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HomeMy WebLinkAbout030-1090-50-000 (2) - _Ium 065 Wit.Dept.ol�tda.+ty 3 d Professional S vices SOIL EVALUATION REPORT Page / of Division of Safety and ByildingS ` '' "r in accordance with SPS 385,Wis. Adm. Code J p County St cRo,, Atta plan on paper not less than B 1/2 x 11 inches in size.Plan must inclu not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. fb. • o F percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 0 30- 1 O `O- So- 0060 Please print all information. Review/ft by /'/. /- Date Personal information you provide may be used for secondary purposes(Privacy Law,S.15.04(1)Oil)), ion � , I I !/Q/Z z Property Owner C \ Property Location C C h&h t 3e F ` 'W .l.(o f F Govt.Lot F. 1/4 CIE 1/4 S31 T 30 N R 19 E(or)W Property Owners Mailing Address Cor)tect: Lot# Block# Subd.Name or CSM# `f' 0 i)evr,1.1 l-o-kc R&L. Soft w►,,-tL64 11 al-- 0,,-fe a n l e. City State Zip Code Phone Number ,L laity OVillage own Nearest Road gUASON1 1 IS p III I ( r1•a51 )2g3-9 29 5t •SDSe pi-, I wh;ic Eo5le R ® New Construction Use filResidential!Number of bedrooms 3 Code derived design flow rate 9..513 GPD ElReplacement I El Public or commercial-Describe: Parent material I 0 e 5 S et\t r 1', 11 Flood Plain elevation if applicable Tl?Y'_ x ft. General comments ` ' /// and recommendations: s'o� - CACi+� ys-� J fLA 1lt Sf rr�s G/t/ipi or 1/-71-' .."- / I Boring# ® Boring SO pit Ground surface elev. a z) ft. Depth to limiting factor 37 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. _ 'Eff#1 'Eff#2 l O-V�, Io1R'I! —- SW aFSbk tick Qw .1F • 10 .' 1 ,-15 Ib7Q5 , 5; L t F51-.)I[ , Ali c-w - IQ ce L , t, 3 AS-3-7 7,$yRN 5 L 1 F5 bk. tih G\Al — , a N , 7 `J 37-190 715101yI 6 16 7 51 RI.)V Sc.L 1 vNsbK $4,1, — . — - - a , . 3 t; Boring# Boring O/. 8, Pit Ground surface elev. /(• ft. Depth to limiting factor q in. ( Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f ' in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 *Eff#2 1 a-1) IcYQV/i - 5; L aF56k , rash a o aF . L. . 8 II-al. layAs/ -- 5; L I FSSk r41r cw I)F c, L1 . t 3 al 11-39 7, S Ta.Y —�- '5 L 1 FS b k r4.h c- ,— t �1 . 7 q -lob 751P1) F 1 F 7,S112"19 _ Sc.L _1 rvl`SIaIL /11.11 - — , a , 3 Effluent#1 =BOD ,>30 <220 mg/and TSS>30 <15C mg/L 'Effluent#2=BOD ,c 30 mg/L and TSS <30 mg/L CST Name(Please Print) � S-isnatureCST Number Address ate valuation Conducted Telephone Number a41 aooth s+. p Stzr Qra:,r;e/ >I Sto iLO 7-o`12t-010l (0SI-a38- 4/ 6lS SBD-8330(R1 I'11 I . ni tti. I' C I+aB +lc F F Property Owner II c re'F F Parcel ID# Page of 3 3 Boring# Boringb ❑ Pit Ground surface elev. 9 • 7 ft. Depth to limiting factor_ 37 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft 2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •=ff#1 •tff#2 ( o—I) iblA4 5; L aFsbk ash aW dF . 6 , g I1- as lo-125l3 — s.L 1F5b4 dN tr. IOF . 41 . L. 3 as-3Z-7.5ya.v/ sL. I FsIxI . &h . e - ,q . 7 N 37-IaD 2 4 0/Y FI;75 YR 4/4f se.R i mzl'ak ed.,h -- — . a . 3 Li Boring# Boring / pit Ground surface elev. °`J� ft. Depth to limiting factor 34. in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft ' in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •:ff#2 I 0-12 t o 1QY/} ------ 5, L. a f5lok. Ss Vv o d P . t . 53 a I2-aL. /o7Rs/2, ---- Si L i FSb►e. A IA cw I0F , 5l , b 3 ab 3147.51R/tl S L- jiF510461.,4, GLAI — , y , 7 Y ,3I.-40 7.5YA.IN F ►F 1.S'(A J Sc.L ,I vAs6k — , a . 3 Boring it9 Pit Ground surface elev. ft. Depth to limiting factor_ in. t Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 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=BOO 5<30 me/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. SB0.8330Tut(0.1: :) 19/0-r ean I /717 a 57-a, `CHa d 1)44.# SCa1'e /75/ NE NE 53i7'3DIVR19 c✓ yo Le> i! zA44t s.4' 5 7 Tom/ �f ----- Loy-L g,Pti To7Pittfefell M 0 9C,, I I !1 I