HomeMy WebLinkAbout008-1085-20-000
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Wisconsin Department of 1NV 5E$KHa9EZHH07P. • • Page of
Division of Safety a$~8~i~~,'QPMEW
in accordance with Comm 85, Wis. Adm. Code _
~omMU County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must f,
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. ad Please print all information. LI-) j Revi ed by Date L./ Personal information
you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1)/M)-)L-
Property Owner,_ - Property Location
Govt. Lot Alr 1/4 1/ S 3 T N R E ( ) W
(1!c' -k Z
or CSNW
Wfe
Property Owner's Mailing Address Lot # Block # Subd. Na
City 1 Stater Zip Code2 Phone Number ❑ City ❑ Villa a wn Nearest Roa
-New Construction Use:gResidential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement Public or commercial - Describe:
Parent material 7fF; 10 Flood Plain elevation if applicable ft.
General comments
and recornmertdations:
System Type rr~ 0 System Elevation T ) 5 O
RBonng F-IIB04ing#
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#11 'Eff#2
❑ r` r '
# Boring
( l1
Boring
V 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
17/
Xxll
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 nxA and TSS < 30 mg/L
CST Name (Please Print) Signat CST Number
Bird Plumbing, Inc. Shaun Bird' 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 f, % 715-246-4516
Property Owner _ Parcel ID # Page of
I]] Boring # ❑ Boring /uQ pit Ground surface elev. Oft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture StructurBoundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. 'Eff#1 'Eff#2
17
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
F-1 Boring # Ground surface elev. ft. Depth to limiting factor Pit in.
❑
Soil Application Rate
Horizon 7epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDtff
m. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD5 < 30 mg/1- 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 fonnat, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.6ro0)
Soil Test Plot Pla
Project Name Don Larson Estate Sh n Bird
Address 2254 20th Ave
Baldwin Wi 54002 M #226900
Lot Subdivision Date 7/28/17
NE 1/4 NE 1/4S 30 T 28 N/R16 W Township
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1" pipe
System Elevation TBD *HRPSame as Benchmark
20th Ave
Scale is 1" = 40'
unless otherwise
noted
200'
B.M.*
30 B-3 80, B-1 5 300'
r.a~ 101' 45'
7% Slope
99'
B-2
1320' Property Line