HomeMy WebLinkAbout026-1097-80-100 (78)Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 06' /\
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete 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 I.D. r
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Revf6we&W Date
Personal information you rovide ma be used for seconds S t o
y p y secondary purpo�es (Pr vacy Law, s 15 oa (1) (m)}. l
Property Owner �} P, Property LocatiQn Govt. Lot ;Uy 1 /4 W1I4 S 3Y T 3 () N RE (or)CV
Property Owne Mailing Address Lot _# Block # Subd. Name or CS
M#
(1 ,; Y'
City State Zip Code Phone Number ❑ City El Village a Town Nearest Roadh
5ceolc-- IWT-1 510,. o 01,S) aaq_ 197 E I Uk 1 �a'r st
}• New Construction Use: [Z Residential I Number of bedrooms Code derived design flow rate ` GPD
❑ Replacement / ❑ Public or commercial - Describe:
Parent
material comments.; 11 / 1) V+ 1�1 tc S LA Y-- - YeLodi Plain elevation if applicable tt.
10
and recommendations:
s u�S e + A- & ' 'A -75' a� �- �L s t a.-t- 0 L 7S
prvCO.S'ed jft'�W uUal �treu-�d �t&t4 . -4 rKtV--C-- �'k j s I
Boring
F T]Boring # � - L
® pit Ground surface elev. ! it. Depth to limiting factor in. c—a
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD1fP
'Eff#1
'Eff#2
7,5 1 A 14
L\
I it. - y
17,5-(Qy V
L
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$ 11
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*�
s
1:2 Boring #
Boring — V I 1 ..a
Pit Ground surface elev. / 6 ,�5 ft, Depth to limiting factor -75 in.
Horizon
Depth
in.
Dominant Color
Munsel]
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDM
'Eff#1
'Eff#2
a
it
f Flo I
CA S h
a
• ''
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-
7,5YRy
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CW
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' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS � 30 mg/L and TSS < 30 mg/L
QS1. Name (Please Print) Signature CST Number . - al-L:k 01 Q 17 Lj
Address .1- K S� Date Evaluation Conducted Telephone Number
1, a ap
-ace-o71 s�aYs-3.s
aFvc;"l1
Property Owner JCLM Parcel ID #
1:3 E�- Boring # ❑ Boring
pit Ground surface elev. I b a s ft. Depth to limiting factor 77.6 in
Page - d of
t'
e a e o: art, 054-
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ff
'Eff#1
'Eff#2
I
- �d
l A.3f.�
-
alb
-� `
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SY A 5
of-4
Boring # Boring
vlk� r
t1 Z Pit Ground surface elev. D e2 '5 ft. Depth to limiting factor 75 in.
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr_ Sz. Sh.
Consistence
Boundary
Roots
GPD/ff
'Eff#1
'Eff#2
Q 4R
10-fa
4
!? . `rR-`�
— -- -----
L
p} 4 "r' b t
k
%�[
CS
7 , 5 `l
W
17❑ Boring
Boring # Ground surface elev. ft_ Depth to limiting factor in.
Pit
G,il enrJ�r �einn r�oeo
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ff
'Eff#1
'Eff#2
' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS a 30 mg/L and TSS < 30 mg/L
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SBD-8330 (R.07!00)
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