HomeMy WebLinkAbout032-2030-10-300 (2)
CIV sfi 417-
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
hiWordance with Comm 85, Wis. Adm. Code t
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must f
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. x
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C ) c ~C ,C: `_7~
Please print all information. Revi by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (t) (m)).
P Own Property Locaticn
Govt. Lot f/ 1 /4 f,! 1 /4 s T% (a N R E (o W
Property Owner's Mailing Address Lot # Block # Subd. 11 me or CSM#
" 7
City State Zip Code Phone Number ❑ City [I Vi llage Town Nearest R d
s' t (f~ l~
New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement Public or commercial - Describe: _ _
Parent material Flood Plain elevation if applicable
General comments
and recommendations:
System Type 'i~G / System Elevation FJ-l~
Boring # ❑ Boring r r
M I ~ Pit Ground surface elev. J 711. 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
fj'
Boring h r
a~ # E] K-Pit Ground surface elev. -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
7-3 L 10V10,111
?
Effluent #1 = BOD• > 30 < 220 mg/L and TSS >30 < 150 • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si&Wre CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address bate Evaluation Conduc d Telephone Number
1432 120th St, New Richmond, WI 546~~ - ,i 715-246-4516
r
Property Owner _ Parcel ID # / Page of
D;1 Boring # ring r p ~I J
)t Ground surface elev.! ` ft. Depth to limiting factor 5 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
Z p-3 P", G
❑ Boring # F] 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
F-1 Boring # El F1 Pit Boring
Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon 'lepth 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 rrg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 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-8330 (8.6/00)
Property Owner _ Boring Parcel ID # Page of
Boring #
® V~•pit Ground surface elev. ft. Depth to limiting factor Z in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsellt Qu. Sz. Cont. Color +yGr. Sz. Sh. 'Eff##1 'Eff#2
o- Yr
Boring # El Boring
F-1 ❑ 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 #
F-1 ❑ 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
> < > < < 30 and TSS < 30
'Effluent #1 BOD 30 220 mg/L and TSS 30 150 m 'Effluent #2 - - BOD mg/L 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.
SB"330 (8.6/00)
v Soil Test Plot P14
Project Name Dale Croone S un Bird
Address `
1692 50th St. '
Somerset Wi 54025 ^CSTM #226900
Lot 1 Subdivision D~ae 12/26/16
NE 1/4 NE 1/4S 8 T 30 N/R19 W Township Somerset
❑ Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe
System Elevation TBD *HRpSame as Benchmark
700' Property Line 350'
Scale is 1" = 40'
unless otherwise
noted
200'
B,M.*
10' B-2 55 70' B-1
100'
25' 98'
96'
94'
B-3
20% Slope
50th St.