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Wisconsin Depavnento SOIL EVALUATION REPORT Page
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Divsronorsal6lyand~l ' LOP'
JOMC„ i.' accordance with Comm 85. Wis. Adm. Code
County
Attach complete site plan on paper not less than B 1.2 x 11 inches in size Plan must r'
include, but not limited to. vertical and honzontal reference point (BM), direction and Parcel I.D. _
percent slope, scale or dimensions. north arrow, and location antl distanceto nearost road. j 1 - -7
Please print all information. Reviewed by Date
Pamonol morrrlauonyougovrde-maY Otasad for secanoary Wpo4as(Prnacy Law. a 1504(11(mll G M(&
fry ~Z-~-~s
Property Owner _ Properly Location
I JU Gov! Lot 1141 tt AM S T N R E (or W
Property Owners Marling Addr ss Lot # Block # SW Name or CSM#
c4ty • State Zip Code Phone umber ❑ City ❑ Village overt Nearest Road
1Li~ J r7 0 ( )
- s
Ft 1 Tn f
Construction us esidential! Number of bedrooms _ Code derived design flow rate ?G C.1 GPD
❑ Replacement ❑ Public or meraal - Descnhe
Parent matenal Flood Plain clevabon:f a;nA,cahle 1`~.+ h= ~t:b rt ft.
General comments
and recommendations: /
System Type
Boring # Boring
2- Pi! Ground surface elev. it Depth to limiting factor/( in.
Soil Application Rate
Horizon Depth Dominant Color Rodox Description Texture Structure Consistence Boundary Roots GPDW
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EB#1 'Eff92
P~
BOO Cj Boning
Fc/l/L] rig pit Gmund surface ele/L',, C ft Depth to I=-hng factor / j;Xn
Soil 'ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDrtf
in. MunwU Ou Sz. Cont. Color Gr. Sz. Sh. 'EfF#1 'Eff#2
tJ" 4
Jl~ i
Effluent #1 = BOO. > 30 < 220 nxWL and TSS >30 < 150 mg/L ' Effluent IQ = BOD, < 30 mgtL and TSS < 30 mry1
CST Name (Please Print) Siyn' CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Add•ess Dale F•,aluatinn Condurtod fcmonunc Nvrrher
1432 120th St, New Richmond. WI 54017 ? 715-246-4516
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Property (Tnr,c' Page of
Boring
it Ground surface elev/ ~7 H. Depth to limiting factor Soil !cation Ra(c•. i
Hmzon DePdr Dominant Color Redox Description Texture Structure Consistence Bomdary Roots GPDRf
io. Mun_sen Do Sz. Coal . Cola Gr. Sz. Sh. 'EH#1 'EH#7
I
I
i
f -
❑
Boring # Bomg
❑ Pit Ground surface elev. It. Depth to limiting factor - _ in Soil ication Rate
l lorizon Depth Dominant Gda Redox Description Texture Structure Consistence Boundary Roots GPD.. f
in. Munse11 Qu. Sz. Cont. Color Gr. Sz. Sh 'Eff#1 'EH#2
Boring
Boring # Pit Ground surfaceelov. h. Depth to limiting factor in
J ❑ Soil ccation Ratc
Hrxrzon 'lopth Domir nt Redo. DescrtPbon. Texture Structure Consistence Boundary Roots GPDIff
n. MunsoY Ou. Sz. Cent Cola Gr. Sz. Sh. 'Eff#1 'EH#2
u
' EMuenl #1 = BOD, > 30 < 220 rl and TSS >30 150 mg'L ' Effluent 92 = BOD, < 30 m%L and TSS 130 M91-
The Dcparunent 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 TI-Y 608-264-8777.
SPn-l11l: IN 1111
Soil Test Plot Plan
Project Name John Depies
Shaun Bird
Address 1104 Willow River Rd N
Hudson Wi 54016
CSTNI #2226000
Lot Subdivision Date 7/27/15
N W 1/4 N W 1/4S 28 T 30 N/R19 W Township St. Joseph
Boring O Well PI. Property Line County ST. CROIX
BM or VRp Assume Elevation 1 oo ft. Top of 3/4" conduit
System Elevation TBD *HRPSameasBenchmark
Valley View Trail
B-1
4, 400'
105
'
I3-3 10 • B-2 103'
12'b Slope
15 101'
B.h1.^
Scale is F= 4W
unless otherwise
noted
Property Line