HomeMy WebLinkAbout026-1097-80-100 (79)Wisconsin Department of Commerce SOIL EVALUATION REPORT
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach compete site plan on paper not less than 8 112 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Page ` of
Please print all information. lew Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner R, v � •,^ � � J 1-Property
Gout. L tL�N n� 1 F4 N� 1
r Y\ �c. V G U '� f' (° R/ 4 SM T 3 0 N R J E
Property Owner's Mailing/Wdress Lot # Block # Subd. Name or CSM#
y, nj
city StaW Zip Code Phone Number ❑ City ❑ Village %Town Nearest Road
New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate , D GPD
❑ Replacement ( i Q Public or commercial - Describe:
Parent material -T r t f [) 'M_ t1a a S L1 vrn y Flood Plain elevation if applicable ft.
and recommendations: .L `'.s �' $"` (� -A 7l 5 r r4 Q U r. � � e T 0.�' / D I , 39 �
F-1 I Boring
Boring # tf
5, Pit Ground surface elev. q ft. Depth to limiting factor r in. Q„ e. 1, ��.-- ---
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Cu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDAf
`Eff#1
I 'Eff#2
-II D
11)7l2�a
_,. _
t (� .,
eis1.
/
r
�'
It
S
YV- 04,
75U
tw5t-
d F61")l
t
® Boring # ❑ Boring
Pit Ground surface elev.
Depth to lirnkng factor in.
lira' n Rate
Horizon
Depth
in.
Dorrurlant Color
Munsell
Redox Description
Cu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Con
unda
GPD1W
'Eff#1
'Eff#2
d
a -
of
3a
5
iFJ-'-� �4--
VC`
s Y
.7
yt1_ s
' `�
5 L
a e,5
a � k�-
-
-
y
h
' Etiiuent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mglL ' EfBue = BOD < 30 rngll- and TSS < m9A-
CST Name (Please Print) II� Signature T Number
o
Address .� �+ , Da e Evaluation Conducted Telephone Number
5`foa9�
Property Owner!a'm LS
F3� Boring # ❑ Boring
R Pit
�� V G Parcel ID#
Ground surface elev. b -7 1 fL Depth to limiting factor &
_J
Page of
Redox Description
Qu. Sz. Cont. Color
-q� F Boring # ❑ Boring
Pit Ground surface elev. Z PD.PD.6 3 ft. Depth to limiting factor 7 in.
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh_
Consistence
Boundary
Roots
GPDW
'Eff#1
'Eff#2
cosaF
, 4,
• �3
IR y
6
C1�r
-
. 4
, 4sr
3
5-3D
151A 4
.�... ...
k-
I F.sb+c
h
L�•v
I �F
. '�
, 7
157 - 715
6
Boring # 1:1❑ Bones
❑ Pit Ground surface elev, ft. Depth to limiting factor in.
Snil OrvfIinn Rasa
' Effluent #1 = BODS > 30 < 220 mg1L and TSS >30 S 150 mglL ' Effluent #2 = BOD, 5 30 mglL and TSS 130 mg1L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD4330 (R.07M)
r
Cod
Paw `,/, � t4'o ' i ,. Sec.. � �� •T"3o �-�M V to
SW /y� 0W
4i
O '
�" Z •cp
v► t
f G� 0-3 �f
ai ►�1 h� 3' , ,S $eG,r A",
�r ' �'fS �7 Gtc.►^ t
�11►► �w c
.�.. a� :.
l
tJ� a+ 9 "
OFeh F,�.1
6m a rcFc..'rCNNf-
(�
55
e -� loo,71'
7J I r
I o —r t . rl "n.