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RECEIVED
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildingo.CT 4 l j } f
in accordance with Comm 85, Wis. Adm. Code 1
NTY y/ ~O
Attach complete site pla~an 1 inches in size. Plan must Count
include, but not limn I 1~t~lYdte point (BM), direction and Parcel I.D. ~1 5V /
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. j
Please print all information. Revi by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). (-Z"ALl, l zQ
P Owner Property Location
ak& -3 ez !,1 4 Govt. Lot 1 /4 A1/4 S f N R E (o W
5
orJ rty Owner's Maili Address Lot # Block # Subd. Name M#
State Zip Code Phone Number ❑ Cr ❑ Village JgLTo Nearest ad
i Ik /stn Ltd r t~ ( ) c'c .5- a cL C l7 ?
New construction Use esidential / Number of bedrooms Code derived design flow rate V GPD
laosment ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable ft.
General cornments
and recommendations: owl
.
System Type i~ ~ C • ~ S~r.~CJC_._1.~ ' System Elevation 0
I
Boring ❑ Boling
# ~9 Pit Ground surface elev~ I + ' 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
6 2
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 GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
3. 44~
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BM < 30 mg& and TSS < 30 nVL
CST Name (Please Print) ure CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54Qj~'/ ~ -@-/,;- - 715-246-4516
Property Owner _ Parcel ID # Page of
Boring >C/
Boring # E] V Pit Ground surface elev. ft. Depth to limiting factor in.
V 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
O- D z✓ e s-
Z R L4
s'
❑ 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 GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
❑ Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ 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 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/1- ' Effluent #2 = BOD5 < 30 nx,1/L and TSS < 30 mg/L
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SBD-8330(R.6/00)
Soil Test Plot Plan
Project Name Joseph Koury Sha ird
Address 1780 8th Ave
Hammond Wi 54015 M #226900
Lot Subdivision Date 10/12/17
NE 1/4 NE 1/4S 33 T 28 N/R17 W Township Pleasant Valley
❑ Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of steel fence post
System Elevation 98.0' *HRPSame as Benchmark
40 Acre Parcel Scale = 1/4 " =10 Property Line/Fence Line
Well
0
Failed
ST DW
Existing 3 aO
Bedroom
House
97'
B-1 96
B.M.'
B-3
B-2
4% Slope
8th Ave