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RECEIVED
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Wisconsin Department pt ~cxn Qce~~ ~ ~ SOIL C V r1LUr% 1 1v1-4 ~ JRT Page of
Division of Safety and ngs L
in accordance with Comm 85, Wis. Adm. Code County ~
ST. CROIX COUNTY
Attach co gE T 1/2 x 11 inches in size. Plan must
indude, buf not imded to: vertica an onzonta reference point (BM), direction and Parcel I.D. 1
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
ed
Please print all information. Revi by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot / AJ 1 /4 a /4 T N R E (or)
Property Owner's Mailing Address n Lot # Block # Subd. Name or CSM#
L~ too
City State Zip Code Phone Number 1:1 City ❑ Village Town Nearest Road 103
-2-A4 I yowl
❑ New Construction Use: (Residential / Number of bedrooms Code derived design flow rate 41 -Y22 GPD
4Replacement ublic or commercial - Describe:
i
Parent material Flood Plain elevation if applicable fl.
General comments 1'►`0 C^0111- 6T -5 -
and recommendations:
r i N / Ae4..)
System Type ~t System Elevation
Boring )
a®~ # Pit Ground surface elev. 1 V ft. Depth to limiting factor ` v 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
i 0-13 Boring # spring
[Pit Ground surface elev. ft. Depth to limiting factor 3 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
%i6l =/t-. f nom' e
Sl-q
Z-
r
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 n)W uent #2 = BOD, < 30 nxA and TSS < 30 mg/L
CST Name (Please Print) ure CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address ZDate Evaluation Cgnducted Telephone Number
1432 120th St, New Richmond, WI 54017 ~/j 715-246-4516
Property Owner _ Parcel ID # / Page of
®Boring # r❑r Boring / f~. ✓
t~ pit Ground surface elev. ~ ft. Depth to limiting factor 7 m.
Soil lication 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
Z- 6V
10-7 7 ,
Boring # ❑ Boring
F-1 ❑ 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 Cu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
❑ Boring
Boring # Ground surface elev. ft. Depth to limiting factor
pit 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 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgA- • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
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SB0.8330 (8.6/00)
Soil Test Plot Plan
Project Name Dan Mondor Shaun Bir
Address 1885 80th St.
Somerset Wi 54025 CS #226900
Lot Subdivision Date 9/1/16
NW 1/4 NW 1/4S 31 T 31 N/1318 W Township Star Prairie
❑ Boring G Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of wood post
System Elevation 96.3' *HRpSame as Benchmark
Scale is 1 = 40
unless otherwise
noted
Existing 3
Bedroom
House
I
Barn
o Well
Over Flow
B-2
B-1
97'
B.M.*
9 5 ~ 10% Slope
B-3
40 Acre Parcel
180'
Scale = 1'4" = 10'
400' Property Line