Loading...
HomeMy WebLinkAbout038-1147-50-050 (2) RECEIVED C: Si-- as i 1 - a a 6 Wis.Dept.of Safety and Professional Services SOIL EVALUATION REPORT Page / of `_ Divi;ten of Safety and BuildingOU Z15Q S� t Pr. l�11 O in ac ordance with SPS 385.Wis. A . C n/- n T r Attach complete site plar►gl 11 inches in si I r Q` linty `� /'� /• ` include,but not Iimij IhMt nce point ).di ins r Parcel I.percent slope,scale or dimensions, north arrow. and location an n' QQ�.uad. Q 38 —/)y7— 5a - o�"' Please print all information. 00 Revi wed by / Date JJJ Persona information you provide may be used for secondary purer "VP-w,s.15.04(1)(m)) L /,ilia/ I '/ 12- Property Owner L G Property Location ! �'� N 4 4.'�-/t J /!/C. 4 v• Is/ ti Govt.Lot JV"1/4 t1/4 S /7 T 3 i N R E(ore Property Owner's Mailing Address Lot#5 Block# Subd.Name of CSM# 2 q 8 /3G0 i e 0. .w 4;1_, J ;, + . G�f, ��3" ‘` --. -_ fr�r cs City State Zip Code Phone Number ❑City ❑Village ®Town / Nearests Road �1/,D/S;M.� I /✓, IJJ ✓�J I ( ) -4'c P,st,,r_, c I c�11Je- c Dr. New Construction Use:® Residential/Number of bedrooms .3 Code derived design flow rate `/JD GPD ❑Replacement 0 Public or commercial-Describe: Parent materialZO x/� Q/�'� Flood P am elevation if applicable YlL ft. General comments c I- 1 _ �nl JCS and recommendations: J JLOYL IQl+1� / . , / Boring# ❑ Boring �jvp '/ 0 pit Ground surface elev. ` 9 7 ft. Depth to limiting factor 4 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. •Eff#1 •Eff#2 / d-, p /C is yij — .S: / 2,1-,r$f,K .,,,✓ G' .i a fft • (.. • 8 o /C 1'' '/3 -- / v,.>z,QbK ,,.n' O. ! f^ . C, n 3 Lp J /4f 7'—''/.3 •-- e I Lrrr.;/,C ,„✓7C� o ,v/ . '/ - to 7l S/ 1�ie `i� 7='�f3yc , 'f. Cl dam»5eK. �-7 r— - • 0 Boring# El Boring 1.6 Pit Ground surface elev. 97. .5 ft. Depth to limiting factor •'-r in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft a in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2 o / /D y.L �/j — Je. / ,1-„56/C ny, vT,� C S s{1 , Cr ,tc a P 1 a.T/ /6r 7'='- Y/3 -..._ / r A •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 Na j(Please Print) / c Signature 1 • CST Number L 1 r.C' c1 ta t it/� . ./ n i \ r-^--- �u—�'-� f�� Z 2 L t5.72_ Address i / J c Date Evaluation Conducted Telephone Number e0 1uC/C (/,-) . C;')/ `3 7-2_/ - /6 7 j- 5 ;'/-,S?f'r3 1 NI- Property Owner 1y1`7,Nit. Parcel ID# Page •--7- of 3 Boring# ❑ Boring © pit Ground surface elev. 97.a ft, Depth to limiting factor L L in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oundery Roots GPD/ft ' in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •cff#1 '`ff#2 i O /414 03 •3i 778 ,4'i' .5 ._ Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor 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. •Eff#1 •-ff#2 Boring# 0 Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor 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. 'Eff#1 'Eff#2 •Effluent#1 =BOO e>30<220 mg/L and TSS>30 <150 mg/L •Effluent#2=BOD s<30 mg/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. SBD-8330(R I I'111 _ • x� `� W n t. V h R. z J �� r .� '- --..N.'''\ r% — I:, N .4` LS q M Li M F w ei t n PA h —.41 o ti i + F Z- r u J . t. h G ca w i N r Z. LS 4. °<' I —i w in a t —� I ' N u • o .) 4........ ?c b 1 P N K E y 3