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HomeMy WebLinkAbout032-2193-11-130 (2)` 3 2Q23 Vft. bept of So* SOIL EVALUATION REPORT paw Of &S1ftL:LQ ment 30 17 vc, DW 4" - 417 MY in accordance with SPS 385, Wis. Aft, Code Mr CoWtY Attach complete site plan on paper not less than 8 112 x I I inches in size. plan must iWude, but not limited to: vedk;W and horizontal reference point (13M), direction and Parcel I.D. percent slope, scale or dVnensions, north arrow,, and location and distance to nearest road. --N-. Z Z 1 ;0 Please print all Informadon. R wed by Date %. 3LZI Peffmw infornmawn you pmvide may be used km secondwy puqmsm (Prwecy Law, a. 16.04 (1) (m)). 271 ?-1 Prop" pmperty Location Govt. Lot t/ 114 114 S T N R E Lot # BkK* # Subd. Nww or CSM# Property CMmes Mailing Address city State Zip c Phone Number 0 city 0 vivage MTown NearW R084/ Now Construction Use: ResidentialNumber of bedrooms Code derived design rate GPD 0 RepWomnent PU WrnmemWi - Describe: b 17 c Parent material eV g." A m �(k�a- KA. Flood Plain elevation If aPpkable ft General cornnients and reconwnendations: Use- R2,reA 1 0'.'k ovwt Lai LjS 4n. 046VM*Z!4Fr*e • V Boring Bing # pit Ground surface elev. Depth to firnifing fador In. Sad Applicalop /ft Horizon Depth Dw*iwA Color Redox DescrkAon Texture Sbucture nsistence oundary Roots gpD2 In. MunseR Qu. Sz. Cont Color Gr. SZ. Sh. SZ10 a _ 7_� aB*ing Elodng # Pit Pi Ground surface elev. 7--ft. ���A14� Depth to limiting factor - in. g2 = BOD _ < W "A- and TSS :5 30 mgA_ SBD-8330 (RI 1 I 11) LO C� Property Owner i Parcel ID # �7 Boring # Boring pit Ground swface elev. ft. Depth to Urnift factor In. Z�f Page Of '51 I Soil Application Rate 1 a F a MM MMMM SoriN # 0 &)am 0 pit Ground surface elev. fL Depth to Urn!*V factor In. Redox Descripbon Qu. Sz. ConL Color BorkV # [] Ba*V Ground surface elev. ft. Depth to HtTgfing factor in. 0 pit I W- Wn Ratej ...... . . . . . . . . . * Effluent #1 - BOD 6 > 30 < 220 mom.. &A TSS >30 < 150 nV/L * Effluent #2 = SOD 1, 5 30 rn9A- and TSS 5 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. 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