HomeMy WebLinkAbout028-1025-50-200 (2)
"AN 19
Wisconsin Depa Into at Services
Division of Industry Services 1
Q~~ 27 201` SOIL EVALUATION REPORT pace of 3
rdance with SPS 383, Wis. Adm. Code P;EID- ST. CROIX
ST. CROIX COUN°
Attach completle~ftltlPh}Jl~dtflFAlT1/2 x 11 inches in size. Plan must 028 - 1025 - 50 - 200
include, but ndt lml to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
pate
by
please print all information. AA
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). tt IT r
Property Owner Property Location ri El
RODNEY J. RIVARD (Buyer: Dan Monicken) Govt. Lot SE 1/4 NE 1/4 S 22 T 28 N R 17 E (or) W
Property Owner's Mailing Address ;2ty Block # d. Nam or CSM#
14892 130th Lane N. Sub V T5, P4091
City ae ip Code Phone Number ovIlage ■ Town Nearest Road
Stillwater, MN 55082 ( 715) 760 - 0213 R1 14 RJIVER- Z (od 190th Street
600 GPD
a New Construction UseEj Residential / Number of bedrooms 4 Code derived design flow rate
Q Replacement Public or commercial - Describe:
Parent material glacial till Flood Plain elevation if applicable ~1JEA ft.
General comments Mound System 1.0 ft. sand fill 0.4 loading rate
and recommendations:
Soil on-site by St. Croix County Zoning Personnel
Property Address: 260 190th Street
Boring # ® Boring
0 pit Ground surface elev. 99.17 R. Depth to limiting factor 30 in Soil A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#GPD/ffEff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0-13 10YR3/2 sil 2f-msbk mfr as 2vf-m 0.6 0.8
st 2fabk mfr cs lvf-m 0.6 1.0
2 13-30 7.5YR4/4
0.0 0.0
3 30-36 7.5YR3/4 m2d 5YR4/4 scl Om mfi
some gr.
a Boring # 11 Boring 97.92 24
■ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0-11 lOYR3/2 sil 2f-mabk mfr as 2vf-m 0.6 0.8
2 11-24 7.5YR4/3 sl 2fabk mfr as lvf-m 0.6 1.0
3 2430 7.5YR4/4 m2f7.5YR4i6&10YR6/2 sicl Ifabk mfr 1vf-m 0.2 0.3
some gr.
* Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:E 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) S CST Number
Ma Jo Hu ert Hollister's Soil Testing & Design) 224832
Address gDateEvalul LeConducted Telephone Number
W9875 690th Avenue, River Falls, WI 54022 07 - 26 - 2015 715 - 426 - 1775
SBD-8330 (807/13)
a
RIVARD, Rodney (Buyer'Monicken Parcel ID # 028 - 1025 - 50 - 200 Page 2 of 3
Property Owner
Boring # Boring 98.57
F3] El Pit Ground surface elev. ft. Depth to limiting factor 24 in WGPDM
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1 0-10 IOYR3/2 sil 2f-mabk mfr cs 2vf-2 10-17 7.SYR4/3 Sl 2fabk mfr cs lvf-m 3 17-24 7.5YR4/4 SCI Ifabk mfr cs
lvf-m 0.2 0.3
24-30 7.5YR4/4 m2f 7.5YR4/6 SO Om mfi 0.0 0.0
4
some gr.
❑ Bog # 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 *E GPD ~ff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
2 other pits observed with water at 36-46"
t er i northwest comers of lots had no A+4.
Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
Pit Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *EGPDM"Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
* Effluent #1 BODS > 30:5 220 mg/L and TSS >30:S 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
SMA330 (R07/13)
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SOIL PROFILE DESCRIPTION
CST:
n (i ( IK-1
Owner
System Elev. Proposed: ft SYst. Range ft to ft Ld Rate:
# Elevation.-__? 7 17 # Elevation: ~BS7 # Z Elevation: %7p. fZ
o Boring o Boring o Boring o Pit o Pit o Pit
('90
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Wis. Dept. of Safety and Professional Services SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with SPS 385, Wis. Adm. Code County
5T c~vl
Attach complete site plan on paper not less than 8 112 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. D Z`d • /0 z,5'- "Date
Reviewed by
Please print all information, T SI~.NI
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 4V
Property Owner :Property Location,
e
n~ v d P-0/ e (,C~ Mae* CMG 1A A4114 S I L T Zg N R t7 E (or
or CSM#
Property Owners Mailing Address' Lot # Block # Subd. Name
q0
9
7i ~S City State Zip Code Phone Number ❑ City ❑ Village own Nearest Road
( ) wi K UE~"
Code derived design flow rate GPD
Ft ew Construction Use, ❑ Residential /Number of bedrooms
placement ❑ Public or commercial - Describe:
Flood Plain elevation if applicable ft.
material ral comments
and recommendations:
R Boring
Boring # L ft, Depth to limiting factor in.
~~~YYY 111 Pit Ground surface elev. Soil A lication Rate
PrLz- Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots ff#1 GPD/ TFI 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
v- to lc9-IS
3 if lY wo►tie- 5~~ k
❑ Boring # Boring
Depth to limiting factor in.
❑ Pit Ground surface elev. -ft. g Soil A lication Rate
Horizon Depth Dominant Coior Redox Description Texture Structure onsistence Boundary Roots ff#1 GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD s < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
C241& -n ,viml z6 9
Date Evaluation Conducted Telephone Number
Address
SBD-8:)30 (R11/11)
Property Owner Parcel ID # Page of
❑ Boring # F-1 Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots Sod GPD ftti2 Rate
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in,
Soil Application 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 #
pit Ground surface elev. ft. Depth to limiting factor
El in,
Soil A lication 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 ff#2
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.
SBD-8330 (R11/11)
Sti
1714
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