HomeMy WebLinkAbout020-1492-06-000 (3)'Msconsin Departure afe Pr ssi"Se s Page f
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` OIL FVALLIATION REPORT 5j -F-2QZ�j-(�7S
16 2023 � In accordance with SPS 385, Wis. Adm. Code County C i . ��
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plete site plan on p er not less than 8 1/2 x 11 inches in size. Plan must include, v
ot limited i
vertical and h rizontal reference point (BM), direction and percent slope, Parcel I.D.
d• 6t 6HR�'4rth aro and location and distance to nearest road. O20 - 14 cl 2 - {v - qcp
munity elopment
Please print all information. Revie ed �b, Date
Personal information ou rovide ma be used for seconds ur oses Privac Law, s. 15.04 1 m13/ ,
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Property Owner Property Location ❑ W
-/Ah?7-t7li) DF_V E L6 e r f, C-.S Govt. Lots r / q/'c �1/4S 2.) T 2-5 N R r / E (or) W
Property Owner Mailing Address 2-Lot # Block # Subd. Name or CSM#
City lam_ State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
_ ram_
New Construction Use: ❑ Residential IN umber of bedrooms Code derived design flow rate 7 GPD
❑ Replacement ( Public or commercial -Describe: I
Parent material ow Flood Plan elevation if applicable ft.
General comments and recommendations:
F1IBoring # El M pitying
Ground surface elev. 1 9 ft.
-7/11
Depth to limiting factor in.
Rnil Annliratinn Rata
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD!Ft2
'Eff#1
'Eff42
F?-� Boring #
❑ Boring a 'i 7 t 10
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil AnDlication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
`Eff#1
'Eff#2
- 3 Z
7, 'Y14
' Ettluent 91 = BUU. > 30 <_ 220 mo/L and I SS > 30 < 150 mn/1 . Fffhp.nt #2 = ROn > 30 < ??n mn/1 and TSS > 30 < 150 mo/L
CST N me (Please Print)
Signat
CST Number
Address
Date Evalu tion 4nducteJ
Telephone Number
,, no r
.
-� - D� O
Sid tibU J3U (KU4/1�)
LT
Boring #
❑ Boring /
�] Pit Ground surface elev.�. C
Depth to limiting factor in.
I
Soil Annlication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
`Eff#1
I 'Eff#2
0-0
iro >a
,"
m
G
8
3 -
, 9 1,41-
S,2
kOX
❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
I Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
'Eff#1
'Eff#2
7 Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
`Eff#1
`Eff#2
• Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L
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