HomeMy WebLinkAbout020-1485-02-000 (2) G 57-- Zotl--- of o
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County i~
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. y^
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 26 .y o z - nn
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ( XM /A) 1 - -
Property Owner Property Location
t 1 r Govt. Lot ` 111/4 1/4 S C T w N R E (on W
Property Owner's Mailing Address n Lot # Block # Subd. Name or CSM# _ "✓a~
PE,va/w6. r ` Lr
gj~ city,
State Zip ode ( Phone Number ❑ City Villa Town N/efarest oad ll~
New Construction Use'JZJ Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public qr commercial - Describe:
Parent material 1 C r ~t Flood Plain elevation if applicable f✓ 7 ~O~t/~ ft.
General comments
and recommendations:
System Type_ LIB n1 7'^J System Elevation_
_ p42Ewf el p ozo- toSY-&o-D/o I
~
F Boring # gyring
Pit Ground surface elev. z f ft. Depth to limiting factor 0 -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
tiles
/ t'^ f !'1^I f I -T
17-12- Al."
3 7o' p~ S a ~ '
Boring # Cj Boring /
a 9 Pit Ground surface elev/ ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
,4;
-Z_ A
'nj
Effluent #1 = BOD. > 30 < 220 rrYA and TSS >30 < 150 ` Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 5401 1 715-246-4516
. f~
Page of
property owner Parcel iQ #
Boring # Boring ft. Depth to limiting factor -f-'G-- in. on
❑ Pit Ground surface elev. Soil licati Rate
GPD/ff
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `Eff#1 `Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Z S ) J
i
❑
Boring # Boring g in. Soil Application Rate
❑ Pit Ground surface elev. ft. Depth to limiting factor
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots tE GPD/ffE
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
Boring
E-1 goring # nd surface elev. ft. Depth to limiting factor in.
Pit Grou Soil lication Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
Gr. Sz. Sh. `Eff#1 'Eff#2
~ in. Munsell Qu. Sz. Cont. Color
d
'Effluent #1 BOD, > 3():< 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
equal opportunity
please scontact pthe department aployer. If you ned assistanc to access t 608-266-3151 or TTY 608-264-8777 services or
The Department
material linran is an
n
SBD-U30 (R.6/00)
,I
Soil Test Plot Plan i
Project Name Kernon Bast Shaun B'
Address 948 LaBarge Road _
Hudson Wi 54016 CST #226900
Lot 2 Subdivision Date 4 5/15
SW 1/4 NE 1/4S 21 T 29 N/R 19 W Township Hudson
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. /top of 3/4" pvc pipe
System Elevation TBD *HRPSame as Benchmark
180' Property Line
518' Property Line
Scale is 1" = 40'
unless otherwise 100.5'
noted B-2
103.5' 10% Slope
50'
B.M.*
40'
B-3 10'AL
20'
B-1
200'
Mustang Drive