HomeMy WebLinkAbout030-1078-80-105
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Wisconsin Departmentq SOIL EVALUATION REPORT Page of
Division of Sa*Ty biid ! _ LOQ
~OMtv;uaccordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must J
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. U J -zy) -7
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
UOGovt. Lot tLAJ 1 /4 ,t4,A/,1 !4 S z T N R E (or 1W
Property Owner' ~S Mailing Addr ss Lot # Block # Subd. Name or CSNW
City r State Zip Code Phone umber ❑ City ❑ Village own Nearest Road
Ile
jgf~New Construction Us esidential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or/~mmercial - Describe:
Parent material d L,( 5C,:_t Jc -C1J``~ Flood Plain elevation if applicable f`✓? ft.
General comments
and recommendations:
System Type G > giro System Elevation l J rte, r~~e~k
[j] Boring # Boring J r
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
C r C~
r~ J-7 J ~G_
C, -1 n f~ e
'~1
-77
Borins# ❑ Boring l
Pit Ground surface ele0ft. Depth to limiting factor in.
C/
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
lei
511 l 0(
~~f
Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg& and TSS < 30 mg/L
CST Name (Please Print) Sign CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 -1-12 ` - 715-246-4516
Property Owner _ Parcel ID # Page of
❑ Boring
Boring # 95-Pit
Ground surface elevv . Depth to limiting factor rn 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
0-)
F-1 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 # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
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/L • 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 (8.6/00)
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J
Soil Test Plot Plan
Project Name John Depies Shaun Bird
Address
1104 Willow River Rd N
Hudson Wi 54016 r
CSTM #226460
Lot Subdivision Date 7/27/157
NW 1/4 NW 1/4S 28 T 30 N/R19 W
Township St. Joseph
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 3/4" conduit
System Elevation TBD *HRpSame as Benchmark
Valle View Trail
B-1
~e 45' 400'
105'
50'
65'
10' B-2 103'
12% Slope
B-3
15' 101'
B.M.*
Scale is F = 40'
unless otherwise
noted
Property Line