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HomeMy WebLinkAbout030-1090-50-000 (6) ,ax.W;— 0 MP� 7_____________\''''' — d2 �Y1 • Wis.Dept of Saand�Qrofessi�nServices SOIL EVAL( • SR REPORT page / ot, 3 Division of Saletd-IluilQingt!'- Cn accordance with SPS 385,Wis. Adm. Code /n County SiC.Ro, plele site plan on paper not less than 8 1/2 x 11 inches in size.Plan must inc ude,but not limited to:vertical and horizontal reference point(BM),direction and Parcel I.D. sairt O F: percent slope,scale or dimensions, north arrow,and location and distance to nearest road. OHO— 1 t?9D-so -000 D Please print all information. Revived by Date Date /` Personal information you provide may be used for secondary pu'poses(Privacy Law.a. 15.04(1)Im)). I /_ / /7 - Property Owner Property Lootjii n (�1 rl,.�/+G,1!® Ch0.ht 3 . F 6)a1BttoFF Govt.Lot JE 1/41JE 1/4S31 Tab N R /9 E(or)W Property Owner's Mailing Address CDN{ae-t T. Lot# Block# Subd.Name orCSM# 18o .Pe1rc4, 1-akc RSL. 0-ow tA31-.4r-n4 1'5 F',e.I1 a+ 0‘..-le E a Jl e. City State Zip Code Phone Number Z �ity ❑Village own Nearest Road 1.4VA60K) 1VI I5901(4. I ( 651 3-Siiivv St. •J-csepig 1 wh;tefa5le kocuP ® New Construction Uses Residential!Number of bearooms 3 Code derived design flow rate 4/1.SD GPD 0 Replacement O Public or commercial-Describe Parent material /O C S 5 D O e r '1'1 I) Flood Plain elevation if applicable ZGj'u X ft. General comments t' 'L and recommendations:' 7 5 - 7'� / J .kI1,`+u.4 ) Boring# ® Boring 9 0 pit Ground surface elev. ft. Depth to limiting factor 3D in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Donsistence Boundary Roots GPD/ft ' in. Munsell Du.Sz. Cont.Color Gr.Sz.Sh. 'EfF#1 'Eff#2 o—Ib )D` e34 ---------- . S, L �F.S►3k Ish Qw aF . (. . c2 1p-15 i0-10/3 - _ L \fSV-, �� , cw If , t1 , co 3 IS-, 5, 7,540)1 t S L_ e4ry sbti ell‘, cw luF , £ to. I. b `I .S-3b sYR ilq - S t- . I FS bk , d‘,, c w — . 11 . 7 S 3D-by 5%1'RWL, F 1 F 7.5'1 RWg, S L O-r`n _ 6)..‘„, - a, • to a Boring# Boring q8 Pit Ground surface elev.s ,�ft. Depth to limiting factor 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Donsisten:e Boundary Roots GPO/ft ' in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 I c- II /0123/a - - 5; k. ,aFS bIC dsL- Ci IA, F e 6 , Q JI-4Ir IOU" L IFSbe V cw 1 F ► 4 , to 3 16.?I 7.51Ay 4 - 5 L- 2 rive k., AV\ Gw I Jl- ► 6, 1 , 1) It ).63l 5'IRY/Y SL t FSbK, JAI c ) — . I4 . 7 5 31-b, SYQYIL Fic7.S'iR-N SL v-r✓► A % -- — la, , !a Effluent#1 =BOO s>30<220 mgtL and TSS>30 <150 mg/L •Effluent#2=BOD ,<30 mg/L and TSS <30 mg/L CST Name(Please P nt) Signature CST Number ION/A 51 Sit ri< D a.�, 4 as/7y(o Address ete Evaluation Conducted Telephone Number a9l aooth S+. Star pox,r,e, w= S`-09- o 7-a'd-cDa1 (6SI-a38-Ibis SBD-8330(RI 1'l l) Chas +3cf F Property Owner e I&ro F F Parcel ID# Page Qf'1 of 3 3 Boring# Boring pit Ground surface elev. ft. Depth to limiting factor_,0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2 in. Munsell (Du.Sz. Cont.Color Gr.Sz.Sh. •A}f#1 •_ff#2 t a $ ro1R4 SA. afSbk. d o ) aF . L .c? z `b- I( !o-rRSJ3 - L I V. Cw t5 . 14 , Go 6:7•1 75YRYrl L sSk its CW 14F t to I a D 4 ak3a S4R / - S L I F5bi � � cw — r 1 • 7 S 3a-lo SlaYIb F a7,5'1k" S L r5_►v. c9.V. — — ,a . to Li Boring# Boring •I p g J�_ 3 r Pit Ground surface elev. C0 ft. Depth to limiting factor 3 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. •Eff#1 ._fyt2 I 0—ID 1ptk31? ------- 5,L dfSbic Ash. Qw dF . (o . 9 0 I b-t5 k U )3 L. I Fs k rt.1-, c.w I F . ►t . t. 3 15-25 ?5'10)1 - SL alrI c . t Cw toF • to I . D 4 d5 33 SY Y/ j SL I F5�+- c d t-. C v%_, — , . -t • 7 S a3-VD S`iRy!i. F irl.SYR 4•Ii SL 0- m (tk -- - r a . Co Boring# Boring Prt Ground surface elev. h. Depth to limiting factor in. 1 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHt 2 in. Munsell Qu.Sz. Cont.Color G•.Sz.Sh. •Et7#1 •Eff#2 I • •Effluent#1 =BOD 6>30<220 rng&and TSS>30 <150 mg/L •Effluent#2=BOD s<30 mg/L and TSS c 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. SBD-BllOTn•.;RI: 11 a d L)aL / P/,I / /Ch OOH4 4 • NESjlT3ONRIS1✓ Scale -27n94. Z (5 T /3 /''= yo' i-carA za4A4 i=1P.z - PP /0• 2 An" 414'4 Jir/A 99 ' o � • m 111 izt 4- yff 9/7s • c q)