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WsconsiI,Deparmrentof 2p1~ SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in aocor ce with Comm 85. Wis Adm Code ouM`6
Attach complete site plan on~33pakno17es5iffa~l/2 x 11 inches insure, Plan must
ndude. but r,ortimiledt-o: vertical and horizontal reference point (BM). direction and Parcel I.D. 1. -r, `1 I I C G
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Reviewed by Date
Penemal ,ntonnaoon yw povge may De used fa sec 'v pury " (P"w"y Law. s 1a.e4(m) (roll.
f Property Owner Property location
e oc r"/T L Govt. Lot 114 ^ 114 s2--l T 2 N R E (o W
Property Owner's Mail' Address Lot Block # SrDQ. Name or CSM#
~53 t ~ e, l6 1LLC
GIy State Zip Code Phone NuniMx city ❑ lage Town Nearest Road
i,5Y01 71 ( ) CZ,&Z
FeNew' Construction Use residential ! Number of bedrooms Code derived design Row rate -7>V - 6" - GPD
Replacement
❑ Public commercial-Descritie.
I Z.
Parent material Flood Plain elevation i' applicable 7 fl.
l General mrtmmres and recommendations:
System Type~Jt6 _ System Flevation_ _77
.
1 Boring # ❑ Spring
~It Ground surface elev.! R. Depth to muting facto m.
Soil Application Rate
Horizon Depth Do ninant Col Rodox Description Texture Structure Consistence Boundary Roots GPDtW
in. MunseA Ou. SL Cont. Color Gr. Sz. Sh, •Eff#1 'Eff#2
/ L- L.
Boring # ❑ Boring r
Pit Ground surface elev /-LL,- _ / R. Depth to limiting factor in,
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP it
in. Mtnsee Ou. Sz. ConL Color Gr. Sz- Sh. -Efl#' •Eff#2
T r ` / <
i
Effluent #1 = SOD. > 30 < 220 ma/L and TSS >30 < 154 rntyL ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 rng/L
CST Name (Please Print) Signature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Adoress Date Fvaluaren C duclod Telephone Number
1432 120th St, New Richmond, WI 54017 _ 1 715_246.4516
P~peny Owner Parcel lD # _ Page ..-Of
Boring# ❑ Boring - i
X~Pit Ground surface elev. Depth to limiting factor - n.
Sca icapon Rate
Horzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM
in. Munseli Ou. Sz- C.Or1L Color Gr. Sz. Sh. 'Efl#1 'Eft#2
5/ 3 p
o, C J c ,
t
Boring # ❑ Boring
❑ Pit Ground surface elev. _ 3. Depth to limiting factor in.
Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/rF
in. Mussed Ou. Sz. Cont. Color Cr. SL Sh. 'Eft#1 -Etf#2
Bori ~ # E] Boring _
❑ Pit GmuMsurface elev. _-ft. Depth to limiting factor in.
❑
Soil Application Rate
Horizon 'tepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
MO. Munsed Ou. Sz. ConL Color Gr. Sz. Sh, 'Efl#1 'ER#2
' Effluent #1 = BOD, > 30 < 220 nWL and TSS >30:S 150 mglL ' Effluent #2 = BOO, < 30 mg/L and TSS 30 ng.'L
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goo a ~>oR.emol
Soil Test Plot Plan
Project Name Oevering Homes Sha ird
Address 1433 Cernohous Ave Suite A
New Richmond Wi 54017 I'M #226900
Lot 16 Subdivision Hunter Hills Estates Da a 6/15/18
1/4 NE 1/4S 23 T 29 N/R19 W Township Hudson
Boring 0 %Veil PL Property Line County ST. CROIX
BNI or VRP Assume Elevation 100 ft. Top of survey iron
System Elevation TBD *HRpSame as Benchmark
B. M.
500' Property Linc 142'
Scale is 1" = 40'
unless otherwise Poor soils
noted
B_2
90'
15'
B-1
20 i0•
102' 2('
79i slope.
B-3
104'
Gavin Pass
1
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