HomeMy WebLinkAbout020-1485-07-000 (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
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Attach complete site plan on paper not less than B 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. Y a
Please print all information. Reviewed by Date
/
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot C 1 /4 1 /4 S i T 2 N E (pr w
Property Owners Mailing Address n Lot # Block # Subd. Name or CSI
City State Zip ode Phone Number ❑ City / 11 Villa M Town Nearest Road
j
i ,42 1-'~' loll r i
0 New Construction Use. Residential / Number of bedrooms Code derived design flow rate GPD
- -
❑ Replacement ❑ Publicgr commercial -Describe:
Parent material Flood Plain elevation if applicable A/ It ft.
General comments
and recommendations:
4 / -(7:2C) System Elevation
System Type_ ~ n1s
PR/zeiyi P 2LC1. = OZD- loSzl- -o[v
❑ Boring
# Pit Ground surface elev. ft. Depth to limiting factor --F in.
Soil Applicab Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. j 'Eff#1 'Eff#2
r ~r S 0~ L' 1 J✓1 -
Boring # ❑ Boring
F;X
Pit Ground surface elev. C, J 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
0 -Z-
S rr7 / l
• Effluent #1 = BOD, > 30 < 220 ffKA and TSS >30 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI Z1/7- j > 715-246-4516
Property Owner Parcel ID # Page of
Boring
Boring # ` Soil lication Rate
Pit Ground surface elev. ft. Depth to limiting fact or in.
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
j~ r 0
Z y- ~ , l
I
I
El 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 in.
F-1 ❑ Pit 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 mglL and TSS >30 < 150 mgrL ` 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.
SBD-8330 (R 6100)
Soil Test Plot Plan J~/d
Project Name Kernon Bast ShauAddress 948 LaBarge Road
Hudson Wi 54016 TTM #226900
Lot 7 Subdivision Date 4/15/15
S W 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. n/top of 3/4" pvc pipe
System Elevation TBD *HRpSame as Benchmark
Road
Scale is F = 40'
unless otherwise
noted
B-1
45'
250'
7% Slope
30' 45'
B-3
50' 60'
B-2 B.M.*
100.5'
560' Property Line