HomeMy WebLinkAbout030-2056-30-000 (3)
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Wisconsin Department of Cotnpl1r~ SOIL EVALUATIVIV r-,L-, - Page of
Division of Safe t~t n9 1,1V , i Acco ante 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 I
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. ~~Q ' JQ - 776
14
Please print all information. Revi ed by Date )
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
C Govt. Lot 1/4 1! S r 7T_30 N R& E (o W
Property Owners Mailing Address Lot # BI # Subd. or CSM#
G
City Slate 1Zjp Code Phone Number [I City ❑ village o Nearest Road
❑ New Construction Used[ Residential / Number of bedrooms Code derived design flow rate GPD
Replacement r ~Publ' or com aaI -Describe: Parent material Flood Plain elev lion if applicable / ft.
General comments 11Cv r✓G , dJ'~ y
and recommendations: a /
v~ v
System Type stem Elevation 7
F 1-1 Boring # Boring r
in.
Pit Ground surface elev. ft. Depth to limiting factor
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
M
-5 /77 L
5y 'f S 50 ® Boling # ❑ Boling
'7 ly c
0-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
n
l
Effluent #1 = BOO. > 30 < 220 mgAL and TSS >30 < 150 mg/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 Conduct d Telephone Number
1432 120th St, New Richmond, WI 54017- - 715-246-4516
Property Owner _ Parcel ID # Page of
~-21 Boring # E) 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 GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. / 'Eff#1 'Eff#2
CY-- Is
t
7jf f'. ' r✓'
❑ 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 GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring
El 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 = BOD, < 30 mg/L and TSS < 30 mg/L
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SBD-8330 (R.6/00)
`soil Test Plot Plan
Project Name Robert Dybivg Sha ird
Address 1354 Egard St.
Houlton Wi 54082 SfiM #226900
Lot 3 Subdivision Village of Houlton
_ Date 11/16/16
1/4 1/4S 27 T 30 N/R20 W Township St. Joseph
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of telephone box
System Elevation 96.3' *HRpSame as Benchmark
M•* Property Line
B-3 Scale is F = 40'
1% Slope unless otherwise
15' noted
0 5' 55' B-2 100
'
96'
35' DW
ST
30'
Existing 3
Bedroom
30, House
B-1
6.5' Well 15'
Bluff line to St. Croix River
Egard St.