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HomeMy WebLinkAbout040-1105-20-000 (2) REGEWED OCT 2 VVX9ROE33ARMEA Wisconsin Department of Commerce `PORT Page of Division ofSaf W@UUNT'r' ;Oh9MU~fiT`t DO/~' accordance with Comm 85, Wis. Adm. Code County 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 26 - on ~5 Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Own r Property Location T 1 Q, Sc-, ~ Govt. Lot M(d 1/4 X1/4 S T N R E (o W Property Owner's Mailing Ad ess Lot # Block # Subd. Name or C-SM# I r L? 1? vP 2-- City State Zip Code Phone Number ❑ City ❑ village ;RlTown Nearest Road \'e~1FCjQ6IUj-)I5q0i)~4( -1 -rY 0 7~._ R31 t04,'e1,.)J- (aNew Construction Use Residential /Number of bedrooms Code derived design flow rate [ J 17 GPD ❑ Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable /ff ft. General mcomments Ls- men ati 7' /QQQ and recommendations: ~C System Type-41 12 u i"2 System Elevation 1 Boring # E] Boring F-1 I & Pit Ground surface elev../6v . (7 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 l ii' D Q l l" 0'w (o Boring # ❑ Boring n c [7~] Pit Ground surface elev. 1ft. 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 A-I,,,4 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30:5 150 rng/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017 X 715-246-4516 1 Property Owner _ Parcel ID # Page of Boring # ❑ Boring 11-3-1 t a~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 v Z la' ❑ 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 # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 130 mg/_ 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 (R.&M) Property Owner _ Parcel ID # I Page of -13~ Boring # ❑ Boring I/ ~it 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 6-10 0 ~~Iti ~l' 17 F-1 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 GPDM 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 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 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD5 < 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-8710 (R.N00) Soil Test Plot Plan -project Name Theresa Barnes Sha ird Address 193 S. Glover Road ~j River Falls Wi 54022 TM #226900 Lot 2 Subdivision Date 10/25/16 N W 1/4 NE 1/4S 27 T 28 N/R19 W Township Troy F] Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation TBD *HRpSame as Benchmark Scale is 1" = 40' S Glover Road unless otherwise noted -2 4% Slope Soil test was done to satisfy zoning requirement. It may may not be suitable 50' for desired building location. 40' 25' B-3 B.M.* ' 15' B-1 100' 101' 102' 150' 613' Property Line 10