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HomeMy WebLinkAbout030-1090-50-000 C ` . ., D C����"%`J1��'- , , T-aoaa — 055 r�;�. 11 Wis.Dept.of Safe and Prgfiskip LJicce? `ti SOI f • • REPORT Page / of 1 Division of Safety a Buildiftlggs- 1 • i ,m BcCordap with SPS 385,Wis. Adm. Code County Attach complete si plan on,pan 4-pe . an 8 1/2 x 11 inches in size,Plan must p r include,but not limi d t�' and horizontal reference point(BM),direction and Parcel I.D. °G percent slope,scal r dimensions. north arrow,and location and distance to nearest road. !ei QQ —SO-, 1' o D Please print all information. Re lowed by la �1 Date Personal information you provide may be use('for secondary pu•poses(Pnvacy Law,a.15.04(1)(m)). • iti -/-- / 16/4 Z Z Property Owner Property Location 11 C o..e4t 2-SF WalettoFF Govt.Lot NE 114NE ,14 s 31 T 30 N R Iq E(or)W® Property Owner's Mailing Address COW-tact: Lot# Block# Subd.Name or CSM# 120 {)e�L, 1_o.kc R&, z5cta Wh,-FceM1, I F',c1 a+ LJh,-fc E a312 City State Zip Code Phone Number . OCity ❑Village own Nearest Road 14Udsonl I wy- Islo<<. I ( t5! )�R3-9 2 v , 5t O-cse P~ I wh;fe 4t5le Roag ® New Construction Usee Residential. Number of bearooms 3 Code derived design flow rate 50 GPD Replacement 0 Public or commercial-Describe; Parent material 10 e 5 s J f .—n�/I1 Fl od Plain elevation if applicable 7O V�.1_ X ft. General comments S�� . :Ci 4sa..E /t'pe, � and recommendations' r /� �-vt- .-)-'r 5 '`{S A0✓vtJ br rued. 1 Boring# ® Boring pit Ground surface elev. 4Z�' 't. Depth to limiting factor .3/ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft ' in. Munsell Cu.Sz Cont.Color Gr.Sz.Sh. '�ff#1 'Eff#2 I cs- ll Ibyk3JJ SA._ 21F5b1t hs' a u1 J F . L. , ci a p- 15 -?,SYt1y — 5-,LJFsbi . A.k cw ► JF c, 4 . co 3 015-3.7 s`fR5/1,, _ Si IF5616 311 cw 1q a "7 `i 31-I.o sY,./s/a flc -.ss+ R ./(.,? s1_ 0-hi a — — na. . to O( Boring# Boring 9 Pit Ground surface elev. ft. Depth to limiting factor_3 (p in. , Soil Application Rate Horizon Depth Dominant Color Redox Desorption Texture Structure :onsistente Boundary Roots GPD/ft ' in. Munsell Co.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 1 D-/0 /4,‘4P,-5/2 s, L aF5IA dSh Qla) aiF . L. . 53 c) • Ity.2/ 25yA9/,4 S.L. ►FFSbr ilk cw 10F c. 1 . to 3 aY-36sYR6)Ic _St_ ,IF161( -k cw — , Y . 7 `I 310-4.0 s%Rs/n F. F7,S'1& /g , s L o -h^ - f a .(el Effluent#1 =BOD s>30<220 mg/L and TSS>30 <150 mgil_ •Effluent#2=BOD ,<30 rnigiL.and TSS <30 mg/ CST Name(Please Print) Signature CST Number a:nnp 0°.1 s-FaxK aa175'(0 Addressi s-!'. Date Evaluation Conducted Telephone Number a9l aootti Si'a r Fra:,r'.e/ w c2 5Y-0a•lo 7-ga- C 1 1051-a138-1WS SBD-8330(Rl 1'11) . C I +lc F F Property Owner II&r o F F Parcel ID# Page a of 3 3 Boring# Boring pit Ground surface elev.9/at' ft. Depth to limiting factor_, 3-1 in- Shc Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'gfl 1 •Eff#2 l o- 9 /0123A SrL Afsbkc (ish At•., aF . to • 9- is /o ( / - S., L IFSbt•t � L, h c ., IP . 4 , In "3 IS-aS 7.5YR/)y - — - SL I F'SbK Sh Ct,,, _I of _ , U • 7 `} aS-37 S`IRS/r. - SL I csb le ti(-- C — , • / . 7 6 37-(4) 57Rs/b F + c1,S\fR)'/N SL 0- WI a' h — , a. Li Boring# Boring Pit Ground surface elev. 27•z ft. Depth to limiting factor -i. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM ' in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Emil •`Eff#2 I o-ID /o'R3A -- s; t ac5 k-- 4-' a . to , V a io-/� J f ,Y/r - -- - S', L I F56 tk e w , P , N , to 3 /b-;(. 7,5'14Wy - S L. ,jf,5 h v- 49h cw iiF . y . � `l db-3L zYQS/b . SL 1 Fshk a I.,_ C w — , 4 .1 5 y6-Go syRS/ro F1F7.S1Rte/5r St_ t-ry‘ &k — — I ; . la Boring# s Boring Pit Ground surface elev. ft. Depth to limiting factor_ in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil ApplicatiGPDon Rate in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •;1i#1 .ER#2 •Effluent#1 =BOD 3>30<220 rng/L and TSS>30 <150 mg/L •Effluent#2=BOO ,<30 mg/L and TSS <30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 608-266-3151 or TTY through Relay. SBo.i33or, (RI I I q r�QJ w iroti' ?z i75/(0 Lon / Nl r s31T3cWR/ Sw SCE./P l rl�ni (,c/�,�� tayA- S �' , / /: 5�a cizPoso Lei 7,- poi / 9R, ;o' y .l4s A, yit �dr .1