HomeMy WebLinkAbout022-1080-20-000 (2)
r
. Wisconsin Department of Commerce SOIL EVALUATION REPORT C Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
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.
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 f} A Ot A) 0, Z 7
Property Owner Property Location?
40K Govt. LoJ/,;/{,tl 1/4/,,0/4 S~T N R E (o W
Property Owner's Mailing Address Lot # Block # Subd. Name or ,7 CSM jZ e
J ~ .PLC//
city State Zip Codb Phone Number ❑ City ❑ Villagg Town Nearest Road / 3
e
a ( ) Lkjlf-, ~ I
❑ New Construction UseA.Residential / Number of bedrooms Code derived design flow rate JZ~ GPD
XReplacement ❑ Public commercial - Describe:
Parent material 41P Flood Plain elevation if applicable ft.
General an recommendations: a r/~r ^ 4~,~ A:g l of s~S/' F,-
System Type L'L~YI/r~P System Elevation
F/-1 Boring # ❑ 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/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
7. wv
d l1L ~ 7.
❑ Boring # ° Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil ication 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
APR
Effluent #1 = BOD. > 30 < 220 rng/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 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 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
Boring # ❑ Boring
F-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 GPDIff
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 = BODS < 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.
SBD-8330 (8.6/00)
Soil Test Plot )Pla
Project Name Michael Jilek
ird
Address 193 Liberty Road
River Falls Wi 54022
#226900
Lot -
Subdivision Da/15
N W 1/4 N W 1/4S 28 T 28 N/R18 W
Township K'innidcinic
[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
J"' 50' trench
20'
0% Slope D W
12'
T
B.M.*
15
20'
Well
30' Existing 3 20'
Garage Bedroom
70, House 15
18' - _1:4 --i~
-30' 40'
4A ft?
bn1~~ SN~~I'~~`
so' Zo`- Zf, A) ~~Liberty Road