HomeMy WebLinkAbout127-26S2OOIJ9 qiL TEST # /7-o
Wisconsin Department of Safety essional Services �Page 1 of 2
Di09sion of IndustryServices
�Er'ER�Gi SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, Bay6eld
but not limited to: vertical and horizontal reference point (BM), direction and percent slope, I Parcel I.D. 1'4%3 079)
scale or dimensions, north arrow, and location and distance to nearest road. I 04-004-2-44-09-30-4-02-000-12000
Please print all information. Revievjd by, , Date
Property Owner Property Location v ' ❑
Jason Roettger Govt. Lot NW Y, SE Y4 S 30 T 44 N R 9 E (or) W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
660 Quixote Ave. N 2 2P92
City State Zip Code Phone Number 0 City ❑ Village ® Town Nearest Road
6
Lakeland MN 55043 v Barnes j Cranberry Lake Rd.
® New Construction Use: ® Residential/ Numberof bedrooms 2 Code derived design flow rate 300 GPD
❑ Replacement ❑ Public or commercial — Describe:
Parent material Flood Plan elevation if applicable N/A ft
�General comments and recommendations: Conventional system elevation 93.5
I 1 1 I
E ❑ Boring
Boring # ® Pit Ground surface elev. 97.0 ft. Depth to limiting factor 101 in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
flnIC
GPD/Ft'
*E(#1
*Eff#2
1
0-3
10yr4/1
Is
osg
dl
cw
2f
.7
1.6
2
3-18
10yr 5/4
-
s
osg
dl
gw
1f
.7
1.6
3
18-101
10yr 7/4
-
s
osg
dl
-
-
.7
1.6
❑ Boring
2❑ Boring #
® Pit Ground surface elev. 96.6 ft. Depth to limiting factor 96 in.
Soil Applicatior
Horizon
Depth
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPD/Ft2
In.
Munsell
Qu. Az. Cont. Color
Gr. Sz. Sh.
*Eff#1
*E
1
0-4
10yr 4/1
-
Is
osg
dl
cw
2f
.7
1.6
2
4-19
10yr5/4
-
S
osg
dl
gw
if
.7
1.6
3
19-96
10yr 7/4
s
osg
dl
-
_7
16
- rttWent #1 = Ron > sn < 99n mnn nnn TRR n Qrl < 1 Fn n,n/r * c.n....... xo - biro
CST Name (Please Print)
Signature
CST Number
Rick Brown
231251
Address
Date Evaluation Conducted
Telephone Number
PO Box 637 Spooner WI 54801 I
5/7/24
715-419-0739
5BD-8330 (R04/15)
❑'Boring#
❑Boring``
® Pit
Ground surface elev. 95.9 ft. Depth to limiting faddr90 in:'J
�i �, (. 1Ll
Soil Application Rate
Horizon
Depth
In-
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
'Eff#1
'Eff#2
1
0-3
10yr4/1
Is
osg
dl
cw
2f
.7
1.6
2
3-20
10yr 514
-
s
osg
dl
gw
2f -1m
.7
1.6
3
90
10yr7/4
s
osg
dl
.7
1.6
❑ Boring # ❑ Poring
❑ PR — Ground surface elev. ft.
Depth to limiting factor _ in.
Soil Aoplication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
-Eff#2
❑ Boring # ❑ Poring —
O Pit Ground surface elev. R.
Depth to limiting factor _ in.
Snil Annlirarinn P t.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
Eff#2
* Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L
CHECK BOX AS APPLICABLE.
CHECK BOX AS APPLICABLE.
SOIL EVALUATION
Scale: 40 40
SYSTEM PAGE2OF4
0
SITE MAP
60
80
PLOT PLAN
PROJECT NAME:
(tongdtl) 10
DESIGN FLOW: 300 GPO
Roettger
Attach design flow calculations for commercial plans.
PROJECT ADDRESS:
Cranberry Lake Rd.
Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
BM Symbol:
BM Elevellon: 1 00 FT
Sanitary Sewer. 4 /
Force Main: _/____________
BM Description:
Screw in oak tree
Slope Gradlerd (%)
3 Well Symbol (d applIcable): O
Indicate north by
drawing an scow
IMPORTANT:
Show ground elevation contours at suitable intervals.
of rested Anna:
on me approprte Me.
It
N1,
L
i.ci :970
9 6.4
I
Subtotal $50.00
Total $50.00
Total Paid $0.00
Transaction #: SR-00106-31EBE
Payment Method: Resolved
3 Comments
Trent Wiesner 781 days ago
CK ATTACHED [#30140][$450.001- INCLUDES SANITARY APP
Molly Larson 36 minutes ago
ck #30140 - unknown location
Molly Larson 35 minutes ago
CK 1066 $50 recd. Unable to print receipt.
I
R & B INVESTMENTS
D/B/A RICK'S PLUMBING
NATHAN, VALERIE OR EMME ANDERSON
891 BERDAN ST.
CUMBERLAND, W1 54829
79-7122/2918
DATE _______�
1066
Es
e
CUMBERLAND
MEMO FEDERAL j ' 1 e 4'
MEMO •�'' � 4� �0 )' '+ `,'V//�
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