HomeMy WebLinkAbout020-1485-05-000 (2)
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County
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.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 7
Reviewed by Date
Please print all information. t
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location r_..,
Govt. Lot 1 /4 1 /4 S L I TL I N R E (or W
L.2 L
Property Owner's Mailing Address Loj #S- Block # Subd. Name or CSNV /
city State Zip Lode Phone Number ❑ City ❑ Villagip Town Nearest Roams
New =,nt sruction Use. PublicResidential Number of bedrooms Code derived design flow rate GPD
R lp , qr commercial - Describe: -
❑
Parent material Flood Plain elevation if applicable fV ft.
General cornments
and recomimendations:
i ...~~i
System Type_ c1 ~/vr r7~ ~fl System Elevation_
P~_L T LEL : O ~/o -Ot O
Boring
Boting F1 F-k] 10 # Pit j
Ground surface elev. ft. Depth to limiting factor 0 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 !Z- u, CA s ~ m `
Jr7
Boring # El Boring
El Pit Ground surface elev. t ft. Depth to limiting factor J-4iin 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
vz~
Effluent #1 = BOD- > 30 < 220 m4L and TSS >30 < 150 ' Effluent #2 = BOD. < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) S' CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
71
1432 120th St, New Richmond, WI 54017 Ll- J l 5-246-4516
of
Property Owner Parcel ID # Page
Boring # ❑
E~)] Boring 2 pit Ground surface elev. ZMN ft. Depth to limiting factor ` in V*Eff#l cation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary DKf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2
r .
r 1-r
G 7
~ (L
Boring # ❑ 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 GPDrff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. °Eff#1 `Eff#2
Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
F-1 ❑ pit Soil Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. °Eff#1 °Eff#2
Effluent #1 = BODs > 3o < 220 mgA- and TSS >30 < 150 mg' ° Effluent #2 = BODS < 30 mgA- and TSS < 30 M911-
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 Kernon Bast Shaun, ird
Address 948 LaBarge Road
Hudson Wi 54016
M #226900
Lot 5 Subdivision Date 4/15/15
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. won/top of 3/4" pvc pipe
System Elevation TBD *HRpSameasBenchmark
511' Property Line
Scale is 1" = 40'
unless otherwise
noted
.M.
30' 45'
20' -3
B-1
0% Slope
85'
200'
B-2
Road