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M EVALUATION REPORT{ wk S Y~(/fi6 #102
P Department of Safety and Professional Services Page 1 of 3
Division of Safety and Buildi~p ,
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R ZY7I&CJarlce with Comm 85, Wis. Adm. Code Northland Plumbing, Inc.
Attach complete site plan on pater rlt aldfi'W_6nd 1 inches in size. Plan must County
include, but not limited to:,.v,~P{~~O'rlbtt RR~~~~Qr1 ce oint (BM), direction and St. Crolx
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percent slope, scale or diM distance to nearest road. Parcel L>~~~
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Revie d By Date
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Property Owner Property Location
Jeremy Hawkins Lot SE1 SE1/4, S3, T29N, R15W
P 1108 roperty Rustic Owner's Road 3 Mailing Address Lot # Block # Sub q. N e or CSM#
City State Zip Code Phone Number -
City Village Town Nea st Road
Glenwood City WI 54013 715-977-0707 Springfield 1 p
S Rustic Road 3
New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement -
Public or commercial - Describe:
Parent material Glacial Till
Flood plain elevation, if applicable - ft.
General comments
and recommendations: /L`~1 L 8-,5
3j y{/
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C/'a z
❑ Boring # Boring n
Pit Ground surface elev. 98.31 ft. Depth to limiting factor 30 in.
Soil Application Rate
Horizon I Depth Dominant Color Redox Description Texture Structure 2
in. Munsell I I Consistency Boundary Roots GPD/ft
Qu. Sz. Cont. Color i Gr. Sz. Sh.
'Eff#1 'Eff#2
1 0-12 10YR3/2 sil 3sbk- mvfr cs 2f .6
2 12-14 I 10YR4/4 sl 3sbk mvfr cs if .6 1.0
3- 14-30 10YR5/8 s Osg ml cs if 7 1.6
4 30-53 7.5YR5/8 7.5YR6/8fld spots fs Osg ml cs .5 0
5 53-62 7.5YR5/3
- fs I Osg ml cs .5 1.0
1I
Boring # ! Boring
Pit Ground surface elev. 96.14 ft. Depth to limiting factor >70 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure
in. Munsell Qu. Sz. Cont. Color Consistency Boundary i Roots _GPD/ftz
Gr. Sz. Sh. 'Eff#1 `Eff#2
1 0_8 10YR3/2 sil 3sbk mvfr cs 2f .6
2 8-18 10YR4/4 - - -
cos Osg ml cs if .7 1.6
3 18-20 10YR5/8 sc Om mfr cs i if I 0.0 0.0
4 20-32 10YR5/6 -
s Osg ml cs .7 1.6
5 32-58 10YR5/8 sc 2sbk mfr cs
•2 .3
6 58-70 10YR5/6 - s osg ml cs 7
1.6
Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 m /L
9 ` Effluent #2 = BOD5< 30 mg/L and TSS < 30 mg/L
CST Nam ) n
Le P nnt
atur CST Number
Michael s_ - 267985
Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number
2943 130th Ave Glenwood City, WI 54013 6/24/2016
715-265-4115
SBD-8330 (R-1177-
t
Jerem Page _ of f
Property Owner Y Hawkins Parcel ID #
Boring De th to limitin factor >75 in.
3 Boring # Pit Ground surface elev. - 93.52ft. P g Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture I Structure Consistence Boundary Roots *E41GPD/ftEft#z
i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
0-1 sil 3sbk mvfr cs-2f .6 .8
1 2i 10YR3/2
- ~ M1
2 12-27 10YR5/6 s ~ Osg mvfr I' cs if .7 1.6
~ sc 2sbk -mfr I cs .2 .3
27-33 10YR3/6 - -
_
-75 I 10YR5/6 fs Osg mfr cs 5 1.0
4 33-7-5--
-
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Boring limiting factor >76 in.
4 Boring # Pit Ground surface elev. 92.04 ft. Depth to 9 - Soil Application Rate
Horizon i Depth Dominant Color Redox Description Texture II Structure Consistence! Boundary Roots GPD/ftZ
Gr. Sz. Sh. 'Eff#1 `Eff#2
in. Munsell Qu. Sz. Cont. Color
1 0-13 10YR3/2 sil 3sbk mvfr cs 2f .6 -.88-
2 13-36 10YR4/4 sil 3sbk _ mvfrcs if .6 •8
36-48 10YR5/8 cos Osg ml cs .7 1.6
48-76~ 10YR5/6 s Osg ml cs 7 1.6
4 - -
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~ .Z~ I ~ I 1 I I
rJ Boring # Boring 90.71-_ ft. Depth to limiting factor >$0 in. Soil Application Rate
Pit Ground surface elev.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence) Boundary Roots _GPD/ftZ _
Gr. Sz. Sh. `Eff#1 `Eff#2
in. Munsell Qu. Sz. Cont. Color
1 0-11 10YR3/2 sil 3sbk mvfr cs 2f .6 .8
2 11-1 sil 2sbk mvfr us if .6 •8
4 10YR4/4
T cs
3 1 14-25 10YR5/6 s Osg ml if 7 1.6
- - - -
25-38 10YR3/6 scl 2sbk mvfr cs •4
-4 - - +
s Osg ml cs .7 1.6
5 38-80 10YR5/6
- I-- -4_ I
Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 1 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L
The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through R lay.and Plumbing, inc.
SBD-8330Test (R.11/11)
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