HomeMy WebLinkAbout030-1088-80-000 (2) c°)\-----\ --
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Wis.Dept.of�Safetyan Professional Services SOIL FVAI IJATIC)N RFPORT Page / of_a_
Division of Sty and Buildings.. ,.,.,er'c'-
1` cf.,.''.'' '' ccordance with SPS 385,Wis. Adm. Code
County l_
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Attach compl an on paper not less than 8 1/2 x 11 inches in size.Plan must Fi
include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. Po...--4 o e:
percent slope,scale or dimensions, north arrow,and location and distance to nearest road. 0 3o - to 99- 'D - 000 D
Please print all information. Revinad by 1,1 / Date
rr m Personal intoraton you provide may be used for secondary pL'poses?rivaey Law.a. 15.04(1)(m)). /le i / i ;Z.•
Property Owner 1 Property Location „[ / ,LLG]I
ChaAt 3GF galaroFF Govt.Lot SW 1/4SE 114 S3D T 30N R 19 E(or)W®
Property Owners Mailing Address Cord-{act: Lot# Block# Subd.Name orCSM#
120 Perth l-a.kc R&.. 'or.) Uh','h.ss►, 5 F,e Ii pi 1 Jh,-fe E a 3 l E.
City State Zip Code Phone Number 1L alty OVillage own Nearest Road
glA6OK) 1uJt IS`})i(. II651 )3R3-9R29 St ••e5ep,K I Wh;ie ajle Pao
® New Construction Useg Residential!Number of bearooms 3 Code derived design flow rate 9-.50 GPD
Replacement El Public or commercial-Describe.
Parent material O G S S O J G r. 1", 11 Flood Plain elevation if applicable 7 2 kQ x ft.
General comments � � �t ,� /
and recommendations: .,�1— -C ,44,..4 -4 z-c1C2 _ i ' ,�,,,Q�
eCoVi7� .*rr y /plot) or- 4/ ,,' """-
® Bonng
Boring# c
0 pit Ground surface elev. /7•Z• `t. Depth to limiting factor IV in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure :onsistence Boundary Roots GPD/ft '
in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. •Iff#1 'ffff#2
I 0- IN Io'R.3/� s;t .aFsbk Ash au ac e la . %
f a •ds, 1,SYloiits, ---------- 5: 1_ \ FSbI . ah Cw , toF C. (.1 V
3 5- 1/05`fAS/4: 5L Igsblc \ c — • . `i .'7
11YD- 61).S YRsha FIF7,5 YR I-I g Sl. D- ►'1 l VN - , - 1 , . . (o .
Ot Boring# Boring 48•C�
E Pit Ground surface elev. ft Depth to limiting factor 3 9 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure :onsister a Boundary Roots GPD/ft '
in. Munsell au.Sz. Cont.Color Gr.Sz.Sh. '�ff#1 •Eff#2
I 0— n Ibs•fiZ a — - L. a;Sbk dsh CO) . F . to , S
a u-a(. 7 50% - a, L 1 fShit dzh Cw I+jF ,c, Y , to
3 ia6-397.S7Q5h, sl IF5\ Cl.. 3 C IA> — r 9 . 7
y 39- 0 -).5`141/e F itk IQ s L O-M r9•t' . -- . a . (o
•Effluent#1 =BOD r>30<220 mg/L and TSS>30 <150 mg/L -Effluent#2=BOD ,<30 mg/L and TSS <30 mg/L
CST Name(Please Print) Signature CST Number
MonnA 3., Sitiric aa17Ylo
Address th s'� ,Date Evaluation Conducted Telephone Number
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S-ra.r ere:,r:e/ wS 5`-0?lo 7'-ta -oZDa) test-a3?-y6/5
SBD-8330(R11'11)
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C1J 3cFF
Property Owner Q 1&r o F F Parcel ID# Page of 3
3 Boring# Boring
pit Ground surface elev. %.7 ft. Depth to limiting factor38 In,
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/R 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •tft#1 •Eff#2
r o-9 Io-R34 c5i L o?FSbk 1st, @W a . f, . R
a 9-aN 1.5/P-11 _s. L ri F5,13 h r,a I v F. c , y A.,
3 kQ9-357 51 RS/ , SL I FSbK , c. i -
q 38rlo0 S`IRshe F iF75YR"I' SL _ p- nn e1 ,. —
Li .t
Li Boring# Boring �y Q Q
p t Ground surface elev. /(�'/ Yrt, Depth to limiting factor 39 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. •EMI •ER#2
I 0- ID /bYQ�a ---'•••..-- Si L aFS bk &sVi Qt,,,? a . L 2S
a ID as 7SYay1y - S; L 1F5bk ak sw l.iF 4y . le
3 aS 39 SY/QM. S L I FSbk (9. L.LW — , L4 . 7
Ll .9-14 5145/e E IF 7.$ YA"4 sI._ o-►,e‘ 8 h -- — , a .s e
Boring# Boring
g Pit Ground surface elev. h. Depth to limiting factor_ in.
LrI Soil Application Rate
Horizon Depth Dominant Color Redox Description Ter me Structure Consistence Boundary Roots GPDift 2
in. Munsell Qu.Sz. Cont.Color G•.Sz.Sh. •Eff#1 -Eff#2
'
•Effluent#1 =BOD s>30<220 mg/L and TSS>30 <150 mg/L -Effluent#2=BOD e<30 mgfL and TSS <30 mLg/
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
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