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WSsrnnsin DapaMrenl of C 5 Zn SOIL EVALUATION REPORT Page y of _
sner~ ail
Dosion of Safety and Buildings
_ u *cgroanOe with Comm 85, Ws. Adm. Code county
Attach complete site plan on papernotT#ss 8 1f2 x 11 inches in size. Plan must I ( -
Indude. but not limited to vertical and horizontal reference point (BM), directon and Parcel LL U
percent slope, scale or dimensions, north avow, and location and distance to nearest road.
Reviewed by Date -II
Please print all information.
PersoaW info sixvi you pn vift may O used for seooMery PurPO (Pmyq Lew. a 15.04 (1)(m)1.
Property Owner Property Locat*n -
vOe..g f i^ Govt. Lot 1145 1A S T 2 N R E( r) W
Property Ownerrs Maik Lot # Block # Subd- Name
C'tY ter Zip Code Phone Number ❑ City ❑ V Wage Town Nearest Road
Construction Usetesidential 1 Number of bedroom -171~ -Code denved design flow rate - GPD
❑ Replacement ❑ P1+ub~llo tLcL omme.r.d-a_ l • Descnbe.
Parent material LAz i Flood Plain e~iervation is applicable---- -.-f
-
Generalmmtents -
and recd mrendabo s:_
System Type Svsten, llewation7j3 OL
Bonng # -.Boring
Pit M Ground slrlace elev. K. Depth to Whiting facto r!- lo. Soil irvtion Rate
Horval Depth Dominant Color Redox Descripton Texture Structure Consistence Boundary Roots GPDIIF
In. Murlset Ou. Sz. Cons Color Gr. sz. Sh. 'Ett#1 'Eff#2
06,
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6. I-V
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I'-~/~ Bori # r/Boling
L u_ ICJ Pit Ground surface elev t Depth to limiting facto soil ication Rate
Horizon Depth Dominant Cola Redox Description Texture Strudure Consistence Boundary Roofs GPOM
in. Munsell ou. Sz. Conl Colon Gr. Sz. Sh 'Ed#1 'ER#2
IA"), 1 Sj Y
' Effluent #1 = BOO. > 30 < 220 mgfL and TSS >30 < 150 m i tL ' Effluent #2 = BOD, < 30 mgiL and TSS < 30 nxyL
CST Number
CST Name (Please Print) Sign
Bird Plumbing, Inc. Shaun Bird 226900
F rid+iess Dale Lvaluation Gundurted Telephone Number
1432 120th St, New Richmond, WI 54017 rr(- 3~ 715-246-4516
_nl 1
PrOperty Owner Parcel ID H - Page d..
Boring
J ~ If V- pit Ground surface elev. Depth to Will" fader ~ in. Soil Appirition, Rate
Horizon Depth Dormant Redox Description Texture Structure Consistence Boundary Roofs GPDlfF
in. munsencol Ou. Sz Cont. Color Gr. Sz. Sh. 'ERBf 'EIMl2
~lv
? -11
l
Bang It ❑ Boring
L~J ❑ Pit Ground surface elev, ft. Depth to limiting factor in. SS61 Application Rate
Horizon Depth Dominant Odor Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Ou Sz. Cont. Color Gr. Sz. Sh. 'EBM7 'EMQ
Bong 0 ❑ Boring
1 ❑ Pit Ground surface elev. h. Depth to Imitirtg factor _ Rate
I Horizon -kwM Dominant Color Redox Description. Texture Structure Consistence Boundary Rods GPORF
l- n. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Efhft 'ER#2
i
i
Effluent p1 = 800r > 30 1220 nVL and TSS >30 1150 m9k ' Effluent p2 = SOO$ < 30 ITICA and TSS < 30 ff9l-
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Soil Test Plot Plan
Project Name Oevering Homes Shale Bird
Address 1433 Cernohous Ave Suite A
New Richmond Wi 54017 CfM #226900
Lot 21 Subdivision Hunter Hills Estates D 6/15/18
1/4 SE 1/4S 23 T 29 N/R19 W Township Hudson
❑ Boring Q Well PL Property Line County ST. CROIX
BN1 or VRI• Assume Elevation 100 ft. Top of survey iron
System Elevation TBD *HRpSame as Benchmark
*.t✓.B
Jack Drive 180'
Scale is 1" = 40'
unless otherwise 50'
noted
Sy' B-11
40'
87' B-3 6~ Slopc
45'
60'
30 B-'
416'
Properny Line
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