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HomeMy WebLinkAbout042-1057-20-429 (2) i CS'f - Z~ 1S " o3d RECEIVED CEP 0 3 2015 ~ Wis. Dept. of Safety d.P i ndlagiccess SOIL EVALUATION REPORT Page of Division of Safeiy~}7l~ vU DEVELOKME04~"ance with SPS 385, Wis. Adm. Code County . 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. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 16.5';%- Z G + -5eZQ 7 Please print all information. Rev' ed by Date 1 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z3 - - Z-4 1 Property Owner Property Location 5-,- Sel- 5-- V D, l+ f Govt. Lot N iv 1/4J C 1/4 S L T L~ N R /,F E (or) W Property Owner's Mail Address of # Block # Subd. Name or SM# in City State Zip Code Phone Number ❑ Cit ❑ Village [ETown Nearest Road New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate '0-0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: f Y / _ Z a x 7- / r., Boring # Boring > j ❑ i Pit Ground surface elev. 07. -7 ft. Depth to limiting factor ~ In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft z in. Munsell Cu. Sz. Cont. Color / Gr. Sz. Sh. /1 ff91 ff#2 i Zt a:y - /~rs3K,ifc/.~ 7 39:- 1 O` ~-~/`I S' Q ~ ter, ( c' r,~ - ? 1 • - n $y ❑ Boring # F~ Boring ~ r pit Ground surface elev. 0 ft. Depth to limiting factor in. Soil ±Alication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots D/ft z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 jb~~~'~/L C~tr / /P., ~L) yG r/. S~l~ ✓ _ C` w /V 7 3 z /Q1~~Y~y - s"~ / ;fir ✓~p ~s - f . 4 /r Effluent #1 = BOD , > 30 < 220 n /L an TSS >30 < 150 mgiL ' Effluent #2 = BOD 30 mg/L and TSS < 30 mg/L CST m (Please Print) Signature CST Number \ z-. CA r r1It e R- S t✓c~-..~.-~-~.~.... 2 L 7-0) 7 Address Date Evaluation Conducted Telephone Number t Property Owner Parcel ID # Page of i ' Boring # R Boring q _7 r in. FD ID pit Ground surface elev. ft. Depth to limiting factor > Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft Z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 3 z" C' 9 ~i ❑ Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate ~ Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 1 i I I I Boring # Boring F7 F~ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft s in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 I ' Effluent #1 = BOD _ > 30 < 220 mg/L and TSS >30 < 150 mg)L Effluent #2 = BOD ; < 30 mg/L and TSS < 30 mc, L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relav. SBD-8330 (RI lil I) A r ~ i I I I L,~, u= ell r a ti I `3 P C e N\ I CERTIFIED SURVEY MAP I_OCA-I L=D IN PART OF THE SW1/4 OF -11 E SE-1/4 AND PART OF -HIE NW1/4 OF THE SL 1/4 OF SECTION 20, I29N, HI 8W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. UNPLAT [ED LANDS - - - - N89°23'37"E 462.94' ~s•~z> f i ® © 33' 33 B N O J ~ J Ir I----I NW1/4 SE1/4 LOT 13 - - -1rn SW1/4-SE1/4 2.00 Acres , 3I y~ o I e7,213 Sq. Ft OWNER a yy.. /057.- Zo _ 4Zq STEVE BALI ON 930 BRAVE DRIVE f N86°24'00"E 462.65' m ' SOMERSET, WI 54025 1667, 311 ~'`!3 cn PC, IF- SURVEYOR I~ o LOT 12 ba i0 I~ EDWIN C FIANUM NORI HLAND SURVEYING, INC. C) I r%2 v 2.00 Acres P.O. BOX 152 ~A f ° 87,326 Sq. Ft. In AMFRY, WI 54001 M- I~ ~tjr 0 ~i cn N82'05'37"==. 4,490, w '0 100 cn I1' C LOT 11 owl IC) 2.01 Acres © 87,393 Sq. Ft. ✓ 1~ 1 : WI Co 166-7- 20 r 39°E 498.1`] n~ `Q © 0 Nc)~ z Z w O , T 10 Z4o j _ F- o © 2.06 Acres 0 c.~ x 89,613 Sq. I'L 1061- 3 9~ U i~ x LL- o: U 3g~ q6 z_ ~L ~C 5~1.3T ii~ Lu u w ~z 30 37 Sl8°33'2g„w 6, 6 o ~ J~A LOT y 10,7582 C) «i CE: C) - - n z z a v-27 -p 6143 ~0~ J Z \ z \ \ G_ Z Z U CL ~ ~ LEGEND M°CD~' M (f) CD U z N ST. CROIX COUMY SECTION CORNE POSITION VERIFIED WITH TIES OF \ RECORD OR MONUMENT FD AS NOT D o U0. \ 3/4" X 18" IRON RFBAR SET WEIGHIN 29"W 1.50 LBS. PER LINEAR FOOT I IJ- 10q.66 5 6 33 1" O.D. IRON PIPE FOUND ]z 0 3/4" IRON REBAR FOUND rn J t»I ° @ SOIL BORINGS S1/4 COR SEC 20 z SE CO .SEC. 20 ALUM MON FD ALUM MON- FD. _ ~ SOUTH LINE Of- THE 5F1/4, SFC 20 N89°1 0'56"E_ 498.07' v N89"10'56"E 2106.42' SCALE IN FEET 1" = 120' THIS INStRUMENT DRAFTED RY EDWIN FI ANUM - ~ 1 JOB NO 15-02 DWG - CSM DATE 5-19-15 120 120 ShiEEI I OF P. c IFF IS i