HomeMy WebLinkAbout032-2193-11-230Ir 1"VIL FRECE WED
andvft. Pept of Safety Ple cm SOIL EVALUATION REPORFlage T of
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DMsi6n of Saf* Wid Y
-inity DeveveTopment in wxordance with SPS385. Wis. Adm. Code
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Attach complete site plan an paper not less than 8 112 x I I inches in size. Plan must 1;
JWude, but not limited to: vertical and horizontal reference point (BM), direction and I Parcel OIA—AA^
percent slope, scale or dimensiorts. north arrow, and location and distance to nearest road. —7U -VUJ
Please pdnt alb' Infonnation. I Revie%wW by Date
pemmW 1n%nnaUw you pmvide may be used for secondwy puqxm" (Prmmy Law, a. 15.04 (1) (m)).
Property Owner Property Location
Govt Lot 1/4�L,/,1/4 S TY► N RZ9 E!2L)t'r
iX 22.
prope OwneesMMig Address Lot # Bkck # Subd. 1�pe
pr
CRY SteW Zip Code Phone oCity --Ovivap BOOM Nearest Road
New Construction Use: Q Residential / NwAw of bedroorns 7 Code derived design flow rate
7 GPO
0 RepkK*rnent C] PuKc or conunerdal - Describe:
Parent material 1; 11 A Flood Pkin elevation ff appfic:aMe
°`
Getwm*W car vT"ts
and recommendations:
Boring # Boring Depth to limiting fador ZI In.
Pit Ground surface elev. ft.
Redox Descrk)fion
Qu. Sz. Cont Color
PM AMNON da
l�lA�lf�l�il_�1��■�
4 WLA
Borkv
Boring # Ground surface olev. ft. Depth to limiting factor in.
Pit Soil cafion to
Horizon Depth Dominant Color Redox Description -- Texture Structure sistence Roots GPD/ft 2
In. Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 *1-'.ff#2
V;�
A'
I - W-d%ft Ali% §-.O%r% -.003AWW-ftn
Efflyent #1 BOO > 30 < 220 ffKyL and -155 >30 :5 1 W M91L wEment jFz = buu Jou FT"L MKJ 10%31 ZYV
Sign9ture CST Number
Date Evaluation Conducted T4eptxm Number
e
1-M-Z// Z
n"v-% nl%.Wf% to I 111 1
ant-1-0jiv I M I I I 1 1
. 4411k
Property Owner
# r
----> 0 BorkV 7- I Borirm
Parcel ID #
pit Ground surface elev. I-L—ft.
Depth to limiting factor___In.
Page of
I ;i;;'1 Arv-Ji rin Pnto
Horizon
Depth
in.
Dominant Color
Munsel
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
onsistence
"dary
Roots
GPD/ft
ff#1
f1#2
-91-
IUA-
J1 I
sir
n5z /S
Boll # Boring
Pit Ground surface elev. ft. Depth to limiting factor in. Sod-A2ELicafion Rate.
Horizon
Depth
in.
Dominant Color
Munsefl
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
nsistence
oundary
Roots
GPD/ft 2
:ff#1
Boring # BoMg Ground surface elev. ft. Depth to limiting factor in.
Ej pit i r"%-.- I
2
Horizon Depth Dominant Color Redox Descjipbon Texture I StructurePons�istence -Ooundary Roots GPD/ft
it 1. Mul MWO wu. 04. %.,Ul IL %.oVKJI Uil . OA— %-A I. lift I
* Effluent #1 = BUD 6 > 30 < 220 mg/L. and TSS >30 < 150 mg/L * Effluent #2 = BUD , E 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.
SDD-$330(R11A1)
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