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HomeMy WebLinkAbout030-1090-50-000 (3) tii MQR a 222 8- ); r.itni CST dso�`�- G wls.Dept.of Safety andPrlsfessionel ervices SOIL FON REPORT Page J of 3 Dr Sion of Safety and thu11Oingg`Ec" •�L i) in accordance with SPS 385.Wis. Adm. Code County Si CRD-"4 A Welts site plan on paper not less than 8 1/2 x 11 inches in size.Plan must include,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. r t G f percent slope,scale or dimensions, north arrow,and location and distance to nearest road. 010-'/O90—S o- O oo b Please print all information. Revlewed_by / / Date Personal information you provide may be used for secondary,p✓poses ;Privacy Law,s.15.04;t)am)). N1i /4 Y /I /� ,_ Property Owner Property Loce n %Jc // !!�` �'L/K L vi/// ((!! / Chat .]GF (+VQta(Ofr Govt.Lot NF 114NE, 114 S �I TJO N R 19 E(000r))WW® Property Owners Mailing Address Cop-tack 2 Lot# Block# Subd.Name or CSM# 120 ?tea 1-akp R&, Seta�w►,-,4ceA�a.� �Vil .e li A- oh o oat Ro tl 31 e_ City State Zip Code Phone Number __��c gvdsOK) Itel' ISIOIt. I ( 6s1 )aR3-9299 St. 1bsepi--, I wh;te fake Rf) ® New Construction Uses Residential/Number of bearooms 3 Code derived design flow rate 9-50 GPD Replacement 0 Public or commercial-Describe: Parent material /D e S S O J t r -r, I) Flood Plain elevation if applicable Z Ore )L ft. General comments D /, c and recommendations: S�-Y C-442-! /'a- ' "?- , -1--e. d — r/-4S `hoorLd 1 Borng# El Boring 0 Pit Ground surface elev. ��'Z ft. Depth to limiting factor 3 1 in. Soil 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 •tf#2 1 0- q ,oi '1z s: L aFsbk (IS 11 (p.J a ; . , 9 9-15 I v 1 Q511 --- - -- L 1 F 5 b K filet cw I F , K , V 3 I5-.14 ZsvR /14 - SL jiS*. . 1,1, c.v./ It F , t. 1.0 '1 11-31 n a l l4 --�—� ,5L j f 3 b . at., C,A) — . 1 , -7 5 31- 6o 54(441 6 FIF7,5 `1(Z6/g 3L 0- ►e\ elk — — r , L — Boring# M Boring () G S/ Pit Ground surface elev. ft. Depth to limiting factor 2,,a in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure :anaisten-e Boundary Roots I GPD/ft ' in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. •iff#1 *Eft#2 1 o-ID felR.42. . 5; L7„:2F51 te- dsv. , Qv,' (9F .L . $ lc•-111 IniRs/3 - , r_ 1 ffbiz, (.‘ c , 1 F .4 i 10 3 )9-957.5'fA11 , sL aM36k At. cw 1./F 110 /rD `t 25-3 S`IRY// -- - S L I jSbic. ttt\ C i — 1 q 1-7 5 2.94e S444 to FIF7.5YRtr/u SL ; 0-hn 44.E -- — 1 a , (o 'Effluent#1 =BOD ,>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 agoP, 3-, r, 54aK , . as/L Address Date Evaluation Conducted Telephone Number . a 91 aoot H s+. �P Sla-r e CA:rr;e, wT Stroato f�7- a—aoal 4,sl-a,3B-4/6/5 SBD-8330(R11/11) IL a. • Cka +1cf F Property Owner Lislc9.roFF Parcel ID# Page of 3 Boring# Boring 3 J ❑ Pit Ground surface elev. / " 7 g. Depth to limiting factor_ 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPDM ' in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •`ff#2 1 0-if /DY g sL af5bK ds' aw dr . lc , ' ' $-is J0Y013 L J F5bk. d. -t c.a i F i 4 . b 3 15-ab /644.4 it - - ,5 L mslok dlN C w /i F r to I r D 1/ ;1,-3P.,51 R 4Iz1 , - , S L J F S ail c v, — , y `7 5 ,32-Lc S`fAYla F I F7,5`(kLJc 5 L b-nn d11 — . 2 . Lo /i Boring# Boring c ` Pit Ground surface elev. 7 e' 2---ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM ' in. I Munsellu Ou.Sz. Cont.Color S Gr.I Sr.Sh.1 t /� •:ff#1 •:ff#22 1 b- 9 /t)lk3/) ' SI � T✓brS d t.- V Lo .aF . L. , 9 9-/to IDi45! I-. 1 F5►b at, C%.a IF , y , Io ll,-a77 SYCLY V -------- .5 L a r+,�lc J.1.1 c w !u F r L- I.D y �7-33 5` R-1y - _Si_ IFSbV. d c,.; , Li ,7 3 334o St R y ib f 1 F7.S`+& lei 2 S I.- D- Wi G — — . . , r Boring# E Boring Pit Ground surface elev. ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth 1 Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM 2 in. Munsell OK.Sz. Cont.Color G-.Sz.Sh. -cff#1 •Eff#2 •Effluent#1 =BOD 1>30<220 mg/L and TSS>30 <150 mgiL -Effluent#2=BOD ,<30 m9/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. SB0.8330Tcm(RI: ::, • i L%�� Pi I /la., vewi a S a.,r Al S31T30Nie $c4/-C 72/ 7f/4 • Ler/L P't- 0' sr iotare •..4e1 JOT.G.r:t (PIM /gra-44 /!)I Ltrr /2 ("wiz (04 3a •i 4e y sire 114 .I . 8 I