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026-1175-14-000 (2)
ly~~ wsconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1 /2 x 11 inches in size. Plan must ~C include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, n pp istance to nearest road. / V- 6 6'6 Please pr t a/nbr~ R 'awed by Date Personal information you provide may be for secondary purposes (Privacy a. 15.04 (1) (m)). Property Owner, J k;' ?003 Property Location 3 Govt. Lot N 1j 1/4 N/j 1/ d N R E( W or Property Owner's Mailing Address fy Lqt # Block # Subd. 14 / Cif FICE __j 141- - l CRY tate Zip Code Phone Number City ❑ Village ;KLT Nea t Road WNew Construction Use: % Residential /Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: _ Parent material ©c4tZ. i Cl'j_~- F107Man left. General mmeMs • , 7 and recommmendations: e- uc~`-~l^-' n 4.-o- (a„,gr c>~o. g 3 r 541-- (P Boring # Boring / &4 q F". 74M4 Pit Ground surface elev. ft. Depth to limiting factor in. Fil U K~? Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o' I L ~ 3/ 2 / S r 2 z-~ dx / " 3 x- o S os~ sn/ tit, - `7 Z T Y`7 Boring Boring . ® R Pit Ground surface ale . ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure • Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 0- 3 z r 5 Zm r5 '-1o y 5 n a n o • Z 93 0-)- 61 Aap4 - g eat- e moms= Effluent #1 = BOD > 30:5 ng/L and TSS >30:5 1 +j/L Effluent = BOD 130 mg/L and TSS < 30 mg/L CST me (Please ) Sir ,+~turQ. CST Number Address Date Evaluation Conducted Telephone Number /V) /e1tV o~ ly-~ Property Owner Parcel ID # Page of 3 Boring # ❑ Boring Pit Ground surface elev./- A Zft. Depth to limiting factor - e AV) in. Soil ApOication Rate Horizon Depth Dominant Color Redox Description Texture StrucUxe Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ►v 3~z S r m Fr C- Z rn , S , + L -nn 3 O r 4/t1 S O C", rin 1 a n/Q- a Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description' Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a 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 Effluent #1 = BODS > 30 1220 mg/L and TSS >30 1150 mgA- • Effluent #2 = BODS < 30 mg& and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Property Owner Parcel ID # Page of FN Boring # Boring pit Ground surface elev. ~ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 5 L ~R m~ L 2 rn S- , 2 I a r/ c L d) m Fr 3 A. -3 VIM 10,,r o/c, D i n a n a- } 'OF T. F-1 Boring # ° Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor inSal -Application Rate H= = 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 Bori ~ F-1 Boring # ° ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Sol Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont Cola Gr. Sz. Sh. -Eff#1 'Eff#2 Effluent #1 = BOD, > 30 1220 rrg1L. and TSS >30 < 150 mg1L • Effluent #2 = BOD5 130 mg& and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD4330 QLGW) Soil Test Plot Plan Project Name David. Railsback Shaun i 1 Address 845 133rd Ave New Richmond Wi 54017 CS 226900 Lot 14 Subdivision Date 1 2/02 SW/NW 1/4SW/NW1/4S 30/31 T 30 N/R 18 W Township Richmond ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 94.8/91.3 *HRPSame as tchmark Alt. BM Top of Steel Fence Post @ 104.0' 241' Property Line Property dd- not Line Please Note: Test area n-----F-- _ suitable for desired uilding area. 15' 8% Check system locati n o Slope excavating. Soil test w done atis y B- Zoning Requirement. -3 105' 5' 5' Cty Rd A B-1 30 Property AB.M. Alt. 98' Line B.M. 97' 96' 95