HomeMy WebLinkAbout026-1097-80-100 (74)Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of
Division of Safety and Buildings
in accordance with Comm 85, V&. `Adrr Code
Attach complete site plan on paper not less than 8 1l2 x 11 inches in size. Plan must County n•
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Piease print all information. Rev wed Date
Personal information you provide may be used for secondary purposes (Pnvacy Law. s. 15.G4 (1) (m)). y
'roperty Owner y` (J F Property Location `
5-Q-W-WC. l x. Govt. Lot t.}%A' 1/4 t.' A)l/4 S T N R E E (or
Iroperty Owners Mailing Address _ Lot #. I Block # T Subd. Name or CSM#
. � -i= y.
City ! S Zip Code Phone Number [I City D El Village [Town Nearest Road
New Construction Use:I$ Residential I Number of bedrooms ._�Code derived design flow rate GPD
❑ Replacement f1 % Public or commercial - Describe:
Parent material -r' Td t„� 1,.- a. s �-1 h, 1 )� Flood Plain elevation if applicable ft.
General comments r r I
and recommendations: = 5 U5 S e-54 o- 4. x 7,5 'k tM 0.1 - e9- S e--+ A-+ � D � • $ D
i� VU4- cs7
F�
Bonng # l❑ Boring 1 11
t1T Pit Ground surface elev. %D ! ! a ft. Depth to limiting factor J oP, in.
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
(0 tz5
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Fs b �e,
► ✓
F
L
,
ro
Awl
LY
Boring #
❑ Bonng ` 7i -/ T ►i - 5 p nn C C R
'7��
f
Pit Groundsurfac�-etev; pf�2—@ th � in. C-;[ A..r:
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
L
C-S 6 k
I$-
a`i l
j5 k
e ��'
,lit
q
,
5- -'
Q4
+ S a"+
F 5 `'
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Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 15C mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ignature CST Number
1"
dress LPate Evaluation Conducted Telephone Number
-}� ►. ,. , ,!- 4 tc �', 17" j tad o — 6 3 71 s - It 3s- 8 8^
Property Owner TAVVI CS LOA -a e' Parcel ID #
-31 Boring # I® Boring
Pit Ground surface elev. I0011�i ft,
Depth to limiting factor 3 � in.
Page of
Cnll Gnn6rntinn Rnlw
Horzon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz, Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/fF
`Eff#1
I "Eff#2
C L
awl s )7K-
C t,.1
3
-37
?,5`tRy
-
'*"-'+
s �,-
►�
G w
! v>r
. t
7-75
S IP-Ylto
- — - _.re,
+L
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1
Boring # El Boring r
• Pit Ground surface elev. 10b-17 ft. Depth to limiting factor in.
Snil Anolication Rale
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
(P
cis
SL -7S
S'i ray
-"''
_�,7
Boring # Boring Z 5 �'4 /W fl c �-eP� — AZ Wk-
✓ "" f
❑ Plt Ground surface elev. R. Depth to limiting facto m. frG i'1
Snl Acruliratinn Rates
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 = BOOS < 30 mg/L and TSS < 30 rng1L
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