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Home My WebLink About020-1485-13-000 (3) CsT"^ ZotS- U2~( Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code i n County Y1 J 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. w 7tg1 /3 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. old Please print all information. Reviewed by Date Personsl information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). I-MAL 1, ANTO)~t! Property Owner Property Location Govt. Lot 1 /4 1 /4 S T Z I N R E (or W Property Owners Mailing Address Block # Subd. Name or CSlvt# p City ~j Sta`te~ Zip' ode Phone Number ❑ City Vi ❑ lla Town Nearest Road SSq (,JI New Construction Use. Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 1;z Y , < # ' Flood Plain elevation if applicable 11 t ZOA"/ ft. General comments and reconvnendations: System Type_ ! 0 n/l I ~`u+ System Elevation ,(LEA P crE[r oza- to -6~0 ❑ so" / Boring # ~7j 0 ft. Depth to limiting factor t'r 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 , 61 ;1 -1 ❑ Boring # Boring pit Ground surface elev. ~l ft. Depth to limiting factor J in Soil Application Rate ❑ Eonzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C I , ~ m T T t ~0' ~4J3,~ C'~ ` ( s 17~ s~ Effluent #1 = BOD. > 30 < 220 mg/L and TSS > < ` Effluent #2 = BOD< < 30 nxA and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 715-246-4516 1432 120th St, New Richmond, W 017-) I Property Owner Parcel ID # Page of ❑ Boring Boring # pit Ground surface elev. / Z -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. 'E//ff#1 'Eff#2 0r w. r Y~ l J Z 0l~z~ 0, /.c- :L f B i Boring # ® Boring - t__j ❑ pit Ground surface elev. 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 tl a ❑ Boring 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 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ° Effluent #2 = BODS < 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-9330 (R 6/00) Soil Test Plot Plan Project Name Kernon Bast Shaun Address 948 LaBarge Road Hudson Wi 54016 CSTM 226900 Lot Subdivision Date 015/15 SW 1/4 NE 1/4S 21 T 29 N/R 19 W Township Hudson Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Survey Iron/top of 3/4" pvc pipe System Elevation TBD -HRpSameas Benchmark Scale is 1" = 40' unless otherwise noted Mustang Drive B-3 2% Slope 98' 25 B-1 45' 4 ' 20 99' B-2 90' B . M. * 579' Property Line 3 00'