HomeMy WebLinkAbout020-1485-14-000 (2)
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Wisconsin Department of Commerce SOIL EVALUATIOWRtPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code County , j r I 1_1 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. C
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Reviewed by Date
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot 1/4 1/4 S T N R E (or W
Property Owner's Mailing Address n L # Block # Subd. Name or CSM#
city ~ ~ r _ ~ i Cwt ' ir~~~+(~G t..•!r' l,` f.~. t I
State Zip ode Phone Number ❑ City o Villa Town Nearest Road
New Construction Use. Residential / Number of bedrooms Code derived design flow rate l~ U GPD
-
❑ Replacement ❑ Public or commercial -Describe:
Parent material ~~L Cis y 1 e Flood Plain elevation if applicable A/ ZO~ X ft.
General comments
and recommendations:
System Type_ ! ~c7 14-/ System Elevation
Boring ❑ Boring tl7
# pit Ground surface elev. o , v ft. Depth to limiting factor Z 03 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
0-1 Z-
❑ Boring
Boring # Ground surface elev. r ft. Depth to limiting factor ~ in,
Pit 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
s r/
Effluent #1 = BOO. > 30 < 220 mglL and TSS >30 < 150 mall. ' Effluent #2 = BOD• < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sign CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Date Evaluation Conducted Telephone Number
Address
1432 120th St, New Richmond, WI 54017 /4- I ' T j 715-246-4516
Ll
Property Owner Boring Parcel iD # Page of
IZI Boring # 2L pit Ground surface elev. ft. Depth to limiting factor 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
,
1) -05'
2~ 2
Z s
i
Boring # D Boring
E] 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
Boring # Boring
F-I __I pit Ground surface elev. ft. Depth to limiting factor in.
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
1
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ° 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-8310 (RAW)
Soil Test Plot Plan.;~~
Project Name Kernon Bast Sha' Bird
Address 948 LaBarge Road C~...~
Hudson Wi 54016
/,.~CSTM #226900
Lot 14 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. Survey Iron/top of 3/4" pvc pipe
System Elevation TBD *HRpSame as Benchmark
Scale is 1" = 40'
unless otherwise
noted
Mustang Drive
233' Property Line
B-2
99' 45' 45' 10'
B-1
35'
4% Slope
98'
B-3
30'
~VB.M.* 170'