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HomeMy WebLinkAbout026-1097-80-100 (75)Wisconsin Department of Commerce SOIL EVALUATION REPORT Page —L of X' Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code O Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County �Si include, but not limited to: vertical and horizontal referenowpoint (BM), direction and Parcel I.D. percent slope, scale ordimensions, north arrow, and location and distance to nearest road. Please print all information. ReviewedX Date Personal information you provide may be used for secondary purposes (Privacy Law, s, 15.04 (1) (m)). _ ` J L( D Property Owner rr % £f ` V t � � � Property Location �Q m e, hes ! 1'C . ! C _ Govt. Lot f d1W 1 /4 A r d 114 S 31 T 3 () N R S' E ( W Property Owners M ding Address Lot # Block # Subd. Name or CS 3 -, � , City S Zip Code Phone Number [] City ❑ Village I) Town 4arest Road 6CZ0 104 1 WTA 19© 1( 71S), �V-339-7 �c�t on C) (� New Construction Use: (Z Residential / Number of bedrooms _ Code derived design flow rate 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material �' i t / O y-t L-j , w 5 y% _ m i _ _ Flood Plain elevation if applicable ft. General comments S V5 5 e 5-i el- (o �- 7 5 e� k I 1 0 � � � •1 p 0 v., :� C-�- and recommendations: 0-* / Q a , 5 O f Boring # Boring } -15 [� pit Ground surface elev. 9 71.7 ft. Depth to limiting factor in. f 7. Cnil nnndirstinn R91u Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont_ Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#1 -Eff#2 3V-75 F;5r t �..`et --..m�- FS 5b�t. Boring # Boring 1 t. ® pit Ground surface elev. _L.f_ ft. Depth to limiting factor `` in. c a ennr—fi— P.tm Horizon Depth in. Dominant Color Munsel Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDtfF -Eft#1 'Eff#2 0- I Dip',l L F� r2 AS k Q 5 C2 F SL IFSbk. w 10 V-75 " f' _ °� s -- ------ -S C? FS b Y�_ 7.5`�f251 F5 I 4 Fssk ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L V • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number ►� , y . a 17'( Co dddrr 4 Q .t l ,F Date Evaluation Conducted Telephone Number ,�...�, 75- -358 Property Owner 'Y-A L -5 't P-' e. Parcel ID # Boring # Boring 1 E pit Ground surface elev. d% ft. Depth to limiting factor %5 in Page w of J C-:1 An..,iro,inn D- 4- Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#1 'Eff#2 9 �-- t, 2 s as a F , g p- -:)3 5i Y1y tL d5h k/ A3-96 7,540) `i dk c t.� -� � Y 7 S q5-75 2.5.1XVV FS b k- cis t, ._._ -- B Y 11 l_. - J ki U Boring # Boring Pit Ground surface elev. Dft a "�� . Depth to limiting factor 7 5 1-7�in. C.. 1 Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#1 'Eff#2 t� i Pit Boring ❑ Boring # O Ground surface elev. ft. Depth to limiting factor i _ Scsil Annliratinn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIff 'Eff#1 'Efi#2 Effluent #1 = SODS > 30 c 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS c 30 mg/L and TSS < 30 mg/L 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. ser-e130(R07r00) Sc.-Ncs 40t."Ruc�j�,ocy- 8l 8u;1jerzs �G/4i� i � IJy zip e PRo��s�n �r.VLwa`/ oP J c 1 � -1a' e 31, ` Pa c L�{ �����i�r�rr.� '=> a m h A -', 5+cur k- G5+ vv\ arek1l '-'l to 145' 6--1 1 �t(Dam I s tc4f P; p4es sp4} Ql31'�n a /�- ._ I 1 _.1_ 1 • ._ _\ T.� 6Lr-kt- kvt- p.4 s Q.14to4+ i a K) r $Ml 100.00 Neat'• + hor I a. . $rqa /03,'3' rcFcrcv%c,& P+s Pj 97.17r Dl 10A•1ka IBA gq.ssI Da n I c%Wvv-1 h v v-r ' ' -w-i