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Wisconsin Depa hsional Services Page 1 of 3
Division of Industryrvioes
N 0 V 0 8 L f; SOIL EVALUATION REPORT 96H7FVEF40AM8
In accordance with SPS 385, Wis. Adm. Code Coun
CROIX (a ~Y St Croix
Attach complete~~Q ~yy~~o t 1/2 x 11 inches in size. Plan must include,
but not limited t6Wi~ h~ dzt5ht~ r point (BM), direction and percent slope, Parcel I.D. C>
scale or dimensions, north arrow, and location and distance to nearest road. z- (D a '/n 1 Please print all information. Revie d by Date
Personal information you provide may be used for seconds u oses Priva Law, s. 15.04 1 m . Z /
Property Owner Property Location
Dave Coyer Govt. Lot NW % NW % S 28 T 29 R 18 E (or) W
Property Owners Mailing Address Lot # Block # Fubd. Name or CSM#
1122 76 th Av 4
City State Zip Code Phone Number p City ❑ Village ® Town Nearest Road
Roberts WI 54023 (651 399-4023 Warren S 112'" ST
® New Construction Use: ® Residential/ Numberof bedrooms 3 Code derived design flow rate 450 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material sandstone Flood Plan elevation if applicable 1 ft.
General comments and recommendations:
1 ~ 5G
1❑ Boring # ❑ Boring
® Pd Ground surface elev. 97 ft. Depth to limiting factor 74 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-18 10YR2/2 SL 2 M BK MFR C S 1 F 0.6 1.0
2 18-46 10YR5/8 SL 2 M BK MFR C S 1 F 0.6 1.0
3 46-74 5YR5/6 COS 0 SG MVFR 0.7 1.6
2❑ Boring # ❑ Boring
® Pit Ground surface elev. 97 ft. Depth to limiting factor 77 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#2
1 0-29 10YR2/2 SL 2M BK MFR C S 2 F 0.6 1.0
2 29-54 10YR3/6 SL 2 M BK MFR C S 1 F 0.6 1.0
3 54-77 5YR4/6 COS 0 SG MVFR 0.7 1.6
Effluent #1 = BOD, > 30:5 220 mig/L and TSS > 30 5 150 m /L Effluent #2 = BOD, > 30!5 220 m /L and TSS > 30!5 150 m L
CST Name (Please Print) Signature CST Number
Dale R. Stewart 220879
Address Date Evaluation Conducted Telephone Number
757 107" Roberts, WI 54023 11101/2016 715 497-9996
SBD-8330 (R04/15)
F3 Boring # ❑ Boring
® Pit Ground surface elev. 96'5ft. Depth to limiting factor 74 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#2
1 0-27 10YR2/2 SL 2 M BK MFR C S 1 F 0.6 1.0
2 27-50 10YR4/4 SL A2 M BK MFR C S 1 F 0.6 1.0
3 50-74 5YR4/6 COS 0 SG MVFR 0.7 1.6
❑ 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 GPD1Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#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 GPD/Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
*Eff#1 *Eff#2
* Effluent #1 = BOD, > 30:5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD, > 30:5 220 mg/L and TSS > 30 5 150 mg/L
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