HomeMy WebLinkAbout026-1097-80-100 (77)Wisconsin Department of Commerce SOIL EVALUATION REPORT
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County -{-
Attach complete site plan on paper not less than 8 1!2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel 1 D
1/)Page 1 of
Clot
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. e R ,
Please print all information. R 1ew / Date
Personal information you provide may t>e used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). t6 " ' �h�— tic Q
Property Owner t ,� y, v r Property Location
7:YQ.m e S B; Y` Govt. Lot W 114 N 0114 S N R j E( W
Property Owners Mailing Address - Lot # I Block # I Subd. Name dr CSNW n a, /mil ,
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1City StaTe Zip Code Phone Number ❑ City ❑ Village � Town Nearest Road
06CUilet , rivSC s yrxa c 7iS)`I.3$g ? R ,f✓ k w, to A k 11 a o T-.
New Construction Use: ® Residential 1 Number of bedrooms �� Code derived design flow rate y S GPD
❑ Replacement l ❑ Public or commercial - Describe: ?
Parent material ood Plain elevation if pplica a Yc
General comments 5 v Se- -t Ctr 4 i x 7 S r P%,mo �� r S-e "� a. A- 1 o a, I y
and recomendations:
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Boring # ❑ Boring (may ❑ ® Pit Ground surface elev. �T ft. Depth to limiting factor ! r " �%
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Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Cons en undary
in.
Munsell
Qu. Sz. Cont. Color
Gr. Sz. Sh.
Roots
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❑ Boring #
❑ Boring LoT S U
Pit Ground surface elev. DI Y 7 {t. Depot to limiting favor 114 in.
Horizon
Depth
in.
Dominant Color
Munsed
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDlftz
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'Eff#2
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Effluent #1 = BOD > 30 < 220 mg`L and TSS >30 < 150 mg/L `- uent #2 = BOD < 30 mgrL and TSS < 30 mgrL
CST Name (Please Print) _ _ Sidnat a CST Number
n 11tf�,r- l� �) a 1711
Address y p a �- Date Evaluation Conducted Telephone Number
a-7 L., d� - �.b -b W-358
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P?P_Pjan"ferty owner &M t
Parcel ID # � Page of
� Boring
apit Ground surface elev. loo, 5 3 ft. Depth to limiting factor in.
Soil Application Rate
Horizon
Depth
in.
Dominant Color
Murseli
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consisten
oundary
Roots
GPD/fF
"Eff#2
,j
0'Eff#1
C9
101 P,"!:'
L-.
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5�
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18
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S)--75
S`qR'#
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FS �1�
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Boring # Boring
pit Ground surface elev. ft. Depth to limiting factor (13 in.
Soil Aaolication Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDtW
"Eff#1
'Eff#2
10-13
1 DI RA I
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t *3 �"I
ay ,2 212
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1,9 FS h K
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75
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FS
Boring #
Ground surface elev. ft. Depth !o limitng factor in.
1:1 11 pit
Soil Anoliration Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDffF
'Eff#1
'Eff#2
' Effluent #1 = SODS > 30 < 220 mg/L and TSS >30 < 150 mglL ' Effluent #2 w BOD, < 30 mg1L and TSS < 30 mglL
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SBD_9330 (KOW00)
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