Loading...
HomeMy WebLinkAbout032-2030-10-100 RECEIVED,5 _?i; . - 6 0 f3 ' Wisconsin Department of Commerce SO,- . , Page of Division of Safety and Buildings ' in iAIWdance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County J 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. - Revi ed by Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). L- / C) P e Property Location ~ , Govt. Lot y 1 /4 41 X1/4 T ~ L) N R ~ E (o kW Property Owners Mailing Address Lot # Block # Subd. Na or CSM# _ City State Zip Code Phone Number ❑ City ❑ Millage Town Nearest Road New Construction UseResidential / Number of bedrooms ::A. Code derived design flow rate GPD ter- . ❑ Replacement ❑ Publi r1 mmeraal - Describe: Parent material Flood Plain elevation if applicable ft General comments and reconunendatiens:1 System Type . <..t System Elevation Boring FF] Boring # S pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPCKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'E 2 6-3 Az; J" Of a Boring ❑ Boring C 4 ft. Depth to limiting factor - in. Pit Ground surface elev. 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 AXQ ' Effluent #1 = BOD, > 30 220 mg/L and TSS >30 < 150 mot ` Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address pate Evaluatign Conducted/ Telephone Number 1432 120th St, New Richmond, WI 54017 715-246-4516 Property Owner _ Parcel ID # / Page of Boring # ❑ Boring ,R rQ pit Ground surface elev. Depth to limiting factor- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 o° 3 0. ~Z~ C/, I C~ U' 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 F-1 E] Pit 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 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/i_ ' Effluent #2 = BOD, < 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. SBn-8130 (R.05M0 Property Owner _ Parcel ID # Page of g Boring # ❑ Boring f 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 l I T-1 Boring # ❑ Boring ❑ Pit Gro und 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 F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication 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 mgA- ' Effluent 92 = BOD5 < 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 Plan Project Name Dale Croone S aun Bird Address 1692 50th St. ~j Somerset Wi 54025 (tKt-M #226900 Lot 3 Subdivision Date 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 2" pipe System Elevation TBD *HRpSame as Benchmark 673' Property Line Scale is 1" = 40' unless otherwise noted B-3 B-2 18% Slope 20' 45' 20' 102' 300' 5' M.* 45' 45' B- 100' 98' to 50th ST. 1318' Property Line ~aq 1356' Property Line