HomeMy WebLinkAbout026-1096-20-100 (2)
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Wiscsnsin Department of Cpr(dl`~ere~ 201 SC rtCF'ORT Page of
Division of Safety and Build ngs
~ CQ(i}N~'p~ordance with Comm 85, Wis. Adm. Code
pl SS. CRO'sQhM 8 County
Attach com ete tan 1/2 x 11 inches in size. Plan must
include, but not 1'R11 to: vertical and horizontal reference point (BM), direction and PK2N I.P.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 9
Please print all information. Revi ed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z ZS /
Property Owner Property Location
n
Govt. Lot <L.,-.) 1/4 ! ,114 T , j N R E (or W
Property Owner's Mailing Address Lot Block # Subd. Na or CSM# L
"4 N '0
City State Zip C e Phone Number O City ❑ Village (;ITo Nearest Rgad
New Construction Use: Residential/ Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable 4,
ft.
General corrlrnents
and recommendations:
System Type Ce J d-L, J..-; System Elevation ( 5'
Boring # Boring
M Pit Ground surface elev. it ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
V
Boring # Boring r";
a ~~a
Pit Ground surface elev. (2 ft. Depth to limiting factor ur.
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. 'Ef/f#1 'Eff#2
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L MAI CST Name (Please Print) Si ture CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 5401-l _l. 715-246-4516
Property Owner _ Parcel ID # /Page of
Boring # 14 Boring 2 J/
J Pit Ground surface elev. ft. Depth to limiting factor - m.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
t / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 /'E/ff#2
/
t
Boring # ❑ Boring
F-1 ❑ 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
E 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 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD5 < 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 (RAM)
Soil Test Plot Plan
Project Name Eric Becker ShauJB,/""Address p y
1394 Os re Ct.
New Richmond Wi 54017 CSi3i #226900
Lot Subdivision Date 4/21/17
S W 1/4 S W 1/4S 33 T 30 N/R18 W Township Richmond
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 3/4" Pipe
System Elevation TBD *HRpSame as Benchmark
Scale is F = 40'
unless otherwise
noted
B-3
100'
25
99, 35'
B-2 40 70'
5% Slope B-1
110th st. 30' B.M.*
300' Property Line