Loading...
HomeMy WebLinkAbout012-2005-10-000 (2) REQ -t ecfJ~<< Is/ Wisconsin Department of Commerce : 1 Division of Safety and Buildings .-agcg Lrdance with Comm 85, ALUATION Wis. Adm. Code REPORT Page of 3 Attach complete site plan on pa ng County Include but not limited to: vertic Inches in size Pla ghftist ` I St. CTO1X [It Percent slope, scale or di~, It~fced b 3 y6F- ~'D W41 ) a Parcel I.D. 01 2_2 on OS-1 O-OOO Please print all information V V n/QGOSSF t Revie d by Date Persal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (I) (m)) 3 7 Property owner Property Location William Holland Govt. Lot SE r4 NE v4 s 4 30 N R 17 Property Owner's Mailing Address w 1770 Co Rd. T Lot # Block # Subd. Name or CSM# C*ty State Zip Code Phone ❑ City ❑ Village Q Town Nearest Road New Richmond WI 54017 715-246-6318 Erin Prairie Co. Rd. T ❑ New Construction Use: 0 Residential / Number of Bedrooms Code derived design flow rate 450 GPD Q Replacement ❑ Public or Commercial - Describe: Parent Material Outwash over Limestone w ~a05 General comments and recommendations: Flood Plain elevation if applicable if 1 ~odti `J ~ P~a~ Boring Boring # © Pit rface Ground Su Ele n 96.6 ft. Depth to Limiting factor 63 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil A Q D~ftzn Rate in. Munsell Qu. Sz. Cont. Color 1 0-13 10YR3/3 Gr. Sz. Sh. •Eff#1 •Eff#2 SL 2-f-gr mfr gs 3f-co 0.6 1.0 2 13-33 1_OYR3/3 - SIL 2-f/m-pl dfi s 1m 0.0 0.2 3 33-49 10YR414 - - 9 SL 1-co-bk dvfi as 1 m 0.4 0.7 4 49-63 10 5/4 S 0-sg ml as - 0.7 1.6 5 63+ Limestone Limestone - - 0.0 0.0 ❑ Boring 2 Boring # opit Ground Surface Elevation 98.3 ft. Depth to Limiting factor 58 in, lication Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil A GPD/ft2 Rate-1 in. Munsell Qu. Sz. Cont. Color 1 0-11 10YR3/2 Gr. Sz. Sh. •Eff#1 'Ef(#2 _ SL 2-m-bk mfr gw 3f-co 0.6 1.0 2 11-30 10YR3/4 - GRLS 0-s - g ml gw 1 m 0.7 1.6 3 30-58 10YR4/4 GRS 0-sg ml cw 1 m 0.7 1.6 4 58-65 10YR5/3 10YR5/2&5/6 c-2-d CL 0-m - 5 65-92 10YR7/2 mfi gw - 0.0 S 0-sg ml as 0.7 1.6 1 6 92+ Limestone - Limestone - 0.0 0.0 * Effluent # 1 = BODs> 30 < 220 mg/L and TSS > 30 5 150 Effluent #2 = BODs 30 mg/Land TSS < 30 mg/L CST Name (Please Print) Sign Mark Iverson^`✓ CST Number Address 46672 Date F, valuation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 July 29, 2016 715-796-5664 Property Owner William Holland 012-2005-10-000 ParcelID# age 2 of 3 3 Boring # 0 Boring ❑ opit Ground Surface Elevation 100 ft. Depth to Limiting factor 34 in. Soil ApplicationRate J Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 _ in._Mu_nsell _Qu. Sz Cont. Color Gr. Sz. Sh, *Eff#1 *Eff#2 1 0-9 10YR2/2 SL 2-m-bk mfr gs 3 f-co 0.6 1.0 2 9-22 10YR4/4 LFS 0-m mfr cw 1 m 0.5 1.0 3 22-34 10YR5/6 GRFS 0-m mfi cw 1 m 0.5 1.0 4 34-49+ 10YR4/6 - Limestone 0.0 0.0 - I 1 1 ❑ Boring 4 Boring # pipit Ground Surface Elevation 103.4 ft. Depth to Limiting factor 34 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots So--- pGp/ftzn Rate in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR3/2 SIL 2-m-gr mfr gs 3f-co 0.6 0.8 2 8-18 10YR5/4 SIL 2-m-gr mfr gs 2m 0.6 0.8 3 18-26 10YR4/6 SIL 2-m-bk mfr gs 1m 0.6 0.8 4 26-34 10YR3/6 SL_ 0-m mfr cs 1m 0.2 0.6 5 34-50+ 10YR6/4 - - - Limestone 5 Boring ❑ Boring # ❑ spit Ground Surface Elevation ft. Depth to Limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Ir Soil A G D tft2n Rate in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent # 1 = BM,> 30 < 220 mg/L and TSS > 30 < 150 mg/L * Effluent #2 = Bobs < 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. N Page 3 of 3 Top of Observation Pipe 96' 98.7' 8 M#2 -1.1* B_2 98.3' 498' 8-0 Fence 100 B'3 1/2" pvc pipe around 4 100' 100.0' BM#1 House pool B-4 102' 103.4' 0 ft. 24 It. 40 ft. 80 ft. BM# & Description Elevation Bench Mark B-1 100' ° Boring Location & Elevation Owner: William Holland Site Information: 1770 Co Rd. T Completed By: Mark Iverson, PSS #197 SE1/4, NE1/4, S4, T30N, R17W P.O. Box 155 New Richmond, WI 54017 Town of Erin Prairie Hammond, WI 54015 Phone: 715-246-6318 St. Croix County 715-684-9125 CST# 46672