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HomeMy WebLinkAbout026-1097-80-100 (81)n Wisconsin Department of Commerce SOIL EVALUATION REPORT page -L ofa(- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code -j^ f Attach complete site Ian on a County � I ICU 4 p p paper not less than 8 112 x 11 i►rd'les in size. Plan mull include, but not limited to: vertical and horizontal reference point (BM), dlrectlon and pares I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pam+ n Please print all information. Reviewed Date Personal information you provide may be used for Y P Y secondary PurPo9es (Privacy Law. s. 19.04 (4) Property Owner R -r V e r _ Property Location YV1 s vdt Govt_ Lot 14 lu nth 14 S T © N R Z1 E (` CW Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# a & -e S City State NJ Zip Code Phone Number ❑ city ❑ Village Town Nearest Road 0JGe-0 1 0�tU 54(ab 1( 15) -I?q3'84 7 P,. ca, v%A k' z9- 1 1 OL o r JA.New Construction Use: Residential I Number of bedrooms .7 Code denved design flow rate `r =� l GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material t' f-+ Uj j s LA t1n �'j Flood Plain elevation if applicable ft. General comments 51r S �e- 5 t y -Tr- E' 1, S F p r e cY. c- L, �5 �'4'C * and recommendations: T. 7 T,, I ('1s,4f~'� T,3 C9�. �.�') ;-�G a : -r.s �9y.syL� 7 aLt9�.�r'� T�! C43,Sa' T,6 (9Y.39`) TL`c�(94.►v'� Jl3t�c. Q Boring- ` O7b ® Boring# q pit Gr ft surface elev. �� . 'epth to limiting facto�in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM 'Eff#1 I "Eff#2 I0 -11 1 V 124;ll- - ---- -- — � , ., � r , -J, j Ci fvyR-4t:;t Af, 5%ZOcr -- ..�. _._. l "6 L�- r I a Boring # Boring v dd pit Ground surface elev. '3q')q ft. Depth to limiting factor 1 u-3— in. Horizon Depth in..� Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIff 'Eff#1 `Eff#2 a 3 a 3 -3 3 s/ _ L aFS b Cis 1, (%v cY 33-53 ,S 1 �' y/ --—.----- W<O A y ►'�'� 5 b A h. rr t r - r-muenr ;Fi = cuu > so < zzu mg/L ano I --;�j >W < isu rnglL ' Effluent #2 = SOD < 30 mglL and TSS c 30 mg1L Name (Please Print) Signature CST Number ©) 4 C k- da V Address (^ t, •* Date Evaluation Conducted Telephone Number C �` ef_`,; s f Property Owner 7 & M . S / � Q e, Parcel ID # � Page of V F�l Boring # F 1 Boring 7S �j f i S �2 It jrM 1 �dh It Pit Ground surface elev.) �53 ft. Depth to limiting fact r in. �rJ Soil Application Rate Horizon Depth in. Dominant Color Myunseil/( Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPp1ff 'Eff#1 -Eff#20-I.. II i� 1 !� itJ P- s C�/y' .. w Iv-11 IlDuo/a L -;?FSy 0 A.A Cw t C-- � $ d 7-a I I ID1k-1lq C L. rn btt s h G L-.) r v It • Co a t -3:2 7,51,e v� _�----.—_., �� m 5 b f_'" l 7 5 -I 161,e- r S far -- �th->1 Boring # ❑ Boring Pit Ground surface elev. 3 ft. Depth to limiting factor 5 in. Soil AooiicaGan Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIff 'Eff#1 'Eff#2 14 - c `t ,�' , L N. j s �r 5 C� F , to 9-19 1 Q `f ---- L ? r-6 L I , 4> DIgs/ �. "w5�a� vF , 1 , V N ?- 7.5 tl R y -------- HCary M6 6X. h .-- 7 9;- Sal ISU Wk CRFS b k s C -•- f, D ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil A.M ication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDItf '£ff#1 'Eff#2 Effluent #1 = BODS > 30 < 2-20 mg/L and TSS >30 E 150 mglL ' Effluent #2 = BODS < 30 nVL and TSS < 30 mglL 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. $BD48330 (R07l00) -3 e-,� Lt No I/,s P&Opose 0 rvi 1�3 IDo. s 3 , O � YS LU 7` C),6 1 0.cr G