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HomeMy WebLinkAbout042-1077-20-001 • VUiscinsin•Bepartfienf of'Safety and Professional Services Division of Industry Services y r, SOI E L AN REPORT Page 1 of 3 Q4r` ST. CROIXn V~LAP EN1, in accordance with SF83 Wis-County St Croix A~ p'fan on paper not less than 81 /2 x 11 inches in size. PlariOSt include, but not limited to: vertical and horizontal reference point (BM), direction and Paroel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. G~j INti 7 I -Z Please print all information. Re ' by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 Z3 Property Owner Property Location ■ Ronald R. Stewart Govt. Lot NW 1/4 NW 1/ S 28 T 29 N R 18 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 740 112th Street 6 4Z'■' ■ Town Nearest Road City State Zip Code Phone Number [-]City Village Roberts WI 54023 ( 7)15 749 3660 112th Street New Construction Use Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material sandstone Flood Plain elevation if applicable ft. General comments and recommendations: a Boring # 11 Boring Pit Ground surface elev. 105' 7" ft. Depth to limiting factor 22 in. Q Soil ligtion 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 1 0-10 10YR3/3 SL 2mabk mfi cw if 0.6 1.0 2 10-22 5YR4/6 SL 2mabk mfi cw 2f 0.6 1.0 3 22-30 7.5YR6/4 Q p 10YR8/6 COS Osg m1 0.7 1.6 F2 Boring # ❑ Boring 95' 9" 24 Q 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 1 0-12 10YR3/3 SL 2mabk mfi cw if 0.6 1.0 2 12-24 5YR3/4 SL smabk mfr cw if 0.6 LO 3 24-60 10YR4/6 fl p 10YR8/6 COS Osg ml 0.7 1.6 Effluent #1 = BOD > 30-< 220 mg/L and TSS >30:5 150 mg/L ' Effl = D5:5 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Dale R. Stewart 220879 Address Da 6Nyaluaton Conducted Telephone Number 757 107th Street 11/03/2014 715 479-9996 SBD-8330 (807/13) Stewart, Ronald R. 2 3 Property Owner Parcel ID # Page of a Boring # ❑ Boring 103'4" 28 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicati -Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10YR3/2 SL 2msbk mfr cw if 0.6 1.0 2 12-28 7.5YR4/6 SL 2msbk mfr cw if 0.6 1.0 3 28-48 7.5YR4/6 f2 d I0YR3/6 S Osg ml 0.7 1.0 ❑ 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 *Eft#2 I Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. Pit 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 = BODS > 30:E 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS S 30 mg/L and TSS < 30 mg/L SBD-8330 (807/13) N 3 b - Acre piq kt L~ C Cl AIc: r~ i~ / - G PA T,4 C 3 n i .Ile R~ r W11