville Wi 1 54028 ( 715-698-2516 270th St
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■ New Construction Use ■' Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD
ElReplacement Public or commercial-Describe:
G
Parent material Loamy Glacial Till Flood Plain elevation if applicable
General comments Mound System Contour @101.7
and recommendations:
Ae
F T] Boring# Boring
Pit Ground surface elev. 101.7 ft. Depth to limiting factor 16 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 1-5 1OYR 2/2 --- sil 2mgr mfr a 3 0.6 0.8
2 5-16 IOYR 5/4 --- sil lfbk mfr as 2 0.4c 0.6
3 16-24 1 OYR 6/8 Fractured limestone
F 2 Boring# Boring 97.2 14
El Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Kplication Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft Z
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *1-ff#1 * 02
1 0-7 I OYR 2/2 --- A 2mgr mfr a 3 0.6 0.8
2 7-14 10YR 5/4 --- A lfbk mfr as 2 0.4c 0.6
3 14-24 l OYR 6/8 Fractured limestone
*Effluent#1 =BOD >30:5 220 mg/L and TSS>30 <150 mg/L *Effluent#21 BOD <30 mg/L and TSS<30 mg/L
CST Name(Please Print) Signature CST Number
Thomas W.Gedatus 962178
Address Date Evaluation Conducted Telephone Number
Stang Plumbing&Electric P.O.Box 263 Woodville,Wisc.54028 4/14/2015 715-684-5166
SBD-8330(RI 1/11)
Property Owner Richard Gedatus Pa ceI ID# 008-1069-10-050 Page 2 of 5
3 Borin # Boring
E] pit Ground surface elev. 101.7 ft. Depth to limiting factor 14
❑ g 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. Efffl *1-ff#2
1 0-7 10YR 2/2 --- A 2mgr mfr a 3 0.6 0.8
2 7-14 10YR 5/4 --- sil Ifbk mfr as 2 0.4c 0.6
3 14-24 IOYR 6/8 Fractured limestone
❑ Boring# Boring
pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. ff#1 ff#2
Boring
❑ Boring# Ground surface elev. ft. Depth to limiting factor in.
pit 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. *1-ff#1 * ff#2
I
*Effluent#1 =BOD 5>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.
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•� St Croix County, WI
PID: 008106910050
ALT ID: 24.28.16.353A
OWNER NAME: GEDATUS, RICHARD
PROPERTY ADDRESS:
POST OFFICE:
ZIP CODE:
ACRES: 34.010
TAX YEAR: 2015
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Printed on Thu Apr 30 07:33:49 CDT 2015