HomeMy WebLinkAbout030-1088-80-000 (7) -
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W .Dept.ofqa aNi`Pro`fessional Se s ION REPORT Page of
Division of Say and Buildings.,, /
C -'' cnt accordance with SPS 385,Wis. Adm. Code Si. p
cot' County ► l Fib r
Attach comootY ait i paper not less than 8 1/2 x 11 inches in size.Plan must
include,Huj.ilot Iced to:vertical and horizontal reference point(BM),direction and Parcel I.D. I o F
percent slope,scale or dimensions, north arrow,and location and distance to nearest road. 0 3o- 1 p$$ - 'BD -b 000
Please print all information. Revie by Date
Personal information you provide may be used for secondary pu•poses P•ivacy Law,a. 15.04(I)(m)). / Ypi Alei / ( , /G , a_
Property Owner Property Location !'ram 1
1
Chap t Sa F Wta<la to F Govt.Lot S,.,J 1/4S�� 1/4 S30 T30 N R 19 E(or)W,
Property Owner's Mailing Address Cookact: Lot# Block* Subd.Name orCSM#
4n0 i)ev l-% I-cLiec R&, 'Soo t4.A,,4Leo, °I F'rcl a+ Loki e E and e-
City tate Zip Code Phone Number Z laity ❑Village own Nearest Road
14vd5on) i Loz 1S`}oif. 1 ( 651 )a513-9295/ St '36 se P11 1 Wk7ie Ira5le Roof>)
® New Construction Use fa Residential!Numoer of beorooms 3 Code derived design flow rate 1/-53 GPD
❑Replacement ❑ Public or commercial-Describe:
Parent material 10 e S S O J t..r , I) Flood Plain elevation if applicable Z12:71•-t X ft.
General comments `'' /. .
and recommendations: 5- oA- " cL - z
/ ^a'�4'4"
�t.w -
' lam- ,r r �,o ,,,t.J a r 443714,
l Boring# ® Bonng 3
! 0 pit Ground surface elev. �- t. Depth to limiting factor 7 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/ft '
in. Munsell Co.Sz. Cont.Color Gr.Sz.Sh. 'Eff0P1 'Eff#2
l Q -Io /bY03/0 ----- , S•L ac56K _ t h aw aF . L. .� .
a ,0-3(9 /D'i ) / �; L If51114 &k\ ck,a IvF e ti . to
i ae-37 S'res/,f,, , s I f 5e k- ,&A- (...w — e y 1 ,
`f 37-I4 S\Who F1c 7,5`c'R6)2 Si- o- M , Ak — — . Z , b -
a Boring# Boring 9� ? /
R Pit Ground surface elev. z ft. Depot to limiting factor 3( in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure 2.onsisterce Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color _ Gr.Sz.Sh. •Eff#1 'Eff#2
I a-Il io1RNa 5; L ,SfSbI< d6h Q� air . to . SR
i I-a� /v-Qv)Y _s, i 1 FSb‘c A cw IQF c . 'I . e
3 ,Z7.31a SY RM., SL. 1fS1:)k , A ct.A., — ay I
Li 34.- 60 5 Y Rs/4 F I P--7. `f/Z'/g 5 L a-ri AI, — — I P. . l0
'Effluent#1 =8OD ,a 30<220 mg/L and TSS>30 <150 mgt. -Effluent#2=BOD ,<30 mg/L and TSS <30 mg/L
CST Name(Please Print) Signature CST Number
MOhnp S, 5-FarK 3v 1 &a 179Lo
Address '
a9/ 0.oOtti s-r late Evaluation Conducted Telephone Number
Sta.', Qfa:,r;e,_ 07 $9.0.9- e, 7-c -goal t'o51-a3$-W61S
SBD-8330(R11'11)
. ,
C kaa +3c f F
Property Owner wa 1 r O F F Parcel ID# Page d of
3 Boring# T��! Boring
❑ Qq pit Ground surface elev. / `• 3 ft. Depth to limiting factor_3 7SoiI Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •gff#1 •Eff#2
I o-11 10-tR3k .5, L aFS6 k r9.s1-, Q W aF • L r 9
3 J?-;`I IV4{41 S , L. If5b► - d...V\ c_w I%) C, 4 , ..
3 11-37 5 tQs , - S tr 1 FS bk. 3.-1-. c., ' — , 11 ,7
Y 37-bo S `fRS/t. F'1C7.5K -1'Je SL o-►vt dk -- — i a . le
1 Boring# Boring p -7
Pit Ground surface elev. /$ �l }
ft. Depth to limiting factor b in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •_ff#1 •cff#2
f b- I) /b'1236. Si L cICSInte. d5t1 Q .4.2 aF . L._ . "R
n I I-Ji /01;0/4 S; L I FSb.. d« cw I aF 4 . L,
1 .13-31, 5YR /1. .S. i- 1 f510V- ilk cw —
% S'fkS/V F1f7.5 'MI./9_ SL o-r % A — .2. . L.
r
gBoring# Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
•Effluent#1 =BOD ,>30<220 mg/L and TSS>30 <150 mg/L •Effluent#2=BOD ,c 30 mg/L and TSS c 30 mg/L
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