HomeMy WebLinkAbout042-1085-50-500 (3)
I RECEIVED
Wisconsin D @r - S011 EV°' WATION REPORT Page of
Divisiogl )f~~gg ~V I Y
MA LOPMEW accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must l
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. c
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q 1t71'Z' 6 ~7 5'd
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Please print all information. Revi ed by Date
Personal information you provide maybe used for secondary purposes (Privacy law, s. 15.04 (1)(m)) . Z Z z,
Property Owner Property Location
i
U l to (j 9 j Govt. Lot 3L_7 1/4 '1/4 I~ T~ ~r N R ~ E (or W
Property Owner's Mailing Address Block # Subd. Name or CSM#
.s /d/ 115r3Z- 1/11 Z'7 P c,iZ
3-5
City State Zip Code Phone Number ffY ❑ Village ' own Nearest Road
C ( ) lam/<:~ / z~r L//
KH4ew Construction Use. Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public
f -Describe:
Parent material d mmerclal
Flood PI ' elevation if a livable -t/
General comments Y ~,'3 ~ dr
and recommendations: jJ~
1~. T17 20~- N
System Type pJ System Elevation
Boring # Boring
pit Ground surface elev?c ft. Depth to limiting factor , in.
Soil Application Rate
i
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
1 -Tell ~ Y✓ i
C
1(
El I
T Boring # 9- Boring t q /
/`''wit Ground surf ace elev. / ft. Depth to limiting factor.
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
Effluent #1 = BOD. > 30 < 220 mg/L and TSS > < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signa CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 715-246-4516
Property Owner _ Parcel ID # Page of
Boring # [3-1 ❑ Boring
R -,pit pit Ground surface elev. '7 ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
V✓f
❑ 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 # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
Soil Application Rate
Horizon 'lepth 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 = BOD, > 30:S 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg& and TSS < 30 mg/L
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SBD-8170 (8.6/00)
Soil Test Plot Plan
Properties
Pro'ect Name Roscon Prop Shaun d
Address 1353 Awatukee Trail r'.--°
Hudson Wi 54016 C MH#226900
Lot 5 Subdivision Date 5/26/15
S W 1/4 NE 1/4S 31 T 29 N/R18 W Township Warren
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of survey iron
System Elevation TBD *HRpSameasBenchmark
Scale is 1" = 40'
685' Property Line unless otherwise
noted
B-3
45'
301
0% Slope
90'
10,
B-1 B-2
90'
65th Ave