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r. CST
Wisconsin 17f3partmenl of Cornlnen:4 6 ~ 11 i SOIL EVALUATION REPORT Page -Lot
Omsion of Safety and Buildiri j~s
in accordance with Cnmm 85. Wis. Adm Code
c«r" n9~ I
Attach complete rile plan on paper not less than 8 112. x 11 inches in sae. Plan must '
euciude, but not limited w vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, wale or dimensions, north artow, and location and distance to nearest road. - I
Please print all information. Ft" by/ / Date
Persenar it fix i ad yw p .ft may fro osvi 1d 6atoMary wrpmes (Privacy l.sw. 6 15.04 (1) (m)).
Property Diviner Property Location
V 2 J P J i, n Govt Lot 1145114 S T2,9 N R E( r) W
Property Ownees Mali r ss Lot t{ Block # Subd. Name of CPI ^ Ul
City Mliate Zip Code Phone Number ❑ City ❑ V ge Town Nearest Road -I y k' R i.
.1.{J L/ 1 L ( I r
Construction Use W-R-.- idenbal / Number of bedroom - _ , Code derived design flo% rate qJY Q(r - GPO
❑ Replacement ❑ Public commercial - Describe: _
gyp'/r " C, pplirace Jl
Parent material off
General r1// Flood Plain elevlaDOn if a
and recommendations:
System Type " Jar l xt.Lliv j System Elevation_ L)_
FTI Bourg # Boring
- pit Ground surface elev. ft. Depth to Writing factor in.
Scl Application Rate
Hermon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD.MP
in. Miamian Ou. Sz. Cord. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
it
i -
S o/
Boring # ❑ Boring
~j Pit Ground surface elev. ft. Depth to limiting factor in Sat 'iption Rate u
Horizon Depth 4,MurtweQ Redox Description Texture Structure Consistence Boundary Roots GPDM
in. ou. SzCont. Cohn Gr. SzSh. 'Eff#t 'Eff#2
i/
Z. _ ~r nn/fi,
_ I
I ~ I
Effluent #1 = BOO. > 30 < 220 nxyl and TSS >30 < 150 * ' Effluent #2 = BOO, < 30 mgt and T.SS < 30 MA
CST Name (Please Print) i lure CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date L:alualion Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 6- 30 -f( 715-246-4516
J
Property Owner_ _ Parcel IDk_.___- Page of
Boringk ❑ Boring
I]] &Pit Ground surface elev. / - ) N. Depth to linvting facia r in.
Soil ration Rate
Horizon Depth Dominant Color Redox Description Texture Stmctire Consistence Boundary Rods GPDOff
in. M(rusea Ou. Sz. Cont Color Gr. Sz. Sh. j 'Effkt •Eftk2
1 V 1 o ( ( ) )
,v
Boring k ❑ Boring
❑ ❑ pit Ground surface elev. h Depth to lim" factor in
- Soil Application Rate.
Honzon Depth Domnant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Ou. Sz. Cent Color Gr. Sz. Sn, 'Effkt 'EfW2
❑ Bong k ❑ Bong
❑ pit Grouts surface elev. N. Depth to Wndxg factor, in,
SoJ Application Rate
Flonzon 'lopth Dominant Color Redox Description. Texture Structue Consistence Boundary Roots GPD/ff
n. Munsell Do. Sz. Cent Color Gr. Sz. SR 'ENk1 'ENa2
' Effluent k1 = BOD, > 30 < 220 nVIL and TSS >30 1160 mg4 ' Effluent k2 = BOD, < 30 nxA and TSS < 30 mqL
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Soil Test Plot n
Project Name Oevering Homes Kaun Bird
Address 1433 Cernohous Ave Suite A ~i
New Richmond Wi 54017 S'TM #226900
Lot 4 Subdivision Hunter Hills Estates ate 6/15/18
1/4 SE 1/4S 14 T 29 N/R19 W Township Hudson
0 Boring t'J. Well Pl. Property Line County ST. CROIX
1BA1 or VRP Assume Elevation 100 ft. Top of 3/4" pipe
System Elevation TBI) *HRpSame as Benchmark
506' Property Line Scale is 1" = 4W
unless otherwise
noted
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