HomeMy WebLinkAbout040-1174-80-000
\iVisconsin Department of Safety and Professional Services Page of 2
Division of industry Services JAN 0
SOIL EVALUATION REPORT
In accordance with SIPS 385, Wis. Adm. C-QE
..~fM l~~It3rYi>QEVELOPMENT
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 percent slope, Parcel I.D.
scale or dimensions, north arrow, and location and distance to nearest road. Pcl #040-1174-80-000 Ref#2461
Please print all information. Review by Dat
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). / 7-...
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Property Owner Property Location
Andrew & Lisa Talbott Govt. Lot 1 '/4 '/4 S 24 T 2 N R 20 E (or) 'VV
Property Owner's Mailing Address Lot # ~Bock # Subd. Name or CSM#
276 Cove Rd. 17 St. Croix Cove
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
L Hudson WI 54016 ( ) Troy Cove Lane
F❑ New Construction Use: ® Residential/ Number of bedrooms na Code derived design flow rate na GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Glacial Outwash Flood Plan elevation if applicable na ft
General comments and recommendations: Evaluation completed to verify suitablility of soil 3' below existing drywells. Evaluation completed by use of hand
auger down existing vent and through bottom of drywell.
Boring
1 Boring # Pi Ground si rface ele 100 00ft Depth to !inviting factor >168" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure %onsistence Boundary Roots GPD/FtZ
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
1 0-125 na na void insideDrywell na as na na na
2 125-160 10yr5/4 none fs Osg dl cs 0.5 1.0
3 160-168 10yr5/4 none s Osg dl 0.7 1.6
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❑ Boring
i L- Boring # El 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/Ft2 -
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
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Effluent #1 = BOD, > 30 220 m / and TSS > O<_ 150 m /L fluent #2 = BOD, > 30s 220 m /L and TSS > 30 150 m /L
CST Name (Please Print) Sign re CST Number
James K. Thompson 30021
Address Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, IiJI 54020-5141 3 1 December 6, 2016 715) 248-7767
SED-8330 (R04 15)
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