HomeMy WebLinkAbout020-1492-03-000 RLCCrWED P A I l) CST- 2020- 075
Wisconsin Departmen of Safet y PQfas d} JService. 85 e Page 1 of
Division of Industry Ser4 ces
. "Li-ii.x C,cnty 'OIL EVALUATION REPORT
"�, ^.'v G,.ve;oomen--• •. :with SPS 385,W . Adm. Code County S f C ` �� 020.11/ iro- Is
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include, 1 Ro // 11/v^
but not limited to:vertical and horizontal reference point(BM),direction and percent slope, Parcel I• 4
scale or dimensions,north arrow,and location and distance to nearest road. tl Ar V ! -
Please print all information. Revi ed by Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). y iie4,/ 1711 ZZ
Property Owner Property Location
flARTp1�N D&VLOi-- ME.0t Govt.Lot ;E v Ne v s 21 T 27 N R 1Lf E (tlor) W
PropertyMa D -� IO Lot#5Block# �v
ticss
Subd. ^CTNeJ7 '7/ -! /, 7 N 1
City N lui 1S§t )T Z�C�e Phone Number ❑City ❑Village Town Nearest Road
j5 / I ( ) I 1
yosonl HER ( 5 'RD
a New Construction Use:❑Residential/Number of bedrooms Code derived design flow rate GPO �,�_/�,� c^ c '1�
❑ Replacement a ,, 1 t2 Pu c or�mercial-Describe: C(CL ` (_lI}.W j/
Parent material 1 i//(W Si r AC,1 Flood Plan elevation if applicable ft. � J
1 �i
General comments and recommendations: l
❑Boring
I Boring# C�` i
111 Pit Ground surface elev/J/ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Cu.Az.Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
t 0-13 (oya 2/1 _ 5; 1 t►nsbx /n I J o 5 2 F —
2 / -ZY 7.syR4/40 f!nd7sy//7/r 5U Zr sbK m-r Cq - • N
3 iLi-?.7 7.5yk' t/i. — 5 0G53 mI - - , 7 _ 1.6
(rOTTjIA/ 4' 1Ce,^,i�fc3d 51re .,;9 . 3O L3J Co) 2
Boring# ❑Boring (
®Pit Ground surface elev.(3• ft. Depth to limiting factor]7... in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GPD/Ft2
In. Munsell Cu.Az.Cont.Color Gr.r.Sz.Sz{Sh. may) 1 • / 'Eff#1 'Eff#2
I (2- II 10 I//i?/1 _ — 5, / sz' Jb,1 /xi / c5 2 — a.—
,2._ I1 - 7S 759Ry/e.... — s zcs9 ,-7, / — — . 7 /, 6
liDE1 /y 2 14,//4y /5 7,. G AeIf u.‘c._.
•
•
•Effluent#1 =BOD, >30 s 220 mg/L and TSS>30 s 150 m 'Effluent#2=BOD,>30 s 220 mg/L and TSS>30 s 150 mg/L
CST Name!PPlleas P tL Signature CST Num r ' /
C=NA►t7 / 19NdL e I-��l
Address Date Evaluatio ducted - Telephone Number
/XS/4,AIPCi11 ( DLceo)4 2 0 2/5 — YL/d
1 -sl4/
SBD$330(R04/15)
Ar 2J22)za
R
❑Boring C)({7� '7
Boring# ®Pit Ground surface ele�d 1�w'ft. Depth to limiting factor' 75.in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu.Az.Cont.Color Cr.Sz.Sh. •Eff#1 'Eft#2
/ 0 -15 %oVRJ/ -- s, / F,msbk M l . S IF ---
� / -75 75yiz ,ii , a� 3_ /4), - i /.
Hofg0.Y 2 / AS1.5-�e 5 ►2Avo _ -
•
•
•
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/Ft2
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. •Eff#1 'Eft#2
❑BoringBoring#
0 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/Ft2
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. •Eff#1 •Eft#2
II
> >
•Effluent#1 BOD,>30 5 220 mglL and TSS 30 s 150 mg/L •Effluent#2=BOD, 30 s 220 mglL and TSS>30 5 150 mg/L
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._'. BfJAINGS ARE REFERENCED To THE . 2^•4�➢1T71
EAST UNE OF THE NE 1/4 OF SECTION -2_ F
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BASED ON TIE ST.MOOT COUNTY -�1 ,�-,*. L 1'r
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