HomeMy WebLinkAbout006-1036-10-200
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Wisconsin Department of Commorce JA OIL E ORj p ~of
Dwrsion of Safety and Buildings
in accordance with ' m 85. Wis. Adm. Code'
_ C°unty S'F CROIX
Attach complete site plan'on paper not Inss.than all - t inches in size. Plan must 60
mclude. but not limited to yedlrsl,~gd llof~oiltitT~clerence print (BM), direction and Parcel LD. r~il< 006-1036-10x466
percent slope. scale or dimpr1610i1 .-horth arrow, and location and distance to nearest road.
Please print all information. Re by Date
Pra:uaml inlormntion you Proved: may tri: u::ud Inn scwndary owPrTaos (Pnv;¢y I aw, s. '3.M 11m0. ~ / /
property Owner Property Location
DEAN GF:I IRMAN Govt. Lot SI'. 1/4 SI: 1/4 S 17 T 31 N R 16 E❑(or)W
Property Owners Mailing Address Lot # Block # Subd Name or CSW - ;I,(, '
2184 220111 S I 2 -(s2(14-t3R8-
(>ty Slate 74) Cade Phone Nurcher fly El Village. • Town Nearest Road
DICflR PARK VVl 54tM17 ( ) - 220111 ti 1-
Now Construction IJse❑ Residential I Number of hednxvns Code derived design flow rate 300 GPD
Replacement Public or ronmeraal - Describe
Parent nnatenal OUTWASH Flood Plain elevation if applicable It
General convnent5
..95.01 Z~nQ/~
and recommendations. KI(CUN1\71:NDIiDSYS.IfI.I'\'
r1
Ckxnny
Boeing # 11
#
O Pit Ground surface elev 99.11 h. Depth to Lmmrg la<aor 96 in _ Soil Application Rate
Horizon Depth Dormnant Color Rodox Description Texture Slna:uue Crmsnstence Boundary Roots GPD/ff
in. Munsell _ pu Sz. Cont. Color _ Gr Sz Sh. 'E"I 'Eff#2
1 0.12 I0YR3f3 -a SIL 2MSBK MFR W 1F .6 1.0
12-22 10YR4r'.1 -0- Sit 2M513K NIFR CW .6 1.0
3 2242 7.5YR'ir6 -0- Sl. 2NIS13K MFR CW N/A 6 LO
42-96 7.5}'R516 -r~ Lti OS( MI.
CW NiA ] 1.6
-
I Boren # Boring
J 9 99.(l 96
pit Ground surface olov. ft. Depth to limiting factor in Soil Application Rate
Horizon Depth Dominant Color Rodox Description Texture Structure Ccwsfslence Boundary Roots; GPDO
In. Munsell pu Sz. Cont. Color Gc Sz. Sh- 'Eff#1 'Eff#2
1 01-13 IOYR3':3 -Q Sit 2MSBK MFR GW 1F -6 1.0
2 13-24 10YR44 0 till. 2NIS13K N1FR GW N!A .6 LO
3 24-44 7.51'R46 -0- SL .'MSBK MFR CW N/A .6 LO
.1 .11 ~ 96 7.5YR5r6 -14 LS OS(i NIL CW NiA .7 1.6
Effluent 111 = BOD % 30 _ 220 mq/L and TSS >30 < 150 mcyL /1 ~,,~/7 ' ENlu 1 #2 = ROD, < 30 mg4 and TSS < 30 ng2
CST Name (Please Print) ERI _ HARDINA Tz- ,,Lye'/ t2<~/ CST Number
ROB
824825
Address Date Evaluation Conducted Tak:pflone Ntimber
477 170TH AVE TURTI E 1 AKE WI 54889 715A91-5039
7-5-IM
2
GF.RI INI:W 006-1031,-10-0(N1
Property QWrlo Panel lD# Page of
M Boning N Wiring - 98.S 92 -
pit Ground surtaceelev. ft. Depth lo limiling factor - in. Soil Application Rate
Horizon Depth Dominant Colix Rrxknx Desr:nptiol Iexture Structure Consistence Balndary Rents GPDM
In. Munsell Qu Si. Conl Color Gr. Sz. Sh- 'Eff#1 'Eff#2
1 0-12 10YR33 40. SL 2MSBK MFR GW 1F .6 1.0
2 12-2I 10YR4!4 0 SDI. 2%ISI1K N1TR GW N/A .6 1.0
3 21-4' 7 Sl'K•Vfi 0- SI. 2NISI3K MP12 N/A WA .6 10
1 4?-92 7 SYRS~6 ll IS OSG Nil, CW NL:\ .7 1.7
U Boling # ❑ Boring
11 Pit Ground surface elev. fl. Depth to limiting factor in. Soil Ajp~llcabon Rate
Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary RonLS GPD/ff
in- Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # O Boring
Pit Ground surface elev. h Depth to limiting facto in
Sol Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu Sz. Cont. Color Gr Sz Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD. > 30 < 220 a4L and TSS >30 < 150 nV1 ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 miyL
Ilse I )epartment o(Conuncrcc is an equal opportunity service provider and employer. If you need assistance to aeceas services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
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HARDINA SEPTIC SYSTEMS
MPRS/CST 824825
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