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HomeMy WebLinkAbout042-1096-60-100 RECEIVED c sT -Oo 4- ©s~ ~Y oz rz.r R-A Wisconsin Department of Commeg CROIX COUNTY SOIL EVALUATION REPORT of Division of Safety and BuildinCgsC~MUNtT`~ ROLOPMENT I r 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 ` 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 Z " /Q C? ~0 _ /00 Please print all information. Revie by Date Q Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location-- ;-i f Z S !kill Govt. Lot/V~ 1 /4 1 /4 N R E (o W Props` *r's Mailing Address Lot Block # Subd. Name CSM# I cl) 1 1-; City State Zip Code Phone Number ❑ City ❑ Village (,Town Nearest Road LFtNew Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement Public or commercial - Describe: 13L7 Parent material Flood Plain elevation if applicable General comments ~L and reconxnendations: Sys Type - - " i , ystem Elevation ® Boring # nng pit Ground surface elev. f ft. Depth to limiting factor Wo 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 ,mss Boring # El /Yt a Li C3, ~ 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 r 7-- 7-13 > 13-r"z' ' Effluent #1 = BOD. > 30 < 220 wdl- and TSS >30 < 150 ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017`-°f 715-246-4516 Property Owner Parcel ID # Page of ❑ Boring Boring # pit Ground surface elev. ~r ft. Depth to limiting factor in. Soil -Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. ~yMunsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - Z Q- - ' C L, A' y ❑ 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 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 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 (8.6/00) Soil Test Plot P' n Project Name Luke Busker un Bird Address P.O. Box 180 Roberts Wi 54023 STM #226900 Lot 6 Subdivision Da 5/1 /16 NW 1/4 SE 1/4S 33 T 29 N/R18 W Township Warren Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" pipe System Elevation TBD *HRpSameasBenchmark 96.5' 1306' Property Line 97.5' 95.5' Scale is F = 40' B-1 30' unless otherwise noted 60' B M * 5% Slope 200' B-3 10' 120 600' 20' B-2 to Ecker Lane 622' Property Line