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A
. Wisconsin Department of Commerce SOIL EVALUATION REPORT r Page of
Division of Safety and Buildings 1-01
in accordance with Comm 85, Wis. Adm. Code
County
0- 0-
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must
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. 4~1 p a - ' j)
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Gf-,416 AO I A) 0 7-0 7 /
Property Owner Property Location)
,22"'ka K Govt. L1/4,4~/4 S4&T 9 N R E (o W
Property Owner's Mailing Address Lot # Block # Subd. Name or CS
City State Zip Code- Phone Number ❑ City . ❑ vllagg Town Nearest Road / 3
j ( ) f S
❑ New Construction UseAResidential /Number of bedrooms Code derived design flow rate JQ GPD
XReplacement ❑ Public commercial -Describe:
Parent material Flood Plain elevation if applicable
General comments r/r ;6'~ Ole? and recommendations: ; System Type System Elevation
Boring F71 # Boring ~
Pit Ground surface ele . ~ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Yz c G i v
• .
Ulf- Tv 7.
❑ Boring # ❑ Bonng
❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD< < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si a CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 715-246-4516
5
Property Owner _ Parcel ID # Page of
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application 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 `Eff#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
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
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- • Effluent #2 = BOD, 130 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-833,0 (R.NUO)
a
Project Name Michael Jilek Soil Test Plot PlSh u
irdAddress 193 Liberty Road '
River Falls Wi 54022
2
C M #226900
Lot Subdivision /26/15
Date
N W 1/4 N W 1/4S 28 T 28 N/R18 W
Township Kinnidcinic
[I Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Bottom of house siding
System Elevation 91.0 *HRpSame as Benchmark
Property Line B-1 Scale is 1" = 40'
unless otherwise
Vent noted
50' trench
20'
0% Slope D W
12'
T
B.M.*
15'
20'
Well
30' Existing 3 20'
Garage Bedroom
70, House 15
18'
30' 40'
bn1~'~ SNn`~I'~~`
50' Zo`- Z~ N o'C
Liberty Road